Posttraumatic stress disorder and and concomitant comorbidity in BIH war veterans 12 years after war

2011 ◽  
Vol 26 (S2) ◽  
pp. 1073-1073
Author(s):  
M. Klarić ◽  
T. Frančišković ◽  
B. Petrov
Keyword(s):  
Depressive Episode ◽  
Psychiatric Treatment ◽  
Traumatic Event ◽  
Psychological Disorder ◽  
Control Group ◽  
War Veterans ◽  
Demographic Questionnaire ◽  
Somatic Comorbidity ◽  
Chronic Somatic Diseases ◽  
Somatic Diseases

IntroductionPTSD is dominant, but rarely the only psychological disorder that is present among individuals who have a history of exposure to traumatic event.ObjectivesTo examine morbidity in veterans 12 years after the war, with special emphasis on comorbidity of PTSD and other psychiatric disorders.MethodsThe study population consisted of 154 veterans who sought psychiatric treatment due to PTSD. The control group consisted of 77 war veterans who do not have PTSD, collected by snow balling method through veteran associations. The study used a general demographic questionnaire, the HTQ-version for BiH, and the MINI.ResultsVeterans who sought psychiatric treatment due to PTSD, were experienced a significantly greater number of traumatic events (t = 5.66; P < 0.001) and achieved significantly higher scores on a scale of PTSD symptoms (t = 15.291; P < 0.001), perceived personal functionality (t = 12.491; P < 0.001) and the overall result of traumatic symptoms (t = 14.499; P < 0.001). Additionally, among veterans with PTSD there are significantly more of those who reported chronic somatic diseases (X2 = 17.988; P < 0.001), who met the criteria for the diagnosis of current depressive episode (X2 = 36.297; P < 0.001), previous depressive episode (X2 = 29.356; P < 0.001), depressive episode with melancholic features (X2 = 29.356; P < 0.001), dysthymia (X2 = 9.959; P = 0.007), the criteria for the diagnosis of panic disorder with agoraphobia (X2 = 5.490; P = 0.019), PTSD (X2 = 102.018; P < 0.001) and generalized anxiety disorder (X2 = 89.755; P < 0.001).ConclusionAlthough PTSD is the dominant cause for seeking psychiatric treatment in veterans, PTSD promotes a comprehensive psychiatric and somatic comorbidity, and predominated are anxious and affective disorders.

scholarly journals Mental health problems in children with prader-willi syndrome

2011 ◽  
Vol 26 (S2) ◽  
pp. 354-354 ◽  
Author(s):  
N. Skokauskas ◽  
J. Meehan ◽  
L. Gallagher
Keyword(s):  
Mental Health Problems ◽  
Neurodevelopmental Disorder ◽  
Brief Symptom Inventory ◽  
Psychological Disorder ◽  
Control Group ◽  
Prader Willi Syndrome ◽  
Special Schools ◽  
Demographic Questionnaire ◽  
Genetically Determined ◽  
And Control

IntroductionPrader-Willi Syndrome (PWS) is a genetically determined neurodevelopmental disorder which occurs in approximately 1 in 22000 births.MethodsParents of subjects with genetically confirmed PWS (participating in the First National Irish PWS study) were asked to fill in a demographic questionnaire, The Child Behaviour Checklist 6–18 (CBCL/6–18), Brief Symptom Inventory (BSI). The age, gender and IQ matched control group was collected through Special Schools.ResultsBoth groups (PWS and Controls) were comprised of 24 children. Internalizing problems score was higher in children with PWS than controls (T mean score (62.02 (SD = 10.17) vs. 58.13 (SD = 7.53) p < . 05). The comparison of PWS and control group along CBCL/6–18 syndromes profiles indicated that children with PWS had more sever somatic problems (mean T 63.50 SD = 8.41 vs. 56.13 SD = 6.31, p< .05), social problems (mean T 64.71 SD = 8.95 vs. 58.79 SD = 9.41, p < .05), thoughts problems (mean T 67.71 SD = 9.71 vs. 58.04 SD = 7.17, p < .05) and were more withdrawn/depressed (mean T 64.04 SD = 9.11 vs. 55.46 SD = 6.48, p < .05). Borderline difficulties were detected for the affective, somatic and ADHD CBCL DSM orientated subscales in PWS group with PWS children having significantly more somatic (mean T 63.05 SD = 8.33 vs. 52.00 SD = 6.48, P < .05) and affective (mean T 66.22 SD = 8.51, vs. 60.08 SD = 6.829 P < .05) problems than controls. The analysis of BSI scales revealed that parents of PSW children in comparison to controls had more somatization, phobic anxiety, obsessive compulsion, and anxiety problems.ConclusionsPWS represents a complex psychological disorder with multiple areas of disturbances.

scholarly journals Multifactor clinical-laboratory valuation of endogenic intoxication in chronic hepatitis B

2011 ◽  
Vol 10 (3) ◽  
pp. 139-144
Author(s):  
N. I. Khokhlova ◽  
N. P. Tolokonskaya ◽  
A. B. Pupyshev
Keyword(s):  
Chronic Hepatitis ◽  
Hepatitis B ◽  
Chronic Hepatitis B ◽  
Clinical Laboratory ◽  
Effective Concentration ◽  
Control Group ◽  
Albumin Binding ◽  
Chronic Somatic Diseases ◽  
Somatic Diseases

For the determining of the role of clinical data and integral laboratory indices in the valuation of endogenic intoxication (EI) in chronic hepatitis B (HHB) 100 patients and 20 healthy adults were examined. The present symptoms of the disease and the facts about the character and communication of somatic diseases were studied and the effective concentration of albumin (ECA) and the reserve of albumin binding (RAB) were defined by fluorescence method twice at 18—20 days interval. The lowering of average indices of ECA and RAB was revealed in HHB patients in comparison with control group (p < 0,05), and this lowering was stable during the treatment. ECA and RAB levels reducing was more marked in HHB patients with negative changes of acute infectious diseases character and in patients with definite chronic somatic diseases in comparison with the opposite groups (p < 0,05).

Depression in patients in a somatic hospital

2021 ◽  
pp. 667-673
Author(s):  
Kseniya Vladislavovna Suslova ◽  
Sergey Galinurovich Pakriev
Keyword(s):  
Depressive Episode ◽  
Depressive Disorders ◽  
Previous History ◽  
Depression Scale ◽  
Continuous Sampling ◽  
Russian Version ◽  
Somatic Illness ◽  
Chronic Somatic Diseases ◽  
Somatic Diseases ◽  
The City

The aim of this work was to assess the prevalence and risk factors for depression in patients in a somatic hospital in the city of Izhevsk. The study group (94 adult patients) was compiled by the method of continuous sampling. The Russian version of M. I. N. I. 5.0.0 interview, Depression Scale were used for the diagnosis of depression. The prevalence of current depressive disorders was 19,1 %. Depression was more often diagnosed in patients with chronic somatic diseases (47,0 %), women (45 %), widowed or divorced patients (63,6 %), patients with psychological problems in the family (100 %). In patients with acute somatic illness, the current depressive episode correlated with the influence of psychological factors. In 64,2 % of patients with chronic somatic diseases with an identified depressive episode at the time of examination depression had a previous history. None of the patients with identified depression sought medical help or received antidepressant therapy.

scholarly journals Peripandemic psychiatric emergencies: impact of the COVID-19 pandemic on patients according to diagnostic subgroup

2021 ◽  
Vol 271 (2) ◽  
pp. 259-270
Author(s):  
Johanna Seifert ◽  
Catharina Meissner ◽  
Anna Birkenstock ◽  
Stefan Bleich ◽  
Sermin Toto ◽  
...  
Keyword(s):  
Psychiatric Treatment ◽  
Somatoform Disorders ◽  
Presentation Rate ◽  
Well Being ◽  
Control Group ◽  
Medical Care System ◽  
Persecutory Delusions ◽  
Vulnerable Patients ◽  
Group A ◽  
Repeat Visits

AbstractOn March 11th, 2020, the outbreak of coronavirus disease 2019 (COVID-19) was declared a pandemic. Governments took drastic measures in an effort to reduce transmission rates and virus-associated morbidity. This study aims to present the immediate effects of the pandemic on patients presenting in the psychiatric emergency department (PED) of Hannover Medical School. Patients presenting during the same timeframe in 2019 served as a control group. A decrease in PED visits was observed during the COVID-19 pandemic with an increase in repeat visits within 1 month (30.2 vs. 20.4%, pBA = 0.001). Fewer patients with affective disorders utilized the PED (15.2 vs. 22.2%, pBA = 0.010). Suicidal ideation was stated more frequently among patients suffering from substance use disorders (47.4 vs. 26.8%, pBA = 0.004), while patients with schizophrenia more commonly had persecutory delusions (68.7 vs. 43.5%, pBA = 0.023) and visual hallucinations (18.6 vs. 3.3%, pBA = 0.011). Presentation rate of patients with neurotic, stress-related, and somatoform disorders increased. These patients were more likely to be male (48.6 vs. 28.9%, pBA = 0.060) and without previous psychiatric treatment (55.7 vs. 36.8%, pBA = 0.089). Patients with personality/behavioral disorders were more often inhabitants of psychiatric residencies (43.5 vs. 10.8%, pBA = 0.008). 20.1% of patients stated an association between psychological well-being and COVID-19. Most often patients suffered from the consequences pertaining to social measures or changes within the medical care system. By understanding how patients react to such a crisis situation, we can consider how to improve care for patients in the future and which measures need to be taken to protect these particularly vulnerable patients.

Embitterment in war veterans with posttraumatic stress disorder (PTSD)

2017 ◽  
Vol 41 (S1) ◽  
pp. S359-S360 ◽  
Author(s):  
D. Sabic ◽  
A. Sabic
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Health Center ◽  
Rating Scale ◽  
Stress Disorder ◽  
World Health ◽  
Control Group ◽  
War Veterans ◽  
Significant Difference ◽  
And Control

The aim of this study was to analyse frequency of embitterment in war veterans with Posttraumatic stress disorder (PTSD) as well as the potential impact of embitterment on the development of chronic PTSD.Patients and methodsIt was analyzed 174 subjects (from Health Center Zivinice/mental health center) through a survey conducted in the period from March 2015 to June 2016, of which 87 war veterans with PTSD and control subjects 87 war veterans without PTSD. The primary outcome measure was the post-traumatic embitterment disorder self-rating scale (PTED Scale) who contains 19 items designed to assess features of embitterment reactions to negative life events. Secondary efficacy measures included the clinician-administered PTSD scale–V (CAPS), the PTSD checklist (PCL), the combat exposure scale (CES), the Hamilton depression rating scale (HAM-D), the Hamilton anxiety rating scale (HAM-A) and the World health organization quality of life scale (WHOQOL-Bref). All subjects were male. The average age of patients in the group war veterans with PTSD was 52.78 ± 5.99. In the control group, average age was 51.42 ± 5.98. Statistical data were analyzed in SPSS statistical program.ResultsComparing the results, t-tests revealed significant difference between group veterans with PTSD and control group (t = −21,21, P < 0.0001). War veterans group with PTSD (X = 51.41, SD = 8,91), control group (X = 14.39, SD = 13.61).ConclusionEmbitterment is frequent in war veterans with PTSD.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The viral myocarditis with cardiac аrrhythmia as complication of COVID-19 in the practice of family doctor of the tuberculosis dispensary

2021 ◽  
Vol 25 (3) ◽  
pp. 41-49
Author(s):  
Irina V. Yubrina ◽  
Ludmila N. Degtyareva ◽  
Igor A. Bozhkov
Keyword(s):  
General Practitioner ◽  
Family Doctor ◽  
Viral Myocarditis ◽  
Complex Investigation ◽  
Cardiac Pathology ◽  
Coronavirus Infection ◽  
Chronic Somatic Diseases ◽  
Somatic Diseases ◽  
Therapeutic Profile ◽  
The Coordinator

BACKGROUND: About 70% of TB dispensary patients have chronic somatic diseases which not only prevent effective treatment of TB but also take progressive course themselves. AIMS: To timely detect and treat acute and chronic somatic disease combined with TB. MATERIALS AND METHODS: since 2020 the algorithm of patient complex investigation by specialists of therapeutic profile was developed in the Tuberculosis Dispensary No. 5, among them the general practitioner was the coordinator of the patients medical route. This became especially relevant during the COVID-19 pandemic. RESULTS: In accordance with the developed algorithms of diagnostic search the patient was comprehensively examined. There were no signs of tuberculosis were in him, however the general practitioner involving to specialists team could diagnose signs of complex cardiac arrhythmia the probable cause which was a new coronavirus infection that he had had six weeks before. CONCLUSIONS: The organization of a new form of medical service for phthisiatric patients allowed general practitioner to reveal serious cardiac pathology directly at the TB dispensary, to refer the patient for consultation to the cardiologist-arrhythmologist, to follow the patient and perform recommended cardiologic treatment simultaneously with measures or medical supervision over persons contacting with tuberculosis.

Compulsory Psychiatric Treatment in the Community

1991 ◽  
Vol 158 (6) ◽  
pp. 792-799 ◽  
Author(s):  
Tom Sensky ◽  
Timothy Hughes ◽  
Steven Hirsch
Keyword(s):  
Psychiatric Treatment ◽  
Treatment Compliance ◽  
Community Treatment ◽  
Control Group ◽  
The Past ◽  
History Of ◽  
Treatment Use ◽  
Reduced Time ◽  
Treatment Order ◽  
Community Treatment Order

Following in-patient psychiatric treatment under Section 3 of the Mental Health Act, some patients have in the past remained on Section after discharge, and subsequently the Section has been renewed while the patient remained ‘on leave’. People treated thus with ‘extended leave’ probably resemble closely those who would be placed on a community treatment order if this were available. A group of these extended-leave patients was compared with a control group, matched for age, sex and diagnosis, selected by consultant psychiatrists as not requiring treatment using a community treatment order. The two groups showed very few differences, but the extended-leave patients more commonly had a history of recent dangerousness and non-compliance with psychiatric treatment. Use of extended leave improved treatment compliance, reduced time spent in hospital, and reduced levels of dangerousness.

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