Lived experiences, health-seeking behaviour, quality of life, and self-esteem among transgender women: a mixed methods study from the Northern Himalayan region Aanchal Thapa, Rajesh Kumar, Rajarajeswari Kuppuswamy, Mukesh Bairwa, Anindya Das BMC Public Health, 2025 BACKGROUND: Transgender people are more likely to experience heightened risks of physical and psychological distress and tend to report a poorer quality of life compared to the general population. This study aimed to determine the quality of life and self-esteem, health-seeking behaviour, and to explore the lived experiences among transgender women. METHODS: Using the snowball sampling technique, 73 transgender women were included in this mixed-methods study. Quantitative data were collected through the Short-Form-12 (SF-12) and the Rosenberg Self-esteem Scale (RSES). Maximum variation sampling was employed to select 10 participants for the qualitative component, aiming to gain in-depth insights into their personal experiences and health-seeking behaviours. Appropriate descriptive and inferential statistics were applied for analysis. A thematic analysis approach was used to represent qualitative findings. RESULTS: The mean age of the participants was 30.93 (SD = 4.70) years. Findings revealed that participants had poor mental (Mean µ = 38.80) and physical (Mean µ = 38.08) health. The cohort demonstrated a notably high level of self-esteem (Mean µ = 30.93 ± 4.70). A substantial proportion (76.7%) of participants experienced discrimination or mistreatment while seeking healthcare services, stating unfavorable experiences (19.2%) and strongly unsatisfied (5.5%), whereas more than half (56.2%) avoided giving any opinions. From the qualitative analysis, three major themes emerge: discovering my true identity as transgender person, survival in a world of discrimination, violence, and trauma, and struggle with economic, professional, and legal challenges. CONCLUSIONS: In our study, participants reported lower mental and physical health, experienced discrimination, and had negative perceptions while accessing health services. The study carries important implications for the development of inclusive and high-quality healthcare services to ensure transgender people's access to and utilization of healthcare.
Development, and pilot study of a single-session ‘Intervention for Caregiver Affiliate stigma REduction’ (i-CARE) in a tertiary care specialty psychiatry setting in North India for severe mental illnesses Tanve Garg, Vishal Dhiman, Anindya Das, Naveen Grover Indian Journal of Psychiatry, 2025 Background: Affiliate stigma (AS) is self-stigma in caregivers, having three salient components: affective, behavioral, and cognitive. High caregiver AS causes concealment of mental illness and has negative consequences. Appropriate intervention for AS can offset such consequences. Aim: To develop a pragmatic, affordable, and tentatively effective mental health intervention that targets AS. Methods: We formulated Intervention for Caregiver Affiliate stigma REduction (i-CARE) after the thorough literature review, mental health expert and caregiver feedback (for face validation), and a pilot study (for feasibility and preliminary effectiveness). Throughout, the focus was on simplicity (single session of 25 min), feasibility, and applicability across different settings (outpatient, inpatient, online) and modalities (face-to-face/direct intervention, video consultation/remote intervention) suitable for the North Indian cultural context. It incorporated anti-stigma components of psychoeducational and contact-based intervention. The study was registered at CTRI (2022/01/039333). Results: i-CARE took about 4 months to develop. Expert suggestions, such as issues of medication adherence, functional recovery, and most importantly, an individualized session of doubt clarification, were included. The caregivers assessed the clarity, comprehension, and usefulness of the intervention. The final components included introductory interaction, multimedia-based audio-visual content, printed IEC material, and a one-to-one clarification session. We used lived caregiving experience through audio-visual content to target contact-based anti-stigma approaches, psychoeducational approaches through multimedia and flyers, and personalized sessions for individualized approaches. Pilot testing of i-CARE suggested its feasibility in administration and effectiveness in the immediate post intervention period. Conclusion: We developed and validated i-CARE through an iterative process, keeping pragmatics and cultural contextuality in mind. We plan to test its efficacy in a robustly designed study.
A comparative health system analysis of selected states of India: Implications for global mental health practice Anindya Das Indian Journal of Psychiatry, 2025 The population of some Indian states is equivalent to that of many low- and middle-income countries (LMICs). Due to India’s federal administration system, states manage their health services independently, and their unique social, economic, and governance circumstances influence their development trajectories. The current practice of Global Mental Health is to scale up evidence-based interventions. In this research, scaling up is defined as the development of the mental health (MH) service system, which, in turn, is considered an organic part of health service systems strengthening within the enduring ethos of the Alma Ata Declaration and Sustainable Developmental Goals. The current analysis uses a comparative health system lens to explore the status of MH services in selected states of India with the development of the health system. The authors tentatively conclude that for India and similar LMICs, the advancement of the MH system/services is best addressed through health system development utilizing principles of Primary Health Care.
Implementation of substance use screening and brief intervention model at primary healthcare level of Uttarakhand Vishal Dhiman, Anindya Das, Siddharth Sarkar, Yatan Pal Singh Balhara Indian Journal of Psychiatry, 2025 As per the Magnitude of Substance Use in India report (2019),[1] 14.6% of the Indian population uses alcohol, followed by opioids (2.1%), and cannabis (2%). The burden of drug use in the state of Uttarakhand (UK) is on the higher side. The prevalence was found to be the highest (18.8%) for alcohol use, followed by 3.38% for cannabis and 2.58% for opioids. There is a huge treatment gap for substance use disorders in India.[2] This gap can potentially be bridged by capacity building of mid-level healthcare providers (MHLPs) who are trained in screening and management based on the Screening, Brief Intervention, and Referral to Treatment (SBIRT) framework.[3] This model framework is evidence-based, scalable, and applicable across varied settings like hospitals, schools, and the community. As per recommendations of the National Health Policy (2017), there has been an initiative to establish Health and Wellness Centers (HWCs) to deliver Comprehensive Primary Health Care.[4] A 6-month certificate program in community health has been developed for qualified Nurses or Ayurveda practitioners to work as Community Health Officers (CHOs).[4] Uttarakhand has expanded its workforce successfully through this bridge initiative. CHOs conduct risk assessments of non-communicable diseases (NCDs) but use only two items on current use of alcohol and tobacco for such an assessment. As part of the National Mental Health Program and with financial support from the Nation Health Mission (NHM) Uttarakhand, we have initiated a Cascade Training Technique or Training-the-Trainer model to instill the SBIRT skills to CHOs. It consisted of Phase-I: Development of modules/study material by the investigators based on available World Health Organization (WHO) material and screening for substance use using Alcohol Smoking and Substance Involvement Screening Test (ASSIST),[5] followed by 2-days Short-term onsite practical (STOP) training for State-nominated Block Medical officers (BMOs) as Master Trainers (on SBIRT framework) conducted at a tertiary-care teaching hospital (with pre-post knowledge assessment being done); Phase-II: the Master Trainers conduct a 1-day workshop for CHOs in their respective districts (We provided soft-copy training material to the master trainers so that they could use and get it printed as per their needs.); and Phase-III of Continuity of Care, where continued support for those selected BMOs/CHOs at their workplace at regular intervals is provided through the virtual platform. STOP training for 03 batches for BMOs from 09 districts has been completed. The master trainers in many districts have also completed Phase-II workshops for CHOs. The intended locus is the clinical setting where NCDs assessment is done, including in the community and outpatient clinical setting. Online monitoring and handholding are to be done subsequently and will include field visits. The SBI/SBIRT model implementation in the State of Uttarakhand, supported by NHM, is a modest start in developing a stepped-care approach to strengthen universal primary health care and may be replicated elsewhere. The recent Tilak Venkoba Rao Oration Award paper also advocates the adoption of SBI as a public health tool in India to bridge the mental healthcare gap.[6] We acknowledge that our SBIRT approach has yet to be evaluated for on-the-ground ‘take-up’ and inculcation into the routine practice by CHOs, but it shows promise as an implementable model. Financial support and sponsorship National Health Mission, Uttarakhand. Conflicts of interest There are no conflicts of interest.
Misdiagnosis: Global Mental Health, Social Determinants of Health and Beyond Anindya Das, Mohan Rao Movement for Global Mental Health Critical Views from South and Southeast Asia, 2025 We critically engage with the Movement for Global Mental Health (MGMH) through the lens of the Social Determinants of Health (SDH), suitably widened. We explore the socio-political context of Indian community mental health initiatives in order to elaborate the opportunities/impediments for a public programme. We critique the MGMH for being preoccupied with the burden of mental illness and its “treatment”, while being inattentive to the social, economic, and political contexts shaping local/global ecologies of well-being/suffering. Hence the economic arguments of the MGMH fail to examine the realities of local contexts (poor public health funding and primary health care, lax pharmaceutical regulations, asymmetric power relations and indigenous knowledge systems). Using the concepts of globalisation and global health, and taking a population perspective, we describe a neo-materialistic version of SDH.
Propped Fracturing in Tight Carbonates Reservoir – A Case Study M. Al Manthari, Z. Al Malki, R. Kumar, A. Ali, A. Al Zaabi, A. Das, H. Al Sinani, S. Al Dhayabi, E. Ferdiansyah, N. Al Harthi, Y. Al-Hashemi, A. Christiawan Society of Petroleum Engineers SPE International Hydraulic Fracturing Technology Conference and Exhibition Ihft 2023, 2023
First Pilot Design of Low-Tension-Gas (LTG) Flooding in Carbonate Field in North Oman Mohammed Al-Abri, Dawood Al Mahruqi, Nawal Al- Aamri, Siavash Kahrobaei, Diederik van Batenburg, Groenenboom Jeroen Peter Abram, Sam Carter, Ramez Nasralla, Sulaiman Al Amri, Anindya Das, Ahmed Abuawad, Yaqoob Ramidhi, Zahir Al Malki Society of Petroleum Engineers Adipec Adip 2023, 2023
Development of psychiatry curriculum as a major subject during MBBS in India Jitendra Rohilla, Vishal Dhiman, Vijay Krishnan, Aniruddha Basu, Anindya Das, VikramSingh Rawat, Anil Nishchal, Malay Dave, RamKumar Solanki, Sreeja Sahadevan, Arghya Pal, Shobit Garg, SaiKrishna Tikka, Mohan Dhyani, Priyaranjan Avinash, Manoj Gupta, Ravi Kant, Ravi Gupta Indian Journal of Psychiatry, 2021
Association of Low-Density Lipoprotein Receptor-Related Protein 5 Haplotypes with Depression Risk in Type 2 Diabetes Mellitus: A Linkage Disequilibrium Approach J Singh, PK Singh, R Amoli, A Das, R Kant, AA Mirza, S Saha Indian Journal of Clinical Biochemistry, 1-9 , 2026 2026
Re: Methodological Concerns regarding" Antidepressant selection modifies survival in depression: A National Cohort Study Using NHANES 2005-2018 data" Z Khan, B Desai, A Das General hospital psychiatry 100, 232-233 , 2026 2026
Role of Mental Health Laws in Stigma Reduction A Das, M Daniel, S Saha Unshakling. Mental Illness and the Mental Health Care Act 2017, 33-42 , 2026 2026
Lived experiences, health-seeking behaviour, quality of life, and self-esteem among transgender women: a mixed methods study from the Northern Himalayan region A Thapa, R Kumar, R Kuppuswamy, M Bairwa, A Das BMC Public Health 25 (1), 3836 , 2025 2025 Citations: 2
Development, and pilot study of a single-session ‘Intervention for Caregiver Affiliate stigma REduction’(i-CARE) in a tertiary care specialty psychiatry setting in North India … T Garg, V Dhiman, A Das, N Grover Indian Journal of Psychiatry 67 (8), 779-785 , 2025 2025
A comparative health system analysis of selected states of India: Implications for global mental health practice A Das Indian Journal of Psychiatry 67 (7), 700-706 , 2025 2025
The Life Course of a Woman with Compulsive Sexual Behavior: A Case Study C Sharma, S Saha, A Das Journal of Psychosexual Health 7 (3), 290-293 , 2025 2025
Effects of non-pharmacological interventions in depression and anxiety in children and adolescents: A systematic review and meta-analysis of randomized controlled trials R Kumar, M Sahu, K Beniwal, Y Bahurupi, A Das Medical Journal Armed Forces India 81 (2), 139-150 , 2025 2025 Citations: 4
Implementation of substance use screening and brief intervention model at primary healthcare level of Uttarakhand V Dhiman, A Das, S Sarkar, YPS Balhara Indian Journal of Psychiatry 67 (2), 278-279 , 2025 2025
Mental health and sleep routines: Uttarkashi, India tunnel collapse workers’ experience K Kundu, A Das, G Kachhawaha, S Jhajhari, K Mudgal, C Sharma, ... Sleep Medicine , 2024 2024 Citations: 2
Obsessive (pseudo) hallucinations: a diagnostic dilemma and a visit to descriptive psychopathology S Saha, D Neupane, A Das Journal of Psychopathology 30 , 2024 2024
Experiences of the family caregivers of persons with schizophrenia in north Indian region: A qualitative inquiry A Soni, R Kumar, A Das Archives of Psychiatric Nursing 51, 17-24 , 2024 2024 Citations: 13
Anxiety, depression, and quality of life among infertile women: a case-control study A Bahadur, S Kumari, R Mundhra, K Khoiwal, A Das, A Heda, A Pathak, ... Cureus 16 (3) , 2024 2024 Citations: 21
Research on psychotherapy in India: A systematic review J Selvapandiyan, A Das, GP Singh Indian Journal of Psychiatry 66 (2), 123-134 , 2024 2024 Citations: 8
Catatonia as a Presentation of Autoimmune Encephalitis: A Systematic Review and Meta-analysis A Singh, SU Govekar, S Bangari, A Das Journal of the Academy of Consultation-Liaison Psychiatry 64, S112 , 2023 2023
1.17 Unmasking Catatonia in Pediatric Autoimmune Encephalitis: A Systematic Review and Meta-analysis A Singh, S Bangari, S Govekar, A Das Journal of the American Academy of Child & Adolescent Psychiatry 62 (10), S160 , 2023 2023
Treatment gap or service deficit: What is meant by the treatment gap in mental illness? A Das Indian Journal of Psychiatry 65 (9), 982-983 , 2023 2023
Exploring Coping and Religiosity in an Indian Ashram for Older Adults A Das, A Chaudhary, T Lakshya Journal of Cross-Cultural Gerontology , 2023 2023 Citations: 3
Predictive value of adiposity index in identifying depression in individuals with type 2 diabetes mellitus in Indian population J Singh, PK Singh, R Nain, R Kant, A Das, AA Mirza, S Saha Journal of Laboratory Physicians , 2023 2023 Citations: 1
Modification and validation of a diagnostic questionnaire for restless legs syndrome: Modified-restless legs syndrome diagnostic questionnaire (m-RLS-DQ) R Kumar, V Krishnan, A Das, N Kumar, R Gupta Annals of Indian Academy of Neurology 26 (4), 475-483 , 2023 2023 Citations: 4
MOST CITED SCHOLAR PUBLICATIONS
Farmers’ suicide in India: Implications for public mental health A Das International journal of social psychiatry 57 (1), 21-29 , 2011 2011 Citations: 113
Universal mental health: Re-evaluating the call for global mental health A Das, M Rao Critical Public Health 22 (4), 383-389 , 2012 2012 Citations: 64
Use of therapeutic milieu interventions in a psychiatric setting: A systematic review CX Belsiyal, S Rentala, A Das Journal of Education and Health Promotion 11 (1), 234 , 2022 2022 Citations: 49
Association of comorbid anxiety and depression with chronic obstructive pulmonary disease R Dua, A Das, A Kumar, S Kumar, M Mishra, K Sharma Lung India 35 (1), 31-36 , 2018 2018 Citations: 41
Mental and physical morbidity in old age homes of Lucknow, India P Kumar, A Das, U Rautela Delhi Psychiatry Journal 15 (1), 111-117 , 2012 2012 Citations: 41
Aripiprazole-induced obsessive-compulsive disorder: a report of 2 cases P Desarkar, A Das, SH Nizamie Journal of clinical psychopharmacology 27 (3), 305-306 , 2007 2007 Citations: 31
Pharmaceutical industry and the market: The case of Prozac and other antidepressants A Das Asian Journal of Psychiatry 4 (1), 14-18 , 2011 2011 Citations: 30
Duloxetine for childhood depression with pain and dissociative symptoms P Desarkar, A Das, VK Sinha European child & adolescent psychiatry 15 (8), 496-499 , 2006 2006 Citations: 28
Competency-based medical curriculum: Psychiatry, training of faculty, and Indian Psychiatric Society M Kishor, R Gupta, MV Ashok, M Isaac, RK Chaddha, OP Singh, H Shah, ... Indian Journal of Psychiatry 62 (2), 207-208 , 2020 2020 Citations: 27
Anxiety disorders in bipolar I mania: prevalence, effect on illness severity, and treatment implications A Das Indian Journal of Psychological Medicine 35 (1), 53-59 , 2013 2013 Citations: 27
Anxiety, depression, and quality of life among infertile women: a case-control study A Bahadur, S Kumari, R Mundhra, K Khoiwal, A Das, A Heda, A Pathak, ... Cureus 16 (3) , 2024 2024 Citations: 21
The context of formulation of India's mental health program: Implications for Global Mental Health A Das Asian Journal of Psychiatry 7, 10-14 , 2014 2014 Citations: 19
Verbal learning and memory and psychopathology in schizophrenia MK Manglam, A Das Asian journal of psychiatry 6 (5), 417-420 , 2013 2013 Citations: 19
Lithium toxicity presenting as catatonia in an adolescent girl P Desarkar, A Das, B Das, VK Sinha Journal of clinical psychopharmacology 27 (4), 410-412 , 2007 2007 Citations: 17
Olanzapine-induced oculogyric crisis P Desarkar, A Das, VK Sinha Australian and New Zealand Journal of Psychiatry 40 (4), 374 , 2006 2006 Citations: 17
Personality correlates of accident-proneness in auto-rickshaw drivers in India MK Manglam, VK Sinha, SK Praharaj, D Bhattacharjee, A Das International journal of occupational safety and ergonomics 19 (2), 159-165 , 2013 2013 Citations: 14
Experiences of the family caregivers of persons with schizophrenia in north Indian region: A qualitative inquiry A Soni, R Kumar, A Das Archives of Psychiatric Nursing 51, 17-24 , 2024 2024 Citations: 13
Development of psychiatry curriculum as a major subject during MBBS in India V Dhiman, V Krishnan, A Basu, A Das, J Rohilla, VS Rawat, A Nishchal, ... Indian Journal of Psychiatry 63 (3), 290-293 , 2021 2021 Citations: 12
Need and learnings from having psychiatry as major subject during medical graduate examination A Das, V Krishnan, V Dhiman, JK Rohilla, VS Rawat, A Basu, R Gupta, ... Indian Journal of Psychiatry 62 (6), 723-727 , 2020 2020 Citations: 11
Rapid survey of psychological status of health-care workers during the early outbreak of COVID-19 pandemic: a single-centre study at a tertiary care hospital in Northern India R Kumar, A Das, V Singh, PK Gupta, YA Bahurupi Journal of Medical Evidence 2 (3), 213-218 , 2021 2021 Citations: 10