Neuropsychopharmacologia Hungarica : a Magyar Pszichofarmakológiai Egyesület lapja = official journal of the Hungarian Association of Psychopharmacology
-
Neuropsychopharmacol Hung · Mar 2021
[Coronavirus Pandemic - #STAYHOME: How Are You Holding Up? Questions And Tips For 11-18-Year-Olds To Make It Better].
Adolescents have to cope with several challenges and restrictions due to the COVID-19 pandemic, with many of those incongruent with the typical developmental tasks of adolescent age. Some adolescents might be particularly vulnerable in this situation, including those who are deprived of psychological, social or health care services and/or are exposed to abuse or neglect in their home environment. The aims of the current international multicentre follow-up study are to: 1. collect data on the mental health and quality of life of adolescents during and after the pandemic; 2. improve their mental health by providing an online prevention program that addresses their actual needs; 3. accelerate the development of culturally adapted prevention programs by involving an international team, and 4. to contribute to adequate preparation for any potentially occurring, similar situationin the future. ⋯ Prevention based on the results of the study is expected to contribute to maintaining adolescents' mental health, improve their quality of life, increase their and their environment's cooperation with the necessary restrictions during the pandemic, and to make reintegration easier once the restrictions are over. Furthermore, the study has the potential to inform on the wellbeing of children and adolescents in extreme situations in general, thus contribute to future preventive measures and policymaking. Implications and Contribution: The proposed international online follow-up study is expected to provide scientifi c evidence for 1. possible changes in the mental health and quality of life of adolescents during and after a pandemic situation, 2. the eff ectiveness of a culturally adapted prevention program developed to address challenges associated with these changes.
-
Both worldwide and in Hungary, telemedicine and telepsychiatric guidelines and legal regulations have come into force in connection with the outbreak of the COVID-19 epidemic, which are aimed at both the current situation and the future. Due to the need for social distance and isolation during the epidemic, there was a need for the use of telemedicinal solutions in psychiatric care as well. This consisted primarily of telephone and videophone visits from the home of psychiatric patients. ⋯ In the United States, for example, the frequency of telepsychiatric visits is predicted to be 47% for the near future, and the American Psychiatric Association is constantly publishing new and newer guidelines for telepsychiatry related to the COVID-19 epidemic. The recommendation of the Psychiatry and Psychotherapy section of the Professional Health College of EMMI in connection with the COVID-19 care system has also been published in Hungary. According to the latter, the use of telepsychiatry and e-prescription was also recommended, which is also included in the rules of procedure issued by the Child Psychiatry Section. (Neuropsychopharmacol Hung 2021; 23(2): 266-271).
-
Since suicide is a very complex, multicausal human behaviour, its prevention should also be complex. The prediction of suicide is very difficult at the level of the general population, but it is much easier among patients with certain mental disorders, because most persons who kill themselves have diagnosable and treatable psychiatric disorders. This article reviews the most important biological and non-biological suicide prevention strategies.
-
Neuropsychopharmacol Hung · Oct 2007
Randomized Controlled Trial Comparative StudyComparison of propofol and etomidate regarding impact on seizure threshold during electroconvulsive therapy in patients with schizophrenia.
While propofol is known to shorten seizures during electroconvulsive therapy, in our previous study on patients with schizophrenia, there was no need for more frequent restimulations when using propofol compared with etomidate. We hypothesized that etomidate and propofol have similar effects on seizure activity in cases where seizure duration is shorter than 20 seconds. In this study, etomidate and propofol are compared regarding their impact on seizure threshold and seizure duration. ⋯ During the ECT of patients with schizophrenia, propofol was shown to possess significant seizure-shortening properties, but it does not elevate seizure threshold or drop seizure duration under the minimal threshold more frequently than etomidate does. Based on these findings, we conclude that the use of propofol does not result in a greater electric load on the patients than etomidate.
-
Neuropsychopharmacol Hung · Mar 2004
Review Case Reports[Paralytic ileus during haloperidol therapy].
In the case of elderly patients, the serious side effects of haloperidol should be taken into account. The 83-year-old schizophrenic patient had had successful haloperidol treatment, but developed a sudden paralytic ileus. The unique side effect of haloperidol calls attention to the danger of neuroleptic treatment of elderly patients. The good solution is to change over from haloperidol to a second-generation antipsychotic agent.