scholarly journals Neuroleptic malignant syndrome: clinical expression, complication, course, and atypical clinical picture

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Bouchra Oneib ◽  
Ouafae Zaimi
Keyword(s):  
Neuroleptic Malignant Syndrome ◽  
Early Recognition ◽  
Psychiatric Service ◽  
Clinical Expression ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm V ◽  
Long Acting ◽  
First Time ◽  
Injectable Form

Abstract Background Neuroleptic malignant syndrome (NMS) is an uncommon and lethal side effect of neuroleptics. The clinical expression of this syndrome is diverse. Even with criteria diagnosis, it is hard to recognize it easily. We report a series of 25 cases of NMS among patients hospitalized in psychiatric service at Oujda for 5 years. We have described the clinical characteristics of NMS in these patients, the treatments received, the management, and the course of this syndrome. Results Most of the patients are hospitalized for psychotic or affective disorders according to the Diagnostic and Statistical Manual of Mental Disorders (DSM V) criteria. 92% of patients received conventional neuroleptic, and half of them were under the injectable form. No patient took long-acting injectable antipsychotics. 36% of patients received neuroleptics for the first time. NMS appeared in the first week after the admission in psychiatric service among 24 patients. The most common clinical and biological signs were muscular rigidity, the elevation of creatine phosphokinase (CPK), and alteration of blood pressure. Other symptoms were found in proportion varied between 24% and 72%. 32% of the patients did not develop complications. One patient developed renal failure. All patients recovered, and no deaths were recorded. Conclusions Early recognition of NMS help to rescue patient. It is necessary to detect this syndrome even in the absence of main signs such as fever.

Validación de la escala de sintomas somáticos (SSS-8) en pacientes de una zona rural en Ecuador

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Mercy García ◽  
Ernestina Tamami ◽  
Giovanni Rojas-Velasco ◽  
Carolina Posso ◽  
Galo Sánchez del Hierro ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Somatic Symptom ◽  
Symptom Scale ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Calidad De Vida ◽  
Dsm V ◽  
Scale 8

Introducción.- Los síntomas somáticos causan malestar y afectan la calidad de  vida de los pacientes, incrementando la frecuencia del uso de los servicios de salud. En Ecuador no existe un instrumento validado que evalúe somatización. La escala Somatic Symtom Scale-8 (SSS-8), es un instrumento usado como medida de referencia en the Diagnostic and Statistical Manual of Mental Disorders(DSM-V), para evaluar la carga de síntomas somáticos, validada en inglés y adaptada culturalmente a los idiomas alemán y japonés. Objetivos.- En esta investigación el propósito fue validar la escala “Somatic Symptom Scale-8” y determinar sus propiedades métricas. Métodos.- Investigación descriptiva y transversal en la que se realizó la validación de la herramienta clínica SSS-8 en 401 pacientes en la consulta externa del hospital Pedro Vicente Maldonado, desde mayo a julio de 2017. Para el análisis de datos se utilizaron los programas estadísticos SPSS versión 23, Latent gold y EpiDat 3.1. Resultados.- El grupo mayoritario fue de 30 a 47 años, con ligero predominio del sexo masculino (con 52,6%) sobre el femenino (47,4%). El SSS-8 mostró adecuadas propiedades métricas (alfa de Cronbach de 0,73). Mediante este análisis se obtuvo que, los pacientes que respondieron: algo, bastante o muchísimo en las dimensiones sentirse cansado, dolor de cabeza, dolor de brazos y dolor de espalda; tenían un 99% de probabilidades de presentar somatización. Conclusiones.- En este estudio, el SSS-8 demostró ser una herramienta útil para evaluar los síntomas somáticos en pacientes que acuden a consulta externa, ya que presentó buenas propiedades métricas: consistencia interna elevada, buena validez y una apropiada capacidad discriminativa.

scholarly journals Incidence of Delirium in Hospitalized Children with Cancer

2019 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Cognitive Deficits ◽  
Pediatric Intensive Care ◽  
Limited Data ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm V ◽  
Increased Risk ◽  
Short Period ◽  
Fluctuating Course

Delirium is defined in the Diagnostic and Statistical Manual of Mental Disorders: Fifth edition (DSM-V) as a “disturbance and change in attention and awareness from baseline that develops over a short period of time, with fluctuating course” [1]. Delirium occurs as a result of factors related to primary illness, the treatment of that illness, and stressful and disorientating environment of the hospital [2]. There are limited data to describe the incidence of delirium in children hospitalized with cancer [3]. Delirium occurs frequently in adults and is an independent predictor of mortality, increased length of stay, and increased risk for long-term cognitive deficits [3]. The prevalence of delirium in hospitalized adults ages 18-56 with cancer ranges from 18%-44% [4]. Most pediatric studies on delirium focus on the critically ill child in the pediatric intensive care unit (PICU). It is estimated that the incidence of delirium in this population is as high as 29% [5].

scholarly journals Validity Evidence of the Autistic Spectrum Disorder Behavior Scale

2021 ◽  
Vol 31 ◽  
Author(s):  
Camila Costa e Silva ◽  
Daniela Sacramento Zanini
Keyword(s):  
Autistic Spectrum Disorder ◽  
School Setting ◽  
Spectrum Disorder ◽  
Statistical Manual ◽  
Autistic Spectrum ◽  
Diagnostic And Statistical Manual ◽  
Dsm V ◽  
Behavior Scale ◽  
Pilot Sample ◽  
Abstract Screening

Abstract Screening instruments to detect symptoms of Autistic Spectrum Disorder (ASD) in the school setting are still needed. The study aimed to develop the Autistic Spectrum Disorder Behavior Scale (ASD-BS) according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). The scale consists of 31 items, divided into communication; social interactions; restrictive, repetitive and ritual behaviors; and other indicators. The content validity included five expert judges and a pilot sample with 29 children between six and 12 years old. The results were shown to be adequate, all items reached agreement rates above 80% and Kappa of 0.84. Exploratory statistical analyzes showed Cronbach’s alpha equal to 0.78, sensitivity values ranging from 86 to 93% and specificity from 34 to 100%. ASD-BS is of quick implementation, uses the teacher as an informant and contributes to psychological assessment.

scholarly journals Ciberdependência: o papel das emoções na dependência de tecnologias digitais

2014 ◽  
Vol 7 (2) ◽  
pp. 148-161
Author(s):  
Jefferson Cabral Azevedo ◽  
Carlos Henrique Medeiros de Souza ◽  
Giovane do Nascimento
Keyword(s):  
Online Social Networks ◽  
Digital Technologies ◽  
Theoretical Research ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Internet Users ◽  
Dsm V ◽  
Compulsive Behaviors ◽  
Icd 10 ◽  
Statistical Results

RESUMO: O presente artigo visa utilizar conceitos de diversas áreas, proporcionando uma perspectiva multicausal e dialógica sobre os processos nosológicos de dependência de tecnologias digitais e as influências dos mecanismos motivacionais e emocionais sobre a aprendizagem de comportamentos compulsivos. A metodologia aplicada ao estudo é de caráter qualitativo e quantitativo, pois abrange tanto os fatores conceituais obtidos através de revisão bibliográfica como o desenvolvimento de resultados estatísticos através das análises dos resultados dos questionários aplicados no estudo em questão. Este breve constructo teórico busca evidenciar comportamentos patológicos na utilização das tecnologias digitais, principalmente dos usuários de internet e redes sociais digitais, utilizando os parâmetros da neuropsicologia, psicologia, psiquiatria e descrições presentes no DSM V, Manual Diagnóstico e Estatístico de Transtornos Mentais, e o CID 10, Compêndio Internacional de Doenças.PALAVRAS-CHAVE: dependência; tecnologias digitais; motivação; emoção; neuropsicologia; psicologia; psiquiatria.ABSTRACT: This research apply concepts from different areas, aiming to provide a multicausal and dialogical perspective on the nosologic process of dependence upon digital technologies and the influences of motivational and emotional mechanisms on learning compulsive behaviors. The data is approached both qualitatively and quantitatively, since its analysis covers the conceptual factors obtained from literature review and the development of statistical results obtained from the questionnaires applied. This brief theoretical research pursues to reveal pathological behaviors in the use of digital technologies, especially in the actions of internet users in online social networks. The parameters of neuropsychology, psychology, psychiatry are combined with descriptions contained in the DSM V, Diagnostic and Statistical Manual of Mental Disorders, and the ICD 10, International Compendium of Diseases.KEYWORDS: addiction, digital technologies; motivation; emotion; neuropsychology; psychology; psychiatry.

Problemi di psicoterapia

2010 ◽  
pp. 53-66
Keyword(s):  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm V ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Dsm Iv

Vengono presentati i principali sistemi di diagnosi psichiatrica, e precisamente le ultime edizioni del Diagnostic and Statistical Manual (DSM) dell'American Psychiatric Association (il DSM-III del 1980, il DSM-III-R del 1987, il DSM-IV del 1994, il DSM-IV-TR del 2000, e il DSM-V previsto per il 2013), la 10a edizione dell'International Classification of Diseases (ICD-10) proposta nel 1992 dall'Organizzazione Mondiale della Sanitŕ (OMS), e il Manuale Diagnostico Psicodinamico (PDM) prodotto dalla comunitŕ psicoanalitica internazionale nel 2006. A proposito dei DSM, vengono discussi alcuni problemi metodologici quali le dicotomie validitŕ/attendibilitŕ, categorie/dimensioni e politetico/monotetico, e anticipati alcuni dibattiti critici a proposito del futuro DSM-V. Infine, vengono discusse le seguenti problematiche: la psicopatologia "descrittiva" e "strutturale"; la diagnosi come "difesa" del terapeuta; l'aspetto scientifico e l'aspetto filosofico della diagnosi; i tentativi di "sospensione" del giudizio e dei nostri preconcetti; la dicotomia nomotetico-idiografico.

Criteria and Concurrent Validity of DIVA 2.0: A Semi-Structured Diagnostic Interview for Adult ADHD

2016 ◽  
Vol 23 (10) ◽  
pp. 1126-1135 ◽  
Author(s):  
Josep Antoni Ramos-Quiroga ◽  
Viviana Nasillo ◽  
Vanesa Richarte ◽  
Montserrat Corrales ◽  
Felipe Palma ◽  
...  
Keyword(s):  
Concurrent Validity ◽  
Adult Adhd ◽  
Rating Scales ◽  
Rating Scale ◽  
Diagnostic Interview ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm Iv ◽  
Structured Diagnostic Interview ◽  
First Time

Objective: The aim of this study was to assess for the first time the criterion validity of the semi-structured Diagnostic Interview for ADHD in adults (DIVA 2.0), and its concurrent validity in comparison with the Conners’ Adult ADHD Diagnostic Interview for DSM-IV (CAADID) and other ADHD severity scales, following the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) criteria. Method: A transversal study was performed on 40 out-patients with ADHD to check the criteria and concurrent validity of the DIVA 2.0 compared with the CAADID. Results: The DIVA 2.0 interview showed a diagnostic accuracy of 100% when compared with the diagnoses obtained with the CAADID interview. The concurrent validity demonstrated good correlations with three self-reported rating scales: the Wender Utah Rating Scale (WURS; r = .544, p < .0001), the ADHD-Rating Scale ( r = .720, p < .0001), and Sheehan’s Dysfunction Inventory ( r = .674, p < .0001). Conclusion: The DIVA 2.0 is a reliable tool for assessing and diagnosing Adult ADHD and is the only one that offers free online access for clinical and research purposes.

Developing the diagnostic and statistical manual V: what will “statistical” mean in DSM-V?

2007 ◽  
Vol 42 (4) ◽  
pp. 259-267 ◽  
Author(s):  
Helena Chmura Kraemer ◽  
Patrick E. Shrout ◽  
Maritza Rubio-Stipec
Keyword(s):  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm V

Evaluating the Usefulness of DSM in Diagnosing Mental Health Problems: A Review of the Literature

2016 ◽  
Vol 6 (1) ◽  
pp. 46-51
Author(s):  
Basak Baglama
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
Recent Literature ◽  
Health Problems ◽  
Analysis Method ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm V

Understanding the needs of indivudals with mental disabilities is really important in terms of improving quality of life, intervention and promotion. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is widely used book for mental health professionals in order to make diagnosis. The present study discusses the usefulness of DSM in diagnosing mental health problems by emphasizing it’s advantages and criticisms. This study used document analysis method in order to provide an overview and discussion of recent literature regarding advantages and criticisms of DSM. Various issues have been discussed and conclusions have been made based on the literature review of this study. 

scholarly journals A unifying perspective on personality pathology across the life span: Developmental considerations for the fifth edition of theDiagnostic and Statistical Manual of Mental Disorders

2009 ◽  
Vol 21 (3) ◽  
pp. 687-713 ◽  
Author(s):  
Jennifer L. Tackett ◽  
Steve Balsis ◽  
Thomas F. Oltmanns ◽  
Robert F. Krueger
Keyword(s):  
Mental Disorders ◽  
Life Span ◽  
Later Life ◽  
Personality Pathology ◽  
Statistical Manual ◽  
Developmental Issues ◽  
Diagnostic And Statistical Manual ◽  
Dsm V ◽  
Dimensional Models ◽  
Middle Aged Adult

AbstractProposed changes in the fifth edition of theDiagnostic and Statistical Manual of Mental Disorders(DSM-V) include replacing current personality disorder (PD) categories on Axis II with a taxonomy of dimensional maladaptive personality traits. Most of the work on dimensional models of personality pathology, and on personality disorders per se, has been conducted on young and middle-aged adult populations. Numerous questions remain regarding the applicability and limitations of applying various PD models to early and later life. In the present paper, we provide an overview of such dimensional models and review current proposals for conceptualizing PDs inDSM-V. Next, we extensively review existing evidence on the development, measurement, and manifestation of personality pathology in early and later life focusing on those issues deemed most relevant for informingDSM-V. Finally, we present overall conclusions regarding the need to incorporate developmental issues in conceptualizing PDs inDSM-Vand highlight the advantages of a dimensional model in unifying PD perspectives across the life span.

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