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1.
Phys Rev Lett ; 120(2): 026601, 2018 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-29376699

RESUMO

Recently, a large negative longitudinal (parallel to the magnetic field) magnetoresistance was observed in Weyl and Dirac semimetals. It is believed to be related to the chiral anomaly associated with topological electron band structure of these materials. We show that in a certain range of parameters such a phenomenon can also exist in conventional centrosymmetric and time-reversal invariant conductors, lacking topological protection of the electron spectrum and the chiral anomaly. We also discuss the magnetic field enhancement of the longitudinal components of the thermal conductivity and thermoelectric tensors.

2.
Psychol Med ; 43(10): 2179-90, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23312475

RESUMO

BACKGROUND: The fifth edition of the diagnostic and statistical manual of mental disorders (DSM-5) proposes aligning nicotine use disorder (NUD) criteria with those for other substances, by including the current DSM fourth edition (DSM-IV) nicotine dependence (ND) criteria, three abuse criteria (neglect roles, hazardous use, interpersonal problems) and craving. Although NUD criteria indicate one latent trait, evidence is lacking on: (1) validity of each criterion ; (2) validity of the criteria as a set ; (3) comparative validity between DSM-5 NUD and DSM-IV ND criterion sets ; and (4) NUD prevalence. METHOD: Nicotine criteria (DSM-IV ND, abuse and craving) and external validators (e.g., smoking soon after awakening, number of cigarettes per day) were assessed with a structured interview in 734 lifetime smokers from an Israeli household sample. Regression analysis evaluated the association between validators and each criterion. Receiver operating characteristic analysis assessed the association of the validators with the DSM-5 NUD set (number of criteria endorsed) and tested whether DSM-5 or DSM-IV provided the most discriminating criterion set. Changes in prevalence were examined. RESULTS: Each DSM-5 NUD criterion was significantly associated with the validators, with strength of associations similar across the criteria. As a set, DSM-5 criteria were significantly associated with the validators, were significantly more discriminating than DSM-IV ND criteria, and led to increased prevalence of binary NUD (two or more criteria) over ND. CONCLUSIONS: All findings address previous concerns about the DSM-IV nicotine diagnosis and its criteria and support the proposed changes for DSM-5 NUD, which should result in improved diagnosis of nicotine disorders.


Assuntos
Manual Diagnóstico e Estatístico de Transtornos Mentais , Escalas de Graduação Psiquiátrica/normas , Fumar/fisiopatologia , Tabagismo/diagnóstico , Adulto , Feminino , Humanos , Israel/epidemiologia , Masculino , Pessoa de Meia-Idade , Prevalência , Reprodutibilidade dos Testes , Fumar/epidemiologia , Tabagismo/epidemiologia , Adulto Jovem
3.
J Intellect Disabil Res ; 57(7): 635-46, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22553916

RESUMO

BACKGROUND: A number of jurisdictions have instituted legislation requiring an independent person to be present during police interviews with vulnerable people. In Victoria, Australia, a group of volunteers known as independent third persons help to fulfil this role with people who present with cognitive impairment arising from their mental illness or disability. This study sought to explore the perspectives of the Independent Third Person volunteers on police identification of and responses to people with intellectual disability (ID). METHODS: All registered Independent Third Person volunteers across the State of Victoria in Australia were identified and sent a postal survey on their experiences and confidence in performing their role, their perceptions of police competency, and the challenges they faced working at this interface. RESULTS: Of the 207 Independent Third Persons identified, 94 (45%) completed and returned the survey. Participants reported that despite being overly reliant on previous police contacts and cues relating to communication difficulties, they viewed police as generally competent in their ability to identify people with ID. They also considered themselves confident in performing their own roles at this interface, albeit more so at the perfunctory aspects of the role and less so with the emotional aspects of supporting the person being interviewed. CONCLUSIONS: Police are seen as competent at identifying those with cognitive deficits and seeking appropriate supports for the person with ID in the interview context. More specialised training for police members is recommended in communicating with people with IDs. Volunteers working at this interface require additional support and training in helping to meet the emotional needs of those being interviewed.


Assuntos
Deficiência Intelectual , Transtornos Mentais , Defesa do Paciente/legislação & jurisprudência , Polícia/legislação & jurisprudência , Idoso , Coleta de Dados , Feminino , Direitos Humanos/legislação & jurisprudência , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Polícia/educação , Vitória
4.
Phys Rev Lett ; 109(23): 237004, 2012 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-23368246

RESUMO

We study the structure of Bogoliubov quasiparticles, bogolons, the fermionic excitations of paired superfluids that arise from fermion (BCS) pairing, including neutral superfluids, superconductors, and paired quantum Hall states. The naive construction of a stationary quasiparticle in which the deformation of the pair field is neglected leads to a contradiction: it carries a net electrical current even though it does not move. However, treating the pair field self-consistently resolves this problem: in a neutral superfluid, a dipolar current pattern is associated with the quasiparticle for which the total current vanishes. When Maxwell electrodynamics is included, as appropriate to a superconductor, this pattern is confined over a penetration depth. For paired quantum Hall states of composite fermions, the Maxwell term is replaced by a Chern-Simons term, which leads to a dipolar charge distribution and consequently to a dipolar current pattern.

5.
Phys Rev Lett ; 106(25): 256804, 2011 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-21770662

RESUMO

We develop a hydrodynamic description of the resistivity and magnetoresistance of an electron liquid in a smooth disorder potential. This approach is valid when the electron-electron scattering length is sufficiently short. In a broad range of temperatures, the dissipation is dominated by heat fluxes in the electron fluid, and the resistivity is inversely proportional to the thermal conductivity, κ. This is in striking contrast to the Stokes flow, in which the resistance is independent of κ and proportional to the fluid viscosity. We also identify a new hydrodynamic mechanism of spin magnetoresistance.

6.
Phys Rev Lett ; 106(23): 236801, 2011 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-21770531

RESUMO

The Pfaffian phase in the proximity of a half-filled Landau level is understood to be a p+ip superconductor of composite fermions. We consider the properties of this paired quantum Hall phase when the pairing energy is small, i.e., in the weak-coupling, BCS limit, where the coherence length is much larger than the charge screening length. We find that, as in a type I superconductor, vortices attract so that, upon varying the magnetic field from its magic value at ν=5/2, the system exhibits Coulomb frustrated phase separation. We propose that the weakly and strongly coupled Pfaffians exemplify a general dichotomy between type I and type II quantum Hall fluids.

7.
Phys Rev Lett ; 104(19): 198301, 2010 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-20867003

RESUMO

We obtain hydrodynamic equations describing a fluid consisting of chiral molecules or a suspension of chiral particles in a Newtonian fluid. The hydrodynamic velocity and stresses arising in a flowing chiral liquid have components that are forbidden by symmetry in a Newtonian liquid. For example, a chiral liquid in a Poiseuille flow between parallel plates exerts forces on the plates, which are perpendicular to the flow. A generic flow results in spatial separation of particles of different chirality. Thus even a racemic suspension will exhibit chiral properties in a generic flow. A suspension of particles of random shape in a Newtonian liquid is described by equations which are similar to those describing a racemic mixture of chiral particles in a liquid.

8.
Voen Med Zh ; 331(4): 79-85, 2010 Apr.
Artigo em Russo | MEDLINE | ID: mdl-20564953

RESUMO

The article presents publication of memories of a military physician Spivak B.A., finished the First Kiev medical institute in 1941. The author held rank: from August 1941--chief of sanitary service of a separated battalion, April 1942-June 1945--chief of operation-bandaging unit of 246 SMSB SD. After war served in military treatment institutes on ranks of surgical profile, finished the military service in the rank of chief of surgical unit of Kovel garrison hospital in 1964.


Assuntos
Medicina Militar/história , II Guerra Mundial , História do Século XX , Humanos , U.R.S.S.
9.
J Affect Disord ; 110(3): 260-4, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18262654

RESUMO

BACKGROUND: Over 60% of patients with major depressive disorder (MDD) do not respond fully to therapy. Half of them eventually will not respond at all and will be referred to as treatment resistant depression (TRD) patients. Stressful life events were found to be associated with MDD and were also found to affect the course of the disease. We hypothesize that negative life events might be an independent risk factor for TRD. METHODS: One hundred and seven unipolar MDD patients, all treated for at least 4 weeks, were enrolled in the study. Patients were assessed on their psychiatric and medical history, and seven categories of stressful life events. RESULTS: 39.3% of participants were defined as TRD patients and 60.7% as non-TRD. TRD patients had more severe depression, more past suicide attempts, more hospitalizations, longer episodes, and received more benzodiazepines, antipsychotics, and ECT. Job loss and financial stress were more prevalent among the TRD group. Overall, the TRD patients had more negative life events than responders. LIMITATIONS: This is a retrospective study. In addition, the definition of TRD was done dichotomically, therefore the association between number of stressful life events and the degree of resistance was not tested. CONCLUSIONS: Job loss and financial distress were found to predict TRD. The loss of a parent and severe health conditions were not associated with TRD, suggesting that events affecting the development of MDD, do not necessarily affect the treatment outcome.


Assuntos
Antidepressivos/uso terapêutico , Transtorno Depressivo Maior , Resistência a Medicamentos , Acontecimentos que Mudam a Vida , Demografia , Transtorno Depressivo Maior/tratamento farmacológico , Transtorno Depressivo Maior/epidemiologia , Transtorno Depressivo Maior/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência
10.
Voen Med Zh ; 331(5): 82-8, 2010 May.
Artigo em Russo | MEDLINE | ID: mdl-20698333
11.
Biol Psychiatry ; 45(7): 840-5, 1999 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-10202571

RESUMO

BACKGROUND: Combat-related posttraumatic stress disorder (CR-PTSD) is associated with a dysregulation of various neurotransmitter systems. METHODS: We assessed levels of platelet-poor plasma (PPP) norepinephrine (NE), and serotonin (5-HT), and 24-hour urinary excretion of NE, dopamine (DA), and homovanillic acid (HVA) in 17 male outpatients with untreated chronic CR-PTSD (age, 33.1 +/- 7.4 years) and 10 normal control subjects (age, 35.8 +/- 2.7 years). RESULTS: Compared with the control subjects, the PTSD patients showed significantly lower PPP 5-HT levels, elevated PPP NE levels, and significantly higher mean 24-hour urinary excretion of all three catecholamines (NE, DA, and HVA). The 24-hour urinary HVA values of the CR-PTSD patients correlated significantly and positively with the total Impact of Event Scale scores and the avoidance symptoms cluster scores, and the PPP 5-HT levels correlated negatively with the Hamilton Anxiety Rating Scale scores. The PPP NE/5-HT ratio was significantly higher in the study group than in the control subjects. CONCLUSIONS: We believe this combined enhanced noradrenergic activity and diminished 5-HT activity may be relevant to the neurobiology of CR-PTSD.


Assuntos
Distúrbios de Guerra/sangue , Norepinefrina/sangue , Serotonina/sangue , Adulto , Ansiedade/sangue , Ansiedade/urina , Biomarcadores/sangue , Estudos de Casos e Controles , Doença Crônica , Distúrbios de Guerra/urina , Dopamina/sangue , Dopamina/urina , Ácido Homovanílico/urina , Humanos , Israel , Masculino , Norepinefrina/urina , Contagem de Plaquetas , Índice de Gravidade de Doença , Sobreviventes/psicologia , Veteranos/psicologia
12.
Biol Psychiatry ; 42(5): 345-8, 1997 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-9276074

RESUMO

Levels of serum interleukin-1 beta (IL-1 beta) and soluble interleukin-2 receptor (sIL-2R) were assessed in 19 male patients with combat-related posttraumatic stress disorder (PTSD) in comparison to 19 age- and sex-matched healthy volunteers. Serum IL-1 beta levels (but not sIL-2R) were significantly higher (p < .001) in the PTSD patients than in the controls. IL-1 beta levels did not correlate with cortisol levels, severity of PTSD, anxiety, depressive symptoms, or alexithymia score; however, they did correlate significantly (r = .54, p < .005) with the duration of PTSD symptoms. It is possible that desensitization of the hypothalamic-pituitary-adrenal axis in chronic PTSD patients counteracts the stimulatory effect of IL-1 beta on cortisol secretion.


Assuntos
Distúrbios de Guerra/sangue , Interleucina-1/sangue , Transtornos de Estresse Pós-Traumáticos/sangue , Adulto , Distúrbios de Guerra/psicologia , Ensaio de Imunoadsorção Enzimática , Humanos , Hidrocortisona/sangue , Masculino , Receptores de Interleucina-2/metabolismo , Transtornos de Estresse Pós-Traumáticos/psicologia
13.
Am J Psychiatry ; 148(2): 244-7, 1991 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-1899010

RESUMO

BACKGROUND AND METHOD: The purpose of this study was to compare titers of cold agglutinins in schizophrenic patients with those in patients with major affective disorders and in normal healthy subjects. One hundred sixty-six psychiatric patients and 37 healthy comparison subjects were included in the study. Ninety of the patients suffered from schizophrenia, 54 from bipolar disorder, and 22 from major depression. Venous blood samples were obtained from all subjects between 8:00 and 10:00 a.m. and were immediately tested for cold agglutinin titers. RESULTS: A high frequency (42.2%) of positive cold agglutinin titers was detected in the schizophrenic patients, compared with the bipolar (11.1%) and unipolar (9.0%) patients and the comparison group (8.1%). The investigators did not find any pharmacological effect on these results. CONCLUSIONS: The findings suggest that, at least in this group, positive cold agglutinin titers are associated with schizophrenia. However, this observation cannot provide direct evidence for the involvement of viral or autoimmune factors in schizophrenia.


Assuntos
Aglutininas/análise , Autoanticorpos/análise , Transtorno Depressivo/imunologia , Esquizofrenia/imunologia , Adulto , Fatores Etários , Transtorno Bipolar/tratamento farmacológico , Transtorno Bipolar/imunologia , Crioglobulinas , Transtorno Depressivo/tratamento farmacológico , Feminino , Haloperidol/uso terapêutico , Humanos , Lítio/uso terapêutico , Carbonato de Lítio , Masculino , Pessoa de Meia-Idade , Esquizofrenia/tratamento farmacológico , Fatores Sexuais
14.
Am J Psychiatry ; 145(11): 1460-1, 1988 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-2903687

RESUMO

Cold agglutinin titers were obtained from the serum of 41 psychiatric patients. The 21 chronic schizophrenic patients tended to have positive cold agglutinin titers; the authors suggest that this immunological finding may be associated with long-term neuroleptic treatment.


Assuntos
Aglutininas/análise , Transtornos Mentais/imunologia , Adulto , Antipsicóticos/farmacologia , Autoanticorpos/análise , Doença Crônica , Crioglobulinas , Transtorno Depressivo/imunologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Esquizofrenia/imunologia
15.
J Clin Psychiatry ; 52(9): 365-8, 1991 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-1894588

RESUMO

BACKGROUND: Paranoid schizophrenia is considered to be a rare condition in adolescence. Since this is contrary to the authors' clinical experience, they hypothesized that a controlled study would show that a significant number of adolescents would be diagnosed with paranoid schizophrenia and that scores from the childhood version of the Schedule for Affective Disorders and Schizophrenia (K-SADS) would differentiate between the paranoid schizophrenic adolescents and adolescents with other types of schizophrenia or with affective disorder. METHOD: The authors conducted a prospective study of 120 adolescents admitted consecutively to an adolescent psychiatric inpatient department. Patients were diagnosed on the basis of DSM-III after an 8-week period during which they were evaluated with a structured psychiatric history and psychiatric examination, the K-SADS, repeated nonstructured interviews, and extensive ward observations. RESULTS: Thirty-eight percent of the schizophrenic adolescents and 14% of the total hospitalized population met the DSM-III criteria for paranoid schizophrenia. The symptom profile of the paranoid schizophrenic adolescents clearly distinguished them from adolescents with other psychiatric disorders. CONCLUSIONS: Given the incidence of paranoid schizophrenia in an adolescent population, adolescent psychiatrists are likely to encounter this disorder. DSM-III-R should be used in future studies to further clarify the issue of the prevalence of paranoid schizophrenia in adolescents.


Assuntos
Esquizofrenia Paranoide/diagnóstico , Adolescente , Fatores Etários , Transtorno Depressivo/classificação , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/psicologia , Diagnóstico Diferencial , Feminino , Hospitalização , Humanos , Masculino , Estudos Prospectivos , Escalas de Graduação Psiquiátrica , Transtorno da Personalidade Esquizoide/classificação , Transtorno da Personalidade Esquizoide/diagnóstico , Transtorno da Personalidade Esquizoide/psicologia , Esquizofrenia/classificação , Esquizofrenia/diagnóstico , Esquizofrenia Paranoide/classificação , Esquizofrenia Paranoide/psicologia , Psicologia do Esquizofrênico , Terminologia como Assunto
16.
J Clin Psychiatry ; 58(7): 318-22, 1997 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9269253

RESUMO

BACKGROUND: Previous studies on the use of clozapine in neuroleptic-resistant chronic schizophrenic patients have demonstrated positive effects on tardive dyskinesia but were less conclusive about chronic akathisia and parkinsonism. The aim of the present study was to investigate the short-term (18 weeks) efficacy of clozapine in neuroleptic-resistant chronic schizophrenic patients with coexisting tardive dyskinesia, chronic akathisia, and parkinsonism. METHOD: Twenty chronic, neuroleptic-resistant schizophrenic patients with coexisting tardive dyskinesia, parkinsonism, and chronic akathisia were treated with clozapine. Assessment of tardive dyskinesia, parkinsonism, and chronic akathisia was made once weekly for 18 weeks with the Abnormal Involuntary Movement Scale (AIMS), Simpson-Angus Rating Scale for Extrapyramidal Side Effects, and Barnes Rating Scale for Drug-Induced Akathisia (BAS). RESULTS: At the end of 18 weeks of clozapine treatment, improvement rates were 74% for tardive dyskinesia, 69% for parkinsonism, and 78% for chronic akathisia. A statistically significant reduction in the scores on the AIMS and Simpson-Angus Scale was achieved at Week 5 and on the BAS at Week 6 (p < .0001). CONCLUSION: Relatively low doses of clozapine are effective for the treatment of neuroleptic-induced extrapyramidal syndromes in neuroleptic-resistant chronic schizophrenic patients. The relief of tardive dyskinesia, parkinsonism, and chronic akathisia in this group of patients occurs more rapidly than the reduction in psychotic symptoms. Disturbing, long-term extrapyramidal syndromes in chronic schizophrenic patients should be considered an indication for clozapine treatment.


Assuntos
Acatisia Induzida por Medicamentos/tratamento farmacológico , Antipsicóticos/efeitos adversos , Clozapina/uso terapêutico , Discinesia Induzida por Medicamentos/tratamento farmacológico , Doença de Parkinson Secundária/tratamento farmacológico , Esquizofrenia/tratamento farmacológico , Adulto , Acatisia Induzida por Medicamentos/etiologia , Doenças dos Gânglios da Base/induzido quimicamente , Doenças dos Gânglios da Base/tratamento farmacológico , Doença Crônica , Comorbidade , Esquema de Medicação , Discinesia Induzida por Medicamentos/etiologia , Feminino , Humanos , Masculino , Doença de Parkinson Secundária/induzido quimicamente , Escalas de Graduação Psiquiátrica , Psicologia do Esquizofrênico , Resultado do Tratamento
17.
Phys Rev Lett ; 84(9): 1970-3, 2000 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-11017673

RESUMO

We show that the sensitivity of wave speckle patterns in disordered nonlinear media to changes of scattering potential increases with sample size. For large sizes the sensitivity diverges, which implies that for a given coherent wave incident on a sample there are multiple solutions for the spatial distribution of the wave density. The number of solutions increases exponentially with the sample size.

18.
Arch Surg ; 130(8): 864-8, 1995 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-7632147

RESUMO

OBJECTIVE: To characterize the relationship between changes in renal blood flow and cardiac output induced by dopamine, hypothesizing that at low doses renal blood flow changes more than cardiac output. DESIGN: Anesthetized swine had renal blood flow and cardiac output measured during either continuous dopamine infusions (2 to 8 micrograms/kg per minute) or bolus dosing (1 to 16 micrograms/kg), and increases in both were compared. Two different fluid protocols were compared using constant dopamine infusions. In the constant pulmonary capillary wedge pressure protocol, intravenous fluids were titrated to keep this parameter constant. In the other protocol, fluid therapy was held constant at 10 mL/kg per hour. RESULTS: With infusions, mean increases in renal blood flow and cardiac output were relatively equal. The maximum increase was 35% at 8 micrograms/kg per minute under the constant pulmonary capillary wedge pressure protocol, with no significant differences (P > .1) found between the change in renal blood flow and cardiac output at any dose in either protocol. With bolus dosing, renal blood flow increased significantly more than cardiac output at 1, 4, and 8 micrograms/kg (P < .05). CONCLUSION: Disproportionate increases in renal blood flow compared with cardiac output at low bolus doses show initial renal responses to be independent of cardiac output. The infusion data suggest that renal responses exhibit tachyphylaxis or that cardiac output slowly accommodates to decreased total peripheral resistance.


Assuntos
Débito Cardíaco/efeitos dos fármacos , Dopamina/farmacologia , Circulação Renal/efeitos dos fármacos , Animais , Relação Dose-Resposta a Droga , Avaliação Pré-Clínica de Medicamentos , Infusões Intravenosas , Injeções Intravenosas , Pressão Propulsora Pulmonar/efeitos dos fármacos , Suínos , Resistência Vascular/efeitos dos fármacos
19.
J Affect Disord ; 57(1-3): 185-8, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10708830

RESUMO

BACKGROUND: Most of the data on lifetime psychiatric comorbidity in combat-related posttraumatic stress disorder (CR-PTSD) were collected in help-seeking patients. METHODS: In the present study we used the Schedule for Affective Disorder and Schizophrenia-Lifetime Version to examine a relatively large sample (n=80) of Israeli non-help-seeking CR-PTSD patients. The diagnosis of PTSD was based on the DSM-III-R criteria. RESULTS: We found a low rate of lifetime psychiatric comorbidity, especially drug dependence (2.25%), alcoholism (2.25%) and major depressive disorders (5%). CONCLUSION: It seems that in contrast to help-seeking CR-PTSD, non-help-seeking CR-PTSD is associated with a low frequency of comorbid psychiatric disorders. LIMITATION: Only non-help seeking CR-PTSD patients who agreed to participate in the study were included in this investigation. CLINICAL RELEVANCE: The detection and diagnosis of CR-PTSD comorbidity is important for establishing appropriate psychotherapeutic and pharmacological treatment.


Assuntos
Transtornos Mentais/complicações , Aceitação pelo Paciente de Cuidados de Saúde , Transtornos de Estresse Pós-Traumáticos/complicações , Adulto , Distúrbios de Guerra/complicações , Distúrbios de Guerra/diagnóstico , Distúrbios de Guerra/epidemiologia , Comorbidade , Humanos , Israel/epidemiologia , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Escalas de Graduação Psiquiátrica , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/epidemiologia
20.
J Affect Disord ; 49(1): 27-30, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9574857

RESUMO

BACKGROUND: We evaluated psychiatrically 100 subjects, who were referred to a sleep laboratory in a general hospital because of sleep complaints. METHODS: All subjects were interviewed using a Structured Clinical Interview for DSM-III-R and underwent one night of standard polysomnography (PSG) examination. RESULTS: Forty three percent of the population had at least one Axis I DSM-III-R disorder. High rate of depressive mood disorder (24%) was observed in our sample, in contrast to low prevalence of alcohol and drug abuse (4%). Our results of a Israeli population are different from the United States studies in respect to alcohol and drug abuse. Furthermore, 11% of patients with PSG diagnosis exhibited comorbid psychiatric disorder. CONCLUSION: it appears that individuals with sleep complaints have high rate of psychiatric morbidity, especially mood disorders. LIMITATION: The rapid eye movement (REM) latency, a biological marker for depression, was not investigated. CLINICAL RELEVANCE: it seems that both PSG and psychiatric evaluation of sleep disturbance are of importance for appropriate therapeutic strategy for individuals with sleep complaints, especially in those with features of suspected depressive mood disorders.


Assuntos
Polissonografia , Transtornos do Sono-Vigília/psicologia , Adulto , Distribuição de Qui-Quadrado , Comorbidade , Depressão/epidemiologia , Feminino , Humanos , Israel/epidemiologia , Masculino , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Razão de Chances , Prevalência , Síndromes da Apneia do Sono/epidemiologia , Síndromes da Apneia do Sono/fisiopatologia , Transtornos do Sono-Vigília/epidemiologia
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