Some psychological concomitants of chronic bronchitis

1977 ◽  
Vol 7 (3) ◽  
pp. 459-464 ◽  
Author(s):  
Brenda M. Rutter

SynopsisThirty chronic bronchitic patients with severe airways obstruction were individually matched with non-bronchitic controls from the general population. The 2 groups were compared using the Zung Self-Rating Depression Scale (SDS) and the General Health Questionnaire (GHQ) to assess non-psychotic psychiatric disturbance, the Eysenck Personality Inventory (EPI) to assess personality traits, and the Marlowe–Crowne (M–C) scale plus the L (Lie) scale of the EPI to assess social-desirability response set. Chronic bronchitic patients were both more psychiatrically disturbed and more neurotic in personality than were their matched controls; but there were no differences between the 2 groups on the personality trait of extraversion or on measure of social desirability response set. The results are discussed in the context of both chronic bronchitis specifically and chronic illness in general, and future investigations are proposed.

1991 ◽  
Vol 84 (12) ◽  
pp. 723-725 ◽  
Author(s):  
Sean Maskey

Fifty-two pregnant teenagers were assessed at ‘booking’ using the General Health Questionnaire (GHQ 28), a locus of control scale, and five visual analogue ‘attitude scales’. Thirty-eight were in the antenatal and 14 in the termination clinic. One quarter had probable psychiatric disorder on the GHQ. The GHQ scores correlated significantly with indecision about the planned outcome of pregnancy (whether termination or full term). Locus of control correlated with the Depression scale of the GHQ but not with attitude to pregnancy or choice of termination or delivery. Clinic staff should be alert to the psychiatric risks when seeing teenagers who have marked doubts about their plans when pregnant.


1983 ◽  
Vol 143 (1) ◽  
pp. 51-54 ◽  
Author(s):  
J. E. Hughes ◽  
B. M. Barraclough ◽  
L. G. Hamblin ◽  
J. E. White

SummaryThe 30-item General Health Questionnaire (GHQ) (Goldberg, 1972) was administered to 196 consecutive new dermatology out-patients and 40 consecutive admissions to dermatology beds. Thirty per cent of the outpatients and 60 per cent of the in-patients obtained high scores, while half the high scorers in each group scored high on the Wakefield Self-Assessment Depression Scale (Snaith et al, 1971). These findings suggest that dermatology out-patients have a higher prevalence of psychiatric disorder than the general population, and dermatology in-patients a higher prevalence than general medical in-patients.High GHQ scores were associated with (a) diagnoses of acne, eczema, psoriasis or alopecia; with (b) extensive lesions on exposed parts of the body; and with (c) the use of high potency topical steroid. We indicate other areas that might be profitably explored in a full-scale study.


2016 ◽  
Vol 118 (2) ◽  
pp. 372-386
Author(s):  
Takahiro Yoshizumi ◽  
Seiko Mizutani ◽  
Soshiro Yamada

Although many Western studies examining the mental health of welfare recipients exist, Japanese welfare recipients have been overlooked. This study investigated mental health among welfare recipients in Japan and relations with a sense of deprivation of life's necessities and social support. Participants ( n = 305) completed the General Health Questionnaire-12 (GHQ-12), Proportional Deprivation Index, and a social support scale. Participants' GHQ-12 scores exceeded those of the general public, as 54.9% scored above the cut-off, suggesting poorer mental health among welfare recipients than the general population. Proportional Deprivation Index and emotional support from relatives and friends were associated with GHQ-12 scores. These results suggest that while chronic deprivation is associated with poorer mental health among welfare recipients, receiving emotional support may help cope with distress and maintain mental health.


1990 ◽  
Vol 157 (6) ◽  
pp. 860-864 ◽  
Author(s):  
Glyn Lewis ◽  
Simon Wessely

The specificity and sensitivity of the HAD, 12-item GHQ and CIS were calculated by comparing the scores of dermatological patients on these tests with a criterion measure of disorder. Since psychiatry, along with many other branches of medicine, does not have an error-free criterion, it was assumed that the criterion was an underlying latent construct which was measured by all of the tests and could be derived by factor analysis from the scores on them. No differences were found between the two questionnaires (HAD and GHQ) in their ability to detect cases of minor psychiatric disorder although they were somewhat less reliable than the CIS.


2007 ◽  
Vol 116 (10) ◽  
pp. 717-722 ◽  
Author(s):  
Paressa Daniilidou ◽  
Paul Carding ◽  
Janet Wilson ◽  
Michael Drinnan ◽  
Vincent Deary

Objectives: We sought to investigate whether a brief period of training in cognitive behavioral therapy (CBT) can improve the treatment of functional dysphonia by a speech and language therapist and ameliorate the psychological distress associated with this condition. Methods: In a consecutive cohort design, a speech and language therapist treated a small cohort (n = 15) of dysphonic patients with voice therapy alone. After a brief period of CBT training, she treated the next cohort of dysphonic patients (n = 13) with CBT-enhanced voice therapy. Pretreatment and posttreatment measures were taken of voice quality and voice-related quality of life. The General Health Questionnaire 28 and the Hospital Anxiety and Depression Scale were used to assess psychological distress and general well-being. Results: All voice measures improved significantly in both cohorts. Both groups improved significantly on the General Health Questionnaire 28, with the CBT group improving significantly more than the control group. Only the CBT group improved significantly on the Hospital Anxiety and Depression Scale (depression subscale). Conclusions: Despite limitations of size, design, and between-group baseline differences, the results support the hypothesis that the addition of CBT skills to existing voice therapy is both feasible and clinically effective in the treatment of functional dysphonia.


1988 ◽  
Vol 152 (6) ◽  
pp. 799-806 ◽  
Author(s):  
Peter J. Cooper ◽  
Elizabeth A. Campbell ◽  
Ann Day ◽  
Helen Kennerley ◽  
Alison Bond

The psychiatric state of 483 women was examined antenatally and at 3, 6, and 12 months postpartum. Comprehensive assessments were made of all women antenatally and of subgroups of the full sample postnatally. Psychiatric state was assessed using the General Health Questionnaire, the Present State Examination and the Montgomery and åsberg Depression Rating Scale. In terms of PSE criteria, the point prevalence of non-psychotic psychiatric disorder antenatally was found to be 6.0%; and postnatally it was estimated to be 8.7% at 3 months, 8.8% at 6 months and 5.2% at 12 months after delivery. These prevalence rates were compared to the rate in a general population sample of non-puerperal women and found to be no greater. In a subgroup of the full sample, the incidence of psychiatric disorder in the year following delivery was estimated to be 15.1%, which is close to a figure previously reported for women in the community. The onset of psychiatric disturbance was soon after delivery in most instances; and, for the majority, the episode of disturbance lasted for 3 months or less. The distribution of PSE Catego classes and syndromes among the antenatal and postnatal samples were found to be similar to those in the non-puerperal comparison sample. Thus, the prevalence, incidence, and nature of non-psychotic psychiatric disorder in the 12 months following delivery do not appear to distinguish it from such disorders arising at other times.


2017 ◽  
Vol 41 (S1) ◽  
pp. s508-s508
Author(s):  
L. Utas Akahn

BackgroundFor most of the physical illnesses, behavioral, emotional, cognitive and inter-personal reactions develop. These psychiatric conditions and reactions are actually the adjustment process of the organism.ObjectivesStudy is conducted in order to identify the psychiatric signs as well as findings of the patients who receive treatment in the general services of hospitals.MethodsThe study was carried out with a total of 500 patients who receive treatment in the general service of a hospital of a ministry of health in Turkey between February and May in 2015 by descriptive cross-sectional method. For collecting the data; patient charts, SCL 90-Rand general health questionnaire as well as hospital anxiety and depression scale were utilized. Kolmogorov Smirnov Normality test was applied for the average SCL90R and general health. Questionnaire, as a result of the test, it was detected that both scales did not meet the assumption of normality Therefore, Kruskal Wallis test of non-parametric was used.ResultsThe study showed no significant difference among the lengths of stay in the hospital according to the average SCL90-R and general health questionnaire It was observed that the patients in the cardiology, neurology, and plastic surgery departments had a higher rate of signs of obsessive compulsive disorders; that the patients in the plastic surgery and internal diseases departments had a higher rate of depressive signs; that the patients in the neurology and plastic surgery departments had a higher rate of paranoid ideation; and that the patients in the neurology service had a higher rate of psychoticism.ConclusionsOverall, it has been observed that the patients hospitalized in the neurology and plastic surgery services had more physiological signs compared to those receiving treatment in the other services.Disclosure of interestThe author has not supplied his declaration of competing interest.


1988 ◽  
Vol 153 (3) ◽  
pp. 335-339 ◽  
Author(s):  
Janet A. Wilson ◽  
I. J. Deary ◽  
A. G. D. Maran

Forty-six patients, 9 male, 37 female, presenting to an ear, nose and throat department with a principal complaint of globus sensation were investigated by radiology, manometry, endoscopy and prolonged ambulatory pH monitoring to exclude a physical basis for their symptoms. Patients also underwent assessment by the Eysenck Personality Inventory (EPI) and General Health Questionnaire (GHQ). The only organic abnormalities detected were an abnormal degree of oesophageal acid exposure (seven patients) and oesophageal spasm (one patient). Female patients were neurotic introverts on EPI testing; males were stable ambiverts. High GHQ scores were present in 13 females (35%) and one male and there was a significant correlation between N scores (in the EPI) and GHQ scores. We propose that globus is a useful, single-symptom model for the study of conversion disorders.


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