Frequency of psychiatric disorders in blepharospasm does not differ from hemifacial spasm

2010 ◽  
Vol 22 (5) ◽  
pp. 223-227 ◽  
Author(s):  
Fernando Machado Dias ◽  
Flávia Doyle ◽  
Arthur Kummer ◽  
Francisco Cardoso ◽  
Leonardo Franklin Fontenelle ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Hemifacial Spasm ◽  
Rating Scale ◽  
Psychiatric Symptoms ◽  
Anxiety Scale ◽  
Psychiatric Evaluation ◽  
Obsessive Compulsive ◽  
Psychometric Scales ◽  
Hamilton Anxiety Scale ◽  
Liebowitz Social Anxiety Scale

Dias FM, Doyle F, Kummer A, Cardoso F, Fontenelle LF, Teixeira AL. Frequency of psychiatric disorders in blepharospasm does not differ from hemifacial spasm.Objective:To compare the frequency of psychiatric disorders and the severity of psychiatric symptoms between patients with blepharospasm (BS) and hemifacial spasm (HS).Methods:BS is a type of primary focal dystonia characterised by recurrent and involuntary eye blinking. HS is a condition with different pathophysiology but similar clinical phenotype. Twenty-two patients with BS and 29 patients with HS participated in this study. They underwent a comprehensive psychiatric evaluation that included a structured clinical interview for current psychiatric diagnosis according to Diagnostic Statistical Manual, fourth edition (DSM-IV) (MINI-Plus) and psychometric scales, including the Yale-Brown Obsessive-Compulsive Scale (YBOCS), the Beck Depression Inventory (BDI), the Hamilton Rating Scale for Depression (HRSD), the Hamilton Anxiety Scale (HAS) and the Liebowitz Social Anxiety Scale (LSAS).Results:BS and HS groups did not differ in most demographic and clinical parameters, such as gender, age and length of symptoms. The frequency of psychiatric disorders and the severity of psychiatric symptoms were similar in both groups.Conclusion:BS does not seem to have more psychiatric disorders than HS.

The hamilton anxiety scale in patients with graves basedow disease

2011 ◽  
Vol 26 (S2) ◽  
pp. 146-146
Author(s):  
R. Danciulescu Miulescu ◽  
M.E. Calarasu ◽  
R.I. Rosca ◽  
S. Danoiu
Keyword(s):  
Psychiatric Symptoms ◽  
Significant Proportion ◽  
Specific Treatment ◽  
Anxiety Scale ◽  
Graves Disease ◽  
Altered Mental State ◽  
Hamilton Anxiety Scale ◽  
Psychiatric Manifestations ◽  
Severe Anxiety ◽  
Hamilton Anxiety

Background and aimsGraves’ disease is an autoimmune disease characterized by goitre with hyperthyroidism, Graves ophthalmopathy and pretibial myxedema The patients with Graves’ disease frequent develop a psychiatric manifestations such as mood and anxiety disorders and, cognitive dysfunction. The aims of the study is to estimate the prevalence of anxiety in patients with Graves’ disease.Materials and methods66 patients with Graves’ disease (46 women and 20 men) were recruited to this study. The subjects were between 32 and 61 years. The Hamilton Anxiety Scale (HAM-A) is a used interview scale that measures the severity of a patient’s anxiety, based on 14 items, including anxious mood, tension, fears, insomnia, somatic complaints and behaviour at the interview. The HAM-A was completed prior and after the treatment. Results were compared with measurements of HAM-A in 24 subjects without Graves’ disease.ResultsMild anxiety was present in 24 patients with Graves’ disease (36.66%-16 women and 8 men) moderate anxiety in 13 patients (19.69% - 7 women and 6 men) and severe anxiety in 3 patients (4.54%- 2 women and 1 men) prior to treatment of hyperthyroidism. After treatment of hyperthyroidism 12 patients presented mild anxiety, 6 moderate anxiety and 3 severe anxiety. The prevalence of mild anxiety was present in 2 subjects(8.33%-2 women) without Graves’ disease.ConclusionA significant proportion of patients with Graves’ disease shows an altered mental state after treatment of hyperthyroidism. When psychiatric disorders persists after restoration of euthyroidism specific treatment for the psychiatric symptoms may be needed.

scholarly journals Consultative psychiatry examinations of patients: Review of twelve months retrospective follow up

2009 ◽  
Vol 62 (11-12) ◽  
pp. 569-572
Author(s):  
Olivera Skakic ◽  
Ljiljana Trajanovic
Keyword(s):  
Psychiatric Disorders ◽  
Suicide Attempts ◽  
Psychiatric Symptoms ◽  
Medical Documentation ◽  
Psychiatric Evaluation ◽  
Liaison Psychiatry ◽  
Neurology Clinic ◽  
The Given ◽  
Endocrinology Clinic

Introduction. Psychiatric symptoms in hospitalized somatic patients are not rare in practice, and therefore consultative psychiatric examinations are an important part of the treatment of patients in non-psychiatric departments. The term consultative psychiatry refers to psychiatric evaluation, advising and treatment of numerous and various psychiatric disorders in physically ill patients in non-psychiatric departments. The aim of the research was to determine the wards at which psychiatric consultations were the most frequent as well as the prevalence of psychiatric disorders. Material and method. The research included 887 patients hospitalized at the clinics of the Clinical Centre Nis, examined by consultant psychiatrists during the twelve month period. The research instrument was medical documentation (files of psychiatrist-consultants after the completed consultation). Results and conclusion. The greatest number of psychiatric consultations was made at the Endocrinology Clinic, followed by the Neurology Clinic and the Surgery Clinic, and then at the Clinic for Cardiovascular Diseases. Most diagnoses were syndromological-descriptive, which entailed a relatively high percentage of multiple diagnoses. The most frequent diagnostic groups were chronic and acute psycho-organic syndromes, which cause a bad compliance and can lead to difficulties during somatic examination, intervention or pharmacological treatment. Immediately following are mental disorders due to the use of psychoactive substances, situational reactions and suicide attempts. The obtained results have shown that consultative psychiatric examinations were made in urgent conditions (aggressive patients), with few control examinations, which means without the follow up of the given therapy, without the use of psychotherapy and the principles of liaison psychiatry.

scholarly journals Gambaran Tingkat Kecemasan Pasien Dewasa terhadaps Tindakan Pencabutan Gigi di Puskesmas Bahu Kecamatan Malalayang Kota Manado

e-GIGI ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Harfika Boky
Keyword(s):  
Rating Scale ◽  
Demographic Data ◽  
Age Groups ◽  
Anxiety Scale ◽  
Patient Anxiety ◽  
Anxiety Patient ◽  
Hamilton Anxiety Scale ◽  
Hamilton Anxiety Rating Scale ◽  
Teeth Extraction ◽  
Hamilton Anxiety

Kecemasan merupakan suatu keadaan yang normal dari manusia untuk menghadapi situasi tertentu, tetapi juga dapat berubah menjadi gangguan mental jika berlebihan dan tidak sebanding dengan situasi. Dalam bidang kedokteran gigi gejala kecemasan sering ditemukan pada pasien tindakan pencabutan gigi. Hal ini membuat peneliti tertarik untuk mengetahui "Gambaran tingkat kecemasan pasien terhadap tindakan pencabutan gigi di puskesmas Bahu Kecamatan Malalayang Kota Manado".Penelitian ini menggunakan metode penelitian crossectional studi dengan pengambilan data secara total sampling. Data penelitian dikumpulkan dengan mewawancarai responden dimana lembar skoring terdiri atas 2 bagian. Bagian pertama digunakan untuk mengidentifikasi data demografi.Bagian kedua digunakan untuk pengukuran tingkat kecemasan menggunakan skala HAM-A (Hamilton Anxiety Scale).Hasil penelitian menunjukan tingkat kecemasan pasien pencabutan gigi di puskesmas Bahu Kecamatan Malalayang Kota Manado berdasarkan penilaian Hamilton Anxiety Rating Scale yaitu sebanyak 27 orang (43,6%) dari total 62 subjek dinyatakan menderita kecemasan baik ringan maupun sedang. Pasien dengan jenis kelamin perempuan lebih banyak yang cemas dibandingkan dengan pasien dengan jenis kelamin laki-laki. Pasien usia 18-40 tahun lebih merasakan cemas dibandingkan kelompok usia yang lebih tua. Diharapkan operator lebih memperhatikan kecemasan pasien dan mengetahui bagaimana penangannya.Kata kunci : kecemasan, tindakan pencabutan gigiABSTRACTAnxiety is a normal condition of the human beeing to deal with certain situation, but it also can turn into mentally disorder, if excessive and not comparable. In dental, symptoms anxiety often found in teeth extraction patient. Anxiety experienced should have seriously attention because influence the performance of dentist. So researcher interested to know about "Description of the patient's level anxiety to teeth extraction at Puskesmas Bahu Kecamatan Malalayang Kota Manado".The reaserch use s a type of descriptive research, data is collected by interviewing the respondent where there are two sheets. The first sheet is used to identify the demographic data., the second part is used for the measurement of the level of anxiety HAM-A (Hamilton Anxiety Scale)Result show the leve of anxiety teeth extraction in Puskesmas Bahu Kecamatan Malalayang kota Manado based on assesment Hamilton anxiety rating scale is 27 patients (43,6%) from 62 total subject expressed suffer or moderate anxiety. Patient with gender women more anxious than men. Patient with ages 18-40 years are more anxious than older age groups. Sugest to spend more attention to anxiety patient and knowing the handling.Key word : Anxiety, teeth extraction

scholarly journals postpartum Psychiatric disorders –A neglected Issue

Esculapio ◽  
2020 ◽  
Vol 16 (03, july 2020-Septmber 2020) ◽  
Author(s):  
Ameelia Sadaqat ◽  
Rabia Afzal ◽  
Nauman Mazhar ◽  
Naila Mairaj ◽  
Sadaf Malik ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Major Depression ◽  
Psychiatric Disorders ◽  
Postpartum Period ◽  
Rating Scale ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Psychiatric Evaluation ◽  
Care Hospital ◽  
Puerperal Psychosis

Postpartum period along with pregnancy are considered to be emotionally susceptible periods. The association between emotional or psychiatric disorders and postpartum period has been documented since Hippocratic times. Hormonal changes have been implicated, along with multiple factors in the development of depression associated with postpartum period. Moreover, maternal depression can have devastating effects on neonate as well. This study explores an important area to assess the magnitude of problem in our setup, so that appropriate evaluation of mental health status and up-to-date management can be planned. Objective: To find out psychiatric morbidity among females presenting during postpartum period at a tertiary care hospital in Lahore. Methods: A cross-sectional study was done in Department of Obstetrics and Gynaecology of Central Park Teaching Hospital, Lahore. One Hundred women presenting in peripartum period were included in the study, using purposive sampling technique. After an informed consent participant's bio data was recorded. A structured proforma was used for psychiatric evaluation of the cases, which contained social and demographic details along with questions from Edinburgh postnatal depression scale. Psychiatric diagnosis was made according to DSM-5. Severity of illness was assessed using Hamilton rating scale for depression and Hamilton anxiety rating scale. Results: Postpartum follow up of 100 females revealed that 18% developed psychiatric morbidity. 13 had major depressive disorder and 5 females had anxiety disorder. There was no case of puerperal psychosis in any of the females postpartum in this study. Psychiatric morbidity and age group between 18-25 years (20.6%) showed significant correlation. Similarly, higher incidence of psychiatric morbidity was observed in women living in nuclear household (24.1%). Conclusion: Psychiatric morbidities are common among females during postpartum period. Major depression is the commonest one. Therefore assessment for depression should be included in routine obstetric follow-ups. Key Words: psychiatric morbidity, major depression, anxiety disorder, puerperal psychosis, postpartum females.

The Psychiatric Examination of the Neurologic Patient

2008 ◽  
Author(s):  
Constantine G. Lyketsos
Keyword(s):  
Differential Diagnosis ◽  
Psychiatric Disorders ◽  
Psychiatric Symptoms ◽  
Chief Complaint ◽  
Psychiatric Evaluation ◽  
Cognitive State ◽  
Psychiatric History ◽  
Neurologic Disease ◽  
History Of ◽  
Cognitive Problems

A well-conducted psychiatric evaluation is central to the care of neurologic patients with psychiatric disorders. The evaluation is aimed at defining the psychiatric condition in the context of the patient’s past psychiatric history and current neurologic disease. The information derived from the evaluation is used to develop a formulation, establish a diagnosis, and form a basis for treatment planning. This chapter discusses the psychiatric evaluation of the neurologic patient in detail. It includes examination techniques and questions as well as practical approaches to conducting an assessment of the patient’s cognitive state. Along the way, common psychiatric symptoms encountered in neurologic patients are defined and differentiated from related symptoms. The chapter concludes by illustrating how to generate a formulation and differential diagnosis. The psychiatric evaluation consists of three parts: the history; the mental status examination (MSE); and the formulation, including the differential diagnosis. The history, which is essential to defining the problem, is taken from the patient and from one or more informants. The importance of taking a history from an informant is underscored in the context of neurologic disease because patients may be forgetful, lack insight, or have language and other cognitive problems that may limit their ability to provide a good history. History-taking begins with defining the psychiatric chief complaint and then obtaining the family and personal history. Starting in this way, rather than with the chief complaint followed by the history of present illness (HPI), makes it easier to see that the psychiatric symptoms may have been caused by, or influenced by, factors other than the neurologic disease—factors that can include psychiatric disorders as such, aspects of patients’ personalities, and responses patients have to the circumstances of their lives. Table 1–1 provides an outline of important elements of the psychiatric history for neurologic patients and can be used as a checklist in clinical practice. Defining the psychiatric chief complaint is the physician’s first task. ‘‘Psychiatric chief complaint’’ in this context refers to the occurrence of cognitive, affective, behavioral, or perceptual phenomena that are brought to the physician’s attention by the patient, a family member or other informant, or by the physician’s own observation.

scholarly journals Depression and anxiety among hyperthyroid female patients and impact of treatment

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Sheikh Shoib ◽  
Javid Ahmad ◽  
Manzoor Ahmed Wani ◽  
Irfan Ullah ◽  
Shah Faisal Ahmad Tarfarosh ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
Rating Scale ◽  
Psychiatric Symptoms ◽  
Health Assessment ◽  
Panic Attacks ◽  
Mental Health Assessment ◽  
Significant Difference ◽  
Hamilton Anxiety Rating Scale ◽  
Study Participants

Abstract Background The aim of the present study was to compare the presence of psychiatric disorders in people with hyperthyroidism and euthyroid patients attending the Endocrinology Outpatient Department at the Shri Maharaja Hari Singh Hospital in Kashmir, India. Seventy-five patients with hyperthyroidism and an equal number of euthyroid patients participated in the study. Participants were selected using stratified random sampling. All patients were female. There was no significant difference between the two groups in terms of demographic features. Hormonal screening was performed by immunoassay and haemagglutination method. For the mental health assessment, the Mini-International Neuropsychiatric Interview (MINI), Hamilton Depression Rating Scale [HAM-D], and Hamilton Anxiety Rating Scale [HAM-A] were used. Results There was a higher prevalence of psychiatric disorders among the hyperthyroidism group (60% versus 34.7%). In particular, there was a higher prevalence of major depressive disorder, suicidality, generalised anxiety disorder, panic attacks, and agoraphobia. In some cases, the prevalence of a psychiatric disorder diminished after endocrinological treatment. Conclusions Screening patients with hyperthyroid disorders for psychiatric symptoms and disorders, and providing timely care when necessary, can go a long way in improving the quality of life of this population. It is imperative to establish routine screening and timely care of mental health symptoms and disorders in patients with hyperthyroidism.

Medical Cannabis and Psychiatric Disorders: Implications for Psychiatric Nurses

2020 ◽  
pp. 107839032094579
Author(s):  
Carla J. Groh
Keyword(s):  
Psychiatric Disorders ◽  
Psychiatric Symptoms ◽  
Medical Condition ◽  
Psychiatric Nurses ◽  
Cochrane Library ◽  
National Council ◽  
Medical Cannabis ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Conducting Research

Objective: Cannabis use for medical condition has significantly increased over the past 20 years with 33 states and the District of Columbia passing laws legalizing medical cannabis. Five qualifying psychiatric disorders have been identified. The objective of this review article is to present a brief history of medical cannabis, the evidence for the qualifying psychiatric conditions, and to discuss the implications for psychiatric nurses. Method: A review of the literature on the five qualifying psychiatric disorders was conducted. Databases searched included CINAHL, PubMed, Cochrane Library, MedLine Plus, and EMBASE. Keywords were cannabis, medical cannabis, delta-9-tetrahydrocannabinaol, cannabidiol, and psychiatric disorders. Results: The evidence that medical cannabis or cannabinoids is an effective treatment for the qualifying psychiatric disorders (e.g., posttraumatic stress disorder, agitation in Alzheimer’s disease and other dementias, Tourette’s syndrome, anxiety, and obsessive-compulsive disorder) is too weak and of low quality to recommend as an intervention at this time. A discussion of the implications of these findings for psychiatric nurses is offered based on the published guidelines by the American Nurses Association and National Council of State Boards of Nursing. Conclusion: There is a significant gap between evidence supporting the effectiveness of medical cannabis for psychiatric disorders and patient interest and use of cannabis for such conditions as well as other psychiatric symptoms. There are tremendous opportunities for psychiatric nurses to make an impact both clinically and be conducting research in this emerging field. We need to educate ourselves and our patients about the benefits and risks of medical cannabis and to help patients make informed decisions about their health care.

scholarly journals Psychopathology in patients with psoriasis: a cross-sectional clinical study

2019 ◽  
Vol 8 (1) ◽  
pp. 307
Author(s):  
Kumari Padma ◽  
Sagar Subhash Nanaware ◽  
Aruna Yadihal ◽  
P. John Mathai
Keyword(s):  
Psychiatric Disorders ◽  
Rating Scale ◽  
Psychiatric Symptoms ◽  
Psychiatric Morbidity ◽  
Self Esteem ◽  
Liaison Psychiatry ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Consultation Liaison Psychiatry

Background: Psoriasis is associated with a variety of psychological problems including poor self-esteem, sexual dysfunction, anxiety and depressive disorder and suicidal ideation. There are reports that patients with psoriasis may have significant psychiatric morbidity. The objective of the study is to evaluate the frequency of psychiatric disorders, frequency and nature of psychiatric symptoms in patients with psoriasis.Methods: 100 patients with psoriasis were evaluated and included for the study. Comprehensive Psychopathological Rating Scale (CPRS) is used for assessment of psychiatric symptoms and MINI Plus for assessing psychiatric disorders. Chi-square test was used to compare the proportions.Results: Patients with psoriasis had high frequency of psychiatric morbidity and was found to be 42%.Conclusions: Patients with psoriasis have more psychopathology and higher psychiatric morbidity which may further imply justifiable consultation liaison psychiatry in other speciality fields like Dermatology.

scholarly journals Is EEG a Useful Examination Tool for Diagnosis of Epilepsy and Comorbid Psychiatric Disorders?

2020 ◽  
Author(s):  
Hideki Azuma
Keyword(s):  
Psychiatric Disorders ◽  
Rating Scale ◽  
Psychiatric Symptoms ◽  
Case Series ◽  
Eeg Analysis ◽  
Comorbid Psychiatric Disorders ◽  
Language Studies ◽  
Interictal Eeg ◽  
Patients With Epilepsy ◽  
Nonlinear Eeg Analysis

Diagnosis of epilepsy usually involves interviewing the patients and the individuals who witnessed the seizure. An electroencephalogram (EEG) adds useful information for the diagnosis of epilepsy when epileptic abnormalities emerge. EEG exhibits nonlinearity and weak stationarity. Thus, nonlinear EEG analysis may be useful for clinical application. We examined only about English language studies of nonlinear EEG analysis that compared normal EEG and interictal EEG and reported the accuracy. We identified 60 studies from the public data of Andrzejak 2001 and two studies that did not use the data of Andrzejak 2001. Comorbid psychiatric disorders in patients with epilepsy were not reported in nonlinear EEG analysis except for one case series of comorbid psychotic disorders. Using a variety of feature extraction methods and classifier methods, we concluded that the studies that used the data of Andrzejak 2001 played a valuable role in EEG diagnosis of epilepsy. In the future, according to the evolution of artificial intelligence, deep learning, new nonlinear analysis methods, and the EEG association with the rating scale of the quality of life and psychiatric symptoms, we anticipate that EEG diagnosis of epilepsy, seizures, and comorbid psychiatric disorders in patients with epilepsy will be possible.

scholarly journals Psychiatric symptoms are present in most of the patients with idiopathic normal pressure hydrocephalus

2014 ◽  
Vol 72 (6) ◽  
pp. 435-438 ◽  
Author(s):  
Matheus F. Oliveira ◽  
João R. M. Oliveira ◽  
José M. Rotta ◽  
Fernando C. G. Pinto
Keyword(s):  
Psychiatric Disorders ◽  
Normal Pressure Hydrocephalus ◽  
Psychiatric Symptoms ◽  
Fluid Pressure ◽  
Normal Pressure ◽  
Tertiary Hospital ◽  
Idiopathic Normal Pressure Hydrocephalus ◽  
Psychiatric Evaluation ◽  
Compulsive Disorder ◽  
Anxiety Depression

Normal pressure hydrocephalus (NPH) is characterized by gait disturbance, dementia and/or urinary incontinence associated with dilation of ventricular system with normal opening cerebrospinal fluid pressure. Wide scientifical evidence confirms association between NPH and psychiatric symptoms. We selected 35 patients with idiopathic normal pressure hydrocephalus from January 2010 to January 2012 in a Brazilian tertiary hospital and performed a formal psychiatric evaluation to identify psychiatric disorders. Psychiatric disorders were present in 71% of these patients, especially anxiety, depression and psychotic syndromes. NPH patients may develop symptoms with frontal dominance, such as personality changes, anxiety, depression, psychotic syndromes, obsessive compulsive disorder, Othello syndrome; shoplifting and mania. Unusual appearances of NPH symptoms may hinder early diagnosis and consequently proper treatment.

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