Psychiatric outcome at least 20 years after trauma

Objective: To describe the sociodemographic and clinical profile of patients who underwent electroconvulsive therapy (ECT) at a university general hospital. Method: In this retrospective study, records from all patients undergoing ECT between January 1988 and January 2008 at the psychiatric unit of the general hospital of Universidade Estadual de Campinas (UNICAMP) were reviewed. Telephone contact was made with patients/relatives to collect follow-up data. Results: A total of 200 charts were reviewed. The majority of patients were women, with a mean age of 39 years, and history of psychiatric hospitalization. The main indications for ECT were depression and catatonia. Complications were observed in less than half of the cases, and most were temporary and not severe. There was a good psychiatric outcome for 89.7% of the patients, especially for catatonic patients (100%, p = 0.02). Thirty-four percent of the cases were later contacted by telephone calls, at a mean of 8.5 years between the procedure and the contact. Among these, three (1.5%) reported persistent memory disorders and 73% considered ECT a good treatment. Conclusion: ECT has been performed according to international guidelines. In the vast majority of cases, undesirable effects were temporary and not severe. Response to ECT was positive in most cases, particularly in catatonic patients.

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Adult psychiatric outcome of ADHD-children. A 15–30 year follow-up study of 208 children treated with stimulants

European Neuropsychopharmacology ◽

10.1016/s0924-977x(01)80560-5 ◽

2001 ◽

Vol 11 ◽

pp. S366

Author(s):

S. Dalsgaard ◽

P.B. Mortensen ◽

P.H. Thomsen

Keyword(s):

Follow Up Study ◽

Adhd Children ◽

Psychiatric Outcome

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II. Demographic Psychiatric and Physical Factors in Relation to Psychiatric Outcome

The British Journal of Psychiatry ◽

10.1192/bjp.140.4.343 ◽

1982 ◽

Vol 140 (4) ◽

pp. 343-350 ◽

Cited By ~ 43

Author(s):

Dennis Gath ◽

Peter Cooper ◽

Ann Day ◽

Alison Bond ◽

Gillian Edmonds

Keyword(s):

Mental State ◽

Demographic Variables ◽

Physical Factors ◽

Psychiatric History ◽

Bilateral Oophorectomy ◽

Psychiatric Outcome

SummaryOne hundred and fifty-six patients with monorrhagia of benign origin were interviewed before hysterectomy, and again six months (n = 147) and 18 months (n = 148) after the operation. Psychiatric outcome, measured in terms of PSE cases detected at 18 months, was strongly associated with pre-operative mental state, neuroticism, previous psychiatric history, and family psychiatric history. No association was found with organic pathology in the uterus, bilateral oophorectomy or demographic variables.

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Psychiatry of whiplash neck injury

The British Journal of Psychiatry ◽

10.1192/bjp.180.5.441 ◽

2002 ◽

Vol 180 (5) ◽

pp. 441-448 ◽

Cited By ~ 78

Author(s):

Richard Mayou ◽

Bridget Bryant

Keyword(s):

Emergency Department ◽

Severe Pain ◽

Road Accident ◽

Neck Injury ◽

Self Report ◽

Psychosocial Variables ◽

Psychological Variables ◽

Bony Injury ◽

Accident Injury ◽

Psychiatric Outcome

BackgroundThe psychiatric outcome of whiplash neck injury is controversial.AimsTo describe outcomes and predictors as compared with other types of road accident injury.MethodConsecutive emergency department attenders (n=1148; whiplash 278) assessed by self-report at baseline, 3 months, 1 year and 3 years.ResultsModerate to severe pain was reported by 27% of whiplash sufferers at I year and by 30% at 3 years. Psychiatric consequences were common and persistent. Whiplash victims and those with bony injury were more likely to seek compensation. Accident and early post-accident psychosocial variables predicted the pain at 1 year. Claiming compensation at 3 months predicted the pain at 1 year for those with whiplash or bony injury.ConclusionsThere is no special psychiatry of whiplash neck injury. Psychological variables and consequences are important following whiplash in a similar manner to other types of injury.

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Psychosocial Outcome after Coronary Artery By-pass Surgery

The British Journal of Psychiatry ◽

10.1192/bjp.145.5.526 ◽

1984 ◽

Vol 145 (5) ◽

pp. 526-532 ◽

Cited By ~ 25

Author(s):

Christopher Bass

Keyword(s):

Coronary Artery ◽

Employment Status ◽

Obstructive Coronary Artery Disease ◽

Psychiatric Morbidity ◽

Psychosocial Outcome ◽

Social Maladjustment ◽

Physical Variables ◽

Artery Disease ◽

Psychiatric Outcome

SummaryThirty-six patients with obstructive coronary artery disease were interviewed before by-pass graft surgery, and again a mean period of 12.3 months (n = 34) after the operation. The operation was successful in providing relief from chest pain in 31 patients. Psychiatric outcome was related to preoperative mental state, social maladjustment, neuroticism, Bortner Type A score, and previous psychiatric history. One quarter of those employed preoperatively failed to return to work after operation, even though they were improved in terms of symptoms and functional capacity. No association was found between measures of either psychiatric morbidity, or employment status at follow-up, and pre-operative physical variables.

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