Gudmundsdottir R.M.,Psychiatric Unit |
Thome M.,University of Iceland
Journal of Psychiatric and Mental Health Nursing | Year: 2014
The aim of this study is to evaluate the effects of individual and group cognitive behavioural therapy (CBT) and of psychiatric rehabilitation (PR) on hopelessness for depressed patients in a rehabilitation setting. Three groups of patients who underwent PR were allocated to individual CBT combined with PR (n=43), group CBT combined with PR (n=52) or PR only (n=22). Hopelessness was assessed by the Beck Hopelessness Scale (BHS). The majority of the patients (68.4%) suffered from moderate to severe hopelessness before treatment (score≥9-20). Results showed that the pretest mean score on the BHS decreased from 11. 57 (SD=5.58) to 7.46 (SD=5.20) at posttest. The mean scores on the BHS decreased in all groups under nine. The combination of individual CBT and PR was significantly more effective in reducing hopelessness than group CBT with PR or PR only. Group CBT combined with PR was not significantly more effective than PR only. It is concluded that individual CBT combined with PR is more effective in alleviating hopelessness among depressed patients than group CBT with PR or PR only. CBT can be delivered by an interdisciplinary team including advanced psychiatric nurses. © 2014 John Wiley & Sons Ltd.
Villasante O.,Psychiatric Unit
History of Psychiatry | Year: 2010
The aim of this contribution is to analyse the incidence and treatment of war neurosis in Madrid during the Spanish Civil War. First, the scientific papers published on war neurosis during and after the war are examined. Then the work of Gregorio Bermann (1894-1972), a member of the International Brigades who organized the frontline Neuropsychiatric Service at the Hospital de Chamartín de La Rosa (Madrid), is analysed. Las neurosis en la guerra, published in 1941, which recounts Bermann's personal experience in the care of war neurosis in Spain, is also discussed. © 2010 The Author(s).
Peralta V.,Psychiatric Unit |
Cuesta M.J.,Psychiatric Unit
Comprehensive Psychiatry | Year: 2011
Background: Primary neuromotor abnormalities are thought to be a manifestation of the brain pathology underlying the psychotic illness; however, their causes and consequences are poorly understood. The study's aim was to examine the prevalence and correlates of neuromotor abnormalities in a sample of neuroleptic-naive psychotic patients. Method: One hundred psychotic inpatients were rated for parkinsonism, catatonia, dyskinesia, and akathisia at the neuroleptic-naive state; and their association with demographic, antecedent, clinical, and treatment response variables was examined. Results: Neurological syndromes tended to co-vary, and 34 of the patients had at least one categorically defined neurological syndrome. Higher ratings of parkinsonism, catatonia, and dyskinesia were associated with obstetric complications, poorer premorbid adjustment, more severe negative symptoms, higher prevalence of the deficit syndrome, and poorer response to antipsychotic drugs. Patients with schizophrenia had higher parkinsonism and dyskinesia ratings than those with other psychotic disorders. Conclusions: Neuromotor abnormalities represent both an integral part of the disease process not influenced by chronicity or antipsychotic drugs and a severity marker of the psychotic illness. © 2011 Elsevier Inc. All rights reserved.
Arunpongpaisal S.,Khon Kaen University |
Sangsirilak A.,Psychiatric Unit
Journal of the Medical Association of Thailand | Year: 2013
Background: Schizophrenia is a chronic devastating illness with specific effects on cognitive function. A few studies have been performed on Asian patients. Objective: To examine prevalence of cognitive impairment and associated factors in Thai patients with schizophrenia. Material and Method: A descriptive cross-sectional study of patients with schizophrenia that were selected consecutively from a psychiatric outpatient clinic at Srinagarind Hospital, Khon Kaen University between June 2008 and December 2009 was conducted. The Montreal Cognitive Assessment-Thai version (MoCA-T) test was used to evaluate cognitive functions. Associated factors such as age of onset, type of antipsychotics were assessed by collecting data from medical records. Data analysis used descriptive statistics, and univariate analysis used Chi-square. Results: Seventy-five patients with schizophrenia were recruited. The majority of cases was single, male, had low education, and manifested paranoia. The prevalence of cognitive impairment was 81.3%. Significant factors associated with cognitive impairment were the year of education lower than 12 (OR = 9.25, 95% CI 1.90-45.03, p = 0.002) and those who had taken typical and combined antipsychotic drugs (OR = 5.97, 95% CI 1.66-21.55, p = 0.005). Conclusion: Thai patients with schizophrenia showed a high prevalence of cognitive impairment. Therefore, clinicians should assess cognitive function and cognitive remedy.
Parisi P.,University of Rome La Sapienza |
Moavero R.,Psychiatric Unit |
Verrotti A.,University of Chieti Pescara |
Curatolo P.,Psychiatric Unit
Brain and Development | Year: 2010
Attention deficit hyperactivity disorder (ADHD) is more frequent in children with epilepsy than in general pediatric population. Several factors may contribute to this comorbidity, including the underlying brain pathology, the chronic effects of seizures and of the epileptiform EEG discharges, and the effects of antiepileptic drugs. Symptoms of ADHD are more common in some specific types of epilepsies, such as frontal lobe epilepsy, childhood absence epilepsy and Rolandic epilepsy, and may antedate seizure onset in a significant proportion of cases. In epileptic children with symptoms of ADHD, treatment might become a challenge for child neurologists, who are forced to prescribe drugs combinations, to improve the long-term cognitive and behavioral prognosis. Treatment with psychotropic drugs can be initiated safely in most children with epilepsy and ADHD symptoms. © 2009 Elsevier B.V. All rights reserved.