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Query: UMLS:C0917801 (insomnia)
 10,606 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The General Health Questionnaire (Goldberg and Hiller, 1978, 1979) is a screening instrument for clinical and preclinical assessment of psychosomatic disorders and proneness to such disturbance. It has been translated into German by F. Gutzwiller for a national health survey (SNF 8/SOMIPOPS) and has been used thereafter in several studies in combination with other psychometric instruments. This current paper presents a set of test-related theoretical and statistical parameters of the GHQ (28-item version). The specificity of the proposed scales (somatic symptoms, anxiety and insomnia, social dysfunction, severe depression) is relatively low in the German version. Nevertheless may the questionnaire be recommended for nonclinical and nonpsychiatric in-patient use, as it picks up aspects of depression and suicidal behavior, of a general disturbance feeling, and of mental and psychophysical stress and exhaustion. Further evaluation is recommended.
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PMID:[A report on experiences using Goldberg's GHQ (General Health Questionnaire)]. 292 19

This report represents the polysomnographic aspects of sleep and the psychological characteristics of a large series of patients with insomnia classified according to the diagnostic system of the Association of Sleep Disorders Centers. The findings for patients in the various diagnostic categories were compared to those of symptomatic patients with no objective findings. 9 specific diagnoses were made, but 4 diagnoses accounted for the majority of patients. The 4 most prevalent were psychophysiological disorders (15%), psychiatric disorders (17%), nocturnal myoclonus and restless legs (18%), and no objective findings (19%). Patients of a sleep disorders center are a select population and may not be representative of the general population of patients with insomnia complaints. The psychological characteristics of the different diagnostic groups were assessed by computing the number of elevations on the MMPI. Patients with a psychiatric diagnosis exhibited the highest number of MMPI elevations, as might be expected. Patients with nocturnal myoclonus had the lowest number of elevations. The other groups did not significantly differ from the group with no objective findings. Polysomnographic measures of sleep differed considerably among the diagnostic groups. The groups with medical disorders, respiratory impairment, atypical polysomnographic features, and nocturnal myoclonus had similar short sleep latencies to those of the group with no objective findings. With longer wake times before sleep and significantly different from patients with no objective findings were the psychophysiological disorder, psychiatric disorder and drug and alcohol groups. Patients with a circadian rhythm disturbance had the longest latencies.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Polysomnographic and MMPI characteristics of patients with insomnia. 659 Nov 72

Psychogenic dizziness is defined as recurring or persistent symptoms of balance dysfunction, inconsistent with organic vestibular disease as determined by history, clinical examination and pertinent investigations, and consistent with emotional origin. Of 1,335 patients seen in our dizziness clinic between January 1988 and August 1991, psychogenic dizziness was diagnosed in 180 (13.5%) patients. There were 67 men and 113 women aged from 12 to 77 years (mean age 40.2 years). The characteristics of psychogenic dizziness are: (1) continuous dizziness for long periods of time; (2) younger patients; (3) predominant female; (4) associated symptoms of panic attack, such as headache, breathlessness, nausea, sleep disturbance, paresthesias, anxiety and palpitation; (5) symptoms of aggravation due to stressful life events; (6) normal neurotological bedside examination; (7) hyperventilation reproduced accurately. The electronystagmographic results of 74 patients show normal bithermal caloric responses in 47 patients (63.5%), caloric hyperactivity in 21 patients (28.4%), canal paresis in four patients (5.4%), canal paresis with directional preponderance in two patients (2.7%), large random voluntary eye swings or severe blinking in 35 patients (47.3%), and spontaneous nystagmus (slow phase velocity < 6.5 degrees/s) in four patients (5.4%). There were 31 patients who consulted psychiatrists with diagnoses of anxiety (51.6%), depression (16.1%), insomnia (12.9%), psychosomatic disorder and adjustment disorder. Treatment of patients with psychogenic dizziness must be directed at the underlying anxiety. Psychiatric consultation is necessary.
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PMID:[Psychogenic dizziness]. 848 48

The development of nondrug therapies for bronchial asthma (BA) is highly pressing. The application of respiration-correcting methods and means that implement a principle of biological feedback (BFB) is one of the promising lines. To polish procedures for practical work and to evaluate their efficiency, a respiration corrector has been devised, which visualizes a patient's external respiration rhythm and synchronizes it with the reference rhythm whose parameters are set by a physician or by a patient himself. The efficiency of BFB technique was evaluated in the treatment of BA in children. Studies using the device were done 2-3 times a day with 15-20 min in each session. The treatment regime averaged a fortnight. Its application relieved the occurred episode without drugs in most children with mild and moderate BA, prevented attacks and made them fewer, prolonged remission, and reduced the amount of bronchodilatating agents to be used. BFB correction made under the polyclinic setting is indicated for patients with mild and moderate atopic BA in the episode, postepisode, and interepisode periods and contraindicated for patients with severe BA when they have an episode. Treating BA via BFB correction diminishes psychosomatic disorders: anxiety, bronchodilator dependence, fear of a recurrent episode, whining, irritability, and insomnia.
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PMID:[Correction of the breathing in the treatment of bronchial asthma by means of biological feedback]. 886 92

Over the last decade a consistent increase in stress-related psychological consequences at the workplace, usually called 'mobbing', has been seen. It claimed physical, psychical and social distress as its victims, leading to an increased incidence of many illnesses, such as psychosomatic disorders (ache, high blood pressure, chronic fatigue and insomnia) and psychiatric disturbances (high level of anxiety, depression and suicidal attempts). It was recently demonstrated that mobbing is significantly widespread among healthcare workers, especially among female nurses. In this report, we illustrate the case of a nurse who, after a brilliant career, underwent mobbing at the workplace, showing depression, anxiety and sleep disorders that required hospitalisation and a substantial intervention.
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PMID:What kind of diagnosis in a case of mobbing: post-traumatic stress disorder or adjustment disorder? 2376 69

Due to civil wars, violence and persecutions, between 2015 and 2016, more than 1.4 million people, from the Middle East and Africa, fled their counties and migrated to Europe. The vast majority of migrants, who have already experienced enormous level of stressors, are faced with dangerous, often lethal, migratory journeys. Those who survive are exposed to adaptation stressors such as different languages, isolation, lack of work opportunities, diminished social status and a sense of failure in the new countries of residence. These are stressors that go far beyond the usual adaptation stresses to new cultures and migrants experience permanent crises with an imminent risk of developing the "Ulysses syndrome". As a consequence, many individuals often develop symptoms such as irritability, nervousness, migraine, tension headache, insomnia, tiredness, fear, loss of appetite and generalized ill-defined discomfort. If left untreated these symptoms, originally described by Hofer in the 17th century, may degenerate into a severe psychosomatic disorder leading to reactive depression. Here we expand the concept of Ulysses' syndrome and illustrate new initiatives aimed at reducing the level of stressors in migrants and at promoting their successful integration in their new countries.
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PMID:The "Ulysses syndrome": An eponym identifies a psychosomatic disorder in modern migrants. 2837 64