Psychoaffective Immaturity in Psychiatric Disorders

2001 ◽  
Vol 88 (1) ◽  
pp. 111-114 ◽  
Author(s):  
G. Loas ◽  
A. Seillier ◽  
C. Fréville
Keyword(s):  
Substance Use ◽  
Psychiatric Disorders ◽  
Social Functioning ◽  
Psychotic Disorders ◽  
Psychiatric Patients ◽  
Assessment Scale ◽  
Scale Scores ◽  
The Mean ◽  
Emotional Immaturity ◽  
Functioning Assessment

This study investigated the prevalence of psychoaffective immaturity and tested the hypothesis that it associated with bad prognosis. For 135 psychiatric patients meeting criteria for personality, neurotic, affective, substance use, or psychotic disorders emotional immaturity was rated using the 1985 diagnostic criteria of Doutheau, Dubertret, Moutin, and Barrois. 58 subjects (42.96%, 95% Confidence Interval: 34.61–51.31) were classified as immature. Scores of the Nonimmature and Immature groups were compared for the Beck Depression Inventory and the Professional and Social Functioning Assessment Scale. Scores were, respectively, significantly higher and lower in those patients classified as Immature than those who were classified Nonimmature. When depression was controlled by a covariance analysis, the mean difference on the Professional and Social Functioning Assessment Scale remained significant. It appears that psychoaffective immaturity is a factor associated with severity of psychiatric disorders.

scholarly journals Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study

2021 ◽  
pp. 025371762199953
Author(s):  
Bhavneesh Saini ◽  
Pir Dutt Bansal ◽  
Mamta Bahetra ◽  
Arvind Sharma ◽  
Priyanka Bansal ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Psychiatric Disorders ◽  
Psychotic Disorders ◽  
Age Of Onset ◽  
Psychiatric Patients ◽  
Cross Sectional Study ◽  
Psychotic Symptoms ◽  
Sectional Study ◽  
Cross Sectional ◽  
Neurotic Disorders

Background: Normal personality development, gone awry due to genetic or environmental factors, results in personality disorders (PD). These often coexist with other psychiatric disorders, affecting their outcome adversely. Considering the heterogeneity of data, more research is warranted. Methods: This was a cross-sectional study on personality traits in psychiatric patients of a tertiary hospital, over 1 year. Five hundred and twenty-five subjects, aged 18–45 years, with substance, psychotic, mood, or neurotic disorders were selected by convenience sampling. They were evaluated for illness-related variables using psychiatric pro forma; diagnostic confirmation and severity assessment were done using ICD-10 criteria and suitable scales. Personality assessment was done using the International Personality Disorder Examination after achieving remission. Results: Prevalence of PD traits and PDs was 56.3% and 4.2%, respectively. While mood disorders were the diagnostic group with the highest prevalence of PD traits, it was neurotic disorders for PDs. Patients with PD traits had a past psychiatric history and upper middle socioeconomic status (SES); patients with PDs were urban and unmarried. Both had a lower age of onset of psychiatric illness. Psychotic patients with PD traits had higher and lower PANSS positive and negative scores, respectively. The severity of personality pathology was highest for mixed cluster and among neurotic patients. Clusterwise prevalence was cluster C > B > mixed > A (47.1%, 25.2%, 16.7%, and 11.4%). Among subtypes, anankastic (18.1%) and mixed (16.7%) had the highest prevalence. Those in the cluster A group were the least educated and with lower SES than others. Conclusions: PD traits were present among 56.3% of the patients, and they had many significant sociodemographic and illness-related differences from those without PD traits. Cluster C had the highest prevalence. Among patients with psychotic disorders, those with PD traits had higher severity of psychotic symptoms.

scholarly journals Correlation of adverse childhood experiences with psychiatric disorders and aggressiveness in adulthood

2010 ◽  
Vol 67 (8) ◽  
pp. 653-658 ◽  
Author(s):  
Ljiljana Samardzic ◽  
Gordana Nikolic ◽  
Grozdanko Grbesa ◽  
Maja Simonovic ◽  
Tatjana Milenkovic
Keyword(s):  
Psychiatric Disorders ◽  
Adverse Childhood Experiences ◽  
Psychotic Disorders ◽  
Psychiatric Patients ◽  
Statistical Significance ◽  
Healthy Individuals ◽  
Childhood Experiences ◽  
Positive Correlation ◽  
Adverse Childhood ◽  
Significant Difference

Background/Aim. Consequences of individual adverse childhood experiences for adult mental health have been precisely studied during past decades. The focus of past research was mainly on childhood maltreatment and neglect. The aim of this paper was to determine association between multiple adverse childhood experiences and psychiatric disorders, as well as their correlation to the degree and type of aggressiveness in adult psychiatric patients. Methods. One hundred and thirteen psychiatric outpatients were divided into three diagnostic groups: psychotics, non-psychotics and alcoholics and compared with fourty healthy individuals. Adverse childhood experiences data were gathered retrospectively, using the Adverse childhood experiences questionnaire and explanatory interview. Aggressiveness was assessed using Buss-Perry Aggression Questionnaire. The Student's t test, ANOVA and correlational analysis were used for evaluation of statistical significance of differences among the groups. A value p < 0.05 was considered statistically significant. Results. Our results showed that the mean number of adverse childhood experiences in each group of psychiatric patients, as well as in the whole group of patients, was statistically significantly higher than in the group of healthy individuals (p < 0.001); there was a statistically significant difference in score of physical aggressiveness between the patients exposed to adverse childhood experiences and those who were not exposed to them (p < 0.05); scores of physical aggressiveness were in positive correlation with the number of adverse childhood experiences (p < 0.05). The highest mean score of adverse childhood experiences was evidenced in the group of patients with psychotic disorders. Conclusion. Multiple adverse childhood experiences are significantly associated with psychotic disorders, nonpsychotic disorders and alcohol dependence in adulthood and their presence is important morbidity risk factor for psychiatric disorders. They are in positive correlation with physical aggressiveness of the patients from these diagnostic groups.

A Statewide Evaluation System for Early Psychosis

2003 ◽  
Vol 37 (4) ◽  
pp. 421-428 ◽  
Author(s):  
Neil J. Preston ◽  
Neil J. Preston ◽  
Maree L. Stirling ◽  
Kanthi Perera ◽  
Richard J. Bell ◽  
...  
Keyword(s):  
Substance Use ◽  
Psychological Distress ◽  
Social Functioning ◽  
Evaluation System ◽  
Outcome Evaluation ◽  
Brief Symptom Inventory ◽  
Early Psychosis ◽  
Assessment Scale ◽  
Family Burden ◽  
Episode Psychosis

Objective: We describe a system of outcome evaluation for early psychosis programmes and present preliminary data. The Early Psychosis Outcome Evaluation System (EPOES) was designed for use in a naturalistic, prospective study of a cohort of early-episode psychosis patients. We describe patients in terms of symptoms, substance use, social functioning and family burden, and examine the effectiveness of treatment programmes. Method: Four sites in Perth, Western Australia, participated. Outcome was evaluated from three sources: case manager (CM), patient (P) and family member (FM). Seven clinical outcome measures were used: the Brief Psychiatric Rating Scale (CM), Brief Symptom Inventory (P), Substance Use (CM); Social Functioning Scale (P); Global Assessment Scale (CM); Burden Assessment Scale (FM), and the General Health Questionnaire-12 (FM). Measures were collected at intake (baseline) into a specialist early psychosis service and thereafter every 6 months until discharge from the service. Results: After the first year of data capture, 84 baseline assessments have been completed, and 23 patients have been followed up at 6 months. Clinicians and patients reported significantly less psychopathology at 6 months. Sixty per cent of patients reported marijuana use within 3 months of baseline assessment, and 30% amphetamine, ecstasy or cocaine use. Increased levels of psychopathology were recorded for substance-using patients. Family members (59%) reported psychological distress at baseline; this was reduced at 6 months. Patient social functioning and family burden did not improve measurably. Conclusions: The EPOES is an effective system that provides feedback on the clinical status of early-episode psychosis patients. Both observed and self-rated psychopathology and family psychological distress, is improved after 6 months of intervention. Family burden and patient social functioning did not demonstrate improvement. Patient social functioning is an important area for treatment. Substance use is associated with poorer psychopathology. EPOES provides a feasible system of measuring outcome in early psychosis intervention.

scholarly journals A Study to Assess the Suicidal Behaviour among the Psychiatric Patients in a Tertiary Care Teaching Hospital, Guntur

2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr Vaddadi. Venkata kiran ◽  
Dr. Neeli Uma Jyothi ◽  
Mounica. Bollu
Keyword(s):  
Substance Use ◽  
Suicide Attempt ◽  
Psychiatric Disorders ◽  
Substance Use Disorders ◽  
Suicidal Behaviour ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Wide Range ◽  
Self Harm ◽  
Commit Suicide

Suicide attempt is a deliberate act of self harm with at least some intent of die that does not result in death. Such act has a wide range of medical seriousness. Individuals with psychiatric disorders are far more likely to commit suicide than the others. People who are psychologically disabled are often commit suicide from years of pain, frustration and depression. Spiritually they may perceive themselves as hopelessly damaged and lose all sense of purpose and meaning of life. Suicide is not a diagnosis or a disorder. it is a behaviour. Suicide is a worldwide, national, local and familial problem. 90% of people who kill themselves suffer from a diagnosable and preventable problem such as depression co-occurring mental and substance use disorders are common and potent combination among those who die by suicide.

scholarly journals Tobacco Use, Dependence and Psychiatric Co-Morbidities Among Patients Admitted in Psychiatry Ward

2018 ◽  
Vol 6 (2) ◽  
pp. 54-59
Author(s):  
S Limbu ◽  
DR Shakya ◽  
N Sapkota ◽  
R Gautam ◽  
L Paudel
Keyword(s):  
Psychiatric Disorders ◽  
Nicotine Dependence ◽  
Tobacco Use ◽  
Psychotic Disorders ◽  
Psychiatric Patients ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Holistic Management ◽  
Common Diagnosis

Introduction: Nicotine dependent individuals among the tobacco users are in greater risk of having tobacco related disease and psychiatric co-morbidities. There is little information about the tobacco use and nicotine dependence among psychiatric patients in developing countries including Nepal. This study was done to estimate the prevalence of tobacco use, the level of nicotine dependence among the users and the psychiatric disorder specific prevalence among tobacco users admitted in psychiatry ward.Material And Method: A cross-sectional study was conducted in In-patient setting of Department of Psychiatry, BPKIHS. Ninety cases (size) were enrolled. The Fagerström Test for Nicotine Dependence (FTND) was applied to assess the level of nicotine dependence and the Mini International Neuropsychiatric Interview (M.I.N.I.) for diagnosis of Psychiatric disorders.Results: The prevalence of tobacco use was 62.2%. Tobacco use was more common among males (p value< 0.05).Smokeless form was the commonest form of tobacco. Majority of tobacco users had moderate nicotine dependence and had started the use in adolescence and in their 20s. Psychotic disorders were the most common diagnosis among the admitted patients.Conclusion: Tobacco use is common in patients with psychiatric disorders. Nicotine dependence should be looked into for holistic management. Treatment approaches should be tailored in tobacco users with comorbid psychiatric disorders, as this specific population has high prevalence of tobacco use and higher nicotine dependence. J Psychiatrists’ Association of Nepal Vol. 6, No. 2, 2017, Page: 54-59

Features of Emotional Intelligence and its Connection with Level of Social Functioning in Patients with Depressive-paranoid Symptoms

2017 ◽  
Vol 41 (S1) ◽  
pp. S213-S213
Author(s):  
O. Zubatiuk
Keyword(s):  
Emotional Intelligence ◽  
Social Functioning ◽  
Negative Correlation ◽  
Psychotic Disorders ◽  
Psychiatric Patients ◽  
Positive Correlation ◽  
Russian Version ◽  
Paranoid Symptoms ◽  
Group 2 ◽  
Performance Scale

IntroductionThe problem of social functioning of psychiatric patients is one of the most relevant these days.ObjectivesStudying characteristics of emotional intelligence parameters in patients with depressive-paranoid symptoms in psychotic disorders in the structure of F 20.0, F25.1 and F33.3.Participants Study involved 40 patients divided into three groups according to nosology:– Group 1: F 20.0;– Group 2: F 25.1;– Group 3: F 33.3.MethodsMSCEIT (Russian version of the adapted version of Sergienko O.O., Vetrova I.I.), the scale of PANSS and PSP.ResultsThe highest rates are in the group F25.1, except for the scale D. In group F 20.0 compared to other scales reduced scale index N. In group F 33.3 reduced compared to the scales A and E are indicators of scales D and H. 2. The observed negative correlation scale D performance of N5, G1, G5, G8, G14 (PANSS) in group F 20.0 and positive correlation in group F 33.3 of G6. E indicators scales show positive correlation with G3, group F20.0, and F33.3. Also was found a negative correlation with the performance scale O13 H group F20.0. 3. The positive correlation between the level of social functioning and performance scale H group F20.0 scales and indicators in the group D F33.3.ConclusionThe findings are the “resource area”, which have become “target” of rehabilitation programs for this group of patients.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

Development of Social Functioning Assessment Scale for People with Schizophrenia: validity and reliability study

2018 ◽  
pp. 29 ◽  
Author(s):  
Mustafa Yıldız ◽  
Fatma Kiras ◽  
Aysel İncedere ◽  
Duygu Esen ◽  
Mehmet Gürcan ◽  
...  
Keyword(s):  
Social Functioning ◽  
Assessment Scale ◽  
Validity And Reliability ◽  
Reliability Study ◽  
Functioning Assessment

scholarly journals Frequency of obsessive and compulsive symptoms in patients with blepharospasm and hemifacial spasm

2005 ◽  
Vol 63 (2a) ◽  
pp. 213-216 ◽  
Author(s):  
Renato P. Munhoz ◽  
Helio A.G. Teive ◽  
Marcus V. Della Coletta ◽  
Francisco M.B. Germiniani ◽  
Fábio M. Iwamoto ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Facial Nerve ◽  
Psychiatric Disorders ◽  
Hemifacial Spasm ◽  
Structured Interview ◽  
Test Results ◽  
Scale Scores ◽  
Dsm Iv ◽  
The Mean ◽  
Peripheral Origin

BACKGROND: Blepharospasm (BS) is a form of central focal dystonia recently associated with psychiatric disorders, particularly obsessive and compulsive symptoms. Hemifacial spasm (HFS) represents a focal myoclonus with peripheral origin in the facial nerve. OBJECTIVE: To determine the frequency of obsessive and compulsive symptoms in patients with BS in comparison with patients with HFS. METHODS: 30 patients from each group (BS and HFS) followed by the botulinum toxin clinic at the HC-UFPR were evaluated using a structured interview based on the DSM-IV criteria and the Yale-Brown scale. RESULTS: were compared by the mean two-tailed t test. RESULTS: We found obsessive or compulsive symptoms in 20 (66.6%) patients with BE and 21 (70%) with HFS. Yale-Brown scale scores for each group were higher among BS patients; however, diferences were not statisticaly significant. CONCLUSION: Our study did not show a significant diference in the comparison of the prevalence of obsessive and compulsive symptoms among patients with BS and HFS.

scholarly journals Psychiatric Disorders in Detained Male Adolescents: A Systematic Literature Review

2010 ◽  
Vol 55 (4) ◽  
pp. 255-263 ◽  
Author(s):  
Olivier Colins ◽  
Robert Vermeiren ◽  
Coby Vreugdenhil ◽  
Wim van den Brink ◽  
Theo Doreleijers ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
Psychotic Disorders ◽  
Parent Report ◽  
Computer Assisted ◽  
Mental Health Needs ◽  
Male Adolescents ◽  
Hyperactivity Disorder ◽  
Oppositional Defiant ◽  
The Mean

Objective: To provide a best estimate of the prevalence of psychiatric disorders among detained male adolescents, with particular emphasis on impairment, multi-informant assessment, and race or ethnicity. Method: Computer-assisted searches were executed to identify relevant studies. Results: Fifteen studies using adolescents as informants met inclusion criteria ( n = 3401), of which only 2 reported within a subsample on parent-derived diagnoses. The mean prevalence of any disorder was 69.9% (95% CI 69.5% to 70.3%); with conduct disorder occurring most frequently (46.4%, 95% CI 45.6% to 47.3%), followed by substance use disorder (45.1%, 95% CI 44.6% to 45.5%), oppositional defiant disorder (19.8%, 95% CI 19.2% to 20.3%), and attention-deficit hyperactivity disorder (13.5%, 95% CI 13.2% to 13.9%). Although lower, rates for internalizing disorders were still substantial, with any anxiety disorder found in 15.9% (95% CI 15.6% to 16.1%), major depression in 12.0% (95% CI 11.7% to 12.2%), and posttraumatic stress disorder in 9.6% (95% CI 9.2% to 10.0%). Three studies reported on psychotic disorders, finding low rates (1.35%, 95% CI 1.32% to 1.39%). Estimates of prevalence were only marginally different when impairment was not required, while consistency between adolescents and parents was poor. Findings on the relations between race or ethnicity were too scarce and inconsistent to interpret. Conclusion: Detained male adolescents bear substantial mental health needs, emphasizing the need to organize effective mental health services for this troubled group. However, our knowledge on mental disorders in detained youth should be enhanced, in particular regarding the reliability of adolescents, compared with parent report, and whether clinically relevant differences exist by race or ethnicity.

Investigation of constipation condition of surgical patients

2021 ◽  
Vol 11 (1) ◽  
pp. 31-35
Author(s):  
Eda Dolgun ◽  
Yelda Candan Dönmez
Keyword(s):  
Risk Assessment ◽  
High Risk ◽  
Risk Groups ◽  
High Risk Group ◽  
Assessment Scale ◽  
University Hospital ◽  
Surgical Patients ◽  
Scale Scores ◽  
Rome Iii ◽  
The Mean

Purpose: The study was planned to examine the constipation condition of surgical patients. Materials and methods: The universe of this descriptive study consisted of patients who underwent surgery between May 2016 - 2017 in a university hospital general surgery clinic. Patients (n=57) who were operated on this clinic at the specified dates and agreed to participate in the study constituted the sample of the study. A questionnaire about the identity information of the patients and Constipation Risk Assessment Scale are used collecting the data. A written permission was obtained from the Scientific Ethics Board and the institution where the study was conducted for the investigation to be carried out. The data was evaluated in numbers and percentage in SPSS 16.0 software package. Results: The mean age of the patients was 53.43±12.75 years and 63.2% of them were female. When the defecating of the patients was examined in accordance with the ROME III constipation diagnoses criteria, it was determined that the 24.6% of the patients had one, 15.8% of them had two and 7.0% of them had three of the criteria. The mean score of the Constipation Risk Assessment Scale of the patients was found to be 8.49 points. When the scale scores of the patients were examined, it was seen that 73.7% had <10 low risk, 19.3% 11-15 moderate risk and 7.0%>16 high risk group. Conclusions: Some of the patients were found to have constipation problems, and patients were also seen in the middle and high-risk groups according to the results of the risk assessment scale.

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