Indian Journal of PsychiatryIndian Journal of Psychiatry
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 Table of Contents    
BHAGAWAT AWARD  
Year : 2018  |  Volume : 60  |  Issue : 5  |  Page : 12-13
Bhagawat Award



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Date of Web Publication1-Feb-2018
 

How to cite this article:
. Bhagawat Award. Indian J Psychiatry 2018;60, Suppl S4:12-3

How to cite this URL:
. Bhagawat Award. Indian J Psychiatry [serial online] 2018 [cited 2020 Sep 30];60, Suppl S4:12-3. Available from: http://www.indianjpsychiatry.org/text.asp?2018/60/5/12/224503




Does neurocognitive deficit influence cognitive insight and clinical insight among patients with Schizophrenia in Clinical Remission

Swapnajeet Sahoo

Senior Resident, Department of Psychiatry, PGIMER, Chandigarh

Background: Cognitive insight refers to the cognitive processes involved in self-reflection of one’s abnormal experiences and the ability to modify dysfunctional beliefs and misinterpretations. A small body of available literature suggests that neurocognitive deficits in patients with schizophrenia may predict clinical and cognitive insight.

Aims: To evaluate the relationship between neurocognitive deficits and insight (clinical and cognitive) among patients with schizophrenia in remission.

Methodology: 60 patients with schizophrenia (diagnosed as per the DSM-IV criteria) in clinical remission were assessed on Beck Cognitive Insight scale (BCIS), Positive and Negative symptom scale (PANSS) and a comprehensive neurocognitive battery {Trial A and B, Stroop test. (COWA)} and Tower of London (TOL).

Results: Lower processing speed, low cognitive flexibility and poor executive functions as assessed by Trail A, Trail B and TOL respectively and higher verbal fluency (COWA) were associated with poor cognitive insight in the self-certainty domain. Poor executive functioning (3 moves problem of TOL) was associated with lower cognitive insight in the domain of self-reflectiveness. Clinical insight as assessed by G-12 item of PANSS did not have any association with any of the neurocognitive domains except for few subsets of executive functions as assessed by TOL. There was no correlation between clinical insight and cognitive insight. Multiple regression analysis demonstrated cognitive flexibility as assessed by Trail B test and executive functions (3 moves and 5 moves problems of TOL) to be the significant predictors of self-certainty and self- reflectiveness domains of the cognitive insight.

Conclusions: The present study suggests that poor neurocognitive functions are associated with poor cognitive insight but the impact of poor neurocognitions on the clinical insight is not very significant.

Key Words: Schizophrenia, insight, cognitive insight

A Study on Psychiatric Disorders, Body Image Disturbances and Self Esteem in Patients of Cushing’s Disease

Dr. Akansha Sharma

Background: Cushing’s disease (CD) is a rare endocrine disorder associated with increased serum levels of cortisol secreted due to an underlying tumour in pituitary. Psychiatric disturbances like depression, psychosis, mania along with body image disturbances are seen in patients of CD. Hence we undertook this research to find the prevalence and type of psychiatric disorders, body image disturbances and self esteem in patients of CD.

Methods: 35 patients diagnosed as CD as per standard criteria by the endocrinologist were recruited after obtaining consent and ethics approval. Proforma with demographic details, SCID, Beck Depression Inventory, Rosenberg self esteem scale and Body Image Concern Inventory were used for assessment of the aims.

Results: 65% of patients had psychopathology with 21% patients having major depressive disorder.62% patients had mild and 28% moderate depression on BDI. 50% patients had body image disturbances and 60% had low self esteem. Depression was found to have a negative correlation with self esteem and positive correlation with body image disturbances.

Conclusions: A high prevalence of psychopathology is seen in patients of CD. Forming a liaison with the endocrinologist would work towards improving the issues of body image disturbances and self esteem for better prognosis for the patient.

Keywords: Psychiatric disorder, body image

Biological rhythms in Bipolar Disorder: A state or trait marker?

Pooja Patnaik

Background: There is limited research on biological rhythms in Bipolar Disorder (BD) from India despite its intricate relationship with metabolic syndrome and functioning

Aims: The study aimed to assess “trait marker” status of biological rhythms as well as correlates of biological rhythm impairment in euthymic BD.

Settings and Design: Cross sectional observational study over six months carried out in hospital setting

Methods and Materia: Biological Rhythms Interview of Assessment in Neuropsychiatry Questionnaire (BRIAN) and Functioning Assessment Short Test (FAST) were used to assess Biological rhythms and functioning respectively. Metabolic syndrome was diagnosed as per modified National Cholesterol Education Program – Adult Treatment Panel III. Depressive symptoms were assessed by Hamilton Depression Rating Scale (HDRS). Euthymia was defined as symptomatic remission for atleast eight weeks. Ethical approval was taken.

Statistical analysis: Descriptive statistics were performed. Comparison among continuous and categorical variables were done by appropriate tests. Correlation coefficient was performed to assess strength and direction of association between the variables.

Results: Fifty cases of euthymic BD and fifty apparently healthy controls were recruited. Total as well as certain domain specific BRIAN and FAST scores were significantly higher in cases compared to controls. A significant positive correlation was found between the total BRIAN score with HDRS as well as FAST score. No correlation was obtained between biological rhythms and metabolic parameters.

Conclusions: Biological rhythm impairment is found to be a trait marker in patients with BD in our study. The study supports need for management of subsyndromal depressive symptoms even in interepisodic period.

Key words: Biological rhythms, Functioning, Metabolic syndrome, Subsyndromal depression, Trait marker

Internalized Stigma and its Correlates among Treatment Seeking Natural Opiates Users in India: A Cross-Sectional Observational Study

Prashant Gupta

Background: Use of natural opiates is socio-culturally sanctioned and has been widely reported from India. Literature suggests that natural opiates users seems to be a unique population with largely preserved functioning in various domains of life, despite using natural opiates for prolonged periods. However, no study has ever assessed stigma surrounding this group of patients.

Materials and methods: This cross-sectional observational study was performed at National Drug Dependence Treatment Centre (NDDTC), All India Institute of Medical Sciences, New Delhi, a tertiary care substance use treatment centre located in North India. A total of 117 male participants with primary natural opiates use disorder presenting at the outpatient department of NDDTC were recruited in the study after written informed consent. Information related to socio-demographics, substance use and clinical details were collected using a data collection tool developed for the study. Internalized Stigma of Mental Illness (ISMI) scale – Hindi version was used for assessing stigma.

Results: The mean age of the participants was 44.79±11.04 years. Majority of the participants were Sikh, married, semi-skilled workers, educated up to 10 years and coming from rural background. Use of other substances (except tobacco) and other opioids was low with primary opioid of use being doda/poppy-husk for most of them. Mean total score on ISMI scale was 2.58±0.72 suggesting overall moderate levels of stigma. More than 50% of participants had reported minimal to mild internalized stigma. Age of the participants was negatively correlated with ISMI total score (and domain scores) (p<0.05). Patients with higher stigma reported higher recreational use of pharmaceutical sedatives (p<0.01).

Conclusions: Our study suggested lesser stigma scores as measured by ISMI-Hindi among natural opiate users. This further adds to the limited literature on natural opiate users suggesting that it needs to be a distinct subpopulation of opioid users requiring special attention.

KEY WORDS: Doda, Afim, Opium, Poppy husk, Stigma



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