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 Table of Contents    
LETTERS TO EDITOR
Year : 2018  |  Volume : 40  |  Issue : 6  |  Page : 588-589  

Authors' response to the comments on “How do our patients respond to the concept of psychiatric advance directives? An exploratory study from India”


1 Department of Psychiatry, K.LE Academy of Higher Education's, J.N Medical College, Belagavi, Karnataka, India
2 Department of Health and Family Welfare, District Mental Health Program, Bagalkot, Govt. of Karnataka, Karnataka, India
3 Psychiatry Clinic, Indira Nagar, Bengaluru, Karnataka, India

Date of Web Publication9-Nov-2018

Correspondence Address:
Dr. Bheemsain Tekkalaki
Department of Psychiatry, K.LE Academy of Higher Education's, J.N Medical College, Belagavi - 590 010, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJPSYM.IJPSYM_402_18

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How to cite this article:
Tekkalaki B, Patil VY, Patil S, Chate SS, Dhabale R, Patil NM. Authors' response to the comments on “How do our patients respond to the concept of psychiatric advance directives? An exploratory study from India”. Indian J Psychol Med 2018;40:588-9

How to cite this URL:
Tekkalaki B, Patil VY, Patil S, Chate SS, Dhabale R, Patil NM. Authors' response to the comments on “How do our patients respond to the concept of psychiatric advance directives? An exploratory study from India”. Indian J Psychol Med [serial online] 2018 [cited 2018 Dec 15];40:588-9. Available from: http://www.ijpm.info/text.asp?2018/40/6/588/245086



Sir,

We thank Dr. Ramesh and Dr. Somani for their interest in our article entitled “How do our patients respond to the concept of psychiatric advance directives? An exploratory study from India.”[1] The authors of the letter have observed that the study did not explore the attitude of the patients or the family members toward the concept of the advance directives (AD).[2] We agree that we have not discussed the attitude part of this paper as we have only focused on the treatment choice made by the patients.

Authors have also opined that open-ended questions should have been used instead of simple yes or no questions to assess the treatment choices. We would like to refer here to another letter published in this same issue, where Narasimha et al. (2018) have advocated the use of a structured tool in studies like ours.[3] These differences of opinion may be because of the little evidence available on the topic of the AD and its worthwhile to take up research comparing semi-structured and structured tools in the future. Further, we agree with the authors' opinion that the usage of specific rating scales, such as brief psychiatric rating scale (BPRS), young's mania rating scale (YMRS), and hamilton depression rating scale (HAM-D), would have been better and the importance of the assessment of capacity and cognitive status.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Tekkalaki B, Patil VY, Patil S, Chate SS, Dhabale R, Patil NM. How do our patients respond to the concept of psychiatric advance directives? An exploratory study from India. Indian J Psychol Med 2018;40:305-9.  Back to cited text no. 1
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2.
Ramesh V, Somani A. Comments on “how do our patients respond to the concept of psychiatric advance directives? An exploratory study from India.” Indian J Psychol Med 2018;40:587-8.  Back to cited text no. 2
    
3.
Narasimha VL, Karia S, Andrade C. Internal, external, and ecological validity in the context of studies on advance directives. Indian J Psychol Med 2018;40:589-90.  Back to cited text no. 3
  [Full text]  




 

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