ABSTRACT

The lunar synodic cycle is often believed to be associated with psychiatric emergencies and exacerbation in various countries, including India. However, the scientific literature regarding this matter is inconclusive. We aimed to evaluate the relationship between lunar cycle phase and admission rates plus occurrence of sentinel events in the psychiatric ward of a tertiary care general hospital in India. All admissions and transfer-ins (N = 780) to the Department of Psychiatry between August 1st, 2016 and July 31st, 2017 were evaluated from hospital records by a blinded author to obtain sentinel events, like requirement of physical restraint (PR) and chemical restraint (CR), occurring on full moon days (FM), new moon days (NM), and control days (CD). Statistical analysis was done by comparison of proportions. Significant positive differences were found when CR applied exclusively [p = .0008] on FM and NM days, and its frequency [p < .0001] in comparison to CD. Frequencies of parenteral [p = .0001] and per oral [p = .0064] modes of CR applied on FM and NM days showed significant positive results when compared with CD. Use of all restraints (PR plus CR) [p = .0017] and their frequencies [p < .0001] on FM and NM days were also positively significant. Sentinel events, such as use of restraints, especially chemical ones, in psychiatry in-patients are significantly more common during full moon and new moon phases.

摘要

在包括印度在内的许多国家，通常认为登月周期与精神病紧急情况和病情加重有关。但是，有关此问题的科学文献尚无定论。我们旨在评估印度三级综合医院精神病房的月经周期与入院率以及前哨事件发生之间的关系。盲人作者从医院记录中评估了2016年8月1日至2017年7月31日期间精神科的所有入院和转院（N = 780），以了解前哨事件，例如对身体约束（PR）和化学药品的要求约束（CR），发生在满月日（FM），新月日（NM）和控制日（CD）。通过比较比例进行统计分析。FM和NM天的p = .0008 ]，与CD相比，其频率[ p <.0001 ]。与CD相比，在FM和NM天应用CR的肠胃外[ p = .0001 ]和经口[ p = .0064]的频率显示出明显的阳性结果。在FM和NM日使用所有约束（PR加上CR）[ p = .0017 ]及其频率[ p <.0001 ]也具有积极意义。在满月和新月阶段，精神病住院病人的前哨事件（例如使用约束，特别是化学约束）更为普遍。