Comparison of Separation Patterns between Parents and Offspring in Psychiatric and Nonclinical Families

2007 ◽  
Vol 101 (1) ◽  
pp. 171-176
Author(s):  
Szymon Chrzastowski
Keyword(s):  
Young Adults ◽  
Mental Disorders ◽  
Personality Disorders ◽  
Young Adulthood ◽  
Statistical Significance ◽  
Mothers And Fathers ◽  
Icd 10 ◽  
The Mean ◽  
Family Groups

This study examined the specific separation patterns of binding and expelling in families with young adults. 103 families were divided into three groups according to the ICD–10 diagnosis of offspring (18-35 years old): (1) schizophrenia ( ns = 32 mothers and 30 fathers), (2) personality disorders ( ns = 34 mothers and 30 fathers), (3) control, nonclinical group ( ns=34 mothers and 32 fathers). The participants (mothers and fathers) independently completed the Relational Individuation Questionnaire designed for this study. Despite expectations, there was no statistical significance found between the mean scores of the parents' binding of offspring diagnosed with schizophrenia or personality disorders or from the nonclinical families. There was, however, a difference in the intensity of the mothers' expelling ( F2,97 = 10.90, p< .0001) and of the fathers' expelling ( F2,89 = 5.96, p<.005) from different family groups. The parents of offspring from clinical families expelled their offspring more intensively than parents from nonclinical families. The correlation between expelling by mothers and expelling by fathers in all families was positive. These results suggest that expelling may be a strategy used by parents with children with serious mental disorders when these children reach young adulthood.

Disability in Schizophrenic Disorders

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
J. Wancata ◽  
M. Freidl ◽  
F. Friedrich ◽  
T. Matschnig ◽  
A. Unger ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Social Consequences ◽  
Subjective Burden ◽  
Social Contacts ◽  
Mothers And Fathers ◽  
Duration Of Illness ◽  
The Family ◽  
Different Types ◽  
Icd 10 ◽  
The Mean

Aims:The purpose of this study was to investigate disability among patients suffering from schizophrenia and to identify predictors of disability.Methods:101 patients from different types of psychiatric services in Vienna and diagnosed with schizophrenia according to ICD-10 were included. They were investigates by means of 36-Item self-administered version of the WHO Disability Assessment Schedule II (WHO-DAS-II) and the PANSS-scale. Patients’ mothers and fathers were asked to fill in the Family Problem Questionnaire.Results:The mean total score of the WHO-DAS-II was 74.1 (SD 21.9). When using weighted sub-scores the highest disability scores were found for social contacts, participation in society and household (means 2.58, 2.57 and 2.51 respectively). Using logistic regression, overall disability was positively associated with patient's age, overall severity of symptoms (PANSS) and number of previous hospital admissions. Overall disability was not associated with duration of illness and or patient's gender. The subjective burden experienced by patients’ fathers and mothers were increased by reduced social contacts and impaired participation in society, while we could not find an association with other domains of patient's disability (understanding, mobility, self-care, household).Conclusions:This study shows that schizophrenia results in disability in several domains. Family caregivers’ burden was predominantly increased by social consequences of schizophrenia.

scholarly journals Personality Disoder and Their Judicial- Psychiatric-estimation of the Russian Federation

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
S. Vasyukov ◽  
A. Baeva
Keyword(s):  
Personality Disorder ◽  
Mental Disorders ◽  
Personality Disorders ◽  
Criminal Law ◽  
Criminal Liability ◽  
Icd 10 ◽  
The Subject ◽  
The Russian Federation ◽  
The Moment ◽  
Diminished Responsibility

In modern Russian criminal law means diminished responsibility, that the subject is not capable to regulate meaningly legally significant behaviour at the moment of socially dangerous act. Such disability comes at presence if the subject has the chronic or time mental disorder, an aphrenia or other disease state of mentality. The specified clinical phenomena define medical criterion of diminished responsibility. Special interest represents disorders which in ICD- 10 concern to «Personality Disorders» (F60-F68). Here mental disorders which have no so-called remedial basis are meant, or in their structure it is impossible to note signs of weakening process. At the same time they not only qualitatively differ from the accepted norm, but also under known conditions possess that depth or expression that can be regarded as medical criterion of the formula of diminished responsibility. The research which has been spent in the Department of psychogenias and personality disorders of Institute of Serbsky included 80 men at the age from 20 till 45 years by which the diagnosis «Personality disorder» was established. It has shown that there can be 3 variants of influence on responsibility: they can cause full loss of liability; can essentially reduce the criminal liability; their presence can be neutral and not render influences on liability. The analysis of expert judgements shows, that in expert judgements about disability of the subject to regulate the behaviour meaningly it is necessary to estimate components both medical, and psychological criteria of diminished responsibility.

scholarly journals Expert Evaluation of «Another Unhealthy Conditions»

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
S. Danilova
Keyword(s):  
Personality Disorder ◽  
Mental Disorders ◽  
Personality Disorders ◽  
Cognitive Disorders ◽  
Expert Evaluation ◽  
Schizoid Personality ◽  
Schizoid Personality Disorder ◽  
Paranoid Personality Disorder ◽  
Icd 10 ◽  
Mental Pathology

Patients who have had chronic mental disorders, another unhealthy conditions, mental retardation are considered to be irresponsible. Special interest represent is disorders, which expect as “another unhealthy conditions”. Mental disorders consider without process basis (pathokinesis have has chronic or acute psychosis), dementia. Another unhealthy conditions is quality differences from mental standard, but it does happen expressive that does irresponsible.56 men have been examined in the department of Personality Disorders and psyhogenias. Age: 20-60 years old. Disorders experts as “another unhealthy conditions” includes of the Classification ICD-10: Personality Disorders (F 60 - F 61), organic Personality Disorders (F 06.3 - F 07.9), mentally retardness of slight degree with breach of behaviour (F 70.1). Diagnosis of Paranoid Personality Disorder and Schizoid Personality Disorder were most common.Analysis of expert evaluation is show that it is necessary to estimate psychological criteria of irresponsibility. Analysis of pathological symptoms, structure of personality and cognitive disorders, disposition of crime, situational and motivational factors are show that it is necessary to estimate a depth of mental pathology, disturbance of critical abless and defects of personality and intellectual functions to expects conclusions of irresponsibility.

Psychiatric disorders in low birthweight young adults. Prevalence and association with assessments at 11 years

2013 ◽  
Vol 28 (7) ◽  
pp. 393-396 ◽  
Author(s):  
I.B. Elgen ◽  
F. Holsten ◽  
M.D. Odberg
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Psychiatric Disorder ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
Young Adulthood ◽  
Low Birthweight ◽  
Antisocial Personality ◽  
Mini International Neuropsychiatric Interview ◽  
Increased Risk

AbstractObjectiveTo compare mental health of 136 young adults without neurosensory handicaps born with low birthweight (LBW, birthweight less than 2000 g) with 132 adults with normal birthweight (NBW).MethodA cohort of moderate LBW and NBW young adults were assessed with the Mini-International Neuropsychiatric Interview (MINI) at 19 years and the Children Assessment Schedule (CAS) at 11 years of age.ResultsAt 19 years of age, 44 out of 136 (32%) LBW young adults were diagnosed with a psychiatric disorder compared to 10% NBW (OR: 2.8; 95% CI: 1.1, 4.5, P = 0.02). Among the LBW young adults, affective-, anxiety-, ADHD- and antisocial personality disorders were most common, and nine subjects (20%) had more than one diagnosis. Of 97 LBW subjects examined both at 11 and 19 years of age, 54 (56%) were mentally healthy though out adolescence. This was half as many as for controls (OR: 0.6; 95% CI: 0.3 to 0.9).ConclusionModerate LBW was associated with an increased risk of psychiatric disorders in young adulthood. Only half of LBW young adults stayed healthy throughout adolescence.

Abstract 038: Cumulative Exposure To Sleep Disordered Breathing From Childhood Through Young Adulthood Is Associated With Impaired Endothelial Function

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Julio Fernandez-Mendoza ◽  
Zhaohui Gao ◽  
Myra Qureshi ◽  
Baadal A Vachhani ◽  
Jiangang Liao ◽  
...  
Keyword(s):  
Young Adults ◽  
Endothelial Dysfunction ◽  
Endothelial Function ◽  
Young Adulthood ◽  
Sleep Disordered Breathing ◽  
Population Based ◽  
Cumulative Exposure ◽  
Time Points ◽  
The Mean ◽  
Disordered Breathing

Introduction: Clinical and population-based studies in adults have shown that sleep disordered breathing (SDB) is associated with impaired endothelial function. However, there is a lack of population-based studies demonstrating an association between SDB and endothelial dysfunction in young adults using a developmental approach. Hypothesis: Exposure to SDB since childhood is associated with long-term impaired flow-mediated dilation (FMD) in young adulthood. Methods: We tested this hypothesis in a subsample of the Penn State Child Cohort, a population-based study of 700 children (median age 9y), of whom 421 were followed-up 6-13 years later during adolescence (median age 16y), and 178 have been followed-up 11-19 years later during young adulthood (median age 24y). Subjects (54.5% female, 20.8% racial/ethnic minority) underwent in-lab polysomnography to ascertain the apnea/hypopnea index (AHI) at all three time points, and ultrasounds to assess FMD in young adulthood. Based on the AHI truncated at ≥5 events/hour of sleep to include subjects already on positive airway pressure therapy, we averaged the exposure to AHI over the three time points (cAHI). The study outcomes were FMD, as a continuous measure, and endothelial dysfunction, defined as FMD<10.3% based on the median of the sample. Linear and logistic regression models simultaneously adjusted for sex, age, race/ethnicity, overweight and length of follow-up. Results: The mean cAHI was 1.31 (1.35) ranging from 0 to 5 and the mean FMD was 0.11 (0.04) ranging from 0.03 to 0.25. Linear models showed that cAHI was associated with significantly lower FMD in young adulthood (β = -0.006; 95% CI = -0.011, -0.0013; p = 0.014). To test the robustness of the analysis, we applied the same model with the square root of FMD as the outcome and similar results were obtained (β = -0.009; 95% CI = -0.016, -0.0017; p = 0.015). Logistic models showed that each point increase in cAHI was associated with 51% higher odds of endothelial dysfunction in young adulthood (OR = 1.51; 95% CI = 1.14, 2.06; p = 0.006). Conclusions: The preliminary data of this ongoing longitudinal study indicates that exposure to SDB during early stages of life is associated with increased risk for cardiovascular disease in young adults from the general population.

What is Comorbidity – Fact or Artefact?

1996 ◽  
Vol 168 (S30) ◽  
pp. 7-8 ◽  
Author(s):  
Hans-Ulrich Wittchen
Keyword(s):  
Substance Use ◽  
Mental Disorders ◽  
Personality Disorders ◽  
Mood Disorders ◽  
Diagnostic Criteria ◽  
Substance Use Disorders ◽  
Statistical Manual ◽  
Axis Ii ◽  
Diagnostic And Statistical Manual ◽  
Icd 10

Comorbidity can be described broadly as the presence of more than one disorder in a person in a defined period of time (Wittchen & Essau, 1993). Stimulated by the introduction of explicit diagnostic criteria and operationalised diagnoses in the Diagnostic and Statistical Manual of Mental Disorders (DSM–III; APA, 1980) and the Diagnostic Criteria for Research in ICD–10 (WHO, 1991), numerous studies in the 1980s and early 1990s, have assessed the extent, the nature, and more recently, the implications of comorbidity for a better understanding of mental disorders. Most studies investigated the association of anxiety and mood disorders, but increasingly there are also studies looking into the association of mood disorders with other disorders (such as somatoform and substance use disorders (Wittchen et al, 1993, 1996)) as well as with somatic conditions (axis II) and personality disorders (axis III).

Adherence to rehabilitation treatment in HIV-positive and HIV-negative opioid-addicted patients with psychiatric comorbidity

2016 ◽  
Vol 33 (S1) ◽  
pp. S114-S114
Author(s):  
Z. Bereza
Keyword(s):  
Personality Disorder ◽  
Mental Disorders ◽  
Hiv Infection ◽  
Personality Disorders ◽  
Treatment Interruption ◽  
Hiv Positive ◽  
Rehabilitation Treatment ◽  
Icd 10 ◽  
Comorbid Mental Disorders ◽  
Hiv Negative

IntroductionEarly diagnostics and treatment of comorbid disorders in drug addicts is an integral part of the rehabilitation process and a critical factor in the success of rehabilitation measures as a whole.SubjectsOne hundred and thirty-three patient of inpatient rehabilitation department. The inclusion criteria in the study were: age above 18 years, withdrawal status, diagnosis (F 11.20 ICD-10). They were divided into two groups: HIV positive (n = 38) and HIV negative (n = 95).AimsTo estimate the prevalence of HIV infection and comorbid mental disorders in substance abuse patients and the impact of comorbidities disorders on the compliance.MethodsClinico-anamnestic method, clinical-psychopathological method (criteria ICD-10 and clinical diagnostic scales: PANSS, HADS, MMPI). All participants also had serological blood test for antibodies to HIV.ResultsAccording to our data, the incidence of comorbid mental disorders among HIV negative patients is 65%. The research also showed a correlation (P < 0.05) between HIV infection and mental disorders. So, mental disorders were diagnosed in 82% of HIV infected patients. Patients who stopped their treatment early (n = 42) significantly (P < 0.05) more often had specific personality disorders (17%). Most of them suffered from dissocial personality disorder (9%) and borderline personality disorder (18%).ConclusionsThis analysis showed that HIV is not significant factor (P > 0.05) of early rehabilitation treatment interruption. But comorbid personality disorders in both groups are a significant factor (P < 0.05) of the treatment interruption, while the endogenous, neurotic or affective mental disorders are not.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

scholarly journals Economic impact of personality disorders in UK primary care attenders

2002 ◽  
Vol 181 (1) ◽  
pp. 62-66 ◽  
Author(s):  
Alison Rendu ◽  
Paul Moran ◽  
Anita Patel ◽  
Martin Knapp ◽  
Anthony Mann
Keyword(s):  
Mental Disorders ◽  
Personality Disorders ◽  
Economic Impact ◽  
Significant Interaction ◽  
Multivariate Analyses ◽  
Common Mental Disorders ◽  
Health Costs ◽  
Total Cost ◽  
Cohort Study Design ◽  
The Mean

BackgroundThe economic impact of personality disorders on UK health services is unknown.AimsTo test the hypothesis that people with personality disorders have higher mean health and non-health costs compared with those without personality disorders.MethodProspective cohort study design. A total of 303 general practice attenders were followed-up 1 year after they had been assessed for the presence of personality disorders. Costs were estimated in £ sterling at 1999 price levels.ResultsThe mean total cost for patients with personality disorders was £3094 (s.d.=5324) compared with £1633 (s.d.=3779) for those without personality disorders. Personality disorders were not independently associated with increased costs. Multivariate analyses identified the presence of a significant interaction between personality disorders and common mental disorders and increased total costs (coefficient=499, 95% CI 180.1-626.2, P=0.002).ConclusionsPersonality disorders are not independently associated with increased costs. An interaction between personality disorders and common mental disorders significantly predicts increased total costs.

scholarly journals Adolescent mental health and behavioural predictors of being NEET: a prospective study of young adults not in employment, education, or training

2017 ◽  
Vol 48 (5) ◽  
pp. 861-871 ◽  
Author(s):  
L. Rodwell ◽  
H. Romaniuk ◽  
W. Nilsen ◽  
J. B. Carlin ◽  
K. J. Lee ◽  
...  
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Young Adults ◽  
Mental Disorders ◽  
Young Adulthood ◽  
Common Mental Disorders ◽  
Disruptive Behaviour ◽  
Drinking Behaviour ◽  
Increased Risk ◽  
Employment Education

BackgroundYoung adults who are not in employment, education, or training (NEET) are at risk of long-term economic disadvantage and social exclusion. Knowledge about risk factors for being NEET largely comes from cross-sectional studies of vulnerable individuals. Using data collected over a 10-year period, we examined adolescent predictors of being NEET in young adulthood.MethodsWe used data on 1938 participants from the Victorian Adolescent Health Cohort Study, a community-based longitudinal study of adolescents in Victoria, Australia. Associations between common mental disorders, disruptive behaviour, cannabis use and drinking behaviour in adolescence, and NEET status at two waves of follow-up in young adulthood (mean ages of 20.7 and 24.1 years) were investigated using logistic regression, with generalised estimating equations used to account for the repeated outcome measure.ResultsOverall, 8.5% of the participants were NEET at age 20.7 years and 8.2% at 24.1 years. After adjusting for potential confounders, we found evidence of increased risk of being NEET among frequent adolescent cannabis users [adjusted odds ratio (ORadj) = 1.74; 95% confidence interval (CI) 1.10–2.75] and those who reported repeated disruptive behaviours (ORadj= 1.71; 95% CI 1.15–2.55) or persistent common mental disorders in adolescence (ORadj= 1.60; 95% CI 1.07–2.40). Similar associations were present when participants with children were included in the same category as those in employment, education, or training.ConclusionsYoung people with an early onset of mental health and behavioural problems are at risk of failing to make the transition from school to employment. This finding reinforces the importance of integrated employment and mental health support programmes.

scholarly journals Common mental disorders in young adults born late-preterm

2016 ◽  
Vol 46 (10) ◽  
pp. 2227-2238 ◽  
Author(s):  
K. Heinonen ◽  
E. Kajantie ◽  
A.-K. Pesonen ◽  
M. Lahti ◽  
S. Pirkola ◽  
...  
Keyword(s):  
Substance Use ◽  
Young Adults ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Young Adulthood ◽  
Gestational Age ◽  
Common Mental Disorders ◽  
Diagnostic Interview ◽  
Late Preterm ◽  
Childhood Care

BackgroundResults of adulthood mental health of those born late-preterm (34 + 0–36 + 6 weeks + days of gestation) are mixed and based on national registers. We examined if late-preterm birth was associated with a higher risk for common mental disorders in young adulthood when using a diagnostic interview, and if this risk decreased as gestational age increased.MethodA total of 800 young adults (mean = 25.3, s.d. = 0.62 years), born 1985–1986, participated in a follow-up of the Arvo Ylppö Longitudinal Study. Common mental disorders (mood, anxiety and substance use disorders) during the past 12 months were defined using the Composite International Diagnostic Interview (Munich version). Gestational age was extracted from hospital birth records and categorized into early-preterm (<34 + 0, n = 37), late-preterm (34 + 0–36 + 6, n = 106), term (37 + 0–41 + 6, n = 617) and post-term (⩾42 + 0, n = 40).ResultsThose born late-preterm and at term were at a similar risk for any common mental disorder [odds ratio (OR) 1.11, 95% confidence interval (CI) 0.67–1.84], for mood (OR 1.11, 95% CI 0.54–2.25), anxiety (OR 1.00, 95% CI 0.40–2.50) and substance use (OR 1.31, 95% CI 0.74–2.32) disorders, and co-morbidity of these disorders (p = 0.38). While the mental disorder risk decreased significantly as gestational age increased, the trend was driven by a higher risk in those born early-preterm.ConclusionsUsing a cohort born during the advanced neonatal and early childhood care, we found that not all individuals born preterm are at risk for common mental disorders in young adulthood – those born late-preterm are not, while those born early-preterm are at a higher risk. Available resources for prevention and intervention should be targeted towards the preterm group born the earliest.

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