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   2011| January-June  | Volume 20 | Issue 1  
    Online since July 12, 2012

 
 
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ORIGINAL ARTICLES
Sociodemographic profile, clinical factors, and mode of attempt in suicide attempters in consultation liaison psychiatry in a tertiary care center
Santosh Ramdurg, Shrigopal Goyal, Prashant Goyal, Rajesh Sagar, Pratap Sharan
January-June 2011, 20(1):11-16
DOI:10.4103/0972-6748.98408  PMID:22969174
Background: The objective was to study the sociodemographic data, psychiatric disorder, precipitating events, and mode of attempt in suicide attempted patients referred to consultation liaison psychiatric services. Settings and Design: A prospective study of 6-month duration was done in a tertiary care center in India. Materials and Methods: During the 6-month period all referrals were screened for the presence of suicide attempters in consultation liaison services. Those who fulfilled the criteria for suicide attempters were evaluated by using semistructured pro forma containing sociodemographic data, precipitating events, mode of attempt, and psychiatric diagnosis by using ICD-10. Results: The male-to-female ratio was similar. Adult age, urban background, employed, matriculation educated were more represented in this study. More than 80% of all attempters had psychiatric disorder. Majority had a precipitating event prior to suicide attempt. The most common method of attempt was by use of corrosive. Conclusions: Majority of suicide attempter patients had mental illness. Early identification and treatment of these disorders would have prevented morbidity and mortality associated with this. There is a need of proper education of relatives about keeping corrosive and other poisonous material away from patients as it was being commonest mode of attempt.
  6,798 201 4
EDITORIAL
Child labour issues and challenges
Kalpana Srivastava
January-June 2011, 20(1):1-3
DOI:10.4103/0972-6748.98406  PMID:22969172
  4,150 109 2
REVIEW ARTICLE
Gender differences in stress response: Role of developmental and biological determinants
Rohit Verma, Yatan Pal Singh Balhara, Chandra Shekhar Gupta
January-June 2011, 20(1):4-10
DOI:10.4103/0972-6748.98407  PMID:22969173
Stress response is associated with manifestations of various psychosomatic and psychiatric disorders. Hence, it is important to understand the underlying mechanisms that influence this association. Moreover, men and women tend to react differently with stress-both psychologically and biologically. These differences also need to be studied in order to have a better understanding in the gender difference observed for many disorders, which are likely to be contributed by the gender difference in stress reactivity and responses. Such an understanding would have a significant impact on our understanding about how adult health is set during early life and how adult disease could be prevented in men and women.
  4,074 97 1
ORIGINAL ARTICLES
Emotional intelligence scale for medical students
Kalpana Srivastava, Saumya Joshi, Arkojyoti Raichaudhuri, VSSR Ryali, PS Bhat, R Shashikumar, J Prakash, D Basannar
January-June 2011, 20(1):39-44
DOI:10.4103/0972-6748.98413  PMID:22969179
Background: Emotional Intelligence has been associated with positive outcome process in varied professions. There is paucity of Indian literature on the subject; especially involving medical undergraduates; and presently there is no scale available to measure the same in the Indian scenario. Objective: To develop a scale to measure Emotional Intelligence among medical undergraduates. Materials and Methods: Four domains of Emotional intelligence were selected, viz. Self-Awareness, Self-Management, Social-Awareness & Social-Skills and these were included for the purpose of domains of the scale. On the basis of focused group discussions and in-depth deliberations with experts, undergraduate and postgraduate medical students a pool of 50 items was generated. The items were reduced to 27 based on expert consensus and on the basis of frequency of endorsement by expert reviews. It was followed by a pilot study of 50 undergraduates. This completed the preparation of the preliminary draft based on content analysis. The questionnaire was then administered in 480 students and the data was analyzed by appropriate statistical methods. For the purpose of concurrent validity, emotional intelligence scale developed by Dr. Ekta was used. Results: The Cronbach's Alpha for Internal Consistency Reliability was 0.68. The EIS had a significant correlation with social awareness domain of Emotional Intelligence Test (EIT) establishing Concurrent Validity. Conclusion: Emotional Intelligence Scale for medical undergraduates was constructed. Reliability and concurrent validity were also established for the same.
  3,698 191 -
Gender differences in perception of workplace sexual harassment among future professionals
Amitav Banerjee, Bhavana Sharma
January-June 2011, 20(1):21-24
DOI:10.4103/0972-6748.98410  PMID:22969176
Background: Indian society is in a stage of rapid social transition. As more women enter the workforce, stresses vis-à-vis the genders are to be expected in patriarchal society to which most of our population belongs. Earlier studies in Western societies have revealed gender differences in perception of what constitutes sexual harassment. Aim: Elicit gender differences, if any, in the workplace sexual harassment among future professionals. Settings and Design: A cross-sectional study among the students of professional colleges. Materials and Methods: A total of 200 students of both sexes were randomly selected from four professional colleges. Data collection was done on a structured questionnaire by interview. Statistical Analysis: Internal consistency of the questionnaire was tested by Crohnbach's α coefficient. Associations between gender and perceptions were explored with Chi-square, Odds Ratio with 95% confidence interval, where applicable. Results: The differences in perception on what constitutes sexual harassment among the genders were statistically significant on many measures (P<0.01). Conclusions: Men and women differ in their awareness as to what constitute sexual harassment. Men were more lacking in awareness regarding sexual harassment.
  3,065 68 1
Tolerability and efficacy of paliperidone ER compared to olanzapine in the treatment of schizophrenia: A randomized, double-blind, multicentric trial
Sandip Shah, Dipti Joshi
January-June 2011, 20(1):25-31
DOI:10.4103/0972-6748.98411  PMID:22969177
Background: Paliperidone is an active metabolite of risperidone and actss through a combination of central dopamine Type 2 (D2) and serotonin Type 2 (5HT2A) receptor antagonism. Aim: The present randomized, double-blind, multicentric trial was designed to determine the safety and efficacy of paliperidone extended release (ER) compared to olanzapine in the treatment of acute schizophrenia. Materials and Methods: A total of 214 patients with diagnosis of schizophrenia were randomized to paliperidone ER (n=109) and olanzapine (n=106) treatment groups. Totally 206 patients were evaluated for efficacy parameters using Positive and negative syndrome scale (PANSS) score and Clinical Global Impression-severity of illness (CGI-S) and Clinical Global Impression-improvement of illness (CGI-I) scales. Safety was assessed by treatment-emergent adverse events and movement disorders. Results: All patients showed significant reduction in PANSS scores at the end of treatment. However, the results were comparable and there was no significant difference at the end of the trial between paliperidone ER group and olanzapine group. Both the treatment groups showed decrease in the severity of illness and improvement in symptomatology. The most common adverse events reported in paliperidone ER versus olanzapine group were Extra Pyramidal Syndrome (EPS) (13.7% vs. 15.6%), headache (12.7% vs. 8.9%), increased appetite (8.8% vs. 10.0%) and drowsiness (4.9% vs. 303%). There was no clinically relevant difference in change from baseline to the end of the trial in abnormal involuntary movement scale (AIMS) and barnes akathisia rating scale (BARS) total scores between both the groups. Conclusion: Paliperidone ER is effective in controlling schizophrenic symptoms as well as exhibits comparable tolerability profile. Thus, paliperidone ER has the potential to be a useful new treatment option for patients with schizophrenia.
  3,029 44 3
Attitude toward mental illness amongst urban nonpsychiatric health professionals
V Pande, Rajiv Saini, Suprakash Chaudhury
January-June 2011, 20(1):17-20
DOI:10.4103/0972-6748.98409  PMID:22969175
Background: This study was designed to examine the attitude of nonpsychiatric health professionals about mental illness in urban multispeciality tertiary care setting. Aim: To assess attitude toward mental illness among urban nonpsychiatric health professionals. Materials and Methods: A cross-sectional study design was used. A pretested, semistructured questionnaire was administered to 222 medical and paramedical staff at two tertiary care hospitals at Chandigarh. Results: There is an increased awareness of mental illness especially in military subjects. Literacy was associated with a positive attitude toward mental illness. Health care givers commonly fail to ask about the emotional well being of their patients. Many saw referral to psychiatrist as a form of punishment. There is uniform desire for more knowledge about psychiatric disorders in medical and paramedical staff. Conclusions: This study demonstrates the need for educational programs aimed at demystifying mental illness. A better understanding of mental disorders among the nonpsychiatric medical professional would help to allay fear and mistrust about mentally ill persons in the community as well as lessen stigmatization toward such persons.
  2,529 96 -
CASE REPORTS
Inhalant abuse: A cause for concern
Suravi Patra, Ajaya Mishra, Rajnikant Shukla
January-June 2011, 20(1):61-63
DOI:10.4103/0972-6748.98421  PMID:22969184
Inhalant abuse is of growing concern in adolescent and young adult population in the underdeveloped regions of the world. In the absence of availability of definitive tests in routine clinical settings, diagnosis is often difficult. Equally difficult is management and ensuring adherence to therapy. We report two successive cases of inhalant abuse seen at the outpatient department of the Department of Psychiatry, Mental Health Institute, SCB Medical College, Cuttack, Orissa, India. We report here two cases of inhalant abuse: one with an unusual mode of abuse and another with atypical clinical presentation.
  2,396 90 1
ORIGINAL ARTICLES
Individual differences in hemispheric preference and emotion regulation difficulties
Garima Gupta, Akanksha Dubey, Prachi Saxena, Rakesh Pandey
January-June 2011, 20(1):32-38
DOI:10.4103/0972-6748.98412  PMID:22969178
Background: Hemisphericity or individual difference in the preference to use the left or the right hemispheric mode of information processing has been associated with various emotion-related differences. For example, the right hemisphericity has been linked with inhibition of emotional expression, feeling of tension, greater impulsivity etc. These observations suggest that right hemisphericity may be associated with greater difficulties in regulating emotions. However, direct empirical tests of such theoretical proposition are very thin. Aim: In view of this, the present study aims to investigate how and to what extent individual difference in hemispheric preference relate to emotion regulation. Materials and Methods: Thirty-two right-handed male subjects in the age range 18 to 20 years were assessed on self-report measures of hemispheric preference and emotion regulation difficulties. The correlation between dimensions of hemispheric preference and difficulties in regulating emotions was computed. A series of stepwise multiple regression analyses were also done to explore the relative significance of various dimensions of hemispheric preference in predicting emotion regulation difficulties. Results: The findings revealed that in general a preference for the right hemispheric mode of information processing was associated with greater emotion regulation difficulties. The correlation analysis indicated that while impulse control difficulties and difficulties in engaging goal directed behavior was associated with preference for almost all the right hemispheric mode of information processing, the nonacceptance of emotional responses and limited access to emotion regulation was related to preference for only global/synthetic (a right hemispheric) mode of information processing. Similarly, the lack of emotional clarity facet of emotion regulation difficulties correlated significantly with a preference for the emotional mode of information processing (again a right hemispheric mode). The results of stepwise multiple regression analyses, however, indicated that "nonacceptance of emotional responses' and 'limited access to emotion regulation strategies" facets of emotion regulation difficulties were best predicted by a preference for the global/synthetic mode of information processing. While others like difficulties engaging in goal-directed behaviour, impulse control difficulties, and lack of emotional clarity were best predicted by a preference for visuo-spatial rather than the verbal mode of information processing. Conclusion: Overall, the findings imply that greater preference for right hemispheric mode of information processing as compared to the left is associated with greater difficulties in regulating emotions.
  2,360 40 -
Understanding sexuality among Indian urban school adolescents
Shashikumar Ramadugu, VSSR Ryali, K Srivastava, PS Bhat, J Prakash
January-June 2011, 20(1):49-55
DOI:10.4103/0972-6748.98416  PMID:22969181
Context: Adolescence is a very exciting phase of life fraught with many challenges like sexuality. Understanding them is important in helping the adolescents grow up healthily. Aims: To ascertain the attitudes and knowledge about sexuality among school-going adolescents. Settings and Design: Students in two urban schools of an Indian city from class IX to XII were administered a self-reporting questionnaire on matters related to sexuality. Materials and Methods: Requisite ethical clearances were taken as also the consent of the parents and students before administration of the questionnaire. The authors clarified doubts to adolescents. Statistical analysis: Statistical package for social sciences. Results: The incidence of having sexual contact was 30.08% for boys and 17.18% for girls. 6.31% boys and 1.31% girls reported having had experienced sexual intercourse. Friends constituted the main sexual partners for both boys and girls. Sexual abuse had been reported by both girls and boys. These and other findings are discussed in the article. Conclusions: Adolescent school students are involved in sexual activity, but lack adequate knowledge in this regard. Students, teachers, and parents need to understand various aspects of sexuality to be able to help adolescents' healthy sexual development.
  2,307 84 -
Integrated yoga therapy for improving mental health in managers
Tikhe Sham Ganpat, HR Nagendra
January-June 2011, 20(1):45-48
DOI:10.4103/0972-6748.98415  PMID:22969180
Background: Managers' lives have become a never-ending race against time, technology, and targets. This race creates tension, which leads to dissatisfaction and frustration and eventually manifests itself as psychological and physiological stress with mental and emotional drain. This modern lifestyle intensifies the stress leading to "Excessive Tension" and consequent deterioration in "Executive Efficiency." Objective: To assess mental health in managers undergoing yoga-based Self-Management of Excessive Tension (SMET) program. Materials and Methods: 72 managers with 48.75±3.86 years of mean age were participated in this study of single group pre-post design. The General Health Questionnaire data were taken on the first and sixth day of 5 days SMET program. Results: The data analysis showed 68.25% decrease (P<0.001) in somatic symptoms, 66.29% decrease (P<0.001) in anxiety and insomnia, 65.00% decrease (P<0.001) in social dysfunction, 87.08% decrease (P<0.001) in severe depression, and 71.47% decrease (P<0.001) in all medical complaints. Conclusion: These results suggest that participation in a SMET program was associated with improvement in mental health and may have implications for "Executive Efficiency."
  2,300 66 3
CASE REPORTS
Tobacco-alcohol amblyopia: A rare complication of prolonged alcohol abuse
Jyoti Prakash, VSSR Ryali, K Srivastava, PS Bhat, R Shashikumar, A Singal
January-June 2011, 20(1):66-68
DOI:10.4103/0972-6748.98424  PMID:22969186
Tobacco-alcohol amblyopia is rare, however, extremely disabling complication seen in patient with alcohol dependence syndrome, which if not addressed properly and at the right time may lead to persisting deficits. We here report a patient of alcohol-dependence syndrome who presented with significant diminution of vision bilaterally in the background of excess alcohol consumption.
  1,989 38 1
Delusional parasitosis of face in a factory worker
Manjeet S Bhatia, Anurag Jhanjee, Shruti Srivastava
January-June 2011, 20(1):64-65
DOI:10.4103/0972-6748.98422  PMID:22969185
Delusional parasitosis is a form of monohypochondriacal psychosis, a condition sometimes encountered in psychiatric or dermatological clinical practice. The exact etiology and outcome of this condition is not well known. A patient with delusional parasitosis of face who responded to aripiprazole is described.
  1,987 28 1
Mania in dengue fever
Anurag Jhanjee, MS Bhatia, Shruti Srivastava
January-June 2011, 20(1):56-57
DOI:10.4103/0972-6748.98418  PMID:22969182
Dengue fever, also known as break bone fever, is a mosquito-borne infection that causes a severe flu-like illness. During the last few years, there had been increasing reports of dengue fever with unusual manifestations, primarily with neurological symptoms. Psychiatric morbidity during acute dengue infection has rarely been reported. There has not been any systemic study mentioning the prevalence and pattern of psychiatric sequelae. We report a 28-year-old male who after an acute dengue infection developed an episode of mania which was successfully treated.
  1,772 39 -
An outbreak of Koro among 19 workers in a jute mill in south Bengal
Suddhendu Chakraborty, Debasish Sanyal
January-June 2011, 20(1):58-60
DOI:10.4103/0972-6748.98419  PMID:22969183
Koro is a culture-bound syndrome that is characterized by the belief of retraction of genitals into the abdomen. It was initially reported in Asian countries, as having a usual acute and brief course. Two case clusters have been described in this article. Both occurred in the same jute mill in southern West Bengal among the workers. The case clusters depict unique socioeconomic factors and interesting health-seeking behavior toward koro. All the cases had a self-limiting course and reasonably good outcome. The case cluster yet again confirms that koro is not as rare as it is thought of and social and economic factors continue to play an important role in the etiology of the disease.
  1,563 37 -
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