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Somatic multicomorbidity and disability in patients with psychiatric disorders in comparison to the general population: a quasi-epidemiological investigation in 54,826 subjects from 40 countries (COMET-G study)
- Konstantinos N. Fountoulakis, Grigorios N. Karakatsoulis, Seri Abraham, Kristina Adorjan, Helal Uddin Ahmed, Renato D. Alarcón, Kiyomi Arai, Sani Salihu Auwal, Michael Berk, Sarah Bjedov, Julio Bobes, Teresa Bobes-Bascaran, Julie Bourgin-Duchesnay, Cristina Ana Bredicean, Laurynas Bukelskis, Akaki Burkadze, Indira Indiana Cabrera Abud, Ruby Castilla-Puentes, Marcelo Cetkovich, Hector Colon-Rivera, Ricardo Corral, Carla Cortez-Vergara, Piirika Crepin, Domenico De Berardis, Sergio Zamora Delgado, David De Lucena, Avinash De Sousa, Ramona Di Stefano, Seetal Dodd, Livia Priyanka Elek, Anna Elissa, Berta Erdelyi-Hamza, Gamze Erzin, Martin J. Etchevers, Peter Falkai, Adriana Farcas, Ilya Fedotov, Viktoriia Filatova, Nikolaos K. Fountoulakis, Iryna Frankova, Francesco Franza, Pedro Frias, Tatiana Galako, Cristian J. Garay, Leticia Garcia-Álvarez, Maria Paz García-Portilla, Xenia Gonda, Tomasz M. Gondek, Daniela Morera González, Hilary Gould, Paolo Grandinetti, Arturo Grau, Violeta Groudeva, Michal Hagin, Takayuki Harada, Tasdik M. Hasan, Nurul Azreen Hashim, Jan Hilbig, Sahadat Hossain, Rossitza Iakimova, Mona Ibrahim, Felicia Iftene, Yulia Ignatenko, Matias Irarrazaval, Zaliha Ismail, Jamila Ismayilova, Asaf Jakobs, Miro Jakovljević, Nenad Jakšić, Afzal Javed, Helin Yilmaz Kafali, Sagar Karia, Olga Kazakova, Doaa Khalifa, Olena Khaustova, Steve Koh, Svetlana Kopishinskaia, Korneliia Kosenko, Sotirios A. Koupidis, Illes Kovacs, Barbara Kulig, Alisha Lalljee, Justine Liewig, Abdul Majid, Evgeniia Malashonkova, Khamelia Malik, Najma Iqbal Malik, Gulay Mammadzada, Bilvesh Mandalia, Donatella Marazziti, Darko Marčinko, Stephanie Martinez, Eimantas Matiekus, Gabriela Mejia, Roha Saeed Memon, Xarah Elenne Meza Martínez, Dalia Mickevičiūtė, Roumen Milev, Muftau Mohammed, Alejandro Molina-López, Petr Morozov, Nuru Suleiman Muhammad, Filip Mustač, Mika S. Naor, Amira Nassieb, Alvydas Navickas, Tarek Okasha, Milena Pandova, Anca-Livia Panfil, Liliya Panteleeva, Ion Papava, Mikaella E. Patsali, Alexey Pavlichenko, Bojana Pejuskovic, Mariana Pinto Da Costa, Mikhail Popkov, Dina Popovic, Nor Jannah Nasution Raduan, Francisca Vargas Ramírez, Elmars Rancans, Salmi Razali, Federico Rebok, Anna Rewekant, Elena Ninoska Reyes Flores, María Teresa Rivera-Encinas, Pilar Saiz, Manuel Sánchez de Carmona, David Saucedo Martínez, Jo Anne Saw, Görkem Saygili, Patricia Schneidereit, Bhumika Shah, Tomohiro Shirasaka, Ketevan Silagadze, Satti Sitanggang, Oleg Skugarevsky, Anna Spikina, Sridevi Sira Mahalingappa, Maria Stoyanova, Anna Szczegielniak, Simona Claudia Tamasan, Giuseppe Tavormina, Maurilio Giuseppe Maria Tavormina, Pavlos N. Theodorakis, Mauricio Tohen, Eva Maria Tsapakis, Dina Tukhvatullina, Irfan Ullah, Ratnaraj Vaidya, Johann M. Vega-Dienstmaier, Jelena Vrublevska, Olivera Vukovic, Olga Vysotska, Natalia Widiasih, Anna Yashikhina, Panagiotis E. Prezerakos, Daria Smirnova
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- Journal:
- CNS Spectrums / Volume 29 / Issue 2 / April 2024
- Published online by Cambridge University Press:
- 25 January 2024, pp. 126-149
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Background
The prevalence of medical illnesses is high among patients with psychiatric disorders. The current study aimed to investigate multi-comorbidity in patients with psychiatric disorders in comparison to the general population. Secondary aims were to investigate factors associated with metabolic syndrome and treatment appropriateness of mental disorders.
MethodsThe sample included 54,826 subjects (64.73% females; 34.15% males; 1.11% nonbinary gender) from 40 countries (COMET-G study). The analysis was based on the registration of previous history that could serve as a fair approximation for the lifetime prevalence of various medical conditions.
ResultsAbout 24.5% reported a history of somatic and 26.14% of mental disorders. Mental disorders were by far the most prevalent group of medical conditions. Comorbidity of any somatic with any mental disorder was reported by 8.21%. One-third to almost two-thirds of somatic patients were also suffering from a mental disorder depending on the severity and multicomorbidity. Bipolar and psychotic patients and to a lesser extent depressives, manifested an earlier (15–20 years) manifestation of somatic multicomorbidity, severe disability, and probably earlier death. The overwhelming majority of patients with mental disorders were not receiving treatment or were being treated in a way that was not recommended. Antipsychotics and antidepressants were not related to the development of metabolic syndrome.
ConclusionsThe finding that one-third to almost two-thirds of somatic patients also suffered from a mental disorder strongly suggests that psychiatry is the field with the most trans-specialty and interdisciplinary value and application points to the importance of teaching psychiatry and mental health in medical schools and also to the need for more technocratically oriented training of psychiatric residents.
Evaluation of no-choice cage, detached leaf and diet incorporation assays to screen chickpeas for resistance to the beet armyworm Spodoptera exigua (Lepidoptera: Noctuidae)
- M. Shankar, H.C. Sharma, T. Ramesh Babu, D. Sridevi
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- Journal:
- International Journal of Tropical Insect Science / Volume 34 / Issue 1 / March 2014
- Published online by Cambridge University Press:
- 13 December 2013, pp. 22-31
- Print publication:
- March 2014
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It i.s difficult to compare genotypic resistance to insects across seasons and locations because of the variation in the onset and severity of insect infestation. Therefore, in this study, we used the no-choice cage technique and detached leaf and artificial diet incorporation assays for evaluating chickpea genotypes for resistance to the beet armyworm Spodopteraexigua (Hubner). The results indicated that the no-choice cage technique was not useful for evaluating chickpea genotypes for resistance to S. exigua. In the detached leaf assay, leaf feeding by S. exigua larvae was significantly lower in ICC 12 475 and RIL 20 genotypes at the vegetative stage and in ICC 10 393, ICC 12 475, KAK 2, RIL 20 and RIL 25 genotypes at the flowering stage, while larval weight gain was lower in insects reared on EC 583264, ICC 10 393, ICC 12 475 and RIL 20 genotypes at the vegetative stage; and in those reared on ICC 10 393, ICC 12 475, EC 583264, ICCL 86 111, KAK 2, RIL 20 and RIL 25 genotypes at the flowering stage in plants raised under greenhouse conditions. In plants raised under field conditions, the EC 583260, ICC 12 475, ICCL 86 111, ICCV 10, KAK 2, RIL 20 and RIL 25 genotypes in the November sowing and the KAK 2, ICC 3137, ICCL 86 111 and RIL 25 genotypes in the December sowing suffered low leaf damage at the vegetative stage; and EC 58 320, EC 583264, ICC 12 745 and RIL 25 genotypes in the November sowing and the EC 583264, ICC 3137, ICC 12 475, 1CCL 86 111, KAK 2, RIL 20 and RIL 25 genotypes in the December sowing suffered low leaf damage at the flowering stage, while low larval weights were recorded in insects reared on the ICC 12 475, EC 583264, ICCL 86 111 and RIL 25 genotypes at the flowering stage. In the diet incorporation assay, the survival of S. exigua larvae reared on diets with leaf powder of the ICC 12 475, ICC 10 393 and RIL 25 genotypes was significantly lower, while a significant reduction in larval weights was recorded in those reared on diets with leaf powder of the ICC 10 393, ICC 12 475, ICCL 86 111, KAK 2, RIL 25 and ICC 3137 genotypes. The fecundity of insects was also reduced in insects reared on diets with leaf powder of the RIL 25, RIL 20, ICCV 10, ICCL 86 111, ICC 12 475, ICC 3137, KAK 2 and ICC 10 393 genotypes. The results suggest that detached leaf assay could be used for large-scale screening of chickpea genotypes for resistance to S. exigua, while the diet incorporation assay could be used to gain additional information on the antibiosis mechanism of resistance to this insect.