Self-Report of Basic Symptoms among Psychotic and Nonpsychotic Subjects

1999 ◽  
Vol 85 (2) ◽  
pp. 621-632 ◽  
Author(s):  
Nicola Ciani ◽  
Bianca Pezzarossa ◽  
Arcangelo Curini ◽  
I. Alex Rubino
Keyword(s):  
Anxiety Disorders ◽  
Mood Disorders ◽  
Psychiatric Patients ◽  
Self Report ◽  
Psychiatric Outpatients ◽  
Emergency Ward ◽  
Basic Symptoms ◽  
Schizophrenic Patients ◽  
First Rank Symptoms ◽  
Manic Patients

Basic symptoms, as defined and described by the Bonn Scale, were assessed by means of a new self-report inventory, the Rome Basic Disorders Scale. On all the subscales, psychiatric outpatients ( n = 105; most frequent diagnoses: Schizophrenia, Anxiety Disorders, and Mood Disorders) scored significantly higher ( p <.001) than nonclinical controls ( n = 105). Psychiatric patients with at least one diagnosis on the psychotic sets of Foulds' hierarchical inventory ( n = 45), compared with the rest of the psychiatric sample ( n = 60), had significantly higher scores on nearly all subscales. Two groups of inpatients with Schizophrenia ( n = 20) and Mood Disorders ( n = 20) were tested on Day 2 and 9 of hospitalization in an emergency ward. Schizophrenic patients had significantly higher scores on most of the subscales, but only on Day 9; on Day 2 depressed and manic patients scored significantly higher on four subscales. Until now basic symptoms had not been studied during the intrapsychotic phase, mainly because of their transformation into first-rank symptoms; present findings suggest that basic symptoms are active also at the height of the psychotic breakdown and that they are more responsive to treatment in Depression and Mania than in Schizophrenia.

Reasoning

2015 ◽  
Author(s):  
Allison G. Harvey ◽  
Edward Watkins ◽  
Warren Mansell ◽  
Roz Shafran
Keyword(s):  
Eating Disorders ◽  
Anxiety Disorders ◽  
Mood Disorders ◽  
Psychotic Disorders ◽  
Somatoform Disorders ◽  
Psychological Disorders ◽  
Self Report ◽  
Illusory Correlation ◽  
Ambiguous Stimuli ◽  
Substance Related Disorders

Chapter 4 discusses reasoning. This includes the interpretation of ambiguous stimuli, self-report paradigms, cognitive-experimental paradigms, attributions, expectancies and heuristics, covariation and illusory correlation, and the evidence for the presence of these reasoning processes across psychological disorders (anxiety disorders, somatoform disorders, eating disorders, mood disorders, psychotic disorders, and substance-related disorders).

scholarly journals Metereological conditions and psychiatric emergency visits in Messina, Italy

2016 ◽  
Vol 9 (1) ◽  
pp. 72-82
Author(s):  
Salvatore Settineri ◽  
Massimo Mucciardi ◽  
Valentina Leonardi ◽  
Stefan Schlesinger ◽  
Mara Gioffrè Florio ◽  
...  
Keyword(s):  
Anxiety Disorders ◽  
Mood Disorders ◽  
Affective Disorders ◽  
Depressive Disorders ◽  
Psychiatric Patients ◽  
Weather Data ◽  
Psychiatric Disease ◽  
Tyrrhenian Sea ◽  
Emergency Unit ◽  
Diagnostic Categories

Objective: The aim of this study is to examine the association between psychiatric disease, climatic and seasonal factors in patients recorded to the Emergency Unit, in Messina Hospital (Italy). Method: A total of 6565 psychiatric patients were recorded to the Emergency Unit in Messina from January 2005 and December 2010. Each psychiatric visit in emergency, was categorized by date of appearance and admitting diagnosis according to diagnostic categories: Anxiety, Mood Disorders and Psychosis. Local weather data were obtained from the Metereological Instituted “Aereonautica Militare” station in Messina, Sicily, In addition, to gathering data on the state of the sky, temperature, atmosphericpressure with the normalized value at sea level, relative humidity, rainfall, wind direction and speed, the station is connected to a buoy located on the eastern sector of Tyrrhenian Sea. Results: In anxiety disorders we have found relevant results comparison between winter and spring (p=.007) and spring and fall (p=.001). In affective disorders the differences occur in relation to winter and fall (p=.002), spring and fall (p=001), spring and summer (p=002). The psychotic disorder presents significant differences between summer and fall (p=.001) and spring and fall (p=.002). Conclusions: We can observe a similarity of affective disorders, i.e. anxiety and mood disorders compared to psychosis, which have different influences and probably according to dissimilar etiopathogenetic ways. In our research, the distribution of anxiety disorders is higher than depressive disorders in terms of delivering emergency room visits. The major differences occur comparing spring and fall, the seasons when all pathological classes have significant differences. It follows that the most abrupt climate change, typical of these seasons, as a whole, cause psychopathological emergencies. The study is important for planning a more effective assistance for patients needing psychiatric support.

Too Much to Bear

Crisis ◽  
2016 ◽  
Vol 37 (1) ◽  
pp. 59-67 ◽  
Author(s):  
Nicole J. Peak ◽  
James C. Overholser ◽  
Josephine Ridley ◽  
Abby Braden ◽  
Lauren Fisher ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Concurrent Validity ◽  
Medical Center ◽  
Psychiatric Patients ◽  
Preliminary Evidence ◽  
Diagnostic Interview ◽  
Veterans Affairs ◽  
Self Report ◽  
Perceived Burdensomeness ◽  
Scale Method

Abstract. Background: People who feel they have become a burden on others may become susceptible to suicidal ideation. When people no longer feel capable or productive, they may assume that friends and family members would be better off without them. Aim: The present study was designed to assess preliminary psychometric properties of a new measure, the Perceived Burdensomeness (PBS) Scale. Method: Depressed psychiatric patients (N = 173) were recruited from a veterans affairs medical center. Patients were assessed with a structured diagnostic interview and self-report measures assessing perceived burdensomeness, depression severity, hopelessness, and suicidal ideation. Results: The present study supported preliminary evidence of reliability and concurrent validity of the PBS. Additionally, perceived burdensomeness was significantly associated with higher levels of hopelessness and suicidal ideation. Conclusion: It is hoped that with the aid of the PBS clinicians may be able to intervene more specifically in the treatment of suicidality.

Test-Retest Reliability of a Self-Report Questionnaire for DSM-IV and ICD-10 Personality Disorders

2000 ◽  
Vol 16 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Hans Ottosson ◽  
Martin Grann ◽  
Gunnar Kullgren
Keyword(s):  
Personality Disorder ◽  
Anxiety Disorders ◽  
Personality Disorders ◽  
Clinical Sample ◽  
Self Report ◽  
Anxiety State ◽  
Short Term ◽  
Retest Reliability ◽  
Axis I ◽  
Test Retest Reliability

Summary: Short-term stability or test-retest reliability of self-reported personality traits is likely to be biased if the respondent is affected by a depressive or anxiety state. However, in some studies, DSM-oriented self-reported instruments have proved to be reasonably stable in the short term, regardless of co-occurring depressive or anxiety disorders. In the present study, we examined the short-term test-retest reliability of a new self-report questionnaire for personality disorder diagnosis (DIP-Q) on a clinical sample of 30 individuals, having either a depressive, an anxiety, or no axis-I disorder. Test-retest scorings from subjects with depressive disorders were mostly unstable, with a significant change in fulfilled criteria between entry and retest for three out of ten personality disorders: borderline, avoidant and obsessive-compulsive personality disorder. Scorings from subjects with anxiety disorders were unstable only for cluster C and dependent personality disorder items. In the absence of co-morbid depressive or anxiety disorders, mean dimensional scores of DIP-Q showed no significant differences between entry and retest. Overall, the effect from state on trait scorings was moderate, and it is concluded that test-retest reliability for DIP-Q is acceptable.

scholarly journals Exploring patterns in psychiatric outpatients’ preferences for involvement in decision-making: a latent class analysis approach

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ingunn Mundal ◽  
Mariela Loreto Lara-Cabrera ◽  
Moisés Betancort ◽  
Carlos De las Cuevas
Keyword(s):  
Decision Making ◽  
Depressive Disorder ◽  
Latent Class ◽  
Psychiatric Patients ◽  
Mental Healthcare ◽  
Psychological Reactance ◽  
Psychiatric Outpatients ◽  
Public And Private ◽  
Level Of Education ◽  
Healthcare Settings

Abstract Background Shared decision-making (SDM), a collaborative approach that includes and respects patients’ preferences for involvement in decision-making about their treatment, is increasingly advocated. However, in the practice of clinical psychiatry, implementing SDM seems difficult to accomplish. Although the number of studies related to psychiatric patients’ preferences for involvement is increasing, studies have largely focused on understanding patients in public mental healthcare settings. Thus, investigating patient preferences for involvement in both public and private settings is of particular importance in psychiatric research. The objectives of this study were to identify different latent class typologies of patient preferences for involvement in the decision-making process, and to investigate how patient characteristics predict these typologies in mental healthcare settings. Methods We conducted latent class analysis (LCA) to identify groups of psychiatric outpatients with similar preferences for involvement in decision-making to estimate the probability that each patient belonged to a certain class based on sociodemographic, clinical and health belief variables. Results The LCA included 224 consecutive psychiatric outpatients’ preferences for involvement in treatment decisions in public and private psychiatric settings. The LCA identified three distinct preference typologies, two collaborative and one passive, accounting for 78% of the variance. Class 1 (26%) included collaborative men aged 34–44 years with an average level of education who were treated by public services for a depressive disorder, had high psychological reactance, believed they controlled their disease and had a pharmacophobic attitude. Class 2 (29%) included collaborative women younger than 33 years with an average level of education, who were treated by public services for an anxiety disorder, had low psychological reactance or health control belief and had an unconcerned attitude toward medication. Class 3 (45%) included passive women older than 55 years with lower education levels who had a depressive disorder, had low psychological reactance, attributed the control of their disease to their psychiatrists and had a pharmacophilic attitude. Conclusions Our findings highlight how psychiatric patients vary in pattern of preferences for treatment involvement regarding demographic variables and health status, providing insight into understanding the pattern of preferences and comprising a significant advance in mental healthcare research.

Prescribing stigma in mental disorders: A comparative study of Portuguese psychiatrists and general practitioners

2021 ◽  
pp. 002076402110025
Author(s):  
Bárbara Almeida ◽  
Ana Samouco ◽  
Filipe Grilo ◽  
Sónia Pimenta ◽  
Ana Maria Moreira
Keyword(s):  
Mental Health ◽  
Mental Disorder ◽  
General Practitioners ◽  
Psychiatric Patients ◽  
Self Report ◽  
Cross Sectional ◽  
Medical Speciality ◽  
Diagnostic Overshadowing ◽  
Related Stigma ◽  
Health Related

Background: Physicians, including psychiatrists and general practitioners (GPs), have been reported as essential sources of stigma towards people diagnosed with a mental disorder (PDMDs), which constitutes an important barrier to recovery and is associated with poorer clinical outcomes. Therefore, psychiatrists and GPs are key populations where it is crucial to examine stigma, improve attitudes and reduce discrimination towards psychiatric patients. Aims: This study is the first to explore mental health-related stigma among Portuguese psychiatrists and GPs, examining the differences between these two specialities and assessing whether sociodemographic and professional variables are associated with stigma. Method: A cross-sectional study was performed between June 2018 and August 2019. A consecutive sample of 55 Psychiatrists and 67 GPs working in Porto (Portugal) filled a 25-item self-report questionnaire to assess their attitudes towards PDMDs in clinical practice. The instrument was designed by the authors, based on previous mental health-related stigma studies and validated scales. The questionnaire includes 12 stigma dimensions ( Autonomy, Coercion, Incompetence, Dangerousness, Permanence, Pity, Responsibility, Segregation, Labelling, Diagnostic Overshadowing, Shame and Parental Incompetence), and its total score was used to measure Overall Stigma (OS). Sample characteristics were examined using descriptive statistics, and the factors affecting stigma were assessed through regression analysis. Results: GPs exhibit significantly higher OS levels than psychiatrists, and present higher scores in the dimensions of dangerousness, parental incompetence, diagnostic overshadowing and responsibility. Besides medical speciality, several other sociodemographic variables were associated with sigma, including age, gender, having a friend with a mental disorder, professional category, agreement that Psychiatry diverges from core medicine and physician’s interest in mental health topics. Conclusions: Our data suggest that both psychiatrists and GPs hold some degree of stigmatizing attitudes towards PDMDs. Overall, these results bring new light to stigma research, and provide information to tailor anti-stigma interventions to Portuguese psychiatrists and GPs.

Methodological Note on Deriving Behavioral Correlates for MMPI Profile Patterns: Case of the Female 4-5-6 Configuration

1982 ◽  
Vol 50 (3_suppl) ◽  
pp. 1071-1076 ◽  
Author(s):  
Glenn D. Walters ◽  
Gary S. Solomon
Keyword(s):  
Social Skills ◽  
Self Report ◽  
Psychiatric Outpatients ◽  
Control Groups ◽  
Behavioral Correlates ◽  
Matched Group ◽  
Profile Similarity ◽  
And Control ◽  
Mmpi Profile

An attempt was made to identify the empirical correlates of an MMPI configuration involving Scales 4 (Pd), 5 (Mf), and 6 (Pa) in a sample of 21 female psychiatric outpatients. Two sets of comparisons were derived. In the first comparison, 21 4-5-6 and control patients were matched on age and contrasted on selected behavioral and self-report measures. Results suggested that 4-5-6 patients displayed greater ambivalence, depression, and lack of social skills than control patients. In the second comparison, 18 4-5-6 and control females were matched on profile similarity (excluding Scales 4, 5, and 6) using the D2 procedure and then compared on various behavioral and self-report measures. This comparison showed fewer and somewhat different (indecision, need for affection) correlates relative to the age-matched group. These findings are discussed in terms of implementing appropriate procedures when defining control groups for the study of MMPI profile patterns.

Sign in / Sign up

Export Citation Format

Share Document