The impact of marital status in hospitalized patients with bipolar disorder

Abstract

Cartas aos Editores 394Rev Bras Psiquiatr. 2009;31(4): Case report: S. is a 21-year-old single woman who came to office asking for help to get a job. She applied for a selection process and asked for a prescription of methylphenidate to improve her chances. She became aware of this drug through a friend that was studying with her and reported an important improvement in academic test performance. The friend was using pills from his sister. S. had already taken this medication once, noticing a discrete improvement in her capabilities. There was no current or lifetime diagnosis of ADHD or any other psychiatric disorders. The performance in ASRS 4 test was within the normal range. The risks and benefits of using stimulants in this manner were explained to her. General orientation about study, sleep, diet, leisure and relationships with others were highlighted. Methylphenidate was not prescribed. The patient seemed dissatisfied at the end of the appointment. A new appointment was scheduled, but the patient did not show up.Discussion: Changing cultural values may put pressures on clinicians' decisions in order to prescribe performance enhancing drugs. We may be facing a paradigm shift towards Cosmetic

The maladaptive domains according to the alternative model of personality disorders (AMPD) criterion B in patients with affective disorders and temperamental triads related to these domains: two unique profiles

“…Although there was no significant difference between the mean age and sex of patients with affective disorders and the HCs, marital status was different between the groups. Some studies have suggested a possible role for marriage and the support system in lower periods of depression and reduced hospitalization [ 62 , 63 ]. Therefore, matching cases and controls in terms of marital status may be necessary.…”