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Biomedical subjects

A F Teggin

Publications and source records attributed to A F Teggin.

14 recordsLinked to original sources

The effect of research on readmission to a psychiatric hospital.

The effects on outcome of research into the course of psychiatric illness are controversial. This study examines a cohort of research patients involved in an outcome study in which the research and clinical teams were kept separate. While research intervention of this nature would not be expected to influence outcome, the research cohort had fewer readmissions than non-research controls. This occurred despite the presence of factors which would be expected to be associated with a contrary result. It is stressed that the confounding effects of research need to be taken into account when designing follow-up studies and evaluating outcome results.

Adult↗

The depressed elderly living in the community. A follow-up study.

In a 1982 community survey, 23 elderly respondents were rated as having a depressive disorder by CATEGO. Twenty survivors were followed up three and a half years later. The depression had remitted within one year in seven cases but nine were still depressed. There is a need for ongoing education of GPs about the recognition and course of depression in the elderly.

Aged↗

Depression in schizophrenia: a study of prevalence and treatment.

In an investigation of white, coloured, and black patients admitted to a psychiatric hospital, the prevalence and treatment of depression in schizophrenia was assessed and found to be 30% in group of acute, nuclear schizophrenics. While the prevalence was similar in the three groups, depression was clinically under-detected in black patients.

Black or African American↗

Subcultural delusions and hallucinations. Comments on the Present State Examination in a multi-cultural context.

The challenges presented by the Present State Examination (PSE) in a multi-cultural context are explored. The general approach to the use of this instrument, difficulties with rating items relevant to cultural or subcultural conditions, and particularly the assessment of psychosis are considered, as well as the possibility of additions to and modifications of the PSE-CATEGO system. Though disagreement exists as to whether the research model which the PSE represents is adequate to deal exhaustively with cultural factors, the instrument is useful in cross-cultural research and also in stimulating debate and crystallizing issues.

Cross-Cultural Comparison↗

A comparison of CATEGO class 'S' schizophrenia in three ethnic groups: psychiatric manifestations.

We compared the psychiatric manifestations of 56 CATEGO S schizophrenic in-patients from three ethnic groups (white, coloured and black). A marked similarity among the groups on both schizophrenic and non-schizophrenic symptoms was found, as well as a high prevalence of depressive and anxiety symptoms. Differences occurred on the syndromes of olfactory hallucinations and subcultural delusions and hallucination. Black patients had both syndromes more frequently than either white or coloured patients.

Adult↗

The coloured elderly in Cape Town--a psychosocial, psychiatric and medical community survey. Part II. Prevalence of psychiatric disorders.

A study of the prevalence of psychiatric disorders among 139 non-institutionalized Coloured persons aged 65 years and over was undertaken. Standard instruments, namely the Present State Examination and the Mini-Mental State Examination, were used with modifications. Dementia was judged to be present in 8.6% and severe in 3.6% of the subjects. Other psychiatric disorders (apart from alcoholism) were present in 24%, depression being the most common (16.5%). The prevalence of paranoid illness (2.2%) may be partly explained by the high rate of alcoholism among the men (15%). Most of the 16% who had previously received psychiatric inpatient treatment were judged to be disordered at present, and a relatively small proportion of the respondents (6%) were currently on psychotropic medication, with only 1 subject receiving antidepressants.

Black or African American↗

Life events in Xhosas in Cape Town.

A life events scale for research into Xhosa speaking people of Cape Town was developed. It was standardised on 131 residents of Cape Town's three major Black suburbs. Measures of perceived impact and rate of occurrence were elicited. The Spearman Rank correlation between prevalence and impact scores was not significant (r = 0.04). Items were ranked according to composite impact scores. Cultural and social factors were considered to play a part in explaining differences between the present findings and those of other studies. Limitations on the applicability of the scale and methodological issues were discussed. The problems in direct comparison between different cultural groups were emphasized, with particular stress on constraints on life events research in an African setting.

Adaptation, Psychological↗

Understanding stress.

In a biological sense, stress may be defined as any strain or interference that disturbs the functioning of the organism. It is ubiquitous and we cannot avoid it--in fact, it is necessary for optimal performance and health. Ingenious physiological adaptations which are evoked by stress facilitate our survival.

Brain↗

Manifestations and management of stress.

Stress may well result in psychological and physical changes and produce recognizable syndromes, which are described. Treatment with sedatives is rarely effective and a rational approach, including working through problems, administration of antidepressants, pyridoxine and hormones, and sometimes changes in lifestyle, is suggested.

Chronic Disease↗

Conning the general practitioner--how drug-abusing patients obtain prescriptions.

A sample of 100 patients attending drug dependence clinics was questioned about the methods they used to obtain psychotropic drugs from general practitioners. Sixty-one per cent said they were obtaining psychotropic drugs and 39 per cent said they had obtained psychotropic drugs from this source during the preceding 12 months. Drugs obtained included minor tranquillisers, barbiturates, amphetamines, and methylphenidate (;Ritalin'). Some degree of deception of the general practitioner by the patient was almost always clear. Three recommendations to help prevent this are suggested.

Adult↗