Bad trip due to anticholinergic effect of cannabis.

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

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

abstract：OBJECTIVE:Despite a good prognosis, the typically young age at diagnosis and physical sequelae may cause psychological distress in germ cell tumor survivors. We aimed to determine the frequency of anxiety and depression and analyze the impact of demographic and disease-related factors. METHOD:We enrolled N=164 testicu...

journal_title：General hospital psychiatry

authors： Vehling S,Mehnert A,Hartmann M,Oing C,Bokemeyer C,Oechsle K

更新日期：2016-01-01 00:00:00

abstract：OBJECTIVE:This study aimed at determining the prevalence of psychosis in tuberculosis (TB) patients in comparison to nontuberculosis control and its correlation with disease pattern. METHOD:One hundred and fifteen patients with TB and 112 family members visiting the multidrug treatment-resistant treatment center at Un...

journal_title：General hospital psychiatry

authors： Lasebikan VO,Ige OM

更新日期：2015-11-01 00:00:00

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

authors： Christiansen DM,Elklit A,Olff M

更新日期：2013-11-01 00:00:00

abstract：OBJECTIVES:We examined whether primary care patients were more likely to perceive a current health problem as 'physical illness only' as opposed to entailing psychological difficulties if they had a comorbid somatoform disorder compared to patients who had (a) both comorbid somatoform disorder and anxiety/depression or...

journal_title：General hospital psychiatry

authors： Frostholm L,Ørnbøl E,Fink PK

更新日期：2015-03-01 00:00:00

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

authors： Deb KS,Gupta R,Varshney M

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Oral loading with the delayed release formulation of divalproex sodium is widely used for the treatment of patients with acute mania and produces rapid attainment of therapeutic serum levels. Recently, an extended release formulation of divalproex sodium (divalproex ER) was approved for treatment of migraine...

journal_title：General hospital psychiatry

authors： Miller BP,Perry W,Moutier CY,Robinson SK,Feifel D

更新日期：2005-05-01 00:00:00

abstract：:We report the case of a young man diagnosed with schizophrenia who presented with stalking behaviors that may have been caused by problematic use or participation in social media networks (SMN). We review the possible role of SMN in the formation of his romantic delusion and offer suggestions for clinicians around inc...

journal_title：General hospital psychiatry

authors： Krishna N,Fischer BA,Miller M,Register-Brown K,Patchan K,Hackman A

更新日期：2013-09-01 00:00:00

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

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

abstract：OBJECTIVE:Primary care providers are increasingly taking on the role of ad hoc mental health provider. However, before patients in primary care can be treated, they must be identified. This study set out to validate a very brief screening instrument for identifying primary care patients with anxiety and depression. ME...

journal_title：General hospital psychiatry

authors： Means-Christensen AJ,Sherbourne CD,Roy-Byrne PP,Craske MG,Stein MB

更新日期：2006-03-01 00:00:00

abstract：:The validity and clinical use of a recently developed instrument to assess health care needs of patients with a physical illness, called INTERMED, is investigated. The INTERMED combines data reflecting patients' biological, psychological, and social characteristics with information on health care utilization character...

journal_title：General hospital psychiatry

authors： Stiefel FC,de Jonge P,Huyse FJ,Guex P,Slaets JP,Lyons JS,Spagnoli J,Vannotti M

更新日期：1999-01-01 00:00:00

abstract：:The psychiatric literature on competency indicates that a diagnosable psychiatric condition alone does not imply incompetency to make treatment decisions. Nonetheless, it is frequently assumed that individuals who are either mentally retarded or demented are incompetent to make decisions. The authors, focusing on the ...

journal_title：General hospital psychiatry

authors： Kaplan KH,Strang JP,Ahmed I

更新日期：1988-11-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to examine the extent of health care utilisation (excluding costs) of diabetic patients with and without depressive symptoms attending a specialist clinic in Singapore. METHODS:A total of 537 Asian outpatients (aged 21 years and above) who were attending a Diabetes Centre were...

journal_title：General hospital psychiatry

authors： Subramaniam M,Sum CF,Pek E,Stahl D,Verma S,Liow PH,Chua HC,Abdin E,Chong SA

更新日期：2009-05-01 00:00:00

abstract：:Hypochondriasis is frequently defined as a chronic condition distinct from anxiety and depressive disorders. Consecutive primary care attenders (n=25,916) were screened using the General Health Questionnaire and a stratified random sample (n=5447) completed a baseline diagnostic assessment. All patients with significa...

journal_title：General hospital psychiatry

authors： Simon GE,Gureje O,Fullerton C

更新日期：2001-03-01 00:00:00

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

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

更新日期：1996-11-01 00:00:00

abstract：OBJECTIVE:Hospital crowding is a public health problem that may impact on the quality of medical treatment and increase the risk of developing traumatic stress, e.g., after myocardial infarction (MI). This study examines whether subjective appraisal of crowding at hospital admission due to MI is associated with acute s...

journal_title：General hospital psychiatry

authors： Meister RE,Weber T,Princip M,Schnyder U,Barth J,Znoj H,Schmid JP,von Känel R

更新日期：2016-03-01 00:00:00

abstract：OBJECTIVE:Post-intensive care syndrome (PICS), which encompasses profound psychological morbidity, affects many survivors of critical illness. We hypothesize that acute psychological stress during the intensive care unit (ICU) confinement likely contributes to PICS. In order to develop strategies that mitigate PICS ass...

journal_title：General hospital psychiatry

authors： Dziadzko V,Dziadzko MA,Johnson MM,Gajic O,Karnatovskaia LV

更新日期：2017-07-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to determine the effect of adjuvant light therapy with antipsychotic treatment in patients with delirium. METHODS:Thirty-six patients were referred to the consulting psychiatry division of our hospital for a disturbance in consciousness. The patients were randomized to risperido...

journal_title：General hospital psychiatry

authors： Yang J,Choi W,Ko YH,Joe SH,Han C,Kim YK

更新日期：2012-09-01 00:00:00

abstract：OBJECTIVE:Patients with factitious disorder (FD) fabricate illness, injury or impairment for psychological reasons and, as a result, misapply medical resources. The demographic and clinical profile of these patients has yet to be described in a sufficiently large sample, which has prevented clinicians from adopting an ...

journal_title：General hospital psychiatry

authors： Yates GP,Feldman MD

更新日期：2016-07-01 00:00:00

abstract：:This report describes the background, rationale, and research plan for a comparative treatment trial of the effectiveness of paroxetine, problem-solving therapy (PST-PC), and placebo in the treatment of minor depression and dysthymia in primary care patients. Patients were recruited from a variety of primary care prac...

journal_title：General hospital psychiatry

authors： Barrett JE,Williams JW Jr,Oxman TE,Katon W,Frank E,Hegel MT,Sullivan M,Schulberg HC

更新日期：1999-07-01 00:00:00

abstract：:A study was conducted of all 51 patients admitted on 64 occasions with self-inflicted burns to the Welsh Regional Burns Unit between January 1979 and January 1991. Two different groups of patients were identified, namely, patients who attempted suicide and patients with self-mutilative behavior. Their differences on a...

journal_title：General hospital psychiatry

authors： Sonneborn CK,Vanstraelen PM

更新日期：1992-11-01 00:00:00

abstract：:This report describes the rates of recovery and remission from minor depression or dysthymia in primary care patients three months after completing a randomized controlled treatment trial. The subjects were primary care patients who received > or =4 treatment sessions with Problem-Solving Treatment, paroxetine, or pla...

journal_title：General hospital psychiatry

authors： Oxman TE,Barrett JE,Sengupta A,Katon W,Williams JW Jr,Frank E,Hegel M

更新日期：2001-11-01 00:00:00

abstract：:The medical-psychiatric unit concept has been the most important influence in the development of general hospital inpatient psychiatry in the last decade. This concept and style of unit organization is reviewed in the context of the history of general hospital inpatient psychiatry. It is suggested that elements of the...

journal_title：General hospital psychiatry

authors： Summergrad P

更新日期：1994-01-01 00:00:00

abstract：:A 48-year-old woman with head and neck pain and upper extremity weakness demonstrated equivocal neurologic findings and otherwise essentially negative laboratory and x-ray evaluations. An interview at a case conference revealed significant depression, severe marital discord, and a poor self-image. The correlation of t...

journal_title：General hospital psychiatry

authors： Agle D,Brody D

更新日期：1980-12-01 00:00:00

abstract：OBJECTIVE:The objective was to describe continuity of care approaches for psychiatric emergencies in the emergency department. METHODS:A national survey of all 138 academic emergency departments in the United States was conducted. RESULTS:Most emergency physicians (81%) had no systematic method for identifying psychi...

journal_title：General hospital psychiatry

authors： Boudreaux ED,Niro K,Sullivan A,Rosenbaum CD,Allen M,Camargo CA Jr

更新日期：2011-11-01 00:00:00

abstract：OBJECTIVE:Thyroid dysfunction is common during pregnancy and the postpartum period and is known to cause psychiatric disturbances. A woman with Graves' disease and psychosis in the postpartum period is described. METHODS:A 22-year-old woman with Graves' disease developed fluctuating orientation, catatonia, delusions o...

journal_title：General hospital psychiatry

authors： Dahale AB,Chandra PS,Sherine L,Thippeswamy H,Desai G,Reddy D

更新日期：2014-11-01 00:00:00

abstract：OBJECTIVE:The goal of this paper was to examine the relationship between history of substance use disorder (SUD) and self-reported prescription medication misuse in 127 primary care patients who receive opioid medications for treatment of chronic pain. METHOD:Participants completed measures of pain location, pain inte...

journal_title：General hospital psychiatry

authors： Morasco BJ,Dobscha SK

更新日期：2008-03-01 00:00:00

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

authors： Brack G,LaClave LJ,Heumann KA

更新日期：1989-05-01 00:00:00

abstract：:Several predictors of the course of depression and generalized anxiety have been identified. Whether these predictors provide a solid basis for primary care physicians (PCPs) to give an accurate prognosis remains unclear. A parallel study showed modest agreement between PCP prognosis and observed course (kappa< or = 0...

journal_title：General hospital psychiatry

authors： van den Brink RH,Ormel J,Tiemens BG,Smit A,Jenner JA,van der Meer K,van Os TW

更新日期：2002-05-01 00:00:00

abstract：:A sample of 196 general medical patients with multiple unexplained somatic complaints was used to compare the performance (sensitivity and specificity) and positive and negative predictive values for the published screening indexes for somatization disorder. This study shows similar performances for both the DSM-III-R...

journal_title：General hospital psychiatry

authors： Smith GR Jr,Brown FW

更新日期：1990-05-01 00:00:00