RÉSUMÉ
Authors report the results of a controlled randomized study about 64 patients followed in the psychiatric external consultation of the university hospital center of Monastir. All the patients are using antianxiety drugs for a long time and correcpond to the DSM III R criteria of psycho-active substance dependence. The main psychiatric indications are affective disorders, domatoform disorders and anxiety disorders. The patients have been divided into 4 groups: the first and the second group have respectively been submitted to an immediate, entire substitution [G1], and progressive substitution [G2], of the tranquilliser with a placebo. The third group [G3] have undergone a progressive decrease without placebo, and the fourth group [G4] is a proof group. A quantitative assessment have been performed with Hamilton's anxiety scale at JO, J 15, J30. Level's anxiety remained at an average intensity for all the groups at J 15 and J 30. The analysis of the reactions at the arrest or at the progressive decrease of the treatment, allowed to observed 15 cases of bounce anxiety among G1, G2, G3 and 4 cases in the proof group. A preventive management is recommended to reduce the risk of chronic recourse to a tranquilliser treatment
Sujet(s)
Benzodiazépines , Syndrome de sevrage , Troubles liés à une substanceSujet(s)
Humains , Femelle , Encéphalite/étiologie , Encéphalite/diagnostic , Troubles mentaux/étiologieRÉSUMÉ
The authors report a case of general paralysis in 40 years old patient hospitalized at department of psychiatry [C.H.U Monastir]. The clinical and para clinical features and the therapeutic aspects are analysed in comparison with the literature data
Sujet(s)
Paralysie/thérapieRÉSUMÉ
Seventy five suicidal attempts were hospitalised in 1984 at the UHC of Monastir. Our work has permitted us to note the frequency of suicidal attempts among women [60%]. The average age of patients was 26 years with a frequency peak between 15 and 35 years. The unemployment the mediocrity of lite conditions, and the existence of pathological antecedent constituted a suicidal risk. Concerning the used method we concluded that the suicidal attempts were in 43% of our cases medicinal intoxication. As for the reason the family conflicts were the first. Those suicidal attempts were often benign 62%. The psychiatric diagnosis concluded that our suicidal attempts were reactional in 42% of the cases expressing how intense the current socio cultural changes are