Hyponatremia-induced organic mental disorder may mask paranoid schizophrenia

1987 ◽  
Vol 22 (5) ◽  
pp. 650-652 ◽  
Author(s):  
W.Wolfgang Fleischhacker ◽  
Christian Barnas ◽  
Maximilian Ledochowski
1986 ◽  
Vol 1 (3) ◽  
pp. 210-215 ◽  
Author(s):  
W W FLEISCHHACKER ◽  
V G??NTHER ◽  
Ch BARNAS ◽  
F LIEDER ◽  
C MILLER

The biopsychosocial model of therapy for endogenous mental disorders involves a flexible combination of psychopharmacotherapy with psychosocial interventions. Psychoeducation is one of the most important components of psychosocial interventions in a multifaceted system of psychosocial rehabilitation. The primary task of psychoeducation is to provide patients and their family caregivers with realistic knowledge about mental disorder, on the basis of which the patient and his or her family members can get more control over the symptoms of the disease. The aim of our work was from the standpoint of a systematic approach, based on the study of clinical and psychological manifestations and risk factors for the development of pathological functioning in a family, where a patient with endogenous mental disorder lives, to develop, substantiate scientifically and introduce a psychoeducational module as an element of psychosocial interventions in complex system of medical -psychological support. To achieve this goal, according to the principles of bioethics and medical deontology, a comprehensive examination of 243 patients with endogenous mental disorders (168 patients with paranoid schizophrenia, 75 patients with affective disorders) and 243 family caregivers was performed. The work was done in three stages: during the the first stage we examined patients and their family caregivers. During the second stage, an in-depth study of psycho-emotional, individual-psychological, interpersonal-communicative and psychosocial predictors of reducing the adaptive capacity of the family was performed. The third stage included scientific substantiation, development and implementation of an appropriate comprehensive system of medical and psychological support for the families, based on the analysis of data obtained during the previous stages. The proposed system of medical and psychological support has shown its effectiveness in improving the adaptive capacity of the family, where patients with endogenous mental disorders live, and can be recommended for further implementation in appropriate medical institutions.


2000 ◽  
Vol 176 (2) ◽  
pp. 121-125 ◽  
Author(s):  
Ellen Kjelsberg

BackgroundResearch has demonstrated increased mortality rates in adolescent psychiatric in-patients.AimsTo investigate this excess mortality by calculating standardised mortality ratios (SMRs) relative to cause of death, diagnosis, cohort and age.MethodA nationwide Norwegian sample of 1095 former adolescent psychiatric in-patients were followed up 15–33 years after first hospitalisation by record linkage to the National Death Cause Registry.ResultsThe SMR was significantly increased for almost all causes of death investigated. In males, all psychiatric diagnoses had significantly increased SMRs, whereas in females, organic mental disorder, anxiety disorder and affective disorder had non-significantly increased SMRs. The SMR was significantly elevated for all age-spans and cohorts investigated.ConclusionsA broad prevention strategy is needed to combat the increased mortality rates found in adolescent psychiatric in-patients.


2010 ◽  
Author(s):  
Arne E. Vaaler ◽  
Gunnar Morken ◽  
Valentina C. Iversen ◽  
Daniel Kondziella ◽  
Olav M. Linaker

2020 ◽  
Vol 5 (2) ◽  
pp. 51-66
Author(s):  
Klavdiya Telesheva ◽  
Farit Safuanov ◽  
Anna Kirenskaya ◽  
Zinaida Storozheva ◽  
Vadim Myamlin

In the original study, in order to identify predisposition factors and mechanisms of criminal impulsive aggression, psychometric testing was performed with further evaluation of the dependence of the probability of impulsive aggression on the results of psychometric testing by constructing a binary logistic regression model. On groups of mentally healthy individuals and individuals with organic mental disorder, the dependence of the presence or absence of the fact of impulsive aggression and the diagnosis (mentally healthy/organic mental disorder) on the variable test results was evaluated. The results prove the extra-nosological nature of the formation of propensity to impulsive aggression, the contribution of pathocharacterological predictors of aggressive behavior, but not clinical ones. The specificity of mechanisms of formation of propensity to impulsive aggression in mental health and organic mental disorder is determined. A method for determining probability has been developed.


1983 ◽  
Vol 24 (9) ◽  
pp. 849-853 ◽  
Author(s):  
Jeffrey R. Penn ◽  
Thomas B. Mackenzie

2014 ◽  
Vol 26 (6) ◽  
pp. 1049-1051 ◽  
Author(s):  
E.-M. Kessler ◽  
J. K. Südhof ◽  
L. Frölich

In order to best meet the needs of their clientele, practitioners in memory clinics need information about the characteristics of patients who do not meet the criteria for diagnosis of an organic mental disorder such as vascular dementia, Alzheimer's disease (AD), or mild cognitive impairment (MCI). In particular, concern about having or developing dementia may prompt ``cognitively healthy’’ people to visit memory clinics. In a pilot study, we investigated ``dementia worry’’ (DW) in addition to the socio-demographic characteristics, physical health risk-factors and psychological symptoms of memory clinic patients for whom dementia and MCI diagnoses were excluded after a comprehensive diagnostic work-up. Dementia worry has recently been defined as an “emotional reaction to the perceived threat of developing dementia” (Kessler et al., 2012). Accordingly, DW consists of both emotions (e.g. fear) and cognitions (e.g. thoughts, ruminations) regarding the perceived threat of developing dementia. Our study was evaluated by the Ethical Committee of the Medical Faculty Mannheim, University of Heidelberg.


Sign in / Sign up

Export Citation Format

Share Document