Year : 2019 | Volume
: 61 | Issue : 9 | Page : 361-
Young Psychiatrist Award
|How to cite this article:|
. Young Psychiatrist Award.Indian J Psychiatry 2019;61:361-361
|How to cite this URL:|
. Young Psychiatrist Award. Indian J Psychiatry [serial online] 2019 [cited 2021 Sep 17 ];61:361-361
Available from: https://www.indianjpsychiatry.org/text.asp?2019/61/9/361/250223
Title - Comparisons of Psychiatric Advance Directives (PAD) made by Patients’ and their caregivers
Objectives - Advance directives are documents stating treatment preferences in case of future lack of decision-making capacity. In India, as in many other countries, legislators advocate Psychiatric Advance Directives (PADs), while evidence on its use is limited. This study compared the contents of PADs made by patients with their caregivers.
Methods - We conducted a hospital-based descriptive study in Bengaluru, India. A total of 200 patients and their caregivers were included in the study. Patients and their caregivers were asked to make PAD using Bangalore Advance Directive Interview (BADI) after informed written consent.
Results - The mean age of the patients was 33.9 years compared to the mean age of the caregivers 43.8 years. Males outnumber females in both patients (54.4%) and caregivers (60.5%). Both the patient and their caregivers had the capacity to make a voluntary, valid and competent PAD. The significantly higher proportion of caregivers opted for inpatients care (63%) and treatment from a psychiatrist (95%). On contrary, a significantly higher proportion of patients (57.4%) have opted for outpatient care. There was no significance found in the choosing treatment options like psychotherapy, non-allopathic treatment and faith healers between them.
Conclusions - Patients and caregivers were able to make voluntary valid PADs. The findings of the study suggest that patient illness and severity may have a significant impact on patients’ advance directives rather than their capacity. Further structured studies in this area will help us to understand the patient’s perspective on PADs.
Psychiatric Advance Directives; Comparison; Patients; Care Givers; India.
Title: Past, present and future of obsessive compulsive disorder: A citation analysis
Background. The number of citations received by the scientific article is considered to be a surrogate marker of its impact. The purpose of this study is to identify the top 100-cited articles on the obsessive compulsive disorder (OCD) till date that have made important contributions to the field of OCD.
Materials and methods. We performed a search of top 100-cited articles by utilizing the google scholar database using Harzing’s publish or perish V6 software. The search terms included “obsessive compulsive disorder”, “OCD” and “obsessive compulsive”. Out of scope publications, book chapters and those not focusing primarily on OCD were excluded. Information related to the number of citations, publication year, publication category, authors’ names, journal name, country of origin, and an institution of origin. Annual citations were calculated. Original research articles were categorized into one of these categories: Epidemiology/descriptive, scale/measurement, management/clinical trials, medical psychiatry, and imaging. Data were analyzed using SPSS V20.
Results. Almost half of the articles were contributed by Archives of General Psychiatry and American Journal of Psychiatry. The total citations ranged from 7089 to 393 with a mean of 735.86 (SD=746.48). The articles were published between 1980 and 2010. The maximum citations were received by articles of YBOCS development (Goodman et al., 1989). The United States of America (USA) contributed maximum number of articles (n=74). No article was published from India. Original research articles (n=69) made the majority of bulk with clinical trial/management (n=26) being the most common category.
Conclusion. The top 100-cited articles on OCD were produced by some of the most renowned psychiatrists, clinicians and researchers primarily from the USA. It is important for the trainees to be aware of these key developments, which ultimately lead to the evidence-based practice in the field of OCD.
Assistant Professor in Child and Adolescent Psychiatry, NIMHANS, Bangalore
PhD Scholar in Psychiatry, NIMHANS Bangalore
Contact: Mob – +91 7607644445, email – [email protected]
Research abstract Executive functioning and the developmental underpinnings of psychopathology
Authors: Eesha Sharma, Ravi GS, Kandavel Thennarasu, Vivek Benegal
Neuropsychological functioning is a reflection of brain maturational processes. Deviation in neuropsychological maturation could mediate expression of psychopathology. It is important to study normative developmental trajectories of neuropsychological functioning.
Sample was drawn from the cVEDA study [Consortium on Vulnerability to Externalizing Disorders and Addictions, https://cveda.org], an Indian population-based developmental cohort. Computer-based neuropsychological performance data (verbal and visuo-spatial attention and working memory) was examined, as a function of age (6-23 years), in a cohort of >4000 individuals.
Considering higher variability in neuropsychological measures, quantile regression models at selected quantiles were used to determine cross-sectional trajectories. Conditional percentiles across age were estimated, controlling for gender and ocioeconomic status. Established percentile scores were used to categorize subjects into groups and their psychopathological scores analyzed.vResults
Differential decline/growth pattern at each fitted quantile were identified for all neuropsychological measures. Fitted lines for verbal and visuo-spatial attention and working memory showed overall improvement in performance over age that stabilized around 20-years. After age 15-years, changes were larger for higher quantiles. Over age, verbal attention and working memory quantiles remained consistent whereas lower quantiles for visuo-spatial performance converged with higher quantiles. Thus, visuospatial functioning showed a greater improvement with age even for the lowest quantiles.vImplications of research
This is the first study to report cross-sectional neuropsychological trajectories in a population-based Indian sample. Like physical growth charts for children, identification of deviations from representative baseline percentiles, can be a potential tool for tracking cognitive maturation, early identification of vulnerability for psychiatric morbidity, and pre-emptive treatment