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BHAGWAT AWARD  
Year : 2020  |  Volume : 62  |  Issue : 7  |  Page : 11-12
Bhagwat Award



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Date of Web Publication14-Jan-2020
 

How to cite this article:
. Bhagwat Award. Indian J Psychiatry 2020;62, Suppl S1:11-2

How to cite this URL:
. Bhagwat Award. Indian J Psychiatry [serial online] 2020 [cited 2020 Jan 20];62, Suppl S1:11-2. Available from: http://www.indianjpsychiatry.org/text.asp?2020/62/7/11/275922





   Prevalence of Mild Cognitive Impairment and it's relationship with Metabolic Syndrome in Patients with Hypertension Top


Aseem Mehra

Assistant Professor, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh

Aim: The aim of the study was to evaluate the prevalence of mild cognitive impairment in patients with hypertension. Additional objectives were to evaluate the association of Mild Cognitive impairment (MCI) with metabolic syndrome (MetS). Methodology: 186 subjects with hypertension were evaluated on Montreal Cognitive Assessment (MOCA) and Patient Health Questionnaire (PHQ-9) for cognitive decline and depression respectively and MetS was diagnosed as per the consensus definition. Results: The prevalence of MCI was 65.6% and that of MetS was 45.7%. Compared to those without MetS, those with MetS had significantly poorer cognitive functioning on the all cognitive domain of the MOCA, even after controlling for age, education, severity of the depression and duration of illness. Low High-Density Lipoprotein (HDL) was found to have a positive correlation with MOCA. Higher age, lower education, higher duration of illness and use of higher numbers of drugs were associated with significantly lower score on MOCA. Conclusion: Presence of MetS among persons with hypertension is associated with cognitive decline. Hence, there is a need to monitor and manage other parameters of MetS among patients with hypertension, to reduce the risk of cognitive decline and future dementia.

Key words: Hypertension, metabolic syndrome, cognitive decline, mild cognitive impairment


   The Silent Survivor - a study on domestic violence and suicidal risk in wives of patients suffering from alcohol dependence. Top


Amey Yeshwant Angane

Introduction

Alcoholism has negative effects on the spouse. One of the frequently occurring, but not adequately recognized, effects of alcohol abuse is domestic violence. Domestic violence, although identified as a public health priority, has been widely ignored and so little understood. Wives facing dual problems of alcoholism and domestic violence are in a position where their mental state can be severely compromised leading to suicidal behaviour.

Aims and Objectives

Study can helps us give insights regarding the problem of domestic violence faced by the wives of alcohol dependent patients. Also the study helps to shed a light on the importance of screening victims for suicidal intent, the extent of perceived stress, nature of coping strategies used and its relation with domestic violence.

Methodology

By using convenience sampling technique, 100 consecutive wives of patients with alcohol use disorder patients were interviewed in the 6 months duration. The wives were administered a structured proforma along with Severity of Violence against Women Scale (SVAWS), Perceived stress scale- 14 (PSS-14), Columbia Suicide Severity Rating Scale (C-SSRS) and Coping Questionnaire (CQ-30). Statistical analysis was done using Graph Pad Prism 8.0.and association between domestic violence with perceived stress and coping strategies was done using Fishers exact and Mann Whitney U test. Correlation was found using Spearman's coefficient of correlation. Relative risk was used to find the suicidal risk.

Results and Discussion

Domestic violence was highly prevalent (87%) in the wives of patients with alcohol use disorder. The increase in the level of domestic violence further led to increase in perceived stress. It was seen that those who experienced domestic violence used predominant of tolerant inactive coping mechanism. The wives facing domestic violence were also found to be at a greater suicidal risk, the risk increasing by four fold.

Conclusion

The study highlights the importance of screening for domestic violence in the wives of alcohol dependence patients as it is highly prevalent in this population. Psycho education of the wives to deal with the stress effectively and to adopt healthy coping ways which there by can improve the psychological health could be an effective way. It is only by spreading awareness about both, the domestic violence in the community and the simultaneous need for the treating the patients with alcohol use disorder will eventually help us bury this grave problem.


   Extent of tobacco use in women with major mental illness: a crisis in waiting?? Top


Bhupendra Khobragade

Background: Persons with mental illness have higher chances of tobacco use and tend to be heavier smokers with lesser chances of cessation. Tobacco use among women with Major Mental Illness (MMI) in developing countries has not been well-investigated.

Aim – To assess the extent of tobacco use in women with MMI.

Methodology: A cross-sectional, observational study was conducted at department of psychiatry, ABVIMS and Dr RML Hospital, Delhi between November 2017 to March 2019. Sample size was calculated using epi program for prevalence sample size calculator. After diagnosis andconsent, data were collected from 321 participants. Fagerstorm test for nicotine dependence (FTND) both for smoke and smokeless tobacco were applied along with subset of Global Adult Tobacco Survey questionnaire.

Results: Of total 321 participants, 14.64% reported lifetime use of tobacco in some form whereas current tobacco use was 12.14%, highest in BD (16.25%) followed by SZ (14.18%) and RDD (6%). The FTND score was higher for schizophrenia group indicating more dependence in them.

Conclusions: The use of tobacco in women with MMI was found to be three times more than women in general population of state Delhi. Both smoke and smokeless tobacco use was equally prevalent.

Keywords: Tobacco, Nicotine, Smoking, Smokeless tobacco, Psychiatric patients.


   Irrational fear of being away from mobile phone in the smartphone users of medical fraternity Top


Dr.Nikunj S Gokani, Dr.Deepanjali D Deshmukh1, Dr. Praveen J Godara2

Junior Resident 2, 1Assistant Professor, 2Junior Resident 1at Department of Psychiatry at MGM Medical College and Hospital, Aurangabad, Maharashtra, India.

Abstract

Aims: To find the presence and severity of nomophobia and its association with certain demographic factors amongst the smartphone users in medical fraternity.

Settings and Design:Medical College and Hospital,Observational, cross-sectional study

Methods and Material: An online survey was conducted by using Google Form and utilizing validated Nomophobia questionnaires (NMP-Q). A self-reported questionnaire regarding demographic data, information regarding smartphone use and factors of Nomophobia. A total of 446 people participated in this survey. Data was collected by snowballing technique.

Statistical analysis: Statistical analysis was done under the guidance of statistician Levene's Test for Equality of Variances,independent t-test for Equality of Means and ANOVA were used. A p value of <0.05 was considered as significant.

Results: Mean NMP-Q score was found 79.08. Mean age of study participants was 22.83 (± 4.68), study had slightly more response rate from female participants (56.5%). Majority (62%) participants reported moderate level of nomophobia. Age less than 25 years, female gender, single, MBBS student and having more than 50 apps on their smartphones, was associated with more nomophobia scores. Though living arrangements, number of phones and sim cards, duration of cell phone use has no significant impact on nomophobia scores.

Conclusions:Our study found moderate level of nomophobia amongst the majority of participants.

Key-words: Nomophobia, smart phone, Internet


   PCOS: Understanding the depressive-anxiety states, body image concerns, self esteem and eating behaviors. Top


Dr Suraj Singh, Dr. Rashmi Joshi

Background: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of reproductive age with increased incidence of emotional disturbances and other psychopathology. We undertook this research to study the prevalence and severity of depression and anxiety as well as understand body image disturbances, eating behaviors and self esteem of the women of PCOS. We studied the relationship of depressive symptoms with self esteem, body image and eating behaviors and correlated body image disturbances with BMI, self esteem and eating behaviors.

Method: 105 patients diagnosed as PCOS were recruited from gynecology and dermatology OPD after informed consent and ethics approval. Proforma along with Beck's Depression Inventory, Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, Body Image Concern Inventory, Rosenberg's Self Esteem Scale and Eating Attitude Test 26 were administered to patients for further assessment.

Results: 54 (51.43%) patients of PCOS had depression on BDI,12(11.43%) patients had body image disturbances and 23(21.90%) patients had a low self esteem. 21 patients(20%) had mild and moderate depression while 5% had severe depression. Majority 53 (50.48%) of our patients had mild anxiety whereas severe to extreme anxiety was seen in about 31% of patients. No eating disorders were seen in our sample. No statistically significant correlation of depression was seen with body image, self esteem and eating disorders. A highly significant negative correlation of body image was seen with self esteem.

Conclusions: The results of this study imply that there is a high prevalence of depression and anxiety in patients of PCOS. Liaison with the gynecologist and dermatologist would work towards improving the issues of body image disturbances, self esteem, eating behaviors and thus improve the prognosis for the patient.


   Does Clozapine improve Cognition in patients with Treatment Resistant Schizophrenia? : An Exploratory Study Top


Swapnajeet Sahoo , Meha Verma

Aim of the study: To evaluate the effect of clozapine on social cognition and neurocognition in patients with treatment resistant schizophrenia (TRS).

Methodology: 25 patients with TRS were assessed on a comprehensive neurocognitive battery [Hopkins verbal learning test (HVLT), Controlled Word Association Test (COWA), Wisconsin Card Sorting Test (WCST)] and on Social cognition Rating Tools in Indian Setting (SOCRATIS) at baseline (prior to initiating clozapine) and were reassessed after 3 months (12± 1 weeks of clozapine therapy). Psychopathology was assessed on Positive and Negative Syndrome Scale (PANSS) and functioning was assessed by Global Assessment of Functioning (GAF). Clinical Global Impression Scale (CGI) was used to determine severity of illness and efficacy.

Results: 25 patients underwent both the assessments. The mean age of the study participants was 31.92 years and the mean dose of clozapine at the follow up assessment 201.00 (SD: 79.54) mg/day with a range: 75 -350 mg/day). Significant improvement was noted on PANSS and CGI efficacy index at follow up and 72% of patients (N=18) attained clinical remission. When controlled for the effect of mean change of psychopathology scores (mean total PANSS score change), compared to baseline neurocognition scores, at follow up, no statistically significant difference was observed in any of the tests for neurocognition. On SOCRATIS, after controlling for the mean change of psychopathology score significant improvement were found in the domains of second order theory of mind and Faux pas composite index.

Conclusions: The present study suggests that treatment with clozapine in patients with TRS leads to improvement in social cognition but not in neurocognition, when the mean change in psychopathology is taken into account.

Key words: Clozapine, neurocognition, social cognition, treatment resistant



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