Vol. April 2019
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(Official Publication of Delhi Psychiatric Society) Vol. 22 No. 1 April, 2019 Delhi Hon. Editor M.S. Bhatia Psychiatric Society Assoc. Editor Shruti Srivastava www.delhipsychiatricsociety.com Journal Committee Aparna Goyal Ankit Saxena Executive Council (2018-2019) N.C. Priyadarshini Editorial Advisory Board A.Q. Siddiqui Office Bearers Ajay Kohli Ajit Avasthi President : Deepak Raheja Ashwani Kumar B.S. Chavan Vice President : Vishal Chhabra E. Mohan Das Indira Sharma General Secretary : Pankaj Kumar M.L. Agarwal Maqbool Dar Patron : N.K. Bohra Mushaq A. Margoob N.K. Bohra Neena Bohra Joint Secretary : Manushree Gupta R.C. Jiloha R.K. Gaur Treasurer : Shruti Srivastava R.K. Solanki Rajesh Nagpal Hon. Editor : M.S. Bhatia Rajesh Rastogi Rajiv Gupta Immediate Past President : Rajesh Goyal Rakesh K. Chadda Roy Kallivayalil S.A. Azmi S.C. Malik S.C. Tiwari Executive Council Members S.K. Khandelwal Smita Deshpande Sunil Mittal Manish S. Kansal T.B. Singh T.P. Jindal T.S.S. Rao Deepak Gupta Tushar Jagawat Editorial Committee: Dinesh Kumar Kataria S.A. Azmi Rajesh Sagar Ajit Sidana Ramesh Chandra Nikhil Raheja Anubhav Rathi Rashmita Saha Anurag Jhanjee Ravi Gupta Shobhana Mittal Dinesh Kataria Rupesh Chaudhary Gaurav Rajendra S.K. Verma Jaswinder Kaur Sandeep Choudhary Editorial Office : Jyoti Prakash Savita Jagawat K.K. Verma Shahzadi Malhotra Department of Psychiatry, Lalit Batra Shalini Malhotra University College of Medical Sciences Maryam Safara Sonali Jhanjee and Guru Teg Bahadur Hospital, N.K. Aggarwal Sujata Sethi Dilshad Garden, Delhi-110095 Nimisha Doval Uday K. Sinha Tel.: 22586262 Extn. 2127 Fax : 0091-11-22590495 Nirmaljit Kaur Vibha Sharma E-mail : [email protected] Pankaj Kumar Vikas Gaur : [email protected] Priyanka Gautam Vishal Chabbra Delhi Psychiatry Journal is Published by Dr. Copyright © The Association of Delhi Psychiatric Society of Delhi. M.S. Bhatia on behalf of Delhi Psychiatric Society (Regd.), University College of Medical The views expressed by authors in publications of Delhi Psychiatry Sciences & G.T.B. Hospital, Dilshad Garden, Delhi- Journal are their own, Editor and Editorial Board do not hold any 110095 (India). Layout Designing and Printing by AAR Computers, 5-C, Pocket B-7, Mayur responsibility for their views. The Publishers are not responsible Vihar Phase-III, Delhi-110096. Correspondence for any error or omission of fact. to: D-1, Naraina Vihar, New Delhi-110028 (India). Delhi Psychiatry Journal 2019; 22:(2) © Delhi Psychiatric Society APRIL 2019 DELHI PSYCHIATRY JOURNAL Vol. 22 No. 1 Contents Editorial Parental Handling Measures Among Physically 57 Psychoeconomics – The Upcoming Role of 5 Challenged Children and Normal Children: Mental Health Professionals A Comparative Study M.S. Bhatia Nabat Arfi, Farzana Alim, Suhail Ahmad Azmi To Assess and Compare the Depression and 63 Review Articles Psychosis in Patients following Caesarean Body Image Dissatisfaction and its Psychological 7 Section and Vaginal Delivery Outcomes: An Overview Priyanka Bhardwaj, Sandeep Choudhary, Kanchan Verma, Saroj Verma S. Sudarsanan, Sachin Sharma Empowering Children – Age Appropriate 16 Gender Differences in Prenting Stress in 68 Sex Education Caregivers of Children with Intellectual Sumit Rana, Om Sai Ramesh V., Prerna Kukreti Disability Shiv Prasad, Dinesh Kataria Shahzadi Malhotra, Waheeda Khan, M.S. Bhatia Original Articles Efficacy of Electroconvulsive Therapy in 72 Serum Testosterone levels and Suicide in first 23 patients with Mental Illnesses: A Socio- episode Schizophrenia: A longitudinal clinical demographic and Clinical Profile Study study Ajeet Sidana, Jasmine Brar, Subhash Das, Sharouq Motwani, Sagar Karia, Avinash De Sousa Prinka Arora Nilesh Shah, Amresh Shrivastava A Comparative Study of Stress Level in 77 Disability and its Correlation with Symptom 28 Siblings of Children with and without Domains of Schizophrenia: A cross Sectional Disability hospital based study Surbhi Sharma, Shahzadi Malhotra Azmi Naaz, Suhail, Ahmed Azmi Perceived Stress and Coping Strategies in 82 Psychiatric Co-Morbidity in Alcohol, Nicotine 33 females with Psychogenic Non-Epileptic and Alcohol – Nicotine Dependent Patients Seizures in a Tertiary Care Hospital, New Delhi Jaskaranjit Singh Litt, Tushar Jagawat, Richa Mehta, Anuj Mittal, Dweep Chand Singh Krishna Kanwal, Bajrang Lal, Pankaj Tandon Chirag Patel Assessment of Anxiety symptoms among 42 medical Students at the time of joining and Prevalence, Predictors and Comorbidity of 89 after one year Dissociative Disorder Patients at a Tertiary Ripu Daman Singh, Shri Gopal Goyal, Care Centre in North India: A cross sectional K.K. Verma, Girish Chandra Baniya, study Prem Prakash Mahboobul Hasan Ansari, Rakesh Kumar Gaur Pattern of substance use and the socio- 47 Kishan Chand Gurnani, Vishal Sinha, demographic variables among urban adolescents: Faisal Shaan A hospital-based study Audit of Assessment of Metabolic Syndrome in 95 Roopam Kumari, Namita Deka, Dinesh Tyagi Patients with Schizophrenia on Antipsychotic Medications To understand Personality Characteristics of 53 Shambhavi Jaiman, Santosh Prabhu, the Substance abusers and its Contribution Shishir Kumar, Shrinivasa Bhat U. to the Addictive nature Rupesh Chaudhary, Pankaj Kumar, Factoral Validation of Connor Davidson 99 Bholesh Prasad Mishra Resilience scale on Indian Sample Usama Rehman, M.G. Shahnawaz Delhi Psychiatry Journal 2019; 22:(1) © Delhi Psychiatric Society 3 DELHI PSYCHIATRY JOURNAL Vol. 22 No. 1 APRIL 2019 Study of Perceived Stress in Undergraduate 105 Single Parenthood Families and their impact 161 Medical Students in a Private Medical on children in India College in Tamil Nadu Nasir Ahamd Bhat, R.R. Patil K. Monicka Depression and Anxiety in patients of chronic 114 View Point obstructive pulmonary disease at tertiary Is the patient centric Mental Health Care 166 care hospital Act indeed patient centric – a clinical Gaurav Bhardwaj, Priyanka Bhardwaj perspective Pragya Lodha, Avinash De Sousa Group Therapy Minimize Craving in Individuals 118 with Alcohol Dependence Drug Review Prem Prakash, Amool Ranjan Singh Evenamide – A New Hope for Treatment 171 Resistant Schizophrenia Public Lectures In Psychiatry: An Highly 126 M.S. Bhatia, Aparna Goyal, N.C. Priyadarshini Beneficial Yet Cost-Effective Tool Kuldip Kumar, Rupam Dhiman Case Reports Amitriptyline Induced Restless Legs 175 Role of Group Therapy in the Enhancement 131 Syndrome of Social Skills in Schizophrenia Parijat Roy, Heena Merchant, Nilesh Shah, Vishmita, Amool Ranjan Singh Avinash Desousa Psychomicrobiology A case of Bipolar affective disorder with 177 Psychological Aspects of Swine Flu 139 auto-immune encephalitis: Diagnostic and Nirmaljit Kaur, Shalini Malhotra, management approach Nandini Duggal, M.S. Bhatia Ajeet Sidana, Ramandeep Kaur, Nishit Sawal Psychophysiotherapy Sleep Bruxism due to Paroxetine 180 Management of Obesity in Children and 144 Navneet Kaur Bhatia, Navleen Kaur Bhatia, Adolescents–Psychophysiotherapeutic M.S. Bhatia Approach Jaswinder Kaur, Megha Masaun, M.S. Bhatia Book Review Inhalant Addiction – “The Silent Epidemic” 183 Psychophysical Aspects of Cardiac 151 M.S. Bhatia, Aparna Goyal Rehabilitation Jaswinder Kaur, Mansi Gupta, M.S. Bhatia Interesting Articles 184 Forthcoming Events 186 Commentary Drug Addiction among Kashmiri Youth and 158 Instructions to authors 190 Prevention Thereof Nuzhat Firdous 4 Delhi Psychiatry Journal 2019; 22:(1) © Delhi Psychiatric Society APRIL 2019 DELHI PSYCHIATRY JOURNAL Vol. 22 No. 1 Editorial Psychoeconomics – The Upcoming Role of Mental Health Professionals M.S. Bhatia Department of Psychiatry, UCMS & GTB Hospital, Dilshad Garden, Delhi-110095 Psychoeconomics is a field that uses techni- effectively referring individuals for specialist debt ques from psychology and economics.1 It is also counselling and monitoring progress; and also called behavioral finance. assessing whether patients have sufficient mental A number of studies on UK based students have capacity (i.e. financial capacity) to manage their shown that mental health problems are linked to finances and if required, assigning control of finances financial problems,2 level of debt3 and concern about to appointees and attorneys.13 finances.4 Government surveys in UK found that 1 Understanding the stages and mechanisms in 11 people report debt or arrears but in individuals through which a manageable debt becomes a with mental health problems,5 this figure increases problem debt can help mental health professionals to 1 in 4. Greater financial difficulties predicted act before a full-blown crisis occurs. There is a debt greater depression and stress.6 Anxiety and alcohol spiral, which consists of missed payments and dependence also predicted worsening financial penalties; juggling finances; creditor pressure; situation suggesting a bi-directional relationship.6 financial breakdown; unrealistic arrangements; legal Around 9% of people without mental health proceedings and finally, total loss.13 problems reported debt or arrears, whereas 24% of The psychiatrists can face difficult challenges individuals with neurotic conditions and 33% of those when dealing with individuals who are accruing with psychotic conditions were in debt.5 37% patients problem debt (i.e. falling behind with payments) or assessed after an act of self-poisoning were in debt7 priority debt (resulting in loss of essential services and the difficulties in repaying debts is an or court action resulting in loss of liberty) but have independent predictor