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Jakšić N, Šimunović Filipčić I, Aukst Margetić B, Šagud M, Marčinko D, Lasić D, Jakovljević M. SUICIDE ATTEMPTS ARE ASSOCIATED WITH PERSONALITY DIMENSIONS IN CROATIAN WAR VETERANS WITH POSTTRAUMATIC STRESS DISORDER. Psychiatr Danub 2023; 35:320-327. [PMID: 37917837 DOI: 10.24869/psyd.2023.320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2023]
Abstract
BACKGROUND Patients with combat-related posttraumatic stress disorder (PTSD) have an increased frequency of suicide ideations, but also a higher risk of suicide attempts. Of all the known predisposing risk factors of suicide attempts in this population, personality dimensions are one of the least investigated. The main aim of this study was to examine if personality traits, namely temperament and character dimensions and trait impulsivity, are associated with suicide attempts in war veterans with PTSD. SUBJECTS AND METHODS his sample included 178 Croatian male war veterans (mean age 49.20 years) treated for PTSD at the Department of Psychiatry and Psychological Medicine, University Hospital Center Zagreb. These patients were assessed with the M.I.N.I. diagnostic interview and they filled out several self-report scales: the Beck Depression Inventory-Second Edition (BDI-II), the Temperament and Character Inventory-Revised (TCI-R), the Barratt Impulsiveness Scale-11 (BIS-11), and the Satisfaction with Life Scale (SWLS). RESULTS It was found that 42 (24%) Croatian war veterans with PTSD had a previous suicide attempt. Comparison between the two groups (participants with vs. those without history of suicide attempts) revealed that patients with previous suicide attempts are less educated and more often unemployed, have a longer duration of psychiatric treatment and more psychiatric hospitalizations, and exhibit higher levels of depression and lower life satisfaction. In multivariate logistic regression analyses, temperament dimension Harm Avoidance and character dimension Self-transcendence were unique predictors of suicide attempts, above the influence of age, education level and length of treatment. CONCLUSIONS Croatian war veterans with PTSD have a substantial risk of suicide attempts. In addition to the role of some sociodemographic and clinical factors, it seems that certain personality dimensions are uniquely associated with suicide behaviours among these individuals.
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Affiliation(s)
- Nenad Jakšić
- Department of Psychiatry and Psychological Medicine, University Hospital Center Zagreb, Zagreb, Croatia
| | - Ivona Šimunović Filipčić
- Department of Psychiatry and Psychological Medicine, University Hospital Center Zagreb, Zagreb, Croatia
- Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
| | - Branka Aukst Margetić
- School of Medicine, University of Zagreb, Zagreb, Croatia
- Croatian Catholic University, Zagreb, Croatia
- Department of Psychiatry, University Hospital Center Split, Split, Croatia
| | - Marina Šagud
- Department of Psychiatry and Psychological Medicine, University Hospital Center Zagreb, Zagreb, Croatia
- School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Darko Marčinko
- Department of Psychiatry and Psychological Medicine, University Hospital Center Zagreb, Zagreb, Croatia
- School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Davor Lasić
- Department of Psychiatry, University Hospital Center Split, Split, Croatia
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Mastelić T, Borovina Marasović T, Rakušić M, Martinović D, Lasić D, Uglešić B, Glavina T. Rehospitalization Rates Among Patients with Psychotic Disorders During Covid-19 Pandemic: Oral Versus Long-Acting Injectable Antipsychotics. Clin Neuropsychiatry 2022; 19:365-369. [PMID: 36627948 PMCID: PMC9807113 DOI: 10.36131/cnfioritieditore20220603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Objective The superiority of long-acting injectable antipsychotics (LAIs) versus oral antipsychotics is often emphasized, even in terms of adherence and rehospitaliza-tion rates. As such, LAIs are particularly recommended during the COVID-19 pandemic. The goal of our research was to determine whether there are differences in the number of rehospitalizations in patients treated for schizophrenia, schizophrenia-like disorders, and delusional states (psychotic disorders) with LAI antispychotics versus oral antispychotics. Method Subjects with schizophrenia, schizophrenia-like disorders and delusional states participated in our retrospective study. 124 subjects were treated with oral anti-psychotics, while 72 received LAIs along with oral antipsychotics. We collected their sociodemographic data and psychiatric history data. Our main outcome measure was the number of rehospitalizations. Results Statistical analysis showed that the studied groups did not differ according to sociodemographic parameters, except that in the group of patients with LAIs there was a significantly higher percentage of men (65 (52.4) vs 50 (69.4), p=0.029)). Also, the groups do not differ according to the psychiatric history data. There is no difference in the duration of the current hospitalization nor in the composition of the patients, considering the order of the current hospitalization. The difference in the number of rehospitalizations is not significant neither in the first year of follow-up (p=0.144), nor in the second (p=0.142), nor after two years of follow-up (p=0.083). Conclusions Our research has shown that there is no difference in the number of rehospitalizations in patients with schizophrenia, schizophrenia-like disorders and delusional states, considering whether they take oral antipsychotics or they also take LAIs along with them. We can therefore conclude that it is particularly important to work on improving patient adherence. We must make psychiatrists aware that the pandemic, like other threats, can be our ally in improving adherence ("perceived threat as a health belief").
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Affiliation(s)
- Tonći Mastelić
- Clinic for Psychiatry, Clinical Hospital Centre Split, Spinčićeva 1, 21 000 Split, Croatia
| | - Tonka Borovina Marasović
- Clinic for Psychiatry, Clinical Hospital Centre Split, Spinčićeva 1, 21 000 Split, Croatia,Corresponding author Tonka Borovina Marasović MD Clinic for Psychiatry University Hospital Centre Split, Croatia Spinčićeva 1, 21 000 Split, Croatia Tel.:+38521556132 E-mail:
| | - Mihaela Rakušić
- Clinic for Psychiatry, Clinical Hospital Centre Split, Spinčićeva 1, 21 000 Split, Croatia
| | - Dinko Martinović
- Department of Pathophysiology, University of Split School of Medicine, Šoltanska 2, 21000 Split, Croatia
| | - Davor Lasić
- Clinic for Psychiatry, Clinical Hospital Centre Split, Spinčićeva 1, 21 000 Split, Croatia
| | - Boran Uglešić
- Clinic for Psychiatry, Clinical Hospital Centre Split, Spinčićeva 1, 21 000 Split, Croatia
| | - Trpimir Glavina
- Clinic for Psychiatry, Clinical Hospital Centre Split, Spinčićeva 1, 21 000 Split, Croatia
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Miljković A, Pribisalić A, Gelemanović A, Lasić D, Hayward C, Polašek O, Kolčić I. The association of dispositional optimism and handedness with pressure pain: A cross-sectional study in the general population. Personality and Individual Differences 2022. [DOI: 10.1016/j.paid.2021.111265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Mastelić T, Uglešić B, Divić K, Lasić D. Comorbidity of Dissociative Motor Disorder with Organic Impairment - Case Report. Psychiatr Danub 2021; 33:671-673. [PMID: 34718298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- Tonći Mastelić
- Clinic for Psychiatry, University Hospital Centre Split, Spinčićeva 1, 21000 Split, Croatia,
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Uglešić L, Glavina T, Lasić D, Kaliterna M. Postinjection Delirium/Sedation Syndrome (PDSS) Following Olanzapine Long-Acting Injection: A Case Report. Psychiatr Danub 2017; 29:90-91. [PMID: 28291981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Lovro Uglešić
- Department of Psychiatry, University Hospital Centre Split, Spinčićeva 1, 21 000 Split, Croatia,
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Ninčević Ž, Lasić D, Glavina T, Mikačić M, Carev M, Podrug K. Quetiapine Poisoning Associated with Neuroleptic Malignant Syndrome, Rhabdomyolysis and Renal Failure: A Case Report. Psychiatr Danub 2017; 29:84-86. [PMID: 28291979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Željko Ninčević
- Department of Anaesthesiology and Intensive Care Medicine, University Hospital Centre Split, Spinčićeva 1, 21000 Split, Croatia,
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Lasić D, Cvitanović MŽ, Krnić S, Uglešić B. Olanzapine induced stuttering: a case report. Psychiatr Danub 2016; 28:299-300. [PMID: 27658840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Davor Lasić
- Department of Psychiatry, University Hospital Centre Split, Spinčićeva 1, 21 000 Split, Croatia,
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Jurica K, Brčić Karačonji I, Lasić D, Vukić Lušić D, Anić Jurica S, Lušić D. Determination of phthalates in plum spirit and their occurrence during plum spirit production. Acta Alimentaria 2016. [DOI: 10.1556/066.2016.45.1.17] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Uglešić B, Ljutić D, Lasić D, Jeličić I, Višić V, Glavina T, Šundov Ž, Puljiz Ž, Cvitanović MŽ, Meter A. Depression and serum interleukin-6 levels in patients on dialysis. Psychiatr Danub 2015; 27:168-173. [PMID: 26057312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
BACKGROUND Depression is a common psychiatric problem in patients undergoing dialysis. Several studies have been performed to validate the association between depression and inflammation in haemodialysis patients. The levels of proinflammatory cytokines are increased in chronic renal failure patients, as in depression. The objective of this study was to compare the incidence of depression in the patients on dialysis (on hemodialysis /HD/ and on continuous ambulatory peritoneal dialysis /CAPD/), and a relationship between depression and the presence of inflammation. SUBJECTS AND METHODS 88 patients (52 on HD and 36 on CAPD) were enrolled in this study. Depressive symptoms were measured with the Beck Depression Inventory (BDI). The BDI is a 21-item self-report instrument, and the elevated symptoms of depression were defined as a BDI score ≥16. HD patients were treated with high-flux polysulphone biocompatible dialyzers and CAPD patients were treated with usual dwell time (4-6 hours during the day and 8-10 hours at night). The presence of an inflammatory state was assesded by determinations of plasma interleukin-6 (IL-6) levels. RESULTS Depression (BDI ≥16) was present in 28.4% of dialysis patients, 35% of patients on hemodialysis (HD) and 18.1% of patients on continous ambulatory peritoneal dialysis (CAPD). The BDI score was significantly lower in CAPD patients comparing to HD patients, as well as the levels of albumin, C-reactive protein (CRP) and interleukin-6 (IL-6). IL-6 serum levels were similar in patients with depression and patients without depression in the whole group, as in HD patients. In CAPD patients without depression IL-6 levels were significantly lower. CONCLUSIONS The prevalence of depression was higher in HD comparing to CAPD patients. Although IL-6 level was higher in HD compared to CAPD patients, the relationship between depression and presence of inflammation parametars were observed in CAPD, but not in HD patients.
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Affiliation(s)
- Boran Uglešić
- Department of Psychiatry, University Hospital Center Split, 21000 Split, Croatia,
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Lasić D, Uglešić B, Vujnović Z, Krnić S. PAI-1 as a component of the metabolic syndrome in depression and schizophrenia - Croatian experience. Psychiatr Danub 2015; 27:71-72. [PMID: 25751436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- Davor Lasić
- Department of Psychiatry, University Hospital Centre Split, Spinčićeva 1, 21 000 Split, Croatia,
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Affiliation(s)
- Martina Rojnic Kuzman
- University Hospital Centre Zagreb, Zagreb Croatia and Zagreb School of Medicine, Zagreb, Croatia Zagreb School of Medicine Zagreb, Croatia University Hospital Centre Osijek, Osijek Croatia and Osijek School of Medicine, Zagreb, Croatia University Hospital Centre Split, Split, Croatia Zagreb School of Medicine, Zagreb, Croatia Centre for Psychiatry and Addiction Medicine, Szent István and Szent Laszló Hospitals, Budapest, Hungary and Department of Psychiatry and Psychotherapy, Semmelweis University, Faculty of Medicine, Budapest, Hungary
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Lasić D, Bevanda M, Bošnjak N, Uglešić B, Glavina T, Franić T. Metabolic syndrome and inflammation markers in patients with schizophrenia and recurrent depressive disorder. Psychiatr Danub 2014; 26:214-219. [PMID: 25191767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND The high prevalence of metabolic syndrome in patients with psychiatric disorders, almost double the prevalence reported for the general population, is worrying. The aim of this study is to investigate the presence of metabolic syndrome and inflammatory marker levels in patients with schizophrenia and recurrent depressive disorder in a Croatian psychiatric sample. SUBJECTS AND METHODS This study included 62 inpatients with schizophrenia and 62 with recurrent depressive disorder treated at the Department of Psychiatry, University Hospital Centre Split, enrolled from November 2011 until May 2012. The cases were compared to 124 healthy subjects from the general population. RESULTS The presence of metabolic syndrome was found in 56.5% of the patients with schizophrenia and 53.2% of the patients with depression, which was significantly more prevalent than in the control group (32.3%). The levels of inflammation markers (i.e., C-reactive protein and PAI-1) were significantly higher among patients with metabolic syndrome. CONCLUSIONS Patients with schizophrenia and recurrent depressive disorder demonstrate a high prevalence of metabolic syndrome that is also related to inflammation processes. In the context of integrative medicine, clinicians and researchers should consider psychiatric patients within a holistic approach.
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Affiliation(s)
- Davor Lasić
- Department of Psychiatry, University Hospital Centre Split, Spinčićeva 1, 21 000 Split, Croatia,
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Uglesić B, Lasić D, Zuljan-Cvitanović M, Buković D, Karelović D, Delić-Brkljacić D, Buković N, Radan M. Prevalence of depressive symptoms among college students and the influence of sport activity. Coll Antropol 2014; 38:235-239. [PMID: 24851623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The present study asses the prevalence of depressive symptoms among college students in Split, Croatia, and positive influence of sport activity on decreasing the depression symptoms. Authors screened all 664 college students of the first year of study. All of them were over the 18 years and the mean age was 19.4 +/- 1.2 years. There were 466 females (70.2%) and 178 (26.8%) males. They answered The Beck Depression Inventory (BDI) and questionnaire about their sport activity (no sport activity, recreational and active in sports). For the purpose of the analysis depressive symptoms were defined as a score of > 11. Chi-square and Mann-Whitney test were used for data analysis. 9.4% of the students had significant depression symptoms (score > 11). No one student had score > 26 (symptoms of major depression). Statistically significant lower score on BDI have students who are active in sports (score median = 3) compared to group of recreational (score median = 4) and in correlation to group who are not active in sports (score median = 5) (Kruskal-Wallis: p < 0.001). In the group of active in sports (N = 254) there are only 5.5% with depressions symptoms, while in the group of non active in sports (N = 60) are 18 depressive (chi2-test: p = 0,005). Females are statistically more depressed than males (chi2-test: p = 0.01). In the female group 49 (10.5%) are depressed, and in the male group are 9 (5%). Compared to gender in separate analysis we did not find correlation of decreasing depression symptoms and sport activity among males (chi2-test: p = 0.47), while in females we find that sport activity has significant effect (chi2-test: p = 0.026). Our results shoved moderate values of depression symptoms among college population in Split, Croatia. More females than males experienced depressive symptoms. While sport activity did not have significant influence on the depression in male population, it has significant influence in reducing the depression symptoms among females.
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Cvitanović MZ, Lasić D, Karelović D, Milić L. Interferon-alpha induced depression in a patient with hepatitis C. Psychiatr Danub 2014; 26:84-85. [PMID: 24608155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Marija Zuljan Cvitanović
- University Department of Psychiatry, Clinical Hospital Center Split, Spinčićeva 1, 21 000 Split, Croatia,
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Lasić D, Ivanišević R, Uglešić B, Cvitanović MZ, Glučina D, Hlevnjak I. Acute generalized exanthematous pustulosis as a side effect of quetiapine. Psychiatr Danub 2013; 25:84-85. [PMID: 23470612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Davor Lasić
- Department of Psychiatry, University Hospital Centre Split, Split, Croatia.
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Lasić D, Cvitanović MZ, Uglešić B, Dodig G. Family survived the sinking of "Costa Concordia". Psychiatr Danub 2012; 24:333-335. [PMID: 23013640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Davor Lasić
- University Department of Psychiatry, Clinical Hospital Centre, Split, Croatia.
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Jakovljević M, Brajković L, Jakšić N, Lončar M, Aukst-Margetić B, Lasić D. Posttraumatic stress disorders (PTSD) from different perspectives: a transdisciplinary integrative approach. Psychiatr Danub 2012; 24:246-255. [PMID: 23013627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND Psychotraumatization continues to be a pervasive aspect of life in the 21st century all over the world so we should better understand psychological trauma and PTSD for the sake of prevention and healing. METHOD We have made an overview of available literature on PTSD to identify explanatory models, hypotheses and theories. RESULTS In this paper we describe our transdisciplinary multiperspective integrative model of PTSD based on the seven perspective explanatory approach, on the fifth discipline, the art and practice of the learning organization as well as on the method of multiple working hypotheses.Trauma vulnerability, strengths, resilience and posttraumatic growth are key concepts that enable an integration of the distinct perspectives into a coherent transdisciplinary multiperspective explanatory and treatment model of PTSD. CONCLUSION PTSD is a complex highly disabling and suffering disorder where the past is always present in people haunted by the dread frozen in memory of the traumatic events. However, PTSD also represents an oportunity for psychological and spiritual growth due to the human ability to adapt and thrive despite experiencing adversity and tough times.
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Affiliation(s)
- Miro Jakovljević
- Department of Psychiatry, University Hospital Centre Zagreb, Zagreb, Croatia.
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Lasić D, Ivanišević R, Uglešić B, Cvitanović MZ, Glučina D, Hlevnjak I. Valproate-acid-induced cutaneous leukocytoclastic vasculitis. Psychiatr Danub 2012; 24:215-218. [PMID: 22706422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Davor Lasić
- University Psychiatric Clinic; Clinical Hospital Centre Split, Spinčićeva 1, 21 000 Split, Croatia.
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Lasić D, Uglesić B, Zuljan-Cvitanović M, Supe-Domić D, Uglesić L. False-positive methadone urine drug screen in a patient treated with quetiapine. Acta Clin Croat 2012; 51:269-272. [PMID: 23115954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023] Open
Abstract
We present a case of T.M. admitted to University Department of Psychiatry, Split University Hospital Center, in Croatia, because of the acute psychotic reaction (F23.9). The patient's urine tested positive for methadone without a history of methadone ingestion. Urine drug screen was performed with the COBAS Integra Methadone II test kit (kinetic interaction of microparticles in solution /KIMS/ methodology) by Roche. Drugs that have been shown to cross-react with methadone feature a tricyclic structure with a sulfur and nitrogen atom in the middle ring, which is common for both quetiapine and methadone. Therefore, it is plausible that this structural similarity between quetiapine and methadone could underlie the cross-reactivity on methadone drug screen. Besides quetiapine, a number of routinely prescribed medications have been associated with triggering false-positive urine drug screen results. Verification of the test results with a different screening test or additional analytical tests should be performed to avoid adverse consequences for the patients.
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Affiliation(s)
- Davor Lasić
- University Department of Psychiatry, Split University Hospital Center, Split, Croatia.
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Lasić D, Cvitanović MZ, Uglešić B, Višić V, Hlevnjak I. Exanthema medicamentosum as a side effect of promazine. Psychiatr Danub 2011; 23:194-197. [PMID: 21685860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Dermatological side effects of psychopharmacological drugs are fortunately not so often. They are mostly presented in the group of mood stabilizers and antiepileptic drugs, particularly the carbamazepine and lamotrigine, and can be manifested through the Stevens Johnson syndrome, Toxic Epidermal Necrolysis (TEN)/Lyell's syndrome with about 30% lethality. According to the literature the group of phenothiazines is the category of drugs with rare appearances of skin reactions. Promazine, aliphatic phenothiazines antipsychotic, including less frequent side effects in the leaflet states increased skin sensitivity to sun, skin rash-associated with contact dermatitis, allergic reactions, cholestatic icterus. The only reported dermatological side effect of promazine is its metabolites deposition in the cornea. Analyzing the e-data basis we have not found references connecting the Exanthema medicamentosum as a side effect of promazine. A forty-two years old female patient was admitted to the Dermatological Clinic because of suspected exanthema, undoubtedly caused by promazine as a medication for Sy. Borderline.
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Affiliation(s)
- Davor Lasić
- University Psychiatric Clinic, Clinical Hospital Centre Split, Spinčićeva 1, 21000 Split, Croatia.
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Glucina D, Britvić D, Lasić D, Dedić M, Jakelić M, Brajević-Gizdić I, Kralj Z, Bucan M. The Croatian version of diagnostic interview for genetic studies. Psychiatr Danub 2010; 22:193-197. [PMID: 20562746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Diagnostic Interview for Genetic Studies (DIGS) is a modern structured interview schedule that has been in use since 1994. Main purpose of the DIGS is to record information regarding to a subject's functioning and psychopathology and it was specifically designed for psychiatric genetic studies. The DIGS is also suitable for making diagnosis, evaluation of comorbidity and other researches. It contents items and sections and has a semi-structured design that gives interviewers the freedom needed to extract the best in formation possible. The validity of a Croatian version of the DIGS was investigated. The original English version was initially translated into Croatian. The Croatian version was then back-translated and compared with the original. In this paper we will describe each item that DIGS contents as well as the use of this diagnostic instrument.
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Affiliation(s)
- Dubravka Glucina
- Clinic for Psychiatry, Clinical Hospital Split, University School of Medicine, 21 000 Split, Croatia
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Kuzman MR, Jovanović N, Vidović D, Margetić BA, Mayer N, Zelić SB, Lasić D, Nadj S, Simurina AB, Slijepcević MK, Bolanca M, Skocić M, Katić P, Soskić T, Plestina S. Problems in the current psychiatry residency training program in Croatia: residents' perspective. Coll Antropol 2009; 33:217-223. [PMID: 19408629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The aim of this study is to evaluate the quality of the current residency training in psychiatry in Croatia using parameters of professional achievements of residents and their subjective evaluations of the residency training that is being offered. 66 residents from 15 Croatian psychiatric hospitals, clinics and wards in general hospitals fulfilled the questionnaire constructed to obtain information about the profile of psychiatry residents in Croatia, parameters of educational quality and evaluation of offered residency training as seen by residents. We interviewed 89% of all residents that had a trainee status in September and October 2006 in Croatia (66 out of 74). Study results indicate that Croatian psychiatry residents are derived from a pool of very good medical students and the majority is engaged in postgraduate studies and research activities and shows high interest in specific psychiatric fields such as psychotherapy and clinical psychiatry. Most of participants are only partially satisfied with the residency training that is being offered and feel that most problems reside from the lack of practical psychotherapy, the inefficiency of the mentorship system and the lack of funding resources. The results of this study revealed the major problems of psychiatry residents in Croatia. Following those results, we will perform the study that would include mentors and supervisors from different Croatian psychiatric centers. That could enable the development of specific interventions with aim to improve current residency training in Croatia.
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