Assessment of lymphocyte subsets and neutrophil leukocyte function in chronic psychiatric patients on long-term drug therapy

1996 ◽  
Vol 20 (7) ◽  
pp. 1117-1129 ◽  
Author(s):  
Marco Cosentino ◽  
Annamaria Fietta ◽  
Emanuela Caldiroli ◽  
Franca Marino ◽  
Laura Rispoli ◽  
...  
Keyword(s):  
Drug Therapy ◽  
Lymphocyte Subsets ◽  
Psychiatric Patients ◽  
Leukocyte Function ◽  
Neutrophil Leukocyte ◽  
Chronic Psychiatric Patients

An assessment of the psychoeducational needs of long-term psychiatric patients

1999 ◽  
Vol 16 (3) ◽  
pp. 104-108 ◽  
Author(s):  
Pat Gibbons ◽  
Grace Hogan ◽  
Sheila McGauran
Keyword(s):  
Psychiatric Patients ◽  
Baseline Measure ◽  
Life Issues ◽  
One Year ◽  
Amount Of Knowledge ◽  
General Aspects ◽  
Chronic Psychiatric Patients ◽  
Specific Illness

AbstractObjectives: We aimed to identify which illness related topics were of most interest to chronic psychiatric patients in our catchment area service, and to obtain a baseline measure of the amount of knowledge which patients with schizophrenia had about their illness.Method: Patients attending for a minimum of one year were recruited from the outpatient clinic and day centre. Participants completed three instruments: a brief questionnaire which asked about the details of their diagnosis and drug treatment regimen, the ‘Educational Needs Questionnaire’ (ENQ), and a modified form of the ‘Understanding Schizophrenia Scale’ (USS).Results: Forty-seven patients with a chronic psychotic illness participated in the study. Despite having attended the service for an average of 14 years, the majority of patients were unable to correctly identify their diagnosis. Most patients were able to name the drugs which they had been prescribed; but were not able to describe the dosage of these drugs. According to the ENQ results, patients expressed most interest in learning about general aspects of their illness, such as ‘how to cope with stress’, and less in how to manage specific illness related symptoms. Similarly, schizophrenia patients were found to know more about general aspects of their illness, such as rehabilitation and non-medical aspects of treatment, than about medication.Conclusion: Chronic psychiatric patients, especially those with schizophrenia, have very limited knowledge of their illness and its treatment. The focus of psychoeducation should be extended from insight and compliance to include broader ‘quality of life’ issues which appear to be of more concern to patients themselves. Patient participation in psychoeducation can thus be improved by including topics identified by such instruments as the ENQ. It is encouraging that cognitive deficits and negative symptomatology do not seem to prevent long-term psychiatric patients from benefiting from such inputs.

L'hôpital psychiatrique: d'hier à demain

1986 ◽  
Vol 31 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Céline Mercier ◽  
Et Gaston P. Harnois
Keyword(s):  
Psychiatric Hospital ◽  
Long Term Care ◽  
Psychiatric Patients ◽  
Community Resources ◽  
Second Line ◽  
Service Network ◽  
Term Care ◽  
Permanent Home ◽  
Chronic Psychiatric Patients

A study carried out in a psychiatric hospital in the Montreal region reveals that in spite of deinstitutionalization, long-term stay remains an important factor in the use of beds. For some patients the hospital remains a permanent home, either from their first admission or from the time they are institutionalized after multiple admissions. For both in- and out-patients, return to the hospital and long-term care are almost inevitable. Generally speaking, the services of the hospital are used by the same long-term patients, and this to the extent that the hospital cannot provide services to other establishments or play its second-line role. This is frustrating for other institutions in the network, even though they accept the inevitability of the situation given the lack of adequate community resources for these patients. One of the primary functions of a psychiatric hospital also seems to be to fill in the gaps in the service network. In this regard, its expertise in the field of intervention in chronic psychiatric patients must not be overlooked. Given the current situation, the hospital's responsibility in regard to second-line services cannot be clarified until it has been determined just how much of the responsibility for care of psychiatric patients can be assumed by the community itself.

Acupuncture Tonification

1976 ◽  
Vol 04 (01) ◽  
pp. 73-79 ◽  
Author(s):  
Aristide H. Esser ◽  
Stephen T. Botek ◽  
Christopher Gilbert
Keyword(s):  
Blood Pressure ◽  
Psychiatric Patients ◽  
Well Being ◽  
Physiological Change ◽  
Treatment Frequency ◽  
Physiological Homeostasis ◽  
Psychological Improvement ◽  
Chronic Psychiatric Patients

Our aims was to "tonify" chronic psychiatric patients, i.e., restore their physiological homeostasis and sense of well-being by using standardized acupuncture. In eighteen subjects, eleven diagnosed as schizophrenic, feelings of well-being lasting no longer than three days were obtained in over 60% of the treatments. In more than two-thirds of the cases normalization of blood pressure values tending to 120/80 was evident. Degree of physiological change did not appear to be associated with overall psychological improvement; neither was the number of treatments associated with long-term improvement. For further studies, increased treatment frequency and less rigidly controlled procedures are suggested.

Serum Vitamin-B12 Levels in Psychiatric Patients on Long-Term Psychotropic Drug Therapy

1970 ◽  
Vol 116 (533) ◽  
pp. 439-442 ◽  
Author(s):  
James G. Henderson ◽  
Audrey A. Dawson
Keyword(s):  
Drug Therapy ◽  
Vitamin B12 ◽  
Psychotropic Drug ◽  
Psychiatric Patients ◽  
Serum Vitamin ◽  
Suitable Method ◽  
Vitamin B ◽  
Routine Laboratory ◽  
Possible Cause

Recently much interest has been shown in the screening of populations for the presence of disease, either latent or overt (Wilson and Junger, 1968). In psychiatric practice the importance has been recorded of screening patients for the presence of avitaminosis B12 as a possible cause of psychiatric abnormality (Henderson et al 1966). Several methods of estimating serum vitamin-B12 levels have been evaluated, but the microbiological assay remains the most suitable method for use in a routine laboratory.

Assessment schedules for chronic psychiatric patients

1987 ◽  
Vol 17 (2) ◽  
pp. 485-493 ◽  
Author(s):  
E. Sturt ◽  
Til Wykes
Keyword(s):  
Social Role ◽  
Psychiatric Patients ◽  
Occupational Activity ◽  
Chronic Patients ◽  
The Social ◽  
Ninth Edition ◽  
Active Rehabilitation ◽  
State Examination ◽  
Chronic Psychiatric Patients

SynopsisThe Social Behaviour Schedule (SBS) was examined as a measure of disability in a series of 66 chronic psychiatric patients, who were also assessed using the Social Role Performance Schedule (SRP) and the ninth edition of the Present State Examination (PSE). All three schedules have been used in previous studies in their present form. SBS and SRP measures were correlated with each other and neither showed any relationship with subjectively described current PSE symptoms. SBS deficit was associated with a clinical diagnosis of schizophrenia and with problems in supervised occupational activity. Long-term hospital residents showed greater SBS deficit than chronic patients in active rehabilitation programmes, although impaired SRP was the major correlate with the type of supervision provided. SRP measures can be compared with population norms, unlike measures derived from the SBS, which cover more severe ranges of disability.

The Course of Tardive Dyskinesia in Patients on Long-Term Neuroleptics

1989 ◽  
Vol 154 (4) ◽  
pp. 523-528 ◽  
Author(s):  
J. A. Bergen ◽  
E. A. Eyland ◽  
J. A. Campbell ◽  
P. Jenkings ◽  
K. Kellehear ◽  
...  
Keyword(s):  
Tardive Dyskinesia ◽  
Psychiatric Patients ◽  
Involuntary Movement ◽  
Neuroleptic Treatment ◽  
Community Based ◽  
Abnormal Involuntary Movement Scale ◽  
History Of ◽  
Significant Change ◽  
Chronic Psychiatric Patients

Results are presented of five consecutive annual examinations using the Abnormal Involuntary Movement Scale for 101 community-based chronic psychiatric patients. These 101 patients had a history of longer and more consistent neuroleptic treatment than the 231 patients who initially entered the study, so no conclusions about prevalence of TD can be drawn. At each examination two-thirds of this group showed signs of TD; however, only 45% were TD positive at most examinations and 24% were best described as having fluctuating TD status. Of those patients who were consistently TD positive, 82% showed no overall significant change in summed AIMS scores, 11% improved and 7% became worse.

A tribute to Johann Gottlieb Burckhardt-Heussler (1836–1907), the pioneer of psychosurgery

2016 ◽  
Vol 33 (S1) ◽  
pp. S553-S553 ◽  
Author(s):  
M. Arts ◽  
P. Michielsen ◽  
S. Petrykiv ◽  
L. de Jonge
Keyword(s):  
Significant Contribution ◽  
Psychiatric Patients ◽  
Brain Regions ◽  
Medical Community ◽  
Psychiatric Illnesses ◽  
Scientific Papers ◽  
Show Evidence ◽  
Competing Interest ◽  
Chronic Psychiatric Patients ◽  
Deep Brain

IntroductionJohann Gottlieb Burckhardt-Heussler was a Swiss psychiatrist, who pioneered controversial psychosurgical procedures. Burckhardt-Heussler extirpated various brain regions from six chronic psychiatric patients under his care. By removing cortical tissue he aimed to relieve the patients of symptoms, including agitation, rather than effect a cure.ObjectivesTo present the scientific papers of Johann Gottlieb Burckhardt-Heussler on psychosurgery.AimsTo review available literature and to show evidence that Burckhardt-Heussler made a significant contribution to the development of psychosurgery.MethodsA biography and private papers are presented and discussed, followed by a literature review.ResultsThe theoretical basis of Burckhardt-Heussler's psychosurgical procedure was influenced by the zeitgeist and based on his belief that psychiatric illnesses were the result of specific brain lesions. His findings were ignored by scientists to make them disappear into the mists of time, while the details of his experiments became murky. Decades later, it was the American neurologist Walter Freeman II, performing prefrontal lobotomies since 1936, who found it inconceivable that the medical community had forgotten Burckhardt-Heussler and who conceded that he was familiar with, and probably even influenced by, Burckhardt's work.ConclusionIt is partly thanks to Burckhardt-Heussler's pioneering work that modern psychosurgery has gradually evolved from irreversible ablation to reversible stimulation techniques, including deep brain stimulation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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