Some thoughts about thought disturbance in adolescence

2004 ◽  
Vol 30 (3) ◽  
pp. 296-307
Author(s):  
Anna Maria Nicolò Corigliano ◽  
Sandra Maccioni
Keyword(s):  
2004 ◽  
Vol 34 (4) ◽  
pp. 693-703 ◽  
Author(s):  
C. PANTELIS ◽  
C. A. HARVEY ◽  
G. PLANT ◽  
E. FOSSEY ◽  
P. MARUFF ◽  
...  

Background. Behavioural syndromes (thought disturbance, social withdrawal, depressed behaviour and antisocial behaviour) offer a different perspective from that of symptomatic syndromes on the disability that may be associated with schizophrenia. Few studies have assessed their relationship with neuropsychological deficits. We hypothesized that these syndromes may represent behavioural manifestations of frontal-subcortical impairments, previously described in schizophrenia.Method. Long-stay inpatients (n=54) and community patients (n=43) with enduring schizophrenia were assessed, using measures of symptoms and behaviour and tests of executive functioning. The relationship between syndromes and neuropsychological function was assessed using multiple regression and logistic regression analyses.Results. Significant associations were found between performance on the spatial working memory task and the psychomotor poverty symptomatic syndrome, and between attentional set-shifting ability and both disorganization symptoms and the thought disturbance behavioural syndrome. These results were not explained by the effect of premorbid IQ, geographical location, length of illness or antipsychotic medication. Length of illness was an independent predictor of attentional set-shifting ability but not of working memory performance.Conclusion. The specific relationship between negative symptoms and spatial working memory is consistent with involvement of the dorsolateral prefrontal cortex. The associations between difficulty with set-shifting ability and both disorganization symptoms and behaviours may reflect inability to generalize a rule that had been learned and impaired ability to respond flexibly. The specific relationship of illness duration to set-shifting ability may suggest progressive impairment on some executive tasks. The nature of these relationships and their neurobiological and rehabilitation implications are considered.


1996 ◽  
Vol 24 (3) ◽  
pp. 421-442 ◽  
Author(s):  
Craig S. Neumann ◽  
Elaine F. Walker ◽  
Jay Weinstein ◽  
Chris Cutshaw

This study examined the relationship between psychotic patients' insight into their mental illness and current symptoms, competency to stand trial, and willingness to use the insanity defense. Inpatients with psychotic disorders were grouped by whether they exhibited insight into their mental status (n=18) or denied being mentally ill (n=13). The majority of all patients, regardless of insight status, failed at least one item on a 16-item competency exam. However, the majority of insightful subjects (77%) were willing to consider using the insanity defense, while only a minority (31%) of the non-insightful subjects were willing to consider such a defense. Using the Brief Psychiatric Rating Scale (BPRS), univariate analyses indicated that the insightful subjects manifested significantly more Anxiety-Depression and less Thought Disturbance than the non-insightful subjects. Although there was no relationship between insight and performance on the competency exam, there were significant inverse correlations between competency scores and ratings on the BPRS symptom factors.


2017 ◽  
Vol 41 (S1) ◽  
pp. S152-S152
Author(s):  
G. Halilaj ◽  
N. Fanaj ◽  
F. Drevinja

BackgroundMental health problems among youth, are frequent especially in offenders and as such is very important to identify as early as possible.ObjectivesTo estimate and compare level of some mental health problems between three groups of male youths: juvenile offenders in correctional center, adolescents with conduct problems and university students.MethodIt is cross-sectional quantitative study. The sample consisted of three male groups: 41offenders placed in one correctional center (Mean age = 18.02; SD = 2.20); 41 male students of secondary school with conduct problems (Mean age = 16.97; SD = 61) and 42 male university students randomly selected (Mean age = 19.7; SD = 1.77). They filled questionnaire MAYSI–2. Data processing was done with SPSS 21.0 and Microsoft Excel 2013.ResultsJuvenile offenders in correctional center scored significantly higher than other two groups of youth in alcohol/substance abuse subscale (P = 001), Suicidal ideation subscale (P = 048) and traumatic stress subscale (P = 003) based on Kruskal-Wallis Test. Juvenile offenders in correctional center scored higher but non-significantly in angry/irritable and depression/anxious subscales. Students of secondary school with conduct problems scored higher but non-significantly in thought disturbance and somatic subscales.ConclusionMale juvenile offenders have significantly more mental health difficulties. Mental health needs of youths in Kosovo (especially juvenile offenders) seem to be numerous and is important to be addressed properly.


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