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[Abnormal neurological findings at first admission in patients with schizophrenia or schizophreniform disorders. Results of computer tomography and measurement of regional cerebral blood flow].

https://arctichealth.org/en/permalink/ahliterature212653
Source
Ugeskr Laeger. 1996 Feb 12;158(7):905-10
Publication Type
Article
Date
Feb-12-1996
Author
P J Rubin
E S Vorstrup
R P Hemmingsen
H S Andersen
B B Bendsen
N J Strømsø
J K Larsen
T G Bolwig
Author Affiliation
Psykiatrisk afdeling E, Bispebjerg Hospital, København.
Source
Ugeskr Laeger. 1996 Feb 12;158(7):905-10
Date
Feb-12-1996
Language
Danish
Publication Type
Article
Keywords
Adolescent
Adult
Brain Diseases - diagnosis - physiopathology - radiography
Cerebrovascular Circulation
Denmark
Female
Humans
Male
Middle Aged
Neurologic Examination
Patient Admission
Psychotic Disorders - diagnosis - physiopathology - radiography
Schizophrenia - diagnosis - physiopathology - radiography
Tomography, X-Ray Computed
Abstract
Forty-five patients with schizophrenia or schizophreniform disorder admitted to hospital for the first time had a neurological examination, including integrative sensory and complex motor acts, by a trained neurologist. The patients were studied by CT and regional cerebral blood flow as well. A control group of 24 healthy volunteers was included. The patients had significantly more neurological abnormalities (NA) than the healthy volunteers. Medication did not explain the discrepancy. The NA were associated with sulcal enlargement and smaller brains as visualized by CT but not with ventricular enlargement. There was no association between the regional flow values and NA.
PubMed ID
8638327 View in PubMed
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[Abuse of psychoactive drugs and social adjustment of psychotic patients].

https://arctichealth.org/en/permalink/ahliterature203535
Source
Can J Psychiatry. 1998 Dec;43(10):1036-9
Publication Type
Article
Date
Dec-1998
Author
A. Lépine
G. Côté
Author Affiliation
Département de psychologie, Université du Québec à Trois-Rivières, Québec.
Source
Can J Psychiatry. 1998 Dec;43(10):1036-9
Date
Dec-1998
Language
French
Publication Type
Article
Keywords
Adult
Alcoholism - diagnosis - epidemiology - psychology
Comorbidity
Humans
Male
Patient Admission - statistics & numerical data
Prisoners - psychology - statistics & numerical data
Psychiatric Status Rating Scales
Psychotic Disorders - diagnosis - epidemiology - psychology
Psychotropic Drugs
Quebec
Social Adjustment
Substance-Related Disorders - diagnosis - epidemiology - psychology
Abstract
Is the abuse of psychoactive drugs in psychotic patients linked to social adjustment?
Fifty-five psychotic men from a detention centre or a psychiatric hospital were assessed with the Social Adjustment Scale (SAS-II) and a French version of the Phillips Rating Scale of Premorbid Adjustment in Schizophrenia.
In psychotic patients, the abuse of psychoactive drugs is linked to some indicators of social adjustment and premorbid sexual adaptation.
Differences were found in some aspects of social functioning, but it is difficult to establish an overall assessment of social adjustment.
PubMed ID
9868570 View in PubMed
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Accountability and psychiatric disorders: how do forensic psychiatric professionals think?

https://arctichealth.org/en/permalink/ahliterature148112
Source
Int J Law Psychiatry. 2009 Nov-Dec;32(6):355-61
Publication Type
Article
Author
Pontus Höglund
Sten Levander
Henrik Anckarsäter
Susanna Radovic
Author Affiliation
Forensic Psychiatry, Institute of Clinical Science, Malmo, Lund University, Sweden. pontus.hoglund@med.lu.se
Source
Int J Law Psychiatry. 2009 Nov-Dec;32(6):355-61
Language
English
Publication Type
Article
Keywords
Adult
Alcoholism - diagnosis - psychology
Attitude of Health Personnel
Character
Commitment of Mentally Ill - legislation & jurisprudence
Comorbidity
Dementia - diagnosis - psychology
Educational Status
Forensic Psychiatry
Humans
Insanity Defense
Life Change Events
Male
Mental Competency - legislation & jurisprudence
Mental Disorders - diagnosis - psychology
Middle Aged
Patient care team
Personality Disorders - diagnosis - psychology
Psychotic Disorders - diagnosis - psychology
Social Responsibility
Social Support
Substance-Related Disorders - diagnosis - psychology
Sweden
Abstract
Swedish penal law does not exculpate on the grounds of diminished accountability; persons judged to suffer from severe mental disorder are sentenced to forensic psychiatric care instead of prison. Re-introduction of accountability as a condition for legal responsibility has been advocated, not least by forensic psychiatric professionals. To investigate how professionals in forensic psychiatry would assess degree of accountability based on psychiatric diagnoses and case vignettes, 30 psychiatrists, 30 psychologists, 45 nurses, and 45 ward attendants from five forensic psychiatric clinics were interviewed. They were asked (i) to judge to which degree (on a dimensional scale from 1 to 5) each of 12 psychiatric diagnoses might affect accountability, (ii) to assess accountability from five case vignettes, and (iii) to list further factors they regarded as relevant for their assessment of accountability. All informants accepted to provide a dimensional assessment of accountability on this basis and consistently found most types of mental disorders to reduce accountability, especially psychotic disorders and dementia. Other factors thought to be relevant were substance abuse, social network, personality traits, social stress, and level of education.
PubMed ID
19811835 View in PubMed
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Acute and transient psychotic disorder: comorbidity with personality disorder.

https://arctichealth.org/en/permalink/ahliterature210442
Source
Acta Psychiatr Scand. 1996 Dec;94(6):460-4
Publication Type
Article
Date
Dec-1996
Author
P. Jørgensen
B. Bennedsen
J. Christensen
A. Hyllested
Author Affiliation
Department A, Psychiatric Hospital, Risskov, Denmark.
Source
Acta Psychiatr Scand. 1996 Dec;94(6):460-4
Date
Dec-1996
Language
English
Publication Type
Article
Keywords
Acute Disease
Adolescent
Adult
Aged
Comorbidity
Denmark - epidemiology
Female
Humans
Male
Middle Aged
Patient Admission - statistics & numerical data
Personality Disorders - diagnosis - epidemiology - psychology
Psychiatric Status Rating Scales - statistics & numerical data
Psychometrics
Psychotic Disorders - diagnosis - epidemiology - psychology
Social Adjustment
Abstract
A study sample of 51 patients with acute and transient psychotic disorder (ATPD) (ICD-10) is presented. The findings suggest that, in hospital settings, ATPD is a non-frequent condition with onset in early adult life and most often associated with female sex, good premorbid social functioning and no or minor/moderate psychosocial stressors. The DSM-IV criteria distribute the patients into three diagnostic categories: schizophreniform disorder (41%), brief psychotic disorder (33%) and psychotic disorder not otherwise classified (25%). A high prevalence (63%) of personality disorders (PD) is revealed after recovery from the psychotic episode. The ATPD is not related to any specific PD, and in a substantial minority (37%) of cases no PD is found. The unspecified category is by far the most frequent PD in patients with ATPD. The sample will be followed up and reassessed.
PubMed ID
9021000 View in PubMed
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[Acute delusional psychosis and neuroleptic malignant syndrome after emigration of a Russian German patient].

https://arctichealth.org/en/permalink/ahliterature208497
Source
Psychiatr Prax. 1997 May;24(3):147-9
Publication Type
Article
Date
May-1997
Author
J. Podschus
J. Kirsch
R. van Heys
B. Winzer
Author Affiliation
Psychiatrische Klinik Intensiv- und Kriseninterventionsstation Freie Universität Berlin.
Source
Psychiatr Prax. 1997 May;24(3):147-9
Date
May-1997
Language
German
Publication Type
Article
Keywords
Adult
Antipsychotic Agents - administration & dosage - adverse effects
Delusions - diagnosis - drug therapy - psychology
Drug Therapy, Combination
Emigration and Immigration
Ethnic Groups - psychology
Germany
Haloperidol - administration & dosage - adverse effects
Humans
Male
Methotrimeprazine - administration & dosage - adverse effects
Neuroleptic Malignant Syndrome - diagnosis - drug therapy - psychology
Paranoid Disorders - diagnosis - drug therapy - psychology
Psychiatric Status Rating Scales
Psychotic Disorders - diagnosis - drug therapy - psychology
Siberia - ethnology
Abstract
Emigration is often followed by psychic disorders. The special issue of Germans from the GUS-States immigrating to Germany is presented. The modus of paranoid reaction is discussed along the biography and the criteria of ICD 10. The acute paranoid psychosis was complicated by a neuroleptic malignant syndrome.
PubMed ID
9273559 View in PubMed
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Adolescent psychosis risk symptoms predicting persistent psychiatric service use: A 7-year follow-up study.

https://arctichealth.org/en/permalink/ahliterature298906
Source
Eur Psychiatry. 2019 01; 55:102-108
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
01-2019
Author
Maija Lindgren
Minna Jonninen
Markus Jokela
Sebastian Therman
Author Affiliation
Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Electronic address: maija.lindgren@thl.fi.
Source
Eur Psychiatry. 2019 01; 55:102-108
Date
01-2019
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Adolescent
Female
Finland - epidemiology
Follow-Up Studies
Humans
Male
Mental Disorders - epidemiology - therapy
Mental Health Services - statistics & numerical data
Patient Acceptance of Health Care - statistics & numerical data
Prodromal Symptoms
Prognosis
Prospective Studies
Psychiatric Status Rating Scales
Psychopathology
Psychotic Disorders - diagnosis - epidemiology - psychology
Risk Assessment - methods
Risk factors
Utilization Review - statistics & numerical data
Abstract
We investigated whether psychosis risk symptoms predicted psychiatric service use using seven-year register follow-up data.
Our sample included 715 adolescents aged 15-18, referred to psychiatric care for the first time. Psychosis risk symptoms were assessed with the Prodromal Questionnaire (PQ) at the beginning of the treatment. We assessed the power of the overall PQ as well as its positive, negative, general, and disorganized psychosis risk symptom factors in predicting prolonged service use. Baseline psychiatric diagnoses (grouped into 7 categories) were controlled for. Based on both inpatient and outpatient psychiatric treatment after baseline, adolescents were divided into three groups of brief, intermittent, and persistent service use.
Stronger symptoms on any PQ factor as well as the presence of a mood disorder predicted prolonged service use. All of the PQ factors remained significant predictors when adjusted for baseline mood disorder and multimorbidity.
In a prospective follow-up of a large sample using comprehensive mental health records, our findings indicate that assessing psychosis risk symptoms in clinical adolescent settings at the beginning of treatment could predict long-term need for care beyond diagnostic information. Our findings replicate the previous findings that positive psychosis risk symptoms are unspecific markers of severity of psychopathology. Also psychosis risk symptoms of the negative, disorganization, and general clusters are approximately as strongly associated with prolonged psychiatric service use in the upcoming years.
PubMed ID
30447416 View in PubMed
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Adverse pregnancy outcomes in mothers with affective psychosis.

https://arctichealth.org/en/permalink/ahliterature78089
Source
Bipolar Disord. 2007 May;9(3):305-9
Publication Type
Article
Date
May-2007
Author
MacCabe James H
Martinsson Lennart
Lichtenstein Paul
Nilsson Emma
Cnattingius Sven
Murray Robin M
Hultman Christina M
Author Affiliation
Section of General Psychiatry, Department of Psychiatry, Institute of Psychiatry, King's College London, London, UK. j.maccabe@iop.kcl.ac.uk
Source
Bipolar Disord. 2007 May;9(3):305-9
Date
May-2007
Language
English
Publication Type
Article
Keywords
Adult
Affect
Case-Control Studies
Demography
Female
Fetal Diseases - epidemiology
Fetal Growth Retardation - epidemiology
Humans
Infant, Newborn
Infant, Premature
Mothers - psychology - statistics & numerical data
Pregnancy
Pregnancy Complications - epidemiology
Pregnancy outcome
Psychotic Disorders - diagnosis - epidemiology - psychology
Registries
Severity of Illness Index
Sweden - epidemiology
Abstract
OBJECTIVES: Affective psychosis has its peak incidence during the childbearing years, but little is known about the effects of the illness on pregnancy. We investigated risks of preterm delivery (PTD), low birthweight (LBW), births of infants small for their gestational age (SGA), stillbirth and infant death in births to mothers with affective psychosis using a nested case-control design within a cohort of 1,558,071 singleton births in Sweden during 1983-1997. METHODS: Using prospectively collected data from population registers, we compared the pregnancy outcomes of 5,618 births to women with affective psychosis with the outcomes of 46,246 births to unaffected mothers. RESULTS: Mothers with affective psychosis had elevated risk for giving birth to preterm, small or growth-retarded babies. The risk for stillbirth and infant death during the first year of life was not significantly higher. The risks were greatest in mothers receiving hospital treatment for affective disorder during pregnancy: (i) preterm delivery: odds ratio (OR) = 2.67, 95% confidence interval (CI) = 1.71-4.17; (ii) SGA: OR = 2.36; 95% CI = 1.34-4.16; (iii) low birthweight: OR = 2.22; 95% CI = 1.31-3.76; and (iv) stillbirth: OR = 2.19; 95% CI = 0.55-8.76. After adjustment for covariates, particularly smoking, the risks were attenuated but remained significant. CONCLUSIONS: Clinicians should be aware of the increased risk of adverse pregnancy outcomes in women with affective psychosis, some of which may be preventable.
PubMed ID
17430307 View in PubMed
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Alzheimer disease ethics--informed consent and related issues in clinical trials: results of a survey among the members of the Research Ethics Committees in Sweden.

https://arctichealth.org/en/permalink/ahliterature71207
Source
Int Psychogeriatr. 2003 Jun;15(2):157-70
Publication Type
Article
Date
Jun-2003
Author
Gunbrith Peterson
Anders Wallin
Author Affiliation
Janssen-Cilag AB, Sollentuna, Sweden.
Source
Int Psychogeriatr. 2003 Jun;15(2):157-70
Date
Jun-2003
Language
English
Publication Type
Article
Keywords
Adult
Aged
Alzheimer Disease - diagnosis - drug therapy
Attitude of Health Personnel
Clinical Trials - ethics
Comorbidity
Data Collection
Ethics Committees
Ethics, Medical
Ethics, Research
Female
Humans
Informed Consent - legislation & jurisprudence
Legal Guardians
Male
Mental Competency - legislation & jurisprudence
Middle Aged
Patient Participation - legislation & jurisprudence
Patient Selection - ethics
Psychotic Disorders - diagnosis
Research Support, Non-U.S. Gov't
Sweden
Abstract
The rapid advances in biomedical sciences have induced special moral and ethical attitudes, which ought to be taken into account. One of the most essential issues is the principles for participation in research of subjects with reduced decision-making capacity. We conducted a questionnaire survey among members of the research ethics committees in Sweden to find out their attitudes to a range of ethical issues related to research on subjects with Alzheimer's disease. One hundred thirty-six of those approached responded (66%), and 117 of the responses (56%) were considered substantially complete. There were 16 questions with fixed reply alternatives. Some central questions concerned the informed consent process. With a few exceptions, there were no significant differences in attitudes between the experts and laypersons, between persons of different ages, and between men and women. However, women and laypersons were in general keener to preserve the patient's integrity and the experts were more willing than the laypersons to allow participation of subjects with dementia in placebo-controlled trials.
PubMed ID
14620074 View in PubMed
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An examination of the relationship between competency to stand trial, competency to waive interrogation rights, and psychopathology.

https://arctichealth.org/en/permalink/ahliterature187920
Source
Law Hum Behav. 2002 Oct;26(5):481-506
Publication Type
Article
Date
Oct-2002
Author
Jodi L Viljoen
Ronald Roesch
Patricia A Zapf
Author Affiliation
Mental Health, Law, and Policy Institute, Simon Fraser University, 8888 University Drive, Burnaby, British Columbia, Canada V5A 1S6. jviljoen@arts.sfu.ca
Source
Law Hum Behav. 2002 Oct;26(5):481-506
Date
Oct-2002
Language
English
Publication Type
Article
Keywords
Adult
Analysis of Variance
British Columbia
Criminal Law
Humans
Mental Competency
Mood Disorders - diagnosis
Psychotic Disorders - diagnosis
Regression Analysis
Substance-Related Disorders - diagnosis
Abstract
This study compared the legal abilities of defendants (N = 212) with current primary psychotic disorders (n = 44), affective disorders (n = 42), substance abuse disorders (n = 54), and no diagnosed major mental illness (n = 72). Defendants with primary psychotic disorders demonstrated more impairment than did other defendants in their understanding of interrogation rights, the nature and object of the proceedings, the possible consequences of proceedings, and their ability to communicate with counsel. Psychosis was of limited value as a predictor however, and high rates of legal impairment were found even in defendants with no diagnosed major mental illness. Sources of within-group variance were examined to further explain this finding. Policy and clinical implications of these results are discussed.
PubMed ID
12412494 View in PubMed
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305 records – page 1 of 31.