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Interaction of pre-existing MH issues and influenza

T

Thornton

Well-known member
This is cross link to post from Florida 1 Nov 2007

This thread will be a place to post reports on how influenza may present or progress differently in persons with pre-existing mental health issues. This article is specific for personality styles, but there may be specific interactions in persons with schizophrenia, Obsessive compulsive disorder, etc.

This thread from 2007 came to attention by a bump today from Colormyguilt, and then some posts from Tolenio re Vitamin D.

http://www.flutrackers.com/forum/showthread.php?t=42050
Personality, psychological stress, and self-reported influenza symptomatology

Kim GE Smolderen , Ad JJM Vingerhoets , Marcel A Croon and Johan Denollet


BMC Public Health 2007, 7:339doi:10.1186/1471-2458-7-339

Published: 23 November 2007

Abstract (provisional)


Background

Psychological stress and negative mood have been related to increased vulnerability to influenza-like illness (ILI). This prospective study re-evaluated the predictive value of perceived stress for self-reported ILI. We additionally explored the role of the negative affectivity and social inhibition traits.
Methods

In this study, 5,404 respondents from the general population were assessed in terms of perceived stress, personality, and control variables (vaccination, vitamin use, exercise, etc.). ILI were registered weekly using self-report measures during a follow-up period of four weeks.
Results

Multivariable logistic regression analysis on ILI was performed to test the predictive power of stress and personality. In this model, negative affectivity (OR=1.05, p=0.009), social inhibition (OR=0.97, p=0.011), and perceived stress (OR=1.03, p=0.048) predicted ILI reporting. Having a history of asthma (OR=2.33, p=<0.0001) was also associated with ILI reporting. Older age was associated with less self-reported ILI (OR=0.98, P=0.017).
Conclusion

Elderly and socially inhibited persons tend to report less ILI as compared to their younger and less socially inhibited counterparts. In contrast, asthma, trait negative affectivity, and perceived stress were associated with higher self-report of ILI.

Our results demonstrate the importance of including trait markers in future studies examining the relation between stress and self-report symptom measures.

http://www.biomedcentral.com/1471-2458/7/339
Click to expand...
 
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Re: Interaction of pre-existing MH issues and influenza

Bipolar Disorder -

Bipolar disorder involves periods of excitability (mania) alternating with periods of depression. The "mood swings" between mania and depression can be very abrupt.

Symptoms -

The manic phase may last from days to months and can include the following symptoms:

  • Agitation or irritation
  • Elevated mood
    • Hyperactivity
    • Increased energy
    • Lack of self-control
    • Racing thoughts
  • Inflated self-esteem (delusions of grandeur, false beliefs in special abilities)
  • Little need for sleep
  • Over-involvement in activities
  • Poor temper control
  • Reckless behavior
    • Binge eating, drinking, and/or drug use
    • Impaired judgment
    • Sexual promiscuity
    • Spending sprees
  • Tendency to be easily distracted
snip


Treatment -


For the manic phase of bipolar disorder, antipsychotic medications, lithium, and mood stabilizers are typically used. For the depressive phase, antidepressants are sometimes used, with or without the manic phase treatment.
There is very little long-term evidence suggesting that any medication has great success in the maintenance phase. However, in studies that followed patients for 2 years, lithium and some antipsychotics were found to be moderately successful.
Antipsychotic drugs can help a person who has lost touch with reality. Anti-anxiety drugs, such as benzodiazepines, may also help. The patient may need to stay in a hospital until his or her mood has stabilized and symptoms are under control.
Electroconvulsive therapy (ECT) may be used to treat bipolar disorder. ECT is a psychiatric treatment that uses an electrical current to cause a brief seizure of the central nervous system while the patient is under anesthesia. Studies have repeatedly found that ECT is the most effective treatment for depression that is not relieved with medications.
Getting enough sleep helps keep a stable mood in some patients. Psychotherapy may be a useful option during the depressive phase. Joining a support group may be particularly helpful for bipolar disorder patients and their loved ones.



more.....

https://www.google.com/health/ref/Bipolar+disorder
 
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