Psychomotor performance of psychiatric inpatients under therapy: assessment by paper and pencil tests.

Fifty psychiatric inpatients included in the study were diagnosed as having substance related disorder, schozophrenia, bipolar disorder, depressive disorder or anxiety disorder based on DSM-IV and ICD-10. All the patients were on multiple drug therapy for a minimum of 7 days in the hospital. The psychomotor performance score assessed with the help of the six letter cancellation test and the digit letter substitution test was compared with a matched group of 50 normal volunteers. The significantly low scores for patients may be considered indicative of the fact that prolonged therapy would be required to attain normal psychomotor status. Thus, simple paper and pencil tests may provide valuable information in assessment of psychomotor and cognitive functions of psychiatric patients during recovery.

Dream features in psychiatric patients on multiple psychoactive drugs.

An investigation into dreams was conducted in 100 subjects involving 50 psychiatric in-patients and fifty normal volunteers with the help of a questionnaire. The dream patterns of the two groups were compared. Results revealed that dreams of the patients were different from normal individuals even before the onset of psychiatric illness. The dreams in normal subjects were mostly related to present life situations whereas, the dreams of the patients were less frequent in this respect. On the other hand, frightening dreams, repetitive dreams and vision of snakes in the dreams were more frequent in patients. These differences became more conspicuous with the onset of illness. The dreams were suppressed in 78% patients after the institution of drug therapy. Most of the patients were getting three to four psychoactive drugs which alter the sleep pattern and may therefore affect the dreaming process. Thus, the qualitative changes in dreams of a person may serve as an early warning for an impending future illness. The suppressant effect of psychoactive drugs on dreams demands further investigations.

Huntington'S disease presenting with schizophrenic symptoms : a case report.

A case which initially presented with schizophrenic symptoms and was being managed as a patient of schizophrenic illness with tardive dyskinesia for 12 years, was on careful review of history and examination diagnosed as having Huntington's Disease. Clinical and theoretical aspects of Huntington's disease presenting with schizophrenic symptoms, and neurological deficits which are seen in schizophrenia are discussed.