Journal articles: 'Mental illness Diagnosis'

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Grant, Donald C., and Edwin Harari. "Diagnosis and Serious Mental Illness." Australian & New Zealand Journal of Psychiatry 30, no. 4 (August 1996): 445–49. http://dx.doi.org/10.3109/00048679609065015.

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We examine some limitations of the psychiatric diagnosis, particularly in the assessment of the seriousness of a patient';;s mental illness. The bureaucratic or technocratic use of the concept ‘serious mental illness’ is contrasted with the perspective of the clinician who provides ongoing patient care. A decline in the clinical skills of psychiatrists is likely if proposed mental health reforms regulate psychiatric practice according to bureaucratic and technocratic definitions of serious mental illness rather than the realities of the clinical encounter between patient and doctor.

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Anderson, Bernard, and Richard Khoo. "Mental illness: diagnosis or value judgment?" British Journal of Nursing 3, no. 18 (October 13, 1994): 957–59. http://dx.doi.org/10.12968/bjon.1994.3.18.957.

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Stone, Louise, Elizabeth Waldron, and Heather Nowak. "Making a good mental health diagnosis: Science, art and ethics." Australian Journal of General Practice 49, no. 12 (December 1, 2020): 797–802. http://dx.doi.org/10.31128/ajgp-08-20-5606.

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Background There are limitations to psychiatric classification, which affects the utility of diagnosis in general practice. Objective The aim of this article is to explore the principles of science, art and ethics to create clinically useful psychiatric diagnoses in general practice. Discussion Psychiatric classification systems provide useful constructs for clinical practice and research. Evidence-based treatments are based on the classification of mental illnesses. However, while classification is necessary, it is not sufficient to provide a full understanding of ‘what is going on’. A good psychiatric diagnosis will also include a formulation, which provides an understanding of the psychosocial factors that provide a context for illness. Experiences such as trauma and marginalisation will change the illness experience but also provide other forms of evidence that shape therapy. Diagnoses also carry ethical implications, including stigma and changes in self‑concept. The science, art and ethics of diagnosis need to be integrated to provide a complete assessment.

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Haag, Amanda Leigh. "Biomarkers trump behavior in mental illness diagnosis." Nature Medicine 13, no. 1 (December 28, 2006): 3. http://dx.doi.org/10.1038/nm0107-3.

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Cannington, Victoria. "Mental Illness and the Body, Beyond Diagnosis." Issues in Mental Health Nursing 29, no. 1 (January 2008): 95–96. http://dx.doi.org/10.1080/01612840701749134.

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Edwards, Megan. "Mental Illness and the Body: Beyond Diagnosis." Journal of Advanced Nursing 60, no. 1 (October 2007): 111. http://dx.doi.org/10.1111/j.1365-2648.2007.04414.x.

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Coelho, Richard J., and Jodi L. Saunders. "Diagnostic Implications of Dual Diagnosis: Mental Retardation and Mental Illness." Journal of Applied Rehabilitation Counseling 27, no. 4 (December 1, 1996): 19–24. http://dx.doi.org/10.1891/0047-2220.27.4.19.

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Individuals with mental retardation are at a greater than average risk of developing psychiatric disorders. Many of these individuals are being seen by rehabilitation counselors through various community settings. The accurate diagnosis of psychopathology within this at-risk population helps the rehabilitation counselor to develop and implement appropriate service delivery. Thus, the diagnostic process is a critical aspect of the counseling process. This article examines diagnostic issues and challenges for determining psychopathology in individuals with mental retardation. Aspects of mental retardation that influence the diagnostic process, assessment measures, the importance of the clinical interview, and implications for rehabilitation counselors who are working with this population are also addressed.

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Bhattacharya, Manami, Helen Parsons, Anne Hudson Blaes, Kathleen Call, and Donna McAlpine. "Pre-existing mental illness and guideline-concordant treatment for breast cancers among older women." Journal of Clinical Oncology 40, no. 28_suppl (October 1, 2022): 138. http://dx.doi.org/10.1200/jco.2022.40.28_suppl.138.

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138 Background: Guideline-concordant care (GCC) of breast cancer greatly improves survival. Women with mental illness experience worse survival after breast cancer; in this study, we examined whether women with mental illnesses pre-existing their breast cancer diagnosis receive GCC for breast cancer as often as women without. Methods: We used Surveillance and Epidemiology and End Results (SEER) cancer registry and Medicare claims (SEER-Medicare) to select cases of women (67+ years old) with Stage I-III breast cancers (n = 89,172). Mental illness was measured through diagnostic codes within 2 years before cancer diagnosis and categorized as serious mental illness (SMI: schizophrenia, bipolar disorder, depression with psychosis, and other psychotic disorders); depression or anxiety; or other mental illnesses. To determine receipt of GCC we used the National Comprehensive Cancer Network’s (NCCN) treatment guidelines, commonly referenced by oncologists as best practices. Outcomes included 1. surgery and radiation completion for all cancers (complete/incomplete treatment/no surgery); 2. surgery, radiation completion, and chemotherapy initiation (complete/incomplete/no surgery) for triple negative and HER2+ breast cancers; and 3. radiation completion after mastectomy for Stage III cancers with lymph involvement. We used generalized ordinal logistic regression to compare outcomes with mental illness categories, controlling for demographic, cancer-related, and clinical factors. Results: We found that 28.8% of women in this study had at least one diagnosis of a mental illness in the two years prior to their breast cancer diagnosis and 1.7% had SMI. Women with SMI are more likely to not receive surgery than women without (OR = 1.24, CI = 1.02-1.60). Women with mental illnesses have a higher risk of not completing radiation after breast conserving surgery (SMI: OR = 1.24, CI = 1.01-1.30, Depression and anxiety: OR = 1.11, CI = 1.06-1.16, other mental illnesses: OR = 1.09 CI = 1.01-1.16). Women with SMI and triple negative or HER2+ cancers are more likely to not complete all treatment (OR = 1.65, CI = 1.22-2.24). Conclusions: Women with mental illnesses may be at higher risk for incomplete treatment or lack of treatment initiation, especially for multi-part treatment, such as completion of radiation and initiation of chemotherapy, which may contribute to worse survival outcomes. Breast cancer and mental illness are both common illnesses among older women in the United States. Health systems should consider strategies for improving GCC among women with mental illness and breast cancer.

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Allen, John R., Caroline P. Hoch, Daniel J. Scott, and Christopher E. Gross. "Is There a Psychiatric Diagnosis in Chronic Ankle Instability Patients?" Foot & Ankle Orthopaedics 7, no. 4 (October 2022): 2473011421S0055. http://dx.doi.org/10.1177/2473011421s00553.

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Category: Ankle; Other Introduction/Purpose: Ankle instability is an extremely common clinical entity. Chronic ankle instability (CAI) can develop in some patients, leading to continued pain and dysfunction. However, there is very limited data to date on what impact common psychiatric pathology may have on patients' experience with CAI. This study aimed to investigate the association between psychiatric diagnosis and CAI, and whether having a diagnosed psychiatric illness impacts the outcome of CAI. We hypothesized that a concomitant diagnosis of psychiatric pathology with CAI would be significantly associated with lower postoperative patient- reported outcome measures (PROMs). Methods: A retrospective review was conducted of 276 patients (280 ankles) treated between 2005 and 2021 at an academic medical center by one of three fellowship-trained foot and ankle orthopaedic surgeons, of which 56 underwent surgery and 130 had a concomitant psychiatric diagnosis (i.e., anxiety=111, depression=105, post-traumatic stress disorder [PTSD]=19, obsessive- compulsive disorder [OCD]=6, bipolar disorder [BPD]=5). Data collected included demographics, conservative treatment history, and patient-reported outcome measures (PROMs), such as Visual Analogue Scale (VAS), Brief Resiliency Scale (BRS), 12-Item Short-Form Survey (SF-12), Somatic Symptom Scale (SSS-8), Pain Catastrophizing Scale (PCS), Pain Disability Index (PDI), Foot and Ankle Outcome Score (FAOS), and Foot and Ankle Ability Measure (FAAM). Results: Preoperatively, patients with these concomitant psychiatric diagnoses had worse preoperative PROMs. However, the overall cohort improved postoperatively across all PROMs. In particular, the FAOS Total score relatively increased by 35.28% (preop=57.29%, postop=77.50%, p=.011) and the FAAM Total by 49.86% (preop=45.87%, postop=68.74%, p=.027). Both improvements were significant. Of note, the relative change of pre- to postoperative FAOS and FAAM scores was greater among the mental illness group in all scores but FAOS Sports and Recreation. (Table 1) However, no postoperative PROM among the mental illness group, aside from the FAOS Symptoms and Stiffness score, was as high as the postoperative score of those without mental illness. Although patients with these psychiatric illnesses more often failed conservative measures and subsequently received surgical treatment, this was not significant. Conclusion: CAI patients with a concomitant psychiatric diagnosis improved more following surgery than those without mental illness, as measured by FAOS and FAAM scores. However, the mental illness group did not report postoperative FAOS and FAAM scores as high as those without mental illness. Furthermore, CAI patients with a concomitant mental illness more often failed conservative treatment and went on to receive surgery. Physicians should be aware of this information when counseling CAI patients with a concomitant mental illness.

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Mirabile, Charles S., and Martin H. Teicher. "Hand Preference and Diagnosis in Major Mental Illness." Perceptual and Motor Skills 95, no. 3 (December 2002): 875–76. http://dx.doi.org/10.2466/pms.2002.95.3.875.

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A sample of 1,671 patients in a long-term psychiatric inpatient hospital were polled for hand preference in writing. Nonright-handers ( n = 420) were more often diagnosed schizophrenic than Right-handers ( n 1,251), but the overall proportion of psychotic illness was the same in both handedness groups, suggesting the possibility that nonright-handedness may be associated with a change in the expression of psychotic illness so it is somewhat more likely to be manifest as thought disorder than mood disorder.

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Bongiorno, Frank P. "DUAL DIAGNOSIS-DEVELOPMENTAL DISABILITY COMPLICATED BY MENTAL ILLNESS." Southern Medical Journal 88 (October 1995): S58. http://dx.doi.org/10.1097/00007611-199510001-00116.

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Sayre, Joan. "The Patient’s Diagnosis: Explanatory Models of Mental Illness." Qualitative Health Research 10, no. 1 (January 2000): 71–83. http://dx.doi.org/10.1177/104973200129118255.

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Schmidt, Mathias, Saskia Wilhelmy, and Dominik Gross. "Retrospective diagnosis of mental illness: past and present." Lancet Psychiatry 7, no. 1 (January 2020): 14–16. http://dx.doi.org/10.1016/s2215-0366(19)30287-1.

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Lee, Tae Young, and Hang Joon Jo. "Differential diagnosis and comorbid physical illness of schizophrenia." Journal of the Korean Medical Association 64, no. 8 (August 10, 2021): 551–58. http://dx.doi.org/10.5124/jkma.2021.64.8.551.

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Background: Schizophrenia is a neurodevelopmental disorder that generally develops during adolescence or early adulthood. However, differentiating it from psychosis caused by a physical illness is difficult due to the phenotypebased diagnostic system. In this review, differential diagnosis of schizophrenia and the comorbid physical illnesses of patients with schizophrenia will be discussed.Current Concepts: Psychotic symptoms can be caused by various physical illnesses, and patients with schizophrenia have many physical comorbidities. Symptoms of psychosis can also be expressed by physical illness including brain tumors, encephalitis, temporal lobe epilepsy, autoimmune disease, and genetic disease. For the differential diagnosis of other physical illnesses that can cause psychosis, biological tests are essential. Depending on the cause, antipsychotics and treatment of physical diseases are required. In addition, patients with schizophrenia have many comorbid medical conditions such as obesity, diabetes, cardiovascular disease, but the diagnosis rate is low, and the mortality is higher than that of the general population due to untreated medical diseases.Discussion and Conclusion: The differential diagnoses of schizophrenia and physical illness causing psychosis are important. To decrease the high mortality of patients with schizophrenia, periodic physical condition examinations and mental status examinations should be conducted.

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Weiss, Mary Jane. "Dual Diagnosis: Updated Information on Treating Mental Illness and Mental Retardation." Contemporary Psychology: A Journal of Reviews 40, no. 11 (November 1995): 1098–99. http://dx.doi.org/10.1037/004138.

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Singh, Nirbhay N., Aradhana Sood, Neil Sonenklar, and Cynthia R. Ellis. "Assessment and Diagnosis of Mental Illness in Persons with Mental Retardation." Behavior Modification 15, no. 3 (July 1991): 419–43. http://dx.doi.org/10.1177/01454455910153008.

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Bril-Barniv, Shani, Galia S. Moran, Adi Naaman, David Roe, and Orit Karnieli-Miller. "A Qualitative Study Examining Experiences and Dilemmas in Concealment and Disclosure of People Living With Serious Mental Illness." Qualitative Health Research 27, no. 4 (October 24, 2016): 573–83. http://dx.doi.org/10.1177/1049732316673581.

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People with mental illnesses face the dilemma of whether to disclose or conceal their diagnosis, but this dilemma was scarcely researched. To gain in-depth understanding of this dilemma, we interviewed 29 individuals with mental illnesses: 16 with major depression/bipolar disorders and 13 with schizophrenia. Using a phenomenological design, we analyzed individuals’ experiences, decision-making processes, and views of gains and costs regarding concealment and disclosure of mental illness. We found that participants employed both positive and negative disclosure/concealment practices. Positive practices included enhancing personal recovery, community integration, and/or supporting others. Negative practices occurred in forced, uncontrolled situations. We also identified various influencing factors, including familial norms of sharing, accumulated experiences with disclosure, and ascribed meaning to diagnosis. Based on these findings, we deepen the understanding about decision-making processes and the consequences of disclosing or concealing mental illness. We discuss how these finding can help consumers explore potential benefits and disadvantages of mental illness disclosure/concealment occurrences.

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Riyahi, Azade, Hosseinali Abdolrazaghi, Nazanin Sarlak, Sepideh Faraji, and Zahra Nobakht. "Comparison of time-use patterns and self-efficacy in family caregivers of patients with chronic disease." International Journal of Therapy and Rehabilitation 27, no. 12 (December 2, 2020): 1–10. http://dx.doi.org/10.12968/ijtr.2018.0129.

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Background/Aims Caregivers perform an important role but caring affects other roles they perform, resulting in poor time management and reduced quality of life. This study aimed to compare the time-use patterns and self-efficacy of caregivers of two groups of patients with chronic disease: those with a diagnosis of mental illness and those without a diagnosis of mental illness. Methods Family caregivers of patients with a chronic disease who were aged between 20–60 years, resident in Arak, not taking care of another patient and literate were eligible to participate. The presence of mental illness was based on a psychiatrist's diagnosis at least 6 months before the study. The Mothers' Time Use Questionnaire, Sherer Self-efficacy Scale and a demographic questionnaire were used to capture data relating to time-use, self-efficacy and participant characteristics. Data were analysed using independent t-test and Mann–Whitney U test to identify and compare time-use patterns and self-efficacy. Results There were no significant between-group differences in demographics or mean time-use scores in six domains (rest/sleep, leisure, housework, work/occupation, social participation and satisfaction with time management). Self-care time-use scores (time, quality, importance and enjoyment) were significantly higher for caregivers of patients with chronic disease with a diagnosis of mental illness. Patient care time-use scores were significantly higher for caregivers of patients with chronic disease without a diagnosis of mental illness. Mean self-efficacy score was significantly higher in the group caring for patients with a diagnosis of psychiatric disease. Conclusions Chronic physical illnesses may result in greater dependence on caregivers than mental illness, increasing the amount of time spent on care and reducing caregiver self-efficacy.

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Rothenberg, Albert. "DIAGNOSIS OF OBSESSIVE-COMPULSIVE ILLNESS." Psychiatric Clinics of North America 21, no. 4 (December 1998): 791–801. http://dx.doi.org/10.1016/s0193-953x(05)70041-1.

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Choo, Carol C., Peter K. H. Chew, and Roger C. Ho. "Controlling Noncommunicable Diseases in Transitional Economies: Mental Illness in Suicide Attempters in Singapore—An Exploratory Analysis." BioMed Research International 2019 (January 15, 2019): 1–8. http://dx.doi.org/10.1155/2019/4652846.

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Background. Mental illness is a pertinent risk factor related to suicide. However, research indicates there might be underdiagnosis of mental illness in Asian suicide attempters; this phenomenon is concerning. This study explored prediction of diagnosis of mental illness in suicide attempters in Singapore using available variables. Methods. Three years of medical records related to suicide attempters (N = 462) who were admitted to the emergency department of a large teaching hospital in Singapore were subjected to analysis. Of the sample, 25% were diagnosed with mental illness; 70.6% were females and 29.4% were males; 62.6% were Chinese, 15.4% Malays, and 16.0% Indians. Their age ranged from 12 to 86 (M = 29.37, SD = 12.89). All available variables were subjected to regression analyses. Findings. The full model was significant in predicting cases with and without diagnosis of mental illness and accurately classified 79% of suicide attempters with diagnosis of mental illness. Conclusions. The findings were discussed in regard to clinical implications in diagnosis and primary prevention.

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Mlambo, Kupukai. "Does mental health matter? Commentary on the provision of mental health services in Mozambique." International Psychiatry 9, no. 2 (May 2012): 36–38. http://dx.doi.org/10.1192/s1749367600003064.

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Despite attempts made in recent years to address the diagnosis and treatment of mental illness in Mozambique, service provision remains deficient. The present paper focuses on the attitudes to mental illness and its diagnosis and treatment in Mozambique. This paper is based on both a thorough literature search and on the results of qualitative interviews carried out with six individuals of Mozambican origin now living in the UK.

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Kim, Ho Joon, Sam Yi Shin, and Seong Hoon Jeong. "Nature and Extent of Physical Comorbidities Among Korean Patients With Mental Illnesses: Pairwise and Network Analysis Based on Health Insurance Claims Data." Psychiatry Investigation 19, no. 6 (June 25, 2022): 488–99. http://dx.doi.org/10.30773/pi.2022.0068.

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Objective The nature of physical comorbidities in patients with mental illness may differ according to diagnosis and personal characteristics. We investigated this complexity by conventional logistic regression and network analysis.Methods A health insurance claims data in Korea was analyzed. For every combination of psychiatric and physical diagnoses, odds ratios were calculated adjusting age and sex. From the patient-diagnosis data, a network of diagnoses was constructed using Jaccard coefficient as the index of comorbidity.Results In 1,017,024 individuals, 77,447 (7.6%) were diagnosed with mental illnesses. The number of physical diagnoses among them was 11.2, which was 1.6 times higher than non-psychiatric groups. The most noticeable associations were 1) neurotic illnesses with gastrointestinal/ pain disorders and 2) dementia with fracture, Parkinson’s disease, and cerebrovascular accidents. Unexpectedly, the diagnosis of metabolic syndrome was only scarcely found in patients with severe mental illnesses (SMIs). However, implicit associations between metabolic syndrome and SMIs were suggested in comorbidity networks.Conclusion Physical comorbidities in patients with mental illnesses were more extensive than those with other disease categories. However, the result raised questions as to whether the medical resources were being diverted to less serious conditions than more urgent conditions in patients with SMIs.

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Bhui, Kamaldeep. "From the Editor's desk." British Journal of Psychiatry 207, no. 5 (November 2015): 467–68. http://dx.doi.org/10.1192/bjp.207.5.467.

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Is medical illness a myth?The National Institute of Health's (NIH's) emphasis on mental illness as a brain disorder has transformed psychiatric research and attitudes towards mental illness. Despite the departure of the Director of the National Institute of Mental Health, Thomas Insel, to join Google Life Sciences (http://www.nih.gov/about/director/09152015_statement_insel.htm), the move away from symptom-based diagnoses in favour of more neuroscientific rationales for diagnosis is necessary and likely to be sustained. The absence of demonstrable organic pathology in mental illnesses motivated the NIH programmes, yet essentially all behaviours and adaptations to context will have physiological correlates; Google and other software and technology companies may well offer better and more powerful methods for assessing pathophysiology and making diagnoses in the future. Such shifts in diagnostic practice require much disciplined research, and seem to not obviate the need for compassionate, caring and emotionally intelligent clinicians who are able to contain and negotiate meanings and experiences, and transform conversations and care packages to positive outcomes for patients.

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Sloan, Graham. "Mental Illness and the Body - Beyond DiagnosisMental Illness and the Body - Beyond Diagnosis." Nursing Standard 21, no. 9 (November 8, 2006): 30. http://dx.doi.org/10.7748/ns2006.11.21.9.30.b542.

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Enticott, Joanne C., I.-Hao Cheng, Grant Russell, Josef Szwarc, George Braitberg, Anne Peek, and Graham Meadows. "Emergency department mental health presentations by people born in refugee source countries: an epidemiological logistic regression study in a Medicare Local region in Australia." Australian Journal of Primary Health 21, no. 3 (2015): 286. http://dx.doi.org/10.1071/py13153.

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This study investigated if people born in refugee source countries are disproportionately represented among those receiving a diagnosis of mental illness within emergency departments (EDs). The setting was the Cities of Greater Dandenong and Casey, the resettlement region for one-twelfth of Australia’s refugees. An epidemiological, secondary data analysis compared mental illness diagnoses received in EDs by refugee and non-refugee populations. Data was the Victorian Emergency Minimum Dataset in the 2008–09 financial year. Univariate and multivariate logistic regression created predictive models for mental illness using five variables: age, sex, refugee background, interpreter use and preferred language. Collinearity, model fit and model stability were examined. Multivariate analysis showed age and sex to be the only significant risk factors for mental illness diagnosis in EDs. ‘Refugee status’, ‘interpreter use’ and ‘preferred language’ were not associated with a mental health diagnosis following risk adjustment for the effects of age and sex. The disappearance of the univariate association after adjustment for age and sex is a salutary lesson for Medicare Locals and other health planners regarding the importance of adjusting analyses of health service data for demographic characteristics.

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Kovyazina, M., E. Rasskazova, N. Varako, and S. Palatov. "Personality, Psychopathological Symptoms and Illness Perception in Mental Disorders: Results from Russian MMPI-2 Validation Study." European Psychiatry 41, S1 (April 2017): S713—S714. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1277.

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IntroductionAccording to common-sense model illness representation regulates her coping both in somatic and mental illnesses.ObjectivesAs a personal reaction illness representation should partially depend not only on diagnosis and symptoms but also on personality. Aim is to identify direct and indirect effects of personality and psychopathological complaints in illness representation in mental disorders.MethodsEighty patients (20 males) from MMPI-2 validation sample (Butcher et al., 2001) filled revised version of Illness Perception Questionnaire and Symptom Checklist 90-R. Eleven patients met ICD-10 criteria for addictions, 28 – for mood disorders, 20 – for schizophrenia and schizotypal disorder, 21 – for acute stress reactions.ResultsAccording to moderation analysis, illness-related beliefs in mental disorders are relatively independent on clinical diagnosis and specific symptoms, but are associated with the overall level of psychopathological complaints. Regardless of the clinical group and complaints, depressive traits are associated with negative and emotional appraisal of illness. Social introversion and hypomanic activation serve as moderators of the relationship between complaints, illness duration and emotional representations.ConclusionsPersonality and overall level of psychopathological symptoms could be stronger predictor of illness-related beliefs than specific clinical factors in mental illness. Preliminary diagnostics of personality in mental illnesses could be used to reveal high-risk group for poor insight and non-compliance due to unrealistic beliefs. Research supported by the grant of President of the Russian Federation for the state support for young Russian scientists, project MK2193.2017.6.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Jacob, KS. "Psychosocial adversity and mental illness: Differentiating distress, contextualizing diagnosis." Indian Journal of Psychiatry 55, no. 2 (2013): 106. http://dx.doi.org/10.4103/0019-5545.111444.

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Whalen, Ruth. "Ongoing caffeine anaphylaxis: a differential diagnosis for mental illness." Medical Veritas: The Journal of Medical Truth 1 (November 2004): 252–60. http://dx.doi.org/10.1588/medver.2004.01.00028.

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Rose, Diana, and Graham Thornicroft. "Service user perspectives on the impact of a mental illness diagnosis." Epidemiologia e Psichiatria Sociale 19, no. 2 (June 2010): 140–47. http://dx.doi.org/10.1017/s1121189x00000841.

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SummaryAim – to provide a conceptual and practical analysis of the impacts of mental health diagnoses on consumers and to consider how service users might contribute to the new psychiatric classifications currently being drawn up. Methods – A search was carried out revealing a very sparse literature on this topic. Consultations with service users were conducted and the views of experts sought. Results – Diagnosis is important as it marks the formal status of psychiatric patient being conferred. Consumers react differently, and often, negatively to this. Stigma can follow from a diagnosis. The process of giving a diagnosis can range from one of negotiation and taking the person's strengths into account to the blunt allocation of an unwanted label. Consumers can be reduced to their diagnosis so it becomes their whole personhood and this can have an effect on their sense of self. However, consumers are not passive victims and have their own strategies for dealing with these issues. Conclusion – Consumers can use these experiences to make contributions to the new diagnostic classification systems and to future research.

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Alvarez Montoya, A. M., C. Diago Labrador, and T. Ruano Hernandez. "Illness or simulation." European Psychiatry 33, S1 (March 2016): S387. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1390.

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ObjectivesThe revision of the differential diagnosis of simulation cases versus real psychopathological cases. Analysis of a case of the Ganser syndrome by revising the diagnosis criterions and their historical characteristics.MethodWe analyze the case of a 38-year-old male who came to the community mental health team and reference hospital. Following symptoms were observed: involuntary movements of the upper extremities associated with delirium coinciding with the premature birth of a child. This refers also to a compatible episode of a dissociative fugue.ResultsTo establish the diagnosis, we differentiate against disorders such as Simulation, factitious disorders with psychological symptoms or Factitious Disorders with somatic symptoms (Münchhausen syndrome). In order to support our diagnosis, we base on the CIE-10 and the DSM-IVTR classification.ConclusionsWe don’t diagnose the clinical pictures in which we don’t think. The Syndrome of Ganser could be positioned between neurosis and psychosis and between illness and simulation. The recommended treatment includes hospitalization in order to insure the diagnosis. While some authors recommend neuroleptics and others - anxiolytics, the psychotherapy is obligatory. The goal is to help the patient restore function and adapt to his environment again.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Copeland, J. R. M., and M. E. Dewey. "Neuropsychological Diagnosis (GMS-HAS-AGECAT Package)." International Psychogeriatrics 3, S1 (March 1991): 43–49. http://dx.doi.org/10.1017/s1041610205001122.

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The limitations of establishing neuropsychological diagnosis through psychological testing and psychiatric examination by clinicians are discussed, along with the need to define cases of illness in a standardized way for research. The GMS-HAS-AGECAT package is a standardized assessment of mental state and historical information about onset of illness, from which data are used in a computer-assisted method to derive clinically based diagnoses of the principal types of dementia, depression and other mental illness. Recording is made of co-morbid states and levels of diagnostic confidence. Agreement between psychiatrists on AECAT diagnoses ranges from kappa values of 0.76 to 0.88, and validity has now been tested further by outcome studies. A short description is given of the Medical Research Council, EURODEM, World Health Organization and Pan American Health Organization studies now using this method.

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Dinos, Sokratis, Scott Stevens, Marc Serfaty, Scott Weich, and Michael King. "Stigma: the feelings and experiences of 46 people with mental illness." British Journal of Psychiatry 184, no. 2 (February 2004): 176–81. http://dx.doi.org/10.1192/bjp.184.2.176.

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BackgroundStigma defines people in terms of some distinguishing characteristic and devalues them as a consequence.AimsTo describe the relationship of stigma with mental illness, psychiatric diagnosis, treatment and its consequences of stigma for the individual.MethodNarrative interviews were conducted by trained users of the local mental health services; 46 patients were recruited from community and day mental health services in North London.ResultsStigma was a pervasive concern to almost all participants. People with psychosis or drug dependence were most likely to report feelings and experiences of stigma and were most affected by them. Those with depression, anxiety and personality disorders were more affected by patronising attitudes and feelings of stigma even if they had not experienced any overt discrimination. However, experiences were not universally negative.ConclusionsStigma may influence how a psychiatric diagnosis is accepted, whether treatment will be adhered to and how people with mental illness function in the world. However, perceptions of mental illness and diagnoses can be helpful and non-stigmatising for some patients.

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Gjere, Niki A. "Working With Serious Mental Illness." Clinical Nurse Specialist 21, no. 3 (May 2007): 172. http://dx.doi.org/10.1097/01.nur.0000270011.74587.72.

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Thornicroft, Graham. "Stigma and discrimination limit access to mental health care." Epidemiologia e Psichiatria Sociale 17, no. 1 (March 2008): 14–19. http://dx.doi.org/10.1017/s1121189x00002621.

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AbstractThis editorial provides an overview of how far access to mental health care is limited by perceptions of stigma and anticipated discrimination. Globally over 70% of young people and adults with mental illness receive no treatment from healthcare staff. The rates of non-treatment are far higher in low income countries. Evidence from some descriptive studies and epidemiological surveys suggest that potent factors increasing the likelihood of treatment avoidance, or long delays before presenting for care include: (i) lack of knowledge about the features and treatability of mental illnesses; (ii) ignorance about how to access assessment and treatment; (iii) prejudice against people who have mental illness, and (iv) expectations of discrimination against people who have a diagnosis of mental illness. The associations between low rates of help seeking, and stigma and discrimination are as yet poorly understood and require more careful characterisation and analysis, providing the platform for more effective action to ensure that a greater proportion of people with mental illness are effectively treated in future.

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Crome, Ilana B., and Tracey Myton. "Pharmacotherapy in dual diagnosis." Advances in Psychiatric Treatment 10, no. 6 (November 2004): 413–24. http://dx.doi.org/10.1192/apt.10.6.413.

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The prevalence of coexisting substance misuse and psychiatric disorder (dual diagnosis, comorbidity) has increased over the past decade, and the indications are that it will continue to rise. There have simultaneously been unprecedented developments in the pharmacological treatment of alcohol, opiate and nicotine misuse. Here we evaluate the evidence on the use of some of these treatments in dual diagnosis (with psychotic, mood and anxiety disorders). The evidence base is limited by the exclusion of mental illness when pharmacological agents for substance misuse are evaluated and vice versa. We set the available information within the context of the psychosocial management of comorbid substance misuse and mental illness, and the framework for service delivery recommended by UK national policy.

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Holzman, Lois, and Elisabeth Genn. "Diagnosis: A Thousand People Speak Out." Journal of Humanistic Psychology 59, no. 1 (August 2, 2018): 48–68. http://dx.doi.org/10.1177/0022167818791852.

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The public is rarely asked its opinions concerning mental health issues and, as revealed by a literature search, is almost never surveyed on this topic without the use of medicalized, diagnostic, forced choice illness language. This article reports on an ongoing community outreach project that gave people the opportunity to reflect on and share their thoughts about the medical-mental illness-diagnostic model and its impact on their lives. Two organizations with long-standing opposition to the individualized model of human development and the medicalized understanding of emotionality designed and conducted open-ended surveys on emotional distress and diagnosis online and at two New York City street fairs. Results from over 1,000 surveys indicate that mental illness diagnosis is viewed as a “necessary evil” at best, and an isolating and destructive practice at worst. The results strongly suggest that nonmental health professionals are important allies in the fight for alternatives to diagnosis.

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Snedkov, Evgeny V. "Does psychometry increase the quality of psychiatric diagnosis?" Neurology Bulletin LII, no. 3 (January 26, 2021): 15–20. http://dx.doi.org/10.17816/nb44806.

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Norm and illness, stages of illness, forms of illness differ from each other in qualitative, and not quantitative characteristics. Psychometric tools are unable to capture the gestalt of the clinical picture and determine the qualitative changes taking place in it. The article argues for the pseudoscientific basis and unreliability of quantitative measurements of intelligence, personality, statics and dynamics of mental illness.

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Segal, Steven P., Leena Badran, and Lachlan Rimes. "Accessing acute medical care to protect health: the utility of community treatment orders." General Psychiatry 35, no. 6 (December 2022): e100858. http://dx.doi.org/10.1136/gpsych-2022-100858.

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BackgroundThe conclusion that people with severe mental illness require involuntary care to protect their health (including threats due to physical—non-psychiatric—illness) is challenged by findings indicating that they often lack access to general healthcare and the assertion that they would access such care voluntarily if available and effective. Victoria, Australia’s single-payer healthcare system provides accessible medical treatment; therefore, it is an excellent context in which to test these challenges.AimsThis study replicates a previous investigation in considering whether, in Australia’s easy-access single-payer healthcare system, patients placed on community treatment orders, specifically involuntary community treatment, are more likely to access acute medical care addressing potentially life-threatening physical illnesses than voluntary patients with and without severe mental illness.MethodsReplicating methods used in 2000–2010, for the years 2010–2017, this study compared the acute medical care access of three new cohorts: 7826 hospitalised patients with severe mental illness who received a post-hospitalisation, community treatment order; 13 896 patients with severe mental illness released from the hospital without a community treatment order and 12 101 outpatients who were never psychiatrically hospitalised (individuals with less morbidity risk who were not considered to have severe mental illness) during periods when they were under versus outside community mental health supervision. Logistic regression was used to determine the influence of community-based community mental health supervision and the type of community mental health supervision (community treatment order vs non-community treatment order) on the likelihood of receiving an initial diagnosis of a life-threatening physical illness requiring acute care.ResultsValidating their shared elevated morbidity risk, 43.7% and 46.7%, respectively, of each hospitalised cohort (community treatment order and non-community treatment order patients) accessed an initial acute-care diagnosis for a life-threatening condition vs 26.3% of outpatients. Outside community mental health supervision, the likelihood that a community treatment order patient would receive a diagnosis of physical illness was 36% lower than non-community treatment order patients—1.30 times that of outpatients. Under community mental health supervision, their likelihood was two times greater than that of non-community treatment order patients and 6.6 times that of outpatients. Each community treatment order episode was associated with a 14.6% increase in the likelihood of a community treatment order patient receiving a diagnosis. The results replicate those found in an independent 2000–2010 cohort comparison.ConclusionsCommunity mental health supervision, notably community treatment order supervision, in two independent investigations over two decades appeared to facilitate access to physical healthcare in acute care settings for patients with severe mental illness who were refusing treatment—a group that has been subject to excess morbidity and mortality.

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West, Joel. "The Joker on the Couch." International Journal of Semiotics and Visual Rhetoric 3, no. 1 (January 2019): 1–11. http://dx.doi.org/10.4018/ijsvr.2019010101.

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Do tests for various mental illnesses work? How reliable are they and how well do they capture what we call “mental illness?” Since the infamous comic book character, the Joker, has often been called a “psychopath,” and this psychopathy is, culturally, conflated with mental illness, how would a model of the Joker be diagnosed using the current standard tools for psychiatric diagnosis? The authors tested this model Joker against DSM-5, ICD-10 and the PCL-R. They then discussed the results of these tests and concluded that the Joker as captured in Alan Moore and Brian Bolland's The Killing Joke is a psychopath according to current medical and psychiatric models. They also discussed issues with the models of mental illness used by these tests.

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Brown, Maria Teresa, and Douglas A. Wolf. "Estimating the Prevalence of Serious Mental Illness and Dementia Diagnoses Among Medicare Beneficiaries in the Health and Retirement Study." Research on Aging 40, no. 7 (August 31, 2017): 668–86. http://dx.doi.org/10.1177/0164027517728554.

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Objective: To estimate the prevalence of serious mental illness and dementia among Medicare beneficiaries in the Health and Retirement Study (HRS). Methods: This study utilizes HRS-linked Medicare claims data sets and inverse probability weighting to estimate overall and age-specific cumulative prevalence rates of dementia and serious mental illnesses among 18,740 Medicare beneficiaries. Two-way tabulations determine conditional probabilities of dementia diagnoses among beneficiaries diagnosed with specific mental illnesses, and binary logistic regressions determine conditional probabilities of dementia diagnoses among beneficiaries diagnosed with specific mental illnesses, controlling for covariates. Results: Weighted prevalence estimates for dementia, schizophrenia (SZP), bipolar disorder (BPD), and major depressive disorder (MDD) are similar to previous studies. Odds of dementia diagnosis are significantly greater for beneficiaries diagnosed with SZP, BPD, or MDD. Conclusions: Co-occurring mental disabilities require further investigation, as in the near future increasing numbers of mentally ill older adults will need appropriate and affordable community-based services and supports.

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Jabbar, F., A. Doherty, R. Duffy, M. Aziz, P. Casey, J. Sheehan, T. Lynch, and B. D. Kelly. "The role of a neuropsychiatry clinic in a tertiary referral teaching hospital: a 2-year study." Irish Journal of Psychological Medicine 31, no. 4 (July 30, 2014): 271–73. http://dx.doi.org/10.1017/ipm.2014.38.

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ObjectivesMental disorder is common among individuals with neurological illness. We aimed to characterise the patient population referred for psychiatry assessment at a tertiary neurology service in terms of neurological and psychiatric diagnoses and interventions provided.MethodsWe studied all individuals referred for psychiatry assessment at a tertiary neurology service over a 2-year period (n= 82).ResultsThe most common neurological diagnoses among those referred were epilepsy (16%), Parkinson’s disease (15%) and multiple sclerosis (8%). The most common reasons for psychiatric assessment were low mood or anxiety (48%) and medically unexplained symptoms or apparent functional or psychogenic disease (21%). The most common diagnoses among those with mental disorder were mood disorders (62%), and neurotic, stress-related and somatoform disorders, including dissociative (conversion) disorders (28%). Psychiatric diagnosis was not related to gender, neurological diagnosis or psychiatric history.ConclusionIndividuals with neurological illness demonstrate significant symptoms of a range of mental disorders. There is a need for further research into the characteristics and distribution of mental disorder in individuals with neurological illness, and for the enhancement of integrated psychiatric and neurological services to address the comorbidities demonstrated in this population.

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Prinsloo, Bernice, Catherine Parr, and Joanne Fenton. "Mental illness among the homeless: prevalence study in a Dublin homeless hostel." Irish Journal of Psychological Medicine 29, no. 1 (2012): 22–26. http://dx.doi.org/10.1017/s0790966700017560.

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Objective: To determine the prevalence of mental illness among the residents of a homeless hostel in inner city Dublin.Method: A cross-sectional survey was carried out among hostel residents, as previous studies have indicated that homeless hostel-dwelling men in Dublin constitute the largest single grouping of homeless Irish people. All agreeable residents were interviewed by the authors over an eight-week period using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) Clinical Version. For each disorder, the current (30-day) and past prevalence was determined.Results: A total of 38 residents were interviewed, resulting in a response rate of 39.2% for the study. A total of 81.6% of residents had a current Axis I diagnosis; this number increased to 89.5% when combining current and past diagnoses. Only four residents had no diagnosis. There was considerable comorbidity between disorders, with a significant number of residents experiencing both mental illness and substance use problems. When considering lifetime diagnoses, 31.6% had a single diagnosis only; 57.9% had two/more diagnoses. Twelve residents (31.6%) had been admitted to a psychiatric hospital during their lifetime. The most prevalent disorders during the past month were Alcohol Dependence (23.7%), Opioid Dependence and Major Depressive Disorder (both 18.4%), Opioid Abuse and Alcohol-Induced Depression (both 7.9%). Only 23.7% of interviewed residents were attending psychiatric or addiction services. A significant number of residents who did not wish to participate in the study were identified by hostel staff as having a confirmed psychiatric diagnosis.Conclusion: The survey demonstrated a very high prevalence of mental disorders among homeless hostel residents. The high prevalence of dual diagnosis highlights the need for greater collaboration between psychiatric services and addiction services. The outcome also points to the importance of providing mental health training to emergency shelter/hostel staff. Research into the mental health status of the homeless should be undertaken regularly if services are to be planned to meet the needs of this vulnerable group.

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Guðmundsson, Ólafur Ó., Guðmundur Hjaltalín, Haukur Eggertsson, and Þóra Jónsdóttir. "Diagnosis, rehabilitation and development of disability 2000-2019 in Iceland." Læknablaðið 107, no. 12 (December 4, 2021): 575–80. http://dx.doi.org/10.17992/lbl.2021.12.664.

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INTRODUCTION: The disability assessment standard based on medically recognized illnesses or disabilities was introduced in Iceland 1999. The aim of this study is to examine the development of Social Insurance Administration (Tryggingastofnun ríkisins, TR) rulings regarding rehabilitation and disability pensions over a twenty-year period, since its introduction. MATERIAL AND METHODS: All registered diagnoses in the medical certificates of TR due to the approved rehabilitation or disability pension were examined in the period 2000-2019. The gender distribution and age distribution of these applicants and the number development during the period are described. At the same time, costs as a percentage of government expenditure are examined. RESULTS: The number of younger rehabilitation pensioners has increased rapidly in recent years, at the same time as the relative increase in disability pensioners has slowed slightly. Mental and musculoskeletal disorders are by far the most common types of illness leading to disability. Mental illnesses differ in terms of age distribution and increase over time. The proportion of individuals aged 18-66 with a 75% disability assessment has increased by a third during the period, from about 6% to 8%. The gender distribution of disability pensioners remains similar, with women accounting for 62% in total. Women are much more likely to receive disability pension due to musculoskeletal disorders than men and men are somewhat more likely to suffer from mental illness. The relative development of central government expenditure on total payments to rehabilitation and pensioners continues to grow as a proportion of central government expenditure. CONCLUSION: The number of rehabilitation pensioners has increased significantly since 2018, at the same time as the number of disability pensioners has decreased and there are indications that rehabilitation results in a lower number of new disability pensioners. Mental and musculoskeletal disorders are by far the most common types of illness leading to disability. A slightly lower proportion of disabled people have psychiatric diagnosis as a first diagnosis in the period 2000-2019 compared to those with a valid disability assessment in 2005, but the proportion of musculoskeletal disorders is slightly higher. Nevertheless, mental illnesses differ in age distribution and increase over time.

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Queiros, C., S. Faria, and A. J. Marques. "Perceptions about mental illness in a sample of portuguese polytechnic students." European Psychiatry 26, S2 (March 2011): 1484. http://dx.doi.org/10.1016/s0924-9338(11)73188-1.

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IntroductionPeople with mental illness are frequently perceived as dangerous, suffering social stigma and exclusion. Deinstitutionalization movement implies a closer contact between citizen and individuals with mental illness. However, social perceptions can be a barrier to social inclusion, provoking unfavorable attitudes. Some studies found that social rejection is different according the pathology. Vogel and Boysen (2008) found that different mental illnesses provoke different attitudes of social distance. Norman and colleagues (2008) found that social distance was associated with the diagnosis, provoking schizophrenia greater social distance than depression.AimsCompare the perceptions about mental illness (in general), depression, bipolar disorder and schizophrenia.MethodsData were collected using a translation of Mental Illness Stigma Scale (Day, 2007), fulfill on-line and in an anonym way by 315 Portuguese polytechnic students, studying in brief technological courses. The sample was composed by 69% male and 31% female; mean age 26.5 years.ResultsStudents have little contact with people with mental illness (mean = 1.5 in a Likert scale 1–5 points) but they fell comfortable when they contact a friend or a neighbor with mental illness (respectively, mean = 3.2 and mean = 2.7). They present some anxiety when they interact with people with mental illness and they avoid this contact, revealing attitudes of social exclusion. Schizophrenia and bipolar disorder was perceived more negatively than depression.ConclusionsDeinstitutionalization movement provokes more contact between citizens and individuals with mental illness, but social stigma still exist. Students can learn how to interact with those persons without anxiety and help to do better social inclusion.

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Avina, Robert M., Jim E. Banta, Ronald Mataya, Benjamin J. Becerra, and Monideepa B. Becerra. "Burden of Mental Illness among Primary HIV Discharges: A Retrospective Analysis of Inpatient Data." Healthcare 10, no. 5 (April 26, 2022): 804. http://dx.doi.org/10.3390/healthcare10050804.

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Background: Empirical evidence demonstrates the substantial burden of mental illness among people living with HIV and AIDS (PLWHA). Current literature also notes the co-morbidity of these two illnesses and its impact on quality of life and mortality. However, little evidence exists on patient outcomes, such as hospital length of stay or post-discharge status. Methods: A retrospective analysis of National Inpatient Sample data was conducted. The study population was defined as discharges having a primary diagnosis of HIV based on International Classification of Disease, 10th Revision, Clinical Modification (ICD-10-CM) codes in primary diagnosis field. Clinical Classification Software (CCS) codes are used to identify comorbid mental illness. Length of stay was defined as number of days between hospital admission and discharge. Disposition (or post-discharge status) was defined as routine versus not routine. Patient and hospital characteristics were used as control variables. All regression analyses were survey-weighted and adjusted for control variables. Results: The weighted population size (N) for this study was 26,055 (n = 5211). Among primary HIV discharges, presence of any mental illness as a secondary discharge was associated with 12% higher LOS, when compared to a lack of such comorbidity (incidence rate ratio [IRR] = 1.12, 95% confidence interval [CI] = 1.05, 1.22, p < 0.01). Likewise, among primary HIV discharges, those with mental illness had a 21% lower routine disposition, when compared to those without any mental illness (OR = 0.79, 95% CI = 0.68, 0.91, p < 0.001). Conclusion: Our results highlight the need for improved mental health screening and coordinated care to reduce the burden of mental illness among HIV discharges.

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Thongsalab, Jutharat. "Personal Recovery from Serious Mental Illness." Babali Nursing Research 1, no. 2 (July 29, 2020): 68–80. http://dx.doi.org/10.37363/bnr.2020.1227.

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Personal rehabilitation from severe mental illness (SMI) refers to the cycle of living independent and active lives in the community, where individuals with significant mental disorders can be satisfactory. The aim of the concept analysis to clarify what is meant by a personal recovery of SMI internationally by the attributes, antecedents, and consequences. This study using a technique the analysis method of Walker & Avant through 8 steps techniques. The attributes of personal recovery of SMI include connectedness, hope and optimism about future, identity, meaning in life, and empowerment. Antecedents of personal recovery of SMI is a stigma attached to a mental health diagnosis. The consequences of personal recovery of SMI are usual from SMI, self-restoration, and excellent Quality of life. Symptom reduction (e.g., clinical recovery) becomes an integral part of someone's recovery if the person is something they want to be because recovery is unique for everyone.

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Busfield, Joan. "Mental Illness and the Body: Beyond Diagnosis- by Phillips, L." Sociology of Health & Illness 30, no. 7 (November 2008): 1118–19. http://dx.doi.org/10.1111/j.1467-9566.2008.01125_2.x.

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Drake, Robert E., Susan M. Essock, Andrew Shaner, Kate B. Carey, Kenneth Minkoff, Lenore Kola, David Lynde, Fred C. Osher, Robin E. Clark, and Lawrence Rickards. "Implementing Dual Diagnosis Services for Clients With Severe Mental Illness." FOCUS 2, no. 1 (January 2004): 102–10. http://dx.doi.org/10.1176/foc.2.1.102.

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Kingdon, David. "The diagnosis of mental illness is in a bad place." New Scientist 218, no. 2922 (June 2013): 48–49. http://dx.doi.org/10.1016/s0262-4079(13)61568-7.

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Corrigan, P. W. "How Clinical Diagnosis Might Exacerbate the Stigma of Mental Illness." Social Work 52, no. 1 (January 1, 2007): 31–39. http://dx.doi.org/10.1093/sw/52.1.31.

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Journal articles on the topic 'Mental illness Diagnosis'

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