Physical Illness and Medical Needs of Women with Mental Disorders

Author(s):  
Mary Jo Larson ◽  
Sarah McGraw
1990 ◽  
Vol 20 (4) ◽  
pp. 829-834 ◽  
Author(s):  
Per Fink

SynopsisOn the basis of nationwide patient register data the diagnostic pattern of the medical admissions of a general population (17–49 year-olds; N = 30427) during an 8-year period was studied by comparing those individuals who had been admitted to the psychiatric department (i.e. psychiatric patients) with those individuals who had not. The results suggest that the high utilization of medical admissions by psychiatric patients could not be explained simply by coincident chronic physical illness or particular types of physical disease including the somatic complications of mental disorders. It is more likely to be attributable to other factors such as an increased general susceptibility to physical illness, different forms of illness behaviour, and the process of somatization.


2011 ◽  
Vol 10 (1) ◽  
pp. 52-77 ◽  
Author(s):  
MARC DE HERT ◽  
CHRISTOPH U. CORRELL ◽  
JULIO BOBES ◽  
MARCELO CETKOVICH-BAKMAS ◽  
DAN COHEN ◽  
...  

2006 ◽  
Vol 189 (6) ◽  
pp. 547-555 ◽  
Author(s):  
Vikram Patel ◽  
Betty R. Kirkwood ◽  
Sulochana Pednekar ◽  
Helen Weiss ◽  
David Mabey

BackgroundThe determinants of common mental disorders in women have not been described in longitudinal studies from a low-income country.MethodPopulation-based cohort study of 2494 women aged 18 to 50 years, in India. The Revised Clinical Interview Schedule was used for the detection of common mental disorders.ResultsThere were 39 incident cases of common mental disorder in 2166 participants eligible for analysis (12-month rate 1.8%, 95% CI 1.3–2.4%). The following baseline factors were independently associated with the risk for common mental disorder: poverty (low income and having difficulty making ends meet); being married as compared with being single; use of tobacco; experiencing abnormal vaginal discharge; reporting a chronic physical illness; and having higher psychological symptom scores at baseline.ConclusionsProgrammes to reduce the burden of common mental disorder in women should target poorer women, women with chronic physical illness and who have gynaecological symptoms, and women who use tobacco.


2010 ◽  
Vol 107 (2) ◽  
pp. 547-552 ◽  
Author(s):  
Zachary M. Kasow ◽  
Robert S. Weisskirch

For individuals with mental illness, others' perceptions of mental illness often limit integration into communities. Perceptions of mental illness manifest as social stigma in the form of social distance and may depend on individuals' attributions of the origins of mental illness. 180 university students completed a survey on attribution of mental illness and social distance across several disorders (psychiatric and physical). Participants indicated greater social distance for severe mental illness (i.e., schizophrenia) than less severe mental illness and physical illness. More desire for social distance may be related to unfamiliarity with severe mental illness rather than less severe mental and physical illnesses. Greater understanding of how individuals perceive mental illness can inform efforts to educate the public.


2004 ◽  
Vol 34 (1) ◽  
pp. 137-146 ◽  
Author(s):  
P. R. DUBERSTEIN ◽  
Y. CONWELL ◽  
K. R. CONNER ◽  
S. EBERLY ◽  
E. D. CAINE

Background. Mental disorders amplify suicide risk across the lifecourse, but most people with mental disorder do not take their own lives. Few controlled studies have examined the contribution of stressors to suicide risk.Method. A case–control design was used to compare 86 suicides and 86 controls aged 50 years and older, matched on age, gender, race and county of residence. Structured interviews were conducted with proxy respondents for suicides and controls.Results. Perceived physical illness, family discord and employment change amplified suicide risk after controlling for sociodemographic covariates and mental disorders that developed [ges ]1 year prior to death/interview. Only the effect of physical illness (OR 6·24, 95% CI 1·28–51·284) persisted after controlling for all active mental disorders.Conclusions. Interventions to decrease the likelihood of financial stress and to help families manage discord and severe physical illness may effectively reduce suicides among middle-aged and older adults.


Author(s):  
Claire Hilton

Abstract This chapter explores psychiatric concepts and clinical issues relating to patients in the asylums, including classification of disorders; research; nature and nurture hypotheses; and treatment and convalescence. From medical and legal standpoints, definitions of insanity were vague, subjective and their value debated. Physical illness and mental disturbances overlapped and there was little consensus on the relative contributions of heredity, brain disease, psycho-social, spiritual and other non-medical factors to causing mental disorders. Treatment became more custodial, often relying on sedative medications, restraint and seclusion. Individually focussed treatment was an ideal but hard to implement in large impersonal, overcrowded and inadequately staffed asylums. Particularly during the war, the asylums lost the precious commodity of staff time to build therapeutic relationships and provide psycho-social treatments to assist recovery and manage the most disturbed patients humanely.


2019 ◽  
Vol 144 (01) ◽  
pp. 54-60 ◽  
Author(s):  
Alexander Niecke ◽  
Valeska von Bassewitz ◽  
Guido Michels

AbstractThis article aims to provide an overview of the nature and extent, risk factors and treatment strategies of co-morbid mental disorders in the context of intensive care medicine. Depressive, anxious and posttraumatic syndromes as well as deliria are common phenomena in critical care patients, which correspond with the course and outcome of the underlying physical illness. The most important factors for the occurrence of mental comorbidity and general principles of care are described.


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