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Query: UMLS:C0036341 (
schizophrenia
)
60,220
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
The authors interviewed 32 patients (25 with an RDC diagnosis of
schizophrenia
and seven with schizoaffective disorder) consecutively admitted to a psychiatric outpatient clinic. Ten patients had a history of photophilic behaviour with sun-gazing, while 20 patients showed no unusual behaviour related to light. Two patients who had depressive symptoms at the time of interview had a history of photophobic behaviour. Sixteen patients and 12 controls were tested for their threshold for
discomfort
of high intensity light; the thresholds were significantly higher in the patients with
schizophrenia
(especially in those with history of sun gazing). The implications of these findings for clinical practice and research are discussed.
...
PMID:Photophilic and photophobic behaviour in patients with schizophrenia and depression. 177 4
The frequency of affective symptoms in most descriptions of premenstrual syndromes (PMS) suggests a potential etiologic link between menstrually-related mood changes and specific psychiatric disorders. The purpose of this study is to assess women presenting with "PMS" for lifetime psychiatric illness and PMS, according to rigorous diagnostic criteria comparable to those for "late luteal phase disorder," a proposed DSM-III-R diagnosis requiring further study. The women were interviewed with the Schedule for Affective Disorders and
Schizophrenia
Lifetime Version (SADS-L) and they kept prospective records of menstrual symptoms with the Moos Menstrual
Distress
Questionnaire - Form T (Moos MDQ-T). Of the 20 women evaluated, 85% had lifetime psychiatric illness and 30% had PMS. Careful psychiatric assessment is recommended in patients presenting with "PMS" as their chief complaint.
...
PMID:Lifetime psychiatric illness and premenstrual syndromes. 179 Jul 5
A 54-year-old female, who had been mediated for simple type
schizophrenia
for the past eleven years, was hospitalized with left lumbar
discomfort
or pain. After admission, the following abnormalities were apparent serologically; leucocytosis of 15700/mm, erythrocyte sedimentation rate of 147 mm/h, hyper alpha 2-globulinemia (675 ng/dl of haptoglobulin). Urine cultures were negative. Left renal simple cyst with infection was evaluated by intravenous urography, ultrasonogram, computed tomographic (CT) scan., and renal angiogram. In addition, left subphrenic abscess behind the spleen, which had to be penetrated through retroperitoneum, could be diagnosed. So, in our case, cystic wall resection (unroofing) and/or conservatively percutaneous cystotomy for pus drainage were all not indicated instead of radical operation for abscess removal completely. CT scan is mostly available to make differential diagnosis whether the infectious renal cyst influence to the neighbouring organs beyond the renal capsule, or not. Here, we discussed the pathogenesis on the infection of solitary renal cyst, and some problems reported in the literature.
...
PMID:[Infected solitary renal cyst extending to subphrenic abscess--a case study and review of the literature]. 267 64
The function of the autonomic nerve system in sixty-seven patients with thoracic outlet syndrome was examined by a non-invasive and quantitative technique assessing the mean (M) and coefficient of variation (CV) or R-R interval in ECG. The first group of patients (28 cases) with autonomic nervous disorder and complaints of general
discomfort
showed a significantly shorter M and smaller CV. The second group (39 cases), those without general
discomfort
, exhibited a normal range of M and CV. In four of the first group with the diagnosis of
schizophrenia
and anxiety neurosis, furthermore, M and CV were nearly the same as those in the second group. In eight of the first group undergoing decompression operation, their complaints decreased or disappeared after surgery, with recovery of M and CV almost to the normal level. According to these results, this method appears to be useful in differentiating between autonomic nervous disorders and psychological disorders, facilitating disappearance of general
discomfort
due to autonomic nervous disorders.
...
PMID:[A study of autonomic nerve dysfunction in patients with thoracic outlet syndrome]. 280 56
To assess the presence and importance of neurotic and depressive symptoms in the posthospital phase of
schizophrenia
, two samples of schizophrenic and nonschizophrenic patients were studied. The first sample consisted of 278 chronic patients and the second sample consisted of 284 relatively early phase, less chronic, patients. The following results emerged. a) Surprisingly high levels of neurotic/depressive symptoms are found in both schizophrenic and nonschizophrenic patients during the posthospital phase. b) Nonschizophrenic patients experience an equal or greater degree of neurotic symptom
discomfort
than schizophrenics, and any differences do not reach statistically significant levels. c) Neurotic/depressive symptoms seems to be one key area in which schizophrenics do not function more poorly during the posthospital phase than nonschizophrenic patients. d) The results cut across different social classes, different institutional settings, and different levels of chronicity. These data suggest that neurotic and depressive symptoms may play a greater role in the posthospital functioning of both chronic and nonchronic psychiatric patients than has heretofore been recognized.
...
PMID:Neurotic symptoms in the postacute phase of schizophrenia. 630 Mar 19
A group of patients presenting with dermatological complaints but with no significant objective dermatological pathology on examination are described. Twenty-eight patients, twelve male and sixteen female, age range 16--76 years, mean 46 years, were seen. Symptomatology was confined to three main body areas: the face--eight patients; scalp--nine patients; perineum--eight patients. The complaints related to the face were burning, intense itching and hirsutes. Scalp symptoms included excessive hair loss and intense irritation. Genital symptoms included itching, excessive redness, burning and
discomfort
, which in three instances prevented the patient sitting. A disturbed body image (dysmorphophobia) was common and the most frequent psychological illness present was depression. Two patients were demented and in two a diagnosis of
schizophrenia
was made. One patient committed suicide and two patients attempted suicide. Female patients presenting with facial symptoms have a more ominous prognosis, both with regard to the risk of suicide and the development of psychosis. It is important that dermatologists recognize this common group of patients with dermatological non-disease. Those patients who are anxiously preoccupied with their skin may be managed by superficial psychotherapy and antidepressants. Those patients who are truly deluded should be referred to a psychiatrist.
...
PMID:Dermatological non-disease: a common and potentially fatal disturbance of cutaneous body image. 724 74
One hundred and eighty-seven patients suffering from DSM-III-R
schizophrenia
, schizoaffective, schizophreniform (psychotic group), unipolar, bipolar and other disorders were interviewed 5 years after discharge. Deficiencies were assessed by means of the Schedule for Deficit Syndrome (SDS) and the Scale for Assessment of Negative Symptoms (SANS). Binocular thresholds for
discomfort
to high luminances (TDHL) were assessed in 17 patients with a deficit syndrome. Results suggest that patients with psychotic disorders are in a high-risk group for deficit syndrome. Nevertheless, 9-28% and 9-30% of the 'nonpsychotic' group according to the SANS and the SDS, respectively, showed primary enduring negative symptoms. A positive correlation between the SANS total score and TDHL (r = 0.81) was found. These results suggest the nonspecificity of primary enduring negative syndromes. Furthermore preliminary data indicate a possible link between light sensitivity and the deficit syndrome, independently of diagnoses.
...
PMID:The deficit syndrome in schizophrenic and nonschizophrenic patients: preliminary studies. 787 Nov 22
Patients with the combination of cannabis abuse and psychosis are difficult to treat. The intoxicated state has many similarities to
schizophrenia
. Like other drugs with abuse potential cannabis affects the brain's reward system. It has not been possible to show major structural changes in the cerebrum, but by electron microscopy structural changes can be shown in animals especially in the hippocampus. The drug is taken in order to escape reality, and a vicious circle tending to maintain the person's abuse pattern which includes reduced energy, judgment and memory may be established. Cannabis may cause toxic psychosis, with a tendency to recurrent psychoses with continued abuse. There is no convincing support for the assumption that cannabis can cause chronic functional psychosis following cessation of abuse. Schizophrenic patients who use cannabis are often trying to reduce the
discomfort
caused by symptoms in the prodromal phase. By continued abuse positive psychotic symptoms are worsened. Antidepressant drugs may diminish the depressive elements of the disease. Some cannabis users are especially sensitive and develop toxic psychosis. Patients with repeated toxic psychosis may erroneously be diagnosed as schizophrenics. It is therefore important to be aware that a psychotic state may be caused by abuse of cannabis, and adjust treatment to this fact.
...
PMID:[Cannabis and psychoses]. 800 23
Although indirect support can be found for the clinical benefits of work, it has not been studied in randomized designs, nor have critical variables been manipulated. One such variable is pay incentive. The authors present a study of 150 subjects with
schizophrenia
or schizoaffective disorder who were randomized into Pay ($3.40/hour) and No-Pay conditions and offered 6-month work placements within a Department of Veterans Affairs medical center. Subjects participated in a work-related support group and were evaluated weekly on symptom measures. Results indicated that Pay subjects worked more hours and earned more money than No-Pay subjects. Pay subjects showed more total symptom improvement at followup, and more improvement, particularly on positive and emotional
discomfort
symptoms. They also had a significant lower rate of rehospitalization than No-Pay subjects. Participation in work activity was closely associated with symptom improvement. Participators showed more total symptom improvement at followup than partial participators or nonparticipators, and more improvement, particularly on positive, hostility, and emotional
discomfort
symptoms. We concluded that pay increased participation and that, in this study, participation in work activity was primarily responsible for symptom reduction.
...
PMID:Clinical benefits of paid work activity in schizophrenia. 868 64
Electroconvulsive therapy (ECT) is used in adolescent psychiatric practice, yet few studies have been conducted to assess its use for 13-19-year-olds. Efficacy, indications, side effects, technical characteristics, and outcome are uncertain. We retrospectively reviewed the medical records of 21 adolescents treated with bilateral ECT in our department from 1984 through 1995. In our series, ECT was effective in treating both maniac and depressive episodes, with a high rate of relapse at 1 year follow-up (approximately 40%). Clinical improvement was only partial and in
schizophrenia
and schizoaffective episodes. Seizure threshold was associated with gender, but not with the cumulative number of treatments. Adverse effects were frequent, but were usually transient with only moderate
discomfort
, even in patients with concomitant medical problems. We conclude that ECT is a safe and effective treatment for adolescents with severe and intractable mental illness, and it has the same indications and effects as in adults.
...
PMID:Use of electroconvulsive therapy in adolescents. 915 85
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