scholarly journals Sarcoidosis: Psychotherapy and Long-Term Outcome—A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Giancarlo Trombini ◽  
Elena Trombini
Keyword(s):  
Depressive Symptoms ◽  
Stressful Life Events ◽  
Stressful Events ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Systemic Inflammatory Disease ◽  
High Incidence ◽  
Supportive Expressive Psychotherapy ◽  
Outcome Evaluations

Sarcoidosis is a systemic, inflammatory disease of unknown aetiology, influenced by stressful life events and associated with a high incidence of alexithymic personality traits, and of depressive symptoms. The medical literature on sarcoidosis has called for a psychotherapeutic intervention to modify the perceived state of disease, the influence of stressful events and the depressive condition. Few studies have described cases treated with psychotherapy, and no information is available on its long-term outcome. We present the case of a patient with chronic sarcoidosis and periodical reacutizations with constantly pathological ESR. Twenty-four years after the diagnosis, a dynamic supportive-expressive psychotherapy for psychosomatic alexithymic patients was added to the medical therapy. At the beginning and at the end of the psychotherapy, and for the long-term outcome evaluations, Kellner’s symptom questionnaire (SQ) was used to investigate psychological distress. The SQ scores, initially pathological, were normal at the end of the psychotherapy and for the following three years. Psychotherapy, without antidepressive drugs, resolved the depression. The depressive symptoms disappeared, along with the normalization and stabilization of the ESR. After three years, the outcome was positive. This is the first study describing a successful psychotherapy and its long-term outcome on a patient with sarcoidosis.

An evaluation of strength-based approaches to the treatment of sex offenders: a review

2017 ◽  
Vol 7 (3) ◽  
pp. 221-228 ◽  
Author(s):  
William L. Marshall ◽  
Liam E. Marshall ◽  
Mark E. Olver
Keyword(s):  
Sex Offenders ◽  
Treatment Programs ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Content Type ◽  
Strength Based ◽  
Reducing Recidivism ◽  
Outcome Evaluations ◽  
Good Lives

Purpose The purpose of this paper is to note the basis for the emergence of strength-based approaches (SBA) to the treatment of sex offenders and point to Tony Ward’s Good Lives Model (GLM) as the impetus for these developments. Design/methodology/approach Next, the authors outline the elements of the GLM and of other SBAs. The features of various ways to evaluate treatment programs are discussed and this is followed by an examination of the evidence bearing on the value of the GLM and other SBAs. Findings The authors note that the effects of the GLM are limited to within treatment indices as, to date, there are no long-term outcome evaluations of the model on reducing recidivism. Indeed, there appears to be only one such study of an alternative SBA program. Originality/value The authors conclude that additional outcome studies are needed to evaluate the utility of the switch away from deficit-focused approaches to strength-based models of treatment.

Emotion perception and theory of mind in adolescents with major depression

2021 ◽  
pp. 1-6
Author(s):  
Chen Dror ◽  
Victor Portnoy ◽  
Shomrit Dayan-Rosenblum ◽  
Yari Gvion ◽  
Yuval Bloch ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Theory Of Mind ◽  
Rating Scale ◽  
Emotion Perception ◽  
Recognition Task ◽  
Expression Recognition ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Children’S Depression

Abstract Background: The research of theory of mind (ToM) and emotion perception (EP) in adolescents with major depressive disorder (MDD) is scarce, and no study to date has investigated the association between EP and long-term outcomes of adolescents with MDD. The aim of the current study was to evaluate ToM and EP in adolescents with MDD, as compared to healthy controls (HCs). In addition, we aimed to assess the association between impairment in ToM and EP, depressive symptom severity, and long-term outcome in the MDD group. Methods: We compared the performance of 14 adolescents with MDD and 25 HC in the Facial Expression Recognition Task (FERT) and the Interpersonal Perception Task. We followed up with the MDD group 2 years later to assess the level of their depressive symptoms using the Children’s Depression Rating Scale–Revised (CDRS-R). Results: No differences were found between adolescents with MDD and HC in the ToM and FERT tasks. Also, within the MDD group, there was no association between the severity of depressive symptoms and task performance. In the MDD group, there was a significant correlation between lower levels of accuracy in the FERT during the index depressive episode and lower CDRS-R scores on follow-up 2 years later (r2 = 0.35, p = 0.021). Conclusions: EP impairments in adolescents with MDD might predict worse long-term outcome. Further research is needed to verify our findings and to assess for a possible neurobiological underpinning for the state and trait impairments in EP in adolescents with MDD.

scholarly journals Long-Term Outcomes and Predictors of Childhood-Onset Schizophrenia: A Naturalistic Study of 6-year Follow-Up in China

2021 ◽  
Vol 12 ◽  
Author(s):  
Zheng Liangrong ◽  
Zhang Guican ◽  
Zhu Qi ◽  
Yang Weirui ◽  
Zhang Yaqi ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Long Term Outcomes ◽  
Childhood Onset ◽  
Occupational Education ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Childhood Onset Schizophrenia ◽  
Education Status

Objectives: The long-term outcome of childhood-onset schizophrenia (COS) and its influencing factors remain unclear. The current study aimed to assess the long-term outcomes of COS and identify possible outcome predictors.Methods: We retrospectively investigated 276 patients with COS. Diagnosis made according to the ICD-10 criteria for schizophrenia, and the age of the first onset was ≤ 14 years. Follow-up was completed for 170 patients, with a median follow-up period of 5.6 years. Outcome variables included occupational/education status and readmission. Spearman correlation was performed to assess the relationship between predictors and outcome variables. Binary logistic regression was conducted to detect possible predictor variables for outcome variables.Results: At the end of the follow-up, 89 patients (52.3%) were at school, 70 patients (41.2%) were employed, and only 11 patients (6.5%) were dropped out of school or unemployed. The duration to the first admission and depressive symptoms were identified as predictors of occupational/educational status. The length of follow-up and obsessive-compulsive symptoms (OCS) were distinguished as predictors of readmission. Duration to the first admission and length of follow-up were risk factors, and depressive symptoms and OCS were protective factors for the outcomes of COS.Conclusion: We found a favorable long-term outcome on occupational/education status in COS, and depressive symptoms and OCS may be associated with more positive long-term outcomes in COS. Our findings suggest that COS patients may benefit from early intervention and require appropriate treatment.

The Long-Term Outcome of Maudsley Depressives

1988 ◽  
Vol 153 (6) ◽  
pp. 741-751 ◽  
Author(s):  
Alan S. Lee ◽  
Robin M. Murray
Keyword(s):  
Function Analysis ◽  
Depressive Illness ◽  
Index Admission ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Unnatural Death ◽  
Admission Data ◽  
High Incidence ◽  
Poor Outcomes

Eighty-nine consecutive admissions with primary depressive illness were prospectively ascertained and diagnosed in 1965–66 by R. E. Kendell, who also allocated each a position on a neurotic-psychotic continuum on the basis of previous discriminant function analysis. In 1983–84, 94% of the survivors were personally interviewed by a psychiatrist blind to index admission data. Operational outcome criteria were employed and longitudinal data were established for 98% of the series. Mortality risk was doubled overall, and increased sevenfold for women under 40 years at index admission. Less than one-fifth of the survivors had remained well, and over one-third of the series suffered unnatural death or severe chronic distress and handicap. Patients whose index episode marked their first psychiatric contact had a 50% chance of readmission within their lifetime, but those with previous admissions had a 50% chance of readmission within three years. Readmissions occurred even after 12 years of being symptom-free, and conversely patients recovered after as long as 15 years of illness. There was a high incidence of other disorders (schizoaffective disorder, alcoholism, schizophrenia), and only four patients showed pure recurrent unipolar histories. Patients at the psychotic end of the continuum were more likely to be readmitted and to have very poor outcomes.

Long-Term Outcome in Early-Onset Anorexia Nervosa

1991 ◽  
Vol 159 (3) ◽  
pp. 383-389 ◽  
Author(s):  
Geraldine Walford ◽  
Noel Mccune
Keyword(s):  
Anorexia Nervosa ◽  
Hospital Stay ◽  
Early Onset ◽  
Psychiatric Symptoms ◽  
Term Outcome ◽  
Long Term Outcome ◽  
General Outcome ◽  
High Incidence

Fifteen children who developed anorexia nervosa aged 13 years or less were followed up at least three years later (mean 5.3 years). Outcome measures included the Morgan & Russell Outcome Schedule and the PSE. The general outcome was good in seven, intermediate in four, and poor in four, one of whom had died. A high incidence of psychiatric symptoms at follow-up, which has been suggested in other studies, was not confirmed in the 11 subjects who completed the PSE. Where onset was very early (11 years and under) and where hospital stay was prolonged, outcome tended to be poor.

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