Nikola Mandić

Depresion en pacientes con alteraciones del tiroides

RESUMEN – Nuestro estudio fue realizado en un grupo de 53 mujeres con disfuncion tiroidea y 28 mujeres con depresion mayor. Empleamos la Escala de la Depresion de Hamilton, la Escala de Autoevaluacion de la Depresion de Zung y la Escala sobre la Impresion Clinica Global. Los resultados del estudio demuestran que la mayoria de los pacientes con disfuncion tiroidea se mostraron clinicamente significativos en cuanto al trastorno depresivo. Los episodios depresivos son mas frecuentes en pacientes con hipotiroidismo que en aquellos que presentan hipertiroidismo. Era menos grave en pacientes con disfuncion tiroidea que en aquellos que habian sido diagnosticados de depresion mayor unipolar. Los pacientes con hipertiroidismo tenian menos sintomas graves en cuanto a la inhibicion y los pacientes con hipotiroidismo tenian menos sintomas graves de agitacion que los pacientes con depresion mayor unipolar. Podemos concluir diciendo que los pacientes con disfuncion tiroidea presentan un riesgo potencial para los trastornos depresivos por lo que el diagnostico y tratamiento se recomienda con el fin de evitar el riesgo de la cronicidad.

Symptom structure and psychiatric comorbidity of combat-related post-traumatic stress disorder.

The placement of the diagnostic category of post‐traumatic stress disorder (PTSD) among anxiety disorders reflects the recognition that anxiety is a predominant reaction to trauma. Indeed, the symptoms of PTSD overlap considerably with those of other anxiety disorders. The nosological criteria render PTSD as quite a heterogeneous diagnosis. Two individuals with no common symptoms can be diagnosed as having PTSD. In this report we provide information on the phenomenology and psychiatric comorbidity in a sample of 33 patients with combat‐related PTSD. The finding of clinical heterogeneity in subjects with combat‐related PTSD and the therapy implications are discussed.

Schizophrenic disorder and social functioning

Abstract Social functioning is assessed according to 84 questioned subjects with schizophrenic disorder and their 84 key figures. Schizophrenic subjects showed significant dysfunction in all reviewed areas of behaviour and social roles. Key figures of all schizophrenic subjects most often showed a positive attitude in regard to the future of the schizophrenic members of their family. In relation to social functioning of the schizophrenic subject and the attitude of family key figures there is a statistically significant difference as well as a relationship. Results of assessment confirmed the impact of family life on social functioning of the schizophrenic patient and stresses the importance of active family support in rehabilitation programs.