The relationship between medical and psychiatric symptomatology in medical and psychiatric patients

1960 ◽  
Author(s):  
Ruth G. Matarazzo
2014 ◽  
Vol 20 (2) ◽  
pp. 101-112 ◽  
Author(s):  
Cyrus S. H. Ho ◽  
Melvyn W. B. Zhang ◽  
Anselm Mak ◽  
Roger C. M. Ho

SummaryMetabolic syndrome comprises a number of cardiovascular risk factors that increase morbidity and mortality. The increase in incidence of the syndrome among psychiatric patients has been unanimously demonstrated in recent studies and it has become one of the greatest challenges in psychiatric practice. Besides the use of psychotropic drugs, factors such as genetic polymorphisms, inflammation, endocrinopathies and unhealthy lifestyle contribute to the association between metabolic syndrome and a number of psychiatric disorders. In this article, we review the current diagnostic criteria for metabolic syndrome and propose clinically useful guidelines for psychiatrists to identify and monitor patients who may have the syndrome. We also outline the relationship between metabolic syndrome and individual psychiatric disorders, and discuss advances in pharmacological treatment for the syndrome, such as metformin.LEARNING OBJECTIVES•Be familiar with the definition of metabolic syndrome and its parameters of measurement.•Appreciate how individual psychiatric disorders contribute to metabolic syndrome and vice versa.•Develop a framework for the prevention, screening and management of metabolic syndrome in psychiatric patients.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1549-1549
Author(s):  
M. Lourenço ◽  
L.P. Azevedo ◽  
J.L. Gouveia

IntroductionDepression as a pathology and the side effects of pharmacology therapy have been pointed proven to be as responsible for the lack of sexual desire. Among the drugs used in the treatment of depression, anti-depressives are the ones mostly connected to sexual dysfunction.Aims /objectivesTo study the relationship between depression and its impact on the sexual desire in psychiatric patients.MethodsThe chosen sample is composed of 89 subjects, 73 females and 16 males, with ages ranging from 21 to 70 years, who present with depressive symptomatology (mild to moderate symptomatology (MMS) and severe symptomatology (SS).To each patient 3 instruments were applied: 1)Questionnaire used to collect demographic and clinical data from the sample;2)Instrument of estimation of the depression degree (BDI - Beck Depression Inventory);3)Instrument of valuation of the sexual desire (SDS - Sexual Desire Scale).ResultsDepression average value obtained with BDI was 25.58 (SD = 11.86). The majority was satisfied with their marital relationship (72.7% and 52.9%, respectively), and the group with most sexual damaged (actual sexual performance regarding sexual desire) being the one with severe depression (54.5% versus 82.4%, respectively). Regarding total SDS value, the group with MMD present with higher levels of sexual desire (M = 54.93; DP = 14.56) than the group with SD (M = 41.82; DP = 11.86).ConclusionsThis study presents an exploratory character and the obtained results revealed that depressive symptomatology severity is directly related with sexual desire, by saying the higher the depression's severity is the lower sexual desire will be.


1995 ◽  
Vol 40 (4) ◽  
pp. 200-204 ◽  
Author(s):  
Abiodun O. Adeyinka ◽  
Jude U. Ohaeri ◽  
Benjamin O. Osuntokun

The prevalence of brain cortical sulci atrophy and central (subcortical) atrophy among Nigerian psychiatric patients is highlighted and compared with findings from developed countries. The relationship between these indices of brain atrophy and clinical parameters is also examined. Visual ratings of cortical sulci atrophy and central (subcortical) atrophy, assessed on the computed tomography (CT) image console, were compared among 50 patients with schizophrenia, 14 patients with mania and 41 healthy control subjects. The patients with schizophrenia and the patients with mania had a significantly higher prevalence of brain atrophy than normal subjects. Among the patients with schizophrenia, indices of brain atrophy were not significantly associated with disease outcome, and the presence of negative symptoms. In view of the findings from a parallel study of the same patients that psychiatric patient groups showed other evidence of CT abnormalities, the findings of this study indicate that the so-called functional psychiatric states in developing countries — as in developed countries — are probably associated with some diffuse neuropathological process.


2016 ◽  
Author(s):  
Anne-Laura Van Harmelen

Background: Adolescence is a key time period for the emergence of psychosocial and mental healthdifficulties. To promote adolescent adaptive (‘resilient’) psychosocial functioning, appropriate conceptualizationand quantification of such functioning and its predictors is a crucial first step. Here,we quantify resilient functioning as the degree to which an individual functions better or worse thanexpected given their self-reported childhood family experiences, and relate this to adolescent familyand friendship support.Method: We used Principal Component and regression analyses to investigate the relationship betweenchildhood family experiences and psychosocial functioning (PSF: psychiatric symptomatology,personality traits and mental wellbeing) in healthy adolescents (the Neuroscience in Psychiatry Network;N=2389; ages 14-24). Residuals from the relation between childhood family experiences andPSF reflect resilient functioning; the degree to which an individual is functioning better, or worse,than expected given their childhood family experiences. Next, we relate family and friendship supportwith resilient functioning both cross-sectionally and one year later.Results: Friendship and family support were positive predictors of immediate resilient psychosocialfunctioning, with friendship support being the strongest predictor. However, whereas friendshipsupport was a significant positive predictor of later resilient functioning, family support had a negativerelationship with later resilient psychosocial functioning.Conclusions: We show that friendship support, but not family support, is an important positive predictorof both immediate and later resilient psychosocial functioning in adolescence and early adulthood.Interventions that promote the skills needed to acquire and sustain adolescent friendshipsmay be crucial in increasing adolescent resilient psychosocial functioning.


2019 ◽  
Vol 7 (1) ◽  
pp. 112-122
Author(s):  
K Abilash ◽  
P Sindhuja Manisha Kamini ◽  
T Jothimani

Background: Personality is the dynamic organization within the individual of those psychophysical systems that determine characteristic behavior and thought. Aim: To standardize and validate personality disorder inventory in clinical population. Methods and Samples: 100 Psychiatric patients were taken as a sample as a clinical population in various hospital Coimbatore age ranged 28 – 58. PSGP- IPDI- Indian Personality Disorder Inventory assessed for 100 psychiatric disorder individuals. Results: The relationship among the disorders of the personality inventory shows both positive and negative correlations among the dimensions most of the dimensions exhibited positive correlation. The internal consistency of the inventory is reliable.Conclusion: The personality disorder inventory is reliable and significant and this tool can be administered on the clinical population.


Medicina ◽  
2019 ◽  
Vol 55 (5) ◽  
pp. 200 ◽  
Author(s):  
Isabella Berardelli ◽  
Salvatore Sarubbi ◽  
Elena Rogante ◽  
Michael Hawkins ◽  
Gabriele Cocco ◽  
...  

Background and Objectives: Demoralization has been defined by hopelessness and helplessness attributable to a loss of purpose and meaning in life. Demoralization is a meaningful mental health concern, frequently associated with suicide risk in medical and psychiatric patients. The aim of this systematic review was to synthesize the recent empirical evidence on demoralization in patients with schizophrenia and to better understand the relationship between demoralization and suicide risk in patients with schizophrenia. Methods: A comprehensive literature search using key words and subject headings was performed following PRISMA guidelines with several bibliographic databases, resulting in the identification of 27 studies. Results: The findings suggested that demoralization is prevalent in patients with schizophrenia and supported the hypothesis that the association between depression and suicide is moderated by hopelessness. In clinical practice, it is important to recognize symptoms of demoralization using appropriate psychological tools to better understand the suffering of patients with schizophrenia and to implement suicide prevention programs.


1965 ◽  
Vol 20 (1) ◽  
pp. 79-86 ◽  
Author(s):  
Joe B. Alexander ◽  
Howard E. Gudeman

This study was concerned with the relationship between perceptual and interpersonal measures of dependence for a sample of 60 male Ss. Four groups of alcoholics, one group of hospitalized psychiatric patients, and a group of normals were compared on the Rod and Frame Test and three laboratory interpersonal tasks to evaluate the hypothesis that perceptual and interpersonal dependence measures are significantly related. The results only partially confirmed the hypothesis. The over-all correlation was significant, as was the over-all correlation for four groups of alcoholics. Only two of the six subgroup correlations, however, were significant. These results suggest the need for further study, using larger sample sizes, to determine the specific relationship of the two variables.


1983 ◽  
Vol 57 (2) ◽  
pp. 427-444 ◽  
Author(s):  
Carole L. Selin ◽  
Louis A. Gottschalk

The relationship between degree of schizophrenia and neuropsychological impairment was investigated in 24 adolescent and adult hospitalized and non-hospitalized psychiatric patients with diagnoses of depressive disorder, conduct disorder, and schizophrenia. Schizophrenic adults and conduct disordered adolescents showed greater cognitive impairment than depressed patients on a neuropsychological test of rhythm perception and attention and showed greater frequency of EEG abnormality. Schizophrenics were differentiated from other groups by their impaired abstraction ability on the Halstead-Reitan Category Test. Use of these tests for prediction of adolescents at high risk for schizophrenia was discussed.


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