Determining the effect that consultation-liaison psychiatry in primary care has on family physicians' psychiatric knowledge and practice.

Abstract:

:The impact of a community-based consultation-liaison (C-L) psychiatry service on family physicians' levels of psychiatric knowledge, diagnostic and treatment confidence, and patterns of referral to mental health care agencies was evaluated over a 12-month period. The physicians with long-term access to the C-L service had higher levels of psychiatric knowledge than those with short-term or no access. However, there was no evidence that the C-L service produced changes in the physicians' levels of clinical confidence, referral likelihood, or psychiatric knowledge during the evaluation period. Significant predictors of psychiatric knowledge were age (younger) and gender (women). The participating physicians were highly satisfied with the service and preferred it over other possible referral agencies. However, community C-L services in family practice appear to have a limited role in the provision of psychiatric care and are not an efficient way for improving family physicians' levels of psychiatric knowledge or altering their practices. The appropriate role of community C-L psychiatry may be as one component of a comprehensive service-delivery strategy integrated within ongoing, formal family-physician educational programs.

journal_name

Psychosomatics

journal_title

Psychosomatics

authors

Carr VJ,Faehrmann C,Lewin TJ,Walton JM,Reid AA

doi

10.1016/S0033-3182(97)71458-0

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

217-29

issue

3

eissn

0033-3182

issn

1545-7206

pii

S0033-3182(97)71458-0

journal_volume

38

pub_type

杂志文章,评审
  • Determinants of quality of life in Marfan syndrome.

    abstract:BACKGROUND:Marfan syndrome (MFS) is a rare, heritable disorder that affects connective tissue. Men and women are equally affected. Clinical manifestations involve multiple sites, especially bones and ligaments and heart and blood vessels. OBJECTIVE:Authors sought to investigate quality of life (QoL) in MFS patients, a...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.49.3.243

    authors: Fusar-Poli P,Klersy C,Stramesi F,Callegari A,Arbustini E,Politi P

    更新日期:2008-05-01 00:00:00

  • Cognitive Dysfunction in Patients With Late-Life Somatic Symptom Disorder: A Comparison According to Disease Severity.

    abstract:BACKGROUND:Late-life somatic symptom disorder (SSD) is characterized by various aging-associated factors, such as a functional decline, psychosocial problems, and cognitive dysfunction. However, the details of the cognitive dysfunction that occur in late-life SSD are still unknown. OBJECTIVE:The aims of this study wer...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2014.10.004

    authors: Inamura K,Shinagawa S,Nagata T,Tagai K,Nukariya K,Nakayama K

    更新日期:2015-09-01 00:00:00

  • Self-reported depression and cardiovascular risk factors in a community sample of women.

    abstract::The authors examined data collected from a randomly selected, representative sample of 755 women (ages 23-97 years) from southeastern Australia. Self-report questionnaires were utilized to determine lifetime rates of depression and cardiovascular risk factors within the study sample. A lifetime history of depression (...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.48.1.54

    authors: Jacka FN,Pasco JA,McConnell S,Williams LJ,Kotowicz MA,Nicholson GC,Berk M

    更新日期:2007-01-01 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

  • Evidence for the partial dopamine-receptor agonist aripiprazole as a first-line treatment of psychosis in patients with iatrogenic or tumorogenic hyperprolactinemia.

    abstract:BACKGROUND:Antipsychotic drugs have many side effects, including elevation of prolactin levels through tuberoinfundibular dopamine-receptor blockade. Although a number of studies claim that aripiprazole is a prolactin-sparing antipsychotic drug that may even lower prolactin levels, there has not been an exhaustive eval...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.50.4.317

    authors: Hoffer ZS,Roth RL,Mathews M

    更新日期:2009-07-01 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

  • 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

  • Subjective body complaints as an indicator of somatization in elderly patients.

    abstract::The authors examined the correlation of subjective body complaints (measured by the Giessen Subjective Complaints List) with sociodemographic data, objective health measures, measures of subjective well-being, and clinicians' ratings of somatization and psychological impairment in 251 cognitively unimpaired general ho...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.44.2.91

    authors: Schneider G,Wachter M,Driesch G,Kruse A,Nehen HG,Heuft G

    更新日期:2003-03-01 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

  • 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

  • Psychiatric aspects of the eosinophilia-myalgia syndrome.

    abstract::The eosinophilia-myalgia syndrome (EMS) is a rare systemic disease caused by presumably contaminated L-tryptophan. Thirteen outpatients with EMS were found to have a high degree of depression, anxiety, and difficulty adjusting to illness. Pre-EMS history of major depression but not EMS severity predicted poor adjustme...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/s0033-3182(95)71703-0

    authors: Epstein SA,Krahn L,Clauw DJ,Gomes AP,Weigert S,Goldberg RL

    更新日期:1995-01-01 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

  • Sexual abuse in patients with anorexia nervosa and bulimia.

    abstract::Few studies have documented the extent and nature of sexual abuse among women who later come to treatment for anorexia nervosa or bulimia. This comparison study reports on a sample of 158 patients admitted to an eating-disorder unit, of whom 60 gave a history of sexual abuse, compared to 98 with no history of abuse. F...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(89)72320-3

    authors: Hall RC,Tice L,Beresford TP,Wooley B,Hall AK

    更新日期:1989-01-01 00:00:00

  • White Matter Lesions, Carotid and Coronary Atherosclerosis in Late-Onset Depression and Healthy Controls.

    abstract:BACKGROUND:Cerebral white matter lesions (WMLs) are more common in individuals with late-onset or late-life depression. It has been proposed that carotid atherosclerosis may predispose to WMLs by inducing cerebral hypoperfusion. This hemodynamic effect of carotid atherosclerosis could be important for the formation of ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2016.02.005

    authors: Devantier TA,Nørgaard BL,Poulsen MK,Garde E,Øvrehus KA,Marwan M,Achenbach S,Dey D,Sørensen LH,Videbech P

    更新日期:2016-07-01 00:00:00

  • Fatigue in psychiatric HIV patients: a pilot study of psychological correlates.

    abstract:BACKGROUND:Even though viral management of HIV infection is now more effective, clinical observations suggest that fatigue remains a problem for a substantial proportion of patients. OBJECTIVE:The authors delineated prevalence and severity of fatigue in HIV patients with psychiatric comorbidities and examined psycholo...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.50.5.455

    authors: Paddison J,Fricchione G,Gandhi RT,Freudenreich O

    更新日期:2009-09-01 00:00:00

  • Medical-Surgical Hospitalization Among Veterans With Psychiatric and Substance Use Disorders.

    abstract:BACKGROUND:Mental illness is associated with an increased risk for medical hospitalizations. OBJECTIVE:This study investigates the degree to which nonpsychiatric factors account for these hospitalizations. METHODS:Using National Veterans Health Administration (VHA) fiscal year 2012 data for 2 million veterans under t...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2019.04.005

    authors: Moore DT,Rosenheck RA

    更新日期:2019-01-01 00:00:00

  • Psychiatric and medical factors associated with disability in patients with dizziness.

    abstract::Dizziness is a common patient symptom and often remains medically unexplained even after an extensive work-up. The otologic disorders, psychiatric disorders, and functional disability of 75 patients presenting with dizziness to a community otolaryngology practice were assessed in 1991. The patients were classified acc...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(93)71844-7

    authors: Clark MR,Sullivan MD,Katon WJ,Russo JE,Fischl M,Dobie RA,Voorhees R

    更新日期:1993-09-01 00:00:00

  • Change in psychosocial functioning and quality of life of patients with body dysmorphic disorder treated with fluoxetine: a placebo-controlled study.

    abstract::In a 12-week placebo-controlled study of fluoxetine in the treatment of body dysmorphic disorder, the authors investigated change in psychosocial functioning and mental health-related quality of life in 60 subjects. The subjects were assessed with the LIFE-RIFT (a measure of impaired functioning), Social and Occupatio...

    journal_title:Psychosomatics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1176/appi.psy.45.5.438

    authors: Phillips KA,Rasmussen SA

    更新日期:2004-09-01 00:00:00

  • Specialty behavioral health service use among chronically ill medicare advantage patients with substance use problems.

    abstract:OBJECTIVE:This study examines the use of substance abuse and mental health services among older adults with substance use disorders. METHODS:Participants were members of Humana Cares, a subsidiary of Humana, Inc., a care management program for chronically ill Medicare Advantage members, between 2008 and 2010. All adul...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2013.05.008

    authors: Huang H,Chan YF,Bauer AM,Suzuki J,Katon W,Russo J,Hogan D,Unützer J

    更新日期:2013-11-01 00:00:00

  • The etiology of depression in Parkinson's disease patients.

    abstract::Depression is the major psychiatric complication of Parkinson's disease, and it occurs in approximately one-third of all cases. Diagnosis of depression is complicated by the overlap of depressive and parkinsonian symptoms. Its etiology is not fully understood but involves changes in dopamine and serotonin. Depression ...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(91)72039-2

    authors: Guze BH,Barrio JC

    更新日期:1991-10-01 00:00:00

  • Depression in Korean immigrants with hepatitis B and related liver diseases.

    abstract::The authors evaluated 50 Korean immigrants who had chronic viral hepatitis or who were healthy carriers for the hepatitis B virus in terms of the relationships between their depression scores, psychosocial stressors, social support, and biological markers of dysfunction. All participants completed a questionnaire, des...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.41.6.472

    authors: Kunkel EJ,Kim JS,Hann HW,Oyesanmi O,Menefee LA,Field HL,Lartey PL,Myers RE

    更新日期:2000-11-01 00:00:00

  • COMPRI--an instrument to detect patients with complex care needs: results from a European study.

    abstract::The authors developed a screening instrument to detect patients in need of complex care coordination at admission to a general hospital. On the basis of a series of risk factors for care complexity, the authors constructed a short, care complexity prediction instrument (COMPRI) and assessed its qualities. The COMPRI i...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.42.3.222

    authors: Huyse FJ,de Jonge P,Slaets JP,Herzog T,Lobo A,Lyons JS,Opmeer BC,Stein B,Arolt V,Balogh N,Cardoso G,Fink P,Rigatelli M

    更新日期:2001-05-01 00:00:00

  • Consultants' conflicts: a case discussion of differences and their resolution.

    abstract::Conflicts among consultants are frequent in general hospitals. Unfortunately, such disputes are rarely resolved to the satisfaction of all concerned. The authors discuss the conflicts that may arise among consultants and review techniques that can lead to more effective collaboration. Authors review the literature on ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.49.1.8

    authors: Caplan JP,Epstein LA,Stern TA

    更新日期:2008-01-01 00:00:00

  • The prevalence of the metabolic syndrome in psychiatric inpatients with primary psychotic and mood disorders.

    abstract::Patients with severe mental illness have elevated rates of cardiovascular disease (CVD) and diabetes compared with the general population, but little is known about the prevalence of the metabolic syndrome that predisposes patients with severe mental illness to both medical conditions. The purpose of this study was to...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.47.6.491

    authors: Bermudes RA,Keck PE Jr,Welge JA

    更新日期:2006-11-01 00:00:00

  • Treatment of behavioral problems with pindolol.

    abstract::A study was conducted on a group of chronically hospitalized, brain-damaged male patients to assess the effectiveness of treatment with pindolol on behavioral problems. The study was conducted in two parts. The first was a double-blind, placebo-controlled analysis of the effect of pindolol on assaultive behavior, both...

    journal_title:Psychosomatics

    pub_type: 临床试验,杂志文章

    doi:10.1016/S0033-3182(89)72297-0

    authors: Greendyke RM,Berkner JP,Webster JC,Gulya A

    更新日期:1989-04-01 00:00:00

  • Somatoform disorder and the DSM-V Workgroup's interim proposals: two central issues.

    abstract::This paper discusses the published interim report of the DSM-V Workgroup onSomatic Symptom Disorders (SSDs). "SSD" is the term proposed by the Workgroup to replace "somatoform disorder." ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2012.03.002

    authors: Sykes R

    更新日期:2012-07-01 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

  • Factors associated with disability and depressive symptoms among individuals with diabetes: a community study in Quebec.

    abstract:BACKGROUND:The prevalence of diabetes in Canada is increasing. Multiple factors have been identified in the development of disability in diabetic patients, but the interaction of those risk factors is not clear. OBJECTIVE:The purpose of this paper was to assess the association between diabetes severity, health behavio...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2010.11.020

    authors: Schmitz N,Messier L,Nitka D,Ivanova A,Gariepy G,Wang J,Malla A,Boyer R,Lesage A,Strychar I

    更新日期:2011-03-01 00:00:00

  • Impact of delirium on decision-making capacity after hematopoietic stem-cell transplantation.

    abstract:BACKGROUND:Delirium is a common complication of myeloablative hematopoietic stem-cell transplantation (HSCT), yet no studies have explored the later effects of an episode of delirium in this setting on patients' decision-making capacity after the acute symptoms of delirium have resolved. OBJECTIVE:The authors assessed...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.51.4.320

    authors: Zaubler T,Fann JR,Roth-Roemer S,Katon WJ,Bustami R,Syrjala KL

    更新日期:2010-07-01 00:00:00

  • Pediatric Catatonia: A Case Series-Based Review of Presentation, Evaluation, and Management.

    abstract:BACKGROUND:Pediatric catatonia is believed to be a rare condition, but challenges in recognition and variability in presentation may lead to underdiagnosis. Early identification and effective treatment of pediatric catatonia is critical given the significant morbidity and mortality associated with the condition. Given ...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.psym.2018.05.012

    authors: Sorg EM,Chaney-Catchpole M,Hazen EP

    更新日期:2018-11-01 00:00:00