ISSN:0022-3018    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Vietnam veterans have been reported to be at increased risk for posttraumatic stress disorder (PTSD) and deaths due to traumatic causes after service in the Vietnam War. This study evaluated whether an association exists between PTSD and traumatic deaths among Vietnam veterans. Mortality risk of 4,247 Vietnam veterans from the Agent Orange Registry (AOR) with a diagnosis of PTSD relative to that of 12,010 Vietnam veterans from the AOR with no diagnosis of PTSD was calculated using the Cox proportional hazards model. Mortality experience of both groups was also compared with U.S. males. The PTSD veterans were more likely than the non-PTSD veterans to die from suicide (relative risk = 3.97, 95% confidence interval [Cl] = 2.20–7.03) and from accidental poisoning (relative risk = 2.89, CI = 1.03–8.12). The standardized mortality ratio for suicides was 6.74 (CI = 4.4–9.87) among PTSD veterans and 1.67 (CI = 1.05–2.53) among non-PTSD veterans. Among Vietnam veterans on the AOR, PTSD is associated with a significant increased risk for suicide and accidental poisoning.

ISSN:0022-3018    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

An attempt was made to differentially diagnose panic disorder with agoraphobia from social phobia on the basis of self-reported phobic situations, panic attack symptomatology, and feared outcomes. Sixty-nine patients with panic disorder (with and without agoraphobia) were compared with 69 patients with social phobia. Subjects completed a modified self-report version of the panic and phobia sections from the Composite International Diagnostic Interview to assess phobic situations, panic symptomatology, and feared outcomes. The two groups were distinguishable on all three measures. A diagnostic algorithm was developed that predicted the primary diagnosis allocated by a clinician for subjects who meet DSM-III-R criteria for panic disorder (with or without agoraphobia) rather than social phobia on the basis of self-reported phobic avoidance, panic symptomatology, and feared outcomes.

ISSN:0022-3018    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

This study examines the effect disclosing childhood sexual abuse had on adult psychological functioning as measured on symptom checklists. One hundred eighty-eight adults filled out questionnaires regarding childhood trauma experiences and the reaction they received from the first person they told of their sexual abuse, and symptom checklists measuring depression, trauma symptoms, posttraumatic stress disorder symptoms, and dissociation. Data were analyzed using multiple regression analysis and path modeling. Those who told in childhood (N= 66) reported a significantly worse reaction to disclosing abuse than individuals who waited until adulthood (N= 112). For those who told in childhood, primarily to close family members, reaction to disclosure had a mediating effect between childhood abuse and adult symptoms, with those experiencing a bad reaction from the first person told having worse scores on general trauma symptoms, posttraumatic stress disorder symptoms, and dissociation. These results support other studies showing childhood sexual abuse to be associated with adult psychological symptoms. It also suggests the importance of the reaction received from family members responding to disclosure of abuse as a contributor to adult psychopathology.

ISSN:0022-3018    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

A total of 99 female patients consecutively admitted to an adult psychiatric outpatient clinic were surveyed about their history of physical and sexual abuse. Sixty-five percent of this sample reported having been physically abused, sexually abused, or both during their lifetimes. Scores on the Dissociative Experiences Scale were significantly higher among those reporting a history of sexual abuse than among those reporting a history of physical abuse or no history of abuse, who did not differ from each other. Dissociative Experiences Scale scores were important predictors of histories of sexual abuse among this sample. The implications of these findings for outpatient evaluation are discussed.

ISSN:0022-3018    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Schizophrenic psychopathology is heterogeneous and multidimensional. Various strategies have been developed over the past several years to assess and measure more accurately discrete domains of psychopathology, One of the more fruitful strategies to investigate more homogenous domains of psychopathology has been the positive-negative syndrome approach. However, this approach is unable to address a number of important issues. Most schizophrenics present a mixed syndrome; the criteria for what constitutes a positive and negative syndrome are variable; distinguishing primary from secondary negative symptoms can be difficult. In order to address some of these problems, we propose the introduction of a five-syndrome model based on a reanalysis of factor analytic procedures used on 240 schizophrenics assessed with the Positive and Negative Syndrome Scale. We present data on a five-factor solution that appears to best fit the psychopathological data and that is supported by three independent and comparable factor analyses; negative, positive, excitement, cognitive, and depression/anxiety domains of psychopathology give patients their individual mark. Data on internal consistency of the five factors and on initial validation using demographic and clinical variables are presented.

ISSN:0022-3018    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Using the Waldrop scale, minor physical anomalies were studied in 82 Caucasian subjects, including 41 schizophrenic and 8 bipolar adults, as well as 14 normal and 19 mentally retarded adults. An increased incidence of minor physical anomalies was found in the mentally retarded adults relative to the other groups. Consistent with previous studies, there was a trend for the total mean Waldrop score of the schizophrenic group to be higher than the mean score of the normal group. Minor physical anomalies (assessed by the Waldrop scale), however, appear to be of questionable utility in identifying “congenital” schizophrenia, at least as this putative subgroup of schizophrenia is currently conceptualized.

ISSN:0022-3018    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The history of obstetric complications was studied in 70 Research Diagnostic Criteria schizophrenic patients and 70 demographically matched controls from the same delivery series, using information prospectively recorded at birth. Schizophrenic patients were exposed to greater numbers of obstetric complications than their matched controls. Rates of obstetric complications were enhanced in patients born during the winter months (January-April) and in patients with no family history of psychosis in first- and second-degree biological relatives. Winter birth was associated with absence of family history of psychosis. Analyses by gender indicated that the relationship between obstetric complications and these other risk factors may be more relevant for male patients. The results suggest that the seasonal effect in schizophrenia may be due partially to seasonal variation in obstetric complications and that obstetric complications and winter birth may represent a distinctively separate etiological mechanism from that of inferred genetic risk for schizophrenia.

ISSN:0022-3018    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Previous research has shown that family history of alcoholism (FHA) is associated with several aspects of the development and expression of alcohol use disorder in people who are not mentally ill. This study examined FHA in a group of 66 schizophrenic outpatients who were well characterized in terms of their alcohol use and were followed prospectively in treatment for 4 years. The FHA-positive probands (42.4% of the group) were more likely to have alcohol use disorder. Contrary to our prediction, the relationship between FHA and alcoholism in the probands was significant for women but not for men. Among schizophrenic probands with alcoholism, positive FHA was associated with more severe alcoholism and with the use of other drugs. Probands with positive FHA also responded less well to alcoholism treatment than did probands with negative FHA. These exploratory findings have significant implications for understanding risk, for conducting assessment, and for studying treatment, but should be confirmed in larger and more representative samples of people with schizophrenia.

ISSN:0022-3018    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Research has suggested that poor insight in patients with schizophrenia is associated with poorer treatment compliance and outcome. Little is known about the etiology of poor insight. Poor insight has been attributed to a willful preference for illness, a psychological defense, and cognitive impairments. To test the hypothesis that poor insight is related to enduring cognitive deficits, the performance of 29 patients with schizophrenia and impaired insight and 63 patients with schizophrenia and unimpaired insight was compared on repeated administrations of the Wisconsin Card Sorting Test. Results indicate that subjects with impaired insight demonstrate consistently poorer performance over a period of 1 year than subjects with unimpaired insight. When the effects of IQ were partialled out, subjects with impaired insight made significantly more perseverative errors and achieved fewer categories correct, a pattem of performance deficits identified with neuropsychological dysfunction in schizophrenia. These results support the hypothesis that cognitive impairment may underlie poor insight in schizophrenia.

ISSN:0022-3018    

出版商:OVID    

年代:1994

数据来源: OVID