Pub Date : 2024-04-11DOI: 10.20471/feb.2024.60.01.03
R. H. Setyaningrum, Indria Hafizah, Aris Sudiyanto, Ari Probandari, Eny Lestari
Aim: The level of mental emotional disorders in community has increased since the emergence of the COVID-19 pandemic. This study aimed to determine the risk factors and protective factors of the stress level of COVID-19 survivors. Subjects and Methods: This study used a descriptive analytic design with a cross sectional approach. A total of 66 respondents were involved in this study. Data were collected using a questionnaire consisting of: 1) Sociodemographic factors (age, sex, education level, COVID-19 wave and long COVID); 2) Risk factors (previous mental disorders, economic problems, substance use, loneliness, conflict in relationships and loss of important people); 3) Protective factors (spirituality, healthy eating patterns, physical activity, good sleep patterns and good personal relationships. Stress levels were measured using the Hopkins Symptom Checklist - 25 (HSCL - 25), where if the total score/ number of items ≥ 1.75 then categorized as experiencing stress disorder. For data analysis, SPSS Windows 25 was used. Results: The results of the descriptive analysis show that COVID-19 survivors were of the average age of 18-40 years old (78.8 %), female (80.3 %), had undergraduate education level (75.8 %), affected in wave II (45.5 %), felt loneliness (51.5 %), had conflict in their relationships (56.1 %), experienced continued effect of COVID (81.8 %), experienced anxiety (53 %), depression (56.1 %) and stress (57.6 %). The most influential factor on the stress level of COVID-19 survivors was sex (p = 0.032; OR: 0.189). Conclusion: There is no relationship between risk factors and protective factors on the stress level of COVID survivors. The most influential factor is the socio-demographic factor of sex.
{"title":"Risk and Protective Factors of Stress Level in COVID-19 Survivors","authors":"R. H. Setyaningrum, Indria Hafizah, Aris Sudiyanto, Ari Probandari, Eny Lestari","doi":"10.20471/feb.2024.60.01.03","DOIUrl":"https://doi.org/10.20471/feb.2024.60.01.03","url":null,"abstract":"Aim: The level of mental emotional disorders in community has increased since the emergence of the COVID-19 pandemic. This study aimed to determine the risk factors and protective factors of the stress level of COVID-19 survivors. Subjects and Methods: This study used a descriptive analytic design with a cross sectional approach. A total of 66 respondents were involved in this study. Data were collected using a questionnaire consisting of: 1) Sociodemographic factors (age, sex, education level, COVID-19 wave and long COVID); 2) Risk factors (previous mental disorders, economic problems, substance use, loneliness, conflict in relationships and loss of important people); 3) Protective factors (spirituality, healthy eating patterns, physical activity, good sleep patterns and good personal relationships. Stress levels were measured using the Hopkins Symptom Checklist - 25 (HSCL - 25), where if the total score/ number of items ≥ 1.75 then categorized as experiencing stress disorder. For data analysis, SPSS Windows 25 was used. Results: The results of the descriptive analysis show that COVID-19 survivors were of the average age of 18-40 years old (78.8 %), female (80.3 %), had undergraduate education level (75.8 %), affected in wave II (45.5 %), felt loneliness (51.5 %), had conflict in their relationships (56.1 %), experienced continued effect of COVID (81.8 %), experienced anxiety (53 %), depression (56.1 %) and stress (57.6 %). The most influential factor on the stress level of COVID-19 survivors was sex (p = 0.032; OR: 0.189). Conclusion: There is no relationship between risk factors and protective factors on the stress level of COVID survivors. The most influential factor is the socio-demographic factor of sex.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"24 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gordana Buljan Flander, Jasminka Stepan Giljević, Mia Roje Đapić, Sara Lulić
Aim: Parents of children suffering from malignant diseases indubitably represent a very dainty population, underrepresented in psychosocial research. It is common for these parents to move to the hospital wards in order to support their children, which causes an unnatural cut in their lifeline, in addition to coping with terrifying diagnosis. Coping with a child’s malignant disease includes a continuous feeling of fear and concern, and change in the overall family dynamics, but also the cessation of daily life activities, even outside the context of a global pandemic, some pre-COVID research had shown. COVID-19 brought some additional challenges. In order to protect children’s fragile physical state, parents were obliged to adapt to new rules and distance from the others even more. At the same time, their fears and worries grew only bigger and coping mechanisms were seriously limited. Subjects and Methods: In this paper we investigate parental experiences and needs during COVID-19 crisis. Semi-structured in-depth interviews were conducted with ten mothers with experience of children’s in-patient treatment before and during pandemics. Results: According to main findings, theoretical model of parental adjustment and wellbeing in health crisis is proposed. Conclusion: Results imply the necessity to consider parental psychological wellbeing in order to support them and their children, especially when additional stressful and/or traumatic experiences emerge, and treat them as especially vulnerable group in research and practice.
{"title":"Considering Parents of Malignant ill Children in COVID-19 Health Crisis","authors":"Gordana Buljan Flander, Jasminka Stepan Giljević, Mia Roje Đapić, Sara Lulić","doi":"10.20471/feb.2024.60.07","DOIUrl":"https://doi.org/10.20471/feb.2024.60.07","url":null,"abstract":"Aim: Parents of children suffering from malignant diseases indubitably represent a very dainty population, underrepresented in psychosocial research. It is common for these parents to move to the hospital wards in order to support their children, which causes an unnatural cut in their lifeline, in addition to coping with terrifying diagnosis. Coping with a child’s malignant disease includes a continuous feeling of fear and concern, and change in the overall family dynamics, but also the cessation of daily life activities, even outside the context of a global pandemic, some pre-COVID research had shown. COVID-19 brought some additional challenges. In order to protect children’s fragile physical state, parents were obliged to adapt to new rules and distance from the others even more. At the same time, their fears and worries grew only bigger and coping mechanisms were seriously limited. Subjects and Methods: In this paper we investigate parental experiences and needs during COVID-19 crisis. Semi-structured in-depth interviews were conducted with ten mothers with experience of children’s in-patient treatment before and during pandemics. Results: According to main findings, theoretical model of parental adjustment and wellbeing in health crisis is proposed. Conclusion: Results imply the necessity to consider parental psychological wellbeing in order to support them and their children, especially when additional stressful and/or traumatic experiences emerge, and treat them as especially vulnerable group in research and practice.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"15 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140714382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-11DOI: 10.20471/feb.2024.60.01.06
E. Selimović, H. Bečulić, Emir Begagić, Ivan Galić, Fatima Juković-Bihorac, Zlatan Memic
Aim: To examine whether there is a correlation between blood pressure, heart rate, and pain with the level of preoperative and postoperative anxiety in surgery of impacted third molars under local anesthesia. Subjects and Methods: In the study, which included adult patients of both sexes with an indication for surgical extraction of impacted third molars, research parameters were measured as follows: 1st measurement (day of examination) - blood pressure, heart rate, preoperative anxiety with Spielberger’s State-Trait Anxiety Inventory (STAI); 2nd measurement (immediately before the intervention) - blood pressure, heart rate, preoperative anxiety with STAI; 3rd measurement (day after intervention) - blood pressure, heart rate, postoperative anxiety with STAI, postoperative pain with visual analog scale. Results: The values of preoperative and postoperative anxiety and the measured parameters of blood pressure, heart rate, and postoperative pain were statistically significantly positively correlated with each other during all measurements. Conclusion: In order to increase the satisfaction of both the patient and the ordinarius, and to prevent possible complications in this type of oral surgical intervention, it would be useful to consider adequate therapy in order to prevent the development of anxiety, considering the confirmed correlation with the measured parameters.
{"title":"Correlation of Blood Pressure, Heart Rate and Pain with Anxiety, and Importance of its Prevention in Surgery of Impacted Third Molars Under Local Anesthesia","authors":"E. Selimović, H. Bečulić, Emir Begagić, Ivan Galić, Fatima Juković-Bihorac, Zlatan Memic","doi":"10.20471/feb.2024.60.01.06","DOIUrl":"https://doi.org/10.20471/feb.2024.60.01.06","url":null,"abstract":"Aim: To examine whether there is a correlation between blood pressure, heart rate, and pain with the level of preoperative and postoperative anxiety in surgery of impacted third molars under local anesthesia. Subjects and Methods: In the study, which included adult patients of both sexes with an indication for surgical extraction of impacted third molars, research parameters were measured as follows: 1st measurement (day of examination) - blood pressure, heart rate, preoperative anxiety with Spielberger’s State-Trait Anxiety Inventory (STAI); 2nd measurement (immediately before the intervention) - blood pressure, heart rate, preoperative anxiety with STAI; 3rd measurement (day after intervention) - blood pressure, heart rate, postoperative anxiety with STAI, postoperative pain with visual analog scale. Results: The values of preoperative and postoperative anxiety and the measured parameters of blood pressure, heart rate, and postoperative pain were statistically significantly positively correlated with each other during all measurements. Conclusion: In order to increase the satisfaction of both the patient and the ordinarius, and to prevent possible complications in this type of oral surgical intervention, it would be useful to consider adequate therapy in order to prevent the development of anxiety, considering the confirmed correlation with the measured parameters.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"76 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-11DOI: 10.20471/feb.2024.60.01.00
D. Karlović, V. Peitl
An editorial on the first 60 years of history of Archives of Psychiatry Research.
精神病学研究档案》创刊 60 周年社论。
{"title":"Reflection on 60 Years of Psychiatric Advancement: from Alcoholism to Archives of Psychiatry Research","authors":"D. Karlović, V. Peitl","doi":"10.20471/feb.2024.60.01.00","DOIUrl":"https://doi.org/10.20471/feb.2024.60.01.00","url":null,"abstract":"An editorial on the first 60 years of history of Archives of Psychiatry Research.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"13 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140712729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-11DOI: 10.20471/feb.2024.60.01.05
Zrnka Kovačić Petrović, Tina Peraica, Mirta Blažev, Lea Tomašić, D. Kozaric-Kovacic
Aim: To determine the effect of COVID-19 pandemic and earthquakes on the overall Internet usage (IU) and Internet-specific activities (ISA) among adult Croatian population and their relation with sociodemographic factors. Subjects and Methods: A total of 1,118 participants (220 men and 898 women; mean age: 35.14 ± 12.31 years; range 18 - 78) participated in an online self-report survey providing sociodemographic data and replying to questions on COVID-19 and earthquake-related stress factors and overall IU and ISA before and during the period of the first three pandemic waves and earthquakes. Results: Overall IU (p < 0.001), online gaming (OG) (p < 0.001), pornography viewing (PV) (p < 0.001), social media use (SM) (p < 0.001), and online shopping (OS) (p < 0.001) during the pandemic and earthquakes were significantly increased in the group that used the Internet before this prolonged stress experiences. Furthermore, overall IU increased in women (p < 0.001), less educated (p = 0.001), and single participants (p = 0.027). OG was associated with younger age (p = 0.001), lower education (p < 0.001), single status (p = 0.006), child-free status (P = 0.001), and urban residence (p = 0.032). Increased PV was associated with younger age (p < 0.001), male sex (p < 0.001), lower education (p < 0.001), single status (p = 0.001) and child-free status (p < 0.001). Increased SM was associated with female sex (p < 0.001) and lower education (p < 0.001). Conclusion: To reduce the negative impacts of prolonged stress, clinicians and public health authorities should take into consideration sociodemographic risk factors associated with IU and ISA.
{"title":"Relation Between Sociodemographic Factors and Increased Internet Usage During the First Three Waves of the COVID-19 Pandemic and Earthquakes: Croatian Online Survey","authors":"Zrnka Kovačić Petrović, Tina Peraica, Mirta Blažev, Lea Tomašić, D. Kozaric-Kovacic","doi":"10.20471/feb.2024.60.01.05","DOIUrl":"https://doi.org/10.20471/feb.2024.60.01.05","url":null,"abstract":"Aim: To determine the effect of COVID-19 pandemic and earthquakes on the overall Internet usage (IU) and Internet-specific activities (ISA) among adult Croatian population and their relation with sociodemographic factors. Subjects and Methods: A total of 1,118 participants (220 men and 898 women; mean age: 35.14 ± 12.31 years; range 18 - 78) participated in an online self-report survey providing sociodemographic data and replying to questions on COVID-19 and earthquake-related stress factors and overall IU and ISA before and during the period of the first three pandemic waves and earthquakes. Results: Overall IU (p < 0.001), online gaming (OG) (p < 0.001), pornography viewing (PV) (p < 0.001), social media use (SM) (p < 0.001), and online shopping (OS) (p < 0.001) during the pandemic and earthquakes were significantly increased in the group that used the Internet before this prolonged stress experiences. Furthermore, overall IU increased in women (p < 0.001), less educated (p = 0.001), and single participants (p = 0.027). OG was associated with younger age (p = 0.001), lower education (p < 0.001), single status (p = 0.006), child-free status (P = 0.001), and urban residence (p = 0.032). Increased PV was associated with younger age (p < 0.001), male sex (p < 0.001), lower education (p < 0.001), single status (p = 0.001) and child-free status (p < 0.001). Increased SM was associated with female sex (p < 0.001) and lower education (p < 0.001). Conclusion: To reduce the negative impacts of prolonged stress, clinicians and public health authorities should take into consideration sociodemographic risk factors associated with IU and ISA.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"74 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: In patients with psychiatric illness, beliefs and attitudes towards psychotropic medications influence their treatment adherence, in turn on treatment outcomes. Purpose: We examined the components of a relative’s beliefs about medication influencing the components of the patient’s beliefs about medication that in turn influences drug taking attitudes. Subjects and Methods: Patients and their relatives attending Psychiatry department who consented were both administered BMQ (Beliefs about Medication questionnaire). For patients, Drug attitude Inventory (DAI) was administered. Medication adherence was ascertained. Pearson’s correlation on the Patient’s BMQ sub-scales, relatives BMQ sub-scales and DAI was done. Multiple linear Regression analysis with Relatives and Patient BMQ sub scale on DAI was done. A mediation analysis to assess strengths of Direct and Indirect effects on the dependent variable as DAI was done. Results: 79 subjects participated in the study. Mediation analysis showed that DAI is directly negatively influenced by the Patient’s BMQ specific concern, coefficient (- 0.99), 95 % CI (-1.44, -0.55) and positively by patient’s BMQ specific necessity coefficient (0.55), 95 % CI (0.22, 0.88). Total indirect effect of Pt. Specific concerns through pt. specific necessity on DAI was coefficient (0.24), 95 % CI (0.05, 0.53). Patient specific concerns are in turn influenced by relatives specific concern, coefficient (0.43), 95 % CI (0.202, 0.507) and relative’s specific necessity, coefficient (0.295, 05 % CI [0.117, 0.387). Conclusion: Patient’s with high concerns about medication have more negative attitude towards medication intake which are in turn influenced by relative’s concerns and need for medication intake. Identification of such targets could help in counseling about medication use.
目的：在精神病患者中，对精神药物的信念和态度会影响他们的治疗依从性，进而影响治疗效果。目的：我们研究了亲属的用药观念对患者用药观念的影响，而患者的用药观念又会反过来影响患者的服药态度。研究对象和方法：对在精神科就诊并同意的患者及其亲属进行 BMQ（用药信念问卷）调查。对患者进行药物态度量表（DAI）调查。确定服药依从性。对患者的 BMQ 分量表、亲属的 BMQ 分量表和 DAI 进行了皮尔逊相关性分析。对亲属和患者 BMQ 分量表与 DAI 进行了多元线性回归分析。进行了中介分析，以评估对因变量 DAI 的直接和间接影响的强度。结果79名受试者参与了研究。中介分析表明，DAI 受患者 BMQ 特定关注度的直接负面影响，系数为 (- 0.99)，95 % CI (-1.44, -0.55)；受患者 BMQ 特定必要性的正面影响，系数为 (0.55)，95 % CI (0.22, 0.88)。铂金的总间接影响通过患者特定需求对 DAI 的特定关注的间接影响系数为 (0.24)，95 % CI (0.05, 0.53)。患者的特殊关注反过来又受到亲属的特殊关注（系数 (0.43)，95 % CI (0.202, 0.507)）和亲属的特殊需要（系数 (0.295, 05 % CI [0.117, 0.387)）的影响。结论高度关注药物治疗的患者对药物摄入持更消极的态度，而这又受到亲属对药物摄入的关注和需求的影响。识别这些目标有助于提供用药咨询。
{"title":"Attitudes towards Medication Intake in Patients with Mental Illness are influenced by Their Own and Relatives’ Beliefs about Medication","authors":"Bhogaraju Anand, Deenaz Amreen, Anuj Parvathaneni, Anusha Korem, Prashanthi Muchipalli, Shaik Iftikharuddi, Sameena Sultana","doi":"10.20471/feb.2024.60.01.02","DOIUrl":"https://doi.org/10.20471/feb.2024.60.01.02","url":null,"abstract":"Aim: In patients with psychiatric illness, beliefs and attitudes towards psychotropic medications influence their treatment adherence, in turn on treatment outcomes. Purpose: We examined the components of a relative’s beliefs about medication influencing the components of the patient’s beliefs about medication that in turn influences drug taking attitudes. Subjects and Methods: Patients and their relatives attending Psychiatry department who consented were both administered BMQ (Beliefs about Medication questionnaire). For patients, Drug attitude Inventory (DAI) was administered. Medication adherence was ascertained. Pearson’s correlation on the Patient’s BMQ sub-scales, relatives BMQ sub-scales and DAI was done. Multiple linear Regression analysis with Relatives and Patient BMQ sub scale on DAI was done. A mediation analysis to assess strengths of Direct and Indirect effects on the dependent variable as DAI was done. Results: 79 subjects participated in the study. Mediation analysis showed that DAI is directly negatively influenced by the Patient’s BMQ specific concern, coefficient (- 0.99), 95 % CI (-1.44, -0.55) and positively by patient’s BMQ specific necessity coefficient (0.55), 95 % CI (0.22, 0.88). Total indirect effect of Pt. Specific concerns through pt. specific necessity on DAI was coefficient (0.24), 95 % CI (0.05, 0.53). Patient specific concerns are in turn influenced by relatives specific concern, coefficient (0.43), 95 % CI (0.202, 0.507) and relative’s specific necessity, coefficient (0.295, 05 % CI [0.117, 0.387). Conclusion: Patient’s with high concerns about medication have more negative attitude towards medication intake which are in turn influenced by relative’s concerns and need for medication intake. Identification of such targets could help in counseling about medication use.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"12 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
KarXT is an oral, research-stage M1/M4-preferring muscarinic agonist that is being developed to treat psychiatric and neurological conditions, such as schizophrenia and Alzheimer’s disease-related psychosis. It is a combination of the muscarinic agonist xanomeline and the muscarinic antagonist trospium. Idea behind this psychopharmaceutical is to preferentially stimulate muscarinic receptors in the central nervous system and to unlock the therapeutic potential of xanomeline, while minimizing adverse effects observed in prior studies. All in all, KarXT is the first potential medication of its kind with a genuinely distinctive dual mechanism that treats symptoms of severe mental illness without relying on the dopaminergic or serotonergic pathway. If approved, this strategy could offer people with serious mental illnesses a different kind of therapy and positively influence their lives.
{"title":"KarXT: Combination of Xanomeline and Trospium","authors":"V. Peitl, D. Vlahović","doi":"10.20471/feb.2024.60.09","DOIUrl":"https://doi.org/10.20471/feb.2024.60.09","url":null,"abstract":"KarXT is an oral, research-stage M1/M4-preferring muscarinic agonist that is being developed to treat psychiatric and neurological conditions, such as schizophrenia and Alzheimer’s disease-related psychosis. It is a combination of the muscarinic agonist xanomeline and the muscarinic antagonist trospium. Idea behind this psychopharmaceutical is to preferentially stimulate muscarinic receptors in the central nervous system and to unlock the therapeutic potential of xanomeline, while minimizing adverse effects observed in prior studies. All in all, KarXT is the first potential medication of its kind with a genuinely distinctive dual mechanism that treats symptoms of severe mental illness without relying on the dopaminergic or serotonergic pathway. If approved, this strategy could offer people with serious mental illnesses a different kind of therapy and positively influence their lives.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"83 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140712958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-11DOI: 10.20471/feb.2024.60.01.04
Praveen Arathil, Rahul Bansal, Arun Kuruppath
Aim: Dorsolateral prefrontal cortex (DLPFC), Neurological Soft Signs (NSS) and Cognitive impairment have been described as predictors of outcome of First Episode Psychosis (FEP), therefore we aimed to find the predictors of clinical, social and functional outcome variables in a cohort of first episode non affective psychotic subjects. Subjects and Methods: A prospective follow up study was conducted from August 2018 to August 2020 in a tertiary care hospital of South India. A semi-structured questionnaire was given to all subjects for socio-demographic details. All subjects were assessed with Heidelberg scale, Bender Gestalt Test (BGT) and underwent MRI Brain 3D volumetric scan to examine NSS, cognitive impairment, and DLPFC volume at baseline respectively. Brief Psychiatric Rating Scale (BPRS) and Social and Occupational Functioning Assessment Scale scales (SOFAS) were administered at baseline, 1 month and at three month follow up. At 3 months, clinical and socio-functional outcome was defined by BPRS scores and SOFAS scores. Pearson’s correlation was found between DLPFC volume of all subjects, BPRS, BGT scores at baseline with BPRS and SOFAS at 3 months. To test the statistical significance of the comparison of mean values of all continuous clinical and demographic parameters between two groups of BPRS and SOFAS, Mann Whitney U test was used. Results: Smaller DLPFC volume predicted clinical, socio-functional outcome significantly. A significant moderate correlation was found between NSS and BPRS scores at baseline. Conclusion: Baseline right DLPFC volume can be an important predictor of clinical and socio-functional outcome in FEP.
{"title":"Predicting the Outcome of First Episode Psychosis Subjects by Assessing Dorsolateral Prefrontal Cortex Volume","authors":"Praveen Arathil, Rahul Bansal, Arun Kuruppath","doi":"10.20471/feb.2024.60.01.04","DOIUrl":"https://doi.org/10.20471/feb.2024.60.01.04","url":null,"abstract":"Aim: Dorsolateral prefrontal cortex (DLPFC), Neurological Soft Signs (NSS) and Cognitive impairment have been described as predictors of outcome of First Episode Psychosis (FEP), therefore we aimed to find the predictors of clinical, social and functional outcome variables in a cohort of first episode non affective psychotic subjects. Subjects and Methods: A prospective follow up study was conducted from August 2018 to August 2020 in a tertiary care hospital of South India. A semi-structured questionnaire was given to all subjects for socio-demographic details. All subjects were assessed with Heidelberg scale, Bender Gestalt Test (BGT) and underwent MRI Brain 3D volumetric scan to examine NSS, cognitive impairment, and DLPFC volume at baseline respectively. Brief Psychiatric Rating Scale (BPRS) and Social and Occupational Functioning Assessment Scale scales (SOFAS) were administered at baseline, 1 month and at three month follow up. At 3 months, clinical and socio-functional outcome was defined by BPRS scores and SOFAS scores. Pearson’s correlation was found between DLPFC volume of all subjects, BPRS, BGT scores at baseline with BPRS and SOFAS at 3 months. To test the statistical significance of the comparison of mean values of all continuous clinical and demographic parameters between two groups of BPRS and SOFAS, Mann Whitney U test was used. Results: Smaller DLPFC volume predicted clinical, socio-functional outcome significantly. A significant moderate correlation was found between NSS and BPRS scores at baseline. Conclusion: Baseline right DLPFC volume can be an important predictor of clinical and socio-functional outcome in FEP.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"13 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140716030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-11DOI: 10.20471/feb.2024.60.01.01
Rohit Renjhen, Gulshan Tajuria, K. Lamahewa, Athula Sumathipala, Vikram Patel
Aim: A survey of six of the highest impact psychiatric journal articles (2001), revealed the underrepresentation of non-Western countries. The current study looked at the new trends in the representation of psychiatric literature. We aimed to quantify the articles from High-Income Countries (HIC) and compare it with the rest of the world (RoW) in 11 high impact journals. Materials and Methods: A survey of the country of origin of research data and authors in published literature of 11 psychiatric journals: six of the same journals previously surveyed and five new journals from 2014 to 2016. Results: Out of the total of 5278 articles, the maximum number of 2093 (39.65 %) were from the other Euro-American countries (OEAC), followed by 1546 (29.29 %) from the United States of America (USA), and 727 (13.77 %) from the United Kingdom (UK), and 754 (14.28 %) were from rest of the world (RoW). The highest was in the Journal of Neurology, Neuro-Surgery and Psychiatry 131 (17.37 %), followed by the British Journal of Psychiatry, 85 (11.27 %) and Molecular Psychiatry; 65 (8.62 %). A comparison between the previous six journals and the current survey showed that RoW publications have increased from 6 % to 13.84 % over 15 years. Out of the additional five journals surveyed, a total of 327 papers were from RoW and the Journal of Neurology, Neuro-Surgery and Psychiatry had the highest representation of RoW literature: 131 (40 %). It was more than double of publications by the Lancet Psychiatry and Molecular Psychiatry. Biological Psychiatry had 46 (14.06 %) papers followed by the World Psychiatry which carried 25 (7.64 %). Conclusion: An overall increase in the number of articles from RoW is evident. It is a welcome trend; however, a significant underrepresentation is still evident.
{"title":"International Representation in Psychiatric Literature: Has the Trend Changed? Review of 11 Leading Psychiatric Journals","authors":"Rohit Renjhen, Gulshan Tajuria, K. Lamahewa, Athula Sumathipala, Vikram Patel","doi":"10.20471/feb.2024.60.01.01","DOIUrl":"https://doi.org/10.20471/feb.2024.60.01.01","url":null,"abstract":"Aim: A survey of six of the highest impact psychiatric journal articles (2001), revealed the underrepresentation of non-Western countries. The current study looked at the new trends in the representation of psychiatric literature. We aimed to quantify the articles from High-Income Countries (HIC) and compare it with the rest of the world (RoW) in 11 high impact journals. Materials and Methods: A survey of the country of origin of research data and authors in published literature of 11 psychiatric journals: six of the same journals previously surveyed and five new journals from 2014 to 2016. Results: Out of the total of 5278 articles, the maximum number of 2093 (39.65 %) were from the other Euro-American countries (OEAC), followed by 1546 (29.29 %) from the United States of America (USA), and 727 (13.77 %) from the United Kingdom (UK), and 754 (14.28 %) were from rest of the world (RoW). The highest was in the Journal of Neurology, Neuro-Surgery and Psychiatry 131 (17.37 %), followed by the British Journal of Psychiatry, 85 (11.27 %) and Molecular Psychiatry; 65 (8.62 %). A comparison between the previous six journals and the current survey showed that RoW publications have increased from 6 % to 13.84 % over 15 years. Out of the additional five journals surveyed, a total of 327 papers were from RoW and the Journal of Neurology, Neuro-Surgery and Psychiatry had the highest representation of RoW literature: 131 (40 %). It was more than double of publications by the Lancet Psychiatry and Molecular Psychiatry. Biological Psychiatry had 46 (14.06 %) papers followed by the World Psychiatry which carried 25 (7.64 %). Conclusion: An overall increase in the number of articles from RoW is evident. It is a welcome trend; however, a significant underrepresentation is still evident.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-11DOI: 10.20471/feb.2024.60.01.08
Sara Bračko, Andreja Čelofiga
Aim: People with mental illness have more somatic comorbidities and are frequently mistreated. Misdiagnosis occurs for a variety of reasons, including stigma, poor communication, lack of knowledge of psychiatric pathology, and a tendency to attribute physical symptoms to a mental disorder. Case report: The factors listed above, as well as the unique circumstances of the COVID-19 pandemic led to the misdiagnosis in the case discussed in this paper. The patient was a middle-aged man diagnosed with an ICD-10 diagnosis of a chronic mental disorder in the F2 category and multiple somatic comorbidities in whom amiodarone-induced thyrotoxicosis was undiagnosed and somatic symptoms were attributed to antipsychotic-induced parkinsonism. The mechanism of amiodarone-induced thyrotoxicosis and antipsychotic-induced extrapyramidal symptoms will be described, together with the factors that caused our patient to be misdiagnosed. Conclusion: Psychiatric patients are often specific in their communication and behaviour, therefore interaction must be adapted, with a focus on destigmatizing and educating health workers.
{"title":"“It’s a Psychiatric Patient”: Misdiagnosing of Somatic Symptoms in Patients with Mental Disorders Due to Stigma and Inadequate Diagnostic Treatment","authors":"Sara Bračko, Andreja Čelofiga","doi":"10.20471/feb.2024.60.01.08","DOIUrl":"https://doi.org/10.20471/feb.2024.60.01.08","url":null,"abstract":"Aim: People with mental illness have more somatic comorbidities and are frequently mistreated. Misdiagnosis occurs for a variety of reasons, including stigma, poor communication, lack of knowledge of psychiatric pathology, and a tendency to attribute physical symptoms to a mental disorder. Case report: The factors listed above, as well as the unique circumstances of the COVID-19 pandemic led to the misdiagnosis in the case discussed in this paper. The patient was a middle-aged man diagnosed with an ICD-10 diagnosis of a chronic mental disorder in the F2 category and multiple somatic comorbidities in whom amiodarone-induced thyrotoxicosis was undiagnosed and somatic symptoms were attributed to antipsychotic-induced parkinsonism. The mechanism of amiodarone-induced thyrotoxicosis and antipsychotic-induced extrapyramidal symptoms will be described, together with the factors that caused our patient to be misdiagnosed. Conclusion: Psychiatric patients are often specific in their communication and behaviour, therefore interaction must be adapted, with a focus on destigmatizing and educating health workers.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"11 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140712605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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