Biomedical subjects

F Bogetto

Publications and source records attributed to F Bogetto.

At least 55 records · Page 3Linked to original sources

PubMedDate not supplied

[Post-partum as a specific risk factor for the onset of obsessive-compulsive disorder: clinical-controlled study].

OBJECTIVE: The aim of this study is to evaluate the presence of triggering life-events for the onset of Obsessive-Compulsive Disorder in women (OCD). DESIGN: Clinical controlled study. SETTING: Service for depressive and anxiety disorders; Department of Neuroscience, Psychiatric Unit, University of Turin. METHODS: The study compares twenty-nine women with OCD (DSM-IV criteria) with twenty-nine healthy control women matched for demographic features and with twenty-nine women with Bulimia Nervosa (DSM-IV criteria) matched for age, age at onset, education and marital status. All patients were assessed with the Clinical Structured Interview for DSMIII-R (SCID) and with the Interview for Recent Life Event by Paykel. Moreover, OCD patients were assessed with the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and bulimic patients with the Eating Disorder Inventory (EDI). RESULTS: The study demonstrates that the only specific life event that is significantly associated with the onset of OCD is "having a new born child" No significant differences in frequency and severity of stressing life events were found in the three groups. CONCLUSIONS: The results confirms the findings of our previous study: post partum is the only risk factor for the onset of OCD in female population, compared to healthy control. Furthermore, this research points-out the importance and the specificity of this association showing that post partum is not a risk factor in all psychiatric disorders.

Adult↗

PubMedDate not supplied

Bulimia nervosa with and without obsessive-compulsive syndromes.

The present study was performed in a group of bulimic (BN) females (1) to assess prevalence rates of comorbid obsessive-compulsive phenomena; (2) to investigate whether BN patients display a characteristic cluster of obsessive-compulsive symptoms; and (3) to determine whether obsessive-compulsive symptoms influence the clinical picture of BN. Thirty-eight DSM-IV BN females were interviewed by means of the Structured Clinical Interview for DSM-III-R (SCID) to assess the prevalence rate of obsessive compulsive disorder (OCD); the Yale-Brown Obsessive-Compulsive Symptom Scale (Y-BOCS) Symptom Check-List was also used to evaluate the presence of obsessive-compulsive symptoms. The phenomenology of BN females with obsessive-compulsive syndromes (OCS) as detected by the Y-BOCS was compared to that shown by a "control" group of nonbulimic OCD females. Finally, the eating-related psychopathology of BN women with and without OCS was compared. The current prevalence rates of OCD and of subthreshold obsessive-compulsive syndrome (sOCS) in our sample were 10.5% and 15.8%, respectively. Thus, a total of 26.3% of BN females had a current OCS that comprised both clinical disorders and subthreshold syndromes. No differences were detected between obsessive-compulsive symptoms of these females and those of the control group of nonbulimic OCD females. BN females with OCS had higher ratings on the Eating Disorder Inventory (EDI) total score and on the "drive for thinness" and the "bulimia" items of the scale, as compared to BN females without OCS. In conclusion, it appears that a considerable proportion of BN females display OCS, which sometimes are not severe enough to fulfill diagnostic criteria for OCD. Moreover, in these patients, obsessive-compulsive symptoms are undistinguishable from those of OCD females, and exert a negative influence on the clinical picture of the bulimic disorder.

Adult↗

PubMedDate not supplied

Psychiatric comorbidity in patients with burning mouth syndrome.

OBJECTIVE: The goal of this study was to evaluate the prevalence and type of psychiatric disorders coexisting with burning mouth syndrome (BMS), to compare the clinical features of patients with BMS alone with patients with multiple diagnoses, and to investigate the number and severity of life events that occur before the onset of BMS. METHOD: There were 102 patients with BMS, with no possible local or systemic causes, who were evaluated according to the diagnostic criteria of DSM-IV. All axis I diagnoses for which the patients met criteria at intake or lifetime were determined. Life events were evaluated for a period of 6 months before the onset of BMS. A statistical comparison between patients and a matched control group was performed first; moreover, patients with BMS alone were compared with patients with comorbid BMS. RESULTS: Although 29 (28.4%) BMS patients were not given any other lifetime psychiatric diagnosis, high rates of comorbid psychiatric diagnoses were found. The most prevalent concurrent diagnoses were depressive disorders and generalized anxiety disorder. No significant differences emerged in clinical features between patients with and without other current psychiatric disorders. The severity of life events, rather than in their number, was significantly associated with BMS. CONCLUSIONS: BMS has high psychiatric comorbidity but can occur in the absence of psychiatric diagnoses.

Aged↗

PubMedDate not supplied

[Psychotherapy and relaxation techniques].

Relaxation is a situation in which there is a dynamic balance of the neurovegetative and mental activities. It can be reached through the practice of definitive and suitable techniques which can also be used in psychiatric therapy. The paper lists some of the most common relaxation technique, giving their specific characteristics and eventual relationships with psychotherapies. The latter are in fact classified according to the implicit or active use of relaxation; on the contrary, those psychotherapies known to cause anxiety are also listed. Lastly, some observation are made regarding the opportunity of including a prescription for a relaxation technique during a course of psychodynamic psychotherapy.

Humans↗

PubMedDate not supplied

[Clinico-nosographic considerations on the relation of depression and alcoholism in a population of 450 hospitalized alcoholics].

The presence of depressive symptomatology in alcoholics has frequently been encountered in clinical practice, but the relationship running between the two pathologies remains a subject for discussion. The methodological difficulty of this evaluation is seen in a major discordance of reported data. Against this background, a group of subjects hospitalized in a neuropsychiatric environment has been assessed for incidence of alcoholic and depressive pathologies and their possible correlations. Of 428 hospitalizations for alcoholism, 350 (82%) presented a depressive pathology. These patients were distinguished by DSM III into three groups [a) adaptation disturbance with depressed mood; b) dysthymic disturbance; c) atypical depression]. Within these groups, the incidence of prior stress-inducing psychosocial events was assessed according to the criterion of growing seriousness of DSM III. The results after statistical processing are discussed and compared with reported data.

Adult↗

PubMedDate not supplied

[Clinical and therapeutic problems during prolonged treatment with benzodiazepine].

The widespread use of BDZ is due on one hand to its therapeutic effectiveness, particularly as a tranquillizer, hypnotic, myorelaxant and antiepileptic, and on the other to its few side and toxic effects. Long-term treatment with BDZ has, however, proved to be not completely free from problems and particular attention has been paid to these in recent years. These negative aspects, described by the literature, include global worsening of mental activity and a declining efficiency of certain mental functions; also worth considering are the phenomena related to the onset of addition and dependence.

Benzodiazepines↗

PubMedDate not supplied

[Use of first and second generation antidepressants. A clinical study].

The study assesses the quantitative percentage use of second generation antidepressants (non-tricyclics or modified tricyclics) in clinical psychiatric practice in comparison with first generation products. The study was conducted on patients presenting in the surgery and psychiatric ward of Novara and in Turin Psychiatric Clinic in an-June 1987 and covers all patients receiving antidepressant drugs. For each individual given thymoanaleptic drugs, the type used and the reasons for its selection were examined as well as the combined use of antidepressants with other psychotherapeutic drugs. The data show that second generation antidepressants have come to play a major therapeutic role, though further research is needed to define their specific use and as far as possible to eliminate their use as a "vicarious" substitute for traditional drugs.

Antidepressive Agents↗

PubMedDate not supplied

[Balint groups. Investigations on the significance of 2 methodologic variants].

The paper describes how the Balint method may be used in a variety of contexts and for different purposes. The analysis of two experiments, one in Ascona (an intensive seminar) and one in Turin (permanent training courses) revealed certain characteristic aspects of both, in which the same traditional Balint technique was always used. The data emerging from the various aspects covered, from forms of group participation to structuring, from aims to assessment made it possible to examine the two experiences as models for the application of the method. And it was found that despite their different contexts both experiences provided the psychological training that is, in fact, training in interpersonal relationships.

Humans↗

PubMedDate not supplied