First and Third person perspectives in psychotic disorder and mood disorders with psychotic features

2011 ◽  
Vol 26 ◽  
pp. e154
Author(s):  
Lucrezia Islam ◽  
Valerio selle ◽  
Benedetta Demartini ◽  
Orsola Gambini ◽  
Silvio Scarone
Keyword(s):  
Mood Disorders ◽  
Psychotic Disorder ◽  
Third Person ◽  
Psychotic Features

scholarly journals First and third person perspectives in psychotic disorders and mood disorders with psychotic features

2011 ◽  
Vol 26 ◽  
pp. e153-e154 ◽  
Author(s):  
Islam Lucrezia ◽  
Demartini Benedetta ◽  
Selle Valerio ◽  
Gambini Orsola ◽  
Scarone Silvio
Keyword(s):  
Mood Disorders ◽  
Psychotic Disorders ◽  
Third Person ◽  
Psychotic Features

scholarly journals First- and Third-Person Perspectives in Psychotic Disorders and Mood Disorders with Psychotic Features

2011 ◽  
Vol 2011 ◽  
pp. 1-5
Author(s):  
Lucrezia Islam ◽  
Silvio Scarone ◽  
Orsola Gambini
Keyword(s):  
Theory Of Mind ◽  
Psychiatric Disorders ◽  
Mood Disorders ◽  
Psychotic Disorders ◽  
Diagnostic Group ◽  
Lower Score ◽  
Person Perspective ◽  
Third Person ◽  
Third Person Perspective ◽  
Psychotic Features

Lack of insight, very frequent in schizophrenia, can be considered a deficit in Theory of Mind (ToM) performances, and is also found in other psychiatric disorders. In this study, we used the first- to third-person shift to examine subjects with psychotic and psychotic mood disorders. 92 patients were evaluated with SANS and SAPS scales and asked to talk about their delusions. They were asked to state whether they thought what they said was believable for them and for the interviewer. Two weeks later, 79 patients listened to a tape where their delusion was reenacted by two actors and were asked the same two questions. Some patients gained insight when using third-person perspective. These patients had lower SAPS scores, a lower score on SAPS item on delusions, and significant improvement in their SAPS delusion score at the second interview. Better insight was not related to a specific diagnostic group.

Phenomenology and Course of Mood Disorders

2016 ◽  
pp. 36-48
Author(s):  
Daniel R. Strunk ◽  
Katherine Sasso
Keyword(s):  
Mood Disorders ◽  
Clinical Significance ◽  
Functional Impairment ◽  
Depressive Disorders ◽  
Future Directions ◽  
Manic Symptoms ◽  
Low Levels ◽  
Psychotic Features ◽  
Degree Of Overlap

In this chapter, we provide an overview of the phenomenology of the mood disorders, including attention to both symptoms and functional impairment. Our overview emphasizes the heterogeneity among those with these disorders, as well as the most influential approaches to describing this variability across and within bipolar and depressive disorders. We discuss the degree of overlap between bipolar and depressive disorders, paying special attention to the clinical significance of low levels of manic symptoms. We also review several influential symptom-based specifiers, including those that refer to melancholic, atypical, anxious, and psychotic features. Having considered variability in the symptoms of these disorders, we then consider the course of these disorders. We survey the remarkable variability in course as well as current approaches to characterizing these differences. We conclude with a discussion of future directions.

Insight Into Illness in Schizophrenia, Schizoaffective Disorder, and Mood Disorders With Psychotic Features

2001 ◽  
Vol 158 (1) ◽  
pp. 122-125 ◽  
Author(s):  
Stefano Pini ◽  
Giovanni B. Cassano ◽  
Liliana Dell’Osso ◽  
Xavier F. Amador
Keyword(s):  
Mood Disorders ◽  
Schizoaffective Disorder ◽  
Psychotic Features ◽  
Insight Into Illness ◽  
Insight Into

scholarly journals Basic symptoms in offspring of parents with mood and psychotic disorders

BJPsych Open ◽  
2019 ◽  
Vol 5 (4) ◽  
Author(s):  
Alyson Zwicker ◽  
Lynn E. MacKenzie ◽  
Vladislav Drobinin ◽  
Emily Howes Vallis ◽  
Victoria C. Patterson ◽  
...  
Keyword(s):  
Mental Illness ◽  
Mood Disorders ◽  
Psychotic Disorders ◽  
Familial Risk ◽  
Linear Regression Models ◽  
Basic Symptoms ◽  
Symptom Scores ◽  
History Of ◽  
Psychotic Features ◽  
The Relationship

Background Basic symptoms, defined as subjectively perceived disturbances in thought, perception and other essential mental processes, have been established as a predictor of psychotic disorders. However, the relationship between basic symptoms and family history of a transdiagnostic range of severe mental illness, including major depressive disorder, bipolar disorder and schizophrenia, has not been examined. Aims We sought to test whether non-severe mood disorders and severe mood and psychotic disorders in parents is associated with increased basic symptoms in their biological offspring. Method We measured basic symptoms using the Schizophrenia Proneness Instrument – Child and Youth Version in 332 youth aged 8–26 years, including 93 offspring of control parents, 92 offspring of a parent with non-severe mood disorders, and 147 offspring of a parent with severe mood and psychotic disorders. We tested the relationships between parent mental illness and offspring basic symptoms in mixed-effects linear regression models. Results Offspring of a parent with severe mood and psychotic disorders (B = 0.69, 95% CI 0.22–1.16, P = 0.004) or illness with psychotic features (B = 0.68, 95% CI 0.09–1.27, P = 0.023) had significantly higher basic symptom scores than control offspring. Offspring of a parent with non-severe mood disorders reported intermediate levels of basic symptoms, that did not significantly differ from control offspring. Conclusions Basic symptoms during childhood are a marker of familial risk of psychopathology that is related to severity and is not specific to psychotic illness. Declaration of interest None.

Self-Other Differentiation among Psychotic and Conduct-Disordered Adolescents as Measured by Human Figure Drawings

1993 ◽  
Vol 76 (2) ◽  
pp. 397-398 ◽  
Author(s):  
Alec L. Miller ◽  
Jeffrey A. Atlas ◽  
William F. Arsenio
Keyword(s):  
Bipolar Disorder ◽  
Psychotic Disorder ◽  
Schizoaffective Disorder ◽  
Conduct Disordered ◽  
Human Figure ◽  
Human Figure Drawings ◽  
Group 2 ◽  
Figure Drawings ◽  
Psychotic Features ◽  
Group 1

24 psychotic-spectrum adolescents were compared with 23 conduct-disordered adolescents on a self-other drawing differentiation task. Of the 24 psychotic-spectrum disordered adolescents, 14 received the diagnosis of Psychotic Disorder NOS (Group 1) and the remaining 10 had diagnoses of Schizophrenia, Bipolar Disorder with Psychotic Features, and Schizoaffective Disorder (Group 2). Interestingly, less impaired adolescents (Groups 1 and 3, the conduct-disordered group) showed significantly more difficulty than the more impaired adolescents (Group 2) on self-other differentiation as measured by their differentiated drawings.

P03-67 - Insight and delusions in psychotic disorders and mood disorders with psychotic features

2010 ◽  
Vol 25 ◽  
pp. 1189
Author(s):  
L. Islam ◽  
B. Demartini ◽  
O. Gambini ◽  
S. Scarone
Keyword(s):  
Mood Disorders ◽  
Psychotic Disorders ◽  
Psychotic Features

Clinical Presentation And Short Term Treatment Response In Catatonia: An Observational Study

2020 ◽  
Vol 16 ◽  
Author(s):  
Kunal Surjan ◽  
Shivali Aggarwal ◽  
Mohit Sharma ◽  
Vishal Dhiman ◽  
Vijender Singh
Keyword(s):  
Treatment Response ◽  
Mood Disorders ◽  
Psychotic Disorder ◽  
Psychotic Disorders ◽  
Rating Scale ◽  
Inadequate Response ◽  
Short Term Treatment ◽  
Convulsive Therapy ◽  
Common Diagnosis ◽  
Higher Doses

Background: Clinical features and treatment response in catatonia is unpredictable and needs to be studied further. Objective: To study clinical presentations of catatonia and its response to various modalities of treatment. Methods: This study recruited 50 patients in the age group of 15 - 65 years, with a diagnosis of catatonia as per DSM 5 criteria, selected by stepwise process of sample selection. Patients with significant medical or surgical illness warranting immediate intervention were excluded. Detailed history and clinical information was obtained following an informed consent from patient’s caregivers and other significant relatives. Rating on severity of symptoms as well as treatment response was done using Bush-Francis Catatonia Rating Scale (BFCRS), on 1st, 3rd, 7th, and 14th day of admission. Modified Electro-Convulsive Therapy (MECT) was administered to patients who had inadequate response to intravenous lorazepam. Results: It was found that 32 (64%) patients had psychotic disorder and 18 (36%) patients had mood disorders as underlying diagnosis in catatonic presentation. Mutism was the most common catatonic sign on rating with BFCRS, found in 50(100%) of the patients. Complete resolution of catatonia was observed in 26(52%) of patients following use of intravenous lorazepam, while 24 (48%) required MECT. Patients with diagnosis of schizophrenia required higher doses of intravenous lorazepam (p=0.001) and showed lesser response to intravenous lorazepam as compared to patients with diagnoses of mood disorders and other psychotic disorders. Conclusion: Most common diagnosis in patients of catatonia was found to be psychotic disorder. Retarded signs of catatonia were found to be the commonest presentation. MECT was required to achieve resolution of catatonic symptoms in around half (48%) of the cases. The patients with diagnoses of schizophrenia required higher doses and also showed lesser response to intravenous lorazepam, hence MECT was required in higher proportion of such cases.

scholarly journals Clinical and demographic profile of catatonic patients who received electroconvulsive therapy in a South African setting

2018 ◽  
Vol 24 ◽  
Author(s):  
Kavendren Odayar ◽  
Ingrid Eloff ◽  
Willem Esterhuysen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mood Disorders ◽  
Psychotic Disorder ◽  
Electroconvulsive Therapy ◽  
Medical Condition ◽  
Demographic Profile ◽  
General Medical Condition ◽  
Common Diagnosis

Background: Catatonia is a psychomotor dysregulation syndrome seen in several illnesses. Uncertainties exist regarding its prevalence and causes. While some research shows a strong association with mood disorders, other data show catatonia to be strongly associated with schizophrenia. Data from low- and middle-income countries are required.Aim: To determine the clinical and demographic profile of patients with catatonia that received electroconvulsive therapy (ECT) between 01 January 2012 and 31 December 2014.Setting: The study was conducted at Elizabeth Donkin Psychiatric Hospital in Port Elizabeth, Eastern Cape. The hospital has mostly patients admitted under the Mental Health Care Act 17 of 2002 as Involuntary Mental Health Care Users.Method: A retrospective chart review was conducted. Using the hospital ECT database, all files of patients who received ECT for catatonia were identified. Demographics, psychiatric and medical diagnoses, signs of catatonia and other data were abstracted from these files.Results: Forty-two patients received ECT for catatonia, of whom 34 (80.95%) were diagnosed with a psychotic illness. Schizophrenia was the most common diagnosis (n = 19; 45.24%), followed by psychotic disorder owing to a general medical condition (n = 8; 19.05). Human immunodeficiency deficiency virus was the cause in 75.00% of the patients whose medical conditions caused catatonia. Seven (16.67%) patients had mood disorders, with bipolar I disorder accounting for 6 (14.29%) of these.Conclusion: Psychotic disorders were more frequent than mood disorders in the sample. Schizophrenia was the most common diagnosis, followed by psychotic disorder owing to a general medical condition.

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