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)

The temporal relationship of rheumatoid arthritis activity and mood has rarely been studied and the findings have been unclear. This study focuses on this problem in a prospective, multiple assessment design. Depression, anxiety, and rheumatoid arthritis (R.A.) variables were assessed weekly during hospitalization and monthly for six months after discharge in a sample of 39 patients. Evidence was found for a relationship between depression and increased R.A. activity occurring in association with clinically relevant R.A. related events such as flare-ups leading to hospitalization, improvement resulting from hospitalization, and adjustment after discharge. No evidence was found for relationships between depression, anxiety, and less dramatic changes in R.A. variables occurring during regular weekly in-hospital and monthly post-hospital assessments. The results demonstrate the inadequacy of assessments done at one point in time and also suggest that somatic complaints such as reduced energy, disturbed sleep or poor appetite may be associated as much with depression as R.A. activity.
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PMID:Depression, anxiety and rheumatoid arthritis activity. 360 70

In 32 patients with major depressive disorders according to Research Diagnostic Criteria (RDC), symptomatology was rated using the Schedule for Affective Disorders and Schizophrenia (SADS), and somatosensory evoked potentials (SEP) elicited by tactile fingertip stimuli were recorded at the vertex of the scalp. Patients were drug-free except for benzodiazepines. Amplitudes and amplitude/stimulus intensity slopes were adjusted to same sex, age, height, and weight. Uni-and multivariate correlations revealed associations between the N140-P200 amplitude and hypothyroidlike aspects of depression with symptoms such as poor appetite and indecisiveness, and between the P100-N140 slope and intrapunitive aspects of depression with symptoms such as negative self-evaluation and suicidal attempts. Neither attention level nor benzodiazepine medication were reflected in these relationships.
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PMID:Depression and somatosensory evoked potentials: II. Correlations between SEP and depressive phenomenology. 613 58

The clinical histories and treatment of the nine individuals with Down syndrome (DS) and major depression (MD) previously noted in a report on the psychopathology of a population of 164 adults with DS with and without health disorders from a Down Syndrome Clinic are presented (Myers & Pueschel, 1991). The clinical characteristics including DSM-III-R (1987) criteria of these 9 patients plus 13 individuals with DS and MD described in case reports in the literature are summarized. Depression is rarely verbalized and commonly appears as crying, depressed appearance, or mood lability. Vegetative symptoms of disinterest with severe withdrawal and mutism, psychomotor retardation, decreased appetite, weight loss, and insomnia are prominent. Verbal expression of preoccupations of suicide, death, self-depreciation, and guilt were infrequent and may either be not present or not reported due to mutism or moderate level of mental retardation (MR). Hallucinations were prominent. Family history of depression was infrequent. Psychological stressors were noted mostly in the study sample and not in the 13 from the literature. The pattern of vegetative symptomatology with few verbal complaints and prominent hallucinations may be related to moderate mental retardation in these groups with DS rather than specifically to DS.
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PMID:Major depression in a small group of adults with Down syndrome. 748 Sep 57

A 68-year-old man was hospitalized in August, 1990 with general malaise, loss of energy, poor appetite and severe depression. He had experienced depressed moods, markedly diminished interest, feelings of worthlessness, diminished ability to think, general malaise and muscle weakness beginning in November, 1989. He was treated for depression at another hospital until his emergent admission to our hospital because of difficulty in walking. Laboratory studies disclosed hyponatremia, low plasma ACTH level (4.2 pmol/L), and a low cortisol level (27.6 nmol/L). Rapid ACTH test elicited an increase in serum cortisol from 75.6 nmol/L to 361.2 nmol/L at 30 min. Ovine corticotropin releasing hormone (CRH) did not stimulate secretion of either ACTH or cortisol. Human growth hormone releasing hormone (GRH) together with thyrotropin releasing hormone (TRH) elicited a normal response of TSH and low responses of GH and PRL. The patient's serum autoantibodies to anterior pituitary cell membranes using GH3 rat pituitary cells and AtT-20 mouse pituitary cells were positive. On the basis of these data, the diagnosis of selective ACTH, GH and PRL deficiency was made and thought to have been caused by lymphocytic adenohypophysitis. Following cortisol replacement therapy, he quickly regained his appetite and was restored to a normal mental state of being.
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PMID:Severe depression associated with ACTH, PRL, and GH deficiency: a case report. 795 79

Quality of life assessments were performed in 24 haemodialysis patients (10 males, 14 females, age 45 +/- 15 years) undergoing rHuEpo treatment. The results in the rHuEpo-treated patients were compared with those in eight haemodialysis patients not on rHuEpo and with the results of a nationwide study of dialysis patients in Sweden (carried out before rHuEpo was registered). Survey questionnaires (112 items, divided into three dimensions, i.e. physical, social, and emotional wellbeing) were completed before treatment (Hb 73 +/- 1.1 g/l), when the target Hb value of 10 g/dl was reached (1-7 months) and in 14 patients 1 year after correction of the anaemia. Before treatment, the rHuEpo group had significantly more complaints about poor appetite, fatigue, and irritability than the controls. After the anaemia was corrected, the rHuEpo group had significantly improved physical and emotional wellbeing. The most significant changes occurred in satisfaction with health, physical activities of daily life, and fatigue. Alterations in emotional symptoms, such as depression and apathy, were less pronounced. Only minor changes were observed in their social wellbeing. One year after correction of the anaemia, the improvements in physical and emotional wellbeing were still present in the rHuEpo-treated patients. A positive effect was also noted on hospitalization rate. Scores for the subdimensions of satisfaction with health, sexual adjustment, physical symptoms, and emotional wellbeing improved in the rHuEpo-treated group and reached a level that was the same, or even higher, than the scores in the dialysis patients in the nationwide study. In conclusion, the quality of life improved during rHuEpo treatment.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Long-term effects on quality of life in haemodialysis patients of correction of anaemia with erythropoietin. 839 47

Couvade is a phenomenon, where the expectant father or another relative experiences somatic and/or psychiatric symptoms during a woman's pregnancy. Although epidemiological studies report a frequency of couvade symptoms between 11 and 36% during all pregnancies, psychotic couvade cases are very rare with few case reports. The authors report 2 cases of psychotic couvade and give a psychodynamic interpretation of the cases. They emphasize the important role of ego defect and double identification in the development of the cases. Couvade is a phenomenon, where the expectant father or another relative experiences somatic and/or psychiatric symptoms during a woman's pregnancy. The term couvade was first coined by Tylor in 1865. Somatic symptoms can include indigestion or colic, gastritic symptoms, food cravings, nausea and vomiting, increased or decreased appetite, diarrhea, toothache, headache, itch, muscle tremors, nosebleed or other pains. Abdominal bloating and pseudocyesis have also been reported. Although the psychiatric symptoms most often observed are depression, anxiety, insomnia, irritability, tension and hypochondria there are some reports on psychotic couvade too. In our article we present 2 cases of psychotic couvade.
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PMID:Psychotic couvade: 2 case reports. 886 58

Diagnosis of depression in the medically ill is problematic because many of the symptoms used for diagnosis, such as poor sleep and poor appetite, may be due to the underlying physical illness. The aim of the present study was to validate a brief measuring instrument, the concise assessment for depression (CAD), designed to accurately diagnose major depressive disorders in medically ill patients. The CAD was validated against DSM-IV and ICD-10 diagnostic criteria, as well as against modified DSM-IV diagnostic criteria that excluded somatic items. The modified DSM-IV diagnostic criteria have previously been suggested as the most appropriate to use in the medically ill. The effectiveness of the CAD was also compared to the Hospital Anxiety and Depression scale (HAD), a questionnaire widely used to determine the presence of depression in the medically ill. Diagnoses were obtained using a new semistructured psychiatric interview, the Schedules for assessment in Neuropsychiatry (SCAN). A total of 313 consecutive acute medical admissions were interviewed on the 7th day of admission. The first 153 patients also completed the HAD. Using the modified DSM-IV criteria 18 (5.1%) of the patients were diagnosed as having a major depressive disorder. Using a cut-off point of 3, the sensitivity of the CAD for major depressive disorder was 100%, the specificity was 99%, and the positive predictive value was 86%. This compared favorably with the HAD, in which the sensitivity was 78%, the specificity was 77%, and the positive predictive value was 18% using the most favorable cut-off point. The results from the present study thus validate the CAD to be effective in accurately diagnosing major depressive disorder in the medically ill.
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PMID:Concise assessment for depression (CAD): a brief screening approach to depression in the medically ill. 888 29

The clinical, pathological and parasitological features of cryptosporidiosis resulting from experimental inoculation with 6 x 10(6) Cryptosporidium parvum oocysts were studied in kids. Decreased appetite and depression became apparent 72 h post inoculation. Subsequently watery feces with clumps of mucus and color changes from brown to yellow were observed. The mean duration of diarrhea was 4.2 days. Oocyst shedding started 4 days post inoculation (DPI), started to decrease at 7 DPI, and lasted until 12 DPI. The evidence of high infectivity and fast transmission of C. parvum oocysts was observed under standard zoohygienic conditions. The characteristics of intestinal lesions were similar to those found in other neonatal ruminants infected with C. parvum. The most severe lesions were seen in the posterior jejunum and ileum from 3 to 7 DPI, characterized by villus atrophy, villus blunting, fusion of atrophic villi, crypt hyperplasia, inflammatory infiltration in the lamina propria, and metaplasia of mucosal epithelium. Scanning electron microscopy of ileal epithelium revealed ultrastructural changes on the surface of intestinal mucosa. No cryptosporidia or associated pathological lesions were found in the large intestine or other tissues. The distribution of cryptosporidia in the intestine and number of cryptosporidia per ileal villus on different DPI were also estimated for detailed characterization of the infection in kids as a model for experimental cryptosporidiosis.
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PMID:Experimental cryptosporidiosis in kids. 929 96

This study was intended to characterize a rural population of older persons through nutrition screening and relate screening items to functional limitations and health care charges. There were 5373 participants (2522 males and 2851 females, mean age 71 y) screened over a 22-mo period by using a self-administered questionnaire adapted from the Nutrition Screening Initiative. Height and weight and cholesterol and albumin concentrations were measured, and health care claims data were obtained. The most frequent screening items reported were use of > or = 3 medications (41%) and food group intakes below recommended frequencies (> 50%). There were significant (P < 0.05) sex differences in affirmative responses to screening items and in likelihood of exceeding proposed threshold values for risk status assigned for body mass index (BMI; in kg/m2), albumin, or cholesterol. Overweight status was notable, with one-half of all subjects having BMIs > 27. Stepwise modeling procedures were used to identify screening items with the ability to predict self-reported functional limitation (logistic regression) and monthly average recorded health care charges (linear regression on logged charges). Age > or = 75 y, use of > or = 3 medications, and an albumin concentration < 35.0 g/L were significant predictors of both functional limitation and health care charges. Poor appetite, eating problems, income < $6000/y, eating alone, and depression were significant predictors of functional limitation but not health care charges. Being male, loss of 10 lb (4.5 kg), BMI > 27, cholesterol concentration < 4.14 or > 6.21 mmol/L, and functional limitation were significant predictors of health care charges only. These findings suggest that selected screening items may have be useful in the identification of subjects at potential risk for these outcomes.
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PMID:Nutrition risk screening characteristics of rural older persons: relation to functional limitations and health care charges. 932 56

Both depression and dementia can lead to failure to thrive (FTT). Depression can lead to FTT by two routes: a direct path related to decreased appetite as a symptom of depression; and an indirect path related to the effect of depression in increasing disability. Depression associated with FTT should usually be treated with antidepressant medication. In Alzheimer's patients with FTT, the thrust of treatment is the identification and treatment of the medical and psychiatric comorbidities and the appropriate titration of environmental supports.
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PMID:Neuropsychiatric aspects of failure to thrive in late life. 935 45


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