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Query: UMLS:C0025362 (mental retardation)
 15,878 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Object--The aim of this investigation was in the first place to study the relation between mental retardation and other mental disturbances. The second aim was to study the frequency of severe and mild mental retardation in an adult Swedish population and to throw some light on the socio-medical situation of the adult mentally retarded. Methods--A primary sample, stratified with respect to population density, was extracted from the population in the age group 20-60 years, resident in Kopparberg County, Sweden, on 1 July 1977. The mildly and severely mentally retarded in this sample were identified. Enquiry was made into the presence of additional handicaps in the mentally retarded. Social conditions including alcohol consumption and the occurrence of abuse and criminality were studied in the two retarded groups and a control group representing the rest of the population. The three groups were compared by rating with the Comprehensive Psychopathological Rating Scale (CPRS), by classification of any mental illness present according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) and by determining their intake of psychotropic drugs and anti-epileptics. The mildly mentally retarded and the control group were also compared with respect to neuroticism and extraversion-introversion by rating with the Eysenck Personality Inventory (EPI). Results--The study revealed a prevalence of 0.27% for severe (IQ less than 53) and 0.32% for mild (IQ 53-73.7) mental retardation in the age group 20-60 years. All the severely retarded, but only just over half the mildly retarded, were known to the care authority. The majority of the former were living in some form of institution, whereas this applied to only 15% of the mildly retarded. Nineteen per cent of the severely retarded and 4% of the mildly retarded had manifest epilepsy. Defects of movement and of hearing were most prominent among the mildly retarded, while the frequency of specific speech disturbances was greater among the severely retarded, approximately 10% of whom had no power of verbal communication. Visual defects were recorded in about one-third of both groups. The study showed that alcohol intake was lower among both the severely and mildly mentally retarded than among the persons in the control group and that the frequency of abuse and criminality was as high among persons of higher intelligence as among the mentally retarded. The severely retarded, particularly the men, showed a raised psychiatric morbidity as compared with the mildly retarded and the control group.(ABSTRACT TRUNCATED AT 400 WORDS)
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PMID:Psychiatric illness among the mentally retarded. A swedish population study. 389 45

Two experiments evaluated the effects of the condition of mental retardation on psychologists' impressions of emotional problems of a retarded subject. In Experiment 1 we found that the same debilitating phobia was less likely to be considered an example of a neurosis or an emotional disturbance when the subject also was suggested to be mentally retarded as compared to intellectually average. Experiment 2 provided a conceptual replication of the results of Experiment 1 and extended findings of diagnostic overshadowing to cases involving schizophrenia and personality disorder. The magnitude of these effects did not differ significantly as a function of whether the case description suggested schizophrenia or personality disorder. The results validate the existence of a diagnostic overshadowing phenomenon.
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PMID:Emotional disturbance and mental retardation: diagnostic overshadowing. 710 29

Taking the city of Chimkent as an example, the amount of socio-economic damage due to invalidity in mental disorders was calculated with the aid of analytical prognosis and by means of computer. The calculations demonstrated that the socio-economic damage because of this group of causes is significant. From total labor losses 53.3% are due to psychoses, 15,2% to neurosis and other mental disorders of a nonpsychotic character, 31,5% to mental retardation. The temporary disablement accounts for 29,7% of labor losses, while the invalidity for 70,3%. The employment of invalids at large industrial enterprises under the observation of a neuropsychiatric dispensary facilitates their medical and social rehabilitation. This permits to consider this circumstance as an important reserve in the decrease of socio-economic damage due to invalidity because of this group of reasons.
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PMID:[Disability in mental disorders in the light of the socioeconomic losses created]. 745 23

The Lundby Study is a prospective, psychiatric-epidemiological study of a normal population that has been repeatedly examined over a period of 25 years. Experienced psychiatrists made home visits and collected the basic information through personal examinations adding supplementary data from other relevant sources. The present book contains point prevalence data of mental disorders such as neuroses, psychoses, organic brain syndromes, psychosomatic disorders, psychopathy, mental retardation, alcoholism, mental complaints, and also of various personality traits in a normal population at two points of time, 15 years apart. Together with earlier published incidence studies the present monograph is intended to give as complete a picture as possible of the mental morbidity in a total population. Our most conspicuous finding was the increase over time of the prevalence of neurotic illnesses. Depressive illnesses represented the largest increase. In the male sex the rate of Neurosis trebled from Time 1 to Time 2, although the female preponderance still remained. Psychopathy and Alcoholism, on the other hand, were very markedly male disorders. A description of how the investigations were performed is included and also a list of publications originating from the Lundby Study. This book will be of interest to physicians and psychiatrists interested in epidemiology and also to governmental planners and social scientists.
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PMID:Prevalence of mental disorders, personality traits and mental complaints in the Lundby Study. A point prevalence study of the 1957 Lundby cohort of 2,612 inhabitants of a geographically defined area who were re-examined in 1972 regardless of domicile. 784 71

We conducted a multi-central survey on patient's perception and satisfaction of 31 psychiatric services at their discharge. The subjects were 364 patients who agreed to participate in the survey among 471 discharged patients between August 10th and September 10th, 1997. We excluded 48 patients emergently transferred to another hospitals, 47 patients with dementia or mental retardation, and 12 patients who refused to participate. Of the subjects, 326 patients (89.6%) responded. The rates of patients who rated the psychiatric care positively ranged between 79.4% (Amenity) and 93.6% (Overall satisfaction). Older patients tended to be more satisfied with psychiatric care than younger patients. Patients with schizophrenia and mood disorders rated the psychiatric care more positively, whereas patients with personality disorders rated negatively. Patients with neurosis rated the care positively in informed consent, but negatively in other items. Patients with the 60's score in Global Assessment of Functioning Scale rated higher in nurses and clerks than patients with other scores. Patients who have received their care in non-voluntary admission rated significantly lower in informed consent than other patients. There were no significant correlation of patient satisfaction with former admission and type of ward. Our results indicate that patient satisfaction survey could contribute to improve psychiatric care regarding patient characteristics in Japan.
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PMID:[Patient perceptions and satisfaction of psychiatric services at their discharge]. 1037 73

The majority of normal children will have developed some speech by the age of two years. Significant delay in speech development may be the result of (1) deafness, (2) mental retardation, (3) faulty innervation of the speech organs, (4) aphasia, (5) autism, (6) a family trait, (7) hospitalism, (8) parental neurosis, or (9) some combination of these factors. Each nonspeaking child needs an individually planned study for precise diagnosis and recommendation for treatment.
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PMID:The child who does not talk. 1375 Jan 38

The pre-school period is one in which behavior disorders may develop, especially if the child has certain constitutional faults and especially if the parents react unsuitably. Temperamental characteristics are discussed and the cluster of characteristics of the difficult child described in some detail to illustrate how trouble can be avoided if the parents can adapt healthily to the challenge of such a child. The concept of the emotionally disturbed child is examined. The specific syndromes are reviewed with emphasis on mental retardation, the hyperkinetic syndrome and childhood psychosis. Reactive behavior disorders, neurosis in childhood, special symptoms, excessive emotionality and depression are discussed.In management, the family doctor can fortunately be most effective, but only if he can spare the time and patience, concentrate on listening well, take a good history and give practical advice in which he believes. Medication is of secondary importance. If the community lacks facilities need to help these children further, then the physician can add a strong voice to those seeking them and can often provide the needed informed leadership. Some suggestions for further reading are made and are found in the footnotes.
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PMID:Behavior disorders in the pre-school child. 2046 69

The pattern of psychiatric syndromes/mental illnesses among the 61 clinical autopsies carried out during the past decade in a psychiatric Institute in South India, is documented. Among the cases autopsied, 26.2% had clinical diagnosis of Schizophrenia, 21.3% dementia, 19.67% manic depressive Psychosis, the rest being cases of neurosis, mental retardation, alcoholism and other Psychosis. The importance of an autopsy study in understanding the pathomorphological basis of mental illness is highlighted.
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PMID:The relevance of clinical autopsies in a psychiatric institute. 2192 43

Usher syndrome (or Hallgren syndrome) is an autosomal recessive genetic disorder characterized by sensorineural deafness, retinitis pigmentosa, and variable vestibular deficit; Usher syndrome type II is the most common form. Various neuropsychiatric disorders have been reported to occur in those with Usher syndrome, including schizophrenia-like disorder, atypical psychosis, recurrent depressive illness, neurotic disorder, and mental retardation; however, bipolar disorder is not common in those with Usher syndrome. Herein we describe a 30-year-old male with Usher syndrome type II that developed features indicative of a probable manic episode. The patient had complete remission of symptoms in response to treatment with olanzapine 20 mg d-1. In persons with dual sensory impairment there are inherent problems with assessment and diagnosis is difficult due to their limited communication abilities. The diagnosis of Usher syndrome depends heavily on behavioral observation and disturbances in vegetative functions.
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PMID:[Mania associated with Usher syndrome type II]. 2294 92

Elephants live in a complex society based on matrilineal groups. Management of captive elephants is difficult, partly because each elephant has a unique personality. For a better understanding of elephant well being in captivity, it would be helpful to systematically evaluate elephants' personalities and their underlying biological basis. We sent elephant' personality questionnaires to keepers of 75 elephants. We also used 196 elephant DNA samples to search for genetic polymorphisms in genes expressed in the brain that have been suggested to be related to personality traits. Three genes, androgen receptor (AR), fragile X related mental retardation protein interacting protein (NUFIP2), and acheate-scute homologs 1 (ASH1) contained polymorphic regions. We examined the association of personality with intraspecific genetic variation in 17 Asian and 28 African elephants. The results suggest that the ASH1 genotype was associated with neuroticism in Asian elephants. Subjects with short alleles had lower scores of neuroticism than those with long alleles. This is the first report of an association between a genetic polymorphism and personality in elephants.
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PMID:Personality assessment and its association with genetic factors in captive Asian and African elephants. 2299 44


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