Abstract:
OBJECTIVE:The article seeks to provide an international perspective on the facilitating role of health services research in the treatment of psychiatric disorders in primary care. It builds on Goldberg and Huxley's model describing pathways to mental care for the psychiatrically ill in the community. METHOD:Seventy studies were selected for review by Medline search, sixteen studies by contacting prominent researchers in the field. All studies are discussed more or less extensively. RESULTS:Case identification strategies including screening tools and diagnostic modules have been developed. Other strategies include educational training programs and psychiatric consultation services designed to facilitate psychopharmacological and other types of treatment of psychiatric disorders in primary care. Several models for the linkage of primary care and specialty mental health providers are discussed, and a primary care psychiatry programme is examined. CONCLUSION:Better psychiatric training of general practitioners (GPs), on-site consultation, and better communication between mental health professionals and GPs can improve the recognition, management, and referral of psychiatrically ill primary care patients. The further development of guidelines focusing on anxiety disorders, somatization, subthreshold disorders, and effectiveness in primary care is recommended.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
van der Feltz-Cornelis CM,Lyons JS,Huyse FJ,Campos R,Fink P,Slaets JPdoi
10.2190/YLPG-RV5E-MCPW-FKTMsubject
Has Abstractpub_date
1997-01-01 00:00:00pages
1-21issue
1eissn
0091-2174issn
1541-3527journal_volume
27pub_type
杂志文章,评审abstract::An historical narrative tracing the inception, evolution, structure, educational focus, integration with international Balint movements and challenges to future growth of the American Balint Society (ABS) is enlivened and deepened by twelve Balint autobiographies that follow it. The ABS in choosing to create its histo...
journal_title:International journal of psychiatry in medicine
pub_type: 历史文章,杂志文章
doi:10.1177/0091217420919000
更新日期:2020-05-01 00:00:00
abstract::The existence of the putative "serotonin irritation syndrome" (SIS) was tested in a human population. Volunteers were exposed to a highly cationized environment for two hours. Symptoms of anxiety and excitement significantly increased. During the time of exposure serum serotonin levels also increased significantly. Th...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/gm1h-2gbg-jk6r-vy2a
更新日期:1986-01-01 00:00:00
abstract::Over 2 million adults in the United States are incarcerated and over 650,000 return to the community each year. This disparate population is known to have an elevated burden of chronic disease and lower socioeconomic status. Medical residency training about care of incarcerated or previously incarcerated patients is s...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417738935
更新日期:2017-07-01 00:00:00
abstract::George Engel's biopsychosocial vision was simultaneously scientific and humanistic. He passionately presented an approach to clinical care to correct the progressive distancing of clinical care and research from the lived experience of the patient. Yet, while science provides ever greater evidence for the linkages bet...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.47.4.b
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To seek clues to the enhancement of primary care management by (i) Determining how often and in whom primary care clinicians in the United States, Puerto Rico, and Canada identify pediatric mood or anxiety syndromes; (ii) Determining which clinical and demographic features predict higher rates of identificati...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/UT6D-RDFG-LBT7-G39N
更新日期:2003-01-01 00:00:00
abstract::The dexamethasone suppression test (DST) appears to be a sensitive and specific biological marker for endogenous depression that can have important diagnostic and treatment implications. The authors present three case studies of patients treated on a combined medicine-psychiatric inpatient unit, and who presented with...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/mq8m-7544-kg2j-6k8b
更新日期:1982-01-01 00:00:00
abstract::Religion and medicine have a long, intertwined, tumultuous history, going back thousands of years. Only within the past 200-300 years (less than 5 percent of recorded history) have these twin healing traditions been clearly separate. This series on religion and medicine begins with a historical review, proceeding from...
journal_title:International journal of psychiatry in medicine
pub_type: 历史文章,杂志文章
doi:10.2190/2RWB-3AE1-M1E5-TVHK
更新日期:2000-01-01 00:00:00
abstract::Using standardized instruments, personality traits of twenty-two hemophilic boys and child-rearing attitudes and practices of their parents were evaluated at the beginning and end of a six-year period, during which psychosocial services were provided in a comprehensive care hemophilia program. The children changed sig...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/67xa-e87f-qh9c-x3r0
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVE:The authors sought to evaluate psychiatric comorbidity, subjective quality of life, and impact of psychopathology on quality of life measures in a clinical sample of patients attending a center for the diagnosis and treatment of obesity compared to a matched sample of non-obese subjects. METHODS:Two hundred ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.39.1.e
更新日期:2009-01-01 00:00:00
abstract::Males with anxiety disorders appear to have increased mortality due to circulatory system disease, and Type A behavior is a risk factor for coronary heart disease (CHD). Thus, we determined Type A behavior in anxious patients. Fifty-seven DSM-III defined anxiety disorder patients completed the Jenkins Activity Survey ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/updt-4qcv-fhr3-lud6
更新日期:1986-01-01 00:00:00
abstract::Integrating behavioral health into primary healthcare offers multiple advantages for patients and health professionals. This model requires a new skill set for all healthcare professionals that is not emphasized in current educational models. The new skills include interprofessional team-based care competencies and ex...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.45.4.g
更新日期:2013-01-01 00:00:00
abstract::Fifty years of scholarship by behavioral science faculty shaped the training and practice of family physicians. One can trace behavioral science influence from the philosophical underpinnings of family medicine (whole-person, patient-centered, biopsychosocial care), to the translation of psychotherapy skills into tool...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217420950530
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:This study developed a Japanese self-rating anxiety scale, the Himorogi Self-rating Anxiety Scale (HSAS), and tested psychometric properties of its use in Japanese psychiatric patients. METHODS:The process of developing the scale consisted of an intensive literature review, assessment of existing instruments...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.41.1.d
更新日期:2011-01-01 00:00:00
abstract::Sixty right-handed adult subjects, divided equally into three groups (mildly depressed, normal, and "low normal") on the basis of the Zung self-Rating Depression Scale, were exposed for forty seconds each to forty-eight imagery items designed to reflect happy, sad, angry, and fearful situations. Expressed emotion (fac...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/h3ax-k9nm-q2xl-6gr3
更新日期:1982-01-01 00:00:00
abstract::Integrated biopsychosocial treatment is necessary for medical patients in whom psychosocial and behavioral issues strongly influence medical outcome. In this article the authors identify several large groups of such patients, and point out the limitations of three established approaches to improving their care: psycho...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/25uq-5tp7-grw5-ph3j
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVES:The purpose was to: 1) determine which aspects of religious belief incompatibility were associated with husband-to-wife abuse; 2) determine whether religious coping was independently associated with functional status among victims of spousal abuse; and 3) whether degree of abuse correlated with degrees of re...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/G674-15N5-4626-W138
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:Mania and other mood changes are known to be associated with various organic etiologies. This article documents a case of organic mania associated with hyponatremia, a phenomenon which has not been previously reported, and reviews the pertinent medical literature. METHOD:The mental status of a patient with e...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BB2P-2YM7-69GE-WC7P
更新日期:1994-01-01 00:00:00
abstract:INTRODUCTION:In patients with acute physical illness, symptoms used in the diagnosis of major depression such as sleep or appetite disturbance may be nonspecific for depression. This study was undertaken to examine the association of depressed mood with other depressive symptoms to determine which symptoms were most us...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BWJA-KQP3-7VUY-D06T
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Depression is a common mental disorder that leads to undesirable consequences. The study of the role of depression in disability pension can provide valuable insights. This study was conducted with the goal of systematic review and meta-analysis of the relationship between depression and disabi...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217419837412
更新日期:2019-05-06 00:00:00
abstract::Two cases of seriously burned patients are presented which differ in initial psychiatric presentation and subsequent course. In each case, the role of the psychiatric consultant is described. The role includes direct evaluative and psychotherapeutic contact with the patient and liaison with the surgical and nursing st...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BCLY-Q77G-PY6U-G7R9
更新日期:1975-01-01 00:00:00
abstract:OBJECTIVE:Depression scales that are responsive to changes in clinical symptoms are important for clinical monitoring and outcomes assessment in longitudinal studies. We evaluated the psychometric properties and responsiveness to clinical change of the 13- and 20-item versions of the Hopkins Symptom Checklist Depressio...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/U1B0-NKWC-568V-4MAK
更新日期:2004-01-01 00:00:00
abstract::This review article addresses some of the complex issues surrounding antidepressant drug usage among elderly depressives. While primarily geared toward the psychiatrist in general practice, the article provides useful information for the nonpsychiatric physician who is frequently called upon to evaluate and treat affe...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/uhl6-0x4w-frng-8pff
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVE:To compare the incidence of delirium in postoperative cardiac surgical patients treated with either cimetidine or ranitidine. METHOD:Cardiac surgery patients were randomized to receive either cimetidine or ranitidine postoperatively. Each patient underwent three Mini-Mental Status Examinations (MMSE) and the...
journal_title:International journal of psychiatry in medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2190/CBUA-RL4V-5UN8-MWJ3
更新日期:1996-01-01 00:00:00
abstract::Mrs. A. B., a 61-year-old woman who presented with carcinoma of the breast in 1964, was readmitted to the hospital in 1974 in respiratory distress ensuing from chronic lung disease and metastatic illness. An active member of Alcoholics Anonymous for the past sixteen years, she had a living pattern in which she felt in...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/CQ8C-HFAN-D31T-XBWL
更新日期:1975-01-01 00:00:00
abstract::Tardive dyskinesia (TD) is a consequence of chronic neuroleptic therapy. It is an irregular stereotyped movement disorder that is usually choreic in appearance, and is subject to temporary volitional control. Dystonia, akathisia, and tics are uncommon variants of the classic tardive syndrome. Characteristic clinical f...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/ce34-rxqr-9cc6-c3ay
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was determine the rate of depression in people with diabetes in an Iranian population. METHOD:A hospital-based prospective study with a comparison group was conducted in Firozgar Teaching Hospital in Tehran, Iran. The condition of depression and relationship to diabetes was asses...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/FP64-82V3-1741-842V
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:An extraordinary case of an organic psychosis during the treatment of a patient with a bipolar affective disorder. METHODS:Clinical observation and further investigations including monitoring of serum levels (case report). RESULTS:A significant interaction between venlafaxine and propafenone causes markedly...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/8HJA-LPRY-P16X-BH8U
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:To explore the correlation between brain event-related potentials (ERPs) and psychiatric symptoms in patients with amphetamine-type stimulants (ATS) dependence. METHOD:Using Galileo Sirius 32-channels digital-evoked potential system, we measured the auditory P300 ERP in 40 ATS dependence subjects and 30 norm...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.43.2.g
更新日期:2012-01-01 00:00:00
abstract::Balint groups are a structured group process designed for physicians and other helping professionals to provide feedback to each other concerning troublesome patient encounters. The process of Balint groups has survived and even thrived for more than a half century since their inception, suggesting their inherent valu...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417745290
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:Premature ejaculation is the most prevalent male sexual dysfunction. The present article is a comprehensive review of the literature on premature ejaculation. METHOD:This critical discussion of the literature evaluates the definitional issues, theoretical conceptualizations, assessment strategies, and treatm...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/UWP1-CNHH-L0NK-YQY9
更新日期:1992-01-01 00:00:00