This naturalistic study indicates that long-term PP1M treatment was safe and effective in preventing hospitalizations and urgent consultations as well as in improving clinical course.
IntroductionMen make up approximately 10% of the diagnoses of specified Eating Disorders (ED), with Bulimia Nervosa more common in men than Anorexia. However, Eating Disorder Not Otherwise Specified (EDNOS) are more prevalent in men than Anorexia and Bulimia combined. Rates of concurrent depression and personality disorders are also high in men with EDNOS, as well as rates of medical co-morbidity.ObjectivesTo describe a sample of male patients attending a Psychiatric Day Hospital.AimsTo understand possible links between the diagnosis of ED and medical and psychiatric co-morbidity among male subjects.MethodsClinical data about male patients attending the Psychiatric Day Hospital of Modena from 05/01/2009 to 13/06/2012 were collected and analyzed. Psychiatric diagnoses were defined according to DSM IV criteria, medical comorbidities according to ICD10 criteria.ResultsMale patients with ED were on the whole 11 (7.9% of total patients). Nine of them (81.8%) were diagnosed with EDNOS; 7 had medical co-morbidity, namely gastrointestinal (36.4%), respiratory (9.1%), renal (9.1%), rheumatologic (18.2%), cardiac (9.1%) and hypertension (16.6%); 9 had psychiatric co-morbidity, namely personality disorders (46.2%), major depression (30.8%), substance abuse (15.4%) and anxiety disorders (7.7%). Only 1 male patient (9.1%) was suffering from the ED, with no medical or psychiatric co-morbidity.ConclusionsMale patients suffering from ED are increasing and knowledge on their clinical features are less clear than for female subjects, resulting in a more difficult and less effective clinical management. Despite the small sample size, this study attempts to increase the understanding of this clinical population.
Introduction Attempted suicide consists in a self-damaging nonfatal\ud behaviour, with an explicit or implicit evidence of the intent\ud to die. It has a multifactorial aetiology: presence of psychiatric\ud disorder, particularly major depression and other non-psychiatric\ud components, like a series of stressful events.\ud Aim To describe suicidal behavior among patients who\ud attempted suicide.\ud Methods Cross-sectional study. Patients admitted to three hospitals\ud in the Province ofModena(Italy) after having attempted suicide\ud were enrolled. Observation time: August 2015–August 2016 (13\ud months). Descriptive statistics made with STATA 13.0.\ud Results A total of 187 subjects (female 65%) were enrolled in the\ud period of time considered. Forty-one percent were aged 45–64;\ud 43.7% had higher education; 50.4% were unemployed; 49.6% had\ud regular income. Common means to attempt suicide were drugs\ud (64%), weapons (11%), precipitation (10%), other (6%), choking (4%).\ud Recent stressful events were reported by the 83.4% of respondents,\ud namely: family conflicts (29%), economic problems (17%), personal\ud health problems (11%), health problems affecting a family member\ud (5%), emotional separation (9%), job loss (7%), other (22%), alcohol\ud abuse (27%), substance abuse (4%). The main psychiatric diagnoses\ud were: depressive disorder (56.67%), personality disorder (20%),\ud psychotic disorder (6.67%), bipolar disorder (5.33%), behavioural\ud disorders (2.67%), anxiety disorders (2%), dementia (1.33%).\ud Conclusions Findings of the present study are consistent with\ud available literature and could help to identify “high risk” groups\ud to plan future targeted programmes
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