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Anxiety disorders and other psychiatric subgroups in patients complaining of dizziness.

Two hundred and two consecutive patients with dizziness were evaluated using blind neuro-otological testing and examination, blind psychiatr … hree main subgroups of psychiatric disorders could be found: anxiety (N=56), depressive (N=20), and somatoform disorders (N=53). Patients with anxiety and depressive disorders showed the greatest emotional distress and handicaps. The results indicate that psychiatric disorders, above all anxiety disorders, should be included in the differential diagnosis in patients w …

Psychological correlates of psychogenic seizures.

Psychological correlates of psychogenic seizures were studied. The MMPI, Portland Digit Recognition Test (PDRT; a forced choice measure of motivation), disability status, Face-Hand Test, and Finger Agnosia were compared in 53 patients with medically intractable seizure disorders who underwent intensive EEG monitoring. Using conventional neurologic criteria, 64% had diagnoses of epileptic seizures (ES) and 36% had psychogenic seizures (PS). PS patients were significantly higher in number of somatoform MMPI profiles and likelihood of applying for financial benefits, and significantly lower on th

Comparison of million personality profiles of chronic residential substance abusers and a general outpatient population.

Several theories and studies have suggested that particular personality disorders or psychiatric symptoms should be associated with substance abuse. The current study was done to clarify these relationships by comparing scale profiles on the Millon Clinical Multiaxial Inventory obtained by 144 inpatient residentially treated substance-abuse clients and 1000 general clinical outpatient clients in psychotherapy. A surprisingly large number of significant differences were noted. Substance-abuse clients displayed relative elevations on scales for Alcohol and Drug Abuse, Hypomania, Antisocialism, N

Experiences with the DSM-III in a psychiatric consultation/liaison service.

375 patients referred to consultation/liaison service at a general hospital from the neurological and internal medical department were diagn … n/liaison psychiatrist's point of view, special problems seemed to exist concerning the categories "Somatoform disorders" and "Psychological factors affecting physical condition", and the concepts of the axis II.

Mental Disorders in People Affected by Thalidomide.

BackgroundMore than 50 years after the withdrawal of thalidomide from the market, subsequent orthopedic damages and psychosocial impairments … diagnosed mental disorders. The most frequent diagnoses were unipolar depressive disorders (16.5%), somatoform disorders (14.0%), phobic disorders (12.4%), and alcohol-related disorders (6.2%). Immediate mental health care was indicated in 80.2% of participants with current mental disorders, but only 29.7% had used some form of psychosocial treatment in the 12 months …

[A clinical case of anxiety-hypochondriacal depression with extensive somatized symptoms in the elderly].

In routine clinical practice, healthcare providers across various specialties frequently encounter elderly patients presenting with long-standing multiple bodily complaints, often in the absence of persuasive evidence indicative of a somatic disease's presence or progression. The urgency of addressing this issue stems from the high prevalence of late-life depression, its significant contribution to disability and mortality rates, and the often subtle presentation of affective symptoms in this demographic. Affective disorders frequently remain unrecognized, resulting in extended diagnostic proc

Persistent Idiopathic Dentoalveolar Pain: Is It a Central Pain Disorder?

The International Classification of Orofacial Pain (ICOP) describes idiopathic pain as "unilateral or bilateral intraoral or facial pain in the distribution(s) of one or more branches of the trigeminal nerve(s) for which the etiology is unknown. Pain is usually persistent, of moderate intensity, poorly localized and described as dull, pressing or of burning character." Several diagnoses are included in the ICOP Idiopathic pain section, burning mouth syndrome and persistent idiopathic facial and dentoalveolar pain. This article, with a representative case presentation, briefly discusses common

Yoga intervention and functional pain syndromes: a selective review.

The definition of functional pain syndromes is varied across literature. No effort has been made to see all functional pain disorder groups under broad nomenclature which would exclude conditions for which pathophysiology is strongly known. Since these disorders are commonly treated with alternative treatment modalities and impose significant burden on health utilization, an effort to look into studies on yoga-based interventions on 'functional pain syndromes' (FPS) was made. This study defined FPS as 'Chronic relapsing remitting pain conditions, the origin of which is difficult to trace with

Are pain disorder and somatization disorder valid diagnostic entities?

Physicians and other clinicians who treat patients with chronic pain have doubtless recognized the interplay of various psychological and somatic variables in their patients' pain. Notwithstanding, there continues to be primary emphasis on the somatic factors, and continued neglect of the psychological. This article asserts that pain disorder and somatization disorder are indeed valid diagnostic entities, and that their respective incidence and prevalence are quite high both in patients with chronic pain and in the primary care setting. These diagnoses are compared and contrasted, along with t

[The concepts of asthenia and fatigue].

Fatigue is one of the most common complaint of medicine and a very usual manner of communication between people. We must avoid to offer any reductionism. Fatigue is often related with physical and psychological symptoms. The inquiry is always difficult. Asthenia is a fatigue without or before effort. The world of the patient is subverted and we have to try to discover the meaning of this strange situation.

Somatization disorder (Briquet's syndrome) in a male veteran.

The authors present here a case of somatization disorder in a heterosexual male veteran. The age at onset of 7 years is the earliest yet reported in a male. Extensive medical records provide a unique opportunity to follow the course of a relatively severe case of this condition and demonstrate that it fulfills the most rigorous diagnostic criteria that have been formulated. Yet, the case of Orville N is more than a lengthy list of medically unexplained symptoms, showing as it does a number of other features traditionally associated with the broad category of hysterical psychopathology.

Selective processing of emotional information in body dysmorphic disorder.

Body dysmorphic disorder (BDD) is a syndrome characterized by distress about imagined defects in one's appearance. Though categorized as a somatoform disorder, BDD is marked by many characteristics associated with social phobia (e.g., fear of negative evaluation) and obsessive-compulsive disorder (e.g., intrusive thoughts about one's ugliness, checking). In the present experiment, we tested whether BDD patients exhibit selective processing of threat in the emotional Stroop paradigm as do anxiety-disordered patients. Relative to healthy control participants, BDD patients exhibited greater Stroo

Childhood emotional abuse and dissociation in patients with conversion symptoms.

AIM: The aim of the present study was to evaluate the relationship between reported childhood trauma and dissociation in patients who have a conversion symptom. METHOD: Thirty-two outpatients with a conversion symptom were evaluated using Dissociative Experiences Scale, Somatoform Dissociation Questionnaire, Childhood Trauma Questionnaire, Spielberger Trait Anxiety Inventory, Clinician-Administered Dissociative State Scale, and Dissociative Disorders Interview Schedule. RESULTS: A DSM-IV dissociative disorder was diagnosed in 46.9% of the patients. Conversion patients with a dissociative dis

Investigation of a suspected outbreak of lipoatrophia semicircularis in children.

BACKGROUND AND OBJECTIVE: Recent reports of outbreaks of lipoatrophia semicircularis (LS) in various countries have generated discussion regarding the potential role of the environmental characteristics of office workplaces in new buildings. The objective of this study was to investigate a suspected outbreak of LS among children in a public school in Barcelona, which generated tremendous alarm. METHODS: We performed an epidemiological assessment including descriptive and prevalence analyses, and an environmental investigation followed by a psychiatric assessment according to Small's criteria.

Somatic symptom disorder, a new DSM-5 diagnosis of an old clinical challenge.

Somatic symptom disorder (SSD) is characterised by a dysfunctional preoccupation with one or more physical symptoms. Patients with SSD often pursue excessive and unnecessary investigations, hospitalisations and treatments that significantly affect quality of life and drain healthcare resources. Thus, appropriate diagnosis and careful management are required to mitigate the patient's distress and to reduce the burden to the healthcare system. SSD is a new disorder defined in the Diagnostic and Statistical Manual Fifth Edition (DSM-5), replacing somatoform and related disorders in the DSM-4-Text

Уровни БДФ в сыворотке и ВСБ связаны с клинорадиологическими характеристиками агрессивных заболеваний у пациентов с МЗ.

BDNF все больше привлекает к себе внимание как ключевая молекула, контролирующая ремиелионацию, играющая видную роль в нейропластике и нейрозащите. Тем не менее остается неясным, как БДФ соотносится с клинорадиологическими характеристиками, особенно на ранней стадии заболевания, когда решающее значение имеет точный прогноз для дальнейшего курса МУ. МЕТОДЫ: Концентрации БДН, NfL и GFAP в сыворотке и CSF были оценены в 106 лечение пациентов с синдромом MS (PwMS), а также 73 больные другими воспалительными/невоспалительными неврологическими или соматоформальными расстройствами с использованием ед

Совпадение в аннотации оригинала
BACKGROUND: BDNF has increasingly gained attention as a key molecule controlling remyelination with a prominent role in neuroplasticity and … ents with MS (pwMS) as well as 73 patients with other inflammatory/non-inflammatory neurological or somatoform disorders using a single molecule array HD-1 analyser. PwMS were evaluated for highly active profiles by applying the aggressive disease course criteria proposed by ECTRIMS. Serum/CSF values were logarithmically transformed and compared across groups using on …

The recognition of depression in patients referred to a consultation-liaison service.

The recognition of depression was examined in 987 medical and surgical patients referred to a consultation-liaison psychiatry service. Overall concordance of recognition of depression by the referring doctor and diagnosis of depression by the consultant psychiatrist was 74%; 41% false-positive rate, 15% false-negative rate. Concordance was higher in the Renal Unit and lower in the General Medical Unit. Patients for whom there was discordance were significantly older than those for whom there was concordance. Patients referred for depression but not diagnosed as such by psychiatrists received D