Indian Journal of PsychiatryIndian Journal of Psychiatry
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   1998| Jan-Mar  | Volume 40 | Issue 1  
    Online since May 14, 2010

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Burden Assessment Schedule
R Thara, R Padmavati, Shuba Kumar, Latha Srinivasan
Jan-Mar 1998, 40(1):21-29
The family is a major source of support for the mentally ill in India. Although Indian families show tremendous resilience in caring for their ill relatives, they experience a lot of physical and emotional distress. The burden assessment schedule (BAS) aims to assess both objective and subjective burden experienced by the primary care givers of chronic mentally ill patients. Stepwise ethnographic exploration has been used in the development of this 40 item instrument. Reliability exercises have been carried out throughout the development of this schedule. Criterion validity has been established by comparing with another standardized instrument to assess burden, which has been developed in India.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  5,041 1,340 -
Attempted Suicide in Himachal Pradesh
RC Sharma
Jan-Mar 1998, 40(1):50-54
Seventy five cases of attempted suicide were studied over a period of one and half years (from January 1996 to June 1997). The findings revealed that 85.4% cases were in the age group 15-54 years. Females (53.4%) and unmarried (52%) attempted suicide more often. House wives (32%) and students (28%) were the two commonest occupational categories involved. Organophosphorus compounds were consumed by a vast majority (74.7%) of the cases. Psychiatric disorder (46.7%), quarrel with spouse/in-laws (13.4%), quarrel with parents/sibs (12%) and failure in love (10.6%) were the most common causes of attempted suicide while no cause could be determined in 14.7% of the cases. A need to launch suicide preventive measures and restriction in the sale of organophosphorus compounds is stressed.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  782 100 -
Psychiatric Disorders in Medical In-Patients - A Study in A Teaching Hospital
Abhay K De, Padmakali Kar
Jan-Mar 1998, 40(1):73-78
The rate of psychiatric morbidity in medical in-patients suffering from chronic physical illness is reported to be quite high. In this study, patients with chronic medical illness showed psychiatric morbidity at the rate of 52.5%. According to DSM-IV criteria, the most common diagnosable psychiatric disorder was depressive disorder- 25% mild, 65% moderate and 10% severe. There were significant differences in rates of psychiatric morbidity by age, sex and type of physical illness. This study emphasises the need for close collaboration between psychiatrists and physicians in the comprehensive care of these patients.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  734 89 -
Patterns and Determinants of Coping Behaviour of Wives of Alcoholics
R Chandrasekaran, V Chitraleka
Jan-Mar 1998, 40(1):30-34
One hundred wives of alcoholics with a confirmed diagnosis of alcohol dependence syndrome according to DCR 10 were studied with a "coping with drinking questionnaire". "Avoidance" was the most commonly endorsed coping behaviour. There was a significant correlation between all the coping components and alcohol related problems. No correlation was observed between neuroticism scores and coping behaviour. It is evident from the study that both personality and situational variables play a role in determining the coping behaviour of the wives of alcoholics.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  557 204 -
Psychiatric Morbidity Among Victims of Bomb Blast
Shiv Gautam, ID Gupta, Lalit Batra, Himanshiu Sharma, Rakesh Khandelwal, Anshuman Pant
Jan-Mar 1998, 40(1):41-45
Thirty one victims of bomb blast in a bus caused by terrorist activity in Dausa district, Rajasthan on 22.5.96, were evaluated for psychological reactions 3 days & 2 weeks after the incident. All hospitalized & non hospitalised bomb blast victims were assessed within 3 days of injury by objective predictors (percent of burnt area, facial disfigurement, limb amputations, fractures etc.) and subjective predictors (emotional distress and perceived social support). Detailed history, physical and mental state examination of all patients was carried out and for those having scores more then 17 on GHQ-60 (Hindi version), IPIS was administered. Diagnosis was made by 3 senior consultant psychiatrists of Psychiatric Centre, Jaipur, on the basis oflCD-10. At day 3 of 31 patients studied 11 (35.45%) had psychiatric morbidity. Out of which 6 (19.35%) had acute stress reaction, 3 (9.68%) had depression and 2 (6.45%) dissociative amnesia. Most commonly reported symptoms on IPIS were depersonalisation, derealisation, sleep disturbances specially generalised sleep loss, loss of appetite, nightmares, situational anxiety, depression, mental irritability, dulness of feelings, self blame, guilt, loss of interest, suicidal ideas, and worry about money, spouse, work and children. Most common physical injury was burns, followed by hearing disturbances, wounds received due to glass <& metal pieces and non specific pains and aches. Findings of follow up have been discussed and battery of tests for evaluation of victims of acute trauma has been suggested.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  672 61 -
Petrol-Inhalation Dependence : A Case Report
Madhu Pahwa, Aneesh Baweja, Vinesh Gupta, RC Jiloha
Jan-Mar 1998, 40(1):92-94
Ms M, a 13 years old class III student presented with one year history of petrol fumes inhalation dependence and six months history of kerosene inhalation dependence. She liked the smell of fumes getting pleasant feeling of well-being and increased confidence. She though fulfilled all the criteria of inherent dependence differed from typical cases described in published reports. Like male preponderance and group activity, the prominent features of inhalation dependence were absent in our case.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  600 76 -
Clozapine-induced Agranulocytosis and Use of G-CSF
TN Srinivasan, Kuruvilla Thomas
Jan-Mar 1998, 40(1):70-72
Use of clozapine is attended with the serious though rare risk of agranulocytosis. Clozapineinduced agranulocytosis is reversible with the use of cytokines like granulocyte-colony stimulating factor (G-CSF). Reports of the haematological complication of clozapine have not been forthcoming from India though it has been in use for nearly three years. This report is on an young patient who developed total absence of granulocytes during the 4th month of treatment who was successfully treated with G-CSF.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  584 63 -
Psychophysiological Changes at the Time of Examination in Medical Students Before and After the Practice of Yoga and Relaxation
A Malathi, A Damodaran, N Shah, G Krishnamurthy, P Namjoshi, S Ghodke
Jan-Mar 1998, 40(1):35-40
The effect of yoga and relaxation changes in psychophysiological parameters in response to the stress of examination in 75 medical students was studied. Initially five parameters (anxiety level, heart rate, blood pressure, galvanic skin resistance and choice reaction time) were recorded, a month before the examination and on the day of examination. Students were then randomly divided into 3 group of 25 each. One group practiced yoga (Group- Y), and another group practiced relaxation (group-R) regularly for three months. The third group was control group (Group-C). All the parameters were recorded after the changes in anxiety level, heart rate, blood pressure, and galvanic skin resistance in response to stress of examination were significantly attenuated and there was significant improvement in choice reaction time in Group-Y and Group-R as compared to Group-C after yoga and relaxation.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  536 98 -
Oxytocin Abuse : A Case Report
Priti Arun, BS Chavan
Jan-Mar 1998, 40(1):90-91
This case report describes the abuse of oxytocin, a substance without known euphoric or CNS effects. The possible mechanism which resulted in its abuse is discussed.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  583 48 -
Alexithymia in Irritable Bowel Syndrome
Priti Arun
Jan-Mar 1998, 40(1):79-83
Thirty subjects of irritable bowel syndrome (IBS) and 30 normal controls were-compared. IBS patients showed significantly higher alexithymia score, depression, neuroticism and stress scores. When alexithymia was taken as independent variable it was found to correlate positively with depression and neuroticism. No correlation between stress score and alexithymia was found.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  557 47 -
Refractory Schizophrenia, Clozapine and Epilepsy : Management Strategies
Prathama Guha, Haque S Nizamie
Jan-Mar 1998, 40(1):84-86
This case of refractory schizophrenia in a 28 year old male showed significant improvement with clozapine. But therapeutic doses of clozapine were associated with generalised tonic clonic seizures (GTCS). Addition of sodium valproate allowed adequate control of schizophrenic symptoms as well as seizures. EEG abnormality correlated surprisingly well with development of GTCS and subsequent improvement with anticonvulsant. Factors that lead to seizure-vulnerability in clozapine treated patients are discussed.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  560 43 -
Burden of Care in Patents of Children Suffering from Haematological Malignancies
Parmanand Kulhara, Ram Marwaha, Karobi Das, Vimal M Aga
Jan-Mar 1998, 40(1):13-20
The burden of cars experienced by the parents of children suffering from haematological malignancies was the focus of the present investigation. Two groups of children-one with acute lymphoblastic leukaemia (N=23) and the other with hodgkin's disease (N=14) comprised the study sample. The key relatives of these children who also were the caregivers were assessed on a schedule of stressful life events, locus of control, burden of care, and neuroticism. In both groups, the number of stressful life events reported as well as the burden experienced by the relatives were comparable. It was observed that parents had anxiety even though the children were in a state of remission. The importance of recognising the burden experienced in the total management of child with a haematological malignancy is discussed.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  551 52 -
Limitations of Motor Seizure Monitoring in ECT
MS Jayaprakash, BN Gangadhar, N Janakiramaiah, DK Subbakrishna
Jan-Mar 1998, 40(1):55-59
Seizures were monitored using both cuff method and EEG, during the first ECT session in 158 consecutive patients. All developed adequate EEG seizures (>25 seconds). Twelve patients (8%) did not develop adequate motor seizures (15 seconds), of whom ten had no convulsive response. EEG seizure duration was less than 120 seconds in 117 patients (Group-A) and 120 or more seconds (prolonged) in the remaining 37 patients (Group-B). Adequate but not prolonged motor seizure (15-89 seconds) occurred in 111 patients in group A and 18 patients in group B. Motor seizure of 90 or more seconds (prolonged seizure) occurred in four patients in group A and 13 patients in group B. Based on the motor seizure criterion, 60% (18/31) of patients with prolonged EEG seizure were missed. The motor and EEG seizure durations correlated significantly in both groups. The correlation coefficient in group A was 0.78 (p<0.01), which was significantly larger (Fisher's 'Z' transformation test, t=3.12, p<0.01) than that in group B (0.37; p<0.05). Out of the total 158 patients, motor seizure monitoring alone did not correctly classify 21.4% of ECT seizure. This could have resulted in either unnecessary re-stimulation or failure to detect prolonged seizure. The findings suggest that in ECT motor seizure monitoring alone is unsatisfactory and therefore the need for EEG seizure monitoring.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  529 45 -
Psychophysiological Evaluation of Leg Fracture Patients
S Chaudhury, NL Dinker, AK Sharma
Jan-Mar 1998, 40(1):46-49
Fifty consecutive leg fracture patients and an equal number of age and sex matched normal controls were evaluated by psychiatric interview and mental status examination, Sinha's anxiety scale (SAS). Hamilton depression rating scale (HDRS) and the Michigan alcoholism screening test (MAST). Detailed evaluation revealed a high prevalence of alcohol dependence/ abuse (34%) and depression (8%). Leg fracture patients were significantly less anxious but significantly more depressed as compared to the normal subjects. Psychiatric assistance would greatly aid in the management of these patients.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  514 53 -
Active Platelet 5-HT Uptake in Depressives Treated with Impramine and ECT
PK Dalal, Narottam Lal, JK Trivedi, PK Seth, AK Agarwal, Abdul Khalid
Jan-Mar 1998, 40(1):60-66
Several studies have reported decreased platelet 5-HT uptake in patients of major depression. The present study was undertaken with the aim to study the active platelet 5-HT uptake in depressed patients and effect of treatment with imipramine/ECT on platelet 5-HT uptake in these patients. 30 patients of major depression and equal number of age and sex-matched controls were included in the study. The depressives received imipramine (N=15) or ECT (N=15). Pretreatment active platelet 5-HT uptake was lower in depressives. Treatment with imipramine resulted in significant decrease in 5-HT uptake while with ECT there was significant increase. The serotonergic mechanisms are discussed.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  519 38 -
Brainstem Auditory Evoked Responses in Opioid Dependence
R Lal, M Bhatia
Jan-Mar 1998, 40(1):67-69
The brainstem auditory evoked responses were studied in 19 opioid dependent subjects and 20 normal healthy volunteers. The absolute latencies of wave III, V and the interpeak latencies l-lll, lll-V and l-V were significantly prolonged in the experimental group. Implications are discussed.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  522 30 -
Fluoxetine Induced Extrapyramidal Symptoms : Case Reports
Haque S Nizamie, PN Suresh Kumar
Jan-Mar 1998, 40(1):87-89
This case report describes the induction of extrapyramidal symptoms with fluoxetine, which is reported to be a rare phenomenon. A dopamine blockade at the nigrostriatal level primarily mediated by serotonin has been proposed as the probable mechanism.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  452 41 -
The Future of Psychiatry : The Need to Return to the Field of Medicine
K Kuruvilla
Jan-Mar 1998, 40(1):3-12
Full text not available  [PDF]  [PubMed]
  341 39 -
Did Nature Intend Us To Drink?
Chittaranjan Andrade, Shashi Kiran
Jan-Mar 1998, 40(1):95-95
Full text not available  [PDF]  [PubMed]
  303 30 -
Research Justice
JK Trivedi
Jan-Mar 1998, 40(1):1-2
Full text not available  [PDF]  [PubMed]
  260 39 -
Cordless Phone Induced Artifact on EEG
Abdul Khalid, VD Sharma
Jan-Mar 1998, 40(1):96-97
Full text not available  [PDF]  [PubMed]
  244 20 -
Rabbit Syndrome - An Uncommon Side Effect of Neuroleptic Therapy
SK Pandey
Jan-Mar 1998, 40(1):97-97
Full text not available  [PDF]  [PubMed]
  233 24 -
ECT Administration Manual
GD Shukla
Jan-Mar 1998, 40(1):98-98
Full text not available  [PDF]
  222 30 -
Mental Health
R Chandrasekaran
Jan-Mar 1998, 40(1):99-99
Full text not available  [PDF]
  218 29 -
Notes & News

Jan-Mar 1998, 40(1):100-100
Full text not available  [PDF]
  213 34 -
Lithium and Hypothyroidism
Jayesh Kanabar
Jan-Mar 1998, 40(1):95-96
Full text not available  [PDF]  [PubMed]
  219 26 -
Instruction to Contributors

Jan-Mar 1998, 40(1):101-101
Full text not available  [PDF]
  153 28 -