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122 results

Page 1 of 7

  • Delayed Sleep Phase in Severe Obsessive-Compulsive Disorder: A Systematic Case-Report Survey

  • Suman Mukhopadhyay, Naomi A. Fineberg, Lynne M. Drummond, Joanne Turner, Sarah White, Katharina Wulff, Hamid Ghodse
  • Journal:
    CNS Spectrums / Volume 13 / Issue 5 / May 2008
    Published online by Cambridge University Press:
    07 November 2014, pp. 406-413
  • Introduction:

    To study the prevalence of delayed sleep phase (DSP) in a cohort of inpatients with severe obsessive-compulsive disorder (OCD) and to identify clinical and demographic correlates.

    Methods:

    A systematic retrospective case-report study of consecutive OCD admissions to a specialist inpatient unit from January 1995 to December 2003. Nursing and medical records of sleep, demographic, clinical, and other relevant details were recorded.

    Results:

    Of 194 eligible consecutive case reports, 187 were located, and nursing and medical reports of sleep were identified in all 187 (100%). Thirty-three patients (17.6%) fulfilled operationally defined criteria for DSP after exclusion of possible confounding factors. All the patients with DSP were unemployed. Phase-shifted patients were significantly younger than non-shifted patients (P=.019) and reported an earlier age of onset of their OCD (P=.005). There was a non-significant trend toward more severe OCD in the phase-shifted group, but they were not more depressed than their non-shifted counterparts.

    Conclusion:

    A substantial number of patients with severe, enduring OCD also suffer with DSP, which seems to be specifically linked to OCD as opposed to comorbid depression. Clarification of the etiology within DSP and its interaction with core OCD symptoms on clinical function and disability may identify new treatment targets. To this end, further studies of sleep in OCD using actigraphy and biological measures are indicated.

  • Griffith James Edwards CBE

  • Hamid Ghodse, Thomas Bewley
  • Journal:
    The Psychiatrist / Volume 37 / Issue 2 / February 2013
    Published online by Cambridge University Press:
    02 January 2018, p. 78
    Print publication:
    February 2013
    • Article
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  • Preface

  • Edited by Hamid Ghodse
  • Book:
    International Perspectives on Mental Health
    Published online:
    02 January 2018
    Print publication:
    01 June 2011, pp xvii-xviii

  • Summary

    The publication of specially commissioned country profiles has been one of the main features of International Psychiatry, a journal with a focus on mental health policy, administration, the audit and management of mental health services and training in psychiatry around the world. These profiles are original articles which have gone through the journal's normal peer-review process. The authors were asked to restrict their profile to about 1500 words, and not more than 12 references and 2 tables, graphs or figures. Each profile includes a section on the demography of the country so that information on service provision and training can be seen in context.

    Country profiles are also expected to cover the following areas: mental health policy and legislation; mental health service delivery; psychiatric training (both undergraduate and postgraduate), including the number and type of residence programmes, examinations and the type of qualification bestowed; psychiatric subspecialties and allied professions (e.g. child psychiatry, psychotherapy, psychiatric nursing); main areas of research; workforce issues, including the number of psychiatrists in the country; psychiatric associations (if any) and frequency of meetings; human rights issues (if any); and any other issues likely to be of interest to international colleagues and in particular to Members and Fellows of the Royal College of Psychiatrists in the UK and abroad. Within this structure individual profiles differ in both style and content, reflecting varying levels of the general development of the country as well as sociocultural differences and different attitudes to the practice of psychiatry.

    Each issue of International Psychiatry includes new country profiles, effectively building up a data bank about mental health and psychiatric practice in many parts of the world. The series has generated considerable interest and highlighted the fact that many people, for a variety of reasons, want to find out about the state of mental health services in other countries. However, such information has not previously been easily available and the College has received a number of enquiries relating to this, namely from psychiatrists planning to visit other countries, often for teaching purposes or to provide services, as well as other doctors, nurses and social workers interested in finding out about mental health services elsewhere, sometimes because a patient may be returning to their native land.

International Perspectives on Mental Health
  • Edited by Hamid Ghodse
  • Published online:
    02 January 2018
    Print publication:
    01 June 2011
  • International Perspectives on Mental Health is a unique collection of authoritative briefings from over ninety countries around the world. Each chapter covers demographics, mental health resources, undergraduate education, postgraduate training in psychiatry, research activities, mental health legislation, policy and development strategies within the chosen country. Each chapter is written by experienced senior practitioners who have intimate knowledge of all aspects of psychiatry, including workforce, policy and delivery models. They offer a wealth of information as well as critical examination and evaluation of service development. There is a growing recognition of the cultural aspects of psychiatric practice in different regions, and in today's globalised society many health professionals have interests that cross geographical boundaries. This is the first book of its kind that will meet the needs of this diverse group of readers. The book should interest all psychiatrists and is particularly useful for those working in multicultural societies (where differing cultural aspects can impact on psychiatric practice) and for those with interests that cross geographical boundaries.

  • John Kellett

  • Peter Millard, Hamid Ghodse
  • Journal:
    The Psychiatrist / Volume 35 / Issue 1 / January 2011
    Published online by Cambridge University Press:
    02 January 2018, p. 37
    Print publication:
    January 2011
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  • Harutiun Davidian

  • Reza Mirsepassi, Hamid Ghodse
  • Journal:
    The Psychiatrist / Volume 34 / Issue 9 / September 2010
    Published online by Cambridge University Press:
    02 January 2018, pp. 404-405
    Print publication:
    September 2010
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  • Watching internet pharmacies

  • Hamid Ghodse
  • Journal:
    The British Journal of Psychiatry / Volume 196 / Issue 3 / March 2010
    Published online by Cambridge University Press:
    02 January 2018, pp. 169-170
    Print publication:
    March 2010
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  • The number of illegal internet pharmacies selling prescription-only medicines without a prescription is increasing. Large quantities of drugs are dispensed, making drugs of abuse readily available, and further risks are posed by counterfeit medication. Urgent national and international action is required to stop further proliferation of illegal pharmacies.

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