Comorbidity

were obtained via personal interview Interviewers were trained during a three-day training session to ensure uniform interview processes. Completed interviews were obtained from 90% of eligible patients (Evans et al, 1985). The responses to these interview questions was then compared to the existing indexes: the index of Physiological Effect, the Index of Overall Life Satisfaction, and the Index of Well Being (Evans et al, 1985). Within the Evans study observational study methods were used to extract medical information from medical records and member of the patient’s care team provided specific details about comorbid conditions and physical activity limitations (Evans et al, 1985). These observations were constructed into a index or comorbidity in order to rate overall physical health that accompanied the ESRD diagnosis. The value of the index was set higher as the number of accompanying conditions increased (Evans et al, 1985). Throughout the Evans study, there is no hypothesized effect of the observational study upon patient participants. In review of the study design, the design of the study could have been improved by having an qualified single member of the study team review and score the patient’s medical records rather than receiving a comorbid score from a member of the patient’s care team. Allowing this important variable to be scored by multiple persons introduced an unnecessary variance into this study design. A single person reviewing records and scoring…

article from the University of Maryland, people with eating disorders experience physiological differences in parts of the brain like the Hypothalamus. The hypothalamus plays an important role in emotional regulation, appetite, and communication between brain cells. Communication between brain cells or neurons occurs through neurotransmitters. Neurotransmitters like Serotonin and dopamine can experience dysregulation in eating disorders. Interestingly enough , these chemicals also play a…

Comorbidity Posttraumatic stress disorder is estimated to occur in 8% of the population; the prevalence rates increase dramatically in persons suffering from other mental disorders (Iribarren et al., 2008). Approximately 80% of people who suffer with Posttraumatic Stress Disorder suffer from an additional co-occurring disorder. Posttraumatic stress disorder can be caused in a myriad of ways. Posttraumatic stress disorder occurs in response to a traumatic event by an individual. However, no…

One large argument for dimensional models is that they reduce the overlap of the various symptoms and disorders that is currently a problem in diagnosis. The American Psychiatric Association’s DSM IV (2000) states that “there is no assumption that each category of mental disorder is a completely discrete entity with absolute boundaries dividing it from other mental disorders or from no mental disorder.” In this quote, the APA notes that while they separate disorders, their categories are far…

Social Anxiety Disorder with Comorbidity of Binge-Eating Disorder Karen is a 20 year old Caucasian female living in a university dorm until recently when she moved back in with her parents. Karen is having issues making new friends and is having a hard time interacting with people in her classes and around her. Karen has a diagnosis of social anxiety disorder (American Psychiatric Association, 2013). I believe this because she is showing all of the symptoms needed from the DSM-V criteria…

This video is about Andrea Yates who killed his five sons drowning them in the bathtub. After killing them, she called the police and her husband and tell them that they need it to come quickly to the house. She confesses to them that she killed her sons. Also, she has tried to commit suicide twice in a period of five days. That is also a reason she was admitted to a psychiatric hospital. Now she is in a mental Health Hospital in Texas and she will likely spend the rest of her life in there.…

A person may be born with a genetic predisposition to developing the disorder but may never suffer from a schizophrenic episode. However, that same predisposition coupled with a traumatic upbringing may lead to a life long struggle with several psychotic episodes. When this predisposition is coupled with a traumatic life that can lead to violent voices and hallucinations, comorbidity with antisocial personality disorder the end result can be wicked and violent. Antisocial personality disorder…

While POSTTRAUMATIC STRESS DISORDER itself is estimated to occur in 8% of the population, the prevalence rates increase dramatically in persons suffering from other mental disorders. Approximately 80% of people who suffer with Posttraumatic Stress Disorder suffer from an additional co-occurring disorder. There is a direct relationship between individuals who have previous disorders, developing PTSD in response to a traumatic event. Comorbidity is associated with worse prognosis, more severe…

recourse to relief via self-medication?" (Miller, 2002, p. 158). Therefore, Miller (2002) believes it to be ineffectual and a disservice to the patient to focus on substance abuse without addressing the impact of trauma symptoms (Weis, 2010). Unfortunately, there are still differing theoretical approaches in place, many of which still address substance use as the primary disorder (Brady et al, 2004). Since substance abuse can mask PTSD symptoms, some practitioners support offering substance…

MS-DRGs: HISTORY: In 1980s, Health Care Financing Administration (HCFA) which is now known as Centers for Medicare and Medicaid Services (CMS) developed a methodology Diagnosis Related Groups (DRGs) under the Inpatient Prospective Payment System (IPPS) to describe all kinds of patient services provided in an acute care hospital. Later, in 1987 3M developed an all patient DRG (AP-DRG) system based on a New York’s hospital reimbursement program for non-Medicare discharges. In 1989, Yale University…