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

This paper describes a prospective study collating demographic, medical, psychiatric, and illness behavior characteristics of 60 consecutive patients referred for consultation to a psychiatric liaison physician attending in a family medical clinic. The data were accumulated to add to the developing body of information about the characteristic psychosocial problems family physicians treat. Results showed that the most frequent psychiatric diagnosis in these patients was primary affective disorder depression. The presence of somatic complaints often obscured the recognition and management of psychiatric syndromes such as depression, anxiety neurosis, personality disorder, family and marital discord, psychosis, and alcoholism. The importance of training in psychopharmacology and time limited psychotherapy was underscored by the frequent consultant recommendations for the use of these treatment modalities by the family physician. Patients averaged 2.4 illness problems (psychosocial problems and reactions that arise from a perceived illness), pointing to the need to systematically evaluate and treat them concomitantly with traditional disease problems.
 ...
PMID:A prospective study of 60 consecutive psychiatric consultations in a family medicine clinic. 725 38

This paper describes psychiatric consultations in a chronic care and rehabilitation hospital. It reports that although 60% of consultation requests were for depression, only 8.6% of patients seen received a diagnosis of Affective Disorder. Many patients seen, 51.4%, did not receive a formal psychiatric diagnosis and were found not present problems in adapting to chronic disabling illnesses. These problems included difficulties with convalescent and rehabilitative tasks, manifested by pathological behaviours such as persistent denial and pseudoindependence, as well as characteristic reactions to specific catastrophic illnesses. It is important to recognize that in this population psychotropic medication should be used judiciously, and interpersonal and milieu approaches should be emphasized. It is also important for the psychiatric consultant to maintain an optimistic, therapeutic attitude in what often seem to be rather foreboding consultation settings.
 ...
PMID:Consultation-liaison psychiatry in a chronic care hospital: the consultation function. 726 Aug 25

In the present investigation we have used a longitudinal psychiatric-epidemiological study of 3,563 persons who, at a certain date 1947 or 1957, were registered in a geographically well-defined area in Sweden, "Lundby". This population has been observed and psychiatrically evaluated for 25 and 15 years, respectively. During the observation period 23 men and 5 women committed suicide. In the total Lundby cohort the age-standardized male suicide rate was 51 per 100,000 person years. The corresponding rate in men without a psychiatric diagnosis was 8.3, among men who had suffered some kind of psychiatric disorder other than depression 83, and among men with depression 650. The study thus indicates that mental illness, especially depressive disorder, implies a considerably increased risk.
 ...
PMID:Suicide rates in the Lundby study: mental illness as a risk factor for suicide. 731 44

Fifteen patients with active Cushing's syndrome have been compared with 15 other patients who had been treated successfully for Cushing's syndrome and with 13 patients with other pituitary tumours. Depression was the main psychiatric diagnosis made by the CATEGO programme after Present State Examinations. Patients with active Cushing's syndrome were significantly more depressed (Hamilton Rating Scores), than were the other patients. Compared with the control patients, those with active Cushing's syndrome had slightly lower plasma concentrations of total tryptophan, though the concentrations of freely diffusible tryptophan were not significantly changed.
 ...
PMID:Cushing's syndrome, tryptophan and depression. 737 Apr 78

Five-hundred consecutive referrals to the psychiatric consultation service at the University of Padua School of Medicine have been reviewed. In 69% of cases concurrent physical and psychiatric disorders were reported. There was a prevalence of females, working class patients, and individuals with limited schooling. Depression was the most common psychiatric disorder in all classes of organic disease and accounted for 37% of all psychiatric diagnoses, followed by anxiety neurosis (18.6%) and drug dependence (13.8%). In 10.8% of cases no psychiatric diagnosis was made.
 ...
PMID:Consultation psychiatry in an Italian general hospital: a report on 500 referrals. 738 Feb 47

Fifty physicians were evaluated and treated in a psychiatrically oriented, short-term addiction program. Psychopathology ranged from overt schizophrenia to no demonstrable psychiatric syndrome other than the addiction. Physicians experiencing addiction problems before age 40 years were more likely to exhibit serious psychopathology in the borderline range, while physicians older than 40 years were more likely to exhibit organic brain impairment and depression. Treatment outcome had some relation to psychiatric diagnosis but no relation to the addictive agent.
 ...
PMID:Addicted physicians. A closer look. 745 50

The reasons for referral of elderly persons to a psychiatric hospital in Cape Town were investigated in respect of behavioural difficulties, impairment of function, psychiatric diagnosis and the attitudes and understanding of relatives and caring agents. Confused behaviour was the most common reason for admission, followed by depression, and anxiety symptoms were frequent. An impaired ability to manage their daily lives was a factor in 90% of cases. In general, referrals were appropriate and families showed a considerable ability to put up with disturbed behaviour. However, manifestations of anxiety and depression often went unrecognized and skill in handling difficult behaviour in old-age homes was often lacking. It was considered that a better level of general medical care would have obviated the need for admission in several cases. Response to a short period of hospitalization reduced the degree of impairment very considerably, even in patients with organic brain damage.
 ...
PMID:Reasons for referral of the elderly for psychiatric hospitalization. 745 48

Progressive supranuclear palsy (PSP) is an unusual neurodegenerative disorder that superficially resembles Parkinson's disease (PD). It is characterized by gaze palsy, bulbar signs, parkinsonian signs, and mental changes. While mental changes are a frequent finding, they have, with the exception of dementia, been poorly defined. In this study, 19 patients with PSP were evaluated psychiatrically and compared with 42 patients with PD. Fifty-two percent of the patients had some degree of dementia, as measured by the Mini-Mental State Exam. Eight (42%) of the PSP patients had other psychiatric diagnoses, mostly relatively mild depression or anxiety, though two patients had more severe depression. Six (32%) patients had pathologic laughing or crying, and four of these had a psychiatric diagnosis other than dementia. The PSP patients did not differ from the PD patients on measures of depression or anxiety and did not have a greater rate of formal psychiatric diagnoses. This study confirms previous reports of dementia as a common feature of PSP. It further suggests that psychiatric disturbances, while common, are generally relatively mild, though more serious psychiatric illness may be seen.
 ...
PMID:Psychiatric symptoms in progressive supranuclear palsy. 750 85

Of 842 consecutive patients with movement disorders seen over a 71 month period, 28 (3.3%) were diagnosed as having a documented or clinically established psychogenic movement disorder. Tremor was most common (50%) followed by dystonia, myoclonus, and parkinsonism. Clinical descriptions of various types are reviewed. Clinical characteristics common in these patients included distractability (86%), abrupt onset (54%), and selective disabilities (39%). Distractability seems to be most important in tremor and least important in dystonia. Other diagnostic clues included entrainment of tremor to the frequency of repetitive movements of another limb, fatigue of tremor, stimulus sensitivity, and previous history of psychogenic illness. On examination, 71% had other psychogenic features. Over 60% had a clear history of a precipitating event and secondary gain and 50% had a psychiatric diagnosis (usually depression). Twenty five per cent of patients presented with combined psychogenic movement disorder and organic movement disorder; 35% resolved and this subgroup had a shorter duration of disease than those who are unresolved. Psychogenic movement disorder represents an uncommon diagnosis among patients with movement disorders. The ability to make a diagnosis rests on the presence of a multitude of clinical clues and therapeutic action should be taken as early as possible.
 ...
PMID:Psychogenic movement disorders: frequency, clinical profile, and characteristics. 756 21

The goal of this paper was to study the usefulness of standardised tests in elderly and assess the relationship among sociodemographic factors, neuropsychological indicators and psychiatric diagnosis, 40 subjects (31 women and 9 men, mean age 71.5 years, sd 6.16) who attended a primary care clinic in Santiago were interviewed using a sociodemographic interview, the Sarason's social support questionnaire, the mini mental state examination, the Goldberg health questionnaire, the Beck's inventory for measuring depression, the Wechsler adult intelligence scale and the Wechsler memory scale. Event related potentials were evoked in response to an auditory "Odd Ball" paradigm. A psychiatric interview, according ICD10 criteria gave 67.5% of psychiatric disorders. Anova analysis considering the psychiatric diagnostic groups showed significant differences for MMSE, GHQ12, BI, and WAIS. It is concluded that there is a high prevalence of psychiatric disorders and that standardised tests could be used for their detection.
 ...
PMID:[Detection of psychiatric disorders in the elderly]. 766 Aug 46


<< Previous 1 2 3 4 5 6 7 8 9 10