Publications by authors named "Arun Kandasamy"

Background: People with alcohol use disorders (AUDs) have varied needs while they seek treatment. Understanding and focusing on the needs will improve treatment outcomes. The objective of the study is to qualitatively assess the treatment-related needs of patients with AUDs admitted to a tertiary care treatment center.

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A large treatment gap exists for substance use disorders (SUDs) in India. Among other factors, personality vulnerabilities are widely implicated in the initiation and maintenance of SUDs leading to poor outcomes. Available brief interventions do not adequately address this.

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Article Synopsis
  • The study explored the views of mental health professionals on group interventions for women married to men with alcohol dependence and who have faced intimate partner violence (IPV).
  • Utilizing interviews with nine experienced experts, the research analyzed their insights through coding and thematic organization.
  • Findings highlighted the necessity of a comprehensive approach to IPV, indicating that survivors require support across various areas like safe housing, counseling, legal assistance, and financial aid.
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Objectives: Driving under the influence of alcohol is one of the leading causes of road traffic accidents in India. Individuals with acute injuries often present to emergency hospital services. Carrying out brief interventions in the emergency can prevent further injury and even progression to severe patterns of drinking.

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Method: Scholarly articles on adult ADHD between 1996 and 2022 were reviewed using the PRISMA guidelines. ADHD rating scales with multiple citations were selected and their psychometric properties and symptom coverage were analyzed.

Results: Ten rating scales, with sound psychometric properties, were identified.

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Article Synopsis
  • Intimate partner violence (IPV) is a major global public health issue, especially affecting wives of individuals with alcohol dependence, highlighting the need for more understanding of their experiences.
  • A qualitative study included 20 participants and used in-depth interviews, resulting in four main themes: reasons for IPV, help-seeking, barriers to help-seeking, and coping strategies.
  • Key findings indicate that survivors often don't seek help due to self-stigma, lack of resources, and unawareness of available treatment options, suggesting that clinicians should actively screen for IPV and offer support to affected women.
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Background Objectives: The seroprevalence of the hepatitis C virus (HCV) in general population is higher than that of human immunodeficiency virus (HIV) in India. People who inject drugs (PWIDs) constitute a high-risk group for all blood-borne infections. Multiple behavioural surveillance surveys have provided a rich typology of HIV-infected PWIDs, but this information is missing for HCV infection.

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Background: The increasing burden of depression and noncommunicable disease (NCD) is a global challenge, especially in low- and middle-income countries, considering the resource constraints and lack of trained human resources in these settings. Effective treatment of depression in people with NCDs has the potential to enhance both the mental and physical well-being of this population. It will also result in the effective use of the available health care resources.

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Introduction: The prevalence of smoking is high among people living with severe mental illness (SMI). Evidence on feasibility, acceptability and effectiveness of smoking cessation interventions among smokers with SMI is lacking, particularly in low- and middle-income countries. We aim to test the feasibility and acceptability of delivering an evidence-based intervention,i.

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Context: The internalizing of experience of stigma among patients with substance use disorders (SUDs) can be debilitating to recovery. Individual factors such as self-regulation and abstinence self-efficacy can impact confidence in recovery and hope for future.

Aims: The aim of the study was to explore relationship among self-stigma, self-regulation, self-efficacy, optimism, and confidence in recovery of patients with early-onset SUDs.

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Aim: To evaluate the practice and attitude of doctors towards substance use disorders (SUD) and their management.

Methods: Following stratified proportionate random sampling, selected doctors in the south zone of Bengaluru, India, were interviewed face-to-face using a structured questionnaire.

Results: 150 doctors were interviewed.

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Background: Substance use disorders (SUDs) in physicians impact their professional responsibilities toward patients. Understanding the difficulties of physicians with SUDs would facilitate early identification and reduce the complications they face in various domains, particularly in settings where there are no physician-health care programs. In this background, we aimed to understand the challenges physicians with SUDs face at their workplace.

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Objectives: This study aims to find if the incidence and pattern of traumatic brain injury (TBI) changed during the COVID-19pandemic. We also aim to build an explanatory model for change in TBI incidence using Google community mobility and alcohol sales data.

Design: A retrospective time-series analysis.

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Non-communicable diseases (NCDs) are escalating in India and can be attributed to behavioural risk factors such as unhealthy diet, physical inactivity and tobacco use that began in early years. Understanding adolescents' knowledge, attitudes and behaviours (KAB) related to NCD risk factors would inform the development of school-based health programmes to prevent NCDs. Sixth-grade students (n=1026) in 20 schools (10 private, 10 public) from two Indian cities (n=667 from Pune; n=359 from Bengaluru) participated in a KAB survey in 2019.

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Older adults are at high risk of developing more severe consequences of substance use. Due to aging, they may also have multiple medical and psychiatric comorbidities as well as cognitive impairment. This may lead to forensic issues both in terms of civil and criminal matters.

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Article Synopsis
  • * The research found that a significant majority of participants reported issues like work absenteeism, domestic altercations, and intoxicated driving, with a notable link between unemployment and police complaints.
  • * Results indicate that those with higher alcohol consumption tend to experience more legal and social problems, emphasizing the need for comprehensive treatment that addresses these issues alongside addiction.
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Background: Despite the notion of stigma as a socio-cultural process with the concept rooted in social space rather than in individual space, global studies examining impact of cultural differences on stigma toward substance use disorders are lacking.

Aim: In this study, we aim to study the influence of national culture differences on stigma toward alcohol and substance use disorders.

Methods: We analyzed individual-level data from 68,041 respondents from 49 countries on stigma toward alcohol and substance use disorders.

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Background: Cannabis is one of the most used illicit substances in India but is under-recognized and under-represented in clinical settings of India, especially at primary care. Patients usually do not seek treatment primarily for cannabis use, but it is identified on pro-active questioning by doctors. The aim is to study the clinical profiles of patients with cannabis use disorders (CUD) at primary care and to derive learning points from collaborative consultations to devise an optional module for CUD primarily for primary care doctors (PCDs).

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  • Aim: The study aimed to evaluate the effects of COVID-19 lockdown on individuals dependent on alcohol in India.
  • Method: Researchers analyzed hospital data in Bangalore to track changes in cases of severe alcohol withdrawal syndrome during the lockdown period.
  • Results: Findings indicated a significant increase in cases, rising from an average of 4 to 8 per day, highlighting a critical health issue related to the lockdown for those with alcohol use disorders.
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