Evaluation of Functionality in Families with Depressed Patient by Using the FFS - Poster Prezentation

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
T. Maria-Silvia

Depression is a disorder of representation and regulation of mood and emotion; it affects 5% of world population, in a year. Unlike normal loss and sadness feelings, major depression is persistant and it interferes significantly with thoughts, behaviour, emotions, activity and health of the individual. If untreated, depression can lead to suicide. Using family therapy in treating psychiatric patients is a must due to the significance that a family holds in individual and society life.Objective:Assesing family functionality in families with a member diagnosed according to DSM IV TR with depressive disorder; depression intensity was assesed with HDRS.Methods:A sample of 3o families (71 members); FFS assesses the most important and consistent five functioning areas: positive affect, comunication, conflicts, worries and rituals.Results:Values obtained in each of the 40 questions of the scale can give information on variables affecting the increase or decrease in subscales values. Positive affect 35,07, communication 37, conflicts 15,11, worries 40,77, rituals 45,03. The reuslts were compared to those obtained by assessin normal families from a control group of 132 families (323 members).Conclusions:Differences were noticed. Values obtained in our study represent the standard of functioning of families with a depressed member.

2017 ◽  
Vol 5 (1) ◽  
pp. 64-67 ◽  
Author(s):  
Stojan Bajraktarov ◽  
Antoni Novotni ◽  
Slavica Arsova ◽  
Dance Gudeva-Nikovska ◽  
Viktorija Vujovik

BACKGROUND: The depression is a cross-cultural condition that occurs in all cultures and within all nations with certain specificities, even though there are some differences in its manifestation. The hereditary load is of major importance, but also the individual personality factors, in the form of risk factors, are associated with the occurrence of depression. Personality characteristics have a significant impact on the occurrence of the recurrent depressive disorder and the outcome of the treatment as well.AIM: To identify the specific personality traits in people with the recurrent depressive disorder and the impact of the affective state on them.METHODS: Three questionnaires were used: a general questionnaire, Beck's scale of depressive symptoms, and TCI-R (inventory for temperament and character).RESULTS: The most indicative differences in the dimensions are found in the Harm avoidance and the Self-direction dimensions, and most variable dimensions dependent on effective state are Novelty seeking and Reward dependence.CONCLUSION: The people with the recurrent depressive disorder have a different profile of personality traits (temperament and character) compared with the control group, and their characteristics depend on their current affective state.


2011 ◽  
Vol 131 (1-3) ◽  
pp. 251-259 ◽  
Author(s):  
K. Mikael Holma ◽  
Tarja K. Melartin ◽  
Irina A.K. Holma ◽  
Tiina Paunio ◽  
Erkki T. Isometsä

2017 ◽  
Vol 41 (S1) ◽  
pp. S375-S376 ◽  
Author(s):  
M. Pirmoradi ◽  
B. Dolatshahi ◽  
R. Rostami ◽  
P. Mohammadkhani ◽  
A. Dadkhah

ObjectivesThe purpose of this study was investigating the effectiveness of rTMS (repetitive transcranial of magnetic stimulation) on increase social performance in patients with recurrent major depression.MethodIt was used a quasi-experimental, pretest–posttest design with control group, a sample consisting of 32 patients who had depression on the basis of DSM-IV diagnostic criteria, SCID and BDI-II scales and were randomly assigned to two groups.The experimental group underwent 20 sessions of rTMS as the independent factor and both groups (control & experimental) had 12-session psychotherapy and drugs treatment. Upon the intervention, both groups were tested with two tests (BDI-II & SASS). To determine the effect of the independent factor on the dependent factor of rTMS.Data were analyzed by t-test.ResultsThe comparison between pre- & posttest of all the tests showed the reduction of signs & symptoms of depression, (a = 0/05) (Beck scale P ≤ 0/001 & F = 30) and increase social performance in participants (P ≤ 0/001 & F = 83).ConclusionThe rTMS is effect in the reduction of signs & symptoms of depression and increase social functioning in recurrent major depression.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2020 ◽  
Vol 15 (16) ◽  
pp. 108-120
Author(s):  
O. Yu. Mayorov ◽  
◽  
E. A. Mikhailova ◽  
A. B. Prognimak ◽  
T. D. Nessonova ◽  
...  

t Introduction. According to the WHO, there is currently an increase in the prevalence, incidence and rejuvenation of depression. This phenomenon is also observed in adolescents. Purpose of the study. Search for sensitive and specific «markers» of depressive disorder in adolescents, which not only make it pos-sible to distinguish between patients and healthy people, but will also be able to assess the effectiveness of different types of treatment. The contingent of the surveyed. Research methods. Examined: 1. Group of adolescents with depression: 52 patients (35 girls and 17 boys). 2. Control group (healthy) — 40 adolescents (18 girls and 22 boys). 3. The EEG was recorded in a state of calm wakefulness and during mental stress. 4. EEG analysis — qEEG software complex — NeuroResearcher®InnovationSuite (MI&T Institute, Ukraine). The entropy of Kolmogorov–Sinai EEG was calculated — a nonlinear indicator of the state of neurodynamics in the studied EEG electrode placement. 5. Multivariate statistical analysis. Factor analysis was used to create the models (STATISTICA, 13.3). Results. The search for objective quantitative «markers» of the depressive state of both sexes adolescents was carried out on the basis of nonlinear EEG analysis and the creation of factor models of the results obtained. The factorial models of the Kolmogorov–Sinai EEG entropy of the studied areas of the cerebral hemispheres of sick and healthy both sexes adolescents in a state of calm wakefulness and during mental test were obtained. A physiological interpretation of the identified main factors is given. Comparison of factor models made it possible to identify differences between depressed and healthy adolescents, as well as gender differences. Differences in the factor models of the EEG pacemaker parameters were also revealed in depressed adolescents in a state of calm wakefulness and during mental stress. Based on the obtained factor models, it is possible to calculate the individual values of the factors for each pa-tient. This allows to determine the individual severity of the studied pathology. The revealed significant differences in factor models in adolescents of both sexes with depression in comparison with factor models of adolescents in the control group can be used to detect depressive disorder during EEG examination. Key words: Depression in adolescents; EEG; Nonlinear EEG analysis; Kolmogorov–Sinai entropy; Factor analysis.


2002 ◽  
Vol 17 (2) ◽  
pp. 61-68 ◽  
Author(s):  
M. Ramklint ◽  
A-L. von Knorring ◽  
L. von Knorring ◽  
L. Ekselius

SummaryThis study examines the properties of the Child and Adolescent Psychiatric Screening Inventory-Retrospect, CAPSI-R, a self-report 146-item questionnaire for adults concerning earlier child psychiatric symptoms, comprising both DSM-IV categories and functional impairment. The instrument was mailed to 359 former child psychiatric patients born between 1951 and 1977 (164 of whom responded) and to a matched control group (193 of whom responded). There was good internal consistency (Cronbach’s alpha ranged between 0.62–0.93, and between 0.76–0.93 after elimination of one item). The lifetime prevalence of a mental disorder was 87.8% in the former patients' without considering impairment and 76.8% when impairment was considered. The corresponding figures for the control group were 49.7% and 10.4%, respectively. When the former patients' CAPSI-R diagnoses (with incorporation of the impairment criterion) were validated against the DSM-IV diagnoses based on information in their medical records, generally, an acceptable sensitivity and specificity were obtained. The overall kappa between CAPSI-R diagnoses and those from medical records was 0.79. The CAPSI-R shows promise for further evaluation and may be useful in recognising child and adolescent mental disorders in adults.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
S. Nastase ◽  
D. Ivanovici ◽  
M. Vrabie ◽  
I.M. Dumitrescu ◽  
A. Mihailescu

Objective:We have pursued the association between clinical and socio-demographic characteristics and the suicide attempts at inpatients with major depressive disorder.Method:We ran an historical case control study to analyse the individual characteristics associated with suicide attempts in the depression inpatients admitted into the 9th Department of the Clinical Psychiatric Hospital “Al. Obregia” between 01 January 2007 - 01 January 2008. A total of 168 subjects with major depressive disorder (MDD) were included in the study. The patients were separated into two subgroups: “S” - the group with suicide attempt as reason of the present admission into hospital and the comparative group “C” - those without a suicidal attempt at the present admission (used as control group). The two groups were compared with respect to the individual characteristics, following their possible association with the suicidal attempts risk. We used the chi-square (x2) statistic for categorical variables.Results:Our findings suggest that the most robust predictors of suicide attempts in depression are the younger age of the depression onset, previous psychiatric hospitalizations, low socio-economic status, “single” marital status (widowed/divorced), with no children, heredocolateral history of suicidal attempts and the comorbidity with the problematic alcohol consumption.Conclusion:The risk factors associated with the suicidal attempts are useful for the screening, finding, prediction and prophylaxis of suicide attempts in major depression.


Psihiatru ro ◽  
2019 ◽  
Vol 3 (1) ◽  
pp. 40-44
Author(s):  
Emilia-Cristina Popescu ◽  
Doina Cozman

Depression is an important public health problem at the moment. There are data that can influence the spiritual spirit and resilience on major depression, can be studied imposingly and to cope with a Romanian population.  The study will evaluate the spirituality, resilience, symptoms and severity of depression and suicide risk on a sample of adult patients diagnosed with major depression. The control group will consist of participants without psychiatric background, comparable as age and sex with the first group. Patients will undergo a structured psychiatric interview (M.I.N.I. – International Neuropsychiatric Interview), will complete a demographic questionnaire and will assessed with a depression scale, suicide risk scale, resilience and spirituality scale.  Spirituality and religiosity become an area of interest for the study of depression protective factors. The present paper may propose to demonstrate the beneficial influence of the spirituality on the symptoms of major depression and the reduction of suicide risk in major depressive disorder. If the study will find a statistically significant correlation between spirituality and suicide risk reduction, it will emphasize the importance of spirituality in the evolution of psychiatric patients and it may change their approach and management.


2010 ◽  
Vol 40 (10) ◽  
pp. 1679-1690 ◽  
Author(s):  
V. Lux ◽  
K. S. Kendler

BackgroundThe DSM-IV symptomatic criteria for major depression (MD) derive primarily from clinical experience with modest empirical support.MethodThe sample studied included 1015 (518 males, 497 females) Caucasian twins from a population-based registry who met criteria for MD in the year prior to the interview. Logistic regression analyses were conducted to compare the associations of: (1) single symptomatic criterion, (2) two groups of criteria reflecting cognitive and neurovegetative symptoms, with a wide range of potential validators including demographic factors, risk for future episodes, risk of MD in the co-twin, characteristics of the depressive episode, the pattern of co-morbidity and personality traits.ResultsThe individual symptomatic criteria showed widely varying associations with the pattern of co-morbidity, personality traits, features of the depressive episode and demographic characteristics. When examined separately, these two criteria groups showed robust differences in their patterns of association, with the validators with the cognitive criteria generally producing stronger associations than the neurovegetative.ConclusionsAmong depressed individuals, individual DSM-IV symptomatic criteria differ substantially in their predictive relationship with a range of clinical validators. These results challenge the equivalence assumption for the symptomatic criteria for MD and suggest a more than expected degree of ‘covert’ heterogeneity among these criteria. Part of this heterogeneity is captured by the distinction between cognitiveversusneurovegetative symptoms, with cognitive symptoms being more strongly associated with most clinically relevant characteristics. Detailed psychometric evaluation of DSM-IV criteria is overdue.


2012 ◽  
Vol 201 (1) ◽  
pp. 33-39 ◽  
Author(s):  
James Cole ◽  
Christopher A. Chaddock ◽  
Anne E. Farmer ◽  
Katherine J. Aitchison ◽  
Andrew Simmons ◽  
...  

BackgroundWhite matter abnormalities have been implicated in the aetiology of major depressive disorder; however, the relationship between the severity of symptoms and white matter integrity is currently unclear.AimsTo investigate white matter integrity in people with major depression and healthy controls, and to assess its relationship with depressive symptom severity.MethodDiffusion tensor imaging data were acquired from 66 patients with recurrent major depression and a control group of 66 healthy individuals matched for age, gender and IQ score, and analysed with tract-based spatial statistics. The relationship between white matter integrity and severity of depression as measured by the Beck Depression Inventory was examined.ResultsDepressive illness was associated with widespread regions of decreased white matter integrity, including regions in the corpus callosum, superior longitudinal fasciculus and anterior corona radiata, compared with the control group. Increasing symptom severity was negatively correlated with white matter integrity, predominantly in the corpus callosum.ConclusionsWidespread alterations in white matter integrity are evident in major depressive disorder. These abnormalities are heightened with increasing severity of depressive symptoms.


2006 ◽  
Vol 21 (2) ◽  
pp. 129-133 ◽  
Author(s):  
Enzo Emanuele ◽  
Maria V. Carlin ◽  
Angela D’Angelo ◽  
Emmanouil Peros ◽  
Francesco Barale ◽  
...  

AbstractAn increased incidence of adverse cardiovascular events has been reported in psychiatric patients, but the exact mechanisms underlying this association are still uncertain. Elevated plasma level of lipoprotein(a) [Lp(a)] is an independent risk factor for atherothrombotic disease in the general population. To study the implications of Lp(a) in psychiatric patients, we measured the plasma levels of Lp(a) in 74 patients with psychiatric disorders (39 schizophrenia, 10 major depression, 13 bipolar disorder and 12 personality disorder) and 74 healthy controls. The Lp(a) levels of the patient groups with schizophrenia, major depression and bipolar disorder were significantly higher than that of the control group. The median Lp(a) value of these diagnostic groups was comparable with those reported in patients with prior atherothrombotic events. On the other hand, no differences were found among personality disorder and controls. Our findings suggest that the elevation of plasma Lp(a) may contribute to increased cardiovascular risk in several patients with psychiatric disorders.


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