Weighted blankets for insomnia in affective disorder and ADHD – a clinical follow up study

2018 ◽  
Author(s):  
Bodil Ekholm ◽  
Mats Adler
Keyword(s):  
Affective Disorder ◽  
Rating Scale ◽  
Psychiatric Patients ◽  
Sleep Onset ◽  
Clinical Routine ◽  
Positive Effects ◽  
Follow Up Study ◽  
Before And After ◽  
One Year

Introduction: Weighted blankets are used for the treatment of insomnia in patients with affective disorders and ADHD, despite the lack of scientific support. This study aimed to evaluate the clinical use of weighted blankets for insomnia in patients with affective disorder and ADHD. Methods: 199 psychiatric patients with affective and ADHD diagnoses and co-occurring insomnia were included consecutively and treated with weighted blankets as a part of a clinical routine. They were evaluated before and after four weeks use of the blanket concerning time to sleep onset and ten sleep-related symptoms, using a self-rating scale, and after one year by a telephone interview.Results: The use of weighted blankets reduced the median time to fall asleep from 70 to 30 minutes (p<0.001) and led to a significant improvement of ten other sleep-related symptoms at the follow up after four weeks. After one year the positive effects on sleep were still maintained.Conclusions: The favourable results the results of this open clinical study should be interpreted with caution. Studies with a controlled design are warranted.

scholarly journals EFFECTS OF PSYCHOTROPICS ON NEUTROPHIL-LYMPHOCYTE RATIO IN PSYCHIATRIC PATIENTS

2019 ◽  
pp. 210-213
Author(s):  
RAJESH VENKATARAMAN ◽  
MUHAMMED RASHID ◽  
AKHILA G ◽  
SHIJO DANIEL ◽  
AMALATHOMAS
Keyword(s):  
Bipolar Disorder ◽  
Complete Blood Count ◽  
Drug Effect ◽  
Psychiatric Patients ◽  
Newly Diagnosed ◽  
Neutrophil Lymphocyte Ratio ◽  
Lymphocyte Ratio ◽  
Follow Up Study ◽  
Before And After

Objective: The objective of this study was to investigate whether psychotropic has any effect on neutrophils and lymphocyte ratio (NLR) in psychiatric patients. Methods: In this hospital-based prospective quasi-randomized follow-up study, we analyzed every 10 patients with newly diagnosed with depression, schizophrenia, and bipolar disorder for complete blood count before and after treatment with the selected psychotropic. Results: There was a significant increase in NLR of patients with depression after treatment with psychotropic (p=0.001), also in schizophrenia, there was a slight increase in NLR of patients after treatment with psychotropic (p=0.005), but in bipolar disorder, there was a significant decrease in NLR of patients after treatment with psychotropic (p=0.002). Conclusion: The present study confirmed that psychotropics have a statistically significant effect on the increase in NLR in patients with depression, a slight increase in patients with schizophrenia, and a decrease in patients with bipolar disorder. Further studies are needed for a better understanding of the mechanism of psychotropic drug effect on NLR.

Computed Tomography and the Outcome of Affective Disorder: A Follow-up Study of Elderly Patients

1981 ◽  
Vol 139 (4) ◽  
pp. 288-292 ◽  
Author(s):  
Robin J. Jacoby ◽  
Raymond Levy ◽  
Jonathan M. Bird
Keyword(s):  
Computed Tomography ◽  
Affective Disorder ◽  
Cognitive Test ◽  
Ventricular Enlargement ◽  
Improve Performance ◽  
Distinct Subgroup ◽  
Follow Up Study ◽  
The Difference ◽  
One Year

SummaryForty-one subjects from an earlier study, who had undergone computed tomography (CT) during their in-patient care for affective disorder, were followed up clinically for a minimum of one year. Mortality at two years was also determined, and comparisons made with 50 age-matched controls. Those with affective disorder showed a higher mortality than controls, but the difference just failed to reach significance. Within the affective group, however, mortality was significantly higher in patients who had previously shown ventricular enlargement on CT, confirming our earlier suggestion that these patients might have constituted a distinct subgroup. Failure of the affective group to improve performance on a simple cognitive test at follow-up was related to persisting depression. These and other findings are discussed.

Resettlement of Old Long-Stay Psychiatric Patients: the use of the Private Sector

1989 ◽  
Vol 155 (2) ◽  
pp. 233-238 ◽  
Author(s):  
Rachel E. Perkins ◽  
Sylvia A. King ◽  
Julie A. Hollyman
Keyword(s):  
Social Environment ◽  
Rating Scale ◽  
Local Authority ◽  
Psychiatric Patients ◽  
The Elderly ◽  
Follow Up Study ◽  
Behaviour Rating ◽  
Safety Features

A follow-up study of 17 old long-stay psychiatric patients resettled in private facilities for the elderly is reported. Resident satisfaction with the placement and functioning (using the CAPE Behaviour Rating Scale) was assessed, together with the quality of the physical and social environment, and the regime characteristics in the establishments. All residents were satisfied with life and their functioning had improved significantly. The private facilities were more resident-orientated, and had a generally superior social environment to their local authority ‘old people's home’ counterparts. The physical amenities, safety features, and architectural choice available were of a similar standard to those in local authority old people's homes, but there were fewer prosthetic and orientational aids and on-site recreational amenities.

Frequency of drug consumption and falls in a one-year follow-up study among the inhabitants of nursing homes

2008 ◽  
Vol 149 (43) ◽  
pp. 2053-2059
Author(s):  
Mária Bényi ◽  
Zsuzsanna Kéki ◽  
Péter Rákos-Zichy ◽  
Vilmosné Panics ◽  
Ivett Honvéd
Keyword(s):  
Nursing Homes ◽  
Drug Consumption ◽  
Follow Up Study ◽  
One Year

Az időskori esések egészségügyi, szociális, gazdasági terhe igen jelentős napjainkban is. A demográfiai változások következtében a problémával továbbra is számolni kell. Európa-szerte nagy figyelem hárul az időskori balesetek megelőzésére. A szerzők egy európai uniós program keretében kutatást végeztek a szociális otthoni körülmények között élők esési gyakoriságáról, illetve annak okairól. Cél: A kutatás célja az volt, hogy az esések gyakoriságán kívül azok háttere is feltárásra kerüljön, különös tekintettel a gyógyszerfogyasztásra. Adatok, módszer: Egységes kérdőív alapján két szociális otthonban, amelyeknek együtt 1016 lakója van, egyéves vizsgálat történt. A munka során az ápolószemélyzet rögzített minden esést és azok körülményeit, következményeit. Az okok között kiemelt helyen szerepeltek a környezeti tényezők mellett a fogyasztott gyógyszerek. Ez utóbbiakat az elnevezésük alapján tovább vizsgáltuk, a hatásukat és az elesést okozó mellékhatásukat illetően. Az adatfeldolgozás SPSS 14.0 programmal történt. Eredmények: A szociális otthonok lakói között 1013 esés történt a 12 hónap során. Az esetek kétharmadában valamilyen egészségügyi ellátást igényelt az elesett személy. A leggyakrabban horzsolás, zúzódás, illetve bőrsérülés jött létre (20–24%). Combnyaktörés 3%-ban, egyéb törés 1,8%-ban következett be. Szinte minden lakó fogyaszt gyógyszert: 19% háromfélét vagy annál kevesebbet, a többség ennek a többszörösét. Az egy főre jutó maximális gyógyszerfogyasztás 19 volt, az átlag 6. Az esést okozó mellékhatások tekintetében a maximum 43 volt, az átlag 14. Az egyes mellékhatások gyakoriságát, halmozódását külön is bemutatjuk. Következtetések: Az időskori esések száma, aránya jelentős a szociális otthonban élők körében. Ennek egyik oka lehet az igen nagy mennyiségű gyógyszerfogyasztás, amelynek mellékhatása következtében nő az elesés rizikója.

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