Psychiatric disorders in patients with essential tremor
Giovanni FabbriniIsabella BerardelliMarika FallaGermana MorettiMassimo PasquiniMarta AltieriGiovanni DefazioMassimo BiondiAlfredo Berardelli
32
Citation
31
Reference
10
Related Paper
Citation Trend
Keywords:
Movement Disorders
Depression
The aim of this study is to estimate the frequency of personality disorders in patients with recurrent unipolar or bipolar affective disorders and the possible relationship of the categorical model with two dynamic psychopathological configurations. Forty-eight patients were studied using semi-structured interviews for assessing Axis I and Axis II disorders. We found that approximately 70% of patients had some types of personality disorder according to the DSM-IV TR classification model. The most frequent personality disorders were cluster C dependent personality disorder and cluster B borderline personality disorder. The most common affective disorders were depressive bipolar I subtype disorder and manic bipolar I subtype disorder. The high frequency of personality disorders in patients who are in partial or complete remission of recurrent affective disorders can be explained by a combination of two subtypes of psycho-pathological configurations (the anaclitic or introjective configurations are based on the Blatt model) and neuro-biological interactions.
Biological psychopathology
Cite
Citations (3)
The primary objective of the present study is to investigate the association between DSM-IV personality disorders and motivation for treatment in a large sample of patients admitting for a variety of psychotherapeutic programs (n = 1083). Second, we examine whether and to what extent this association is accounted for by other relevant patient variables (i.e., demographics, subjective distress, and treatment history). We developed a brief questionnaire to measure the motivation for treatment: the Motivation for Treatment Questionnaire (MTQ-8). The MTQ-8 consists of two subscales, i.e., Need for help and Readiness to change. The results show that patients with various personality disorders were significantly more motivated for treatment than those without. No differences across specific personality disorders were apparent. The association between personality disorders and motivation for treatment appeared to be partly accounted for by the level of symptom distress. It is concluded that, among treatment-seeking patients, personality disorders are associated with motivation for treatment and this association can best be understood by the higher symptom distress in patients with personality disorders as compared to those without personality disorders.
Association (psychology)
Demographics
Cite
Citations (41)
The alternative model for personality disorders in DSM-5 and the upcoming ICD-11 stimulated an increased interest in the concept of personality functioning for the diagnosis of personality disorders. Furthermore, the impact of personality functioning on other mental disorders has become the focus of recent research efforts. The purpose of this review is to provide a comprehensive and critical study of the empirical literature on the relationship between personality functioning and anxiety disorders.Recent studies predominantly show a positive association of anxiety symptoms and disorders with an impairment in personality functioning. However, no evidence was found for different levels of personality functioning according to the type of anxiety disorder. Anxiety disorders can occur at all levels of personality organization.Anxiety disorders are associated with significant impairment in personality functioning. As the underlying personality structure is known to play a crucial role for treatment outcome, the evaluation of personality functioning should be a central part of a comprehensive diagnostic process and treatment planning in patients with anxiety disorders.
Cite
Citations (29)
Mood disorders are among the most prevalent forms of mental illness. Serious depression is especially common; based on a face-to-face survey conducted from December 2001 to December 2002, the past-year prevalence rate of clinically significant major depressive disorder (MDD) was estimated to be 6.6%, affecting at least 13.1 to 14.2 million Americans.
Depression
Cite
Citations (0)
To examine the influence of personality disorder comorbidity on the general treatment of mood disorders.Personality disorders generally have a negative influence on outcome of mood disorders, both unipolar and bipolar. When the personality features are addressed, however, the outcome is less negative. Recent studies suggest a special role for psychological and educational therapies in the treatment of these comorbid disorders.The assessment of, and attention to, the management of personality disorder as well as concurrent mood disorder may improve outcome.
Biosocial theory
Cite
Citations (19)
Depression
Cite
Citations (1)
The objective of this study is to assess the prevalence of psychiatric comorbidity in patients under treatment within the addictive disorders assistance units of Galicia (Spain). Material and Methods A total of 64 healthcare professionals performed clinical diagnosis of mental disorders (on DSM IV-TR criteria) in 2300 patients treated throughout March 2010 in 21 addictive disorders assistance units. Results 56.3% of patients with substance abuse/dependency also showed some other mental disorder, 42.2% of patients suffering from at least an Axis I condition and 20.2% from some Axis II condition. Mood and anxiety disorders and borderline and antisocial personality disorders were the most frequent disorders in both axes. Conclusions A high comorbidity was found between mental and substance use disorders (SUD) in patients seen at the addictive disorders assistance units of Galicia.
Psychiatric comorbidity
Cite
Citations (36)
The author examined the relationship between symptom criteria for major depression and family history of mood disorders in 82 outpatients with major depression and 27 outpatients with nonaffective disorders. The family members of depressed patients with six or more groups of DSM-III symptoms of major depression exhibited substantially higher rates of mood disorders than the family members of depressed patients with fewer than six groups of symptoms and the family members of patients with nonaffective disorders. These data suggest that stricter symptom criteria for major depression may define a more homogeneous phenotype, at least from the standpoint of familial aggregation.
Depression
Cite
Citations (24)
The relationship between personality disorders and neurosis tends to be nonspecific with Cluster ('anxious') personality disorders overrepresented in anxiety and mood disorders.Personality disorders are associated with poorer outcome of treatment for neuroses. Clinical investigators need to go beyond descriptive comorbidity studies to look at the mechanisms by which personality disorder and personality influence neuroses. Several models have been proposed and directions for further investigation are considered.
Neurosis
Cite
Citations (7)
A link between headache and depression has been noted in the literature for over 30 years. To date, however, studies investigating this relationship have ignored the potential impact transdiagnostic symptoms (i.e., symptoms indicative of both depression and headache) may have on correlations between measures of depression and measures of headache activity. The present study examined this issue using the Beck Depression Inventory in a large sample of recurrent headache sufferers who had presented for treatment at one of two university-based clinics. Factor analysis identified two distinct, albeit correlated, factors reflecting cognitive/affective symptoms and somatic symptoms. Correlational analyses found consistent relationships between the somatic symptom factor and measures of headache activity, but not between the cognitive/affective factor and headache activity. We suggest that the BDI items comprising the somatic factor identified in this study may not be appropriate indicators of depression in recurrent headache samples.
Depression
Cite
Citations (31)