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Indian Journal of Psychological Medicine

Jitendra Rohilla
No abstract text is available yet for this article.
July 2016: Indian Journal of Psychological Medicine
Sadhvi Mythili Sarangula, Starlin Vijay Mythri, Y Sanjay, M S Reddy
After 1 year of introduction of olanzapine long-acting injectable (LAI) in India, many psychiatrists believe that it is a very affordable, well-tolerated, and effective second generation long-acting antipsychotic depot compared to not well tolerated but cheap first generation antipsychotic depots and to other second generation depots which are costly. However, reports of its possible adverse events in clinical settings are not yet published. We report what probably might be the first case of postinjection delirium/sedation syndrome (PDSS) in India...
July 2016: Indian Journal of Psychological Medicine
Stephen Amarjeet Jiwanmall, Dheeraj Kattula
Obsessive compulsive disorder (OCD) is a common psychiatric disorder which is easily recognized. However, sometimes patients of OCD present in such an atypical presentation of symptoms and a pathway to care involving multiple specialities. We report a case of a girl who had consulted several physicians and a urologist for frequent micturition, who was treated as a case of OCD after clarifying the compulsive nature of her symptom. There was significant improvement in her condition following 8 weeks of treatment with 200 mg of Sertraline and behaviour therapy...
July 2016: Indian Journal of Psychological Medicine
Anuj Khandelwal, Khushboo Chauhan, Avinash De Sousa, Sushma Sonavane, Alka Pawar
Genital self-mutilation (GSM) is a much rare finding and more commonly associated with psychosis when it comes to comparison with self-mutilation as a whole. There have been anecdotal case reports of GSM in psychotic disorders with most of them being in long standing psychoses. We describe herein a case of GSM during the first episode of psychosis where multiple phenomenological variables were seen responsible for the act.
July 2016: Indian Journal of Psychological Medicine
Ramdas Sarjerao Ransing, Kshirod Kumar Mishra, Dipayan Sarkar
Hashimoto's encephalopathy is usually underdiagnosed and untreated because of complex neuropsychiatric manifestation. We report a case of an adolescent female with Hashimoto's encephalopathy who responded well to a combination of aspirin and levothyroxine. A 16-year-old girl presented at psychiatric emergency services with a depressive episode, menstrual irregularities, and a 5-month past history of thyroid swelling. On clinical examination, she was in a euthyroid state with insignificant neurological history...
July 2016: Indian Journal of Psychological Medicine
Doval Nimisha, Batra Dhruv, Moun Vikas, Jha K Sneh, Shukla Rakesh
Therapeutic outcome of Wilson's disease significantly depends upon its early recognition. As Wilson's disease is a rare disorder with protean manifestations, its diagnosis and subsequent treatment are often delayed. We elaborate here the case of a young boy who had initially presented with psychiatrc symptoms suggestive of dissociative fugue followed by withdrawn behaviour and was treated by a psychiatrist with minimal response. This was associated with symptoms of tremors, hypersalivation, and slowness of movements...
July 2016: Indian Journal of Psychological Medicine
Josef Finsterer, Lässer Stefan
Malingering and factitious disorder (Münchausen-syndrome) has not been reported as a manifestation of a mitochondrial-disorder (MID). Here, we report a 46 years-old female with a MID due to a combined complex I-IV defect, manifesting in the cerebrum, muscle, bone marrow, kidneys, and the endocrine glands. Myopathy showed up as myalgia, easy fatigability, ptosis, and abnormal muscle biopsy. Endocrine involvement manifested as short stature and thyroid dysfunction. Involvement of the kidneys manifested as mild Fanconi syndrome...
July 2016: Indian Journal of Psychological Medicine
Kiran K Kumar, Swapna Bondade, Fiaz Ahmed Sattar, Niharika Singh
Disulfiram is a widely used drug in the management of alcohol dependence syndrome as an aversive agent. Although a drug of high efficacy, it has a large number of side effects. Disulfiram-induced catatonia is a known rare side effect of the drug and herein we report a case of what appeared to be the sequential development of malignant catatonia and neuroleptic malignant syndrome in a patient with a diagnosis of alcohol dependence syndrome and co-morbid paranoid schizophrenia following disulfiram overdose. Clinicians need to be vigilant on the emergence of such rare side effects...
July 2016: Indian Journal of Psychological Medicine
Manju Aswath, Lakshmi V Pandit, Karthik Kashyap, Raguram Ramnath
Persistent genital arousal disorder (PGAD) is a phenomenon, in which afflicted women experience spontaneous genital arousal, unresolved by orgasms and triggered by sexual or nonsexual stimuli, eliciting stress. The current case is a 40-year-old female who experienced such orgasms for about a month. Physical examination, investigations, and psychological testing were noncontributory. Carbamazepine (600 mg) was discontinued due to a lack of response. She improved significantly with supportive therapy. Various neuropsychological conditions, pelvic pathology, medications, etc...
July 2016: Indian Journal of Psychological Medicine
Soumya P Thomas, A Nisha, P Joseph Varghese
BACKGROUND: Despite significant advances in pharmacological and psychological therapies for bipolar disorder, many people continue to have less than optimal outcomes, which are associated with significant disability and poor quality of life (QOL). This study aimed to assess the disability and QOL and factors associated with such suboptimal outcomes in subjects with bipolar disorder in remission. METHODS: Consecutive patients diagnosed to have bipolar disorder in remission attending the Department of Psychiatry, MOSC Medical College, Kerala, India were recruited for the study...
July 2016: Indian Journal of Psychological Medicine
Yatan Pal Singh Balhara, Ashwani Mishra, Hem Sethi, Shalini Singh, Sudhir Kumar Khandelwal
BACKGROUND: Cannabis continues to be the most commonly used illicit psychoactive substance globally. The National Survey in India conducted in the year 2004 also reported it to be the most commonly used illicit substance in the country. Furthermore, it was reported to be the second most commonly used psychoactive substance by the treatment seekers at de-addiction centers in the country. OBJECTIVES: To assess time trends of cannabis use among treatment-seeking individuals at government de-addiction centers across India over a period of 7 years...
July 2016: Indian Journal of Psychological Medicine
Sadanandavalli Retnaswami Chandra, Thomas Gregor Issac, Suresh Kumar Korada, Karru Venkata Ravi Teja, Mariamma Philip
INTRODUCTION: About 20-50% of relatively young onset dementia belongs to frontotemporal type. Most of these patients are diagnosed as psychiatric illness as their memory and instrumental activities of daily living remain unaltered till late and most of these patients do not qualify for dementia by the Diagnostic and Statistical Manual of Mental Disorders-IV criteria. In this study, we analyzed the behavioral symptoms in our patients with radiologically and neuropsychologically proven as probable behavioral variant of frontotemporal dementia (FTD)...
July 2016: Indian Journal of Psychological Medicine
Susan Thomas, Shobini L Rao, B Indira Devi
AIM: The aim of the study was to standardize tests of attention and inhibition for adults in the age range of 16-30 years, who had 1-10 years of formal education. The objectives were to develop normative data for the tests of attention and inhibition, to establish the reliability of the tests of attention and inhibition, and to establish the validity of the tests of attention and inhibition. MATERIALS AND METHODS: The tests studied were figural visual scanning test (FVST), auditory target detection test (ATDT), stop signal test, and go/no-go (GNG) test...
July 2016: Indian Journal of Psychological Medicine
Unnikrishnan Reghukumaran Nair, K Vidhukumar, Anil Prabhakaran
BACKGROUND: Declining age at onset of alcohol consumption over years has been one of the alarming findings in the epidemiology of alcoholism. The study was done to examine whether there was a decline in the age at onset of alcohol use and use disorder in subjects categorized as birth cohorts over the last 60 years seeking de-addiction services from a teaching hospital. MATERIALS AND METHODS: A time-trend study, based on data collected from records, was done among 700 randomly selected subjects seeking de-addiction services...
July 2016: Indian Journal of Psychological Medicine
Narendra Kumar, Anil Kumar Mysore Nagaraj, Umashree Koudike, Sumanth Mallikarjuna Majgi
BACKGROUND: A range of psychological disorders occur in women in the postpartum period apart from the traditional blues, postpartum depression and psychosis. These include obsession of infanticide, PTSD, morbid preoccupations regarding child birth and disorders of mother-infant relationships, though they are under emphasized. METHODS: it is a cross-sectional study conducted in the tertiary maternity care hospital. A total of 152 study subjects were interviewed on MINI (Mini International Neuropsychiatric Inventory) and GAF (Global Assessment of Functioning) within 2 weeks after delivery...
July 2016: Indian Journal of Psychological Medicine
Anusa Arunachalam Mohandoss, Rooban Thavarajah
INTRODUCTION: Contribution of Indian Psychiatrists as publications in peer-reviewed journals listed with PubMed and their impact has not been studied. The aim of this manuscript is to assess such contribution using a new article level metric measure. The relative citation ratio (RCR) has been used to assess the quality, quantity, and impact of research output of Indian Psychiatrists. MATERIALS AND METHODS: Publications by Indian psychiatrists in PubMed during 1995-2013 were collected, their RCR and associated factors estimated...
July 2016: Indian Journal of Psychological Medicine
Siddharth Sarkar, Yatan Pal Singh Balhara, Namita Gautam, Jawahar Singh
BACKGROUND AND AIMS: Engagement into treatment is crucial for improving outcomes among patients with substance use disorders. This study aimed to find the rates and characteristics of treatment noncompletion in patients who were admitted to a drug dependence treatment center in north India. METHODS: This retrospective record review analyzed data from consecutive patients admitted between January 1, 2014, and December 31, 2014, at the National Drug Dependence Treatment Centre, Ghaziabad, India...
July 2016: Indian Journal of Psychological Medicine
Chetali Vijay Dhuri, Shubhangi R Parkar
OBJECTIVE: Modern research on obsessive-compulsive disorder (OCD) indicates that the primary cause of OCD, which was earlier explained only on basis of psychoanalytical theories, is biological. Our study attempts to investigate the neurobiological signs in form of soft neurological signs and cognitive function in OCD. METHODS: A cross sectional study was conducted at psychiatric facility of Seth G.S. Medical College and KEM Hospital. MATERIALS AND METHOD: 50 OCD patients and age- and education-matched controls were selected for the study...
July 2016: Indian Journal of Psychological Medicine
Deepti Khattar, Farah Khaliq, Neelam Vaney, S V Madhu
INTRODUCTION: Diabetes mellitus has its deleterious effects on various aspects of cognition such as memory function, executive function, and information-processing speed. The present study aims to assess cognition in diabetes patients and also tries to find its association with Vitamin B12 deficiency induced by metformin. MATERIALS AND METHODS: Thirty diabetics taking metformin and thirty nondiabetic controls were enrolled. Event-related potentials (ERPs) and serum Vitamin B12 levels were evaluated in them...
July 2016: Indian Journal of Psychological Medicine
Vandana Choudhary, Sujata Satapathy, Rajesh Sagar
Child sexual abuse (CSA) is a critical, psychologically traumatic and sometimes life-threatening incident often associated with sequel of adverse physical, behavioral, and mental health consequences. Factors such as developmental age of the child, severity of abuse, closeness to the perpetrator, availability of medico-legal-social support network and family care, gender stereotypes in the community complicate the psychological trauma. Although the research on the effects of CSA as well as psychological intervention to reduce the victimization and promote the mental health of the child is in its infancy stage in India, the global research in the past three decades has progressed much ahead...
July 2016: Indian Journal of Psychological Medicine
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