摘要:

Groups of patients with principal diagnoses of panic disorder (n = 54) and generalized anxiety disorder (n = 49) were compared on the basis of their comorbidity with other mental disorders. The rates and patterns of comorbidity were similar, except for comorbid simple phobia and past drug abuse. This finding was interpreted as failing to support a notion that there is essential distinction between panic disorder and generalized anxiety disorder.

ISSN:0254-4962    

DOI:10.1159/000284882

出版商:S. Karger AG    

年代:1994

数据来源: Karger

摘要:

A patient may experience hallucinations in more than one modality simultaneously or at different times and they may or may not appear to emanate from a single source. Current nomenclature is imprecise, often has particular diagnostic implications and fails to distinguish between these different phenomena. This has resulted in considerable confusion with a tendency to dismiss the importance of these symptoms. The various terms in current usage and the presence of these symptoms in a variety of different conditions are examined. To aid further research and improve clinical practice the authors advocate the use of the term multi-modal hallucinations and suggest operational criteria.

ISSN:0254-4962    

DOI:10.1159/000284883

出版商:S. Karger AG    

年代:1994

数据来源: Karger

摘要:

A case of Capgras’ syndrome associated with homicidal behavior is reported. The psychodynamic implications are discussed. Capgras’ syndrome could lie at the base of aggressive and homicidal acts directed towards family members during psychotic breakdown. Capgras’ syndrome should always be evaluated in order to prevent violent acts, understand the psychologic characteristics of the patient and undertake the corresponding treatment.

ISSN:0254-4962    

DOI:10.1159/000284884

出版商:S. Karger AG    

年代:1994

数据来源: Karger

摘要:

Delusions of psychological change of the self are becoming increasingly appreciated as a type of misidentification delusions. Most available knowledge on delusions of psychological change of the self derives from single case studies. In this article, we present a study encompassing 30 cases of this delusion. Diagnostic and phenomenologic aspects of this delusion are discussed as well as its relation to other types of misidentification delusions.

ISSN:0254-4962    

DOI:10.1159/000284885

出版商:S. Karger AG    

年代:1994

数据来源: Karger

摘要:

Retrospective analysis of the stringency of diagnosis and therapeutic response was carried out in 80 patients with major recurrent winter depression (SAD) who had participated in controlled light therapy trials in Switzerland from 1984 to 1990. Two groups were formed with respect to anamnestic information: patients whose previous episodes of seasonal depression had been reconstructed graphically, and those who could only globally recollect prior depressive phases. These data were taken to test conformity to DSM-III-R criteria for seasonal pattern, as well as its prognostic usefulness for response to light therapy. The more liberal ‘Rosenthal criteria’ for SAD of at least two consecutive, seasonally recurring major depressive episodes were sufficient to predict improvement with light: none of the other DSM-III-R criteria differentiated further, and few patients could remember previous depressive episodes in precise detail. Our data support suggestions to revise the restrictive SAD diagnostic criteria for DSM

ISSN:0254-4962    

DOI:10.1159/000284886

出版商:S. Karger AG    

年代:1994

数据来源: Karger

摘要:

We examined the birth distribution of 2,450 schizophrenic and 682 schizoaffective patients first admitted between 1971 and 1992 to the University Hospital for Psychiatry in Vienna. Our data showed an excess of schizophrenic births in the first quarter of the year and a deficit in the third quarter compared with expectation from census data. The quarterly distribution of schizophrenic births seemed to be different from the one of the schizoaffective patients. In schizoaffectives an excess of births in the first quarter of the year was present, but no other deviation from expectation.

ISSN:0254-4962    

DOI:10.1159/000284887

出版商:S. Karger AG    

年代:1994

数据来源: Karger

摘要:

The present study is an analysis of the sociodemographic background of children and adolescents with OCD and child psychiatric control patients. The case records of 61 children and adolescents with OCD and of 117 control patients aged 8–17 years, admitted to a Danish child psychiatric hospital during a 17-year period, were analyzed with regard to sociodemographic data. The OCD patients differed in many ways from their controls, regarding problems at school and family background. Significantly more parents of OCD patients belonged to the highest social classes, and significantly fewer OCD patients came from broken homes. Parents of OCD patients had fewer admissions to psychiatric hospitals and fewer abuse problems than in the control groups.

ISSN:0254-4962    

DOI:10.1159/000284888

出版商:S. Karger AG    

年代:1994

数据来源: Karger

摘要:

The International Diagnostic Checklists for the assessment of the DSM-III-R and ICD-10 personality disorders (IDCL·P) were compared with a structured interview, the International Personality Disorder Examination (IPDE), using a balanced test-retest design with forty psychiatric inpatients. The results, using pairwise k for the calculation of agreement, were as follows: any personality disorder versus no personality disorder 0.52 for DSM-III-R diagnoses and 0.75 for ICD-10 diagnoses. The range for the single personality disorders diagnosed at least five times was from ––0.07 to 0.71 for DSM-III-R diagnoses and from 0.38 to 0.68 for ICD-10 diagnoses. Only for DSM-III-R diagnoses do figures exist from three other studies comparing two structured interviews with each other. The results of all four studies suggest that 60% of the variance in personality disorder diagnoses represents variance not attributable to the patients, which is scientifically unacceptable.

ISSN:0254-4962    

DOI:10.1159/000284889

出版商:S. Karger AG    

年代:1994

数据来源: Karger

ISSN:0254-4962    

DOI:10.1159/000284890

出版商:S. Karger AG    

年代:1994

数据来源: Karger

ISSN:0254-4962    

DOI:10.1159/000284891

出版商:S. Karger AG    

年代:1994

数据来源: Karger