Introduction: Psychotic features in patients with bipolar disorder (BD) have been poorly researched in the con-text of their relationship with the longitudinal course and demographic and clinical characteristics of the illness. Material and methods: In a cross-sectional study of BD patients, comprehensive demographic and clinical characteristics were assessed using the Structured Clinical Instrument for DSM-IV-TR (SCID). Manic symptoms were assessed using Young’s Mania Rating Scale (YMRS), depressive symptoms by the Montgomery-Åsberg Depression Rating Scale (MADRS) and psychotic symptoms with the Scale for Assessment of Positive Symptoms (SAPS). The relationships between these characteristics and psychotic symptoms were analysed. The independent samples t -test was used to assess continuous variables, while the χ 2 test was used to assess categorical data. Results: Psychotic features were associated with BD in 48.94% of patients ( n = 92 out of a total of 188 patients having BD). Of these, 45.74% ( n = 86) had mood-congruent psychotic features and 3.19% ( n = 6) had mood-incongruent psychotic features. All six patients who had mood-incongruent psychotic features had manic symptoms. Conclusions: Our findings suggest that mood-congruent psychotic symptoms in BD are associated with a more severe, predominantly manic illness course. Mean age at onset was 27.76 (±8.54) years for patients with mood-congruent psychotic features and 28.00 (±11.08) years for patients with mood-incongruent psychotic features.
{"title":"Characteristics of mood-congruent and mood-incongruent psychotic features in bipolar disorder","authors":"P. Chaudhary, N. Parikh, Prateek Sharma","doi":"10.5114/NAN.2021.108035","DOIUrl":"https://doi.org/10.5114/NAN.2021.108035","url":null,"abstract":"Introduction: Psychotic features in patients with bipolar disorder (BD) have been poorly researched in the con-text of their relationship with the longitudinal course and demographic and clinical characteristics of the illness. Material and methods: In a cross-sectional study of BD patients, comprehensive demographic and clinical characteristics were assessed using the Structured Clinical Instrument for DSM-IV-TR (SCID). Manic symptoms were assessed using Young’s Mania Rating Scale (YMRS), depressive symptoms by the Montgomery-Åsberg Depression Rating Scale (MADRS) and psychotic symptoms with the Scale for Assessment of Positive Symptoms (SAPS). The relationships between these characteristics and psychotic symptoms were analysed. The independent samples t -test was used to assess continuous variables, while the χ 2 test was used to assess categorical data. Results: Psychotic features were associated with BD in 48.94% of patients ( n = 92 out of a total of 188 patients having BD). Of these, 45.74% ( n = 86) had mood-congruent psychotic features and 3.19% ( n = 6) had mood-incongruent psychotic features. All six patients who had mood-incongruent psychotic features had manic symptoms. Conclusions: Our findings suggest that mood-congruent psychotic symptoms in BD are associated with a more severe, predominantly manic illness course. Mean age at onset was 27.76 (±8.54) years for patients with mood-congruent psychotic features and 28.00 (±11.08) years for patients with mood-incongruent psychotic features.","PeriodicalId":41766,"journal":{"name":"Neuropsychiatria i Neuropsychologia","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70464969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Najmeh Keshavaraz, M. Firouzkouhi, Abdolghani Abdollahimohammad, M. Naderifar, Maryam Jahantigh
Introduction: These problems along with myocardial infarction (MI) lead to worse physical and mental con-ditions, poor quality of life, readmission, and premature death. Therefore, the aim of the present study was to investigate the effect of telenursing on stress, anxiety, and depression in MI patients. Material and methods: This quasi-experimental study was performed on 40 MI patients who were selected using simple random sampling and divided into intervention and control groups ( n = 20 per group). Routine training was given to both groups before discharge. Then a demographic information questionnaire and standard Depression, Anxiety and Stress Scale – 21 Items (DASS-21), which had acceptable validity and reliability, were provided to each patient. The intervention group, in addition to routine training, received an average 10-min telephone follow-up intervention once a week for one month. Results: The mean scores of stress, anxiety, and depression before the intervention were 18.80 ±47.4, 13.60 ±3.7, and 8.60 ±2.89 in the control group, and 20.90 ±6.03, 12.00 ±5.06, and 9.70 ±3.06 in the intervention group respectively, which were statistically significant in both groups after the intervention ( p < 0.001). Conclusions: The results showed that nurse-led telephone training and follow-up reduce stress, anxiety and depression in MI patients. It is recommended to take into account this method considering the lack of need for travelling, reduction of additional costs, and timely access to information, and training hygiene tips in health care centers.
{"title":"Effect of telenursing on stress, anxiety and depression \u0000in patients with myocardial infarction","authors":"Najmeh Keshavaraz, M. Firouzkouhi, Abdolghani Abdollahimohammad, M. Naderifar, Maryam Jahantigh","doi":"10.5114/NAN.2021.108036","DOIUrl":"https://doi.org/10.5114/NAN.2021.108036","url":null,"abstract":"Introduction: These problems along with myocardial infarction (MI) lead to worse physical and mental con-ditions, poor quality of life, readmission, and premature death. Therefore, the aim of the present study was to investigate the effect of telenursing on stress, anxiety, and depression in MI patients. Material and methods: This quasi-experimental study was performed on 40 MI patients who were selected using simple random sampling and divided into intervention and control groups ( n = 20 per group). Routine training was given to both groups before discharge. Then a demographic information questionnaire and standard Depression, Anxiety and Stress Scale – 21 Items (DASS-21), which had acceptable validity and reliability, were provided to each patient. The intervention group, in addition to routine training, received an average 10-min telephone follow-up intervention once a week for one month. Results: The mean scores of stress, anxiety, and depression before the intervention were 18.80 ±47.4, 13.60 ±3.7, and 8.60 ±2.89 in the control group, and 20.90 ±6.03, 12.00 ±5.06, and 9.70 ±3.06 in the intervention group respectively, which were statistically significant in both groups after the intervention ( p < 0.001). Conclusions: The results showed that nurse-led telephone training and follow-up reduce stress, anxiety and depression in MI patients. It is recommended to take into account this method considering the lack of need for travelling, reduction of additional costs, and timely access to information, and training hygiene tips in health care centers.","PeriodicalId":41766,"journal":{"name":"Neuropsychiatria i Neuropsychologia","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70465122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}