International Journal of Mental Health Systems
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Factors affecting mental fitness for work in a sample of mentally ill patients
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Conclusion: There are many factors affecting the mental fitness the most important are the characteristics of work environment and the most serious is the overall safety of patient to self and others. A lot of ethical and legal issues should be kept in mind during such assessment as patient's rights, society's rights, and the laws applied to unfit people. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - November 19, 2009 Category: Psychiatry Authors: Yasser ElsayedMohamed Al-ZahraniMahmoud Rashad Source Type: journals
Medication management and practices in prison for people with mental health problems: a qualitative study
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Conclusion:
Changes to medication management which accompany entry to prison appear to contribute to poor relationships with prison health staff, disrupts established self-medication practices and discourages patients from taking greater responsibility for their own conditions and detrimentally affects the mental health of many prisoners at a time when they are most vulnerable. Such practices are likely to inhibit the integration and normalisation of mental health management protocols in prison as compared with those operating in the wider community and may hinder progress towards improving the standard of mental health ca...
Source: International Journal of Mental Health Systems - October 19, 2009 Category: Psychiatry Authors: Robert BowenAnne RogersJennifer Shaw Source Type: journals
Pathway for inpatients with depressive episode in Flemish psychiatric hospitals: a qualitative study
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Conclusions:
This study was a first charting of current practice outlined as a pathway for Flemish inpatients with depressive episodes. Within the context of surveillance of quality and quantity of care, this study may encourage hospitals to consider developing clinical pathways. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - October 18, 2009 Category: Psychiatry Authors: Franciska DesplenterGert LaekemanSteven Simoens Source Type: journals
Health services utilization by school going Omani adolescents and youths with DSM IV mental disorders and barriers to service use.
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This study focuses on the health services utilization and the barriers to the service use among school going adolescents and youths with DSM IV disorders in the country Oman, whose population is predominantly youthful. Method: Representative sample of secondary school Omani adolescents and youths were concurrently interviewed for the (i) presence of DSM IV mental disorders using the face-to-face interview, World Mental Health-Composite International Diagnostic Interview (WMH-CIDI), (ii) tendency for health care utilization and (iii) predictors of utilization with clinical and demographic background. Results: The proportion...
Source: International Journal of Mental Health Systems - September 24, 2009 Category: Psychiatry Authors: Asya Al RiyamiSamir Al AdawiHilal Al KharusiMagdi MorsiSanjay Jaju Source Type: journals
Trauma-related psychological disorders among Palestinian children and adults in Gaza and West Bank, 2005-2008
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Context: Trauma from war and violence has led to psychological disorders in individuals living in the Gaza strip and West Bank. Few reports are available on the psychiatric disorders seen in children and adolescents or the treatment of affected populations.ObjectiveTo describe the occurrence and treatment of psychiatric disorders in the Palestinian populations of the Gaza strip and Nablus district in the West Bank.Design, Setting, and Participants: From 2005 to 2008, 1369 patients aged more than 1 year were identified through a local mental health and counseling health network. All were clinically assessed using a semi-str...
Source: International Journal of Mental Health Systems - September 22, 2009 Category: Psychiatry Authors: Emmanuelle EspieValerie GaboulaudThierry BaubetGerman CasasYoram MouchenikOliver YunRebecca GraisMarie Rose Moro Source Type: journals
Attitude of young psychiatrists toward coercive measures in psychiatry: a case vignette study in Japan
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Conclusion:
Our results may reflect the current dilemma in Japanese psychiatry wherein psychiatrists must initiate coercive measures to shorten hospitalization stays. This study prompted its subject psychiatrists to consider coercive psychiatric treatments. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - September 21, 2009 Category: Psychiatry Authors: Masaru TatenoKanna SugiuraKumi UeharaDaisuke FujisawaYueren ZhaoNaoki HashimotoHidehiko TakahashiNaofumi YoshidaTakahiro KatoWakako NakanoYosuke WakeTomohiro ShirasakaSeiju KobayashiSoichiro Sato Source Type: journals
Evaluation of Mental Health First Aid training with members of the Vietnamese community in Melbourne, Australia
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Conclusions:
A two-day, MHFA training course for general members of the Vietnamese community in Melbourne demonstrated significant reductions in stigmatising attitudes, improved knowledge of mental disorders and improved knowledge about appropriate forms of assistance to give to people in the community with mental disorder. There is sufficient evidence to scale up to a population level program for the Vietnamese community, and a need for longitudinal evaluation of such a scaled up program. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - September 6, 2009 Category: Psychiatry Authors: Harry MinasErminia ColucciAnthony Jorm Source Type: journals
Pattern of mental ill health morbidities following hysterectomy for benign gynaecological disorders among Nigerian women
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Conclusion:
This study suggests that mental ill health may complicates hysterectomy for benign uterine pathology among Nigerian women, and that anxiety related disorders increases after operation with the highest proportion in those with clinical diagnosis of Uterine Fibroid. We recommend adequate preoperative counseling using properly trained psychologists when affordable to minimize these morbidities. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - July 29, 2009 Category: Psychiatry Authors: Micheal OkunlolaCelestine UmuerriOlayinka OmigbodunImran Morhason-BelloStella OkonkwoOladosu Ojengbede Source Type: journals
Mental health treatment outcomes in a humanitarian emergency:
a pilot model for the integration of mental health into primary care in Habilla, Darfur
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Background:
There is no description of outcomes for patients receiving treatment for mental illnesses in humanitarian emergencies.MSF has developed a model for integration of mental health into primary care in a humanitarian emergency setting based on the capacity of community health workers, clinical officers and health counsellors under the supervision of a psychiatrist trainer.Our study aims to describe the characteristics of patients first attending mental health services and their outcomes on functionality after treatment.
Methods:
A total of 114 patients received mental health care and 81 adult patients were evaluate...
Source: International Journal of Mental Health Systems - July 20, 2009 Category: Psychiatry Authors: Renato SouzaSilvia YasudaSusanna Cristofani Source Type: journals
The change in attitude and knowledge of health care personnel and general population following trainings provided during integration of mental health in Primary Health Care in Iran: a systematic review
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Conclusion:
A short term training improved knowledge and attitude of the population and health personnel immediately after the intervention. There is also evidence for a long term change in the attitude and knowledge of general population after short term training. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - June 24, 2009 Category: Psychiatry Authors: Naghmeh MansouriBanafsheh GharaeeSeyed Vahid ShariatJafar BolhariReza Yousefi NooraieAfarin Rahimi-MovagharNarges Alirezaie Source Type: journals
Human rights of persons with mental illness in Indonesia: more than legislation is needed
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Conclusions:
More than legislation is needed to protect the human rights of persons with mental illness. Improving the human rights situation for persons with mental illness in Indonesia will require action by governments at national, provincial and district levels, substantial increases in the level of investment in mental health services, coordinated action by mental health professionals and consumer and carer organisations, and a central role for the National Human Rights Commission in protecting the rights of persons with mental illness. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - June 18, 2009 Category: Psychiatry Authors: I IrmansyahY PrasetyoH Minas Source Type: journals
Psychiatric morbidity among adult patients in a semi-urban primary care setting in Malaysia
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Background:
Screening for psychiatric disorders in primary care can improve the detection rate and helps in preventing grave consequences of unrecognised and untreated psychiatric morbidity. This is relevant to the Malaysian setting where mental health care is now also being provided at primary care level. The aim of this paper is to report the prevalence of psychiatric illness in a semi-urban primary care setting in Malaysia using the screening tool Patient Health Questionnaire (PHQ).
Methods:
This is a cross-sectional study carried out in a semi-urban primary healthcare centre located south of Kuala Lumpur. Systematic ra...
Source: International Journal of Mental Health Systems - June 17, 2009 Category: Psychiatry Authors: Ruzanna ZamZamManiam ThambuMarhani MidinKhairani OmarParvesh Kaur Source Type: journals
Mental health and human rights: never waste a serious crisis
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A serious health and human rights crisis is unfolding in Indonesia. Media reports in the Jakarta press have highlighted the high death rates in shelters for people with mental illness that are run by the Jakarta Social Agency. This crisis represents an opportunity to bring about systematic and substantial changes in the Indonesian mental health system. In order to realise this opportunity the necessary elements of an approach are presented and briefly discussed. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - June 15, 2009 Category: Psychiatry Authors: Harry Minas Source Type: journals
Designing a knowledge transfer and exchange strategy for the Alberta Depression Initiative: contributions of qualitative research with key stakeholders
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Conclusion:
Interest in KTE on the part of ADI has led to the development of a strategy for engaging decision makers, researchers, and other mental health stakeholders in an on-going network related to depression programs and policy. A similarly engaged process might benefit other policy areas. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - June 11, 2009 Category: Psychiatry Authors: Craig MittonCarol AdairEmily McKenzieScott PattenBrenda Waye-PerryNeale Smith Source Type: journals
Decentralization matters - Differently organized mental health services relationship to staff competence and treatment practice: the VELO study
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Conclusions:
The implications of the differences found, and the possibility that these differences influences the treatment mode for patients with similar psychiatric problems from the two catchment areas, are discussed. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - May 18, 2009 Category: Psychiatry Authors: Svein Bjorbekkmo, Lars H Myklebust, Reidun Olstad, Stian Molvik, Asle Nymann and Knut Soergaard Source Type: journals
International Observatory on Mental Health Systems: structure and operation
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IntroductionSustained cooperative action is required to improve the mental health of populations, particularly in low and middle-income countries where meagre mental health investment and insufficient human and other resources result in poorly performing mental health systems.
The Observatory
The International Observatory on Mental Health Systems aims to support the establishment of a mental health systems research and development network that will support low and middle-income countries to develop high quality mental health systems. The mental health systems research work will be done primarily by mental health systems re...
Source: International Journal of Mental Health Systems - April 3, 2009 Category: Psychiatry Authors: Harry Minas Source Type: journals
Evaluation of psychological support for victims of sexual violence in a conflict setting: results from Brazzaville, Congo
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Conclusion:
We found the benefits of post-rape psychological support to be present and lasting in this conflict situation. However, we were unable to evaluate all women for the long-term impact, underscoring the difficulty of leading evaluation studies in unstable contexts. Future research is needed to validate these findings in other settings. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - April 1, 2009 Category: Psychiatry Authors: Sarah Hustache, Marie-Rose Moro, Jacky Roptin, Renato Souza, Gregoire M Gansou, Aain Mbemba, Thomas Roederer, Rebecca F Grais, Valerie Gaboulaud and Thierry Baubet Source Type: journals
Community perceptions of mental health needs: a qualitative study in the Solomon Islands
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Conclusions:
Communities identify and are responding to a wide range of mental health challenges; the health system generally can do more to learn about how this is being done, and build more comprehensive services and policy on this foundation. The findings underscore the need to promote awareness of those services which are available, to extend mental health care beyond urban centres to rural villages where the majority of the population live, and to promote community input to policy so as to ensure that it 'fits' the context. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - March 13, 2009 Category: Psychiatry Authors: Ilse Blignault, Anne Bunde-Birouste, Jan Ritchie, Derrick Silove and Anthony B Zwi Source Type: journals
Knowledge, attitudes and practice pertaining to depression among primary health care workers in Tanzania
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Conclusion:
The findings suggest a need to strengthen the training of primary health care workers in Tanzania about the detection of depression, pharmacological and psychological treatments, and psychosocial interventions. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - February 25, 2009 Category: Psychiatry Authors: Joseph Mbatia, Ajit Shah and Rachel Jenkins Source Type: journals
Mental health and the workplace: issues for developing countries
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The capacity to work productively is a key component of health and emotional well-being. Common Mental Disorders (CMDs) are associated with reduced workplace productivity. It is anticipated that this impact is greatest in developing countries. Furthermore, workplace stress is associated with a significant adverse impact on emotional wellbeing and is linked with an increased risk of CMDs. This review will elaborate on the relationship between workplace environment and psychiatric morbidity. The evidence for mental health promotion and intervention studies will be discussed. A case will be developed to advocate for workplace...
Source: International Journal of Mental Health Systems - February 20, 2009 Category: Psychiatry Authors: Prem Chopra Source Type: journals
Is psychiatric emergency service (PES) use increasing over time?
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Conclusions: Long observation periods are required in order to detect stable changes in PES utilization rates over time. As such, population growth may be but one of several factors underlying these increases. Organizational changes in mental health care delivery in the vicinity of the services that showed an increase could also have contributed. These latter would simply have redistributed (to the PES) the pre existing pool of metal health care patients, resulting in an increase that is more apparent than real. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - February 3, 2009 Category: Psychiatry Authors: Michel Paradis, Carolyn Woogh, Dany Marcotte and Yves Chaput Source Type: journals
International Observatory on Mental Health Systems: a mental health research and development network
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Background:
While the mental health situation for most people in low and middle-income countries is unsatisfactory, there is a renewed commitment to focus attention on the mental health of populations and on the scaling up of mental health services that have the capacity to respond to mental health service needs. There is general agreement that scaling up activities must be evidence-based and that the effectiveness of such activities must be evaluated. If these requirements are to be realised it will be essential to strengthen capacity in countries to conduct rigorous monitoring and evaluation of system development project...
Source: International Journal of Mental Health Systems - January 22, 2009 Category: Psychiatry Authors: Harry Minas Source Type: journals
International Observatory on Mental Health Systems: a research and mental health systems development network
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Background:
While the mental health situation for most people in low and middle-income countries is unsatisfactory, there is a renewed commitment to focus attention on the mental health of populations and on the scaling up of mental health services that have the capacity to respond to mental health service needs. There is general agreement that scaling up activities must be evidence-based and that the effectiveness of such activities must be evaluated. If these requirements are to be realised it will be essential to strengthen capacity in countries to conduct rigorous monitoring and evaluation of system development project...
Source: International Journal of Mental Health Systems - January 22, 2009 Category: Psychiatry Authors: Harry Minas Source Type: journals
Psychological distress and associated factors among the attendees of traditional healing practices in Jinja and Iganga districts, Eastern Uganda: a cross-sectional study
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Conclusion:
This study provides evidence that a substantial proportion of attendees of traditional healing practices suffer from psychological distress. Associated factors include poverty, number of children, polygamy, reason for visiting the healer and use of both traditional healing and biomedical health units. These findings may be useful for policy makers and biomedical health workers for the engagement with traditional healers. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - December 23, 2008 Category: Psychiatry Authors: Catherine Abbo, Solvig Ekblad, Paul Waako, Elialilia Okello, Wilson Muhwezi and Seggane Musisi Source Type: journals
Psychological distress and associated factors among the attendees of traditional healing practices in Jinja and Iganga districts,Eastern Uganda: a cross sectional study.
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Conclusion:
This study provides evidence that a substantial proportion of attendees of traditional healing practices suffer from psychological distress. Associated factors include poverty, number of children, polygamy, reason for visiting the healer and use of both traditional healing and biomedical health units. These findings may be useful for policy makers and biomedical health workers for the engagement with traditional healers. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - December 23, 2008 Category: Psychiatry Authors: Catherine Abbo, Solvig Ekblad, Paul Waako, Elialilia Okello, Wilson Muhwezi and Seggane Musisi Source Type: journals
Pathway to Psychiatric Care in Japan: a multicenter observational study
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Conclusions:
This first pathway to psychiatric care study in Japan demonstrated that referral pathway in Japan heavily relies on medical resources. The study indicates possible fields and gives indications, underlining the importance of improving skills and knowledge that will facilitate the recognition of psychiatric disorders presenting with somatic and depressive symptoms in the general health care system and by private practitioners. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - September 26, 2008 Category: Psychiatry Authors: Daisuke Fujisawa, Naoki Hashimoto, Yayoi Masamune-Koizumi, Kotaro Otsuka, Masaru Tateno, Gaku Okugawa, Atsuo Nakagawa, Ryoko Sato, Toshiaki Kikuchi, Eita Tonai, Kosuke Yoshida, Takatoshi Mori, Hidehiko Takahashi, Soichiro Sato, Hiroyasu Igimi, Yoshifumi W Source Type: journals
Hope, despair and transformation: climate change and the promotion of mental health and wellbeing
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Conclusions:
We conclude with some thoughts about implications of these reflections for future policy, practice and research in the fields of mental health and mental health promotion. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - September 17, 2008 Category: Psychiatry Authors: Jessica G Fritze, Grant A Blashki, Susie Burke and John Wiseman Source Type: journals
Community mental health in India: A rethink
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Conclusions:
Community based initiatives in the management of mental disorders however well intentioned will not be sustainable unless the family and the community are involved in the intervention program with support being provided regularly by mental health professionals. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - July 14, 2008 Category: Psychiatry Authors: Rangaswamy Thara, Ramachandran Padmavati, Jothy R Aynkran and Sujit John Source Type: journals
Does community care work? A model to evaluate the effectiveness of mental health services
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The aim of this paper is to evaluate the effectiveness of community Mental Health Departments in Lombardy (Italy), and analyse the eventual differences in outcome produced by different packages of care. The survey was conducted in 2000 on 4,712 patients treated in ten Mental Health Departments. Patients were assessed at least twice in a year with HoNOS (Health of the Nation Outcome Scales). Data on treatment packages were drawn from the regional mental health information system, which includes all outpatient and day-care contacts, as well as general hospital and inpatient admissions provided by Mental Health Departments. M...
Source: International Journal of Mental Health Systems - July 5, 2008 Category: Psychiatry Authors: Emiliano Monzani, Arcadio Erlicher, Antonio Lora, Piergiorgio Lovaglio and Giorgio Vittadini Source Type: journals
Pasung: Physical restraint and confinement of the mentally ill in the community
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ConclusionThe provision of basic community mental health services, where there were none before, enabled the majority of the people who had been restrained to receive psychiatric treatment and to be released from pasung. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - June 16, 2008 Category: Psychiatry Authors: Harry Minas and Hervita Diatri Source Type: journals
Tangata whaiora/consumers perspectives on current psychiatric classification systems
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Conclusion:
Overall, people thought that in terms of their recovery, the classification systems were tools and their utility depended on how they were used. They suggested that whatever tool was used it needed to help them make sense of their distress and provide them with a variety of supports, not just medication, to assist them to live lives that were meaningful to them. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - June 12, 2008 Category: Psychiatry Authors: Tess Moeke-Maxwell, Debra Wells and Graham W Mellsop Source Type: journals
Providing support to psychiatric patients living in the community in Japan: patient needs and care providers perceptions
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Conclusion:
Results of this study suggest that social services geared towards specific tasks of daily living form an important component of comprehensive care for psychiatric patients living in community settings in Japan. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - May 29, 2008 Category: Psychiatry Authors: Hiroaki Miyata, Hisateru Tachimori and Tadashi Takeshima Source Type: journals
Reducing stigma and discrimination: Candidate interventions
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This paper proposes that stigma in relation to people with mental illness can be understood as a combination of problems of knowledge (ignorance), attitudes (prejudice) and behaviour (discrimination). From a literature review, a series of candidate interventions are identified which may be effective in reducing stigmatisation and discrimination at the following levels: individuals with mental illness and their family members; the workplace; and local, national and international. The strongest evidence for effective interventions at present is for (i) direct social contact with people with mental illness at the individual l...
Source: International Journal of Mental Health Systems - April 13, 2008 Category: Psychiatry Authors: Graham Thornicroft, Elaine Brohan, Aliya Kassam and Elanor Lewis-Holmes Source Type: journals
First aid guidelines for psychosis in Asian countries: A Delphi consensus study
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Conclusion:
Despite the diversity of the countries involved, there was consensus on a core set of first aid items that were considered as suitable for assisting a psychotic person. Future work is needed to develop guidelines for specific countries. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - February 21, 2008 Category: Psychiatry Authors: Anthony F Jorm, Harry Minas, Robyn L Langlands and Claire M Kelly Source Type: journals
Cotard's syndrome and delayed diagnosis in Kashmir, India
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We present a case of a young pregnant woman suffering from Cotard's syndrome. This is the first report of this syndrome in a pregnant woman. The case was diagnosed late, due to lack of awareness of psychiatric problems in primary care physicians resulting in undue suffering, loss of precious time and resources for the patient. Besides highlighting the rare combination of pregnancy and Cotard's syndrome this report delineates the difficulties faced by patients with such symptoms in a low resource setting. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - January 11, 2008 Category: Psychiatry Authors: Zaid A Wani, Abdul W Khan, Aijaz A Baba, Hayat A Khan, Qurat-ul Ain Wani and Rayeesa Taploo Source Type: journals
Classification in Psychiatry: Does it deliver in schizophrenia and depression?
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DiscussionIn the major groupings of schizophrenia and depression, experience over the last 50 years has highlighted particular inadequacies in the utility and validity of available classifications.SummaryAdvances in psychiatric knowledge and practice notwithstanding, present classification systems would be enhanced by the incorporation of dimensional components. Minor tinkering with current systems will reflect only a missed opportunity. Improving classification will facilitate quality improvement of mental health systems. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - December 3, 2007 Category: Psychiatry Authors: Graham W Mellsop, David B Menkes and Selim M El-Badri Source Type: journals
