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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

For a period of six months (april to october 1990) 361 manic-depressive in-patients or out-patients were examined and treated. 178 patients (119 females and 69 males) were suffering from depression at examination time. Among them, 34 women and 11 men had mixed mood disorders with a symptomatology near that of typical depression (major depression, according to the DSM III-R criteria) but not of mixed bipolar disorder. The main symptoms were: dysphoric mood with irritability; internal tension, psychic and sometimes physical agitation; emotional lability; head crowded with thoughouts or thoughts that vanish too quickly; sleep disorders with initial insomnia or with frequent night awakenings; suicidal thoughts or attempted suicide with impulsiveness. These patients sustained severe suffering. They were in no way slow-minded but rather talkative and expressive. Antidepressant drugs increased agitation and insomnia, and in some cases, suicidal impulses. BZDs had limited efficacy but neuroleptics given in small doses, anticonvulsants and lithium gave very effective results. A limited number of electroshocks provided rapid improvement. In many respects, depression with delirium seems a more severe form of the above-described combined depressive syndrome and responds to the same treatments. We think that this mood disorder includes excitement as an important component, although this was not clearly evident. However, it is not easy to conceive this syndrome as a mixture of depressive and manic symptoms; it should rather be regarded as another specific mood condition, either permanent or transient, situated between the two other conditions.
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PMID:[Mixed depressive syndrome]. 160 Aug 99

The purpose of this paper is to determine whether patients with chronic temporomandibular disorder (TMD) pain manifest behavioral, experimental, and psychological characteristics similar to patients with other chronic pain illnesses. The Chronic Pain Battery (CPB), a multidimensional assessment tool for chronic pain patients, was used to compare several important variables between 78 TM disorder (TMD) patients and 98 non-TMD chronic pain patients. The study found that chronic TMD patients had lower "usual" pain intensity and suffering levels, fewer vegetative symptoms associated with depression, higher pain tolerance, less impairment of activity, more hope about treatment outcome, lower health care system utilization, but higher reported stress levels than non-TMD chronic pain patients. The two groups manifested no significant differences in use of narcotics, sedatives, and sleeping pills; levels of depression, anxiety, somatization, hostility, or psychoticism; illness behavior reinforcement in their social surroundings; or ratings of problems with work, family, self-esteem, or suicidal impulses. These findings suggest that chronic TMD pain patients (with a symptom duration of over six months) are behaviorally and psychologically similar to non-TMD chronic pain patients, but that they differ in their perceptions of their disorder, rendering them less handicapped by their problems. Psychological, social, and behavioral treatment methods useful for treating chronic pain syndrome may thus also be applied along with dental therapy for optimal treatment of TMD associated with chronic pain.
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PMID:Chronic TM disorder and non-TM disorder pain: a comparison of behavioral and psychological characteristics. 209 86

This study of a randomly selected sample of 101 schoolchildren, who had no history of previous psychiatric symptomatology, showed that approximately 12% of the children had suicidal impulses. Verbatim statements of the children about their suicidal tendencies are presented. Case vignettes illustrate the common occurrence of parental depression and suicidal behavior and the child's identification with these depressed parents. Clinical implications of these findings are discussed.
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PMID:Suicidal fantasies in normal children. 257 55

A young woman suffers from chronic mental illness, characterized by depression and suicidal impulses. With the implementation of lithium therapy, along with her determination, the patient achieves a state of stabilization.
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PMID:The gift of life. 258 39

The relationship between psychopathology and brain alterations, measured by computed tomography (CT), was investigated in 44 depressed patients. Comparisons of ventricle-brain ratio (VBR) between "endogenous" vs. "nonendogenous" subgroups, classified by six distinct diagnostic systems, revealed no significant differences. The VBR and the width of the third ventricle correlated significantly with scores on the Brief Psychiatric Rating Scale, the Global Assessment Scale, the Bech-Rafaelsen Melancholia Scale, the Rating for Emotional Blunting, and the Scale for the Assessment of Negative Symptoms, but not with scores on the Hamilton Rating Scale for Depression and the Hamilton Rating Scale for Anxiety. Item analyses of the Bech-Rafaelsen Melancholia Scale revealed that retardation-related items were most significantly correlated with ventricular size. The wider diameter of the third ventricle in psychotic patients was associated with higher scores on retardation in the psychotic subgroup, whereas the greater distances of both Sylvian fissures showed no relationship to psychomotor retardation. No significant correlations were found between CT values and anxiety, suicidal impulses, somatic complaints, and sleep disturbances.
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PMID:Computed tomography in depression: association between ventricular size and psychopathology. 279 1

33 depressive patients diagnosed major depressive episode (DSM III) have been assessed by the French translation of the melancholia scale of Bech and Rafaelsen and the following scales: scale of depressive retardation (ERD) (Widlocher), Hamilton depression rating scale with 26 items (HDS 26), Montgomery and Asberg depression rating scale (MADRS). A concurrent validation shows that Bech-Rafaelsen melancholia scale is valid. A principal components analysis with VARIMAX rotation found 4 principal components: retardation and blunted affect, asthenia, anxiety, suicidal impulses.
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PMID:[French adaptation, concurrent validation and factorial analysis of the Bech and Rafaelsen melancholia scale]. 322 85

This paper highlights factors associated with suicidal behavior in children who are approximately 3-6 years old. Similar suicidal risk factors found in older children, such as depression, preoccupations with death, and family instability involving child abuse and other forms of parental psychopathology, are associated with suicidal impulses of preschool children. Assessment of these risk factors should be included in pediatric and mental health evaluations of such young children. Clinical vignettes are offered in this text.
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PMID:Sadness and suicidal tendencies in preschool children. 336 15

The relationships between depression and art are many and varied. Examples of poets, novelists, and musicians spring to mind who have vividly portrayed depression, usually from personal experience of it. These portrayals often had a psychohygienic significance for the artists concerned--as in the case of Goethe, who, in writing 'The sorrows of young Werther', exorcised his own suicidal impulses and thoughts, thus probably saving his own life. Artists have also depicted the physiognomy of depressives, e.g. Hans Baldung Grien in his picture 'Saturn' showing the pronounced nasolabial folds described by Veraguth as indicative of melancholia. Relationships between depression and art also play a role in certain theories of creativity, such as that of Silverman, who postulates that in the depressive phase new impressions arise which then find their expression in a manic phase. Finally, there are the various creative therapies designed in cases of depression (e.g. by encouraging the patient to paint or draw) to reactivate the nondominant hemisphere of the brain. Particularly in chronic or recurrent depressions this reactivation also serves to open up to the patient new perspectives for the solution of the problems that drive him into depression.
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PMID:The relation between depression and art. 357 27

Interviews were conducted with 21 patients classified as neurotic or prepsychotic/psychotic, consecutively admitted to an intensive care unit (ICU) owing to suicide attempts by means of drug intoxication, with their 37 significant others and with care personnel concerning the patients' contacts with psychiatric, somatic or social care institutions before their suicide attempts. Nineteen patients came into contact with public care institutions between 1 and 6 months before attempting suicide; of these, 11 had contacts with psychiatric departments. Nine patients--chiefly those who were prepsychotic/psychotic--were in contact with public care institutions during the last 7 days before attempting suicide; of these, six had contacts with psychiatric departments. The neurotic patients' suicidal thoughts were seldom expressed in the contacts with care personnel, who consequently seldom noticed their suicidal tendencies. Contacts served to alleviate and lend structure to the patients' anxiety, promoted the mobilisation of their defences and temporarily concealed their hopelessness, depression and suicidal impulses. The personnel misinterpreted the patients' defences and considered the patients to be non-suicidal, capable and even strong. The prepsychotic/psychotic patients usually expressed suicidal thoughts in the form of indirect, non-verbal suicidal communication which was difficult to understand: it was recognised as such by their regular therapists, but seldom by staff who were unfamiliar with the patients. Consequently, suicidal risks were usually not recognised in emergency situations. The reasons why none of the significant others sought contact with public care institutions are discussed.
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PMID:Contacts of suicidal neurotic and prepsychotic/psychotic patients and their significant others with public care institutions before the suicide attempt. 359 20

A 21 year old male developed hallucinations, personality change and severe depression following an increase in oral propranolol administration at recommended dosage levels. The symptoms improved markedly on stopping the drug. Without provocation, the patient developed further symptoms, mainly depressive, with marked suicidal impulses. Again, this quickly settled. The case identifies the need for careful observation of patients with psychiatric side effects from propranolol, following discontinuation of the drug.
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PMID:Psychosis with propranolol: still not recognized? 367 Dec 31


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