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Biomedical subjects

J Neeleman

Publications and source records attributed to J Neeleman.

46 records · Page 3Linked to original sources
PubMed1994

Social support and depression in three groups of psychiatric patients and a group of medical controls.

Levels of depression and aspects of social support were examined in groups of chronic schizophrenic (n = 21), depressed (n = 26) and parasuicide patients (n = 26) and in a group of medical controls (n = 25). Depression was equally severe in the parasuicide and depressed groups and low in the schizophrenic and control groups. The psychiatric groups reported lower perceived levels of social support than did the controls. The depressed and parasuicide patients, but not the psychotic patients, felt dissatisfied with the available support. These results are interpreted as suggesting that deficiencies in social support may be more important in neurotic disorder, in particular depressive disorders, than in psychoses.

Adult↗
PubMed1994

Religious identity and comfort beliefs in three groups of psychiatric patients and a group of medical controls.

In order to assess the religious beliefs and practices of psychiatric patients, a self-report questionnaire was developed. The questionnaire was administered to 73 psychiatric patients and 25 non-psychiatric controls. Older age, membership of an ethnic minority and the presence of psychiatric disorder were all significantly associated with higher scores on the questionnaire. Psychotic subjects obtained the highest scores whilst those of depressed and parasuicide subjects were intermediate between those of the control and the psychotic groups. These results emphasise the importance of religion for many patients with common psychiatric problems. Specialist religious help may be of value in the management of such problems.

Adolescent↗
PubMed1993

Psychiatrists' religious attitudes in relation to their clinical practice: a survey of 231 psychiatrists.

A total of 231 psychiatrists working in several London teaching hospitals were surveyed about their private religious attitudes and how these affected their reported clinical practice. Although only 27% reported a religious affiliation and 23% a belief in God, 92% felt that psychiatrists should concern themselves with the religious concerns of their patients. Although the psychiatrists who were religious were more likely to make referrals to religious leaders or to disclose their own beliefs to patients, contrary to reports from the United States there was no evidence that psychiatrists' private religious beliefs had an important influence on their clinical practice.

Adult↗
PubMed1993

Treatment of hysterical aphonia with hypnosis and prokaletic therapy.

A patient with chronic refractory hysterical aphonia was treated by prokalesis (challenge) and hypnosis within a psychotherapeutic relationship. A temporary remission was achieved but this was followed by subsequent relapse. This report illustrates the therapeutic effectiveness of prokaletic techniques. It also emphasises that these potent interventions are unlikely to achieve abiding change unless they are applied within the context of a longer-term relationship with a clinical team.

Adult↗
PubMedDate not supplied

Posttraumatic stress disorder following preeclampsia and HELLP syndrome.

Posttraumatic stress disorder (PTSD) in connection with pregnancy was first described in the 1990s--initially in relation to childbirth but later more specifically to the mode of delivery. Instrumental vaginal delivery carries the highest risk of PTSD followed by emergency caesarean section and normal spontaneous delivery. Loss of pregnancy, spontaneous abortion or intrauterine death for example can also lead to PTSD. Little systematic research has been performed regarding the psychological consequences of severe preeclampsia or HELLP syndrome, although it would seem obvious that these conditions may have a great effect The combination of suffering a serious illness combined with an unexpected caesarean section or delivery, often of a premature child, is a heavy burden to bear both physically and psychologically. We describe here three patients who developed PTSD after pregnancies complicated by severe preeclampsia or HELLP syndrome. PTSD can develop after preeclampsia or HELLP syndrome.

Adult↗
PubMedDate not supplied

The distribution of psychiatric and somatic III health: associations with personality and socioeconomic status.

OBJECTIVE: Psychiatric and somatic disorders frequently co-occur in the same individuals. We examined whether this happens because these types of morbidity share risk factors or because they are risk factors for each other. METHODS: Negative binomial regression was used to examine, in a random sample of Dutch adults (N = 7076), cross-sectional associations of sociodemographic and personality variables like income and neuroticism with the presence, over 1 year, of 30 somatic and 13 psychiatric disorders, with the latter diagnosed by structured interview. We examined to what extent the links of these variables with these two morbidity types were independent of each other. RESULTS: This population experienced 5050 somatic and 2438 psychiatric disorders during the preceding year. Subjects reporting more somatic disorders had more psychiatric disorders. Neuroticism, followed closely by low educational attainment, was the strongest correlate of both morbidity types. After adjustment for all other covariates including somatic morbidity, the number of psychiatric diagnoses rose 1.84-fold (95% confidence interval = 1.74-1.94) per standard deviation increase in neuroticism. Likewise, adjusted for all other covariates including psychiatric diagnoses, 1.42 (95% confidence interval = 1.35-1.50) times more somatic disorders were reported per standard deviation increase in neuroticism. CONCLUSIONS: Personal features like neuroticism and low educational attainment are linked with psychiatric and with somatic morbidity. These links are largely independent. Although this study was cross-sectional, the results suggest that these different types of morbidity may have overlapping etiologies. Key words: Comorbidity, multimorbidity coefficient, negative binomial regression, epidemiology, neuroticism, social class.

Adult↗