Year : 2019 | Volume
: 61 | Issue : 9 | Page : 358-
|How to cite this article:|
. Bhagawat Award.Indian J Psychiatry 2019;61:358-358
|How to cite this URL:|
. Bhagawat Award. Indian J Psychiatry [serial online] 2019 [cited 2021 Sep 17 ];61:358-358
Available from: https://www.indianjpsychiatry.org/text.asp?2019/61/9/358/250213
1Comparative Study of Internalising and Externalising Disorders in Offspring of Parents With Schizophrenia and Bipolar Disorder
Dr Sneha Sharma, [email protected]
Dr Om Sai Sharma
Biological children of patients with Schizophrenia and Bipolar disorder are a minefield of information on the genetic and environmental risk-factors underpinning the etiology of these mental illnesses. Since behavioural changes and problems are evident much before the development of a diagnostically defined disorders, they serve as useful markers of study deviant behaviour in offspring.
MATERIALS AND METHODS : Child behaviour checklist (CBCL) and Strengths and Difficulties Questionnaire (SDQ) were applied on a total of hundred offspring of parents with Schizophrenia and Bipolar disorder presenting to Psychiatry OPD, Lady Hardinge Medical College and collected data was evaluated for statistically significant differences.
RESULTS AND CONCLUSION : No difference in the Externalising problems score and SDQ score was seen between two high risk groups. However Internalising problem score was higher in the group with parents with Bipolar disorder.
Similar risk of problem behaviour in the two groups suggest an overlap might exist in the risk-factors for both Schizophrenia and Bipolar disorder. Further studies on a large scale seem pertinent to validate or refute these claims.
KEYWORDS : Externalising problems, Internalising problems, offspring, Schizophrenia, Bipolar Affective Disorder
2Neurocognitive insight: Relation to objective cognitive performance, clinical profile, clinical insight and social functioning in patients of schizophrenia – a cross sectional study
Sachin Baliga [email protected]
Department of Psychiatry, Topiwala National Medical College and BYL Nair Ch. Hospital, Mumbai
Neurocognitive deficits are well-documented in schizophrenia. Neurocognitive insight (NI) is defined as awareness of this neurocognitive dysfunction and has not been assessed in Indian settings. The aim of this study was to evaluate NI and its relationship to objective cognitive performance, clinical profile, clinical insight and social functioning.
100 individuals with schizophrenia were evaluated using Positive And Negative Syndromes Scale (PANSS), Subjective Scale to Investigate Cognition in Schizophrenia (SSTICS), abbreviated version of Scale to assess Unawareness in Mental Disorders (SUMD), SCARF–Social Functioning Index (SSFI), Digit Span test (attention) from Wechsler Adult Intelligence Scale, 3rd edition (WAIS-III); and Passages test (explicit memory), Verbal n back test (working memory) and Stroop test (executive functioning) from NIMHANS Battery.
Participants showed impairment in all cognitive domains. Except for working memory, there was no correlation between subjective cognition and objective performance in corresponding cognitive domains. Clinical insight and severity of psychopathology did not have any correlation with NI. Higher NI correlated with poorer social functioning, especially in occupational and other social roles.
Individuals with schizophrenia have poor NI. NI is independent of clinical insight or severity of psychopathology. It can affect socio-occupational functioning and hence should be actively enquired into.
3Exploring socio-obstetric and nutritional determinants of maternal bonding failure in women with postpartum depression - a cross sectional study from a tertiary care center
Nachane Hrishikesh B [email protected]
Present affiliation: Assistant professor, Dept. of Psychiatry, Grant Government College and Sir J.J. group of hospitals, Mumbai
Impact of postpartum depression on maternal bonding has been described, however elucidation of potential risk determinants is lacking. Role of nutritional deficiency in maternal bonding is being increasingly suggested. A comprehensive risk assessment model is the need of the hour.
To understand theimpact of postpartum depression on various areas of maternal bonding and develop a comprehensive risk assessment model.
cross-sectional, observational study.
100 subjects at 6 weeks postpartum were screened for postpartum depression using the Edinburg Postnatal Depression Scale (EPDS). Maternal bonding was assessed using postpartum bonding questionnaire (PBQ).
Correlation studies were carried out by Spearman’s rank correlation. Multiple regression analysis was used to derive a risk assessment model.
A positive correlation was seen between postpartum depression and bonding failure (p<0.001, r = 0.55), maximally with anger and restrictedness in the mother (p <0.0001, r = 0.54). Themodel derived had an adjusted R square of 0.40. Factors significant in the model included type of family, relationship with husband, antenatal complications, NICU admission, body image disturbances and Waist-hip ratio.
Maternal bonding is impaired in postpartum depression. Themodel derived can effectively detect 40% risk of maternal bonding failure in postpartum depression.
KEY WORDS: postpartum depression, maternal bonding, risk determinants.