1.The result of the assessing hallucination symptoms in alcohol related psychosis
S.Odongerel ; T.Gantsetseg ; M.Dolgormaa ; B.Dabaakhuu ; Z.Khishigsuren
Innovation 2013;7(2):49-53
An alcohol related hallucination is a psychosis which predominantly characterized by auditory hallucination in based on consciousness condition due to chronicle alcohol intoxication in alcohol dependence disorder. Main sign of alcohol related hallucination is frequently occurred by auditory and visual hallucinations in the first 48 hours since stopping to use alcohol consumption and it lasts even after recovering alcohol withdrawal syndromes. Due to persistent auditory hallucinations, patients conduct to attempt suicide, commit suicide or dangerous attempt to society. Therefore, we studied hallucination types in alcohol related psychosis and risks of dangerous attempt to society due to hallucination.
The study was conducted on the 110 cases of suicide (100 cases among males and 10 cases among females). In the study used special questionnaire with 45 chapters and 431 questions. The current mental condition was identified by the objective and subjective history of patients with Michigan scale questionnaire. Data processing was done in the SPSS 20.0 program
There were mainly occurred a verbal hallucination 76.4% (n=84), imperative hallucination 60.9% (n=67), elementary auditory hallucination 60% (n=66) and threatening auditory hallucination 46.4% (n=51) among total 110 study subjects. These hallucinations are frequently occurring in period of withdrawal state with delirium without convulsive (F10.40) and predominantly delusional psychotic disorder due to alcohol (F10.52). Suicide attempt is statistically significance for imperative auditory hallucination (p=0.007).
Threatening and approving hallucinations are common occurred as statistically significance in alcohol psychosis besides suicide thinking and suicide attempt are depending on hallucination types.
2.Heritability of patients with bipolar disorders
Gantsetseg T ; S.Odongerel S ; Tserendolgor U ; Battuvshin L ; Khishigsuren Z
Mongolian Medical Sciences 2014;168(2):39-42
INTRODUCTION:It has been suggested that most of the patients with bipolar disorders (BD) have either parent sidewhich is mentally ill. Furthermore, 25-27% of the children have been affected by BD if either parentside has BD, or 50-75% is affected if theboth sides of parents have BD, respectively. Heritability ofBD in monozygotic twins is 40-70%, and it is 20% in dizygotic twins. Therefore we aimed to studyhereditary issues of patients with bipolar disorders.PURPOSE:To assess hereditary issues of patients with bipolar disorders.MATERIALS AND METHODS:The study sample comprises 31 male, 81 female patients referred to the inpatient settings of theNational Center for Mental Health. The participiants were examined by psychiatric interviewsincluding objective and subjective anamnesis to assess hereditary history of bipolar disorders.Pearson’s x2 test was used for the analysis between categorical variables, whereas simple logisticregression was used for the regression analysis.RESULTS:We covered 31 male (24.8%), 81 female (75.2%) participants between 14-62 years old, mean age:42.05±0.97. Among the participants, 60 (53.6%) of them were with the hereditary history of mentaldisorders whose father (11.6%), mother (25%), a sibling (21.7%),close relatives (38.3%), and a child(3.3%) were mentally ill. 46.7% of the relatives were diagnosed with mood disorders and 36.7% ofthem were diagnosed with schizophrenia and its spectrum disorders. Furthermore, there was anassociation between mental illness of a sibling and bipolar disorders. Also, the number of patientswith BD whose mother was diagnosed with BD (13%) is more prevalent than the patients with BDwhose mother or father or other relatives were diagnosed with any mental disorders (x2 test, P value= 0.012).CONCLUSION:Heritability of BD might be associated with autosomal dominant inheritance with incompletephenotype, and mostly relevant if the patient’s sibling is diagnosed with mental disorders. Keywords:bipolar disorders, depression,mania, heredity, risk factors.