scholarly journals Biopsychosocial Aspects of Atypical Odontalgia

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
A. Ciaramella ◽  
M. Paroli ◽  
L. Lonia ◽  
M. Bosco ◽  
P. Poli
Keyword(s):  
Pain Perception ◽  
Temporomandibular Disorder ◽  
Control Group ◽  
Self Assessment ◽  
Perception Threshold ◽  
Axis Ii ◽  
Clinical Interviews ◽  
Atypical Odontalgia ◽  
C Fibers ◽  
Axis I

Background. A few studies have found somatosensory abnormalities in atypical odontalgia (AO) patients. The aim of the study is to explore the presence of specific abnormalities in facial pain patients that can be considered as psychophysical factors predisposing to AO. Materials and Methods. The AO subjects () have been compared to pain-free (), trigeminal neuralgia (), migraine (), and temporomandibular disorder (). The neurometer current perception threshold (CPT) was used to investigate somatosensory perception. Structured clinical interviews based on the DSM-IV axis I and DSM III-R axis II criteria for psychiatric disorders and self-assessment questionnaires were used to evaluate psychopathology and aggressive behavior among subjects. Results. Subjects with AO showed a lower Aβ, Aδ, and C trigeminal fiber pain perception threshold when compared to a pain-free control group. Resentment was determined to be inversely related to Aβ (rho: 0.62, ), Aδ (rho: 0.53, ) and C fibers (rho: 0.54, ), and depression was inversely related with C fiber (rho: 0.52, ) perception threshold only in AO subjects. Conclusion. High levels of depression and resentment can be considered predictive psychophysical factors for the development of AO after dental extraction.

scholarly journals DSM-IV Axis II personality disorders and suicide and attempted suicide in China

2016 ◽  
Vol 209 (4) ◽  
pp. 319-326 ◽  
Author(s):  
Yongsheng Tong ◽  
Michael R. Phillips ◽  
Kenneth R. Conner
Keyword(s):  
Personality Disorders ◽  
Suicidal Behaviour ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Control Group ◽  
Axis Ii ◽  
Clinical Interviews ◽  
Increased Risk ◽  
Axis I ◽  
Dsm Iv

BackgroundThere are meagre data on Axis II personality disorders and suicidal behaviour in China.AimsTo describe the prevalence of Axis II personality disorders in suicides and suicide attempts in China and to estimate risk for these outcomes associated with personality disorders.MethodPeople who died by suicide (n = 151), people who attempted suicide (n = 118) and living community controls (n = 140) were randomly sampled from four Chinese counties and studied using the Structured Clinical Interviews for DSM-IV-TR Axis I Disorders (SCID-I) and Axis II Personality Disorders (SCID-II). We also determined the prevalence of subthreshold versions of ten DSM-IV personality disorders.ResultsAxis II personality disorders were present in 7% of the suicide group, 6% of the suicide attempt group and 1% of the control group. Threshold and subthreshold personality disorders had adjusted odds ratios (point estimates) in the range of 2.7–8.0 for suicide and for suicide attempts.ConclusionsAxis II personality disorders may confer increased risk for suicidal behaviour in China, but their low prevalence in the community and among people with suicidal behaviour suggests that other personality constructs such as select dimensional traits may be a more fruitful avenue for understanding and preventing suicide in China.

Co-morbidity and disorder-related distress and impairment in purging disorder

2007 ◽  
Vol 38 (10) ◽  
pp. 1435-1442 ◽  
Author(s):  
P. K. Keel ◽  
B. E. Wolfe ◽  
J. A. Gravener ◽  
D. C. Jimerson
Keyword(s):  
Eating Disorder ◽  
Normal Weight ◽  
Self Report ◽  
Axis Ii ◽  
Clinical Interviews ◽  
Diagnostic And Statistical Manual ◽  
Purging Disorder ◽  
Co Morbidity ◽  
Axis I ◽  
Clinically Significant

BackgroundRecent studies suggest that purging disorder (PD) may be a common eating disorder that is associated with clinically significant levels of distress and high levels of psychiatric co-morbidity. However, no study has established evidence of disorder-related impairment or whether distress is specifically related to PD rather than to co-morbid disorders.MethodThree groups of normal-weight women [non-eating disorder controls (n=38), with PD (n=24), and with bulimia nervosa (BN)-purging subtype (n=57)] completed structured clinical interviews and self-report assessments.ResultsBoth PD and BN were associated with significant co-morbidity and elevations on indicators of distress and impairment compared to controls. Compared to BN, PD was associated with lower rates of current and lifetime mood disorders but higher rates of current anxiety disorders. Elevated distress and impairment were maintained in PD and BN after controlling for Axis I and Axis II disorders.ConclusionsPD is associated with elevated distress and impairment and should be considered for inclusion as a provisional disorder in nosological schemes such as the Diagnostic and Statistical Manual to facilitate much-needed research on this clinically significant syndrome.

scholarly journals Impact of the Cognitive Status on the Memory Complaints in MS Patients

2011 ◽  
Vol 38 (5) ◽  
pp. 728-733 ◽  
Author(s):  
M. Demers ◽  
I. Rouleau ◽  
P. Scherze ◽  
J. Ouellet ◽  
C. Jobin ◽  
...  
Keyword(s):  
Cognitive Deficits ◽  
Verbal Learning ◽  
Cognitive Status ◽  
Control Group ◽  
Self Assessment ◽  
Clinical Interviews ◽  
Memory Problems ◽  
Auditory Verbal Learning ◽  
Severe Group ◽  
Learning Test

ABSTRACT:Objective:Despite the evidence of cognitive deficits in Multiple Sclerosis (MS) patients, evaluation of their cognitive integrity is often limited to the use of clinical interviews and questionnaires. However, the consensus in the literature is that these patients under- or overestimate their deficits and repercussions. The objective of this study was to clarify why some patients overestimate while others underestimate their memory deficits.Method:Fifty-four participants (30 MS, 24 controls) completed the Prospective and Retrospective Memory Questionnaire (PRMQ) and were tested on a battery of neuropsychological tests. Based on the test results, MS patients were categorized as having either mild or moderate/severe cognitive deficits.Results:The moderate/severe MS group differed from the two other groups on the Rey Auditory Verbal Learning Test (RAVLT) but did not differ from the control group on the PRMQ. Conversely, the mild MS group did not differ from the control group on the RAVLT but did report significantly more problems than this group on the PRMQ. There was no difference between the two clinical groups on the Depression Index (Beck) but there was a significant correlation (r=.409) between the depression scores and the overestimation of prospective memory problems (PRMQ).Conclusion:The results explain the contradiction in the literature. It is the mild group who overestimates, maybe because they are overly concerned by their deficits, whereas the cognitive impairments of the moderate/severe group lead them to underestimate and may make their self-assessment unreliable. Formal testing or information from a significant other would be advisable.

scholarly journals Effect of Vibratory Therapy in Decreasing the Vaccination-induced Pain in Infants: Randomized Controlled Study

2021 ◽  
pp. 9-18
Author(s):  
Amar Taksande ◽  
Shruti Chaudhary ◽  
Abhilasha Singh Panwar ◽  
Aditi Jhamb ◽  
Rupesh Rao ◽  
...  
Keyword(s):  
Pain Perception ◽  
Pain Scale ◽  
The Body ◽  
Controlled Study ◽  
Control Group ◽  
Randomized Controlled ◽  
Vibration Therapy ◽  
C Fibers ◽  
Gate Control Theory ◽  
Nutritive Sucking

Background: Different non-medical therapies such as Non-nutritive sucking (NNS), oral sucrose with or without NNS (non-nutritive sucking), wrapping with thin blanket or cloth, kangaroo mother care (KMC), songs as well as multi-sensory stimulation are beneficial in pain reduction among neonates and infants.  According to the gate control theory, vibrations applied sat a site on the body block the nociceptive signals via the A???? and C fibers reducing the pain perception. When used along with many other nonpharmacological methods, This technique has been shown to minimize discomfort in pain-inducing treatments such as Intravenous cannulation, vaccines, heel prick, etc. The primary purpose of this study is to analyze vibrational therapy effects on infants  pain perception, thereby, providing evidence for a better pain management strategy in vaccination centers. Objective: To determine the efficacy of vibration therapy on pain perception by infants during vaccine administration. Material and Methods:  Out of total 90 eligible healthy infants who come for routinely immunization will be given either vibrational therapy (interventional group) or breastfeeding(control therapy) after doing randomization in this randomized controlled trial. The baseline vitals include cardiac rate (HR), respiratory rate (RR), and oxygen (SpO2) will be recorded before, during, and after vaccination during this treatment. Similarly, we will report Visual analog scales (VAS), Neonatal Infant Pain Scale (NIPS), and Wong-Baker FACES Pain Rating Scale, Modified Behavioral Pain Scale (MBPS)  after giving the vaccine to the infant. Results: After completion of the study we will come to know the effect of vibratory therapy on pain control. The pain intensity with the help of the NIPS score will get less in the vibratory group than in the control group. The level of distress by using the Color Analogue Scale, MBPS scale, and FLACC scale, during the vaccine-related procedure will get a lower score in the infants  who has taken vibratory therapy than the control group. Conclusion: study will probably give us information about vibration therapy, which will be an effective method for managing the pain after vaccination in infants.

scholarly journals Research on Social Anxiety in Patients with Essential Tremor and Parkinson’s Disease in a Sample of the Latvian Population / Sociālās Trauksmes Izpēte Pacientiem ar Esenciālu Tremoru un Parkinsona Slimību Latvijas Populācijā

2015 ◽  
Vol 69 (5) ◽  
pp. 250-258
Author(s):  
Ligita Smeltere ◽  
Vladimirs Kuzņecovs ◽  
Roberts Smelters
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Social Anxiety ◽  
Essential Tremor ◽  
Control Group ◽  
Motor Symptoms ◽  
Self Assessment ◽  
Clinical Interviews ◽  
Dsm 5 ◽  
Icd 10

Abstract Essential tremor is considered to be one of the most common movement disorders in the world, but its non-motor symptoms have been studied relatively little in clinical practice. The objective of this study was to identify the symptoms of social anxiety and their association with motor symptoms in 40 patients with essential tremor (ET), in comparison with 35 patients with Parkinson’s disease (PD) and 39 patients of the control group from the Latvian population. This was conducted by neurological investigation, five patient self-assessment questionnaires (DASS, BDI, SIAS, SPS, STAI), and clinical interviews. The findings are as follows: using SIAS (Social Interaction Anxiety Scale), in ET patients there was no significant correlation between the severity of tremor and anxiety during social contacts (p > 0.05), but there was a moderate positive significant correlation with the social phobia scale (SPS) score (rs=0.35; p < 0.05). In the ET group, social anxiety (phobia) disorder was found in 50% of the patients according to ICD-10, but in 35% according to DSM-5. In the PD group, the diagnostic criteria of social anxiety disorder were met by 42.86% according to ICD-10 and 25.71% according to DSM-5. In the control group mild social anxiety was found and the criteria met by 20.51% according to ICD-10 and 7.69% according to DSM-5.

scholarly journals Cognitive Conflicts in Functional Gastrointestinal Disorders

2021 ◽  
Vol 32 (120) ◽  
pp. 55-69
Author(s):  
Ruth Benasayag ◽  
Fermín Mearin ◽  
Mari Aguilera ◽  
Guillem Feixas
Keyword(s):  
Irritable Bowel Syndrome ◽  
Functional Dyspepsia ◽  
Clinical Sample ◽  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Disorders ◽  
Control Group ◽  
Axis Ii ◽  
Axis I ◽  
Dsm Iv ◽  
Irritable Bowel

The importance of psychological factors in functional gastrointestinal disorders (FGID) is well-stablished in the literature; however, cognitive factors have hardly been researched and, in particular, cognitive conflicts have not been explored for these disorders. The aim of this study is to compare the cognitive and symptomatic characteristics of a group of 66 FGID patients (33 diagnosed with irritable bowel syndrome and 33 with functional dyspepsia) with a control group of participants without FGID or psychopathological symptoms. Both groups were matched by sex and age. The evaluation of the clinical sample was carried out following the criteria of the DSM-IV-TR. The SCL 90-R, and also the Repertory Grid for the identification of cognitive conflicts (implicative dilemmas) and self-ideal discrepancy, were administered to both the clinical sample and the control group. Results showed that 85% of FGID patients met the criteria for one axis I disorder of the DSM-IV-TR, mainly anxiety and somatization disorders. Regarding axis II, 23% presented at least one personality disorder, the most common ones being those of avoidance and dependence. Regarding axis IV, the patients reported a higher number of problems relative to the primary support group. FGID patients showed greater symptoms compared to the control group on various SCL 90-R scales. On the other hand, FGID patients presented more implicative dilemmas than healthy controls, as well as lower self-esteem. No significant differences were observed depending on the type of FGID (irritable bowel syndrome or functional dyspepsia).

Interviewing and Case Formulation

2010 ◽  
pp. 223-254
Author(s):  
Naomi Koerner ◽  
Heather K. Hood ◽  
Martin M. Antony
Keyword(s):  
General Structure ◽  
Clinical Interview ◽  
Case Formulation ◽  
Core Component ◽  
Axis Ii ◽  
Clinical Interviews ◽  
Clinical Interviewing ◽  
Axis I ◽  
The Impact

The main objective of this chapter is to provide an overview of clinical interviewing. Although clinical interviewing is often referred to as an art (Shea, 2007), the information in this chapter highlights the science of clinical interviewing as well. The chapter opens with a discussion of the general structure and content of clinical interviews that are typically conducted in mental health contexts. The reader is introduced to a variety of interviews that are used in the assessment of Axis I and Axis II conditions, including their psychometric properties; guidelines for the assessment of suicidality are also presented. This is followed by an overview of interviewing skills. Specifically discussed are ways in which information processing limitations, verbal and nonverbal cues, and style of questions can influence the clinical interview. We then turn to a discussion of case formulation, a core component of the clinical interview. Empirical research on the impact of training on quality of case conceptualization and on the association between case formulation and treatment outcome is summarized. The chapter closes with a brief overview of issues that may arise when interviewing certain populations, in particular, couples, individuals from diverse populations, and young individuals.

Interviewing and Case Formulation

2014 ◽  
pp. 225-255
Author(s):  
Naomi Koerner ◽  
Heather K. Hood ◽  
Martin M. Antony
Keyword(s):  
General Structure ◽  
Clinical Interview ◽  
Case Formulation ◽  
Core Component ◽  
Axis Ii ◽  
Clinical Interviews ◽  
Clinical Interviewing ◽  
Axis I ◽  
The Impact

The main objective of this chapter is to provide an overview of clinical interviewing. Although clinical interviewing is often referred to as an art (Shea, 2007), the information in this chapter highlights the science of clinical interviewing as well. The chapter opens with a discussion of the general structure and content of clinical interviews that are typically conducted in mental health contexts. The reader is introduced to a variety of interviews that are used in the assessment of Axis I and Axis II conditions, including their psychometric properties; guidelines for the assessment of suicidality are also presented. This is followed by an overview of interviewing skills. Specifically discussed are ways in which information processing limitations, verbal and nonverbal cues, and style of questions can influence the clinical interview. We then turn to a discussion of case formulation, a core component of the clinical interview. Empirical research on the impact of training on quality of case conceptualization and on the association between case formulation and treatment outcome is summarized. The chapter closes with a brief overview of issues that may arise when interviewing certain populations, in particular, couples, individuals from diverse populations, and young individuals.

Psychiatric comorbidity of bulimia nervosa inpatients: relationship to clinical variables and treatment outcome

1993 ◽  
Vol 8 (1) ◽  
pp. 15-23 ◽  
Author(s):  
S Bossert-Zaudig ◽  
M Zaudig ◽  
M Junker ◽  
M Wiegand ◽  
J-C Krieg
Keyword(s):  
Bulimia Nervosa ◽  
Psychiatric Comorbidity ◽  
Negative Impact ◽  
Therapy Outcome ◽  
Axis Ii ◽  
Clinical Interviews ◽  
Axis I Disorders ◽  
Axis I ◽  
Prognostic Implications ◽  
Selection Of

SummaryExperimental evidence suggesting that psychiatric comorbidity has important clinical and prognostic implications in bulimia nervosa has mostly been based on outpatient studies investigating a selection of co-existing psychopathological features with rather unstructured and not standardized diagnostic instruments. Using structured instruments (SCID-P, MDCL) for the diagnoses of DSM III-R axis I disorders and clinical interviews for the diagnosis of DSM III-R axis II disorders in 24 hospitalized bulimics, the present study demonstrated that more than half of the patients had two or three axis I disorders in addition to bulimia nervosa and almost half of the patients met criteria of at least one personality disorder. Subgroups of patients classified according to the type of psychiatric comorbidity did not differ significantly with respect to clinical features; regarding measures of hospital behavior therapy outcome. However, the findings provided evidence for a negative impact of anxiety disorder in addition to bulimia nervosa on the improvement of bulimic behavior and possibly also on self-rated depression.

Suicidal Behavior in Patients with Adjustment Disorders

Crisis ◽  
2001 ◽  
Vol 22 (3) ◽  
pp. 125-131 ◽  
Author(s):  
Ludmila Kryzhanovskaya ◽  
Randolph Canterbury
Keyword(s):  
Personality Disorder ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Adjustment Disorder ◽  
Adjustment Disorders ◽  
Involuntary Hospitalization ◽  
Axis Ii ◽  
The Past ◽  
Substance Abuse Disorders ◽  
Axis I

Summary: This retrospective study characterizes the suicidal behavior in 119 patients with Axis I adjustment disorders as assessed by psychiatrists at the University of Virginia Hospital. Results indicated that 72 patients (60.5%) had documented suicide attempts in the past, 96% had been suicidal during their admission to the hospital, and 50% had attempted suicide before their hospitalization. The most commonly used method of suicide attempts was overdosing. Of the sample group with suicide attempts in the past, 67% had Axis II diagnoses of borderline personality disorder and antisocial personality disorder. Adjustment disorder diagnosis in patients with the suicide attempts was associated with a high level of suicidality at admission, involuntary hospitalization and substance-abuse disorders. Axis II diagnoses in patients with adjustment disorders constituted risk factors for further suicidal behavior. Additional future prospective studies with reliability checks on diagnosis of adjustment disorders and suicidal behavior are needed.

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