Delhi Psychiatry Journal
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Editor : Dr. M.S. Bhatia
ISSN: 0971-9571; (Print)
Frequency: 2 issues a year
Language: English
Online peer reviewed journal
Web site: https://medind.nic.in/daa/daam.shtml/
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Item Acute Disseminated Encephalomyelitis presenting as Dissociative Disorder.(2010-04) Prakash, Jyoti; Prabhu, H R A; Srivastava, Kalpana; Bhat, P S; Shashikumar, RItem Acute Myopia and Secondary angle closure Glaucoma following Topiramate Medication.(2010-04) Prakash, Jyoti; Prabhu, H R A; Srivastava, Kalpana; Bhat, P S; Kumar, R ShashiItem Acute Prostatism with first dose of Milnacipran.(2011-04) Arora, Harish; Bansal, DimpleItem Adult Manifestation of Childhood Autism.(2008-10) Chaudhari, Dhananjay; Sitholey, Prabhat; Aggrawal, Vivek; Gupta, Neeraj; Kumar, PankajPervasive developmental disorders (PDD) are a group of neuro-developmental syndromes characterized by disturbances of social interaction, language and communication, presence of stereotyped behaviour and interests. Nowadays more and more cases of pervasive developmental disorder are being diagnosed due to availability of more refined diagnostic criteria. There are wide variations in final outcome. Follow-up studies predict a poor or very poor long-term outcome. With best of my knowledge adult manifestations of child hood autism are still not reported from India. We will discuss the clinical manifestations and outcome of a previously diagnosed case of childhood autism in a 21-year-old adult.Item Aerospace Psychiatry: Indo-Soviet joint manned space odyssy and yogic perspective.(2009-04) Wadhawan, J MItem Agomelatine: A New Antidepressant with a Novel Mechanism of Action.(2010-04) Jhanjee, Anurag; Bhatia, M S; Srivastava, Shruti; Kumar, PankajItem Alcohol Dependence Syndrome: One year outcome study.(2007-04) Sidana, Ajeet; Rai, Sachin; Chavan, B SThe major challenge in the treatment of patients with substance use disorders is not only to maintain the follow up but also to prevent relapse. The current study was planned to see the abstinence and relapse rate in patients with Alcohol Dependence Syndrome over a period of one year. A total of 49 patients of alcohol dependence syndrome fulfilling ICD-10 criteria were included in the study. The mean age was 43 years, majority were above 30 years, males (97.9%), employed (81.6%), and from urban (81.6%) background. the mean duration of dependence was 4.3 years, 12.2% had a family history of dependence, 20.4% had a co-morbid affective disorder and 4.0% had a co-morbid non-affective disorder. In total 71.4% received pharmacologist treatment for relapse prevention. At 6 months, abstinence rates were 100% (n = 10/ 10) for disulfiram, 60% (n=6/10) for anticraving agents (Naltrexone and Acamprosate), 30% (n=3/10) for SSRI group. At 12 months, abstinence rates were 66.67% (n=2/3) for disulfiram, 42.9% (n=3/7) for anticraving agents, 0% (n=2) for SSRI group.Item Alcohol dependence: an unusual case.(2007-10) Chaudhary, GauravItem Alexithymia and Type “A” Behavior Pattern (TABP) in Coronary Heart Diseases: A preliminary study.(2012-10) Nehra, Dharmender Kumar; Sharma, Nov Rattan; Ali, Gazanfar; Margoob, Mushtaq Ahmed; Mushtaq, Huda; Kumar, Pradeep; Nehra, SheetalBackground: The number of patients with CHD is increasing and psychosocial factors are now recognized as playing a significant and independent role in the development of CHD and its complications. Aims: The present study aimed at examining the association between alexithymia and Type A Behavior Pattern (TABP) in Coronary Heart Disease (CHD) patients. Methodology: The sample consisted of 150 participants, comprising 50 in the study group (drawn from the outpatient clinical services) and 50 in the control group (from the general population) from Kashmir. Further 50 controls from the general population of Haryana were included to study alexithymia in broader context. The tools used included Jenkins Activity Survey (JAS-C) and Toronto Alexithymia Scale (TAS-20). Statistical analysis was done using SPSS-12.0 and various descriptive and inferential statistics were applied. Results: The results revealed a high prevalence (40%) of alexithymia in our study group. However the association of alexithymia with CHD was not clearly indicated as the comparison of alexithymia between our study group and control group did not reveal any significant difference and paradoxically the prevalence in the control group was even higher. Further a comparison of the control group from Kashmir with that of Haryana revealed a highly significant difference. Thus, our study suggests that perpetual trauma and unending stress due to present prevailing condition in Kashmir together with the presence of some kind of mental disorders in a significant segment of Kashmiri population has rendered the whole population more vulnerable to developing alexithymia. Further, our findings did not reveal any association between Type A Behavior Pattern and CHD. Conclusion: This indicates a need for further clarification of the precise role of personality types in producing and preventing CHD.Item Amisulpride induced dystonia.(2009-10) Jhanjee, Anurag; Gupta, NeerajItem Amisulpride Induced Pityriasiform Eruption.(2007-10) Bhatia, Manjeet Singh; Chaudhary, GauravItem Amisulpride: a Brief Review.(2007-10) Chhabra, Vishal; Bhatia, Manjeet SinghAmisulpride, belonging to second generation antipsychotics, is a substituted benzamide derivative indicated for the treatment of acute and chronic schizophrenia with prominent positive and/or negative symptoms. Amisulpride has high affinity for the dopamine D2/D3 receptors. It inhibits dopamine transmission by blocking postsynaptic D2/D3 receptors in the limbic system, which is predicative of potent antipsychotic activity. The elimination half-life is 12 hours. Metabolism is limited with most of the drug excreted unchanged in the feces (64%). Clinical studies have supported that Amisulpride (400-1200mg/day) is at least as effective as Haloperidol and Risperidone and more effective than flupenthixol in acute exacerbation. In the treatment of patients with predominantly negative symptoms, Amisulpride was more effective than placebo. Recently some studies have shown it to be having efficacy in dysthymia also. Its favorable characteristics also include low incidence of EPSE and weight gain, however, it has a high incidence of prolactin elevation.Item Antidepressant-Induced Sexual Dysfunction: A comparison between Duloxetine and Escitalopram.(2010-04) Jhanjee, Anurag; Kumar, Pankaj; Gupta, Neeraj KumarBackground: Selective Serotonin Reuptake Inhibitors (SSRIs) and Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs) have the potential to produce delayed ejaculation in men, delayed orgasm or anorgasmia in women and decreased libido that is independent of the gender. The occurrence of medication-associated sexual dysfunction increases the likelihood of medication non-compliance (or non-adherence) in patients, which may contribute to untreated depression and/or disease relapse. Materials & Methods: 60 patients with diagnosis of Depressive episode (in remission at the time of study), divided into 2 groups of 30 patients taking Duloxetine and the remaining 30 patients taking Escitalopram, were recruited on consecutive basis from the patients attending Psychiatry OPD of Lady Hardinge Medical College (LHMC). Each subject was rated on Arizona Sexual Experience Scale (ASEX) and the results obtained were statistically analyzed. Results: In the present study the average ASEX score obtained in the Escitalopram group (12.63) was found to be more than that in Duloxetine group (12.36), though this difference was not found to be statistically significant. Conclusions: These results illustrate that antidepressant-induced sexual dysfunction is reported frequently by patients taking SSRIs or SNRIs. Our study did not find any significant difference between escitalopram and duloxetine with respect to their sexual dysfunction profile but in view of the limitations of our study there is need for further research in this domain of psychopharmacology.Item Anxiety and Depression among Psychiatry Outpatient in a Tertiary Care Hospital in Meerut.(2013-04) Bhartu, S P; Pandey, Pramod K; Sudarshanan, Brig SBackground: Anxeity disorders are among the most prevalent mental disorders in the general population. Anxiety Disorders are associated with significant morbidity and often are chronic and resistant to treatment. Material & Methods: The study was conducted in a tertiary care hospital of Meerut. The patients attending the outpatient department of psychiatry were scdreened for anxeity (using Sinha's comprehensive Anxiety State ) and depression ( using Beck's Depressive inventory ). Results : Anxiety was commonest in 15-25 years of age group among males and female whereas depression was commonest in age group of 15-25 years in males and in age provide important clues to understanding the origin and maintenance of these syndromes and be of importance in treatment planning.Item Anxiety and Depression among the Caregivers of patients with Neurological illness.(2011-04) Verama, Rohit; Sharma, Srikant; Balhara, Yatan Pal Singh; Mathur, ShachiCaregivers of the patients have shown to demonstrate high levels of psychological distress and depression; increased rates of physiological illness and personal, financial, family, and social problems. It is important to assess the mental health status and attend to the needs of care givers. The study was carried out in the Neurology in-patient setting in a tertiary care hospital. Thirty consecutive patients receiving in-patient care were included in the study. The anxiety and depression levels of these individuals were assessed using the Hospital Anxiety and Depression Scale (HADS). Male and female caregivers differed significantly on the total HADS score as well as the Anxiety and Depression subscale scores of HADS. The female care givers had significantly higher scores on HADS-Total, HADS-Anxiety and HADS-Depression sub scales. Additionally there was a significant correlation between the number of family members with chronic illness and HADS-Anxiety sub scale scores. It is crucial to screen the care givers, especially female care giver, of the patients with neurological illness for presence of anxiety and depression. This approach will help timely identification and proper management of these individuals.Item Anxiety and Depression amongst the urban females of Delhi in Ante-partum and Post-partum period.(2012-10) Mina, Shaily; Balhara, Yatan Pal Singh; Verma, Rohit; Mathur, ShachiObjectives: To assess and compare the prevalence of anxiety and depression during and after pregnancy. Methodology: This cross sectional study was done in an inpatient setting in Department of Gynecology and Obstetrics in a tertiary level multi-specialty hospital in Delhi, India over a period of nine months.Two groups of women were studied. Group 1 sample included all pregnant women in last trimester awaiting delivery and Group 2 included the women in postpartum period (4-12 weeks after childbirth). Hospital Anxiety & Depression scale (HADS) was used to assess anxiety & depressive symptoms. Results: Of the 100 women included, 59% were awaiting delivery and 41% were in postpartum. The mean age was 23.87 years (SD 3.19), and both the groups were comparable on socio-demographic parameters. Of currently pregnant women 27% & 17% scored above cut-off on anxiety and depression scale respectively while amongst postpartum females 17% scored above cut-off on anxiety and depression scales. Both groups differed significantly (p<0.05) on the total HADS score and Anxiety subscale scores of HADS. There was no significant difference amongst the groups on Depression subscale scores. Conclusions: Prevalence of anxiety and depression is high amongst women during antepartum and postpartum periods. Pregnant women experience more anxiety during ante partum period as compared to post partum period and most of them are not being monitored during this time.Item Are Early Onset Alcoholics Different : A Cross Section Observational Study from a General Hospital Psychiatry Unit.(2013-04) Prakash, Jyoti; Bhat, P S; Srivastava, K; Shashikumar, RIntroduction: Alcohol dependence syndrome has been fraught with significant biopsychosocial problems. Early age of onset of initiation has been seen to complicate the issues further. Method: Clinico-psycho-social profile of all patient of alcohol dependence syndrome admitted to a general hospital psychiatric unit was assessed. Results: Ment age of onset was 25.42 years and that of first medical contact was 38.29 years. Age of onset had significant association with increased amount of alcohol consumption, early age of medical consulation, Presence of delirium, coexisting depression and deranged liver enzymes. Conclusion: Early onset of alcohol consumption had significant impact on course and outcome of the alcohol dependence syndrome. Effective strategies be formulated for early referral and targeted management.Item Aripiprazole - An Effective Treatment Option in Tourette's Disorder.(2011-04) Jhanjee, Anurag; Kumar, Pankaj; Bhatia, M SItem Asenapine — A Novel Antipsychotic Drug.(2011-10) Jhanjee, Anurag; Bhatia, M SItem Attention Deficit Disorder in Adults.(2008-10) Arora, Harish; Kaur, Rajdeep