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 Table of Contents    
BPSS AWARDS  
Year : 2020  |  Volume : 62  |  Issue : 7  |  Page : 13-14
BPSS Awards



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Date of Web Publication14-Jan-2020
 

How to cite this article:
. BPSS Awards. Indian J Psychiatry 2020;62, Suppl S1:13-4

How to cite this URL:
. BPSS Awards. Indian J Psychiatry [serial online] 2020 [cited 2020 Apr 4];62, Suppl S1:13-4. Available from: http://www.indianjpsychiatry.org/text.asp?2020/62/7/13/275923





   Comparative magnetic resonance imaging (MRI) study of Grey matter volume alteration among adolescent patients of obsessive compulsive disorder (OCD) and healthy controls Top


Dr. Amit Arya1, Dr. Suryabhan Mishra2, Dr. Vivek Agarwal3, Dr Uttam Kumar4

1Associate Professor, Department of Psychiatry, King George's Medical University, Lucknow, U.P.

2Junior Resident, Department of Psychiatry, King George's Medical University, Lucknow, U.P.

3Professor, Department of Psychiatry, King George's Medical University, Lucknow, U.P.

4Associate Professor, Centre for Biomedical Research, SGPGI, Lucknow, U.P.

BACKGROUND: The pathophysiology of obsessive-compulsive disorder (OCD) is not yet fully understood. There are only few studies about structural brain changes among adolescents with OCD.

AIM: The study aimed to study grey matter changes in adolescents with OCD.

METHOD: Eighteen right-handed adolescent between 10 to 16 years of age with DSM 5 diagnosis of OCD with illness duration > 3 months were taken as cases and compared with eighteen right handed age, gender and education matched healthy controls. Both cases and control group underwent MRI scanning after applying appropriate tools. All the structural data were processed, examined and compared using the Statistical Parametric Mapping for Voxel-based Morphometry running in MATLAB 7.9.

RESULT: There was no significant difference in total grey matter volume between cases and control, but there were regional difference in grey matter volume of both cases and control. Grey matter volume was found to be more among cases in brain areas of temporal cortex, right inferior frontal gyrus, and lesser in brain areas of bilateral superior frontal cortex and right orbitofrontal cortex (OFC), as compared to controls.

CONCLUSION: Our findings revealed involvement of regional grey matter changes in adolescent patients with OCD. In addition to the widely proposed hypothesis of orbitofrontal-striato-thalamo-cortical circuitry deficits in the development of OCD, our findings suggest involvement of additional brain regions. The widespread alteration points towards possibility of underlying grey matter changes among adolescents with OCD.

Keywords: Obsessive-compulsive disorder (OCD), Voxel-based morphometry (VBM) Magnetic resonance imaging (MRI), Grey matter (GM).


   Sensation seeking, internet gaming disorder and depression in players of PUBG Top


Shijo John Joseph, Samrat Singh Bhandari, Sanjiba Dutta, Department of Psychiatry, Sikkim Manipal Institute of Medical Sciences

BACKGROUND: Internet addiction (IA) is a recognized form of behavioural addiction. Sensation seeking is a key personality trait contributing to disordered internet gaming. Depression has also been found to be prevalent in persons with problematic internet gaming.

AIMS AND OBJECTIVES: To assess sensation seeking and prevalence of depression in PUBG players, study the sociodemographic correlates of PUBG players, assess disordered gaming in them and to find relationship between sensation seeking and disordered gaming.

METHODS: An online survey was performed. Survey forms included Participant information sheet, Informed consent form, Socio Demographic information form, Internet Gaming Disorder Scale- Short Form (IGDS9-SF), Zung Self Rating Depression Scale (ZDRS), Brief Sensation Seeking Scale-8 (BSSS-8). The forms were shared in PUBG communities and PUBG forum in social media and also to email ids of persons playing PUBG who attend the Department of Psychiatry which could be passed on to their peers. Sociodemographic and clinical variables were described using mean and SD for continuous variables while categorical variables were represented using percentages. χ2 test was used to analyze the categorical data. Kruskal-Wallis test and Fishers exact test was used to find the association between categorical and quantitative variables. Spearman's rho test was used to determine the correlation between quantitative variables.

RESULTS: 210 PUBG players participated in the online survey. The mean age of the participants was 21.18 (SD=5.28). 89.5% of the participants (n=188) were male. 56.2% (n= 118) of the participants had disordered gaming. Depression was present in 56% of the participants. There was a significant association between disordered gaming and male gender (p<.0001). There was also a significant association between disordered gaming and senior secondary school education (p<.0001), student occupational rank (p<.0001), nuclear family type (p<.0001), history of PUBG gaming in family/friends (p<.0001), hours spend on PUBG/day (p= .012) and mobile as the playing device (p<.0001) and depression (p<.0001). There was a positive correlation between sensation seeking and number years of playing PUBG (correl. coeff. =0.583, p<.0001). There was also a significant association between sensation seeking and male gender (p<.0001) as well as disordered gaming (p<.0001).

CONCLUSION: This study concluded that depression was prevalent in players of PUBG with disordered internet gaming. Also, sensation seeking was an important personality trait in those with disordered internet gaming.

Keywords: Internet gaming, depression, experience seeking


   A community based follow up study on prevalence of suicidal ideation, and risk factors and protective factors of suicide behavior Top


Nimesh G Desai1, Vijender Singh1, CB Tripathi2, Rupali Shivalkar1, Ravinder Singh3, Bela Shah3

1 Department of Psychiatry, 2 Department of Biostatistics,

Institute of Human Behaviour & Allied Sciences (IHBAS), Delhi 3 Indian Council of Medical Research (ICMR), New Delhi

This paper reports findings, from a larger study, on prevalence of suicidal ideation and its psychosocial correlates in general population, and longitudinal follow-up of Suicide ideators, in community based samples, for indentifying the risk factors and protective factors for suicide behaviour amongst the ideators.

In a robust representative sample of 1100 persons across eleven colonies, the prevalence of Suicidal ideation was found to be 111 per thousand for life time ideation, 889 per thousand for recent ideation, and 332 per thousand for current ideation. The psychosocial correlates for suicide behaviour viz. Psychosocial Stress, Stressful Life Events, Hopelessness, Lack of Family Integration and Lack of Social Integration, were all found to be statistically significantly, higher amongst the suicide ideators as compared to non ideators, thus indicating the population vulnerable for Suicidal ideation. More than one third of the persons with Suicidal ideation were found to have no psychiatric disorder diagnosis.

Longitudinal two year follow-up on another community sample of 2000 persons, identified 125 suicide ideators, with assessment every 6 months, found female gender, lower educational status, lower socioeconomic status, and single status, to be significant sociodemographic risk factors. Relationship difficulties, marital discord, high psychosocial stress and lack of family & social integration were the psychosocial risk factors, associated with suicide attempt in ideators. The protective factors identified were stable satisfactory work, support from family & friends, resolution of stress, religious coping, conscious realization of the risk by the respondents, and timely intervention by professional teams. These risk factors & protective factors need to be taken care of in prevention strategies for community based suicide prevention, while recognizing the possibility of suicide behaviour not related to psychiatric disorder. The larger psychosocial contributions to suicide behaviour and the possible strategies for suicide prevention are highlighted & discussed.

Key Words: Suicidal Ideation, Suicidal Attempts, Prevalence, Risk Factors, Protective Factors, Pathways


   Cognitive – affective dissociation of empathy in alcohol use disorder: relation with clinical profile, abstinence and motivation. Top


Dr. Gomati. V. Nadadgalli, Dr. Hrishikesh B. Nachane, Dr. Maithili Umate

Dept. of Psychiatry, Grant Government College and Sir J.J. group of hospitals, Mumbai

Background: Empathy plays a role in pathophysiology and in planning management strategies for alcoholism. However, few studies have looked into cognitive and affective empathy in alcoholism. No data is available regarding variation of empathy with motivation in alcoholism.

Aim: This study is aimed at assessing cognitive and affective empathy in patients with alcoholism and its comparison with controls. We attempted establishing relation between empathy with disease specific variables, motivation and abstinence.

Methodology: 60 alcohol dependent subjects and 60 healthy controls were assessed using Basic Empathy Scale for empathy and URICA Scale for motivation. Statistical analysis was done using Kruskal-Wallis test, Mann-Whitney test and Spearman's rank correlation test.

Results: Alcoholics showed lower level of both affective and total empathy, cognitive empathy remained unchanged. Alcoholics with higher empathy have more admissions and lesser relapses. Abstinent patient had higher empathy and there was positive correlation between readiness to change and empathy. Maximum empathy was observed in action, followed by contemplation and precontemplation phase.

Conclusions: Affective empathy is significantly reduced in alcoholism whereas cognitive empathy is unchanged. Alcoholics with higher empathy have lesser relapses and more readiness to change. Abstinence and progression in motivation cycle is associated with remission in empathic deficits.

Keywords: empathy, motivation, abstinence, alcohol



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