Health care utilization of patients with psychogenic nonepileptic seizures.

Abstract:

:Medical records were reviewed for 94 consecutive inpatients diagnosed with nonepileptic seizures. A 122-item follow-up questionnaire was returned by 71 patients (76%). The majority of the subjects reported fewer seizures (73%), their general health as "very good" (20%) or "good" (37), and "improved" quality of life (55%). Many patients had either discontinued (50%) or reduced (17%) use of anticonvulsant medications. The patients most often sought care from primary care providers (46%), followed by psychiatrists/psychologists (41%) and neurologists (31%). Of the 57 patients (80%) advised to seek psychiatric care, 27 individuals (47%) followed this recommendation.

journal_name

Psychosomatics

journal_title

Psychosomatics

authors

Krahn LE,Reese MM,Rummans TA,Peterson GC,Suman VJ,Sharbrough FW,Cascino GD

doi

10.1016/S0033-3182(97)71398-7

subject

Has Abstract

pub_date

1997-11-01 00:00:00

pages

535-42

issue

6

eissn

0033-3182

issn

1545-7206

pii

S0033-3182(97)71398-7

journal_volume

38

pub_type

杂志文章
  • Shared or discordant grief in couples 2-6 years after the death of their premature baby: effects on suffering and posttraumatic growth.

    abstract:BACKGROUND:The loss of a baby causes severe short- and long-term distress to parents and their marital relationship, but little is known about how this distress is shared between spouses. The authors hypothesized that the grief-related concordance within a couple 2 to 6 years after the loss of a premature baby could be...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.50.2.123

    authors: Büchi S,Mörgeli H,Schnyder U,Jenewein J,Glaser A,Fauchère JC,Ulrich Bucher H,Sensky T

    更新日期:2009-03-01 00:00:00

  • The Millon Behavioral Health Inventory Life Threat Reactivity Scale as a predictor of mortality in patients awaiting heart transplantation.

    abstract::This study examined the Millon Behavioral Health Inventory Life Threat Reactivity Scale (LTRS) as a predictor of mortality in patients awaiting heart transplantation. The one-year mortality while awaiting cardiac transplantation was more than double for the high-risk group based on the LTRS scores. The high-risk group...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(99)71270-3

    authors: Coffman KL,Brandwin M

    更新日期:1999-01-01 00:00:00

  • The Relationship Between Social Anxiety Disorder and Motor Symptoms of Parkinson Disease: A Pilot Study.

    abstract:BACKGROUND:In patients with Parkinson disease (PD), motor symptoms coexist with several nonmotor neuropsychiatric symptoms. Various anxiety subtypes (generalized anxiety disorder, panic disorder, and social anxiety disorder [SAD]) are more prevalent in patients with PD than in the general population. OBJECTIVE:We esti...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2020.03.006

    authors: Moguel-Cobos G,Saldivar C,Goslar PW,Shill HA

    更新日期:2020-01-01 00:00:00

  • Ready, set, relax: biofeedback-assisted relaxation training (BART) in a pediatric psychiatry consultation service.

    abstract:BACKGROUND:Biofeedback-assisted relaxation training (BART) can treat several common pediatric presentations, including chronic pain and anxiety. Its effectiveness, applicability to a variety of conditions, and equipment portability make it an ideal treatment approach for use in an inpatient pediatric consultation-liais...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2014.06.003

    authors: McKenna K,Gallagher KA,Forbes PW,Ibeziako P

    更新日期:2015-07-01 00:00:00

  • Cognitive and social correlates of the Toronto Alexithymia Scale.

    abstract::The authors examine the relationship of the Toronto Alexithymia Scale (TAS) to sociodemographic characteristics, medical history, symptomatology, and illness cognition in a sample of 244 family medicine patients. The TAS had moderate internal reliability. In multiple regression analysis, the TAS was related to age, ed...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(93)71926-X

    authors: Kirmayer LJ,Robbins JM

    更新日期:1993-01-01 00:00:00

  • Incidence of deep vein thrombosis in restrained psychiatric patients.

    abstract:BACKGROUND:Although physical restraint is still used in psychiatric inpatient settings, it sometimes causes serious side effects, including deep vein thrombosis (DVT) and resulting pulmonary embolism. OBJECTIVE:The aim of this study was to investigate the incidence of the DVT in restrained patients who were receiving ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2013.04.001

    authors: Ishida T,Katagiri T,Uchida H,Takeuchi H,Sakurai H,Watanabe K,Mimura M

    更新日期:2014-01-01 00:00:00

  • Untreated trichotillomania and trichophagia: surgical emergency in a teenage girl.

    abstract::Trichophagia secondary to trichotillomania can be a potentially life-threatening condition if left untreated. This report documents the unique case of a 16-year-old girl whose untreated trichotillomania led to a trichobezoar requiring surgical intervention and follow-up psychiatric treatment. Challenges in the identif...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.46.4.362

    authors: Salaam K,Carr J,Grewal H,Sholevar E,Baron D

    更新日期:2005-07-01 00:00:00

  • Constant observation in the general hospital.

    abstract::Constant observation (CO) is a technique in which continuous one-to-one monitoring is used to assure the safety and well-being of an individual patient or others. This study reviewed 115 patient charts in a tertiary-care hospital to determine the correlates and predictors of the financial cost of CO. The mean duration...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.41.4.289

    authors: Blumenfield M,Milazzo J,Orlowski B

    更新日期:2000-07-01 00:00:00

  • Assessing health care needs and clinical outcome with urological case complexity: a study using INTERMED.

    abstract::Urinary tract symptoms and, particularly, urinary incontinence are often chronic and complex conditions that cause diagnosis, treatment, and management problems. In many cases, psychosocial factors contribute to the development of a chronic condition. The authors investigated whether INTERMED, an instrument for assess...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.44.3.196

    authors: Di Gangi Herms AM,Pinggera GM,De Jonge P,Strasser H,Söllner W

    更新日期:2003-05-01 00:00:00

  • Relationships among pain and depressive and anxiety symptoms in clinical trials of pregabalin in fibromyalgia.

    abstract:BACKGROUND:Fibromyalgia, as defined by the American College of Rheumatology, is characterized by widespread pain lasting for at least 3 months, with pain in at least 11 out of 18 tender points when palpated with digital pressure. OBJECTIVE:The authors investigated the relationship between changes in pain and symptoms ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.51.6.489

    authors: Arnold LM,Leon T,Whalen E,Barrett J

    更新日期:2010-11-01 00:00:00

  • Psychosocial distress associated with treatment of hypertensive diseases in pregnancy.

    abstract:BACKGROUND:Hypertensive diseases in pregnancy (HDP) are a great challenge for healthcare providers. OBJECTIVE:The study aimed to investigate the experience of women developing HDP with different stressors associated with healthcare after a diagnosis of HDP. METHOD:A self- administered questionnaire referring to stres...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.49.5.413

    authors: Leeners B,Stiller R,Neumaier-Wagner P,Kuse S,Schmitt A,Rath W

    更新日期:2008-09-01 00:00:00

  • Early-onset versus late-onset HIV-related secondary mania in Uganda.

    abstract:BACKGROUND:First-episode secondary mania in human immunodeficiency virus (HIV) infection has been described among samples of predominantly Caucasian, HIV-positive male patients in developed countries. OBJECTIVE:The goal of this study was to compare the demographic and clinical characteristics of HIV-positive patients ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.49.6.530

    authors: Nakimuli-Mpungu E,Musisi S,Kiwuwa Mpungu S,Katabira E

    更新日期:2008-11-01 00:00:00

  • The future of organ transplant psychiatry.

    abstract::The future of organ transplant psychiatry depends less on immunologic and surgical advances than on 1) an increased supply of donor organs, 2) more sophisticated multicenter outcome studies, and 3) understanding of the subjective as well as objective aspects of compliance and quality of life for transplant recipients....

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(95)71623-1

    authors: Freeman AM 3rd,Westphal JR,Davis LL,Libb JW

    更新日期:1995-09-01 00:00:00

  • Psychiatry in medical practice. Implications for the education of primary care physicians in the era of managed care: Part 2.

    abstract::In Part 1 of this 2-part series, the epidemiology of psychiatric disorders in primary care settings was reviewed as well as evidence that indicates that these conditions often go underrecognized and undertreated by primary care physicians. Educational studies to improve the psychiatric skills of primary care physician...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(97)71497-X

    authors: Stoudemire A

    更新日期:1997-01-01 00:00:00

  • An open clinical trial of venlafaxine treatment of fibromyalgia.

    abstract::Of 15 patients with fibromyalgia who were first evaluated for the presence of Axis I psychiatric diagnoses by use of the Structured Clinical Interview for DSM-IV, 11 completed an open 8-week trial with the novel antidepressant venlafaxine. Six (55%) of 11 completers experienced a > or = 50% reduction of fibromyalgia s...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(98)71375-1

    authors: Dwight MM,Arnold LM,O'Brien H,Metzger R,Morris-Park E,Keck PE Jr

    更新日期:1998-01-01 00:00:00

  • Pseudoseizures, families, and unspeakable dilemmas.

    abstract::Fourteen videotaped family interviews of patients with diagnosed pseudoseizures were studied to determine the relationship of the symptoms to unspeakable dilemmas as forced choices imposed by family or social circumstances under conditions that also require the ensuing distress to be hidden. An unspeakable dilemma was...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(98)71361-1

    authors: Griffith JL,Polles A,Griffith ME

    更新日期:1998-03-01 00:00:00

  • Teaching Collaborative Care in Primary Care Settings for Psychiatry Residents.

    abstract:BACKGROUND:Job descriptions for psychiatrists will change significantly over the next decade, as psychiatrists will be called on to work as caseload consultants to the primary care team. OBJECTIVE:The purpose of this pilot study was to examine the effects of an American Association of Directors of Psychiatric Residenc...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2015.03.006

    authors: Huang H,Barkil-Oteo A

    更新日期:2015-11-01 00:00:00

  • Recognition of delirium on pediatric hospital services.

    abstract:OBJECTIVE:Identify the frequency with which pediatric care teams recognize delirium in patients referred for psychiatric consultation, whether their diagnosis is substantiated by the involved consultant, and whether this diagnosis is documented in the discharge problem list. METHODS:A retrospective chart review was co...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2012.04.012

    authors: Kelly P,Frosch E

    更新日期:2012-09-01 00:00:00

  • Medical Student Experiences on Consultation-Liaison Psychiatry Rotations: A Nationwide Survey.

    abstract:BACKGROUND:Consultation-liaison (C-L) psychiatry clerkship rotations may improve medical students' understanding of psychiatric principles relevant to the settings in which they will ultimately practice. This study aimed to characterize students' experiences on C-L rotations. METHODS:This cross-sectional survey study,...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2017.07.011

    authors: Meyer F,Abbasi O,Kasick D,Lee K,Pelic C,Zinser J,Harris T,Funk M,Academy of Psychosomatic Medicine’s Medical Student Education Subcommittee.

    更新日期:2018-01-01 00:00:00

  • Personality profiles in patients referred for chest pain. Investigation with emphasis on panic disorder patients.

    abstract::Patients (N = 199) referred to cardiac outpatient investigation because of chest pain were assessed with the Personality Diagnostic Questionnaire (PDQ-4). Thirty-nine percent scored positive for any personality disorder. Borderline and avoidant personality disorders were found significantly more often in patients with...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.41.3.269

    authors: Dammen T,Ekeberg O,Arnesen H,Friis S

    更新日期:2000-05-01 00:00:00

  • Are doctors who have been ill more compassionate? Attitudes of resident physicians regarding personal health issues and the expression of compassion in clinical care.

    abstract:BACKGROUND:Compassion is an attribute central to professionalism and modern clinical care, yet little is known about how compassion is acquired and preserved in medical training. We sought to understand whether personal illness experiences are thought by residents to foster compassion. METHODS:The authors surveyed 155...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2011.01.042

    authors: Roberts LW,Warner TD,Moutier C,Geppert CM,Green Hammond KA

    更新日期:2011-07-01 00:00:00

  • Antiretrovirals, Part II: focus on non-protease inhibitor antiretrovirals (NRTIs, NNRTIs, and fusion inhibitors).

    abstract::The second in a series reviewing the HIV/AIDS antiretroviral drugs. This review summarizes the non-protease inhibitor antiretrovirals: nucleoside and nucleotide analogue reverse transcriptase inhibitors (NRTIs), the nonnucleoside reverse transcriptase inhibitors (NNRTIs), and cell membrane fusion inhibitors. In an ove...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.45.6.524

    authors: Zapor MJ,Cozza KL,Wynn GH,Wortmann GW,Armstrong SC

    更新日期:2004-11-01 00:00:00

  • Electroconvulsive therapy in a candidate for heart transplant with an implantable cardiovertor defibrillator and cardiac contractility modulator.

    abstract:BACKGROUND:Electroconvulsive therapy (ECT) can be life-saving in treating depression, even for high-risk cardiac patients. A 56-year-old man with type 2 diabetes and dilated cardiomyopathy, using both a defibrillator and an experimental cardiac contractility modulator, had had episodes of severe depression superimposed...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.49.4.341

    authors: Lynch AM,Pandurangi AK,Levenson JL

    更新日期:2008-07-01 00:00:00

  • The state of the service: a survey of psychiatry resident education in psychosomatic medicine.

    abstract:BACKGROUND:Although required by the Accreditation Council for Graduate Medical Education, training of general psychiatry residents in Psychosomatic Medicine (PM) varies significantly between programs. In 1996, the Academy of Psychosomatic Medicine (APM) developed guidelines for residency training in PM. Since then, the...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2013.07.005

    authors: Heinrich TW,Schwartz AC,Zimbrean PC,Wright MT,Academy of Psychosomatic Medicine's Residency Education Subcommittee.

    更新日期:2013-11-01 00:00:00

  • Gender differences in the disability (functional limitations) associated with cardiovascular disease: a general population study.

    abstract:BACKGROUND:Although it is widely believed that women with heart disease have poorer adjustment than men, the term 'adjustment' has typically been narrowly defined as depression. Gender differences in adjustment more broadly defined to encompass functional limitations in addition to depression have seldom been investiga...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2011.05.005

    authors: Scott KM,Collings SC

    更新日期:2012-01-01 00:00:00

  • Relationship of self-perceptions of memory and worry to objective measures of memory and cognition in the general population.

    abstract::This investigation compared how perceived memory ability or level of worry about memory related to performance on objective tests of memory and cognition. Data from 1,488 participants from the Baltimore cohort of the Epidemiologic Catchment Area study were analyzed. Significant associations were found between self-rat...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.44.6.461

    authors: Podewils LJ,McLay RN,Rebok GW,Lyketsos CG

    更新日期:2003-11-01 00:00:00

  • Somatoform disorders and trauma in medically-admitted children, adolescents, and young adults: prevalence rates and psychosocial characteristics.

    abstract:OBJECTIVE:The purpose of this study is to describe past traumatic experiences in medically-admitted pediatric and young adult patients diagnosed with somatoform disorders and to explore the demographic, diagnostic, and psychosocial differences between those with and without trauma histories. METHODS:Retrospective medi...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2014.05.006

    authors: Thomson K,Randall E,Ibeziako P,Bujoreanu IS

    更新日期:2014-11-01 00:00:00

  • Anxiety Sensitivity in Dermatological Patients.

    abstract:BACKGROUND:Anxiety symptoms commonly occur in dermatological patients and can affect the severity of dermatological symptoms. Anxiety sensitivity (AS), defined as the fear of anxiety symptoms, is a well-supported cognitive vulnerability factor that may be particularly significant in these patients. OBJECTIVE:This stud...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2016.03.001

    authors: Dixon LJ,Lee AA,Viana AG,McCowan NK,Brodell RT,Tull MT

    更新日期:2016-09-01 00:00:00

  • Facial dyskinesias.

    abstract::The face is prominently or exclusively involved in several involuntary movement disorders, called "facial dyskinesias," in addition to the common buccolingual form of tardive dyskinesia. This review describes the appearance of the most frequently occurring facial dyskinesias: chorea, dystonia, tremor, and tics. Some n...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(89)72270-2

    authors: Kaufman DM

    更新日期:1989-07-01 00:00:00

  • Patients with "organically unexplained symptoms" presenting to a borreliosis clinic: clinical and psychobehavioral characteristics and quality of life.

    abstract:OBJECTIVE:This study explores the prevalence of patients with "organically unexplained symptoms" presenting to a Lyme borreliosis clinic and describes their clinical and psychobehavioral characteristics as well as health-related quality of life. METHODS:Study instruments consisted of a set of self-rating questionnaire...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2012.08.012

    authors: Csallner G,Hofmann H,Hausteiner-Wiehle C

    更新日期:2013-07-01 00:00:00