European Psychiatry
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O-26 - Prevalence and clinical presentation of ADHD in first nationwide epidemiological survey in poland
European Psychiatry - Tập 27 - Trang 1 - 2012
P-628 - Mental health in oldest old community-dwelling population assessment
European Psychiatry - Tập 27 - Trang 1 - 2012
P01-294 - Depression and Agoraphobia in a Patient with Myasthenia Gravis Myasthenia gravis (MG), is a chronic, autoimmune disease involving neuromuscular junctions [1]. Psychopathological disturbances and misdiagnosed as a psychiatric disorder are frequently reported in patients with MG because of variable and fluctuating course of disease [2]. However, during the course of the disease, mainly depression and anxiety disorders can be added to the clinics [1]. Case The complaints such as weakness, difficulty swallowing and speaking that worsening at evening, may be easily supposed neurotic disorders, in a twenty-two year old male patient, has started about two months ago. In neurology clinic, in requested psychiatric consultation; there were complaints like inability to breathe, sweating, palpitations, reluctance, pessimism and unhappiness. The patient has diagnosed according to DSM IV-TR as “Agoraphobia without panic disorder” and “Major Depression, Single Episod”. Escitolopram titrated by 20 mg/day has started. Depressive and agoraphobic symptoms have disappeared at the end of four weeks (HAM-A-D:24;11-21;9). Discussion MG patients, especially during the beginning of disease symptoms in almost all patients with the appeal was referred to the psychiatric services and 1/3 of it has been reported as psychiatric mis-diagnosis [1,2]. Choice of psychotropic drugs is important that do not affect the respiratory center and neuromuscular transmission. Agents, used in the treatment of MG, can inflame psychopathology and can create resistance to psychotropic treatment. Therefore, cooperation of neurologist and psychiatrist is important.
European Psychiatry - Tập 25 - Trang 507 - 2010
P-1134 - Group psychotherapy for HIV infected people: a different approach
European Psychiatry - Tập 27 - Trang 1 - 2012
P01-107 - Effects of Pre-sleep Negative Mood on Subsequent Sleep Objectives Untreated disrupted sleep is an important precursor for the development of depression. Several studies have confirmed the negative impact of pre-sleep cognitive and emotional activity such as worry and negative affect on subsequent sleep. Emotional stress may affect latencies to sleep onset, to REM-sleep and other markers of sleep disruption such as arousals. The way we cope with emotional stressors and events may have important effects on subsequent sleep. Methods In this study we investigated the effects of a failure-experience on polysomnographically recorded sleep in volunteers. Furthermore we explored whether dispositional coping factors such as emotion regulation moderate this effect. Results In contrast to the control condition the effect of the failure induction was clearly observed in emotional experience as well as within the physiological sleep architecture. Furthermore, we notice a tendency in which not only emotional experience, but also sleep physiology was affected by low and high emotional approach as emotion regulation style (cf. Stanton, 2000). Conclusions The present study has shown that emotional stress as a failure experience before sleep-goes together with a worsening of mood, an increase of level of rumination and enhanced sleep fragmentation with a moderating effect of emotion regulation as dispositional factor.
European Psychiatry - Tập 25 - Trang 223 - 2010
P02-270 “Education, education, education-” adult liaison psychiatry (consultation-liaison): Can service development fulfil educational needs? Introduction Liaison Psychiatry is primarily concerned with the detection and treatment of psychiatric disorders within the general hospitals. 1 A study2 also highlighted the presence of only 45.5 core trainee posts in this speciality nationally. Aims & objective To survey the liaison psychiatry service recently set up as a service provision at a psychiatry unit in North Derbyshire. Methods We retrospectively reviewed all case notes of patients who had been assessed from January 2007 to June 2009 by the consultation-liaison service. Results A total of 136 patients had been assessed since this service began in September 2007. Majority of the patients (72%) were between the ages of 31 to 65 years, while the gender was equally distributed. 51% were referred from the medical ward and most of them had been referred by core trainee. 95% of the referral was during working hours and 74% of the patients were assessed within 24 hours. Their diagnosis was variable, for e.g. 29% had depression, 19% had substance misuse problems, 8% had psychosis etc. 66% of patients were managed by medication advice, psycho-education and referral to CMHT/GP. Conclusions Liaison psychiatry was established for service provision, but it is apparent that it fulfilled both clinical and educational needs, despite the challenges. Adequate experience can be gained with a well supervised service. The overall educational value of designing and implementing a new service as a trainee cannot be overstated; it is something which is difficult to learn in classrooms.
European Psychiatry - Tập 26 - Trang 866 - 2011
PW01-11 - Effect of Adjunctive Aripiprazole on Quality of Life in Patients With Major Depressive Disorder: Pooled Data From Three Clinical Trials Introduction Assessing impact of treatment from the patient perspective provides additional information about treatment efficacy in major depressive disorder (MDD) trials. Objectives Pooled data from three identically designed clinical trials showed aripiprazole adjunctive to antidepressant therapy (ADT) was effective in treating MDD.1 Methods Patients who completed an 8-week prospective ADT phase with inadequate response were randomized double-blind to 6-weeks adjunctive treatment with aripiprazole or placebo. The Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF) is a 16-item, self-report measure to evaluate daily functioning, with higher scores indicating better satisfaction. Comparisons of mean change from baseline (Week 8) to Week 14 in Q-LES-Q-SF items and general subscores were performed using ANCOVA (LOCF). Results There was significant improvement in the Q-LES-Q-SF Overall-General subscore (total of items 1-14 expressed as a percentage of the maximum possible score) in the aripiprazole-treatment group (9.49% [n=507]) vs placebo (5.71% [n=492] p< 0.001). Placebo was significantly higher than aripiprazole in Physical Ability (placebo 0.13 vs aripiprazole 0.02, p=0.020). Aripiprazole was significantly higher than placebo in all other items except Physical Health and Vision. Aripiprazole also produced significant increases in both the Satisfaction with Medication (Item 15) (aripiprazole 0.36 vs placebo 0.20, p< 0.01) and Overall Satisfaction (Item 16) (aripiprazole 0.61 vs placebo 0.35, p< 0.001) scores. Conclusions Results emphasize that assessment of patient functioning and quality of life may have utility both in clinical trials and clinical practice.2
European Psychiatry - Tập 25 - Trang 1427 - 2010
Attention deficit hyperactivity disorder (ADHD) and borderline personality disorder (BPD) – intersections systematic review Given the well-known overlap of symptoms and diagnosis criteria between attention deficit and hyperactivity disorder (ADHD) and borderline personality disorder (BPD), recent studies have been made in this mental health research field. It is frequently observed that adults with a BPD diagnosis show a history of childhood ADHD symptoms, as well as a diagnosis for both diseases as adults. Even though many hypotheses have been presented, the nature of the relation between these two conditions is yet to be established. Thus, the authors consider the revision of the existing studies concerning how ADHD and BPD are related to be pertinent. PUBMED was used as a research source, with the search terms attention deficit and hyperactivity disorder and borderline personality disorder. Thirteen studies showing different possibilities and association mechanisms between ADHD and BPD were eligible for revision. All the studies have shown a statistical association between both diseases. The data mostly support the hypotheses that the two perturbations correspond to the same disease in different stages of evolution; that both are different diseases sharing a common etymological basis; that both perturbations are synergic, mutually powering each other while in comorbidity or that childhood ADHD may be a precursor to BPD during adolescence/adulthood. The necessity for more studies becomes evident, namely about the influence of the precocious treatment for ADHD and the development of BPD in the future and other potential factors that may be involved in this association. Disclosure of interest The authors have not supplied their declaration of competing interest.
European Psychiatry - Tập 41 - Trang S439 - 2017
Quelle place pour les thérapies systémiques brèves dans l’abord thérapeutique des addictions ? En addictologie, nous sommes régulièrement confrontés au paradoxe d’aider des patients qui ne le demandent pas. En effet, un nombre important de patients nous consulte sous la contrainte. Qu’il s’agisse de celle d’un tiers (conjoint, médecin traitant, injonction thérapeutique) ou qu’il s’agisse de leur propre contrainte (se soigner pour sa santé, se soigner pour les autres, pour sa famille) la contrainte semble omniprésente et souvent vécue comme un obstacle insurmontable au changement. Certains même considèrent qu’il n’est pas possible d’obliger les patients à faire une thérapie. Pourtant, il est commun de travailler en psychiatrie avec des patients qui refusent des soins. En effet, les patients atteints de troubles ne leur permettant plus d’appréhender la réalité en sont l’exemple et sont régulièrement hospitalisés (ou soignés en ambulatoire) malgré leur impossibilité à donner leur consentement aux soins. Ainsi, nous sommes capables de penser qu’il est impossible de faire une thérapie sous contrainte, tout en s’appuyant sur une loi qui l’autorise… au risque de remettre en cause les concepts fondamentaux de toute thérapie : le travail avec la demande, la motivation, l’alliance thérapeutique, le libre arbitre, le principe de bienfaisance, le respect de l’autonomie de la personne, etc. En réalité, les thérapies sous contrainte peuvent être une chance pour l’individu mais elles prennent le risque de placer le thérapeute lui-même dans un double lien, désigné à la fois par le corps social (ou familial) autant comme un aidant que comme un outil de coercition. Nous pensons qu’en la circonstance, les thérapies brèves systémiques peuvent avoir un intérêt pour ces patients en raison de leur abord anthropologique qui semble permettre un renforcement de l’approche motivationnelle tout en intégrant le caractère obligé de la demande. Après un court rappel sur les évaluations des psychothérapies dans les addictions, nous expliciterons au moyen des concepts fondamentaux de la thérapie systémique brève comment un thérapeute peut se libérer de cette double contrainte et aider le patient à devenir acteur d’un changement qui lui a été le plus souvent imposé.
European Psychiatry - Tập 29 - Trang 535 - 2014
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