摘要:

This study aims to use valid measures to a) estimate the prevalence of depressive disorder and b) identify psychosocial factors associated with depression in a sample of socially disadvantaged women with children. One hundred ninety-three women, recruited through a doorknock of public housing estates completed an interview that included the Diagnostic Interview Schedule to identify cases of depression and the Mannheim Interview for Social Support. The women also completed self-report questionnaires assessing psychological morbidity, life events, perceptions of intimate relationships, and personality factors. The 6-month prevalence of major depression was 17% and the lifetime prevalence 29%. Major depression was associated with perceptions of low parental care during childhood and low care from current partner, vulnerable personality style, increased reporting of life events, and an unsatisfactory social support network.

ISSN:0022-3018    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Rates of suicidal behavior are lower among African- than white Americans. We analyzed the association of suicide acceptability with religious, sociodemographic, and emotional variables in representative samples of African- and white Americans (1990). Adjusted for ethnic response bias, the former were less accepting of suicide than the latter (odds ratio.60; 95% confidence interval.41,.88). Orthodox religious beliefs and personal devotion predicted rejection of suicide best; this effect was equally strong in both groups. The comparatively low level of suicide acceptability among African-Americans was mostly attributable to their relatively high levels of orthodox religious beliefs and devotion, as opposed to practice and affiliation, although sociodemographic and emotional differences contributed as well. These results are interpreted using the cognitive dissonance model. Given rapid secularization among the young in the United States, these findings may help explain the rising suicide rates among white and, especially, African-American young people.

ISSN:0022-3018    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The study goals were: a) to determine factors associated with diagnostic change from bipolar disorder (BPD) to other disorders and vice versa and b) to focus on subjects with diagnostic changes specifically between BPD and schizophrenia. A total of 936 subjects with at least four hospitalizations within 7 years were identified from the hospital database to study the first goal. A subset of 443 subjects with initial and final diagnoses of bipolar disorder and/or schizophrenia was used for the second goal. Sixty-eight(28.9%) of 235 subjects with an initial diagnosis of BPD changed to another diagnosis, whereas 113 (16.1%) of 701 subjects with a non-BPD diagnosis had a diagnostic change to BPD at a later episode. Only 8 of 43 subjects entering the study period with a diagnosis of schizoaffective disorder still had that diagnosis at the end of the period. Results suggest that diagnostic flux between BPD and other disorders, especially schizophrenia, is relatively frequent. Gender, ethnicity, and substance abuse/dependence have prominent roles in these diagnostic changes. Severity and variability of the course of illness and progression of concurrent substance use disorder are crucial to understanding diagnostic flow in BPD.

ISSN:0022-3018    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

A retrospective cohort study of 35 refugee Tibetan nuns and lay students who were arrested and tortured in Tibet matched with 35 controls who were not arrested or tortured was carried out in India. Subjects were administered the Hopkins Checklist-25, evaluating anxiety symptoms, affective disturbances, somatic complaints, and social impairment. The prevalence of symptom scores in the clinical range for both cohorts was 41.4% for anxiety symptoms and 14.3% for depressive symptoms. The torture survivors had a statistically significant higher proportion of elevated anxiety scores than did the nontortured cohort(54.3%vs.28.6%,p=.05). This was not true for elevated depressive scores. The results suggest that torture has long-term consequences on mental health over and above the effects of being uprooted, fleeing one's country, and living in exile as a refugee, though the additional effects were small. Political commitment, social support in exile, and prior knowledge of and preparedness for confinement and torture in the imprisoned cohort served to foster resilience against psychological sequelae. The contribution of Buddhist spirituality plays an active role in the development of protective coping mechanisms among Tibetan refugees.

ISSN:0022-3018    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

This study a) compared the effects of buprenorphine versus methadone maintenance on benzodiazepine and alcohol use and b) evaluated the prognostic significance of gender and psychopathology and their interaction with maintenance treatment. Eighty male and 36 female patients were randomly assigned to daily sublingual buprenorphine (4 or 12 mg) or oral methadone (20 or 65 mg). Maintenance medication was not associated with significant differences in alcohol or benzodiazepine use. Rates of abstinence from illicit opioids were significantly higher for females; within the buprenorphine 4-mg group, females also had significantly better retention, lower rates of opioid-positive urine samples, and higher rates of abstinence from illicit opioids. Lifetime sedative dependence was associated with significantly better retention, decreased rates of cocaine-positive urine samples, and increased rates of cocaine abstinence; among buprenorphine- but not methadone-maintained patients, it was also associated with increased rates of abstinence from illicit opioids.

ISSN:0022-3018    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Evidence has begun to accumulate which suggests that lack of awareness of illness in schizophrenia is related to and possibly the result of a cognitive deficit involving prefrontal cerebral dysfunction. This study further explores this relationship along with other domains of self-awareness in chronic schizophrenics and other subjects with serious mental disorders. One hundred eight schizophrenics and 21 bipolar subjects from three separate sites in Britain, Germany, and Canada were administered the Wisconsin Card Sorting Test and three measures of self-awareness. Lack of illness awareness and other domains of self-knowledge were significantly more related to poorer neuropsychological performance in schizophrenia patients than in the other subjects. The results support the hypothesis that lack of illness awareness is related to defective frontal lobe functioning as indexed by neuropsychological measures.

ISSN:0022-3018    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

We compared demographic and comorbidity profiles of subjects with varying levels of anxiety pathology to test if the clinical characteristics of generalized anxiety disorder (GAD) subjects differed from those of other subjects with generalized anxiety. Using Diagnostic Interview Schedule data from the 1993 follow-up study of the Baltimore cohort of the Epidemiologic Catchment Area Program, we divided subjects into the following five mutually exclusive symptom categories: a) DSM-III-R GAD; b) 6 months of worry or anxiety with six associated symptoms; c) 1 month of anxiety with or d) without six symptoms; and e) no anxiety. The first three groups were homogeneous with regard to demographic and comorbidity profiles, but their profiles differed from those of subjects with no anxiety or fewer than six symptoms. Thus, requiring six symptoms produced a group with a particular epidemiologic profile. Neither the nature of the subjects' worries nor the duration of symptoms influenced this profile. These results are discussed in terms of GAD's construct validity.

ISSN:0022-3018    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1998

数据来源: OVID