Predictability of dropout in unipolar depressed outpatients

1998 ◽  
Vol 13 (2) ◽  
pp. 63-66 ◽  
Author(s):  
E Hoencamp ◽  
PMJ Haffmans ◽  
HJ Duivenvoorden
Keyword(s):  
Social Adjustment ◽  
Linear Regression Analysis ◽  
Drop Out ◽  
Psychiatric History ◽  
Symptom Checklist ◽  
Statistical Manual ◽  
Strategy Study ◽  
Diagnostic And Statistical Manual ◽  
Three Phase ◽  
History Of

SummaryIn a three phase sequential treatment strategy study involving 119 depressed outpatients, a total of 31 patients (26.7%) stopped treatment prematurely due to side-effects (21/31), aggravation of symptoms (3/31), non-compliance (4/31), and non-treatment related events (3/31). At baseline, no significant differences were found on sociodemographic and psychiatric data between patients who did or did not drop out. As predictors of dropout eight domains of data concerning psychiatric history, premorbid history, symptomatology, personality, and social adjustment were used. Using a logistic linear regression analysis, only three variables were related to dropout. Patients with a history of alcohol use or poor social functioning according to axis V of the Diagnostic and Statistical Manual (DSM)-III-R had a higher chance to drop out, while patients with a sleep disturbance according to the Symptom Checklist (SCL)-90 had a smaller chance to drop out.

Prevalence of Premenstrial Disphoric Disorder Associated Factors among Students of Tabor Secondary and Preparatory School in Hawassa City, Ethiopia Cross Sectional

2020 ◽  
Author(s):  
Mulugeta Gobena Tadesse ◽  
Dereje Dirago Dire ◽  
Yacob Yacob Abraham
Keyword(s):  
Associated Factors ◽  
Depressive Disorders ◽  
Premenstrual Dysphoric Disorder ◽  
Emotional Symptoms ◽  
Cross Sectional ◽  
Preparatory School ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
History Of ◽  
Menstruating Women

Abstract Background: Premenstrual dysphoric disorder (PMDD)-is a severe and disabling form of premenstrual Syndrome affecting 3-8% of menstruating women. The disorder consists of a cluster of affective, behavioral and somatic symptoms that recur monthly during the luteal phase the menstrual cycle. Premenstrual dysphoric disorder (PMDD) was added to the list of depressive disorders in the diagnostic and statistical manual of mental disorders in 2013. The exact pathogenesis of the disorder is still unclear.Objective: To assess the prevalence of PMDD and its associated factors among students of Hawassa tabor secondary and preparatory school.Method: A cross sectional institutional based was conducted among 351 randomly selected female students of Hawassa tabor school. Data was collected by three students were facilitate the works with closed ended structured questionnaire and they was trained on how to collect the data. The collected data was entered, analyzed and cleaned by SPS.Results: prevalence of premenstrual dysphoric disorder in this study was 76.9%. Of each symptom is more than ninety present or 324 (92.3%) respondents can’t have experience unpleasant physical or emotional symptoms peculiar to the five days before the onset of menses & 27(7.7%) participants have show the symptoms. Among those 26 (7.4%) have present for the past ≥3 consecutive cycles. 46 (13.1%) have family history of such symptoms.Conclusions: These findings have implications for both women and medical providers, who should be aware that PMS symptoms are prevalent and often distressing, yet also understand that the severity of symptoms may remit over time.

Substance Use Disorders

2018 ◽  
Author(s):  
F Gerard Moeller
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Channel Blockers ◽  
Medical Problems ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Life Threatening ◽  
History Of ◽  
Abused Drugs ◽  
Nmda Receptor Channel

There is a consistent body of evidence showing that substance abuse and dependence can worsen preexisting medical conditions, can temporarily mimic medical and psychiatric disorders, and can themselves cause medical problems, including life-threatening overdose. Substance use disorders are common in young and middle-aged persons: the lifetime prevalence of these syndromes, including alcoholism, is over 20% for men and about 15% for women. This chapter discusses dependence, abuse, substance use disorder, and substance-induced disorders involving depressants, stimulants, opioids, cannabinoids, hallucinogens, N-methyl-D-aspartate (NMDA) receptor channel blockers, and inhalants. Epidemiology, etiology, pathophysiology, diagnosis (including clinical assessment and laboratory tests), and treatment are reviewed. Treatment of intoxication, overdose, withdrawal, and rehabilitation is discussed. A figure illustrates the neurocircuitry of addiction. Tables describe the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) diagnostic criteria for abuse and dependence; frequently misused drugs; neural effects of commonly abused drugs; the natural history of drug dependence; conditions affecting the outcome of urinary drug tests; and pharmacologic options for treatment of drug overdose. This chapter contains 1 figure , 6 tables and 112 references

Diagnosis of Attention Deficit Disorders in DSM-IV: Scientific Basis and Implications for Education

1993 ◽  
Vol 60 (2) ◽  
pp. 108-117 ◽  
Author(s):  
Keith McBurnett ◽  
Benjamin B. Lahey ◽  
Linda J. Pfiffner
Keyword(s):  
Attention Deficit ◽  
Field Trials ◽  
Scientific Basis ◽  
Statistical Manual ◽  
Hyperactivity Disorder ◽  
Diagnostic And Statistical Manual ◽  
History Of ◽  
Dsm Iv ◽  
Symptom List

The category of attention deficit hyperactivity disorder (ADHD) and its diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM) have undergone numerous revisions. The history of these revisions is briefly presented, followed by a summary of results of the Field Trials for the forthcoming fourth edition, the DSM-IV, regarding ADHD. The revised symptom list and empirical determination of symptom cutpoints resulted in increased reliability and predictive validity for educational impairment, as operationalized by measures of academic productivity and accuracy, for the new criteria. Three subtypes emerged, including a new subtype of predominantly hyperactive. The relevance, functions, and limitations of DSM-IV diagnosis for educational assessment of ADHD are discussed.

History of the Personality Disorders Narcissism and Psychopathic Personality

2020 ◽  
Author(s):  
Elizabeth Lunbeck
Keyword(s):  
Personality Disorder ◽  
Mental Disease ◽  
Early Years ◽  
Psychopathic Personality ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Past Half Century ◽  
History Of ◽  
Run Up ◽  
National Decline

Psychopathic personality (a term that has been largely supplanted in psychologists’ and psychiatrists’ nosologies by anti-social personality disorder) and narcissism are venerable, widely used, and fiercely contested categories of personality disorder. Psychopathic personality was originally delineated in the early years of the 20th century to encompass behavior that was, in experts’ estimation, decidedly not normal but that fit none of the other categories of mental disease. Critics of the diagnosis claimed it was but another label for individuals’ non-conformity with social norms, used to punish the poor and marginal. Narcissism has had an even more tumultuous history than psychopathy. Referring simultaneously to traits considered pathological (grandiosity, exploitativeness, manipulativeness) and to traits thought desirable (high self-esteem, capacity for leadership and authority), narcissism has been at the center of debates over national decline and the character of the modal American for the past half-century. Both categories have also sparked controversy along the trait/ state, dimensional/ categorical divide that flared in the run-up to the publication of the 5th edition of psychiatry’s Diagnostic and Statistical Manual of Mental Disorders in 2013. Thousands of papers have attempted to resolve the ambiguities surrounding both diagnoses, but these ambiguities have proven productive (of research and new knowledge) and are unlikely to be resolved soon.

Current diagnostic criteria

2018 ◽  
Author(s):  
Luis Augusto Rohde ◽  
Christian Kieling ◽  
Giovanni Abrahão Salum
Keyword(s):  
International Classification Of Diseases ◽  
Research Domain Criteria ◽  
Statistical Manual ◽  
Adhd Diagnosis ◽  
Diagnostic And Statistical Manual ◽  
Classification Of Diseases ◽  
History Of ◽  
Research Domain ◽  
Clinical Category

In this chapter we describe the history of ADHD diagnosis and how it is currently conceptualized in two main classificatory manuals: the Diagnostic and Statistical Manual for the Mental Disorders (DSM) and the International Classification of Diseases (ICD). We also outline differences between DSM and ICD manuals and review discussions in the realm of the 11th edition of the ICD, in its journey to increase clinical utility. Lastly, we discuss the research domain criteria and how this initiative might affect ADHD diagnosis in the future. We conclude by offering a perspective that acknowledges both the limitations of our current classificatory systems, but also points out their paramount importance to clinical practice. ADHD, as currently defined by DSM and ICD, is a well validated clinical category and a useful diagnosis for communication among practitioners, researchers, and for selecting treatments and care for patients.

Substance Use Disorders

2018 ◽  
Author(s):  
F Gerard Moeller
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Channel Blockers ◽  
Medical Problems ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Life Threatening ◽  
History Of ◽  
Abused Drugs ◽  
Nmda Receptor Channel

There is a consistent body of evidence showing that substance abuse and dependence can worsen preexisting medical conditions, can temporarily mimic medical and psychiatric disorders, and can themselves cause medical problems, including life-threatening overdose. Substance use disorders are common in young and middle-aged persons: the lifetime prevalence of these syndromes, including alcoholism, is over 20% for men and about 15% for women. This chapter discusses dependence, abuse, substance use disorder, and substance-induced disorders involving depressants, stimulants, opioids, cannabinoids, hallucinogens, N-methyl-D-aspartate (NMDA) receptor channel blockers, and inhalants. Epidemiology, etiology, pathophysiology, diagnosis (including clinical assessment and laboratory tests), and treatment are reviewed. Treatment of intoxication, overdose, withdrawal, and rehabilitation is discussed. A figure illustrates the neurocircuitry of addiction. Tables describe the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) diagnostic criteria for abuse and dependence; frequently misused drugs; neural effects of commonly abused drugs; the natural history of drug dependence; conditions affecting the outcome of urinary drug tests; and pharmacologic options for treatment of drug overdose. This chapter contains 112 references.

Future of Classification in Posttraumatic Stress Disorder

2012 ◽  
pp. 53-66
Author(s):  
Terence M. Keane ◽  
Mark W. Miller
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Mental Disorders ◽  
Stress Disorder ◽  
Future Directions ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
The Status ◽  
History Of ◽  
Definition Of

This chapter reviews the status of modifications to the definition of PTSD and proposed changes for DSM-5. We include a brief history of the diagnosis and trace its evolution in the Diagnostic and Statistical Manual of Mental Disorders (DSM). We discuss some of the current controversies related to the definition of PTSD including its location among the anxiety disorders, the utility of Criterion A and its subcomponents, and the factor structure of the symptoms. We review the rationale for the addition of new symptoms and modifications to existing criteria now and conclude with comments on future directions for research on PTSD.

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