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PubMed1995

Affective disorders, social support, and health status in geriatric patients in a general hospital.

A randomized-sample taken from all elderly patients aged 70 years and over hospitalized for medical/surgical disorders was studied (N = 108) to determine the influence of health problems and social support on depression. According to DSM-III-R diagnostic criteria, 50.9% had psychiatric disorders and 15.7% had affective disorders. In the total sample, depressive symptoms significantly correlated with the existence of health problems and lack of social support, but independently considered, these variables did not have a significant influence on diagnoses of depressive disorders.

Adjustment Disorders↗
PubMed1979

Long-stay patients in Danish psychiatric hospitals.

The numbers of long-stay patients in Danish psychiatric hospitals were studied, based on information from the Danish cumulative psychiatric register and from the census studies of patients in Danish psychiatric hospitals, performed at 5-year intervals since 1957. In 1977, 2079 (20%) of the in-patient population which had been admitted before 1957 were still in hospitals. This 'old long-stay' group has diminished exponentially, with an annual reduction of 7%. During the period 1972--6, the number of patients who, on any given day, had been in-patients or attending as day-patients for more than 1 but less than 2 years (the 'new long-stay') varied between 847 and 1089: an average of 20 per 100 000 total population. The ratio of in-patients to day-patients was approximately 4:1. Based on the decline of the 1972 cohort during the period 1972--7, and assuming a constant 'influx' of new long-stay patients and a constant exponential decline of the cohorts, the number of new long-stay patients, including day-patients, at equilibrium was estimated to be about 4300 or 85 per 100 000 total population. About 31% will be schizophrenics and about 43% will be patients with organic disorders. Ninety-four per cent of the number at equilibrium will be reached after 16 years for the diagnostic group with the slowest decline, schizophrenia. On 1 April 1976, 3106 long-stay patients were present, accumulated since 1 April 1972. Nineteen per cent of these patients were in day-hospitals. This type of institution was used especially for younger patients with schizophrenia and reactive disorders.

Adjustment Disorders↗
PubMed1991

Depression in a Latino immigrant medical population: an exploratory screening and diagnosis.

Interviews with 48 Latino medical outpatients assessed depression via a brief self-report screening measure and a structured diagnostic interview. Twenty-eight percent of the sample received a DSM-III-R diagnosis of major depression. Validity information is provided for the screening measure, which can be used with Latino medical patients, a traditionally high-risk group for depressive disorders.

Acculturation↗
PubMed1989

Anxiety disorders in the elderly. An update on diagnosis and treatment.

Anxiety is a symptom complex with a differential diagnosis that has become increasingly specific in recent years. Elderly patients often present to their primary care physician with symptoms of anxiety rather than seek a mental health professional. Because presentation may be somewhat different in elderly patients than in young adults, careful consideration of the differential diagnosis is important to ensure the most effective treatment. Pharmacotherapy, behavioral therapy, and traditional psychotherapy are useful for these disorders.

Adjustment Disorders↗
PubMed1994

What are the borders of borderline personality disorder?

It is argued that the usefulness of borderline personality disorder in clinical and research practice is largely because the borders of the diagnosis are so flexible. The diagnosis overlaps with other personality disorders, disturbances of mood and intermittent abnormal behavior. As almost all behavior likely to lead to consultation with mental health professionals is included among the elements of personality disorder, it is not surprising that it is almost the most common condition seen by specialists in the field. An attempt is made to define the borders of the condition in this review. It is concluded that these are so far-reaching that they negate the notion that borderline conditions are personality disorders. It is argued that the borderline state is a coaxial diagnosis of personality and mental state disorder and to continue to describe the concept as a personality disorder is wrong and misleading.

Adjustment Disorders↗
PubMed1978

Discriminating features of borderline patients.

Borderline patients were compared with schizophrenic patients, neurotic depressed patients, and a group of patients with differing diagnoses. The purpose of this comparison was to find out whether borderline patients could be discriminated from other psychopathological groups and whether a discrete list of recognizable characteristics discriminating borderline patients could be isolated. According to the results of the comparison, borderline patients can be discriminated with high accuracy from matched comparison groups with whom diagnostic confusion is common. Seven criteria provided a clinically sensible and practical means of approaching the diagnosis of borderline disorder.

Adjustment Disorders↗
PubMed1987

Severe threat in the genesis of panic disorder.

The hypothesis that panic disorder is a separate biological disease has attracted a great deal of controversy in recent years. One of the cornerstones of this theory is that panic attacks arise spontaneously, suggesting that the illness is generated by an autonomous physiological process. A number of cases are reported that illustrate Beck's theory that cognitive factors are central to the genesis of acute anxiety. Evidence for a developmental/cognitive theory of anxiety is discussed, and it is concluded that a purely biological model for panic disorder is inadequate.

Adaptation, Psychological↗
PubMed1994

Rumination in two developmentally normal children: case report and review of the literature.

This report describes the cases of two normal 6-year-old children, both of whom experienced rumination for a period of 6 to 8 months, followed by full remission. For each of these children, rumination was a reaction to situational stress (adoption and maladaption, respectively). These cases represent the addition of a new form of rumination to the literature: a benign, self-limited childhood disorder of mentally and developmentally normal children, distinctly different from "rumination disorder," as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R).

Adjustment Disorders↗
PubMed1981

Survivors of the holocaust and their children: current status and adjustment.

A group of 52 concentration camp and other survivors of World War II were compared with a control group of 29 persons of similar European and religious background. Forty-seven children of these survivors and 16 children from the comparison group were also evaluated. The psychological adjustment of both group of adults and their children was within the normal range. Cultural rather than specific survivor influences were noted in the present attitudes and behaviors of the parents. There were no significant differences between the survivor and control group children on any of the psychological variables or in thier attitudes and behaviors toward their parents. Based on these findings, we questioned notions of survivor guilt, the manifestation of emotional blunting in the survivors, and the extremely maladaptive psychological influence of their parents' experiences on the children of survivors.

Adjustment Disorders↗
PubMed2005

Self-enhancement among high-exposure survivors of the September 11th terrorist attack: resilience or social maladjustment?

The authors examined self-enhancing bias as a predictor of adjustment among individuals in or near the World Trade Center during the September 11, 2001, terrorist attacks. Resilience was defined from categorical and continuous analyses of both participant self-report and friend and relative ratings of adjustment. Self-enhancement was associated with a resilient outcome, ratings of better adjustment prior to September 11th, greater positive affect, and reduced perceptions of social constraints. Additional analyses indicated that self-enhancers' reduced symptom levels were fully mediated by their low perceived social constraints. However, consistent with previous evidence suggesting a social cost to self-enhancement, at 18 months post-September 11th, self-enhancers' friends and relatives also rated them as decreasing in social adjustment and as being less honest.

Adjustment Disorders↗
PubMed2006

Does solitary substance use increase adolescents' risk for poor psychosocial and behavioral outcomes? A 9-year longitudinal study comparing solitary and social users.

This longitudinal study compared Grade 8 solitary cigarette smokers (n = 541), drinkers (n = 577), and marijuana users (n = 148) with adolescents who restricted their use of these substances to social settings (ns = 562, 1,426, and 388, respectively) on adolescent functioning and young adult outcomes. In Grade 8, solitary users held more positive beliefs about the consequences of substance use, earned poorer grades, engaged in more deviant behavior, and devoted less time to school and more time to social activities. By age 23, these solitary users had lower educational attainment, poorer self-rated health, and greater substance use problems. Results indicate the importance of better understanding and addressing the needs of this understudied group of high-risk youth.

Adaptation, Psychological↗
PubMed1989

Psychiatric symptoms, cognitive stress and vulnerability factors. A study in a remand prison.

In a consecutive sample of 208 male prisoners interviewed on the tenth day (T1) after entry, high levels of psychiatric symptoms as measured by the GHQ were recorded. These GHQ scores were strongly correlated with perceived worries and concerns of the prisoners ('cognitive stress'). After 60 days of detention (T2), a significant fall in GHQ scores was observed, and they were still correlated with cognitive stress. A significant negative correlation between cognitive stress at T1 and GHQ scores at T2 was observed. The relationship between potential vulnerability factors (life experiences, social network, personality factors) and GHQ scores was not strong at either T1 or T2. Psychiatric symptoms are common during the early phase of imprisonment but are not durable.

Adjustment Disorders↗