No abstract

No abstract

No abstract

Introduction: Bipolar disorder affects many psychosocial and functional aspects, leading to real social handicap and an alteration in quality of life. Aims: Our purpose was to evaluate the bipolar patient's quality of life. Methods: It is a cross-sectional study which lasted for four months. It included 104 patients with bipolar I disorder according to the DSM-IV-TR criteria and followed at the psychiatry consultation of the university hospital in Mahdia. Quality of life was measured using the SF-36 (Short form) generic scale. A global average score was calculated and we considered that quality of life was altered if the score was less than 66.7, according to the threshold value of Léan. Results: The assessment of quality of life revealed a global average score of 52.2 and an alteration in 78,8% of patients. The study of the dimensional average scores revealed that all dimensions were affected excepting the one exploring the physical activity (D1) with a score of 75,6. The standardization also revealed deterioration in all the dimensions, with the mental component particularly more affected than the physical component with respectively estimated scores of 31.7 and 40.5. Conclusion: This clinimetric approach permitted us to consider the whole life of each patient suffering from bipolar disorder, rather than just the angle of their illness

IntroductionSeveral studies suggest the existence of a relationship between major mental disorders and crime. However, it is important to emphasize that violent behaviors do not affect all patients and that issues of criminality among mentally ill persons only represents a small proportion.AimsThe objective of this study is to establish the general and clinical profile of perpetrators of sexual and physical assaults.MethodsThis is a retrospective study of the records of forensic psychiatric expertise, conducted in the psychiatry department of the University Hospital of Mahdia during the period from May 1st 2000 to May 31st 2013.ResultsThe general profile of the population the study was characterized by a mean age of 39 years, a sex ratio of 8.25, unemployment in 73% of cases and by the presence of a psychiatric personal history 54% of cases. Sexual and physical assaults accounted for 54.5% of cases. It was essentially in descending order: assault and battery (65%), rape (16.2%) and incest (5.4%). As for the clinical profile, schizophrenia and epilepsy were recorded each in 13.5% of cases, major depressive disorder in 8.1% of cases, bipolar disorder in 5.4% and substance abuse in 5.4% of cases. A personality disorder was observed in 48.6% cases, essentially antisocial personality (55%). Comorbidity with addictive behavior was observed in 56.7% of cases.ConclusionIt is necessary to characterize a subgroup of patients with mental disorders, likely to commit violent crimes, in order to prevent acting out behaviors and adapt their management.Disclosure of interestThe authors have not supplied their declaration of competing interest.