scholarly journals The Sexuality of Male Patients with Affective Disorders - Demographic and Clinical Features

2016 ◽  
Vol 9 (1) ◽  
pp. 146-146
Author(s):  
R. Kowalczyk ◽  
◽  
T. Krystyan ◽  
D. Dudek ◽  
M. Krzystanek ◽  
...  

Objective: Aim: The aim of this study was to explore sexuality (frequency and willingness to initiate sexual contact, opinions on sexual life and possible sexual dysfunctions) among Polish male patients treated in psychiatric clinics with a diagnosis of affective disorder. Design and Method: Method: 62 men aged 23-61 years with diagnosed affective disorder according to ICD-10 criteria were included. Participants were asked to complete the Kratochvil Sexual Function of Man (SFM/K) Questionnaire and the Alcohol Use Disorder Identification Test (AUDIT). Obtained data was complemented by socio-medical history, including type of affective disorder, duration of the disease, drug abuse, and somatic comorbidities. Results: Results: 52% of participants were diagnosed with bipolar disorder, the second most common diagnosis was recurrent depressive disorder. Bipolar men reported more often sexual contacts, more frequently had a good feeling after sexual intercourse. 61% of respondents reported at least one sexual dysfunction. Most common psychological factor was fear of failing as sexual partner. Statistically significant influences on the average SFM/K total score were: age at the onset of illness, duration of affective disorders and its treatment, number of hospitalizations. Conclusions: Averaged total score of SFM/K, for all examined men was found to range moderate results. Recurrent depression seem to be more strongly correlated with lower scores, so global as well as within each response, rather than affective phase in bipolar disorder. Greater differentiation relates to “duration of intercourse” and “problems with premature ejaculation”.

2005 ◽  
Vol 187 (5) ◽  
pp. 431-437 ◽  
Author(s):  
Lisa Jones ◽  
Jan Scott ◽  
Sayeed Haque ◽  
Katherine Gordon-Smith ◽  
Jessica Heron ◽  
...  

BackgroundAbnormalities of cognitive style in bipolar disorder are of both clinical and theoretical importance.AimsTo compare cognitive style in people with affective disorders and in healthy controls.MethodSelf-rated questionnaires were administered to 118 individuals with bipolar I disorder, 265 with unipolar major recurrent depression and 268 healthy controls. Those with affective disorder were also interviewed using the Schedules for Clinical Assessment in Neuropsychiatry and case notes were reviewed.ResultsThose with bipolar disorder and those with unipolar depression demonstrated different patterns of cognitive style from controls; negative self-esteem best discriminated between those with affective disorders and controls; measures of cognitive style were substantially affected by current levels of depressive symptomatology; patterns of cognitive style were similar in bipolar and unipolar disorder when current mental state was taken into account.ConclusionsThose with affective disorder significantly differed from controls on measures of cognitive style but there were no differences between unipolar and bipolar disorders when current mental state was taken into account.


1992 ◽  
Vol 7 (2) ◽  
pp. 49-52 ◽  
Author(s):  
R Richards ◽  
DK Kinney ◽  
H Daniels ◽  
K Linkins

SummaryPreliminary new data support the enhancement of ‘everyday’ creativity among those persons with bipolar disorders who manifest milder rather than more severe mood elevations, and among certain individuals who are likely to carry bipolar liability but themselves show no clinical mood elevations – in this case, unipolar depressives with a family history of bipolar disorder, when compared with depressives lacking this history. Creativity was assessed using the lifetime creativity scales (Richards el al, 1988). Underlying mechanisms may be multifactorial and complex. Results suggest that both personal and family history should be considered when making predictions concerning creativity and affective disorders.


2013 ◽  
Vol 43 (11) ◽  
pp. 2369-2375 ◽  
Author(s):  
A. C. Castagnini ◽  
T. M. Laursen ◽  
P. B. Mortensen ◽  
A. Bertelsen

BackgroundAlthough transient psychotic disorders are currently classified as a category separate from schizophrenia (SZ) and affective disorders, their distinctive features remain uncertain. This study examines the family psychiatric morbidity of the ICD-10 category of ‘acute and transient psychotic disorders’ (ATPDs), pointing out differences from SZ and bipolar disorder (BD).MethodFrom a cohort of 2.5 million persons, we identified all patients enrolled in the Danish Psychiatric Register who were ever admitted with ATPDs (n=2537), SZ (n = 10639) and BD disorder (n=5292) between 1996 and 2008. The relative risk (RR) of ATPDs, SZ and BD associated with psychiatric morbidity in first-degree relatives (FDRs) was calculated as the incidence rate ratio using Poisson regression.ResultsThe RR of ATPDs [1.93, 95% confidence interval (CI) 1.76–2.11] was higher if patients with ATPDs had at least one FDR admitted with any mental disorder than patients without family psychiatric antecedents. An additional risk arose if they had FDRs admitted not only with ATPDs (RR 1.60, 95% CI 1.33–1.92) but also with SZ (RR 2.06, 95% CI 1.70–2.50) and/or BD (RR 1.55, 95% CI 1.23–1.96). Despite some overlap, the risk of SZ (RR 2.80, 95% CI 2.58–3.04) and BD (RR 3.68, 95% CI 3.29–4.12) was markedly higher if patients with SZ and BD had FDRs admitted with the same condition.ConclusionsThese findings suggest that family psychiatric predisposition has a relatively modest impact on ATPDs and argue against a sharp differentiation of ATPDs from SZ and BD.


2008 ◽  
Vol 17 (2) ◽  
pp. 120-127 ◽  
Author(s):  
Vidje Hansen ◽  
Ingunn Skre ◽  
Eiliv Lund

SummaryBackground– Seasonal Affective Disorder (SAD) is supposed to be caused by lack of daylight in winter. Yet the population of Northern Norway, living without sun for two winter months, does not spontaneously complain about depression during the dark period.Aims– To summarize research bearing upon the validity of the concept of SAD.Method– Review of relevant literature concerning the epidemiology of SAD and the questionnaire developed to measure it in general populations, the Seasonal Pattern Assessment Questionnaire (SPAQ).Results– Large population studies from northern Norway do not point to a higher prevalence of depression in winter than expected in any other general population. The psychometric properties of SPAQ are rather poor, and the diagnosis of SAD based on SPAQ bears little relationship to a meaningful concept of depression.Conclusions– Seasonal Affective Disorder is not a valid medical construct. Instead, “Recurrent depression with seasonal pattern” as defined in the DSM-IV and the ICD-10 should be used as terms. However, more research is needed to establish whether it is at all fruitful to single out such a subtype of recurrent depression.Declaration of Interest: None.


1997 ◽  
Vol 42 (6) ◽  
pp. 623-631 ◽  
Author(s):  
Micheline Lapalme ◽  
Sheilagh Hodgins ◽  
Catherine LaRoche

Objective: To compare the prevalence rates of mental disorders among children of parents with bipolar disorder and of parents with no mental disorders. Method: Seventeen studies, meeting specific selection criteria, were included in the metaanalyses. Risks for mental disorders among children were estimated by aggregating raw data from the selected studies. Results: Results indicate that in comparison with children of parents with no mental disorders, children of parents with bipolar disorder are 2.7 times more likely to develop any mental disorder and 4.0 times more likely to develop an affective disorder. The metaanalyses indicate that during childhood and adolescence, the risks for any mental disorder and for affective disorders in children are consistently but moderately related to having a parent who suffers from bipolar disorder. Conclusions: Risk factors that could account for the psychopathology observed in children of bipolar parents are explored.


1998 ◽  
Vol 28 (5) ◽  
pp. 1027-1038 ◽  
Author(s):  
LARS VEDEL KESSING

Background. A review of studies of cognition in the euthymic phase of unipolar and bipolar affective disorder reveals diverging results.Methods. The study was designed as a controlled cohort study, with the Danish psychiatric case register of admissions used to identify patients and the Danish civil register to identify controls. Patients who were hospitalized between 19 and 25 years ago with an affective diagnosis and who at interviews fulfilled criteria for a primary affective unipolar or bipolar disorder, according to ICD-10, were compared with age- and gender-matched controls. Interviews and assessment of the cognitive function were made in the euthymic phase of the disorder. In all, 118 unipolar patients, 28 bipolar patients and 58 controls were included. Analyses were adjusted for differences in the level of education and for subclinical depressive and anxiety symptoms.Results. Patients with recurrent episodes were significantly more impaired than patients with a single episode and more impaired than controls. Also, within patients the number of prior episodes seemed to be associated with cognitive outcome. There was no difference in the severity of the dysfunction between unipolar and bipolar patients.Conclusions. Cognitive impairment in out-patients with unipolar and bipolar disorder appears to be associated with the number of affective episodes.


1989 ◽  
Vol 2 (1) ◽  
pp. 49-68 ◽  
Author(s):  
David C. Taylor

Psychiatry and neurology are well-established as separate disciplines and they may view an issue of mutual concern, such as affective disorder in people with epilepsy, from such different premises that the important synthesis of behavioural neurology, or neuropsychiatry, will be made ineffective. Nosological problems stemming from the use of diagnostic manuals are discussed and revealed in case reports. Reports of affective disorder in persons with brain disorders are relatively rare, possibly as a consequence of nosological problems which stem from a maintenance of a tradition of “functional” disorder. New cases of bipolar disorder and organic mania are given with commentary on the preponderant lateralization of cerebral dysfunction to the right cerebral hemisphere in manic cases.


2020 ◽  
pp. 1-12
Author(s):  
Klara F. K. Rydahl ◽  
René B. K. Brund ◽  
Clara R. Medici ◽  
Vibeke Hansen ◽  
Krista N. Straarup ◽  
...  

Abstract Objectives: To investigate how individuals with a history of affective disorder use and perceive their use of social media and online dating. Methods: A questionnaire focusing on affective disorders and the use of social media and online dating was handed out to outpatients from unipolar depression and bipolar disorder clinics and general practice patients with or without a history of affective disorders (latter as controls). The association between affective disorders and use of social media and online dating was analysed using linear/logistic regression. Results: A total of 194 individuals with a history of unipolar depression, 124 individuals with a history of bipolar disorder and 196 controls were included in the analysis. Having a history of unipolar depression or bipolar disorder was not associated with the time spent on social media compared with controls. Using the controls as reference, having a history bipolar disorder was associated with use of online dating (adjusted odds ratio: 2.2 (95% CI: 1.3; 3.7)). The use of social media and online dating had a mood-congruent pattern with decreased and more passive use during depressive episodes, and increased and more active use during hypomanic/manic episodes. Among the respondents with a history of affective disorder, 51% reported that social media use had an aggravating effect on symptoms during mood episodes, while 10% reported a beneficial effect. For online dating, the equivalent proportions were 49% (aggravation) and 20% (benefit), respectively. Conclusion: The use of social media and online dating seems related to symptom deterioration among individuals with affective disorder.


2000 ◽  
Vol 12 (3) ◽  
pp. 99-103 ◽  
Author(s):  
T. Lloyd ◽  
P.B. Jones

ABSTRACTThe past 20 years have seen much research into affective disorders, reflecting advances in both pharmacological and psychological treatments. However, there has been little basic epidemiological research into bipolar illness. This is particularly apparent regarding its basic occurrence and possible epigenetic causes. This presentation will attempt to bring together and integrate the available evidence regarding the basic epidemiology of bipolar disorder, define areas where further research is needed, and outline a large epidemiological study including bipolar affective disorder that has been supported by the Stanley Foundation.


2018 ◽  
Vol 29 (2) ◽  
pp. 216-231 ◽  
Author(s):  
Malin Appelquist ◽  
Louise Brådvik ◽  
Marie Åsberg

Mental illness in a hospital in a medium-sized town in Sweden was studied. Consecutive case records from 1896 to 1905, and also from 2011, were selected. In the historical sample, neurasthenia was the most common diagnosis, followed by affective disorders and alcohol abuse. ICD-10 diagnoses corresponded well with the historical diagnoses. Melancholia resembled modern criteria for depression. Mania, insania simplex and paranoia indicated more severe illness. Abuse was more common among men and hysteria among women. Those with a medical certificate for mental hospital care were very ill and showed no gender difference. There were no diagnoses for abuse, but 17% had a high level of alcohol consumption. The pattern of signs and symptoms displayed by patients does not appear to change with time.


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