• Users Online: 70
  • Print this page
  • Email this page
Export selected to
Reference Manager
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
Specific learning disability in Maharashtra: Current scenario and road ahead
Henal R Shah, Surbhi C Trivedi
January-June 2017, 1(1):11-16
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.
  1,902 245 -
School mental health programme in Maharashtra - Today and way ahead
Kishor Gujar, Varsha Pingale
January-June 2017, 1(1):4-7
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.
  1,445 236 -
Transgender: Status in India
Neena S Sawant
July-December 2017, 1(2):59-61
  1,019 193 -
Pimavanserin – drug review
Nithya Gogtay
January-June 2017, 1(1):8-10
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.
  948 189 -
Cinema: A multimodal and integrative medium for education and therapy
Ajish G Mangot, Vasantmeghna S Murthy
January-June 2017, 1(1):51-53
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.
  781 140 -
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
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.
  688 149 -
Valbenazine: Drug review
Mahanjit Konwar, Nithya J Gogtay, Urmila M Thatte
July-December 2017, 1(2):84-87
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.
  689 93 -
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
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.
  627 112 -
Cognitive rehabilitation in psychiatry
Urvashi Rupin Shah
July-December 2017, 1(2):68-75
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.
  595 118 -
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
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.
  603 108 -
The development of herbert rosenfeld's views on narcissism
Anuradha Menon
July-December 2017, 1(2):76-83
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.
  602 101 -
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
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.
  578 124 -
Depot preparation in schizophrenia: Indian outlook
Mohit Shah, Disha Parikh, Sagar Karia
July-December 2018, 2(2):152-157
Schizophrenia is a mostly chronic mental disorder, and symptomatic relapse is frequently observed. It is often associated with social and/or occupational decline that can be difficult to reverse. Most patients with the illness need long-term pharmacological treatment and antipsychotic drugs represent the mainstay of clinical care. Long-acting injectable antipsychotics are an important alternative to oral medication, particularly advantageous in the context of compliance management.
  628 53 -
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
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.
  551 84 1
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
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.
  548 83 -
Looking back……looking ahead
Neena S Sawant
January-June 2017, 1(1):1-1
  516 108 -
An account of psychiatric casework in three clinical encounters using a psychoanalytic lens
Anuradha Menon
January-June 2017, 1(1):40-44
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.
  479 85 -
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
  459 100 -
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
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.
  451 83 -
The divine madness: Ahistory of schizophrenia
Amey Yeshwant Angane
July-December 2017, 1(2):133-135
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.
  424 91 -
Family therapy in India
Anuradha Vishwas Sovani
July-December 2018, 2(2):88-92
Origins of family therapy are traced, acknowledging that this is in fact a group of therapeutic approaches. An overview of work done at major mental health centers in India is followed by an attempt at outlining key differences in Indian vis-a-vis Western approaches to family therapy, addressing some of the unique problems that are encountered in our country. Traditional systems of arranged marriage and a joint family, in vitro fertilization interventions and the family pressures to have a baby, the impact of work on family life and the onslaught of social media and family migrations across the globe are some of the issues outlined. Major approaches to family therapy are selected, and their key features are highlighted. Specifically, Minuchin's structural family therapy and Virginia Satir's conjoint family therapy are described. Touching very briefly on Milton Erickson's strategic family therapy, the article moves on to White and Epston's narrative family therapy; and each approach is described vis-a-vis its strengths when applied to an Indian family setup. The article ends on preventive, promotive, and rehabilitative approaches espoused by the author as also by many therapists in India. Behavioral family interventions by Sanders are outlined as is the positive parenting program and its Indian avatar in Palakshaala. Preventive approaches such as functional family therapy by Sexton and Alexander are described. Rehabilitative work with patients and caregivers is outlined, citing examples. The article ends by highlighting some recent changes in the social fabric that seem to be deeply affecting family structures.
  414 89 -
Pubic hair trichotillomania in an adolescent with autism
Avinash De Sousa
January-June 2017, 1(1):47-48
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.
  417 69 -
Psychiatric morbidity in a selective sample of transgenders in Imphal, Manipur: Adescriptive study
Y R Niranjan Hebbar, Bihari Singh
July-December 2017, 1(2):114-117
Aim: Psychiatric morbidities seem to be one of the biggest hurdles in the stigmatized people of transgender. Lack of knowledge and ignorance with ever-growing abuse over this population make them vulnerable for mental instability. This study is an attempt to identify and access the psychiatric morbidities of gender dysphoric people of Imphal, Manipur. Materials and Methods: Using DSM-5 all qualified, consenting gender dysphoric people were assessed for psychiatric morbidities using Mini-International Neuropsychiatry Interview-Plus scale at Imphal, Manipur, and the results were compared using Chi-square test. Results: Substance use disorders were found in the majority of them. Twenty(62.5%) of them had current alcohol abuse, and 10(31.2%) of them were dependent of alcohol. Fifteen(46.8%) of them were abusing other nonalcoholic psychotropic drugs. Twelve(37.5%) were suffering from generalized anxiety disorder(GAD) followed by 10(31.2%) with current depressive disorder. Past suicidal attempts were found among 10(31.2%) of them with 14(41.2%) out of them for having current suicidal risk. Six(18.7%) of them were having dysthymia, 2(6.2%) had panic disorder, 3(9.4%) had agoraphobia and posttraumatic stress disorder, respectively, 8(25%) suffered from social phobia, and 1(3.2%) from specific phobia for spiders. Conclusions: This study found high prevalence of comorbid psychiatric disorders of which alcohol use disorder was the prominent one. Other psychiatric disorders such as GAD, depression, and suicidal risk were also found to be higher among these people. As this population is at higher risk of developing other psychiatric problems, regular screening and timely intervention is needed to prevent or treat psychiatric comorbidities.
  416 63 -
Lead and its association with mental illness
Sandeep Grover, Soumya Jhanda
July-December 2017, 1(2):62-64
  383 71 -
Research progress in the understanding and implications of stigma related to mental health
Amresh Shrivastava, Avinash De Sousa, Pragya Lodha
July-December 2018, 2(2):93-100
Stigma is neither new nor an isolated condition for people suffering from mental as well as physical disorders. It is regrettable that scientists, researcher, philosophers, and community leaders have been silent for a long time in recognizing and dealing with it. However, during the past 20–30 years, significant progress has taken place in stigma research, the world over including India. From research done in India, there is clear evidence that: stigma is not merely a social condition. Convergence of social, mental, and physical disorders around stigma has far-reaching consequences on risk and health outcomes. The present paper looks at the position of stigma in mental health from an Indian perspective. The research done on stigma in India is reviewed, and certain recommendation for the management and eradication of stigma are elucidated. Stigma in specific conditions such as schizophrenia, substance abuse, and child sexual abuse are also addressed. The WHO guidelines and Mayo clinic guidelines to eradicate are used as a basis to be applicable to the Indian scenario. We examine how a life of an individual is affected with stigma, how mental health advancement has changed or not changed negative impact of stigma on patients and finally how stigma is measured and minimized, mainly for work done in India.
  399 55 -