Psychiatria Hungarica最新文献

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[Exploration of mentalizing skills with functional imaging methods in schizophrenia: a systematic review]. 用功能成像方法探索精神分裂症患者的心智化技能:一项系统综述。
Psychiatria Hungarica Pub Date : 2009-01-01
Eszter Varga, Tamás Tényi, Mária Simon, Sándor Fekete, Róbert Herold
{"title":"[Exploration of mentalizing skills with functional imaging methods in schizophrenia: a systematic review].","authors":"Eszter Varga,&nbsp;Tamás Tényi,&nbsp;Mária Simon,&nbsp;Sándor Fekete,&nbsp;Róbert Herold","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Patients with schizophrenia have difficulties in appreciating the mental states of others. This deficit is strongly related to the outcome of the disorder. In recent years, considerable efforts have been made in identifying the neuronal processes involved in mentalization. In this review article we summarize the functional neuroimaging studies on mentalization in schizophrenia.</p><p><strong>Methods: </strong>Internet database search was performed to find papers on the subject.</p><p><strong>Results: </strong>We found eight relevant articles, published between 2000 and 2008. Increased activation can be detected in multiple brain areas including certain cerebellar regions, thalamus, parietal cortex, middle and superior areas of the temporal cortex, and some prefrontal regions. In addition, patients show decreased activation of the inferior areas of the lateral and medial temporal lobe, inferior occipital cortex, medial prefrontal cortex, and the lateral part of the prefrontal cortex near to the insula.</p><p><strong>Conclusion: </strong>According to the studies patients with schizophrenia demonstrate marked differences in activation pattern during mentalization tasks relative to the healthy control subjects.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":" ","pages":"108-23"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40022855","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}
引用次数: 0
[Correlations between television viewing, attitudes toward the mentally ill and psychiatric professionals, and willingness to seek therapy]. [看电视、对精神病患者和精神科医生的态度以及寻求治疗意愿之间的相关性]。
Psychiatria Hungarica Pub Date : 2009-01-01
Erzsébet Németh
{"title":"[Correlations between television viewing, attitudes toward the mentally ill and psychiatric professionals, and willingness to seek therapy].","authors":"Erzsébet Németh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study collected data proving that the images presented on television can have a significant influence over a person's social construction of reality. Television portrayals of psychologists and psychiatrist often contribute to an unfavourable perception of mental health services. The length of TV watching and exposure to frequency of comedy and drama significantly contribute to perceptions of stigma and negative expectations about psychological services that can lead to negative attitudes and lower intentions to seek such services. Results suggest it would be helpful for the spokespeople, and professionals to convey messages that provide information about the role of therapists, function of therapy, and how to seek help. Making better use of the television to educate the public about the services they offer could directly combat some of the inaccurate information portrayed on television that may increase people's concerns about seeking professional help. Hungarians spend a huge amount of time with television watching. Publishing scientific and popular articles in Hungarian, and acceptance of TV invitation are essential.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":" ","pages":"133-40"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40022857","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}
引用次数: 0
[Characteristics of depression in the elderly]. [老年人抑郁症的特点]。
Psychiatria Hungarica Pub Date : 2009-01-01
Xénia Gonda, Eszter Molnár, Péter Torzsa, Zoltán Rihmer
{"title":"[Characteristics of depression in the elderly].","authors":"Xénia Gonda,&nbsp;Eszter Molnár,&nbsp;Péter Torzsa,&nbsp;Zoltán Rihmer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the increase of life expectancy the ratio of elderly people in our society also increases and consequently health problems related to old age gain more attention. The prevalence of depression does not decrease in the elderly, affective disorders in old people, however, often manifest masked by physical illness worsening the course of these somatic disorders. Elderly depression also tends to present with a peculiar clinical picture. Atypical and also only few symptoms are characteristic of depression in the elderly. Vegetative symptoms are often primary and depression in old people often manifests solely in somatic symptoms. Typical cognitive alterations and pseudodementia are also characteristic features. At the same time, typical affective symptoms of depression are often absent, and instead of psychomotor retardation, psychomotor agitation manifested as irritability or motor restlessness is frequent. In the diagnostic process depression in the elderly should be separated from somatic diseases and dementia. The correct diagnosis and treatment of depression in the elderly is very important, since old age depression does not only cause significant distress, but often leads to suicide, and in addition, it generally increases morbidity and mortality, worsens the general somatic condition of the patient and increases social isolation.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":" ","pages":"166-74"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40047940","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}
引用次数: 0
[The way out from crisis--from the closing of the National Psychiatric and Neurologic Institute (OPNI) to Semmelweis University]. [危机的出路——从关闭国家精神病学和神经病学研究所(OPNI)到塞梅尔魏斯大学]。
Psychiatria Hungarica Pub Date : 2009-01-01
Gusztáv Stubnya, Zoltán Nagy, György Bagdy, Zoltán Rihmer, Mária Judit Molnár, János Harmatta, Gábor Géza Kovács, Dóra Perczel Forintos, Lajos Simon, István Bitter
{"title":"[The way out from crisis--from the closing of the National Psychiatric and Neurologic Institute (OPNI) to Semmelweis University].","authors":"Gusztáv Stubnya,&nbsp;Zoltán Nagy,&nbsp;György Bagdy,&nbsp;Zoltán Rihmer,&nbsp;Mária Judit Molnár,&nbsp;János Harmatta,&nbsp;Gábor Géza Kovács,&nbsp;Dóra Perczel Forintos,&nbsp;Lajos Simon,&nbsp;István Bitter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In our recent article we attempt to sum up the circumstances of the closing-down of the National Psychiatric and Neurologic Institute (OPNI). We intend to summarize the values that may disappear by the liquidation of the institute and try to explore the possibilities how to keep them alive in the future. Most of the divisions can operate further under the umbrella of the Semmelweis University; the modus operandi and the role of the University are also covered in this article.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":" ","pages":"193-204"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40047943","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}
引用次数: 0
[Antipsychotics and rhabdomyolysis. Differential diagnosis and clinical significance of elevated serum creatine kinase levels in psychiatric practice]. 抗精神病药物和横纹肌溶解。精神科实践中血清肌酸激酶水平升高的鉴别诊断及临床意义[j]。
Psychiatria Hungarica Pub Date : 2009-01-01
Viktor Vörös, Péter Osváth, Sándor Fekete, Tamás Tényi
{"title":"[Antipsychotics and rhabdomyolysis. Differential diagnosis and clinical significance of elevated serum creatine kinase levels in psychiatric practice].","authors":"Viktor Vörös,&nbsp;Péter Osváth,&nbsp;Sándor Fekete,&nbsp;Tamás Tényi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Elevated serum CK levels often occur in everyday psychiatric clinical practice. Although the majority of cases are benign and temporary, it is important to recognize and treat these conditions.</p><p><strong>Method: </strong>Review of the literature and case reports.</p><p><strong>Results: </strong>The authors discuss the etiology, the clinical significance and the management of elevated serum creatine-kinase levels in psychiatric in-patient practice, focusing on antipsychotic-induced rhabdomyolysis. The authors also compare the pathogenesis, the clinical features and the treatment of neuroleptic malignant syndrome and rhabdomyolysis. A brief, practical guideline is introduced, which may help clinicians in the differential diagnosis and in the management of patients with elevated serum creatine kinase activity in emergent psychiatric practice.</p><p><strong>Conclusion: </strong>The most common etiologic factors (prescription drugs, alcohol, physical reasons, cardiac etiology) and clinical syndromes (rhabdomyolysis, neuroleptic malignant syndrome, acute coronary syndrome) should be considered, when elevated creatine kinase levels are encountered in psychiatric in-patients. Routine creatine kinase measurements in asymptomatic patients on antipsychotic medications are not recommended, but patients should be carefully followed for the development of rhabdomyolysis, when muscular symptoms arise. Cautiously challenging patients with another antipsychotic after an antipsychotic-induced rhabdomyolysis is recommended to decrease the possibility of recurrence. Careful monitoring of symptoms and potential complications is critical in order to avoid devastating clinical consequences.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":" ","pages":"175-84"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40047941","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}
引用次数: 0
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