scholarly journals Correlation between clinical characteristics of mental disorders and associated cardiomyopathy

Author(s):  
S. N. Kozlova ◽  
A. A. Krasnov

Two groups of patients with mental disorders in sections F2 according to ICD-10 (91 patients) and F4 (94 patients) were examined. The mean age of the patients was 36±7,6 years. A significantly higher percentage of secondary cardiomyopathy was in the patients with endogenous mental pathology - 51.2 % and in those with neurotic disorders - 37.7 % (pâ,01). It depended neither on the type and dynamics of the mental illness, but was more determined by its severityand in the case of endogenous mental illness - byits duration.

Author(s):  
Lisa Nicole Sharwood ◽  
Taneal Wiseman ◽  
Emma Tseris ◽  
Kate Curtis ◽  
Bharat Vaikuntam ◽  
...  

IntroductionRisk of traumatic injury is increased in individuals with mental illness, substance use disorder and dual diagnosis (mental disorders); these conditions will pre-exist among individuals hospitalised with acute traumatic spinal injury (TSI). Although early intervention can improve outcomes for people who experience mental disorders or TSI, the incidence, management, and cost of this often complex comorbid health profile is not sufficiently understood. Objectives and ApproachIn a whole-population cohort of patients hospitalised with acute TSI, we aimed to describe the prevalence of pre-existing mental disorders, and compare differences in injury epidemiology, costs and inpatient allied health service access. Record-linkage study of all hospitalised cases of TSI between June 2013 and June 2016 in New South Wales, Australia. TSI was defined by specific ICD-10-AM codes. Mental disorder status was considered as pre-existing where specific ICD-10-AM codes were recorded in incident admissions. Results13,489 individuals sustained acute TSI during this study. 13.11%, 6.06%, and 1.82% had pre-existing mental illness, substance use disorder, and dual diagnosis, respectively. Individuals with mental disorder were older (p<0.001), more likely to have had a fall or self-harmed (p<0.001), experienced almost twice the length of stay and inpatient complications, and increased injury severity compared to individuals without mental disorder (p<0.001). Conclusion / ImplicationsIndividuals hospitalised for TSI with pre-existing mental disorder have greater likelihood of increased injury severity and more complex, costly acute care admissions compared to individuals without mental disorder. Care pathway optimisation including prevention of hospital acquired complications for people with pre-existing mental disorders hospitalised for TSI is warranted.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
S. Danilova

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.


2018 ◽  
Vol 19 (2) ◽  
pp. 125-130
Author(s):  
Aneta Perzyńska-Starkiewicz

Abstract The aim of this study is to acquaint the readers with some pieces of practical guidance on the therapy of neurotic disorders offered by Professor Mieczysław Kaczyński to his colleagues and students at the Lublin Clinic of Psychiatry. Patients who report so-called neurotic complaints are a group that requires a very thorough clinical analysis. Professor Kaczyński emphasized that it was necessary to make a distinction among patients with a neurotic reaction, a pseudoneurotic syndrome, and ‘neurosis proper’ or psychoneurosis. The first group includes patients who report a psychological trauma as a trigger of their complaints. Therapeutic intervention brings good outcomes leading to resolution of the condition. A group of patients that is very important from the point of view of diagnosis are those in whom neurotic complaints are masking an onset of a somatic or mental illness or an existing illness which is running a mild course. In such cases, a cursory examination leading to a mistaken diagnosis of neurosis can have devastating effects. A misdiagnosis is easy to make, for example, in patients with increased intracranial pressure (“the neurasthenic stage of a brain tumour”) or an onset of a mental illness (the pseudoneurotic syndrome of early schizophrenia). Therefore, often, before the final diagnosis is arrived at, multiple follow-up examinations are needed to monitor the structure and dynamics of the disease. Only when the first two diagnostic options have been excluded, can the physician classify the disorder as a neurosis (psychoneurosis). In such cases, it is necessary to find the etiological agent, which, more often than not, is a situation of conflict or frustration that the patient is unconscious of. A failure to analyze a case in this way may result in the patient’s resignation response, potentially leading to suicide. It appears that Professor Kaczyński’s remarks on the clinical picture of neurotic disorders largely round out the information provided in ICD-10 under F.40–F.48.


1954 ◽  
Vol 100 (418) ◽  
pp. 1-28 ◽  
Author(s):  
Cyril Burt

Psychiatry and psychology.—In his preface to The Pathology of Mind, Henry Maudsley commented on the peculiarly isolated way in which the study of mental illness had developed during the previous fifty years. “Treatises on mental disorders,” he said, “deal with their subject as if it belonged to a science entirely distinct from that which is concerned with the sound mind.” This, he continued, is as though a pathologist were to discuss cardiac and respiratory disease, with little or no knowledge of current work on the physiology of the heart or the lungs. And it was one of his chief aims “to put a happy end to the inauspicious divorce between the two sciences.” Partly in the hope of bringing them into closer touch, his discussion of pathological conditions was prefaced by a systematic account of the normal mind: and in the first edition of his work (1867) the two topics were included in a single volume. Nevertheless, in spite of Maudsley's arguments and his excellent example, few writers on mental pathology have, until quite recently, paid much attention to advances in general psychology. When they describe mental processes or characteristics, they constantly fall back on popular concepts or on out-of-date terms which present an incongruous mixture of an obsolete faculty psychology with an antiquated associationism—doctrines that were already under heavy criticism when Maudsley himself was writing.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1668-1668
Author(s):  
I.E. Kupriyanova

Objective of investigationTo study structure of borderline neuro-mental disorders in women with breast cancer with subsequent development of therapeutic and psychopreventive activities.Material and methodsWe examined 102 women. At the first stage we have analyzed the role of constitutional-biological, social and psychogenic factors in formation and subsequent clinical dynamic of borderline neuro-mental disorders. Classification of psychiatric diagnosis was conducted according to ICD-10. During diagnosis we used the following diagnostic categories: for neurotic disorders (F41–48) and for personality disorders (F60). Results: Women with neurotic disorders reliably predominated, and namely - mixed anxiety and depressive reaction (F43.22). At stage I and II patients with pre-nosological disorder predominated (asthenic variant with predominance of mental fatigue) (22,73% and 24,14%, respectively), and at stage III - with dysthymic variant of pre-nosological disorder (18,18%). At stage II of breast cancer we have diagnosed mixed anxiety and depressive disorder (F41.2) (3,45%).ConclusionMedico-biological block included early diagnosis of revealed psychopathological disorders at pre-hospital stage; identification of profile of the personality and level of mental health during stay in hospital. Psychopharmacotherapeutic block consisted of individual therapeutic programs for women with various level of mental health. Social block based on organization of system of rehabilitation, including work with patients in the hospital, joint observation with cancer therapist for a half of the year, participation of patients in an open psychotherapeutic group.


2007 ◽  
Vol 101 (1) ◽  
pp. 171-176
Author(s):  
Szymon Chrzastowski

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.


2020 ◽  
pp. injuryprev-2019-043567
Author(s):  
Lisa Nicole Sharwood ◽  
Taneal Wiseman ◽  
Emma Tseris ◽  
Kate Curtis ◽  
Bharat Vaikuntam ◽  
...  

BackgroundRisk of traumatic injury is increased in individuals with mental illness, substance use disorder and dual diagnosis (mental disorders); these conditions will pre-exist among individuals hospitalised with acute traumatic spinal injury (TSI). Although early intervention can improve outcomes for people who experience mental disorders or TSI, the incidence, management and cost of this often complex comorbid health profile is not sufficiently understood. In a whole population cohort of patients hospitalised with acute TSI, we aimed to describe the prevalence of pre-existing mental disorders and compare differences in injury epidemiology, costs and inpatient allied health service access.MethodsRecord linkage study of all hospitalised cases of TSI between June 2013 and June 2016 in New South Wales, Australia. TSI was defined by specific International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) codes. Mental disorder status was considered as pre-existing where specific ICD-10-AM codes were recorded in incident admissions.Results13 489 individuals sustained acute TSI during this study. 13.11%, 6.06% and 1.82% had pre-existing mental illness, substance use disorder and dual diagnosis, respectively. Individuals with mental disorder were older (p<0.001), more likely to have had a fall or self-harmed (p<0.001), experienced almost twice the length of stay and inpatient complications, and increased injury severity compared with individuals without mental disorder (p<0.001).ConclusionIndividuals hospitalised for TSI with pre-existing mental disorder have greater likelihood of increased injury severity and more complex, costly acute care admissions compared with individuals without mental disorder. Care pathway optimisation including prevention of hospital-acquired complications for people with pre-existing mental disorders hospitalised for TSI is warranted.


Author(s):  
Alexa Fabris

Dissociative identity disorder means a mental pathology that involves the normal interaction of the most important psychic processes of the human mind, bringing the one who is afflicted by it, to be no longer fully aware of himself and his actions. Among the various mental disorders within the DSM is perhaps the most specific to damage the conscious side of a person. The concept of awareness is very difficult to internalize and this is often taken for granted. Those who are unaware of their actions, if they commit a crime, are declared not imputable and for them a rehabilitative path opens up within structures for the execution of the security measures suitable for their psychiatric condition, these institutes are called R.E.M.S.


Author(s):  
Francesca Righi

The criminal couple is an uncommon phenomenon, since criminals act alone or involving other individuals in a fortuitous manner. The murders committed in pairs represent a rather rare eventuality (it is estimated that in Italy they are about 5%). At the base of this very particular dynamic there is the c.d. folie à deux, otherwise indicated in the psychiatric nosography as “Shared Psychotic Disorder” and ICD-10 as “Induced Delusional Disorder”. Described for the first time in 1887 by Lasègue and Falret, it is characterized by the appearance of a delirium in a subject called the Primary Case, shared by the induced subject. The delusional couple lives in close correlation and at the same time isolated from the social context, conditions that facilitate the influence of the incube, bearer of a more serious mental pathology, on the succubus not necessarily affected by a psychotic pathology, nor, by force coming from a criminal subculture. The succubus therefore welcomes the delirious ideas of the incube and makes them its own, giving life not to the simple sum of two individuals but to a quid novi represented by the couple, united by a very strong pathological dependence. This contribution aims to highlight, through the analysis of some famous homicidal couples, the recognition or otherwise of the perpetrators of crimes, a total or partial defect of mind and the consequent imputability not omitting considerations on the social reintegration of them; once the prison sentence has been expiated.


Author(s):  
Nancy Nyquist Potter

This chapter presents a general theory of defiance, both in general terms and as it pertains to patients with mental disorders. The author frames defiance as a response to authoritative norms for civility and argues that these norms are, and often should be, questioned by those who are systemically adversely affected by them. Defiance is distinguished from civil disobedience, civil resistance, and other challenges to authority. Aristotle’s virtue ethics is introduced, but with challenges to his neglect of oppressive or disabling conditions on the ability to flourish. The concept of master narratives is used to identify ways that dominant norms for reasoning make it difficult to assess properly when defiance is virtuous, vicious, or a symptom of mental illness. Examples are employed to illustrate what would count as a deficiency, an excess, and the mean. The author also introduces the framework of burdened virtues—virtues that impede flourishing and that do harm to those who develop them.


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