Læknablaðið : fylgirit - 01.08.2003, Síða 30

I ABSTRACTS / 27TH NORDIC PSYCHIATRIC CONGRESS
Aim: The aim of this prospective study was to report on the fre-
quency of personality disorder over time for chronic eating disorder
patients after inpatient treatment at Modum Bad.
Mcthod: Seventy-two patients received inpatient treatment. Sixty-
five patients (90 %) with mean age 30 years were available for the
follow-up assessments at one and two years after treatment start
and 61 (85 %) had been assessed with Structured Clinical Interview
for DSM-IV axis II diagnoses (SCID-II) at the last part of inpatient
treatment and at follow-ups to assess personality disorders.
Results: Forty-six (75%) patients had one or more personality dis-
orders during inpatient treatment. The most frequent personality
disorder was avoidant (51%) and borderline (21 %) personality dis-
order. At follow-up the number of patients with one or more per-
sonality disorders was reduced to 38 (62%) at one year and 35
(57%) at two-year follow-up. There were significant reductions of
dimensional scores of personality disorders from treatment to one-
year as well as to two years follow-up (p<0,01 for both).
Conclusion: In chronic eating disorders comorbid personality dis-
orders are common. Following inpatient treatment the frequency
decrease over time.
S-VI/5 Thursday 14/8,11:00-12:30
More boys than girls required intensive care due to
anorexia nervosa
Per H. Jonsson, Senior Consultant, Dept. of Child and Youth Psychiatry, Hálsinglands
Sjukhus, 80381, Hudiksvall, Sweden
per. p.jonsson @lg.se
Background: Anorexia nervosa was until the beginning of the 70s,
known as a disease in females. Around that time British doctors
(Beaumonl et al.) published clinical findings and concluded thal
AN is a disease in both sexes. A number of studies have reported a
rather poor outcome for men. In a Danish study infertility was noted
in affected men. In the county of Gavleborg a study of 46 inpatients,
12 boys and 34 girls, was performed, 12-15 years in mean, after
falling ill. The children and adolescents were treated at the Child
and Youth Psychiatric Clinic between 1971-1990.
Aim: The aim of the study was to describe typical arrays of clinical
data in order to assess attitudes and values concerning the effect of
treatment on 28 adults out of the total group. A sociometric ques-
tionnaire was used to assess the former patients’ knowledge of their
disease, their opinions concerning the competence of the staff, their
feelings concerning treatment, including parenteral involvement
and medication used, as well as their opinions on the results of
treatment.
Results and condusions: An unexpected finding was that boys were
referred to intensive care about three times more often than the
girls. The boys were much more reluctant to accept inpatient care
than were the girls, who seern to show a greater autonomy. Pertici-
pants’ final appraisal of treatment is slightly positive, whereas in the
hypothetical situation that a friend might fall ill with eating dis-
order, a sizeable majority would recommend contact with child
psychiatry.
S-VII/1 Thursday 14/8, 11:00-12:30
Analysis of the psychopathology among first-episode
psychosis patients with or without a criminal history
Runa Munkner, MD, Psychiatric Centre Glostrup, Glostrup University Hospital, Ndr.
Ringvej 29 67, DK-2600 Glostrup, Copenhagen, Denmark
runa.munkner@dadlnet.dk
Background: Since many schizophrenia patients have committed
crimes prior to their first contact with the psychiatric hospital sys-
tem, a possibility is offered for early detection in the judicial system.
Thc aini ofthe study: To analyse
• The temporal relationship between the first psychotic symp-
toms and first contacl to the judicial system and the psychi-
atric hospital system respectively among individuals with a
disorder in the schizophrenia spectrum.
• Which psychopathological features characterise the patients
who begin a criminal or a violently criminal career before their
admission with first-episode-psychosis and which psychopatho-
logical features separate them front the schizophrenia patients
who have not committed any registered crime previously.
Population: In Denmark the opportunities for register-based studies
are as good as can be, due to thorough, comprehensive and accurate
registers and the fact that all Danes have a civil registration
number, making linkage across time and registers very accurate.
Data concerning psychiatric hospital admittance and criminality
were linked to data from the Danish National Schizophrenia Pro-
ject, in which psychopathology, duration of untreated psychosis
(DUP) and premorbid function was rated at admission for first-
episode psychosis.
Results: The differences in psychopathology associated with prior
criminal behaviour among first-episode will be presented and dis-
cussed.
S-VII/2 Thursday 14/8,11:00-12:30
Novelty seeking correlates negatively to prefrontal
monoaminergic activity among alcoholics
Laine TPJ, Assistant Senior Physician, Oulu University Hospital, Pb 26 FIN 90029 OYS,
Finland. Ahonen A, Rásánen P, Tiihonen J.
pekka. laine@oulu.fi
Novelty seeking asocial personality and prefrontal serotonin trans-
porter among alcoholics
Several studies have shown that impulsive violent behaviour is
associated with a central serotonin deficit (Damasio et al 1994,
Mantere et al 2002). We studied prefrontal monoaminergic activity
of 29 alcoholics using iodine-123-labelled 2beta-carbomethoxy-
3beta(4-iodophenyl)tropane ([123I]beta-CIT) as the tracer with
SPET (Single-photon emission tomography) immediately after de-
toxification. Beta-CIT binds mostly in dopamine transporters
(DAT) but also in serotonin transporters (SERT) available in this
area. Patients filled TPQ-questionnaire for measuring their tem-
perament and their personality disorders were studied with SCID-
II semi-structured questionnaire.
We found statistically significant negative correlation between
30 LÆKNABLAÐIÐ / FYLGIRIT 48 2003/89