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Aim: This research aimed to determine the impact of problematic mobile phone use on negative mental health outcomes among nursing students in India, highlighting the necessity for targeted interventions and support mechanisms to enhance the overall well‐being and adaptability of future healthcare professionals. Methods: A cross‐sectional survey was conducted in three randomly selected nursing colleges in South India, employing validated and standardized tools such as the Mobile Phone Problematic Use Scale, Patient Health Questionnaire, Insomnia Severity Index Scale, Satisfaction with Life Scale and Rosenberg Self‐Esteem Scale. Results: The study included 402 nursing students with an average age of 20.47 years, revealing a 39% prevalence of severe problematic mobile phone usage. Positive correlations were observed between mobile phone problematic use and age, depression and insomnia. Additionally, strong negative correlations were found between satisfaction with life and self‐esteem. Depression and satisfaction with life served as chain mediators in the impact of self‐esteem on problematic mobile phone use, and both self‐esteem and satisfaction with life negatively predicted problematic mobile phone use. Conclusion: The study highlights a prevalent issue of problematic mobile phone use among nursing students, indicating a pressing need for timely intervention, as it correlates with depression, sleep insomnia, low self‐esteem and life dissatisfaction. Summary statement: What is already known about this topic? Over the last decade, using mobile phones has been prevalent among today's children and young people, coinciding with an increase in poor mental health in this population.Problematic mobile phone use may consist of various issues, including addiction/dependence, financial troubles, risky use (i.e. while driving) and restricted use (i.e. in prohibited places).From an epidemiological standpoint, prevalence rate estimates vary widely and there is little research and understanding regarding the aetiology of problematic and addicted mobile phone usage, particularly its progression. What this paper adds? The prevalence of severe problematic mobile phone use among nursing students is very high and needs immediate attention.There is a negative impact of mobile phone use on the mental health outcomes of nursing students.Positive life satisfaction and self‐esteem are protective variables that negatively predict problematic mobile phone use, while their influence is mediated by a chain reaction involving reduced depression, emphasizing the interconnected psychological dynamics. The implications of this paper: Further research is needed on the influencing factors of problematic mobile phone use and interventions to prevent mobile phone addiction among nursing students.The influence of mobile phone use on the mental health outcomes of nursing students can affect their clinical practice and productive life therefore the appropriate policies should be implemented.Implementation of short and rapid counselling services for the nursing students by the nurse educators should incorporate into the curriculum to achieve a better quality of nurses. [ABSTRACT FROM AUTHOR]

Objective: The objective of the present study was to determine the prevalence of addictive behaviors among in-school and out-of-school adolescents of age 13–19 years in Chandigarh, India. Methods: Problem Behavior Theory (PBT) was used to identify the risk and protective factors for addictive problem behaviors among adolescents. Results: A total of 1634 adolescents were included from in-school (n = 1134) and out-of-school (n = 500) categories. The prevalence of addictive behaviors was 19.1% (current smoking 6%, alcohol drinking 6.1%, and drug use 7%) among adolescents aged 13 to 19. Significant predictors of smoking were being male (aOR = 4.43; 95%CI: 1.92,10.20; p <.001) and having a working father (aOR = 3.19; 95%CI: 1.10, 9.20; p <.05). Total protective score [smoking: aOR = 0.99; 95% CI:0.97, 0.99: p <.05; alcohol use: aOR:0.98;95% CI:0.97,0.99; p <.01; drug use: OR:0.99, 95%CI: 0.98,0.99; p <.05] and total risk score [smoking: aOR = 1.14; 95%CI:1.11, 1.17: p <.001; alcohol use: aOR:1.10;95% CI:1.07,1.12; p <.001; drug use: aOR:1.05, 95%CI: 1.04,1.06 p <.001] were significantly associated with all three addictive behaviors. Conclusions: The current study's findings can inform the development of intervention programs focusing on both adolescents and communities (social environment surrounding adolescents) to enhance the protection of adolescents at risk for addictive behaviors. [ABSTRACT FROM AUTHOR]

The smartphone has become a popular device, especially among young adults, with its significance highlighted during the COVID-19 lockdownwhen online classes became necessary for college students. This research aimed to evaluate the prevalence of smartphone use and its impact on healthrelated behaviors reported by college-going students in North India. Due to the pandemic, data collection was conducted through a Google form, and a questionnaire was used to gather information on various parameters. The Food Frequency Questionnaire assessed the frequency of food group consumption, while the validated Smartphone Addiction Scale--Shorter Version measured smartphone addiction. A total of 142 participants aged 18 to 24 years, including 59% female and 41% male participants from Delhi-NCR, were recruited using convenience sampling. The findings revealed a smartphone addiction prevalence of 41%. Statistically significant associations were found between smartphone use and sleep quality (p < .001), body mass index status (p = .016), and sedentary behavior (p < .001). Notably, smartphone screen time (p < .001) and stress levels (p = .028) correlated significantly with smartphone addiction based on the Smartphone Addiction Scale--Short Version score. This study highlights the significant prevalence of smartphone addiction (41%) among college students, which is associatedwithadverseeffectsonsleepquality, physical activity, and stress levels. [ABSTRACT FROM AUTHOR]

This study evaluated the effectiveness of an 8‐week digital detox program on digital screen use among 300 nursing students and explored associations between screen use and demographic variables. A one‐group pretest posttest design was employed using the Social Media Addiction Scale Student Form. The digital detox program was implemented for 8 weeks. Digital hygiene, self‐reflection and goal setting, mental wellness, screen time management, physical health, interpersonal relationships, digital detox challenges, and hobby‐based activities. Chi‐square test was employed to determine the associations between digital screen use and demographic variables, respectively. t‐tests were conducted to compare the mean screen time across different demographic groups. Results showed that 42% of students had high social media use, while 20% had low use. The overall mean score of social media use decreased significantly from 64.13 to 47.79 postintervention (p < 0.05), indicating the program's effectiveness. The study suggests incorporating digital detox routines to balance technology use with health, productivity, and external connections. [ABSTRACT FROM AUTHOR]

Objectives To estimate the level of physical activity among geriatric population, to determine the motivating factors for being active and identifying barriers that prevent participants from engaging in physical activity. Methods A community-based cross-sectional study was carried out at one of the wards within Ahmedabad city following multi-stage random sampling. The calculated sample size was 230. A pre-designed, validated, short version International Physical Activity Questionnaire (IPAQ) and Behaviour Regulation in Exercise Questionnaire (BREQ-3) were used for data collection by personal interview. From selected sampling-frame, geriatric people residing in every 5th household were interviewed after obtaining oral informed consent following simple-random sampling. Results Of total 230 study participants, 67 (29.13%) were physically active (cumulative for Category 2 and Category 3), while the remaining 163 (70.87%) were found physically inactive (i.e., minimally active [Category 1]). Motivational scores, particularly in identified regulation, showed higher median scores across subdomains of the BREQ-3. Amotivation exhibited a strong negative correlation with physical activity, while intrinsic regulation displayed a strong positive correlation. Conclusion More than two-third of study participants were physically inactive. Level of educational status, type of previous occupation involved, presence of addiction, BMI, electronic device usage duration per day and presence of chronic illness were statistically significant determinants to decide involvement of elderly people in category of physical activity. Amotivation, external and introjected regulation had negative correlation with physical activity, while intrinsic regulation and RAI (Relative Autonomy Index) showed positive correlation with physical activity. None of the behavioural regulators had statistically significant association with category of physical activity. [ABSTRACT FROM AUTHOR]

Background: Smartphones play a crucial role in our everyday life. Smartphones help users to develop social connections with others, gain information and entertain themselves through various applications. With the widespread use of smartphone, the number of smartphone users has been increasing worldwide. As smartphones are getting popular, smartphone addiction has become a serious mental health problem among adolescents. Objectives: To find out significant differences in smartphone addiction among adolescents with respect to their gender and locale. Methodology: Descriptive survey method was used for conducting the study. The sample consists of 200 adolescents of government and private schools from Jammu and Kathua. 'Smartphone Addiction Scale' (2021) developed by Vijayshri and Masaud Ansari was used for data collection. Results: It was found that smartphone addiction was significantly higher among female adolescents (M=65.34) as compared to their male counterparts (58.61). Further, it was also found that smartphone addiction was significantly higher in urban adolescents (M=64.37) than rural adolescents (M=59.08). Conclusion: In order to combat smartphone addiction among adolescents, we advise the creation of healthy environment at the family and school levels. Teachers should provide knowledge to the students about smartphone security tips and educational programmes should be organized for protecting psychological well-being of the adolescents. [ABSTRACT FROM AUTHOR]

Opioid prescriptions for chronic non-cancer pain raise concerns of addiction risks. Understanding the nuanced intersection of chronic pain and opioid use is crucial in clinical settings. We present four case studies from two tertiary care hospitals illustrating the phenomenon of "pseudoaddiction" in CNCP referred to addiction specialists for management. Each case involves complex pain presentations like pancreatitis, avascular necrosis, and SLE intertwined with escalating opioid demands. Management involved psychoeducation, CBT, and opioid substitution, resulting in reduced pain and need for opioids. Differentiating between addiction and uncontrolled pain is crucial for tailored management, emphasizing individualized care for improved outcomes. [ABSTRACT FROM AUTHOR]

Dermatological disorders constitute a significant proportion of primary health care (PHC) setups. The pattern of dermatological disorders varies among different countries and different parts of the same country owing to climatic and geographical variations, level of education, access to health care, etc. To study the clinical spectrum of patients presenting with dermatological disorders at an urban health center (UHC) in East Delhi. To identify the various risk factors associated with dermatological disorders in study subjects. A total of 1,148 patients who reported skin diseases for the first time at the Dermatology Outpatient Clinic at UHC in East Delhi were recruited. Detailed demographic data, history, and examination and potential risk factors of skin diseases (socioeconomic status, level of education, occupation, comorbidities, and addictions) were recorded on a predesigned proforma. A total of 616 (53.7%) patients had infectious dermatoses and 532 (46.3%) had non-infectious dermatoses. Among the infectious dermatoses, fungal diseases (44.8%) were the most common followed by parasitic infections (31.17%) and bacterial infections (9.74%). Among the non-infectious group, eczematous disorders (28.01%) were the most common, followed by pigmentary disorders (21.62%) and acne (19.55%). A significant association between level of education, occupation, and comorbidities with the distribution of infectious and non-infectious dermatoses was found. As a significant proportion of patients with a vivid spectrum of dermatological disorders present at the PHC setups, therefore dermatologists supervise that specialty clinics should be held regularly at these centers along with the availability of all the basic investigations to aid diagnosis and management. [ABSTRACT FROM AUTHOR]

Background: Substance use disorders (SUDs) are among the leading causes of morbidity in the population. In low- and medium-income countries like India, there is a wide treatment gap for SUD. A multicentric study on the care pathways for SUD in India can help to understand service provision, service utilization, and challenges to improve existing SUD care in India. Aim: We aimed to map pathways to care in SUD. We compared the clinical and demographic characteristics of patients who first consulted specialized services versus other medical services. Methods: This was a cross-sectional study of consecutive, consenting adults (18-65 years) with SUD registered to each of the nine participating addiction treatment services distributed across five Indian regions. We adapted the World Health Organization's pathway encounter form. Results: Of the 998 participants, 98% were males, 49.4% were rural, and 20% were indigenous population. Addiction services dominated initial (50%) and subsequent (60%) healthcare contacts. One in five contacted private for-profit healthcare. Primary care contact was rare (5/998). Diverse approaches included traditional healers (4-6%) and self-medication (2-8%). There was a 3-year delay in first contact; younger, educated individuals with opioid dependence preferred specialized services. Conclusion: There is a need to strengthen public healthcare infrastructure and delivery systems and integrate SUD treatment into public healthcare. [ABSTRACT FROM AUTHOR]

BACKGROUND: Smartphone usage has increased rapidly in the last decade due to rapid technological advancements. This extensive usage of smartphones led to physiological problems and musculoskeletal disorders (MSD) due to inappropriate postures. OBJECTIVE: Past studies have reported the effects/discomfort of smartphone usage for short periods, ranging from 3–20 min, which does not represent the current era of smartphone dependency (approximately 7-hr/day). METHODS: This study was performed on fifty-four participants aged 20–28 with 1-hr smartphone texting in a sitting posture. Flexion angles, both sides (dominant and non-dominant) muscle activity (maximum voluntary contraction %) at sternocleidomastoid (SCM), upper-trapezius (TRP), extensor digitorum (EDM) and abductor pollicis brevis (APB) muscles, and subjective discomfort were analyzed. RESULTS: After 1-hr smartphone texting, the muscle activity at eight upper extremities: SCM (24.80%), TRP (29.45%), EDM (14.44%) and APB (19.87%) significantly (p < 0.001) increased by 1.5–1.9 times with 27.4±3.18° and 82.94±7.03° head and lower-arm flexion angles, respectively. The mechanical loads on the cervical spine increased by 4.6 times, and subjective discomfort by 3 times. CONCLUSION: Maintaining the same posture for a long duration causes postural stress, muscular imbalances, and discomfort, leading to MSD with increased cervical intervertebral disc pressure. [ABSTRACT FROM AUTHOR]

Background: The beginning of the 21st century world has witnessed an explosive growth of internet usage, particularly in developing countries like India. The Internet has enriched our life but for many, internet use can grow into a problem, particularly health problems. Objectives: To find & correlate the Pattern of Internet use & Internet addiction level among undergraduate medical students during the COVID-19 Pandemic. Material & Methods: A cross-sectional study was conducted among undergraduate medical students (sample size=394) during the COVID-19 pandemic (July-August 2022) period by using the Internet Addiction Test scale. Levels of internet addiction and frequency distribution like percentage and proportion were used for analysis. Results: About 49.60% of the students were found addicted to the Internet as per the analysis of the Internet Addiction test (IAT) scale; among them, 71% were addicted mildly, 24% moderately, whereas 5% were found severely addicted to Internet use. The most common reason of internet use among the students was to download/watch videos/movies. Conclusion: During the COVID-19 pandemic lockdown, quarantine & online classes made compulsion to use smartphones Internet has allowed spending more time on the Internet. [ABSTRACT FROM AUTHOR]

The Conflict Period Theory (CPT), based on the author's doctoral fieldwork experiences, intends to analyze addictive behaviors related to alcohol consumption by Indian adolescents. The CPT has four postulates: (i) Positive expectancies influence experimentations with alcohol, (ii) Subjective norms build a defense mechanism against experimentation, (iii) Experimentation with positive expectancies and defense mechanism based on subjective norms produces an inner conflict or dilemma, (iv) This conflict springs with the initiation of alcohol use, fluctuates as the using stages upgrade and stabilizes at a low by reaching the dependency stage. Once the dependency stage is reached, the user finds it challenging to quit the alcohol use, as intrapsychic conflict stops rendering the opportunity for self-regulation of behavior. [ABSTRACT FROM AUTHOR]

How can ethnographic methods track implicit & explicit forms of structural casteism in Indian public health policy and praxis? How can a critical attention to ordinary stories and subjectivities of casted lives reveal the underlying Brahmanical moralities, assumptions and imaginations of public health but equally also unravel anti-caste counter-framings/counter-theorizations of symptoms, afflictions, injuries and chronic wounds wrought by caste? How, in other words, can the horizons of anti-colonial theory-making be expanded to capaciously conceptualize casteism as a core determinant of community health outcomes and life-chances in India? By mobilizing 'counter-storytelling' as a concept and method for critical medical anthropology from the Global South, and case studies from longitudinal ethnography in northern India, this paper provides a dual critique of: 1. Public health praxis in relation to questions of caste, addiction, respiratory debilitation, air pollution and TB. And, 2. Epistemologies of health policy making pertaining to wellness for 'the poor' and the gendered and casted labour of community care workers like ASHAs and non-institutionalized health actors. [ABSTRACT FROM AUTHOR]

Background: The Internet is a popular source of health information, but too much research can cause anxiety (cyberchondria). Medical and non-medical personnel interpret information differently, leading to varying rates of cyberchondria. Smartphone addiction may also contribute to cyberchondria and impact mental health. Methods: The study was an epidemiological survey-based investigation with a cross-sectional design involving undergraduate students (aged 18 years or older) from Indian universities or colleges. The study utilized the Cyberchondria Severity Scale-Short Form (CSS-12), WHO-5 well-being index, and Smartphone Addiction Scale-Short Version (SAS-SV). Results: A total of 1033 participants (53.1% females and 46.4% males) were recruited in the survey. Of the participants, 58.5% were pursuing medical or paramedical courses, while the remaining 41.5% belonged to the non-medical group. High-severity cyberchondria was present in about 4.4% of the students. The medical cohort demonstrated a significantly lower cumulative CSS in comparison to the non-medical cohort (t = -3.90; P < 0.01). Smartphone addiction was observed in 57.2% of individuals in the medical group and 55.9% of individuals in the non-medical group (P = 0.68). Medical students had a significantly lower mean well-being score compared to non-medical students (58.4 vs. 59.6; P < 0.01). There was a positive correlation between cyberchondria severity and smartphone addiction, which was consistent across both groups. Conclusion: Medical students have less cyberchondria than non-medical students. Cyberchondria severity is linked to smartphone addiction. Non-medical students with cyberchondria have higher subjective well-being. [ABSTRACT FROM AUTHOR]

Background: The current global outbreak caused by COVID-19 has produced a unique situation with severe health and financial consequences. The fast and quick global impact called for an immediate response. A key public health action was the decision to amend the law to allow employees to work from home (WFH) whenever it was possible. In response to public health restrictions to stop the spread of COVID-19, organizations quickly switched to WFH without fully comprehending the effects of continued WFH on mental and physical health. Working from anywhere and at any time has made the separation between business and personal life more difficult. These modifications may cause employees' workdays to be longer and to experience greater work-life conflict. Overwork and work addiction provide a greater risk to the public's health and can harm various facets of mental and physical health, such as depression, anxiety, and sleep difficulties. There hasn't been much research on the underlying processes that link workaholism to poor mental health, especially among Indian academics. Purpose: There is a rise in the number of people who are worried about their mental health in academic settings. The primary purpose of this study is to determine whether academicians in India can potentially have a healthy work-family balance, which may mitigate the negative impacts of workaholism and poor mental health especially due to the Work from Home system. Methodology: A population-based study was conducted on academicians (n = 456) at private and public universities in Delhi NCR, India. Workaholism, work-family balance, and mental health difficulties were all measured using self-reported scales in the study. By using path analysis, the proposed mediation model was evaluated. The survey responses had an accuracy rate of 80%. Based on the conceptual research framework, PLS-SEM path modeling is used to find the causal connection between the indicators and latent components. Findings: The findings indicated that workaholism has been associated with mental health in two different ways: directly and through work-family balance. The path analysis found a statistically significant relationship between work from home and mental health through workaholism and work-family balance. Increased levels of anxiety, depression, stress, headaches, exhaustion, and reduced job satisfaction were some of the mental health consequences of Work from Home. Practical implication: This study provides real-world guidance to human resource managers on how to prioritize composite-level interventions at all levels of the university to create highly satisfied employees, provide a good working environment, and improve employees' mental health. Originality/value: Many researches have been done on the relationship between work-from-home and employee mental health, but relatively few have looked at how work-life balance and workaholism play a role in how work-from-home affects employees' mental health. This study fills a need in the academic and practitioner literature by investigating the relationship between work-from-home from home and employee mental health as well as the mediating function of work-family balance and workaholism with regard to Indian higher education institutions. [ABSTRACT FROM AUTHOR]

Purpose: Millions of social media users over the last two decades have become dependent on social media that has negatively affected their lives, both physically and mentally. Earlier attempts on social media addiction (SMA) scale development have not been made in India which makes it essential to undertake such a study in this region. One of the objectives of this study was to explore and identify the relevant dimensions of the SMA in the literature. The main study objective was to develop and validate a scale on SMA in India. Design/methodology/approach: The research design applied in this work was both qualitative and quantitative. Based on the literature review, some themes of SMA were recognized that were used to conduct semi-structured interviews with the concerned subjects. The interviews conducted were then transcribed, and using NVivo software application, content analysis was carried out. This helped in the identification of relevant themes that were used for preparing the questionnaire. After that an exploratory study was conducted to explore the factors of SMA. This was followed by a confirmatory analysis on a different sample that validated the instrument. Findings: This work developed and validated a six-factor measure of SMA. The total numbers of items in the final instrument are 22. Salience, Tolerance, Mood Modification, Relapse, Withdrawal and Conflict are the six factors of the final scale. Practical implications: The current designed instrument can be exceptionally functional for evaluating the occurrence and level of the SMA. This can also serve to assist in the handling and management of such online addictive behavior. A lot of productivity is lost due to the unwarranted time spent on the social media. By better understanding the dimensions of SMA, one can limit one's time on such networks. Social implications: This work can provide valuable insight into this domain and help in understanding and treatment of this malaise. It can also help parents and other stakeholders at large to comprehend the danger linked with the excessive social media use and therefore, contribute towards the society. These dimensions can also help counsellors and psychologists to better understand the addiction behavior and accordingly counsel the concerned individual. Originality/value: Although many instruments have been developed in the past by researchers to measure SMA,still some aspects of the concept remain under-researched. Moreover, most of such research has been confined to the developed world regions. [ABSTRACT FROM AUTHOR]

Background: Internet usage amongst young adults and students has increased over the decades. Heavy internet use leads to addiction and internet gaming disorder (IGD) in them. Aims: The study was conducted to estimate the prevalence and factors associated with IGD amongst medical students of Kodagu Institute of Medical Sciences, Madikeri, Karnataka. Methods: A cross sectional study was conducted amongst 516 medical students from June to July 2022. A universal sampling technique was implied in the study, and data were collected using a pre tested and validated questionnaire (IGD 20 scale). Data were extracted into Excel and analysed using Epi Info (version 7.2). Results: The prevalence of IGD amongst medical students was 23.25% (120). The IGD was higher amongst female players, 72 (60%), than the male players, 48 (40%) (P = 0.03). The students staying in the hostel had a high IGD, 112 (93.3%), compared to day scholars, 8 (6.7%) (P = 0.003). As socio economic status increased, the IGD amongst students also increased (P = 0.006). Conclusions: The prevalence of IGD amongst medical students was 23.25%. The female students, hostelites and students from the upper class were more prone to develop IGD. [ABSTRACT FROM AUTHOR]

Background: Gaming is a new phenomenon and there are increasing concerns over its negative impact. After the official recognition by diagnostic and statistical manual-5 and International Classification of Disorder-11, much of the research is directed toward understanding the different constructs of the gambling disorder. Peer influence is an established factor in substance use but less researched in gaming. Aims of the Study: The aim of this study is to explore and understand the influence of peer pressure on Internet gaming. Materials and Methods: Individuals between 15 and 35 years were asked to participate after explaining the study objectives and assessed on the Peer Pressure Scale and Internet Gaming Disorder (IGD) Scale. Responses were analyzed using the R language with R studio as the integrated development environment. Generalized additive model was used to identify the best-fit model. The Akaike information criterion was used to select the best model. Results: Battle Ground Mobile India is the most played game. Peer pressure alone accounts for 46.2% of the variability in Internet gaming and along with factors such as student; real friends; strategy games; online mode of playing, night time playing; and hours spent playing, increasing it to 56%. Peer pressure is positively correlated with IGD (P < 0.001, R = 0.65). Conclusions: Peer pressure is directly associated and plays a role in developing Internet gaming along with factors such as being a student; playing with real friends; strategy game genre; online mode of playing games; and nightly playing. Substance use such as tobacco may influence peer pressure and Internet gaming, acting as a co-factor for both. [ABSTRACT FROM AUTHOR]

The paper examines the multi-dimensional nature of Internet Addiction (IA) and its influence on Well-Being (WB) amongst a representative sample of 320 young urban Indian internet users. Nine hypotheses are proposed through a conceptual model to assess the multi-dimensional nature of IA and its relationship with WB. Partial Least Squares – Structure Equation Modelling (PLS-SEM) was conducted to assess the hypothesised relationships. Of the proposed nine hypotheses, seven were accepted. The result indicated IA as a four-dimensional construct – Internet Control Disorder (ICD), Internet Craving (IC), Internet Obsession (IO), and Addictive Behaviour (AB). The findings supported that ICD positively and significantly influences IC. IC and AB both have a significant impact on IO. ICD and IC have a significant impact on the individual's AB. ICD and IO significantly influence WB. With respect to the dimensions IC, AB, and IO, the model is successful in explaining around 26%, 45%, and 33% of the variation. IA as a multi-dimensional phenomenon and its relationship with WB in a young-demographic nation like India has immense academic and societal value. The study provides critical actionable insights for users, educators, health counsellors, parents, and policymakers regarding interventions for controlling internet addiction. [ABSTRACT FROM AUTHOR]

Background and aim: Craving research have often seen debates over the qualities, and significance of the same in Alcohol Dependence Syndrome (ADS). Objective measures for intensity, frequency and characteristics of craving are widely used to understand and treat ADS, however, research has indicated a gap in the treatment. Hence, the study was undertaken to understand craving from a subjective perspective, with the aim of addressing the same in a cultural setting. Design: The study used a qualitative, phenomenological design. Participants: In-depth interviews were carried out for seven participants with ADS, currently abstinent. The sample belonged to the southern region of India. Findings: Data was subjected to thematic analysis, leading to two themes, “Determinants of experience” and “Course of experience,” along with 10 subthemes. Conclusion: Craving was found to be multidimensional, varying in qualities and influenced by the attitude toward craving itself. [ABSTRACT FROM AUTHOR]

Objectives: The present study aims to assess the prevalence and predictors of smartphone addiction and insomnia among nurses working in the outpatient department (OPD) after the second wave of the coronavirus disease 2019 (COVID-19) pandemic. Materials and Methods: A descriptive, cross-sectional study was carried out among 117 OPD nurses between October and December 2021 using a purposive sampling technique. Two self-reported standardized scales, the Smartphone Addiction Scale-Short Version and Insomnia Severity Index were used. Kolmogorov–Smirnov test, Mann–Whitney U, and Kruskal–Wallis H test were used. Pearson's correlation and Scatter plot were used to determine the relationship between the study variables. A stepwise multiple linear regression analysis was also performed. Results: The majority of participants had slight smartphone addiction (78.6%) and suffered from sub-threshold to severe forms of insomnia (73.5%). A significant mild positive correlation was found between smartphone addiction and insomnia (r = 0.195, P < 0.05). Stepwise multivariate logistic regression analysis predicted factors such as female gender and exposure to smartphones for more than 5 years influencing smartphone addiction. A strong influence of exposure to the smartphone for more than 5 years was found on insomnia severity. Conclusion: Smartphone addiction and insomnia were identified problems among nurses working in the OPD after the second wave of the COVID-19 pandemic, requiring an urgent need to identify and manage various factors responsible for smartphone addiction and insomnia such as female gender and years of exposure to smartphones. [ABSTRACT FROM AUTHOR]

The article focuses on the rise of gambling in India, highlighting its historical roots and the recent shift to online platforms. Topics include the various forms of gambling traditionally practiced in India, the classification of gambling disorder as a behavioral addiction in DSM-5 and ICD-11, and the psychological factors that contribute to gambling behavior, such as cognitive distortions and emotional vulnerabilities.

Introduction: Our daily lives now mostly revolve around our smartphones. Due to the widespread use of mobile phones, selfies have become the newest technical trend among young people. The most common practice of taking selfies in dangerous situations is proving to be a fatal one. The majority of these fatalities and injuries are from falls from great heights and posing with dangerous objects. Objective of the Study: The objective of this study was to assess the attitude and prevalence of selfitis among college students. Methodology: Descriptive design was used in this study. Convenience sampling technique was used to select 400 college students from a technical college of Ernakulam district, Kerala, within the age group of 16–24 years. The data were collected using two semi-structured questionnaires and Solanki Selfie Addiction Scale, a standardized tool for the assessment of selfie addiction. Results: It was found that 86% (344) were males and 14% (56) were females. Eighty-five percentage (340) of the study subjects had smartphone and only a few, 60 (15%) were not using it. About 59.5% (238) of them used all the enlisted social media. The prevalence of selfie addiction shows majority, 260 (65%) had mild selfie addiction, 76 (19%) had no selfie addiction but few had moderate 64 (16%) selfie addiction, and there was no severe selfie addiction. Result of attitude shows that 82% (328) have a neutral attitude, 16% (64) shows a positive attitude, and 2% (8) shows a negative attitude toward selfie. Conclusion: The result highlights the importance of providing education regarding the healthy use of social media. [ABSTRACT FROM AUTHOR]

Mental disorders are a global public health concern, with India grappling with a high burden of mental health issues. Emerging among these challenges are behavioral addictions (BAs), encompassing behaviors such as gambling, internet, and gaming addiction. BAs, particularly prevalent among youth, pose significant mental health threats. Various countries are taking steps to address BAs, with initiatives including research, treatment centers, and policies. Efforts like the Behavior Resource Hub and SHUT Clinic offer interventions in India. Combining therapy and medication, technology-based interventions, and behavioral therapy have shown promise. Prevention strategies, including awareness, education, and early risk identification, are vital. Despite progress, India must increase awareness, conduct research, and establish effective frameworks to address BAs comprehensively. Collaboration, awareness campaigns, and preventive measures targeting youth are crucial to managing this emerging public mental health challenge. [ABSTRACT FROM AUTHOR]

The purpose of the present study is to empirically examine the effect of parental neglect on the social network (SN) addiction of younger adults. Based on Family System Theory and Attachment Theory, the present study also examines the effect of SN addiction on emotional wellbeing. In addition, the role of gender as a moderator in the relationship between parental neglect and SN addiction and emotional wellbeing was studied. The data collected from 185 young adult students from various educational institutions in the southern part of India (Thanjavur district in Tamil Nadu) was analyzed after thoroughly checking the psychometric properties of the structured instrument. Hayes's PROCESS was employed to analyze the data and test hypotheses. The regression results reveal: (i) parental neglect is positively and significantly related to SN addiction and negatively related to emotional wellbeing, (ii) SN addiction is negatively related to emotional wellbeing, (iii) gender moderates the relationship between parental neglect and SN addiction, (iv) gender moderates the relationship between parental neglect and emotional wellbeing, and (v) SN addiction mediates the relationship between parental neglect and emotional wellbeing. This study contributes to families and the literature on gender to some extent. The study suggests that parents need to care for young adults and prevent them from misusing the internet and social media. The study highlights that young adolescent girls in India were better when compared to adolescent boys, even when parental neglect was very high. This finding corroborates the literature on gender that males are more addicted to SN than females; thereby, the emotional wellbeing of females was better when compared to males. The conceptual model in the present research, to our knowledge, is the first of its kind in India to examine the social network addiction by young adults and gender as a moderator. The psychological implications of social network addiction are discussed. [ABSTRACT FROM AUTHOR]

Objectives: Gaming is a predominant leisure time activity among adolescents, and the literature suggests that unrestrained gaming behavior might lead to gaming disorder. ICD-11 and DSM-5 have recognized gaming disorder as a psychiatric condition and grouped it under the behavioral addiction category. Research on gaming behavior and addiction is largely based on data from the male population, and problematic gaming has largely been understood from the male perspective. In this study, we are attempting to bridge the existing lacuna in the literature by exploring gaming behavior, gaming disorder, and its related psychopathological characteristics among female adolescents in India. Methods: The study was conducted on a sample of 707 female adolescent participants who were contacted through schools and academic institutes in a city in Southern India. The study adopted a cross-sectional survey design, and data were administered using the mixed modality of online and offline data collection. The participants filled out the following set of questionnaires: socio-demographic sheet, Internet Gaming Disorder Scale-Short-Form (IGDS9-SF), Strength and Difficulties Questionnaire (SDQ), Rosenberg self-esteem scale, and Brief sensation-seeking scale (BSSS-8). The data gathered from the participants were then statistically analyzed using SPSS software version 26. Results: The descriptive statistics revealed that 0.8% of the sample (i.e., five participants out of 707) obtained scores meeting gaming addiction criteria. Correlation analysis demonstrated a significant relationship between all the psychological variables with total IGD scale scores (p < 0.05). Total SDQ, total BSSS-8, and domain scores of SDQ, such as emotional symptoms, conduct, hyperactivity, and peer problems, were positively correlated, whereas total Rosenberg scores and domain scores of prosocial behaviors of SDQ were negatively correlated. The Mann-Whitney U-test was employed to compare "with gaming disorder" and "without gaming disorder" categories of female participants. Comparing these two groups revealed significant differences in emotional symptoms, conduct, hyperactivity/inattention, peer problem, and self-esteem scale scores. Furthermore, quantile regression was computed, showing that conduct, peer problem, and self-esteem displayed trend-level prediction for gaming disorder. Conclusion: Female adolescents prone to gaming addiction can be identified through psychopathological characteristics of conduct, peer problem, and low self-esteem. This understanding can be useful in developing a theoretical model focusing on early screening and preventive strategies for at-risk female adolescents. [ABSTRACT FROM AUTHOR]

Background: The internet, mobile phones, and other similar tools are indispensable for the current functioning of both private life and business. In these two years of Covid 19 pandemic (2019-2021), internet use, especially for different games as well as social networking, were indispensable for the global population, allowing engagement and interaction among many people online in a virtual world. The term =Internet Addiction Disorder' was first coined and described by Dr. Kimberly Young. There are various models for diagnostic criteria which contain some commonalities. All sets of criteria describe loss of self-control over Internet use; leading to psychological, social, or work place conflicts; and mental preoccupation or salience. The interplay of neurobiological and psychological factors seems to be involved in the pathogenesis of internet addiction. Mr. A, 13year old, student of class 7th, was brought to our OPD by his mother with chief complaints of excess online gaming and smart phone use, decreased scholastic performance and decreased sleep since 8 months. He was well adjusted and average in studies previously and used to play outdoor games with friends. 8 months back he was introduced to online gaming by one of his class mates and since then his screen time increased gradually from 2-3hrs/day to 9-10hrs/day(included surfing Facebook and snapchat). He started missing school by making excuses about his health and then spend the day playing online games. In the current technologically advanced environment, Mental Health Professionals should be well versed with the digital pandemic of Internet Addiction in its various forms causing psychological, physical and social repercussions across all age groups. Internet use disorder presents with a variety of unique characteristics in which addictive behaviors seem to be socially normative within the digital youth culture, further exacerbating denial. Therefore, not only inclusion of gaming disorder in DSM 5 or ICD 11 rather internet use disorder as a broad entity should be extensively researched upon. [ABSTRACT FROM AUTHOR]

BACKGROUND: While digital technology has helped in various aspects as learning, social communication and entertainment, it poses substantial risk for young children. Amongst the various effects, excessive screen time has been identified as a risk for autism. OBJECTIVES: Against the background of increasing use of digital devices and lack of data on parental involvement, the present study aimed to investigate the parental knowledge, attitudes and concerns towards Media Technology And Screen time (MeTS) use by preschool children with Autism Spectrum Disorder (ASD) and Typically Developing (TD) children in Indian context. METHODS: 182 parents of children with ASD (n = 90) and TD (n = 92) participated in a survey to answer various closed and open-ended questions related to device usage, knowledge, attitude and concerns related to children's use of MeTS using the google forms. Responses from the survey were descriptively analyzed and compared between groups using chi-square test and qualitative thematic analysis methods. RESULTS: Results of our study revealed that children with ASD were exposed to MeTS from an earlier age, while average exposure to MeTS was significantly higher in TD children. Parents of children from the two groups showed good and similar knowledge about the effects of MeTS and reported using various methods to monitor its use in children. Further, the parents showed concerns and possessed mixed attitude towards MeTS use in their children. [ABSTRACT FROM AUTHOR]

Background: College students appear more vulnerable in developing a dependence on the internet. Individuals with hikikomori are frequently reported to have social contact predominantly via the internet. Objectives: To find the prevalence of internet addiction, gaming addiction, hikikomori trait and insomnia amongst medical undergraduates and to study their association with various determinants. Methodology: The present cross-sectional study was conducted among first to final-year medical students studying at various medical colleges in Indian city from February to May 2021. Data collection was done after obtaining the ethical permission of the Institute. A total of 400 students who gave consent were sent an electronic questionnaire. Results: The mean age of study participants was 20 ± 1.58 years. Internet addiction was present in 189(47.2%) participants, gaming addiction in 128 (32%) students and hikikomori trait was found in 98(24.5%) students. There was a statistically significant association between different grades of insomnia and internet, gaming addiction, and hikikomori trait (< 0.0001) in the present study. Conclusion: Internet addiction was present in almost half of the medical students while gaming addiction was seen in nearly one third of the students. Male gender and hostel stay had a statistically significant association with internet addiction, gaming addiction, insomnia and hikikomori trait. [ABSTRACT FROM AUTHOR]

Objectives: The primary aim of the current study was to examine the unique contribution of psychological need frustration and need satisfaction in the prediction of excessive usage of smartphones and its relation to psychological distress and mindfulness. Methods: We conducted a correlational study using the smartphone addiction scale - shorter version, basic psychological needs satisfaction and frustration scale, psychological distress, and mindfulness among 423 graduate and postgraduate engineering students from Bengaluru, South India. Results: The results showed that excessive usage of smartphones is positively correlated with the time spent on the phone r = 0.19, P = 0.05; and basic psychological needs frustration r = 0.18, P = 0.05; and negatively correlated with basic psychological needs satisfaction r = -0.19, P = 0.05 and mindfulness r = -0.39, P = 0.001. However, among the optimal users of the smartphone group, time spent is positively correlated with satisfaction at r = 0.13, P = 0.05, and further, basic psychological needs satisfaction is negatively correlated with frustration at r = 0.30, P = 0.001 and also found a positive correlation between mindfulness and basic psychological needs satisfaction at r = 0.31, P = 0.001. Conclusion: The results suggest that excessive usage of smartphones is associated with frustration, psychological distress, and time spent on the mobile. However, there is a positive trend in the time spent on the phone among the optimal users of smartphones suggests that smartphones are used as a coping mechanism to gain momentary satisfaction. [ABSTRACT FROM AUTHOR]

Background: People diagnosed with EUPD also known as borderline personality disorder (BPD) experience different challenges in their lives. These challenges include compulsive behavior, irritability, depression, sadness, guilt, shame, loneliness, grandiosity, and feeling of worthlessness. It is noteworthy that such challenges trigger among them a self-destructive behaviour, in addition to social isolation, and impaired social relationships. It is also found to significantly impact their physical, mental, and social wellbeing. This study is a humble attempt to examine the role of perceived social support in improving the social wellbeing of BPD outpatients. Through the purposive sampling technique, 100 BPD outpatients were selected for the study. The mean age of the participant was 25 years. Results: It was found that perceived social support (family, friends, and significant others) plays a vital role in the wellbeing of these participants. The correlation between the two is positive as well as statistically significant. This means higher the support these patients experience from their relatives, the better is their social wellbeing. Conclusions: This study has practical implications for counselors, clinical psychologists, and psychiatrists working in the field. [ABSTRACT FROM AUTHOR]

Background: High prevalence of smartphone addiction among medical students may contribute to adverse physical and mental health outcomes. Aim: To estimate the prevalence of smartphone addiction, and explore the influencing factors and related mental health symptoms of smartphone addiction among Asian medical students. Design: Systematic review and meta-analysis. Methods: PubMed (MEDLINE), the Cochrane Central Register of Controlled Trials, and EMBASE were searched for relevant literature from the inception to September 10, 2021. Using Stata software 11.0, the meta-analysis of prevalence and the influencing factors of smartphone addiction were determined with 95% confidence intervals. Results: Nineteen articles, published between 2014 and 2019, were included, producing medical student studies from seven different Asian countries. The included studies were conducted in India (n = 11) and Malaysia (n = 3), with China, Saudi Arabia, Turkey, Nepal, and Iran each contributing one study. Among a total of 5,497 medical students, the participants included 3,214 females, of whom 2,181 were medical students with smartphone addiction. The prevalence of smartphone addiction among Asian medical students was 41.93% (95% CI [36.24%, 47.72%]). The influencing factors of smartphone addiction among medical students included gender, duration of smartphone use, smartphone function, and marital status. Ten studies (52.63%) explored related mental health symptoms of smartphone addiction among Asian medical students. Smartphone addiction was positively correlated with poor sleep quality (r = .17-.31), stress (r = .30-.40), anxiety, depression, neuroticism, and general health among Asian medical students. Conclusion: Smartphone addiction is highly prevalent among Asian medical students. Smartphone addiction may adversely affect mental health, resulting in sleep disturbance, stress, anxiety, depression, and neuroticism. It is necessary to take appropriate precautionary actions and interventions to prevent smartphone overuse among medical students. [ABSTRACT FROM AUTHOR]

Background: Mobile phone is a new form of communication. It has become an integral part of everyday life of the individual and affects their social life. Mobile phone overuse is a dependency syndrome seen among certain mobile phone users. Objective: To assess the impact of mobile phone dependency on academic stress among nursing students studying in Khalsa College of Nursing, Amritsar, Punjab. Methodology: A descriptive non-experimental research design was selected for the study. The study was conducted on 370 nursing students selected by purposive sampling technique. The tool used was an interview schedule that included sociodemographic profile of the respondents, a modified mobile phone dependency scale and a modified academic stress scale. Results: The age range of 41.9% of the students was 19-20 years. Majority (94.6%) of them were females and 94.6% were unmarried, 54.3% were studying in Basic BSc nursing program. Maximum (71.36%) students hailed from joint families; 63.8% were residing either in their hometown or with their relatives; 52.7% of them had family monthly income above Rs. 20,000 and 78.94% owned one mobile phone. More than half of the students (58.10%) were mild mobile phone users. Academic stress of 67.30% students was of moderate level. Majority of the students (84.62%), who were moderate mobile phone users, were facing a severe level of academic stress. There was a significant association of mobile phone usage with age, nursing program and monthly family incomes at P < .05 level of significance. [ABSTRACT FROM AUTHOR]

Using survey data on 647 "people living with HIV/AIDS" (PLHIV) respondents from India, we examine the association between human, economic, and social capital and psychological well-being during the Covid-19 pandemic, and whether pandemic-induced job and financial insecurity are significant stressors. We find that among human capital indicators, family health status results in a more positive mental state and fewer personal conflicts among PLHIV while having more working-age adults in the household results in more conflict. With regards to economic capital, PLHIV in salaried jobs and self-employment have a less positive mental state compared to those in daily wage work. Compared to daily wage workers, those in salaried jobs and self-employment exhibit lower addictive behavior. Self-employed PLHIV respondents also engage in fewer conflicts with their significant other. We do not find any correlation between social capital and psychological well-being. Job and financial insecurity are negatively associated with psychological well-being. While job insecurity is associated with an increase in addictive behavior, financial insecurity increases the likelihood of more frequent personal conflicts. We conclude that there is a need for greater economic and psychological support from institutions, community, and family to assuage the pandemic-induced psychological distress among PLHIV. ABBREVIATIONS: ART: antiretroviral treatment; GSNP+: Gujarat State Network of Positive People; MHI: mental health inventory; OBC: other backward castes; PLHIV: people living with HIV/AIDS; SC: scheduled castes; SD: standard deviation; ST: scheduled tribes [ABSTRACT FROM AUTHOR]

Background and Aim: Smartphone has become a necessity for many individuals in the present world because they find smartphone is a suitable mode to stay connected with other people. A person is said to be dependent toward smartphone when he/she is completely with mobile phone for all works of his/her daily life and forgets about the people around them. Loneliness is a state in which a person feels complete social withdrawal or lonely. To overcome loneliness, the person will use his/her smartphone excessively for various reasons throughout the day and develops addiction to the same. This study aims at finding the level of smartphone addiction and severity of loneliness among the medical professionals. The aim of the study is to find the relationship between smartphone addiction and loneliness. Materials and Methods: A descriptive design was used for the present study. The sample consisting of 318 subjects were selected by convenient sampling. The tool used was baseline pro forma, Smartphone Addiction Scale (Short Version), and University of California Los Angeles Loneliness Scale (3rd Version). Results: Majority of the participants belonged to the age group of 18–21 years, samples were selected equally from all the programs (Nursing, MBBS, and Allied Health Sciences), and majority of the participants were females and studying in II year. There was a weak positive correlation between smartphone addiction and loneliness, r = 0.269, P = 0.001, which was statistically significant. Conclusion: The study findings reveal that majority of the participants had moderate level of smartphone addiction and loneliness, and there was weak positive correlation exists between smartphone addiction and loneliness. [ABSTRACT FROM AUTHOR]

Background There is limited evidence on technology addiction among adolescents in low- and middle-income countries where 90% of global adolescents live. We aimed to investigate the prevalence and correlates of technology addiction (Internet, gaming, smartphone, television) among school-going adolescents in India. Methods A cross-sectional survey covering the entire district (administrative unit for health) of India was conducted among representative sample of school-going adolescents using stratified cluster sampling. A total of 1729 adolescents completed the survey (age M  = 12.58; SD = 0.97) by responding to Internet Addiction Test-Adolescents, Game Addiction Scale, Smartphone Addiction Scale and Television Addiction Scale. Associated factors were analyzed using binomial logistic regression analysis. Results Almost all the participants (99.59%; 95% confidence interval (CI): 99.28–99.91%) were using technology in one or other form. Prevalence of technology addiction among the users was 10.69% (95% CI: 5.26–16.11%). Phone addiction (8.91%; 95% CI: 3.31–14.52%) was the most common type followed by gaming addiction (2.55%; 95% CI: 1.16–3.95%). Technology addiction among adolescents was significantly associated with several risk factors at individual, family and school levels. Conclusion Technology addiction emerges as an important public health problem among adolescents in India. An integrated socio-ecological framework with multi-level approach that targets risk factors at various levels is required to promote healthy behaviors towards technology. [ABSTRACT FROM AUTHOR]

Background: Medical students are at an increased risk of developing substance use and related problems (SURP) because of the inherent stress associated with the professional medical course apart from the developmental risk factors. However, this is under-researched. Moreover, a comprehensive review on the prevalence of SURP among the medical undergraduates (UGs) and associated factors is lacking from India. To fill this gap, the current research work is aimed to review the existing literature on the magnitude of the SURP among UGs of India and its determinants. Methods: PubMed, Medline, and Google Scholar databases were searched for the original articles studying the prevalence of SURP among medical UGs of India, published from inception till date. Non-original articles, studies on behavioral addictions, and those not directly assessing the prevalence of SURP among the medical UGs were excluded. Results: A total of 39 studies were found eligible for the review. Alcohol (current use: 3.2%–43.8%), followed by tobacco (3.7%–28.8%) and cannabis (1.6%–15%), were the common substances used by the medical students. Among the females, an increasing trend of substance use, particularly of nonprescription sedatives (even higher than males), alcohol, and smoking, was seen. Family history, peer pressure, transition from school to college life, and progression in the medical course were important associated factors. Conclusion: Sensitizing medical students and college authorities, increasing the duration of training on SURP in medical curricula, and providing psychological support for the students with SURP could address this issue. [ABSTRACT FROM AUTHOR]

Background: Smoking has become a worldwide problem and the more problematic is when the youth of any country is highly involved in consuming tobacco that is dangerous for the human being. The Indian youth is involved in smoking-like activities that are dangerous for them. Objectives: To analyze the role of new treatment ways including nicotine gum, nicotine patch, and nicotine replacement therapy backed by pharmaceutical interventions to eliminate smoking from Indian society. Method: The hypotheses of this study are formed on the basis of previous studies and the identification of gap in practices. This study is based on the cross-sectional data that was collected with the help of a questionnaire based on a five-point Likert scale from the Indian pharma industry people. The sample size for this study was 340 with a response rate of 50%. Results: In this study, 179 valid questionnaires were collected back from the respondents, and according to the results, nicotine gum, nicotine patch, and nicotine replacement therapies have a significant (p<0.05) effect on smoker attitudes. Conclusion: This study concludes that pharmaceutical interventions are critical to stopping the smoking habit in Indian society, and this contribution is providing a solution to stop smoking by affecting the smoker's attitude and smoking behavior. [ABSTRACT FROM AUTHOR]

To explore the subjective perceptions of women from rural and urban communities in Bangalore, India, regarding their perspectives about addictive substance use (ASU), and the interventions/support they need to quit use. Based on the data collected, the goal of this study was to develop an intervention that would address the women's needs. Mixed methods were used as follows: (a) door-to-door survey of women (N = 2044) regarding their use of addictive substances, and (b) focus group discussions with the women to explore their perceptions. Interviews were transcribed verbatim, themes and sub-themes identified. More than one-third (32.7%) reported past 3-month ASU, with majority reporting smokeless tobacco products (82.6%). Alcohol use was reported by 17.4%. Four major themes (with sub-themes) were identified from the focus group discussions: (1) Patterns of use (oral tobacco products-kaddipudi, thambaku; alcohol), (2) Reasons for use (to relieve stress and forget problems, tobacco use as a way of life, for postnatal benefits, due to easy availability, to reduce fatigue and pain, indigestion, hunger), (3) Low risk perception related to ASU ("We know how to use tobacco safely", "No real harm from tobacco"), and (4) Issues related to quitting ASU and help-seeking (unwillingness to quit, methods of intervention- "videos, or tablets/injections to help us quit ASU"). The findings highlight challenges involved in the development of effective interventions for women. Additionally, there is a clear need for broader community agencies to address psychological, cultural, and social dimensions. [ABSTRACT FROM AUTHOR]

Background: Cell phones are an integral part of modern day life and have become companions for individuals irrespective of age, gender and socio-economic status. In this study, we assessed the factors affecting risk of cell phone addiction among teachers attending Life Skills Training and Counselling Services (LSTCS) program in Karnataka.Methods: This cross sectional secondary data analysis utilised data from baseline assessment of trainees attending a Life Skills Training and Counselling Services program (LSTCP). Various factors hypothesised to be affecting risk of cell phone addiction (outcome) was analysed using univariate and multivariable logistic regression analysis. All the analysis was done using STATA 12.0 software.Results: Multivariable logistic regression analysis was conducted with risk of cell phone addiction as outcome. A conceptual framework of hypothesized exposure variables was developed based on expert consultation and literature review. Overall, data of 1981 participants was utilized. Gender (AOR=1.91; 95% CI=1.27-2.77), number of peers (AOR=1.01; 95 CI=1-1.008) and social quality of life (AOR=1.01; 95% CI=1.00-1.03) were associated with increased risk of cell phone addiction. Age (AOR=0.98; 95%CI=0.96-1.00), empathy (AOR=0.96;95%;CI=0.93-0.99), communication skills(AOR=0.92, 95%;CI=0.88-0.96) and physical quality of life (AOR=0.96; 95% CI=0.95-0.98) were associated with reduced risk of cell phone addiction.Conclusions: This study on precursors of risk of cell phone addiction, conducted mostly among apparently healthy individuals, provide important insights into interventions to reduce risk of cell phone addiction. The complexity of associations between peers, gender, quality of life and risk of cell phone addiction needs further exploration. [ABSTRACT FROM AUTHOR]

Background: Smartphone usage has become increasingly popular in recent decade. Though it's of great utility in many aspects, excessive usage among youth has shown increased restlessness, careless lifestyles and greater susceptibility to stress. Aim & Objective: To assess the pattern and purpose of smartphone usage and its dependence among medical students. Methods & Material: A cross-sectional, descriptive study was conducted among 363 MBBS students of 1st, IInd and IIIrd professional year between October 2018 to December 2018 at a government medical college. A 20-item self- administrated questionnaire, focusing on purpose and pattern of use of smart phone and its dependence was filled by all the students. Data was collected, entered and analysed using SPSS Software. Result: Among 363 students, 53% participants were males and rest were females. 80% students were using smartphone for more than 2 years, while 60% were having daily usage of more than 3 hours. Significant association between severity of smartphone dependence and variables like MBBS professional year, daily phone call made and received, daily SMS received, daily WhatsApp message sent and received were observed. Dependence was mild in 8.8% of the students; Moderate in 72.2% while 19% were suffering from severe smartphone dependence. Conclusion: Smart phone dependence is an established and emerging psychological issue which needs attention and intervention. It is of serious concern that all medical students were suffering from smartphone dependence with varying grades of severity. Increased awareness regarding the harmful effects of smartphone addiction is the need of hour. [ABSTRACT FROM AUTHOR]

Background and Aims: In the process of treatment for substance use disorders, patients experience many barriers and facilitators related to treatment. This study aimed to ascertain the barriers and facilitators of addiction treatment in treatment-seeking population of patients with substance use disorders. Methods: A defined questionnaire was developed on the basis of qualitative work to assess the barriers and facilitators among adult patients with opioid and/or alcohol use disorders seeking care at a dedicated addiction treatment facility. Results: We recruited a total of 96 male patients. The mean age of the sample was 30.8 years. The most common barriers were feeling like taking substances when depressed, stressed, or angry; having difficulty while not having substances; and lack of willpower to quit the substances. The most common facilitators of treatment were quitting addiction for a better future (e.g., marriage and children); good response from the doctor; facing the harmful consequences of substance use; having effective medicine and treatment; substance use causing health deterioration; and the need to fulfill family responsibilities. Higher educational attainment and better socioeconomic status were associated with fewer barriers and facilitators of treatment. Conclusion: Some barriers and facilitators are endorsed more commonly by patients who seek services for addiction treatment. Efforts are required to minimize the barriers and utilize facilitators so that patients are able to engage in treatment more easily. [ABSTRACT FROM AUTHOR]

In this paper, we used the transtheoretical model of stages of change to study the addictive behavior of smokers, which is a continuum of stages, namely pre-contemplation, contemplation, and preparation, and classify the tobacco users in these three stages to study the differentials and factors determining these stages. This study used the data from the Global Adult Tobacco Survey (GATS)-2 conducted in 2016–17 in India. Multinomial logistic regression was used to predict the probabilities for different stages according to socio-demographic factors and factors related to tobacco use such as nicotine dependency, information about dangers about tobacco use, etc. Among 9499 smoking tobacco users, 44.73% of users are in the pre-contemplation stage, 46.83% in contemplation, and only 8.43% in the preparation stage. The probability of a smoker to be in the preparation stage for quitting after knowing the dangers of smoking is 0.11. We found a significant association between the stages of smoke and smokeless tobacco cessation and socio-demographic characteristics and the factors related to smoke and smokeless tobacco use. Contemplation is a major driver of tobacco cessation. These stages may help tobacco control program implementation more effectively and efficiently. [ABSTRACT FROM AUTHOR]

Background: Literature on a longitudinal study of the determinants of treatment retention for patients with opioid dependence is limited. Aim: To find out patient- and treatment-related (buprenorphine-naloxone-assisted treatment [BNX treatment] versus naltrexone treatment) predictors for retention in maintenance treatment. Materials and Methods: A total of 100 participants with opioid dependence were recruited by convenience sampling. The primary outcome was treatment retention -- 3 months and 6 months postentry into maintenance treatment. Multiple assessments were done for the severity of opioid dependence and withdrawal, high-risk behavior, quality of life, and recovery capital -- baseline and 3 and 6 months. The secondary outcome was to assess the change observed in the above-listed variables. Results and Conclusions: Bivariate analysis across retained and the dropout groups brought out significant differences for some (type of opioids and route of administration) but not for other (age, employment, and education) patient-related factors. Multivariate analysis, adjusting for the type of maintenance treatment, rendered these associations statistically insignificant. BNX-based treatment (compared to naltrexone maintenance) was the most significant predictor of treatment retention both at the end of 3 months and 6 months. Even after controlling for the severity of opioid dependence and withdrawal, type and route of opioid use, and high-risk behavior, patients on BNX were eleven times (14 times at the end of 6 months) more likely to be retained in the treatment. BNX group had significant improvements in the domains of recovery capital, quality of life, addiction severity, and severity of opioid dependence. There is a need to scale up the BNX-assisted treatment program in India and elsewhere. [ABSTRACT FROM AUTHOR]

Background: Besides making life easy, the smartphone has brought many psychological issues to their verge. Especially, the face-to-face communication of humans is facing challenges. A common behaviour encountered during social conversations is the use of smartphones simultaneously while conversing, which psychologists have termed as Phubbing. Aim: To explore Phubbing Behaviour in relation to its determinants, namely, Mobile phone usage and Internet Addiction, Gaming Addiction and Fear of Missing Out among young adults. Materials and Method: The sample comprised of 184 young adults in the age range of 18 to 30 years, of which 83 are males and 101 are females, belonging to the middle class socio-economic strata of India. The participants completed the e-questionnaires comprising of Mobile Phone Usage and Internet Addiction Scale, Game Addiction Scale, Fear of Missing Out Scale and Phubbing Scale. Firstly, evaluation of mean and standard deviation, have been done; secondly, independent samples t-test has been employed to reveal the significant difference of mean scores between the male group and the female group involved in the study. Furthermore, a correlation has been incorporated to establish the relationship between Phubbing behaviour and all the other factors. Results: The findings suggest that there exists a positive significant correlation between phubbing behaviour and its determinants. The study further indicates that there prevails a significant difference in mean scores on gaming addiction between the male group and the female group. Conclusions: The research variables overlap and have circular relationships. [ABSTRACT FROM AUTHOR]

The IFS (Internal Family Systems) model may be an effective framework for addictions treatment in Indian Country. When recovery from addiction and Indigenous wellbeing are understood from an Indigenous worldview perspective, the need for a treatment framework that aligns with a client's worldview becomes obvious. Through the storytelling dialogue of this article, the IFS model is located as a framework that has potential to align with the many unique cultures that are streams in an Indigenous worldview. The Western-developed IFS model's use in non-Western populations around the world points toward exploring its assumptions, language, and protocol for use in Indian Country. [ABSTRACT FROM AUTHOR]

Background: Medical students are future health care providers and experience a lot of stress during their training years. They are more likely to suffer depressive disorders than the general population and have a poorer quality of life. Objectives: To determine the prevalence of depressive disorder, its correlates and quality of life of medical students studying at a medical college in North India. Methods and material: It was a cross sectional study which included all the students enrolled at the study medical college. Data was collected using pre-validated questionnaires namely - 20 item 'Center for Epidemiologic Studies Depression Scale (CES-D)', WHO Quality of life (QoL) -- BREF questionnaire and 'Smartphone Addition Scale - Short version' (SAS-SV) questionnaire to assess for depression, quality of life and smartphone addiction respectively which was distributed in the classroom to be filled. Multivariate logistic regression was employed to ascertain association between depression and the other variables. Results: The study had an effective response rate of 79%. Using a score of 16 or above as cut-off on CES-D scale145 study participants (36.7%) were found to be depressed. Participants who negatively compared themselves with their peers/friends and also those who were addicted to smartphone were significantly more likely to be depressed [1.85(1.12-3.05) and 1.96 (1.29-2.97) respectively]. We report a statistically significant negative relationship between physical domain score [0.97(0.95-0.99)], psychological domain score [0.95(0.93-0.97)] and social relationship domain score [0.97(0.95-0.99)] on BREF Quality of life questionnaire and the presence of depression among the study participants. Conclusion: The prevalence of depression among medical students was high and those with depression have significantly poor quality of life. [ABSTRACT FROM AUTHOR]

The article informs about offers insights into Nepal's mental health history, covering system development, challenges (stigma, budget issues), and the evolution from traditional Ayurveda to modern mental health services. Topic include it emphasizes Nepal's commitment to closing the mental health treatment gap through initiatives like the Mental Health Gap Action Program.

Background: Excessive use of social media is increasingly being recognized as a source of technological addiction in young people globally. Objective: The aim of this study is to assess social media addiction in medical students using a self-designed questionnaire. Materials and Methods: We collected data from undergraduate medical students (MBBS) in Delhi, India using a self-administered 20-item social media addiction questionnaire (SMAQ) to measure addiction-like behavior, and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality. Results: We enrolled 264 (62.3%) male and 160 (37.7%) female participants of mean (standard deviation) age 19.83 (1.6) years. The Cronbach's alpha of the SMAQ was 0.879. A principal component analysis revealed a 4-component SMAQ structure based on eigenvalue cutoff (>1), loading score >0.3, and inspection of the Scree-plot that explained 54.7% of the total variance. We observed strong loadings of impaired control items on Component 1, decreased alternate pleasure items on Component 2, intense desire items on Component 3, and harmful use items on Component 4. The mean SMAQ score was significantly higher in the students reporting poor sleep quality and older students. Conclusion: The SMAQ has acceptable psychometric properties, with higher scores associated with sleep deprivation. A majority of students were unable to reduce their time spent on social media despite wanting to do so, signifying the presence of tolerance and impaired control. [ABSTRACT FROM AUTHOR]

Background: Craving plays an important role in maintenance of alcohol dependence. Earlier studies have analyzed the role of ghrelin in craving and their results have been heterogenous. Acyl ghrelin is its more active form as it crosses the blood brain barrier. Hence we aimed to examine the relationship between plasma acyl ghrelin and craving in Indian patients having alcohol dependence syndrome. Methods: The present study was a hospital-based prospective study. A total of 60 drug-naive patients of alcohol dependence and 30 healthy controls were included. After taking informed consent fasting blood samples were collected from them on day 1 and tested for plasma acyl ghrelin level. Fasting blood samples were repeated in all cases on day 14. During this time, we also assessed the patients' cravings by obsessive compulsive drinking scale, and alcohol craving questionnaire; and withdrawal by clinical institute withdrawal assessment for alcohol scale. These scales were repeated on day 14. Data analysis was done by SPSS version 25.0. Results: Plasma concentrations of acyl ghrelin increased significantly during early abstinence in patients from day 1 to day 14 (P < 0.0001). Pearson correlation test revealed a trend of positive correlation between plasma concentration of acyl ghrelin on day 14 and severity of craving on day 1. Conclusion: Our results suggest the plasma concentration of acyl ghrelin may be a predictor of severity of alcohol craving during early abstinence. Anti-craving drugs acting on acyl ghrelin level in brain may open an innovative avenue for optimum treatment of alcohol dependence. [ABSTRACT FROM AUTHOR]