Undiagnosed Psychiatric Patients

1973 ◽  
Vol 123 (572) ◽  
pp. 91-98 ◽  
Author(s):  
Amos Welner ◽  
Jay L. Liss ◽  
Eli Robins

It has been shown in a record study (Welner, Liss, Robins and Richardson, 1972), and confirmed in a follow-up study using a blind structured interview (liss, Welner, and Robins, 1972), that most of those in-patients in our studies who were discharged without a diagnosis met the criteria for a psychiatric diagnosis when rigorous criteria were used (Feighner, Robins, Guze, Woodruff, Winokur and Munoz, 1972). However, using methods and evidence from these studies, out of the 109 patients who were followed-up for a mean period of 39 months, 25 patients were conspicuous in that even after initial or repeated admissions to hospital, after their records were reviewed, and after a follow-up study, they still remained undiagnosable. It was the purpose of this study to describe and evaluate in detail this group of 25 patients with particular reference to the possible reasons why they remained undiagnosed and therefore were defined by us as ‘undiagnosable’.

2009 ◽  
Vol 45 (4) ◽  
pp. 469-473 ◽  
Author(s):  
Shane J. McInerney ◽  
Susan Finnerty ◽  
Gloria Avalos ◽  
Elizabeth Walsh

Author(s):  
RAJESH VENKATARAMAN ◽  
MUHAMMED RASHID ◽  
AKHILA G ◽  
SHIJO DANIEL ◽  
AMALATHOMAS

Objective: The objective of this study was to investigate whether psychotropic has any effect on neutrophils and lymphocyte ratio (NLR) in psychiatric patients. Methods: In this hospital-based prospective quasi-randomized follow-up study, we analyzed every 10 patients with newly diagnosed with depression, schizophrenia, and bipolar disorder for complete blood count before and after treatment with the selected psychotropic. Results: There was a significant increase in NLR of patients with depression after treatment with psychotropic (p=0.001), also in schizophrenia, there was a slight increase in NLR of patients after treatment with psychotropic (p=0.005), but in bipolar disorder, there was a significant decrease in NLR of patients after treatment with psychotropic (p=0.002). Conclusion: The present study confirmed that psychotropics have a statistically significant effect on the increase in NLR in patients with depression, a slight increase in patients with schizophrenia, and a decrease in patients with bipolar disorder. Further studies are needed for a better understanding of the mechanism of psychotropic drug effect on NLR.


1971 ◽  
Vol 12 (1) ◽  
pp. 36-47 ◽  
Author(s):  
Frederick H. Lowy ◽  
Ronald M. Wintrob ◽  
Bella Borwick ◽  
Gisela Garmaise ◽  
Hinda O. King

1990 ◽  
Vol 157 (6) ◽  
pp. 865-870 ◽  
Author(s):  
Til Wykes ◽  
Elizabeth Sturt ◽  
Randy Katz

A three-year follow-up study of 49 psychiatric patients, representative of those found in long-stay care, tested whether behavioural, symptom and demographic variables as well as response-processing difficulties could predict levels of psychiatric care. The researchers were blind to the criteria for allocating patients to particular forms of care and the staff responsible for care had no access to information collected by the research team. Not only was it possible, using only these few factors, to predict the form of care, but one factor, response processing, was related to whether patients moved to more independent forms of psychiatric care.


1968 ◽  
Vol 124 (8) ◽  
pp. 1070-1075 ◽  
Author(s):  
NYLA J. COLE ◽  
BLAIR W. MCDONALD ◽  
C. H. HARDIN BRANCH

1958 ◽  
Vol 104 (437) ◽  
pp. 1119-1122 ◽  
Author(s):  
D. Walton

In a previous paper the results of a two-year follow-up study were reported (Walton, 1958). This study showed that when the Wechsler Memory Scale was administered four times to each patient of a series suffering from a memory defect, significant differences emerged between those patients subsequently diagnosed as brain-damaged or as non-brain-damaged, in respect of the degree of improvement in their performance. The results were of considerable diagnostic and predictive importance. In spite of this, however, the method would be an uneconomical method for routine diagnosis. A shorter test involving the same principle of successive opportunities to learn appeared necessary. Additional analysis of the final Memory Scale results also showed that present learning ability was more impaired in the organic group than in the non-brain-damaged group, whilst scores based on retentivity questions produced many misclassifications. The results strongly suggested that a test of dementia should consist of a measure of present learning ability and that opportunities to learn could best be provided by successive repetitions of the particular test.


1964 ◽  
Vol 31 (1) ◽  
pp. 19-26 ◽  
Author(s):  
John L. Johnson ◽  
Eli Z. Rubin

A school follow-up study of former child psychiatric patients was conducted at a research and training unit of the Michigan State Department of Mental Health. Particular attention was paid to the academic and behavioral adjustment of those former patients who were attending school hi public school settings. It was found that average intellectual performance and organic or severe psychiatric findings were central features of the quality of school adjustment. General behavioral descriptions are given for good and poor academic performance groups, and some suggestion is offered to schools which may have the task of helping children in their adjustment after treatment.


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