|ABSTRACTS OF THE 26TH NATIONAL CONFERENCE OF IASP, BHUBANESHWAR
|Year : 2019 | Volume
| Issue : 4 | Page : 251-255
|Date of Web Publication||15-Nov-2019|
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
. Award Papers. Indian J Soc Psychiatry 2019;35:251-5
| Balint Award|| |
| Healing the healer: A ten years journey of supporting a medical student with bipolar disorder|| |
Koushik Sinha Deb
Department of Psychiatry, AIIMS, New Delhi, India.
E-mail: [email protected]
Mental disorders are increasing becoming a significant issue amongst medical students, consequent to rapid societal changes and increase in life stress. Yet, help seeking for mental health problems in medical students are universally poor. Attitudinal factors, stigma and systemic barriers prevent early detection of such problems and often push students to self-harm and suicide. The fear of losing the capacity and license to practice often prevent students to come forward for treatment. Here we discuss the various issues of a similar case of India and deliberate on the possible solutions to help such students in need.
| Understanding the “invisible meta-structure” of systems approach to family therapy: Does therapeutic alliance play a role?|| |
Department of Psychiatry, AIIMS, Rishikesh, Uttarakhand, India.
E-mail: [email protected]
Therapeutic-alliance has been the 'holy-grail' of doctor-patient relationship but is probably most discussed in relation to psychotherapy. At times in an individual therapeutic scenario, it unfolds in the same way as Erikson's psychosocial stages. In the process it brings out the conflicts and dilemma in the personal and professional life of an individual therapist. Finally after cruising through the different stages an 'integrity' sets in, 'wisdom' prevails and helps the therapist to understand the bigger gestalt of couples/family interactions as epitomised in the systems model of family therapy.
| Experience and resolution of therapeutic relationships: An experiential narrative|| |
Department of Clinical Psychology, IHBAS, Delhi, India.
E-mail: [email protected]
Learning of the art of the development of the relationship between therapist and client has many challenges. Going by the Bowlby's attachment notion, the therapist comes with their own pre-conceived notions of psychotherapy relationship depending on their developmental histories. During the course of therapy, the relationship also brings in many conflictual boundary issues – to give mobile number, to have coffee with the client, invitation to their business establishments for shopping etc. On the way to their professional journey, the therapist has to struggle with self-disclosure issues. Sometimes the personal situations of the therapist's determine the formation of the relationship; at other times client's life histories can lead to insightful learning for therapists which can help them to overcome difficult situations in therapy. Clients are also very effective teachers, like psychotherapy supervisors, in teaching basics of therapeutic relationships. The present paper describes these different facets of therapeutic relationships I experienced over the years of my journey of learning and practicing individual psychotherapy. The paper describes how each experience led to learning of psychotherapy skills.
| GC Boral Award|| |
| Relationship of stigma with burden and coping among caregivers of patients with severe mental disorders|| |
Aseem Mehra, Ajay Kumar, Sandeep Grover, Subho Chakrabarti, Ajit Avasthi
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Aim: This study aimed to evaluate the association of stigma with the caregiver burden and coping. Methodology: 116 adults caregivers of the person with severe mental illness were evaluated on the stigma scale for Caregiver of People with Mental Illness (CPMI), Family Burden Interview Schedule (FBI), and Family Coping Questionnaire. Results: In terms of stigma, the mean total score was highest for the affective component followed by behavioural and least for the cognitive component of CPMI. On FBI, highest burden was reported for the financial burden followed by disruption of routine family activities, disruption of family leisure activities, disruption of family interaction, the effect on the physical health of others and effect on mental health others. The most common coping strategy used by the caregivers was gathering information followed by positive communication and patient's social involvement. A higher level of stigma in all the domains was associated with the significantly higher burden in all the domains of the objective burden, except for effect on physical and mental health on others. Higher use of copings such as positive communication and social interests were associated with higher stigma in all the domains except for lack of significant association between positive communication and cognitive domain of stigma. Higher use of resignation as a coping mechanism was associated with a higher stigma in the cognitive domain of CPMI. Conclusion: This study shows that a higher level of stigma among caregivers of patients with severe mental disorder is associated with higher objective caregiver burden and higher use of coping mechanisms like positive communication and social interest. Accordingly, it can be said that any effort to mitigate the caregiver burden need to take stigma into account.
| JK Trivedi Award|| |
| The role of spiritual well being and religious coping in psychiatric disorders associated with breast cancer patients: A cross sectional analysis|| |
Shelke Swati, S. Kedare Jahnavi, Sinha Deoraj
B.Y.L. Nair Ch. Hospital and T. N. Medical College, Mumbai, Maharashtra, India
Background: Spirituality and religious resources support and enhance both overall and emotional well-being during adversity such as diagnosis of breast cancer. Breast cancer patients are at higher risk of developing severe anxiety, depression and potential mood disorders. Objectives: To assess, compare & correlate spiritual well-being, religious coping in patients of breast cancer with & without psychiatric disorders (anxiety & depression). Methods: Recently diagnosed 90 treatment naïve Breast Cancer patients were selected in adherence to the inclusion and exclusion criteria. The scales Hospital Anxiety and Depression Scale-HADS, Spiritual Assessment Scale, Brief Religious Coping scale were applied to the sample population. Study population was divided into two groups depending on scores of HADS, those having psychiatric disorder and those who did not have. Data was analyzed using Mann Whitney test and Pearson's correlation coefficient in SPSS version 21. Results: More than half (61.1%) of the females suffered from psychiatric disorder after diagnosis of breast cancer. 50% and 38.9% of the study population developed significant emotional distress leading to diagnosis of cases of anxiety & depression respectively. Females suffering from psychiatric disorders have significantly lower spirituality, positive religious coping & significantly higher negative religious coping than females without any psychiatric disorder. Total spirituality score (p=0.034) is making significant contribution towards predicting depression. Negative religious coping is making significant contribution towards predicting both anxiety(p=0.008) and depression. (p=0.045). Conclusion: Findings provides evidence that spirituality and religion-based coping facilitates adaptive psychological adjustment to cancer and decreases the prevalence of anxiety & depression.
| Effect of caregiver group therapy on caregiver burden and neuropsychiatric symptoms in patients with dementia|| |
Osheen Saxena, Thiyam Karan Singh, Subhash Das
Department of Psychiatry, Government Medical College and Hospital, Chandigarh, India
Background: Dementia is a disease characterised by brain atrophy leading to cognitive decline. The clinical picture includes presence of neuropsychiatric symptoms which can increase the caregiver burden. The present research was aimed at studying the effect of group therapy intervention in caregivers of patients with dementia and its effect on caregiver burden as well as to see changes in the neuropsychiatric symptoms of the patients. The study was prospective, interventional and exploratory. Materials and Methods: The study included 30 primary caregivers of geriatric patients (aged 60 and above) with dementia. The caregivers were divided into two groups of 15, in which one group received routine treatment and the other group received group therapy in addition to routine treatment. The patients in both groups were assessed on NPI-Q, EASI and HMSE, and caregivers of both groups were assessed on ZBI before and after the intervention. Statistical Analysis Used: Independent t-test was used to compare the age between two groups, and Chi Square test to compare other sociodemographic variables between groups. Paired Samples t-test was used for within group comparison and Mann-Whitney U Test was used between groups. Results: There was significant improvement in neuropsychiatric symptoms of patients and caregiver burden after intervention in the combined group. However, there was greater improvement in neuropsychiatric symptoms of patients and caregiver burden in the group that received group therapy. Conclusions: Group therapy in caregivers of patients with dementia is effective in improving the neuropsychiatric symptoms of patients as well as in reducing caregiver burden.
| BB Sethi Award|| |
| Stigma for mental disorders among the elderly population in rural setting|| |
Aseem Mehra, Himanshu Singla, Sandeep Grover, Ajit Avasthi
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Aim: To evaluate the extent of stigma for mental disorders among the older adults (aged = 60 years) from a rural background visiting a general outpatient's clinic at the civil hospital as an attendant of patients. The secondary objective of the study was to assess the correlation of stigma with the sociodemographic profile, depressive disorder, anxiety disorder and family history of mental illness. Methodology: 104 older adults (aged = 60 years) from a rural background visiting a general outpatient's clinic at the civil hospital as an attendant of patients with physical illnesses were evaluated on Community Attitudes toward the Mentally Ill (CAMI) Scale, Physical Health Questionaire-9 (PHQ-9) and Generalised Anxiety Disorder-7 (GAD-7). Results: About three-fifths of the participants (59.6%) were females. About one third (32.7%) study participants had a family history of mental illness. Those with a family history of mental illness and from middle socio-economic status scored significantly higher on the domain of social restrictiveness, domain of CAMI. Level of education had a significant positive correlation with the subscales of benevolence, social restrictiveness and community mental health ideology. Age had a significant negative correlation with social restrictiveness domain. Those without anxiety disorder scored significantly higher on the Community Mental Health Ideology subscale, whereas those with depression scored significantly low on the subscale of Community Mental Health Ideology. Conclusion: Elderly in rural setting in general have a positive attitude towards mental illness.
| Assessment of sexual behaviour among patients seeking treatment for opioid dependence and their knowledge and attitude about high risk sexual behaviour: A cross-sectional observational study|| |
N. Chawla, S. Sarkar, A. Ambekar
Department of Psychiatry, National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India
Aims: The primary aim of the current study was to assess the sexual history, and behaviour among treatment-naïve male patients of heroin dependence presenting to outpatient services, their knowledge and attitude about high risk sexual behaviour, and their sexual quality of life. Methods: A cross-sectional exploratory study was taken up on treatment naïve patients of heroin dependence, recruited by purposive sampling method. They were assessed using semi-structured proforma that explored socio-demographic and clinical details, including details on injecting behaviour, sexual history and behaviour, perceived impact of heroin on sexual functioning, knowledge and attitude about high risk sexual behaviour); knowledge about HIV (though HIV Knowledge Questionnaire-18)and sexual quality of life (through Sexual Quality of Life Questionnaire – male). Results: Fifty three married patients with a diagnosis of opioid dependence were included. The mean age of the sample was 31.4 years, with mean age of heroin initiation being 22.5 years and 39.6% having a history of injecting drug use. About 40 percent of the sample reported to have engaged in casual sex or sex with a commercial sex worker, and many of them had reported such encounters unprotected. Almost all of the participants had reported sex under intoxication in the last month. Prolonging of the duration of erection and ejaculation was reported by a large majority of the participants, while many reported heroin to increase libido and sexual pleasure. HIV and sexual quality of life were generally poor. Injecting drug use was associated with significantly greater number of partners, having history of sexual with casual partner sex, unprotected sex with casual partner, and poorer sexual quality of life. Conclusion: Risky sexual behaviours are common (including few having coercion and assault) amongst patients with opioid dependence syndrome. Knowledge regarding high risk sexual behaviour and HIV is poor, which should be a focus of treatment strategies. Injecting drug use is associated with more risky sex and poorer sexual quality of life.
| Relationship of internet addiction with social connectedness, self-esteem, anxiety, depression, and insomnia|| |
Ajaypal Singh1,2, Samita Sharma1,2, Amit Bhatia1,2, Adarsh Kohli1,2
1Department of Psychiatry, PGIMER,2Department of Commerce and Management, DAV College, Chandigarh, India
Background: Internet Addiction Disorder (IAD) refers to excessive use of internet resulting in distress and impairment in socio-occupational functioning. A host of psychological and personality variables seem to be correlated to it. Aim: The aim of the study was to find out the relationship of Internet Addiction with Anxiety, Depression, Self- Esteem, Social Connectedness and Insomnia. Methodology: 140 college going students, both males and females, in the age range of 16-35 years were recruited using random sampling technique. Online questionnaire consisting of Young's Internet Addiction Scale (Kimberly, 1998), Rosenberg Self Esteem Scale (Rosenberg, 1965), Generalized Anxiety Disorder-7item Scale-GAD7 (Spitzer, 2006), Patient Health Questionnaire-PHQ-9 (Kroenke, 2001) Social Connectedness Scale-R (Lee, 2001), Insomnia Severity Scale (Morin, 2011) were administered. Results: Data was analysed for socio-demographic and clinical variables. Descriptive-analytic correlation revealed that Internet Addiction was positively related to Depression, Anxiety and Insomnia scores and negatively related to Social Connectedness and Self-esteem scores. Regression analysis indicated that Internet Addiction was able to predict the variance in psychological variables like Social Connectedness, Self-esteem, Depression, Anxiety and Insomnia to some extent. Conclusion: IA often is accompanied by other psychological and physical problems. Some physical, mental and personality issues like insomnia, anxiety, depression, stress, and low self-esteem are a result of pre-occupation with the internet. Management, therefore needs to consider and evaluate all these variables to deal with it effectively.
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