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














  • Hidden depression in otolaryngology patients with medically unexplained symptoms.

    abstract:OBJECTIVE:To investigate the prevalence of depression among otolaryngology patients with medically unexplained symptoms (MUS) and the outcome of treatment with selective serotonin reuptake inhibitors (SSRIs). METHOD:Ninety patients with MUS from a population of 983 consecutive otolaryngology outpatients were enrolled....

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,随机对照试验


    authors: Goto F,Tsutsumi T,Oishi N,Mimura M

    更新日期:2012-03-01 00:00:00

  • Orlistat abuse in a case of bulimia nervosa: the changing Indian society.

    abstract::Eating disorders like bulimia nervosa, generally considered to be rare in Asian countries, are currently on the rise among the youth, probably secondary to rapid westernization and globalization of the orient. Clinical manifestations of these disorders, which were previously thought to be different in the oriental cou...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Deb KS,Gupta R,Varshney M

    更新日期:2014-09-01 00:00:00

  • Communication between psychosomatic C-L consultants and general practitioners in a German health care system.

    abstract::A randomized and prospective study examined the effects of intensive communication between treatment providers on physician behavior and patient care using a representative sample of patients referred to a German psychosomatic consultation-liaison (C-L) service (1998-1999). Sixty-seven patients were grouped (ICD-10) a...

    journal_title:General hospital psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: de Cruppé W,Hennch C,Buchholz C,Müller A,Eich W,Herzog W

    更新日期:2005-01-01 00:00:00

  • Cocaine use as a risk factor for ziprasidone-induced acute dystonia.

    abstract::Cocaine use is an under-recognized risk factor of antipsychotic-induced acute dystonia. A case of a patient with psychotic illness and concurrent cocaine use developing acute dystonia with ziprasidone is described. ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Duggal HS

    更新日期:2007-05-01 00:00:00

  • Parents bereaved by infant death: PTSD symptoms up to 18 years after the loss.

    abstract:OBJECTIVE:Losing an infant or fetus late in pregnancy, during birth or in the first year of life is a potentially traumatic event for parents. However, little is known about the factors contributing to chronic posttraumatic stress reactions in this population. The present study examined chronic posttraumatic stress dis...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Christiansen DM,Elklit A,Olff M

    更新日期:2013-11-01 00:00:00

  • Panic disorder, cardiac diagnosis and emergency department utilization in an epidemiologic community sample.

    abstract:OBJECTIVE:We examined the association between panic disorder (PD), physician-diagnosed cardiac disease (CD), and the interaction of these variables in relation to health care utilization, as measured by emergency department (ED) visitations, in an epidemiologic sample. METHODS:Subjects were identified from the Nationa...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Korczak DJ,Goldstein BI,Levitt AJ

    更新日期:2007-07-01 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

  • Hospitalization, depression and dementia in community-dwelling older Americans: findings from the national health and aging trends study.

    abstract:OBJECTIVE:The objective was to estimate the prevalence of both dementia and depression among community-dwelling older Americans and to determine if hospitalization is independently associated with dementia or depression in this population. METHOD:This cross-sectional study utilized data from a nationally representativ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Davydow DS,Zivin K,Langa KM

    更新日期:2014-03-01 00:00:00

  • Assessment of beliefs about psychotropic medication and psychotherapy: development of a measure for patients with anxiety disorders.

    abstract:OBJECTIVE:This study presents the psychometric properties of a brief measure to assess beliefs about psychotropic medications and psychotherapy among patients with anxiety disorders. METHOD:Data were collected on a large sample of primary care patients with a range of anxiety disorders, as part of the Collaborative Ca...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Bystritsky A,Wagner AW,Russo JE,Stein MB,Sherbourne CD,Craske MG,Roy-Byrne PP

    更新日期:2005-09-01 00:00:00

  • Factors associated with unplanned discharge from psychiatric day treatment programs. A multicenter study.

    abstract::This study describes and evaluates the adequacy of sociodemographic and clinical descriptors as potential predictors of unplanned discharge from and completion of psychiatric day treatment programs. A 2-year retrospective chart review was completed on all patients (N = 327) attending three university-affiliated day tr...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,多中心研究


    authors: Gillis K,Russell VR,Busby K

    更新日期:1997-09-01 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 service needs of mothers with schizophrenia: a qualitative study of perinatal psychiatric and antenatal workers.

    abstract:OBJECTIVE:The study sought to (1) understand the perspectives of perinatal psychiatric and antenatal health service workers on the service and support needs of mothers with schizophrenia; (2) obtain their views on the feasibility and potential effectiveness of a proposed parenting intervention tailored for this group. ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Wan MW,Moulton S,Abel KM

    更新日期:2008-03-01 00:00:00

  • Risk factors for chronic post-traumatic stress disorder (PTSD) in SARS survivors.

    abstract:BACKGROUND:Post-traumatic stress disorder (PTSD) is one of the most prevalent long-term psychiatric diagnoses among survivors of severe acute respiratory syndrome (SARS). OBJECTIVES:The objective of this study was to identify the predictors of chronic PTSD in SARS survivors. DESIGN:PTSD at 30 months after the SARS ou...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Mak IW,Chu CM,Pan PC,Yiu MG,Ho SC,Chan VL

    更新日期:2010-11-01 00:00:00

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    abstract::A 63-year-old married man with idiopathic terminal cardiomyopathy was admitted to the medical service for treatment of advanced heart failure. A psychiatric consultation was requested to assist the medical treatment team in dealing with the patient's abusive behavior. The case is presented and discussed within the con...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: McDaniel JS,Stoudemire A,Riether AM,Firestone S,Cohen-Cole SA,Cobbs BW Jr

    更新日期:1992-07-01 00:00:00

  • Depression and hypochondriasis in family practice patients with somatization disorder.

    abstract::The relationships specified in DSM-III between somatization disorder and depression, and somatization disorder and hypochondriasis require further validation and easier methods of detection for use by primary care physicians. The authors investigated hypochondriacal and depressive symptoms in 13 family practice outpat...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Oxman TE,Barrett J

    更新日期:1985-10-01 00:00:00

  • Persistently poor outcomes of undetected major depression in primary care.

    abstract::Despite its relevance for quality care initiatives, the field of psychiatry has little scientific knowledge regarding the course of current major depression when primary care patients with the disorder remain undetected. Using statewide telephone screening, we identified and followed 98 adults with current major depre...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Rost K,Zhang M,Fortney J,Smith J,Coyne J,Smith GR Jr

    更新日期:1998-01-01 00:00:00

  • Consultation on the medical frontier. A preliminary survey of the attitudes of infant intensive care nurses.

    abstract::Advancing medical technology presents problems to medical professionals previously unforeseen. Psychiatric consultants are frequently called upon to assist staff, patients, and families in addressing these issues. The nursing staff of an infant intensive care unit was surveyed as to their perceptions of their work and...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Brack G,LaClave LJ,Heumann KA

    更新日期:1989-05-01 00:00:00

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    abstract:OBJECTIVE:Anxiety and depressive disorders are widely prevalent, but patients are only treated in a minority of cases. In this study, the explanation of receiving mental health treatment is sought in predisposing and enabling characteristics and indicators for objective and self-perceived need. METHODS:Cross-sectional...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Verhaak PF,Prins MA,Spreeuwenberg P,Draisma S,van Balkom TJ,Bensing JM,Laurant MG,van Marwijk HW,van der Meer K,Penninx BW

    更新日期:2009-01-01 00:00:00

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    abstract:OBJECTIVE:Multiple barriers to quality health care may affect the outcomes of postacute treatment for individuals with serious mental illness (SMI). This study examined rehospitalization for medical and surgical inpatients with and without a comorbid diagnosis of SMI which included psychotic disorders, bipolar disorder...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Hanrahan NP,Bressi S,Marcus SC,Solomon P

    更新日期:2016-09-01 00:00:00

  • Development of brief measures of psychological adjustment to medical illness applied to cancer patients.

    abstract::The interrater reliability and validity of brief interview rated measures of psychosocial adjustment were examined in four sequential studies. A total of 25 videotaped interviews with cancer patients were rated by 105 social workers, nurses, physicians, and specialists in psychosocial oncology. The Rating of Psychosoc...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Morrow GR,Feldstein M,Adler LM,Derogatis LR,Enelow AJ,Gates C,Holland J,Melisaratos N,Murawski BJ,Penman D,Schmale A,Schmitt M,Morse I

    更新日期:1981-06-01 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

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    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Bernstein RA

    更新日期:1980-06-01 00:00:00

  • Measuring improvement in depression in cancer patients: a 50% drop on the self-rated SCL-20 compared with a diagnostic interview.

    abstract:OBJECTIVE:To determine the validity of a 50% drop in the 20-item Symptom Checklist Depression Scale (SCL-20) score against the "gold standard" of no longer meeting criteria for major depression as assessed using a diagnostic interview in an outpatient cancer population and also to examine the validity of other potentia...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: O'Connor M,Butcher I,Hansen CH,Kleiboer A,Murray G,Sharma N,Thekkumpurath P,Walker J,Sharpe M

    更新日期:2010-05-01 00:00:00

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    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Kantor SJ,Chiarandini I,Heller SS

    更新日期:1979-09-01 00:00:00

  • Alexithymia, depression and tinnitus in elderly people.

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    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Salonen J,Johansson R,Joukamaa M

    更新日期:2007-09-01 00:00:00

  • Increased depression and anxiety in infertile Japanese women resulting from lack of husband's support and feelings of stress.

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    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Matsubayashi H,Hosaka T,Izumi S,Suzuki T,Kondo A,Makino T

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    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

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    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Kuhn WF,Bell RA,Frierson RL,Lippmann SB

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  • Changes in psychiatric diagnoses from admission to discharge: review of the charts of 159 patients consecutively admitted to a geriatric psychiatry inpatient unit.

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    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Ashley RV,Gladsjo A,Olson R,Judd LL,Sewell DD,Rockwell E,Jeste DV

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  • Enhancing adherence to prevent depression relapse in primary care.

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    journal_title:General hospital psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Lin EH,Von Korff M,Ludman EJ,Rutter C,Bush TM,Simon GE,Unützer J,Walker E,Katon WJ

    更新日期:2003-09-01 00:00:00