Musicians Seeking Psychiatric Help: A Preliminary Study of Psychiatric Characteristics

2013 ◽  
Vol 28 (1) ◽  
pp. 9-18 ◽  
Author(s):  
Esther van Fenema ◽  
Jolien E Julsing ◽  
Ingrid V Carlier ◽  
Martijn S van Noorden ◽  
Erik J Giltay ◽  
...  
Keyword(s):  
Personality Traits ◽  
Psychiatric Disorders ◽  
Psychiatric Care ◽  
Performance Anxiety ◽  
Cross Sectional Study ◽  
Psychiatric Clinic ◽  
Cross Sectional ◽  
Outcome Monitoring ◽  
Increased Risk ◽  
Axis I

Musicians are at increased risk for mental disorders, in particular performance anxiety. Likely causes are high levels of occupational stress, special personality traits, and coping skills. In this cross-sectional study, routine outcome monitoring (ROM) data on clinical and psychosocial characteristics were collected from the first 50 musicians visiting our outpatient psychiatric clinic for performing artists and were compared to those of a large sample of psychiatric outpatients (n=1,498) and subjects from the general population. Of the musician outpatients, 82% (n=41) met the criteria of an Axis I psychiatric disorder. Performance anxiety could not be accurately diagnosed with the MINI-plus, and in a few cases it masked different psychiatric disorders. Musician outpatients scored significantly better on functional scales despite their Axis I disorder, with equal scores on scales measuring distress compared to general outpatients. Musicians displayed significantly higher mean scores on the DAPP-sf subscale measuring narcissistic personality traits than general outpatients and non-patient controls (p=0.001). Diagnostic challenges, in particular regarding performance anxiety, of musicians seeking psychiatric care are thoroughly discussed. Musicians with psychiatric disorders may constitute a group of patients with specific characteristics who may benefit from specialized psychiatric care, and health professionals should be aware of the high prevalence of psychiatric disorders in musicians.

scholarly journals Prevalence of Psychiatric Disorders in Patients Referring to a Psychiatric Clinic in Lorestan Province, West of Iran

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Hedayat Nazari ◽  
Mandana Saki ◽  
Sajad Yarahmadi ◽  
Zoherh Mohammadi
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
Mood Disorders ◽  
Cross Sectional Study ◽  
Psychiatric Clinic ◽  
Chi Square ◽  
Cross Sectional ◽  
Education Group ◽  
Promotion Policies ◽  
Chi Square Test

Background: Psychiatric disorders are common and impose a huge burden globally. The study aimed to examine the prevalence of psychiatric disorders in patients referring to a psychiatric clinic in Lorestan. Objectives: This study aimed to investigate the prevalence of psychiatric disorders in patients referring to a psychiatric clinic in Lorestan province Methods: A cross-sectional study was conducted with all people aged 18 years or older. Participants were selected by a convenience sampling method. Diagnostic interviews based on DSM-5 were held for 750 patients who were administered between January and June 2018. The collected data were analyzed by SPSS version 22 using absolute frequency, relative frequency, mean, and chi-square test. Results: Women included 53% of the study sample. The most prevalent psychiatric disorders were anxiety (35.3%) and mood disorders (31.5%). Depression was the most prevalent mood disorder (63.6%), followed by generalized anxiety disorder (60%). The prevalence of psychiatric disorders was higher in people aged 21-30 (28.5%), the illiterate or primary education group (52.4%), housekeepers (29.5%), and married ones (51.8%). Conclusions: The majority of the patients referring to the psychiatric clinic suffered from mood and anxiety disorders. Therefore, public health authorities of the province need to take steps to warrant necessary measures, including mental health promotion policies, to improve the mental health status and prevent anxiety and mood disorders.

scholarly journals Pathological Childhood Masturbation in Children Who Referred to a Child and Adolescent Psychiatric Clinic

2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Maryam Izadi-Mazidi ◽  
Forough Riahi
Keyword(s):  
Psychiatric Disorders ◽  
Child And Adolescent ◽  
Cross Sectional Study ◽  
Clinical Psychologist ◽  
Psychiatric Clinic ◽  
Adolescent Psychiatrist ◽  
Emotional States ◽  
Cross Sectional ◽  
Common Location ◽  
Age Range

Background: Epidemiological information on childhood masturbation and its associated factors have received little attention in Iran. Objectives: The present study aimed to investigate the prevalence of pathological childhood masturbation in children as an outpatient child and adolescent psychiatric clinic in Ahvaz. Methods: This cross-sectional study was conducted from 2015 to 2017on all children (age range of 2 - 12 years) with pathological masturbation who were referred to a child and adolescent psychiatric clinic in Ahvaz. A clinical psychologist and a child and adolescent psychiatrist diagnosed masturbation after taking the history of the child or his/her parent and watching a video of the behavior. The data were collected via clinical interview and demographic form and analyzed via SPSS16. Results: Among 600 children, 65 (10.8%) had pathological masturbation. The most common behavior during masturbation was genital stimulation with hand and rubbing of the genitalia against other objects. The most common emotional states in which they masturbated were boredom (23.07%) and agitation (12.3%). Toilet was the most common location for masturbation (6.15%). The pathological masturbation co-occurred in 76.88% of children with other psychiatric disorders. The most prevalent psychiatric disorders in children with masturbatory behavior were Attention Deficit Hyperactivity Disorder (ADHD) with a comorbid psychiatric disorder. Conclusions: Knowing this problem, its behavioral patterns, situations in which masturbation occurs, and its comorbid disorders facilitate diagnosis and prevent unnecessary tests and treatments.

scholarly journals Gender Differences Related to Spirituality, Coping Skills and Risk Factors of Suicide Attempt: A Cross-Sectional Study of French Adolescent Inpatients

2021 ◽  
Vol 12 ◽  
Author(s):  
Bojan Mirkovic ◽  
Vincent Belloncle ◽  
Hugues Pellerin ◽  
Jean-Marc Guilé ◽  
Priscille Gérardin
Keyword(s):  
Risk Factors ◽  
Gender Differences ◽  
Coping Skills ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Individual Risk ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk ◽  
Axis I

Background: Suicide attempts in adolescence represent a major public health concern, since these behaviors are associated with psychosocial burden and an increased risk of suicide. This cross-sectional study aimed to explore possible gender differences related to protective and risk factors in adolescents who have attempted suicide.Methods: Participants were French adolescents hospitalized for attempt suicide in five French pediatric departments. The participants were evaluated on 12 instruments measuring individual risk and protective factors.Results: Our sample included 320 adolescents aged 13–17 years (M = 14.43, SD = 1.29), of whom 82% were female and 35% were repeat attempters. Boys had greater difficulties at school and used more lethal means such as strangulation. We failed to find any differences between the two groups as regards the main Axis I psychiatric diagnoses. Boys tend to use more non-productive coping skills such as tension reduction or wishful thinking and girls use more reference to other strategies such as seeking social support. Although spirituality scores were low overall sample, they were significantly higher among girls.Conclusions: In the end, we find little difference between the two groups in terms of risk factors. However, we have shown gender differences in spirituality and some coping strategies. These results should be taken into consideration when designing suicide prevention programs.

scholarly journals Prevalence of psychiatric co-morbidity in patients presenting with chronic daily headache: a hospital based cross sectional study

2016 ◽  
Vol 5 (1) ◽  
pp. 321
Author(s):  
Bhuvana R. C.
Keyword(s):  
Psychiatric Disorders ◽  
Psychotic Disorders ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Present Sample ◽  
Psychiatric Illnesses ◽  
Co Morbidity ◽  
Headache Management ◽  
Daily Headache ◽  
Axis I

Background: Headache is a common neurological disorder and most disabling conditions in the worldwide. Psychiatric disorders can occur with at least two to three-fold greater frequencies among the patients presenting with headache than among general population. The presence of psychiatric co-morbidity further complicates headache management and portends a poorer prognosis. Therefore, the present study of prevalence of psychiatric co-morbidity in patients presenting with headache and to know the nature and extent of psychiatric co-morbidity associated with headache among the patients was undertaken.Methods: Present sample consists of 100 patients who presented with the complaints of headache to the department of Psychiatry and Medicine from November 2012 to June 2014 was included in the study. MINI 5.0.0 was applied to elicit the presence of any Axis I and Axis II disorders respectively.Results: In this study 74% of the patients presenting with headache had co-morbid psychiatric disorders. Out of 74% of the psychiatric illnesses; 28% had affective spectrum disorders, 16% had anxiety disorders 16% had psychotic disorders, 12% had other neurotic stress related disorders, and 2% had personality disorder among the patients presenting with headache.Conclusions: Patients presenting with headache have high levels of co-morbid psychiatric disorders and the presence of headache in these patients was associated with increased severity of the co-morbid psychiatric conditions. In view of the present findings, the management of patients presenting with headache should include the detail assessment of coexisting psychopathology and treatment of both coexisting conditions.

scholarly journals Psychiatric Morbidity among Caregivers of Schizophrenia Patients – A Study in Tertiary Care Psychiatric Hospital in Dhaka

2015 ◽  
Vol 2 (1) ◽  
pp. 12-17
Author(s):  
MM Jalal Uddin ◽  
Md. Tariqul Alam ◽  
Helal Uddin Ahmed ◽  
Niaz Mohammad Khan ◽  
MA Hamid ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
General Health Questionnaire ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
Cross Sectional Study ◽  
Somatoform Disorder ◽  
Cross Sectional ◽  
Axis I

Background: Severe mental illness like schizophrenia has far-reaching consequence for both patients and caregivers and their relatives and they also experience feeling of loss and grief. They are confronted with uncertainty and emotion of shame, guilt and anger like the patients they feel stigmatized and socially isolated. Caring for a family member with schizophrenia is an enduring stressor and causes considerable amount of burden. Objective: To assess mental health status of the caregivers of schizophrenia patients. Methodology: This descriptive cross sectional study was done among the caregivers of schizophrenia patients in outpatient and inpatient department of National Institute of Mental Health (NIMH), Dhaka, Bangladesh from September 2010 to February 2011. A semi-structured Questionnaire and General Health Questionnaire-28 (GHQ-28) were applied to the caregivers of schizophrenia patients who fulfilled the inclusion criteria. Among the respondents whose GHO-28 score were 4 or above Structured Clinical Interview for DSM-IV Axis I Non Patient (SCID-I/NP) version was applied to identify psychiatric disorders among the caregivers of schizophrenia.Results: Out of 272 respondents most of them were female (88.97%), housewife (72.42%) of 21 to 50 yrs age (80.51%). In this study 22.43% of respondents were suffering from different types of mental disorders. Among them major depressive disorder were most prevalent (11.8%). Other psychiatric disorders were found generalized anxiety disorder (4.8%), pain disorder (2.9%). Less common were panic disorder, social phobia, adjustment disorder and undifferentiated somatoform disorder (0.7% in each type).Conclusions: Significant proportions of the caregiver of schizophrenic patients were suffering from psychiatric disorders that did not get any psychiatric treatment.Journal of Current and Advance Medical Research 2015;2(1):12-17DOI:  http://dx.doi.org/10.3329/jcamr.v2i1.22581

scholarly journals SARS-CoV-2 seroprevalence and asymptomatic viral carriage in healthcare workers: a cross-sectional study

Thorax ◽  
2020 ◽  
Vol 75 (12) ◽  
pp. 1089-1094 ◽  
Author(s):  
Adrian Shields ◽  
Sian E Faustini ◽  
Marisol Perez-Toledo ◽  
Sian Jossi ◽  
Erin Aldera ◽  
...  
Keyword(s):  
Intensive Care ◽  
Healthcare Workers ◽  
Venous Blood ◽  
Cross Sectional Study ◽  
Nasopharyngeal Swab ◽  
Sectional Study ◽  
University Hospitals ◽  
Cross Sectional ◽  
General Internal ◽  
Increased Risk

ObjectiveTo determine the rates of asymptomatic viral carriage and seroprevalence of SARS-CoV-2 antibodies in healthcare workers.DesignA cross-sectional study of asymptomatic healthcare workers undertaken on 24/25 April 2020.SettingUniversity Hospitals Birmingham NHS Foundation Trust (UHBFT), UK.Participants545 asymptomatic healthcare workers were recruited while at work. Participants were invited to participate via the UHBFT social media. Exclusion criteria included current symptoms consistent with COVID-19. No potential participants were excluded.InterventionParticipants volunteered a nasopharyngeal swab and a venous blood sample that were tested for SARS-CoV-2 RNA and anti-SARS-CoV-2 spike glycoprotein antibodies, respectively. Results were interpreted in the context of prior illnesses and the hospital departments in which participants worked.Main outcome measureProportion of participants demonstrating infection and positive SARS-CoV-2 serology.ResultsThe point prevalence of SARS-CoV-2 viral carriage was 2.4% (n=13/545). The overall seroprevalence of SARS-CoV-2 antibodies was 24.4% (n=126/516). Participants who reported prior symptomatic illness had higher seroprevalence (37.5% vs 17.1%, χ2=21.1034, p<0.0001) and quantitatively greater antibody responses than those who had remained asymptomatic. Seroprevalence was greatest among those working in housekeeping (34.5%), acute medicine (33.3%) and general internal medicine (30.3%), with lower rates observed in participants working in intensive care (14.8%). BAME (Black, Asian and minority ethnic) ethnicity was associated with a significantly increased risk of seropositivity (OR: 1.92, 95% CI 1.14 to 3.23, p=0.01). Working on the intensive care unit was associated with a significantly lower risk of seropositivity compared with working in other areas of the hospital (OR: 0.28, 95% CI 0.09 to 0.78, p=0.02).Conclusions and relevanceWe identify differences in the occupational risk of exposure to SARS-CoV-2 between hospital departments and confirm asymptomatic seroconversion occurs in healthcare workers. Further investigation of these observations is required to inform future infection control and occupational health practices.

scholarly journals Illness severity and risk of mental morbidities among patients recovering from COVID-19: a cross-sectional study in the Icelandic population

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049967
Author(s):  
Karen Sól Saevarsdóttir ◽  
Hildur Ýr Hilmarsdóttir ◽  
Ingibjörg Magnúsdóttir ◽  
Arna Hauksdóttir ◽  
Edda Bjork Thordardottir ◽  
...  
Keyword(s):  
Severe Disease ◽  
Symptom Burden ◽  
Cross Sectional Study ◽  
Illness Severity ◽  
University Education ◽  
Adjusted Relative Risk ◽  
Sectional Study ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Increased Risk

ObjectiveTo test if patients recovering from COVID-19 are at increased risk of mental morbidities and to what extent such risk is exacerbated by illness severity.DesignPopulation-based cross-sectional study.SettingIceland.ParticipantsA total of 22 861 individuals were recruited through invitations to existing nationwide cohorts and a social media campaign from 24 April to 22 July 2020, of which 373 were patients recovering from COVID-19.Main outcome measuresSymptoms of depression (Patient Health Questionnaire), anxiety (General Anxiety Disorder Scale) and posttraumatic stress disorder (PTSD; modified Primary Care PTSD Screen for DSM-5) above screening thresholds. Adjusting for multiple covariates and comorbidities, multivariable Poisson regression was used to assess the association between COVID-19 severity and mental morbidities.ResultsCompared with individuals without a diagnosis of COVID-19, patients recovering from COVID-19 had increased risk of depression (22.1% vs 16.2%; adjusted relative risk (aRR) 1.48, 95% CI 1.20 to 1.82) and PTSD (19.5% vs 15.6%; aRR 1.38, 95% CI 1.09 to 1.75) but not anxiety (13.1% vs 11.3%; aRR 1.24, 95% CI 0.93 to 1.64). Elevated relative risks were limited to patients recovering from COVID-19 that were 40 years or older and were particularly high among individuals with university education. Among patients recovering from COVID-19, symptoms of depression were particularly common among those in the highest, compared with the lowest tertile of influenza-like symptom burden (47.1% vs 5.8%; aRR 6.42, 95% CI 2.77 to 14.87), among patients confined to bed for 7 days or longer compared with those never confined to bed (33.3% vs 10.9%; aRR 3.67, 95% CI 1.97 to 6.86) and among patients hospitalised for COVID-19 compared with those never admitted to hospital (48.1% vs 19.9%; aRR 2.72, 95% CI 1.67 to 4.44).ConclusionsSevere disease course is associated with increased risk of depression and PTSD among patients recovering from COVID-19.

scholarly journals Association of breastfeeding and risk of metabolic syndrome and its components in postmenopausal parous women: Korea national health and nutrition examination survey (2010 ~ 2016)

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Jusuk Lee ◽  
Taehong Kim
Keyword(s):  
Metabolic Syndrome ◽  
Laboratory Data ◽  
Multivariate Logistic Regression Analysis ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Korean Women ◽  
Cross Sectional ◽  
Increased Risk ◽  
Nationally Representative ◽  
Study Participants

Abstract Background Understanding the relationship between breastfeeding (BF) and metabolic syndrome (Mets) is important for maternal long-term health benefits and disease prevention. This study aimed to examine the association between BF and Mets and its components among postmenopausal parous Korean women. Methods This cross-sectional study on 10,356 Korean women used nationally representative data from the KNHANES from 2010 to 2016. Anthropometric, laboratory data and manual BP were measured. A multivariate logistic regression analysis was conducted to examine the association of BF with Mets and its components after adjusting for potential confounding variables. A p-value < 0.05 was to be considered statistically significant. Results Mets was present in 42% of the study participants. The BF group had low household income and education level. The prevalence of Mets in the BF group was higher than that in the non-BF group (42.69% vs. 34.76%, p <  0.001). BF was associated with increased risk of Mets (odds ratio [OR]: 1.4, 95% confidence interval [CI]: 1.18–1.65, p <  0.001). The BF group was at higher risks for diabetes (OR: 1.5, 95%CI: 1.14–1.98), hypertension (OR: 1.32, 95%CI: 1.03–1.68), hypertriglyceridemia (OR: 1.42, 95%CI: 1.02–1.99) and low high-density lipoprotein cholesterol (OR: 1.32, 95%CI: 1.06–1.65). Conclusion In this study, BF did not affect decreasing the prevalence of Mets and its components.

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