Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Neurotic Disorders”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 541 records · Page 30Linked to original sources
PubMed1993

[Multiple orgasms in women].

Two hundred women treated for neurotic disorders and 100 female health professionals and counselors were investigated by means of a questionnaire to establish, whether they can have two or more consecutive orgasms. Multiple orgasms were reported to occur mostly or often in 14% of neurotics and in 39% of the health professionals. Our results in female neurotics are in agreement with the classical data of Kinsey et al. (1953) and with the recent data of Hubalek (1986), who investigated 121 women presenting for suspected sterility. Our results in health professionals and counselors are close to the data of Darling et al. (1991) in a sample of 805 American female nurses. It seems that capacity for multiorgasmic experience in women is higher than was generally acknowledged previously. It is possible that nurses, medical doctors and psychologists use their better knowledge of sexuality in their sexual activities to obtain more effective stimulation for fuller use of their sexual capacity.

Female↗
PubMed1999

Dissociative experiences and psychopathology in conversion disorders.

The concepts of dissociation and conversion are historically linked with the first psychodynamic ideas on hysteria. However, the abolition of "hysterical neurosis" from current nosology has led to independent developments of these theoretical models. Recent studies found a high degree of somatization in dissociative disorders. However, little is known about dissociation in conversion disorders. We assessed 72 patients with conversion disorders for their dissociative and general psychopathology using the German version of the Dissociative Experience Scale (DES) and the Symptom Check List (SCL-90-R). They were compared with a control group of 96 psychiatric patients suffering from various neurotic disorders, who were matched for gender and age. Dissociative symptoms were significantly more frequent in conversion disorder patients than in controls. There were no differences in the SCL-90-R scores between the two groups. Our findings support the theory of similar psychological processes underlying conversion and dissociative disorders despite their descriptive differences.

Adult↗
PubMedDate not supplied

[Psychoemotional disorders in those working with epoxy compounds].

Psychoemotional status was studied in 125 female workers 21 to 50 years old having been exposed to epoxide resins and their compounds for 5 to 25 years. We undertook to carry out multifactor questionnaire survey together with pathopsychological testing, and determining levels of personal constitutional and reactive anxiety. Occupation-related neurotic disorders (neurasthenic-, obsessive and phobic-, and, to a lesser extent, hysterical type manifestations) were found out to develop during the stage of prenosologic forms against the background of high level of both constitutional and reactive anxiety. It is psychoconstitutional traits of workers being predisposing factors for the disorders in question that affect the epoxide-related origination and development of psychoemotional derangement. The following traits can be regarded as predisposing factors for derangement: excitability, bias towards anxiety, deestiming, demonstrable behaviour.

Adult↗
PubMed1981

School phobia: a therapeutic trial with clomipramine and short-term outcome.

A double-blind trial failed to demonstrate any significant short-term effects of clomipramine in doses recommended for use in general practice (in addition to the usual range of psychotherapeutic help) in the treatment of children with school refusal and neurotic disorder. Patterns of improvement were also studied for the sample as a whole irrespective of treatment. Neither age nor sex were significantly related to improvement, except on one behavioural measure where girls initially did better than boys. In addition, it was found that there was a rapid relief of depression but neurotic symptomatology tended to persist.

Adolescent↗
PubMed2002

Diagnoses received by narcolepsy patients in the year prior to diagnosis by a sleep specialist.

STUDY OBJECTIVES: Narcolepsy is a neurological disorder whose clinical features include excessive daytime sleepiness, hypnagogic hallucinations, cataplexy, sleep paralysis, and disrupted nocturnal sleep. It has been shown that there may be quite a long interval between the onset of symptoms, and the correct diagnosis. We tested the hypothesis that given their severe symptomatology, these patients would have been diagnosed more often with a variety of psychiatric and neurologic conditions than controls in the year prior to confirmation of their narcolepsy diagnosis. DESIGN: Using the Province of Manitoba Health database, we compared the diagnoses made in the year prior to initial sleep disorder center evaluation of 77 patients with narcolepsy (33 males, 44 females) and 1,155 matched control subjects from the general population. SETTING: Sleep disorders center in University-based teaching hospital PARTICIPANTS: N/A. INTERVENTIONS: N/A. MEASUREMENTS AND RESULTS: Patients were much more likely than controls to be diagnosed with mental disorders (Odds ratio (OR) = 4.0645; 95% confidence limit (CL) = 2.4671-6.6962; p<0.0001) and nervous system disorders (OR= 5.0495; CL = 3.0606 -8.3309; p<0.0001) and there was a trend towards more injuries in these patients (OR =1.6316; CL = 0.9857-2.7007; p=0.0514). We found that cases were statistically much more likely than controls to have received a diagnosis for neurotic disorders (17% of cases), depression (16%), personality disorders (3%) and adjustment reaction (4%). Although the cases had twice as many doctor visits as the controls (9.3 +/- 0.97 (sem) vs. 4.8 +/- 0.17 p<0.0001), only 38% of them had received a diagnosis of narcolepsy in the year prior to sleep specialist evaluation. Neurologists had the highest "success rate" for correct diagnosis: neurologists diagnosed narcolepsy in 55% of the cases they had seen. The other medical practitioners diagnosed narcolepsy in a much smaller percentage of the cases they had seen: 23.5% for internists (excluding neurologists), 21.9% for general practitioners, 11.1% for psychiatrists, and 0% for pediatricians. CONCLUSIONS: In the year prior to documentation of narcolepsy in a sleep disorders center, patients with narcolepsy were diagnosed with a wide variety of mental and neurologic disorders. Our findings are supportive of either the coexistence of these disorders in narcolepsy patients or a high frequency of missed diagnosis by their clinicians. The latter may help explain the very long interval between onset of symptoms and correct diagnosis.

Adjustment Disorders↗
PubMed2004

Decline in Common Mental Disorder prevalence in men during the sixth decade of life. Evidence from the National Psychiatric Morbidity Survey.

BACKGROUND: The impact of social transitions that might improve mental health, such as retirement, has attracted limited attention. Adverse occupational conditions and involuntary exit from work are linked to high rates of common mental disorders, but voluntary retirement is associated with improved mental health. AIMS: We aimed to estimate the prevalence of common mental disorders around the conventional retirement age and to identify the associated factors that might explain differences in rates. METHODS: Data were from the Psychiatric Morbidity Survey of Great Britain (2000), covering a sample of 8,580 respondents aged 16-74 years. Current common mental (neurotic) disorder presence was based on the revised Clinical Interview Schedule. RESULTS: Prevalence rates for having any common mental disorder in men aged 65-69 years (5%; 95% CI: 2.7-7.3) were dramatically lower than in the agegroup 60-64 years (14.5%; 95 % CI: 10.6-18.5). This pattern applied to individual disorders and to the prevalence of very high symptoms counts. Prevalence rates in women peaked at age 50 and declined thereafter, but no large changes in prevalence are evident around age 60 or 65 years. In men leaving work early (aged 50-64 years), prevalence of common mental disorders remains high until the conventional retirement age. There is little change in exposure to other studied risk factors capable of explaining prevalence reduction, with the exception of decreased economic hardship in the older group. CONCLUSION: In the general population aged 50-74 years,there is a dramatic improvement in mental health in men after the conventional retirement age, but not in women. In men who leave work earlier, prevalence remains relatively high until after age 65.

Adolescent↗
PubMed1988

A survey of the treatment of anxiety disorders in general practice.

Three hundred and fifty seven patients with conspicuous psychiatric morbidity in two general practices in Nottinghamshire, one urban and one rural, were followed up for three years after original assessment. All patients were initially assessed for current mental state, personality status and alcohol problems using standard instruments. Of these patients 131 were diagnosed as suffering from anxiety states and other neurotic disorders. In the three year period 87% had received treatment from the general practitioner and 24% had been referred to a psychiatrist. The most common treatment was a prescription for tricyclic antidepressants (59%) but benzodiazepines were prescribed for the longest period. Only 8% of patients received psychotherapy or behaviour therapy. It is argued that this pattern of treatment represents the best use of current knowledge.

Antidepressive Agents, Tricyclic↗
PubMed1976

Season of birth and Schneider-oriented diagnosis of affective disorder.

Most earlier studies and all recent studies on national samples have shown that compared with live births in the control population, schizophrenic patients have a significant excess of birth rates in the winter or early months of the year. In contrast, only some of the early research efforts and only some of the national studies (in England and Wales as well as for certain decades in Sweden) have demonstrated that the same holds true for patients with affective psychosis. The present German study, carried out on affective disorder diagnosed in a strongly Kurt Schneider-oriented clinic, found (as did most Scandinavian research on national samples) that there was no significant overrepresentation of births in the winter or early months of the year for all types of affective disorder, neurotic as well as psychotic. Thus, the findings on Schneider-diagnosed affective disturbances were similar to those on Schneider-diagnosed schizophrenia reported elsewhere.

Adjustment Disorders↗
PubMed1988

[Structures in the treatment of patients with cardiac phobias].

The treatment of patients with cardiac phobias includes several therapeutic procedures following different indications. Determining are the various needs of the patients. This concept attempts to overcome the myth of universality which consists in the assumption of an unique therapeutic proceeding for different neurotic disorders (10). Heterogeneous aspects of treatment like relaxation, partner-therapy, exposure in vivo, cognitive behaviour therapy (attributions, expectancies) as well as orthopaedic-physical methods are taken into consideration. In that way the therapeutic principles go beyond the limitations established by the various theories of neurotic behaviour. Certainly by doing so the degree of comparison generally is reduced. For that reason the various teams involved in these therapeutic problems should make every effort to come to an optimal treatment program by controlled studies for cardiac phobic patients.

Combined Modality Therapy↗
PubMed1986

[Serotoninergic and catecholaminergic indices in patients with neurotic and depressive disorders and changes in them as a result of reflexotherapy].

The status of the serotoninergic and catecholaminergic systems was studied in patients with neurotic depressive disorders before and after acupuncture (AP). The parameters studied included blood serotonin levels, monoamine oxidase (MAO) activity in the blood serum, as well as urinary excretion of adrenaline, noradrenaline, dopamine, DOPA and 5-HOIAA. Prior to AP patients with anxiety-depressive, depressive-hypochondriac or asthenodepressive manifestations showed different changes in the parameters studied. Following a course of AP they presented a compensatory increase in MAO activity, normalization of blood serotonin levels and of the urinary excretion of noradrenaline, dopamine and DOPA. Improvement in biochemical parameters indicates that this type of therapy is an effective means of the treatment of patients with neuroses with the predominance of depressive disorders.

Acupuncture Therapy↗
PubMed1988

Comparative study of affective disorders in three Asian countries. I. Differences in diagnostic classification.

A study aimed at the standardization of symptom evaluation of patients with depression was carried out as the first step in an extensive collaborative study on affective disorders between centers in Nagasaki, Shanghai and Seoul. This study was initiated in order to clarify the factors affecting the low reported prevalence rates of depressive disorders in Asia. No significant difference in evaluation of psychiatric symptoms was observed between the 3 centers. Nevertheless, the diagnoses given by ICD-9 showed very interesting differences. For any given case, Nagasaki tended to make a diagnosis of an affective psychosis depression, while Shanghai made a diagnosis of neurotic disorder. No significant tendency was observed in the Seoul center. These findings are discussed in terms of their importance for future international collaborative studies.

Affective Disorders, Psychotic↗
PubMed2004

Quality of depressive experiences in borderline personality disorders: differences between patients with borderline personality disorder and patients with higher levels of personality organization.

Clinical observations suggest that depressive experiences in patients with borderline personality disorder have a specific quality. These experiences are characterized by emptiness and anger ("angry depression") and are associated with primitive forms of object relations. In this study, this observation was tested empirically. A sample of borderline inpatients (N=30) was compared with a sample of inpatients with higher levels of personality organization suffering from neurotic disorders (N=30). Depression and other affects were assessed by the Affective Dictionary Ulm (Dahl, Hölzer, & Berry, 1992). The quality of object relations was assessed by a scale developed by Urist (1977), which was applied to responses in the Holtzman Inkblot Technique (Holtzman, Thorpe, Swartz, & Herron, 1961). Correlations were assessed between depression, on the one hand, and anger, anxiety, and the quality of object relations, on the other hand. The clinical observations were confirmed: In the patients with borderline personality disorder, depression showed significant correlations with the affects of anger, anxiety, and fear, and with primitive forms of object relations. In the patients with higher levels of personality organization, no such correlations were found. The results are discussed with regard to the understanding of borderline disorders, diagnosis, and therapy.

Adult↗
PubMedDate not supplied

Diagnosis and clinical features of borderline personality disorder in the east and west: a preliminary report.

In the first clinical study of the borderline personality disorder (BPD) in Asia, the Diagnostic Interview for Borderlines (DIB) was performed on 85 female outpatients aged 18 to 30 years in Japan. BPD was diagnosed in 32 (38%) of these patients. The International Classification of Diseases-9 (ICD-9) diagnoses made at the initial examination of the DIB-identified BPD patients were, in order of frequency, neurotic disorders, anorexia nervosa and other eating disorders, and manic-depressive psychoses. The DSM-III axis I diagnoses of the DIB-identified BPD patients were affective disorders in 63%, eating disorders in 34%, and substance use disorders in 22%. This study suggests that there are indeed BPD patients in Japan. An exception is made of the low incidence of substance use disorders, and of the fact that most Japanese patients continue to maintain stormy one-to-one or masochistic relationships with their parents because they live at home--their clinical picture is not different from that of American patients.

Adolescent↗
PubMed1997

Evaluating models of working at the interface between mental health services and primary care.

BACKGROUND: This paper examines the feasibility of evaluating innovative models of working at the interface between primary care and secondary mental health services. METHOD: Methodological problems relevant to evaluation of innovative models of working at the interface are discussed. RESULTS: Although there is some evidence that neurotic disorders can be more cost-effectively treated in primary care, many general practitioners (GPs), and possibly some patients, prefer referral to community mental health teams and community psychiatric nurses, which are provided by the secondary health care services. Since the latter are provided with the intention of improving serious mental illness their involvement in the care of neurotic illness can lead to tensions between GPs, local health authorities and service providers. There is little evidence to suggest that psychiatrists working in health centres using the 'shifted out-patient' model have eased this problem. By contrast the 'consultation-liaison' (C-L) model has a number of theoretical advantages; referrals to secondary care should be limited to those most in need of this level of expertise and GP management skills should improve, so leading to better quality of care for patients who are not referred. CONCLUSION: Studies comparing the different models of service delivery are required to address the tensions that have arisen following changes in government policy. Further work is also needed to develop the necessary research tools.

Ambulatory Care↗
PubMed1995

Psychiatric disturbances associated with hyperthyroidism: an analysis report of 30 cases.

BACKGROUND: Hyperthyroidism has numerous physical and mental concomitants. This study attempted to explore the clinical features, treatment and outcome of a psychiatric disturbance which developed during hyperthyroid disease. METHODS: A retrospective study was made of 30 patients, hospitalized with psychiatric disturbances and concurrent diagnoses of hyperthyroidism between January 1990 and May 1994. Data included age, sex, date of admission or consultation, age of onset of thyroid and psychiatric disorders, duration of thyroid and psychiatric disorders, psychiatric discharge diagnoses, psychiatric symptoms/signs, treatment and outcome. Follow-up investigations were done after one year. RESULTS: Among the 30 patients, 27 (90.0%) were female and 3 (10.0%) were male. The psychiatric disturbances had persisted from a few days to a decade following the presenting hyperthyroidism, with an average of seventeen months. There were 6 (20.0%) patients who were diagnosed with neurotic disorders, 11 (36.7%) with mood disorders, 8 (26.7%) with schizophrenia-like syndromes and 5 (16.7%) with delirium. The psychiatric features were variable; insomnia, irritability and anxiety most commonly occurred. Most (96.7%) of these patients accepted both antithyroid and psychotropic medication therapy. Follow-up investigations were made after one year. Twenty-six patients were analyzed, including 13 (50%) who had recovered completely, 9 (34.6%) who recovered partially, and 4 (15.4%) who showed no change in mental status. CONCLUSIONS: A variety of psychiatric features were found in the hyperthyroid patients, concomitantly with their psychiatric disturbances. Half of the patients showed a chronic or unremitting psychiatric condition after normalization of thyroid function tests. It is possible that the present psychiatric disturbances could be caused or precipitated by hyperthyroidism, or simply occur independently by chance. It is suggested a foremost benefit would be incorporation of internist and psychiatrist into the care of hyperthyroid patients with psychiatric disturbances which may improve the clinical condition.

Adolescent↗
PubMed1976

[Psychiatry of minimal, early-childhood brain damage].

Early psychoorganic syndrome in the child is the result of a diffuse cerebral lesion which usually occurs in pregnancy, during delivery or immediately post partum. In the majority of cases the symptoms are biological, normally of a neurologic character, and serve to underpin the diagnosis. They mainly comprise psychomotor disturbances, linguistic disorders and malregulation of central nervous functions. From the psychic viewpoint both intellectual and emotional disturbances are observable. Intellectually the disorders are chiefly of attention, perception and concentration, and in most cases lead to seriously impaired school performance. They are accompanied by an ideation which is frequently retarded and exhibits a tendency to perseveration. The psychoorganic child's affectivity is marked by pathologic lability, increased irritability and imperfect control of impulse and emotion. Secondary infantilism is nearly always observable. In very many cases reactive, and notably neurotic, disorders are superimposed on the psychoorganic substratum. There are thus a wide variety of clinical pictures. A broad spectrum of therapeutic resources is available, covering education, drugs and psychotherapy of superimposed reactive disorders.

Affective Symptoms↗
PubMed1989

[Asthenic disorders in sailors during long sea voyages].

The peculiarities of asthenic disorders formation in sailors under long-lasting sail were shown to depend on prevalent extremal factors. Clinico-psychopathological and psychological investigation allowed the author to single out 4 groups of asthenia (psychogenic, psychosomatic+, somatogenic and cerebrogenic). Nonpathological premorbid and morbid variants are described with the course of their psychological and autonomic indices. The data can be used for professional selection to detect groups at high risk of neurotic disorders and for designing the differentiated system of prevention and correction.

Adjustment Disorders↗