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Biomedical subjects

G S Ungvari

Publications and source records attributed to G S Ungvari.

41 records · Page 3Linked to original sources
PubMedDate not supplied

Social breakdown in the elderly, I. Case studies and management.

This report focuses on the syndrome of social breakdown of the elderly (SBE), which, although common, has attracted surprisingly little attention in clinical geropsychiatry. Profound social isolation, extreme neglect of self-care, and stubborn refusal of help are the main characteristics of SBE. In most cases, the syndrome of SBE is part of a well-defined major psychiatric illness (secondary SBE). In other cases, stressful life events cause lifelong personality abnormalities to deteriorate into full-blown syndrome of SBE (pure SBE). Two detailed case histories highlight the clinical features of pure SBE and its management.

Aged↗
PubMedDate not supplied

Social breakdown in the elderly, II. Sociodemographic data and psychopathology.

Current understanding of the sociodemographic and psychopathological characteristics of the syndrome of social breakdown of the elderly (SBE) is reviewed. In DSM-III-R terms, pure SBE may be best classified as an adjustment disorder with profound social withdrawal. It is argued that pure SBE is a form of "personality development" in accord with Jaspers's concept of meaningful connections.

Aged↗
PubMedDate not supplied

Screening psychiatric morbidity after miscarriage: application of the 30-item General Health Questionnaire and the Edinburgh Postnatal Depression Scale.

OBJECTIVE: Psychiatric morbidity affects 48% to 51% of women who have miscarried. This study evaluated the utility of two sample and brief self-report questionnaires in screening psychiatric morbidity after miscarriage. METHOD: One hundred fifty-six subjects completed the 30-item General Health Questionnaire (GHQ), the Edinburgh Postnatal Depression Scale (EPDS), and the Beck Depression Inventory (BDI) 6 weeks after miscarriage. Then there was a blind assessment using the Structured Clinical Interview for DSM-III-R (SCID) to establish psychiatric diagnosis. The criterion validity of GHQ and EPDS were tested against this yardstick diagnosis and the concurrent validity against the BDI scores. The internal consistency of the scales was measured by Cronbach's alpha-coefficient. RESULTS: Both GHQ and EPDS had good sensitivity and specificity in screening for psychiatric morbidity after miscarriage. The concurrent validity and the internal consistency of both scales were satisfactory. The EPDS could only identify those subjects with major depression. The GHQ was longer to perform, but was able to detect both anxiety and depressive disorders. Furthermore, the GHQ had better psychometric properties when compared with the EPDS. CONCLUSIONS: These scales will be particularly useful for nonpsychiatric medical personnel. We recommend routine application of the GHQ 6 to 8 weeks after miscarriage to identify women who may require psychiatric management.

Abortion, Spontaneous↗
PubMedDate not supplied

Lorazepam in stupor.

The use of lorazepam in relieving catatonic symptoms is illustrated by the dramatic response in a stuporous patient. The treatment allows further investigations and management. It is recommended that clinicians familiarise themselves with this simple pharmacological intervention.

Adult↗