There exists lack of readiness and challenges for the medical faculty to teach online. During COV... more There exists lack of readiness and challenges for the medical faculty to teach online. During COVID-19 pandemic, the need for constant support and training the faculty at different levels for the online teaching platform has been unanimously felt. Thus, identifying challenges of faculty and their needs is useful to achieve positive learning outcomes of online teaching. A cross-sectional online survey was conducted. The questionnaire was sent via E-mail or What’s app to the faculty who were involved in online teaching at our institute as well as other different medical institutions during the COVID-19 pandemic. Majority agreed that they have adequate knowledge and skills regarding online preparation and delivery of the classes. However, over ninety percent also felt the need to have more creative resources for online classes. More than half did not feel confident to handle technical issues. Student engagement factors were the common hurdles in online teaching and majority felt lack o...
With the advancement of science, technology is gradually occupying a larger space in our life. Du... more With the advancement of science, technology is gradually occupying a larger space in our life. During COVID-19 pandemic, technology has come up as a "saviour" as it helped us to remain connected and accessible to the people around us. However, the ongoing pandemic has also become a significant contributor towards raised digital addiction among youth. Digital addiction can manifest as excessive engagement with online games, social media, or porn. It can have various forms such as cyber-sexual addiction, gaming addiction, cyber relationship addiction, information overload, etc.
Aim: To study the clinical and socio-demographic profile of somatoform disorders and its associat... more Aim: To study the clinical and socio-demographic profile of somatoform disorders and its associated stressors among pediatric population in a rural setting. Settings and Design: This cross-sectional study was done from Jan 2015 to June 2015 at rural tertiary care teaching hospital. Methods and Materials: Fifty children presenting with physically unexplained symptoms during the study period were assessed. Complete physical and psychiatric assessment was done and diagnosis was made using DSM -IV TR criteria. Patient Health questionnaire-15 (PHQ-15) was used for recording presenting symptoms and severity. Data were analyzed with Statistical Package for social sciences (SPSS 17) and association between different variables was determined using Chi-square test. Results: Male: female ratio was 24:26. Forty-two (84%) of our patients were from rural background. Most common presenting symptom was fainting spells (28%) followed by pain in abdomen (20%). Stressors were elicited in 64% patients and most common stressor was strained interpersonal relations (20%) in family. Females presented with significantly more severe illness (p=0.024). Conclusions: Psychosocial stressors especially interpersonal relations are important factor which needs to be evaluated while encountering patients with somatoform disorder.
East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan, 2014
Acute and transient psychotic disorder has been accepted as a distinct diagnostic entity in the I... more Acute and transient psychotic disorder has been accepted as a distinct diagnostic entity in the ICD-10. However, there are few studies delineating its demographics and factors affecting its outcome. This study aimed to examine the socio-demographic profile of patients with acute and transient psychotic disorder and the variables associated with the onset of illness and their effect on illness outcome in an Indian setting. This was a retrospective study in which case notes of patients admitted from 1 January to 31 December 2012 and diagnosed with acute and transient psychotic disorder (according to the ICD-10 diagnostic criteria) were analysed. Socio-demographic variables and variables associated with the onset of illness were noted. Duration of hospital stay was used as a proxy measure for clinical outcome. A total of 185 patient records were analysed. Overall, 49% of the patients were males and 51% were females. Most of the cases (60%) were aged between 20 and 39 years. The majorit...
East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan, 2012
To evaluate the status of schizotypy, neurological soft signs, and cognitive functions as vulnera... more To evaluate the status of schizotypy, neurological soft signs, and cognitive functions as vulnerability markers for schizophrenia and to investigate the potential value of their combination for early identification of people at high risk for schizophrenia. A cross-sectional study was conducted. Subjects were drawn from first-degree relatives of inpatients and outpatients with schizophrenia (n = 50). Controls (n = 30) were recruited by word-of-mouth from hospital staff and attendants of hospitalised patients. Subjects who met inclusion criteria on screening were subjected to selected measures for assessment, including Schizotypal Personality Questionnaire-Brief Version, the Cambridge Neurological Inventory, digit span test, paired associate learning test, and visuospatial working memory matrix. Statistical analysis was completed using the independent t test and significance (p value), as well as calculation of effect size (Cohen's d). Discriminant function analysis was used to de...
East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan, 2010
To assess and compare the quality of life and disability in patients with schizophrenia and obses... more To assess and compare the quality of life and disability in patients with schizophrenia and obsessive compulsive disorder. A cross-sectional study was carried out in the outpatient psychiatry clinics at Jaipur of India. Fifty patients with obsessive compulsive disorder and 47 with schizophrenia (diagnosed as per criteria of the 10th revision of the International Classification of Diseases), and with a minimum duration of 2 years on maintenance treatments, were evaluated. Evaluation was based on the World Health Organization Quality of Life Instrument, the Global Assessment of Functioning scale, and the Indian Disability Evaluation Assessment Scale. The collected data were analysed using descriptive and inferential statistics. Regarding quality of life domains, there was no statistically significant difference between the 2 groups. Obsessive compulsive disorder patients had lower scores on all domains of disability, all such differences being statistically significant. The deleteriou...
Background: Although cognitive deficits are not yet included in the diagnostic criteria for schiz... more Background: Although cognitive deficits are not yet included in the diagnostic criteria for schizophrenia, they are consid-ered a core feature of schizophrenia symptomatology. Cognitive flexibility is a core executive function. This study was planned to assess and compare impairment in cognitive flexibility in young first episode (FE) and multi episode (ME) schizophrenia patients. Methods: We recruited 100 young (aged from 18 to 35 years) schizophrenic outpatients of either sex (diagnosed as per ICD-10 criteria) and 50 control subjects for this cross-sectional study. The cases were assessed with study instruments like the PANSS for psychopathology and the Trail Making Test-B (TMT-B) for cognitive flexibility. Results: FE patients had significantly more negative symptom scores (p=0.039) and general psychopathology scores (p=0.0001) than ME patients. FE patients performed better than ME patients on TMT-B, but there was no signif-icant difference between the two groups. Control group p...
Introduction. Major depressive disorder (MDD) and bipolar affective disorder (BAD) are among the ... more Introduction. Major depressive disorder (MDD) and bipolar affective disorder (BAD) are among the leading causes of disability. These are often associated with widespread impairments in all domains of functioning including relational, occupational, and social. The main aim of the study was to examine and compare nature and extent of psychosocial impairment of patients with MDD and BAD during depressive phase.Methodology. 96 patients (48 in MDD group and 48 in BAD group) were included in the study. Patients were recruited in depressive phase (moderate to severe depression). Patients having age outside 18–45 years, psychotic symptoms, mental retardation, and current comorbid medical or axis-1 psychiatric disorder were excluded. Psychosocial functioning was assessed using Range of Impaired Functioning Tool (LIFE-RIFT).Results. Domains of work, interpersonal relationship, life satisfaction, and recreation were all affected in both groups, but the groups showed significant difference in g...
There exists lack of readiness and challenges for the medical faculty to teach online. During COV... more There exists lack of readiness and challenges for the medical faculty to teach online. During COVID-19 pandemic, the need for constant support and training the faculty at different levels for the online teaching platform has been unanimously felt. Thus, identifying challenges of faculty and their needs is useful to achieve positive learning outcomes of online teaching. A cross-sectional online survey was conducted. The questionnaire was sent via E-mail or What’s app to the faculty who were involved in online teaching at our institute as well as other different medical institutions during the COVID-19 pandemic. Majority agreed that they have adequate knowledge and skills regarding online preparation and delivery of the classes. However, over ninety percent also felt the need to have more creative resources for online classes. More than half did not feel confident to handle technical issues. Student engagement factors were the common hurdles in online teaching and majority felt lack o...
With the advancement of science, technology is gradually occupying a larger space in our life. Du... more With the advancement of science, technology is gradually occupying a larger space in our life. During COVID-19 pandemic, technology has come up as a "saviour" as it helped us to remain connected and accessible to the people around us. However, the ongoing pandemic has also become a significant contributor towards raised digital addiction among youth. Digital addiction can manifest as excessive engagement with online games, social media, or porn. It can have various forms such as cyber-sexual addiction, gaming addiction, cyber relationship addiction, information overload, etc.
Aim: To study the clinical and socio-demographic profile of somatoform disorders and its associat... more Aim: To study the clinical and socio-demographic profile of somatoform disorders and its associated stressors among pediatric population in a rural setting. Settings and Design: This cross-sectional study was done from Jan 2015 to June 2015 at rural tertiary care teaching hospital. Methods and Materials: Fifty children presenting with physically unexplained symptoms during the study period were assessed. Complete physical and psychiatric assessment was done and diagnosis was made using DSM -IV TR criteria. Patient Health questionnaire-15 (PHQ-15) was used for recording presenting symptoms and severity. Data were analyzed with Statistical Package for social sciences (SPSS 17) and association between different variables was determined using Chi-square test. Results: Male: female ratio was 24:26. Forty-two (84%) of our patients were from rural background. Most common presenting symptom was fainting spells (28%) followed by pain in abdomen (20%). Stressors were elicited in 64% patients and most common stressor was strained interpersonal relations (20%) in family. Females presented with significantly more severe illness (p=0.024). Conclusions: Psychosocial stressors especially interpersonal relations are important factor which needs to be evaluated while encountering patients with somatoform disorder.
East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan, 2014
Acute and transient psychotic disorder has been accepted as a distinct diagnostic entity in the I... more Acute and transient psychotic disorder has been accepted as a distinct diagnostic entity in the ICD-10. However, there are few studies delineating its demographics and factors affecting its outcome. This study aimed to examine the socio-demographic profile of patients with acute and transient psychotic disorder and the variables associated with the onset of illness and their effect on illness outcome in an Indian setting. This was a retrospective study in which case notes of patients admitted from 1 January to 31 December 2012 and diagnosed with acute and transient psychotic disorder (according to the ICD-10 diagnostic criteria) were analysed. Socio-demographic variables and variables associated with the onset of illness were noted. Duration of hospital stay was used as a proxy measure for clinical outcome. A total of 185 patient records were analysed. Overall, 49% of the patients were males and 51% were females. Most of the cases (60%) were aged between 20 and 39 years. The majorit...
East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan, 2012
To evaluate the status of schizotypy, neurological soft signs, and cognitive functions as vulnera... more To evaluate the status of schizotypy, neurological soft signs, and cognitive functions as vulnerability markers for schizophrenia and to investigate the potential value of their combination for early identification of people at high risk for schizophrenia. A cross-sectional study was conducted. Subjects were drawn from first-degree relatives of inpatients and outpatients with schizophrenia (n = 50). Controls (n = 30) were recruited by word-of-mouth from hospital staff and attendants of hospitalised patients. Subjects who met inclusion criteria on screening were subjected to selected measures for assessment, including Schizotypal Personality Questionnaire-Brief Version, the Cambridge Neurological Inventory, digit span test, paired associate learning test, and visuospatial working memory matrix. Statistical analysis was completed using the independent t test and significance (p value), as well as calculation of effect size (Cohen's d). Discriminant function analysis was used to de...
East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan, 2010
To assess and compare the quality of life and disability in patients with schizophrenia and obses... more To assess and compare the quality of life and disability in patients with schizophrenia and obsessive compulsive disorder. A cross-sectional study was carried out in the outpatient psychiatry clinics at Jaipur of India. Fifty patients with obsessive compulsive disorder and 47 with schizophrenia (diagnosed as per criteria of the 10th revision of the International Classification of Diseases), and with a minimum duration of 2 years on maintenance treatments, were evaluated. Evaluation was based on the World Health Organization Quality of Life Instrument, the Global Assessment of Functioning scale, and the Indian Disability Evaluation Assessment Scale. The collected data were analysed using descriptive and inferential statistics. Regarding quality of life domains, there was no statistically significant difference between the 2 groups. Obsessive compulsive disorder patients had lower scores on all domains of disability, all such differences being statistically significant. The deleteriou...
Background: Although cognitive deficits are not yet included in the diagnostic criteria for schiz... more Background: Although cognitive deficits are not yet included in the diagnostic criteria for schizophrenia, they are consid-ered a core feature of schizophrenia symptomatology. Cognitive flexibility is a core executive function. This study was planned to assess and compare impairment in cognitive flexibility in young first episode (FE) and multi episode (ME) schizophrenia patients. Methods: We recruited 100 young (aged from 18 to 35 years) schizophrenic outpatients of either sex (diagnosed as per ICD-10 criteria) and 50 control subjects for this cross-sectional study. The cases were assessed with study instruments like the PANSS for psychopathology and the Trail Making Test-B (TMT-B) for cognitive flexibility. Results: FE patients had significantly more negative symptom scores (p=0.039) and general psychopathology scores (p=0.0001) than ME patients. FE patients performed better than ME patients on TMT-B, but there was no signif-icant difference between the two groups. Control group p...
Introduction. Major depressive disorder (MDD) and bipolar affective disorder (BAD) are among the ... more Introduction. Major depressive disorder (MDD) and bipolar affective disorder (BAD) are among the leading causes of disability. These are often associated with widespread impairments in all domains of functioning including relational, occupational, and social. The main aim of the study was to examine and compare nature and extent of psychosocial impairment of patients with MDD and BAD during depressive phase.Methodology. 96 patients (48 in MDD group and 48 in BAD group) were included in the study. Patients were recruited in depressive phase (moderate to severe depression). Patients having age outside 18–45 years, psychotic symptoms, mental retardation, and current comorbid medical or axis-1 psychiatric disorder were excluded. Psychosocial functioning was assessed using Range of Impaired Functioning Tool (LIFE-RIFT).Results. Domains of work, interpersonal relationship, life satisfaction, and recreation were all affected in both groups, but the groups showed significant difference in g...
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Papers by Mukesh Swami