Suravi Patra

All India Institute of Medical Sciences Bhubaneswar · Department of Psychiatry

Psilocybin, the clinically most researched classic psychedelic has recently been tested for its safety and efficacy in a clinical population of treatment resistant depression. The efficacy of psilocybin in clinical depression previously demonstrated in the elecrophysiologic and neuroimaging findings as also in neuropsychological assessments is furt...

Background Mental and physical non-communicable diseases (NCDs) coexist, because they share common environmental and behavioral risk factors. The treatment gap for common mental disorders, such as depression, anxiety, and substance use, is large compared to other NCDs. Objective To determine the prevalence and treatment gap of common mental disord...

Objective Entrustable Professional Activities (EPA) are discretely measurable specific professional tasks that integrate multiple competencies to define and provide varying levels of faculty support per trainee needs. Methods: We developed an EPA-based psychiatry curriculum for medical interns. Fifty-four interns completed the OSCE stations, Multip...

Nearly one third of the population diagnosed with major depressive disorder (MDD) fail to respond to two or more antidepressant drugs of adequate dose and duration. This necessitates identification of confounding psychological and physiological factors that could contribute to treatment resistant depression (TRD). The present longitudinal study inv...

Background Various studies revealed that adolescent girls have limited knowledge pertaining to sexual and reproductive health (SRH). The current study assessed the effectiveness of SRH education among adolescent girls in urban areas of Odisha, India. Methods The study design was a cluster randomized trial, where the clusters composed of eight Odia...

Entrustable Professional Activity based psychiatry curriculum for medical interns.

Background: COVID-19 has caused psychological, social, and physical isolation in adolescents resulting in varying rates of suicidal behavior and self-harm. Aims: We investigated the pandemic's impact on adolescent suicidal behavior and self-harm by reviewing the existing literature. Methods: We searched PubMed using keywords: adolescent, suicide, s...

Attention‐deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention and/or hyperactivity–impulsivity. It is one of the most widespread neurodevelopmental conditions and has compound etiopathogenesis involving both environmental and genetic factors. Though the role of heavy metals on ADHD has been implicated...

Background: The study was planned to evaluate the association between Gestational Diabetes Mellitus (GDM) and Postpartum Depression (PPD) in a rural population of Odisha, Eastern India. Material and methods: Pregnant women in the first trimester were recruited and followed up till six weeks of postpartum. Gestational Diabetes Mellitus was assess...

Context: Mindfulness interventions have shown promising results in both psychological and clinical outcomes of type 2 diabetes mellitus. Depression, self-management, and quality of life (QOL) have shown improvement with mindfulness interventions; however, little is known about dispositional mindfulness and its relationship with depression, self-ma...

Introduction: Hypothyroidism exerts a multitude of effects on pregnant women and newborns. This study aimed to estimate the prevalence of hypothyroidism and its associated factors among pregnant women. Material and methods: This cross-sectional study was done at a community health center in Tangi, Eastern India. A total of 436 pregnant women ≤24...

Type 2 Diabetes Mellitus (T2DM) and Major Depressive Disorder (MDD) are highly disabling disorders associated with a multitude of vascular complications. Platelets are known to play a role in the pathogenesis of vascular complications in both T2DM and MDD. These complications could increase in patients with comorbid diabetes and depression. To quan...

The National Medical Council of India has introduced a Competency-Based Medical Curriculum for structured training of Indian Medical Graduates. The curriculum envisages training of the medical graduate in Bloom's cognitive, affective and communication skills as per Miller's competence framework. This competency-based curriculum has opened the way t...

Background Attention deficit hyperactivity disorder (ADHD) is a neuro-developmental ailment diagnosed with inattention and hyperactivity-impulsivity. It is one of the most prevalent neurodevelopmental disorders and has complex aetiology, both genetic and environmental. There is a perceived decrease in skill acquirement, leading to insufficient inco...

Context: Diabetes distress (DD) in India has been studied mainly in the context of depression. Little is known about DD, its determinants, distribution, and its impact. Aims: This study aims to estimate the prevalence of DD and identify its socio-demographic and clinical determinants in type 2 diabetes mellitus patients. To assess the relationsh...

Introduction: Excessive cardiovascular reactivity to mental stress may be a risk factor for cardiovascular disease. However, there is inconsistent report in the literature regarding change in cardiac autonomic tone with the phase of the menstrual cycle and how it is affected by mental stress. Therefore, the present study was aimed at determining th...

Screen media use by children has been a subject of constant concern by parents, teachers, pediatricians, psychiatrists, and policymakers. The potential for its misuse often shadows media use in terms of its educational and communication opportunities. Adding to the concerns is that excessive screen media use is associated with poor physical and men...

Breast cancer affects the mental well-being of patients who may need psychological support. The combined practice of progressive muscle relaxation (PMR) and guided imagery (GI) is known to improve psychological health. Its effect has been studied in patients with breast cancer. We need to systematically review and analyse the available data to outl...

Context: Patients with diabetes are more prone to psychosocial problems which are known to adversely impact clinical outcomes of diabetes. COVID-19 is understood to further worsen the psychosocial problems of patients with diabetes. Aims: We carried out this cross-sectional telephonic survey of COVID-19-related worries in patients with diabetes...

Context: Patients with diabetes are more prone to psychosocial problems which are known to adversely impact clinical outcomes of diabetes. COVID-19 is understood to further worsen the psychosocial problems of patients with diabetes. Aims: We carried out this cross-sectional telephonic survey of COVID-19-related worries in patients with diabetes m...

A teenager ended his life in a remote district of Odisha when his father reprimanded him for playing online games on a mobile phone. The boy had lost about INR 1 lakh during online gaming/gambling using his parents' online banking details. The boy's father had given him a mobile phone to attend online classes [1]. Local governments had enforced loc...

Digitalization has changed the way children learn and grow in the contemporary society. Also, COVID-19 has ushered in a 'new normal' as a means of prevention and safety, necessitating children and adolescents to stay at home for educational and recreational purposes. This 'Position Statement' addresses the issue of conceiving a balance with respect...

Background Our objective was to analyze reports of COVID-19 related suicides (CRS) to identify associated factors with a broader goal to inform management and prevention strategies. Methods We searched scientific literature, government websites and online newspaper reports in English and nine regional languages to identify relevant CRS reports. R...

India is one among the most affected countries in the COVID-19 pandemic. The increasing number of cases in India and the fear of COVID-19 infection is causing fear and anxiety. Fear and anxiety related to COVID-19 the community dwellers are less studied. This study was conducted to assess the fear and anxiety related to COVID-19 among the people se...

COVID-19 has forced lockdowns and social distancing across the world. This has increased feelings of loneliness and reduced opportunities for physical exercise and environmental stimulation for the elderly. It was feared that all this would cause poor mental health in the elderly. However, well-designed studies reported that medically fit elderly a...

Background Suboptimal management of depression in type 2 diabetes mellitus (T2DM) often translates into poor glycemic control, medical complications, and impaired quality of life. Feasibility and effectiveness of collaborative care models of depression in diabetes in low- and middle-income countries (LMICs) remain unexplored. DIAbetes Mellitus ANd...

adolescent mental health in COVID

Context Medical profession continues to grapple with burnout; even medical students are not spared of this self-destructive psychological experience. Attempts are being made to control and contain burnout in medical students by the medical fraternity. Aims We intend to study the prevalence and determinants of burnout in medical students in a terti...

Autism is a grand challenge in global mental health to be dealt with on a priority basis. Phenotypic knowledge, biological understanding, and evidence-based intervention studies are all from western countries. We know very little about autism in the low- and middle-income countries (LMIC). Lack of infrastructure and difficulties in operationalizing...

Abstract Background Data on intensive care unit (ICU) related psychiatric morbidity from Low Middle-Income Countries are sparse. We studied the ICU related posttraumatic stress symptoms (PTSS), anxiety, and depression symptoms in a cohort of patients from Eastern India. Methods We included adults admitted more than 24 h to a mixed ICU. PTSS, anxiet...

Aims To screen for depression in diabetes and evaluate the contributing factors in a primary care setting in India. To evaluate the relationship of depression with perceived quality of life. Methods We used convenience sampling method in this cross-sectional study. 388 consecutive patients with type 2 diabetes mellitus were enrolled over a period...

Objective There is no systematic report on pathway to care in autism from tertiary care medical centers of India. The present study was aimed to evaluate the pathways to care among parents of children with autism-seeking treatment at a tertiary care medical center. Methods Cross-sectional, observational study involving parents of 38 children with a...

Lithium for prevention of Alzheimer's dementia.

Parents of children with autism experience high levels of stigma. They often internalize stigma which results in high psychological distress and has negative impact on seeking and providing care. Qualitative methodology has been used to study stigma in Indian population while quantitative studies have not been reported. The authors report affiliate...

Pediatric depression is difficult to identify and manage because of complex nature of the disorder. Psychological and cognitive developments impact the clinical presentation and often make assessment tenuous. In addition, the disorder is often associated with multiple biological, psychological, and environmental risk factors, which need thorough as...

Atomoxetine is prescribed to children with autism spectrum disorder having symptoms of attention deficit hyperactivity disorder. We sought to examine the efficacy and safety of atomoxetine in this population. After screening for inclusion criteria, we identified three randomized placebo controlled trials involving 241 children. We assessed internal...

presentation on clinical psychiatric assessments of children and adolescents.

The article describes the process of translation and linguistic validation of Recovering Quality of Life (ReQoL) scale in Odia an eastern Indian language. While there are a few generic quality of life measures for use in health related subjects, there is none specific for mental health available in Odia. ReQoL is translated to Odia to bridge this g...

Pharmacological and Psychological interventions for tobacco cessation were taught to primary and secondary care physicians of Odisha.

The workshop was invited by Indian Psychiatric Society on the eve of Annual National Conference at CIP Ranchi. It was a joint effort with Dr Shekhar Seshadri, HOD Child and Adolescent Psychiatry, NIMHANS< Bangalore. The workshop focused on clinical diagnosis, use of Indian tools and both psychological and pharmacological management of autism spectr...

Lifespan perspective on autism spectrum disorder. The presentation discussed about symptom presentation, diagnostic difficulties, medical and psychiatric co-morbidity and service needs across lifespan of an individual with autism spectrum disorder.

Background: The World Health Organization Quality of Life–BREF (WHOQOL-BREF) is a well-validated, cross-cultural, generic instrument to measure the quality of life, which is available in many languages. Objective: It was intended to translate and validate the WHOQOL-BREF in Odia, an Indian language. Materials and Methods: WHOQOL translation methodo...

This study aimed to evaluate the stigma and its correlates among patients with severe mental disorders. Patients with diagnosis of schizophrenia (N = 707), bipolar disorder (N = 344) and recurrent depressive disorder (N = 352) currently in clinical remission from 14 participating centres were assessed on Internalized Stigma of Mental Illness Scale...

Background Stigma is very common among caregivers of patients with severe mental disorder; however, there is lack of national level data from India. Aim To assess affiliate stigma and its correlates among caregivers of patients with severe mental disorders. Method For this, caregivers of patients with schizophrenia (N = 707), bipolar disorder (N...

Context: Attitudes of teaching medical specialists are important in shaping medical students' attitudes toward psychiatry. Data on attitudes of teaching medical specialists of India toward psychiatry are limited. Aims: The aim was to study the attitude of teaching medical specialists of an academic medical center in East India toward psychiatry....

Introduction: Substance use and dependence has been a part of Indian society for centuries. However, abuse of more hazardous drugs including intravenous use, younger age of initiation, and high prevalence has made it a major public health issue. Community-based interventions for drug/alcohol use are often hindered by a lack of community participati...

Context Attitude of teaching medical specialists shapes those of future doctors. Region-specific data on teaching medical specialists’ attitudes toward psychiatry (ATP) are lacking from India. Aims This study aimed to assess the attitudes of teaching medical specialists toward psychiatry and its association with sociodemographic profile and career...

Context: About two-third of patients with mental, neurological, and substance use disorder in India do not get adequate treatment due to insufficient clinical facilities. In a country with diverse population such as India, no single model can be effective and each region needs to develop local system of service delivery unique to population needs....

Across the world, homosexuality is gaining legitimacy; stigma and discrimination are gradually giving way to equality and inclusion. The situation in India is in stark contrast to these trends. In this country, homosexuality is an offence as per Section 377 of the IPC. The homosexual community is fighting for its rights and continues to suffer from...

Background: Little is known about autism spectrum disorders (ASD) in the elderly age group. There is need to understand impact of ageing on symptom domains of ASD, functioning, cognition, physical health and mental health of people with ASD. Aims: To understand changes in symptom domains of autism, physical health, psychological well-being, cogniti...

Dermatitis artefacta, a self-inflicted intentional dermatosis is a very rare diagnosis in childhood. In a large proportion, the underlying psychiatric disorders go unidentified due to lack of collaboration between dermatologist and psychiatrist. The underlying psychological reasons for childhood dermatitis artefacta include emotional distress and i...

Context: Parents of children with autism spectrum disorders (ASD) in India face a host of challenges, while seeking care which ranges from unavailability of information to difficulty in availing services. Aims: To develop a psycho-education intervention module for parents of children with ASD and to study its impact on parent stress and knowledg...

Aripiprazole, a dopamine stabilizing atypical antipsychotic is used in treatment of tardive dyskinesia caused by other neuroleptics. Tardive dyskinesia is rarely caused by Aripiprazole and has only been documented in high risk patients i.e., female gender, advanced age, affective illness, coexisting neurological disorders. Here the author describes...

Neurobehavioral problems are seen in children with craniopharyngiomas both before and after treatment, which cause significant morbidity. Behavioral problems include aggressive behavior, hyperphagia, impaired school performance, and poor social behavior. These children have impairment in psychosocial functioning and have a poor quality of life. Fam...

To find the association of patient characteristic and psychopathology with quality of life in acute phase of schizophrenia. Socio-demographic variables of patient, psychopathology and quality of life were assessed. Spearman's Correlation coefficients were measured using SPSS version 15.0. Quality of life of the patients varied in different domains....

Inhalant abuse is of growing concern in adolescent and young adult population in the underdeveloped regions of the world. In the absence of availability of definitive tests in routine clinical settings, diagnosis is often difficult. Equally difficult is management and ensuring adherence to therapy. We report two successive cases of inhalant abuse s...

There is a widely held clinical opinion that syphilis has disappeared. Contrary to this, there are sporadic cases being reported across the country. The classical cases of neurosyphilis have given way to the milder asymptomatic forms, making them even more difficult to be diagnosed. Conventional presentation of neurosyphilis such as tabes dorsalis...