COVID-19 has forced lockdowns and social distancing across the world. This has increased feelings... more COVID-19 has forced lockdowns and social distancing across the world. This has increased feelings of loneliness and reduced opportunities for physical exercise and environmental stimulation for the elderly. It was feared that all this would cause poor mental health in the elderly. However, well-designed studies reported that medically fit elderly and those without psychiatric comorbidities coped well with the pandemic. Cognitive flexibility, ability to regulate emotions and healthy lifestyle helped the elderly cope with this challenging situation. This article discusses the resilience measures used by the elderly to cope with the pandemic and make recommendations for use by the general population during the unprecedented situation caused by the COVID-19 pandemic.
Additional file 1. Supplement 1- Geographic distribution of home visits made and some representat... more Additional file 1. Supplement 1- Geographic distribution of home visits made and some representative photographs.
Breast cancer affects the mental well-being of patients who may need psychological support. The c... more Breast cancer affects the mental well-being of patients who may need psychological support. The combined practice of progressive muscle relaxation (PMR) and guided imagery (GI) is known to improve psychological health. Its effect has been studied in patients with breast cancer. We need to systematically review and analyse the available data to outline its role in various stages of disease management. We wanted to evaluate the effect of the combined practice of PMR and GI on stress, anxiety, depression and mood. We also wanted to study the impact on quality of life and chemotherapy-related adverse effects. A systematic search and evaluation of the literature was performed. Five randomised controlled trials were selected for data extraction and construction of forest plots. The intervention was effective for stress and anxiety. It positively improved the quality of life but saw no significant improvement in chemotherapy-related adverse effects.
Dissociative mutism is very rare in childhood. We present here a case of complete mutism of six m... more Dissociative mutism is very rare in childhood. We present here a case of complete mutism of six months duration in a seven-year-old male child. Normal neurological and otorhinolaryngological examination pointed towards psychological nature of the problem and warranted a psychiatric evaluation. Detailed psychiatric evaluation could identify the stressor and psychotherapy provided relief within a few days. Dissociative mutism in childhood, if identified and referred early for psychiatric evaluation, can reduce the distress and duration of dysfunction associated with the disorder. Besides, it can also reduce unnecessary investigations and burden on the health care system.
Screen media use by children has been a subject of constant concern by parents, teachers, pediatr... more Screen media use by children has been a subject of constant concern by parents, teachers, pediatricians, psychiatrists, and policymakers. The potential for its misuse often shadows media use in terms of its educational and communication opportunities. Adding to the concerns is that excessive screen media use is associated with poor physical and mental health. COVID-19 lockdowns, school closure, and online classes have increased media exposure to children. The prevailing risky situation has prompted global health agencies and professional societies to issue guidelines for safe media use. Parents in their day-to-day life grapple with the problem of knowing how much media is good are media addicting and how to regulate media use in their children. Whether working from home or on-site, working parents face more complex problems wherein their media use is known to shape the kids' screen media use. This viewpoint discussed the problem statement, and the possible solutions for the alre...
Context: Diabetes distress (DD) in India has been studied mainly in the context of depression. Li... more Context: Diabetes distress (DD) in India has been studied mainly in the context of depression. Little is known about DD, its determinants, distribution, and its impact. Aims: This study aims to estimate the prevalence of DD and identify its socio-demographic and clinical determinants in type 2 diabetes mellitus patients. To assess the relationship of DD with self-management in nondepressed type 2 diabetes mellitus. Settings and Design: A cross-sectional descriptive study in noncommunicable disease clinic of a tertiary care medical center. Subjects and Methods: DD Scale was used to assess DD in 200 patients with type 2 diabetes mellitus. Diabetes Self-Management Questionnaire was used to evaluate self-management behavior. Patient Health Questionnaire 9 was used to exclude depression. Statistical Analysis Used: Sample size calculation was done as per prevailing prevalence estimates. SPSS 20.0 was used for statistical analysis. ANOVA and Independent t-tests were done to compare between groups means. Hierarchical multiple regression analysis was done, keeping self-management as a dependent variable and socio-demographic, clinical variables, and DD as independent variables. Results: The prevalence of DD was 42% in our sample. The duration of diabetes showed that a significant association with DD. DD was significantly and negatively associated with all four domains of self-management, while statistical significance was reached in three domains: dietary control (β = −0.378, P < 0.01); glucose management (β = −0.181, P < 0.01); and healthcare use (β = −0.244, P < 0.01). Conclusions: DD is widespread in our patients and harms self-management. There is a need to address DD to improve disease-specific outcomes.
We thank Dr. Howland for his interest and thoughtful comments regarding our manuscript. Dr. Howla... more We thank Dr. Howland for his interest and thoughtful comments regarding our manuscript. Dr. Howland correctly shares the point that the brainstem may coordinate multiple sensory inputs, directing them to appropriate nodes throughout the cerebral cortex. We also acknowledge that it is conceivable that olanzapine’s effects on cholinergic neu rotransmission could have contributed to its therapeutic mechanism of action in our patient. Again, our thanks to Dr. Howland for further enhancing the quality of our manuscript.
Dermatitis artefacta, a self-inflicted intentional dermatosis is a very rare diagnosis in childho... more Dermatitis artefacta, a self-inflicted intentional dermatosis is a very rare diagnosis in childhood. In a large proportion, the underlying psychiatric disorders go unidentified due to lack of collaboration between dermatologist and psychiatrist. The underlying psychological reasons for childhood dermatitis artefacta include emotional distress and interpersonal conflicts. A multitude of psychosocial factors interact to precipitate this disorder. Here, we report a child with dermatitis artefacta who was diagnosed with attention deficit hyperactivity disorder during psychiatric evaluation. Parental expectations and sibling rivalry were further increasing the stress of the index child. Appropriate diagnosis and management lead to treatment compliance and functional improvement in the child.
COVID-19 has forced lockdowns and social distancing across the world. This has increased feelings... more COVID-19 has forced lockdowns and social distancing across the world. This has increased feelings of loneliness and reduced opportunities for physical exercise and environmental stimulation for the elderly. It was feared that all this would cause poor mental health in the elderly. However, well-designed studies reported that medically fit elderly and those without psychiatric comorbidities coped well with the pandemic. Cognitive flexibility, ability to regulate emotions and healthy lifestyle helped the elderly cope with this challenging situation. This article discusses the resilience measures used by the elderly to cope with the pandemic and make recommendations for use by the general population during the unprecedented situation caused by the COVID-19 pandemic.
Additional file 1. Supplement 1- Geographic distribution of home visits made and some representat... more Additional file 1. Supplement 1- Geographic distribution of home visits made and some representative photographs.
Breast cancer affects the mental well-being of patients who may need psychological support. The c... more Breast cancer affects the mental well-being of patients who may need psychological support. The combined practice of progressive muscle relaxation (PMR) and guided imagery (GI) is known to improve psychological health. Its effect has been studied in patients with breast cancer. We need to systematically review and analyse the available data to outline its role in various stages of disease management. We wanted to evaluate the effect of the combined practice of PMR and GI on stress, anxiety, depression and mood. We also wanted to study the impact on quality of life and chemotherapy-related adverse effects. A systematic search and evaluation of the literature was performed. Five randomised controlled trials were selected for data extraction and construction of forest plots. The intervention was effective for stress and anxiety. It positively improved the quality of life but saw no significant improvement in chemotherapy-related adverse effects.
Dissociative mutism is very rare in childhood. We present here a case of complete mutism of six m... more Dissociative mutism is very rare in childhood. We present here a case of complete mutism of six months duration in a seven-year-old male child. Normal neurological and otorhinolaryngological examination pointed towards psychological nature of the problem and warranted a psychiatric evaluation. Detailed psychiatric evaluation could identify the stressor and psychotherapy provided relief within a few days. Dissociative mutism in childhood, if identified and referred early for psychiatric evaluation, can reduce the distress and duration of dysfunction associated with the disorder. Besides, it can also reduce unnecessary investigations and burden on the health care system.
Screen media use by children has been a subject of constant concern by parents, teachers, pediatr... more Screen media use by children has been a subject of constant concern by parents, teachers, pediatricians, psychiatrists, and policymakers. The potential for its misuse often shadows media use in terms of its educational and communication opportunities. Adding to the concerns is that excessive screen media use is associated with poor physical and mental health. COVID-19 lockdowns, school closure, and online classes have increased media exposure to children. The prevailing risky situation has prompted global health agencies and professional societies to issue guidelines for safe media use. Parents in their day-to-day life grapple with the problem of knowing how much media is good are media addicting and how to regulate media use in their children. Whether working from home or on-site, working parents face more complex problems wherein their media use is known to shape the kids' screen media use. This viewpoint discussed the problem statement, and the possible solutions for the alre...
Context: Diabetes distress (DD) in India has been studied mainly in the context of depression. Li... more Context: Diabetes distress (DD) in India has been studied mainly in the context of depression. Little is known about DD, its determinants, distribution, and its impact. Aims: This study aims to estimate the prevalence of DD and identify its socio-demographic and clinical determinants in type 2 diabetes mellitus patients. To assess the relationship of DD with self-management in nondepressed type 2 diabetes mellitus. Settings and Design: A cross-sectional descriptive study in noncommunicable disease clinic of a tertiary care medical center. Subjects and Methods: DD Scale was used to assess DD in 200 patients with type 2 diabetes mellitus. Diabetes Self-Management Questionnaire was used to evaluate self-management behavior. Patient Health Questionnaire 9 was used to exclude depression. Statistical Analysis Used: Sample size calculation was done as per prevailing prevalence estimates. SPSS 20.0 was used for statistical analysis. ANOVA and Independent t-tests were done to compare between groups means. Hierarchical multiple regression analysis was done, keeping self-management as a dependent variable and socio-demographic, clinical variables, and DD as independent variables. Results: The prevalence of DD was 42% in our sample. The duration of diabetes showed that a significant association with DD. DD was significantly and negatively associated with all four domains of self-management, while statistical significance was reached in three domains: dietary control (β = −0.378, P < 0.01); glucose management (β = −0.181, P < 0.01); and healthcare use (β = −0.244, P < 0.01). Conclusions: DD is widespread in our patients and harms self-management. There is a need to address DD to improve disease-specific outcomes.
We thank Dr. Howland for his interest and thoughtful comments regarding our manuscript. Dr. Howla... more We thank Dr. Howland for his interest and thoughtful comments regarding our manuscript. Dr. Howland correctly shares the point that the brainstem may coordinate multiple sensory inputs, directing them to appropriate nodes throughout the cerebral cortex. We also acknowledge that it is conceivable that olanzapine’s effects on cholinergic neu rotransmission could have contributed to its therapeutic mechanism of action in our patient. Again, our thanks to Dr. Howland for further enhancing the quality of our manuscript.
Dermatitis artefacta, a self-inflicted intentional dermatosis is a very rare diagnosis in childho... more Dermatitis artefacta, a self-inflicted intentional dermatosis is a very rare diagnosis in childhood. In a large proportion, the underlying psychiatric disorders go unidentified due to lack of collaboration between dermatologist and psychiatrist. The underlying psychological reasons for childhood dermatitis artefacta include emotional distress and interpersonal conflicts. A multitude of psychosocial factors interact to precipitate this disorder. Here, we report a child with dermatitis artefacta who was diagnosed with attention deficit hyperactivity disorder during psychiatric evaluation. Parental expectations and sibling rivalry were further increasing the stress of the index child. Appropriate diagnosis and management lead to treatment compliance and functional improvement in the child.
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