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1.
Wiad Lek ; 72(5 cz 2): 1122-1125, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31175756

RESUMO

OBJECTIVE: Introduction: Recently, the situation regarding the mental health of the world population has a tendency to deteriorate and is one of the most serious problems, which faced all countries of the world and in particular the European region (ER), since at one or another period of life problems of mental health arise at least in every fourth person of the ER, and Ukraine is no exception. ATO in Ukraine was started in 2014. We investigated the level of hospitalized mental morbidity in the residents of the city of Poltava since 2014. The aim: To study hospitalized mental morbidity of the population of the Poltava region since 2014. PATIENTS AND METHODS: Materials and methods: Studied the incidence and prevalence of depressive disorders in Poltava and Poltava regions according to the new WHO classification. ICD-11. According to the report form 10 "Report on the Disease of Persons with Mental Disorders and Behavior", the following classes of depression were studied: F30-39 Mood Disorders (Affective Disorders, F40-48 - Neurotic and Somatic Disorders, F43.0 - Severe Stress and Compliance). RESULTS: Review: Affective disorders are a set of psychiatric disorders, also called mood disorders. The main types of affective disorders are depression, bipolar disorder, and anxiety disorder. Symptoms vary by individual and can range from mild to severe. CONCLUSION: Conclusions: The rate of growth of morbidity of affective disorder has decreased, compared with 2014, by -14% and neurotic disorders has increased 3,2%.


Assuntos
Transtornos Neuróticos , Humanos , Incidência , Transtornos Neuróticos/epidemiologia , Prevalência , Ucrânia
2.
Artigo em Russo | MEDLINE | ID: mdl-31156228

RESUMO

The relevance of the problem is determined by the growth of elderly population in the world and in Russia and by the increase in the frequency of non-psychotic mental disorders (non-PMD) in the structure of psychiatric diseases. The authors consider the current state of research in the field of non-PMD of old age, including neurotic disorders (ND). An analysis of the literature has shown that there is no convergent view on the ND of old age. As a consequence, there are contradictory views from researchers or psychiatric schools on the ND prevalence and morbidity. Attention is drawn to the insufficient diagnosis of non-PMD in the primary link of health care, difficulties of distinguishing ND from neurotic-like states, necessity in the clarification of the epidemiology of neuroses and efficiency of psychotherapeutic help. The use of resources of able-bodied people is important for the socio-economic development of the country.


Assuntos
Transtornos Mentais , Transtornos Neuróticos , Idoso , Humanos , Transtornos Mentais/diagnóstico , Transtornos Mentais/tratamento farmacológico , Transtornos Mentais/epidemiologia , Transtornos Neuróticos/diagnóstico , Transtornos Neuróticos/tratamento farmacológico , Transtornos Neuróticos/epidemiologia , Prevalência , Psicotrópicos/uso terapêutico , Federação Russa/epidemiologia
3.
Psychiatry Res ; 272: 398-403, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30611025

RESUMO

This study estimated the prevalence, correlates, severity and functional impairment of disabilities attributed to neurotic disorders in the Chinese population. Data from a representative national sample of 2,526,145 non-institutionalized residents were obtained from the Second China National Sample Survey on Disabilities (CNSSD) in 2006. The data were analyzed to estimate prevalence, correlates, severity and functional impairment of disability attributable to neurotic disorders by gender, age, region, and other key socio-demographic and economic factors. The disability prevalence attributed to neurotic disorders was 0.032% (805/2,526,145) in China. Women, rural residents, unemployed job status, low education level and those who were divorced or widowed showed higher prevalence rates than their counterparts. Proportions of mild, moderate, severe and extremely severe of neurotic attributed disability only accounted for 78.48%, 9.14%, 6.5% and 5.9%, respectively. Finally, these findings provide evidence that, prevalence rates of disability attributable to neurotic disorders vary greatly among different population groups and regions. Multiple disabilities including disability attributable to neurotic disorders can bring much more impairment to individuals than disability attributable to neurotic disorder only.


Assuntos
Pessoas com Deficiência/psicologia , Transtornos Neuróticos/epidemiologia , Transtornos Neuróticos/psicologia , Adolescente , Adulto , Idoso , China/epidemiologia , Estudos Epidemiológicos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos Neuróticos/diagnóstico , Prevalência , População Rural , Fatores Sexuais , Fatores Socioeconômicos , Viuvez/psicologia , Adulto Jovem
4.
J Fam Psychol ; 32(7): 936-946, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29939041

RESUMO

Both enduring neurotic vulnerabilities and economic hardship have been shown to negatively influence marital behaviors, which have physical and mental health consequences. However, because most previous research is fragmented and has focused on the early years of marriage or relatively short periods of time, their long-term effects are unclear. Using data from the Iowa Midlife Transitions Project, with a sample of 370 married couples providing data from 1991 to 2001, we assessed enduring personal and couple vulnerabilities, trajectories of family economic hardship, and couples' marital hostility using a comprehensive dyadic model to ascertain their influence on subsequent mental health. Couple marital hostility trajectories and neurotic vulnerabilities (both additively and interactively) were associated with changes in both spouses' depressive symptoms. Results also indicated that couples' marital hostility trajectories link trajectories of family economic hardship to subsequent changes in husbands' and wives' depressive symptoms. Last, associations between economic hardship trajectories, marital hostility trajectories, and depressive symptoms were moderated by couples' neurotic vulnerability as captured by a product term of husbands' and wives' neurotic vulnerability. In general, these associations were amplified for couples with a high level of couple vulnerability and weakened (or altogether absent) for those with a low level of vulnerability. (PsycINFO Database Record (c) 2018 APA, all rights reserved).


Assuntos
Transtorno Depressivo/epidemiologia , Casamento/psicologia , Transtornos Neuróticos/epidemiologia , Pobreza/psicologia , Pobreza/estatística & dados numéricos , Adulto , Transtorno Depressivo/complicações , Transtorno Depressivo/psicologia , Grupo com Ancestrais do Continente Europeu/psicologia , Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos , Feminino , Hostilidade , Humanos , Iowa/epidemiologia , Estudos Longitudinais , Masculino , Transtornos Neuróticos/complicações , Transtornos Neuróticos/psicologia , Estudos Prospectivos , População Rural , Cônjuges/psicologia
5.
Psychol Med ; 48(3): 416-425, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-28655366

RESUMO

BACKGROUND: Cardiovascular fitness in late adolescence is associated with future risk of depression. Relationships with other mental disorders need elucidation. This study investigated whether fitness in late adolescence is associated with future risk of serious non-affective mental disorders. Further, we examined how having an affected brother might impact the relationship. METHOD: Prospective, population-based cohort study of 1 109 786 Swedish male conscripts with no history of mental illness, who underwent conscription examinations at age 18 between 1968 and 2005. Cardiovascular fitness was objectively measured at conscription using a bicycle ergometer test. During the follow-up (3-42 years), incident cases of serious non-affective mental disorders (schizophrenia and schizophrenia-like disorders, other psychotic disorders and neurotic, stress-related and somatoform disorders) were identified through the Swedish National Hospital Discharge Register. Cox proportional hazards models were used to assess the influence of cardiovascular fitness at conscription and risk of serious non-affective mental disorders later in life. RESULTS: Low fitness was associated with increased risk for schizophrenia and schizophrenia-like disorders [hazard ratio (HR) 1.44, 95% confidence interval (CI) 1.29-1.61], other psychotic disorders (HR 1.41, 95% CI 1.27-1.56), and neurotic or stress-related and somatoform disorders (HR 1.45, 95% CI 1.37-1.54). Relationships persisted in models that included illness in brothers. CONCLUSIONS: Lower fitness in late adolescent males is associated with increased risk of serious non-affective mental disorders in adulthood.


Assuntos
Aptidão Cardiorrespiratória , Militares/psicologia , Transtornos Neuróticos/epidemiologia , Transtornos Psicóticos/epidemiologia , Esquizofrenia/epidemiologia , Adolescente , Adulto , Teste de Esforço , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Modelos de Riscos Proporcionais , Estudos Prospectivos , Fatores de Risco , Suécia/epidemiologia , Adulto Jovem
6.
Asia Pac Psychiatry ; 10(3): e12307, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29285896

RESUMO

INTRODUCTION: Major natural disasters have a significant impact on the mental health of survivors in affected communities. Although it has been speculated that the number of survivors requiring admission to psychiatric hospital increases immediately after a major disaster, few studies have examined the issue. METHODS: On March 11, 2011, the Great East Japan Earthquake and subsequent tsunami devastated the relatively isolated city of Kesennuma. We therefore compared the weekly number of patients admitted to 2 psychiatric hospitals in Kesennuma in the 4 weeks immediately after the earthquake with those in the 4 weeks immediately preceding the earthquake. We also made comparisons between this 8-week period and the corresponding 8-week periods in 2009, 2010, and 2012. RESULTS: The number of patients admitted to the 2 psychiatric hospitals increased in 4 weeks after the disaster in 2011, with a weekly median (range) of 13 (9-16), compared with 6 (5-9) in the preceding 4 weeks in 2011. The corresponding figures were 5.5 (2-10) in 2009, 6.5 (5-9) in 2010, and 4 (3-7) in 2012 (P = .01, H = 13.05). By diagnostic category, admissions for schizophrenia spectrum disorder and neurotic stress-related disorder increased significantly following the disaster. DISCUSSION: Demands for inpatient psychiatric treatment increased immediately after the Great East Japan Earthquake. Government officials and mental health professionals must strengthen support for survivors with mental illness, especially those with schizophrenia spectrum disorder. This should include support for mental health authorities and medical staff in the affected community.


Assuntos
Desastres , Hospitais Psiquiátricos/estatística & dados numéricos , Transtornos Neuróticos/epidemiologia , Admissão do Paciente/estatística & dados numéricos , Transtornos Psicóticos/epidemiologia , Esquizofrenia/epidemiologia , Adulto , Terremotos , Feminino , Humanos , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Transtornos Neuróticos/terapia , Transtornos Psicóticos/terapia , Esquizofrenia/terapia , Tsunamis
7.
Soc Psychiatry Psychiatr Epidemiol ; 53(2): 131-138, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29236136

RESUMO

PURPOSE: This study aimed to examine the long-term changes and socioeconomic disparities in hospitalization for affective and neurotic disorders among the Finnish working-age population from 1976 to 2010. METHODS: Register-based study, consisting of a 5-year follow-up of 3,223,624 Finnish working-age (18-64-year old) individuals in seven consecutive cohorts. We calculated the hazard ratios of psychiatric hospitalization for different occupational classes using Cox regression models. RESULTS: The risk of hospitalization for affective and neurotic disorders increased in all occupational classes after the economic recession in the 1990s, and then decreased in the 2000s. Before the 2000s, the risk was the highest among manual workers. In the 2000s the disparities between upper-level non-manual employees and other occupational classes increased. Hospitalization rates remained high among female manual workers and non-manual lower-level employees. CONCLUSIONS: This study revealed important similarities and differences between occupational classes in terms of long-term changes in hospitalization for affective and neurotic disorders. The results suggest that the labor market changes and healthcare reforms during the 1990s and 2000s in Finland have been more beneficial for higher than for lower occupational classes.


Assuntos
Hospitalização/estatística & dados numéricos , Transtornos do Humor/epidemiologia , Transtornos Neuróticos/epidemiologia , Doenças Profissionais/epidemiologia , Ocupações/estatística & dados numéricos , Adolescente , Adulto , Idoso , Feminino , Finlândia/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos do Humor/psicologia , Transtornos Neuróticos/psicologia , Doenças Profissionais/psicologia , Modelos de Riscos Proporcionais , Sistema de Registros , Adulto Jovem
8.
Psychiatr Prax ; 44(7): 406-412, 2017 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-28982204

RESUMO

Objective The main aim of this study was to determine the prevalence of somatic and psychiatric comorbidities in female inpatients diagnosed with an eating disorder or obesity. Methods Statutory health insurance data (11 - 25 years, N = 1269) was analysed. Results The most frequent comorbidities for both groups were affective, neurotic, stress-related and somatoform as well as personality disorders and diseases of the digestive system. Conclusion Close to half of the patients diagnosed with an eating disorder suffered from psychiatric comorbidities. The majority of obese patients were diagnosed with somatic comorbidities.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Hospitalização , Transtornos Mentais/epidemiologia , Obesidade/epidemiologia , Transtornos Somatoformes/epidemiologia , Adolescente , Adulto , Criança , Comorbidade , Estudos Transversais , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Feminino , Alemanha , Humanos , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Transtornos do Humor/epidemiologia , Transtornos do Humor/psicologia , Transtornos do Humor/terapia , Transtornos Neuróticos/epidemiologia , Transtornos Neuróticos/psicologia , Transtornos Neuróticos/terapia , Obesidade/psicologia , Obesidade/terapia , Transtornos da Personalidade/epidemiologia , Transtornos da Personalidade/psicologia , Transtornos da Personalidade/terapia , Transtornos Somatoformes/psicologia , Transtornos Somatoformes/terapia , Estresse Psicológico/complicações , Estresse Psicológico/psicologia , Adulto Jovem
9.
Psychiatr Pol ; 50(1): 77-93, 2016.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-27086330

RESUMO

INTRODUCTION: The symptoms of dissociation, depersonalization and derealization are often associated with exposure of patients to mental and physical injuries, usually occurring in childhood. Most of these observations were carried out in populations of patients with various disorders (posttraumatic, conversion-dissociation, personality disorders - especially borderline), who reported their exposure to adverse life circumstances through questionnaire interviews. AIM: Assessment of the risk associated with various traumatic events in childhood and adolescence concerning the symptoms of pain and tactile dissociation, depersonalization and derealization. MATERIAL AND METHOD: The coexistence of the earlier life circumstances and the currently existing symptoms was examined on the basis of KO "0" Symptom Checklist and Life Inventory, completed prior to treatment in a day hospital for neurotic disorders. RESULTS: In the group of 2582 women, patients of a day hospital for neurotic and personality disorders, the symptoms of pain and tactile dissociation, depersonalization and derealization were present in 24-36 % of patients, while the maximum severity of these symptoms reported approximately 4-8 % of patients. The studied patients reported the exposure during childhood and adolescence (before 18yo) to numerous traumatic events of varying severity and frequency, including hostility of one parent (approximately 5% of respondents), the sexual initiation before 13yo (1%), worse than peers material conditions (23%), harassment of the family of origin (2%), reluctance of their peers (9%). Conducted regression analysis showed illustrated by the coefficients OR (odds ratios) a statistically significant relationship between the majority of the analyzed symptoms and many of the listed events, such as being regarded as worse than siblings, mother's anger in the situation of the patient's disease in childhood, lack of support, indifference of parent, poverty and worseness of the family of origin, inferior position in the classroom and the school grades, total sexual unawareness, incest or its attempt. CONCLUSIONS: The symptoms of dissociation, depersonalization and derealization occurred in significantly more patients reporting burdening life events - difficult situations in childhood and adolescence. Therefore, in clinical practice in patients presenting such symptoms, regardless of diagnosis (e. g. a specific neurotic disorder), we can expect revealing information about such events.


Assuntos
Adultos Sobreviventes de Eventos Adversos na Infância/psicologia , Despersonalização/psicologia , Transtornos Dissociativos/psicologia , Transtornos Neuróticos/epidemiologia , Dor/psicologia , Adulto , Adultos Sobreviventes de Eventos Adversos na Infância/estatística & dados numéricos , Despersonalização/epidemiologia , Transtornos Dissociativos/epidemiologia , Feminino , Humanos , Pessoa de Meia-Idade , Transtornos Neuróticos/psicologia , Dor/epidemiologia , Saúde da Mulher
10.
J Forensic Leg Med ; 40: 28-33, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26974877

RESUMO

INTRODUCTION: In England, people who have been raped can attend a national network of Sexual Assault Referral Centres (SARCs) for physical examination, the collection of evidence and sign-posting onto other appropriate services. The impact of rape on mental health is not always assessed comprehensively in SARCs despite national policy guidance. AIM: To highlight the relationship between mental health and rape; thereby increasing SARCs staff and NHS commissioners awareness of the issue and the potential for longer-term risks to mental health. METHOD: A secondary analysis was carried out using the Adult Psychiatric Morbidity Survey (APMS) 2007 in England. Sexual abuse was categorised as 'rape', 'touched in a sexual way' or 'talked to in a sexual way' versus 'none'. Bivariate analysis describes the prevalence of various mental health indicators and service use measures by different 'levels' of sexual abuse. Multiple logistic regression was applied to determine independent risk factors for sexual abuse. RESULTS: There was a consistent increase in the prevalence of mental health problems and in the use of mental health services as the severity of sexual abuse increased. For individuals who had been raped, the prevalence of need was highest in those raped both before and after the age of 16 years. Multivariate logistic regression identified that sex and age were the only demographic risk factors remaining significant. After controlling for these, individuals who had been raped were over 2.5 times more likely to have a history of a neurotic disorder than individuals experiencing no sexual abuse. In addition, rape victims were also significantly more likely to be dependent on drugs and alcohol, admitted to a mental health ward and at risk of suicide. CONCLUSION: Rape is likely to have a considerable impact on the use of mental health services, self-harm and alcohol/drug dependency. Full mental health assessments should be undertaken in SARCs and commissioners should ensure accessible pathways into mental health services where appropriate.


Assuntos
Vítimas de Crime/psicologia , Transtornos Neuróticos/epidemiologia , Delitos Sexuais/psicologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Ideação Suicida , Adolescente , Adulto , Fatores Etários , Antidepressivos/uso terapêutico , Vítimas de Crime/estatística & dados numéricos , Feminino , Inquéritos Epidemiológicos , Humanos , Modelos Logísticos , Masculino , Serviços de Saúde Mental/estatística & dados numéricos , Pessoa de Meia-Idade , Fatores de Risco , Fatores Sexuais , Tentativa de Suicídio/estatística & dados numéricos , Reino Unido/epidemiologia , Adulto Jovem
11.
Pharmacopsychiatry ; 49(2): 45-50, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26829453

RESUMO

INTRODUCTION: We identify the risk of selected types of injuries among patients with ADHD or ADHD and comorbid mental illness. We also assess whether selected medications used by patients with ADHD increase the risk of comorbid mental illness or influence the association between ADHD and injury. METHODS: A retrospective cohort study design was conducted using medical claims data from the Deseret Mutual Benefit Administrators (DMBA). ADHD diagnosis, injury, medication, and demographic data were extracted from claims files during 2001-2013. Rate ratios were adjusted for age, sex, and calendar year. RESULTS: Patients with ADHD were 7.9 (95% CI 7.6-8.2) times more likely to have psychosis, 5.5 (3.9-7.8) times more likely to have alcohol- or drug-induced psychosis, and 6.0 (5.9-6.2) times more likely to have neurotic or personality disorder. Therapy with amphetamine was positively associated with neurotic or personality disorder (rate ratio=1.08, 1.02-1.15); methylphenidate was negatively associated with neurotic or personality disorder (0.90, 0.84-0.97); and atomoxetine was positively associated with psychosis (1.33, 1.21-1.46), alcohol- or drug-induced psychosis (2.38, 1.04-5.43), and neurotic or personality disorder (2.38, 1.04-5.43). ADHD was associated with an increased risk of injury, with ADHD and comorbid mental illness having a stronger increased risk of injury. Psychostimulants ameliorated the increased risk of injury for patients with ADHD. CONCLUSION: Patients with ADHD have an increased risk of injury, significantly more so for those with ADHD and comorbid mental illness. Psychostimulants can lower the risk of injury among patients with ADHD.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Transtornos Neuróticos/epidemiologia , Transtornos da Personalidade/epidemiologia , Psicoses Induzidas por Substâncias/epidemiologia , Transtornos Psicóticos/epidemiologia , Ferimentos e Lesões/epidemiologia , Adolescente , Adulto , Anfetamina/uso terapêutico , Cloridrato de Atomoxetina/uso terapêutico , Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Estimulantes do Sistema Nervoso Central/uso terapêutico , Criança , Pré-Escolar , Comorbidade , Feminino , Humanos , Lactente , Masculino , Metilfenidato/uso terapêutico , Pessoa de Meia-Idade , Estados Unidos/epidemiologia , Adulto Jovem
12.
J Nepal Health Res Counc ; 14(34): 173-179, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28327682

RESUMO

BACKGROUND: Hopelessness is thought to result from a negative appraisal system and interacts with, and worsens, appraisals of defeat and trap which in turn interact with suicide schema and lead to suicidal behaviour. This study was intended to assess hopelessness and suicidal ideation among patients with depression and neurotic disorders at tertiary care centre of eastern Nepal. METHODS: A cross sectional design included 70 respondents by purposive sampling technique. Beck Hopelessness Scale and Scale of Suicidal Ideation were used to measure hopelessness and suicidal ideation, respectively. Data were analyzed using SPSS statistical software. Pearson chi-square, binary logistic regression and Spearmans' rho, test were applied at 95% confidence interval. RESULTS: Mean ± SD age was 32.8 ± 13.5 years. Most (62.8%) of the patients were female and with the diagnosis of depression. Majority (66%) of the patients had hopelessness. There was no significant difference in hopelessness among patients with depression and neurotic disorders. About 17% respondents had suicidal ideation, among them 82.4% were female. There was no significant difference of suicidal ideation among patients with depression and neurotic disorders (p=0.013). Significant positive correlation between hopelessness and suicidal ideation was found (p=0.001). Binary logistic regression revealed hopelessness was independently related to income and family history of mental illness. Similarly, suicidal ideation was independently related to depression and family history of mental illness. CONCLUSIONS: Female respondents, people living under poverty and positive family history of mental illness had more hopelessness and suicidal ideation.


Assuntos
Transtorno Depressivo/epidemiologia , Emoções , Transtornos Neuróticos/epidemiologia , Suicídio/psicologia , Suicídio/estatística & dados numéricos , Adulto , Idoso , Estudos Transversais , Transtorno Depressivo/psicologia , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Nepal/epidemiologia , Transtornos Neuróticos/psicologia , Reprodutibilidade dos Testes , Fatores de Risco , Fatores Socioeconômicos , Ideação Suicida , Tentativa de Suicídio/psicologia , Centros de Atenção Terciária
13.
Psychiatr Pol ; 50(6): 1181-1205, 2016 Dec 23.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-28211556

RESUMO

OBJECTIVES: To assess the occurrence of selected lower urinary tract symptoms in the population of patients with neurotic and personality disorders. METHODS: This was a retrospective analysis of occurrence, co-existence and severity of two selected lower urinary tract symptoms in 3,929 patients in a day hospital for neurotic disorders. The KO "O" symptom checklist was used to measure the study variables. RESULTS: Although the symptoms associated with micturition are not the most prevalent symptoms of neurotic disorders, neither are they the most typical ones, the prevalence of urinary frequency referring to the last week before psychotherapy evaluated among the patients of a day hospital, was approximately 50%. Involuntary micturition, a symptom with a significant implication on the self-esteem and social functioning was much less common; it was reported by approximately 5% relatively healthy and young group of patients. Major bother from urinary frequency was reported by 9-14% of patients, whereas from involuntary micturition by only 0.6%-1% of the surveyed patients. CONCLUSIONS: Selected urological symptoms seem to be prevalent among the patients with neurotic and personality disorders, and are independent of the specific diagnosis or patients' gender. Their co-existence with other symptoms of neurotic disorders reported by the patients indicates their strongest relationship with the somatoform, dissociative, sexual and agoraphobic disorders.


Assuntos
Hospitalização , Sintomas do Trato Urinário Inferior/epidemiologia , Transtornos Neuróticos/epidemiologia , Autoimagem , Adulto , Idoso , Comorbidade , Feminino , Nível de Saúde , Humanos , Sintomas do Trato Urinário Inferior/psicologia , Masculino , Pessoa de Meia-Idade , Transtornos Neuróticos/psicologia , Transtornos da Personalidade/epidemiologia , Polônia , Estudos Retrospectivos , Autoavaliação , Distribuição por Sexo , Inquéritos e Questionários , Adulto Jovem
14.
Psychiatr Pol ; 50(6): 1207-1234, 2016 Dec 23.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-28211557

RESUMO

OBJECTIVES: To assess the correlation of subjectively estimated biographical context and lower urinary tract symptoms reported by patients with neurotic and personality disorders. METHODS: This was a retrospective analysis of the biographical context of co-existence of urinary frequency and urinary incontinence reported by 3,929 patients in a day hospital for treatment of neurotic disorders. The symptom checklists KO "0" were completed by patients prior to any treatment. RESULTS: Urinary frequency reported by patients in a day hospital for treatment of neurotic disorders was associated with the difficulties from their childhood and adolescence (i.e. with perception of inferiority with regard to one's family and among siblings, parents' low education level), as well as the disparities in terms of sexual education and troubled relationships. CONCLUSIONS: In the studied group of patients with neurotic and personality disorders, selected lower urinary tract symptoms were associated with adverse life circumstances from childhood and adolescence (which can show the tendency towards regression and protracted character to experience of family's dysfunction due to feeling of being neglected or abandoned), as well as, to a larger or a smaller degree, their consequences - dysfunctions in adulthood, relationship/marriage, functioning at work and dealing with finances. These associations indicated the probable significance of experiencing these aspects of life in patients, not only in day hospitals or psychiatric hospitals which reported "pseudo-urological complaints", but also in at least part of urological patients - going to hospitals due to neurotic disorders, particularly those occurring in a somatic form.


Assuntos
Hospitalização , Sintomas do Trato Urinário Inferior/epidemiologia , Transtornos Neuróticos/psicologia , Autoimagem , Adulto , Idoso , Comorbidade , Feminino , Nível de Saúde , Humanos , Sintomas do Trato Urinário Inferior/psicologia , Masculino , Pessoa de Meia-Idade , Transtornos Neuróticos/epidemiologia , Transtornos da Personalidade/psicologia , Polônia , Estudos Retrospectivos , Autoavaliação , Distribuição por Sexo , Parceiros Sexuais/psicologia , Inquéritos e Questionários , Adulto Jovem
15.
Rev. Asoc. Esp. Neuropsiquiatr ; 35(128): 731-748, oct.-dic. 2015.
Artigo em Espanhol | IBECS | ID: ibc-146280

RESUMO

Nuestro trabajo busca reivindicar el diagnóstico de psicosis aguda frente al cada vez más frecuente de primer episodio psicótico, en base a las diferencias que tales construtos presentan en lo referente al pronóstico. Llevaremos a cabo una revisión histórica y nosográfica del concepto de psicosis aguda. mostrando cómo diferentes autores y desde diferentes perspectivas describieron cuadros clínicos con sinto-matología psicótica y recuperación completa. Revisaremos a continuación la construcción performativa de conceptos como los primeros episodios psicóticos, así como criticaremos una serie de tópicos no demostrados pero con gran influencia en nuestra disciplina, no sólo en los profesionales sino también en los pacientes, y la opinión pública, en lo referente, por ejemplo, a la evolución de los trastornos psicóticos. Por último, hablaremos acerca del abordaje de las personas con estos trastornos y de la actitud necesaria para llevarlo a cabo de la forma más útil posible, centrada siempre en la recuperación de dichas personas (AU)


Our work seeks to vindicate the diagnosis of acute psychosis versus first psychotic episode, which is increasing its frequency of diagnosis, based on the differences in prognosis that both concepts presented. We conduct an historical and nosographic review about ths acute psychosis concept, showing how different authors and from different perspectives described clinical picture with psychotic symptoms and full recovery. Then, we review the performative construction of concepts such as first psychotic episodes and criticize a series of unproven but influential topics in our discipline, not only in medical staff but also in patients and public opinion, for example, in relation to the development of psychotic disorders. Finally, we discuss the management of people with these disorders and the necessary attitude to carry it out in the most useful way, always focused on full recovery of those people (AU)


Assuntos
Feminino , Humanos , Masculino , Transtornos Psicóticos/epidemiologia , Estigma Social , Doença Aguda/epidemiologia , Doença Aguda/psicologia , Transtornos Neuróticos/epidemiologia , Transtornos Paranoides/epidemiologia , Transtornos Psicóticos/complicações
16.
Psychiatr Pol ; 49(4): 847-64, 2015.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-26488359

RESUMO

OBJECTIVES: Analysis of associations between symptoms reported before the beginning of the hospitalization and reduction of suicidal ideation - or its lack - obtained until the end of the hospitalization in patients of the day hospital for the treatment of neurotic and behavioral disorders. METHODS: Symptoms Checklist KO"O" and Life Inventory completed by 461 women and 219 men treated with intensive integrative psychotherapy with predominance of psychodynamic approach in the day hospital due to neurotic, behavioral and personality disorders between 2005-2013. Percentages of patients reporting SI initially and at the end of the treatment were 29.1% and 10.2% respectively in women and 36.5% and 13.7% in men. The improvement in terms of initially reported SI was obtained by 84.3% of women and 77.5% of men. Among patients, those initially reporting SI were characterized by greater intensity of neurotic symptoms (p<0.001) and greater intensity of nearly all of 14 subtypes of neurotic symptoms(p<0.05). RESULTS: Among those reporting SI, subgroups of women with greater intensity of Obsessive-compulsive symptoms (p=0.003), Neurasthenia (p=0.005), Autonomic disorders (p=0.044) and women reporting episodes of uncontrollable hunger (p<0.01) had significantly lower chances of improvement in terms of SI than others. CONCLUSIONS: Patients initially reporting SI constituted approximately 1/3 in both genders and were characterized by greater intensity of neurotic disorders. Among those, women with particularly higher intensity of Obsessive-compulsive symptoms, Neurasthenia and Autonomic disorders and women reporting episodes of uncontrollable hunger seemed to suffer from SI that were more resistant to the psychotherapy. As such, those subgroups of women require special attention and diligent selection of the therapeutic methods.


Assuntos
Transtornos Mentais/terapia , Transtornos Neuróticos/terapia , Psicoterapia Psicodinâmica/métodos , Ideação Suicida , Tentativa de Suicídio/prevenção & controle , Adulto , Idoso , Comorbidade , Feminino , Hospitalização , Humanos , Masculino , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Transtornos Neuróticos/epidemiologia , Transtornos da Personalidade/terapia , Tentativa de Suicídio/estatística & dados numéricos , Resultado do Tratamento
17.
Psychiatr Pol ; 49(3): 489-502, 2015.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-26276917

RESUMO

OBJECTIVES: Analysis of changes in prevalence and intensity of suicidal ideation (SI) in patients who underwent an intensive psychotherapy conducted in integrative approach with predominance of psychodynamic approach in the Day Hospital for Neurotic and Behavioral Disorders. METHODS: Symptom checklist KO"O" and Life Inventory completed by 461 women and 219 men who were treated in the day hospital due to neurotic, behavioral and personality disorders in 2005-2013. RESULTS: Patients initially reporting SI showed greater than others global intensity of the neurotic symptoms (p < 0.001 for both sexes) and greater intensity in almost all the neurotic symptoms scales. Improvement (elimination or reduction of intensity) in terms of SI was observed in 84.3% of women and 77.5% of men. The prevalence of SI-reporting patients decreased substantially from 29.1% to 10.2% in women and from 36.5% to 13.7% in men. CONCLUSIONS: The patients reporting SI before the commencement of psychotherapy constituted a large part of the studied population - approximately 1/3. They showed greater intensity of neurotic symptoms than those who were not reporting SI. Intensive psychotherapy in the day hospital was characterized by high effectiveness in terms of reduction and elimination of SI. Prevalence of SI in both women and men until the end of therapy decreased almost three times. Cases of improvement in terms of SI were several times more frequent than cases of deterioration in terms of SI (increase in its intensity or its occurrence at the end of therapy). Etiopathogenesis of SI and its methods of treatment require further research.


Assuntos
Transtornos Mentais/terapia , Psicoterapia Psicodinâmica/métodos , Ideação Suicida , Tentativa de Suicídio/prevenção & controle , Adulto , Comorbidade , Escolaridade , Emprego/classificação , Emprego/estatística & dados numéricos , Feminino , Humanos , Masculino , Estado Civil/estatística & dados numéricos , Transtornos Mentais/classificação , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Transtornos Neuróticos/epidemiologia , Transtornos Neuróticos/terapia , Transtornos da Personalidade/epidemiologia , Transtornos da Personalidade/terapia , Inventário de Personalidade , Prevalência , Autoimagem , Transtornos do Sono-Vigília/epidemiologia , Tentativa de Suicídio/estatística & dados numéricos , Inquéritos e Questionários , Resultado do Tratamento
18.
Pol Merkur Lekarski ; 38(228): 329-31, 2015 Jun.
Artigo em Polonês | MEDLINE | ID: mdl-26098652

RESUMO

UNLABELLED: Suicide is the third cause of death globally in the age group 10-19. Multiple risk factors (genetic, psychiatric, psychological, familial, social) increased number of suicide attempts. AIM: The aim of this study was to explore whether mental disorders are associated with the number of suicide attempts among psychiatric hospitalized adolescents. MATERIALS AND METHODS: Retrospective, chart-based analysis of 119 patients, aged 13-18, treated in 2013-2014 in the Department of Adolescent Psychiatry in Lódz. Inclusion criteria was diagnosis of schizophrenia, schizotypal and delusional disorders, mood disorders, neurotic, stress-related and somatoform disorders, behavioral and emotional disorders according to ICD 10. Exclusion criteria were other psychiatric diagnosis, incomplete information about intention of self-harm behaviors. For statistical analysis used Statistica 9.1. RESULTS: Among psychiatricaly hospitalized patients, 51.2% of people attempted suicide. No relationship was found (p > 0.05) between psychiatric diagnosis and frequency of suicide attempts in adolescents, but the most common suicide attempts related to people with a diagnosis of mood disorders (59.3%) and neurotic disorders (54.6%), and least frequently in patients with a diagnosis of schizophrenia , schizotypal and delusional disorders (40%) and behavioral and emotional disorders (44.4%). CONCLUSIONS: There is no relation between the occurrence of suicide attempts and the type of mental disorders among psychiatrically hospitalized adolescents.


Assuntos
Transtornos Mentais/epidemiologia , Tentativa de Suicídio/estatística & dados numéricos , Adolescente , Comorbidade , Feminino , Hospitalização/estatística & dados numéricos , Humanos , Incidência , Masculino , Transtornos Mentais/classificação , Transtornos Mentais/diagnóstico , Transtornos do Humor/epidemiologia , Transtornos Neuróticos/epidemiologia , Polônia/epidemiologia , Estudos Retrospectivos , Fatores de Risco
19.
Inflamm Bowel Dis ; 21(10): 2272-80, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26099065

RESUMO

BACKGROUND: Inflammatory bowel disease (IBD) is associated with reduced physical and mental well-being. The first 6 months after diagnosis is an important time in a patient's life with IBD. On top of the physical symptoms, psychological characteristics, such as coping strategies and personality, may contribute to impaired or improved health-related quality of life (HRQOL), anxiety, and depression. This study aimed to measure the stability of coping strategies and personality over the first 6 months after diagnosis and identify the associations of coping strategies and personality traits with the level of HRQOL and degree of anxiety and depression. This study aimed to measure HRQOL, anxiety, depression, IBD symptoms, coping, and personality at baseline and 6 months. METHODS: Questionnaires about HRQOL, anxiety, depression, IBD symptoms, coping, personality, and demographic information were administered to patients at baseline and 6 months after diagnosis. RESULTS: Personality characteristics were stable over the first 6 months but coping strategies were not. Maladaptive coping strategies were associated with worse outcomes but adaptive coping strategies were not associated with better outcomes. All measures of HRQOL improved. Neuroticism was associated with worse psychological anxiety, depression, and HRQOL outcomes. CONCLUSIONS: This is the first study to psychologically test patients with IBD during the first 6 months after diagnosis. Generally, the HRQOL of patients with IBD improves over this time. Maladaptive coping is associated with worse psychological anxiety, depression, and HRQOL physical outcomes; although until an interventional study is performed, reverse causation cannot be ruled out.


Assuntos
Adaptação Psicológica , Ansiedade/epidemiologia , Depressão/epidemiologia , Doenças Inflamatórias Intestinais/psicologia , Transtornos Neuróticos/epidemiologia , Adolescente , Adulto , Idoso , Ansiedade/psicologia , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos Neuróticos/psicologia , Personalidade , Testes Psicológicos , Qualidade de Vida , Inquéritos e Questionários , Fatores de Tempo , Adulto Jovem
20.
Int Dent J ; 65(3): 120-6, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25753023

RESUMO

OBJECTIVES: Subjective halitosis is a growing concern in the fields of dentistry and psychology. This study was designed to determine the association between subjective halitosis and contributing psychological factors. METHODS: Data for this cross-sectional study were gathered from 4,763 participants who had answered questions on subjective halitosis and psychological factors (depression, anxiety, stress and personality traits) in the study on the epidemiology of psychological, alimentary health and nutrition (SEPAHAN). Binary logistic regression was used for data analysis. RESULT: The mean age of all subjects was 36.58 years; and the majority of subjects were female (55.8%), married (81.2%) and graduates (57.2%). The prevalence of subjective halitosis was 52.8%. The majority of subjects with the complaint of subjective halitosis were married (P<0.001) and young (P=0.07). Participants with subjective halitosis were significantly more anxious [odds ratio (OR)=1.76, 95% confidence interval (95% CI): 1.38-2.24], stressed (OR=1.41, 95% CI: 1.17-1.71) and depressed (OR=1.31, 95% CI: 1.09-1.57). Among personality traits, neuroticism was a risk factor (tertile 1 vs. tertile 2: OR=1.29, 95% CI: 1.09-1.51; and tertile 1 vs. tertile 3: OR=1.74, 95% CI: 1.43-2.13) and conscientiousness was revealed to be a protective factor (tertile 1 vs. tertile 2: OR=0.82, 95% CI: 0.70-0.98; and tertile 1 vs. tertile 3: OR=0.65, 95% CI: 0.53-0.80). CONCLUSION: It seems that psychological factors, such as anxiety, depression and stress, as well as some personality traits, can be considered as risk factors for subjective halitosis. Multidisciplinary efforts by dental and psychological professionals must be considered to address this problem.


Assuntos
Halitose/psicologia , Autoimagem , Adulto , Fatores Etários , Idoso , Ansiedade/epidemiologia , Ansiedade/psicologia , Atitude , Estudos Transversais , Depressão/epidemiologia , Depressão/psicologia , Escolaridade , Extroversão Psicológica , Feminino , Halitose/epidemiologia , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Estado Civil , Pessoa de Meia-Idade , Transtornos Neuróticos/epidemiologia , Transtornos Neuróticos/psicologia , Personalidade , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Temperamento , Adulto Jovem
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