A comparison of gains after treatment at a psychiatric outpatient clinic in patients with cluster A+B, or cluster C personality disorders, and non-psychotic axis I disorders

BackgroundAmong the 10 categories of personality disorders (PDs), interventions for antisocial and borderline personality disorder are best studied. However, the remaining PDs also pose major problems in everyday health care settings. People affected often additionally present with Axis-I disorders such as substance-related, mood or anxiety disorders, and are among those most difficult to treat. Cluster A PDs (paranoid, schizoid, schizotypal) are of particular significance as some authors argue that they may be part of a continuum of mental disorders and be considered as sub-syndrome of schizophreniaMethodsIn the context of Cochrane Collaboration reviews for Cluster A, B and C PDs, exhaustive literature searches were completed to identify the current RCT evidence for PD treatments. Retrievals were assessed and evaluated by two reviewers independently and trials for Cluster A PD were identified.ResultsOnly very few (under five) RCTs specifically for Cluster A PDs were identified. Some studies reported on mixed PD samples but it was not always possible to extract data specifically for Cluster A disorders. Participants mostly also suffered from Axis-I disorders. Reported outcomes also focus on Axis-I disorder outcomes or general measures such as overall functioning rather than specific PD symptoms.ConclusionsThe current evidence for psychpathological treatment of Cluster A PD is sparse and does not allow for distinct treatment recommendations. Symptom-driven treatment regimes as suggested by several guidelines are not supported by current evidence.

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Impact of a personnel workshop on the behavior of support employees toward new patients in a psychiatric outpatient clinic

Community Mental Health Journal ◽

10.1007/bf01435743 ◽

1976 ◽

Vol 12 (1) ◽

pp. 95-98 ◽

Cited By ~ 1

Author(s):

Jon J. Reck ◽

Tori Behar

Keyword(s):

Outpatient Clinic ◽

Psychiatric Outpatient ◽

Psychiatric Outpatient Clinic

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Suicide Probability Among Tramadol Addicts

QJM ◽

10.1093/qjmed/hcab102.007 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Ahmed Saad Mohamed ◽

Nesreen Mohammed Mohsen ◽

Lobna AbuBakr Ismail ◽

Ayat Ullah Mazloum Mahmoud

Keyword(s):

Substance Use ◽

Personality Disorders ◽

Outpatient Clinic ◽

Positive Family History ◽

Clinical Interview ◽

Addiction Severity Index ◽

University Hospital ◽

Antisocial Personality ◽

Significant Difference ◽

Axis I

Abstract Background The magnitude of the problem of substance use in Egypt has been growing lately. Substance use disorders have been associated with depression and suicide, as well as impulsivity and specific personality traits. Suicide is closely linked to the substances use. Therefore it is very important to confirm the factors that affect the possibility of suicide. Aim of the Work This study aimed at evaluating suicide risk and its correlation with each of personality disorders and severity of addiction in a sample of 72 tramadol addicts from outpatient clinic of Institute of psychaitry Ain Shams University hospitals. Patients and Methods This is a descriptive Cross sectional study conducted in outpatient clinic of Institute of psychaitry Ain Shams University hospital. The present study aimed at analyzing the demographic data of 72 tramadol addicts, over six months period from January 2018 to August 2019. The severity of the addiction problem among those patients was assessed using Addiction Severity Index (ASI), suicidal probability was assessed using suicide probability scale (SPS), Structured Clinical Interview for DSM-VI Axis II (SCID-II) for assessing personality disorders and Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I). Results The results showed that 32 (44.44%) of the patients had a risk of suicide probability. Also there was a statistically significant difference between risk of suicidal probability and personality disorders especially antisocial personality. It was found that the need for more power for work and pleasurable effects were the most risk factors for tramadol addiction. Conclusion Suicide probability was found to be (44.44%) among the studied tramadol addicts. The risk of suicide probability among them was found to be significant in each of the following: antisocial personality disorder, longer duration of addiction, being single and positive family history of addiction. Attention should be paid to include the assessment of suicidal risk as part of routine assessment of addicts.

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