[Analysis of psychosocial findings of patients admitted at an emergency service following attempted suicide].
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The present prospective study describes the demographic, medical and psychosocial characteristics of 40 people with intellectual disability who were referred for psychiatric inpatient treatment in the special psychiatric unit of the Special Welfare District of South‐west Finland. Three different control groups were used to study: (1) demographic variables (n = 122); (2) medical history (n = 39); and (3) psychosocial factors (n = 20). The symptoms leading to an admission to inpatient care and the connections of these clinical signs with the discharge diagnosis were evaluated. The typical inpatients were young males with mild intellectual disability, psychosis and a previous psychiatric diagnosis. They had lived in several places during their lives and their economic situation was poor. Affective and/or disruptive symptoms were the most common causes of an admission to inpatient care. The largest diagnostic group at discharge consisted of patients with psychotic disorders. The people with intellectual disability who were admitted for inpatient care formed a subgroup with certain psychiatric symptoms and social problems. Specialist psychiatric expertise is absolutely necessary for the treatment of this subgroup.
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The objective was to study factors associated with psychiatric diagnosis among adolescents (n = 164) seeking psychiatric care for mental symptoms.Psychiatric diagnosis was confirmed by a structured diagnostic interview. Psychosocial functioning was assessed with the Global Assessment of Functioning Scale, and the Beck Depression Inventory and Offer Self-Image Questionnaire were also used. Background data were gathered.A majority (76%) of the adolescents met DSM-III-R criteria for psychiatric diagnosis. The self-image was more negative and the Beck score was higher among these adolescents than the others. All who had attempted suicide had a psychiatric disorder. Those diagnosed as having a psychiatric disorder consumed alcohol in order to get drunk more often than others. Continual conflicts with parents and smoking were not associated with the existence of a psychiatric disorder. In logistic regression analysis, low psychosocial functioning (OR = 3.9) and an uncertain or pessimistic attitude towards the future (OR = 9.1) proved to be independent risk factors for psychiatric disorders.Health service staff should be aware of factors associated with psychiatric disorders in adolescents so that they can identify those at high risk.
Psychiatric assessment
Pessimism
Depression
Major depressive episode
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Aims: Study I: Identify substance use disorders (SUDs), psychiatric disorders, and psychosocial risk (PSR) in adolescence, to predict SUD after 5 years in 147 adolescents who sought treatment at a ...
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Objectives: The invasion of Iraq and Syria by the so-called "Islamic State of Iraq and Syria" (ISIS) began in 2014. Most of the people were displaced or forced to migrate in great numbers, and as a result, they suffered from mental and emotional disorders. The purpose of this pilot study is to assess ISIS psychiatric patients and report on possible unusual psychosocial symptoms that may occur among them. Methods: The prospective multicenter study, which included 18 patients from a community mental health facility within the IDP camp in Ninewa, included nine former ISIS members and nine general controls both groups suffering MDD and PTSD. The purpose of this study was to screen for unusual signs and symptoms using a semi-structured interview and a mental health assessment. Results: There were a total of nine patients from ISIS affiliates, with an average age of 29 years. The ISIS patients met DSM-V diagnostic criteria for MDD, PTSD, and unusual psychosocial symptoms, but the control group only met DSM-V diagnostic criteria for general mental illnesses, not unusual psychosocial symptoms. This is the first time that uncommon psychosocial symptoms including low self-esteem, dread, suicidal thoughts, aggressive behavior, self-blaming, isolation, and disguising identity have been identified among ISIS psychiatric patients. Conclusion: Extremist groups, particularly ISIS affiliates, are thought to have a considerable prevalence rate of uncommon symptoms, which are thought to be unique to them. Future studies should be encouraged in order to understand more about these unique and unusual characteristics in order to find a more effective therapy and it may be recognized as a novel syndrome.
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The authors examined the psychosocial correlates of 1) having a history of any type of psychiatric treatment and 2) being staff‐identified as a suitable candidate for treatment from an outpatient dual‐diagnosis program. They reviewed 1,303 consecutive patients in a 16‐month period who applied for substance abuse and/or dual‐diagnosis treatment at a Veterans Administration hospital. The sample included 665 individuals describing a history of prior psychiatric treatment, 126 of whom were referred for outpatient dual‐diagnosis treatment. Data were collected at the time of treatment application and included demographics, employment and treatment histories, and recent substance use. Even the broadest definition of dual diagnosis (having a history of any type of psychiatric treatment) was associated with higher rates of homelessness, disconnection from social support systems, unemployment and vocational disability, and treatment chronicity; a narrower definition selected for even greater impairment. Substance abuse programs should anticipate significant case management needs in addition to psychiatric support when treatment programs are expanded to include services to patients with comorbid psychiatric illness.
Dual diagnosis
Psychiatric history
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The purpose of this article is to review the literature on the comorbidity of substance abuse and psychiatric disorder. The paper examines the medical, psychosocial, and vocational rehabilitation concerns associated with substance abuse and psychiatric disorder comorbidity. A greater emphasis is placed on vocational concerns and the role of rehabilitation professionals within this population.
Vocational Rehabilitation
Psychiatric comorbidity
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Self-Efficacy
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Objective: To explore the relationship between sex role and psychosocial adjustment of the Chinese people. Methods: More than 300 subjects were administered the Sex Role Adjective Rating Scale, Self-Experience Inconsistency Scale, Behavior Inhibition Scale and SCL-90, and relations between levels of psychosocial adjustment and sex stereotypes were compared. Results: Masculine and Feminine scores positively correlated with lower psychosocial adjustment, with androgynous the lowest, feminine and undifferentiated the middle, and masculine the best. Conclusion: In Chinese culture, androgynous have lower psychosocial adjustment compared with masculine and feminine individuals. Because of the limitation of adjective ratings, the masculine and feminine characteristics are confused with the results of the questionnaire assessment.
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Androgyny
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