Kerala Journal of Psychiatry 2019-08-15T00:52:50+00:00 Dr. K Vidhukumar Open Journal Systems Official Publication of Indian Psychiatric Society (Kerala Branch) Peer reported prevalence of substance and internet use among school going adolescents 2019-07-16T13:55:09+00:00 Kunnathoor J Amala Albert P Diya Nair Abhishek Karunakaran Vidhukumar <p>BACKGROUND: Adolescent substance use is an important public health problem because of its potential consequences on a growing brain. Problematic internet use is also a related phenomenon. The validity of self-report of substance and internet use is questionable in this population because of social desirability bias.</p> <p>OBJECTIVE: To estimate gender specific extent of substance use and internet use among students of eighth to twelvth classes in an urban area in Ernakulam, Kerala based on the report of peers.</p> <p>MATERIALS AND METHODS: A school based cross-sectional study was conducted over a period of one month in Kalamassery, Ernakulam District, Kerala. Information on the extent of substance and internet use among the students was obtained by a peer-reported anonymous self- administered questionnaire from all the students of classes eighth to twelvth of three randomly selected schools.</p> <p>&nbsp;</p> <p>RESULTS: Data were collected from 278 school students (133 boys and 145 girls). Excessive Internet use was reported among 20% boys and 14% girls. Substances with high use among boys were nicotine (11.54%), cannabis (6.67%), solvent (5.88%) and alcohol (5.88%). Solvent use was reported among 2.77% of girls.</p> <p>&nbsp;</p> <p>CONCLUSION: Although peer report survey has certain limitations, it can give early indications of student behaviours. The estimates obtained are nearer to self-reported substance use. The reported solvent use in the study is worth exploring.</p> 2019-07-16T00:00:00+00:00 ##submission.copyrightStatement## Prevalence and correlates of depressive symptoms among children with specific learning disorder attending a tertiary care centre 2019-07-23T13:05:49+00:00 Rajina P Narayanan Jayanthi M Ramanujan Leji K Jose Varsha Vidyadharan <p>ABSTRACT</p> <p>Background: Children with Specific learning disorders are highly likely to manifest concurrent social, emotional and mental health problems.</p> <p>Objectives: To assess the prevalence of depressive symptoms among children with Specific learning disorders.</p> <p><strong>Methods</strong>: The study was conducted in the Institute of Mental Health and Neurosciences (IMHANS), Kozhikode. The cross-sectional study design was used for the study. The sample consisted of 100 children with Specific learning disorders between the age group of 8 -15 years and was selected by purposive sampling. We used a semi-structured interview schedule for collecting socio personal variables and clinical variables. The short version of standardised Mood and feelings questionnaire both child self-report and parent report on child to assess depressive symptoms. Prevalence of depressive symptoms was expressed in percentages and association of this with other variables was analysed using the chi-square test.</p> <p><strong>Results</strong>: 23% of children with Specific learning disorders had depressive symptoms as per the child self-report and as per parent report 14 % of children with Specific learning disorders had depressive symptoms. About 9% of the parents were not recognising their children’s depressive symptoms; there is a significant association between impairment in writing an expression and depressive symptoms (chi-square value =18, P value&lt; 0.001)</p> <p><strong>Conclusions</strong>: There is a high prevalence of depressive symptoms in various subtypes of Specific learning disorders. Depressive symptoms are often undetected and there is a need for early identification.</p> <table style="height: 35px;" width="727"> <tbody> <tr> <td>&nbsp;</td> </tr> </tbody> </table> <p><strong>Keywords</strong>:&nbsp;&nbsp; Depressive symptoms; Specific learning disorders, prevalence</p> <table style="height: 35px;" width="727"> <tbody> <tr> <td>&nbsp;</td> </tr> </tbody> </table> 2019-07-23T12:06:42+00:00 ##submission.copyrightStatement## Depression and anxiety symptoms in psoriasis patients compared to a control group without psoriasis—a descriptive study 2019-08-14T14:33:30+00:00 Sethulakshmi Sreevalsam Anil Pankajakshan Vijayanthi Indu Vidyadharan Suja Anuja Elizabeth George Prabhakaran Anil <p><strong>Background</strong>: Due to psychosocial and neurobiological reasons psoriasis is frequently associated with depression and anxiety. The aim of this study was to compare the occurrence of depression and anxiety symptoms in patients with psoriasis with a control group without psoriasis. It was also aimed to study the correlates of these psychological symptoms in patients with psoriasis.</p> <p><strong>Methods:</strong> A cross-sectional, comparison study was done on patients with psoriasis (N=35) and a control group (N=23), who were patients from Otorhinolaryngology department or their caregivers, without psoriasis, attending a tertiary care centre. In the study group, the severity of psoriasis, quality of life, depression and anxiety symptoms were assessed using the Psoriasis Area and Severity Index (PASI), Dermatology Life Quality Index (DLQI), Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 scale (GAD-7) respectively.</p> <p><strong>Results</strong>: 57.1% of cases (95% CI= 39.52-73.24) were found to have symptoms of depression versus 8.7% (95% CI= 1.52-29.51) of controls (p &lt;0.01).&nbsp; 45.7% of cases (95%&nbsp;&nbsp; CI= 29.22 - 63.12) had anxiety symptoms while it was absent in controls (p&lt;0.01). No significant difference between the cases and controls were noted in other variables. Scores of PHQ-9 (<em>ρ</em>=0.825, p&lt;0.01) and GAD-7 (<em>ρ</em>=0.766, p&lt;0.01) were found to have a significant positive correlation with DLQI scores—higher scores suggestive of poorer quality of life. No significant correlation was found between the duration of psoriasis, PASI, PHQ-9 and GAD-7 scores.</p> <p><strong>Conclusion</strong>: There is a high prevalence of depressive and anxiety symptoms in patients with psoriasis compared to a control group without psoriasis. Psychological symptoms have a significant correlation with poorer quality of life of patients with psoriasis.</p> 2019-08-14T14:33:30+00:00 ##submission.copyrightStatement## ‘The Protection of Children from Sexual Offences Act (POCSO), 2012’ in Clinical Settings 2019-07-24T12:06:02+00:00 Aloka Joy Manoj Kumar Therayil Vasudevan VT Namboodiri <p><em>Many of us feel overwhelmed while handling a child abuse case in a busy outpatient unit. Though ‘The Protection of children from sexual offences act, 2012’ is strictly in action now, it possesses a lot of imperfections which challenges its effective implementation. This article highlights the strengths of the act and at the same time reflects the ethical and legal dilemmas we usually encounter in our day to day practice.</em></p> 2019-07-24T11:22:58+00:00 ##submission.copyrightStatement## Religious delusions: it’s importance in psychiatry and a case report 2019-07-22T12:12:23+00:00 Sivin P Sam Jithu Jacob Varghese Roy Abraham Kallivayalil <p>Religion and spirituality plays a significant role in the lives of many individuals around the world. However, the importance of religion and spirituality to various domains of psychiatry (psychopathology, explanatory models, treatment seeking, treatment adherence, outcome, etc.) has not received much attention. Religious beliefs influence help seeking, diagnosis, treatment, and outcome of the individuals. Religious delusions are on its rise in the new era. Evidence suggests that those with religious delusions take longer to establish service contact, receive more medications, have overall higher symptom scores, and have poor socio-occupational functioning. Those with religious delusion are more likely to receive magical-religious healing, are not satisfied with psychiatric treatment, and are more likely not to adhere to psychiatric treatment. Evidence also suggests that those with religious delusions have poor outcome and more frequently indulge in violence and self-harm. Religious delusions can influence the health beliefs models and consequently lead to poor treatment compliance.</p> 2019-07-22T12:12:22+00:00 ##submission.copyrightStatement## How to choose a scholarly journal for your manuscript 2019-08-15T00:52:50+00:00 Samir Kumar Praharaj Shahul Ameen 2019-08-15T00:52:50+00:00 ##submission.copyrightStatement##