Mohan Isaac

Mohan Isaac
University of Western Australia | UWA · School of Psychiatry and Clinical Neurosciences

MD, DPM, FRCPsych, FRANZCP

About

123
Publications
18,362
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1,918
Citations
Additional affiliations
April 2005 - October 2015
University of Western Australia
Position
  • Professor of Psychiatry

Publications

Publications (123)
Article
Full-text available
Methods: A systematic analysis was performed of the medical specialization academic programs of 20 different countries to establish which medical specialties take into account mental health issues in the specialty curricular design and which mental health content these programs address. The criteria that were explored in the educational programs i...
Article
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The COVID19 pandemic is an unprecedented disaster. In India, the spread of COVID19 infection and the subsequent lockdown coincided with a crucial period of the annual examination in almost all educational institutions. The pandemic has created hurdles in the conduct of examination due to many reasons, some of which are spread of infection and assoc...
Article
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In the middle of COVID-19 crisis in India and the psychological impact on millions of peoples, is it time to reconsider psychiatry training for Indian medical graduate under the new competency-based curriculum? India has one of the highest numbers of medical colleges in the world and also has over a million doctors, including MBBS graduates working...
Article
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Background: In India, there is a large gap between the mental health morbidity in society and the availability of psychiatrists. However, the latest Indian undergraduate medical curriculum does not require any competency in psychiatry to be fulfilled for certification of medical graduates as doctors. Thus, the role of Indian psychiatry teachers is...
Article
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207 crucial in effective implementation of curriculum. Training of psychiatric teachers should happen at state and zonal level in a periodic manner. Within the next 3 years, at least one-third faculty members of psychiatry at Indian medical institutions should be trained in the teaching-learning methodologies that are specific to psychiatry. Guidel...
Poster
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The study examined the relationship between subjective well-being & religious beliefs & practices in a sample of urban Indian adults (N=1099). The results are presented in this poster.
Book
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The Postgraduate in Psychiatry should know ABC of Psychiatry and this multiauthored book provides information on all aspect of Psychiatry PG training and beyond
Conference Paper
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A comparison of mental health legislation in three countries - Fiji, India and Australia A comparison of mental health legislation in three countries - Fiji, India and Australia Introduction United Nations Convention on the Rights of Persons with Disabilities (CRPD) challenged the traditional mental health legislation by asserting that people wi...
Article
Purpose of review: To understand the current situation, needs and challenges in the area of postgraduate training in psychiatry in Asia and identify implementable solutions.Leaders in psychiatric education from nine Asia Pacific countries prepared country reports, based on a suggested list of items and met for a day to discuss and identify impleme...
Conference Paper
Full-text available
For the last few years a group of teachers lead by Dr. Mohan Isaac has been Conducting, at state Zonal and National IPS fora to Draw attention to the need for a skilled Teachers of psychiatry. These efforts have lead to identifying a need for forming a Teachers group at State level to take their needs forward. One meeting organised at St.John’s Med...
Poster
Back ground: India’s Population >1.30 Billion , >10% of Population Have Mental Health Disorder That Needs Intervention (1), 0.3 Psychiatrist /100,000 Populations.(1) Primary Health Care Centers Run by MBBS doctors in Backbone of Health Services. In Indian MBBS Curriculum Psychiatry - 20Hrs Theory, 20 sessions of Clinical & 15 Days Internship P...
Article
Mental hospitals in India, as elsewhere in the world, have played an important role in the care of persons with mental illness. Since their inception, they have both been decried for gross violations of human rights and dignity as well as lauded as places of refuge and care for persons turned away by the communities. In a country where community in...
Article
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Deinstitutionalization movement in the West brought about community care movement of mentally ill. Because of this, caring for the mentally ill became an important aspect. In resource-rich countries, caregiving is done by trained persons and in resource-poor country (like India), caregiving was done by untrained family members. Cross-cultural facto...
Article
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Interventions for mental health promotion have to be initiated not just by the traditional mental health sector but by numerous other sectors and stakeholders who are involved in dealing with the social determinants of mental health. Collaboration would the most appropriate and effective approach to deal with social determinants of mental health. H...
Chapter
Due to the common legal heritage, the current scenario of mental health legislation is largely similar in all the countries of the South Asian region. Health is comparatively a low priority for all the countries in the region and mental health is further neglected. Most of the dedicated mental health acts in the region have an institutional and cus...
Article
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Physical health promotion for people with mental illness is vital if the life expectancy of this population group is to be improved. While there is promising evidence of physical health promotion initiatives in the literature in this population group, it is unclear whether these have resulted in long-term gains and actually reduced morbidity and mo...
Article
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It has been established that people with mental illness experience mortality and morbidity from all the major health conditions at 2–3 times the rate of those without mental illness. One way to overcome this problem is to encourage consumers of mental health services to self-manage their physical health. The purpose of the study was to investigate...
Article
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The Ministry of Health and Family Welfare and its public health institutes are collaborating with Asia Australia Mental Health on an innovative community mental health development project designed to enhance initiatives under the District Mental Health Program and increase accessibility of essential community mental health services. The project is...
Article
Objective: The purpose of this study was to develop and evaluate a consumer satisfaction instrument for its psychometric properties and utility as part of a mental health rehabilitation service's quality improvement strategy. Methods: The instrument was developed and evaluated qualitatively using the Nominal Group Technique and quantitatively using...
Article
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Study of the chronology of criteria of dependence in alcohol dependence syndrome (ADS) can enable us to design strategies for the prevention for ADS, which takes into account primary prevention (indicated, selective, and universal prevention) approaches and aims at reducing the occurrence of ADS. The objective of this work is to study the age-wise...
Article
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This study aimed to explore subjective well-being (SWB) in an urban Indian sample. Adults (n=1099) belonging to two wards in the city of Bangalore in South India, responded to a study-specific questionnaire. This paper is based on data generated as part of an ongoing larger study looking at correlates of SWB. Almost equal number of men and women re...
Article
To carry out an audit reviewing the utilization of psychiatric services and types of disorders presenting to a tertiary care psychiatry hospital in a developing Asian country. Consecutive adult patients who came for detailed consultation in 1 year were included in this study. A senior consultant psychiatrist reconfirmed the diagnosis in each patien...
Article
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We assessed the knowledge, attitude and practices of dental surgeons in the city of Bangalore, Karnataka, concerning use of tobacco in their patients. A self-administered questionnaire was administered to all dental surgeons prior to a sensitization program on nicotine dependence. The dental surgeons who responded (n=100) reported a need for increa...
Article
Menstrual attitudes and perceptions of menstrual and perimenstrual distress vary widely between cultures. Beliefs and attitudes related to menstruation were studied in a group of 48 female nursing students using a modified and abridged version of the Menstrual Attitude Questionnaire (MAQ). All women were in the reproductive age group. Modifications...
Article
It is widely accepted that behavioural and social sciences (BSS) should become an integral component of medical training. This review looks at the extent to which BSS are included in medical curricula and how well they are taught in medical schools across the world. Published literature on the role of BSS in medical training is scanty and largely f...
Article
It is beyond dispute that people living with mental illness suffer a disproportionate disease burden when compared with people in the general population. This review considers the efficacy and effectiveness of lifestyle behavioural interventions at service delivery level as a strategy to reduce the risk factors that contribute to somatic disease co...
Article
Study of the chronology of criteria of dependence in alcohol dependence syndrome (ADS) can enable us design strategies for the prevention for ADS, which aims at reducing the occurrence of ADS. To study the age-wise and order-wise chronologies of ICD-10 (DCR) dependence criteria in individuals with ADS. Consecutively admitted and consenting inpatien...
Article
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The physical health of individuals with long-term mental illnesses has long been of concern. In Western Australia, the overall mortality rate from preventable causes of people living with mental illness was reported to be 2.5 times greater than that of the general population. A trial peer support service was initiated to assist people with mental i...
Article
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Minor physical anomalies (MPAs) and neurologic soft signs (NSSs) have been consistently reported to be more frequent in schizophrenia subjects and their first-degree relatives. We aimed at coassessing both these neurodevelopmental markers in neuroleptic-naive recent-onset schizophrenia (NRS) subjects in comparison to healthy control (HC) subjects t...
Article
Mental health problems are relevant for every country. They are particularly important for low-income countries which face a high burden of illness due to infectious disease, greater socio-economic disparities, and have limited resources for mental health care. There is a great mismatch in the areas of mental health research, practice, policy and s...
Article
The correlation between cannabis and negative mental health outcomes has been unequivocally established. Nevertheless, there is still a great need to research different dimensions of cannabis-related disorders, among which the study of cannabis-related psychosis is very important. There is a dearth of research regarding phenomenology and effect of...
Article
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Outcome of schizophrenia has been described as favourable in low- and middle-income countries. Recently, researchers have questioned these findings. To examine the outcome studies carried out in different countries specifically looking at those from low- and middle-income countries. Long-term course and outcome studies in schizophrenia were reviewe...
Article
Studies from different parts of the developed world have consistently shown that long-term patients discharged from mental hospitals can be successfully resettled into a variety of community-based mental health services. Many of the discharged patients will initially require sheltered accommodation and extensive supervision, but over time this can...
Article
During the last 2 years, a debate has started over whether the somatoform symptoms/medically unexplained symptoms are wrongly placed under the category of mental disorders (section F in International classification of diseases-10 and in Diagnostic and statistical manual for mental disorders-IV). Most experts on medically unexplained symptoms agree...
Article
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The South Asian region accounts for around one fourth of the world population and one fifth of psychiatrically ill patients in the world. The region lacks mental health policies and infrastructure. Issues like community care, trained manpower, patient satisfaction and better legislation have been a focus of attention in recent years. As this region...
Article
Much research has recently been conducted on somatoform disorders demonstrating their clinical importance, associated health-service burden and economic cost. These conditions are often comorbid with other mental and physical disorders and particularly prevalent in primary care and general medical settings. Although culture-specific manifestations...
Article
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Somatic symptoms have been conceptualized in many different ways in literature. Current classifications mainly focus on the numbers of symptoms, with relative neglect of the underlying psychopathology. Researchers have emphasized the importance of a number of experiential, perceptual and cognitive-behavioural aspects of somatization. This review fo...
Article
Although dissociative disorders have been described and diagnosed for some time, their aetiology, pathogenesis, phenomenology and management continues to arouse debate. It is only in recent times that researchers have made some progress by integrating trauma related theories with more contemporary cognitive theories and neurobiology. Dissociation a...
Article
We report the case of a patient who presented with catatonic features and delusion of test-tube pregnancy in the background of previous sexual abuse. The reported case illustrates the importance of contemporary themes in the evolution of psychopathology.
Article
Alexithymia and its association with attribution styles, amplification and illness attitudes was studied among subjects with somatoform disorders, depressive disorders and normal subjects. Two groups of 30 subjects each, bearing diagnoses of somatoform disorder and depressive disorder respectively (ICD-10 DCR), and one group of 30 normal controls w...
Article
The present investigation aimed to study attribution styles and somatosensory amplification among patients suffering from somatoform and depressive disorders. Two groups of 30 patients with diagnoses of somatoform disorder and depressive disorder, respectively (ICD-10 DCR), and one group of 30 normal controls were recruited. The study patients were...
Article
Purpose of review: Terrorist attacks are increasing in different parts of the world. The psychiatric consequences of terrorist attacks, particularly post-traumatic stress disorders, are often underrated. Recent terrorist attacks, particularly the attacks of September 11, 2001 in the USA, focused attention on post-traumatic stress disorder. This rev...
Article
Neuropsychiatric disorders and suicide amount to 12.7% of the global burden of disease and related conditions (GBD) according to World Health Organization (WHO) estimates for 1999, and recognition of the enormous component of mental illness in the GBD has attracted unprecedented attention in the field of international health. Focusing on low- and m...
Chapter
This chapter summarises methods and preliminary results of the International Study of Somatoform Disorders—one of the most recent multi-site research projects coordinated by the World Health Organisation (WHO). The project has been carried out in 11 countries representing different regions, cultures and socioeconomic settings of the world. Both qua...
Article
In spite of an effort to harmonize the latest editions of International Classification of Diseases (ICD) and Diagnostic and Statistical Manual (DSM), a number of differences between the two classification systems still exist. One of these differences is related to the category of somatoform disorders. The cross-cultural applicability of ICD-10 and...
Article
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Presumptive Stressful Life Events Scale (PSLES) was administered to 69 physically ill, 23 patients with somatoform disorders and 45 patients with psychiatric disorders other than somatoform disorders who sought medical help in primary health care settings. The 137 patients were cluster analysed in orderto obtain the patterns of distribution of 39 l...
Article
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Craving is an integral element in the understanding of alcohol dependence. Recent human and animal research implicates the serotonergic and dopaminergic systems in the mediation of excessive alcohol consumption. In this study, a cue-based approach was used to qualify and quantify craving occurring during acute withdrawal from alcohol. Fifty alcohol...
Article
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Over the past five decades, services for the mentally ill in India have steadily improved. From a predominantly mental hospital based service, provision has now moved to general hospitals and primary health centres. A variety of factors have contributed to changes in the quality of services. This paper briefly reviews the changes and discusses the...
Article
It has been traditionally believed that somatization occurs predominantly in non-Western and developing societies and among ethnic groups in the West. Somatic complaints have also been described as altered expressions of emotional distress by less sophisticated patients who are unable to express emotional states. However, there is growing evidence...