Psychiatric Comorbidity in Fibromyalgia

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
A. Arroita ◽  
A. Barreiro ◽  
K. Ugarte ◽  
N. Losada ◽  
P. Rico ◽  
...  

Introduction:Fibromyalgia is an entity that affects approximately 2% of the population, mainly women.According to many studies, approximately half of women with fibromyalgia have a history of traumatic events during childhood or adulthood.Affective disorders before and after fibromyalgia diagnosis are particularly frequent.Materials and methods:Comprehensive review of the scientific literature (Medline, Psychoinfo, Medex) on psychiatric comorbidity in women diagnosed with fibromyalgia published over the last three years.Results:40-60% of women diagnosed with fibromyalgia report sexual abuse during childhood or adulthood; A higher percentage of women (over 70%) report other kinds of physical or emotional trauma.Fibromyalgia has been linked to mood disorders in 50-70% of patients. More precisely, it appears in combination with major depression in 20% of cases. To a lesser but still noteworthy extent, women with fibromyalgia are also diagnosed with dysthymia, anxiety disorders, phobias or panic disorders.Conclusion:Despite the common characteristics of these patients there is no such thing as a “fibromyalgic personality”.As for comorbidity, mood disorders are highly prevalent, more specifically depression, even though no direct relationship has been established between them. Fibromyalgia symptoms are more acute in patients with comorbid psychiatric disorders.

2017 ◽  
Author(s):  
Hasan A Baloch ◽  
Jair C. Soares

Affective disorders are among the most common disorders in psychiatry. They are generally classified according to the persistence and extent of symptoms and by the polarity of these symptoms. The two poles of the affective spectrum are mania and depression. Bipolar disorder is characterized by the presence of the mania or hypomania and often depression. Unipolar depression is defined by depression in the absence of a lifetime history of mania or hypomania. These differences are not merely categorical but have important implications for the prognosis and treatment of these conditions. Bipolar disorder, for example, is better treated using mood-stabilizing medication, whereas unipolar depression responds optimally to antidepressant medications. In addition, prognostically, unipolar depression may sometimes be limited to one episode in a lifetime, whereas bipolar disorder is typically a lifelong condition. The course of both conditions, however, is often chronic, and frequently patients can present with unipolar depression only to later develop manic symptoms. A thorough understanding of both conditions is therefore required to treat patients presenting with affective symptomatology. This chapter discusses the epidemiology, etiology and genetics, pathogenesis, diagnosis, and treatment of unipolar depression and bipolar disorder. Figures illustrate gray matter differences with lithium use and the bipolar spectrum. Tables list the pharmacokinetics of commonly used antidepressants and medications commonly used in the treatment of bipolar disorder. This review contains 2 figures, 2 tables, and 136 references.


1960 ◽  
Vol 51 (1) ◽  
pp. 95-113 ◽  
Author(s):  
D. J. Lewis

The paper deals with two members of the Simulium neavi Eoub. complex found at Amani in the forest of the Usambara Mountains, Tanganyika Territory. They have already been described but are at present termed the Amani unhanded and banded forms, scientific names being witheld until the taxonomy of the whole complex is better understood.Some methods of study are described.Pupae of the unhanded form constituted a large proportion of the total number found on the common local crab, Potamon (Potamonautes) lirrangensis Eathbun, which amounted to roughly one pupa to seven crabs. This form predominated in the lower and more open parts of the drainage system examined. The adults were not seen to bite man. This and the banded form were found at a much lower altitude than any hitherto reported for the complex, probably owing to the particular nature of the local climate. Neither form was abundant.The larvae and pupae of the banded form, like the unhanded one, live externally on the crabs. The variability of wing size of the banded form is described. Observations were made on the internal anatomy of the adult with special reference to the ovaries in which the follicular relics are usually very large, indicating that the female probably bites soon after laying eggs. As in S. damnosum Theo. there is an easily recognisable class of old flies with clear Malpighian tubes. Nulliparous and parous flies have rather different biting cycles. The banded form bit man readily but only about five were taken per hour in good catching places and far fewer elsewhere.Human onchorcerciasis has been reported from Amani but is not known to do any harm there. The existence of the disease in the presence of rather small numbers of Simuliids is of interest in relation to a belief that S. neavei is a more efficient vector of onchocerciasis than is S. damnosum. Out of 359 banded females dissected 41·2 per cent, were parous and 12·8 per cent, of these were infected with nematodes, at least some of which were not Onchocerca volvulus.Taxonomy, the ovarioles and the Simuliid-crab association are discussed. The formation of the large follicular relics of the banded form is considered in relation to the history of the follicular epithelium before and after ovulation. The crab association is regarded as commensalism-, and it is suggested that the crabs benefit the Simuliids by carrying them a short distance to a suitable current and that they thus enable them to live in fast rivers and so extend their range.


2010 ◽  
Author(s):  
Hasan A Baloch ◽  
Jair C. Soares

Affective disorders are among the most common disorders in psychiatry. They are generally classified according to the persistence and extent of symptoms and by the polarity of these symptoms. The two poles of the affective spectrum are mania and depression. Bipolar disorder is characterized by the presence of the mania or hypomania and often depression. Unipolar depression is defined by depression in the absence of a lifetime history of mania or hypomania. These differences are not merely categorical but have important implications for the prognosis and treatment of these conditions. Bipolar disorder, for example, is better treated using mood-stabilizing medication, whereas unipolar depression responds optimally to antidepressant medications. In addition, prognostically, unipolar depression may sometimes be limited to one episode in a lifetime, whereas bipolar disorder is typically a lifelong condition. The course of both conditions, however, is often chronic, and frequently patients can present with unipolar depression only to later develop manic symptoms. A thorough understanding of both conditions is therefore required to treat patients presenting with affective symptomatology. This chapter discusses the epidemiology, etiology and genetics, pathogenesis, diagnosis, and treatment of unipolar depression and bipolar disorder. Figures illustrate gray matter differences with lithium use and the bipolar spectrum. Tables list the pharmacokinetics of commonly used antidepressants and medications commonly used in the treatment of bipolar disorder. This review contains 2 figures, 2 tables, and 135 references.


2017 ◽  
Vol 43 ◽  
pp. 167-188
Author(s):  
Gerard Kosmala ◽  
Dagmara Chylińska

Purpose. Critical analysis of the “science tourism” concept described in Polish and foreign scientific literature on tourism, a overview and description of its phenomenon and to point out the place of science tourism within the general typology of tourism. Method. Analysis of scientific works and likewise information and data from institutions offering science tourism tourist attractions. Synthesis and systematization of final findings/results. Findings. Science tourism (knowledge and science tourism) means travels to get to know, to experience and practise as well as and encounter its results. In contrast to the prevalent economical approach, the proposed definition represents a functional approach and negates consideration of professional and business travels as tourism. Origins of science tourism reach the 19th century world exhibitions. Nowadays, knowledge and science tourism are used for the popularization of knowledge and scientific inventions and not only in the high-tech industry. They provide the opportunity to get to know the history of science, significant researchers and investigators and also places where “science” is created and inventions take place. Research and conclusion limitations. In our opinion, science tourism (knowledge and science tourism) significantly differs from the common definition/understanding of this term in the analysed scientific literature. Practical implications. Understanding and organizing issues related to science tourism in discussion about the ambiguous and questionable phenomenon. An introduction to further quantitative and qualitative analysis. Originality. The paper is an attempt to order knowledge of science tourism in foreign and Polish scientific literature, to propose other definitions anchored in the functional approach, which eliminates most doubts appearing within the economical and statistical approaches. Type of paper. Theoretical, critical, review.


2011 ◽  
Vol 26 (S2) ◽  
pp. 215-215
Author(s):  
D. Harnic ◽  
A. Koukopoulos ◽  
M. Mazza ◽  
P. Bria

ObjectivesTemperament represents one of the basic elements of bipolar spectrum.MethodsA systematic search was undertaken in MEDLINE (from 1977 to 2007) to obtain articles published in English regarding the association of temperament and bipolar disorder. Keywords used were “temperament”, “bipolar disorder”, “assessment”, “bipolar spectrum”, “subthreshold”.ResultsIn opposition to the dichotomic conception which up to the end of XIX century considered mania and depression as two distinct and separate categories, Kraepelin has postulated a psychopathological “continuum” between temperament and affective disorders called “bipolar spectrum”. This concept has been reintroduced in contemporary psychiatry by Akiskal's works. By rebuilding the history of patients affected by bipolar disorder, temperamental traits can be already observed in the pre-morbid period and can also persist during disorder-free intervals.ConclusionsBy interpreting and diagnosing multiple expressions of bipolar spectrum, psychiatrists today are facing one of the most important challenges in everyday clinical practice. The temperamental “dysregulation” is the pathological basis of mood disorders and some temperamental traits in individuals can reflect a predisposition to develop a mood disorder.


2017 ◽  
Author(s):  
Hasan A Baloch ◽  
Jair C. Soares

Affective disorders are among the most common disorders in psychiatry. They are generally classified according to the persistence and extent of symptoms and by the polarity of these symptoms. The two poles of the affective spectrum are mania and depression. Bipolar disorder is characterized by the presence of the mania or hypomania and often depression. Unipolar depression is defined by depression in the absence of a lifetime history of mania or hypomania. These differences are not merely categorical but have important implications for the prognosis and treatment of these conditions. Bipolar disorder, for example, is better treated using mood-stabilizing medication, whereas unipolar depression responds optimally to antidepressant medications. In addition, prognostically, unipolar depression may sometimes be limited to one episode in a lifetime, whereas bipolar disorder is typically a lifelong condition. The course of both conditions, however, is often chronic, and frequently patients can present with unipolar depression only to later develop manic symptoms. A thorough understanding of both conditions is therefore required to treat patients presenting with affective symptomatology. This chapter discusses the epidemiology, etiology and genetics, pathogenesis, diagnosis, and treatment of unipolar depression and bipolar disorder. Figures illustrate gray matter differences with lithium use and the bipolar spectrum. Tables list the pharmacokinetics of commonly used antidepressants and medications commonly used in the treatment of bipolar disorder. This review contains 2 figures, 2 tables, and 136 references.


2017 ◽  
Author(s):  
Hasan A Baloch ◽  
Jair C. Soares

Affective disorders are among the most common disorders in psychiatry. They are generally classified according to the persistence and extent of symptoms and by the polarity of these symptoms. The two poles of the affective spectrum are mania and depression. Bipolar disorder is characterized by the presence of the mania or hypomania and often depression. Unipolar depression is defined by depression in the absence of a lifetime history of mania or hypomania. These differences are not merely categorical but have important implications for the prognosis and treatment of these conditions. Bipolar disorder, for example, is better treated using mood-stabilizing medication, whereas unipolar depression responds optimally to antidepressant medications. In addition, prognostically, unipolar depression may sometimes be limited to one episode in a lifetime, whereas bipolar disorder is typically a lifelong condition. The course of both conditions, however, is often chronic, and frequently patients can present with unipolar depression only to later develop manic symptoms. A thorough understanding of both conditions is therefore required to treat patients presenting with affective symptomatology. This chapter discusses the epidemiology, etiology and genetics, pathogenesis, diagnosis, and treatment of unipolar depression and bipolar disorder. Figures illustrate gray matter differences with lithium use and the bipolar spectrum. Tables list the pharmacokinetics of commonly used antidepressants and medications commonly used in the treatment of bipolar disorder. This review contains 2 figures, 2 tables, and 136 references.


2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Imran Razik ◽  
Bridget K. G. Brown ◽  
Rachel A. Page ◽  
Gerald G. Carter

Individual animals across many different species occasionally ‘adopt’ unrelated, orphaned offspring. Although adoption may be best explained as a by-product of adaptive traits that enhance parental care or promote the development of parental skills, one factor that is possibly important for the likelihood of adoption is the history of cooperative interactions between the mother, adopted offspring and adopter. Using 652 h of behavioural samples collected over four months, we describe patterns of allogrooming and food sharing before and after an instance of non-kin adoption between two adult female common vampire bats ( Desmodus rotundus ) that were captured from distant sites (340 km apart) and introduced to one another in captivity. The first female died from an illness 19 days after giving birth. The second female groomed and regurgitated food to the mother more often than any other group member, then groomed, nursed and regurgitated food to the orphaned, female pup. The substantial increase in alloparental care by this female after the mother's death was not observed among the 20 other adult females that were present in the colony. Our findings corroborate previous reports of non-kin adoption in common vampire bats and are consistent with the hypothesis that non-kin adoption can be motivated, in part, by a history of cooperative interactions.


Author(s):  
Jinbo Wan

Lotus is one of the traditional Chinese patterns that runs deep in the history of China. During the rule of Wei and Jin dynasties, as well as Northern and Southern dynasties (222 – 589 AD), Buddhism teaching has become widespread in China. Buddhism affected the traditional Chinese lotus patterns in terms of the used artistic means and methods of expression. Analysis is conducted on manifestation and evolution of the artistic form of the lotus pattern in Chinese culture, as well as the changes in its artistic means of expression and graphics based on the information described in the scientific literature dedicated to artefacts. The conclusion is made that the development and evolution of decorative patterns is often a result of interaction of different cultures and forms of art, rather than continuation of one or another single line. The author summarizes the common artistic form of lotus patterns of this period, as well as the basis of the visual language of lotus patterns and its development. The artistic style of this period under review remains in a relatively stable transitional stage from the perspective of formal expression.


2016 ◽  
Vol 24 (6) ◽  
pp. 526-528 ◽  
Author(s):  
Keith A Johnson ◽  
Matthew D Macfarlane ◽  
Jeffrey CL Looi

Objective: This paper aims to describe the prevalence, assessment and management of affective disorders as well as functional (non-epileptic) seizures in people with epilepsy. Method: This paper comprises a selective review of the literature of the common affective manifestations of epilepsy. Results: Affective disorders are the most common psychiatric comorbidity seen in people with epilepsy and assessment and management parallels that of the general population. Additionally, people with epilepsy may experience higher rates of mood instability, irritability and euphoria, classified together as a group, interictal dysphoric disorder and resembling an unstable bipolar Type II disorder. Functional seizures present unique challenges in terms of identification of the disorder and a lack of specific management. Conclusions: Given their high prevalence, it is important to be able to recognise affective disorders in people with epilepsy. Management principles parallel those in the general population with specific caution exercised regarding the potential interactions between antidepressant medications and antiepileptic drugs. Functional seizures are more complex and require a coordinated approach involving neurologists, psychiatrists, general practitioners, nursing and allied health. There is very limited evidence to guide psychological and behavioural interventions for neurotic disorders in epilepsy and much more research is needed.


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