Indian Journal of PsychiatryIndian Journal of Psychiatry
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Creativity and mental health: A profile of writers and musicians
KS Pavitra, CR Chandrashekar, Partha Choudhury
January-March 2007, 49(1):34-43
DOI:10.4103/0019-5545.31516  PMID:20640063
Creativity and its link with mental health have always been much speculated about. However there have been a handful of methodologically sound studies to clearly establish the relationship between creativity and mental health. The objective of the study therefore was to examine the psychiatric morbidity stress profile, coping skills and personality profile in creative versus non-creative populations. Forty writers, 40 musicians and 40 controls chosen after randomization, who met the inclusion and exclusion criteria constituted the sample of the study. All the subjects were administered GHQ-28; SCAN for all GHQ positives (and 10% of GHQ-ves), Perceived stress scale and coping check list and NEO-FFI. Statistical analysis was done using SPSS 11.0 version. Pearson's correlation, Chi-square and ANOVA one-way tests were used. The present study corroborated the findings of earlier studies in 70's and 80's that there was no difference between creative and non-creative groups in terms of mental illness and stress profile. The writers differed significantly from the other two groups on religious and faith domain of coping skills. The two creative groups had similar personality characteristics and scored significantly high on all dimensions compared to the non-creative group.
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Abstracts of 59th Annual National Conference of Indian Psychiatric Society
Indian Psychiatric Society
January-March 2007, 49(5):1-60
  58,766 6,588 -
Clinical profile and outcome in a large sample of children and adolescents with obsessive–compulsive disorder: A chart review from a tertiary care center in India
K Deepthi, John Vijay Sagar Kommu, M Smitha, Y C Janardhan Reddy
April-June 2018, 60(2):205-212
DOI:10.4103/psychiatry.IndianJPsychiatry_342_17  PMID:30166677
Background: Obsessive–compulsive disorder (OCD) is a common psychiatric illness in children and adolescents. Till date, the sample sizes in the Indian studies have been relatively small. Methodology: The present study is a retrospective chart review of a large sample of children and adolescents diagnosed with OCD in a tertiary care center Objectives: The objectives of this study were to characterize the clinical profile and to evaluate outcome of OCD in children and adolescents Results: Fear of contamination and washing/cleaning compulsions were the most common presenting symptoms. Most of the patients were male with two-thirds having a comorbid disorder. Major depressive disorder was the most common comorbid disorder. The rates of attention deficit hyperactivity disorder, disruptive behavioral disorders, and tic disorders were low when compared to Western studies. One-third of the patients received adequate trial of serotonin reuptake inhibitors and 36% received cognitive behavior therapy. Fifty-four percent of patients had a poor outcome with hospitalization, longer duration of illness, earlier onset of OC symptoms, and family history of OCD being the predictors of poor outcome. Conclusion: The present study of a large sample of patients with juvenile OCD highlights the low rate of comorbid disruptive behavior disorders as reported in the earlier Indian studies and a favorable short-term outcome in approximately 56% of the patients.
  62,274 373 -
How to write a good abstract for a scientific paper or conference presentation
Chittaranjan Andrade
April-June 2011, 53(2):172-175
DOI:10.4103/0019-5545.82558  PMID:21772657
Abstracts of scientific papers are sometimes poorly written, often lack important information, and occasionally convey a biased picture. This paper provides detailed suggestions, with examples, for writing the background, methods, results, and conclusions sections of a good abstract. The primary target of this paper is the young researcher; however, authors with all levels of experience may find useful ideas in the paper.
  41,850 10,389 3
Indian family systems, collectivistic society and psychotherapy
Rakesh K Chadda, Koushik Sinha Deb
January 2013, 55(6):299-309
DOI:10.4103/0019-5545.105555  PMID:23858272
Indian society is collectivistic and promotes social cohesion and interdependence. The traditional Indian joint family, which follows the same principles of collectivism, has proved itself to be an excellent resource for the care of the mentally ill. However, the society is changing with one of the most significant alterations being the disintegration of the joint family and the rise of nuclear and extended family system. Although even in today's changed scenario, the family forms a resource for mental health that the country cannot neglect, yet utilization of family in management of mental disorders is minimal. Family focused psychotherapeutic interventions might be the right tool for greater involvement of families in management of their mentally ill and it may pave the path for a deeper community focused treatment in mental disorders. This paper elaborates the features of Indian family systems in the light of the Asian collectivistic culture that are pertinent in psychotherapy. Authors evaluate the scope and effectiveness of family focused psychotherapy for mental disorders in India, and debate the issues and concerns faced in the practice of family therapy in India.
  47,169 1,788 6
Indian marriage laws and mental disorders: Is it necessary to amend the legal provisions?
Choudhary Laxmi Narayan, Mridula Narayan, Deep Shikha, Shivendra Shekhar
October-December 2015, 57(4):341-344
DOI:10.4103/0019-5545.171836  PMID:26816420
  43,597 773 -
Prolonged, longstanding, ultra-high-dose abuse of sildenafil
TS Sathyanarayana Rao, V Arun Kumar, Rajesh Raman, Chittaranjan Andrade
July-September 2015, 57(3):311-312
DOI:10.4103/0019-5545.166626  PMID:26600589
We report a 40-year-old male who self-administered sildenafil for 10 years, in progressively increasing doses from 100 mg per occasion in the 1 st year to 1300 mg per occasion in the 9 th – 10 th years of (ab)use. The frequency of abuse was 2 – 3/week. The only adverse effect of concern that was reported was transient (up to about 12 h), self-limited blurring of vision in the last 2 years, especially in the last 2 months at the highest dose. The patient was otherwise normal. This report is unique because it describes what may be the highest dose of sildenafil reported in literature, abused across a protracted period of time. We discuss issues related to dose and safety of and tolerance to the drug.
  43,497 259 -
Prevalence and correlates of obsessive-compulsive disorder and subthreshold obsessive-compulsive disorder among college students in Kerala, India
TS Jaisoorya, YC Janardhan Reddy, B Sivasankaran Nair, Anjana Rani, Priya G Menon, M Revamma, CR Jeevan, KS Radhakrishnan, Vineetha Jose, K Thennarasu
January-March 2017, 59(1):56-62
DOI:10.4103/0019-5545.204438  PMID:28529361
Context: There are scarce data on the prevalence of adult obsessive-compulsive disorder (OCD) in India. Aims: The aim was to study the point prevalence of OCD and subthreshold OCD and its psychosocial correlates among college students in the district of Ernakulam, Kerala, India. Settings and Design: A cross-sectional survey of 5784 students of the age range of 18–25 years from 58 colleges was conducted. Materials and Methods: Students were self-administered the OCD subsection of the Clinical Interview Schedule-Revised, the Composite International Diagnostic Interview for obsessive-compulsive symptoms (OCSs), and other relevant instruments to identify OCD, subthreshold OCD, and related clinical measures. Statistical Analysis: The point prevalence of OCD and subthreshold OCD was determined. Categorical variables were compared using Chi-square/Fisher's exact tests as necessary. Differences between means were compared using the ANOVA. Results: The point prevalence of OCD was 3.3% (males = 3.5%; females = 3.2%). 8.5% students (males = 9.9%; females = 7.7%) fulfilled criteria of subthreshold OCD. Taboo thoughts (67.1%) and mental rituals (57.4%) were the most common symptoms in OCD subjects. Compared to those without obsessive-compulsive symptoms (OCSs), those with OCD and subthreshold OCD were more likely to have lifetime tobacco and alcohol use, psychological distress, suicidality, sexual abuse, and higher attention-deficit/hyperactivity disorder symptom scores. Subjects with subthreshold OCD were comparable to those with OCD except that OCD subjects had higher psychological distress scores and academic failures. Conclusions: OCD and subthreshold OCD are not uncommon in the community, both being associated with significant comorbidity. Hence, it is imperative that both are identified and treated in the community because of associated morbidity.
  42,842 748 -
The MMR vaccine and autism: Sensation, refutation, retraction, and fraud
TS Sathyanarayana Rao, Chittaranjan Andrade
April-June 2011, 53(2):95-96
DOI:10.4103/0019-5545.82529  PMID:21772639
  37,343 4,077 5
The limbic system
V RajMohan, E Mohandas
April-June 2007, 49(2):132-139
DOI:10.4103/0019-5545.33264  PMID:20711399
  36,002 5,179 4
Vajikarana: Treatment of sexual dysfunctions based on Indian concepts
PK Dalal, Adarsh Tripathi, SK Gupta
January 2013, 55(6):273-276
DOI:10.4103/0019-5545.105550  PMID:23858267
Vajikarana or Vrishya chikitsa is a one of eight major specialty of the Ashtanga Ayurveda. This subject is concerned with aphrodisiacs, virility and improving health of progeny. As per Charak Samhita, by proper use of these formulations, one becomes endowed with good physique, potency, strength, and complexion and sexually exhilarated and sexually potent. This in turn is helpful in many common sexual dysfunctions, including Infertility, Premature Ejaculation and Erectile dysfunction. The therapy is preceded by living in strict compliance with the directions mentioned in Ayurvedic classics, various methods of body cleansing and other non-medicinal strategies like sexual health promoting conduct, behavior and diet. Certain individualized herbal and herbo-mineral combinations are administered as per the nature of a person according to the Ayurveda. Many limitations need to be considered before considering the use of theses therapy like lack of scientific studies, possibilities of adulteration in the herbal and herbo-mineral combinations available in market and possibilities of unexpected side-effects etc., The article calls upon initiating research in this area so that claims of ancient Ayurvedic texts could be substantiated and vajikaran therapy may be utilized by modern medicine.
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Impact of COVID-19 pandemic and lockdown on the state of mental health services in the private sector in India
Sandeep Grover, Aseem Mehra, Swapnajeet Sahoo, Ajit Avasthi, Adarsh Tripathi, Avinash D'Souza, Gautam Saha, A Jagadhisha, Mahesh Gowda, Mrugesh Vaishnav, Omprakash Singh, PK Dalal, Parmod Kumar
September-October 2020, 62(5):488-493
Background: No information is available about the impact of lockdown and COVID-19 pandemic on the mental health services in the private practice in India. Aim: The current study is aimed to assess the impact of the COVID-19 pandemic and lockdown on the state of Mental Health Services in the Private Sector in India. Materials and Methods: An online survey was carried out using the Survey Monkey platform during the period of 1st to 15th May 2020 among the members of the Indian Psychiatric Society. Results: Three hundred and ninety six responses were analysed. There was a reduction in revenue generation by about 70%. All kinds of services, including outpatient services, inpatient services, psychotherapy services, consultation-liaison, and electroconvulsive therapy (ECT) services, were severely affected. One-third of the participants were using the teleservices during the pandemic. The most common problem faced in running the services included modifying the psychological treatment to maintain social distancing, and managing the staff. Besides providing clinical care to the patients, the majority of the mental health professionals reported that they were involved in increasing awareness about the mental health consequences of pandemic and the lockdown and addressing myths related to the spread of infection. Conclusion: The pandemic and the lockdown have markedly impacted mental health services in the private sector. ECT services, inpatient services, psychotherapy services and outpatient services are the most affected. However, the COVID-19 pandemic and lockdown have led to the expansion of teleconsultation services.
  39,654 440 -
Suicide and its prevention: The urgent need in India
Lakshmi Vijaykumar
April-June 2007, 49(2):81-84
DOI:10.4103/0019-5545.33252  PMID:20711387
  36,471 3,330 14
Understanding nutrition, depression and mental illnesses
TS Sathyanarayana Rao, MR Asha, BN Ramesh, KS Jagannatha Rao
April-June 2008, 50(2):77-82
DOI:10.4103/0019-5545.42391  PMID:19742217
  35,597 3,692 10
Psychological impact of COVID-19 lockdown: An online survey from India
Sandeep Grover, Swapnajeet Sahoo, Aseem Mehra, Ajit Avasthi, Adarsh Tripathi, Alka Subramanyan, Amrit Pattojoshi, G Prasad Rao, Gautam Saha, KK Mishra, Kaustav Chakraborty, Naren P Rao, Mrugesh Vaishnav, Om Prakash Singh, PK Dalal, Rakesh K Chadda, Ravi Gupta, Shiv Gautam, Siddharth Sarkar, TS Sathyanarayana Rao, Vinay Kumar, YC Janardran Reddy
July-August 2020, 62(4):354-362
Background: The COVID-19 pandemic has led to a complete shut-down of the entire world and almost all the countries are presently in a “lockdown” mode. While the lockdown strategy is an essential step to curb the exponential rise of COVID-19 cases, the impact of the same on mental health is not well known. Aim: This study aimed to evaluate the psychological impact of lockdown due to COVID-19 pandemic on the general public with an objective to assess the prevalence of depression, anxiety, perceived stress, well-being, and other psychological issues. Materials and Methods: It was an online survey conducted under the aegis of the Indian Psychiatry Society. Using the Survey Monkey platform, a survey link was circulated using the Whatsapp. The survey questionnaire included perceived stress scale, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Warwick-Edinburgh Mental Well-being Scale to assess perceived stress, anxiety, depression, and mental well-being, respectively. The survey link was circulated starting from April 6, 2020 and was closed on April 24, 2020. Results: During the survey, a total of 1871 responses were collected, of which 1685 (90.05%) responses were analyzed. About two-fifth (38.2%) had anxiety and 10.5% of the participants had depression. Overall, 40.5% of the participants had either anxiety or depression. Moderate level of stress was reported by about three-fourth (74.1%) of the participants and 71.7% reported poor well-being. Conclusions: The present survey suggests that more than two-fifths of the people are experiencing common mental disorders, due to lockdown and the prevailing COVID-19 pandemic. This finding suggests that there is a need for expanding mental health services to everyone in the society during this pandemic situation.
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Farmers' suicide in Vidarbha region of Maharashtra state: A myth or reality?
PB Behere, AP Behere
April-June 2008, 50(2):124-127
DOI:10.4103/0019-5545.42401  PMID:19742218
Incidence of farmers ending their lives in Vidarbha region had hit epidemic proportions recently. We adopted the psychological autopsy approach to offer some insight into the reason why these individuals resorted to such a drastic step. Suicide in farmers is public health problem and we suggested some immediate and serious interventions to prevent suicide.
  33,143 2,290 4
National mental health survey of India 2015–2016
R Srinivasa Murthy
January-March 2017, 59(1):21-26
DOI:10.4103/psychiatry.IndianJPsychiatry_102_17  PMID:28529357
  30,111 3,444 -
Sufism and mental health
S Haque Nizamie, Mohammad Zia Ul Haq Katshu, NA Uvais
January 2013, 55(6):215-223
DOI:10.4103/0019-5545.105535  PMID:23858257
Human experience in, health and disease, always has a spiritual dimension. pirituality is accepted as one of the defining determinants of health and it no more remains a sole preserve of religion and mysticism. In recent years, pirituality has been an area of research in neurosciences and both in the nderstanding of psychiatric morbidity and extending therapeutic interventions it seems to be full of promises. Sufism has been a prominent spiritual tradition in Islam deriving influences from major world religions, such as, Christianity and Hinduism and contributing substantially toward spiritual well‑being of a large number of people within and outside Muslim world. Though Sufism started in early days of Islam and had many prominent Sufis, it is in the medieval period it achieved great height culminating in many Sufi orders and their major proponents. The Sufism aims communion with God through spiritual realization; soul being the agency of this communion, and propounding the God to be not only the cause of all existence but the only real existence. It may provide a vital link to understand the source of religious experience and its impact on mental health.
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Effect of yoga therapy on plasma oxytocin and facial emotion recognition deficits in patients of schizophrenia
N Jayaram, S Varambally, RV Behere, G Venkatasubramanian, R Arasappa, R Christopher, BN Gangadhar
July 2013, 55(7):409-413
DOI:10.4103/0019-5545.116318  PMID:24049210
Context: Yoga therapy has been demonstrated to be useful in treatment of negative symptoms and improving the socio-occupational functioning and emotion recognition deficits in antipsychotic-stabilized schizophrenia patients. Oxytocin has been recently implicated in social cognition deficits in schizophrenia. The effect of yoga therapy on oxytocin levels in schizophrenia has not been studied. Aims: This study aimed to assess the effect of yoga therapy on symptoms, socio-occupational functioning, facial emotion recognition deficits and plasma oxytocin levels in antipsychotic stabilized schizophrenia patients. Settings and Design: Randomized controlled study on 43 consenting, medication stabilized patients with schizophrenia in a tertiary psychiatric center using yoga intervention and waitlisted groups. Materials and Methods: A total of 43 schizophrenia patients were randomized to yoga group ( n=15) or waitlist group ( n=28). Patients in the yoga group received training in a specific yoga therapy module for schizophrenia. Patients in both groups were continued on stable antipsychotic medication. Assessments included scale for assessment of positive symptoms, scale for assessment of negative symptoms, socio-occupational functioning scale and tool for recognition of emotions in neuropsychiatric disorders (TRENDS) and plasma oxytocin levels; performed at baseline and at the end of 1 month. Results: A total of 15 patients in the yoga group and 12 in waitlist group completed the study. The yoga therapy group showed a significant improvement in socio-occupational functioning, performance on TRENDS ( P<0.001) and plasma increase in oxytocin levels ( P=0.01) as compared with the waitlist group. Conclusion: The study supported the role of add-on yoga therapy in management of schizophrenia and demonstrated an improvement in endogenous plasma oxytocin levels in schizophrenia patients receiving yoga therapy.
  32,083 614 1
Institute of mental health and hospital, Agra: Evolution in 150 years
Sudhir Kumar, Rakesh Kumar
October-December 2008, 50(4):308-312
DOI:10.4103/0019-5545.44759  PMID:19823622
  31,244 698 -
An epidemiological study of sexual disorders in south Indian rural population
TS Sathyanarayana Rao, MS Darshan, Abhinav Tandon
April-June 2015, 57(2):150-157
DOI:10.4103/0019-5545.158143  PMID:26124520
Background: Sexuality is an important aspect of the personality of an individual and influences psychological, physical and social well-being of both men and women. It is a paradox, that in the country where 'kamasutra' (by Vatsyayana) took birth, there is a lack of research publications and sexuality related literature; hence the current study was conducted, to estimate the prevalence and association of sexual disorders with various socio-demographic variables, in the selected rural population. Materials and Methods: Subjects who were sexually active and fulfilled the study criteria were administered Arizona Sexual Experience Scale as screening tool for the presence of sexual problems. Those who were found to be having sexual problems were interviewed further using appropriate questionnaires. Results: 21.15% of the male subjects were diagnosed to have one (or more) sexual disorder. Prevalence of erectile dysfunction was found to be 15.77%, male hypoactive sexual desire disorder (HSDD) 2.56%; premature ejaculation was found to be prevalent in 8.76% of the male subjects. Around 14% of the female subjects were diagnosed to have female sexual disorders. Prevalence of female arousal dysfunction was found to be 6.65%, female HSDD 8.87%, female anorgasmia 5.67%, female dyspareunia 2.34% and female sexual aversion disorder was found to be prevalent in 0.37% of the female subjects. Conclusion: This study concluded that one in five males and one in seven females were suffering from one (or more) sexual disorder. Improving the training of undergraduate medical and nursing students in sexuality related issues, increasing trained individuals in sexual medicine by starting new courses, providing sex education to the general population using media and merging sexual health care with primary care, are likely to play a significant role in addressing the increasing sexual health morbidity.
  29,901 713 -
Clinical practice guidelines for Obsessive-Compulsive Disorder
YC Janardhan Reddy, A Shyam Sundar, Janardhanan C Narayanaswamy, Suresh Bada Math
January 2017, 59(5):74-90
DOI:10.4103/0019-5545.196976  PMID:28216787
  23,272 4,759 -
Clinical Practice Guidelines for Management of Bipolar Disorder
Nilesh Shah, Sandeep Grover, G Prasad Rao
January 2017, 59(5):51-66
DOI:10.4103/0019-5545.196974  PMID:28216785
  21,379 4,481 -

January 2019, 61(9):521-631
  24,848 872 -
Substance dependence: Decades apart in a teaching hospital
J Venkatesan, Stelina S.D Suresh
April-June 2008, 50(2):100-105
DOI:10.4103/0019-5545.42396  PMID:19742216
Aim: The present study was done to understand the changing trends in substance dependence across decades. Settings and Design: It is a retrospective study done in Department of Psychiatry in a Teaching Hospital setting. The data of patients who attended the OPD for substance dependence during the months January to December in the years 1985 & 1986, 1995 & 1996 and 2005 & 2006 were collected and analysed. Materials and Methods: A total of 839 new patients with substance dependence identified according to International Classification of Diseases (ICD) (n = 839) was analysed in the present report. Study variables taken into account are alcohol dependence, polysubstance dependence which also includes alcohol, age, sex, age of initiation of substance use, duration of use, and comorbidity. Statistical Analysis: Z -test, Chi-square test, mean, percentages, standard deviation. Results: Substance dependence constituted 5.32% in 1985 and 1986, 5.02% in 1995 and 1996, and 4.05% in 2005 and 2006 of the newly registered total psychiatric patients. The variation in incidence figures across the years is statistically not significant ( P > 0.05). Among the substance dependents 2% in 1985 & 1986, 1% in 1995 & 1996 and 1% in 2005 & 2006 were females. Majority of the patients were alcohol dependent (87.2% in 1985 and 1986, 89.4% in 1995 and 1996, and 79.6% in 2005 and 2006). Polysubstance dependence showed an increasing trend and it was statistically significant. Comparison of the years 1985 and 1986 with 2005 and 2006 gives Z = 2.4, P < 0.05 (statistically significant). Comparison of the years 1995 and 1996 with 2005 and 2006 gives Z = 3, P < 0.01 (significant statistically). Number of people getting initiated to substance use in early age ( viz . 10-19 years) showed an increasing trend. People with positive family history of substance dependence started using substances early in life. (Chi-square value: 164.7, P < 0.0001, significant statistically). In polysubstance dependence comorbidity was more ( Z = 4.1, P < 0.001, significant statistically). Conclusions: Incidence of substance dependence remained the same across the two decades. But incidence of polysubstance dependence is increasing over the years. People start using substances earlier and are becoming dependent earlier in their lives in the present decade. Polysubstance dependence is correlated with greater comorbidity. Early recognition of comorbidity and its management is essential for better prognosis. Substance dependence is exclusively a male diagnosis in our population.
  22,870 1,807 1