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The long-term impact of a holistic inpatient treatment program for substance use disorders: 498 patients personally revisited after 5-10 years 药物使用障碍的整体住院治疗计划的长期影响:498名患者在5-10年后亲自重新就诊
Q4 Medicine Pub Date : 2023-04-01 DOI: 10.4103/ijsp.ijsp_246_21
Rajinder Singh, Tathagata Mahintamani, Onkar Singh, Nand Gupta, Deepti Kashyap
Background: Holistic treatment often better impacts recovery from substance use disorder (SUD) in terms of treatment retention and psychosocial improvement. Studies on the long-term outcome of such treatment programs are needed from India. Materials and Methods: We traced and interviewed 498 patients face to face after 5–10 years from their last inpatient treatment with holistic approach in a rural addiction treatment center in Punjab. We used a semi-structured questionnaire for the assessment of various clinical, social, and behavioral parameters. Patients were asked about their experience during inpatient treatment and treatment modalities, and qualitative assessment was performed by content analysis. Results: The mean age of onset was 21.1 ± 7 years, and the mean duration of dependence was around 10 years. At the final assessment, 33% of the patients had relapsed, 32% were abstinent, 27% were abstinent with intermittent lapses, and the rest of them died. Intergroup comparison revealed that with respect to the relapsed group, abstinent patients had more regular follow-up (χ2 = 52.8, P < 0.001), physical exercise (χ2 = 50.5, P < 0.001), social interaction (χ2 = 11.4, P = 0.02), better marital relationship (χ2 = 202.5, P < 0.001), participation in household works (χ2 = 159.5, P < 0.001), and more favorable rating of the treatment center (χ2 = 70.4, P < 0.001). The majority of satisfied patients felt that overall good facility and service during inpatient treatment helped in their recovery. Conclusion: There was an overall improvement in psychosocial functioning in the abstinent patients after the holistic treatment. The positive changes are persistent after an interval of around 5 to 10 years. The inadequate treatment utilization of the relapsed group requires attention and redressal.
背景:整体治疗在治疗效果和心理社会改善方面对物质使用障碍(SUD)的康复效果更好。印度需要对此类治疗方案的长期效果进行研究。材料和方法:我们在旁遮普省的一个农村成瘾治疗中心对498名患者进行了面对面的追踪和访谈,从他们最后一次采用整体方法住院治疗后的5-10年。我们使用半结构化问卷来评估各种临床、社会和行为参数。询问患者住院治疗的经历和治疗方式,通过内容分析进行定性评价。结果:患者平均发病年龄21.1±7岁,平均依赖时间10年左右。在最终评估时,33%的患者复发,32%的患者戒断,27%的患者戒断伴有间歇性失禁,其余患者死亡。组间比较显示,与复发组相比,戒断患者随访规律(χ2 = 52.8, P < 0.001)、体育锻炼(χ2 = 50.5, P < 0.001)、社会交往(χ2 = 11.4, P = 0.02)、婚姻关系改善(χ2 = 202.5, P < 0.001)、家务劳动参与率提高(χ2 = 159.5, P < 0.001)、对治疗中心的评价提高(χ2 = 70.4, P < 0.001)。大多数满意的患者认为住院治疗期间整体良好的设施和服务有助于他们的康复。结论:戒断患者经综合治疗后,心理社会功能整体改善。这种积极的变化在大约5至10年的间隔后持续存在。复发组的治疗利用不足需要引起重视和纠正。
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引用次数: 0
School climate and its determinant factors of well-being in a residential school community 寄宿学校社区的学校气候及其幸福感的决定因素
Q4 Medicine Pub Date : 2023-04-01 DOI: 10.4103/ijsp.ijsp_11_21
J. Santhosh, F. L. Flower
Background: Research has made it increasingly clear that school climate, defined as “the quality and character of school life,” profoundly has effects on the school community. A safe and caring school environment is one in which the school community feels positively connected to others, respected, meaningful work, and boosting their confidence. School climate is a group phenomenon that reflects the school community's norms, goals, and values, and it emerges based on ways in which students, parents, and school staff experience school life. Aim: The study explores factors of the well-being of the school community that influences school climate in a residential set-up and prescribes recommendations for actions. Methods: To understand the complex phenomenon of well-being within a residential school community, qualitative study methods were adopted to explore various influential factors of school well-being. Interactive meetings with teachers, focus group discussion (FGD) with students, and in-depth interviews with school authorities were conducted with self-prepared interview schedules and FGD protocols. Results: The study identifies the physiological, social, psychological, and managerial factors of the school community having an impact on overall well-being and school climate that manifests in the form of boarding activities and schedules, students' social and interpersonal relationships, high academic demands/pressure from parents and school authorities, teachers' distress and managements' partiality toward students. Conclusions: Recommendations are prescribed for intervention at various levels and thrust areas of research are identified for future directions.
背景:研究表明,被定义为“学校生活的质量和特征”的学校氛围对学校社区有着深刻的影响。一个安全和关爱的学校环境是一个学校社区与他人建立积极联系、受到尊重、有意义的工作并增强他们信心的环境。学校氛围是一种群体现象,反映了学校社区的规范、目标和价值观,它是基于学生、家长和学校工作人员体验学校生活的方式而产生的。目的:本研究探讨了影响居住环境中学校氛围的学校社区幸福感因素,并提出了行动建议。方法:采用质的研究方法,探讨影响寄宿学校社区幸福感的各种因素,以了解寄宿学校社区中复杂的幸福感现象。与教师的互动会议、与学生的焦点小组讨论(FGD)以及与学校当局的深入访谈都是根据自己准备的访谈时间表和FGD协议进行的。结果:该研究确定了学校社区的生理、社会、心理和管理因素对整体幸福感和学校氛围的影响,表现为寄宿活动和时间表、学生的社会和人际关系、来自家长和学校当局的高学术需求/压力、,教师的苦恼和管理层对学生的偏袒。结论:为各级干预制定了建议,并确定了未来研究的重点领域。
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引用次数: 0
Psychoeducation module for caregivers of patients with severe mental illness: Impact on postgraduate residents and caregivers 重度精神疾病患者护理人员心理教育模块:对研究生住院医师和护理人员的影响
Q4 Medicine Pub Date : 2023-04-01 DOI: 10.4103/ijsp.ijsp_452_20
M. Sood, Ankit Gupta, V. Krishnan, R. Chadda, R. Verma, K. Deb
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引用次数: 0
The impact of COVID-19 on social stigma and vice versa: Implications and potential responses from a mental health perspective COVID-19对社会耻辱的影响,反之亦然:从心理健康角度的影响和潜在反应
Q4 Medicine Pub Date : 2023-04-01 DOI: 10.4103/ijsp.ijsp_420_20
J. Christy, Bala Shanti Nikketha, S. Manikappa, K. Sadh, D. Dinakaran
This manuscript reports the impact of Coronavirus Disease 2019 on social stigma; verbatims demonstrating this impact on society and the potential responses or measures that can be taken as individuals and mental health professionals to combat stigma.
这份手稿报告了2019冠状病毒病对社会污名化的影响;表明这种对社会的影响的措辞,以及作为个人和心理健康专业人员可以采取的潜在反应或措施,以消除污名。
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引用次数: 0
Employing a structured framework to deal with problem learners: Role of medical teachers 采用结构化框架处理问题学习者:医学教师的作用
Q4 Medicine Pub Date : 2023-04-01 DOI: 10.4103/ijsp.ijsp_64_21
S. Shrivastava, P. Shrivastava
The field of medicine is quite complex, which makes it extremely difficult for students to accomplish the learning outcomes at an identical pace. The medical teachers often have to deal with the students, who either lag on the cognitive aspect or have problems related to their attitude or behavior. These students are broadly referred as “problem learners” and it becomes extremely important for the teachers to give due attention to their needs. Under ideal circumstances, it is always an encouraging practice to have a structured framework within a medical college, which will not only help the teachers in the identification of the problem learners, but also aid in the planning and assessing the impact of the intervention specific to a student. In conclusion, the presence of a problem learner in the field of medicine cannot be denied. However, the important thing will be to identify them at the earliest and give due consideration to teacher and system-related attributes. The entire process should be driven by the teachers, and they should offer them support and help the learners to overcome their issues.
医学领域相当复杂,这使得学生很难以相同的速度完成学习成果。医学教师经常要处理学生,他们要么在认知方面落后,要么在态度或行为方面存在问题。这些学生被广泛称为“问题学习者”,教师对他们的需求给予应有的关注变得极其重要。在理想的情况下,在医学院内建立一个结构化的框架总是一种令人鼓舞的做法,这不仅有助于教师识别问题学习者,而且有助于规划和评估针对学生的干预措施的影响。总之,不能否认医学领域存在问题学习者。然而,重要的是尽早识别它们,并适当考虑教师和系统相关的属性。整个过程应该由教师推动,他们应该为他们提供支持,帮助学习者克服他们的问题。
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引用次数: 0
Management of women with alcohol use disorder during COVID-19 pandemic: A case series from Southern India 新冠肺炎大流行期间饮酒障碍妇女的管理:来自印度南部的一系列病例
Q4 Medicine Pub Date : 2023-04-01 DOI: 10.4103/ijsp.ijsp_117_21
N. Dhagudu, Richa Tripati
The gender influence on alcohol use trajectory in women is poorly understood. Culture is one of the determinant factors along with other psychobiological variances. A case series of two female alcohol use cases to understand its trajectory through cultural critical analysis. Case-wise discussion on culture as a critical pathological risk and protective aspects amid COVID-pandemic related restricted alcohol availability was done. We have highlighted the cultural factor considerations in understanding the gender differential phenomenon and its gender-specific comprehensive treatment services.
人们对性别对女性饮酒轨迹的影响知之甚少。文化和其他心理生物学差异是决定因素之一。一个由两名女性饮酒案例组成的案例系列,通过文化批判性分析来了解其轨迹。在与新冠肺炎疫情相关的酒精供应受限的情况下,对文化作为一种关键的病理风险和保护方面进行了个案讨论。我们强调了在理解性别差异现象及其针对性别的综合治疗服务时的文化因素考虑。
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引用次数: 0
A comparative study of supportive group therapy and individual psychotherapy in admitted COVID-19 patients at a tertiary health-care center: The effective feasible double-blinded, randomized controlled trial 三级医疗中心新冠肺炎住院患者支持性团体治疗和个体心理治疗的比较研究:有效可行的双盲随机对照试验
Q4 Medicine Pub Date : 2023-04-01 DOI: 10.4103/ijsp.ijsp_461_20
Miskin Tejaswini, V. Ramachandra, Deoraj Sinha, A. Mane
Background: Earlier pieces of evidence suggest that any pandemic has an impact on the mental health of general population, so is with COVID-19. The mental health of patients during such situations needs special attention and warrants proper care and support. We hypotheses that psychological interventions have an effective outcome in overcoming this. Methods: Consenting inpatient adults (n = 55) infected with COVID-19 were randomly allocated into two groups. The participants were assessed using a semi-structured sociodemographic detail, medical history pro forma, NEWS score, and Depression, Anxiety, and Stress Scale-21. In the 1st week of admission, group therapy (n = 26) and individual therapy (n = 29) sessions were delivered at an interval of 3–4 days. Results: On follow-up after a week, on comparing the groups, it was found that there was a significant difference in the mean ranks of depression and anxiety in COVID-19 patients who underwent group therapy and supportive individual therapy (P = 0.02, P = 0.03) versus (P = 0.001, P = 0.001), whereas the mean rank of stress in patients with group therapy (P = 0.33) revealed no significant difference compared to supportive individual therapy (P = 0.002). Conclusion: Our study found that group therapy was as effective as supportive individual therapy on the outcome measures of depression and anxiety in COVID-19 patients. However, in these difficult times, with shortage of health-care workers, this finding strengthens the benefits of group therapy for achieving psychological well-being in COVID-19 patients.
背景:早期的证据表明,任何大流行都会对普通人群的心理健康产生影响,新冠肺炎也是如此。在这种情况下,患者的心理健康需要特别关注,并需要适当的护理和支持。我们假设心理干预可以有效地克服这一问题。方法:将55例新冠肺炎住院患者随机分为两组。参与者使用半结构化的社会人口学细节、病史形式、NEWS评分和抑郁、焦虑和压力量表-21进行评估。入院第一周,分组治疗(n=26)和个体治疗(n=29),间隔3-4天。结果:在一周后的随访中,通过比较各组,发现接受团体治疗和支持性个体治疗的新冠肺炎患者的抑郁和焦虑的平均等级与接受支持性个体疗法的患者相比有显著差异(P=0.02,P=0.03),而团体治疗患者的平均压力等级(P=0.33)与支持性个体治疗(P=0.002)相比没有显著差异。结论:我们的研究发现,在新冠肺炎患者的抑郁和焦虑的结果测量方面,团体治疗与支持性个人治疗一样有效。然而,在医护人员短缺的困难时期,这一发现加强了集体治疗对新冠肺炎患者实现心理健康的益处。
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引用次数: 0
Mental health concerns and their management among individuals reaching out to the national psychosocial helpline in India during COVID-19 新冠肺炎期间,印度国家心理社会帮助热线患者的心理健康问题及其管理
Q4 Medicine Pub Date : 2023-04-01 DOI: 10.4103/ijsp.ijsp_83_21
F. Ibrahim, K. Sadh, Swati Ravindran, Malathesh C. Barikar, P. Nirisha, P. Reddy, Sobin George, Allen Daniel Christopher, D. Damodharan, S. Manikappa, B. Roopesh, C. Kumar, K. Sekar
Background: COVID-19 has affected the whole world. Apart from the impact of the COVID-19 outbreak on physical health, there has been a significant impact on the mental health of the individuals. To address these mental health concerns, our institute had started a 24/7 national telephonic helpline to enable distressed individuals to reach out and seek help or assistance. Aims: In this article, the authors described the details of 126 tier-2 call backs and the types of psychiatric disorders that were catered to, between March 29, 2020 and May 31, 2020. Methodology: Descriptive analysis was done. Results: The concerns were characterized into five groups: exacerbation of preexisting mental and physical illness (30.9%); known case of mental or physical illness (19%); COVID related mental health concerns (22.2%); administrative or logistic issues (7.1%); new-onset mental health-related concerns or illnesses (15.9%). Majority of the calls (44.4%) were addressed by the second-tier mental health professionals (MHPs) (psychiatrists). Thirty-one percent were referred to the local medical or psychiatric services; 9.5% to the 3rd tier MHPs; 9% were connected to the treating psychiatrist or neurologist in the hospital; and 1.6% were referred to emergency services in the hospital. Conclusions: Using teleservices to address such a huge mental health crisis can be a way ahead to tackle this parallel menace brought about by COVID-19. However, the effectiveness of these helplines needs to be assessed and monitored at frequent intervals.
背景:新冠肺炎已经波及全球。除了新冠肺炎疫情对身体健康的影响外,还对个人的心理健康产生了重大影响。为了解决这些心理健康问题,我们的研究所开通了一条全天候的全国电话求助热线,让陷入困境的人能够伸出援手寻求帮助。目的:在这篇文章中,作者描述了2020年3月29日至2020年5月31日期间126次二级呼叫的详细信息以及所治疗的精神障碍类型。方法:进行描述性分析。结果:这些担忧分为五组:先前存在的精神和身体疾病的恶化(30.9%);已知的精神或身体疾病病例(19%);与新冠肺炎相关的心理健康问题(22.2%);行政或后勤问题(7.1%);新发的心理健康问题或疾病(15.9%)。大多数电话(44.4%)由二级心理健康专业人员(精神科医生)处理。31%的人被转介到当地的医疗或精神服务机构;9.5%用于第三层MHP;9%与医院的精神科或神经科医生有联系;1.6%的患者转诊到医院接受急救。结论:利用远程服务解决如此巨大的心理健康危机可能是应对新冠肺炎带来的这一并行威胁的一条出路。然而,这些求助热线的有效性需要经常进行评估和监测。
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引用次数: 0
Hues to blow away the blues: Management of posttraumatic stress disorder in child sexual assault victim 驱散忧郁的色彩:儿童性侵受害者创伤后应激障碍的处理
Q4 Medicine Pub Date : 2023-04-01 DOI: 10.4103/ijsp.ijsp_292_20
P. Malhi, B. Bharti
In India, children are disproportionately affected by sex-related crimes, and nearly 40000 cases were reported under the Protection of Children from Sexual Offences Act in 2018. Sexual assault is the most common trauma associated with posttraumatic stress disorder (PTSD) among young people. Children with preexisting vulnerabilities, such as family dysfunction, emotional abuse and neglect, disengagement in the education system, lack of positive attachments, and socioeconomic disadvantage are especially vulnerable to sexual abuse. In this case report, we highlight the successful use of creative art therapy to help a girl who developed PTSD after sexual assault by an adult male neighbor. Multifaceted prevention programs may be one way of reaching out to large numbers of families without stigmatizing any group.
在印度,儿童受到性犯罪的影响尤为严重,2018年根据《保护儿童免受性犯罪法》报告了近40000起案件。性侵是年轻人中与创伤后应激障碍(PTSD)相关的最常见的创伤。先前存在脆弱性的儿童,如家庭功能障碍、情感虐待和忽视、脱离教育系统、缺乏积极依恋和社会经济劣势,特别容易受到性虐待。在这个案例报告中,我们强调了创造性艺术疗法的成功应用,以帮助一名在被成年男性邻居性侵后患上创伤后应激障碍的女孩。多方面的预防计划可能是在不污名化任何群体的情况下接触大量家庭的一种方式。
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引用次数: 0
Mental health apps: A new field in community mental health care 心理健康应用:社区心理健康护理的一个新领域
Q4 Medicine Pub Date : 2023-04-01 DOI: 10.4103/ijsp.ijsp_145_23
S. Malhotra
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引用次数: 0
期刊
Indian Journal of Social Psychiatry
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