scholarly journals Clinical Correlates of False Positive Assignment in Bipolar Screening Measures Across Psychiatric Diagnoses among Patients without Bipolar Disorder

2020 ◽  
Vol 17 (11) ◽  
pp. 1118-1125
Author(s):  
Ji Hyun Baek ◽  
Ji Sun Kim ◽  
Andrew A. Nierenberg ◽  
Hong Jin Jeon ◽  
Kyung Sue Hong
Keyword(s):  
Alcohol Use ◽  
False Positive ◽  
Alcohol Use Disorder ◽  
Suicide Attempts ◽  
Retrospective Chart Review ◽  
Psychiatric Diagnoses ◽  
Emotional Symptoms ◽  
Obsessive Compulsive ◽  
Clinical Correlates ◽  
Mood Disorder Questionnaire

Objective In this study, we aimed to determine clinical correlates of false positive assignment (FPA) on commonly used bipolar screening questionnaires.Methods A retrospective chart review was conducted to a total of 3885 psychiatric outpatients. After excluding patients who have bipolar spectrum illnesses, patients who were assigned as having hypomania on the mood disorder questionnaire (MDQ) or the hypomania checklist-32 (HCL-32) were identified as patients who had FPA. Psychiatric diagnoses and severity of emotional symptoms were compared between patients with and without FPA.Results Patients with FPA on the MDQ showed significant associations with presence of major depressive disorder, generalized anxiety disorder, and alcohol-use disorder, while patients with FPA on the HCL-32 showed associations with presence of panic disorder and agoraphobia. FPA on the MDQ was also associated with greater emotional symptoms and lifetime history of suicide attempts. Logistic regression analysis showed that male sex, younger age, presence of alcohol-use disorder, and severity of depression and obsessive-compulsive symptoms were significantly associated with FPA on the MDQ.Conclusion The FPA for the MDQ was associated with clinical factors linked to trait impulsivity, and the FPA for both the MDQ and the HCL-32 could be related to increased anxiety.

Autolytic behavior in acute psychiatric hospitalization

2016 ◽  
Vol 33 (S1) ◽  
pp. S602-S602
Author(s):  
P. Hervías Higueras ◽  
L. Maroto Martín ◽  
S. Raffo Moncloa ◽  
P. Jiménez de los Galanes Marchán
Keyword(s):  
Alcohol Use ◽  
Personality Disorders ◽  
Depressed Mood ◽  
Depressive Episode ◽  
Suicide Attempts ◽  
Psychiatric Hospitalization ◽  
Alcohol Use Disorders ◽  
Bipolar Disorders ◽  
Adjustment Disorders ◽  
Obsessive Compulsive

The aim of the study was to identify inpatients due to autolytic behavior in the acute psychiatric hospitalization of Dr. R. Lafora Hospital. It is an observational, descriptive and retrospective study. We collected information about patients aged 18 to 64 who were hospitalized during the month of January of 2015 in the acute psychiatric hospitalization by Selene software. The results were analyzed by SPSS software; 53.3% of patients diagnosed with schizophrenia spectrum and other psychotic disorders were hospitalized for acute exacerbation of paranoid schizophrenia; 57.1% of personality disorders for suicide attempts, 28.6% autolytic ideation; 28.6% of bipolar disorders due to mania, 28.6% depression, 28.6% mixed clinical and 14.29% suicide attempts; 60% of alcohol use disorders for autolytic ideation, 20% intoxication; 100% of substance-related and addictive disorders due to autolytic ideation; 100% of feeding and eating disorders for autolytic ideation; 50% of obsessive-compulsive and related disorders due to autolytic ideation; 100% of adjustment disorders with depressed mood due to drug over-eating; 100% of adjustment disorders with mixed anxiety and depressed mood for mixed clinic; 16.7% of depressive disorders due to dysthymia, 16.7% due to major depressive episode, 16.7% for moderate depressive episode, 16.7% for mild depressive episode with mixed nature, 16.7% for drug over-eating, 16.7% for autolytic ideation. It would be important to focus on patients with a diagnosis of adjustment disorders, personality disorders, alcohol use disorders, obsessive-compulsive and related disorders and bipolar disorders, providing community care and avoiding the risks associated psychiatric hospitalization.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Habitual versus affective motivations in obsessive-compulsive disorder and alcohol use disorder

CNS Spectrums ◽  
2020 ◽  
pp. 1-8 ◽  
Author(s):  
Gabriela M. Ferreira ◽  
Rico S.C. Lee ◽  
Marcelo Piquet-Pessôa ◽  
Gabriela B. de Menezes ◽  
Maria E. Moreira-de-Oliveira ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Obsessive Compulsive Disorder ◽  
Sensation Seeking ◽  
Alcohol Use Disorder ◽  
Repetitive Behaviors ◽  
Impulsive Behavior ◽  
Obsessive Compulsive ◽  
Factor Solution ◽  
Compulsive Disorder ◽  
Dependence Scale

Abstract Objective. To (1) confirm whether the Habit, Reward, and Fear Scale is able to generate a 3-factor solution in a population of obsessive-compulsive disorder and alcohol use disorder (AUD) patients; (2) compare these clinical groups in their habit, reward, and fear motivations; and (3) investigate whether homogenous subgroups can be identified to resolve heterogeneity within and across disorders based on the motivations driving ritualistic and drinking behaviors. Methods. One hundred and thirty-four obsessive-compulsive disorder (n = 76) or AUD (n = 58) patients were assessed with a battery of scales including the Habit, Reward, and Fear Scale, the Yale-Brown Obsessive-Compulsive Scale, the Alcohol Dependence Scale, the Behavioral Inhibition/Activation System Scale, and the Urgency, (lack of ) Premeditation, (lack of ) Perseverance, Sensation Seeking, and Positive Urgency Impulsive Behavior Scale. Results. A 3-factor solution reflecting habit, reward, and fear subscores explained 56.6% of the total variance of the Habit, Reward, and Fear Scale. Although the habit and fear subscores were significantly higher in obsessive-compulsive disorder (OCD) and the reward subscores were significantly greater in AUD patients, a cluster analysis identified that the 3 clusters were each characterized by differing proportions of OCD and AUD patients. Conclusions. While affective (reward- and fear-driven) and nonaffective (habitual) motivations for repetitive behaviors seem dissociable from each other, it is possible to identify subgroups in a transdiagnostic manner based on motivations that do not match perfectly motivations that usually described in OCD and AUD patients.

scholarly journals Parent and Child Psychopathology and Suicide Attempts among Children of Parents with Alcohol Use Disorder

2014 ◽  
Vol 18 (2) ◽  
pp. 117-130 ◽  
Author(s):  
Kenneth R. Conner ◽  
Robert M. Bossarte ◽  
Naiji Lu ◽  
Kimberly Kaukeinen ◽  
Grace Chan ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Child Psychopathology ◽  
Alcohol Use Disorder ◽  
Suicide Attempts

Suicide Attempts and Alcohol Use Disorder

2015 ◽  
Vol 30 ◽  
pp. 521 ◽  
Author(s):  
C.A. Moreira ◽  
M. Marinho ◽  
J. Oliveira ◽  
G. Sobreira ◽  
A. Aleixo
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Suicide Attempts

The Role Of Alcohol Use Disorder And Alcohol Consumption In Suicide Attempts-A Secondary Analysis Of 1921 Suicide Attempts

2010 ◽  
Vol 25 (7) ◽  
pp. 414-420 ◽  
Author(s):  
S. Boenisch ◽  
A. Bramesfeld ◽  
R. Mergl ◽  
I. Havers ◽  
D. Althaus ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Suicide Attempts ◽  
Multinomial Logistic Regression ◽  
Secondary Analysis ◽  
High Risk Group ◽  
Older Individuals ◽  
Alcohol Involvement

AbstractBackgroundIt is not known how characteristics of suicide attempts vary with different forms of alcohol involvement. The aim of this study is to clarify the role of alcohol use disorder and acute alcohol consumption in suicide attempts.MethodsData on 1921 suicide attempts was gathered in a major German city over a 5-year period. Suicide attempts were categorised according to a diagnosis of alcohol use disorder and acute alcohol consumption at the time of the attempt. Group comparisons and multinomial logistic regression were used for statistical analysis.ResultsIn 331 suicide attempts (17%) an alcohol use disorder was diagnosed. Six hundred and twenty-two suicide attempts (32%) were committed with acute alcohol consumption. Suicide attempts by individuals with alcohol use disorder were more often committed by men, older individuals and as a recurrent attempt, independently of alcohol consumption at the time of the attempt. When alcohol was consumed in suicide attempts by individuals with alcohol use disorder, low-risk methods were used most often.ConclusionsIndividuals with a diagnosis of alcohol use disorder are a high-risk group for multiple suicide attempts and should be a target group for suicide prevention. Screening for suicidality should be a regular part of the clinical assessment in individuals with alcohol use disorder.

Anorexia nervosa in males: excess mortality and psychiatric co-morbidity in 609 Swedish in-patients

2017 ◽  
Vol 47 (8) ◽  
pp. 1489-1499 ◽  
Author(s):  
J. Kask ◽  
M. Ramklint ◽  
N. Kolia ◽  
D. Panagiotakos ◽  
A. Ekbom ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Causes Of Death ◽  
Excess Mortality ◽  
Cox Regression ◽  
Somatoform Disorders ◽  
Psychiatric Diagnoses ◽  
Co Morbidity ◽  
Significant Difference

BackgroundAnorexia nervosa (AN) is a psychiatric disorder with high mortality.MethodA retrospective register study of 609 males who received hospitalized care for AN in Sweden between 1973 and 2010 was performed. The standardized mortality ratios (SMRs) and Cox regression-derived hazard ratios (HRs) were calculated as measures of mortality. The incidence rate ratios (IRRs) were calculated to compare the mortality rates in patients with AN and controls both with and without psychiatric diagnoses.ResultsThe SMR for all causes of death was 4.1 [95% confidence interval (CI) 3.1–5.3]. For those patients with psychiatric co-morbidities, the SMR for all causes of death was 9.1 (95% CI 6.6–12.2), and for those without psychiatric co-morbidity, the SMR was 1.6 (95% CI 0.9–2.7). For the group of patients with alcohol use disorder, the SMR for natural causes of death was 11.5 (95% CI 5.0–22.7), and that for unnatural causes was 35.5 (95% CI 17.7–63.5). The HRs confirmed the increased mortality for AN patients with psychiatric co-morbidities, even after adjusting for confounders. The IRRs revealed no significant difference in mortality patterns between the AN patients with psychiatric co-morbidity and the controls with psychiatric diagnoses, with the exceptions of alcohol use disorder and neurotic, stress-related and somatoform disorders, which seemed to confer a negative synergistic effect on mortality.ConclusionMortality in male AN patients was significantly elevated compared with the general population among only the patients with psychiatric co-morbidities. Specifically, the presence of alcohol and other substance use disorders was associated with more profound excess mortality.

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