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T Zonda

Publications and source records attributed to T Zonda.

11 recordsLinked to original sources

[Affective disorders in a district of Budapest].

After thorough preparatory work, the authors examined the incidence of affective disorders in a representative sample amounting to 1.2% of the population (750 inhabitants) of the XXI. district of Budapest. The presents study is the second one in Hungary to apply the Diagnostic Interview Schedule (DIS), a popular method frequently used in the international literature, supplementing this with socio-demographic data and the Beck Depression Inventory (BDI). Their survey showed a low level of religiosity in the sample and a high level of drinking even by self-admission. Patients with major depression (MD) and dysthymia proved to be at almost exactly the same risk of suicide. A high percentage of those suffering MD and bipolar disorder sought medical help. The point and lifetime prevalence were the following: MD 3.7% and 10.9%, dysthymia 2.9% and 5.3, bipolar disorders zero and 1.07%. Their data closely match the values found in the literature. The values measured by the DIS are very close to those of full version of BDI, a finding which confirms that the full version of BDI is very reliable indicator of major depressive states.

Adolescent↗

The long-term outcome of a depressive population in a Hungarian material.

The authors made a follow-up study among 118 depressive patients. The follow-up period was 11 years (mean 7.8 years). They have used the operational criteria elaborated by Lee and Murray. The suicide rate was 2.54%, calculated for annual average per 100000 inhabitants is 231.5. This figure is close to ten times higher (9.7) than the annual suicide rate of the general population of the district from the patients who were admitted (23.8). They found 'very good outcome' 25.4%, 'moderate outcome not readmitted' 42.4%, 'moderate outcome readmitted' 13.6% and 'very poor outcome' 13.6%. They summarised the available literature.

Cross-Cultural Comparison↗

Suicide in Nógrád County, Hungary, 1970-1994.

The author examined completed suicides occurring over a period of 25 years in a county of Hungary with a traditionally low (relatively speaking) suicide rate of 25.8. The rates are clearly higher in villages than in towns. The male/female was close to 4:1, among elderly though only 1.5:1. The high risk groups are the elderly, divorced, and widowed. Violent methods are chosen in 66.4% of the cases. The rates are particularly high in the period April-July. Prior communication of suicidal intention was revealed in 16.3% of all cases. Previous attempts had been undertaken by 17%, which in turn means that 83% of suicides were first attempts in our material 10% the victims left suicide notes. Psychiatric disorders were present in 60.1% of the cases, and severe, multiple somatic illnesses (including malignomas) were present in 8.8%. The majority of the data resemble those found in the literature.

Adolescent↗

[Regional differences in suicide in Hungary in the light of registered cases of depression].

Author made a revision on the theory published by Rihmer and alii in the year 1989. According to this theory the marked regional differences of suicide in Hungary are caused by the different discovery of the "endogen depression" (rate of diagnosed depression). So the lower is the diagnosis of depression the higher is the suicide rate in a given territory. They have seen a negative correlation between the number of working physicians and the suicide rates. Author made a reexamination on a correct database between 1985-1994. He has also made a study using the DSM-III-R diagnostic criteria in four counties of Hungary. His results deny the theory above mentioned. The rank-correlation of the number of GP and the suicide rates in Hungary in years 1985-1994 did not show correlation. So the underdiagnosis of the depressive disorders and the different number of GP are not the cause of the regional differences of suicide in Hungary.

Depression↗

Use of haloperidol decanoate in psychiatric diseases.

Observations with slow-release neuroleptics used in the treatment of inpatients of a psychiatric ward of a general hospital have been discussed. The comparative examinations were performed within a period of two and a half years in a total of 48 patients who were ranged into two groups at random. One group received Piportil, the other Haloperidol decanoate therapy. It has to be emphasized that Haloperidol is available also in its tablet form and as short-acting injection, and is readily accessible (contrary to other products), so it is a good basis for assessing the expectable effectivity of and tolerance to depot products. When comparing the two drugs, in the course of Piportil administration neuroleptic depression developed more frequently, in one case delirium occurred which unwanted effects did not develop in the course of the administration of Haloperidol decanoate. According to our observations on a low number of cases relapse also occurred more frequently in the Piportil-treated cases. Pathological change was not observed in the results of routine laboratory examinations in the course of the administration of any of the drugs. The advantages of the use of depot products have been discussed in detail from both the physician's and the patient's aspect. Due to their beneficial antipsychotic action schizophrenic clinical conditions and especially paranoid conditions constitute the major indication field of these drugs. The use of depot products in the treatment of patients refusing therapy means a dramatic change.

Adult↗

A longitudinal follow-up study of 583 attempted suicides, based on Hungarian material.

The author reports on a study conducted in three county districts, the first investigation in Hungary to also entail a follow-up study. The investigation includes all cases of attempted suicide in a 10-year period. The follow-up period was 6-16 years, an average of 11.6 years. The authors points out that in Hungary, as elsewhere, persons who have already attempted suicide are at a higher risk of committing suicide later. The distribution of this risk, however, is inhomogeneous. The subpopulation of adolescents clearly differs from the other groups, and the author tries to find the causes of this fact. He examines the lives of the persons he terms "serious attempters" after their attempt, taking into account in his sample the epidemiologic-demographical characteristics of the persons, whom he categorizes as nonserious, serious, and completed suicides.

Adolescent↗

Suicide among Hungarian Gypsies.

A study of suicide among the nonnomadic Gypsies in three counties in Hungary revealed that they had a lower completed suicide rate but a higher attempted suicide rate than ethnic Hungarians. The rate of attempted suicide appeared to be higher in the younger, partially assimilated Gypsies as a result of the conflict between the traditional values of their parents and the pull of the larger Hungarian culture.

Adult↗

Hereditary essential myoclonus.

A new family with the rate condition of hereditary essential myoclonus (HEM) and the literature on HEM are presented. Some of these cases may previously have been reported under the title of Friedreich's paramylclonus multiplex. The present family, which is number 13 in the literature and in which 9 members in three generations had this benign disorder, is described. The diagnostic criteria have been tabulated.

Adult↗