ABPM anxiety disorders

Fifty consecutive outpatients with anxiety disorders and personality disorders who participated in intensive group psychotherapy were included. Diagnoses were made according to DSM-IV-TR criteria using the PSE-10 questionnaire. Out of 50 patients, 17 were diagnosed with Panic Disorder and 21 with Generalized Anxiety Disorder. The control group consisted of 40 healthy people from the general population. None of the people included in any of the groups had a diagnosis of hypertension nor cardiovascular disease or any serious somatic disease. To study the 24-hour automatic monitoring of blood there were used ABPM recorders (ambulatory blood pressure measurement) Medilog Accutracker DX that combine auscultatory and ECG techniques. For the day record (from 7.01 to 22.00) time interval was 20 minutes and for the night record (from 22.01 to 7.00) it was 30 minutes. For the analysis of the obtained record, the ABP Suprima – Medilog Oxford system was used. The result of this phase of the analysis was the digital record containing the set of systolic and diastolic pressure values. Taking into consideration the diverse circadian activity of the studied people, the comparison of average blood pressure during periods of day and night – excluding waking up and falling asleep – was made. Based on the analysis of the studied people’s circadian activity, to estimate the average blood pressure during the day, the period between 10 a.m. and 8 p.m. was assumed, and to estimate the average blood pressure during the night, the period between midnight and 6 a.m. was assumed.variables: age, sex, group (2-panic attacs, 1-withot panic attacs, 0-healthy controls)diag_ (1-panic, 2-GAD, 3-other)diagnoses (DSM-IV-TR code), SDBP (mean systolic day blood pressure), SNBP mean systolic night blood pressure), SDN_diff (SDBP-SNBP), s_dipper (SDN_diff%), DDBP (mean diastolic day blood pressure), DNBP (mean diastolic night blood pressure), DDN_diff(DDBP-DNBP) d_dipper d_dipper (DDN_diff%)s_dipp (systolic dipper),d_dipp (diastolic dipper), t_dipp (systolic and diastolic dipper), SD_ndipp (reverse dipper), BPs_7_04... (systolic BP, hour_sampleID)BPd_7_2... (diastolic BP, hour_sample ID)THIS DATASET IS ARCHIVED AT DANS/EASY, BUT NOT ACCESSIBLE HERE. TO VIEW A LIST OF FILES AND ACCESS THE FILES IN THIS DATASET CLICK ON THE DOI-LINK ABOV

Emotions and their cognitive and adaptive functions

Emotions appeared very early in phylogenetic and ontogenetic development. The word emotion originates from the Latin verb movere. However, attempts to distinguish and name the concept represented by the phrase emotion reach back to the beginnings of human language. The compound and subjective nature of emotions stress an essential aspect of this phenomenon, which leads to changes in physiological, psychological, and behavioral issues. World literature dedicates significant attention to the mutual associations between the cognitive and adaptive processes and emotions. Emotions help to estimate the adaptational meaning of stimuli. Its cognitive aspect is, however, just as significant. The review of the literature presented herein is an attempt to classify and evaluate particular emotions, both positive and negative, and the influence they have on physical and mental health. Paul Ekman, the author of one of the more esteemed classification attempts, has distinguished six basic emotions: anger, disgust, fear, happiness, sadness, and surprise. These universal emotions are recognized based on emotional facial expressions, the automatic reactions that unfold within microseconds. Robert Plutchik, on the other hand, devised his „emotion wheel” upon which he organized eight basic emotions by grouping them in pairs comprising a combination of positive and negative emotions. He is also the author of one of the best framed emotional combination theories. In this respect, emotions play a crucial role as compound model reactions to everyday situations such as a long-lasting effort ensuring survival and individual development

COVID-19-related consultation-liaison (CL) mental health services in general hospitals:a perspective from Europe and beyond

Abstract Objective: The COVID-19 pandemic posed new challenges for integrated health care worldwide. Our study aimed to describe newly implemented structures and procedures of psychosocial consultation and liaison (CL) services in Europe and beyond, and to highlight emerging needs for co-operation. Methods: Cross-sectional online survey from June to October 2021, using a self-developed 25-item questionnaire in four language versions (English, French, Italian, German). Dissemination was via national professional societies, working groups, and heads of CL services. Results: Of the participating 259 CL services from Europe, Iran, and parts of Canada, 222 reported COVID-19 related psychosocial care (COVID-psyCare) in their hospital. Among these, 86.5% indicated that specific COVID-psyCare co-operation structures had been established. 50.8% provided specific COVID-psyCare for patients, 38.2% for relatives, and 77.0% for staff. Over half of the time resources were invested for patients. About a quarter of the time was used for staff, and these interventions, typically associated with the liaison function of CL services, were reported as most useful. Concerning emerging needs, 58.1% of the CL services providing COVID-psyCare expressed wishes for mutual information exchange and support, and 64.0% suggested specific changes or improvements that they considered essential for the future. Conclusion: Over 80% of participating CL services established specific structures to provide COVID-psyCare for patients, their relatives, or staff. Mostly, resources were committed to patient care and specific interventions were largely implemented for staff support. Future development of COVID-psyCare warrants intensified intra- and inter-institutional exchange and co-operation

The relevance of 'mixed anxiety and depression' as a diagnostic category in clinical practice

According to ICD-10 criteria, mixed anxiety and depressive disorder (MADD) is characterized by co-occurring, subsyndromal symptoms of anxiety and depression, severe enough to justify a psychiatric diagnosis, but neither of which are clearly predominant. MADD appears to be very common, particularly in primary care, although prevalence estimates vary, often depending on the diagnostic criteria applied. It has been associated with similarly pronounced distress, impairment of daily living skills, and reduced health-related quality of life as fully syndromal depression and anxiety. Although about half of the patients affected remit within a year, non-remitting patients are at a high risk of transition to a fully syndromal psychiatric disorder. The validity and clinical usefulness of MADD as a diagnostic category are under debate. It has not been included in the recently released DSM-5 since the proposed diagnostic criteria turned out to be not sufficiently reliable. Moreover, reviewers have disputed the justification of MADD based on divergent results regarding its prevalence and course, diagnostic stability over time, and nosological inconsistencies between subthreshold and threshold presentations of anxiety and depressive disorders. We review the evidence in favor and against MADD and argue that it should be included into classification systems as a diagnostic category because it may enable patients to gain access to appropriate treatment early. This may help to reduce patients' distress, prevent exacerbation to a more serious psychiatric disorder, and ultimately reduce the societal costs of this very common condition