A culture-bound anxiety-depressive syndrome: Hikikomori

2008 ◽  
Author(s):  
Henry J. Grubb ◽  
Emiko Tsuchiya
Keyword(s):  
Depressive Syndrome

Association between family history of affective disorder and the depressive syndrome of Alzheimer??s disease

1991 ◽  
Vol 5 (1) ◽  
pp. 47
Author(s):  
G D Pearlson ◽  
C A Ross ◽  
W D Lohr ◽  
BW Rovner ◽  
G A Chase ◽  
...  
Keyword(s):  
Family History ◽  
Affective Disorder ◽  
Depressive Syndrome ◽  
History Of

A case of subacute sclerosing panencephalitis presenting as depression

2006 ◽  
Vol 18 (1) ◽  
pp. 55-57 ◽  
Author(s):  
Soumitra Shankar Datta ◽  
Rajesh Jacob ◽  
Sudhir Kumar ◽  
Susan Jeyabalan
Keyword(s):  
Clinical Presentation ◽  
Subacute Sclerosing Panencephalitis ◽  
Diagnostic Delay ◽  
Depressive Syndrome ◽  
Adult Patients ◽  
Rare Presentation ◽  
Affective Symptoms

Summary:Subacute sclerosing panencephalitis (SSPE) is rare in adult patients. Clinical presentation in intial phases of SSPE may be non-specific leading to diagnostic delay. We present a 24-year-old patient with depressive syndrome of five months' duration prior to the onset of typical features of SSPE, which is a rare presentation. This patient had responded partially to Sertraline, for a brief period, before he was diagnosed to have SSPE. This case illustrates affective symptoms can be the presenting features of SSPE in adults.

scholarly journals AB0177 ANXIETY-DEPRESSIVE SPECTRUM IN PATIENTS WITH RHEUMATOID ARTHRITIS AND ANKYLOSING SPONDILITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1114.2-1114
Author(s):  
M. Letaeva ◽  
M. Koroleva ◽  
J. Averkieva ◽  
O. Malyshenko ◽  
T. Raskina
Keyword(s):  
Rheumatoid Arthritis ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Well Being ◽  
Depressive Syndrome ◽  
Depression Screening ◽  
Anxiety And Depression ◽  
Control Group ◽  
Subjective Well Being ◽  
Anxiety Depression

Objectives:to assess the frequency of occurrence of the anxiety-depressive spectrum in patients with rheumatoid arthritis and ankylosing spondylitis.Methods:A survey was conducted of 44 patients aged from 21 to 57 years (average age - 42.3 ± 6.7 years), who were treated at GAUZ KO OKGVV. All patients had a verified diagnosis of RA and AS according to the ACR criteria and received treatment with basic drugs. The control group consisted of 40 people comparable in age and sex, without concomitant pathology of RA and AS.The depression screening card, the subjective well-being scale, and the hospital anxiety and depression scale (HADS) were used to assess and detect anxiety-depressive syndrome. The assessment of the condition is carried out over the last 2 weeks, which corresponds to the temporary diagnostic criterion for depression.The Depression Screening Scale is a 35-item self-questionnaire that assesses 7 categories of signs: sleep and appetite disorders, anxiety, emotional instability, cognitive impairment, loss of self, guilt, and suicidal tendencies. A total score of 65 and above indicates a high likelihood of depression.The Subjective Well-Being Scale is a psychodiagnostic screening tool for measuring the emotional component of subjective well-being or emotional comfort.Hospital Anxiety and Depression Scale Zigmond A.S., Snaith R.P. was developed for the primary detection of depression and anxiety in a general medical practice. The HADS scale consists of 14 statements with 4 possible answers and includes two parts: anxiety and depression. The sum of points of 8 or more is regarded as “subclinically expressed anxiety / depression”, 11 or more points - “clinically expressed anxiety / depression”.Results:According to the results of the depression screening questionnaire, 34 (77.3%) patients with RA and AS showed signs of depression, while in the control group only 6 (15%) patients tested positive for the presence of depressive disorders. According to the data obtained when assessing the scale of well-being in the main group, 26 (59.1%) patients showed signs of emotional discomfort (the indicator was 80% or more), in the control group - in 6 (15%). Using the hospital scale of anxiety and depression HADS, anxiety-depressive syndrome was detected in 36 (81.8%) patients with RA and AS: 16 (44.4%) patients had anxiety, 20 (55.6%) - depression, of them, subclinically expressed anxiety and depression were observed in 10 (27.7%) and 12 (33.3%) people, respectively. Anxiety-depressive syndrome in the control group, according to the HADS questionnaire, was detected only in 8 (20%) patients, of whom 4 (10%) patients had subclinical anxiety and 4 (10%) had signs of depression. No clinically pronounced anxiety and depression were registered in the control group.Conclusion:In most patients with rheumatoid arthritis and ankylosing spondylitis, anxiety-depressive disorders have been identified, which can directly affect both the course of the disease itself and the development of various complications. Timely diagnosis of mental disorders and close cooperation of rheumatologists, psychiatrists and psychologists in the selection of adequate therapy can improve the course and prognosis of the disease.Disclosure of Interests:None declared

scholarly journals Characterization of depressive syndrome in schizophrenic outpatients

2002 ◽  
Vol 24 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Flávio Soares de Araújo ◽  
Kátia Petribú ◽  
Othon Bastos
Keyword(s):  
Clinical Features ◽  
Clinical Picture ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Depressive Syndrome ◽  
Psychosocial Stressors ◽  
First Episode ◽  
Psychotic Episode ◽  
Cross Sectional ◽  
Dsm Iv

OBJECTIVE: The authors carried out a cross-sectional study with the aim of characterizing and describing depressive pictures in schizophrenic patients seen at the Psychiatry Outpatient Clinic of the Federal University of Pernambuco (HC-UFPE). The patients had the diagnosis of schizophrenia confirmed on the basis of the operating criteria of the DSM-IV. METHODS: Those who where in the period of stabilization of the clinical picture were selected for the study defined according the following criteria:the last psychotic episode must be happened two months before at least, and during this period the alterations of the antipsychotics doses had been lower than 5 mg of haloperidol or equivalent doses of others neuroleptics. A total of one hundred and four patients took part. Following the identification of the depressive symptoms using the Calgary Depression Scale for Schizophrenia (CDSS), thirty-one patients (29.8%) fulfilled the diagnostic criteria described in the DSM-IV. Of these, 22.1% had the diagnosis of major depression and 7.7% of minor depression according the DSM-IV. Two groups were constituted: Group A, schizophrenics with a depressive syndrome, and Group B, schizophrenics without such a syndrome. An assessment was made of the distribution of the symptoms of the CDSS scores in both groups, the sociodemographic, clinical and therapeutic variables in relation to the frequency of the depressive syndrome, and the patients clinical course. For the investigation of certain clinical features, the following tools were used: problem list (psychosocial stressors) contained in axis IV of the DSM-IV intended to detect the presence of factors triggering the initial episode of schizophrenia and the Global Assessment of Functioning (GAF -- Axis V -- DSM-IV) to characterize the current functioning of the patients. CONCLUSIONS: The results obtained allowed the authors to draw the following conclusions: all the items that comprise the Brazilian version of the CDSS were statistically significant in characterizing the depressive syndrome; a comparison of the sociodemographic and therapeutic variables revealed no statistically significant differences between the two groups, and this was also the case with the majority of the clinical features. Statistically significant differences, however, were found in relation to the greater frequency of life events (psychosocial stressors) in triggering the first episode of schizophrenia and the higher incidence of affective disorders antecedents in family members (first and second degree) among the depressed patients. The mean duration of the depressive syndrome during follow-up of the patients was 5.30 months. The patients in whom there was a recurrence of the psychotic episode presented a delusional-hallucinatory clinical picture. This study seeks to contribute to the inclusion of the Postpsychotic Depressive Disorder (PSD) of Schizophrenia (DSM-IV), in the group of Schizophrenic Disorders.

Saliva cortisol and male depressive syndrome in a community study. The Sudurnesjamenn study

2012 ◽  
Vol 67 (3) ◽  
pp. 145-152 ◽  
Author(s):  
Bjarni Sigurdsson ◽  
Sigurdur Pall Palsson ◽  
Magnus Johannsson ◽  
Maria Olafsdottir ◽  
Olafur Aevarsson
Keyword(s):  
Depressive Syndrome ◽  
Community Study ◽  
Saliva Cortisol

Severe Localized Pain Associated with the Depressive Syndrome

1963 ◽  
Vol 109 (463) ◽  
pp. 741-745 ◽  
Author(s):  
J. J. Bradley
Keyword(s):  
General Practitioner ◽  
Psychiatric Disorders ◽  
Psychiatric Illness ◽  
Depressive Illness ◽  
Depressive Syndrome ◽  
Somatic Complaints ◽  
Organic Disease

Depressive illness is protean in its manifestations. The symptoms may be primarily psychological, such as misery, indecisiveness, irritability, inability to concentrate, or insomnia. They may be mainly physical, and the patient may present with one or more of a bewildering number of somatic complaints, often blaming those for his change in mood (Watts, 1957). Pain is a common and diagnostically puzzling presenting symptom of depression and other psychiatric disorders (Walters, 1961). It may take the form of generalized or poorly localized aches and pains, often associated with a feeling of tension, or it may be sharply delimited (Critchley, 1935). This form of localized pain may so dominate the symptomatology that the patient is referred by his general practitioner to a variety of specialists, who may perform a series of special investigations or even exploratory operations. Clearly, every effort must be made to exclude organic disease, even if positive signs of psychiatric illness are recognized, as an organic disease can obviously co-exist with a psychiatric one. In spite of thorough investigation, there will remain a proportion of patients in whom no lesion can be found to account for their symptoms.

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