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| ARTICLES |
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| A Prospective Study of Treatment Outcome in Alcohol Dependence from a Deaddiction Centre in India
John Abraham, R Chandrasekaran, V Chitralekha
Jan-Mar 1997, 39(1):18-23
PMID:21584038A naturalistic, uncontrolled follow up study was carried out -in 60 cases of alcohol dependence syndrome diagnosed according to DSM-III-R at.JIPMER.Pondicherry. At the end of one year, 32.5% of patients could he classified under abstinent and non prohlein drinker category. 35% continued to drink hut showed improvement in social and occupational functioning. 32.5% remained in the unimproved group. None of the preireatment variables could differentiate patients with favourable outcome from those with unfavourable
outcome. Duration of disulfiram use was strongly associated with a favourable outcome. |
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| Marriage And Gender in Schizophrenia
R Thara, TN Srinivasan
Jan-Mar 1997, 39(1):64-69
PMID:21584047This paper reports a study of marital rates in a group of the first-break schizophrenia patient followed up over II) wars and examines the various factors related to marriage. A high rate, 70% of the patients married and X0% of the marriages were intact at follow up. Less men got married and more women had broken marriages especially if they were childless. A relapsing course of illness was associated with a ' 'never married " stale, and occupational stability in men seemed to determine their getting married after the onset of illness. |
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| The Severity of Alcohol Dependence Data Questionnaire : Modification and Validation
John Abraham, R. Chandrasekaran
Jan-Mar 1997, 39(1):8-12
PMID:21584036With introduction of the concept of alcohol dependence syndrome, scales specifically to measure dependence were developed and used in clinical and research settings. 12 questions from The Severity of Alcohol Dependence Data Questionnaire were translated into the Iccal language and was administered to 70 patients referred to the deaddiction centre. The trans 'ated version showed good evidence of internal validity, criterion validity and external validity. |
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| A Study of Problem Drinkers in a General Hospital
R. Sateesh Babu, SN Sengupta
Jan-Mar 1997, 39(1):13-17
PMID:21584037349 new admissions in the wards of Medicine, General Surgery & Orthopedics in a general hospital were screened with MAST & AUDIT for problem use of alcohol. Problem drinking was present in 14.6% of the inpatients. The severity and the need for additional treatment were measured with Addiction Severity Index (ASI). Majority of the patients had problems in more than one area. Nevertheless, only one fourth of the patients were referred for psychiatric treatment. The findings indicate the need to develop services towards the recognition and referrals of the problem drinkers in general hospitals. |
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| A Study on the Venues of Suicide
R Ponnudurai, Kamrit Patnaik, R Sathianathan, Kumudini Subhan
Jan-Mar 1997, 39(1):34-36
PMID:21584041This study was aimed to assess the venues of suicide and the related factors. One hundred and forty four (M-89. F-55) suicide cases undertaken for autopsy at the department of Forensic Medicine, Madras Medical College formed the study material. 33.71% of males and 3.64% of females had chosen the venues other than their houses. Most of the males suffering from mental illness (80%) had preferred places outside their house for this fatal act. Among the males, 71.74% of those who consumed insecticides and 87.5% who adopted self immolation, did so inside their houses. Comparatively lesser (53.33%) proportion of males resorted to hanging inside their houses |
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| CSF 5 - HIAA in Violent and Non-Violent Suicide Attempters
JK Trivedi, Sunil Pandey, PK Dalal, MP Dubey, PK Sinha
Jan-Mar 1997, 39(1):41-48
PMID:21584043Many studies have reported involvement of monoamine neurotransmission in suicide through measurement of serotonin and its main metabolite, 5-HIAA, in brain of suicide victims and in CSF of suicide attempters. 23 non-depressed non-psychotic suicide attempters and equal number of controls were selected, and all the subjects were screened on Cornell Medical Index. Suicide attempters were assessed on Risk-Rescue Rating Scale and were divided into non-violent suicide attempters (N= 12) and violent suicide attempters (N= II). CSF of all subjects was collected by lumbar puncture and CSF 5-HIAA was measured by high performance liquid chromatography with electro-chemical detector. Risk-rescue rating score was significantly higher in violent suicide attempters as compared to non-violent suicide attempters. Mean CSF- 5- HIAA was significantly lower in suicide attempters as compared to normal controls. Mean CSF 5-HIAA was significantly lower in violent suicide attempters as compared to non-violent suicide attempters. |
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| Indian Psychiatrists Attitudes Towards Electroconvulsive Therapy
AK Agarwal, Chittaranjan Andrade
Jan-Mar 1997, 39(1):54-60
PMID:21584045A questionnaire on ECT, tapping attitudes, usage and experience, was mailed to all medical members of the Indian Psychiatric Society whose addresses were known; 263 (28.8%) of 913 psychiatrists responded. This paper describes Indian psychiatrists attitudes towards ECT. A global attitude favouring the treatment was expressed by 81.4% of respondents. The psychiatrists considered that for many patients ECT may be the safest, cheapest and most effective treatment (79.8%), disagreed that ECT should be used as a last resort (68.4%) and disagreed that drugs have made ECT obsolete (81%). While many (44.1%) opined that use of ECT should be curtailed, Jew (5.3%) considered that ECT should he abandoned - in fact, most respondents. (86.3%) slated that comprehensive psychiatric care should include ECT services. A need was expressed for explicit guidelines for proper use of ECT (77.2%). Conflicting opinions were expressed about the use of ECT in children. Many psychiatrists (38%) thought that ECT may produce subtle brain damage: nevertheless, of those actively using ECT, 82.9% expressed willingness to receive ECT themselves, if indicated. |
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| Transsexulism : Onset After an Acute Psychotic Episode
A Banerjee, SH Nizamie, VK Chopra, DJ Bagchi
Jan-Mar 1997, 39(1):76-78
PMID:21584049Transsexualism is a rare disorder with an uncertain aetiology. Recently, biological factors have been considered to be important in its occurrence. The relationship of transsexualism with psychosis is not known; in most cases no specific relationship exists, though few cases of symptomatic transsexualism have been reported. In the following case, cross dressing and homosexual orientation was present from an early age, but gender dysphoria became manifest only after the onset of an acute psychotic episode. The implications of such a finding are discussed. |
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| Personality Profiles of Self-Immolators
T Kannapiran, A Ebrahim Haroon, S Vivekanandan, S Arunagiri
Jan-Mar 1997, 39(1):37-40
PMID:21584042Thirty one self-immolators were compared with thirty one suicide attempters by consuming organophosphorus compounds in spheres like their personality', nature of life events and presence of depression. The personality of self-immolators was unique in the sense that they lack ego strength and superego strength and they were impulsive, aggressive and sensitive. They were not depressed. Life events score was more among the self-immolators. |
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| Lipid Profile in alcohol Dependence
M Vaswani, P Hemraj, NG Desai, BM Tripathi
Jan-Mar 1997, 39(1):24-28
PMID:21584039Fifty three patients oj alcohol dependence were studied for lipid profile at Drug Dependence Treatment Centre, A.1.1. M.S. Statistically significant differences were observed on most of lipid profile indicators when compared to control group. Ratio of Apo A-I & Apo B appeared to be better indicator than Apo A1 or Apo B. The findings of the study are discussed in context of other studies from India and other countries. |
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| A Study of Serum Prolactin and Plasma Human Growth Hormone in Male Alcoholics
Somnath Sengupta, Rajat Ray, Nimesh Desai, K Taranath Shetty
Jan-Mar 1997, 39(1):29-33
PMID:21584040Serum levels of prolactin (PRL) and Human Growth Hormone (HGH) were assayed in 38 male alcoholics and 24 male control subjects using radioimmunoassay (RIA) technique. Biochemical parameters of hepatic function and severity of withdrawal state were also assessed. Significantly elevated values of plasma HGH were found in alcoholics as a group. Nineteen percent and eight percent of the patient had elevated serum PRL and HGH levels respectively. Evidence of advanced liver disease was scant and withdrawal symptoms were by and large mild. The findings indicate a dysfunction in hypothalamic adenohypophyseal axis in a subgroup of alcoholics. |
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| Integrative Approach to Management of Anorexia Nervosa : A Case Report
A Avasthi, Puneet , MK Das, S Gupta
Jan-Mar 1997, 39(1):79-81
PMID:21584050In-patient management with initial focus on weight restoration for an emaciated young girl with anorexia nervosa is reported. Integrative approach to management of this case yielded gratifying results which are maintained beyond one year after-discharge period. |
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| An Open Clinical Trial with Clozapine in Treatment-Resistant Schizophrenics
AK Agarwal, Mukul Sharma, Shrikant Srivastava, Mrinal Mullick, Ashutosh Kumar
Jan-Mar 1997, 39(1):70-75
PMID:21584048In an open trial, drug-resistant schizophrenics were treated with clozapine for sixteen weeks. The patients were rated on BPRS, PANSS, Side effects scale and Global Impression Scale at weeks 0. 9 and 16. I batten of base-tine investigations were (tone, and hemogram was repeated at weekly intervals. Of the total 29 patient included. 25 completed the trial. The patients showed significant improvement on both BPRS and PANSS, although the improvement was more in initial weeks than between 9 and 16 weeks. The most common side effects observed were sedation, hypersalivation and tachycardia. Issues of response of clozapine on negative symptoms and a longer duration of the drug therapy are discussed. |
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| EEG Delta Band Spectral Power : Differneces Between Unilateral and Bilateral ECT Seizures
D Narajana Dutt, PK Mahapatra, BN Gangadhar, PK Sadasivan, N Janakiramaiah, DK Subbakrishna, K.M. Jyoti Rao
Jan-Mar 1997, 39(1):61-63
PMID:21584046EEG was recorded from right and left frontal leads during bilateral (n=11) and unilateral (n=l4) ECTs. The seizure EEG was analyzed using East Fourier 'Transform and the spectral power oj the Delta (1-4 Hz) band was computed. The spectral power on both sides was similar in the bilateral ECT. Unilateral ECT
produced asymmetry in the early - (first 8 seconds after stimulus offset) and mid - (17-32 seconds after the stimulus offset) siezure phases; the spectral power was lower on the unstimulated hemisphere. Studies to elucidate the relevance of EEG delta band of the seizure to therapeutic potency of ECT are suggested. |
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| Comparative Study of Clinical Effectiveness of Luria-Nebraska Neuropsychological Battery, EEG And CT Scan in Brain Damaged Patients
MX James, A Nizamie, S Haque Nizamie
Jan-Mar 1997, 39(1):49-53
PMID:21584044The clinical effectiveness and concurrent validity of Luria-Nebraska Neuropsychological Battery (LNNB) was assessed in a sample of 30 brain-damaged and 30 non-patient, normal control subjects. Both the groups were matched for age, sex and education. There were highly significant differences between the mean scale scores of the two groups on all LNNB clinical scales. Brain damaged patients did poorer than normal controls. The LNNB had a hit rate of86.66% in diagnosing brain-damaged patients in comparison to 70% and 52% of EEG and CT scan respectively. The three measures were found to be significantly correlated with each other. The LNNB was found to be an effective instrument for neuropsychological assessment. |
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| Dermatitis Artefacta Appearing During Inpatient Psychotherapy Programme for Dissociative Disorder - A Case Report
C. T. Sudhir Kumar, K. E. Sadanandan Unni
Jan-Mar 1997, 39(1):82-84
PMID:21584051Appearance of dermatitis artefacta in an adolescent female patient while she underwent treatment for dissociative disorder is described. The possibility of shift of presenting symptom of episodic unresponsiveness to spurious skin lesion during psychotherapy programme was considered to be the method of its causation. |
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| EDITORIAL |
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| Fifty Years of Psychiatric Research in India
JK Trivedi
Jan-Mar 1997, 39(1):1-2
PMID:21584034 |
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| LETTERS TO THE EDITOR |
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| Childhood disintegrative disorder : A Case Report
Sujeet Jaydeokar, Gautam Bal, Nilesh Shah
Jan-Mar 1997, 39(1):85-85
PMID:21584052 |
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| ARTICLES |
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| Consultation Liaison Psychiatry
Jan-Mar 1997, 39(1):40-43 Full text not available [PDF] |
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| PRESIDENTIAL ADDRESS |
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| Mental Health Services : Implementation and Evaluation
V.S.P. Bashyam
Jan-Mar 1997, 39(1):3-7
PMID:21584035 |
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| Substance Abuse Disorders
Jan-Mar 1997, 39(1):44-47 Full text not available [PDF] |
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| BOOK REVIEW |
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| Mental Hospitals in India
Narottam Lal, Abdul Khalid
Jan-Mar 1997, 39(1):86-86 Full text not available [PDF] |
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| ARTICLES |
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| Mood Disorders
Jan-Mar 1997, 39(1):9-12 Full text not available [PDF] |
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| Community Psychiatry-I
Jan-Mar 1997, 39(1):17-20 Full text not available [PDF] |
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| Schizophrenia and Family
Jan-Mar 1997, 39(1):48-49 Full text not available [PDF] |
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| Sexual Dysfuction
Jan-Mar 1997, 39(1):52-53 Full text not available [PDF] |
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| Community Psychiatry-II
Jan-Mar 1997, 39(1):21-24 Full text not available [PDF] |
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| Award Session
Jan-Mar 1997, 39(1):1-4 Full text not available [PDF] |
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| ARTICLES |
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| Child Psychiatry
Jan-Mar 1997, 39(1):56-57 Full text not available [PDF] |
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| Schizophrenia & Other Psychoses
Jan-Mar 1997, 39(1):5-8 Full text not available [PDF] |
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| Miscellaneous-I
Jan-Mar 1997, 39(1):25-27 Full text not available [PDF] |
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| Clozapine
Jan-Mar 1997, 39(1):50-51 Full text not available [PDF] |
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| Psychopharmacology
Jan-Mar 1997, 39(1):32-35 Full text not available [PDF] |
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| Saccadic Eyeball Movements in Schizophrenia
Jan-Mar 1997, 39(1):13-16 Full text not available [PDF] |
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| NON-INDEXED ARTICLES |
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| Notes & News
Jan-Mar 1997, 39(1):58-58 Full text not available [PDF] |
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| ARTICLES |
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| Miscellaneous-II
Jan-Mar 1997, 39(1):28-31 Full text not available [PDF] |
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| Suicide
Jan-Mar 1997, 39(1):54-55 Full text not available [PDF] |
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