Eastern Journal of Psychiatry

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Volume 24, Number 1, January-June 2024
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EDITORIAL

Samrat S Bhandari, Shyamanta Das

New Horizons: A Fresh Perspective from the Editor's Desk

[Year:2024] [Month:January-June] [Volume:24] [Number:1] [Pages:2] [Pages No:1 - 2]

   DOI: 10.5005/jp-journals-11001-0068  |  Open Access |  How to cite  | 

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Presidential Address

Jayanta Das

Invest in Today for a Brighter Future

[Year:2024] [Month:January-June] [Volume:24] [Number:1] [Pages:3] [Pages No:3 - 5]

   DOI: 10.5005/jp-journals-11001-0071  |  Open Access |  How to cite  | 

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REVIEW ARTICLE

Cheryl Jolly, Shivani

Cross-cultural Perspectives on Digital Media and Well-being: A Narrative Review

[Year:2024] [Month:January-June] [Volume:24] [Number:1] [Pages:3] [Pages No:6 - 8]

Keywords: Cross-cultural, Digital media, Well-being

   DOI: 10.5005/jp-journals-11001-0069  |  Open Access |  How to cite  | 

Abstract

In an era characterized by unprecedented digital connectivity, understanding the relationship between digital media usage and well-being across different cultural contexts is crucial. This comprehensive review synthesizes quantitative and qualitative research findings to explore the complexities of cross-cultural perspectives on digital media and well-being. Through an analysis of cultural variability in digital media usage, the impact on psychological well-being, cultural norms and technological adaptation, socioeconomic disparities, and cultural competence in digital interventions, this review offers insights into the multifaceted interplay between culture, digital technology, and human well-being.

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Original Article

S TM Muhammed, Neha Sayeed, Vikas Kumar

Neuropsychological Functioning in Patients with Opioids Dependence during Early Abstinence: A Comparative Study

[Year:2024] [Month:January-June] [Volume:24] [Number:1] [Pages:7] [Pages No:9 - 15]

Keywords: Opioid dependence, Perceptual reasoning, Processing speed, Verbal comprehension, Working memory

   DOI: 10.5005/jp-journals-11001-0074  |  Open Access |  How to cite  | 

Abstract

Background: People with opioid dependence have various effects, especially in the areas of psychological, physiological, and social functioning. Aim: To study the improvement in neuropsychological functioning of patients with opioid dependence during early abstinence. Materials and methods: The study focused on 15 patients with chronic and acute opioid dependence each. Samples were taken after the detoxification period of 2 weeks. The clinical opiate withdrawal scale (COWS) was applied to rule out mild-to-severe withdrawal symptoms, and the severity dependence scale was applied to determine the severity of opioid dependence. Wechsler Adult Intelligence Scale (WAIS)-IV India was administered twice to both groups, just after the detoxification period and at the time of discharge. Results and discussion: The result indicates that both groups showed a significant difference in neuropsychological functioning from baseline to discharge. Scores on verbal comprehension, perceptual reasoning, working memory, processing speed, and intellectual functioning among acute opioid users improved significantly from baseline to discharge, whereas the chronic users showed a decrease in their perceptual reasoning over time. Conclusion: Acute opioid users showed significant improvement in neuropsychological functioning over time, whereas chronic users took time to recover their neuropsychological functioning.

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Original Article

Dr Ranjan Bhattacharyya, Supriya K Mondal, Soumen Mondal, Koushik Banik, Nazmul Khan

The Trend of Utilization of Opioid Substitution Therapy Services in the Prepandemic Era in a Tertiary Medical College in India

[Year:2024] [Month:January-June] [Volume:24] [Number:1] [Pages:6] [Pages No:16 - 21]

Keywords: Buprenorphine substitution, Cumulative service, Opioid substitution therapy, Regular attendance, Sexually transmitted infection clinic, Tertiary care

   DOI: 10.5005/jp-journals-11001-0076  |  Open Access |  How to cite  | 

Abstract

Introduction: Human immunodeficiency virus (HIV) prevention among intravenous drug user (IDU) is the ultimate goal of National AIDS Control Organization (NACO). The government hospitals across India are expanding with opioid substitution therapy (OST) services. Aims and objectives: The primary aim was to find out the pattern of hopsacking behavior in a newly functional OST clinic in a government setup in India. As the prevalence of HIV infection is on rise, requirement of opening OST clinic are also emerging. Materials and methods: The datasheet has been made in accordance with guidelines, and the descriptive and analytical statistics study has been carried out in a tertiary medical college of a government setup in India. The new patients enrolled, total clients registered, active client load, and total client load have increased at the beginning and end of the study period. The data were analyzed using IBM Statistical Package for the Social Sciences (SPSS) version 20.0. Results: New clients enrolled during the study period are n = 62. From inception, total clients raised to 202. Very regular, regular, and irregular clients were n = 27, 10, and 72 changed to n = 56, 22, and 13, respectively from beginning to end of the study which is statistically not significant χ2 = 0.0792, p = 0.961. Total number of client vs active clients during beginning and end of the study shows significance, χ2 = 25.3311, p < 0.001. The relationship between new clients, total clients, treatment completed, clients with other outcome and active client shows significance in 2 × 5 contingency table, χ2 = 99.3704, p < 0. 001.The relationship between sexually transmitted infection (STI) referral, HIV tested, and condoms dispensed has shown significance with χ2 = 6.071, p < 0.048. Conclusion: Opioid substitution therapy is an effective therapeutic option to manage IV drug users. The screening with stringent criteria is essential before client selection.

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Original Article

Dina Raja, Shyamanta Das, Chimanjita Phukan, Simanta Talukdar, Samrat S Bhandari, Sanjay Singh

Association in Toxoplasma gondii and Related Psychotic Disorders: A Primary Report

[Year:2024] [Month:January-June] [Volume:24] [Number:1] [Pages:2] [Pages No:22 - 23]

Keywords: Enzyme-linked fluorescent assay, Neuropsychiatric disorders, Schizophrenia

   DOI: 10.5005/jp-journals-11001-0075  |  Open Access |  How to cite  | 

Abstract

Background: Implication of infection in etiology of psychotic disorders is an area of interest. Aim: We aimed to explore the relationship between Toxoplasma gondii and psychotic disorders in a preliminary study. Materials and methods: T. gondii immunoglobulin M (IgM) and immunoglobulin G (IgG) antibodies were measured in a sample of patients with psychotic disorders, first-degree relatives (FDR), and healthy volunteers (HV) and compared. Data were analyzed by descriptive statistics in the forms of frequency and percentage using Statistical Package for the Social Sciences (SPSS). Results: Sample size was 10. Men and women were equal. All were from rural background. One patient with psychotic disorder out of the four had anti-T. gondii IgG antibodies in comparison to none among the three each of the FDR and HV. The patient with positive Toxoplasma IgG antibody status had the diagnosis of acute and transient psychotic disorder (ATPD). Conclusion: This pioneering pilot project from this part of the globe highlights a pertinent area for further work in the future in order to have a newer understanding in proper management of psychotic disorder.

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CASE REPORT

Priyajyoti Chakma, Bhubaneswar Roy, Arnab Deb

Risperidone-induced Priapism: A Rare Case Report

[Year:2024] [Month:January-June] [Volume:24] [Number:1] [Pages:2] [Pages No:24 - 25]

Keywords: Adverse effects, Antipsychotics, Case report, Ischemia, Penis

   DOI: 10.5005/jp-journals-11001-0073  |  Open Access |  How to cite  | 

Abstract

Priapism is a rare pathological condition in which a penis remains erect for an hour in the absence of stimulation or after stimulation has ended. Priapism can be of ischemic, nonischemic, and recurrent ischemic types. Ischemic type is also known as low-flow and likewise nonischemic as high-flow as well as recurrent ischemic as intermittent. Causes for ischemic priapism are many. Medications like antipsychotics are also responsible. α-adrenergic blockage is related to antipsychotics-associated priapism. The α-receptors mediate this that are located in the corpora cavernosa of the penis. A patient with risperidone-induced priapism is reported here. Switching to olanzapine resolved his problem. A drug which has α-1-blocking properties that are less marked is a preferred choice for switch. Unfortunately, we are yet to reach a consensus regarding what is the best choice of medication. It is pertinent to search for priapism risk factors. Thereafter, one should proceed to antipsychotic prescription. Not only the patient should know about this adverse effect but also one should know the need for urgent medical intervention.

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LETTER TO THE EDITOR

Nitisha Verma, Ashutosh Kumar Karn

Deafferentation Hallucinations: A Less Explored Entity

[Year:2024] [Month:January-June] [Volume:24] [Number:1] [Pages:2] [Pages No:26 - 27]

   DOI: 10.5005/jp-journals-11001-0065  |  Open Access |  How to cite  | 

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View Point

Dip Jyoti Deori

Is It a Correct Proposal for Improving Compliance?

[Year:2024] [Month:January-June] [Volume:24] [Number:1] [Pages:2] [Pages No:28 - 29]

   DOI: 10.5005/jp-journals-11001-0067  |  Open Access |  How to cite  | 

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OPINION

Saura K Dutta

Cataract Surgery: A Boon for Quality of Life

[Year:2024] [Month:January-June] [Volume:24] [Number:1] [Pages:1] [Pages No:30 - 30]

   DOI: 10.5005/jp-journals-11001-0070  |  Open Access |  How to cite  | 

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Book Review

Himabrata Das

In Awe of “Aaj Bosonto”

[Year:2024] [Month:January-June] [Volume:24] [Number:1] [Pages:1] [Pages No:31 - 31]

   DOI: 10.5005/jp-journals-11001-0072  |  Open Access |  How to cite  | 

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