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 psychological investigation carried out by a psychologist was performed on 58 patients with myocardial infarction, initially hospitalized in an intensive care unit. The results were compared with those obtained in 37 patients hospitalized in the same conditions, but for different diseases. The manifestations previously described have been for a large part recognized: anxiety, indifference, regression, displacement of anxiety or its projection, depression, sleep disturbances, hostility, "surviver" or "Minotaurus" syndrome. A few practical conclusions are put forward concerning the attitude of the nursing team on arrival at hospital, on the style of physician-patient relationship, the duration of the stay in intensive care unit, the interest of interviews performed by a psychologist.
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PMID:[Psychological problems in a coronary intensive care unit]. 81 20

Effects of abstaining temporarily from tobacco smoking were studied in a group of habitual smokers during a 15-day period, during which they smoked normally for the forst 5 days, refrained from smoking the next 5 days, and smoked again during the last 5 days. Results were evaluated against values obtained in a nonabstaining group of smokers. Adrenaline and noradrenaline excretion decreased, skin temperature increased, and hand steadiness was improved when the subjects stopped smoking. Submaximal, physical work tests were performed once each period. No changes occurred in perceived exertion for abstainers during work, in spite of a reduced heart rate. There were only minor differences between abstaining and smoking subjects with regard to performance in the cognitive tests. Irritation, depression, lack of concentration, sleep disturbances, anxiety, tension, and restlessness were frequently reported as abstinence symptoms. The results indicate a decrease in arousal level during abstinence.
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PMID:Effects of abstinence from tobacco smoking on physiological and psychological arousal levels in habitual smokers. 84 76

Psychotropic drug treatment of persons on methadone maintenance is discussed. Patients with clear target symptoms, such as anxiety, depression, or psychosis responded just as non-opioid addicts would to the major psychotropic agents. The minor tranquilizers are felt to be of doubtful value, and subject to abuse. Sleep disturbances cannot be treated by the usual means, as the drugs needed again are abused. However, chlorpromazine shows some promise here. Methods of drug delivery and goals of treatment must be adapted to the realities of this patient-group's characteristics, particularly anti-social traits, poor motivation and unreliability. Psychotropic drugs are unlikely to be of aid in multiple drug abusers, personality and character disorders, and opioid withdrawal. Four case histories are presented.
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PMID:Psychotropic drugs in opioid addicts on methadone treatment. 95 61

A study of sleep deprivation therapy was made in 62 females and 15 males, aged 20-72, with monopolar (60 patients) and bipolar (17 patients) types of manic-depressive psychosis. Of these patients, 30 had suffered only the current depression, 29 a maximum of five depressions, and 18 more than five depressions before the sleep deprivation therapy. Twenty-five patients had been treated with antidepressant drugs for less than 10 days, 12 patients for 10-24 days, and 36 patients for more than 24 days. Twenty-four patients were treated with one sleep deprivation, 29 patients with one sleep deprivations per week (average 1.59), and 24 patients with two sleep deprivations per week (average 2.5). The effect of the sleep deprivation therapy was evaluated clinically and by means of Cronholm-Ottosson's rating scale. The effect was found good and lasting in 29%, good but temporary in 38%, and poor in 32% of the cases. The best results were achieved with twice-weekly treatments, the poorest results with once-weekly treatment. The results were equal in monopolar and bipolar cases and were independent of the number of previous depressions as well as antidepressant drug treatment. No side effects have been observed, in particular no conversion to mania. The results of the present investigation indicate that depression and sleep disturbances are symptoms produced by a common factor which, however, it as yet unknown. Sleep deprivation therapy is seen to have at least some effect on all cases of endogenous depression. Sleep deprivation therapy has no side effects and is more quick-acting than any other treatment procedure hitherto known. It should therefore be considered the first treatment offer to all endogenously depressed patients in whom immediate ECT is not necessitated.
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PMID:Sleep deprivation therapy in depression. 97 Jan 95

The effect of Nomifensin (Hoechst 36984), a new psychotropic agent different from tricyclics and MAO inhibitors, was studied in patients with depressive-anxiety syndromes. Thirty three patients (22 female, 11 male), average age 40 years, were studied for five weeks in an open trial. The educational and occupational levels of the samples were determined. Follow-up was carried out with Wittenborn Psychiatric Rating Scale, Hamilton Rating Scale for Depression, Zung Self-Rating Scale and PEN Personality Inventory. No other drug was allowed to be taken along with Nomifensin, except for a benzodiazepine derivate in case of disturbed sleep. The average dose was 67 mg/day. The changes in Hamilton and Zung Scales were statistically significant, after the first week of treatment with Nomifensin. Only the N Scale of the PEN showed a a before/after treatment significant difference. The r=0.63 correlation obtained between Zung and Hamilton Scales is discussed. The drug showed to have thymoleptic action within the first week of treatment and an additional on the anxiety symptoms, frequently associated to reactive depressions.
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PMID:[Treatment of depressive and anxiety neurosis with a new psychotropic drug: Nomifensin]. 98 42

Elective hysterectomy has become culturally patterned as a normal part of the life cycle with more than half of all American women destined for hysterectomy if current rates continue. In keeping with this widespread acceptance, both women and their doctors frequently express satisfaction with the operation. The sequelae that do occur appear to be serious in only a few women, though more minor disturbances do appear in a sizable number. Repeated or controlled studies indicate that hysterectomy may yield problems for some women in the following areas: rejection by male partners, hot flushes after conservation of ovarian tissue, severe hot flushes after ovariectomy, long-term psychourinary problems, weight changes, lingering fatigue and prolonged convalescence, painful intercourse, depression, sleep disturbances, and other psychiatric symptoms. Prospective studies using matched control groups are needed which follow patients at least 2 years postoperatively, as repeated studies have shown "sleeper effect" after hysterectomy with sequelae developing after the first 6 months or even after 1 year. The impact of varying surgical techniques and the long-term endocrine impact of hysterectomy need to be detailed as well as further study undertaken on the psychosomatic sequelae.
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PMID:Reactions to hysterectomy: fact or fiction? 105 27

Differential effects of chlorpromazine, imipramine hydrochloride, and a placebo were examined in 159 black and 555 white depressed patients in a multihospital collaborative study. In making these comparisons, the effects of age and social class were controlled. The major study findings were the differential effects of the active drugs for the black men and women. Chlorpromazine was the most efficacious treatment for black women, whereas imipramine was most efficacious for black men. These differences occurred on global ratings of improvement as well as on specific symptoms such as depression, anxiety, guilt-worthlessness, sleep disturbances, and social participation. Black patients also evidenced a higher improvement rate at one week, irrespective of treatment, than did the white patients.
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PMID:Antidepressants in black and white inpatients. Differential response to a controlled trial of chlorpromazine and imipramine. 109 83

In a doubl-blind study, patients receiving a rapidly falling dosage of clonidine recovered about 1 day faster from the symptoms of moderately severe alcohol withdrawal than patients receiving placebo. The effects of clonidine were especially noticeable with respect to tremor, sweating, elevated systolic blood pressure, tension, anxiety, depression, and general condition. Clonidine had no effect on the sleep disturbances. No significant side effects were seen. It is suggested that clonidine is a useful aid in the treatment of alcohol withdrawal, especially when it is desirable to minimise the use of tranquillisers.
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PMID:Clonidine in alcohol withdrawal. 110 76

An unusual neuropsychiatric disorder inherited in autosomal dominant fashion occurred in three successive generations of a family. Symptoms commenced late in the fifth decade in six affected patients and led to death in four to six years. The earliest and most prominent symptom was mental depression not responsive to antidepressant drugs or electroconvulsive therapy. This was accompanied by exhaustion, sleep disturbances, and marked weight loss. Later in the disease, symptoms of parkinsonism appeared, and respiratory failure occured terminally. The most recently affected family member was investigated biochemically late in his illness. Concentrations of taurine were greatly diminished in plasma and cerebrospinal fluid, and at autopsy, all regions of brain examined had a markedly reduced taurine content. Since taurine is a putative inhibitory synaptic transmitter, deficiency of brain taurine may possibly have caused the psychiatric and neurological manifestations of this disorder.
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PMID:Hereditary mental depression and Parkinsonism with taurine deficiency. 112 73

An experience of pain according to Merskey's definition was found in 24 out of 40 consecutive patients with depressive disorders. No age or sex differences were found between patients with and those without an experience of pain. In a comparison of ratings using the Cronholm-Ottosson depression rating scale, patients with an experience of pain were found to have a more severe type of depression, more psychic and vegetative anxiety, more motoric restlessness, more local tension, more thoughts of suicide, more hypochondriacal ideas, more sleep disturbances and a higher total depression score. On the other hand, no difference was found as regards depressive ideas, intellectual, conative or emotional inhibition or psychomotoric retardation. In the experimental part of the study, 30 patients -- 18 with an experience of pain -- were investigated with pain measures and visual averaged evoked responses. No differences were found in pain measures between patients with and those without an experience of pain. Out of 18 patients with an experience of pain, 15 were found to be augmenters as measured by visual averaged evoked responses. In the group of patients without pain only 4 out of 12 patients were augmenters.
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PMID:The exerience of pain in depressed patients. A clinical and experimental study. 123 57


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