{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:03:51Z","timestamp":1777914231390,"version":"3.51.4"},"reference-count":39,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,8,3]],"date-time":"2024-08-03T00:00:00Z","timestamp":1722643200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,8,3]],"date-time":"2024-08-03T00:00:00Z","timestamp":1722643200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Indian Journal of Psychological Medicine"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Areca nut (AN) and AN products (ANPs) are commonly used as psychoactive substances with marked dependence potential. Scant information exists on the Indian mental health professionals\u2019 (MHPs) knowledge of AN-ANPs, attitude toward AN-ANP use\/users, and behavior regarding their clients\u2019 AN-ANP use. To address this gap, a survey was undertaken to assess MHPs\u2019 knowledge, attitudes, and behavioral responses toward AN-ANP use and addiction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We developed a pretested, customized questionnaire and conducted a cross-sectional online survey among a random sample of MHPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The 209 respondents included 91 psychiatrists, 105 clinical psychologists, and 13 other MHPs from diverse settings. Among them, 46.89% believed that AN-ANP use does not fit the definition of abuse\/addiction as per the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition or International Classification of Diseases 10th Revision (ICD-10)\/ICD-11. Among the psychiatrists, clinical psychologists, and other MHPs, 60.4%, 48.6%, and 61.5% were unaware of any AN-ANP cessation protocols. The addictive potential of AN-ANP with tobacco was rated as severe by 68.1% of psychiatrists and 51.4% of clinical psychologists; 46.2% of other MHPs rated it as moderate. The addictive potential of AN-ANP without tobacco was rated as moderate by 50.5% of clinical psychologists and mild by 46.2% of psychiatrists. Of the sample, 67.46% discussed the harmful effects of AN-ANPs with clients, while 74.6% said a few or none of their clients sought help for AN-ANP cessation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Major lacunae were detected in the understanding of Indian MHPs about the addictive potential of AN-ANPs, management aspects, etc. An urgent need has been revealed for sensitization programs on AN-ANPs and the development of evidence-based cessation protocols.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02537176241262737","type":"journal-article","created":{"date-parts":[[2024,8,4]],"date-time":"2024-08-04T02:47:26Z","timestamp":1722739646000},"page":"148-156","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Exploring the Perceptions of Indian Mental Health Professionals Regarding Areca (Betel) Nut Products: A Cross-sectional Study"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7228-6624","authenticated-orcid":false,"given":"Anusa Arunachalam","family":"Mohandoss","sequence":"first","affiliation":[{"name":"Dept. of Psychiatry, Shri Sathya Sai Medical College and Research Institute, Affiliated to Shri Balaji Vidyapeeth (Deemed to be University), SBV Chennai Campus, Ammapettai, Chengelpet, Tamil Nadu, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4734-2628","authenticated-orcid":false,"given":"Shahul","family":"Ameen","sequence":"additional","affiliation":[{"name":"St. Thomas Hospital, Changanacherry, Kerala, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rooban","family":"Thavarajah","sequence":"additional","affiliation":[{"name":"Marundeeswara Oral Pathology Services and Analytics, Chennai, Tamil Nadu, India."},{"name":"Dept. of Oral Pathology, Ragas Dental College and Hospital (Affiliated to the Tamil Nadu Dr. MGR Medical University, Chennai), Chennai, Tamil Nadu, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,3]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/13556210020091437"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijdr.IJDR_947_18"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-043987"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2203571"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms24108996"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2010.02952.x"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14163974"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2008.03.016"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2020.109982"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/biom12050664"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/adb.13223"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/02537176221144711"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/adb.13352"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.conctc.2020.100544"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2019.1686022"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-12855-4_21"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.52711\/0974-360X.2023.00459"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/1747-597X-6-23"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.4103\/ccd.ccd_101_23"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-12855-4_19"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2017.4356"},{"key":"e_1_3_2_23_2","first-page":"1198","article-title":"Assessment of areca nut use, practice, and dependency among people in Guwahati, Assam: a cross-sectional study","volume":"15","author":"Kumar A","year":"2021","unstructured":"Kumar A, , Oswal K, , Singh R, . 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