Assessment of psychopathological symptoms in patients with primary hypothyroidism
Introduction Thyroid dysfunction such as hypothyroidism, is connected with numerous neurological and psychiatric disorders. However, the importance of assessing the interaction between brain, psyche and thyroid in clinical practice is often underestimated, and this has a direct impact on the planni...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822006150/type/journal_article |
| _version_ | 1797617447239417856 |
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| author | O. Pityk N. Karbovskyi |
| author_facet | O. Pityk N. Karbovskyi |
| author_sort | O. Pityk |
| collection | DOAJ |
| description |
Introduction
Thyroid dysfunction such as hypothyroidism, is connected with numerous neurological and psychiatric disorders. However, the importance of assessing the interaction between brain, psyche and thyroid in clinical practice is often underestimated, and this has a direct impact on the planning of therapeutic interventions and treatment efficacy in patients with primary hypothyroidism.
Objectives
We examined 132 patients with primary hypothyroidism.
Methods
Assessment of the presence and severity of psychopathology was performed using the technique SCL-90-R (questionnaire severity of psychopathology).
Results
The results showed the highest scores on the scales of somatization (3,75 ± 0,12), depression (3,64 ± 0,13), interpersonal anxiety (3,45 ± 0,19), phobias (3.25 ± 0,31). High rates of somatization scale showing a violation of bodily dysfunction of various body systems-cardiovascular, gastrointestinal, respiratory and headache, muscular discomfort and other unpleasant sensations in different parts of the body and manifest themselves in a complaint of patients. Scale depression revealed the presence of dysphoria, anhedonia, low affect, loss of vitality and interest in life. Relatively high on a scale of phobias indicate the presence in these patients persistent fear responses to certain situations and objects that are irrational and inadequate and lead to avoiding behavior. General index of severity of symptoms (GSI) and the index of an existing symptomatic distress (PSDI) were significantly higher in the following patients than in hypothyroid patients without mental disorders.
Conclusions
Thus, these results should be taken into account when determining treatment strategy both in psychopharmacotherapy and different methods of psychological correction.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:55:05Z |
| format | Article |
| id | doaj.art-d3550dafa7ef45368b4e8e44318ec1b2 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:55:05Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-d3550dafa7ef45368b4e8e44318ec1b22023-11-17T05:05:57ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S238S23810.1192/j.eurpsy.2022.615Assessment of psychopathological symptoms in patients with primary hypothyroidismO. Pityk0N. Karbovskyi1Ivano-Frankivsk National Medical University, Psychiatry, Narcology And Medical Psychology, Ivano-Frankivsk, UkraineIvano-Frankivsk National Medical University, Psychiatry, Narcology And Medical Psychology, Ivano-Frankivsk, Ukraine Introduction Thyroid dysfunction such as hypothyroidism, is connected with numerous neurological and psychiatric disorders. However, the importance of assessing the interaction between brain, psyche and thyroid in clinical practice is often underestimated, and this has a direct impact on the planning of therapeutic interventions and treatment efficacy in patients with primary hypothyroidism. Objectives We examined 132 patients with primary hypothyroidism. Methods Assessment of the presence and severity of psychopathology was performed using the technique SCL-90-R (questionnaire severity of psychopathology). Results The results showed the highest scores on the scales of somatization (3,75 ± 0,12), depression (3,64 ± 0,13), interpersonal anxiety (3,45 ± 0,19), phobias (3.25 ± 0,31). High rates of somatization scale showing a violation of bodily dysfunction of various body systems-cardiovascular, gastrointestinal, respiratory and headache, muscular discomfort and other unpleasant sensations in different parts of the body and manifest themselves in a complaint of patients. Scale depression revealed the presence of dysphoria, anhedonia, low affect, loss of vitality and interest in life. Relatively high on a scale of phobias indicate the presence in these patients persistent fear responses to certain situations and objects that are irrational and inadequate and lead to avoiding behavior. General index of severity of symptoms (GSI) and the index of an existing symptomatic distress (PSDI) were significantly higher in the following patients than in hypothyroid patients without mental disorders. Conclusions Thus, these results should be taken into account when determining treatment strategy both in psychopharmacotherapy and different methods of psychological correction. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822006150/type/journal_articleHypothyroidismnonpsychotic mental disorderspsychopathological symptoms |
| spellingShingle | O. Pityk N. Karbovskyi Assessment of psychopathological symptoms in patients with primary hypothyroidism European Psychiatry Hypothyroidism nonpsychotic mental disorders psychopathological symptoms |
| title | Assessment of psychopathological symptoms in patients with primary hypothyroidism |
| title_full | Assessment of psychopathological symptoms in patients with primary hypothyroidism |
| title_fullStr | Assessment of psychopathological symptoms in patients with primary hypothyroidism |
| title_full_unstemmed | Assessment of psychopathological symptoms in patients with primary hypothyroidism |
| title_short | Assessment of psychopathological symptoms in patients with primary hypothyroidism |
| title_sort | assessment of psychopathological symptoms in patients with primary hypothyroidism |
| topic | Hypothyroidism nonpsychotic mental disorders psychopathological symptoms |
| url | https://www.cambridge.org/core/product/identifier/S0924933822006150/type/journal_article |
| work_keys_str_mv | AT opityk assessmentofpsychopathologicalsymptomsinpatientswithprimaryhypothyroidism AT nkarbovskyi assessmentofpsychopathologicalsymptomsinpatientswithprimaryhypothyroidism |