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Titolo:
A prospective, long-term study of personality traits in patients with intractable obsessional illness treated by capsulotomy
Autore:
Mindus, P; Edman, G; Andreewitch, S;
Indirizzi:
KarolinskanHosp & Inst, Dept Clin Neurosci, Sect Psychiat, Stockholm, Swede Karolinska Hosp & Inst Stockholm Sweden Sect Psychiat, Stockholm, Swede Danderyd Hosp, Dept Clin Neurosci, Sect Psychiat, Stockholm, Sweden Danderyd Hosp Stockholm Sweden urosci, Sect Psychiat, Stockholm, Sweden
Titolo Testata:
ACTA PSYCHIATRICA SCANDINAVICA
fascicolo: 1, volume: 99, anno: 1999,
pagine: 40 - 50
SICI:
0001-690X(199901)99:1<40:APLSOP>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
STEREOTACTIC SUBCAUDATE TRACTOTOMY; FORMER DEPRESSED-PATIENTS; DSM-III-R; COMPULSIVE DISORDER; FOLLOW-UP; HISTORY; ANXIETY; PSYCHOSURGERY; CINGULOTOMY; TEMPERAMENT;
Keywords:
anxiety; obsessive-compulsive disorder; psychosurgery; personality; psychopathy; neurobiology;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
77
Recensione:
Indirizzi per estratti:
Indirizzo: Andreewitch, S Karolinska Hosp, Sect Psychiat, Dept Neurosci, S-17176 Stockholm, Sweden Karolinska Hosp Stockholm Sweden S-17176 tockholm, Sweden
Citazione:
P. Mindus et al., "A prospective, long-term study of personality traits in patients with intractable obsessional illness treated by capsulotomy", ACT PSYC SC, 99(1), 1999, pp. 40-50

Abstract

The crux when contemplating neurosurgery for otherwise intractable mental illness is whether there is a price which the patient may have to pay, in terms of adverse personality changes, for symptom relief, in the present study of 19 patients undergoing thermo-capsulotomy for intractable obsessionalillness, personality characteristics were studied pre-operatively. and at I-year and 8-year follow-up, using the Karolinska Scales of Personality (KSP). Small mean score changes toward normalization were apparent on all 15 KSP scales at the 1-year follow-up, and significant improvements in anxiety proneness were noted at the 8-year follow-up. One patient who sustained a surgical complication showed deviant postoperative scores on scales related to psychopathic traits. There were no such deviant scores for the remainingsubjects. The incidence of adverse personality changes Following capsulotomy is low and does not increase with time. This conclusion, based on groupsof patients, does not of course preclude the possibility that adverse personality changes may occur in individual patients.

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Documento generato il 06/04/20 alle ore 21:51:18