Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A melancholic-schizophrenic mixed psychosis is described in a 64-year-old man. It was diagnosed as a 'rigid (or catatonic) involutional depression' (Medow, 1922), showing besides hypochondriacal, nihilistic and micromanic delusions, a transient delusional syndrome of 'Delirium metabolicum' (Mendel, 1902), with zo-anthropy. An attempt was made to avoid the differential diagnostic classification of that clinical picture into involutional melancholia (296.0) and paranoid psychosis of involutional age (197.1) which, as in so many psychoses of the older age groups, is quite inadequate. Thus the psychopathological phenomena of the psychosis, which after all are the only reliable data, were attributed on the one hand to the senile deterioration and slight but demonstrable arteriosclerosis of the brain, and on the other hand, to the conspicuous premorbid characteristics which correspond to an anankastic psychopathy with a depressive-inadequate basic mood. It was considered as likely that the Delirium metabolicum represented an exogenous (organic) psychotic syndrome, and that the precipitation of the psychosis as well as its development into an enfeebled endstate was due to an organic brain lesion, while the catatoniformpsychomotor phenomena and the melancholic stupor were crystalisations of traits in the premorbid personality.
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PMID:[Delirium metabolicum and rigid involutional depression in older age]. 120 91

Qualitative or quantitative deficiency of maternal "primary love" in the critical period of the first years of life very often leads in later years of life to severe psychosomatic disorders or psychopathologic states as depression, suicide, addiction, criminality, social disorders and psychosis. A Preventive Care Passport with a date program for the pregnant woman and young mother and a standardized program for the gynaecologist is proposed in connection with all necessary perinatal preventive methods and integration of psychohygienic investigation and treatment. Perinatal psychohygienics could be practiced by questionnaires to find out maternal pathogenic conflicts, by social workers in order to avoid unnecessary maternal work in the first years of her child's life and group discussions after a 16-mm-film or an information paper about the normal psychic development of a child. Further tasks are granting the presence of the father at childbirth "rooming-in" with "self-demand", early adoption within the first eight weeks of life, group discussions of parents about conflicts with their children, hospitalization of infants -- only in cases of vital indication -- together with their mother and psychological preparing for medical manipulations and social benefits for the young mother or parents. The recommendations of the WHO for the application of psychohygienics could be integrated in this program.
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PMID:[Perinatal psychohygienics -- importance and chance of a primary preventive medicine by the gynaecologist (author's transl)]. 121 Apr 83

The authors report on schizophreniform states in juvenile drug consumers. The following psychodiagnostic instruments have been used in this investigation: a list of complaints, a self-estimation scale, a psychosis-depression-neurosis inventory (v. Zerssen), the Freiburg personality inventory (FPI, Fahrenberg, Selg and Hampel). According to clinical-psychopathological data in the course of psychosis, three groups of patients (N = 21) have been formed and defined as schizophrenia-, borderline-, intoxication-psychosis-groups. The report describes the procedure of two discriminant analyses by which the said three groups have been selected. In addition to methods of a cross section approach, the necessity of longitudinal observations is discussed by means of an own clinical example, considering also observations described in the literature.
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PMID:[Schizophreniform conditions in adolescent drug users differentiation possibilities using objective personality inventories]. 122 90

To characterize siucidal behavior among hospitalized medical and surgical patients, all suicide attempts in the Peter Bent Brigham Hospital were surveyed for seven years. Seventeen attempts occurred, non of them fatal. Only four patients were seriously ill, two with neoplasia. All the attempts were impulsive and were associated with stress and disturbances of impulse control. Anger, not depression, was the effect most often seen before the attempts. In all cases the precipitating stress was loss of emotional support. However, patient vulnerability to suicide seemed to be the key determinant. Fifteen patients had mental disorders, including eight with personality disorders, three with schizophrenia, three with organic brain syndromes, and one with manic depressive psychosis. Seven were psychotic, and six had made prior suicide attempts. These findings suggest that the characteristics of impulsive suicide should be considered when a suicide prevention program is being developed for a general hospital.
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PMID:Suicide attempts by hospitalized medical and surgical patients. 124 68

Postpsychotic depression is an important clinical phenomenon about which little is known. Using data from a cohort of 30 schizophrenic patients, the authors examine the frequency of the syndrome, predictive variables, and its prognostic implications. Their findings indicate that postpsychotic depression occurs commonly, especially in patients medicated during hospitalization; it is difficult to predict on the basis of the presenting clinical picture; it represents an already existing symptom comlex that remits more slowly than the acute psychosis; and it fails to predict a more favorable outcome for schizophrenia at one year.
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PMID:An investigation of the postpsychotic depressive syndrome. 124 19

This study compared a traditional therapy for depression with Antidepressive therapy, a regime of meaningless, boring work designed to provoke the patient to an assertive expression of anger. The Ss were 32 neurotic and 24 psychotic patients at the Tuscaloosa, Alabama Veterans Administration Hospital. Improvement was measured by scores on the Purpose-In-Life Test (PIL) and the Self-Rating Depression Scale. All patient groups improved significantly within a 1-week period. Neurotics treated on the Antidepressive program improved significantly more than neurotics treated on the Traditional program. However, the data failed to indicate that either program was significantly more effective than the other in the treatment of psychotics.
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PMID:A comparison of two treatments for depression: the antidepressive program vs. traditional therapy. 126 17

Clinical depression is on the increase in adolescence and young adulthood. Since World War II, psychiatrists are seeing depressed patients who are younger, less severly ill, and more commonly neurotic than psychotic. These patients are most often seen in outpatient and ambulatory settings rather than inpatient hospital facilities. Several reasons have been postulated for this increase; (1) the baby boom following World War II increased the number of people in this age group and (2) the sheer number of people created stresses with which conventional social institutions cannot cope. A shrinking economy and other forces blocking economic gain counteract rising expectations of all young adults, and a situation is created that gives rise to loss of self-esteem, frustation, and perhaps a rising incidence of depression. However, this is just one factor of many which interact which might cause depression. A serious question is whether the reactive depressions of youth will pave the way for endogenous depression in adulthood and old age. Research is needed to determine whether youth will be predisposed to further depressive episodes and, if so, will we be entering a new age of melancholy?
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PMID:Age and clinical depression: today's youth in the twenty-first century. 127 Jul 67

Four patients with systemic lupus erythematosus (SLE) are described in whom there were major psychiatric complications. Two of these patients had cerebral lupus with psychiatric manifestations of the disease together with other features of disease activity and responding to treatment with high dose steroids. The first of these had had a ten-year history of recurrent episodes of depression before other features of the disease became evident; in the second patient recurrent psychotic episodes occurred after the onset of typical multi-system disease. The third patient had had a minor cerebro-vascular accident four years before other features of SLE became manifest, and cerebral deterioration later on in her life was probably due to hypertensive cerebro-vascular disease secondary to the renal disease of SLE. The fourth patient, a young man, had had recurrent episodes of depression and aggressive behaviour for several years and committed suicide at the age of 33.
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PMID:Psychiatric problems in systemic lupus erythematosus. 127 47

Patients with reflex sympathetic dystrophy are often considered by physicians and allied health personnel as having a peculiar personality. In medical literature they are frequently described as anxious and depressive, emotional, nervous and irritable patients with neurovegetative instability. A review of the literature on psychological research in this field is not always illuminating. Hypochondria and hysteria, whether or not accompanied by depression, are frequently reported to be typical traits, whereas other findings point more in the direction of psychosis. Increased anxiety, emotional lability and lowered self-esteem are psychological entities that are regularly encountered. The present study includes 42 cases of severe reflex sympathetic dystrophy. Except for the 7 cases of Sudeck atrophy of the hand and wrist, the localization was always in the foot or ankle. The majority of patients had a history of fractures or orthopedic procedures on the lower limbs as a causative factor. In addition to an interview, two questionnaires and a projective test (Rorschach) were used in the personality assessment. While the Rorschach test did not reveal any findings that could be considered as typical of our study population, we did observe different frequency distributions for the personality traits "self-satisfaction", "rigidity" and "somatization".
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PMID:Personality of patients with Sudeck's atrophy following tibial fracture. 128 Aug 98

On the basis of analyzed clinical material several observations were attempted which were related to the patients' awareness of one's own affective psychosis. It was discovered that patients with endogenous depression considered themselves to be ill, but only in relation to depression. They usually do not perceive in themselves any psychotic illness. It was noticed that in depression past achievements appeared to be foreign to the patients. This was described in among other terms as "emotionally empty judgments". Analyzing the clinical picture of hypomanic states, stress was placed on the notion of the coexistence of logical thinking (and in some cases these thinking patterns are concerned with a feeling of heightened cognitive ability) with thinking styles based on logical errors. In all patients hypermnesia appears more important than other factors. The above mentioned phenomena are the subject of further research.
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PMID:[Awareness of illness in affective psychosis]. 130


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