Pub Date : 2017-05-01DOI: 10.20471/DEC.2017.53.02.01
M. Grizelj, Danijel Crnković, Lidija Kostanjšak, N. Vrkić, D. Karlovic
Mateja Grizelj1, Danijel Crnković2, Lidija Kostanjšak3, Nada Vrkić4, Dalibor Karlović2 1Varažin Institute of Public Health, Varaždin, Croatia 2Department of Psychiatry, Sestre milosrdnice University Hospital Center, Zagreb, Croatia 3Acute Psychiatric Unit, University Hospital Campus, Ennis, Co. Clare, Ireland 4Department of Medical Biochemistry and Hematology, University of Zagreb, Zagreb, Croatia Original paper
{"title":"Comparison of Lithium Concentration in Serum, Plasma and Erythrocytes","authors":"M. Grizelj, Danijel Crnković, Lidija Kostanjšak, N. Vrkić, D. Karlovic","doi":"10.20471/DEC.2017.53.02.01","DOIUrl":"https://doi.org/10.20471/DEC.2017.53.02.01","url":null,"abstract":"Mateja Grizelj1, Danijel Crnković2, Lidija Kostanjšak3, Nada Vrkić4, Dalibor Karlović2 1Varažin Institute of Public Health, Varaždin, Croatia 2Department of Psychiatry, Sestre milosrdnice University Hospital Center, Zagreb, Croatia 3Acute Psychiatric Unit, University Hospital Campus, Ennis, Co. Clare, Ireland 4Department of Medical Biochemistry and Hematology, University of Zagreb, Zagreb, Croatia Original paper","PeriodicalId":7443,"journal":{"name":"Alcoholism and psychiatry research","volume":"53 1","pages":"99-114"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.20471/DEC.2017.53.02.01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48659352","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}
Pub Date : 2017-01-01DOI: 10.20471/APR.2017.53.01.05
T. Ž. Palijan
IntroductionBreast cancer is the most common cancer in women [1]. It is estimated that one in eight women in the world is affected by this illness during her life [2]. Breast cancer is the leading cancer in women in Croatia, too. Out of all women suffering from all kinds of cancers, 24% are those suffering from breast cancer [3]. Although it is usually found in women over 50 years of age, today there is an increase in frequency of this cancer in younger women as well [1]. This younger population of women fighting breast cancer has more problems adjusting to diagnosis, has frequent anxiety symptoms as well as other psychological symptoms that my lead to a decrease in life quality [1]. Since in addition to regular somatic symptoms the affected women often have psychological symptoms, it is important to recognize and adequately treat them in order to prevent the decrease in life quality [1,4]. Studies show that almost 30-40% of affected women develop psychiatric symptoms, such as depression, anxiety or adjustment disorder [1,5]. It is necessary to point out that the diagnosis of breast cancer and the subsequent surgery are important (traumatic) events for every patient that may lead to low self esteem, developing poor body image or sexual dysfunctions [6]. Everything said above indicates the need for psychosocial interventions [6,7] that can influence the life quality factors, such as normal sleep, reduction of fatigue, mood disorders, vitality increase, pain reduction and the like [7]. Various psychotherapeutic techniques can be used to influence these factors. Studies show that cognitive-behavioral techniques [8-10] reduce depression, anxiety, fatigue, improve sleep [8] or reduce pain [10].Hypnosis also has a special place in this kind of interventions. Hypnotic trance can be used for relaxation, insomnia or chronic pain reduction with an emphasis on patient's learning through hypnosis about relationship improvements, which may have a lot of benefits for the patient [11]. Visualization in hypnotic trance is a special technique that can be used to reduce depression [12], which is very common in breast cancer patients [1,5]. Moreover, it is important to point out that psychological and psychotherapeutic treatments are beneficial for immunological system as well [12].The aim of this case report is to emphasize the importance of psychotherapeutic procedures in treatment of cancer patients.The main problem as well as the aim of psychotherapy with cancer patients is confrontation with the illness, accepting the illness and long treatment, accepting role changes in the family and professional life. Along with individual psychotherapy, it is important to include family members in therapy, which deals with role changes, lifestyle changes and goal changes. There are also support groups with other patients. It is important to set short-term and long-term goals.Individual psychotherapy can be combined with problem visualization or problem personification in h
{"title":"Izvješće o slučaju, psihoterapeutski postupak s pacijenticom s karcinomom dojke","authors":"T. Ž. Palijan","doi":"10.20471/APR.2017.53.01.05","DOIUrl":"https://doi.org/10.20471/APR.2017.53.01.05","url":null,"abstract":"IntroductionBreast cancer is the most common cancer in women [1]. It is estimated that one in eight women in the world is affected by this illness during her life [2]. Breast cancer is the leading cancer in women in Croatia, too. Out of all women suffering from all kinds of cancers, 24% are those suffering from breast cancer [3]. Although it is usually found in women over 50 years of age, today there is an increase in frequency of this cancer in younger women as well [1]. This younger population of women fighting breast cancer has more problems adjusting to diagnosis, has frequent anxiety symptoms as well as other psychological symptoms that my lead to a decrease in life quality [1]. Since in addition to regular somatic symptoms the affected women often have psychological symptoms, it is important to recognize and adequately treat them in order to prevent the decrease in life quality [1,4]. Studies show that almost 30-40% of affected women develop psychiatric symptoms, such as depression, anxiety or adjustment disorder [1,5]. It is necessary to point out that the diagnosis of breast cancer and the subsequent surgery are important (traumatic) events for every patient that may lead to low self esteem, developing poor body image or sexual dysfunctions [6]. Everything said above indicates the need for psychosocial interventions [6,7] that can influence the life quality factors, such as normal sleep, reduction of fatigue, mood disorders, vitality increase, pain reduction and the like [7]. Various psychotherapeutic techniques can be used to influence these factors. Studies show that cognitive-behavioral techniques [8-10] reduce depression, anxiety, fatigue, improve sleep [8] or reduce pain [10].Hypnosis also has a special place in this kind of interventions. Hypnotic trance can be used for relaxation, insomnia or chronic pain reduction with an emphasis on patient's learning through hypnosis about relationship improvements, which may have a lot of benefits for the patient [11]. Visualization in hypnotic trance is a special technique that can be used to reduce depression [12], which is very common in breast cancer patients [1,5]. Moreover, it is important to point out that psychological and psychotherapeutic treatments are beneficial for immunological system as well [12].The aim of this case report is to emphasize the importance of psychotherapeutic procedures in treatment of cancer patients.The main problem as well as the aim of psychotherapy with cancer patients is confrontation with the illness, accepting the illness and long treatment, accepting role changes in the family and professional life. Along with individual psychotherapy, it is important to include family members in therapy, which deals with role changes, lifestyle changes and goal changes. There are also support groups with other patients. It is important to set short-term and long-term goals.Individual psychotherapy can be combined with problem visualization or problem personification in h","PeriodicalId":7443,"journal":{"name":"Alcoholism and psychiatry research","volume":"53 1","pages":"45-54"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.20471/APR.2017.53.01.05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67598242","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}
Pub Date : 2017-01-01DOI: 10.20471/APR.2017.53.01.07
A. Baburin, E. Sobornikova, O. Borisova, A. Magay
According to WHO report published in 2014 Russia ranks world N°4 by alcohol consumption, Croatia - N° 11, Serbia - N° 32, Italy - N° 37, USA - N° 56. Per capita alcohol consumption in modern Russia is an average 15.76 litres of pure alcohol. To compare with the year 1912 per capita alcohol consumption in Russia was 3.14 litres of pure alcohol. In WHO opinion per capita alcohol consumption over 8.0 litres of pure alcohol is a national danger.Aid programs for alcohol addicted people exist in the USA for over 100 years. In connection with obsolescence of the most popular and wide-spread Alcoholics Anonymous approach founded in 1930-1940 - other programs are actively developing now.In Russia social sobriety movement has a history of more than 130 years' experience. From the middle of the 19th century there was an active social sobriety movement connected with such names as a great Russian teacher and public figure Rachinsky S.A., the archpriest Alexander Rozhdestvensky, St. Righteous John of Kronstadt. However scientifically based aid programs for alcohol addicted people have spread in the USSR only in the eighties of the XX Century.In Croatia the development of scientific aid program for alcohol addicted has started in the sixties of the XX Century and is connected with the name of a world-famous psychiatrist Vladimir Hudolin (2.05.192226.12.1996). Vladimir Hudolin has graduated from the chair of nervous and mental diseases of medical faculty of the Zagreb university, the chair was based in 1921 by a distinguished psychoneurologist, professor, Russian nobleman Lapinskiy Michail Niki- tovich (1862, Russia - 1949, Argentina). Doing an internship in Great Britain and Scotland clinics in 1952-1953, Vladimir Hudolin has got acquainted with clinical psychiatrist and the pioneer of social psychiatry Joshua Birer who has created in 1938-1939 the first therapeutic social club for patients of lunatic asylum and also with Maxwell Jones and his therapeutic community in Belmont hospital (Henderson Hospital). On the base of psychoneurological office of university hospital named after "Doctor Mladen Stojanovic" Vladimir Hudolin on his returning to Zagreb has organized "open doors" system suggested by Scottish psychiatrist John Batty Tyyuk. He has also begun to implement there a therapeutic communities methodology, strategy of work in small groups and family approach."Rising star of social psychiatry"- the president of World association of social psychiatry A. Guilherme Ferreira has said about 45-year-old Vladimir Hudolin. Hudolin on the base of experience, theory of systems of Bertalanfi and reflections of his own began to develop social-ecological theory of alcoholism. According to this approach - problems connected with consumption of alcohol and other psychoactive agents are to be considered in the context of deviant behavior and lifestyle of addicted person. In this regard it is necessary to take into consideration the influence of immediate environment and in
{"title":"Russian Orthodox Parish Family Clubs of Sobriety. Specific of Rehabilitation Work (1992-2016)","authors":"A. Baburin, E. Sobornikova, O. Borisova, A. Magay","doi":"10.20471/APR.2017.53.01.07","DOIUrl":"https://doi.org/10.20471/APR.2017.53.01.07","url":null,"abstract":"According to WHO report published in 2014 Russia ranks world N°4 by alcohol consumption, Croatia - N° 11, Serbia - N° 32, Italy - N° 37, USA - N° 56. Per capita alcohol consumption in modern Russia is an average 15.76 litres of pure alcohol. To compare with the year 1912 per capita alcohol consumption in Russia was 3.14 litres of pure alcohol. In WHO opinion per capita alcohol consumption over 8.0 litres of pure alcohol is a national danger.Aid programs for alcohol addicted people exist in the USA for over 100 years. In connection with obsolescence of the most popular and wide-spread Alcoholics Anonymous approach founded in 1930-1940 - other programs are actively developing now.In Russia social sobriety movement has a history of more than 130 years' experience. From the middle of the 19th century there was an active social sobriety movement connected with such names as a great Russian teacher and public figure Rachinsky S.A., the archpriest Alexander Rozhdestvensky, St. Righteous John of Kronstadt. However scientifically based aid programs for alcohol addicted people have spread in the USSR only in the eighties of the XX Century.In Croatia the development of scientific aid program for alcohol addicted has started in the sixties of the XX Century and is connected with the name of a world-famous psychiatrist Vladimir Hudolin (2.05.192226.12.1996). Vladimir Hudolin has graduated from the chair of nervous and mental diseases of medical faculty of the Zagreb university, the chair was based in 1921 by a distinguished psychoneurologist, professor, Russian nobleman Lapinskiy Michail Niki- tovich (1862, Russia - 1949, Argentina). Doing an internship in Great Britain and Scotland clinics in 1952-1953, Vladimir Hudolin has got acquainted with clinical psychiatrist and the pioneer of social psychiatry Joshua Birer who has created in 1938-1939 the first therapeutic social club for patients of lunatic asylum and also with Maxwell Jones and his therapeutic community in Belmont hospital (Henderson Hospital). On the base of psychoneurological office of university hospital named after \"Doctor Mladen Stojanovic\" Vladimir Hudolin on his returning to Zagreb has organized \"open doors\" system suggested by Scottish psychiatrist John Batty Tyyuk. He has also begun to implement there a therapeutic communities methodology, strategy of work in small groups and family approach.\"Rising star of social psychiatry\"- the president of World association of social psychiatry A. Guilherme Ferreira has said about 45-year-old Vladimir Hudolin. Hudolin on the base of experience, theory of systems of Bertalanfi and reflections of his own began to develop social-ecological theory of alcoholism. According to this approach - problems connected with consumption of alcohol and other psychoactive agents are to be considered in the context of deviant behavior and lifestyle of addicted person. In this regard it is necessary to take into consideration the influence of immediate environment and in","PeriodicalId":7443,"journal":{"name":"Alcoholism and psychiatry research","volume":"53 1","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.20471/APR.2017.53.01.07","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67598255","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}
Pub Date : 2016-12-16DOI: 10.20471/APR.2016.52.02.02
Y. Razvodovsky
IntroductionRoad traffic injuries are the eight leading cause of death globally, and the leading cause of death for children and young adults [1,2]. According to prognosis, the worldwide road traffic injuries rank among the causes of death will climb to the fifth place by 2030, resulting in an estimated 2.4 million fatalities each year [2]. It is estimated that in the European Union 1.3 million road traffic accidents occur each year, resulting in 1.7 million injuries and over 40 000 deaths annually [3]. The direct and indirect costs of these accidents sums up to 160 billion euro, equal to 2% of the gross national product of the EU [2].Alcohol has been identified as one of the most significant risk factors for road traffic crashes in many developed and developing countries of the world [4]. At the individual level, there is dose-response relationship between alcohol consumption and fatal road traffic accidents, with risk of death increas-. ing non-linearly with increasing alcohol consumption [3]. Zador estimated that each 0.02 increase in a driver's BAC nearly doubled the risk of fatal crash [5]. It has been also estimated that the likelihood of being a fatally injured driver was at least 9 times greater at BACs of 0.05 to 0.09% than at zero BAC [4].Several studies report the positive association between alcohol consumption and traffic fatalities at the aggregate level. Skog evaluated the effects of changes in aggregate alcohol consumption on fatal motor vehicle traffic accidents in 14 western European countries after 1950 [6]. For male traffic accidents, significant relationships were uncovered in central and southern Europe, but not in northern Europe. Among females the effect was significant only in central Europe [6]. A more recent time series analysis based on Belarusian data for the period from 1970 to 1999 reported a close link between vodka sales per capita and road traffic fatality rates [7].Russia has one of the world's highest road traffic fatality rates due to drunk driving, poor road conditions, an outdated vehicle fleet [8,9]. Each year, approximately 30 000 Russians die in road accidents - about the same as in the European Union [2]. Road safety has attracted attention at the top levels of Russian politics, receiving mention in Putin's 2006 Annual Address to the Federal Assembly and serves as the centerpiece of a national speech by Medvedev in August 2009 [9].There is common believe that high level of alcohol consumption in conjunction with binge drinking pattern is a major determinant of high violent mortality rates in Russia [7,10-12]. Over the past 10 years, almost 40 000 Russians have died in road accidents caused by drunk drivers [9]. A large retrospective case-control study in three Russian industrial cities found dose-response association between alcohol consumption and mortality from road accidents: drinking of three or more bottles of vodka per week was strongly associated with deaths from road accidents both among men (RR=
{"title":"Fatal Alcohol Poisonings and Traffic Accidents in Russia","authors":"Y. Razvodovsky","doi":"10.20471/APR.2016.52.02.02","DOIUrl":"https://doi.org/10.20471/APR.2016.52.02.02","url":null,"abstract":"IntroductionRoad traffic injuries are the eight leading cause of death globally, and the leading cause of death for children and young adults [1,2]. According to prognosis, the worldwide road traffic injuries rank among the causes of death will climb to the fifth place by 2030, resulting in an estimated 2.4 million fatalities each year [2]. It is estimated that in the European Union 1.3 million road traffic accidents occur each year, resulting in 1.7 million injuries and over 40 000 deaths annually [3]. The direct and indirect costs of these accidents sums up to 160 billion euro, equal to 2% of the gross national product of the EU [2].Alcohol has been identified as one of the most significant risk factors for road traffic crashes in many developed and developing countries of the world [4]. At the individual level, there is dose-response relationship between alcohol consumption and fatal road traffic accidents, with risk of death increas-. ing non-linearly with increasing alcohol consumption [3]. Zador estimated that each 0.02 increase in a driver's BAC nearly doubled the risk of fatal crash [5]. It has been also estimated that the likelihood of being a fatally injured driver was at least 9 times greater at BACs of 0.05 to 0.09% than at zero BAC [4].Several studies report the positive association between alcohol consumption and traffic fatalities at the aggregate level. Skog evaluated the effects of changes in aggregate alcohol consumption on fatal motor vehicle traffic accidents in 14 western European countries after 1950 [6]. For male traffic accidents, significant relationships were uncovered in central and southern Europe, but not in northern Europe. Among females the effect was significant only in central Europe [6]. A more recent time series analysis based on Belarusian data for the period from 1970 to 1999 reported a close link between vodka sales per capita and road traffic fatality rates [7].Russia has one of the world's highest road traffic fatality rates due to drunk driving, poor road conditions, an outdated vehicle fleet [8,9]. Each year, approximately 30 000 Russians die in road accidents - about the same as in the European Union [2]. Road safety has attracted attention at the top levels of Russian politics, receiving mention in Putin's 2006 Annual Address to the Federal Assembly and serves as the centerpiece of a national speech by Medvedev in August 2009 [9].There is common believe that high level of alcohol consumption in conjunction with binge drinking pattern is a major determinant of high violent mortality rates in Russia [7,10-12]. Over the past 10 years, almost 40 000 Russians have died in road accidents caused by drunk drivers [9]. A large retrospective case-control study in three Russian industrial cities found dose-response association between alcohol consumption and mortality from road accidents: drinking of three or more bottles of vodka per week was strongly associated with deaths from road accidents both among men (RR=","PeriodicalId":7443,"journal":{"name":"Alcoholism and psychiatry research","volume":"52 1","pages":"115-124"},"PeriodicalIF":0.0,"publicationDate":"2016-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.20471/APR.2016.52.02.02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67598624","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}
Pub Date : 2016-12-16DOI: 10.20471/APR.2016.52.02.01
M. Rihtarić, Ivana Vrselja, A. J. Nišević
IntroductionNumerous studies have identified alcohol consumption as a risk factor for violent offending. McMurran and Cusens [1] found that nearly three-quarters of 126 British prisoners convicted for violent offences reported they were drunk at the time. Studies in Australia suggest that 23-73% of all assaults are committed when the attacker is drunk [2,3]. A large-scale national study in that country found that in 2007, half of all offenders detained by police for disorder and violent offences had consumed alcohol in the 48 hours prior to arrest [4]. In the US, 35% of victims of violent attacks who were able to assess whether their attacker had been using alcohol, believed the offender had been drinking at the time of the attack. Half of victims of interpersonal violence in England and Wales reported the perpetrator to be under the influence of alcohol at the time of assault [5].Several models have been offered to explain the well-documented relationship between alcohol and violence, with most models proposing a direct link. Some of these "direct link" models include the psychopharmacological effects of alcohol as potential mediators of violent offences, such as impairment of cognitive processes that affect judgment, behavior inhibition and interpersonal communication [6]. In contrast to these widely accepted direct link models, "common cause" models propose that alcohol consumption and violent offending are related indirectly via risk factors that they have in common [7, 8]. These shared risk factors include some dimensions of personality, with psychoticism (P), extraversion (E), and neuroticism (N) invoked most often. These three dimensions are included in Eysencks' theory of personality [9], which provides a useful scheme for exploring personality antecedents of divergent antisocial behavior. In Eysencks' theory, P is anchored at one end by aggressiveness and divergent thinking and at the other end by empathy and caution. This trait is so named because individuals with a high P level are significantly more vulnerable to psychotic disorders than those with a low P level. E is represented on a bipolar scale anchored at one end by sociability and stimulation-seeking, and at the other end by social reticence and stimulation avoidance. N is anchored at one end by emotional instability and spontaneity, and at the other end by reflection and deliberateness. This trait is so named because individuals with a high N level are more vulnerable to anxiety-based problems.Individuals with a high P level are predisposed to developing antisocial behavior [9], and those with high levels of both P and E are predisposed to developing antisocial behavior involving aggression. If such an individual also has a high N level, their behavior may exhibit emotional, irrational characteristics under some circumstances [10]. Higher P levels are strongly related to alcohol consumption [11], and several studies have shown a link between higher E levels and alcohol consumpt
{"title":"Relationship between Alcohol Consumption and Violent Offending: Personality as a Contributing Factor","authors":"M. Rihtarić, Ivana Vrselja, A. J. Nišević","doi":"10.20471/APR.2016.52.02.01","DOIUrl":"https://doi.org/10.20471/APR.2016.52.02.01","url":null,"abstract":"IntroductionNumerous studies have identified alcohol consumption as a risk factor for violent offending. McMurran and Cusens [1] found that nearly three-quarters of 126 British prisoners convicted for violent offences reported they were drunk at the time. Studies in Australia suggest that 23-73% of all assaults are committed when the attacker is drunk [2,3]. A large-scale national study in that country found that in 2007, half of all offenders detained by police for disorder and violent offences had consumed alcohol in the 48 hours prior to arrest [4]. In the US, 35% of victims of violent attacks who were able to assess whether their attacker had been using alcohol, believed the offender had been drinking at the time of the attack. Half of victims of interpersonal violence in England and Wales reported the perpetrator to be under the influence of alcohol at the time of assault [5].Several models have been offered to explain the well-documented relationship between alcohol and violence, with most models proposing a direct link. Some of these \"direct link\" models include the psychopharmacological effects of alcohol as potential mediators of violent offences, such as impairment of cognitive processes that affect judgment, behavior inhibition and interpersonal communication [6]. In contrast to these widely accepted direct link models, \"common cause\" models propose that alcohol consumption and violent offending are related indirectly via risk factors that they have in common [7, 8]. These shared risk factors include some dimensions of personality, with psychoticism (P), extraversion (E), and neuroticism (N) invoked most often. These three dimensions are included in Eysencks' theory of personality [9], which provides a useful scheme for exploring personality antecedents of divergent antisocial behavior. In Eysencks' theory, P is anchored at one end by aggressiveness and divergent thinking and at the other end by empathy and caution. This trait is so named because individuals with a high P level are significantly more vulnerable to psychotic disorders than those with a low P level. E is represented on a bipolar scale anchored at one end by sociability and stimulation-seeking, and at the other end by social reticence and stimulation avoidance. N is anchored at one end by emotional instability and spontaneity, and at the other end by reflection and deliberateness. This trait is so named because individuals with a high N level are more vulnerable to anxiety-based problems.Individuals with a high P level are predisposed to developing antisocial behavior [9], and those with high levels of both P and E are predisposed to developing antisocial behavior involving aggression. If such an individual also has a high N level, their behavior may exhibit emotional, irrational characteristics under some circumstances [10]. Higher P levels are strongly related to alcohol consumption [11], and several studies have shown a link between higher E levels and alcohol consumpt","PeriodicalId":7443,"journal":{"name":"Alcoholism and psychiatry research","volume":"52 1","pages":"105-114"},"PeriodicalIF":0.0,"publicationDate":"2016-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.20471/APR.2016.52.02.01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67598588","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}
Pub Date : 2016-12-16DOI: 10.20471/APR.2016.52.02.05
D. Bodor, Andrea Tomic, N. Ricijaš, Z. Zoričić, I. Filipčić
IntroductionImpulsiveness is one of the main features of a series of psychiatric entities such as ADHD, gambling addiction, disorders related to psychoactive substance use, impulse control disorders such as pyromania and certain personality disorders such as antisocial and borderline personality disorder.According to Moeller et al., impulsiveness can be defined as a predisposition towards rapid, unplanned reactions to internal and external stimuli regardless of the negative consequences of these reactions [1]. In accordance with the latest studies, there is a tendency to describe impulsiveness as a mul dimensional construct within which the behavioural impulsiveness is described as the impossibility of stopping the initiated reaction or action and cognitive impulsiveness as the impossibility to form an adequate judgement on the consequences of somebody's behaviour. These two dimensions of impulsiveness are described as independent and different phenomena. It can be assumed that in the future these constructs will be additionally developed and complemented [2]. Conceptual definitions of impulsiveness often state the following dimensions: lack of perseverance, sensation seeking, i.e. new contents, lack of premeditation before acting, urgency and increased sensitivity to gratification [3].Impulsiveness is also often described as a part of personality traits and so do Patton et al. distinguish between the motoric aspect of impulsiveness related to action without premeditation and cognitive aspect related to urgent decision-making, non-planning, which is described as focusing on the present and having difficulties to maintain attention [4]. Impulsiveness can be quantified in two ways - by self-reports and neuropsychological tests which use specific movements with the aim to evaluate various components of impulsiveness such as the time thinking was initiated, i.e. making slow or fast decisions in situations of high insecurity. Delaying gratification and fast response are two clear ways a person can operationalize impulsiveness [5,6].A large number of conducted studies showed that addicts had scored generally higher on the impulsiveness scale of selfevaluation scales than persons not diagnosed with an addiction, i.e. not consuming psychoactive substances and that impulsiveness was one of the most important factors for developing and maintaining addiction [7,8]. This was also supported by the fact that the very diagnostic criteria for diagnosing an addiction syndrome also overlapped to a large extent with the elements of the impulsiveness definition. The previous research studies showed that impulsiveness plays an important role in the clinical course, i.e. it represents an important predictive factor for the occurrence of relapse and significantly affects the response to treatment of both addicts on psychoactive substances, such as alcohol addicts, and gambling addicts, as the only recognised behavioural addicts [9,10].With psychoactive substance addict
{"title":"Impulsiveness in Alcohol Addiction and Pathological Gambling","authors":"D. Bodor, Andrea Tomic, N. Ricijaš, Z. Zoričić, I. Filipčić","doi":"10.20471/APR.2016.52.02.05","DOIUrl":"https://doi.org/10.20471/APR.2016.52.02.05","url":null,"abstract":"IntroductionImpulsiveness is one of the main features of a series of psychiatric entities such as ADHD, gambling addiction, disorders related to psychoactive substance use, impulse control disorders such as pyromania and certain personality disorders such as antisocial and borderline personality disorder.According to Moeller et al., impulsiveness can be defined as a predisposition towards rapid, unplanned reactions to internal and external stimuli regardless of the negative consequences of these reactions [1]. In accordance with the latest studies, there is a tendency to describe impulsiveness as a mul dimensional construct within which the behavioural impulsiveness is described as the impossibility of stopping the initiated reaction or action and cognitive impulsiveness as the impossibility to form an adequate judgement on the consequences of somebody's behaviour. These two dimensions of impulsiveness are described as independent and different phenomena. It can be assumed that in the future these constructs will be additionally developed and complemented [2]. Conceptual definitions of impulsiveness often state the following dimensions: lack of perseverance, sensation seeking, i.e. new contents, lack of premeditation before acting, urgency and increased sensitivity to gratification [3].Impulsiveness is also often described as a part of personality traits and so do Patton et al. distinguish between the motoric aspect of impulsiveness related to action without premeditation and cognitive aspect related to urgent decision-making, non-planning, which is described as focusing on the present and having difficulties to maintain attention [4]. Impulsiveness can be quantified in two ways - by self-reports and neuropsychological tests which use specific movements with the aim to evaluate various components of impulsiveness such as the time thinking was initiated, i.e. making slow or fast decisions in situations of high insecurity. Delaying gratification and fast response are two clear ways a person can operationalize impulsiveness [5,6].A large number of conducted studies showed that addicts had scored generally higher on the impulsiveness scale of selfevaluation scales than persons not diagnosed with an addiction, i.e. not consuming psychoactive substances and that impulsiveness was one of the most important factors for developing and maintaining addiction [7,8]. This was also supported by the fact that the very diagnostic criteria for diagnosing an addiction syndrome also overlapped to a large extent with the elements of the impulsiveness definition. The previous research studies showed that impulsiveness plays an important role in the clinical course, i.e. it represents an important predictive factor for the occurrence of relapse and significantly affects the response to treatment of both addicts on psychoactive substances, such as alcohol addicts, and gambling addicts, as the only recognised behavioural addicts [9,10].With psychoactive substance addict","PeriodicalId":7443,"journal":{"name":"Alcoholism and psychiatry research","volume":"52 1","pages":"149-158"},"PeriodicalIF":0.0,"publicationDate":"2016-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.20471/APR.2016.52.02.05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67598697","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}
Pub Date : 2016-12-16DOI: 10.20471/APR.2016.52.02.04
Mia Roje, Ines Rezo, G. B. Flander
IntroductionThe inner world of an individual and his/ her relationship with the environment are expressed at the 'boundary', the biggest organ of our body - the skin [1]. The skin and psyche are most often linked in the studies including the following groups of disorders [2]: (1) psychophysiological dermatoses - primarily psychiatric diseases resulting in skin disorders and (2) secondary psychological disorders occuring as reactions to the visibility and the chronic course of skin diseases. According to Hong, Koo and Koo [3] skin diseases are mostly not life threatening, which is the reason why they receive less attention both medically and psychologically. However, individuals suffering from skin diseases, also suffer psychosocially, equally or even more than those with other chronic somatic diseases [4], especially children and youth [5].Children suffering from chronic skin diseases show more signs of depression and anxiety [6-8], a poorer self-image [9], and they estimate their quality of life lower than children with other diseases like cystic fibrosis, asthma, epilepsy and enuresis [6]. Studies show that among skin diseases, atopic dermatitis is most strongly related with negative indicators of mental health in children [7,10,11], which is explained multifactorially. Atopic dermatitis is a condition which is: (1) visible, (2) incurable in most cases, (3) causes sleeping problems, (4) causes constant itching, (5) can cause reactions of disgust from the environment [7,8,12].The psychological indicator most often studied in children with chronic skin diseases is the quality of life. According to the World Health Organization, the quality of life is defined as individuals' perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns (The WHOQOL Group, 1995). It includes several aspects - physical health, the psychological status, the level of independence, social relationships, personal beliefs and their relationship to the salient features of their environment [13]. The quality of life of children suffering from skin diseases is most often examined by quantitative methodology, questionnaires, predominantly CQOL (Child Health-Related Quality of Life) [14], CDQOL (Children's Dermatology Life Quality Index) [15] and CLQU (Children's Life Quality Index) [16]. Measures CQUL and CDQOL are based on the quality of life linked with physical health, while CLQU measures various aspects of children's lives. Both questionnaire structures contain certain bias. Children with lower life satisfaction due to their health condition will not differentiate in the first two questionnaires because the questions only refer to health. On the other hand, according to the CLQU factors [16], a child may be satisfied with family circumstances, the economic status, his/her academic achievement, s/he can positively perceive his/her future, and at the same time be d
{"title":"Quality of Life and Psychosocial Needs of Children Suffering from Chronic Skin Diseases","authors":"Mia Roje, Ines Rezo, G. B. Flander","doi":"10.20471/APR.2016.52.02.04","DOIUrl":"https://doi.org/10.20471/APR.2016.52.02.04","url":null,"abstract":"IntroductionThe inner world of an individual and his/ her relationship with the environment are expressed at the 'boundary', the biggest organ of our body - the skin [1]. The skin and psyche are most often linked in the studies including the following groups of disorders [2]: (1) psychophysiological dermatoses - primarily psychiatric diseases resulting in skin disorders and (2) secondary psychological disorders occuring as reactions to the visibility and the chronic course of skin diseases. According to Hong, Koo and Koo [3] skin diseases are mostly not life threatening, which is the reason why they receive less attention both medically and psychologically. However, individuals suffering from skin diseases, also suffer psychosocially, equally or even more than those with other chronic somatic diseases [4], especially children and youth [5].Children suffering from chronic skin diseases show more signs of depression and anxiety [6-8], a poorer self-image [9], and they estimate their quality of life lower than children with other diseases like cystic fibrosis, asthma, epilepsy and enuresis [6]. Studies show that among skin diseases, atopic dermatitis is most strongly related with negative indicators of mental health in children [7,10,11], which is explained multifactorially. Atopic dermatitis is a condition which is: (1) visible, (2) incurable in most cases, (3) causes sleeping problems, (4) causes constant itching, (5) can cause reactions of disgust from the environment [7,8,12].The psychological indicator most often studied in children with chronic skin diseases is the quality of life. According to the World Health Organization, the quality of life is defined as individuals' perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns (The WHOQOL Group, 1995). It includes several aspects - physical health, the psychological status, the level of independence, social relationships, personal beliefs and their relationship to the salient features of their environment [13]. The quality of life of children suffering from skin diseases is most often examined by quantitative methodology, questionnaires, predominantly CQOL (Child Health-Related Quality of Life) [14], CDQOL (Children's Dermatology Life Quality Index) [15] and CLQU (Children's Life Quality Index) [16]. Measures CQUL and CDQOL are based on the quality of life linked with physical health, while CLQU measures various aspects of children's lives. Both questionnaire structures contain certain bias. Children with lower life satisfaction due to their health condition will not differentiate in the first two questionnaires because the questions only refer to health. On the other hand, according to the CLQU factors [16], a child may be satisfied with family circumstances, the economic status, his/her academic achievement, s/he can positively perceive his/her future, and at the same time be d","PeriodicalId":7443,"journal":{"name":"Alcoholism and psychiatry research","volume":"52 1","pages":"133-148"},"PeriodicalIF":0.0,"publicationDate":"2016-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.20471/APR.2016.52.02.04","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67598679","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}
Pub Date : 2016-12-16DOI: 10.20471/APR.2016.52.02.03
Lana Grbeša, M. Martinac, Marko Romić, Nikolina Palameta, Valerija Soldo
IntroductionKnowing the individual personality features of pathologic gamblers and alcoholics is a necessary condition for quality clinical practice and psychotherapeutuc work, considering the fact that most people occasionally play games of chance and belong to the social consumers of alcoholic drinks, but only a smaller percent of them develop serious problems and addiction to them. The influence of individual personality differences to behaviour is much more pronounced in the period of adolescence. From the research done so far, it is known that there are various combinations of personality features that may form the dimensions which increase the risk of addictive behaviour [1].Speaking about the personality of an alcoholic, we can find many efforts in scientific literature to search for what may be called 'pre-alcoholic' or 'alcoholic' personality. However, we cannot yet surely say that a certain trait or a feature, oe even a group of traits and features represents a firm indication that someone would develop the addiction to alcohol. However, the results of application of psychodiagnostic tests mostly show that the personality features more frequently observed in alcoholics are: schyzoid character, masochistic reactions, passivity, lack of ego organization, ambivalence and lack of clear concept of self. They show that certain personality features are slightly more often observed among the alcoholics, thus supporting the thesis that there is no unique group of personality features that can be related only to alcoholics [2].We can not even find a comprehensive definition of alcoholism, just as we can not find the unique classification of alcoholism and the unique approach to etiology of it. The World Health Organisation defines alcoholism through the definition of a 'chronic alcoholic'. According to them, 'a chronic alcoholic is a person who had excessively used alcoholic drinks, thus developing a psychological or a physical dependence to alcohol, and displaying such mental disturbance or behavioral disturbances that indicate damage to physical or mental health, or damage to their relation to other people and their economical status' [3].Hudolin has, for practical reasons, in his definition, stated that 'the symptoms forementioned have to be determined by means of classical medical and social diagnostic procedures. It should not be just supposed, after acquiring the data on excessive drinking, that a person suffers from chronic alcoholism." [4-5] Jelinek has made a bit broader definition of alcoholism as "every need for alcoholic drinks that causes damage to a person, social damage, or both' [5].According to DSM-V diagnostic criteria, persistent and recurrent problematic gambling, that leads towards clinically significant damage or suffering, is manifested so that a person displays four (or more) of the following in a 12-months period: has need for gamblnig on increasingly greater sums of money to achieve the wanted excitement, uneasyness and
{"title":"Personality of Alcoholics and Gamblers in the Union of Clubs Of Treated Alcoholics and Gamblers","authors":"Lana Grbeša, M. Martinac, Marko Romić, Nikolina Palameta, Valerija Soldo","doi":"10.20471/APR.2016.52.02.03","DOIUrl":"https://doi.org/10.20471/APR.2016.52.02.03","url":null,"abstract":"IntroductionKnowing the individual personality features of pathologic gamblers and alcoholics is a necessary condition for quality clinical practice and psychotherapeutuc work, considering the fact that most people occasionally play games of chance and belong to the social consumers of alcoholic drinks, but only a smaller percent of them develop serious problems and addiction to them. The influence of individual personality differences to behaviour is much more pronounced in the period of adolescence. From the research done so far, it is known that there are various combinations of personality features that may form the dimensions which increase the risk of addictive behaviour [1].Speaking about the personality of an alcoholic, we can find many efforts in scientific literature to search for what may be called 'pre-alcoholic' or 'alcoholic' personality. However, we cannot yet surely say that a certain trait or a feature, oe even a group of traits and features represents a firm indication that someone would develop the addiction to alcohol. However, the results of application of psychodiagnostic tests mostly show that the personality features more frequently observed in alcoholics are: schyzoid character, masochistic reactions, passivity, lack of ego organization, ambivalence and lack of clear concept of self. They show that certain personality features are slightly more often observed among the alcoholics, thus supporting the thesis that there is no unique group of personality features that can be related only to alcoholics [2].We can not even find a comprehensive definition of alcoholism, just as we can not find the unique classification of alcoholism and the unique approach to etiology of it. The World Health Organisation defines alcoholism through the definition of a 'chronic alcoholic'. According to them, 'a chronic alcoholic is a person who had excessively used alcoholic drinks, thus developing a psychological or a physical dependence to alcohol, and displaying such mental disturbance or behavioral disturbances that indicate damage to physical or mental health, or damage to their relation to other people and their economical status' [3].Hudolin has, for practical reasons, in his definition, stated that 'the symptoms forementioned have to be determined by means of classical medical and social diagnostic procedures. It should not be just supposed, after acquiring the data on excessive drinking, that a person suffers from chronic alcoholism.\" [4-5] Jelinek has made a bit broader definition of alcoholism as \"every need for alcoholic drinks that causes damage to a person, social damage, or both' [5].According to DSM-V diagnostic criteria, persistent and recurrent problematic gambling, that leads towards clinically significant damage or suffering, is manifested so that a person displays four (or more) of the following in a 12-months period: has need for gamblnig on increasingly greater sums of money to achieve the wanted excitement, uneasyness and ","PeriodicalId":7443,"journal":{"name":"Alcoholism and psychiatry research","volume":"52 1","pages":"125-132"},"PeriodicalIF":0.0,"publicationDate":"2016-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.20471/APR.2016.52.02.03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67598644","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}
Pub Date : 2016-05-01DOI: 10.20471/APR.2016.52.02.06
D. Breitenfeld, Mislav Pap, J. Parazajder, Ankica Akrap, S. Soldo, Ivan Resetar
IntroductionAmong more than thousand composer's pathographies we have sorted out those who had died of illnesses which had been a result or in a way connected to urological and renal diseases [1-16].Jean-Philippe Rameau (1683-1764)French composer. Fie had a calm and steady course of development and it was reflected in the manner of his composing. Fie was active until the age of 80, although ailing and weak. His condition deteriorated due to scurvy (vitamin C deficiency) and purulent fever (possibly pyelonephritis with seizuresspasms) and he died suddenly.Jean-Jacques Roussseau (1712-1778)French composer and philosopher. Problems with erectile dysfunction exacerbated at the end of his life and at the same time problems with urinary bladder occurred (urinary neuropathy, urinary frequency and incontinence because of polyuria, perineal pain, urolithiasis). Although dysuria occurred because of his obsession, phobia and problems with erectile dysfunction, there was probably an organic substrate in the background, due to urinary retention up to kidney and uraemia with partially psychotic clinical presentation. It could have been a chronic gonorrhoea. Very soon he fell into coma and died. There was no significant evidence of the urologie disease found at the autopsy.Wolfgang Amadeus Mozart (1756-1791)Austrian composer. Mercury poisoning with uraemia, hyperthyreosis, small subdural haematoma and alcohol addiction had been slowly developing and lead to his final symptoms. Mozart's final disease, probably infectious one caused by Streptococcus bacteria, was a relapse of rheumatic fever. It could also have been a kidney disease caused by Streptococcus bacteria or Hennoch - Schonlein purpura. Since he was conducting on his death day, lying in a bed, to requiem soloists during their lesson, it is not possible that developed stage of uraemia could hev been the cause of his death.Conclusively, what is left are some generalized bacterial infections (coli bacteria, staphylococci, and most probably streptococci), which are the most probable cause of Mozart's terminal illness and its terminal stages.Nicolo Paganini (1782-1840)Italian composer. He had intense disorders in a region of genitourinary organs as a result of chronic gonorrhoea and syphilis. In 1837 due to urethra stricture, probably caused by enlarged prostate, catheter dilatation was done. It is quite possible that Paganini had mixed specific (both tuberculoid and syphilitic) infection of the respiratory tract, which was a cause of his death. He was also a drug (opium) addict.Gioachino Rossini (1792-1868)Italian composer. It is considered that he probably started with "sweet lifestyle" at the age of 15 and had been infected with gonorrhoea. Despite all kinds of palliative therapies, the disease had become chronic with many episodes of re-infections due to new adventures (alcohol abuse). Chronic urethritis with purulent liquid and reduced urinary flow occurred because of cicatricial urethral strictures. In
{"title":"Urological Diseases among 50 Composers","authors":"D. Breitenfeld, Mislav Pap, J. Parazajder, Ankica Akrap, S. Soldo, Ivan Resetar","doi":"10.20471/APR.2016.52.02.06","DOIUrl":"https://doi.org/10.20471/APR.2016.52.02.06","url":null,"abstract":"IntroductionAmong more than thousand composer's pathographies we have sorted out those who had died of illnesses which had been a result or in a way connected to urological and renal diseases [1-16].Jean-Philippe Rameau (1683-1764)French composer. Fie had a calm and steady course of development and it was reflected in the manner of his composing. Fie was active until the age of 80, although ailing and weak. His condition deteriorated due to scurvy (vitamin C deficiency) and purulent fever (possibly pyelonephritis with seizuresspasms) and he died suddenly.Jean-Jacques Roussseau (1712-1778)French composer and philosopher. Problems with erectile dysfunction exacerbated at the end of his life and at the same time problems with urinary bladder occurred (urinary neuropathy, urinary frequency and incontinence because of polyuria, perineal pain, urolithiasis). Although dysuria occurred because of his obsession, phobia and problems with erectile dysfunction, there was probably an organic substrate in the background, due to urinary retention up to kidney and uraemia with partially psychotic clinical presentation. It could have been a chronic gonorrhoea. Very soon he fell into coma and died. There was no significant evidence of the urologie disease found at the autopsy.Wolfgang Amadeus Mozart (1756-1791)Austrian composer. Mercury poisoning with uraemia, hyperthyreosis, small subdural haematoma and alcohol addiction had been slowly developing and lead to his final symptoms. Mozart's final disease, probably infectious one caused by Streptococcus bacteria, was a relapse of rheumatic fever. It could also have been a kidney disease caused by Streptococcus bacteria or Hennoch - Schonlein purpura. Since he was conducting on his death day, lying in a bed, to requiem soloists during their lesson, it is not possible that developed stage of uraemia could hev been the cause of his death.Conclusively, what is left are some generalized bacterial infections (coli bacteria, staphylococci, and most probably streptococci), which are the most probable cause of Mozart's terminal illness and its terminal stages.Nicolo Paganini (1782-1840)Italian composer. He had intense disorders in a region of genitourinary organs as a result of chronic gonorrhoea and syphilis. In 1837 due to urethra stricture, probably caused by enlarged prostate, catheter dilatation was done. It is quite possible that Paganini had mixed specific (both tuberculoid and syphilitic) infection of the respiratory tract, which was a cause of his death. He was also a drug (opium) addict.Gioachino Rossini (1792-1868)Italian composer. It is considered that he probably started with \"sweet lifestyle\" at the age of 15 and had been infected with gonorrhoea. Despite all kinds of palliative therapies, the disease had become chronic with many episodes of re-infections due to new adventures (alcohol abuse). Chronic urethritis with purulent liquid and reduced urinary flow occurred because of cicatricial urethral strictures. In","PeriodicalId":7443,"journal":{"name":"Alcoholism and psychiatry research","volume":"52 1","pages":"159-166"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.20471/APR.2016.52.02.06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67598234","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}
Pub Date : 2015-09-03DOI: 10.1017/CBO9780511763281
William J. Marks
Contributors Preface 1. Introduction: the expanding role of deep brain stimulation William J. Marks, Jr 2. Patient selection: when to consider deep brain stimulation for patients with Parkinson's Disease, essential tremor or dystonia Jill L. Ostrem 3. Surgical placement of deep brain stimulation leads for the treatment of movement disorders - intra-operative aspects: physiological mapping, test stimulation and patient evaluation Helen Bronte Stewart 4. Principles of neurostimulation Erwin B. Montgomery, Jr 5. Fundamentals of deep brain stimulation programming S. Elizabeth Zauber, Peggie A. Smith and Leo Verhagen Metman 6. Managing essential tremor patients treated with deep brain stimulation Rajesh Pahwa and Kelly E. Lyons 7. Managing Parkinson's Disease patients treated with deep brain stimulation Rajeev Kumar and Lindsey Johnson 8. Managing dystonia patients treated with deep brain stimulation Ioaanis U. Isaias and Michele Tagliati 9. Assessing patient outcome and troubleshooting deep brain stimulation Frandy Susatia, Kelly D. Foote, Herbert Ward and Michael S. Okun 10. Implementing deep brain stimulation into practice: models of patient care Stephen Grill Index.
作者简介引言:脑深部电刺激的扩展作用患者选择:何时考虑对帕金森病、特发性震颤或肌张力障碍患者进行深部脑刺激脑深部电刺激的外科植入治疗运动障碍-术中方面:生理制图、测试刺激和患者评估神经刺激原理Erwin B. Montgomery, Jr . 5。5 .深部脑刺激程序的基本原理S. Elizabeth Zauber, peggy A. Smith和Leo Verhagen Metman用深部脑刺激治疗特发性震颤患者的管理用深部脑刺激治疗帕金森病患者的管理用深部脑刺激治疗肌张力障碍患者的管理[j]。脑深部电刺激患者预后评估与故障排除[j]。实施脑深部刺激的实践:病人护理模型。
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