| 1. |
- Fribergh, H, et al.
(författare)
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The Meta-Contrast Technique : a projective test predicting suicide
- 1992
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Ingår i: Acta Psychiatrica Scandinavica. - : Wiley. - 0001-690X .- 1600-0447. ; 86:6, s. 7-473
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Tidskriftsartikel (refereegranskat)abstract
- Sixty-nine inpatients who had attempted suicide were studied by means of the Meta-Contrast Technique (MCT), a projective test measuring personality factors, especially defensive strategies. The patients were divided into 3 subgroups, one of which was defined as stereotypy only, which denotes stereotypy (perceptual retardation) without any other coded defenses. At follow-up 7 of 8 completed suicides belonged to this subgroup and they matched various main diagnoses according to DSM-III-R. When the MCT findings of all patients were compared with 99 depressed inpatients from a previous study, the latter group more often had mature defensive strategies. In both investigations most completed suicides were found in the stereotypy only group. Our findings indicate that, regardless of psychiatric diagnosis, stereotypy without other defenses in MCT predicts suicide.
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| 2. |
- Magne-Ingvar, Ulla, et al.
(författare)
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Suicide attempters with and without reported overconsumption of alcohol and tranquillizers
- 1997
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 0803-9488 .- 1502-4725. ; 51:6, s. 415-421
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Tidskriftsartikel (refereegranskat)abstract
- The aims of the present study were to investigate the existence of overconsumption of alcohol and tranquillizers in suicide attempters and whether overconsumers differ from those with no overconsumption. One hundred and twenty-six patients, evaluated and treated after a suicide attempt in a psychiatric ward, took part in a comprehensive investigation. This included questions on consumption of alcohol and tranquillizers and use of illegal drugs, independently of the psychiatric diagnostic procedure. More than half of the patients (59%) reported overconsumption of any kind or use of illegal drugs; 47% overconsumed alcohol (13% in a combination with tranquillizers), 10% overconsumed tranquillizers only, and 2% had used illegal drugs. Compared with non-overconsumers, overconsumers had more often made previous suicide attempts, and psychiatric co-morbidity on DSM III-R was commoner among overconsumers. The parents of overconsumers had more often been treated for psychiatric disorders, and alcoholism among fathers was commoner. The overconsumers of alcohol were younger and less often married, had a weaker social network, and had lower platelet monoamine oxidase activity. The psychosocial characteristics found in overconsumers underline the need for identification of these subjects, to prevent an escalation of a self-destructive life-style. A thorough investigation concerning use of alcohol and other substances is therefore essential in all suicide attempters; otherwise there is a risk that overconsumers without a DSM III-R diagnosis of substance use disorder may be undetected.
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| 3. |
- Nettelbladt, Per, et al.
(författare)
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The social network of patients with schizoaffective disorder as compared to patients with diabetes and to healthy individuals
- 1995
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Ingår i: Social Science and Medicine. - 0277-9536. ; 41:6, s. 901-907
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Tidskriftsartikel (refereegranskat)abstract
- The social network was evaluated by means of the self-rating scale 'Interview Schedule for Social Interaction' (ISSI) and semi-structured interviews in married patients with a DSM-III diagnosis of schizoaffective disorder (N = 17, partners, N = 16), married patients with diabetes (N = 10, partners, N = 10) and in married healthy individuals (N = 8, partners, N = 8). The two latter groups were comparison control groups matched for sex and age to the patients with a schizoaffective disorder. The scores on the ISSI and its subscales for the groups were compatible to those found in other Swedish studies. Patients with a schizoaffective disorder both experienced that they had less access to (AVAT) and were less satisfied with their deep emotional relations (ADAT). The same patients had a higher level of neuroticism as compared to the rest. The patients with a schizoaffective disorder had less often than the patients with diabetes been informed about their disease. Moreover, the partners to the patients with a schizoaffective disorder had not been informed about the disease and experienced that they had fewer social contacts (AVSI). A challenge for the professional network in psychiatry is to improve the information and education to families in which one member is struck by a schizoaffective disorder.
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| 4. |
- Öjehagen, Agneta, et al.
(författare)
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Psychiatric symptoms in alcoholics attending outpatient treatment
- 1991
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Ingår i: Alcoholism: Clinical and Experimental Research. - : Wiley. - 0145-6008 .- 1530-0277. ; 15:4, s. 6-640
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Tidskriftsartikel (refereegranskat)abstract
- The importance of psychiatric symptomatology for the treatment course of alcoholics was analyzed in a long-term outpatient treatment study. Seventy-two patients, 60 men and 12 women, were personally interviewed during treatment and after 3 years. Before treatment psychiatric symptoms were rated according to the Comprehensive Psychopathological Rating Scale (CPRS). Women had significantly higher scores than men. Men with many symptoms and women had more psychological benefits from drinking and a more impaired personality structure than men with few symptoms. Men with many symptoms also had a lower level of social functioning. The severity of abuse did not differ between the three groups. Men with many symptoms had a less favorable outcome between 25 and 36 months after start of treatment than men with few symptoms and women. Among men who completed treatment, those with many symptoms showed a less successful course after 6 months and during the 3rd year after start of treatment, while differences after 3 months and during later stages of treatment were less pronounced. It is suggested that before start of treatment a psychiatric evaluation should be performed including psychiatric diagnosis, personality analysis, and an assessment of psychological benefits from drinking.
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