• Users Online: 65
  • Print this page
  • Email this page
Export selected to
Endnote
Reference Manager
Procite
Medlars Format
RefWorks Format
BibTex Format
  Most popular articles (Since May 29, 2017)

 
 
  Archives   Most popular articles   Most cited articles
 
Hide all abstracts  Show selected abstracts  Export selected to
  Viewed PDF Cited
REVIEW ARTICLES
Specific learning disability in Maharashtra: Current scenario and road ahead
Henal R Shah, Surbhi C Trivedi
January-June 2017, 1(1):11-16
DOI:10.4103/aip.aip_6_17  
Specific learning disability (SLD) is a common and invisible yet highly impactful disability. There have been many changes in the field of SLD. These range from changing concepts, introduction of newer diagnostic systems, presentation of the Rights of Persons with Disability Act, of 2016, an increasing awareness in parents, teachers, and public, filing of legal case, and the Honorable High Court issuing orders regarding this disability. All these happenings require reflecting and implementing new strategies. This will not only to benefit all the concerned people but also make the process of diagnosis and intervention streamlined. In the past, Maharashtra has been a forerunner in granting help to these children. Keeping this in mind, it seemed necessary to look at the current scenario of SLD in our state and suggest a way forward.
  1,798 227 -
School mental health programme in Maharashtra - Today and way ahead
Kishor Gujar, Varsha Pingale
January-June 2017, 1(1):4-7
DOI:10.4103/aip.aip_14_17  
Positive mental health is, and should continue to be the basis of all the mental health policies of any country. The scarcity of well-documented school mental health (SMH) activities and the data for the region of Maharashtra is the main rationale behind this review article. After reviewing some important studies related to SMH in India, the SMH data at Child Guidance Centre of Yashwantrao Chavan Memorial Hospital in Maharashtra, will be used to discuss and propose a guideline for further SMH activities in Maharashtra. SMH program is the best way to cater to the current and future demand of mental health services and to improve overall child and adolescent mental health.
  1,404 225 -
Pimavanserin – drug review
Nithya Gogtay
January-June 2017, 1(1):8-10
DOI:10.4103/aip.aip_12_17  
Pimavanserin is a drug with a novel mechanism of action that has recently received approval management of patients with Parkinson's disease psychoses [PDP]. It is a 5HT2A inverse agonist that has been shown in a randomized controlled trial to be superior to placebo and also reasonably safe and effective. It significantly reduces positive symptoms seen in Parkinson's disease patients with psychosis with no evident impairment of motor function. It offers hope for patients and caregivers with this otherwise distressing and difficult to manage condition and has also paved the way for the use of 5HT2A inverse agonists in this condition.
  906 174 -
EDITORIAL
Transgender: Status in India
Neena S Sawant
July-December 2017, 1(2):59-61
DOI:10.4103/aip.aip_43_17  
  898 166 -
VIEWPOINT
Cinema: A multimodal and integrative medium for education and therapy
Ajish G Mangot, Vasantmeghna S Murthy
January-June 2017, 1(1):51-53
DOI:10.4103/aip.aip_13_17  
Art is a creative form of expressing personal thoughts, opinions, feelings, and often a reflection of prevailing ethos and has been around for almost as long as man's existence. Today motion pictures (movies) are the most popular forms of artistic expression. They touch upon various issues of human interest like our society, fantasy, sci-fi, and in recent times, emotions. Every artwork induces unique emotional and cognitive experiences within the creator, participant and observer through novel techniques like therapeutic film making, participatory arts therapy and cinema therapy, respectively. Movies are also engaging instruments of education for medical and psychology students. Cinema allows for active learning through fantasy, expressing emotions, exploring one's own feelings and those of others, providing a safe environment for problem-solving strategies and dealing with unresolved emotions. Indian mental health professionals must now begin using this multimodal and integrative medium of cinema to its full potential.
  676 114 -
ORIGINAL ARTICLES
Self-reported suicidality behavior and attitudes toward suicide among medical and paramedical students
Ashish H Patel, Ritambhara Y Mehta, Nilanjan Chandra, Pradhyuman Chaudhary, Ravi H Shah
January-June 2017, 1(1):34-39
DOI:10.4103/aip.aip_15_17  
Aims and Objectives: The aim of this study was to evaluate knowledge and attitudes toward suicide and suicidality behavior among medical and paramedical students. Materials and Methods: A cross-sectional study was conducted in a medical college of western India where undergraduate medical (238), physiotherapy (25), and nursing (137) students were enrolled. After taking informed consent, detailed assessment of knowledge, attitude towards suicide using Suicide Opinion Questionnaire and suicidality behavior using mini-international neuropsychiatric interview were done. Data were analyzed using appropriate statistical tests. Results: Ninety-three percent students agreed “people who are at risk can't be easily identified.” Eighty percent students believed “potentially anyone can be a suicide victim.” Acceptability of suicide was highest in nursing students; B.P.T students had highest knowledge regarding suicide. None had active suicidal ideation or planning. Only at a thought level, one-third of total population reported feeling of hopelessness sometime in their life. Sixteen percent, nearly double females (n = 299) thought sometimes in their life that “it would be better off dead” compared to 8% males (n = 101). Among three groups, nursing students showed highest suicidality behavior. Conclusions: Attitudes toward suicide and suicidality behavior differ among the groups with significant gender differences. Although acceptability is the highest among nursing students, the group is at higher risk with higher suicidal ideation. Students believe, “people who are at risk can't be easily identified;” hence, further exploration, awareness, and interventions are suggested.
  611 132 -
REVIEW ARTICLES
Valbenazine: Drug review
Mahanjit Konwar, Nithya J Gogtay, Urmila M Thatte
July-December 2017, 1(2):84-87
DOI:10.4103/aip.aip_41_17  
Valbenazine is the first drug approved by the US Food and Drug Administration for the treatment of adults with tardive dyskinesia(TD) on April 11, 2017. It acts as a reversible inhibitor of vesicular monoamine transporter 2. It is available orally with a starting dose of 40mg once daily which can be increased after 1week to the recommended dose of 80mg. Clinical trials showed positive outcomes in Abnormal Involuntary Movement Scale and Clinical Global Impression-Global Improvement of TD score with respect to placebo. Valbenazine has an acceptable safety and tolerability profile, the most common side effect observed is somnolence. However, long-term study is lacking, and more data are required to establish its full benefits and concomitant risks which can be missed in the recent trials.
  582 87 -
The development of herbert rosenfeld's views on narcissism
Anuradha Menon
July-December 2017, 1(2):76-83
DOI:10.4103/aip.aip_20_17  
This review tracks the development of Herbert Rosenfeld's(1910–1986) work on the psychoanalytic concept, narcissism. The author conceptualizes the scope of this work in Darwinian terms to emphasize the extraordinarily fertile theoretical and clinical material produced by Rosenfeld, which is linked in the text to several other contemporary Kleinian psychoanalysts. The beginning of his lifelong work is examined as “Origins,” the development itself as “Evolution” and at the end of his life, the shifts in his theoretical stance is looked at as “Metamorphosis.” Clinical material is used to illustrate the core concept of narcissism as a defence against separateness.
  540 95 -
ORIGINAL ARTICLES
A study on postgraduate medical students academic motivation and attitudes to research
Neena S Sawant, Shubhangi R Parkar, Akanksha Sharma
January-June 2017, 1(1):17-21
DOI:10.4103/aip.aip_7_17  
Background: Medical students do postgraduation in a specific branch for a particular motive and goal in life. Due to workload, they have less desire to do research or even pursue academics. This study was undertaken to study the differences among the clinical and nonclinical postgraduate students in the intrinsic and extrinsic motivation to learning and the attitudes to research. Methods: This study was conducted in 373 postgraduate students in a tertiary care hospital after written informed consent and ethics approval. A semi-structured questionnaire, academic motivation scale, and attitudes toward research scale collected the information about aims of the study. Results: Two groups were formed depending on the disciplines being pursued by the students, namely, clinical (n = 245) and nonclinical (n = 128). The nonclinical group showed significant differences on extrinsic motivation (t = 2.886, P = 0.0004), total motivation (t = 2.92, P = 0.0024), and attitudes to research students (t = 11.14, P = 0.0001) as compared to the clinical disciplines. However, on the intrinsic motivation subscale, no significant differences were seen. Discussion: The nonclinical postgraduate students were influenced by extrinsic factors to pursue learning and gain mastery as well as to do research. Students pursuing clinical disciplines had lower scores for academic motivation as well as attitudes to research. Time constraints, lack of infrastructure, and clinical workload add to the woes of clinical students. Conclusion: The results of this study will help us in determining the ways of improving motivation of postgraduate medical students toward academics and research.
  535 99 -
A study of risk factors associated with depression in medically ill elderly patients
Deepika Singh, Jahnavi S Kedare, Chetan Vispute
January-June 2017, 1(1):22-28
DOI:10.4103/aip.aip_9_17  
Background: Medically ill elderly patients are more prone to develop depression. Stressful life events which the patient experiences as well as the absence of perceived social support all act as risk factors for developing depression. Moreover, if the coping mechanisms are faulty the risk of developing depression increases. Aim: This study was conducted to assess the prevalence of depression in medically ill elderly patients and the risk factors associated with faulty coping mechanisms, perceived social support, and stressful life events. Materials and Methods: This was a cross-sectional study conducted at a tertiary care hospital, wherein 100 patients fulfilling the inclusion and exclusion criteria were chosen. Patients were administered a semi-structured questionnaire to obtain details about sociodemographic profile and diagnosed medical illnesses. Geriatric Depression Scale, Coping Inventory for Stressful Situations, Multidimensional Scale of Perceived Social Support, and Presumptive Stressful Life Event Scale were used. Results: Prevalence of depression was 72% among the medically ill elderly patients. Depressed patients used more of emotion-oriented coping and less of task-oriented and avoidance coping mechanisms the perceived social support in the form of family and friends was significantly less in depressed patients. The more the number of stressful life events experienced by the patients the more depressed they were. Conclusion: Early identification of risk factors and early diagnosis of depression may help us in carrying out timely interventions and thus improve the quality of life of our patients.
  510 115 -
REVIEW ARTICLES
Cognitive rehabilitation in psychiatry
Urvashi Rupin Shah
July-December 2017, 1(2):68-75
DOI:10.4103/aip.aip_35_17  
Cognitive impairments in mental disorders are common, poorly recognized, and largely unaddressed despite their significant impact on daily life functioning. Today, the treatment of psychiatric disorders goes beyond only symptom management and emphasizes optimizing functional abilities. Cognitive Rehabilitation or Cognitive Remediation(CR)is the nonpharmacological intervention that has received attention over the last few decades and is steadily emerging as a potentially strong tool to manage cognitive issues that impact functional outcomes. Alarge body of research has studied role of CR in schizophrenia populations, and the role in other disorders is now being explored. This review looks at the various studies from across the globe and in India to understand the types of programs, their theoretical underpinnings, imaging data, and efficacy of CR. There is considerable heterogeneity across studies in terms of methods, materials, and approaches, and it is challenging to identify the key active ingredients that ensure success. Overall, the meta-analysis studies have identified strategy coaching by an expert therapist and use of CR in conjunction with psychosocial and vocational programs as important factors to ensure best results. Despite promising results in enhancing cognition across most studies, generalization and transfer of this improvement to real-life functioning still remains elusive. Other moderators that can possibly influence outcomes such as motivation factors, therapist-patient relationship, personal goals of the patient and families, and the socioeconomic milieu of the patient need to be studied more extensively in the future studies to develop a comprehensive model of cognitive rehabilitation.
  517 108 -
EDITORIAL
Looking back……looking ahead
Neena S Sawant
January-June 2017, 1(1):1-1
DOI:10.4103/aip.aip_16_17  
  487 102 -
ORIGINAL ARTICLES
A study on prevalence of postpartum depression and correlation with risk factors
Vidhi Prakash Modi, Minakshi Nimesh Parikh, Srinivasa Kartik Valipay
January-June 2018, 2(1):27-32
DOI:10.4103/aip.aip_48_17  
Background: Postpartum depression (PPD) is a depressive disorder, also known as postnatal depression. Despite responsiveness to treatment and serious consequences if untreated, PPD often remains unrecognized. This study aims to study the prevalence of PPD and to correlate risk factors associated with it. Materials and Methods: It was a cross-sectional study in Departments of OBGY, Pediatrics, and Psychiatry in a tertiary care hospital. Two hundred and fifty consecutive women, 1–6 weeks postpartum attending the above departments, were included after written informed consent. A specially designed semi-structured pro forma was used for correlation of various risk factors. Edinburgh Postnatal Depression Scale was used for diagnosing PPD. Results: In our study, we found that 20.4% of the women evaluated suffered from PPD. Significant risk factors for PPD included age below 30 years, financial dependence, positive family history of psychiatric illness and PPD, previous girl child, unwanted pregnancy, pressure to have a male child, and complications during pregnancy and delivery. Domestic violence, substance abuse in husband, and relationship issues also increased the risk. Conclusion: Considerable prevalence of PPD is found across various cultures. Prevention of risk factors is useful in primary prevention of PPD. In the future, our study can be used for screening females with high risk for developing PPD so that more intense interventions can be applied.
  493 91 -
Study of anxiety in patients with moderate alopecia
Jeet Nadpara, Rahul Tadke, Abhijeet Faye, Sushil Gawande, Sudhir Bhave, Vivek Kirpekar, Milind Borkar
January-June 2017, 1(1):29-33
DOI:10.4103/aip.aip_8_17  
Background: Alopecia is known to have an impact on psychosocial health of an individual. Besides depression, anxiety is commonly associated with it and can add significantly to the burden due to it. The present study was carried out in the patients attending dermatology outpatient department, which looked into anxiety symptoms and its correlations with various demographic and clinical factors. Materials and Methods: Thirty consecutive patients diagnosed with moderate alopecia not requiring any major intervention participated in the study. Each patient was individually interviewed using a semi-structured pro forma which included sociodemographic profile, clinical and psychiatric profile, and dermatological diagnosis, and rating scales of Brief Psychiatric Rating Scale (BPRS) and Hamilton Anxiety Rating Scale (HAM-A) were administered. Results and Discussion: Mean age was 30.86 years (standard deviation 11.89), 50% males and majority married with urban background. Many had complaints of uneasiness, excessive worries, and disturbed sleep. The mental status examination in the majority of them revealed anxious mood and preoccupation with worries. None of them satisfied the diagnostic criteria for any anxiety disorder as per Diagnostic and Statistical Manual of Mental Disorders-5. The mean BPRS score was 22.80 with the participants scored significantly on anxiety, tension, and somatic concern and the mean HAM-A score was 10.30 with the majority of participant had score in the range of significant anxiety. Their correlation with factors of gender, marital status, duration, and pattern of alopecia was found to be not significant. Conclusion: Although no diagnosable anxiety disorder was present in patients of moderate alopecia, majority of them had significant anxiety found during the assessment.
  476 72 -
PRESIDENTIAL ADDRESS ANNUAL CONFERENCE IPSWZB VADODARA, OCTOBER 2016
On the other side of the table (A '9 nights 10 days trip' to 'God's own Country', Kerala)
Nilesh Shah
January-June 2017, 1(1):2-3
DOI:10.4103/aip.aip_11_17  
  435 92 -
ORIGINAL ARTICLES
Attitude toward mental illnesses among paramedical professionals and junior doctors
Chintan K Solanki, Hemang M Shah, Ganpat K Vankar, Minakshi N Parikh
July-December 2017, 1(2):102-108
DOI:10.4103/aip.aip_23_17  
Context: Attitudes of paramedical and medical professionals to psychiatric illnesses are important for referral and use of mental health facilities by general people. Knowledge of psychiatric disorders and experience of working with psychiatric patients may be responsible for positive attitudes. Aims: The aim was to assess attitude toward different mental illnesses among different paramedical professionals and to know the impact of education and work experience on attitudes toward mental illnesses. Subjects and Methods: Study sample was nursing staff, nursing students, and junior doctors from tertiary care hospital and students of clinical psychology from a private deaddiction center. The study design was cross-sectional. Attitude to Mental Illness Questionnaire was used with modifications and addition of demographic details. Experience of working with psychiatric patients and attending mental health primary care(MHPC) program also were included for the evaluation of attitudes. Results: Attitudes toward drug abuse, depression, alcohol abuse, and schizophrenia were more negative while toward anxiety spectrum disorders, conversion, and dissociative disorders were more positive. Subjects with experience of working with psychiatric patients and experience of MHPC program showed more positive attitudes. Conclusions: There is need of, developing program containing knowledge of mental health, implementing practical experience of working with psychiatric patients in the curriculum of paramedical and medical profession and restructuring present curriculum to develop positive attitudes to mental illnesses for benefit of community.
  436 78 -
CASE SERIES
An account of psychiatric casework in three clinical encounters using a psychoanalytic lens
Anuradha Menon
January-June 2017, 1(1):40-44
DOI:10.4103/aip.aip_3_17  
Transference and countertransference are key diagnostic concepts in psychoanalysis which are unacknowledged in categorical diagnostic systems in psychiatry. This may also highlight the fundamental differences in understanding clinical presentation in the context of the individual. In psychoanalysis, the clinician's response to each patient is carefully thought about. Three vignettes are used to illustrate how clinicians use their countertransference to ask key questions which address the sense of the uncanny that the patients' stories evoke. This is then linked, using the theoretical notion of projective identification, to unconscious communication between doctor and patient. I conclude by describing an ICD-10 category of patients who present a disturbance in articulating emotions, tending to evoke and manifest powerful bodily experiences. The examination of countertransference is suggested as adding depth to a diagnostic process that risks losing the value of data from individual patients.
  431 77 -
ORIGINAL ARTICLES
Burden of exposure to lead as a risk factor for mental illness in Indian children 1990–2015: Asystematic analysis based on global burden of disease approach
Mohandoss Arunachalam Anusa, Thavarajah Rooban
July-December 2017, 1(2):88-96
DOI:10.4103/aip.aip_22_17  
Background: The risk of lead exposure for mental illness and its burden on Indian children, as a society, is not studied till date. This study aims to present the same as well as to compare the risk and burden between 1990 and 2015. Materials and Methods: Using India-specific, Global Burden of Disease 2015 data health metrics-disability-adjusted life years(DALYs), we estimated the burden of mental illness and exposure to lead as a risk factor for the same. Descriptive estimates of prevalence and DALY for mental illness and risk of lead exposure are presented for various age groups of Indian children(0–14years) of either gender. Results: In 2015, 26,450,345 Indian children were affected with mental illness contributing to DALYs of 2,453,344. In 2015, 162,492.1 DALYs were lost to mental illness due to risk factors and 130,429 lost DALYs due to risk attributed to lead exposure. The risk rate attribution and the difference of burden in 1990–2015 are presented. Years of life lost due to lead exposure for mental illness is high as compared to all attributed risks. Lead was identified as risk factor for intellectual disability among children. Conclusions: Lead continues to pose a significant overall health risk and specifically for mental illness. The estimated burden of mental illness and extent of association of risk indicate the urgent need of clear policies to reduce lead from our immediate environment.
  410 75 -
CASE REPORTS
Pubic hair trichotillomania in an adolescent with autism
Avinash De Sousa
January-June 2017, 1(1):47-48
DOI:10.4103/aip.aip_1_17  
Trichotillomania is a compulsive disorder of recurrent hair-pulling that may be seen in children and adolescents in the setting of obsessive-compulsive disorder, psychosis, and mental retardation or other developmental disabilities. Child and adolescent trichotillomania has been understudied in India and studies on its features and management from India are rare. We report here a case of pubic hair trichotillomania in an adolescent with autism that responded successfully to fluvoxamine.
  396 64 -
GUEST EDITORIAL
Lead and its association with mental illness
Sandeep Grover, Soumya Jhanda
July-December 2017, 1(2):62-64
DOI:10.4103/aip.aip_44_17  
  352 67 -
PG CORNER
The divine madness: Ahistory of schizophrenia
Amey Yeshwant Angane
July-December 2017, 1(2):133-135
DOI:10.4103/aip.aip_31_17  
The nonspecific concept of “madness” has been there for thousands of years. In antiquity, people thought of “madness” in terms of divine punishment or demonic possession. It was only during early Renaissance that people took this phenomenon seriously and termed it as an illness. It is due to the efforts of a cluster of scientists and psychiatrists that has led to unraveling of schizophrenia as a mental illness characterised by delusions and hallucinations. As postgraduates, it is important to know how the mystery unfolded and how it has overcome infinite obstacles. This article throws light on how we can learn from history and not deceive ourselves when we selectively take evidence from the past to justify our beliefs. The knowledge of history helps us to understand the disease itself as well as help us understand the chronology of the events leading to the evolution of the enigmatic disorder and its elusive treatment strategies.
  337 78 -
PRESIDENTIAL ADDRESS PRESENTED AT ANNUAL CONFERENCE IPSWZB, RAJKOT,2017
Thank God It's Friday
Vijay Arjanbhai Nagecha
July-December 2017, 1(2):65-67
DOI:10.4103/aip.aip_34_17  
  344 55 -
PG CORNER
Riven between faith and reason
Elvin Lukose
January-June 2017, 1(1):54-55
DOI:10.4103/aip.aip_10_17  
Faith healing has been a silent topic in the sense that we as psychiatrists often cross our paths with faith-healers, and yet, we seem not to make much practical effort in understanding the psychological roots behind it. We often come across patients and their relatives who would prefer the miracles of a faith-healer over evidence-based medicine. We observe that people are inclined to approach the uncertainty of faith-healing remedies with utmost optimism while the medical interventions suffer the brunt of critical and at times cynical scrutiny by patients. As a resident in psychiatry, I have come across patients who sought faith-healing as their first choice as well the ultimate one. On close observation and open-minded reflection, we can learn what makes our minds tick when they are plunged into ambivalence between demons and decompensated neural circuits and this article is intended to touch on these gray lines.
  350 44 -
BOOK REVIEW
Handbook of play therapy – 2nd edition
Avinash De Sousa
January-June 2017, 1(1):56-57
DOI:10.4103/aip.aip_17_17  
  309 83 -
CASE REPORTS
Psychosis as a presentation in h-syndrome
Veerappa Patil, Ashish Srivastava
January-June 2017, 1(1):45-46
DOI:10.4103/aip.aip_2_17  
H-syndrome is an autosomal recessive disorder with characteristic features of hyperpigmentation, hypertrichosis, hepatosplenomegaly, heart anomalies, hearing loss, hypogonadism, and low height. The manifestations of the syndrome are seen usually in the childhood, and most of the components of the syndrome are evident by adolescence. Till date, there is no mention in the literature of psychosis as a part of syndrome nor as a comorbidity. Here is a case report of H-syndrome diagnosed patient presenting with psychosis. Whether psychosis is a part of the syndrome or comorbid is not clear and hence to be observed in future.
  326 63 -