THE SCREENING TEST FOR COMMON MENTAL DISORDERS IN THE MILITARY

THE SCREENING TEST FOR COMMON
MENTAL DISORDERS IN THE MILITARY

Colonel Bui Quang Huy1, Colonel Cao Tien Duc1, Lieutenant
Nguyen Trong Dao1, Sublieutenant Pham Thi Thu2
1
(Psychiatric department, Military Hospital 103)
2
(15th resident physician class, Military medical university)


BACKGROUND
• There are many mental soldiers in the military.
• Common mental disorders: depression,
bipolar disorder and schizophrenia
• In Psychiatric department of Military Hospital 103,
many conscripts were hospitalized suffering from
mental disorders before enlistment because these
diseases can’t be detected at examination for military
service


• Causes: the lack of psychiatrist in the military.
• It is necessary to have a rapid test in order to
eliminate early psychiatric patients out of the
military. Furthermore, the test must be as
easy as possible to use for the general
doctors.
• Object:
To develop a sreening test for common
mental disorders in the military

•In the world and Vietnam:
using Beck depression
scale, Zung anxiety scale,
rating scale for depression,
anxiety Hamilton

These scales just
intend to determine
the degree of the
diseases rather than
be a diagnotic tool.

•Diagnostic and Statistical
Manual of Mental
Disorders, 5th ed (DSM-5)
•International Classification
of Diseases, 10th ed (ICD10)

have many specialized
terms


•In the world and Vietnam:
using Beck depression
scale, Zung anxiety scale,
rating scale for depression,
anxiety Hamilton

These tool just supports
intended to determine the
degree of the disease rather
than a diagnostic tool

•Diagnostic and Statistical
Manual of Mental
Disorders, 5th ed (DSM-5)
•International Classification
of Diseases, 10th ed (ICD10)

uses many specialized terms
relatively confusing for the
general doctors as bizarre
delusions, grandiose delusion,
flight of idea...


1. Decreased need for sleep ( they just sleep 1-2 Present
hours per day without fatigue).
Not present
2. Elevated mood (his face express the excitement
and excessive happiness)

Present
Not present

3. Inflated self-esteem (believe that he have many Present
talents)
Not present

4. More talkative than usual or pressure to keep
talking (he say fast, say constantly throughout the day,
talking about all subjects).

Present
Not present

5. Exessive happiness (his facial expression is very
happy, joyful attitude, laughing chatter. He sings, reads
Present
poetry, acts drama passionately without knowing whether
Not present
people around him want to enjoy it).
6. Flight of idea (his thoughts overlap like we
monitored simultaneously 2 or 3 television programs, Present
Not present
moving abruptly from one topic to another).
7. Distractibility (inability to concentrate attention, do Present
not focus on a certain job if there is small external stimuli). Not present
8. Increase in goal-directed activity (shopping very
Present
much, beyond their ability to pay, more sexual relations)


Delusion
• Persecutory delusion
• Referential delusion
• Delusion of control
• Grandiose delusion
• Bizarre delusions

Hallucination
• Comment auditory halucination
• Command hallucination
• Auditory hallucination
• Visual hallucination
•Tactile hallucination


Delusion
• Persecutory delusion
• Referential delusion
• Delusion of control
• Grandiose delusion
• Bizarre delusions

Hallucination
• Comment auditory halucination
• Command hallucination
• Auditory hallucination
• Visual hallucination
•Tactile hallucination

believe that they are
abused, tortured,
poisoned, would be
killed by a person or a
certain force

Delusion
• Persecutory delusion
• Referential delusion
• Delusion of control
• Grandiose delusion
• Bizarre delusions

Hallucination
• Comment auditory halucination
• Command hallucination
• Auditory hallucination
• Visual hallucination
•Tactile hallucination

believing that some
books, essays, songs or
some other external
information refer them
with the special forms


Delusion
• Persecutory delusion
• Referential delusion
• Delusion of control
• Grandiose delusion
• Bizarre delusions

Hallucination
• Comment auditory halucination

• Command hallucination
• Auditory hallucination
• Visual hallucination
•Tactile hallucination

believe that his actions
are being acted on or
manipulated by some
outside force


Delusion
• Persecutory delusion
• Referential delusion
• Delusion of control
• Grandiose delusion
• Bizarre delusions

Hallucination
• Comment auditory halucination
• Command hallucination
• Auditory hallucination
• Visual hallucination
•Tactile hallucination

believe that he have
many talents, he can
climb the highest
mountain of the world
with his bare hands, he

can do the math faster
than computers ...


Delusion
• Persecutory delusion
• Referential delusion
• Delusion of control
• Grandiose delusion
• Bizarre delusions

Hallucination
• Comment auditory halucination
• Command hallucination
• Auditory hallucination
• Visual hallucination
•Tactile hallucination

believe that they can
control the weather, they
live with the organ of
another person, his
internal organs were
replaced by someone but
they did not have an
injury or scars


Delusion
• Persecutory delusion

• Referential delusion
• Delusion of control
• Grandiose delusion
• Bizarre delusions

Hallucination
• Comment auditory halucination
• Command hallucination
• Auditory hallucination
• Visual hallucination
•Tactile hallucination

he hears a voice that
admire or decry him
although no one said
around him


Delusion
• Persecutory delusion
• Referential delusion
• Delusion of control
• Grandiose delusion
• Bizarre delusions

Hallucination
• Comment auditory halucination
• Command hallucination
• Auditory hallucination
• Visual hallucination

•Tactile hallucination

he hears a voice that
induce or order him to
do something


Delusion
• Persecutory delusion
• Referential delusion
• Delusion of control
• Grandiose delusion
• Bizarre delusions

Hallucination
• Comment auditory halucination
• Command hallucination
• Auditory hallucination
• Visual hallucination
•Tactile hallucination

talk to him like we talk
on the phone


Delusion
• Persecutory delusion
• Referential delusion
• Delusion of control
• Grandiose delusion

• Bizarre delusions

Hallucination
• Comment auditory halucination
• Command hallucination
• Auditory hallucination
• Visual hallucination
•Tactile hallucination

he can see the images
which are not real as
seeing bandits chased
him, birds, ants ...
despite the fact there
are nothing


Delusion
• Persecutory delusion
• Referential delusion
• Delusion of control
• Grandiose delusion
• Bizarre delusions

Hallucination
• Comment auditory halucination
• Command hallucination
• Auditory hallucination
• Visual hallucination
•Tactile hallucination

feeling of insects
crawling under the skin,
feeling of snakes
crawling in the stomach


THE RAPID SCREENING TEST FOR MANIC EPISODE
• Decreased need for sleep
• Elevated mood
• Inflated self-esteem
• More talkative than usual or
pressure to keep talking
• Exessive happiness
• Flight of idea
• Distractibility
• Increased in goal-directed
activity


THE RAPID SCREENING TEST FOR DEPRESSIVE EPISODE
• Decreased need for sleep
• Elevated mood
• Inflated self-esteem
• More talkative than usual or
pressure to keep talking
• Exessive happiness
• Flight of idea
• Distractibility
• Increased in goal-directed

activity

they just sleep 1-2 hours per
day without fatigue


THE RAPID SCREENING TEST FOR DEPRESSIVE EPISODE
• Decreased need for sleep
• Elevated mood
• Inflated self-esteem
• More talkative than usual or
pressure to keep talking
• Exessive happiness
• Flight of idea
• Distractibility
• Increased in goal-directed
activity

his face express the
excitement and excessive
happiness


THE RAPID SCREENING TEST FOR DEPRESSIVE EPISODE
• Decreased need for sleep
• Elevated mood
• Inflated self-esteem
• More talkative than usual or
pressure to keep talking
• Exessive happiness

• Flight of idea
• Distractibility
• Increased in goal-directed
activity

Believe that he have many
talents


THE RAPID SCREENING TEST FOR DEPRESSIVE EPISODE
• Decreased need for sleep
• Elevated mood
• Inflated self-esteem
• More talkative than usual or
pressure to keep talking
• Exessive happiness
• Flight of idea
• Distractibility
• Increased in goal-directed
activity

He say fast, say constantly
throughout the day, talking
about all subjects


THE RAPID SCREENING TEST FOR DEPRESSIVE EPISODE
• Decreased need for sleep
• Elevated mood
• Inflated self-esteem

• More talkative than usual or
pressure to keep talking
• Exessive happiness
• Flight of idea
• Distractibility
• Increased in goal-directed
activity

His facial expression is very
happy, joyful attitude, laughing
chatter. He sings, reads poetry,
acts drama passionately without
knowing whether people around
him want to enjoy it


THE RAPID SCREENING TEST FOR DEPRESSIVE EPISODE
• Decreased need for sleep
• Elevated mood
• Inflated self-esteem
• More talkative than usual or
pressure to keep talking
• Exessive happiness
• Flight of idea
• Distractibility
• Increased in goal-directed
activity

His thoughts overlap like we
monitored simultaneously 2 or 3

television programs, moving
abruptly from one topic to
another


THE RAPID SCREENING TEST FOR DEPRESSIVE EPISODE
• Decreased need for sleep
• Elevated mood
• Inflated self-esteem
• More talkative than usual or
pressure to keep talking
• Exessive happiness
• Flight of idea
• Distractibility
• Increased in goal-directed
activity

Inability to concentrate
attention, do not focus on a
certain job if there is small
external stimuli