scholarly journals The effects of the pandemic on mental health in persons with and without a psychiatric history

2021 ◽  
pp. 1-23
Author(s):  
Eleanor Murphy ◽  
Connie Svob ◽  
Milenna Van Dijk ◽  
Marc J. Gameroff ◽  
Jamie Skipper ◽  
...  
2017 ◽  
Vol 41 (S1) ◽  
pp. S700-S700
Author(s):  
E. Bobadilla ◽  
C. Quiroga

The profile of patients cared for in a mental health unit is diverse. However, there are recurring features. In this study, a total of 100 patients were evaluated for 2 months. This study describes the socio-demographic aspects, the reason for the consultation, the psychiatric history, the diagnoses, the previous treatments and the presence of previous admissions in a psychiatric hospitalization unit. Knowledge of the patient profile will improve service delivery.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2014 ◽  
Vol 13 (4) ◽  
pp. 1019-1024 ◽  
Author(s):  
Jashelle Caga ◽  
Eleanor Ramsey ◽  
Anne Hogden ◽  
Eneida Mioshi ◽  
Matthew C. Kiernan

AbstractObjective:Recognizing depressive symptoms in patients with amyotrophic lateral sclerosis (ALS) remains problematic given the potential overlap with the normal psychological responses to a terminal illness. Understanding mental health and disease-related risk factors for depression is key to identifying psychological morbidity. The present study aimed to determine the prevalence of depressive symptoms in ALS and to explore mental health and disease-related risk factors for depression.Method:Structured medical and psychiatric history questionnaires and a validated depression scale (Depression, Anxiety, Stress Scale–21) were completed by 27 ALS patients (60% female; 59% limb onset; age 65.11 ± SE 2.21) prior to their initial review at a multidisciplinary clinic. Physical function was assessed with the Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS–R).Results:At the time of initial assessment, 44% of patients had a previous psychiatric history, although the majority (62%) reported no symptoms of depression. The mean ALSFRS–R score was 37.78 ± SE 1.22, with an average diagnostic interval of 16.04 ± SE 2.39 months. Logistic regression analysis revealed that the length of the diagnostic interval alone predicted depressive symptoms (χ2(3, n = 26) = 9.21, Odds Ratio (OR) = 1.12, p < 0.05.Significance of Results:The illness experiences of ALS patients rather than established mental health risk factors influence the manifestation of depressive symptoms in the early stages of the disease, with clinical implications for the assessment and treatment of psychological morbidity. Patients with lengthy diagnostic intervals may be prime targets for psychological assessment and intervention, especially in the absence of ALS-specific tests and biomarkers.


2016 ◽  
Vol 33 (S1) ◽  
pp. S388-S389
Author(s):  
A.R. Figueiredo ◽  
M. Silva ◽  
A. Fornelos ◽  
P. Macedo ◽  
S. Nunes ◽  
...  

IntroductionLiasion psychiatry is a clinical area of psychiatry that includes psychiatric assistant activities in other medical and surgical areas of a general hospital. In Portugal, it has developed as a result of psychiatry integration in general hospitals. Historically, it started at the beginning of 1930s in USA. In Portugal, the law 413 of 1971 definned the articulation of mental health services with other health services–liasion psychiatry.ObjectiveWe aim to define patients evaluated in the context of liasion psychiatry, as well as other medical and surgical areas needs of psychiatry collaboration.MethodsRetrospective analyses of collaboration requests realized to psychiatry department of centro hospitalar Trás-os-Montes e Alto Douro–Vila Real, between October 2014 and October 2015.DiscussionMost of collaboration requests came from Internal Medicine Service. Authors systematize the reasons for the requests, the time of response to those, the existence of psychiatric history, the type of intervention, the number of observations in the same patient, the most frequent diagnosis and treatment. This psychiatric service consists of four specialists and activity evaluated in this article is one of the clinical areas where these professionals intervene. Depending on the results, it is interesting then to assess needs and optimize available resources.Disclosure of interestThe authors have not supplied their declaration of competing interest.


1997 ◽  
Vol 10 (4) ◽  
pp. 136-141 ◽  
Author(s):  
Suzanne Holroyd ◽  
John J. Duryee

Mental-health service utilization among elderly people has been shown to be low relative to younger age groups. This study was done to determine the current proportion of elderly persons served in a university-affiliated psychiatry outpatient clinic, and to better characterize elderly patients who receive specialized mental-health care in this setting. The proportion of visits from elderly patients (aged 60 and over) was found to be 16%. Demographic and clinical characteristics of a sample of 140 consecutive geriatric patients evaluated at the clinic were obtained. The data revealed that the patients had a mean age of 74.7 ± 7.5 (SD) years, and were mostly female (72.1%) and white (78.6%). Surprisingly, the age distribution was found to be bell shaped, with a small upper tail. The three most prevalent psychiatric diagnoses were depression (56.4%), dementia (35.7%), and substance use disorder (20%). Overall, 59.3% of geriatric patients had a history of prior psychiatric treatment. Females were significantly more likely than males to have a psychiatric history (69.3% vs. 33.3%, P = .0001). Among patients with a psychiatric history, females were more likely to have a current diagnosis of major depression ( P = .0006), while males were more likely to have a current substance use disorder ( P = .03). The prevalence of dementia increased with each successive decade above 60, while the occurrence of bipolar and adjustment disorders was confined to younger geriatric patients. Elderly patients receiving psychiatric treatment in the clinic thus formed a heterogeneous group. Gender, age, and presence of a psychiatric history were all associated with differences in prevalence and distribution of various mental disorders in this geriatric psychiatry outpatient clinic.


2015 ◽  
Vol 43 (6) ◽  
pp. 1119-1130 ◽  
Author(s):  
Anna Roos E. Zandstra ◽  
Catharina A. Hartman ◽  
Esther Nederhof ◽  
Edwin R. van den Heuvel ◽  
Andrea Dietrich ◽  
...  

2022 ◽  
Vol 2022 ◽  
pp. 1-3
Author(s):  
Sulaimon Bakre ◽  
Kritika Chugh ◽  
Oluwaseun Oke ◽  
Anita Kablinger

The COVID-19 pandemic has significantly impacted people around the world, with asymptomatic infection to severe diseases and death. There is an increasing incidence of mental health problems in patients diagnosed with COVID-19. There are some studies that discuss possible mechanisms responsible for psychotic disorders due to coronavirus as well as risk factors for developing psychosis in patients infected with the virus. We report the case and a review of the literature in a 29-year-old female with no past psychiatric history who was diagnosed with a brief psychotic disorder following infection with COVID-19.


2011 ◽  
Vol 35 (6) ◽  
pp. 224-227 ◽  
Author(s):  
Aravind Komuravelli ◽  
Rob Poole ◽  
Robert Higgo

Aims and methodTo assess the stability of the diagnosis of first-episode drug-induced psychosis over a follow-up period of at least 2 years. Patients with no psychiatric history who had been discharged from in-patient care between January 2002 and April 2006 with a firm diagnosis of drug-induced psychosis were identified. Follow-up information for at least the next 2 years or until discharge from mental health services was collected retrospectively from psychiatric records.ResultsNearly all of the patients who remained under psychiatric follow-up had a change in diagnosis, most commonly to a schizophreniform disorder. Those who were retained in follow-up had significantly longer index admissions than those discharged to primary care (P = 0.05).Clinical implicationsThis study suggests that many individuals diagnosed with drug-induced psychosis are further diagnosed as having a functional psychosis, usually schizophreniform in nature. This is compatible with the suggestion that individuals diagnosed with drug-induced psychosis are experiencing either the effects of drug intoxication or an ordinary functional psychosis complicated by incidental drug use.


2019 ◽  
Vol 66 (1) ◽  
pp. 84-92 ◽  
Author(s):  
Alison Fang-Wei Wu ◽  
Caroline Catmur ◽  
Paul WC Wong ◽  
Jennifer YF Lau

Objectives: Pathological social withdrawal (PSW) has become a public health concern, especially in Asia. However, few studies have investigated the presence of PSW and its characteristics in Taiwan. In this study, we aimed to discover whether individuals in Taiwan display PSW behaviours, the demographic characteristics and psychiatric history of those meeting criteria for PSW and the associated psychological risks. Methods: An online self-report survey collected participants’ demographic characteristics, social behaviours and their psychiatric history, along with information on adherence to cultural norms and mental health. Results: Among 1,046 valid respondents, 9% reported behaviours consistent with PSW for at least 6 months, commensurate with other online surveys in Asian countries. Around 20% of these also reported current or past psychiatric disorders, although this was lower than previous findings (50%–80%). Participants with PSW reported poorer mental health and lower confidence in social/academic/work skills than unaffected participants. Conclusion: This study identified for the first time the presence of PSW in Taiwan. Except the lower rates of psychiatric comorbidity (which could be explained by sociocultural factors and sampling methods), data were consistent with previous findings. We also extended our understanding of possible psychological risk factors associated with this pathological condition.


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