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In a study of 18 patients with manic symptomatology and 31 patients with melancholic symptomatology the Bech-Rafaelsen Mania Scale (BRMS) and the Hamilton Depression Scale (HDS) have been compared. The results showed that the inter-observer reliability of the BRMS was adequate compared with the HDS. Both scales are constructed for assessing the severity of manic or melancholic states, and no difference was found in the total BRMS or HDS score between the various diagnostic groups, when the patients were classified by an index of the course and symptomatology otive disorder, using the Multi-axial Classificetion System for Affective Disorders (MULTI-CLAD). The homogeneity of the BRMS seemed more adequate than that of the HDS, when each item was correlated to the corresponding total score. Although the homogeneity of the BRMS needs to be evaluated by other statistical models than correlation analysis, our results seem to indicate that the improvement in assessing manic-melancholic states quantitatively is a matter of redefining items or incorporating new items in the melancholic rather than the manic part of these rating scales.

The aim of this study was to test whether the concept of an altruistic personality was valid for first aiders who intervened to help the victims of a traffic accident. We derived a number of relevant personality variables that should be related to the willingness to administer first aid. These include locus of control, social responsibility, belief in a just world, empathy, and instrumentality. We obtained data from proven first aiders who had intervened after a traffic accident. Thirty-four of these first aiders were matched to respondents from a subject pool on the basis of sex, age, and socioeconomic status. In addition, the willingness of these respondents to offer help after a traffic accident was taken into account. Only people who indicated that they had witnessed an accident and had not helped were included in the control group. Multivariate analyses of variance and covariance indicated that proven first aiders deviated from the control group on several dimensions: Tbey described themselves as more internal, believed more in a just world, and emphasized more social responsibility and empathy.

Different levels of stress give rise to different incidence of psychiatric morbidity among remand prisoners. The surplus of incident disorders among SC prisoners is related to SC, which may act as a mental health hazard.