A. B. Smulevich, K. Germanova, V. Chitlova, E. Voronova
{"title":"Stress-induced depression and reactive schizophrenia","authors":"A. B. Smulevich, K. Germanova, V. Chitlova, E. Voronova","doi":"10.1080/17542863.2017.1401270","DOIUrl":"https://doi.org/10.1080/17542863.2017.1401270","url":null,"abstract":"ABSTRACT A number of concepts exist which reveal an interaction between endogenous and psychogenic factors in stress-induced disorders in patients with schizophrenia. These concepts relate to psychological, pathophysiological, and sociological aspects of the problem. In this study we look at the respective states described within the clinical concept of reactive schizophrenia. Materials: Fifty clinical cases were included: 32 females and 18 males, mean age 38.6 ± 12.5. Thirty-three patients (66%) had a diagnosis of ‘schizophrenia’, 17 patients (34%) were diagnosed with ‘schizotypal personality disorder’ according to DSM-5 criteria. The performed examination included a clinical interview, analysis of the current clinical state, analysis of the medical history. Results: From the perspective of concept of ‘reactive schizophrenia’, the subjects of our study can be split into two groups based on their mechanism of development and psychogenic vs. endogenous contributions. These two groups may be characterized as ‘psychogenic provocation of a schizophreniform disorder’ and ‘endogenous provocation of a psychogenic disorder’ respectively. Conclusions: The results observed made it possible to re-establish the hypothesis of ‘reactive schizophrenia’. The principal feature is the specific interaction between endogenous and psychogenic factors, i.e. the psychogenic provocation of endogenous disorders.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"84 1","pages":"27 - 41"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74576380","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}
{"title":"Fundamentals of boundary gerontopsychiatry","authors":"B. Tsygankov, S. Odarchenko","doi":"10.1080/17542863.2017.1401294","DOIUrl":"https://doi.org/10.1080/17542863.2017.1401294","url":null,"abstract":"ABSTRACT This article discusses the foundations of a new direction in psychiatry: gerontopsychiatry. It outlines the challenges, research methods, scientific and clinical approaches, and the most common mental disorders in old age.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"55 1","pages":"68 - 74"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82244705","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}
{"title":"Key features of psychological support for social orphans in substitute families during the adaptation stage","authors":"M. G. Kudryashova","doi":"10.1080/17542863.2017.1401271","DOIUrl":"https://doi.org/10.1080/17542863.2017.1401271","url":null,"abstract":"ABSTRACT This article examines the provision of psychological support for social orphans in substitute families and describes the main difficulties and challenges of psychological support at the various stages of the child’s adaptation to the family.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"9 1","pages":"101 - 99"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84530066","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}
{"title":"Adaptive physical education and adaptive sports within the mental health-care system","authors":"S. Evseev","doi":"10.1080/17542863.2017.1394419","DOIUrl":"https://doi.org/10.1080/17542863.2017.1394419","url":null,"abstract":"ABSTRACT The article illustrates the role and place of adaptive physical education and adaptive sports within the system for mental health care of the disabled and in the improvement of their quality of life.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"40 1","pages":"109 - 112"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73738245","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}
{"title":"Controversies in the contemporary understanding of comorbidity in psychiatry","authors":"V. Krasnov","doi":"10.1080/17542863.2017.1394008","DOIUrl":"https://doi.org/10.1080/17542863.2017.1394008","url":null,"abstract":"ABSTRACT The pre-therapeutic classification of comorbidity in chronic disease has been excessively broadened and distorted since A. R. Feinstein’s initial definition of the concept in 1970. Examinations more often than not establish the ‘comorbidity’ of depression and anxiety, instead of looking for a common pathological core of the two conditions. The ‘concurrence’ of symptoms of depression and anxiety, which is indeed very frequent in clinical practice, would be a more acceptable concept. It is even stranger to talk about the comorbidity of obsessive-compulsive disorder and schizophrenia: the question is what constitutes the primary disorder in such a combination. Schizophrenia or affective disorders are also very often categorized as being comorbid with personality disorders, without taking into account the manifestation of some behavioural personality disorders as pre-conditions or a prodrome of more serious disorders. For the purposes of treatment, taking into consideration the comorbidity of mental disorders and somatic illnesses is of paramount importance. Here we can mention, for example, the comorbidity of schizophrenia and AIDS or tuberculosis, recurrent depression and cardiovascular disease or diabetes, generalized anxiety disorder and asthma. The cases of comorbidity of affective disorders and abuse of alcohol or other psychoactive substances seem to be more disputable, since affective disturbances very often provoke alcohol excesses or temporary drug abuse not necessarily leading to dependency.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"9 1","pages":"42 - 45"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89735118","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}
{"title":"Psychology and psychopathology of the elderly","authors":"V. Shabalin","doi":"10.1080/17542863.2017.1394022","DOIUrl":"https://doi.org/10.1080/17542863.2017.1394022","url":null,"abstract":"ABSTRACT Ageing is a genetically programmed physiological process that is accompanied by certain age-related changes in the human psyche. The complex and contradictory nature of human ageing is associated with quantitative and qualitative changes in the biological structures. When changes in the personality of an old person are assessed, more often than not negative features are mentioned; however, positive changes in his or her intellectual-mental sphere must also be taken into account. Impaired performance in intellectual tests in the elderly may be linked not to a drop in mental abilities but with a loss of interest in trivial tasks of a formal-logical nature and a shift to different semantic content virtually not addressed by conventional tests. In addition, it should be particularly emphasized that all tests of the intellectual integrity of an elderly person only include questions related to the cognitive sphere, and do not contain questions from the creative sphere. And it is in the latter, in particular, where an elderly person often has significant advantages over younger age groups. Features of human mental development in old age are made up of several closely related factors, due to changes in the biosocial status of a person. The ageing process can, in certain elements, be controlled, and the intelligent participation of the individual in maintaining psychological health in the period of gerontogenesis should be increased.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"138 1","pages":"62 - 67"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86634017","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}
{"title":"Legal aspects of mental health care in the European Union (the example of Germany and the UK) and the Russian Federation","authors":"E. О. Pazyna","doi":"10.1080/17542863.2017.1394017","DOIUrl":"https://doi.org/10.1080/17542863.2017.1394017","url":null,"abstract":"ABSTRACT Problems in the sphere of mental health place a great economic and social burden on any state and its population. Their negative impact costs thousands of lives and large amounts of money. This article analyses the organizational, financial and legal mental health care instruments in the European Union and Russia. The importance of cooperation between the public and private sectors in solving the above-mentioned problems is highlighted. The author examines deinstitutionalization and community care issues. The possibility of applying European mental health care experience in Russia is noted.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"1 1","pages":"113 - 119"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75680214","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}
{"title":"The multidisciplinary case management team as an effective model for providing modern psychiatric care under compulsory treatment conditions","authors":"Marina Aleksandrovna Vasyushkina","doi":"10.1080/17542863.2017.1394025","DOIUrl":"https://doi.org/10.1080/17542863.2017.1394025","url":null,"abstract":"ABSTRACT Modern psychiatric care must be integrated and comprise a variety of methods. In light of this, there is a special role for the multidisciplinary case management team approach. Specifically, this permits the use of a multidimensional model for handling the patient’s problems (social, medical, psychological) and permits the optimization of psychiatric care. It enables comprehensive service provision, including under conditions of compulsory treatment, and facilitates more thorough, high-quality rehabilitation of people with mental disorders.","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"13 1","pages":"120 - 121"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80329099","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}
Brian S Barnett, Veronica Kusunzi, Lucy Magola, Christina P C Borba, Michael Udedi, Kazione Kulisewa, Mina C Hosseinipour
{"title":"Description of the inpatient population and care received at a psychiatric unit in Lilongwe, Malawi.","authors":"Brian S Barnett, Veronica Kusunzi, Lucy Magola, Christina P C Borba, Michael Udedi, Kazione Kulisewa, Mina C Hosseinipour","doi":"10.1080/17542863.2018.1448424","DOIUrl":"https://doi.org/10.1080/17542863.2018.1448424","url":null,"abstract":"<p><p>Like in much of Sub-Saharan Africa, descriptive data about psychiatric inpatients and inpatient psychiatric care in Malawi is limited. This study describes the inpatient population at the Bwaila Hospital Psychiatric Unit in Lilongwe, Malawi, as well as treatments received and treatment outcomes. Records of 419 psychiatric inpatients hospitalized from January 1, 2011 to December 31, 2011 were reviewed. Patients were primarily male (73.0%) and were most commonly referred from district hospitals (46.4%). Nearly all patients were involuntarily hospitalized under Malawi's Mental Treatment Act (94.2%). Schizophrenia (30.1%), cannabis use disorder (27.9%) and alcohol use disorder (25.1%) were the most common diagnoses. Suicidal ideation was reported by 4.8% of patients and 2.4% had attempted suicide prior to admission. Homicidal ideation was reported by 7.3% of patients and 5.1% of patients assaulted another patient during their hospitalization. Mean length of stay was 22.1 ± 27.7 days (range: 1.0-243.0). Chlorpromazine (81.3%), diazepam (75.8%), carbamazepine (59.8%) and fluphenazine (56.0%) were the most commonly used medications on the ward. Stabilization and discharge to home was the most common outcome (68.0%), followed by transfer to another hospital (19.5%), discharge against medical advice (8.2%), abscondment (3.4%) and death (1.0%).</p>","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"11 4","pages":"574-582"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17542863.2018.1448424","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38324849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multilevel Determinants of Common Mental Disorders in Migrant and Non-Migrant Wives in Tajikistan.","authors":"Gulchekhra Pirova, Stevan Weine, Arlene Miller, Mavlyuda Yahyokhodjaeva","doi":"10.1080/17542863.2018.1435701","DOIUrl":"https://doi.org/10.1080/17542863.2018.1435701","url":null,"abstract":"<p><p>The purpose of this study was to investigate common mental disorders among Tajik migrant and non-migrant wives in a primary care center. Using a cross sectional design, quantitative surveys using standard questionnaires were administered to 300 married Tajik women aged 18-45 in Dushanbe. Descriptive and multivariate analyses described the demographic and mental health patterns, and comparison of key sub-groups, using Chi-square, T-test and regression. 26% of women in primary care had moderate or severe depression, 17% had moderate or severe anxiety and 20% had moderate or severe PTSD. Lifetime physical or emotional abuse was reported in 22% and women with lifetime physical or emotional abuse had higher depression, anxiety and PTSD scores. Significant multivariate associations predicted the following risk factors: for depression (R<sup>2</sup>=.40): higher number of people you live with, older age of woman, and migrant husband; for anxiety (R<sup>2</sup>=.41):more direct trauma and older age of woman; for PTSD (R<sup>2</sup> =.48):lower number of people you live with, more direct trauma, older age of woman, highernumber of children, non-migrant husband, and lifetime emotional or physical abuse. Mental health interventions are needed in primary care settings for women with common mental disorders, including those exposed to trauma and migration.</p>","PeriodicalId":38926,"journal":{"name":"International Journal of Culture and Mental Health","volume":"11 4","pages":"490-497"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17542863.2018.1435701","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38570579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}