Year : 2017 | Volume
: 59 | Issue : 6 | Page : 151--152
K.C Dube Poster Session 1. Award
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. K.C Dube Poster Session 1. Award.Indian J Psychiatry 2017;59:151-152
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. K.C Dube Poster Session 1. Award. Indian J Psychiatry [serial online] 2017 [cited 2021 Oct 18 ];59:151-152
Available from: https://www.indianjpsychiatry.org/text.asp?2017/59/6/151/197010
Problem gambling and its correlates among treatment seekers at tertiary care substance use treatment centre in North India
AIIMS, New Delhi. [email protected]
Background: Gambling, although being a common leisure activity in India has been studied scarcely. There is dearth of research regarding the rates of problem gambling among substance users in India.
Aim: The study aimed to assess the frequency of problem gambling behaviors as well as their correlates among patients with substance use disorders attending a tertiary care centre.
Methods: This cross sectional observational study was conducted at a tertiary care de- addiction centre in North India. Male patients aged 18-65 years seeking treatment for at least one of cannabis, alcohol or opioid use disorders were included in the study. Diagnosis of gambling disorder or pathological gambling was made using Diagnostic and Statistical Manual - Fifth edition (DSM-5) and International Classification of Disorders -10 th Edition Diagnostic Criteria for Research (1CD-10 DCR). Problem gambling was assessed using South Oaks Gambling Screen (SOGS)
Results: Of the 114 substance user recruited in the study, 48 (42.1% of the sample) reported 'ever' involvement in gambling. The occurrence rate of pathological gambling according to ICD-10 DCR was 6.1%, gambling disorder according to DSM 5 was 11.4% and problem gambling according to SOGS was 12.3%. Playing cards for money were the most common type of gambling indulged in by the participants. Problem gamblers had a higher rates of injection drug use and high risk sexual behaviors as well as longer duration of illicit substance use as compared to non-problem gamblers.
Conclusion: Our study suggests problem gambling to be a common comorbidity among substance use disorder patients in India. There is a need to study the impact of gambling on social and economic outcomes, and the course of gambling problems among the Indian patients with substance use disorders.
Keywords: Gambling, problem gambling, pathological gambling, substance use disorders.
Effect Of Twice Weekly Text Message Reminders On Medication Adherence In Bipolar Disorder (bp): A Randomized Controlled Trial
Nivedhitha Selvakumar,Dr.Vikas Menon, JIPMER, Dr.Shivanand Kattimani, JIPMER
Email Id :[email protected]
Introduction: Poor treatment adherence is a frequently encountered problem in management of bipolar disorder and needs novel solutions.
To assess the effect of twice weekly text-message reminders on medication adherence in clinically stable outpatients with bipolar disorder-i (bp-i)
To assess the impact of this intervention on quality of life and attitude to drugs.
Methodology: Remitted patients with bp-i (n=80) were randomly assigned to either the intervention group (n=37), who received twice weekly text message reminders in addition to treatment as usual, or control group (n=43) who received treatment as usual. The two groups were assessed at baseline and again at 12 weeks after intervention for change in outcome measures.Instruments used to assess outcomes included morrisky medication adherence scale (mmas-8), drug attitudes inventory (dai-30) and who quality of life bref to assess medication adherence, drug attitudes and quality of life respectively. Paired-t test and wilcoxon-signed rank test were used to analyze differences at baseline and follow up.
Results: Significant Improvement in medication-adherence and drug-attitudes were noted in the intervention (p<0.000), But not the control group. The intervention group alone demonstrated a significant improvement in psychological (p<0.021) And environmental domains (p<0.048) Of quality of life.
Discussion: Our findings confirm prior findings of efficacy of text message reminders on medication adherence in chronic mental health disorders from other settings. The study extends these findings to mental health disorders and provides an evidence base for such interventions in our culture where such techniques have hitherto been used only for chronic physical conditions.
Conclusion: Text message reminders in bpad-i are a feasible and effective method to enhance medication adherence and promote positive drug attitudes among bipolar patients in indian setting.
Keywords: Bipolar Disorder, Medication Adherence, Chronic Disorder, Technology, Education
Scales for Assessment of Depression in Schizophrenia: Factor analysis of Calgary Depression Rating Scale and Hamilton Depression rating Scale
Sandeep Grover, Swapnajeet Sahoo, Devakshi Dua, Subho Chakrabarti, Ajit Avasthi
Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India. Phone: 0091-172-2756807 (O). Email: [email protected]
Aim: To carry out factor analysis of 2 scales assessing depression patients with schizophrenia assessed by using calgary depression rating scale (cdss) and hamilton depression rating scale (hdrs) and to conclude implications for their application.
Methodology: 267 patients of schizophrenia were assessed on positive and negative symptom subscale, Calgary depression rating scale (CDSS), Hamilton Depression Rating Scale (HDRS) and Global Assessment of Functioning Scale (GAF). Diagnosis of depression was confirmed by using Mini International Neuropsychiatric Interview (MINI). Remission was assessed using the criteria by the Remission in Schizophrenia Working Group, 2005 and the entire was divided into two groups based on the status of clinical remission.
Results: Of the 267 patients, with two-third (N=178; 66.7%) participants in clinical remission. Prevalence of depression in the total sample as per MINI, CDSS and HDRS was 24.7%, 22.8% and 34.1% respectively. Factor analysis solution for CDSS of the whole sample and of the remitted and non-remitted group yielded only 2 factors which explained 65.31%, 65.05% and 69.31 % of variance of the data respectively. Initial factor analysis of HDRS for the whole sample yielded 4 factors. The factor analyses of the remitted and non-remitted group yielded 5 factors model. Based on the findings of the scree plot and multiple factor analyses, a 3 factor model was accepted for HDRS for the whole sample, those in remission and those not in clinical remission . When the correlation of CDSS was evaluated with PANSS, in the whole study sample, it was seen that total CDSS score, total score of factor-1 and total score of factor-2 of CDSS did not correlate with PANSS positive and negative subscale scores. In contrast, HDRS total score and the total scores for all the 3 factors correlated positively with PANSS positive subscale score, PANSS negative subscale score (except factor-1 score), PANSS general psychopathology subscale score and PANSS-Depression subscale score.
Conclusions: Present study suggests while CDSS items separate out into 2 factors, which are stable across different stages of illness, HDRS factor structure appears to be less stable across different stages of illness. Additionally, the present study further suggests that CDSS total score does not correlate or correlates negatively with negative symptoms, whereas HDRS correlates positively with negative symptoms. We infer that CDSS is a more valid instrument than HDRS for assessment of depression among patients with schizophrenia.
Key words: Schizophrenia, Factor analysis, depression, CDSS, HDRS
Aberrant cortical sources and functional connectivity during facial and body language recognition in schizophrenia
Umesh. S,. Sai Krishna Tikka, Venkatesh Babu G M, Nishant Goyal
Central Institute of Psychiatry, Ranchi, Jharkhand. [email protected]
Background: The face and the body language together normally contribute in conveying the emotional state of the individual for successful manoeuvring of social situations. Schizophrenia (sz) patients have impaired facial and body language reading ability compared to healthy individuals. We aimed to assess event-related cortical sources and functional connectivity of n170 and late positive component (p650, lpc) in sz patients during a visual task for assessing facial emotion and body language (faboconer) and compared with healthy controls.
Methods: 256-channel scalp eeg was recorded in 10 schizophrenia (sz) patients and 19 healthy controls (hc) while performing the faboconer task with congruent and incongruent facial emotions and body language expression. Nine electrodes of interest were selected for assessing lpc and seven for assessing n170. Standardized low-resolution brain electromagnetic tomography (sloreta) of gamma band (30-50 hz) was used to assess the cortical current source distribution and functional connectivity.
Results: Significantly reduced gamma band current source distribution of lpc was found in dominant motor cortex during congruent stimulus (tmax= -6.931, P<0.001) And middle prefrontal cortex during incongruent stimulus (tmax= -7.154, P<0.001) In sz patients compared to hc. Significantly increased gamma band functional connectivity of lpc (tmax=1.031, P<0.001) Was found between motor cortex and parahippocampal gyrus bilaterally during congruent task. Also, increased functional connectivity was found between left medial frontal, left superior temporal and right inferior frontal gyrus (tmax=1.669, P<0.001) During incongruent task. However, gamma band n170 sources and functional connectivity did not significantly differ between the two groups.
Conclusion: We may conclude that region-specific reduction and aberrant functional connectivity of cortical sources of lpc during both congruent and incongruent stimulus is found in sz patients. This may hint towards abnormal processing and modulation of facial and body language. However, n170, which is involved in early processing of facial emotion, is relatively intact.
Study Of Emotional Regulation Process Among Patients With Suicide Attempt
Hemendra Singh Dr.Nagashree V
Department Of Psychiatry, M.S. Ramaiah Medical College, Bangalore.
Email Id :[email protected]
Introduction: Suicide rates are rising across the globe. According to national crime records bureau of india, rates of completed suicides in the year 2014 were 10.6 Per lakh population. There are various reasons for suicide attempts and these all ultimately lead to emotional distress. The level of emotional reaction to any event depends on appraisal of that event or suppression of emotions. Hence, it is important to study the emotional regulations in individuals with suicide attempt.
Aim: To measure two emotional regulation processes i.E. Reappraisal and suppression among patients with suicide attempts.
Materials And Methods: Fifty three patients, aged 18-60 years with current suicide attempt were systematically assessed over the period of 6 months by using life event scale (leq), recent life change questionnaire (rlcq) and emotion regulation questionnaire (erq).
Results: Sixty percent respondents were female. Mean age was 26.64 (Sd β± 9.38). Mean score of suicide attempts, les and rlcq was higher in males.
Females had a higher mean suppression score of emotions as compared to males, 16.06 (Sd β± 7.07) And 15.14 (Sd β± 7.01) Respectively whereas males had higher mean cognitive reappraisal score as compared females, 27.77 (Sd β± 8.36), 25.39 (Sd β± 9.17) Respectively. However, differences were not statistically significant.
Conclusion: Men had more number of suicide attempts, life events, and more cognitive reappraisal to life events, while nearly 60% of attempters were women and had more suppression of emotions. There is a need for developing individualized cultural specific preventive interventions to enhance an adaptive emotional regulation in patients with suicidal risk so that risk of future suicide can be minimized. Being a cross sectional, small sample and absence of comparative group, there is a need for more prospective studies.
Key Words: Emotional Regulation, Suicide Attempts, Life Event