scholarly journals The Risk of Psychiatric Morbidity and Course of Distress in Males Undergoing Infertility Evaluation Is Affected by Their Factor of Infertility

2019 ◽  
Vol 13 (1) ◽  
pp. 155798831882390 ◽  
Author(s):  
Katarzyna Warchol-Biedermann
Keyword(s):  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Panel Study ◽  
Subsequent Treatment ◽  
Medical Procedures ◽  
Male Factor ◽  
Diagnostic Disclosure ◽  
Clinically Significant ◽  
First Time

This panel study aimed to explore the effects of male, female, mixed or idiopathic factor of infertility on the course of clinical distress and possible psychiatric morbidity in involuntarily childless males undergoing fertility evaluation for the first time. A sample of 255 males completed the General Health Questionnaire-28 (GHQ-28) (a) at the baseline, before their initial fertility evaluation (T1); (b) before their second andrological appointment 2–3 months after diagnostic disclosure (T2); and (c) before subsequent treatment-related/follow-up appointments (T3, T4) to be screened for clinically significant distress and risk for psychiatric morbidity. Then they were dichotomized as non-cases and cases. The timing of psychological testing was strictly related to andrological appointments and medical procedures. The research demonstrated that the baseline prevalence of clinical distress and psychiatric morbidity in all the subgroups was similar to reference values, but then significantly surged after the diagnostic disclosure, particularly in male and mixed factor respondents. However, the percentage of clinically distressed mixed or idiopathic factor of infertility respondents remained stable after diagnostic disclosure and during the entire follow-up. The prevalence of clinically significant distress and risk for psychiatric morbidity in the male factor of infertility, female factor of infertility, and mixed factor subgroups decreased during the follow-up but remained higher than at the baseline. The study identifies that the course of distress and risk of psychiatric morbidity of males is significantly affected by their factor of infertility and changes across the pathway of treatment-related/follow-up appointments.

scholarly journals The Etiology of Infertility Affects Fertility Quality of Life of Males Undergoing Fertility Workup and Treatment

2021 ◽  
Vol 15 (2) ◽  
pp. 155798832098216
Author(s):  
Katarzyna Warchol-Biedermann
Keyword(s):  
Quality Of Life ◽  
Panel Study ◽  
Subsequent Treatment ◽  
Convenience Sample ◽  
Diagnostic Disclosure ◽  
Polish Version ◽  
Social Subscale ◽  
Age Range

This panel study explored the effects of male, female, mixed, or idiopathic factor of infertility on the fertility quality of life (FertiQoL) in involuntarily childless males undergoing fertility workup for the first time. A convenience sample of 255 married males (age range = 22–51 years, mean = 30.24 years), 254 (99.6%) of whom suffered from primary infertility were assessed (1) at the baseline, before their initial fertility evaluation (T1); (2) before their second andrological appointment, 2–3 months after diagnostic disclosure (T2); and (3) before subsequent treatment-related/ follow-up appointments (T3, T4). The timing of psychological assessment was strictly related to andrological appointments and routine medical procedures. Respondents completed Emotional, Mind–Body, Relational, and Social subscales of the Polish version of FertiQoL and a baseline demographic survey. The research demonstrated that the FertiQoL scores across the Emotional, Mind–Body, and Relational subscales markedly decreased after the diagnostic disclosure, particularly in the subgroups with male and concurrent male and female factor. Social subscale scores in all subgroups remained stable after the diagnostic disclosure (at T2) but significantly decreased in the follow-up (at T3 and T4). Significant differences in FertiQoL scores associated with respondents’ infertility factor could be demonstrated at each time point. The study identifies the FertiQoL in unintentionally childless males is significantly affected by their factor of infertility and evolves across the pathway of treatment-related/follow-up appointments.

Screening for Psychiatric Morbidity in a Medical Outpatient Clinic for HIV Infection: The Need for a Psychiatric Presence

1994 ◽  
Vol 24 (2) ◽  
pp. 103-113 ◽  
Author(s):  
Constantine G. Lyketsos ◽  
Anne Hanson ◽  
Marc Fishman ◽  
Paul R. McHugh ◽  
Glenn J. Treisman
Keyword(s):  
Medical Care ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Self Report ◽  
Johns Hopkins Hospital ◽  
Medical Clinic ◽  
Medical Clinics ◽  
High Prevalence ◽  
First Time ◽  
Hospital General

Objective: To ascertain the prevalence and type of psychiatric morbidity present in HIV infected patients presenting for the first time to a specialty HIV medical clinic. Also, to develop a way of screening for psychiatric cases in this setting using established self-report questionnaires. Method: Fifty patients who presented consecutively for medical care at the Johns Hopkins Hospital General HIV Clinic participated in this study. These patients were first screened using the General Health Questionnaire and the Beck Depression Inventory and subsequently underwent a comprehensive neuropsychiatric evaluation. Results: Fifty-four percent were found to suffer from a psychiatric disorder with an additional 22 percent from an active substance use disorder. These rates are one-and-one-half to two times higher than those reported from other medical clinics. The GHQ and BDI used together as screens could identify psychiatric “cases” with a sensitivity of 81 percent and a specificity of 61 percent, an efficacy similar to that found in other clinics. Conclusions: Given the high prevalence of psychiatric disorders in HIV infected patients presenting for medical care, screening, evaluating, and treating for these disorders is crucial and should be pursued systematically. This is best done through the presence of a psychiatric team within HIV medical clinics rather than in affiliation with such clinics.

The effects of anxiety on psychiatric morbidity in patients with multiple sclerosis

1999 ◽  
Vol 5 (5) ◽  
pp. 323-326 ◽  
Author(s):  
A Feinstein ◽  
P O'Connor ◽  
T Gray ◽  
K Feinstein
Keyword(s):  
Multiple Sclerosis ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Depression Scale ◽  
Preliminary Evidence ◽  
Anxiety And Depression ◽  
Self Harm ◽  
Clinically Significant ◽  
Frequent Accompaniment

Our objective was to assess the point prevalence and effects of clinically significant anxiety in patients with Multiple Sclerosis (MS). One hundred and fifty two consecutive patients with MS attending an outpatient clinic underwent neurological examination and were assessed for psychopathology with the Hospital Anxiety and Depression Scale, the 28 item General Health Questionnaire and a questionnaire probing suicidal thoughts or intent. Clinically significant anxiety, either with or without depression, was endorsed by 25% of patients, three times the rate for depression. Females were significantly more anxious than males. Anxiety co-morbid with depression, rather than anxiety or depression alone, was associated with increased thoughts of self harm, more somatic complaints and greater social dysfunction. Patients with increased psychopathology were not more likely to be taking psychotropic medication. The results provide preliminary evidence that anxiety, which may be often overlooked clinically, is a frequent accompaniment to depression, thereby adding to the morbidity associated with MS. The implications of the findings to MS patients' quality of life are emphasised.

Primary Solitary Extramedullary Plasmacytoma Involving the True Vocal Cords in a Pregnant Woman

2013 ◽  
Vol 99 (1) ◽  
pp. e14-e18 ◽  
Author(s):  
Soumya Ghatak ◽  
Mainak Dutta ◽  
Indranath Kundu ◽  
Rajendra Prasad Ganguly
Keyword(s):  
Pregnant Woman ◽  
Subsequent Treatment ◽  
Extramedullary Plasmacytoma ◽  
Rare Entity ◽  
Vocal Cords ◽  
First Time ◽  
Solitary Extramedullary Plasmacytoma ◽  
Bence Jones Proteinuria ◽  
In Pregnancy

Primary solitary extramedullary plasmacytoma of the larynx involving the true vocal cords is an extremely rare entity. Extramedullary plasmacytoma has the potential to transform into multiple myeloma and mandates strict vigilance and routine follow-up. We describe such a case in a 29-year-old pregnant woman who presented with progressive hoarseness, dysphagia and intermittent respiratory difficulty. Fiberoptic laryngoscopy revealed a fleshy mass involving the posterior third of the true vocal cords, encroaching on the ventricle and false cords. Histopathology and immunohistochemistry revealed extramedullary plasmacytoma of a monoclonal nature. In spite of Bence Jones proteinuria and a rising serum β2-microglobulin level, a thorough search for metastasis and subsequent treatment with radiotherapy were delayed due to the patient's pregnancy. She is the youngest adult ever reported with primary solitary extramedullary plasmacytoma involving the true cords. Described for the first time in pregnancy, the relevant issues in management are highlighted.

Psychiatric Morbidity in First-Year Undergraduates and the Effect of Brief Psychotherapeutic Intervention—A Pilot Study

1986 ◽  
Vol 149 (1) ◽  
pp. 75-80 ◽  
Author(s):  
T. Krystyna Szulecka ◽  
Nigel R. Springett ◽  
Karel W. de Pauw
Keyword(s):  
Statistical Significance ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Intervention Group ◽  
The Other ◽  
First Year ◽  
Health Questionnaire ◽  
Psychotherapeutic Intervention ◽  
Psychological Disturbance

Out of 1279 first-year undergraduates, two matched groups of students potentially vulnerable to psychological disturbance were identified. One was left to its own resources; the other was offered psychotherapeutic intervention, the effects of which were measured by the number of consultations with general practitioners, type of treatment and rate of withdrawal from university. Although the students in the intervention group had fewer consultations, lower General Health Questionnaire scores at follow-up, and fewer withdrew from university, due to the small numbers involved none of these differences achieved statistical significance.

Types of social support as predictors of psychiatric morbidity in a cohort of British Civil Servants (Whitehall II Study)

1998 ◽  
Vol 28 (4) ◽  
pp. 881-892 ◽  
Author(s):  
S. A. STANSFELD ◽  
R. FUHRER ◽  
M. J. SHIPLEY
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Emotional Support ◽  
General Health ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Health Questionnaire ◽  
Men And Women ◽  
Good Mental Health

Background. Few studies have examined prospectively both the direct and buffering effects of types of social support and social networks on mental health. This paper reports longitudinal associations between types of social support and psychiatric morbidity from the Whitehall II study.Methods. Social support was measured by the Close Persons Questionnaire and psychiatric morbidity by the General Health Questionnaire at baseline (1985–1988) and at first follow-up (1989) in 7697 male and female London-based civil servants aged 35–55 years at baseline. The cohort was followed up and baseline measures were used to predict psychiatric disorder measured by the General Health Questionnaire at second follow-up (1991–1993).Results. Longitudinal analyses showed that low confiding/emotional support in men and high negative aspects of close relationships in men and women were associated with greater risk of psychiatric morbidity even after adjustment for baseline General Health Questionnaire score. There was no evidence of a buffering effect among men or women who experienced life events or chronic stressors. Controlling for a personality measure of hostility did not affect the observed relations.Conclusions. The present findings illustrate that different types of support are risk factors for psychological distress and that they operate in different ways for men and women. Direct effects of emotional support are predictive of good mental health in men and negative aspects of close relations predict poor mental health in both men and women. Emotional support is predictive of good mental health in women whereas, confiding alone is not.

scholarly journals Hospital morbidity and alcohol consumption in less severe psychiatric disorder: 7-year outcomes

2006 ◽  
Vol 188 (6) ◽  
pp. 554-559 ◽  
Author(s):  
Robert J. Tait ◽  
Gary K. Hulse
Keyword(s):  
Mental Health ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Hospital Admissions ◽  
Psychiatric Morbidity ◽  
Alcohol Use Disorders ◽  
Population Based ◽  
Hospital Morbidity ◽  
First Time

BackgroundSubstance use by people with severe psychiatric morbidity is associated with negative outcomes.AimsTo assess in adults with less severe psychiatric morbidity the relationship between alcohol consumption and subsequent 7-year hospital admissions, and the development and recurrence of alcohol use disorders.MethodFollow-up data were assembled via a population-based hospital record-linkage system.ResultsBaseline alcohol use groups were: dependent (n=31), harmful (n=114), moderate (n=621) and abstinent (n=249). The moderate but not the abstinent group had fewer mental health admissions and a longer time to first admission than the harmful and dependent groups. Both the moderate and the abstinent groups had longer times to ‘all-cause’ admissions than the dependent group. Many of those with alcohol use disorders at baseline relapsed (66%) but few (14%) developed a first-time alcohol use disorder.ConclusionsOverall, moderate alcohol consumption among those with less severe psychiatric morbidity was not associated with more mental health admissions; those with alcohol dependence had poorer health outcomes than the remaining categories.

A prospective study of the psychological impact on patients of first diagnosis of human papillomavirus

2001 ◽  
Vol 12 (10) ◽  
pp. 651-658 ◽  
Author(s):  
H M Conaglen ◽  
R Hughes ◽  
J V Conaglen ◽  
J Morgan
Keyword(s):  
Human Papillomavirus ◽  
General Health Questionnaire ◽  
Psychological Impact ◽  
Health Clinic ◽  
First Episode ◽  
Sexually Transmitted ◽  
Attitude Scales ◽  
A Prospective Study ◽  
First Time

This study assessed the psychological impact of the first time diagnosis of human papillomavirus (HPV) in consecutive clients attending the Hamilton Sexual Health Clinic, and sought to determine whether this changed over time. Clients with a diagnosis other than HPV and those found to have no diagnosis were compared with HPV clients. All participants completed a battery of questionnaires following their initial visit and again at 4 weeks. The battery consisted of the General Health Questionnaire, Illness Attitude Scales, the International Index of Erectile Function or the Brief Index of Sexual Function for Women, and a 6-question test of the client's knowledge of HPV. One hundred and one participants completed the first questionnaires and 47 of those completed follow-up questionnaires. We found those diagnosed with first episode of HPV had considerable psychological difficulties. However these were no different to those associated with other sexually transmitted infections (STIs) or even those with no active diagnosis.

Psychological Resilience Provides No Independent Protection From Suicidal Risk

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey
Keyword(s):  
Risk Factors ◽  
Well Being ◽  
Current Status ◽  
Psychological Resilience ◽  
Cross Sectional ◽  
Life Project ◽  
Resilience Factors ◽  
First Time

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.

Psychopathology 8½ Years Post Parasuicide

Crisis ◽  
1999 ◽  
Vol 20 (3) ◽  
pp. 115-120 ◽  
Author(s):  
Stephen Curran ◽  
Michael Fitzgerald ◽  
Vincent T Greene
Keyword(s):  
Rating Scales ◽  
Psychiatric Morbidity ◽  
Parental Bonding ◽  
Social Maladjustment ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Face To Face ◽  
Long Term Follow Up

There are few long-term follow-up studies of parasuicides incorporating face-to-face interviews. To date no study has evaluated the prevalence of psychiatric morbidity at long-term follow-up of parasuicides using diagnostic rating scales, nor has any study examined parental bonding issues in this population. We attempted a prospective follow-up of 85 parasuicide cases an average of 8½ years later. Psychiatric morbidity, social functioning, and recollections of the parenting style of their parents were assessed using the Clinical Interview Schedule, the Social Maladjustment Scale, and the Parental Bonding Instrument, respectively. Thirty-nine persons in total were interviewed, 19 of whom were well and 20 of whom had psychiatric morbidity. Five had died during the follow-up period, 3 by suicide. Migration, refusals, and untraceability were common. Parasuicide was associated with parental overprotection during childhood. Long-term outcome is poor, especially among those who engaged in repeated parasuicides.

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