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1.
Self-Injury and Incontinence in Psychogenic Seizures   总被引:4,自引:4,他引:2  
Summary: Two patients who incurred significant injuries during psychogenic seizures prompted us to do a telephone survey of self-injury and incontinence in 102 consecutive patients diagnosed with psychogenic seizures by EEG-closed-circuit TV (EEG-CCTV) monitoring. Seventy-three patients (or a close family member or friend) were reached by telephone and responded to our survey. During typical attacks of psychogenic seizures, 40% reported injuries, 44% reporting tongue biting, and 44% reported urinary incontinence. Suicide attempts were reported by 32% and were more common in those with self-injury and urinary incontinence. We compared the results of patients with psychogenic seizures with those of 30 patients with refractory epilepsy documented by ictal recordings, using a similar telephone survey. Injuries of all types were more commonly reported by epilepsy patients. Burn injuries were reported only by patients with epilepsy. Suicide attempts were more commonly reported by the psychogenic seizure group. Self-injury and incontinence are commonly reported by psychogenic seizure patients. In view of their significant association with suicide attempts, they may indicate an underlying depression.  相似文献
2.
Summary: Purpose: We investigated the incidence of well-directed violent behavior and suicide attempts in patients with temporal lobe epilepsy, with special attention to postictal psychosis.
Methods: We compared 57 episodes of postictal psychosis with 62 episodes of acute interictal (or alternative) psychosis and with 134 complex partial seizures. All patients were matched for age and for age at onset of seizures.
Results: The incidence of well-directed violent behavior against human beings was significantly higher (23%) during postictal psychotic episodes than during acute interictal episodes (5%) and postictal confusion (1%). Suicide attempts were also more frequent during postictal psychosis (7%) than during either acute interictal psychosis (2%) or postictal confusion (0%).
Conclusions: Our study showed that well-directed violent and self-destructive behavior was not a feature of epileptic psychosis in general but a specific hallmark of postictal psychosis.  相似文献
3.
自杀未遂妇女的心理社会因素及应对方式比较研究   总被引:2,自引:0,他引:2  
目的了解自杀未遂者的心理社会因素和应对方式。方法用病人一般情况调查表和应付方式量表、生活事件量表(LES)、抑郁自评量表(SDS)、焦虑自评量表(SAS)对156例女性自杀未遂者进行问卷调查,并与100名正常女性做比较。结果自杀女性平均年龄较小,自杀的诱发因素主要为家庭争吵、人际关系问题、经济困难和恋爱问题;服毒是自杀的最常见方式,服毒种类以精神药物类最多(39.74%),其次为有毒制剂(29.49%)。自杀未遂组遭遇生活事件总频数、精神紧张总值、负性生活事件频数和紧张值高于对照组(P〈0.01);焦虑情绪和抑郁情绪明显异于对照组(P〈0.01);应对方式中的自责、幻想、退避、合理化因子评分高于对照组(P〈0.01),而解决问题和求助因子评分则低于对照组(P〈0.01)。结论自杀者有明显的负性生活事件,他们的应对方式存在问题,伴明显的焦虑抑郁情绪。提示我们应加强应对困难能力的教育,加强和谐社会和家庭的建设,及早处理诱发因素,预防自杀。  相似文献
4.
3H-Imipramine binding in platelets was measured in 63 severely depressed hospitalized patients, who had been drug free (with the exception of moderate doses of benzodiazepines) for at least 1 month, and in 53 healthy control subjects of comparable age and sex distribution. Bmax of 3H-imipramine binding was significantly lower in the depressed subjects (1012 ± SD 295 vs. 1123 ± SD 178 fmole/mg protein). Depressed patients who had attempted suicide by violent means tended to have higher Bmax than nonviolent attempters.  相似文献
5.
Summary A sample of 151 patients, admitted to an Intensive Care Unit after attempted suicide by poisoning was analysed with regard to age, drugs consumed, possible causal factors and influence of weather. The German Weather Service provided the meteorological data. Mean age of the patients was 37.6 years. The patients had taken barbiturates, aggressive chemicals, tranquillizers or a combination of drugs (47%). Alcohol had been taken in addition to the drugs in 24%, which might indicate a trigger function. The main provoking causes for the suicide attempts were conflicts in partnerships and occupational problems. Some 15% of the patients had previously diagnosed psychiatric disorders. There was a significant positive correlation between the time of attempted suicide and the weather parameters stable upslide, labile upslide, fog, thunderstorm, warm air, upslide and weather drier than on the 2 preceding days. Significantly fewer attempts than expected occurred with low pressure and trough situation, labile ground layer-upslide above, subsidence or downslide motion. Apart from individual provoking factors, such as the reaction to conflicts and the spectrum of reactions, exogenous factors like weather must be considered as important for the timing of suicide attempts. These results may be of relevance for suicide prevention.  相似文献
6.
Abstract: Thirty patients who committed wrist cuttings were divided into four groups according to the patients' psychiatric diagnosis: hysteria group, depression group, adolescent behavioral disorder group and other diagnostic group.
In the hysteria group, wrist cutting was considered as an expression of the patients' unconscious intention to seek sympathy for themselves from other people. In the depression group, wrist cutting seemed to be a preliminary rehearsal of suicide. In the adolescent behavioral disorder group, internal conflicts in adolescence or discordance with the patients' parents seemed to be the chief motivations of wrist slashing.
The core groups were the hysteria and adolescent behavioral disorder groups, and the peripheral groups were the depression group and others.  相似文献
7.
Summary The life-time prevalence of suicide attempts in a Swiss population, interviewed four times between the ages of 20 and 30 years, was 3.8% (females 5.4%, males 2.1%). One fifth of the 30-year-olds reported persistent suicidal ideation. In comparison with controls, attempters reported a more disturbed childhood, and subjects with multiple attempts reported more sexual abuse. Over 10 years attempters persistently showed more negative affectivity, more feelings of helplessness and lower selfesteem. At age 30 they were higher on the scales neuroticism, masculinity and aggressivity in a personality test. Over ten years, a higher than expected comorbidity appeared of suicide attempts with depressive and anxiety disorders, with substance abuse, and with sociopathic features.  相似文献
8.
Summary During recent years, two nationwide crossectional domestic surveys on psychosocial issues and health status were carried out in Greece. Both studies were conducted with identical methodology (personal interview) and screening instruments, with probability samples of 4083 adults aged 20–64 years (study A) and 3708 respondents of the same age range (study B). The time interval between the first and the second study was 6 years. The presence of self-reported suicidal behavior during the last month prior to the interview was examined. In study A, 2.8% of males and 6.8% of females respondents reported a recent suicide ideation compared to 6.4% of the males and 14.9% of the female suicide ideators in study B.However, only 0.27% of the males and 1.10% of the females in study A attempted suicide. These proportions were doubled in study B. The prevalence of depressive symptoms on the Center of Epidemiologic Studies Depression scale was high among the respondents reporting a previous suicide ideation and suicide attempts.Discriminant analysis revealed several social and psychiatric factors predicting suicidal behavior.Department of Anthropology and Social Policy Panteion University of Social and Political Sciences  相似文献
9.
The effect of comorbidity on rates of suicidal ideation and suicide attempts from an adult general population of former West Germany is investigated. The assessment instrument is a modified German version of the Diagnostic Interview Schedule (DIS), a fully standardized interview for the assessment of selected DSM-III lifetime diagnoses as well as suicidal ideation and suicide attempts. Of the general population 4.1% (2.2% male and 4.1% female) made suicide attempts during their lifetime. Only 2 of 18 people who attempted suicide did not meet criteria for a DSM-III-R diagnosis. Cases with pure major depression did not have an odds ratio for suicide attempts significantly higher than subjects with no DSM-III diagnosis. However, cases with both a major depression and a lifetime-anxiety-disorder diagnosis showed significantly elevated odds ratios. Therefore, it is suggested that comorbidity of anxiety and depression, and not depression itself, seems to be a risk factor for suicide attempts.  相似文献
10.
Recurrent brief depression (RBD) fulfills DSM-III-R symptom criteria for major depression but the episodes are of shorter duration than the 2 weeks required by DSM-III-R. The clinical importance of the disorder has been observed in prophylactic studies of suicidal bahavior. The possibility that antidepressants with selective action on the reuptake of serotonin might be effective in preventing recurrences of brief depression has been investigated. Fluoxetine in a dose of 120 mg a week, administered biweekly, had no effect on the recurrence rate, which was maintained at approximately the same rate on fluoxetine (1 every 18.7 days) as with placebo (1 every 17.6 days). In a group of patients with two or more prior episodes of suicidal behavior, there were 18 attempted suicides in the 54 patients treated with fluoxetine and the same number in the 53 patients treated with placebo. Fluoxetine neither raised nor lowered the suicide attempt rate as compared with placebo, providing no evidence to support the drug's role in either suicide provocation or prevention. Since fluoxetine is clearly effective with recurrent major depression, it would appear that recurrent brief depression has a different pharmacology.  相似文献
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