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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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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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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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An examination of the relationship of homelessness to mental disorder, criminal behaviour, and health care in a pretrial jail population.

https://arctichealth.org/en/permalink/ahliterature211183
Source
Can J Psychiatry. 1996 Sep;41(7):435-40
Publication Type
Article
Date
Sep-1996
Author
P A Zapf
R. Roesch
S D Hart
Author Affiliation
Simon Fraser University, Burnaby, British Columbia.
Source
Can J Psychiatry. 1996 Sep;41(7):435-40
Date
Sep-1996
Language
English
Publication Type
Article
Keywords
Adult
British Columbia
Crime - psychology - statistics & numerical data
Homeless Persons - psychology - statistics & numerical data
Humans
Male
Mental Disorders - diagnosis - epidemiology - psychology
Patient Acceptance of Health Care - statistics & numerical data
Patient Care Team - utilization
Personality Assessment
Prisoners - psychology - statistics & numerical data
Psychotic Disorders - diagnosis - epidemiology - psychology
Violence - psychology - statistics & numerical data
Abstract
To examine the prevalence of homelessness and its relationship to mental disorder, criminal behaviour, and health care.
Interview and file data were collected for 790 male admissions to a large, pretrial jail facility over a 12-month period.
A significant relationship was found between homelessness and severe mental disorder as well as between homelessness and prior psychiatric history. There were no significant differences found between the homeless and the nonhomeless on the types of crimes for which they were incarcerated or on contact with health care services within the past year.
The findings indicate the need for a link between the jail and community services for homeless individuals.
Notes
Erratum In: Can J Psychiatry 1997 Mar;42(2):212
PubMed ID
8884032 View in PubMed
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Are females at special risk of obesity if they become psychotic? The longitudinal Northern Finland 1966 Birth Cohort Study.

https://arctichealth.org/en/permalink/ahliterature82425
Source
Schizophr Res. 2006 May;84(1):15-9
Publication Type
Article
Date
May-2006
Author
Hakko Helinä
Komulainen M Tuomas
Koponen Hannu
Saari Kaisa
Laitinen Jaana
Järvelin Marjo-Riitta
Lindeman Sari
Author Affiliation
Oulu University Hospital, Department of Psychiatry, P.O. Box 26, 90029 Oulu University Hospital, Finland. helina.hakko@oulu.fi
Source
Schizophr Res. 2006 May;84(1):15-9
Date
May-2006
Language
English
Publication Type
Article
Keywords
Abdomen
Adolescent
Adult
Alcohol drinking - epidemiology
Anthropometry
Body mass index
Catchment Area (Health)
Cohort Studies
Demography
Female
Finland - epidemiology
Follow-Up Studies
Food Habits
Health status
Humans
Incidence
Male
Motor Activity
Obesity - diagnosis - epidemiology
Prevalence
Psychotic Disorders - diagnosis - epidemiology
Risk factors
Schizophrenia - epidemiology
Smoking - epidemiology
Weight Gain
Abstract
Obesity is a serious health problem, especially in patients with long-term mental disorders. We explored the socio-demographic, psychiatric, and clinical factors that increase the risk of changing from under- or normal weight in adolescence to overweight/obese in adulthood. We found a 3.6-fold risk of weight gain in females with psychotic disorder. Other significant correlates of weight gain in males were physical inactivity, unhealthy diet, high alcohol consumption, and being single; and in females, chronic diseases, physical inactivity, high alcohol consumption, and having at least three children. These findings emphasize the importance of regular weight monitoring in clinical practice, especially in females with psychotic disorders.
PubMed ID
16626939 View in PubMed
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Are males more likely than females to develop schizophrenia?

https://arctichealth.org/en/permalink/ahliterature223303
Source
Am J Psychiatry. 1992 Aug;149(8):1070-4
Publication Type
Article
Date
Aug-1992
Author
W G Iacono
M. Beiser
Author Affiliation
Department of Psychology, University of Minnesota, Minneapolis 55455.
Source
Am J Psychiatry. 1992 Aug;149(8):1070-4
Date
Aug-1992
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Bipolar Disorder - diagnosis - epidemiology
Canada - epidemiology
Chi-Square Distribution
Cohort Studies
Depressive Disorder - diagnosis - epidemiology
Female
Humans
Incidence
Male
Middle Aged
Psychiatric Status Rating Scales
Psychotic Disorders - diagnosis - epidemiology
Rural Population
Schizophrenia - diagnosis - epidemiology
Schizophrenic Psychology
Sex Factors
Abstract
This study was undertaken to determine whether the incidence of schizophrenia is equivalent for males and females.
An attempt was made to identify every first-episode case of psychosis in a large Canadian city over a period of 2 1/2 years. A comprehensive referral network was established that included hospital and community settings where psychotic persons might appear. More than 300 potential subjects were identified, 175 of whom underwent a structured psychiatric interview and were assigned diagnoses according to five different diagnostic systems.
The incidence of schizophrenia was two to three times higher among males than among females. Even though the use of different diagnostic systems yielded slightly different risk rates, the elevated risk for males remained consistent. There were no differences between the sexes in the incidence of affective psychosis. In comparison with schizophrenia, the incidence rates for mood disorders with psychotic features were sometimes lower and sometimes higher, depending on the diagnostic system used.
The findings, coupled with reports in the past 10 years from other investigators, challenge the conventional belief that the incidence of schizophrenia is the same for the two sexes.
Notes
Comment In: Am J Psychiatry. 1993 Sep;150(9):1431-28352365
PubMed ID
1636807 View in PubMed
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[Are psychiatric disorders identified and treated by in-prison health services?]

https://arctichealth.org/en/permalink/ahliterature9405
Source
Tidsskr Nor Laegeforen. 2004 Aug 26;124(16):2094-7
Publication Type
Article
Date
Aug-26-2004
Author
Hans Langeveld
Henning Melhus
Author Affiliation
Psykiatrisk klinikk, Sentralsjukehuset i Rogaland, Postboks 1163 Hillevåg, 4095 Stavanger. jhl@sir.no
Source
Tidsskr Nor Laegeforen. 2004 Aug 26;124(16):2094-7
Date
Aug-26-2004
Language
Norwegian
Publication Type
Article
Keywords
Behavioral Symptoms - diagnosis - epidemiology - therapy
English Abstract
Female
Forensic Psychiatry
Humans
Male
Mental Disorders - diagnosis - epidemiology - therapy
Mental health services
Mentally Disabled Persons - psychology
Norway - epidemiology
Personality Disorders - diagnosis - epidemiology - therapy
Prisoners - psychology
Prisons
Psychotic Disorders - diagnosis - epidemiology - therapy
Psychotropic Drugs - therapeutic use
Questionnaires
Substance-Related Disorders - diagnosis - epidemiology - therapy
Abstract
BACKGROUND: The prevalence in Norwegian prisons of psychiatric disorders in relation to the treatment potential in the prison health system has not been properly examined. MATERIAL AND METHOD: The prevalence of psychiatric disorders, drug problems and personality disorders was examined in a prison population in the western health region in Norway. Additionally, treatments of these disorders were surveyed. The methods used were structured clinical interviews, self reports and reviews of medical case notes. RESULTS: Psychiatric disorders in need of treatment were found in 18 out of 40 interviewed inmates. Of these 18, 13 actually received treatment with psychoactive medication. Criteria for alcohol and drug addiction or misuse were fulfilled by over 90%. Personality disorders were found in 80% and antisocial personality disorder in more than 60%. INTERPRETATION: The prevalence of psychiatric disorders including personality disorders and drug addiction is high among inmates. Compared to international studies, more of the inmates with psychiatric disorders that we interviewed receive psychoactive medication.
Notes
Comment In: Tidsskr Nor Laegeforen. 2004 Aug 26;124(16):207915334117
PubMed ID
15334122 View in PubMed
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Are sociodemographic factors and year of delivery associated with hospital admission for postpartum psychosis? A study of 500,000 first-time mothers.

https://arctichealth.org/en/permalink/ahliterature29669
Source
Acta Psychiatr Scand. 2005 Jul;112(1):47-53
Publication Type
Article
Date
Jul-2005
Author
A. Nager
L-M Johansson
K. Sundquist
Author Affiliation
Karolinska Institute, Center for Family Medicine, Stockholm, Sweden.
Source
Acta Psychiatr Scand. 2005 Jul;112(1):47-53
Date
Jul-2005
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Demography
Educational Status
Female
Follow-Up Studies
Humans
Mothers - psychology - statistics & numerical data
Parity
Postpartum Period - psychology
Psychotic Disorders - diagnosis - epidemiology - psychology
Registries
Regression Analysis
Research Support, Non-U.S. Gov't
Socioeconomic Factors
Sweden - epidemiology
Abstract
OBJECTIVE: To examine the association between first hospital admissions due to postpartum psychosis and the explanatory variables age, educational level, marital status and year of delivery. METHOD: All Swedish first-time mothers (n = 502,767) were included during a 12-year period and followed for first hospital admissions due to postpartum psychosis. Cox regression was used to estimate hazard ratios, adjusted for the explanatory variables. RESULTS: Older age and being a single mother implied an increased risk of first hospital admissions due to postpartum psychosis among first-time mothers. Educational level was not associated with first hospital admissions due to postpartum psychosis. During the 1990s, when a reduction in psychiatric beds occurred, first hospital admissions due to postpartum psychosis decreased significantly. CONCLUSION: Certain sociodemographic factors are associated with first hospital admissions due to postpartum psychosis. Untreated postpartum psychosis due to fewer psychiatric beds could have hazardous effects on mothers and their children.
PubMed ID
15952945 View in PubMed
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Associations between HIV and schizophrenia and their effect on HIV treatment outcomes: a nationwide population-based cohort study in Denmark.

https://arctichealth.org/en/permalink/ahliterature274434
Source
Lancet HIV. 2015 Aug;2(8):e344-50
Publication Type
Article
Date
Aug-2015
Author
Marie Helleberg
Marianne G Pedersen
Carsten B Pedersen
Preben B Mortensen
Niels Obel
Source
Lancet HIV. 2015 Aug;2(8):e344-50
Date
Aug-2015
Language
English
Publication Type
Article
Keywords
Adult
Antiretroviral Therapy, Highly Active
CD4 Lymphocyte Count
Cohort Studies
Denmark - epidemiology
Female
Follow-Up Studies
HIV Infections - complications - diagnosis - drug therapy - epidemiology
Humans
Incidence
Male
Psychotic Disorders - diagnosis - epidemiology
Registries
Risk factors
Schizophrenia - complications - diagnosis - epidemiology - mortality
Substance-Related Disorders - complications
Treatment Outcome
Abstract
Associations between HIV and schizophrenia in people with and without substance use disorders and the effect on timeliness of HIV diagnosis, antiretroviral therapy (ART), and treatment outcomes are poorly understood. We aimed to assess the association between HIV and schizophrenia and the effect on HIV treatment outcomes in people with and without substance use disorders.
We did a population-based cohort study with data from nationwide registries in Denmark to investigate the risk of schizophrenia after a diagnosis of HIV and the risk of HIV after a diagnosis of schizophrenia, accounting for substance misuse, timeliness of HIV diagnosis, and treatment success in relation to schizophrenia. We selected the cohort from people born in Denmark between Jan 1, 1955, and Dec 31, 1995, who we followed up from their 16th birthday or Jan 1, 1995 (whichever occurred last) until their death, emigration from Denmark, onset of schizophrenia, or Dec 31, 2011 (whichever came first). We estimated incidence rate ratios (IRRs) with Poisson and Cox regression, with adjustment for calendar period, and age and its interaction with sex.
We identified 2,786,286 individuals, of whom we included 2,646,154 people in analyses of risk of schizophrenia diagnosis and 2,658,662 people in analyses of risk of HIV diagnosis. In 35,353,633 person-years of follow up, HIV was associated with an increased risk of schizophrenia (IRR 4·09, 95% CI 2·73-5·83) and acute psychosis (7·15, 4·45-10·8); the IRR was highest within the first year of HIV diagnosis for both disorders (8·24, 2·95-17·7 and 12·7, 3·15-32·9, respectively). Schizophrenia was not associated with an increased risk of HIV in individuals without substance misuse disorders (IRR 1·42, 95% CI 0·81-2·27). The risk of schizophrenia in individuals with HIV decreased after ART (IRR 0·53, 0·32-0·87). The risk of acute psychosis did not differ between HIV-infected individuals receiving antiretroviral regimens with and without efavirenz (IRR 0·70, 95% CI 0·32-1·54). We recorded no differences in CD4 cell counts, time to ART, or viral suppression between individuals with schizophrenia with HIV and those without schizophrenia when substance use was taken into account. Between 1999 and 2011, the mortality rate ratio comparing HIV-infected individuals with schizophrenia with HIV-negative individuals without schizophrenia was 25·8 (95% CI 18·8-34·3).
Our findings emphasise the need for interventions to prevent HIV in people with schizophrenia, especially for those with substance use disorders, and for accessible mental health services for individuals with HIV.
Stanley Medical Research Institute, Lundbeck Foundation, Preben and Anna Simonsen Fund, Novo Nordisk Foundation, The Danish AIDS Foundation, and the Augustinus Foundation.
Notes
Comment In: Lancet HIV. 2015 Aug;2(8):e314-526423370
PubMed ID
26423377 View in PubMed
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139 records – page 1 of 14.