Thyroid-induced mania in hypothyroid patients
This retrospective study, based on 18 case reports, describes an organic affective syndrome, manic type, occurring shortly after the initiation of thyroid replacement in hypothyroid patients. The symptomatology and homogeneity of the syndrome offers insight into the relationship between thyroid activity and affective disturbance. The patients experiencing mania showed concurrent psychopathology at the time of replacement therapy, frequently had a past history of personal or familial psychiatric disorder and were given dosages in the high range of normal. The potential morbidity of the manic state was considerable. These findings suggest that a group of hypothyroid patients at risk can be identified. In such a group, lower initial dosages and gradual increases in dosage may be indicated.
Objective :To evaluate the mental health statusofthe Medical Personnel in Hangzhou Compulsory Isolated Detoxification Center and find out possible psychological problems,and to provide basis for mental health education. Methods :15 Medical Personnel in Compulsory Isolated Detoxification Center were tested with the symptom check list 90 (SCL-90).Results:4 Medical Personnel (26.67%) were found to have some possible psychological problems. Compared with SCL-90 local norm,these Medical Personnel had higher scores ( P0.05) in factors of Depress,anxiety,somatization and hostility. Conclusion:Those Medical Personnel in Hangzhou Com-pulsory Isolated Detoxification Center have obvious mental problem,Effective measurement of mental health education intervention should be adopted