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Indian Journal of Psychiatry

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https://www.readbyqxmd.com/read/29540934/planning-research-in-psychosocial-interventions
#1
REVIEW
Atul Ambekar, Monica Mongia
A number of research designs have been used to study the efficacy of psychosocial interventions in addictive disorders, including open label studies and randomised controlled trials. Only through a rigorously conducted research, evidence base for effectiveness of a psychosocial intervention can be established. However, research on these interventions are fraught with a number of challenges. It is imperative for researchers to ask appropriate research questions based on sound theoretical understanding of psychiatric disorders, psychosocial interventions and research designs...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540933/ethics-in-psychosocial-interventions
#2
REVIEW
Sunita Simon Kurpad
It is important for health professionals to have an ethical framework to help take decisions regarding psychosocial interventions in patients with addictive disorders. As patients with addictive disorders are vulnerable to unethical actions in the name of treatment, therapists need to aware of their role in delivering ethical care - not just in their own clinical practice but in the setting in which they deliver the interventions. This article aims to sensitize the health professional to the various arenas in which ethical challenges may arise...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540932/increasing-access-to-psychosocial-interventions-for-alcohol-use-disorders-home-based-interventions
#3
REVIEW
Abhijit Nadkarni
Alcohol use disorders (AUD) are a significant and growing public health problem in India. However, health services for AUD remain largely confined to large institutions and a significant proportion of people with AUD do not having access to help for their alcohol related problems. One way of changing this status quo is making evidence based psychosocial interventions available in communities and closer to people's homes. There is extensive evidence supporting the effectiveness of a range of psychosocial interventions for AUDs...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540931/prevention-of-substance-use-disorders-in-the-community-and-workplace
#4
REVIEW
Reshma Malick
Prevention in the community and at the workplace is a vital component in substance use disorder treatment and management. Mobilizing the community, creating awareness that addiction to substances is a disease, that it is treatable and that treatment is available are all essential. A cost-effective prevention and treatment approach plays a major role in creating drug free communities. Workplace prevention policies to prevent and manage substance use disorders leads to safer work environments, better motivated teams of workers and a productive workforce...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540930/interventions-in-individuals-with-specific-needs
#5
REVIEW
Piyali Mandal, Anju Dhawan
With the growing understanding of substance use problems among special populations like women, gender minority groups, as well as in the geriatric population, there is a drive to develop sensitive interventions catering to their unique needs. This chapter is a short review of psycho-social interventions targeted towards these individuals with specific needs.
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540929/psychosocial-interventions-among-children-and-adolescents
#6
REVIEW
Deepak Jayarajan, Preeti Jacob
Substance use disorders in children and adolescents are a significant cause of concern as they can have long term implications in practically every sphere. The etiological factors that contribute to substance use disorders are complex and the formulation must amalgamate and synthesize all the different factors including the predisposing, perpetuating, precipitating and protective factors in order to plan management. Interventions must stem from this comprehensive formulation and must be child-focused, multidisciplinary, multisystemic, with strong family participation and community involvement...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540928/psychosocial-interventions-for-technological-addictions
#7
REVIEW
Manoj Kumar Sharma, Thamil Selvan Palanichamy
Increase in the use of technology has led to an increase in various kinds of technological addictions. A range of psychological and behavioural theories has been proposed to explain technology addictions. These include learning theories, reward-deficiency hypothesis, impulsivity, cognitive-behavioural models and social skills deficiency theories. While no particular form of psychological intervention has been suggested as being the golden standard for its treatment, the most frequently investigated approaches have been cognitive behavioural therapy (CBT) and motivational enhancement therapy...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540927/use-of-digital-technology-in-addiction-disorders
#8
REVIEW
Mrunal Bandawar, Venkata Lakshmi Narasimha, Prabhat Chand
The expanding use of digital technology in mental health has widened the scope of emerging addiction interventions. This review focus on the use of technological advances in the field of addiction and mental health. We discuss about how these advances has been implemented in addiction treatment and research. Further, we also mention about the utilisation of these services in India.
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540926/video-enabled-cue-based-intervention-for-relapse-prevention
#9
Prasanthi Nattala, Pratima Murthy, K S Meena
A major goal of long-term management of substance use disorders is to empower recovering individuals in resisting drug use when confronted with real-world high-risk situations (cues). Since opportunities to reproduce and learn from real-life situations are limited in treatment settings, the key is to bring those real-world drug use cues to the treatment setting through vicarious learning. Cue-exposure approaches achieve this by presenting these cues while the usual drug-use response is prevented. This provides opportunity to practice how to deal with the cues before being discharged from the treatment setting...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540925/a-transdiagnostic-approach-to-interventions-in-addictive-disorders-third-wave-therapies-and-other-current-interventions
#10
REVIEW
Gitanjali Narayanan, Shaima Naaz
Recent research points to a shift from categorical diagnoses to a dimensional understanding of psychopathology and mental health disorders. In parallel, there has been a rise in newer psychosocial treatment modalities, which are inherently transdiagnostic. Transdiagnostic approaches are those that identify core vulnerabilities and apply universal principles to therapeutic treatment. As treatment of substance use disorders (SUD) must invariably accommodate such vulnerabilities, clinicians are finding such interventions useful...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540924/group-interventions
#11
REVIEW
Sinu Ezhumalai, D Muralidhar, R Dhanasekarapandian, Bala Shanti Nikketha
Over the past four decades, psychiatric social workers have been conducting group interventions for persons with substance use disorders at NIMHANS. In this article, the authors highlight the brief history of group therapy, differences between group therapy and group work, and purpose and indicators of group therapy. This article sheds light on practical aspects of conducting group interventions for persons with substance use disorders and skills required by the group therapist for conducting the same andbenefits of attending group interventions...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540923/psychosocial-intervention-for-sexual-addiction
#12
REVIEW
Manju George, Shreemit Maheshwari, Suhas Chandran, Suman S Rao, Manohar J Shivanand, T S Sathyanarayana Rao
Addiction is the term employed not only for excess consumption of substances, but also for problem behaviours like eating disorders, pathological gambling, computer addiction and pathological preoccupation with video games and sexual acts. No clear diagnostic criterion has been established with validity for behavioral addictions. Sexual addiction, including addiction to pornography is not included as a separate entity because of a lack of strong empirical evidence in this area. Different scales can be used for assessment of sexual addiction...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540922/psychosocial-interventions-for-sexual-dysfunction-in-addictive-disorders
#13
REVIEW
T S Sathyanarayana Rao, Shreemit Maheshwari, Manju George, Suhas Chandran, Shivanand Manohar, Suman S Rao
Substance abuse and addictive disorders are very common in the community. Patients with addictive disorders frequently experience sexual dysfunctions and chronic use of substances tends to adversely affect all stages of sexual response, in both male and female abusers. An important aspect in the management of sexual dysfunction is psychosocial intervention. In addictive disorders, sexual dysfunction is of high clinical relevance, as it often leads to treatment non adherence and sexual or marital disharmony...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540921/marital-and-family-therapy
#14
REVIEW
Hargun Ahluwalia, Tanya Anand, L N Suman
Substance abuse is a family disease that adversely impacts both the user and the user's family. The family can act as a risk factor for the development of substance abuse among children and adults. The family can also be involved in therapy to either help the recovery process or prevent substance abuse. Marital and family therapy have been found to be effective in reducing the severity of substance use, lowering marital and family conflict, improving family communication and cohesion as well as effective parenting practices...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540920/psychosocial-interventions-in-patients-with-dual-diagnosis
#15
REVIEW
B N Subodh, Nidhi Sharma, Raghav Shah
Management of patients with dual diagnosis (Mental illness and substance use disorders) is a challenge. A lack of improvement in either disorder can lead to a relapse in both. The current consensus opinion favours an integrated approach to management of both the disorders wherein the same team of professionals manages both the disorders in the same setting. The role of pharmacotherapy for such dual diagnosis patients is well established but the non-pharmacological approaches for their management are still evolving...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540919/cognitive-rehabilitation-in-addictive-disorders
#16
REVIEW
Jamuna Rajeswaran, Cathyln Niranjana Bennett
Substance use disorders are frequently associated with neuropsychological deficits. A comprehensive assessment of attention, memory, executive functions, language and mental speed is often warranted. Cognitive rehabilitation is a therapy programme designed as an intervention to help people with cognitive, behaviour and emotional deficits. Using systematic approaches such as cognitive retraining and EEG neurofeedback, the individuals are helped to be integrated into society.
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540918/psychoanalytic-psychotherapy-in-addictive-disorders
#17
REVIEW
Malika Verma, Ajay Vijayakrishnan
Psychoanalytic psychotherapy can afford a viable treatment option for certain carefully chosen patients whose needs go beyond the immediate control of substance use. Though the evidence base specifically for addictions is lacking, an emerging body of evidence has demonstrated good effect in the commonly seen co-morbid conditions such as depression, anxiety and personality pathology.
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540917/cognitive-behavioural-interventions-in-addictive-disorders
#18
REVIEW
Paulomi M Sudhir
Cognitive behaviour therapy is a structured, time limited, psychological intervention that has is empirically supported across a wide variety of psychological disorders. CBT for addictive behaviours can be traced back to the application of learning theories in understanding addiction and subsequently to social cognitive theories. The focus of CBT is manifold and the focus is on targeting maintaining factors of addictive behaviours and preventing relapse. Relapse prevention programmes are based on social cognitive and cognitive behavioural principles...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540916/relapse-prevention
#19
REVIEW
Jayakrishnan Menon, Arun Kandasamy
Addiction and related disorders are chronic lapsing and relapsing disorders where the combination of long term pharmacological and psychosocial managements are the mainstay approaches of management. Among the psychosocial interventions, the Relapse Prevention (RP), cognitive-behavioural approach, is a strategy for reducing the likelihood and severity of relapse following the cessation or reduction of problematic behaviours. Here the assessment and management of both the intrapersonal and interpersonal determinants of relapse are undertaken...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29540915/brief-intervention-in-substance-use-disorders
#20
REVIEW
Surendra Kumar Mattoo, Sambhu Prasad, Abhishek Ghosh
Unhealthy substance use lies on a wide range that extends from occasional mild risky/harmful/hazardous use to severe substance use disorder. Brief intervention (BI) is a technique, used to initiate change for an unhealthy or risky substance use. It can be delivered by a vast array of trained professionals, in opportunistic settings (i.e. in people seeking help not for their substance use, but either its consequences or for completely unrelated physical or psychiatric disorders), and across substances, age and ethno-cultural groups...
February 2018: Indian Journal of Psychiatry
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