bluuebunny/crossref_metadata_2025_split huggingface dataset:
Relationship of health and demographic characteristics to Mini-Mental State Examination score among community residents
Authors: Fillenbaum G. G. , Hughes D. C. , Heyman A. , George L. K. , Blazer D. G. 
Published: July 2009

SynopsisMini-Mental State findings from an age 60+ random community sample (N = 1681) indicate that score is related to education, age and race (but not sex) and to functional status, but not to selected aspects of physical or mental health. Adjustment for demographic characteristics, particularly education, is recommended lest cognitive impairment be overestimated.
Educational level differences on the Mini-Mental State: the role of test bias
Authors: Jorm A. F. , Scott R. , Henderson A. S. , Kay D. W. K. 
Published: July 2009

SynopsisLess educated elderly people are commonly found to perform more poorly on the Mini-Mental State Examination (MMSE). This educational level difference has been attributed by some research workers to test bias. To assess whether the MMSE is biased against the poorly educated, its validity was assessed separately in the more- and less-educated members of a community sample. No evidence was found to indicate that the test is a biased measure of cognitive impairment.
The specificity of DSM-III schizotypal personality traits
Authors: Squires-Wheeler Elizabeth , Skodol Andrew E. , Friedman David , Erlenmeyer-Kimling L. 
Published: July 2009

SynopsisThe rate of DSM-III schizotypal personality traits was evaluated in three groups of adolescent offspring (ages 15–21), defined by the psychiatric diagnosis of their parents. Parental diagnoses included schizophrenic disorder (40 adolescents), affective disorder (35 adolescents), and ‘no psychiatric disorder’ (normal controls) parents (82 adolescents). The presence of the eight component features of schizotypal personality disorder was assessed from video-taped semi-structured psychiatric interviews, subsequently rated by trained psychiatrists, blind to the parental psychiatric status of the subjects. The effect of age, sex, and social class on the pattern of prevalence results was examined.The expected specificity of DSM-III schizotypal personality traits to schizophrenia was not supported by the prevalence pattern of the traits. Rates of 2 or more, 3 or more, and 4 or more schizotypal personality features were highest in the parental psychiatric groups. The rates of schizotypal personality traits in adolescent offspring of affective disorder parents were as high as those previously reported for relatives of schizophrenic disorder probands.
Bradyphrenia in parkinsonism: a historical review
Authors: Rogers Daniel 
Published: July 2009

SynopsisThe development over the last 60 years of the concept of bradyphrenia, a syndrome including slowing of cognitive processing in parkinsonism, is described. Psychic akinesia and subcortical dementia are seen as more recent synonyms for this syndrome. Its relations to akinesia and the psychomotor retardation of depression are considered in a historical context, as are its implications for the relation of neurological and psychiatric disorder.
Presbyophrenia: the rise and fall of a concept
Authors: Berrios G. E. 
Published: July 2009

SynopsisThe history of the concept of presbyophrenia is traced from its inception in 1863 to the present day. Early in the twentieth century it was used to refer to a subtype of dementia characterized by confabulations, marked memory impairment, hyperactivity, disorientation, elevated mood and preserved social graces. At the time it was considered to be either a form of Korsakoff's psychosis or a subtype of senile dementia. The decline of the concept started in the 1920s and was precipitated by the redefinition of dementia in terms of impaired cognition, cortical symptomatology and specific neuropathological changes.Three explanations for the curious combination of symptoms characterizing presbyophrenia were then suggested: toxic-delirious states, manic illness in late life, or a combination of cerebrovascular disease and senile dementia. It is suggested that the dismissal of presbyophrenia could have been premature as it may capture a behavioural phenocopy of relevance to clinical practice.
Hysteria — a neurologist's view
Authors: Marsden C. D. 
Published: July 2009

SynopsisHysterical symptoms are defined as complaints that are not fully explained by organic or functional neurological disease. Hysterical symptoms are common in neurological practice, accounting for about 1% of neurological diagnoses. Of those with neurological hysterical symptoms, about 80% will not have the hysterical personality, and about 80% will not have Briquet's hysteria. Some 60% will have a physical disease and perhaps as many as 50% will have recognizable psychiatric illness, particularly depression. Others may have unrecognized physical or psychiatric illness. Many hysterical symptoms may be understood in terms of abnormal illness behaviour.
Down's Syndrome and Alzheimer's disease: a review
Authors: Oliver C. , Holland A. J. 
Published: July 2009

SynopsisNeuropathological change found in nearly all individuals with Down's Syndrome over the age of 35 years closely resembles that of Alzheimer's disease. The extent to which dementia occurs as a result of this change is unclear, and the studies which have investigated presumed cognitive deficits are reviewed. The theories put forward to explain the association between these two disorders and their possible significance to the understanding of the aetiology of Alzheimer's disease are discussed.
A pilot study of erythrocyte choline flux and content in affective disorders
Authors: Uney J. B. , Duggan C. , Marchbanks R. M. , Jacoby R. 
Published: July 2009

SynopsisCholine influx and choline content were measured in healthy volunteers (N = 36), patients with unipolar affective disorder (N = 28), and bipolar patients before and during treatment with lithium (N = 14, N = 13 respectively). Erythrocyte choline content was not found to be significantly elevated in any of the groups studied, except in patients taking lithium. Choline influx into the erythrocytes of healthy controls was found to decrease with increasing age, while choline influx into lithiated erythrocytes increased with increasing age in patients. An inverse relationship between erythrocyte choline influx and content was found to exist only in the erythrocytes of elderly healthy volunteers (≥ 60 years old).
The utility of latent trait models in psychiatric epidemiology
Authors: Duncan-Jones P. , Grayson D. A. , Moran P. A. P. 
Published: July 2009

SynopsisLatent trait modelling is a recent psychometric technique with great potential for the construction and refinement of psychiatric instruments. It provides a greater insight into the nature of measurement in psychiatry and the statistical machinery for improving it. This expository paper starts with a non-technical outline of the latent trait model, gives a detailed analysis of the 12-item General Health Questionnaire (GHQ) and examines points raised by the empirical analysis through computer simulation. It is shown that the latent trait model can give a good representation of empirical data and uncover new aspects of a familiar instrument. It provides a precise methodology for evaluating the functioning of a questionnaire and for developing better short instruments. It highlights the need, and provides the means, to tailor instruments for different tasks, such as (a) screening, and (b) measuring over the whole range of the population. We examine scoring in the light of the model, and show that simple scoring is often adequate. While points for further methodological development are noted, it is argued that the method is already sufficiently developed for general application.
Psychological deviance in children attending general practice
Authors: Garralda M. E. , Bailey D. 
Published: July 2009

SynopsisParental questionnaires identified 22% of children aged 7–12 years attending 8 general practices as psychologically deviant. Most attended for physical complaints. A comparison with general population rates showed that deviant children were over-represented among surgery attenders, particularly in the more socially advantaged areas. This finding may be explained through (1) an excess of somatic symptoms in deviant children; (2) increased parental concern about the child's health as an extension of concern about his behaviour; (3) family stress. These possibilities are discussed.
Past and Present State Examination: the assessment of ‘lifetime ever’ psychopathology
Authors: McGuffin Peter , Katz Randy , Aldrich Julie 
Published: July 2009

SynopsisA Past History Schedule (PHS) for use in conjunction with the Present State Examination (PSE) is described. The PHS/PSE interview enables a rating of ‘lifetime ever’ psychopathology to be performed. It provides good inter-rater reliability, as well as a satisfactory agreement between retrospective interviews and casenote-based assessment of past psychopathology. The PHS has been devised specifically for use in a family-genetic study of affective illness, but the general approach may be applicable to other categories of psychiatric disorder.
Food craving, mood and the menstrual cycle
Authors: Bancroft John , Cook Ann , Williamson Lynn 
Published: July 2009

SynopsisSeventy-six women, with a mean age of 35–7 years, who reported premenstrual craving for sweet foods in a retrospective questionnaire, were assessed prospectively with a pre- and postmenstrual eating questionnaire and daily ratings of craving, mood, irritability and breast tenderness over two menstrual cycles.In 72 % of these women a perimenstrual pattern of food craving was confirmed. In 13 % this craving was confined to the menstrual phase. There was no consistent association between food craving and mood change, either in timing or severity. Women with more severe mood change did not report more severe craving. There was also no association between food craving and cyclical breast tenderness. Perimenstrual food craving, therefore, appears to be a cyclical phenomenon in its own right, of uncertain aetiology and worthy of further study.
Drug response patterns as a basis of nosology for the mood-incongruent psychoses (the schizophrenias)
Authors: Garver David L. , Kelly Kathleen , Fried Karen A. , Magnusson Mary , Hirschowitz Jack 
Published: July 2009

SynopsisInteraction of therapeutic drugs with a series of different biopathological substrates of psychosis might be expected to generate a series of different response patterns. Herein the authors suggest that multi-modal response patterns following lithium and neuroleptic treatment of psychotic patients may aid in resolving the heterogeneity of psychotic disorders and lead to a new nosology of the psychoses.
Symptom complaints, psychiatric disorder and abnormal illness behaviour in patients with upper abdominal pain
Authors: Colgan Stephen , Creed Francis , Klass Howard 
Published: July 2009

SynopsisSeventy patients presenting to the gastroenterologist with upper abdominal pain were examined by a psychiatrist to establish the presence of psychiatric disorder, illness behaviour and to record in detail their symptom pattern. The 37 patients who had no organic cause for their abdominal complaints were subdivided into those with and without psychiatric disorder. The former (21 patients) demonstrated more illness behaviour, they complained of more abdominal symptoms and their pain was both more severe and more persistent than in the patients with organic disease and those with non-organic illness who did not have psychiatric disorder. The latter group reported no symptoms of ‘psychoneurosis’ and should probably be regarded as a separate group if the aetiology of functional abdominal pain is to be clarified. Those with non-organic abdominal complaints who had psychiatric illness could be distinguished by the presence of three symptoms, namely depression, anxiety and fatigue. Detection and treatment of their psychiatric disorder might lead to a decrease in their symptomatic complaints and illness behaviour.
Depression and anxiety in unemployed men
Authors: Eales M. J. 
Published: July 2009

SynopsisPsychiatric status and psychosocial variables were assessed in a group of 80 unemployed men. Symptoms of depression and anxiety were assessed using the Present State Examination and ‘caseness’ rated according to the Bedford College criteria. Among men who were normal at the time of job loss, 14% developed a ‘case’ disorder and a further 17% a ‘borderline case’ disorder over the first 6 months of unemployment. These rates are similar to those found in studies concerned with a wider range of severe life events. An increased risk of onset was associated with three factors: lack of an intimate relationship with a wife or girlfriend, trait shyness, and preexisting economic difficulties.
Mortality in eating disorders
Authors: Patton G. C. 
Published: July 2009

SynopsisCrude mortality rates and mortality rates standardized against a British reference population have been calculated for a group of 460 consecutive patients with eating disorders seen between 1971 and 1981 in a tertiary referral centre for eating disorders. Crude mortality rates were 3·3% and 3·1% in the anorexia nervosa and bulimia nervosa groups respectively. Standardized rates demonstrated a six-fold increase in mortality in the anorexia nervosa group. The most common cause of death in this group was found to be suicide, with the risk of death remaining high for at least eight years after initial assessment. Specific associations of increased mortality were: being in the lowest weight group at the time of presentation, and having recurrent hospital admissions for eating problems.
The value of an improved scoring system (CGHQ) for the General Health Questionnaire in a representative community sample
Authors: Huppert Felicia A. , Gore Mauvis , Elliott B. Jane 
Published: July 2009

SynopsisThe value of a new method of scoring the General Health Questionnaire (CGHQ) has been assessed in a representative sample of 6317 British community residents aged 18 +. The CGHQ, which takes account of the chronicity of psychiatric symptoms, is found to be superior to the conventional scoring method in yielding a wider range of scores, a more normal distribution and in its close association to a well validated measure of neurotic illness.On the other hand, the conventional GHQ and the CGHQ score appear equally sensitive to a number of socio-demographic variables, including social class, marital status and employment. An important finding is that the two methods identify different individuals as cases. Compared with the GHQ, the CGHQ identifies a higher proportion of the middle-aged. The implications of these findings with respect to the optimal method of scoring the GHQ are discussed.
Performance effects of diazepam during and after prolonged administration
Authors: Brosan Lee , Broadbent Donald , Nutt David , Broadbent Margaret 
Published: July 2009

SynopsisSeven volunteers received diazepam for a 3-week period, maximum dose rate 25 mg per day, and were tested on a variety of functions before, at two points during, and at two points after the period. Their performance was compared with that of 8 controls and was inferior on a number of measures. There was no indication either of habituation or of potentiation of the effects as the period continued. Equally, the low performance persisted for some time after administration ceased, although performance was on the whole better than during the experimental period. The particular measures showing deterioration suggested that the effects are similar to those of barbiturates as opposed to those of, for example, chlorpromazine.
Patterns of psychiatric diagnosis in general practice: the Second National Morbidity Survey
Authors: Dunn Graham 
Published: July 2009

SynopsisMultidimensional scaling, in the form of principal coordinates analysis and two-way correspondence analysis, is used to illustrate inter-practice variation in patterns of psychiatric diagnoses provided by data from the longitudinal file of the Second National Morbidity Survey. The results strongly support the view that general practitioners' diagnostic habits should be validated before their records are used to provide data on ‘official’ estimates of psychiatric morbidity. It is recommended that, whatever the quality of the data, large tables of official socio-economic or medical statistics should be supplemented by graphical summaries, as they quite often are in France.
General practitioners' selection of patients for treatment in community psychiatric services
Authors: Munk-Jørgensen Povl 
Published: July 2009

SynopsisIn a Danish community psychiatric service the patients referred from general practitioners (GPs) to the community psychiatric service (CPS) are compared with matched individuals with conspicuous psychiatric morbidity treated in general practice only. The psychopathology of the referred patients is more severe, as estimated by two different methods. They make fewer social contacts and their work situations are unfavourable. It was found that to a great extent the GPs refer their patients with mental disorders to the CPS so that the ‘filter’ between the GP and the CPS is very permeable. Of the patients treated by the GPs only (the matched group), no more than 54% were assessed by a psychiatrist as psychiatric ‘cases’. Psychopathology thus only partly determines the GPs' assessment of psychiatric ‘caseness’, in which social impairment plays an important part. The GPs diagnose more mental disorder than the psychiatrists, possibly because of an intimate acquaintance with the anamnesis.
Comparative study of the prevalence of abnormal eating attitudes among Arab female students of both London and Cairo Universities
Authors: Nasser Mervat 
Published: July 2009

SynopsisTwo matched samples of Arab female undergraduate students attending London and Cairo Universities were recruited to determine the relative prevalence of abnormal eating attitudes and the effect of exposure to Western culture upon this prevalence. A positive response was reported on the Eating Attitudes Test (EAT-40) in 22% of the students in the London group and 12% in the Cairo group, indicating that abnormal attitudes occur in this non-Western population. Six cases among the London sample fulfilled diagnostic criteria for bulimia nervosa, but no cases of either anorexia or bulimia were identified in the Cairo sample.
Completed suicide and criminality: lack of a direct relationship
Authors: Modestin Jiri , Emmenegger Pierre-Alain 
Published: July 2009

SynopsisA comparison was made of the crime rate among 181 suicides and 181 controls, representing an unselected sample of the population matched with the suicides for sex, age, marital status, place of residence and occupational level. Sixteen per cent of the suicides and 11% of the controls had a criminal record, a statistically insignificant difference. In addition, no significant differences were found in the proportion of recidivists and of violent offenders, or in the number of their offences and convictions. A significant difference was found regarding the distribution of the offences by particular laws: more than a half of the offences committed by criminal suicides concerned violations of the road traffic laws, this being in agreement with the hypothesis that risky, accident-prone behaviour is a suicidal behaviour equivalent.
‘Schizoid’ personality and antisocial conduct: a retrospective case note study
Authors: Wolff Sula , Cull Ann 
Published: July 2009

SynopsisA retrospective case note analysis for 30 boys diagnosed as having a ‘schizoid’ personality disorder (Asperger's syndrome) in childhood, and for 30 matched clinic attenders (with systematic follow-up data for 19 matched pairs), showed the incidence of antisocial conduct to be the same in the two groups. However, the ‘schizoid’ boys stole less often and had fewer alcohol problems. In this group antisocial conduct was less related to family disruption and social disadvantage, and more to an unusual fantasy life. Clinical descriptions of a series of ‘schizoid’ boys and girls with conspicuous antisocial conduct follow. They suggest that characteristic patterns of antisocial conduct in such children are persistent expressions of hostility and, especially in girls, pathological lying, for which environmental circumstances provide no explanation.
The reliability and validity of PSE assessments by lay interviewers: a national population survey
Authors: Rodgers Bryan , Mann Sheila A. 
Published: July 2009

SynopsisStudies employing psychiatric rating instruments administered by lay interviewers need to demonstrate the reliability and validity of subject classification. In a national population study utilizing the short form of the Present State Examination, audiotapes of interviews were used to demonstrate the reliability of ratings. The classification of ‘cases’ was found to be related to self-reports of nervous trouble and help–seeking for such problems. Associations between the rate of psychiatric disorder and demographic factors were similar to those found in previous community surveys. In general, the method of psychiatric assessment was considered to be satisfactory. Recommendations are made for the monitoring of interviews in similar large-scale investigations.
Mental illness and the late Victorians: a study of patients admitted to three asylums in York, 1880–1884
Authors: Renvoize Edward B. , Beveridge Allan W. 
Published: July 2009

SynopsisThe case histories of the patients newly admitted to the Retreat Asylum in York between 1880–1884 were examined. Most patients were aged under 50 years, single and non-Quaker, and a majority satisfied the Research Diagnostic Criteria for a diagnosis of schizophrenia or affective disorder. It was found that 72·9% of the patients were deluded, the most common delusions being of persecution, grandeur and guilt; in 34·9% of the deluded patients, the delusion had a religious content. Suicidal ideation was recorded in the case records of 31·4% of the patients. Drug therapy was commonly prescribed, a history of assault on other patients or asylum staff was recorded in 38·1% of the patients, and 11% of patients were force fed at some stage during their illness. Within a year of admission 49·1% of the patients were discharged, the prognosis being better for patients with an affective illness than for schizophrenia, but 31·4% remained in the asylum for five or more years.The characteristics, alleged causes of mental illness, and treatment and outcome of the Retreat patients were compared with those of patients admitted during the same period to the two other York asylums which served different socio-economic groups of the population. Mortality rates were higher in the asylum admitting mainly pauper patients, and possible reasons for this are explored.
Rich and mad in Victorian England
Authors: Turner Trevor 
Published: July 2009

SynopsisClinical analyses of 19th century psychiatric practice have been limited by the paucity of available records. Using the richly detailed casebooks of Ticehurst House Asylum, it was possible to study over 600 admissions and assess them using the Research Diagnostic Criteria. Over 80% of cases conformed to recognizable psychiatric illness, mainly schizophrenia and manicdepressive psychosis. Movement disorder, often equivalent to tardive dyskinesia, was noted in nearly one-third of schizophrenics. Violence, masturbation and severe psychopathology were also common features. The implications of these findings in terms of treatment, diagnosis and the rise of the asylum are discussed.