The relationship between treatment settings and diagnostic attributions of depression among African Americans.


OBJECTIVE:To explore the relationship between treatment setting characteristics and diagnostic attributions of depression among community-dwelling African Americans. METHODS:Data come from the National Survey of American Life, a nationally representative sample of African Americans and Caribbean Blacks. Major Depression (MD) was assessed using the Composite International Diagnostic Inventory. Participants were categorized into four diagnostic groups: never MD, MD never attributed to physical health problems (i.e., affective depression), MD sometimes attributed to physical health problems (i.e., complicated depression), and MD always attributed to physical health problems (i.e., physical depression). Multinomial regression was used for assessment. RESULTS:Among 441 participants, 66.4% were classified as affective depression, 17.8% as complicated depression and 15.8% as physical depression. Seeking treatment from a mental health professional was associated with increased likelihood of being in the complicated depression group [adjusted odds ratio (AOR): 5.52; 95% confidence interval (CI): 2.28-13.36]. Seeking treatment from a family doctor was associated with physical depression (AOR: 2.93; 95% CI: 1.18-7.26). Seeking care from three or more different health care providers was associated with complicated depression (AOR: 1.99; 95% CI: 1.17-3.40). CONCLUSION:Results suggest that encounters with health care providers influence the diagnostic attribution of depression in a systematic manner.


Gen Hosp Psychiatry


Scott T,Matsuyama R,Mezuk B




Has Abstract


2011-01-01 00:00:00














  • Impulse control disorders in frontotemporal dementia: spectrum of symptoms and response to treatment.

    abstract:OBJECTIVE:To describe a patient with behavioral variant frontotemporal dementia (bvFTD) presenting with impulse control disorders (ICDs) which responded to fluvoxamine and topiramate. CASE REPORT:A 64-year-old woman was affected by several ICDs. At disease onset, she suffered from impulsive smoking and overeating whic...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Pompanin S,Jelcic N,Cecchin D,Cagnin A

    更新日期:2014-11-01 00:00:00

  • The role of race in diagnostic and disposition decision making in a pediatric psychiatric emergency service.

    abstract:OBJECTIVE:We investigated the influence of race/ethnicity in diagnostic and disposition decision-making for children and adolescents presenting to an urban psychiatric emergency service (PES). METHOD:Medical records were reviewed for 2991 child and adolescent African-American, Hispanic/Latino and white patients, treat...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Muroff J,Edelsohn GA,Joe S,Ford BC

    更新日期:2008-05-01 00:00:00

  • The feasibility of a new intake routine to assess substance use disorders by means of a structured interview.

    abstract::A structured interview, ADDIS (Alkohol Drog Diagnos InStrument), designed to assess substance use disorders, was included as a part of the intake protocol in a department of orthopedics at a general hospital. To evaluate both the effectiveness and feasibility of the new procedure, the attitudes of 29 staff members wer...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Jonasson B,Jonasson U,Ekselius L,von Knorring L

    更新日期:1997-01-01 00:00:00

  • Psychiatric consultation-liaison service: patients, requests, and functions.

    abstract::Prospective data were gathered from 388 psychiatric consultations performed in a general hospital setting. Data included demographic, medical, psychiatric, and illness behavior characteristics of the patients seen, as well as consultant functions and recommendations. Results indicate that consulted patients suffer fro...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Ries RK,Bokan JA,Kleinman A,Schuckit MA

    更新日期:1980-09-01 00:00:00

  • Communicating suicide risk to families of chronically suicidal borderline personality disorder patients to mitigate malpractice risk.

    abstract:OBJECTIVE:The distinction between acute and chronic suicidality is important, because interventions designed to address acute suicidality can worsen chronic suicidality, resulting in an escalating cycle of suicide threats, suicide attempts, and futile hospitalizations. Though most chronically suicidal borderline person...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,评审


    authors: Mammen O,Tew J,Painter T,Bettinelli E,Beckjord J

    更新日期:2020-01-01 00:00:00

  • Recognizing and managing depression in primary care.

    abstract::Depression is a common disorder in the primary care setting; it is associated with considerable distress and dysfunction. The management of depressed primary care patients can be complicated by the fact that these patients may lack insight into the cause of their symptoms and report only the somatic manifestations of ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,评审


    authors: Brody DS,Thompson TL 2nd,Larson DB,Ford DE,Katon WJ,Magruder KM

    更新日期:1995-03-01 00:00:00

  • Piracetam treatment in patients with cognitive impairment.

    abstract::Piracetam is a cognitive-enhancing agent that is used for the treatment of cognitive impairments of various etiologies. Little is known about its side effect profile, especially in those with psychiatric illness. We herewith present two cases with cognitive impairment who had contrasting responses to piracetam. One of...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Rao MG,Holla B,Varambally S,Raveendranathan D,Venkatasubramanian G,Gangadhar BN

    更新日期:2013-07-01 00:00:00

  • Clinical services within a general hospital department of psychiatry: conceptual issues and operational guidelines.

    abstract::This paper presents a checklist of conceptual issues and operational guidelines determining the organization of clinical services within a general hospital department of psychiatry. Issues emphasized include philosophy, target population, definition, structure, location, financing, and cost effectiveness of services, ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Dressler DM

    更新日期:1981-12-01 00:00:00

  • Determinants of psychotropic drug usage in a general intensive care unit.

    abstract::During a 3-month period, determinants of psychotropic drug utilization (sex, age, length of stay, reason for admission, disease severity) and data on psychotropic consumption (type of medication--antidepressants, benzodiazepines and antipsychotics--dosage and length of treatment) were retrospectively collected in a ge...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Stolker JJ,Heerdink ER,Pullen SE,Santman FW,Hekster YA,Leufkens HG,Zitman FG

    更新日期:1998-11-01 00:00:00

  • Evolution of consultation-liaison services in bone marrow transplantation.

    abstract::Bone marrow transplantation offers new hope for cure in a variety of leukemias, aplastic anemia, and other immunodeficiency and hematologic disorders. But the psychologic circumstances accompanying this procedure are often profoundly stressful. The evolution of consultation--liaison services on a bone marrow transplan...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Rappaport BS

    更新日期:1988-09-01 00:00:00

  • The process of reviewing peers.

    abstract::Drawing on experiences as a Physician Advisor to the Office of Quality Assurance of the American Psychiatric Association, the author discusses process interactions endemic to peer review and presents recommendations for facilitating this necessary professional activity. ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Green SA

    更新日期:1989-07-01 00:00:00

  • Health beliefs and depression in a group of elderly high utilizers of medical services.

    abstract::Using a standardized measure of health beliefs, this study sought to disentangle factors that contribute to increased medical service use in a sample of 64 high-utilizing elderly patients. In adjusted models, people with depressive symptoms were more likely than those without depression to believe that they were susce...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Levinson CM,Druss BG

    更新日期:2005-03-01 00:00:00

  • Improvement of dumping syndrome and oversecretion of glucose-dependent insulinotropic polypeptide following a switch from olanzapine to quetiapine in a patient with schizophrenia.

    abstract::Among the most important adverse effects of antipsychotics is abnormal glucose metabolism, which includes not only hyperglycemia but hyperinsulinemia and hypoglycemia. We have previously described five patients who experienced hypoglycemia during treatment with antipsychotics. Thus, an anamnesis of gastric surgery, wh...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Watanabe A,Fukui N,Suzuki Y,Motegi T,Igeta H,Tsuneyama N,Someya T

    更新日期:2015-07-01 00:00:00

  • Exploratory examination of the utility of demoralization as a diagnostic specifier for adjustment disorder and major depression.

    abstract:OBJECTIVE:Demoralization, a state of lowered morale and poor coping, has a prevalence of 13-18% among patients with advanced cancer. We surveyed clinicians' perspectives of the utility of "with demoralization" as a diagnostic specifier for adjustment and depressive disorders. METHOD:Using comparative clinical vignette...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Kissane DW,Bobevski I,Gaitanis P,Brooker J,Michael N,Lethborg C,Richardson G,Webster P,Hempton C

    更新日期:2017-05-01 00:00:00

  • Psychiatric morbidity in a pregnant population in Nigeria.

    abstract::Psychiatric morbidity among 240 pregnant women attending an antenatal unit was assessed by a two-stage screening procedure, using the General Health Questionnaire (GHQ-30) and Present State Examination Schedule (PSE). The prevalence of psychiatric morbidity was found to be significantly associated with younger age (< ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Abiodun OA,Adetoro OO,Ogunbode OO

    更新日期:1993-03-01 00:00:00

  • Racial differences in the prevalence of antenatal depression.

    abstract:OBJECTIVE:This study examined whether there were racial/ethnic differences in the prevalence of antenatal depression based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnostic criteria in a community-based sample of pregnant women. METHOD:Data were drawn from an ongoing registry of preg...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Gavin AR,Melville JL,Rue T,Guo Y,Dina KT,Katon WJ

    更新日期:2011-03-01 00:00:00

  • Introduction: research at the interface of medicine and psychiatry.

    abstract::Linkages between psychiatry and other medical specialties have become increasingly evident over the past decade. Reinstatement of the medical internship for psychiatric trainees, expansion of psychiatric liaison services, growth of general hospital psychiatric units, determination of the extensive role served by nonps...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Pardes H

    更新日期:1983-07-01 00:00:00

  • Quality of care for anxiety and depression in different ethnic groups by family practitioners in urban areas in the Netherlands.

    abstract:OBJECTIVE:There is widespread concern about access to good quality health care for ethnic minority groups. This study investigates differences between ethnic groups regarding prevalence of anxiety and depression, and adherence to treatment guidelines by family practitioners in urban areas in the Netherlands. METHOD:Da...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Fassaert T,Nielen M,Verheij R,Verhoeff A,Dekker J,Beekman A,de Wit M

    更新日期:2010-07-01 00:00:00

  • Behavior therapy for urinary frequency in a patient with neurogenic bladder: a case report.

    abstract::A 32-year-old female with a seven year history of multiple sclerosis was hospitalized due to an exacerbation of symptoms, and complained of a high frequency of urination and occasional urinary incontinence. A urologic consult was obtained and the patient was diagnosed as having neurogenic (spastic) bladder, resulting ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: O'Neill GW

    更新日期:1982-04-01 00:00:00

  • Ambivalence and dialysis discontinuation.

    abstract::Although dialysis discontinuation is the second leading "cause" of death among individuals who are maintained with chronic dialysis, little attention is accorded in the literature to patient ambivalence with this crucial decision. Three cases are presented of clinical situations involving termination of dialysis and a...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,评审


    authors: Cohen LM,Fischel S,Germain M,Woods A,Braden GL,McCue J

    更新日期:1996-11-01 00:00:00

  • Manifest psychosis in neurosyphilis.

    abstract:INTRODUCTION:Recent surveys have assessed a remarkable increase in the prevalence of infectious syphilis. If left untreated, 30% of patients may develop tertiary syphilis, which can manifest as neurosyphilis. CASE REPORT:The authors present a case of an acute psychosis during and after pregnancy in a 37-year-old woman...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,评审


    authors: Friedrich F,Geusau A,Greisenegger S,Ossege M,Aigner M

    更新日期:2009-07-01 00:00:00

  • The role of psychiatrists in family medicine training.

    abstract::The authors surveyed 356 family medicine residency training directors to determine the role of psychiatrists in family medicine training. Two hundred five responses were received, covering the training experiences of 3696 residents. Psychiatrists were actively involved in the training programs, but their role was circ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Berlin RM,Berenbaum I,Wise TN,Ahmed SW

    更新日期:1983-07-01 00:00:00

  • Utilization of primary care physicians in borderline personality.

    abstract:OBJECTIVE:Individuals with borderline personality disorder (BPD) consistently demonstrate high patterns of utilization in both mental health and non-psychiatric settings. However, utilization of primary care physicians by these individuals has not been examined. In this study, we examined physician use patterns and hyp...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Sansone RA,Farukhi S,Wiederman MW

    更新日期:2011-07-01 00:00:00

  • Psychological intervention in coronary heart disease: a review.

    abstract::Psychological intervention studies designed to reduce cardiac morbidity are reviewed. Preliminary findings suggest that various psychotherapeutic modalities may be effective. Such studies also provide an avenue through which the physical and psychological mechanisms involved in coronary heart disease and their interac...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Frank KA,Heller SS,Kornfeld DS

    更新日期:1979-04-01 00:00:00

  • Psychiatric symptoms masking pituitary adenoma in Spanish speaking immigrants.

    abstract::Barriers to clear communication, such as culture, language, and other aspects of self-presentation may have an important impact on the doctor-patient relationship. When not addressed, cultural and linguistic issues can result in unreliable clinical histories, noncompliance with medical treatment, misinterpretation of ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Rueda-Lara MA,Buchert S,Skotzko C,Clemow LP

    更新日期:2003-09-01 00:00:00

  • Differential diagnosis and treatment of steroid-induced affective syndromes.

    abstract::The differential diagnosis of hypercortisolemia is complex, particularly when the clinician must distinguish Cushing's syndrome (CS) from major depression. The present clinical case history demonstrates that by means of physical and laboratory examinations, the psychiatrist can make the initial differentiation, in con...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,评审


    authors: Pies R

    更新日期:1995-09-01 00:00:00

  • Holocaust survivors coping with open heart surgery decades later: posttraumatic symptoms and quality of life.

    abstract:OBJECTIVE:History of prolonged traumatization has been associated with reduced quality of life (QoL) and difficulties in coping with major life-threatening conditions. We assessed the association between the impact of Holocaust experience (posttraumatic symptoms) and QoL of patients before and after an open heart surge...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Schreiber S,Soskolne V,Kozohovitch H,Deviri E

    更新日期:2004-11-01 00:00:00

  • Anxiety disorders and risk of self-reported ulcer: a 10-year longitudinal study among US adults.

    abstract:OBJECTIVE:Previous epidemiologic studies have documented a link between anxiety disorders and ulcer among adults. Few studies have examined these associations over time and little is understood about the pathways underlying these relationships. METHOD:Data were drawn from n = 2101 adult participants in the Midlife Dev...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Taha F,Lipsitz JD,Galea S,Demmer RT,Talley NJ,Goodwin RD

    更新日期:2014-11-01 00:00:00

  • A retrospective analysis of intramuscular haloperidol and intramuscular olanzapine in the treatment of agitation in drug- and alcohol-using patients.

    abstract:OBJECTIVE:The treatment of agitation in drug- and alcohol-using emergency patients is understudied. METHOD:We performed a retrospective chart review of 105 agitated emergency department patients who received either intramuscular (IM) haloperidol or IM olanzapine, comparing prescribing patterns, level of agitation, res...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: MacDonald K,Wilson MP,Minassian A,Vilke GM,Perez R,Cobb P,Tallian K,Becker O,Feifel D

    更新日期:2010-07-01 00:00:00

  • Predicting response to cognitive behavior therapy of depression in type 2 diabetes.

    abstract::Little is known about which factors may adversely affect response to psychotherapy in diabetic patients with major depression. We studied the relationship of various demographic, diabetes, and depression characteristics to change in depression in 42 patients with type 2 diabetes who completed a randomized clinical tri...

    journal_title:General hospital psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Lustman PJ,Freedland KE,Griffith LS,Clouse RE

    更新日期:1998-09-01 00:00:00