Læknablaðið : fylgirit - 01.08.2003, Side 81

POSTERS / 27TH NORDIC PSYCHIATRIC CONGRESS I
tion, the relative risks were significantly higher for people who were
diagnosed with epilepsy at a higher age. All these findings hold true
for the analyses when excluding subjects with alcohol abuse.
Conelusions: The risk of schizophrenia or schizophrenia-like psy-
chosis associated with epilepsy is not confined to people’s family
history of schizophrenia or other mental disorders. The results sug-
gest that schizophrenia-like psychosis and epilepsy may share com-
mon genetic and/or environmental factors.
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Gender differences in motivation for seeking substance
abuse treatment and in emotional and physical symptoms
when entering treatment
Gísli H. Guðjónsson1, Kristín Hannesdottir2, Tómas Ágústsson2, Ása Guðmunds-
dóttir2, Jón F. Sigurðsson2, Þuríður Þórðardóttir2, Þórarinn Tyrfingsson2, Hannes
Pétursson2
asagudmu@landspitali. is
Hnstitute of Psychiatry, De Cresigny Park, Denmark Hill, London SE5 8AF,
2Division of Psychiatry, Landspitali, University Hospital, IS-101 Reykjavik, Iceland,
3Vogur Hospital, IS-112 Reykjavik, Iceland
Background: Much concern is currently focused on motivation as
an essential condition for successful substance abuse treatment.
Research has shown controversial results.
Objecfive: To examine gender differences in motivation for seeking
treatment and emotional and physical symptoms when entering
treatment.
Subjects: 516 substance abusers, first week in treatment, age 16-81
years, mean age 36 years, 368 men and 148 women.
Methods: All patients who entered treatment in two treatment insti-
tutions in Reykjavik were asked to participate. Tests and self-admini-
stered questionnaires were completed during the first week of treat-
ment.
Results: Women report more withdrawal symptoms than men and
more symptoms of alcohol dependence. Factor analysis of the TMQ
Treatment Motivation Questionnaire revealed five different fac-
tors; help seeking, internal motivation, external motivation, confi-
dence in treatment, and internal pressure. Tliere were no significant
gender differences in motivation, except that women experience
inner pressure to a greater extend than men. Both men and women
in treatment rate higher on compliance than the general popula-
tion, but they also show more antisocial behaviour. Women in treat-
ment are more compliant than men and higher on state and trait
anxiety and the Eysenck Neuroticism scale. The women have a
tendency to give a better picture of themselves than men. These re-
sults underline the need for individual tailoring of treatment and
the importance of assessing motivation on admission to treatment.
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A 3-year follow-up of patients admitted with cannabis
psychosis
Mikkcl Arendl. Department of Psychiatric Demography Institute for Basic Psychi-
atric Research, Psychiatric Hospital in Aarhus, University Hospital, 8240 Risskov,
Denmark. Povl Munk-Jorgensen.
mca@psykiatri. aaa.dk
Background: The existence of “cannabis psychosis” as a distinct
diagnostic entity is controversial. It is not clear whether psychotic
states induced by cannabis can be taken as evidence for vulnera-
bility to develop long-term psychotic illness.
Aini: To evaluate whether the diagnosis of “cannabis psychosis”, is
a risk factor for the development of long-term psychotic conditions.
Method: Using The Danish Psychiatric Central Register patients ad-
mitted with cannabis psychosis were identified, and all prior and
subsequent diagnoses from the following three years were analysed.
ResuKs: Will be reported at the conference.
Condusion: Will be reported at the conference.
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Adolescents' involuntary psychiatric treatment
Virtanen C, PsM, University of Turku, Unit of Adolescent Psychiatry, Turku Univer-
sity Hospital, Kunnallissairaalantie 20, FIN-20700 Turku, Finland. Erkolahti R,
Ilonen T, Saarijarvi S.
carita. virtanen@tyks. fi
Background: Ethical questions in involuntary psychiatric treatment
are related to human rights. The latest reform of the Finnish Mental
Health Act emphasises limiting the autonomy of a patient only
when it is necessary for the treatment of an illness or for the
patient’s or others’ safety.
Aim: Aim is to investigate characteristics of adolescents sent to in-
voluntary psychiatric treatment and adolescents’ involuntary
psychiatric hospitalisation by comparing those who were com-
mitted to those who were released in the light of conditions stated
for involuntary treatment in Finnish mental health legislation.
Method: Medical records of 106 adolescent inpatients sent to in-
voluntary treatment in 1994-2002 were evaluated by a retrospective
chart review.
Results: The main characteristics of adolescents sent to involuntary
treatment were suicidal behaviour (72%), assaultive behaviour
(44%), and psychotic symptoms (27%). Patients committed to in-
voluntary treatment had significantly more often psychotic symp-
toms than those released (P = 0.016).
Conclusions: Psychotic symptoms and suicidal and assaultive
behaviour are common among these adolescents. The autonomy of
these patients should be limited to protect them and others from
their own sudden aggressive impulses. Limiting the autonomy of an
adolescent patient when needed should be equally emphasised with
limiting the autonomy only when necessary.
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Abstract withdrawn
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Transferred to an oral presentation
LÆKNABLAÐIÐ / FYLGIRIT 48 2003/89 81