Journal articles / (OA) Kerala Journal of Psychiatry (July–December 2020)

Research reports in the Kerala Journal of Psychiatry 33, no. 2 (2020), published 31 December 2020.

Topics include

– preparedness of healthcare workers to attend to Covid-19 patients,
– internet use behaviour among undergrad medical students,
– association between postpartum depression and social support, and
– a mindfulness-based intervention to reduce stress among police personnel

KSM Editor’s note: Abstracts have been edited for brevity.

Valsan, Neethi, Ronnie Thomas, Praveenlal Kuttichira, Chithra Valsan, and Anita James. ‘Willingness and Psychological Preparedness to Attend to COVID-19 Patients Among Healthcare Workers in a Tertiary Care Private Hospital in Kerala: A Mixed-Method Study’. pp. 96–104.

Abstract: This was a mixed-method study combining a web-based cross-sectional survey, focus group discussions and semi-structured interviews. The cross-sectional survey covered 202 healthcare workers, and the qualitative assessment was done on 16 frontline healthcare workers.

The willingness to respond to the pandemic was found to be significantly higher among doctors and nurses compared to medical interns. Among demographic factors, increasing age and female gender were the key factors in determining willingness and positive emotional response. While anxiety was the most common emotional response, the fear of infecting family members was found to be the most common risk perceived in qualitative analysis. The study highlights the altruistic attitude of frontline health workers to be the most important contributing factor for psychological preparedness.

Considering the risks, workload, and socioeconomic stressors, proactive psychosocial support should be given to frontline healthcare workers by the institutions, governments, and society.

Parvathy, R. S., and C. A. Smitha. ‘Emotional Intelligence, Perceived Stress, and Internet Use Behaviour Among Undergraduate Medical Students: A Cross-Sectional Study’. pp. 105–13.

Abstract: In this cross-sectional study, using convenience sampling, 368 study participants were selected from the undergraduate medical students of a medical college in North Kerala. After getting written informed consent, socio-demographic data sheet, Internet Addiction Test (IAT), Schutte Self Report Emotional Intelligence Test (SSEIT) and Perceived Stress Scale (PSS) were filled up by the participants. Completed responses were scored and analyzed using SPSS 18.0.

In the sample, 42.9% had mild internet addiction, and 22.8% had moderate internet addiction. There was a positive correlation between scores of IAT and PSS and a negative correlation between scores of IAT and SSEIT. A pattern of increased levels of perceived stress and decreased levels of emotional intelligence was noticed with increasing levels of internet addiction scores.

Santhosh, Kuriakose, S. Vinaychandran, K. T. P. Dayal Narayan, and C. H. Mini. ‘Postpartum Depression and Its Association with Social Support: A Cross-Sectional Study at a Maternity Hospital in Kerala’. pp. 114–20.

Abstract: Cross-sectional assessment of mothers (n=250) during postnatal visits to the family planning clinics between four weeks and one year of delivery, using Edinburg Postpartum Depression Scale (EPDS), Social Support Questionnaire and a structured questionnaire for the assessment of psychosocial risk factors was carried out in a tertiary care postgraduate teaching hospital of north Kerala. Multivariate Regression Analysis was used to identify the risk factors for postpartum depression (PPD).

27.6% had postpartum depression, and 18.4% had suicidal ideation. Factors associated with the presence of PPD included alcohol use of husband, marital discord, lack of family support and lack of physical help during the postnatal period. Difficulties during labour, the gender of the baby or postnatal complications did not have a significant association with PPD.

Modifiable psychosocial factors have a close association with PPD, and these are opportunities for intervention as well. Considering the morbidity and mortality linked to untreated PPD, screening of postnatal women and routine provision of therapeutic services to them is suggested.

Krishnan, Sivasubramoney, Kothandaraman Lekshmy, Prabhakaran Anil, Bharathadas Sandhya, and Kumari Jayageetha. ‘Self-Reported Emotional Experience Among Police Personnel Before and After Attending a Mindfulness-Based Intervention (Mindful Life Management-MLM): An Observational Study’. pp. 125–30.

Abstract: Police officers have elevated rates of cardiovascular diseases, sleep disorders, anxiety disorders, depression and Post-Traumatic Stress Disorder. Kerala Police has implemented several programmes for the management of stress among its members. Mindfulness-Based Interventions (MBIs) have been shown to enhance emotional intelligence, reduce negative emotions and health outcomes in police officers.

The objective was to study the effectiveness of an MBI in reducing the negative emotions among police officers. The observational study attempts to assess and compare the subjectively reported emotion and Mindfulness level among police personnel before and six weeks after attending the Mindful Life Management (MLM) workshop.

Results of the present study suggest a statistically significant association between subjective emotional experience and the MBIs. Five Facet Mindfulness Questionnaire (FFMQ) scores also were found to be significant statistically. MLM can be thought of as a method of intervention to manage emotional turmoil among police personnel of our state. The relationship between the change in emotion and change in FFMQ score has to be further explored with adequate sample size.

Sukesh, G., and V. Indu Nair. ‘Pathways to Care and Duration of Untreated Illness in Patients Attending a State Psychiatric Hospital’. pp. 137–46.

Abstract: In India, due to various factors, mentally ill often turn to a variety of carers for treatment. It results in a longer duration of untreated illness (DUI) with poor long term prognosis. Studies on pathways to care, seek to find out predictors of mentally ill person’s help-seeking behaviour. There is a dearth of literature in this subject in Kerala setting.

A cross-sectional study was conducted on 250 consecutive first-time outpatients. The diagnosis was made according to DSM 5. A pilot-tested, semi-structured proforma was used for socio-demographic details and Encounter form by WHO for pathways to care. The analysis was done using Epi Info software.

Four gateways to care identified: Psychiatrist- 71.2%, faith healers – 14.8%, non-psychiatrist modern medicine doctors- 9.2%, alternate systems of medicine- 4.8%. Median DUI was seven months. Faith healers as first carers were more in below-poverty-line (BPL) compared to APL families.

Other articles on Kerala

Radhakrishnan, Parvathy, Praveen Arathil, and Dinesh Narayanan. ‘Association of Tobacco Smoking with Bipolar Affective Disorder: A Comparative Cross-Sectional Study at a Tertiary Care Centre in South India’. pp. 131–36.

Cherian, Vinu, Joel Philip, and Alexander John. ‘Prevalence and Factors Associated with Post-Traumatic Stress Disorder Among Flood-Affected Adults in a Panchayat in Ernakulam District in Kerala’. pp. 147–52.

Vinuprasad, V. G., N. R. Sharadha, and Mehmet Eskin. ‘Change in Attitude towards Suicide with Current Undergraduate Training in Psychiatry: A Cross-Sectional Study’. pp. 153–57.

Sam, Sivin P., Joice Geo, G. I. Lekshmi, and Roy Abraham Kallivayalil. ‘Post-Stroke Depression and Lesion Location: A Hospital-Based Cross-Sectional Study’. pp. 158–61.

More info and full text (OA):

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s