ABSTRACT
All patients treated with thermocapsulotomy for obsessive-compulsive disorder (OCD) at Karolinska Hospital between 1978 and 1990 were examined at follow-up with a comprehensive neuropsychological test battery. For comparative reasons the same test battery was applied to current patients with OCD, approved for capsulotomy. Both groups performed within the normal to subnormal range on most tests. In a subgroup of operated patients who did not complete all categories on the Wisconsin Card Sorting Test (WCST), there was a significant positive correlation between time elapsed after capsulotomy and number of categories completed on the WCST. The results would indicate that neuropsychological performance, in general, remains intact after capsulotomy. In some patients executive function is affected, but restoration may take place over time.
Subject(s)
Cognition Disorders/diagnosis , Cognition Disorders/etiology , Corpus Callosum/surgery , Neurosurgical Procedures/methods , Obsessive-Compulsive Disorder/surgery , Adult , Aged , Female , Follow-Up Studies , Frontal Lobe/physiopathology , Humans , Male , Middle Aged , Neuropsychological Tests , Obsessive-Compulsive Disorder/diagnosis , Obsessive-Compulsive Disorder/physiopathology , Postoperative Care , Preoperative Care , Severity of Illness IndexABSTRACT
Thirty-eight children, 0-17 years of age, suspected to have been sexually abused by a relative or an acquaintance were psychiatrically evaluated. The suspicions had developed in various ways: through accounts given by the child, through the child's contacts with a person suspected of having abused another child, through a witness or through conclusions drawn, for instance, from changes in behaviour or play patterns of the child. Genital fondling was the most common sexual act reported. The children usually described repeated abuse. The duration of the abuse situation was more than one year in the majority of the cases.
