Family Psychiatric Morbidity, Parental Deprivation and Socio-Economic Status in Cases of Mania

1975 ◽  
Vol 126 (2) ◽  
pp. 191-192 ◽  
Author(s):  
H. D. Chopra
Keyword(s):  
Affective Disorder ◽  
Psychiatric Illness ◽  
Economic Status ◽  
Psychiatric Morbidity ◽  
Parental Death ◽  
Manic Depressive Psychosis ◽  
Socio Economic Status ◽  
First Degree Relatives ◽  
Manic Depressive ◽  
Manic Patients

Manic-depressive psychosis is considered to comprise two different clinical entities, bipolar and monopolar. This dichotomy is based mainly on Western clinical material. The present study aimed at eliciting any differences that might exist between monopolar and bipolar manic patients in respect of three factors: (i) occurrence of psychiatric illness in first degree relatives; (ii) parental death before the patient's 15th birthday; and (iii) socio-economic status of the patient. Venkoba Rao (1973) studied the differences between monopolar and bipolar endogenous depressives on three factors: occurrence of affective disorder (including suicide) in first degree relatives; parental loss before the patient's 12th birthday, and the extent of ‘jointness' of the patient's family.

Manic patients with schizophrenic or paranoid symptoms

1980 ◽  
Vol 10 (1) ◽  
pp. 73-83 ◽  
Author(s):  
I. F. Brockington ◽  
S. Wainwright ◽  
R. E. Kendell
Keyword(s):  
Effective Treatment ◽  
Outcome Measures ◽  
Poor Prognosis ◽  
Hospital Admissions ◽  
Full Recovery ◽  
Manic Depressive Psychosis ◽  
First Degree Relatives ◽  
Manic Depressive ◽  
Paranoid Symptoms ◽  
Manic Patients

SYNOPSISA study of 32 patients meeting criteria for ‘schizomanic’ psychosis is described. These psychoses account for about 1 % of hospital admissions. Very few first-degree relatives had either schizophrenia or mania. Lithium seemed an effective treatment. Twenty-four patients made a full recovery, and the series as a whole was closer to manic depressive psychosis than schizophrenia on all outcome measures. Some diagnostic clues are suggested to help the clinician to recognize the patients with a poor prognosis.These findings are in line with other studies, and suggest that most of these patients should be regarded as manic. This conclusion should lead to some revision of present ideas on the incidence and diagnosis of mania.

Parent-Child Concordance with Respect to Sex and Diagnosis in Schizophrenia and Manic-Depressive Psychosis

1973 ◽  
Vol 123 (577) ◽  
pp. 653-658 ◽  
Author(s):  
Anne Powell ◽  
Nancy M. Thomson ◽  
David J. Hall ◽  
Linda S. Wilson
Keyword(s):  
Social Learning ◽  
Psychiatric Illness ◽  
Family Members ◽  
Psychiatric Research ◽  
Manic Depressive Psychosis ◽  
First Degree Relatives ◽  
Manic Depressive ◽  
The Family ◽  
Physical Attributes ◽  
Diagnostic Concordance

In the search for an explanation of the aetiology of psychiatric illness, the study of the family as a unit for psychiatric research is becoming increasingly necessary. That family members resemble one another in many respects seems an intuitively correct idea. Children resemble their parents in both physical attributes and temperament; the former is mainly attributed to heredity and the latter to an interaction of heredity and social learning. Previous psychiatric studies of the family have indicated two areas for further investigation: firstly, sex concordance, and secondly diagnostic concordance among psychiatrically ill first degree relatives. The literature relating to these areas is abundant, and the main conclusions are summarized below.

Affective Illness in First Degree Relatives, Parental Loss and Family Jointness in Depressive Disorders

1973 ◽  
Vol 122 (570) ◽  
pp. 601-602 ◽  
Author(s):  
A. Venkoba Rao
Keyword(s):  
Affective Disorder ◽  
Depressive Disorders ◽  
Parental Death ◽  
Depressive Illness ◽  
Parental Loss ◽  
Manic Depressive Illness ◽  
Affective Illness ◽  
First Degree Relatives ◽  
Manic Depressive

Manic-depressive illness is believed to comprise two different clinical entities: Bipolar and Monopolar. This paper aims to study any differences there may be between monopolar and bipolar depressions in respect of three factors: occurrence of affective disorder (including suicide) in first degree relatives; parental death before the patients' twelfth birthday and the extent of ‘jointness' (Khatri, 1970) of the patients' family.

ECP02-01 - Globalisation and the impact of economic factors on psychiatric disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 1795-1795
Author(s):  
D. Bhugra
Keyword(s):  
Mental Health ◽  
Cultural Identity ◽  
Economic Status ◽  
Psychiatric Morbidity ◽  
Economic Factors ◽  
Socio Economic Status ◽  
Level Of Economic Development ◽  
Migration Experiences ◽  
The Impact ◽  
The Relationship

IntroductionWith the process of globalisation in full flow, the movement of people and products across the globe has brought a series of difficulties. With migration the socio-economic status of the individuals may change with the likelihood that this status will be lower rather than higher, although depending upon the reasons for migration this may change too.ObjectivesLiterature shows that low socio-economic status is associated with a higher level of psychiatric morbidity.AimsWhether migration acts as a mediator needs to be investigated further.MethodsVarious studies have shown that rates of psychosis are elevated in migrants though these rates are differentially increased in different groups indicating that factors other than migration may be at play.ResultsIn this presentation the literature and link the acculturation and cultural identity with post-migration experiences will be reviewed.ConclusionA link exists between the perceptions within cultures and level of economic development of what constitutes mental health. The state of advancement of mental health services of a country will certainly have a large impact on prevalence rates. Further investigation should be carried out to examine in greater depth the relationship between social inequality and disorder prevalence, as distinct from income inequality.

scholarly journals What is the impact of socio-economic inequalities on the use of mental health services?

2007 ◽  
Vol 16 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Francesco Amaddeo ◽  
Julia Jones
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Economic Status ◽  
Psychiatric Morbidity ◽  
Social Background ◽  
Developed Countries ◽  
Socio Economic Status ◽  
The Impact ◽  
Economic Inequalities

AbstractAmartya Sen, who received the Nobel Prize for Economics, has demonstrated that the incidence of deprivation, in terms ofcapability, can be surprisingly high even in the most developed countries of the world. The study of socio-economic inequalities, in relation to the utilisation of health services, is a priority for epidemiological research. Socio-economic status (SES) has no universal definition. Within the international research literature, SES has been related to social class, social position, occupational status, educational attainment, income, wealth and standard of living. Existing research studies have shown that people from a more deprived social background, with a lower SES, are more likely to have a higher psychiatric morbidity. Many studies show that SES influences psychiatric services utilization, however the real factors linking SES and mental health services utilisation remain unclear. In this editorial we discuss what is currently known about the relationship between SES and the use of mental health services. We also make an argument for why we believe there is still much to uncover in this field, to understand fully how individuals are influenced by their personal socio-economic status, or the neighbourhood in which they live, in terms of their use of mental health services. Further research in this area will help clarify what interventions are required to provide greater equality in access to mental health services.

Genetic Findings and Methodological Considerations in Manic Depressive Disease

1970 ◽  
Vol 117 (538) ◽  
pp. 267-274 ◽  
Author(s):  
George Winokur
Keyword(s):  
Affective Disorder ◽  
Clinical Picture ◽  
Psychiatric Illness ◽  
Genetic Data ◽  
The Other ◽  
Manic Depressive ◽  
History Of ◽  
The Difference ◽  
Methodological Considerations ◽  
Depressive Episodes

Primary affective disorder is defined as an illness which is characterized by depressions or manias or both. This illness is seen in an individual who has no history of any preexisting psychiatric illness except for uncomplicated episodes of depression or mania. Clinically there are two types of primary affective disorder. The first is manic depressive disease (bipolar psychosis) which may be considered as a primary affective disorder in which mania is seen; usually, but not always, depression is also seen in this kind of patient. The other type may be called depressive disease; a synonym that might be used is unipolar psychosis; here only depressive episodes are seen (one or more episodes). In addition to the difference in the clinical picture, considerable genetic data exist which indicate that the two illnesses are quite distinct from each other.

The Expression of Schizophrenia, Affective Disorder and Vulnerability to Tardive Dyskinesia in an Extensive Pedigree

1988 ◽  
Vol 153 (3) ◽  
pp. 376-381 ◽  
Author(s):  
John L. Waddington ◽  
Hanafy A. Youssef
Keyword(s):  
Family History ◽  
Tardive Dyskinesia ◽  
Movement Disorder ◽  
Affective Disorder ◽  
Psychiatric Illness ◽  
Late Onset ◽  
Psychiatric Morbidity ◽  
Neuroleptic Treatment ◽  
History Of

The demography, psychiatric morbidity, and motor consequences of long-term neuroleptic treatment in the 14 children born to a father with a family history of chronic psychiatric illness and a mother with a late-onset affective disorder resulting in suicide are documented. Twelve siblings lived to adulthood, nine of whom were admitted to a psychiatric hospital in their second or third decade, and required continuous in-patient care; five remaining in hospital, with long-term exposure to neuroleptics, had chroniC., deteriorating, schizophrenic illness and emergence of movement disorder. Two siblings showed no evidence of psychosis but developed a late-onset affective disorder. The implications for the issues of homotypia, vulnerability to involuntary movements, and interaction with affective disorder are discussed.

Controlled Studies of the Acute Antidepressant Effects of Lithium

1979 ◽  
Vol 135 (3) ◽  
pp. 255-262 ◽  
Author(s):  
E. P. Worrall ◽  
J. P. Moody ◽  
M. Peet ◽  
P. Dick ◽  
A. Smith ◽  
...  
Keyword(s):  
Affective Disorder ◽  
Antidepressant Activity ◽  
Antidepressant Effect ◽  
Controlled Trials ◽  
Double Blind ◽  
Manic Depressive Psychosis ◽  
Manic Depressive ◽  
Antidepressant Effects

SummaryIn two randomized double-blind controlled trials on 63 depressed female in-patients subject to recurrent affective disorder (bipolar and unipolar manic-depressive psychosis) lithium was shown to have major acute antidepressant effects. At the end of three weeks lithium produced more uniform improvement than did imipramine; lithium in combination with tryptophan (in the form of Optimax) was superior to tryptophan alone—the latter drug having no discernible antidepressant activity in this group of patients.Lithium did not produce an antidepressant effect until the second and third week of both trials.

Is puerperal psychosis the same as bipolar manic-depressive disorder? A family study

1989 ◽  
Vol 19 (3) ◽  
pp. 637-647 ◽  
Author(s):  
C. Dean ◽  
R. J. Williams ◽  
I. F. Brockington
Keyword(s):  
Depressive Disorder ◽  
Psychiatric Illness ◽  
Age Of Onset ◽  
Hospital Treatment ◽  
Mixed Group ◽  
Puerperal Psychosis ◽  
First Degree Relatives ◽  
Manic Depressive ◽  
Genetically Determined ◽  
Depressive Group

SynopsisThe first degree relatives of three groups of women were interviewed; 51 women who had had an illness within two weeks of childbirth and no non-puerperal episodes (the puerperal group), 33 who had puerperal and non-puerperal episodes (the mixed group), and 19 women with bipolar manic-depressive disorder who had non-puerperal episodes only (the manic-depressive group).Over 60% of the affected relatives in all three groups had affective illnesses; in the main these were not puerperal. There were significantly more first degree relatives who had had general practitioner or hospital treatment for psychiatric illness in the puerperal group and in the mixed group than in the manic-depressive group. The puerperal patients had a better prognosis in terms of their illness (number of relapses and time on medication), work functioning and social functioning than the manic-depressive group and the mixed group. The mixed group had an earlier age of onset than the manic-depressive group and the puerperal group. The hypothesis that puerperal psychosis is the same as bipolar manic-depressive disorder was not upheld. The mixed group and the puerperal group were similar with respect to the risk in first degree relatives but differed in terms of prognosis.There were no significant differences between the groups with respect to puerperal episodes in first-degree relatives, although the rate of puerperal psychosis in the first-degree relatives of the puerperal patients was significantly greater than in the general population. The hypothesis that there is a specific genetically determined puerperal psychosis was not supported. Women who had had an illness with an onset within two weeks of childbirth (mixed and puerperal) subsequently had an illness following 36% of their childbirths. In women who had had puerperal and non-puerperal episodes (mixed) the risk was higher; over 50 % of deliveries in these women were followed by psychiatric illness.

Depression and Mania Associated with Kleine-Levin-Critchley Syndrome

1973 ◽  
Vol 18 (5) ◽  
pp. 439-444 ◽  
Author(s):  
J. Joel Jeffries ◽  
Arlette Lefebvre
Keyword(s):  
Affective Disorder ◽  
Temporal Association ◽  
Review Of The Literature ◽  
Female Ratio ◽  
Manic Depressive Psychosis ◽  
Functional Psychosis ◽  
Manic Depressive ◽  
The World ◽  
Male Female Ratio

This is the fortieth reported case of K-L-C syndrome in the world and the second case reported in Canada. A study of this particular case, together with a review of the literature, is presented to clarify the phenomenology of this syndrome. Three aspects are emphasized: a) The presence of this syndrome in women is confirmed although the male-female ratio is 9:1. b) Rather than occurring in schizoid persons, as previously suggested, the syndrome is in fact an affective disorder which is closely related to manic-depressive psychosis, which may also have periods of delirium or pre-delirium associated with the hypersomnia spells. c) The occasional temporal association of a disorder of sleeping and eating, with menstruation and often accompanied by evidence of organicity, suggests a diencephalic problem. The further association of this disorder with affective changes suggests that manic-depressive psychosis should be considered as a possible disease of the diencephalon, rather than as a ‘functional’ psychosis with diencephalic signs.

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