Abstract:
:This article presents several case studies which illustrate the way in which a terminal patient's attention may be diverted from the primary disease process, cancer, to secondary somatic symptomatology such as pain and nausea. This phenomenon has important consequences for the patient, family, physician, and the patient's medical treatment. These consequences are discussed in terms of primary gain, tertiary gain, and the "medicalization of existential problems."
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Wright MH,Nehemkis AMdoi
10.2190/ap4y-x1u9-ftdh-w7dcsubject
Has Abstractpub_date
1983-01-01 00:00:00pages
267-75issue
4eissn
0091-2174issn
1541-3527journal_volume
13pub_type
杂志文章abstract::Depression, anxiety and fear of recurrence following myocardial infarction often lead to disability in excess of actual cardiac impairment in a large number of patients. The high social, economic and emotional cost of psychogenic cardiac invalidism has stimulated the development of cardiovascular rehabilitation progra...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6bca-7buk-0vwd-83le
更新日期:1977-01-01 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::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::The present study examines the sensitivity and specificity of the Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for post-stroke depression. Eighty stroke patients were evaluated by a research nurse over a two-year period using the CES-D and also by a trained psychiatrist using a s...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/bh75-euya-4fm1-j7qa
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:As evidence of a biologic determinant of schizophrenia has been elaborated, an interest in the relationship between schizophrenia and autoimmune disorders has become increasingly more developed over the last decade. Pedigree analysis has shown that schizophrenia, like autoimmune disorders, is likely a herita...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/V8JB-5M7Q-L5XU-XR2A
更新日期:2004-01-01 00:00:00
abstract::This article explores the association between normal pressure hydrocephalus and psychiatric symptoms, such as depressed mood, delusions, and hallucinations. We are reporting a case of a 30-year-old female with a history of congenital hydrocephalus, is used to illustrate this association. Such patients may benefit from...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/HQXL-FV6T-03UF-XANH
更新日期:2001-01-01 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::Recent case reports have suggested an association between anorexia nervosa and/or bulimia with insulin-dependent diabetes mellitus (IDDM). Fifty-eight females aged fifteen to twenty-two with IDDM for more than one year were assessed for the presence of eating disorders. Patients were screened for eating and weight pat...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/hulh-ctpr-4v17-383c
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVE:We hypothesized that a systematic determination of symptom severity would predict psychiatric admission for non-suicidal patients referred for a psychiatric evaluation in an urban emergency department (ED) setting. METHOD:In a pilot study involving consecutive patients referred for a psychiatric evaluation i...
journal_title:International journal of psychiatry in medicine
pub_type: 临床试验,杂志文章
doi:10.2190/1YVH-LBFF-QJRD-R2ET
更新日期:1998-01-01 00:00:00
abstract::This article aims to promote awareness among primary care providers and support electroconvulsive therapy as a generally well-tolerated, effective therapeutic modality to treat specific psychiatric conditions in appropriately selected patients. There seem to be several potential barriers to treatment with electroconvu...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.1177/0091217416651255
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:The aim of this article is to review and discuss the efficacy of the Cognitive-Behavioral Therapy (CBT), in the prevention of postnatal depression (PD) in pregnant women at risk. METHOD:PubMed, Medline, PsychInfo, Embase, and the Cochrane Library databases were searched from February 1991 to February 2011. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/PM.43.3.b
更新日期:2012-01-01 00:00:00
abstract::Personal and familial psychopathological histories and information about early losses were collected and the results of the locus of control test and tests for psychological responses were determined for a series of ninety-two HIV-infected subjects (58 drug addicts; 26 homosexuals; 8 heterosexuals, partners of drug ad...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/8R5Y-1KFG-5JN8-R0DP
更新日期:1990-01-01 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:The purpose of this study was to examine the course and clinical correlates of depression during the first year after myocardial infarction. METHOD:A group of seventy patients hospitalized for the treatment of myocardial infarction (MI) were assessed for the presence of mood disorders during their hospital a...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/U8R0-A61Y-AKRP-T24V
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVE:To examine the relationship between adherence to antidepressant medications and HbA1c levels among patients with diabetes in a managed care setting. METHOD:The analysis included measures of HbA1c levels before, during, and after initial antidepressant use among 568 patients with diabetes enrolled in the Harv...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/KKGW-Y42P-BAAB-JDJ0
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:The development of instruments to measure emotional maladjustment in diabetic Hispanic populations has received little attention. We present the development and validation of the Diabetes Emotional Adjustment Scale in Spanish. METHOD:An eighteen-item self-administered scale was construed to assess emotional ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/95FU-2TVW-UA8C-LPN8
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVE:This study sought to determine whether patients on psychiatric medication evaluated by inpatient consultation psychiatrists followed up with psychiatric aftercare and continued psychiatric medication 8 weeks post-discharge. Barriers to care and their effect on aftercare follow-up were assessed. METHOD:This w...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.44.1.a
更新日期:2012-01-01 00:00:00
abstract::The epidemiological triad of host, agent and environment used conceptually in infectious disease may serve as a model for psychosomatic disorders, despite the involvement of many more variables. There are major problems with diagnosis and measurement, however, and the term "psychosomatic" has several meanings. The two...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:
更新日期:1975-01-01 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::Olanzapine, an atypical antipsychotic, is often regarded as a safe choice for psychosis management. We hereby report an aged case that presented with conscious depression, bradycardia, hypotension, miosis and hypothermia. Olanzapine was thought to be the offending agent. His condition improved with supportive therapy....
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/U99G-XDML-0GRG-BYE0
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES AND METHODS:Perimenstrual psychosis is an uncommon disorder, not included under the accepted classifications of functional psychoses. Our aim was to describe two Israeli female adolescents who fit this diagnosis. RESULTS:Both youngsters developed an acute psychosis a few days before menstruation, which subs...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6E0C-52XC-GGWQ-DPU4
更新日期:2003-01-01 00:00:00
abstract::A prospective study over three months explored whether measures of response "qualities" of life change events (e.g., whether the event was positive or negative in its subjective impact) enhance the ability of a simple counting of recent life change events to predict near future illness rates. Thirty-four nursing stude...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/jlhc-trd4-568w-nqt9
更新日期:1978-01-01 00:00:00
abstract::A patient whose clinical presentation met criteria for schizophreniform disorder was ultimately found to have neurosarcoidosis, and the psychiatric symptoms responded to steroid treatment. The ongoing search for organic etiology was prompted by the presence of cognitive decline, perseveration and rare bizarre automati...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/4AHB-AH4N-URK2-T22J
更新日期:1992-01-01 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::This article challenges the belief that depression and anxiety are the inevitable consequences of medical illness. The authors describe how cognitive behavioral therapy can help individuals accept their disabilities and modify the distorted thinking patterns which may compound their suffering. Three case studies demon...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/aabl-pqm5-jyq9-uu9e
更新日期:1989-01-01 00:00:00
abstract::Dialysis encephalopathy (DE) is a distinct neuropsychiatric syndrome typically occurring in patients undergoing longterm hemodialysis. It is characterized by electroencephalographic abnormalities in association with disturbances of speech, cognition, movement, affect, or behavior. Previously thought to be relentlessly...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/c36r-6wgp-lcyu-9vrg
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:Religious and spiritual factors in intimate partner violence have received increasing attention. But are such factors related to outcomes in violent relationships? The purpose of this study was to assess the relative impact of spiritual symptoms and religious coping on attitudinal/behavioral and clinical outc...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415589297
更新日期:2015-01-01 00:00:00
abstract::Philosophical and theological notions regarding food and eating are briefly reviewed, as is the history of anorexia nervosa. Modern studies of social, psychological, and biological aspects of anorexia nervosa have failed, as yet, to provide an organized coherent understanding of the etiology of this disorder. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/844b-8rpe-621y-g3dk
更新日期:1981-01-01 00:00:00
abstract::The prevalence of alcohol related admissions to hospitals in Manitoba was examined in an investigation limited to the general medicine units of four representative hospitals within the province. All admissions during one-month periods were closely examined. In order to determine if an admission was related to alcohol,...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/b8tq-5eg9-fht8-uvxl
更新日期:1989-01-01 00:00:00
abstract::The case of a man who falsely represented himself as being HIV positive is reported. In less than one year he was admitted twice with symptoms suggestive of HIV infection. The diagnoses malingering and factitious disorder were consecutively made. Early recognition of Factitious Disorder is essential to prevent patient...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/4BJM-U288-Q8KR-JQ3C
更新日期:1991-01-01 00:00:00