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https://www.readbyqxmd.com/read/28333778/cochlear-implant-in-severe-impaired-psychiatric-patients-a-case-series
#1
Ioana T Herisanu, Mark Praetorius, Margarete Mattern
OBJECTIVE: Psychotic disorders and intelligence deficiencies are no longer contraindications for cochlear implantation regarding the revised German guidelines from May 2012. This article aims to evaluate the outcome of patients with severe psychiatric comorbidities. Therefore the database of the Cochlear Implant Center of the University Hospital of Heidelberg was investigated. STUDY DESIGN: Retrospective case review. METHODS: We present three patients who received a cochlear implant (CI) despite a serious psychiatric disorder...
March 22, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28288440/schizophrenia-spectrum-personality-disorders-in-psychometrically-identified-schizotypes-at-two-year-follow-up
#2
P Kevin Bolinskey, Elizabeth A Smith, Kelly M Schuder, Dianna Cooper-Bolinskey, Kevin R Myers, Daniel V Hudak, Alison V James, Helen K Hunter, Jonathan H Novi, Janice P Guidi, Yelena Gonzalez, Erin F McTiernan, Kaitlin M Arnold, Carina A Iati, Irving I Gottesman
Earlier (Bolinskey et al., 2015), we reported that psychometrically identified schizotypes displayed greater symptom levels and higher incidences of schizophrenia spectrum (schizotypal, schizoid, paranoid, and avoidant) personality disorders (PDs). In this study, 49 schizotypes and 39 matched controls participated in follow-up assessments after two years. Participants were previously identified as schizotypes or controls based on scores on the Chapman Psychosis Proneness Scales (CPPS), and were interviewed at baseline and follow-up with the Personality Disorder Interview for DSM-IV (PDI-IV)...
March 8, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28210229/longitudinal-associations-between-posttraumatic-stress-disorder-severity-and-personality-disorder-features-among-female-rape-survivors
#3
Michelle J Bovin, Erika J Wolf, Patricia A Resick
This study evaluated how change in posttraumatic stress disorder (PTSD) symptoms was associated with residualized change in comorbid personality disorder (PD) features and vice versa over the course of 5-10 years. The sample was comprised of 79 female rape survivors who met criteria for PTSD and who were a part of a larger study examining the effects of trauma-focused therapy. PTSD was assessed with the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) version of the Clinician-Administered PTSD Scale [CAPS-IV (1)] and PD features were assessed with the DSM-IV dimensional PD scales on the Schedule for Non-adaptive and Adaptive Personality [SNAP (2)]...
2017: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/28101905/mapping-the-road-from-childhood-adversity-to-personality-disorder-the-role-of-unresolved-states-of-mind
#4
Antonella Cirasola, Saul Hillman, Peter Fonagy, Marco Chiesa
Childhood adversity has been found to be an important aetiological factor in the development of personality disorder (PD) in several studies. However, the role of disorganized attachment with unresolved mental states for traumatic experiences requires further investigation. This study explores the relationship between childhood adversities, unresolved states of mind, PD diagnosis and psychiatric distress. Two hundred forty-five adult participants, 124 from a clinical PD group and 121 non-psychiatric controls were assessed using the Structured Clinical Interview for DSM-IV, the Cassel Baseline Questionnaire, the Symptom Checklist-90-R and the Adult Attachment Interview, in order to ascertain presence of PD, childhood adversity, level of psychiatric distress and unresolved states of mind...
January 19, 2017: Personality and Mental Health
https://www.readbyqxmd.com/read/28049461/mental-distress-following-inpatient-substance-use-treatment-modified-by-substance-use-comparing-voluntary-and-compulsory-admissions
#5
Adrian R Pasareanu, John-Kåre Vederhus, Anne Opsal, Øistein Kristensen, Thomas Clausen
BACKGROUND: Treatment services to patients with substance use disorders (SUDs), including those mandated to treatment, needs to be evaluated and evidence based. The Norwegian Municipal Health Care Act (NMHCA) calls for compulsory treatment for persons with "severe and life-threatening substance use disorder" if these individuals are not otherwise willing to be voluntarily treated and consequently risk their lives over drug use. Mental distress is known to be high among SUD patients admitted to inpatient treatment...
January 3, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/27922907/stability-and-change-in-personality-disorder-symptoms-in-1-year-follow-up-of-depressed-adolescent-outpatients
#6
Thea Strandholm, Olli Kiviruusu, Linnea Karlsson, Maiju Pankakoski, Mirjami Pelkonen, Mauri Marttunen
We investigated stability and change in personality disorder (PD) symptoms and whether depression severity, comorbid clinical psychiatric disorders, and social support predict changes in personality pathology among adolescent outpatients. The 1-year outcome of PD symptoms among consecutive adolescent psychiatric outpatients with depressive disorders (N = 189) was investigated with symptom count of depression, comorbid psychiatric disorders, and perceived social support as predictors. An overall decrease in PD symptoms in most PD categories was observed...
January 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/27906412/multiple-cluster-axis-ii-comorbidity-and-functional-outcome-in-severe-patients-with-borderline-personality-disorder
#7
Nerea Palomares, Antonia McMaster, Marina Díaz-Marsá, Irene de la Vega, Ana Montes, José Luis Carrasco
BACKGROUND: Current literature suggests that personality disorder comorbidity negatively contributes to both the severity and prognosis of other disorders; however, little literature has been devoted to its influence on borderline personality disorder (BPD). The objective of the present work is to study comorbidity with other personality disorders in a severe clinical sample of patients with BPD, and its relationship with global functionality. METHODS: A sample of 65 patients with severe borderline personality disorder was included in the study...
November 2016: Actas Españolas de Psiquiatría
https://www.readbyqxmd.com/read/27855559/psychiatric-disorders-and-personality-styles-in-mothers-of-female-adolescent-patients-with-eating-disorders
#8
Silke Rost, Viola Kappel, Harriet Salbach, Nora Schneider, Ernst Pfeiffer, Ulrike Lehmkuhl, Sibylle Winter, Lea Sarrar
OBJECTIVE: To provide further insight into the presently poorly understood role of familial psychopathology in the development of eating disorders (ED). METHOD: The present study assesses psychiatric and personality disorders listed on Axis I and II of the DSM-IV in 27 mothers of adolescent patients with anorexia (AN mothers) and 14 bulimia nervosa (BN mothers) as well as 22 mentally healthy girls (CG mothers) on a categorical level. Furthermore, we conducted a dimensional diagnostic regarding personality styles and personality traits...
November 18, 2016: Zeitschrift Für Kinder- und Jugendpsychiatrie und Psychotherapie
https://www.readbyqxmd.com/read/27749185/personality-disorders-in-hypochondriasis-a-comparison-to-panic-disorder-and-healthy-controls
#9
Florian Weck, Laura Carlotta Nagel, Samantha Richtberg, Julia M B Neng
Previous studies found high prevalence rates of personality disorders (PDs) in patients with hypochondriasis; however, assessment was often based only on questionnaires. In the current study, a sample of 68 patients with hypochondriasis was compared to 31 patients with panic disorder and to 94 healthy controls. Participants were investigated with the Structured Clinical Interview for DSM-IV Personality Disorders questionnaire (SCID-II questionnaire) and the SCID-II interview. Based on the cut-off scores of the SCID-II questionnaire, we found a prevalence rate of 45...
October 17, 2016: Journal of Personality Disorders
https://www.readbyqxmd.com/read/27679779/understanding-the-paranoid-psychosis-of-james-use-of-the-repertory-grid-technique-for-case-conceptualization
#10
Helena García-Mieres, Susana Ochoa, Marta Salla, Raquel López-Carrilero, Guillem Feixas
In this paper we illustrate the potential of the repertory grid technique as an instrument for case formulation and understanding of the personal perception and meanings of people with a diagnosis of psychotic disorders. For this purpose, the case of James is presented: A young man diagnosed with schizophrenia and personality disorder, with severe persecutory delusions and other positive symptoms that have not responded to antipsychotic medication, as well with depressive symptomatology. His case was selected because of the way his symptoms are reflected in his personal perception of self and others, including his main persecutory figure, in the different measures that result from the analysis of his repertory grid...
September 22, 2016: World Journal of Psychiatry
https://www.readbyqxmd.com/read/27644099/study-of-prevalence-of-personality-disorders-in-inmate-men-sample-with-substance-use-disorders-using-of-pdq-4-self-report
#11
Natalia Calvo, Viviana Nasillo, Marc Ferrer, Sergi Valero, Rosa de Santa María Perez-Conill, Merce Rovira-Machordom, Maribel Molina-Fernandez, Miguel Casas
INTRODUCTION: The study focused on examining the prevalence of Personality Disorders (PD) in 51 male inmates diagnosed with Substance Use Disorders (SUDs) lifetime within a specialized unit at a prison. METHODS: The instruments administered included the Structured Clinical Interview for DSM-IV Axis I and the Personality Diagnostic Questionnaire-4+. RESULTS: The type of crime most frequently committed by the incarcerated was the robbery (76...
September 2016: Actas Españolas de Psiquiatría
https://www.readbyqxmd.com/read/27603806/long-term-course-of-borderline-personality-disorder
#12
Michael H Stone
Information concerning the longitudinal course of Borderline Personality Disorder (BPD) derives mainly from (a) long-term (10 to 25 year) retrospective follow-up studies, primarily those conducted during the 1980s/1990s, (b) brief (1 to 3 year) follow-up studies of recent randomized controlled trials (RCTs) of several different treatment approaches, and (c) prospective follow-up studies. The patients contacted in the retrospective studies had been treated mostly by psychoanalytically informed approaches or supportive...
December 0: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/27578005/predicting-personality-disorder-functioning-styles-by-the-chinese-adjective-descriptors-of-personality-a-preliminary-trial-in-healthy-people-and-personality-disorder-patients
#13
Hongying Fan, Qisha Zhu, Guorong Ma, Chanchan Shen, Bingren Zhang, Wei Wang
BACKGROUND: Cultural and personality factors might contribute to the clinical differences of psychiatric patients all over the world including China. One cultural oriented Chinese Adjective Descriptors of Personality (CADP) designed to measure normal personality traits, might be specifically associated with different personality disorder functioning styles. METHODS: We therefore have invited 201 healthy volunteers and 67 personality disorder patients to undergo CADP, the Parker Personality Measure (PERM), and the Plutchik-van Praag Depression Inventory (PVP) tests...
2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27570908/-psychosis-clinical-differential-diagnosis
#14
A Röh, P Falkai, A Hasan
BACKGROUND: Many patients with psychiatric and organic disorders may present primary or secondary psychotic symptoms. Based on the ICD 10 classification, this article describes the possible underlying diseases and their subdivision. The main focus will be differential-diagnostic evaluations of psychotic syndromes. RESULTS: In the clinical setting, the differential diagnosis of the paranoid schizophrenia and other psychotic disorders into three main disease groups is important: 1...
August 2016: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/27468631/delusional-disorder-and-schizophrenia-a-comparative-study-across-multiple-domains
#15
V Peralta, M J Cuesta
BACKGROUND: Delusional disorder (DD) is an under-researched condition and its relationship to schizophrenia (SZ) controversial. This study aimed to further characterize DD and to examine multi-domain evidence for the distinction between DD and SZ. METHOD: Using univariate analyses we examined 146 subjects with DD, 114 subjects with paranoid SZ and 244 subjects with non-paranoid SZ on 52 characteristics from several domains including demographics, risk factors, premorbid features, illness characteristics, index episode features, delusional-related features, response to treatment and outcome...
October 2016: Psychological Medicine
https://www.readbyqxmd.com/read/27448261/personality-disorders-and-smoking-in-spanish-general-and-clinical-population
#16
Elena Fernández Del Río, Ana López-Durán, Úrsula Martínez, Elisardo Becoña
BACKGROUND: There is consistent evidence about the relationship between smoking and mental health. This study compares the relationship between tobacco use and personality disorders (PDs) in Spanish adults from general and clinical population, taking into account nicotine dependence (ND), and the presence of any mental disorder. METHOD: The sample was made up of 1,079 smokers (519 from general population, 560 from clinical population). PDs were assessed by means of the International Personality Disorder Examination Questionnaire, Module DSM-IV...
August 2016: Psicothema
https://www.readbyqxmd.com/read/27391323/co-morbidity-of-personality-disorder-in-schizophrenia-among-psychiatric-outpatients-in-china-data-from-epidemiologic-survey-in-a-clinical-population
#17
YanYan Wei, TianHong Zhang, Annabelle Chow, YingYing Tang, LiHua Xu, YunFei Dai, XiaoHua Liu, Tong Su, Xiao Pan, Yi Cui, ZiQiang Li, KaiDa Jiang, ZePing Xiao, YunXiang Tang, JiJun Wang
BACKGROUND: The reported rates of personality disorder (PD) in subjects with schizophrenia (SZ) are quite varied across different countries, and less is known about the heterogeneity of PD among subjects with SZ. We examined the co-morbidity of PD among patients who are in the stable phase of SZ. METHOD: 850 subjects were randomly sampled from patients diagnosed with SZ in psychiatric and psycho-counseling clinics at Shanghai Mental Health Center. Co-morbidity of PDs was assessed through preliminary screening and patients were administered several modules of the SCID-II...
2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27391238/evidence-for-distinguishable-treatment-costs-among-paranoid-schizophrenia-and-schizoaffective-disorder
#18
Dusan Hirjak, Achim Hochlehnert, Philipp Arthur Thomann, Katharina Maria Kubera, Knut Schnell
BACKGROUND: Schizophrenia spectrum disorders result in enormous individual suffering and financial burden on patients and on society. In Germany, there are about 1,000,000 individuals suffering from schizophrenia (SZ) or schizoaffective disorder (SAD), a combination of psychotic and affective symptoms. Given the heterogeneous nature of these syndromes, one may assume that there is a difference in treatment costs among patients with paranoid SZ and SAD. However, the current the national system of cost accounting in psychiatry and psychosomatics in Germany assesses all schizophrenia spectrum disorders within one category...
2016: PloS One
https://www.readbyqxmd.com/read/27291887/a-novel-description-of-a-syndrome-consisting-of-7q21-3-deletion-including-dync1i1-with-preserved-dlx5-6-without-ectrodactyly-a-case-report
#19
Héctor M Ramos-Zaldívar, Daniel G Martínez-Irías, Nelson A Espinoza-Moreno, José S Napky-Rajo, Tulio A Bueso-Aguilar, Karla G Reyes-Perdomo, Jimena A Montes-Gambarelli, Isis M Euceda, Aldo F Ponce-Barahona, Carlos A Gámez-Fernández, Wilberg A Moncada-Arita, Victoria A Palomo-Bermúdez, Julia E Jiménez-Faraj, Amanda G Hernández-Padilla, Denys A Olivera, Kevin J Robertson, Luis A Leiva-Sanchez, Edwin Francisco Herrera-Paz
BACKGROUND: Chromosomal region 7q21.3 comprises approximately 5.2 mega base pairs that include genes DLX5/6, SHFM1, and DYNC1I1 associated with split hand/split foot malformation 1. So far, there are reports of eight families with deletion of DYNC1I1 and preserved DLX5/6 associated with ectrodactyly. From these families, only three patients did not present ectrodactyly and, unlike our patient, no other cases have been described as having craniofacial dysmorphology, mitral valve prolapse, kyphoscoliosis, inguinal herniae, or personality disorder...
June 13, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27245936/the-prevalence-age-distribution-and-comorbidity-of-personality-disorders-in-australian-women
#20
Shae E Quirk, Michael Berk, Julie A Pasco, Sharon L Brennan-Olsen, Andrew M Chanen, Heli Koivumaa-Honkanen, Lisa M Burke, Henry J Jackson, Carol Hulbert, Craig A Olsson, Paul Moran, Amanda L Stuart, Lana J Williams
OBJECTIVE: We aimed to describe the prevalence and age distribution of personality disorders and their comorbidity with other psychiatric disorders in an age-stratified sample of Australian women aged ⩾25 years. METHODS: Individual personality disorders (paranoid, schizoid, schizotypal, histrionic, narcissistic, borderline, antisocial, avoidant, dependent, obsessive-compulsive), lifetime mood, anxiety, eating and substance misuse disorders were diagnosed utilising validated semi-structured clinical interviews (Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Non-patient Edition and Structured Clinical Interview for DSM-IV Axis II Personality Disorders)...
February 2017: Australian and New Zealand Journal of Psychiatry
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