Psychiatric morbidity in children of poly-substance abuser

There are few long-term follow-up studies of parasuicides incorporating face-to-face interviews. To date no study has evaluated the prevalence of psychiatric morbidity at long-term follow-up of parasuicides using diagnostic rating scales, nor has any study examined parental bonding issues in this population. We attempted a prospective follow-up of 85 parasuicide cases an average of 8½ years later. Psychiatric morbidity, social functioning, and recollections of the parenting style of their parents were assessed using the Clinical Interview Schedule, the Social Maladjustment Scale, and the Parental Bonding Instrument, respectively. Thirty-nine persons in total were interviewed, 19 of whom were well and 20 of whom had psychiatric morbidity. Five had died during the follow-up period, 3 by suicide. Migration, refusals, and untraceability were common. Parasuicide was associated with parental overprotection during childhood. Long-term outcome is poor, especially among those who engaged in repeated parasuicides.

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Increasing risk of psychiatric morbidity after childhood onset T1DM: a population-based cohort study

Yearbook of Paediatric Endocrinology ◽

10.1530/ey.15.10.18 ◽

2018 ◽

Author(s):

Dybdal D ◽

Tolstrup JS ◽

Sildorf SM ◽

Boisen KA ◽

Svensson J ◽

...

Keyword(s):

Cohort Study ◽

Psychiatric Morbidity ◽

Population Based ◽

Childhood Onset ◽

Increasing Risk

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Psychiatric Morbidity Managed by Liaison Psychiatry in a Tunisian Population

10.26226/morressier.5885d713d462b8028d892380 ◽

2017 ◽

Author(s):

Kaouthar Hajbi

Keyword(s):

Psychiatric Morbidity ◽

Tunisian Population ◽

Liaison Psychiatry

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Faculty Opinions recommendation of Happiness across age groups: results from the 2007 National Psychiatric Morbidity Survey.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.9893958.10601057 ◽

2011 ◽

Author(s):

Christer Allgulander

Keyword(s):

Psychiatric Morbidity ◽

Age Groups

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Psychiatric Assessment and Management of Clients Undergoing Cosmetic Surgery: Overview and Need for an Integrated Approach

Indian Journal of Plastic Surgery ◽

10.1055/s-0040-1721868 ◽

2021 ◽

Author(s):

Sharmi Bascarane ◽

Pooja P. Kuppili ◽

Vikas Menon

Keyword(s):

Mental Health ◽

Cosmetic Surgery ◽

English Language ◽

Body Dysmorphic Disorder ◽

Psychiatric Morbidity ◽

Integrated Approach ◽

Assessment Tools ◽

Health Issues ◽

Psychiatric Assessment ◽

Postsurgical Outcomes

Abstract Background Psychiatric disorders are more common among people undergoing cosmetic procedures than the general population and evaluating mental health can be cumbersome for plastic surgeons. We aim to summarize the available literature in this regard and propose an integrated approach to psychiatric assessment and management of mental health issues among this group. Methods Electronic search of MEDLINE, Google Scholar, and PsycINFO databases was done to identify relevant peer-reviewed English language articles from inception till April 2020. Generated abstracts were screened for their eligibility. Included articles were grouped according to their thematic focus under the following headings; prevalence of psychiatric morbidity among clients posted for cosmetic surgery, assessment tools, and management of psychiatric morbidity in relation to undergoing cosmetic surgery. Results A total of 120 articles were reviewed. The prevalence of psychiatric disorder in patients undergoing cosmetic surgery was 4 to 57% for body dysmorphic disorder (BDD); the corresponding figures for depression, anxiety, and personality disorder were 4.8 to 25.8, 10.8 to 22, and 0 to 53%, respectively. A range of tools have been used to assess these disorders and specific measures are also available to assess clinical outcomes following surgery. Screening for these disorders is essential to prevent unnecessary surgical procedures, as well as to ensure timely management of the psychiatric comorbidity. Conclusion Psychiatric morbidity is a common concomitant in cosmetic surgery. A structured and integrated approach to evaluation and management of psychiatric morbidity will help to optimize postsurgical outcomes.

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Economics of mental well-being: a prospective study estimating associated health care costs and sickness benefit transfers in Denmark

The European Journal of Health Economics ◽

10.1007/s10198-021-01305-0 ◽

2021 ◽

Author(s):

Ziggi Ivan Santini ◽

Hannah Becher ◽

Maja Bæksgaard Jørgensen ◽

Michael Davidsen ◽

Line Nielsen ◽

...

Keyword(s):

Health Care ◽

Mental Illness ◽

Healthcare Costs ◽

Psychiatric Morbidity ◽

Government Expenditure ◽

Well Being ◽

Population Based ◽

Sickness Benefit ◽

A Prospective Study ◽

Mental Well Being

Abstract Background Previous literature has examined the societal costs of mental illness, but few studies have estimated the costs associated with mental well-being. In this study, a prospective analysis was conducted on Danish data to determine 1) the association between mental well-being (measured in 2016) and government expenditure in 2017, specifially healthcare costs and sickness benefit transfers. Methods Data stem from a Danish population-based survey of 3,508 adults (aged 16 + years) in 2016, which was linked to Danish registry data. A validated scale (WEMWBS) was used for the assessment of mental well-being. Costs are expressed in USD PPP. A two-part model was applied to predict costs in 2017, adjusting for sociodemographics, health status (including psychiatric morbidity and health behaviour), as well as costs in the previous year (2016). Results Each point increase in mental well-being (measured in 2016) was associated with lower healthcare costs ($− 42.5, 95% CI = $− 78.7, $− 6.3) and lower costs in terms of sickness benefit transfers ($− 23.1, 95% CI = $− 41.9, $− 4.3) per person in 2017. Conclusions Estimated reductions in costs related to mental well-being add to what is already known about potential savings related to the prevention of mental illness. It does so by illustrating the savings that could be made by moving from lower to higher levels of mental well-being both within and beyond the clinical range. Our estimates pertain to costs associated with those health-related outcomes that were included in the study, but excluding other social and economic outcomes and benefits. They cover immediate cost estimates (costs generated the year following mental well-being measurement) and not those that could follow improved mental well-being over the longer term. They may therefore be considered conservative from a societal perspective. Population approaches to mental health promotion are necessary, not only to potentiate disease prevention strategies, but also to reduce costs related to lower levels of mental well-being in the non-mental illness population. Our results suggest that useful reductions in both health care resource use and costs, as well as in costs due to sick leave from the workplace, could be achieved from investment in mental well-being promotion within a year.

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Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020749 ◽

2021 ◽

Vol 18 (2) ◽

pp. 749

Author(s):

Mattia Marchi ◽

Federica Maria Magarini ◽

Giorgio Mattei ◽

Luca Pingani ◽

Maria Moscara ◽

...

Keyword(s):

General Hospital ◽

Depressive Disorders ◽

Psychiatric Morbidity ◽

Clinical Signs ◽

Kappa Statistics ◽

Comorbid Depression ◽

Liaison Psychiatry ◽

Consultation Liaison Psychiatry ◽

Psychiatric Conditions ◽

Diagnostic Concordance

Consultation–liaison psychiatry (CLP) manages psychiatric care for patients admitted to a general hospital (GH) for somatic reasons. We evaluated patterns in psychiatric morbidity, reasons for referral and diagnostic concordance between referring doctors and CL psychiatrists. Referrals over the course of 20 years (2000–2019) made by the CLP Service at Modena GH (Italy) were retrospectively analyzed. Cohen’s kappa statistics were used to estimate the agreement between the diagnoses made by CL psychiatrist and the diagnoses considered by the referring doctors. The analyses covered 18,888 referrals. The most common referral reason was suspicion of depression (n = 4937; 32.3%), followed by agitation (n = 1534; 10.0%). Psychiatric diagnoses were established for 13,883 (73.8%) referrals. Fair agreement was found for depressive disorders (kappa = 0.281) and for delirium (kappa = 0.342), which increased for anxiety comorbid depression (kappa = 0.305) and hyperkinetic delirium (kappa = 0.504). Moderate agreement was found for alcohol or substance abuse (kappa = 0.574). Referring doctors correctly recognized psychiatric conditions due to their exogenous etiology or clear clinical signs; in addition, the presence of positive symptoms (such as panic or agitation) increased diagnostic concordance. Close daily collaboration between CL psychiatrists and GH doctors lead to improvements in the ability to properly detect comorbid psychiatric conditions.

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