Kerala Journal of Psychiatry Official Publication of Indian Psychiatric Society (Kerala Branch) en-US (Dr. K Vidhukumar) Sun, 07 Jan 2018 00:00:00 +0000 OJS 60 Searching for the Child's Mind Varghese P Punnoose ##submission.copyrightStatement## Tue, 09 Jan 2018 00:00:00 +0000 Psychosomatic Problems in Caregivers of Patients with Major Mental Illnesses <p><em>Aim:</em> To assess the psychosomatic problems among caregivers of patients with major mental illnesses.</p> <p><em>Materials and Methods:</em> In this descriptive study, based on purposive sampling technique, 120 caregivers of patients with major mental illness admitted under Department of Psychiatry in a tertiary care centre were selected. Standardized four-dimensional symptom questionnaires were used to assess psychosomatic problems in caregivers of patients with major mental illnesses.</p> <p><em>Results:</em> Caregivers of the patients with major mental illness had moderately high to high level of psychosomatic problems. There was no significant difference in psychosomatic problems of caregivers among major mental illnesses (Schizophrenia, mood disorders, and alcohol dependence syndrome).</p> <p><em>Conclusion:</em> Caregivers of patients with major mental illnesses experience psychosomatic problems. There is no significant difference between the specific diagnosis of the patient and psychosomatic problems of caregivers.</p> KS Sumi, Varghese P Punnoose, Nisha Cyriac ##submission.copyrightStatement## Mon, 08 Jan 2018 00:00:00 +0000 Emotional Intelligence in Alcohol Dependent and Mentally Healthy Individuals: A Case-control study <p><strong>Aim:</strong> To assess emotional intelligence in patients with alcohol dependence and its comparison with control subjects.</p><p><strong>Materials and Methods: </strong>In this case- control study, based on purposive sampling technique, 30 patients with alcohol dependence were selected from the Deaddiction Clinic of Govt. Medical College Kottayam and 30 matched control subjects were selected from Medical and Surgical wards of Govt. Medical College Kottayam. The diagnosis of alcohol dependence was based on ICD-10 DCR criteria. Both the groups were matched on various sociodemographic parameters, that is, age, gender, and educational level. All participants were assessed with Mangal Emotional Intelligence Inventory. The study also explored into the relationship between emotional intelligence and the age at onset of alcohol use. Obtained responses were scored by using standard scoring procedures and subsequently statistically analysed by using SPSS version 22.</p><p><strong>Results:</strong> Patients with alcohol dependence were significantly deficient in almost all the areas of Emotional intelligence. Lower scores in self-awareness were associated with younger age at onset of alcohol use.</p><p><strong>Conclusion: </strong>Patients with Alcohol Dependence have significantly low Emotional Intelligence. Identifying and targeted training of the individuals with low emotional intelligence may be effective in prevention of alcohol dependence.</p><p> </p> KS Sumi, Varghese P Punnoose, Nisha Cyriac ##submission.copyrightStatement## Thu, 11 Jan 2018 00:00:00 +0000 Measuring Pain Behaviour: Scale of Pain Expression Behaviours (SOPEB) <p>Nonverbal communication refers to how people communicate, intentionally or unintentionally, without words. A study was conducted in general and taluk hospitals of Kottayam to develop a scale to measure pain behaviour: Scale of Pain Expression Behaviours (SOPEB). Consecutive patients brought to the hospitals with diabetic foot ulcer (n=350) were given SOPEB. They were also given Adult Nonverbal Pain Scale. We determined content validity index. Construct validity for SOPEB was computed through exploratory factor analysis. These factors concentrate and index the dispersed information in the original data and replace 105 characteristics to 25 characteristics in each domain. Kaiser-Meyer-Olkin Test values was 0.602, and it determines suitability of data for factor analysis. After rotation, it identified five linear components which gave eigenvalue of more than 1. A Scree Plot was used to visually assess which components or factors explain most of the variability in the data. Concurrent validity is used to correlate SOPEB scores with adult Nonverbal Pain Scale. The reliability of each item was calculated using percent agreement and the Cohen’s Kappa coefficient. Nonverbal communication has a key role in patient care. Effective communication takes into account nonverbal communication also. Usage of tools such as SOPEB helps to assess the proper quantification of pain behaviour.</p> Simmy M Varkey, PK Babu, Varghese P Punnoose ##submission.copyrightStatement## Sat, 31 Mar 2018 00:00:00 +0000 Stress and Coping Among Medical Officers in Kerala: A Cross-sectional Study <p><em>Background:</em> There is strong evidence to suggest that medical practitioners experience high levels of stress and it affects their work performance and quality of medical care. Adaptive and maladaptive coping strategies can influence the extent and severity of stress. However, empirical studies examining stress and coping among medical practitioners are less from Kerala.</p> <p><em>Methods: </em>Using a cross-sectional research design, we examined stress and coping among 31 medical officers in Kerala. The participants were recruited during the annual meeting of Kerala Government Medical Officers Association (KGMOA) held at Nilambur. Perceived Stress Scale and Brief Cope Inventory were used to measure their stress and coping. Descriptive and bivariate analysis were used to interpret the data.</p> <p><em>Results and Discussions:</em> Participants experienced moderate level of stress. The stress was significantly correlated with denial (r=.646), substance use (r=.667), use of emotional support (r= -.674) use of instrumental support (r= -.612) positive reframing (r= -.510) and planning (r= -.459).</p> <p><em>Conclusion:</em> Future studies may examine the predictive validity of the identified coping variables in a large sample. It is highly recommended that stress management and coping skill training programmes be organized for the medical officers in Kerala.</p> Anvar Sadath, Shibu Kumar ##submission.copyrightStatement## Fri, 30 Mar 2018 00:00:00 +0000 Adult Presentation of Dyke Davidoff Masson Syndrome With Schizoaffective Disorder — A Case Report <p>Dyke Davidoff Masson syndrome (DDMS) is a rare disease with characteristic radiological features, seizures, mental retardation, facial asymmetry, and psychiatric manifestations. Here, we report a case of a 50-year-old female who had a refractory seizure disorder and schizoaffective disorder. Radiological investigation revealed the features of DDMS.</p> <p><em>Keywords:</em> Dyke Davidoff Masson Syndrome, Cerebral hemiatrophy, Schizoaffective disorder</p> MK Dinesh Kumar, Denver Steven Pinto ##submission.copyrightStatement## Wed, 10 Jan 2018 00:00:00 +0000 Penile Self-Amputation in a Patient with Schizophrenia, while on Clozapine Augmentation with Modafinil: A Case Report <p>Genital self mutilation is extremely rare and is seen in psychotic illnesses with associated risk factors like commanding hallucinations, religious delusions, past suicide attempts, depression, personality disorder, substance abuse or gender identity problems. We report a case of total penile self amputation in a 23 year old male without any of these risk factors. He was diagnosed with schizophrenia and was well maintained on clozapine 150 mg with with (an sos) prescription of modafinil 100mg in the morning. In human clinical trials, modafinil has no evidence for self mutilatory behaviour.</p> NRK Anish, Anil Prabhakaran, Vidhukumar Karunakaran ##submission.copyrightStatement## Sun, 04 Mar 2018 00:00:00 +0000 A Case of Acute Psychosis Following Normalisation of Thyroid Status with Propylthiouracil in Long-standing Hyperthyroidism <p>Precipitation of acute psychosis following normalisation of thyroid status has been reported previously. Here, we report the case of a 62-year-old man with long-standing hyperthyroidism unresponsive to carbimazole, developing acute polymorphic psychotic disorder without symptoms of schizophrenia, along with normalization of thyroid status, after seven months of treatment with propylthiouracil.</p> Tom Ansumol, Chacko Deenu, Karunakaran Vidhukumar ##submission.copyrightStatement## Tue, 06 Mar 2018 00:00:00 +0000 Prevention of Inpatient Suicides: An Attempt to Portray an Approach <p>Inpatient Suicide (IPS) is the second most common sentinel event reported to the Joint Commission. Psychiatric inpatient suicide rates in the USA, China, New Zealand, Australia, and the UK range from 0.1% to 0.4% for all psychiatric admissions. Population-based mortality studies in psychiatric care show a 16-fold risk for suicide among psychiatric inpatients and a 2-3-fold greater risk for outpatients compared to the risk for outpatients treated in primary care. The risk factors for suicides in inpatient setting and general population differ. Moreover, the identified risk factors for IPS have relatively low degree of association. Nevertheless, psychiatric inpatients are at a higher risk for suicide. This article discusses the spectrum Model of interventions for mental health protection proposed by Mrazek &amp; Haggarty, B-SAFE strategy, and SAFE-T strategy. The above models portray a stepwise approach for inpatients who are “at risk” for suicide. Prevention strategies are to be specifically tailored for each individual, after carefully assessing the risk of suicide. Early diagnosis and proper treatment of psychiatric illness and modification of hospital environmental factors are the cornerstones in preventing inpatient suicides. The role of nursing and paramedical staff is also discussed.</p> Tony Thomas ##submission.copyrightStatement## Sun, 07 Jan 2018 00:00:00 +0000 Introduction to the Role of Psychiatrist in the Management of Terminally Ill Patients Gayathri Rajan ##submission.copyrightStatement## Wed, 10 Jan 2018 00:00:00 +0000 A Selective Summary of Psychopharmacology Research Published in Second Half of 2017 Manoj Kumar Therayil ##submission.copyrightStatement## Fri, 23 Feb 2018 00:00:00 +0000 Illustrate Well to Get Noticed: Graphs and Figures in Research Papers Samir Kumar Praharaj ##submission.copyrightStatement## Tue, 13 Mar 2018 00:00:00 +0000 Neurotribes: The Legacy of Autism and Future of Neurodiversity (Book Review) Badr Ratnakaran ##submission.copyrightStatement## Mon, 26 Feb 2018 00:00:00 +0000 Movie Review: Aby <p>Nil.</p> Badr Ratnakaran ##submission.copyrightStatement## Sun, 07 Jan 2018 00:00:00 +0000