scholarly journals Specific psychopathological symptoms in patients with alcoholism, psychotrauma, premature and mental disorders

In order to understand the ways of modification of existing therapeutic and rehabilitation strategies taking into account the confounding stressaction on the specificity of psychopathological manifestations in persons with alcohol dependence, an analysis of the peculiarities of the severity and clinical variability of psychopathological symptoms in persons with different psychotraumatic experiences and levels of psychosocial stress was conducted. It was established that the severity of the symptoms of alcohol dependence directly correlates with the expressiveness of manifestations of depression, interpersonal sensitivity, obsessive-compulsive and paranoid symptoms, phobic anxiety, psychoticism and somatization, which, in its turn, has a close interdependence with the level of psychosocial stress. In combatants, a significant increase in the severity of psychopathological symptoms with an increase in the level of psychosocial stress, and, accordingly, the severity of alcohol dependence, is observed on the basis of depression and obsessive-compulsive response, somatization, interpersonal sensitivity and psychoticism. Reducing severity of psychopathological manifestations with increasing stress was recorded as manifestations of hostility. The growth of expressiveness of paranoyality occurs in cases of mild or severe stress, with a decrease at a moderate level of psychosocial stress. In displaced persons with alcohol dependence, there is a reliable tendency to increasing the expressiveness of manifestations of depression, interpersonal sensitivity, paranoyality and psychoticism with an increase in the level of stress. For the local inhabitants with alcohol dependence, the regularity of increase of expressiveness of all investigated psychopathological manifestations combining with increase of severity of psychosocial stress is characteristic. Among persons with alcohol dependence with the corresponding level of psychosocial stress, the severity of obsessive-compulsive symptoms, manifestations of interpersonal sensitivity and phobic anxiety is greater among combatants and displaced persons; hostility and paranoyality - in combatants; depression - indisplaced persons. The obtained data allow to state that an important factor determining the peculiarities of the severity and variety of psychopathological symptoms in persons with alcohol dependence is the severity of the pathological influence of the psychotraumatic experience and the level of psychosocial stress.

2019 ◽  
Vol 6 (1) ◽  
pp. 50-57
Author(s):  
K.D. Gaponov

VARIATIVITY OF CLINICAL-PSYCHOPATHOLOGICAL CONTENT OF DISORDERS RELATED TO ALCOHOL CONSUMPTION IN PERSONS WITH DIFFERENT PSYCHOLOGIC TRAUMATIC EXPERIENCES AND LEVELS OF PSYCHOSOCIAL STRESSGaponov K.D.The article presents the results of a comprehensive survey of 312 men suffering from alcohol dependence: 107 combatants, 89 forcibly displaced persons and 116 civilians in the city of Kharkiv and Kharkiv region. The study has shown that the clinical diversity and severity of disorders associated with alcohol consumption (the style of alcohol consumption, the ability to control the attraction to consume, tolerance, the structure of the withdrawal state, etc.), and their psychopathological arrangement (depression, anxiety, interpersonal sensitivity, hostility, phobic anxiety, somatization, paranoia) are associated with the severity of psychosocial stress that the patients experience. The factor of the presence of psychotraumatic experience, not associated with a distinct response to a stressful event, does not significantly affect the variability of psychopathological symptoms of individuals with alcohol dependence. The revealed patterns should be taken into account when developing treatment and rehabilitation and preventive measures for persons suffering from alcohol dependence.Key words: psychosocial stress, psychotraumatic experience, psychopathological manifestations, disorders related to the alcohol consumption. ВАРІАТИВНІСТЬ КЛІНІКО-ПСИХОПАТОЛОГІЧНОГО ЗМІСТУ РОЗЛАДІВ, ПОВ’ЯЗАНИХ ІЗ ВЖИВАННЯМ АЛКОГОЛЮ, У ОСІБ З РІЗНИМ ПСИХОТРАВМАТИЧНИМ ДОСВІДОМ І РІВНЕМ ПСИХОСОЦІАЛЬНОГО СТРЕСУГапонов К.Д.На основі результатів комплексного обстеження 312 чоловіків, хворих на алкогольну залежність (АЗ): 107 комбатантів, 89 вимушено переміщених осіб та 116 осіб – цивільних мешканців м. Харкова і Харківської області, доведено, що клінічна різноманітність і вираженість розладів, пов’язаних із вживанням алкоголю (стиль вживання алкоголю, здатність контролю над потягом до вживання, толерантність, структура стану відміни та ін.), та їх психопатологічне аранжування (депресія, тривога, міжособистісна сенситивність, ворожість, фобічна тривожність, соматизація, паранояльність), асоційовані з вираженістю психосоціального стресу, що випробовують хворі. Фактор наявності психотравматичного досвіду, не асоційований із виразним реагуванням на стресову подію, не справляє суттєвого впливу на варіативність психопатологічної симптоматики осіб з АЗ. Виявлені закономірності повинні враховуватися при розробці лікувально-реабілітаційних та профілактичних заходів осіб, що страждають на АЗ.Ключові слова: психосоціальний стрес, психотравмуючий досвід, психопатологічні прояви, розлади, пов’язані із вживання алкоголю. ВАРИАТИВНОСТЬ КЛИНИКО-ПСИХОПАТОЛОГИЧЕСКОГО СОДЕРЖАНИЯ РАССТРОЙСТВ, СВЯЗАННЫХ С УПОТРЕБЛЕНИЕМ АЛКОГОЛЯ, У ЛИЦ С РАЗНЫМ ПСИХОТРАВМАТИЧЕСКИМ ОПЫТОМ И УРОВНЕМ ПСИХОСОЦИАЛЬНОГО СТРЕССАГапонов К.Д.На основе результатов комплексного обследования 312 мужчин, больных алкогольной зависимостью (АЗ): 107 комбатантов, 89 вынужденно перемещенных лиц и 116 жителей г. Харькова и Харьковской области, доказано, что клиническое разнообразие и выраженность расстройств, связанных с употреблением алкоголя (стиль употребления алкоголя, способность контроля над влечением к употреблению, толерантность, структура состояния отмены и др.) и их психопатологическая аранжировка (депрессия, тревога, межличностная сензитивность, враждебность, фобическая тревожность, соматизация, паранояльность), ассоциированы с выраженностью психосоциального стресса, испытываемым пациентами. Фактор наличия психотравматического опыта, не ассоциированный с выраженным реагированием на стрессовое событие, не оказывает существенного влияния на вариативность психопатологической симптоматики лиц с АЗ. Выявленные закономерности должны учитываться при разработке лечебно-реабилитационных и профилактических мероприятий для лиц, страдающих АЗ.Ключевые слова: психосоциальный стресс, психотравмирующий опыт, психопатологические проявления, расстройства, связанные с употреблением алкоголя.


2010 ◽  
Vol 22 (6) ◽  
pp. 280-283 ◽  
Author(s):  
Marcia B De Macedo-Soares ◽  
Elisa Brietzke ◽  
Rodrigo Da Silva Dias ◽  
Tiago Mendonça ◽  
Camila Moreira ◽  
...  

de Macedo-Soares MB, Brietzke E, da Silva Dias R, Mendonca T, Moreira C, Lafer B. A comparison of the symptomatic profile between two consecutive depressive episodes in patients with bipolar disorder type I.Objective:To compare the variability of patterns of depressive symptoms between two consecutive depressive episodes in patients with bipolar disorder type I.Methods:Review of prospectively collected data from 136 subjects of an out-patient bipolar unit from 1997 to 2007. Binomial statistics was used for the analysis of Hamilton Depression Rating Scale (HDRS)-31 items of the first and second episodes, and the correlation of the HDRS-31 item scores of both episodes was determined using the Spearman coefficient.Results:Ten depressive symptoms showed a significant correlation between index and subsequent episodes: psychological anxiety, somatic anxiety, somatic symptoms, diurnal variation, paranoid symptoms, obsessive and compulsive symptoms, hypersomnia, loss of appetite and helplessness. Only four symptoms were stable in both statistical tests: paranoid symptoms, obsessive–compulsive symptoms, loss of appetite and hypersomnia.Conclusions:Paranoid and obsessive–compulsive symptoms, loss of appetite and hypersomnia tended to be found in successive episodes. However, the moderate correlations of the symptoms across two depressive recurrences suggested that clinical presentations in bipolar depression may not be predicted by symptom profiles presented in previous episodes.


2016 ◽  
Vol 9 (1) ◽  
pp. 146
Author(s):  
Masoumeh Esmaeilivand ◽  
Fereshteh Jalalvandi ◽  
Mohammad Mehdi Mohammadi ◽  
Shima Parandin ◽  
Parvin Taghizadeh ◽  
...  

<p><strong>INTRODUCTION:</strong> In the background of increasing use of internet in Asian countries, the study of psychological health in internet addicted users seems to be vital and necessary. Therefore the present study aimed to determine mental health among internet addicted and non-internet addicted Iranian and Indian students.</p><p><strong>METHODS:</strong> This cross-sectional study was conducted on 400 students in various colleges from Pune and Mumbai cities of Maharashtra. Internet Addiction Test and Symptom Check List (SCL) 90-R were used. Data were analyzed using SPSS 16.</p><p><strong>RESULTS:</strong> Internet addicted students were higher on Somatization, Obsessive-compulsive, Interpersonal sensitivity, Depression, Anxiety, Hostility, Phobic anxiety, Paranoid ideation, Psychoticism than Non-internet addicted students (P&lt;0.05). Indian students had higher score on mental health domains compared to Iranian students (P&lt;0.05). Female students had higher scores on Somatization, Obsessive-compulsive, Anxiety, Hostility, Phobic anxiety and Psychoticism than male students (P&lt;0.05).</p><p><strong>CONCLUSION:</strong> Psychiatrists and psychologists who are active in the field of mental hygiene must be aware of mental problems associated with Internet addiction such as depression, anxiety, obsession, hypochondria, paranoia, interpersonal sensitivity, and job and educational dissatisfaction among Internet addicts.</p>


2019 ◽  
Vol 01 (03) ◽  
pp. 129-137
Author(s):  
丹 易 ◽  
平 张

目的:了解综合性高校“95后”大学生群体的心理健康及其发展状况。方法:以长江大学2013级至2016级28512名学生为研究对象,在各年级进校时采用SCL-90和16PF进行测评,在其大二下学期时再次进行SCL-90测评。结果:(1)“95后”大学生大一入校时SCL-90检出率排名前三的因子是强迫症状、人际关系敏感和抑郁,大二下学期时检出率排名前三的因子是强迫症状、人际关系敏感和其他。(2)学生入校一年半后,SCL-90总分和强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性8个因子的得分均呈现显著下降(p<0.001)。(3)16PF测评结果既没有呈现出低分特征(1-3分),也没有呈现出高分特征(8-10分)。 Objective: To understand the mental health and development of “after-95” college students in comprehensive colleges and universities. Methods: A total of 28512 students from class 2013 to class 2016 in Yangtze University were selected as subjects of study, and evaluated twice by SCL-90 and PF16. Results: (1) The top three factors of SCL-90 detection rate of afterr-95 freshmen were obsessive-compulsive symptoms, interpersonal sensitivity and depression. The top three factors in the second semester of sophomore year were obsessive-compulsive symptoms, interpersonal sensitivity and others. (2) After one and a half years of enrollment, the total score of SCL-90 and eight factors, including compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, terror, paranoia and psychosis, decreased significantly (p < 0.001). (3) The results of 16PF showed neither low score (1-3 points) nor high score (8-10 points).


2020 ◽  
Author(s):  
Jinfeng Huang ◽  
Bin Han ◽  
Fada Wan ◽  
Guangxin Tan

Abstract BackgroundTo evaluate the influence effect of physical and mental exercises on the mental health of the middle-aged and old people by using Meta analysis method. MethodsRetrieve databases such as CNKI, WanFang data, VIP Database for Chinese Technical Periodicals, Pubmed, Scopus, web of science, etc. to collect randomized controlled trials of the effect of physical and mental exercises on the mental health of the middle-aged and old people. ResultsThe effects of physical and mental exercises on the somatization and obsessive-compulsive symptoms of middle-aged and old women belongs to a medium effect, and their influence effect on symptoms such as interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation belongs to a small effect. The effects of physical and mental exercises on the middle-aged people is greater than that of the old people for symptoms such as obsessive-compulsive, interpersonal sensitivity, depression, and hostility, which belongs to a small-to-medium effect. For the symptoms such as somatization, anxiety, and paranoid ideation, the influence effect of physical and mental exercises on the old is greater than that of the middle-aged, which belongs to a small-to-medium effect. The effects of physical and mental exercises for 45-60 minutes each time, 3 times a week, lasting 12-20 weeks on the middle-aged and old for symptoms such as somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation is significant, which belongs to a small-to-medium effect. The effects of Tai Chi exercise on somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoia and other symptoms of middle-aged and elderly people were small to medium. ConclusionPhysical and mental exercises have a small-to-medium effect on the middle-aged and old people for the symptoms such as somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, and paranoid ideation, but they have no significant effect on psychosis.


2020 ◽  
Vol 12 (2) ◽  
pp. 108-126 ◽  
Author(s):  
S.N. Enikolopov ◽  
O.M. Boyko ◽  
T.I. Medvedeva ◽  
O.U. Vorontsova ◽  
O.Yu. Kazmina

The goal of the work is to study the dynamics of psychological changes unfolding during the COVID-19 pandemic. The paper presents an analysis of the responses to the survey on the Internet, received from 03.22.2020 to 04.04.2020, when the spread of COVID-19 begins in Russia. The study was conducted on the Internet using Google Forms. Links to the survey were posted on social networks. The survey involved 430 people, including 188 people in Moscow, and the answers were divided into 3 groups with respect to the date when they were received: March 23–24 (79 people), March 29–30 (46 people), March 31–April 4 (63 people). The survey included a general block of questions and methods SCL-90-R, COPE, OKM97. Statistical processing was carried out with the SPSS statistical package. The results of the study show an increase in psychopathological symptoms (somatization, phobic symptoms, sleep disturbances), a decrease in the level of constructive thinking and indicators of emotional consciousness, an expansion of ideas about esoteric thinking, naïve optimism, categorical thinking, a turn to religion and a search for existential explanations for what is happening. In the Moscow sample, a V-shaped graphs were noted for the parameters of the level of depression, for the severity of obsessive-compulsive symptoms, for the parameters for “turning to religion”, “esoteric thinking,” along with a constant increase in the level of anxious, phobic symptoms and somatization, which leads to the presence of the negation phase after the phase of shock and before the adoption of a situation. Conclusions: with prolonged situation a further increase in psychopathological symptoms is possible, which can have a wide range of negative consequences.


2018 ◽  
Vol 6 (10) ◽  
pp. 92
Author(s):  
Halil Tanır ◽  
Murat Özmaden

The purpose of the present research is determining the psychological symptoms observed among the students of the Faculty of Sports Sciences and to define the effects of physical activity on the mental health of the students. The sample of the research consists of 222 volunteer students (n=75 female and n=147 male) who study at Adnan Menderes University Faculty of Sports Sciences in 2017-2018 Academic Year. International Physical Activity Questionnaire (IPAQ) was used to define the physical activity levels of students and Symptom Distress Check List (SCL-90-R) was used to define the psychological symptoms of the students. SPSS 22.0 package program was used for the statistical analysis of the data collected for the present research. According to the findings of the statistical analyses, the most frequent psychological symptoms observed among students respectively were obsessive-compulsive symptoms (70.3%, n=156), paranoid thoughts (63.1%, n=140), interpersonal sensitivity (51.8%, n=115) and anger hostility (51.4%, n=114). It was also found that there was a significant negative correlation between the physical activity levels of the students and general symptom averages and the psychological symptoms such as obsessive-compulsive symptoms, depression, anxiety, anger hostility at 0.01 level (p>0.05). According to the findings of the present research, symptoms, such as obsessive-compulsive symptoms, paranoid thoughts, interpersonal sensitivity and anger hostility are observed, and general symptom average was high among students of Faculty of Sports Sciences and psychological symptoms such as obsessive-compulsive symptoms, depression, anxiety, anger hostility, phobic reaction decreased as the physical activity level of the students increased. Psychological symptoms other than psychotics were mostly among female students. Participation in meditation, yoga, music therapy, exercise and physical activity programs as well as applied lessons in the curriculum can contribute to the prevention of mental problems among students with these symptoms.


2003 ◽  
Vol 93 (3) ◽  
pp. 707-716 ◽  
Author(s):  
A. González-Ibáñez ◽  
M. N. Aymamí ◽  
S. Jiménez ◽  
J. M. Domenech ◽  
R. Granero ◽  
...  

The aim of the present study was to classify pathological gamblers based on their psychopathology as related to the variable sensation-seeking, and to check possible differences between the groups on the sociodemographic variables. The sample was composed of 110 male pathological gamblers using slot machines who requested treatment at the Pathological Gambling Unit at the Ciutat Sanitària i Universitària de Bellvitge. It was observed that pathological gamblers comprise three clusters, differentiated with differing severity depression, psychoticism, somatization, impulsiveness, interpersonal sensitivity, and phobic anxiety. Cluster 1, representing 46.7% of the sample, showed mean scores higher than or equal to T = 63. On the subscales of Depression, Psychoticism, Interpersonal Sensidvity, Phobic Anxiety, and Obsessiveness–Compulsiveness the score was close to T = 63 (the clinical cut-off score). Cluster 2, representing 23.8% of the sample, scored higher than Cluster 1 on the following subscales: Depression, Phobic Anxiety, Interpersonal Sensitivity, Psychoticism, Obsessive–Compulsive, and Somatization. On Cluster 3 highest mean scores were observed on all SCL-90-R dimensions relative to the other two groups. What distinguished these subgroups is not symptomatology but the severity of the psychopathology. On the other hand, sensation seeking was similar for the three clusters, and the slight differences depended on the subjects' psychopathology.


2019 ◽  
Vol 25 (1) ◽  
pp. 22-29
Author(s):  
K. D. Gaponov ◽  
S. I. Tabachnikov

Background. In recent years, researchers’ interest in the social context of the problem of alcohol dependence (AD) has tended to increase. However, to date, there are no enough studies about relationship between the characteristics of social support in patients with AD and the level of psychosocial stress to which they are exposed. Taking into account the specifics of this interaction, we have opportunity significantly increase the effectiveness of AD therapy in conditions of social stress. Also it can become the basis for modifying existing therapeutic and rehabilitation strategies for treating and rehabilitating patients with alcohol dependence. Objective – to determine the peculiarities of social support and quality of life of alcohol-dependent patients with varying levels of psychosocial stress. Materials and methods. 312 men with alcohol dependence were examined: 107 combatants, 89 forcibly displaced persons and 116 people – civilians living in Kharkiv and Kharkiv region. We used such research methods as clinical, psychopathological, psychodiagnostic and statistical. Results. As a result of the work, it has been established that patients with alcohol dependence of all social groups, regardless of the level of psychosocial stress, are characterized by a lack of social support and poor quality of life. Combatants feel the least social support from the family, however, the highest support among all patients is from friends and significant others. The displaced people have stable low support for all its sources. The civilians use bigger support from families than from other sources. As the stress increases, social support is reduced, which is a paradoxical phenomenon, since it is in a situation of severe stress that patients need some support the most. Ability to search and acceptance of social support decreases with increasing levels of psychosocial stress, although among forcibly displaced persons it is the lowest regardless of the level of stress experienced by them. Combatants and locals with mild and moderate stress find the need and ability to seek and accept social support, but do not get it to the proper extent, which is an adverse factor in the dynamics of the progression of alcohol dependence and increased stress. Among all components of quality of life, in all patients with alcohol addiction, the lowest level of implementation is observed in the field of subjective well-being and a sense of satisfaction from life. The dynamics of quality of life indicators is inversely associated with the level of psychosocial stress: the tendency towards deterioration of the quality of life in all spheres of functioning of patients with alcohol dependence with the increase in the severity of psychosocial stress is established; significantly lower quality of life (both in terms of the integral index and its components) is characteristic for patients with alcohol dependence with a severe level of psychosocial stress, as compared to individuals with mild to moderate stress. Conclusions. The revealed regularities should be taken into account when developing treatment, rehabilitation and preventive measures for persons suffering from alcohol dependence.


2006 ◽  
Vol 6 (1) ◽  
pp. 58-61 ◽  
Author(s):  
Suada Kapidžić-Duraković ◽  
Azra Karabegović ◽  
Emir Halilbegović ◽  
Amela Čićkušić ◽  
Nusret Osmanović ◽  
...  

Multidimensional Inventory Check List of Symptoms (SCL-90-r) is based on self-evaluation and it has been used for determination of level of: somatisation, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, phobias, paranoia and psychosis at persons which are exposed to long term emotional and physical stress. Our goal was to determine relations of physical trauma and psychological changes at persons with lower extremities amputations and to determine factors which influence those changes. Thirty seven persons with lower extremities amputations were examined. The sample included 26 (70.2 %) veterans and 11 (29.7 %) civilians with diseases related amputations. They voluntarily filled Check List of Symptoms SCL-90-r. Symptoms Inventory includes 9 dimensions of primary symptoms: SCL1-somatisation, SCL2-obsessive-compulsive symptoms, SCL3-interpersonal sensitivity, SCL4-depression, SCL5-anxiety, SCL6-hostility, SCL7-phobias, SCL8-paranoia, SCL9-psychosis and SCL10-extra scale. Inventory includes 90 statements, each evaluated with five-level scale of disorder. Every answer is graded with 0-4 points. Thirty seven persons with lower extremities amputations and average chronological age 46.2 +/- 10.92 years were analyzed. Considering marital status 30 (81.1 %) of them were married, 4 (10.8 %) were not married and 3 (8.1 %) were widowers. Considering level of amputation 27 of them (73.0 %) had amputation below knee, 5 (13.5 %) of them amputation above knee and 5 of them (13.5 %) foot amputation. SCL-90-r in both groups determined high level of sensitivity, anxiety, hostility and paranoia. Veterans showed higher level of paranoia comparing to civilians (p<0.002), and younger veterans and married ones had higher level of paranoia comparing to other veterans (p<0.01). Persons with amputations below and above knee showed higher level of paranoia comparing those with foot amputation (p<0.001). Persons with lower extremities amputations have considerably more expressed sensitivity, anxiety, hostility and paranoia. These dimensions are related to age, marital status and level of amputation. These determinants are very helpful for planning and creation of psychological support and rehabilitation of persons with lower extremities amputations.


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