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Depression in young adult psychiatric outpatients: delimiting early onset.

https://arctichealth.org/en/permalink/ahliterature268614
Source
Early Interv Psychiatry. 2015 Apr;9(2):108-17
Publication Type
Article
Date
Apr-2015
Author
Adriana Ramirez
Lisa Ekselius
Mia Ramklint
Source
Early Interv Psychiatry. 2015 Apr;9(2):108-17
Date
Apr-2015
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Age of Onset
Anxiety, Separation - epidemiology
Child
Comorbidity
Cross-Sectional Studies
Depression - epidemiology
Developmental Disabilities - epidemiology
Female
Humans
Life Change Events
Male
Outpatients - psychology
Personality Disorders - epidemiology
Psychiatric Status Rating Scales
Risk factors
Sweden - epidemiology
Young Adult
Abstract
The aim of this study was to examine differences in childhood, adolescent and adult onset of depression.
Young psychiatric outpatients (n?=?156) diagnosed with a lifetime depressive episode were divided into three groups according to age of onset of their first depressive episode: childhood (=12 years, n?=?21), adolescent (13-17 years, n?=?58) and early adult onset (18-25 years, n?=?77). Participants were assessed by diagnostic interviews and by questionnaires measuring previous life events and childhood developmental delays. Clinical characteristics and various risk factors were compared between groups.
This clinical sample was dominated by women, with onset of their first depressive episode occurring during adolescence. Childhood onset was related to an increased number of depressive episodes, higher prevalence of personality disorders, more current social problems and more reported development delays during childhood regarding literacy learning, social skills and memory. They also reported more separation anxiety symptoms and neglect during childhood and more experiences of teenage pregnancies and abortions.
Childhood onset of depression is associated with more severe symptoms, more psychosocial risk factors and childhood developmental delays. Because all onset groups shared many features, the results are inconclusive if there are distinct subgroups according to age of onset.
PubMed ID
24118989 View in PubMed
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Patients' perspective of factors influencing quality of life while living with Crohn disease.

https://arctichealth.org/en/permalink/ahliterature98102
Source
Gastroenterol Nurs. 2010 Jan-Feb;33(1):37-44; quiz 45-6
Publication Type
Article
Author
Katarina Pihl-Lesnovska
Henrik Hjortswang
Anna-Christina Ek
Gunilla Hollman Frisman
Author Affiliation
Department of Endocrinology and Gastroenterology, University Hospital, Linköping, Sweden. Katarina.Pihl.Lesnovska@lio.se
Source
Gastroenterol Nurs. 2010 Jan-Feb;33(1):37-44; quiz 45-6
Language
English
Publication Type
Article
Keywords
Activities of Daily Living - psychology
Adaptation, Psychological
Adult
Aged
Aged, 80 and over
Attitude to Health
Cost of Illness
Crohn Disease - complications - prevention & control - psychology
Female
Humans
Life Change Events
Male
Middle Aged
Nursing Methodology Research
Outpatients - psychology
Power (Psychology)
Qualitative Research
Quality of Life - psychology
Questionnaires
Self Concept
Social Support
Sweden
Abstract
Crohn disease is a chronic inflammatory bowel disease of unknown etiology. The chronic, relapsing nature of Crohn disease produces physical, psychological, and social stress. The disease occurs early in life, and the effects of Crohn disease on daily life are associated with symptom burden; thus, managing their disease and coping with its impact is a lifelong process for sufferers. This study was undertaken to identify and describe the meaning of quality of life in patients with Crohn disease. Using a grounded theory methodology, 11 interviews were performed with 6 men and 5 women, 29-83 years of age, all suffering from Crohn disease. The experience of quality of life was associated with limitations in daily activity, the major theme that emerged from the analysis. Quality of life varied depending on how the patient managed limitations related to the symptoms of the disease. The categories of self-image, confirmatory relations, powerlessness, attitude toward life, and sense of well-being were conceptualized as the dominant themes derived from the data. When caring for these patients, it is important to identify limitations and provide support so that patients are able to maintain a daily life that can be perceived as normal and routine.
PubMed ID
20145449 View in PubMed
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The personality patterns in patients with duodenal ulcer and ulcer-like dyspepsia and their relationship to the course of the diseases. Hvidovre Ulcer Project Group.

https://arctichealth.org/en/permalink/ahliterature46536
Source
J Intern Med. 1994 Jun;235(6):589-94
Publication Type
Article
Date
Jun-1994
Author
P. Jess
J. Eldrup
Author Affiliation
Department of Medical, Gastroenterology, Hvidovre University Hospital, Denmark.
Source
J Intern Med. 1994 Jun;235(6):589-94
Date
Jun-1994
Language
English
Publication Type
Article
Keywords
Adult
Affect
Aged
Aged, 80 and over
Comparative Study
Duodenal Ulcer - psychology
Dyspepsia - psychology
Female
Humans
Inpatients - psychology
Life Change Events
Male
Middle Aged
Outpatients - psychology
Personality
Prospective Studies
Research Support, Non-U.S. Gov't
Risk factors
Risk-Taking
Abstract
OBJECTIVES. To compare personality characteristics in duodenal ulcer patients and patients with ulcer-like dyspepsia from the primary health sector with duodenal ulcer patients from a hospital and to evaluate the relationship of the personality characteristics to the course of the diseases. DESIGN. A prospective study using the Minnesota Multiphasic Personality Inventory (MMPI) with retesting of a subgroup of patients after a median observation period of 14 months. SETTING. Departments of Medical and Surgical Gastroenterology, Hvidovre University Hospital, and the primary health sector in Roskilde County, Denmark. SUBJECTS. Sixty hospital patients with duodenal ulceration and 17 patients with duodenal ulceration plus 25 patients with ulcer-like dyspepsia from the primary health sector. MAIN OUTCOME MEASURES. MMPI scores. RESULTS. The hospital patients differed from the two other groups of patients by having higher scores of depression and anxiety (P
PubMed ID
8207365 View in PubMed
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Posttraumatic growth, depressive symptoms, posttraumatic stress symptoms, post-migration stressors and quality of life in multi-traumatized psychiatric outpatients with a refugee background in Norway.

https://arctichealth.org/en/permalink/ahliterature122369
Source
Health Qual Life Outcomes. 2012;10:84
Publication Type
Article
Date
2012
Author
Dinu-Stefan Teodorescu
Johan Siqveland
Trond Heir
Edvard Hauff
Tore Wentzel-Larsen
Lars Lien
Author Affiliation
Innlandet Hospital Trust, PO Box 104, Brumunddal, N-2381, Norway. d.s.teodorescu@medisin.uio.no
Source
Health Qual Life Outcomes. 2012;10:84
Date
2012
Language
English
Publication Type
Article
Keywords
Acculturation
Adult
Cross-Sectional Studies
Depression - diagnosis - epidemiology
Diagnostic and Statistical Manual of Mental Disorders
Emigration and Immigration - statistics & numerical data
Female
Health Status Indicators
Humans
Life Change Events
Male
Middle Aged
Norway
Outpatients - psychology - statistics & numerical data
Predictive value of tests
Psychometrics
Quality of Life
Questionnaires
Refugees - psychology - statistics & numerical data
Regression Analysis
Socialization
Socioeconomic Factors
Stress Disorders, Post-Traumatic - diagnosis - epidemiology
Abstract
Psychiatric outpatients with a refugee background have often been exposed to a variety of potentially traumatizing events, with numerous negative consequences for their mental health and quality of life. However, some patients also report positive personal changes, posttraumatic growth, related to these potentially traumatic events. This study describes posttraumatic growth, posttraumatic stress symptoms, depressive symptoms, post-migration stressors, and their association with quality of life in an outpatient psychiatric population with a refugee background in Norway.
Fifty five psychiatric outpatients with a refugee background participated in a cross-sectional study using clinical interviews to measure psychopathology (SCID-PTSD, MINI), and four self-report instruments measuring posttraumatic growth, posttraumatic stress symptoms, depressive symptoms, and quality of life (PTGI-SF, IES-R, HSCL-25-depression scale, and WHOQOL-Bref) as well as measures of social integration, social network and employment status.
All patients reported some degree of posttraumatic growth, while only 31% reported greater amounts of growth. Eighty percent of the patients had posttraumatic stress symptoms above the cut-off point, and 93% reported clinical levels of depressive symptoms. Quality of life in the four domains of the WHOQOL-Bref levels were low, well below the threshold for the'life satisfaction' standard proposed by Cummins. A hierarchic regression model including depressive symptoms, posttraumatic stress symptoms, posttraumatic growth, and unemployment explained 56% of the total variance found in the psychological health domain of the WHOQOL-Bref scale. Posttraumatic growth made the strongest contribution to the model, greater than posttraumatic stress symptoms or depressive symptoms. Post-migration stressors like unemployment, weak social network and poor social integration were moderately negatively correlated with posttraumatic growth and quality of life, and positively correlated with psychopathological symptoms. Sixty percent of the outpatients were unemployed.
Multi-traumatized refugees in outpatient clinics reported both symptoms of psychopathology and posttraumatic growth after exposure to multiple traumatic events. Symptoms of psychopathology were negatively related to the quality of life, and positively related to post-migration stressors such as unemployment, weak social network and poor social integration. Posttraumatic growth was positively associated with quality of life, and negatively associated with post-migration stressors. Hierarchical regression modeling showed that posttraumatic growth explained more of the variance in quality of life than did posttraumatic stress symptoms, depressive symptoms or unemployment. It may therefore be necessary to address both positive changes and psychopathological symptoms when assessing and treating multi-traumatized outpatients with a refugee background.
Notes
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PubMed ID
22824521 View in PubMed
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Traumatization in Deaf and Hard-of-Hearing Adult Psychiatric Outpatients.

https://arctichealth.org/en/permalink/ahliterature270242
Source
J Deaf Stud Deaf Educ. 2015 Jul;20(3):296-308
Publication Type
Article
Date
Jul-2015
Author
Beate Øhre
Mette Perly Uthus
Stephen von Tetzchner
Erik Falkum
Source
J Deaf Stud Deaf Educ. 2015 Jul;20(3):296-308
Date
Jul-2015
Language
English
Publication Type
Article
Keywords
Adult
Female
Hearing Disorders - epidemiology
Humans
Life Change Events
Male
Mental Disorders - epidemiology
Norway - epidemiology
Outpatients - psychology - statistics & numerical data
Persons With Hearing Impairments - psychology - statistics & numerical data
Prevalence
Risk factors
Abstract
Deaf and hard-of-hearing persons are at risk for experiencing traumatic events and such experiences are associated with symptoms of mental disorder. We investigated the prevalence of traumatic events and subsequent traumatization in adults referred to specialized psychiatric outpatient units for deaf and hard-of-hearing patients. Sixty-two patients were diagnosed with mental disorders and assessed for potential traumatic experiences in their preferred language and mode of communication using instruments translated into Norwegian Sign Language. All patients reported traumatic events, with a mean of 6.2 different types; 85% reported subsequent traumatization not significantly associated with either residential school setting or communicative competence of childhood caregivers. Traumatization patterns in both sexes were similar to those in hearing clinical samples. Findings indicate that psychiatric intake interviews should routinely assess potentially traumatic events and their impacts, and that mental health professionals working with deaf and hard-of-hearing patients should be able to treat trauma-related disorders.
PubMed ID
25852180 View in PubMed
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