rome and Depressive-Disorder

The principal aim of this study is: (i) to assess the rate of depressive disorders in a sample of patient in a psychotherapy service of the Department of Psychiatric Sciences and Psychological Medicine at the Sapienza University, Roma; (ii) to focus the psychopathological features of depressive patient through the SCL-90R scale; (iii) to evaluate the correlation between SCL-90R score and categorical diagnosis.. The sample of this study includes 178 patients, who came to our service for a psychotherapy. The anamnestic and clinical information were collected for each patient. Each patient is submitted to the multidimensional scale SCL-90R in the curse of the first interview. A descriptive analysis of all the data collected was made and the principal links between SCL-90 R score and categorical diagnosis were detected.. About 46% of the patients were depressive disorders following the DSM-IVTR diagnostic criteria. About 70% of depressive patients have psychoticism pathological scores, 60% have paranoic pathological scores, 70% anxiety pathological scores and 60% interpersonal sensibility pathological scores. The depressive dimension was pathological in about 77% of anxious patient and in 87% of patient with personality disorders.. The DSM.IVTR categorical psychiatric diagnosis might underestimate important psychopathological dimensions which are underline through a dimensional scale as the SCL-90R and through a psychodynamic diagnostic instrument.

Topics: Adult; Anxiety; Depression; Depressive Disorder; Female; Humans; Interview, Psychological; Male; Paranoid Disorders; Personality Disorders; Personality Inventory; Prevalence; Psychiatric Status Rating Scales; Psychotherapy; Psychotic Disorders; Rome; Sampling Studies; Severity of Illness Index

The aim of our study is to observe the self-injured inflicted dimension in prisoners and to estimate the presence of one correlation with the anxiety-depressive syndrome.. From 15th of Oct 2006 till 31st Aug 2009 we have admitted to our department 150 patients that showed previous or recent evidences of self inflicted injuries and the use and abuse of tranquillizers and antidepressive drugs. The patients were classified in data base and we made an observation study.. Out of 150 (100%) patients admitted to hospital, 55 (37%) patients had had a recent or previous episode of self-injured inflicted, 23 (15%) patients had taken antidepressive drugs and 72 (48%) patients had been in treatment with benzodiazepines. Among 55 patients that reported on medical history evidences of self-injured inflicted only 4 (7%) had taken antidepressive drugs and 18 (33%) had been in treatment with benzodiazepines. Among 18 patients in treatment with benzodiazepines, 12 (67%) patients had begun to use it during the detention regime.. The phenomenon of self-injured inflicted among the patients that came to our department is very widespread and it resulted to be more frequent than in common people. We observed a correlation among the episodes of self-injured inflicted and the anxiety-depressive syndrome. Often the hardships is pre-existent to admittance in prison and the detention stresses that phenomenon. In fact, most of episodes of self-injured inflicted occurred during detention regime.

Topics: Anxiety Disorders; Depressive Disorder; Female; Hospitalization; Humans; Male; Prisoners; Rome; Self-Injurious Behavior

The aim of this study was to examine the association of cannabis use with risky behaviors and suicide risk in university students. A convenience sample of 246 students was recruited from four universities in Rome during the 2004 academic year. Participants completed the Zung scales for anxiety and depression, the Suicide Score Scale, and an ad hoc questionnaire assessing risky behaviors. The findings indicated a widespread use of cannabis among students and its association with risky behaviors, anxiety and depression, and suicide risk. A regression tree analysis resulted in 3 splits indicating that the Zung Self-Rating Depression Scale is a good predictor of suicide risk, discriminating individuals at lower risk from those at higher risk. Individuals at higher risk for suicide could also be discriminated by self-reported lifetime drug use. Limitations of the study are related to the small sample size and use of a convenience sample.

Topics: Adolescent; Adolescent Behavior; Adult; Anxiety Disorders; Attitude; Depressive Disorder; Female; Humans; Italy; Male; Marijuana Abuse; Probability; Psychiatric Status Rating Scales; Research Design; Risk Factors; Risk-Taking; Rome; Sample Size; Students; Suicide; Surveys and Questionnaires; Syndrome; Universities

Suicide risk, as well as psychiatric disorder, has been repeatedly reported in the international literature as an important issue in the care of individuals suffering from epilepsy. In this pilot study a sample comprising 103 patients with a diagnosis of temporal lobe epilepsy, were collected from three clinics. The patients were administered the Beck hopelessness scale (BHS), the Beck depression inventory (BDI) and the Zung self-rating anxiety scale (SAS). Hopelessness has been identified as a construct linked to the prediction and the prevention of suicide. Twenty-six percent of the epileptic patients had scores>or=9 on the BHS, suggesting that they should be evaluated for suicidal inclinations. These patients were significantly older by about 9 years and had higher levels of depression and anxiety, but they did not differ in sex, age of onset of epilepsy or in their responsiveness to medication. In the logistic regression analysis, a hopelessness score>or=9 was predicted by BDI depression scores and SAS anxiety scores taking into account sex, age and response to epileptic medications. Despite a number of limitations, this pilot study adds support for the need for screening for suicide risk in patients with epilepsy. Both clinical and psychometric data should be part of the evaluation of the epileptic patient for psychiatric and suicidality assessment.

Topics: Adult; Aged; Anxiety Disorders; Depressive Disorder; Epilepsy, Temporal Lobe; Female; Humans; Italy; Male; Middle Aged; Personality Inventory; Pilot Projects; Psychiatric Status Rating Scales; Regression Analysis; Rome; Suicide Prevention; Surveys and Questionnaires

Topics: Animals; Delusions; Depressive Disorder; Greece, Ancient; History, Ancient; Humans; Mythology; Rome; Wolves

A day hospital setting may provide a good management for suicidal patients. Of 70 subjects admitted for a suicide attempt to the "A. Gemelli" Hospital in Rome, eight (11.4%) dropped out, 62 (88.5%) completed the study, and 15 (24.19%) showed suicidal ideation within 1 year. No patients completed suicide.

Topics: Adult; Anxiety Disorders; Combined Modality Therapy; Crisis Intervention; Cross-Sectional Studies; Day Care, Medical; Depressive Disorder; Emergency Service, Hospital; Female; Follow-Up Studies; Humans; Male; Middle Aged; Psychotherapy; Rome; Statistics as Topic; Suicide Prevention; Suicide, Attempted

Prescribing patterns of antidepressant drugs were studied, over a period of 30 months, in a random sample of 8743 residents of the area of Rome, Italy. Data from the regional outpatient drug monitoring system were used. The proportion of subjects receiving, during the study period, at least one prescription of antidepressant drugs, was 5.4%; the female-to-male ratio was 2.1. Consumption prevalence increased with age. The single most prescribed drug was fluoxetine followed by amitriptyline and ademetionine. For a surprisingly high proportion of subjects, the observed length of treatment was shorter than expected on the basis of current knowledge in clinical pharmacology. Inappropriate diagnostic and therapeutic procedures are likely explanations.

Topics: Amitriptyline; Antidepressive Agents; Cross-Sectional Studies; Depressive Disorder; Drug Administration Schedule; Drug Prescriptions; Drug Utilization; Female; Fluoxetine; Health Services Misuse; Humans; Incidence; Male; Patient Care Team; Rome; S-Adenosylmethionine; Sampling Studies; Urban Population

Topics: Depressive Disorder; France; Germany; Greece; History, 19th Century; History, 20th Century; History, Ancient; Humans; Rome; Syndrome