scholarly journals Eye Examination Techniques for Malingering Patients- A Review

2020 ◽  
Vol 5 (7) ◽  
pp. 3-6
Author(s):  
Janak Poudel ◽  
Premnath Krishnasamy ◽  
B. Optom ◽  
M. Optom
Keyword(s):  
Psychiatric Disorders ◽  
Military Service ◽  
Panic Attacks ◽  
Insurance Companies ◽  
Examination Techniques ◽  
Eye Examination ◽  
Ophthalmic Disease ◽  
Medical Equipments

Malingering manifest as either imitating an ophthalmic disease, or contradiction of ophthalmic disease. In all cases of imitating or denial of ophthalmic disease there is only one reason i.e. Benefit and advantages. Benefit may be financial or nonfinancial. Sometimes it may be the reason for escape of military service or work, depletion of court penalty, tricky way of getting compensation from insurance companies and unnecessary free medicines or medical equipments. Malingerer does everything to cheat ophthalmologist/optometrist. Commonly it is associated with concurrent diagnosis of depression, anxiety, panic attacks, fibromyalgia and psychiatric disorders.

PTSD in Women Who Served as Nurses in Vietnam

2018 ◽  
pp. 201-240
Author(s):  
Thomas J. Yager ◽  
Bruce P. Dohrenwend
Keyword(s):  
Sexual Harassment ◽  
Psychiatric Disorders ◽  
Operating Room ◽  
Military Service ◽  
Traumatic Events ◽  
Combat Exposure ◽  
Large Majority ◽  
Male Veterans ◽  
Related Stress ◽  
Positive Effect

This chapter reviews nurses’ traumatic events and stressful war-time experiences. Onset of war-related PTSD and its persistence many years after nurses’ service were elevated among those who had pre-Vietnam vulnerabilities, particularly pre-war psychiatric disorders. The rate of war-related PTSD onset among nurses was higher than that among male veterans with low probable combat exposure; and the odds of its persistence were nearly four times higher among nurses than among male veterans with moderate probable combat exposure. Likely sources of war-related stress among the nurses included their service in the operating room, their personal risk of enemy attack, and of sexual harassment and attack by fellow American soldiers. Nevertheless, the large majority of nurses reported a strong positive effect of military service on their lives.

scholarly journals HOUT-29. THE INFLUENCE OF PSYCHIATRIC ILLNESS ON OUTCOME AND CANCER CARE RECEIVED IN PATIENTS WITH GLIOMAS

2019 ◽  
Vol 21 (Supplement_6) ◽  
pp. vi118-vi118
Author(s):  
Palak Patel ◽  
Terry Li ◽  
Janice Chou ◽  
Amie Patel ◽  
Sylvia Crispino ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Cancer Care ◽  
Psychiatric Illness ◽  
Adjustment Disorder ◽  
Tumor Diagnosis ◽  
Panic Attacks ◽  
Psychiatric Diagnoses ◽  
Increased Risk ◽  
Psychiatric Conditions

Abstract BACKGROUND Data related to the prevalence of different psychiatric disorders and their impact on survival and compliance in patients with glioma is scarce and mostly anecdotal. We aimed to study the prevalence of psychiatric disorders in glioma patients and the possible influence on compliance with cancer care and outcome. METHODS We performed a retrospective, observational study and compared compliance with medical care and outcome in patients who had or did not have a psychiatric illness at time of diagnosis. Kaplan-Meier method was used to compare survival between groups. RESULTS We identified 22 subjects (M=13, F=9) with intracranial glioma with psychiatric diagnosis and 22 matched control subjects (M=13, F=9) without psychiatric illness. Psychiatric diagnoses included depression (12%), anxiety disorder (6%), Adjustment disorder & substance use problems (2% each), bipolar disorder (1%) and panic attacks (1%). Psychiatric diagnoses were predating tumor diagnosis in 9/22 (41%) subjects and occurred around tumor diagnosis in 11/22 (50%) patients. The time of diagnosis with psychiatric illness was unknown in 2/22 (9%) of cases. Tumor diagnoses were glioblastoma in 50%, anaplastic astrocytoma in 9%, anaplastic oligodendroglioma in 13%, oligodendroglioma in 4%, and astrocytoma in 9% of cases. MedianOS was not reached for cases with psychiatric illness (not reached due to censoring) but was 4.2 years (95% CI 1.1 – 7.4) in controls (p=0.263). Subjects with psychiatric illness had an increased risk (OR 7.5, 95% CI 0.81 -68.8) of poor compliance with cancer care (medication, clinic and MRI follow-up compliance) compared to controls (p=0.046). CONCLUSION A variety of psychiatric conditions were observed in patients with glioma and presence of psychiatric illness may influence compliance with treatment and follow-up. Studies with larger population and longer follow-up are warranted to clarify true association between psychiatric conditions and compliance and survival.

The Prognosis of Psychiatric Disorders in Young Norwegian Men

1973 ◽  
Vol 122 (567) ◽  
pp. 125-139 ◽  
Author(s):  
Arne Sund
Keyword(s):  
Psychiatric Disorders ◽  
Military Service ◽  
Control Group ◽  
Healthy Men ◽  
Compulsory Military Service ◽  
Main Emphasis ◽  
Long Term Prognosis ◽  
The Military

The aim of this social-psychiatric and personal follow-up examination has been to illustrate the long-term prognosis of Norwegian youth suffering from psychiatric disorders which initially presented during peacetime compulsory military service. The follow-up examinations were conducted personally, and a control group of presumed healthy men was also followed. Sund (1968, 1970) has made a systematic comparison between the patient group and the control group concerning prognosis. Here, therefore, the main emphasis will be on a comparison of the courses followed by clinically different diagnostic sub-group. Eitinger (1950) showed the necessity of undertaking personal follow-up examinations in order to map out the prognosis for this kind of patient. Prognostic studies outside Scandinavia have been reported by Ginzberg et al. (1959), by Glass et al. (1956) and by Plag and Arthur (1965). However, the periods of observation in these studies have been short; moreover, adjustment to the military system was the objective, and the cases were not personally examined in a follow-up. It has been difficult to find prognostic studies with sufficiently long observation periods and with personal follow-up to serve as an adequate basis of comparison with our material. To a large extent, therefore, we have chosen to see the development of our patients in relation to our knowledge of psychiatric reactions in the rest of the population.

scholarly journals AN AYURVEDA CONCEPTUAL STUDY ON EIGHT DOMAINS IN THE ASSESSMENT OF MIND

2021 ◽  
Vol 9 (12) ◽  
pp. 3049-3054
Author(s):  
Dhaneshwari H. A ◽  
Suhas Kumar Shetty
Keyword(s):  
Psychiatric Disorder ◽  
Psychiatric Disorders ◽  
Mental Status ◽  
History Taking ◽  
Psychosomatic Disorders ◽  
Examination Techniques ◽  
Mental Status Examination ◽  
Thinking Process ◽  
Conceptual Study ◽  
Psychiatry Disorders

History taking, clinical examinations play a major role in confirming the diagnosis and predicting the prognosis of the illness. This is applicable in psychiatric as well as psychosomatic disorders. Sometimes organic diseases may simulate the presentation of psychiatric disorders and vice versa. Many types of examination techniques are ex- plained in Ayurveda which help directly or indirectly to elicit and diagnose psychiatry disorders. Astavibhrama, impairment in eight domains of mental faculties - thinking process (Mano vibhrama), intellect (Buddhi vibhrama), consciousness and orientation (Sanjnajnana vibhrama), memory (smriti vibhrama), desire or interest (Bhakti vibhrama), temperaments (sheela vibhrama), behaviour (chesta vibhrama), conduct (achara vibhrama); a concept adopted for the diagnosis of unmada (insanity). These eight domains can be generalised for eliciting the mental status of an individual. Keywords: Astavibhrama, Mental status examination, Psychiatric disorder

Desogestrel and severe psychiatric disorders, a retrospective analysis of Federal Adverse Event Reporting System and Eudravigilance

2020 ◽  
Vol 15 ◽  
Author(s):  
Manan Shah ◽  
Charmy Kothari
Keyword(s):  
Psychiatric Disorders ◽  
Suicide Attempts ◽  
Reporting System ◽  
Adverse Event Reporting System ◽  
Severe Depression ◽  
Panic Attacks ◽  
Drug Event ◽  
Event Pair ◽  
Information Leaflets ◽  
Risk Association

Background: Several studies have been published which stated that there is some connection between severe psychiatric disorders and contraceptive drug “desogestrel”. However, nothing in the summary of product characteristics (SmPC) or patient information leaflets of desogestrel about anxiety, more severe anxiety leading to panic attacks, or about risks of severe depression leading to suicidal thoughts or suicide attempts. Objective: To examine the safety and risk association between hormonal contraceptive desogestrel among women with psychiatric disorders using adverse drug reaction database of FDA Adverse Events Reporting System (FAERS) and Eudravigilance (EV). Methods: Individual case safety reports (ICSRs) of only female patients from Jan 1999 to Nov 2019 and Jan 2004 to Nov 2019 were downloaded from FAERS and EV database respectively. Reports of drug desogestrel, dienogest, norgestimate, cyproterone acetate and drospirenone were downloaded. Disproportionality method of data mining was used to calculate the risk association. Results and Discusion: The lower limit of 95 % CI of PRR is -0.28 and 2.02, PRR was 1.08 and 9.18, ROR is 1.09 (95%CI: 0.74, 1.59) and 9.26 (95% CI: 7.21, 11.89), Chi square value is 1.21 and 433.68, and IC-2SD is -0.27 and 2.60 respectively for data obtained from FAERS and EV. Conclusion: From this study, we conclude that there is no new emerging signal for the drug-event pair studied. Further study and continuous monitoring is required in future to know more about this drug-event pair association, as severe psychiatric disorders is not yet mentioned or included in SmPC and patient leaflet of desogestrel.

Emotional Reactivity and Risk for Psychopathology Among Adolescents

CNS Spectrums ◽  
2001 ◽  
Vol 6 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Daniel S. Pine ◽  
Patricia Cohen ◽  
Judith S. Brook
Keyword(s):  
New York ◽  
Anxiety Disorders ◽  
Psychiatric Disorders ◽  
Emotional Reactivity ◽  
Panic Attacks ◽  
Self Report ◽  
Personality Style ◽  
Upstate New York ◽  
Mood And Anxiety Disorders ◽  
Demographic Correlates

AbstractVarious aspects of personality or dispositional style predict risk for psychiatric disorders among adults. In particular, signs of neuroticism, emotional reactivity, or sensitivity to stress are strong predictors of later mood or anxiety disorders. The current report extends this literature to adolescents. An epidemiologic sample of 776 young people living in upstate New York received psychiatric assessments based on the Diagnostic and Statistical Manual of Mental Disorders, Third Edition-Revised, (DSM-III-R) and a self-report assessment of personality style in 1983 and 1985. Psychopathology was again assessed in 1992. The current study first examined demographic correlates of emotional reactivity. The study then considered the predictive relationship between emotionally reactive personality style at one study wave and psychopathology at later waves. In middle but not early adolescence, girls showed higher levels of emotional reactivity than boys. In turn, high levels of emotional reactivity predicted a range of psychiatric disorders at follow-up. The most consistent associations emerged for major depression and fearful spells, a term the authors use to describe a subclinical form of panic attacks. As in adults, midadolescent girls rate themselves as more emotionally reactive than midadolescent boys. Moreover, adolescents who rate themselves as emotionally reactive face a high risk for mood and anxiety disorders. High levels of emotional reactivity may represent a manifestation of underlying neurobiologic risk for mood and anxiety disorders.

scholarly journals Depression and anxiety among hyperthyroid female patients and impact of treatment

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Sheikh Shoib ◽  
Javid Ahmad ◽  
Manzoor Ahmed Wani ◽  
Irfan Ullah ◽  
Shah Faisal Ahmad Tarfarosh ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
Rating Scale ◽  
Psychiatric Symptoms ◽  
Health Assessment ◽  
Panic Attacks ◽  
Mental Health Assessment ◽  
Significant Difference ◽  
Hamilton Anxiety Rating Scale ◽  
Study Participants

Abstract Background The aim of the present study was to compare the presence of psychiatric disorders in people with hyperthyroidism and euthyroid patients attending the Endocrinology Outpatient Department at the Shri Maharaja Hari Singh Hospital in Kashmir, India. Seventy-five patients with hyperthyroidism and an equal number of euthyroid patients participated in the study. Participants were selected using stratified random sampling. All patients were female. There was no significant difference between the two groups in terms of demographic features. Hormonal screening was performed by immunoassay and haemagglutination method. For the mental health assessment, the Mini-International Neuropsychiatric Interview (MINI), Hamilton Depression Rating Scale [HAM-D], and Hamilton Anxiety Rating Scale [HAM-A] were used. Results There was a higher prevalence of psychiatric disorders among the hyperthyroidism group (60% versus 34.7%). In particular, there was a higher prevalence of major depressive disorder, suicidality, generalised anxiety disorder, panic attacks, and agoraphobia. In some cases, the prevalence of a psychiatric disorder diminished after endocrinological treatment. Conclusions Screening patients with hyperthyroid disorders for psychiatric symptoms and disorders, and providing timely care when necessary, can go a long way in improving the quality of life of this population. It is imperative to establish routine screening and timely care of mental health symptoms and disorders in patients with hyperthyroidism.

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