Perceptual symptoms in the latino psychiatric patients attending inner city outpatient clinic

2016 ◽  
Vol 33 (S1) ◽  
pp. S401-S401
Author(s):  
L. Gonzalez ◽  
A. Khadivi ◽  
W. Gu ◽  
P. Korenis
Keyword(s):  
Psychiatric Patients ◽  
Cultural Beliefs ◽  
Significant Proportion ◽  
Psychotic Symptoms ◽  
Psychiatric Clinic ◽  
Latino Population ◽  
Psychotic Illness ◽  
Cultural Backgrounds ◽  
Retrospective Case ◽  
Competing Interest

IntroductionPsychotic symptoms occur in a variety of psychiatric disorders and medical conditions. In addition, a significant proportion of the general population reports history of psychotic symptoms in the apparent absence of a psychiatric disorder. Reviewed literature suggests that Latino patients report certain forms of visual and auditory hallucinations without other indications of psychotic illness. In addition, it is common that some individuals with diverse religious or cultural backgrounds may present with psychotic transient experiences, which can be culturally normative.ObjectiveTo determine the prevalence of hallucinations and describe the nature of hallucinatory experiences in relation to cultural belief in Latino and non-Latino psychiatric outpatients.MethodsWe conducted a retrospective case control study of 146 patients who were admitted to the outpatient psychiatric clinic for a period of ten months. We assessed clinical characteristics of these patients and reviewed the extended mental status examination, which contained questions about various form of hallucinations and spiritual experiences. This poster will explore the prevalence of hallucinations in the Latino population and determine the percentage of patients with a diagnosis of psychotic illness. A discussion of the phenomenological hallucinatory experiences and its relationship to cultural beliefs in the Latino psychiatric patients will also be presented.ConclusionsPsychotic symptoms present differently across cultures. The Latino population is most likely to have psychotic like symptoms related to their cultural beliefs. Clinicians must understand the diverse cultural experiences and beliefs of the patients they work with to prevent misdiagnosis of culturally normative experiences.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Predictors of aggressive behavior among acute psychiatric patients: 5 years clinical study

2016 ◽  
Vol 33 (S1) ◽  
pp. S626-S627
Author(s):  
T. Aparicio Reinoso ◽  
S. Gonzalez Parra
Keyword(s):  
Psychiatric Patients ◽  
Therapeutic Option ◽  
Violent Behavior ◽  
Nursing Assistants ◽  
Psychotic Symptoms ◽  
Admission Diagnosis ◽  
Psychiatric Ward ◽  
Competing Interest ◽  
In The Beginning

IntroductionThe problem of violence and aggressive behaviour among patients with psychiatric disorders need careful assessment to improve the quality of psychiatric care.ObjectiveThe aim of this paper is to describe the characteristics of repeated episodes of violence among patients admitted to a Psychiatric Ward, which is a total of 66 beds at Doctor Rodriguez Lafora Hospital from January 2009 to December 2014.MethodsWe designed a retrospective, longitudinal and observational study over a 5-year period in two brief hospitalization units of Doctor Rodriguez Lafora Hospital in Madrid. The main variables studied were: type of admission, diagnosis, age, trigger and shift.ResultsIn our study, we analyzed the prototypical person who carries out these episodes of aggression: a male between 31–40 years, diagnosed with psychotic disorder or personality disorder, involuntary admitted. This episode is associated as a main trigger to mood disturbances, lack of acceptance of standards and psychotic symptoms. These episodes occur more frequently in the afternoon shift one business day and often processed without injuries or minor bruises to other patients and/or nursing assistants. In our practice, we have observed that in most cases adequate verbal restraint in the beginning is sufficient to prevent the episode of aggression.ConclusionsUnderstand the aggressive factors can influence the production of violent behavior and the use of appropriate containment techniques may be considered a therapeutic option to prevent and address violent behavior in psychiatric patients hospitalized in brief hospitalization units.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The Co-occurrence Of Eating Disorders And Psychosis

2016 ◽  
Vol 33 (S1) ◽  
pp. S425-S425 ◽  
Author(s):  
C. Alves Pereira ◽  
J.R. Silva ◽  
R. Cajão ◽  
J.P. Lourenço ◽  
T. Casanova
Keyword(s):  
Eating Disorders ◽  
Critical Reflection ◽  
Literature Search ◽  
Case Series ◽  
The Other ◽  
Psychotic Symptoms ◽  
Psychotic Illness ◽  
Other Hand ◽  
Competing Interest ◽  
The Relationship

IntroductionSeveral reviews have reported the incidence of schizophrenia in patients with eating disorders (ED) to be between 3–10% and the incidence of transient psychotic episodes to be 10–15%. On the other hand, anorexia nervosa appears to affect 1 to 4% of schizophrenia patients. Reports of psychosis and ED occurring in the same patient have led to various views as to the nature of the relationship between the two.ObjectiveAnalysis of the literature illustrated by different clinical cases in which appears to be a relationship between ED and psychosis.AimsCritical reflection about the hypothesis that could underlie the comorbidity of psychotic illness and ED.MethodsNon-systematic review of a literature search using the keywords: eating disorders; psychosis; comorbidity.ResultsThere is no consistent sequence in the co-occurrence of the two conditions – ED sometimes precede and sometimes follows the onset of psychosis. ED patients can develop psychotic symptoms, most frequently transient in the course of the disorder, while others are subsequently diagnosed with a chronic psychotic disorder. On the other hand, patients with a primary psychotic illness can develop an eating disorder. The connection between the two, however, remains speculative, considering the hypothesis that ED and psychosis can be entirely separate disorders that can, by chance, occur in the same person.ConclusionsThe area of comorbidity and overlapping symptoms in psychiatry requires more deep research. Despite evidence from case series, the comorbidity between ED and psychosis is poorly understood, and firm conclusions cannot be drawn from this analysis.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Parkinson's disease and psychosis: Report of a case

2017 ◽  
Vol 41 (S1) ◽  
pp. s843-s844
Author(s):  
M. Valverde Barea ◽  
A. España Osuna ◽  
F. Cartas Moreno
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Family Background ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Behavioral Disorder ◽  
Psychotic Symptoms ◽  
Psychiatric Clinic ◽  
Good Tolerance ◽  
Competing Interest

IntroductionJealous delusional ideation appears in 7-14% of cases of Parkinson's disease. Treatment with dopaminomimetics drugs is a significant risk factor for psychosis. However, the most likely etiology of psychosis in these patients is a loss of central cholinergic function associated with age since described psychosis even before the introduction of the L-Dopamine. Cognitive impairment and sleep disorders are predictors of development of psychosis.ObjectivePresent a clinical case of psychosis in Parkinson's disease and its treatment.MethodReason for consultation. Patient diagnosed with Parkinson's disease with behavioral disorder and delusional.Current illnessThe patient after antiparkinsonian medication has increased suspicion, self-referentiality, delusional jealousy ideation to her husband, delusional interpretations regarding somatic symptoms, insomnia and behavioral disorders with aggression.Family backgroundMother with Alzheimer's.Personal historyNo contact with mental health.Psychopathological examinationConscious, repetitive language, dysphoric mood with delusions of prejudice and jealousy.Mixed insomnia.DiagnosisPsychosis in Parkinson's disease.TreatmentQuetiapine 300 mg/day. Carbidopa 25 mg/L-dopa 100 mg: 1-0-1. On subsequent visits quetiapine was suspended and replaced by clozapine 200 mg/day.ResultsThe treatment of psychosis was effective with the use of quetiapine and subsequently clozapine with good tolerance and effectiveness. He also said lower antiparkinsonian medication.ConclusionsPsychotic symptoms are the most common psychiatric clinic in Parkinson's disease. Often not enough antiparkinsonian dopaminomimetics reduced to control psychotic symptoms and use of antipsychotics is required. The use of antipsychotics in Parkinson's disease should be careful for the likely increase in motor clinical and increased mortality. The most useful, are especially quetiapine and clozapine atypical antipsychotics.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Most frequent clinic comorbibities in hospitalized patients in a psychiatric clinic

2016 ◽  
Vol 33 (S1) ◽  
pp. S379-S379
Author(s):  
J. Jaber ◽  
J. Veríssimo ◽  
T.T. Raposo ◽  
B. Reys
Keyword(s):  
Psychiatric Patients ◽  
Time Frame ◽  
Health Condition ◽  
Physical Activities ◽  
Hospitalized Patients ◽  
Psychiatric Clinic ◽  
Minimum Period ◽  
Global Improvement ◽  
Patient Health ◽  
Competing Interest

IntroductionBeing hospitalized in a psychiatric clinic, patients present, in addition to the diseases that determine the hospitalization, clinic comorbidities, generally decompensated.ObjectivesTo present the most frequent clinic pathologies in a population of hospitalized patients having diverse mental disorders and establish a protocol for investigation and their early treatment.AimsTo know the most frequent pathologies in a population of hospitalized psychiatric patients and establish a protocol for their assesment, in a way that contributes to the global improvement of the patient health condition.MethodsFor its mission realization, the clinic counts on a multidisciplinary team. The participants were 762 patients, seen in the referred clinic, which presented a minimum period of hospitalization of 10 days and that were submitted to thorough clinic exam and complementary routine exams. The time frame referred to the period of March of 2012 to February of 2014, totalizing 24 months.ResultsIn the patients that had medical release after periods of hospitalization of, 90-day average, were obtained, in the totality of the cases, excellent evolution, evidenced by the improvement of the laboratory parameters.ConclusionsThe results were achieved in the hospitalization system with careful medicament administration, differentiated diets established in agreement with the patients, supervised physical activities and psychological and psychiatric support.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Psychiatric Symptoms Paraneoplastic and Legal Obligation to Combination Therapy

2016 ◽  
Vol 33 (S1) ◽  
pp. S463-S463
Author(s):  
M.D. Piqueras Acevedo ◽  
I. Martínez Pérez ◽  
M.R. Raposo Hernández: ◽  
A.L. González Galdámez ◽  
A. Belmar Simó ◽  
...  
Keyword(s):  
Psychiatric Symptoms ◽  
Clinical Status ◽  
Combined Treatment ◽  
Breast Disease ◽  
Medical Decision ◽  
Psychotic Symptoms ◽  
Psychiatric Clinic ◽  
History Of ◽  
Oncology Treatment ◽  
Competing Interest

Women 49-year-old with a history of left mastectomy for breast Ca. The patient is brought to the emergency by his family for disorderly conduct compatible with manic phase and psychotic symptoms by delirious speech mystical-religious content refusal of the patient to be evaluated by any medical decision and abandoned chemotherapy. Initial screening is performed from the emergency department of organic pathology (TAC without findings and normalcy in other PC). At the beginning of involuntary admission income that is corroborated by the commission judicial, a request of the family and given the history of abandonment IC Oncology treatment is performed as a result of which it is found that the onset of the psychiatric clinic communicates matches the decision to abandon treatment; after reassessment of the clinical status of the patient and recommendation by her oncologist to resume treatment with RT to court new authorization for further diagnosis and initiation of treatment after assessment by forensic and judge is granted a week tests requested. After screening of limbic encephalitis but positive AC. SD income it is maintained and combined treatment is performed. At discharge, the patient is stable DP vs. psychopathology with good controls over concomitant breast disease.ResultsThe need for medical treatment in organic pathology is justified even against the will of the patient in the context of represenDisclosure of interestThe authors have not supplied their declaration of competing interest.

Seroprevalence of toxoplasma gondii in Romanian psychiatric patients

2017 ◽  
Vol 41 (S1) ◽  
pp. s825-s825 ◽  
Author(s):  
T.R. Olariu ◽  
I.D. Capraru ◽  
I. Papava ◽  
R. Romosan ◽  
L. Dehelean ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Toxoplasma Gondii ◽  
Psychiatric Disorders ◽  
Psychotic Disorder ◽  
Psychiatric Patients ◽  
Psychiatric Clinic ◽  
High Prevalence ◽  
Laboratory Investigations ◽  
Competing Interest ◽  
Toxoplasma Gondii Infection

IntroductionToxoplasma gondii infection has been recently associated with schizophrenia and other psychiatric disorders.AimThe aim of the present study was to evaluate the prevalence of T. gondii antibodies among acute psychiatric patients from Western Romania.MethodsThis study included 214 consecutive patients admitted at the psychiatric clinic, Country Clinical Emergency Hospital in Timisoara, Romania, between 30.06.2011 and 12.01.2012. Clinical and laboratory investigations were performed in these hospitalized patients, including serologic tests for T. gondii IgG and IgM antibodies.ResultsThe 214 patients aged 19 to 71 years (mean = 42.5), 64.9% were females. T. gondii antibodies were detected in 117 (54.7%) of 214 psychiatric patients. When the data were analyzed by diagnostic groups, T. gondii antibodies were demonstrated in 30 (50.84%) of 59 patients with schizophrenia, in 28 (59.57%) of 47 with persistent delusional disorder, 10 (31.25%) of 32 with acute and transient psychotic disorder, 13 (54.16%) of 24 with schizoaffective disorder and 35 (70%) of 50 with bipolar disorder. A high prevalence of T. gondii antibodies was found among patients with bipolar disorder compared to those with schizophrenia (P = 0.043) acute and transient psychotic disorder (P < 0.0001) and healthy controls (P < 0.0001). Of the 18 patients with schizophrenia and a BPRS score <51, T. gondii antibodies were detected in 13 (72.2%) compared to 17 (41.4%) of 41 in whom BPRS score was >51 (P = 0.03).ConclusionThese findings suggest that T. gondii infection may be associated with several psychiatric disorders. A high seroprevalence of T. gondii was demonstrated in patients with bipolar disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Feigned psychosis revisited –a 20 year follow up of 10 patients

1996 ◽  
Vol 20 (11) ◽  
pp. 666-669 ◽  
Author(s):  
Martin Humphreys ◽  
Alan Ogilvie
Keyword(s):  
Case Note ◽  
Psychotic Symptoms ◽  
Psychotic Illness ◽  
Retrospective Case ◽  
Long Term Follow Up ◽  
Initial Episode ◽  
Changes Over Time ◽  
Over Time

Feigned psychosis, although rare, presents considerable diagnostic problems in clinical psychiatric practice. Long-term follow up data are lacking. A retrospective case note study was undertaken of 10 patients described in a previous paper, published in 1970, on the simulation of psychosis. The computerised diagnostic instrument OPCRIT was applied to both index episode and lifetime occurrence of symptoms. All 10 patients were found to have had a major psychotic illness based on lifetime symptoms at 20 year follow-up by DSM–III–R criteria. Eight had met such criteria at the time of the initial episode. Diagnosis in patients thought to be feigning psychotic symptoms changes over time and major mental illness is likely to emerge which may be schizophrenic or affective. The term feigned psychosis should be abandoned and more attention given to why symptoms are accepted as genuine in some cases but not others.

Suicidal ideation and organic diseases in acute female psychiatric patients

2016 ◽  
Vol 33 (S1) ◽  
pp. s275-s275
Author(s):  
P. Solano ◽  
M. Ustulin ◽  
R. Vecchio ◽  
A. Rreshketa ◽  
E. Pizzorno ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Risk ◽  
Psychiatric Patients ◽  
Demographic Data ◽  
The Elderly ◽  
Physical Illness ◽  
Psychiatric Clinic ◽  
Medical Illness ◽  
Chi Squared ◽  
Competing Interest

IntroductionPhysical illness has been recognized as a major risk factor for suicidal behaviours, especially among females. A higher number of physical comorbidities has been associated with higher suicide- risk, thus having a greater burden among the elderly.Objectivesinvestigate this evidence to be able to estimate the load of physical illness on suicidality among psychiatric females of different age.AimsEvaluate the association between suicidal ideation, age, depression and physical comorbidities in a sample of acute females psychiatric in-patients.Methods81 psychiatric female in-patients were evaluated during their first day of hospitalization through MADRS, SSI and the presence of organic comorbidity has been collected together with demographic data. All the evaluations were carried out at the Psychiatric Clinic, University of Genova, Italy.ResultsMean age 48 (age–range value: 74, high variability). Pearson's Chi-squared test showed: significant association between SSI and MADRS (P = 0,027; α = 0,05); no association between SSI and age (P = 0,194; α=0,05); no association between SSI and presence medical illness (P = 0,132; α = 0,05); no association between SSI and number of medical illness (P = 0,186; α = 0,05).ConclusionsOur results show that the levels of suicidal ideation in psychiatric females are independent from age, presence and number of physical comorbidities. Suicidal ideation appears to be associated only with levels of depression. Our results challenge evidence from a large number of current studies and, if confirmed by further research, would lead to reconsider major suicide risk factors. Further research to investigate these associations on larger samples is needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Impact of language fluency level on patients’ pathway and clinical outcome of the Japanese psychiatric service

2016 ◽  
Vol 33 (S1) ◽  
pp. S403-S403
Author(s):  
A. Yuasa ◽  
S. Nagasawa ◽  
A. Yu
Keyword(s):  
Psychiatric Service ◽  
Significant Proportion ◽  
Japanese Patients ◽  
Psychiatric Clinic ◽  
Language Fluency ◽  
Language Abilities ◽  
Psychiatric Institutions ◽  
The Status ◽  
The Common ◽  
Competing Interest

Language fluency often impacts on patients’ behaviors. It might affect their pathways, how they find an available psychiatric clinic, and the clinical outcomes, if they continue their treatments. Multicultural services deficiency is serious concern in Japanese psychiatric fields. According to the Ministry of Health, Labor and Welfare in 2014, more than two million of foreign visitors live in Japan, however, the psychiatric institutions providing multilingual services are rare and inadequate comparing the situation in Europe. The research sets the objective of analyzing the status quo in a multi-language providing psychiatric clinic, how the pathways and outcomes of language diffluent patients differ from these of the local patients. It further aims to find the significance of foreign patients, and strives the improvement of language services for non-native patients in Japanese mental health cares. The research utilized and quantitatively analyzed the retrospective research data among 900 Japanese patients and 902 non-Japanese patients, who have visited a psychiatric clinic located in Tokyo. The analysis revealed that the significant proportion of foreign patients relied on their acquaintances as their pathways, and that the lower their language levels were, the higher proportion they had this path. For the outcomes, the lower their language levels were, the higher continuity status they had. Our research suggested that two of the common ways to find a psychiatric service when local patients suffer from psychopathological maladjustments are researching Homepages and neighboring clinics, however, the foreigners with limited language abilities tended to follow the different pathways and outcome patterns.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The predictive role of insight for the evolution of the disease in Romanian patients diagnosed with schizophrenia

2017 ◽  
Vol 41 (S1) ◽  
pp. s809-s809
Author(s):  
C.A. Crisan ◽  
S. Pintea ◽  
I. Miclutia ◽  
R. Macrea
Keyword(s):  
Predictive Factors ◽  
Psychosocial Functioning ◽  
Urban Areas ◽  
Structured Interview ◽  
Psychotic Symptoms ◽  
Psychiatric Clinic ◽  
Predictive Role ◽  
Competing Interest ◽  
Demographical Data

IntroductionSchizophrenia is a serious disorder that influences all life aspects of the patients. The most important goals in schizophrenia are remission, recovery, improving psychosocial functioning and quality of life, which can be influenced by different factors, especially insight.ObjectivesTo evaluate the awareness of illness in Romanian patients diagnosed with schizophrenia and to determine the predictive role of insight.AimsThis study wants to highlight the importance of the evaluation of insight in psychotic patients, taking into account that awareness leads to compliance with treatment, decreased rate of relapses and rehospitalization and a better prognosis.Material and methodsOverall, 80 patients (44 males and 36 females) recruited from first and second psychiatric clinic Cluj-Napoca, diagnosed according to ICD-10 and DSM-V criteria with schizophrenia and acute psychotic disorder participated in this study. A semi-structured interview collected demographical data. Psychotic symptoms were evaluated using PANSS, severity of the disease using CGI and insight using SUMD.ResultsOur results showed that the most important predictive factors for the evolution were: level of insight (r = −0.41 P < 0.01), presence of family history (r = 0.24 P < 0.05) and belonging to urban areas (r = 0.23 P < 0.05). The level of insight explained 16% of variance of improving psychotic symptoms during hospitalization.ConclusionsThe awareness of illness is one of the predictive factors for long-term schizophrenia and the best predictive model of disease progression is composed of variables SUMD total and PANSS total on admission.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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