Psychosis and autoimmune disorders

IntroductionPsoriasis is a common, chronic, erythematous dermatosis with prevalence estimates ranging from 0, 3% to 2, 5%. This recurring disorder is associated with significant psychological distress, a decrease in health-related quality of life and psychiatric morbidity. The most common psychiatric comorbidities are mental retardation, personality disorder and affective disorders.ObjectivesThe authors’ aim is to present a clinical vignette of a 27-year-old male suffering from psoriasis who was admitted to the psychiatric yard exhibiting psychotic symptoms. A literature's review about the association between psychosis and autoimmune disorders, particularly with psoriasis vulgaris, was also made.Case reportThe patient is a 27-year-old single male with normal IQ. He had no physical ilnesses during childhood and adolescence. There was no history of psychiatric or developmental disorders in the patient and his family. In early adulthood he was diagnosed with psoriasis vulgaris. The patient's father also suffered from the same skin disorder. At the age of 27 he began to hear voices commenting on his behaviour and he exhibited psychomotor agitation, delusions of persecution, and sexual disinhibition. Admission in psychiatric yard was necessary to treat psychotic symptoms.ConclusionsThe skin and the brain are embryologically related. Consequently, a relationship between psychological factors and skin diseases has long been hypothesized. Schizophrenia has been associated with nearly 50% higher lifetime prevalence of one or more autoimmune disorders but further studies are necessary to elucidate the possible association between psoriasis vulgaris and psychosis.

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Early-adult outcome of child and adolescent mental disorders as evidenced by a national-based case register survey

European Psychiatry ◽

10.1016/j.eurpsy.2016.04.005 ◽

2016 ◽

Vol 38 ◽

pp. 45-50 ◽

Cited By ~ 11

Author(s):

A.C. Castagnini ◽

L. Foldager ◽

E. Caffo ◽

P.H. Thomsen

Keyword(s):

Mental Disorders ◽

Psychotic Disorders ◽

Psychiatric Morbidity ◽

Early Adulthood ◽

Child And Adolescent ◽

Conduct Disorders ◽

Childhood And Adolescence ◽

Obsessive Compulsive ◽

Case Register ◽

Heterotypic Continuity

AbstractBackgroundMental disorders show varying degrees of continuity from childhood to adulthood. This study addresses the relationship of child and adolescent mental disorders to early adult psychiatric morbidity.MethodsFrom a population at risk of 830,819 children and adolescents aged 6-16 years, we selected all those (n = 6043) who were enrolled for the first time in the Danish Psychiatric Register with an ICD-10 F00-99 diagnosis in 1995-1997, and identified any mental disorder for which they received treatment up to 2009.ResultsNeurodevelopmental and conduct disorders were the principal diagnostic groups at 6-16 years and exhibited a characteristic male preponderance; while affective, eating, neurotic, stress-related and adjustment disorders were more common in girls. Over a mean follow-up period of 10.1 years, 1666 (27.6%) cases, mean age 23.4 years, were referred for treatment to mental health services, and they had a markedly higher risk than the general population (RR 5.1; 95% CI 4.9-5.4). Affective, eating, neurodevelopmental, obsessive-compulsive and psychotic disorders had the strongest continuity. Heterotypic transitions were observed for affective, eating, neurodevelopmental, personality and substance use disorders.ConclusionsThese findings suggest that individuals with psychiatric antecedents in childhood and adolescence had a high risk of being referred for treatment in early adulthood, and many mental disorders for which they required treatment revealed both homotypic and heterotypic continuity.

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Faculty Opinions recommendation of Association of trauma type, age of exposure, and frequency in childhood and adolescence with psychotic experiences in early adulthood.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.734501929.793553844 ◽

2018 ◽

Author(s):

Driss Moussaoui ◽

Adil Khoubila

Keyword(s):

Early Adulthood ◽

Childhood And Adolescence ◽

Psychotic Experiences ◽

Trauma Type

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Disorders of Development

The Oxford Handbook of Clinical Psychology ◽

10.1093/oxfordhb/9780195366884.013.0025 ◽

2010 ◽

pp. 551-574

Author(s):

V. Mark Durand

Keyword(s):

Pervasive Developmental Disorders ◽

Developmental Disorders ◽

Early Adulthood ◽

Learning Disorders ◽

Future Research ◽

Hyperactivity Disorder ◽

Asperger Disorder ◽

Oppositional Defiant ◽

Assessment And Treatment ◽

Clinically Significant

Disorders of development include a range of problems first evidenced in childhood. Although most disorders have their origins in childhood, a few fully express themselves before early adulthood. This chapter describes the nature, assessment, and treatment of the more common disorders that are revealed in a clinically significant way during a child’s developing years. The disorders of development affect a range of functioning, from single skills deficits to more pervasive problems that negatively impact a child’s ability to function. Included is coverage of several disorders usually diagnosed first in infancy, childhood, or adolescence, including attention-deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder, learning disorders, communication and related disorders, pervasive developmental disorders (including autistic disorder and Asperger disorder), and intellectual disabilities. Recommendations for future research on the potential for advancing knowledge regarding spectrums within some of these disorders, as well as recommendations for treatment, are outlined.

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Dispositional Negative Emotionality in Childhood and Adolescence Predicts Structural Variation in the Amygdala and Caudal Anterior Cingulate During Early Adulthood: Theoretically and Empirically Based Tests

Research on Child and Adolescent Psychopathology ◽

10.1007/s10802-021-00811-2 ◽

2021 ◽

Author(s):

Benjamin B. Lahey ◽

Kendra E. Hinton ◽

Leah Burgess ◽

Francisco C. Meyer ◽

Bennett A. Landman ◽

...

Keyword(s):

Structural Variation ◽

Early Adulthood ◽

Negative Emotionality ◽

Anterior Cingulate ◽

Childhood And Adolescence

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Fruit and vegetable intake: change with age across childhood and adolescence

British Journal Of Nutrition ◽

10.1017/s0007114517000599 ◽

2017 ◽

Vol 117 (5) ◽

pp. 759-765 ◽

Cited By ~ 19

Author(s):

Viviana Albani ◽

Laurie T. Butler ◽

W. Bruce Traill ◽

Orla B. Kennedy

Keyword(s):

Vegetable Intake ◽

Early Adulthood ◽

Childhood And Adolescence ◽

Nutrition Survey ◽

Average Intake ◽

Eating Fruit ◽

Important Health ◽

Food Diaries ◽

The Uk

AbstractEating fruit and vegetables (FV) offers important health benefits for children and adolescents, but their average intake is low. To explore if negative trends with age exist as children grow, this study modelled differences in FV consumption from childhood to young adulthood. A pseudo-panel was constructed using years 1–4 (combined) of the Rolling Programme of the UK National Diet and Nutrition Survey (NDNS) (2008/2009–2011/2012). Intake of FV in the NDNS was recorded using 4-d unweighted food diaries. The data consisted of 2131 observations of individuals aged 2–23 years. Age-year-cohort decomposition regression analyses were used to separate age effects from year and cohort effects in the data. Total energy intake was included to account for age differences in overall energy consumption. Fruit intake started to decrease from the age of 7 years for boys and girls, and reached its lowest level during adolescence. By 17 years, boys were consuming 0·93 (P=0·037) less fruit portions compared with the age of 2 years. By 15 years, girls were consuming 0·8 fruit portions less (P=0·053). Vegetable intake changed little during childhood and adolescence (P=0·0834 andP=0·843 for change between 7 and 12 years, boys and girls, respectively). There was unclear evidence of recovery of FV intakes in early adulthood. Efforts to improve FV intake should consider these trends, and focus attention on the factors influencing intake across childhood and adolescence in order to improve the nutritional quality of diets during these periods.

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Self-perception regarding dental aesthetics, knowledge and attitude of traumatic dental injury and halitosis among people of Aurabani, Sunsari district of Eastern Nepal

Journal of College of Medical Sciences-Nepal ◽

10.3126/jcmsn.v11i1.13314 ◽

2015 ◽

Vol 11 (1) ◽

pp. 6-8

Author(s):

S Dahal ◽

SK Agrawal ◽

A Shrestha ◽

TK Bhagat

Keyword(s):

Early Adulthood ◽

Dental Trauma ◽

Childhood And Adolescence ◽

Self Perception ◽

Total Study Population ◽

Tooth Color ◽

The People ◽

Dental Aesthetics ◽

Study Population ◽

Knowledge And Attitude

Background and Objectives: Increased concern over dental appearance has been observed during childhood and adolescence to early adulthood. The study was conducted with objectives to assess the self-perception of dental aesthetics, knowledge, attitude and management of dental trauma and halitosis.Materials and Methods: Self-administered questionnaire translated in Nepali language consisting of 32 questions was used. The completed questionnaires were analyzed using descriptive statistics.Results: Out of the total study population, 63% were satisfied with their overall tooth appearance and 71.7% with their tooth color. Twenty-nine percent had experienced dental trauma. More than half of the study population thought that immediate treatment was required after dental trauma. Fifty seven percent of the villagers had halitosis.Conclusion: The research clearly shows that the people of Aurabani VDC were satisfied with their tooth color and overall tooth appearance; however the knowledge regarding emergency management of dental trauma, the cause and management of halitosis was insufficient.JCMS Nepal. 2015;11(1):6-8

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Prevalence and correlates of suicidal ideation with dermatological morbidities

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20180118 ◽

2018 ◽

Vol 5 (2) ◽

pp. 550

Author(s):

Dharmvir Ranjan Bharati ◽

Seema Kumari ◽

Kranti Chand Jaykar ◽

Ajay Kumar ◽

Sanjay Kumar Choudhary ◽

...

Keyword(s):

Body Mass Index ◽

Suicidal Ideation ◽

Body Mass ◽

Skin Diseases ◽

Early Adulthood ◽

Large Family ◽

Lower Body ◽

Suicidal Tendency ◽

Lower Body Mass Index ◽

Lower Education

Background: The dermatologic consultation might be a precious opportunity to recognize and treat depression associated with suicidal ideation in these patients. This study aimed to find the prevalence of suicidal ideation among patients with dermatologic conditions, and identifying demographic variables of suicidal ideation. Methods: This institution based cross-sectional study was conducted during February to March 2017, at dermatological out-patients department of the teaching hospital Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India. Results: Of 396 adults with skin disease 272 (68.69%) were male. Prevalence of suicidal tendency was significantly more among young adults and higher in females (38.7%) than males (1.5%). In males, suicidal tendency was in patients suffering from tinea infection while among females, significantly more observed among patients suffering from tinea 38.71%, psoriasis 22.58% and chronic idiopathic urticaria 16.13%. The risk of suicidal tendency in males were significantly higher among 18–20 years, unemployed, belongs to smaller family, having lower body mass index and suffering from depression. While in females, suicidal tendency was significantly higher among early adulthood, not or lower education, unemployed, no personal income and vegetarian, belongs to large family, no family support, having lower body mass index and suffering from depression as well as suffering from some other medical comorbidity in addition to skin diseases. Conclusions: Risk correlates of suicidal ideation with skin diseases were early adulthood, lower education, unemployment with no personal income, vegetarian diet, large family, no family support, lower body mass index and suffering from depression and comorbidities.

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Prescribing patterns for psychotic and behavioural symptoms in dementia: a national survey

Psychiatric Bulletin ◽

10.1192/pb.26.8.288 ◽

2002 ◽

Vol 26 (8) ◽

pp. 288-290 ◽

Cited By ~ 6

Author(s):

K. Scott ◽

R. M. Lawrence ◽

A. Duggal ◽

C. Darwin ◽

E. Brooks ◽

...

Keyword(s):

Atypical Antipsychotics ◽

Prescribing Patterns ◽

Psychotic Symptoms ◽

Clinical Implications ◽

Behavioural Symptoms ◽

Anonymous Questionnaire ◽

Prescribing Practice ◽

Drug Treatments ◽

Old Age Psychiatry ◽

Sexual Disinhibition

Aims and MethodTo compare current prescribing practice for psychotic and behavioural symptoms in dementia with the available research. An anonymous questionnaire was sent to all members of the Faculty of Old Age Psychiatry, enquiring about preferred drug treatments.ResultsClassical antipsychotics were chosen by 50% for psychotic symptoms over atypical antipsychotics (43%) and were preferred for aggression (48%) and sexual disinhibition (55%). Antidepressants were favoured in treating anxiety (41%) and lability (45%).Clinical ImplicationsAlternatives to classical antipsychotics, especially for behavioural symptoms, have yet to be researched satisfactorily. In view of the continued widespread use of classical antipsychotics and recent concerns about their safety, we call for this to be addressed.

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