Current Issue Volume 12, Number 1 , January-June 2018

EDITORIAL
Gautam Saha

Insurance Coverage of Mental Illness: A Good Beginning but a Long Way to Go!

[Year:2018] [Month:January-June] [Volumn:12 ] [Number:1] [Pages:37] [Pages No:iv]



The Mental Healthcare Act received the nod of the president in April 2017 and became the new Act replacing the old Mental Health Act of 1987. One of the important provisions in the Act is the provision of insurance facilities for the mentally ill. According to section 21(1) of the Act,1 “Every person with mental illness shall be treated as equal to persons with physical illness in the provision of all health care.”


ORIGINAL ARTICLE
Prosenjit Ghosh, Shruti Sharma

Impairment of Executive Function in Alcohol Dependent Persons

[Year:2018] [Month:January-June] [Volumn:12 ] [Number:1] [Pages:37] [Pages No:1-6]



Aims: To compare the executive dysfunction of alcoholic dependent cases with age-matched controls.

Methods: Fifty alcohol dependent cases along with fifty healthy relatives of the patients selected randomly were included in this single interview cross-sectional hospital-based study. The executive function of all the cases and control were tested by applying the frontal assessment battery (FAB).

Results: On making a comparison of the scores of the FAB between the cases and the controls, it was found that the mean score of the cases was 10.02 with a standard deviation of 2.64 indicating more executive dysfunction whereas that of the controls was 16.96 with a standard deviation of 1.56 showing better executive functioning.

Conclusion: Regular and long-term alcohol intake significantly impairs the executive functions.

Keywords: Alcohol dependence, Cognitive functions, Executive function, Frontal lobe functions, Neocortex.

How to cite this article: Ghosh P, Sharma S. Impairment of Executive Function in Alcohol Dependent Persons. Ind J Priv Psychiatry 2018;12(1):1-6.

Source of support: Nil

Conflict of interest: None


ORIGINAL ARTICLE
Priya Puri, Prasanta K Roy, Partha S Biswas

Cognitive-emotional Processing in Borderline Personality Disorder—A Comparative Study

[Year:2018] [Month:January-June] [Volumn:12 ] [Number:1] [Pages:37] [Pages No:7-14]



Background: Individuals having borderline personality disorder (BPD) show impulsive behaviors, intense and unstable emotional regulation with a disturbance in interpersonal relations and unstable sense of self. Studies show that emotional processes can influence various neuro-cognitive functions such as information processing and Decision making. However, there is a dearth of studies examining the role of these processes in BPD. This study aimed to examine the emotional biases of cognitive processes and decision-making ability of patients with BPD.

Materials and methods: A sample of 40 adult individuals (20 BPD patients and 20 nonpsychiatric controls), males and females, were selected. They were assessed using the emotional stroop test (EST) and the Iowa gambling task (IGT).

Results: Findings indicated that though the study group had an overall slow information processing and poor response inhibition, they had greater emotional biases towards stimuli laden with negative affect which was reflected as greater interference on the negative EST. Findings from the IGT indicated impulsivity and poor decision-making ability in the study group. Further analysis revealed that the study group had slow feedback utilization.

Conclusion: From the present study, it can be concluded that individuals with BPD do have certain deficits in cognitiveemotional processing.

Keywords: Borderline personality disorder (BPD), Decision making, Emotional processing, Response inhibition

How to cite this article: Puri P, Roy PK, Biswas PS. Cognitiveemotional Processing in Borderline Personality Disorder: A Comparative Study. Ind J Priv Psychiatry 2018;12(1):7-14.

Source of support: Nil

Conflict of interest: None


BRIEF COMMUNICATION
Anil K Agarwal

Private Practice in Psychiatry in India — Development and Seasonal Variations

[Year:2018] [Month:January-June] [Volumn:12 ] [Number:1] [Pages:37] [Pages No:15-19]



Sixteen years records of a private practice clinic have been analyzed. A total number of patients increased to three times while new patients increased to one and a half times. The reasons for a steady increase have been highlighted. The clinicians will need to improve communication as well as care for the needs and sensitivities of the patients. Seasonal variation was observed at the time of change of season. Lowest attendance was seen in February. There is a need to develop a database so that future clinicians could be guided properly.

Keywords: Development, India, Private practice, Psychiatry.

How to cite this article: Agarwal AK. Private Practice in Psychiatry in India-Development and Seasonal Variations. Ind J Priv Psychiatry 2018;12(1):15-19.

Source of support: Nil

Conflict of interest: None


REVIEW ARTICLE
Hemendra Singh

Suicide in Schizophrenia Spectrum Disorders: A Review of Socio-Demographic and Clinical Correlates

[Year:2018] [Month:January-June] [Volumn:12 ] [Number:1] [Pages:37] [Pages No:20-26]



Suicide is the most common cause of mortality among patients with schizophrenia. Literature shows that about 20 to 40% of schizophrenic patients make suicide attempts. Studies show that a history of past suicide attempts is a strong predictor of future suicide and increases the risk of future suicide. Suicide rates among patients with schizophrenia spectrum disorders (SSDs) range between 5 and 13%. There are various associated risk factors for suicide risk assessment, such as genetic vulnerability, gender, hopelessness, depression, underlying substance use, early phase of illness, and duration of untreated psychosis (DUP). However, the role of psychotic symptoms is also equally important while assessing for suicide risk. Hence, future research is required from appropriate risk assessment and suicide prevention among patients with SSD.

Keywords: Psychotic symptoms, Schizophrenia spectrum disorders, Suicide, Suicide attempt, Suicide prevention.

How to cite this article: Singh H. Suicide in Schizophrenia Spectrum Disorders: A Review of Sociodemographic and Clinical Correlates. Ind J Priv Psychiatry 2018;12(1):20-26.

Source of support: Nil

Conflict of interest: None


CASE REPORT
Akshit Mahajan, Manish Bathla, Shazia Anjum, Saminder Panchal

Prolonged Abuse of Vasograin Tablets

[Year:2018] [Month:January-June] [Volumn:12 ] [Number:1] [Pages:37] [Pages No:27-28]



Migraine is a primary headache disorder characterized by moderate to severe recurrent headaches. We describe the case of a 33-year-old male who had been using vasograin tablets in dose of 2 to 3 tablets per day for a period of 16 years without any regular medical advice. In the absence of dose, he experienced various physical and psychological withdrawal symptoms, which were similar to migraine. Patient was managed medically with substitution and supportive therapy. Clinical importance of such cases in medical practice is discussed.

Keywords: Chronic headache, Migraine, Vasograin.

How to cite this article: Mahajan A, Bathla M, Anjum S, Panchal S. Prolonged Abuse of Vasograin Tablets. Ind J Priv Psychiatry 2018;12(1):27-28.

Source of support: Nil

Conflict of interest: None


CASE REPORT
Dhananjay Chaudhari, Ganesh Shanker, Kunjan Gupta

Two Cases of Blonanserin Induced Dyskinesia

[Year:2018] [Month:January-June] [Volumn:12 ] [Number:1] [Pages:37] [Pages No:29-30]



Blonanserin is an atypical antipsychotic with favorable outcome especially for negative symptoms of schizophrenia, and it also has some beneficial effects on cognition. It is well known that atypical antipsychotics have favorable adverse effect profile as compared to typical and conventional antipsychotics. As blonanserin is a relatively newer compound, so there is dearth of studies related to its side effect profile. Here we are reporting two cases of blonanserin induced dyskinesia.

Keywords: Blonanserin, Dyskinesia, Tardive Dyskinesia.

How to cite this article: Chaudhari D, Shanker G, Gupta K. Two Cases of Blonanserin Induced dyskinesia. Ind J Priv Psychiatry 2018;12(1):29-30.

Source of support: Nil

Conflict of interest: None


CASE REPORT
Shorouq Motwani, Sagar Karia, Nilesh Shah, Avinash De Sousa

Kleptomania Like Features in a Case of Schizophrenia Following Age-Related Cortical Atrophy

[Year:2018] [Month:January-June] [Volumn:12 ] [Number:1] [Pages:37] [Pages No:31-33]



Kleptomania is a disorder of impulse control characterized by the impulse to steal objects that are not of much personal use or monetary value and the inability to control that impulse. Though there is a dearth of imaging studies of kleptomania, the literature suggests thatdamage of the orbitofrontal cortex and the orbitofrontal subcortical circuits may be implicated in kleptomania. The following case report presents a case of schizophrenia that developed frontal lobe ischemic changes with age resulting in the genesis of kleptomania like symptoms.

Keywords: Frontal lobe damage, Kleptomania, Orbitofrontal cortex, Schizophrenia

How to cite this article: Motwani S, Karia S, Shah N, Sousa AD. Kleptomania like Features in a Case of Schizophrenia following Age-related Cortical Atrophy. Ind J Priv Psychiatry 2018;12(1):31-33.

Source of support: Nil

Conflict of interest: None


CASE REPORT
Prosenjit Ghosh, Sujit Sarkhel

Internet Gaming Addiction Presenting as Withdrawal Psychosis — An Unusual Case Report

[Year:2018] [Month:January-June] [Volumn:12 ] [Number:1] [Pages:37] [Pages No:34-37]



Introduction: In the new generation, the Internet has become an important tool for education, entertainment, communication, and information-sharing. Easy access and anonymity are two of the several aspects of the Internet fostering addictive behavior.

Case History: We report a case of young adult addicted to online mobile gaming (IAD/IUD) for 2 years and presenting with features of withdrawal psychosis following two weeks of cutting down gaming behavior.

Discussion: There are basically five types of internet addiction- Online gaming, online gambling, online auction, online chatting and cybersex. Gaming addiction is probably the most talked about internet addiction. Probably because we are seeing so many children and adolescence losing control on this type of internet addiction.

Conclusion: Further studies are necessary to investigate the nature and course of withdrawal symptoms associated with IAD/ IUD and to compare with those of substance use disorders and other forms of behavior addiction.

Keywords: Behavioral addiction, Internet use disorder, Multiplayer online battle arena, Online gaming.

How to cite this article: Ghosh P, Sarkhel S. Internet Gaming Addiction Presenting as Withdrawal Psychosis: An Unusual Case Report. Ind J Priv Psychiatry 2018;12(1):34-37.

Source of support: Nil

Conflict of interest: None


© JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD.