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[Diagnosis of functional heart complaints from the psychosomatic viewpoint].

Disorders of the cardiovascular system are common. Heart pain is one of the most frequent complaints leading patients to seek medical help. … nsideration here. If the patient demonstrates an avoidance behavior in the case of anxiety, than an agoraphobia can be assumed; in episodic paroxysmal fear on can assume panic attacks in which vegetative anxiety equivalents such as shortness of breath, numbness, palpitation of the heart, tachycardia and chest pain are prominent often accompanied by trembling, …

The Structure of Psychopathology on Reddit: Network Analysis of Mental Health Communities in Relation to the ICD Diagnostic System.

BACKGROUND: Social media platforms such as Reddit have become important spaces where individuals articulate their distress, seek support, an … k of positive disorder associations, while schizotypal disorder, avoidant personality disorder, and agoraphobia were the most central when accounting for the association strength. At the level of disorder categories, several disorders, such as bipolar disorder and premenstrual dysphoric disorder, displayed high intercategory associations but weak intracategor …

Psychiatric disorders. A rural/urban comparison.

We studied rural/urban differences in the prevalence of nine psychiatric disorders from a community survey (part of the Epidemiologic Catchment Area Program) of 3,921 adults living in the Piedmont of North Carolina. Crude comparisons disclosed that major depressive episodes and drug abuse and/or dependence were more common in the urban area, whereas alcohol abuse/dependence was more common in the rural area. When prevalence for these disorders was stratified for age, sex, race, and education (factors that may confound urban/rural comparisons), a number of significant differences were identifie

Affective disorder in the parents of a clinic sample of children with anxiety disorders.

BACKGROUND: Family history studies in adults reveal strong familiality for the anxiety disorders with some specificity. The aim of the current study was to establish whether there was an elevated rate of anxiety disorders in the parents of children with anxiety disorders, and whether there was intergenerational specificity in the form of disorder. METHODS: The mental state of a clinic sample of 85 children with anxiety disorder and their parents was systematically assessed, together with a comparison sample of 45 children with no current disorder and their parents. RESULTS: Compared to the r

Posttreatment attrition and its predictors, attrition bias, and treatment efficacy of the anxiety online programs.

BACKGROUND: Although relatively new, the field of e-mental health is becoming more popular with more attention given to researching its vari … r generalized anxiety disorder (GAD), social anxiety disorder (SAD), panic disorder with or without agoraphobia (PD/A), obsessive-compulsive disorder (OCD), and posttraumatic stress disorder (PTSD). METHODS: A complex algorithm was used to diagnose participants' mental disorders based on the criteria of the Diagnostic and Statistical Manual of Mental Disorde …

[ADH/D and impulsiveness: Prevalence of impulse control disorders and other comorbidities, in 81 adults with attention deficit/hyperactivity disorder (ADH/D)].

UNLABELLED: Attention deficit hyperactivity disorder (ADH/D) is a neuropsychological developmental disorder characterized by pervasive and i … eralized anxiety disorder: 61.7 %, followed by dysthymia: 44.4 %, major depressive episode: 28.3 %, Agoraphobia: 22.2 %, panic disorder: 17.2 %, hypomanic episode: 16 %, social phobia: 11.1 %, bulimia nervosa: 8.6 %, and antisocial personality disorder and obsessive-compulsive disorder: 3.7 %. Regarding the addictive comorbidities, we found a prevalence of 14 …

Autonomic and respiratory characteristics of posttraumatic stress disorder and panic disorder.

OBJECTIVE: Posttraumatic stress disorder (PTSD) and panic disorder (PD) are two anxiety disorders with prominent psychophysiological symptoms. The PTSD criterion of persistent hyperarousal suggests autonomic dysregulation, and the disorder has been associated with elevated heart rate. In contrast, PD has been associated with respiratory abnormalities such as low end-tidal Pco(2). An integrated analysis of automatic and respiratory function in a direct comparison of these anxiety disorders is currently lacking. METHODS: Electrodermal, cardiovascular, and respiratory psychophysiology was examin

Cost-effectiveness of a transdiagnostic group exercise intervention for mental health in Germany (ImPuls trial): an economic evaluation study.

BACKGROUND: Standard treatments for mental health outpatients have high non-response rates and are often difficult to access. Exercise thera … moderate or severe depression, primary insomnia, post-traumatic stress disorder, panic disorder, or agoraphobia. ImPuls was a 6-month transdiagnostic group exercise intervention that included supervised group-based aerobic exercise (weeks 0-4) and unsupervised group and exercise activities supported by targeted behavioural and educational strategies, regular …

The influence of affective temperaments and psychopathological traits on the definition of bipolar disorder subtypes: a study on bipolar I Italian national sample.

UNLABELLED: Affective temperament and psychopathological traits such as separation anxiety (SA) and interpersonal sensitivity (IPS) are supp … yclothymic sensitive patients also reported more axis I lifetime co-morbidities with Panic Disorder/Agoraphobia and Social Anxiety Disorder in comparison with hyperthymics. As concerns axis II co-morbidity the cyclothymic-sensitive patients met more frequently DSM-IV criteria 1, 5 and 7 for borderline personality disorder than the hyperthymics. On the contrar …

Brain-derived neurotrophic factor in generalized anxiety disorder: results from a duloxetine clinical trial.

BACKGROUND: Brain-derived neurotrophic factor (BDNF) has been implicated in the pathophysiology of depression and anxiety, but has not been examined systematically in generalized anxiety disorder (GAD). The objective of this study was to examine the relationship between baseline BDNF level and treatment response in patients with GAD. METHODS: Patients (N=168) were from China, met criteria for DSM-IV GAD, had a Hospital Anxiety and Depression Rating Anxiety (HADS-A) subscale score ≥10, and a Sheehan Disability Scale (SDS) global functioning total score ≥12 at baseline. Study design was double-

Higher-order genetic and environmental structure of prevalent forms of child and adolescent psychopathology.

CONTEXT: It is necessary to understand the etiologic structure of child and adolescent psychopathology to advance theory and guide future research. OBJECTIVE: To test alternative models of the higher-order structure of etiologic effects on 11 dimensions of child and adolescent psychopathology using confirmatory factor analyses of genetic and environmental covariances. DESIGN: Representative sample of twins. SETTING: Home interviews. PARTICIPANTS: A total of 1571 pairs of 9- to 17-year-old twins. MAIN OUTCOME MEASURES: Structured assessments of psychopathology using adult caregivers and yo

Изучение настроения и сознания у людей с множественным склерозом: перспективный протокол перекрестного исследования.

ВВЕДЕНИЕ: Множественный склероз (МС) представляет собой иммунопосредованное неврологическое расстройство, которое затрагивает миллион человек в США. До 50 процентов пациентов с MS страдают депрессией, однако механизмы депрессии в MS по-прежнему недостаточно исследованы. MS характеризуется повреждениями белой материи, что указывает на то, что нарушение сети мозга может лечь в основу симптомов депрессии. Исследования состояния здоровья людей, страдающих депрессией, позволили выявить связь между изменчивостью белой материи и депрессивными симптомами, но зачастую исключают участников, имеющих сход

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… GOASSESS (CAT-GOASSESS) Domain Number of questions in item bank Average number of items administered Associated psychopathology Mood and anxiety 38 12 Major depressive episode, mania/hypomania, generalised anxiety, separation anxiety, social anxiety, panic, post-traumatic stress disorder Phobias 25 12 Agoraphobia …

Costs of nine common mental disorders: implications for curative and preventive psychiatry.

BACKGROUND: Mental disorders are highly prevalent and are associated with substantial disease burden, but their economic costs have been rel … the future costs. (iii) In particular, reducing the incidence of major depression, panic disorder, agoraphobia and dysthymia should be considered as public health priorities, because these disorders are associated with substantial disability, and have, in addition, important economic ramifications. (iv) The bulk of the costs are due to production losses; thi …

Pharmacotherapy for bipolar disorder and comorbid conditions: baseline data from STEP-BD.

Relatively absent from previous studies of the pharmacotherapy for bipolar disorder is examination of the impact of comorbidity on treatment choices. This has occurred despite the presence of high levels of comorbid anxiety and substance use disorders, and the association of these disorders with severity and course markers of bipolar disorder. In this study, we examined comorbid disorders, identified by structured interviews, and the pharmacotherapy reported at study entry by the first 1000 patients entered into a large, multicenter study of bipolar disorder (Systematic Treatment Enhancement P

Характеристики самоидентифицированных сексуальных азартных игроков в клинике азартных заболеваний.

Фон и цели Исследования сексуального зависимости процветали в последний десятилетний период, стимулированные развитием большого количества онлайн-сексуальных активностей. Несмотря на накопление исследований, однако, доказательства, собранные в клинических образцах людей, ищущих лечение, остаются редкими. Целью этого исследования было описать характеристики (социodemографические, сексуальные привычки и сопутствующие заболевания) самоназначенных «сексуальных зависимых». Методы Образец составлял 72 пациента, обратившихся в поликлинический центр лечения по поводу своих сексуальных поведений. Данны

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… having diagnosis before sexual addiction Having a psychiatric or addictive comorbidity 72  Yes 90.3 79.2  No 9.7 Psychiatric comorbidities 72  Major depressive disorder 63.9 64.4  Suicide risk 41.7 52.4  Hypomanic disorder 0  Dysthymia 0  Generalized anxiety disorder 33.3 100  Social phobia 41.7 93.3  Agoraphobia …

Pertussis in Individuals with Co-morbidities: A Systematic Review.

Pertussis is a highly contagious disease of the respiratory tract caused by Bordetella pertussis. Although the burden of pertussis is highest in children, available data suggests that pertussis in the elderly and those with underlying chronic conditions or illnesses can result in significant morbidity, mortality and costs. We undertook a comprehensive review to assess the association between pertussis and chronic conditions/illnesses. A search was undertaken on 17 June 2019 across EMBASE, Medline and BIOSIS. Citations were limited to those in English, in humans and published since 1 January 19

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… disorders | Self-reported (questionnaire) | Odds ratios (95% CI): Previous pertussis (lifetime)increased risk of: – Any anxiety disorder (1.69 [1.36–2.09]) But there was no association between previous pertussis (lifetime) and the risk of the following anxiety disorders: – Panic disorder with/without agoraphobia … (1.52 [0.97–2.34]) – Panic attack (1.49 [1.07–2.06]) – Agoraphobia without panic disorder (2.15 [1.36–3.40]) – Simple phobia (1.52 [1.15–2.00]) – Phobic disorder (1.49 [0.99–2.24]) – Social phobia (1.35 [0.80–2.27]) – Generalized anxiety disorder (1.94 [1.12–3.35]) – Obsessive–compulsive disorder (1.15 …

[Validation of a scale for responsibility (Salkovskis Responsibility Scale)].

Appraisal of inflated responsibility for harm is the cornerstone of Salkovskis's cognitive theory for obsessive compulsive disorder. The aim … 0). But these two studies compared OCD patients with an anxious group including panic disorder with agoraphobia, generalized anxiety disorder and social phobia. The correlations with a measure of OCD symptoms were higher than the correlations with anxiety and depression. Finally, the factor structure was only studied on the control group. The exploratory fact …

Симптомы расстройства питания при множественном склерозе: взаимосвязь между нейротикой, дисфункцией тела и самоэстеемом.

Предыстория/цели: Исследования нарушений питания (РУ) у лиц с множественным склерозом (МС) являются ограниченными. В популяциях эпидемиологов нейротицизм связан с симптомами эдактики из-за более низкой самооценки и большего недовольства телом, но эти отношения остаются неизученными в MS. Цель этого исследования заключалась в изучении вопроса о том, являются ли самоуважение и неудовлетворенность тела посредником в установлении связи между нейротикализмом и симптомами ЭД у отдельных лиц, имеющих MS. Методы: Нынешняя выборка состояла из 275 участников, которые сообщили о подтвержденном неврологом

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…     Major depressive disorder (incl. post-natal depression) 52 (18.9%)     Persistent depressive disorder 42 (10.4%)     Premenstrual dysphoric disorder 7 (1.7%)     Not sure/other 55 (13.6%) Anxiety disorder type a     Generalised anxiety disorder (GAD) 73 (26.6%)     Panic disorder 16 (5.8%)     Agoraphobia …

Augmentation of cognitive and behavioural therapies (CBT) with d-cycloserine for anxiety and related disorders.

BACKGROUND: A significant number of patients who suffer with anxiety and related disorders (that is post-traumatic stress disorder (PTSD), social anxiety disorder (SAnD), panic disorder with or without agoraphobia (PD), specific phobia (SPh) and obsessive compulsive disorder (OCD)) fail to respond optimally to first-line treatment with medication or cognitive and behavioural therapies. The addition of d-cycloserine (DCS) to cognitive and behavioural therapies may improve treatment response by impacting the glutamatergic system. This systematic review aimed to investigate the effects of adding …

Эффективность применения цифровых технологий для лечения депрессии и общего тревожного расстройства в Германии, отвечающих установленным требованиям: систематический обзор и метаанализ.

В Германии были внедрены цифровые прикладные программы в области психического здоровья, отвечающие установленным требованиям (ДИГ) 2020 в качестве многообещающих мероприятий, направленных, в частности, на борьбу с депрессией и расстройствами, вызывающими тревогу, two - наиболее распространенных в мире психических заболеваний. Несмотря на растущий интерес к ДИГ, их общая эффективность остается неопределенной. Это исследование было направлено на систематическую оценку и количественную оценку эффективности требуемых по рецепту цифровых средств для лечения депрессии и общего тревожного расстройств

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… revision; EM=expectation-maximization; MLE=Maximum likelihood estimation; JTR= jump to reference; bCBT=blended cognitive behavioral therapy; QIDS=Quick Inventory of Depression Symptoms; MINI=Mini International Neuropsychiatric Interview; SAD=Social anxiety disorder; PDA=Panic disorder with or without agoraphobia …