Stigma among doctors towards people with mental illness

Background: Stigma towards adults with mental illness is a longstanding and widespread phenomenon. Stigmatizing attitudes are prevalent not only among the general population but also among doctors. Negative stereotyping of people with mental illness (PMI) leads to prejudice and discrimination, affecting all aspects of their medical care and well-being. The present study attempted to explore stigmatizing attitudes among doctors towards PMI.Methods: The research was observational and cross-sectional in design carried out on doctors in a medical college. Socio-demographic data including field of specialization, experience, and academic post were recorded. The community attitudes towards mental illness (CAMI) and social distance scale were administered. Social desirability bias was corrected for by using the Marlowe-Crowne social desirability scale.Results: Around 54 doctors from the specializations of medicine (n=24), surgery (n=19), and non-clinical fields (n=11) participated. We found no significant differences in attitudes towards mentally ill and social distance between medical specializations (p-values >0.05) even after adjusting for the effects of social desirability bias. Years of specialization experience (p=0.037) and having a family member or close friend with mental illness (p=0.012) were significantly associated with higher scores in the community mental health ideology sub-scale of CAMI. Higher social restrictiveness (p=0.014) and lower community mental health ideology (p=0.008) were associated with greater social distance from PMI.Conclusions: Doctors are not immune to biases and stigmatizing attitudes towards PMI. These attitudes are present across all fields of medical specialization and must be addressed by mental health professionals to ensure optimal care of this vulnerable population

Media exposure to earthquake-related content in its aftermath as a risk factor for acute stress disorder

Background: Introduced in DSM-IV, acute stress disorder (ASD) is a psychiatric diagnosis characterised by severe anxiety, dissociation, intrusive thoughts, and other symptoms occurring within one month of experiencing a traumatic event. Research indicates that ASD may place individuals at increased risk of developing chronic posttraumatic stress disorder (PTSD). There is growing evidence that increased media exposure to traumatic events is a risk factor for the development of posttraumatic symptomatology. Aims: We hypothesised that in the aftermath of a natural disaster, excessive exposure to television and Internet coverage might be a risk factor for ASD. Methods: Using a cross-sectional study design in a sample of 300 medical and nursing college students exposed to an earthquake, ASD was assessed with the Stanford Acute Stress Disorder Questionnaire (SARSQ) and media exposure by an interview to capture exposure to earthquake-related news via television and Internet. Results: Thirty six students developed ASD (12%). The odds of greater exposure to earthquake-related content via television was 1.93 times more (95% CI 1.02-3.66, p-value=0.042) and Internet 2.28 times more (95% CI 1.18-4.41, p-value=0.015) in students who developed ASD than those who did not. Conclusions: Our findings suggest that excessive exposure to earthquake-related media content via television and Internet in its aftermath is associated with a statistically significant risk of developing ASD

Patterns, Attitudes, and Dependence toward WhatsApp among College Students

Background: WhatsApp (WA), a free cross-platform smartphone application has revolutionized social communication over the virtual world. It enables information sharing, both personal and professional, individually and across social groups. Despite these positive changes, there have been concerns about excessive WA use, especially among college students, resulting in the neglect of important social and academic commitments. However, there is lack of quality research on WA use in this vulnerable population. Aims: The aim of this study is to understand the patterns and attitudes toward WA use and measure the level of dependence among college students. Materials and Methods: In a sample of 150 undergraduate medical college students who provided informed consent, comprehensive questionnaires were administered to assess the patterns, attitudes, and dependence toward WA use. Results: WA was the most common social media platform used (70%) which eclipsed the time spend on other apps (Facebook, Twitter, etc). While half of the students spent 1–2 h/day, a significant minority (10.67%) spent almost 6–7 h/day on WA. Nearly 12% (n = 18) of students qualified for WA dependence. There were no significant differences in patterns of WA use between students with or without WA dependence. Students with WA dependence had significantly lesser negative attitudes toward its use compared to the rest. Scores on all dimensions of WA addiction, namely, salience, mood modification, tolerance, withdrawal, conflict, and relapse were significantly higher in students with WA dependence. Conclusion: WA dependence is an emerging behavioral addiction among college students. With no specific pattern of use to distinguish dependent users, it is difficult to recognize this problem. Changing the attitudes towards WA use by creating awareness about it's addictive potential, monitoring and restricting the use of mobile phones especially during class hours, encouraging face to face interactions with friends and family can help reduce the progression of this behavioral problem. It is essential for clinicians to equip themselves to deal with technological addictions. Research on the the management of WA dependence using biopsychosocial principles suited to the Indian context are needed

Mindfulness and its role in psychological well-being among medical college students

Background: Mindfulness is a qualitatively unique way of paying attention: on purpose, in the present moment, and non-judgmentally. Rooted in ancient Buddhist philosophy, there has been a revival of interest in mindfulness as a psychotherapeutic tool in modern psychiatry. Mindfulness-based interventions have been used to treat a wide range of psychological problems successfully and have contributed to what is known as the third wave of psychotherapy. Mindfulness is a naturally occurring trait that varies across individuals. Research has shown mindfulness to be correlated with psychological well-being. Aims: We set out to study the variations in levels of mindfulness and explore its facets in a sample of undergraduate medical college students and analyse its association with depression, anxiety, and stress. Methods: In a sample of 150 students who provided informed consent, the Five Facet Mindfulness Questionnaire (FFMQ) and the Depression Anxiety Stress Scale (DASS) were administered to assess mindfulness and psychopathology respectively. Results: There were individual differences in levels of mindfulness as a trait. Mindfulness was associated with significantly lower levels of depression, anxiety, and stress. Among the facets of mindfulness, acting with awareness and non-judging were associated with significantly lower levels of all forms of psychopathology studied. Describing facet was associated with significantly lower levels of depression. Conclusion: Mindfulness is an inherent trait with inter-individual differences. The stressors of medical education that impact on the psychological well-being of students can be buffered by enhancing mindfulness. Research on the impact of integrating mindfulness training in medical education in the Indian context is needed

Depression and its correlates in men who have sex with men (MSM) in India

Background: The sexual minority status of the gay and bisexual community puts them into a unique vulnerability state for mental health problems. One of the factors associated with this stress is remaining in “closet” leading to a higher prevalence of depression. Aims: This study aimed to estimate the prevalence of depression in Indian men who have sex with men (MSM) and to assess the association of depression with disclosure, if any, in this community. Materials and Methods: This was a cross-sectional observational study of Indian men recruited through an advertisement on a dating website exclusive for gay men. Depression was assessed on self-reported scale of the Centre for Epidemiologic Studies Depression Scale-Revised (CESD-R). Results: Most of the men who took part in the study belonged to the age group of 25–35 years with mean age of the study sample being 30.31 years (standard deviation [SD] ±8.58). A majority of them were salaried, had higher education, and belonged to the Hindu religion. Most of the participants were either exclusively or predominantly homosexual (72%) followed by men with bisexual orientation (18%). On measures of disclosure/“outness,” out of 277 respondents, 171 (61.73%) were not open about their sexuality, 92 (33.21%) were sometimes open, while only 14 (5.05%) were always open about their sexual orientation in front of others. The average age of coming out of closet (n = 232) was 19.71 years (SD ± 6.67). The mean score on CESD-R scale was 25.65 (SD ± 16.38). Depression was present in 163 participants (58.84%) of the entire sample. The depression scores negatively correlated with age, with scores being higher in younger age group. Depression was not associated with the type of sexual orientation. Although the depression scores were higher in those who were in the closet, it was not statistically significant. Those who had negative experience of coming out of closet had significantly higher scores on CESD-R compared to those who had positive reaction on coming out. Conclusion: Depression is highly prevalent in Indian MSM

Effect of chronic ethanol administration on testicular antioxidant system and steroidogenic enzyme activity in rats

445-449In order to find out the effect of chronic ethanol administration on testicular antioxidant system and steroidogenic enzyme activity, male rats fed with ethanol 1.6g/kg body weight per day for four weeks were studied. Besides a drastic reduction in body and testis weight, there was decrease in ascorbic acid, reduced glutathione and activities of superoxide dismutase, catalase, glutathione reductase and glutathione peroxidase in the testicular tissue of the treated animals. Simultaneously, there was increase in lipid peroxidation and glutathione S-transferase activity. Activities of 3β-hydroxy steroid dehydrogenase and 17β-hydroxy steroid dehydrogenase were also found decreased in the treated animals. The results indicate that chronic ethanol administration resulted in increase in oxidative stress and decrease in the activities of steroidogenic enzymes in the rat testes

Experimental therapeutic intervention with ascorbic acid in ethanol induced testicular injuries in rats

172-176Ascorbic acid treatment significantly increased the activities of testicular Δ5, 3β-HSD and 17β-HSD . Moreover, the treatment was also associated with significant decrease in oxidative stress in the testis. Ethanol induced oxidative stress and decreased steroidogenesis can be reversed by treatment with ascorbic acid

Improving depression and perceived social support enhances overall quality of life among myocardial infarction survivors: necessity for integrating mental health care into cardiac rehabilitation programs

Abstract Background Depression and low perceived social support (PSS) have been found to deleteriously affect quality of life (QoL) among myocardial infarction (MI) survivors. The complex relationship between these variables has not been assessed. We wanted to assess first the prevalence of depression among MI survivors and whether depression mediates the effect of PSS on QoL and, second, whether the physical and social domains of QoL mediated the effect of depression and PSS on the emotional domain. This cross-sectional study was done among MI survivors using Cardiac Depression Scale, MacNew Quality of Life After Myocardial Infarction Questionnaire and Multidimensional Scale of Perceived Social Support to assess for depression, QoL and PSS respectively. Results A total of 103 MI survivors were included in the study, and the mean age was 59.66 (± 10.42) years. Depression was found in 21.36% of the participants. The indirect effect of PSS on QoL with depression as a mediator was significant (b = 0.15, p < 0.001, 95% CI = 0.12, 0.18). The direct effect of PSS on QoL controlling for depression was also significant (b = 0.05, p < 0.001, 95% CI = 0.02, 0.07). Depression as a mediator in the relationship explained 75.3% of the effect of PSS on QoL. PSS and depression did not have a significant direct effect on emotional QoL, but it became significant when the physical and social domains were included in the model. The total indirect effects of PSS and depression on emotional QoL were b = 0.16, p < 0.001, 95% CI = 0.05, 0.17 and b = − 0.05, p < 0.001, 95% CI = − 0.06, − 0.03, respectively. Conclusion Depression and poor PSS impair physical and social domains, which impairs the emotional domain of QoL; as such, overall QoL is undermined. As limited physical and social activity because of depression and poor PSS may increase the risk of further cardiovascular events, a holistic approach which includes mental health care is warranted