Matricide in schizophrenia : a case report.

INTRODUCTION: matricide is the murder of the mother. In this study, we report through a clinical case the circumstances of matricide and we underlined the predictive elements of the acting out. CLINICAL CASE: mister S, 31 years old had low socioeconomic conditions. He was a single man, unemployed and consumed alcohol. He was followed for a paranoid schizophrenia, but his therapeutic observance was bad, and he was aggressive with his mother. This aggressiveness was fostered by persecution and filiations' delusions. At the moment of the crime, his mother had appeared to him as so terrifying form that he had to kill her to defend itself. This clinical case confronts us with the difficulty of matricide prevention. If the short term prediction of the violence act was possible, the medium and long terms were harder. CONCLUSION: the regular evaluation of psychotic patients' dangerousness is needed to reduce the acting out risqué.

Depression in Tunisian type 2 diabetic patients: prevalence and association to glycemic control and to treatment compliance.

AIM: to study the prevalence of depression in type 2 diabetes and to seek for a relationship between glycemic control and treatment adherence. METHODS: This cross-sectional study was carried out at the outpatient department of the Tunis nutrition institute. A total of 100 diabetic patients followed for Type 2 diabetes were randomly recruited. We used a structured questionnaire to collect patients' socio-demographic, clinical and therapeutic data. The treatment adherence was assessed by using MAS, Glycemic control according to blood glucose and glycated hemoglobin (HbA1c) levels and depression and anxiety by administering a dialectal Arabic validated version of Hospital Anxiety and Depression Scale (HAD). Finaly we also used the modules on mood disorders of the mini international neuropsychiatric interview (MINI). RESULTS: The prevalence of depression in T2DP was 38% according to the HAD scale with severe forms in 18%. The anxiety prevalence was 31%. However, 18% of T2DP had anxious-depressive co morbidity. According to the MINI, 31% of T2DP had a mood disorder. Dysthymia was noted in 14% of cases, an isolated depressive episode in 6%. Depressed T2DP have a poor glycemic control than those no depressed. Macro-angiopathy, irregular followed-up, poor treatment adherence and unbalanced diet were associated with depression. CONCLUSION: The detection of depression related to somatic pathology in particular diabetes, seems essential. As a result, depression treatment may improve the overall prognosis of the associated somatic diseases.