Search results for " Mental Health"
showing 10 items of 3677 documents
Recognition of rapid-eye-movement sleep from single-channel EEG data by artificial neural networks: a study in depressive patients with and without a…
1996
An automatic procedure for the online recognition of REM sleep appears to be a necessary tool for selective REM sleep deprivation in depressive patients. To develop such a procedure we applied an artificial neural network to preprocessed single-channel EEG activity. EOG and EMG information was purposely not provided as input to the network. A generalized back-propagation algorithm was used for computer simulation. The sleep profile scored manually according to Rechtschaffen and Kales served as the desired output during the training period and as standard for the judgement of the network output during working mode. Polysomnographic recordings from 5 healthy subjects were pooled to train the …
Associations between depression and specific childhood experiences of abuse and neglect: a meta-analysis
2015
Background\ud Research documents a strong relationship between childhood maltreatment and depression. However, only few studies have examined the specific effects of various types of childhood abuse/neglect on depression. This meta-analysis estimated the associations between depression and different types of childhood maltreatment (antipathy, neglect, physical abuse, sexual abuse, and psychological abuse) assessed with the same measure, the Childhood Experience of Care and Abuse (CECA) interview.\ud \ud Method\ud A systematic search in scientific databases included use of CECA interview and strict clinical assessment for major depression as criteria. Our meta-analysis utilized Cohen's d and…
Personality and Defence Mechanisms in Takotsubo Cardiomyopathy
2017
IntroductionTakotsubo cardiomyopathy (TC) is an acute cardiologic syndrome, characterized by specific symptoms and ECG, echocardiographic and enzymatic abnormalities, similar to an acute myocardial infarction, with no hemodynamically significant stenosis at coronary-ventriculography.ObjectiveTo assess personality in TC patients in order to find common psychopathological elements.MethodsA series of consecutive patients suffering from TC hospitalized at the Cardiology Unit of “Ingrassia” Hospital in Palermo in 2013–2014, were included in the study. We used Structured Clinical Interview for Axis I and II, according to DSM-IV TR criteria. Further, the Defense Mechanisms Inventory (DMI), used in…
High utilizers of medical care
2004
Abstract Objective Patients with somatoform disorders (SFD) are likely to overutilize healthcare services. This study investigates (a) whether extraordinarily high medical costs can be predicted from patient characteristics or psychopathology, and (b) whether high-utilizing patients respond differently to cognitive–behavioral treatment. Methods We compared 42 SFD high utilizers with 53 SFD average utilizers and 29 patients suffering from other than SFD mental disorders. High utilization was defined by healthcare expenditures of ≥€2500 during the past 2 years. Costs were computed from medical and billing records of health insurance companies. Somatization distress, hypochondriasis, depressio…
Mental adjustment to cancer and quality of life in breast cancer patients: An exploratory study
1994
This study explores the relationship between adjustment to cancer and quality of life in a sample of 68 newly diagnosed non-metastatic breast cancer patients. Responses were assessed on three occasions following communication of the diagnosis and included the Mental Adjustment to Cancer (MAC) scale, a measure of denial and a Spanish quality of life questionnaire for breast cancer patients. Appropriate medical variables were considered and included in the analysis. MAC subscales showed adequate internal consistency; nevertheless, there was overlap between subscales and a second order factorial analysis suggested that two dimensions (‘perceived threat’ and ‘perceived control’) suffice to desc…
Influence of Attitudes towards Change and Self-directness on Dropout in Eating Disorders: A 2-Year Follow-up Study
2012
Objective This study examined dropout-related factors at the Outpatient Eating Disorders Treatment Programme. Method One hundred ninety-six eating disorders patients following DSM-IV diagnostic criteria that consecutively commenced treatment were recruited and followed up for a 2-year period. A total of 151 patients completed the whole assessment with a set of questionnaires evaluating eating and general psychopathology. The Attitudes towards Change in Eating Disorders questionnaire was used, and personality was evaluated using the Temperament and Character Inventory. During the follow-up period, patients were re-assessed. Two years later, 102 patients continued on treatment. Results Scores…
Somatosensory Illusions Elicited by Sham Electromagnetic Field Exposure: Experimental Evidence for a Predictive Processing Account of Somatic Symptom…
2020
OBJECTIVE According to the predictive processing theory of somatic symptom generation, body sensations are determined by somatosensory input and central nervous predictions about this input. We examined how expectations shape predictions and consequently bodily perceptions in a task eliciting illusory sensations as laboratory analogue of medically unexplained symptoms. METHODS Using the framework of signal detection theory, the influence of sham Wi-Fi on response bias (c) and somatosensory sensitivity (d') for tactile stimuli was examined using the somatic signal detection task (SSDT). A healthy student sample (n = 83) completed the SSDT twice (sham Wi-Fi on/off) in a randomized order after…
Relationship of subjective helplessness and pain perception after electric skin stimuli
2000
Objective and subjective controllability of painful stimuli are important factors in pain perception. The present study investigated direct and indirect effects of uncontrollability on perceived pain intensity in humans. Forty-eight healthy male volunteers participated in a laboratory experiment using a reaction time paradigm to induce controllable or uncontrollable feedback conditions in two randomly selected groups. Under controllable conditions, unpleasant electric skin shocks were applied, only when the actual time exceeded an individual threshold; under uncontrollable conditions, skin shocks were applied randomly using a yoked control design. Subjective helplessness, perceived pain int…
The Spanish version of the Obsessive-Compulsive Inventory-Revised (OCI-R): Reliability, validity, diagnostic accuracy, and sensitivity to treatment e…
2013
Abstract This study examines the psychometric properties of the Obsessive-Compulsive Inventory-Revised (OCI-R) in Spanish and Argentinean samples. 90 OCD patients, 31 with non-OCD anxiety disorders and 84 non-clinical individuals completed the Spanish version of the OCI-R along with other OCD, depression, anxiety, and OCD-related cognition measures. The OCI-R showed significant associations with both OCD severity and other OCD symptom measures, beyond the relationships with depression, anxiety, and worry. The questionnaire also differentiated OCD from other anxiety disorders, except on the ordering and hoarding subscales. The relationships between the OCI-R subscales and dysfunctional belie…
Trastornos del estado de ánimo al final de la vida: ¿desmoralización o depresión?
2008
This paper analyzes problems that result in an alteration of mood, particularly in the sadness found in people with a serious physical illness at the end of life. The problems and implications of an faulty diagnosis, the confusions associated with a diagnosis of depression, and the importance of differen-tiation between “normal” mood reactions to illness, and pathological reactions, are analyzed. Several studies are reviewed and analyzed that propose the incorporation of a new syndrome to the traditional psychiatric classifications: demoralization. Finally the implications, advantages, and inconveniences of including a demoralization syndrome are discussed.