Psycho-social impact of dermatological conditions associated with psychiatric disorders

IntroductionFrontotemporal dementia (FTD) encompasses a group of clinical features that include personality and behavior changes (disinhibition, social isolation, antisocial behavior, compulsion) and executive dysfunction (poor planning, loss of judgment and loss of insight). These features may lead to an incorrect diagnosis of a primary psychiatric disorder.ObjectivesTo emphasize the difficulties in making a clinical distinction between early frontotemporal dementia and other psychiatric diseases.MethodsWe describe 11 patients who suffered from FTD, while initially had diagnosed with primary psychiatric disorders. The correct diagnosis was achieved by psychiatric and neuropsychological evaluations (WAIS SCALE, ACE-R, MMSE), neuroimaging studies (MRI 7/11, SPECT 8/11) and applying the international consensus criteria for FTD.ResultsAll patients (5 males and 6 females) were initially diagnosed with psychiatric disorders: schizophrenia (2/11), bipolar disorders (4/11), depression (5/11), schizoaffective disorder (1/11), somatization disorder (1/11), personality disorders (2/11), malingering (1/11), alcohol dependence (1/11), while 5 patients had more than one diagnosis. The age of onset varied from 19 to 53 years old. Final diagnosis of FTD was delayed on average 6,5 years from the onset of symptoms.ConclusionClinicians should be familiar with the clinical entity of FTD and its difficult distinction from other psychiatric disorders. A possible hospitalization of a patient with FTD in a psychiatric department and the social impact that it brings may be avoided. On the other hand, the proper care of FTD patients (pharmacological and psychosocial) improves the quality of life of patients and their caregivers.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Detection and management of mental distress and psychiatric disorders in primary care settings

Epidemiologia e Psichiatria Sociale ◽

10.1017/s1121189x00007594 ◽

1999 ◽

Vol 8 (2) ◽

pp. 92-104 ◽

Cited By ~ 4

Author(s):

Stefano Pini ◽

Michele Tansella

Keyword(s):

Primary Care ◽

Psychiatric Disorders ◽

Primary Care Physicians ◽

Social Impact ◽

Mental Distress ◽

Mental Illnesses ◽

Clinical Activity ◽

Primary Care Settings ◽

Number Of Factors ◽

Specialist Services

SummaryObjective – Epidemiological and clinical studies indicate that 10–50% of primary care patients suffering from clinically relevant psychiatric distress are not diagnosed by their physician and only a minority of them receive an appropriate treatment. The improvement of physicians' ability to detect mental distress and psychiatric disorder, in their routine clinical activity, represents a crucial point to reduce the social impact of mental illnesses, prevent their worsening and chronicity and, eventually, relieve mental health services of an excessive burden of care and costs. The aim of this article is to examine a number of factors which intervene in the process of detection of mental distress by the physician. Then, we will examine factors related to the management of psychiatric disorders most commonly co-occurring with physical illness in general health care sector. Method – The method used for this review was essentially a recension of the literature concerning detection and treatment of psychiatric disorders in primary care settings, having in view to see the factors connected with these processes. Results – Among factors intervening in the process of identification of mental distress in primary care settings, both the characteristics of the physician and the characteristics of the patient should be taken into account. Primary care physicians and psychiatrists are being asked to work together more frequently in this era of community care. The principal aim of such invoked collaboration is the amelioration of quality of care and reduction of costs for mentally ill patients. An important issue within this collaboration is the referral by primary care physicians to specialist services.

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What's in a model? Network models as tools instead of representations of what psychiatric disorders really are

Behavioral and Brain Sciences ◽

10.1017/s0140525x18001206 ◽

2019 ◽

Vol 42 ◽

Cited By ~ 2

Author(s):

Hanna M. van Loo ◽

Jan-Willem Romeijn

Keyword(s):

Psychiatric Disorders ◽

Network Models ◽

Model Network

AbstractNetwork models block reductionism about psychiatric disorders only if models are interpreted in a realist manner – that is, taken to represent “what psychiatric disorders really are.” A flexible and more instrumentalist view of models is needed to improve our understanding of the heterogeneity and multifactorial character of psychiatric disorders.

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Applications of RTMS in psychiatric disorders

Electroencephalography and Clinical Neurophysiology ◽

10.1016/s0013-4694(97)88126-x ◽

1997 ◽

Vol 103 (1) ◽

pp. 49

Author(s):

E Wassermann

Keyword(s):

Psychiatric Disorders

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Psychiatric Disorders Inherited Separately From Atopy

Skin & Allergy News ◽

10.1016/s0037-6337(05)70608-2 ◽

2005 ◽

Vol 36 (2) ◽

pp. 63

Author(s):

DAMIAN MCNAMARA

Keyword(s):

Psychiatric Disorders

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Suicide in Nógrád County, Hungary, 1970-1994

Crisis ◽

10.1027//0227-5910.20.2.64 ◽

1999 ◽

Vol 20 (2) ◽

pp. 64-70 ◽

Cited By ~ 5

Author(s):

Tamás Zonda

Keyword(s):

High Risk ◽

Psychiatric Disorders ◽

Suicide Rate ◽

Risk Groups ◽

The Elderly ◽

Female Ratio ◽

Suicide Notes ◽

Suicidal Intention ◽

Male Female Ratio

The author examined completed suicides occurring over a period of 25 years in a county of Hungary with a traditionally low (relatively speaking) suicide rate of 25.8. The rates are clearly higher in villages than in the towns. The male/female ratio was close to 4:1, among elderly though only 1.5:1. The high risk groups are the elderly, divorced, and widowed. Violent methods are chosen in 66.4% of the cases. The rates are particularly high in the period April-July. Prior communication of suicidal intention was revealed in 16.3% of all cases. Previous attempts had been undertaken by 17%, which in turn means that 83% of suicides were first attempts. In our material 10% the victims left suicide notes. Psychiatric disorders were present in 60.1% of the cases, and severe, multiple somatic illnesses (including malignomas) were present in 8.8%. The majority of the data resemble those found in the literature.

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Sati

Crisis ◽

10.1027/0227-5910.26.2.73 ◽

2005 ◽

Vol 26 (2) ◽

pp. 73-77 ◽

Cited By ~ 15

Author(s):

Dinesh Bhugra

Keyword(s):

Mental Illness ◽

Psychiatric Disorders ◽

Indian Subcontinent ◽

Cultural Factors ◽

Role Expectations ◽

Prevention Strategies ◽

Social Causation ◽

Gender Role Expectations ◽

Good Wife ◽

And Gender

Abstract. Sati as an act of ritual suicide has been reported from the Indian subcontinent, especially among the Hindus, for several centuries. Although legally proscribed, these acts occur even now in modern India. The principle behind such acts has been put forward as the principle of good wife. There is little evidence to suggest that women who commit this act suffer from a formal mental illness. Cultural factors and gender role expectations play a significant role in the act and its consequences. Using recent examples, this paper illustrates the cultural factors, which may be seen as contributing to the act of suicide. Other factors embedded in the act also emphasize that not all suicides have underlying psychiatric disorders and clinicians must take social causation into account while preparing any prevention strategies.

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