Organic Mental Disorders Associated with Heavy Drinking and Alcohol Dependence

1988 ◽  
Vol 4 (4) ◽  
pp. 869-887 ◽  
Author(s):  
Mark L. Willenbring
2021 ◽  
Vol 22 (2) ◽  
pp. 6-10
Author(s):  
I. M. Petrov ◽  
◽  
N. N. Spaderova ◽  
O. N. Maltseva ◽  
T. V. Kovalskaya ◽  
...  

Purpose of the study: to study the association of alcohol dependence syndrome with the clinical and psychological characteristics of patients with organic mental disorders, aggressive behavior, and suicidal attempts. Materials and methods: we examined 842 patients with organic mental disorders, addictive disorders and aggressive behavior who made a suicide attempt from 1991 to 2018 in the Tyumen region, which were divided into two groups: 1) 421 patients who were diagnosed with an organic mental disorder (in categories F06.6, F06.7, F06. 8, F07.8): 201 men and 220 women; 2) 421 people with organic mental disorders of the above categories and alcohol dependence (F10.242, F10.252, F10.262): 208 men and 213 women. Results and discussion. According to the data of the clinical conversation, the structure of subjective indicators characterizing various disorders of the neuropsychiatric state was described in individuals with high and low levels of factors contributing to the development of suicidal behavior. When assessing the relative risk of factors contributing to the development of suicidal activity, when comparing the indicators of the clinical and mental status of men and women of the studied groups, a 95% confidence interval was determined: mood instability (1.34), psychosomatic complaints (1.03), sleep disorders (1.09), interpersonal interaction problems (1.02), psychopathic (1.48), depressive (1.11) reactions and self-esteem inadequacy (1.05). Conclusions: when comparing the indicators of the neuropsychiatric status in persons with organic mental disorders, aggressive behavior and addictive disorders who have committed suicide attempts, more than half (75.6%) of the examined persons revealed a high level of factors for the development of suicidal activity: 38.0% of women and 37.6% of men. Clinical and psychological parameters were significantly (p < 0.001) characterized by: mood instability (12.4%), difficulties in interpersonal interaction (11.6%), prenosological neurotic (8.5%), psychopathic (8.9%) and depressive (6.2%) reactions. The results obtained can be used to develop effective prevention and rehabilitation measures using digital resources.


2012 ◽  
Vol 140 (1) ◽  
pp. 97-101 ◽  
Author(s):  
Jane Fisher ◽  
Thach Duc Tran ◽  
Trang Thu Nguyen ◽  
Tuan Tran

Author(s):  
George Petrovich Kostyuk ◽  
Burygina Larisa Andreevna Burygina Larisa Andreevna ◽  
Andrey Yurevich Berezantsev ◽  
Valeriya Vasilyevna Surikova

The article presents the results of a comparative analysis of the clinical and social characteristics of patients with schizophrenic spectrum disorders (SSD) and organic mental disorders (OMD) who received care in day hospitals and intensive psychiatric care units (Moscow). During the study, a random sample of 487 discharge epicrises was studied, of which 392 (80,49%) were patients with SSD and OMD, who were subjected to further analysis. The study revealed gender differences and low rates of labor and family adaptation in both nosological groups of patients. The highest percentage of patients observed on a long-term basis in neuropsychiatric dispensaries and the rate of hospitalization in a round-the-clock inpatient unit were among the patients with diagnoses of schizophrenic spectrum disorders who were treated in intensive psychiatric care units. There were significant differences in the routing of patients depending on the pathology: district psychiatrists more often refer patients with a diagnosis of schizophrenia to the intensive psychiatric care unit in order to prevent hospitalization and patients with organic mental disorders - to day hospitals for therapy selection and medical and social rehabilitation, while doctors of the round-theclock hospital – vice versa (in order to continue treatment or follow up in out-of-hospital conditions). There was also a circulation of patients between the intensive psychiatric care unit and the day hospitals. Isolated episodes of compliance violations were noted. Indicative indicators such as hospitalization in a round-the-clock psychiatric inpatient unit within a year after the discharge from partial inpatient units was low and was usually due to severe continuous forms of the disease and the formation of therapy resistance in patients. Day hospitals and departments (offices) of intensive psychiatric care in general effectively perform the functions of inpatient unit substitution.


Author(s):  
Ralph E. Tarter ◽  
Andrea M. Hegedus

2002 ◽  
Vol 180 (1) ◽  
pp. 4-5 ◽  
Author(s):  
Simon Fleminger

Delirium is now the preferred term to describe acute confusional states and related organic mental disorders associated with acute impairment of consciousness (Gill & Mayou, 2000). No longer is delirium reserved for those states in which overactive behaviour, often with visual hallucinations, is dominant. To accommodate the broader usage, hypoactive states of delirium have been emphasised (Lipowski, 1990), particularly as these are the states most easily missed.


Author(s):  
Lorraine R. Reitzel ◽  
Surya Chinamuthevi ◽  
Sajeevika S. Daundasekara ◽  
Daphne C. Hernandez ◽  
Tzu-An Chen ◽  
...  

Food insecurity results from unreliable access to affordable and nutritious food. Homeless adults are particularly vulnerable to both food insecurity and problematic alcohol use. The current study examined the link between problematic alcohol use and food insecurity among homeless adults. Participants (N = 528; 62.7% men; Mage = 43.6 ± 12.2) were recruited from homeless-serving agencies in Oklahoma City. Problematic alcohol use was measured using the Alcohol Quantity and Frequency Questionnaire and the Patient Health Questionnaire. The latter used DSM-IV diagnostic criteria to assess probable alcohol use dependence/abuse. Heavy drinking was considered >7 drinks (women) and >14 drinks (men) per week. Food insecurity was measured with the USDA Food Security Scale-Short Form. The link between alcohol problems and food insecurity was examined with logistic regression analyses controlling for sex, age, education, income, and months homeless. Overall, 28.4% of the sample had probable alcohol dependence, 25% were heavy drinkers, and 78.4% were food insecure. Probable alcohol dependence and heavy drinking were correlated at 0.53 (p < 0.001). Results indicated that heavy drinking (OR = 2.12, CI.95 = 1.21, 3.73) and probable alcohol dependence/abuse (OR = 2.72, CI.95 = 1.55, 4.77) were each associated with increased odds of food insecurity. Food insecurity and problematic alcohol use are major issues among homeless populations; this study suggests they are associated. Future research is needed to shed light on potential causal mechanisms and on whether alcohol may take precedence over eating or food purchases.


2020 ◽  
Vol 63 (1) ◽  
Author(s):  
Ulrich John ◽  
Hans-Jürgen Rumpf ◽  
Monika Hanke ◽  
Christian Meyer

Abstract Background. General population data on associations between mental disorders and total mortality are rare. The aim was to analyze whether the number of mental disorders, single substance use, mood, anxiety, somatoform or eating disorders during the lifetime and whether treatment utilization may predict time to death 20 years later in the general adult population. Methods. We used data from the Composite International Diagnostic Interview, which includes DSM-IV diagnoses for substance use, mood, anxiety, somatoform, and eating disorders, for a sample of 4,075 residents in Germany who were 18–64 years old in 1996. Twenty years later, mortality was ascertained using the public mortality database for 4,028 study participants. Cox proportional hazards models were applied for disorders that existed at any time in life before the interview. Results. The data revealed increased hazard ratios (HRs) for number of mental disorders (three or more; HR 1.4; 95% confidence interval [CI] 1.1–1.9) and for single disorders (alcohol dependence, dysthymia, panic disorder with agoraphobia, and hypochondriasis), with the reference group being study participants who had not suffered from any of the mental disorders analyzed and with adjustments made for age, sex, and education. Among individuals with any mental disorder during their lifetimes, having been an inpatient in treatment for a mental disorder was related to a higher HR (2.2; CI 1.6–3.0) than was not having been in any treatment for a mental disorder. Conclusions. In this sample of adults in the general population, three or more mental disorders, alcohol dependence, dysthymia, panic disorder with agoraphobia, and hypochondriasis were related to premature death.


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