Study of DSM-IV Axis I psychiatric disorders in patients with refractory complex partial seizures using a short structured clinical interview

ABSTRACT Background: Psychiatric disorders are common in patients attending neurology clinics with headache. Evaluation of psychiatric comorbidity in patients with headache is often missed in the busy neurology clinics. Aims: To assess the prevalence of Axis-I DSM-IV psychiatric disorders in patients with primary headache disorders in a rural-based tertiary neurology clinic in Western India. Settings and Design: A cross-sectional observation survey was conducting assessing all patients with migraine, tension-type headache and chronic daily headache attending the Neurology Clinic of Shree Krishna Hospital, a rural medical teaching hospital in Karamsad, in Gujarat in Western India. Materials and Methods: A total of 101 consecutive consenting adults with headache were interviewed using Mini International Neuropsychiatric Interview (M.I.N.I.), a structured diagnostic clinical interview to assess prevalence of Axis-I DSM-IV psychiatric disorders. Statistical Analysis: Descriptive statistics were calculated using SPSS software version 16 and a binomial regression model was used to study the relationship of psychiatric co-morbidity with patient-related factors. Results: 49 out of 101 (48.5%) patients with headache suffered from depressive disorders (dysthymia or depression or suicidality), 18 out of 101 patients with headache (17.90%) suffered from anxiety related disorders (generalized anxiety disorder or agoraphobia or social phobia or panic disorder). Conclusions: Axis-I psychiatric disorders are a significant comorbidity among patients with headache disorders. M.I.N.I. can be used as a short, less time consuming instrument to assess all patients with headache disorders.

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Characteristics of the schizophrenia suicide attempts in comparison with the suicide attempts with other diagnosed psychiatric disorders: An Egyptian study

International Journal of Social Psychiatry ◽

10.1177/0020764019852654 ◽

2019 ◽

Vol 65 (5) ◽

pp. 368-377 ◽

Cited By ~ 1

Author(s):

Mai SeifElDin Abdeen ◽

Nermin Mahmoud Shaker ◽

Hanan Hany Elrassas ◽

Mostafa Ahmad Hashim ◽

Mohamed Youssef Abo Zeid

Keyword(s):

Psychiatric Disorders ◽

Suicide Attempts ◽

Past History ◽

Clinical Interview ◽

Suicide Attempters ◽

Schizophrenia Group ◽

Suicide Probability Scale ◽

Axis I ◽

Dsm Iv ◽

Characteristic Features

Background: There has been much literature on schizophrenia, but little is known about the characteristic features of suicide attempts with schizophrenia in comparison with the suicide attempts with other diagnosed psychiatric disorders. Aims: The objective of this study was to clarify the specific characteristics and risk factors among suicide attempters with schizophrenia that differentiate them from other psychiatric disorders. Methods: Thirty-three suicide attempters diagnosed with schizophrenia and 87 suicide attempters with other psychiatric disorders were included. Suicide attempts seriousness were appraised by the Beck’s Suicide Intent Scale (BSIS). Standardized scales were applied: Suicide Probability Scale (SPS) and Barratt Impulsiveness Scale, Version 11 (BIS-11). The Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and The Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II) based on the Diagnostic and Statistical Manual of Mental Disorders-IV ( DSM-IV) was applied to assess the psychiatric status of individuals. Demographic and clinical characteristics, method of suicide and suicide probability scores and impulsivity were compared among both groups (schizophrenia group and other psychiatric disorders group). Results: In total, 27.5% of suicide attempts suffered from schizophrenia. The current study found that having more past history of medical diseases, longer duration of illness, using more violent suicidal methods, and having less significant suicidal ideations were the significant factors that differentiated schizophrenia suicide attempts from those diagnosed with other psychiatric disorders. The schizophrenia group did not show more impulsivity or hostility than other psychiatric disorders group. Conclusion: These results indicated that each group shows its unique characteristics. They give us new perspectives to prevent suicides in schizophrenia according to their different characteristics.

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Psychiatric morbidity among sentenced prisoners: prevalence study in Iran

The British Journal of Psychiatry ◽

10.1192/bjp.188.2.159 ◽

2006 ◽

Vol 188 (2) ◽

pp. 159-164 ◽

Cited By ~ 53

Author(s):

Seyed Mohammad Assadi ◽

Maryam Noroozian ◽

Mahdi Pakravannejad ◽

Omid Yahyazadeh ◽

Shahrokh Aghayan ◽

...

Keyword(s):

Psychiatric Disorders ◽

Prison Population ◽

Psychiatric Morbidity ◽

Primary Objective ◽

Psychopathy Checklist ◽

Western Countries ◽

Current Axis ◽

Research Findings ◽

Axis I ◽

Dsm Iv

BackgroundInformation on psychiatric morbidity of prisoners has almost entirely been based on research in Western countries and it is uncertain whether these research findings are applicable to other settings.AimsThe primary objective was to investigate the prevalence of psychiatric disorders in Iranian prisoners.MethodThrough stratified random sampling, 351 prisoners were interviewed using the clinical version of the Structured Clinical Interview for DSM-IVAxis I Disorders and the Psychopathy Checklist: Screening Version.ResultsThe majority (88%) of prisoners met DSM – IV criteria for lifetime diagnosis of at least one Axis I disorder and 57% were diagnosed with current Axis I disorders. Opioid dependence (73%) had the highest prevalence among lifetime diagnoses, whereas major depressive disorder (29%) was the most common current diagnosis. Psychopathy was recorded in 23%. Prevalence rates of psychiatric disorders were significantly different among offence categories.ConclusionsThe results suggest that a substantial burden of psychiatric morbidity exists in the prison population of Iran, with treatment challenges that appear to be different from those observed in inmates in Western countries.

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Prevalence of subthreshold forms of psychiatric disorders in persons making suicide attempts in Hungary

European Psychiatry ◽

10.1016/s0924-9338(00)00503-4 ◽

2000 ◽

Vol 15 (6) ◽

pp. 354-361 ◽

Cited By ~ 16

Author(s):

J. Balázs ◽

I. Bitter ◽

Y. Lecrubier ◽

N Csiszér ◽

G. Ostorharics

Keyword(s):

Psychiatric Disorders ◽

Suicide Attempts ◽

Structured Interview ◽

Background Information ◽

Semistructured Interview ◽

Suicide Attempters ◽

Psychiatric Illnesses ◽

Current Threshold ◽

Axis I ◽

Dsm Iv

summaryBackground – Suicide and suicide attempts have been associated to psychiatric illnesses; however, little is known about the role in suicide risk of those symptoms that do not meet the full criteria for a DSM-IV disorder. The aim of this study was to examine the prevalence of subthreshold psychiatric disorders among suicide attempters in Hungary. Methods – Using a modified structured interview (Mini International Neuropsychiatric Interview) determining 16 Axis I psychiatric diagnoses and their subthreshold forms defined by the DSM-IV and a semistructured interview collecting background information, the authors examined 140 consecutive suicide attempters, aged 18–65 years. Results – Eighty-three-point-six percent of the attempters had one or more current threshold diagnoses on Axis I and in addition more than three-quarters (78.6%) of the subjects had at least one subthreshold diagnosis. Six-point-four percent of the subjects (N = 9) had neither subthreshold nor threshold diagnoses at the time of their suicide attempts. Ten percent of the subjects (N = 14), not meeting the full criteria for any DSM-IV diagnoses, had at least one subthreshold diagnosis. In 68.6% of the subjects (N = 96), both subthreshold and threshold disorders were diagnosed at the time of their suicide attempts. The number of subthreshold and threshold diagnoses were positively and significantly related (χ2 = 5.12, df = 1, P < 0.05). Sixty-three-point-six percent of the individuals received two or more current threshold diagnoses on Axis I and 44.3% of the individuals (N = 62) had two or more subthreshold diagnoses at the time of their suicide attempts. Limitations – The subthreshold definitions in this study included only those forms of the disorders which required the same duration as the criteria DSM-IV disorder with fewer symptoms. Conclusions – Suicide attempts showed a very high prevalence of subthreshold disorders besides psychiatric disorders meeting the full criteria required according to the DSM-IV. Subthreshold forms of mental disorders need to be taken into account in suicide prevention.

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Inter-rater reliability of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I) and Axis II Disorders (SCID II)

Clinical Psychology & Psychotherapy ◽

10.1002/cpp.693 ◽

2011 ◽

Vol 18 (1) ◽

pp. 75-79 ◽

Cited By ~ 561

Author(s):

Jill Lobbestael ◽

Maartje Leurgans ◽

Arnoud Arntz

Keyword(s):

Clinical Interview ◽

Rater Reliability ◽

Axis Ii ◽

Axis I Disorders ◽

Axis I ◽

Dsm Iv

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Duration of untreated illness and outcome of obsessive-compulsive disorder: A naturalistic follow-up study

European Psychiatry ◽

10.1016/j.eurpsy.2017.02.247 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S323-S323

Author(s):

V. Prisco ◽

F. Perris ◽

T. Iannaccone ◽

M. Fabrazzo ◽

F. Catapano

Keyword(s):

Obsessive Compulsive Disorder ◽

Rating Scale ◽

Clinical Interview ◽

Obsessive Compulsive ◽

Long Term Outcome ◽

Compulsive Disorder ◽

Duration Of Untreated Illness ◽

Poor Outcome ◽

Axis I ◽

Dsm Iv

Duration of untreated illness (DUI) is a predictor of outcome in psychotic and affective disorders. Data available on DUI and its relationship with outcome in obsessive-compulsive disorder (OCD) suggest an association between longer DUI and poorer treatment response. The present study investigated socio-demographic and clinical predictors of DUI and its association with long-term outcome in OCD patients. Eighty-three OCD outpatients were treated with serotonin reuptake inhibitors (SRIs) and prospectively followed-up for 3 years. Baseline information was collected on demographic and clinical characteristics using standard assessments. Each patient was assessed through the structured clinical interview for DSM-IV axis I disorders (SCID-I), the structured clinical interview for DSM-IV axis II personality disorders (SCID-II), the Yale-Brown obsessive–compulsive scale (Y-BOCS) and the 17-item Hamilton rating scale for depression (HDRS). The DUI was explored by interviewing patients, family caregivers and clinicians. OCD subjects had a mean DUI of 7.3 (5.8) years. A younger age at onset and a greater severity of OCD symptoms at baseline were associated with a longer DUI. The DUI of patients with a “good outcome” was shorter than that of patients with a “poor outcome”. Logistic regression analysis revealed indeed a possible association between longer DUI and “poor outcome”. In the logistic multivariable model, the association of DUI with treatment outcome held true whilst controlling for socio-demographic and clinical variables.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Problem-Gambling Severity, Suicidality, and DSM-IV Axis I Psychiatric Disorders

International Journal of Mental Health and Addiction ◽

10.1007/s11469-019-00080-7 ◽

2019 ◽

Cited By ~ 1

Author(s):

Silvia Ronzitti ◽

Shane W. Kraus ◽

Rani A. Hoff ◽

Massimo Clerici ◽

Marc N. Potenza

Keyword(s):

Problem Gambling ◽

Psychiatric Disorders ◽

Gambling Severity ◽

Axis I ◽

Dsm Iv

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Screening for mental health: validity of the MHI-5 using DSM-IV Axis I psychiatric disorders as gold standard

Psychiatry Research ◽

10.1016/s0165-1781(01)00329-8 ◽

2001 ◽

Vol 105 (3) ◽

pp. 243-253 ◽

Cited By ~ 319

Author(s):

Hans-Jürgen Rumpf ◽

Christian Meyer ◽

Ulfert Hapke ◽

Ulrich John

Keyword(s):

Mental Health ◽

Psychiatric Disorders ◽

Gold Standard ◽

Axis I ◽

Dsm Iv

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Sintomas obsessivo-compulsivos na depressão pós-parto: relatos de casos

Revista de Psiquiatria do Rio Grande do Sul ◽

10.1590/s0101-81082008000300012 ◽

2008 ◽

Vol 30 (2) ◽

pp. 155-158 ◽

Cited By ~ 1

Author(s):

Carla Fonseca Zambaldi ◽

Amaury Cantilino ◽

Everton Botelho Sougey

Keyword(s):

Clinical Interview ◽

Axis I Disorders ◽

Axis I ◽

Dsm Iv

A depressão pós-parto é o transtorno afetivo mais prevalente no puerpério. O seu quadro clínico apresenta algumas peculiaridades sintomatológicas, podendo uma delas ser a presença mais freqüente de obsessões e compulsões. Relatamos seis casos identificados pela análise de prontuários de puérperas atendidas no Programa de Saúde Mental da Mulher do Hospital das Clínicas da Universidade Federal de Pernambuco. Todas elas tinham diagnóstico de depressão através do Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) e apresentavam concomitantemente sintomas obsessivo-compulsivos. Nos relatos, abordamos o período de aparecimento desses sintomas nas mulheres deprimidas, assim como o seu conteúdo, duração e resposta ao tratamento. Em duas mulheres, os sintomas obsessivo-compulsivos precederam os depressivos, e em outras duas, deu-se o inverso. Houve exacerbação de obsessões e compulsões preexistentes em duas puérperas. O conteúdo mais freqüente foi de pensamentos agressivos contra o bebê. Os sintomas tenderam a diminuir juntamente com a melhora da depressão.

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