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Indian Journal of Psychological Medicine

Ahmed Naguy
No abstract text is available yet for this article.
May 2018: Indian Journal of Psychological Medicine
Sai Krishna Tikka, Shobit Garg
No abstract text is available yet for this article.
May 2018: Indian Journal of Psychological Medicine
Karthick Subramanian, Madhavapuri Pravallika, Vikas Menon
Literature reveals that psychological stress is related to hemostatic mechanisms and that excess stress can lead to prothrombotic events. Patients with chronic bleeding disorders report increased levels of subjective distress. The psychobiological link between stress and bleeding tendencies is rarely investigated when compared to the wealth of the studies on stress and clotting mechanisms. We present the case of a female with recurrent depressive disorder in whom episodic stress precipitated acute bleeding spells...
May 2018: Indian Journal of Psychological Medicine
Himanshu Singla, Sandeep Grover
Electroconvulsive therapy (ECT) is one of the safest treatment options for psychiatric illnesses with no absolute contraindications. However, certain medical conditions including cardiac ailments such as aortic stenosis are associated with increased risk with ECT. We present the case of a 74-year-old female who was suffering from severe depression with psychotic symptoms (which had not responded to two adequate trials of antidepressants), along with severe aortic stenosis, who was managed with modified bilateral ECT and review the available literature...
May 2018: Indian Journal of Psychological Medicine
Sadanandvalli Retnaswami Chandra, Karu Venkata Ravi Teja, Roopa Sheshadri
Alien hand is a strangely behaving hand and occurs in disease of medial frontal lobe and also corpus callosum. When it is with frontal lobe disease, it manifests as groping and hooking with either hand, but callosal lesions produce left-hand abnormalities of varying degrees. Occasionally this phenomenon can be transient as an ictal manifestation. Case 1 is a 20-year-old female who was on treatment for panic and anxiety for 4 years and later noticed strange action by the left hand pushing food plate and notebook when she is using them with the right hand...
May 2018: Indian Journal of Psychological Medicine
Sadanandavalli Retnaswami Chandra, Pawan Raj, Anupama Ramakanth Pai, Neeraja Reddy
Introduction: Whipple's disease (WD) is a very rare systemic disease caused by the gram-positive bacillus Tropherymawhippleii 1st described in the year 1907. It is a disease with multisystem involvement and high degree of suspicion is needed for diagnosis. However the classical (OMM)oculomasticatory (OFMM)oculofacial-skeletal myorhythmia clubbed with dementia, head ache and other neurologic features should deserve an attempt to confirm whenever possible and therapeutic trial as it is one of the treatable dementias...
May 2018: Indian Journal of Psychological Medicine
Santanu Nath, Rajeev Ranjan, Debadatta Mohapatra, Biswa Ranjan Mishra
Sheehan's syndrome is a neuroendocrine condition that manifests with symptoms of hypopituitarism. It mostly occurs as a complication of parturition due to severe postpartum hemorrhage compromising pituitary circulation. Reports of neuropsychiatric manifestations of Sheehan's syndrome are available with most cases describing psychosis. We report an interesting case of Sheehan's syndrome which presented with catatonia on a psychotic background and its successful management. The possible pathophysiological underpinnings for the causation of catatonia and psychosis in this condition are also discussed...
May 2018: Indian Journal of Psychological Medicine
Sandeep Grover, Aseem Mehra
Incubus syndrome, characterized by delusional belief in female patients of being sexually approached by an unforeseen person, is rarely described in literature and description has been limited to isolated case reports. We describe four patients with schizophrenia, who reported the phenomenon of incubus and responded well to treatment with antipsychotics. A review of literature yielded five reports (describing six cases), most of which were described in the context of schizophrenia.
May 2018: Indian Journal of Psychological Medicine
Aseem Mehra, Debashish Basu, Sandeep Grover
The mind-altering agents such as tobacco, cannabis, and opium have been widely used since the evolution of human being. These substances have been widely used for recreational purposes. However, derivatives from reptiles such as snakes, reptiles, and scorpions can also be used for recreational purposes and as a substitute for other substances. Their use is rare and related literature is very scanty. In this report, we present a case of snake venom abuse and review the existing literature.
May 2018: Indian Journal of Psychological Medicine
Pooja Patnaik Kuppili, Nivedhitha Selvakumar, Vikas Menon
We describe a case of 45-year-old female suffering from chronic hepatitis B and bronchial asthma who presented with symptoms of seasonal affective disorder and sickness behavior. The case report illustrates syndromal and sub syndromal presentations of depression such as sickness behavior in support of "malaise theory of depression" from psychoneuroimmunological perspective. The current case depicts the complex interplay of inflammatory physical illness, medication and manifestations of depression in an individual case...
May 2018: Indian Journal of Psychological Medicine
Debjit Roy, Amrita Sarkar, Arvind Nongpiur, Manoj Prithviraj
It has long been debated whether bowel and bladder anxiety are a part of obsessive compulsive spectrum disorder or a variant of agoraphobia with no consensus view yet. Tricyclic antidepressants are reportedly efficacious in such cases and lead to complete resolution of symptoms. Here, we report a 36-year-old male having urges to visit toilet when in public places or where toilets are not easily available and a resulting avoidance of such spaces fearing an episode of incontinence. Symptoms originated 16 years ago when he was in university which compelled him to drop out...
May 2018: Indian Journal of Psychological Medicine
Aparna Prathap, T P Subhalakshmi, P Joseph Varghese
Background: The polycystic ovary syndrome is a disorder characterized by hyperandrogenism, ovulatory dysfunction, and polycystic ovarian morphologic features. Earlier studies have shown that depression was significantly increased in the polycystic ovarian disease (PCOD) group and also that PCOD women had marked reduction in quality of life, impaired emotional well-being, and reduced sexual satisfaction. This study was undertaken with the objectives of studying the proportion of anxiety and depression and assessing the quality of life and its correlates in women with PCOD...
May 2018: Indian Journal of Psychological Medicine
Ravichandra Karkal, Nishant Goyal, Sai Krishna Tikka, Roshan V Khanande, Anil Kakunje, Christoday R J Khess
Background: Sensory gating refers to "filtering" of irrelevant sensory input in the brain. Auditory sensory gating deficit has been considered as a marker of schizophrenia (SCZ) and assessed using P50 paired-click paradigm. We explore sensory gating deficits and their clinical correlates in SCZ. Materials and Methods: Twenty-five drug-free/drug-naïve patients with SCZ, whose psychopathology was assessed using Positive and Negative Syndrome Scale (PANSS), and 25 age-matched normal controls (NC) were recruited...
May 2018: Indian Journal of Psychological Medicine
Aditi P Chaudhari, Kaustubh Mazumdar, Pooja Deepak Mehta
Background: Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder among women of reproductive age. Symptoms include amenorrhea, hirsutism, infertility, obesity, acne vulgaris, and androgenic alopecia. PCOS is a stigmatizing condition that affects a woman's identity, mental health and quality of life (QOL). This aspect has not received adequate attention in India. Aims and Objectives: (1) To study the prevalence of anxiety and depression among women suffering from PCOS (2) To determine if symptoms of PCOS were associated with psychiatric morbidity, and (3) To determine the impact of psychiatric morbidity on the QOL...
May 2018: Indian Journal of Psychological Medicine
Prasad Vijay Barre, Gadiraju Padmaja, Suvashisa Rana, Tiamongla
Background: Cancer pervades many dimensions of an individual's life - demanding a holistic treatment approach. However, studies with combined medical and psychological interventions (MPIs) are sparse. High-level stress and poor quality of life (QoL) can hinder patients' prognosis. The study thus aimed to analyze the impact of combined medical and psychological (psychoeducation, relaxation technique-guided imagery, and cognitive therapy) interventions on stress and QoL of cancer patients - head and neck, breast, and lung cancers...
May 2018: Indian Journal of Psychological Medicine
Mohammad Aleem Siddiqui, Daya Ram, Sanjay Kumar Munda, Shazia Veqar Siddiqui, Sujit Sarkhel
Introduction: There is growing awareness of the heterogeneity of obsessive-compulsive disorder (OCD) and of the multiple systems involved in its pathogenesis. Identification of obsessive-compulsive spectrum disorders (OCSDs) may have important implications in the management and prognosis of OCD, but there is a paucity of research in the domain of identification of OCSD in probands with OCD. There are few studies that have examined OCSD in the first-degree relatives (FDR) of OCD patients, some of these were not controlled, and these studies have no final agreements over outcomes, and therefore, this area needs to be further explored...
May 2018: Indian Journal of Psychological Medicine
Vimal Doshi Veerappan, B Sweetha, H R Kavitha, B Sivalingam, Shanthi Nambi, Leema Pauline
Context: A significant subset of autistic children exhibit abnormal isolated epileptiform discharges (IEDs) in the absence of clinical epilepsy. The etiological significance of such IEDs is under much debate. Aims: The aim is to study the relationship between IEDs with risk factors, clinical severity, behavioral problems, and social-quotient and follow-up for the occurrence of new seizures. Settings and Design: This study was a prospective double-blind comparative study of autistic children with and without IEDs...
May 2018: Indian Journal of Psychological Medicine
Priyanka Bhatia, Ajeet Sidana, Subhash Das, Manoj Kumar Bajaj
Background: A substantial proportion of euthymic bipolar disorder patients have neuropsychological impairment which can have a significant impact on the overall functional recovery. Materials and Methods: A total of 60 bipolar disorder patients, currently in euthymic phase for the last 3 months with minimum duration of illness 2 years and current Young Mania Rating Scale <7 and Hamilton Depression Rating Scale <6, currently on medications were administrated various neuropsychological tests...
May 2018: Indian Journal of Psychological Medicine
Dheeraj Kattula, Jayaprakash Russell Ravan, Munaf Babajan Nandyal
Background: Managing any chronic illness in marginalized communities in resource-poor settings is always a challenge. Lack of facility to monitor lithium and the common morbidity of hypokalemic periodic paralysis and chronic renal failure among tribals of northern part of Odisha pose unique challenges in managing bipolar disorder. Methodology: This is a cross-sectional study done in a district-level hospital catering to predominantly tribal population. A part of the data was collected by a psychiatrist prospectively and analyzed...
May 2018: Indian Journal of Psychological Medicine
Priya Ganesan, Moses KKirubairaj Amos Jegaraj, Sathish Kumar, Bijesh Yadav, Bagyalaksmi Selva, Reginald George Alex Tharmaraj
Background: Hanging is one of the common modes of deliberate self-harm presenting to emergency departments (EDs) across the world. Early intervention and aggressive resuscitation can decrease the morbidity and mortality associated with near-hanging. Our aim was to study the profile of patients presenting with near-hanging and their outcome to our adult ED. Materials and Methods: Medical records of patients with age more than 15 years presenting with near-hanging to the ED was reviewed retrospectively...
May 2018: Indian Journal of Psychological Medicine
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