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: psychosocial education for non-psychiatrists, traditional consultation-liaison psychiatry, and 'behavioral medicine.' They present reasons why many of these patients would best be served by having psychiatrists as their primary physicians. Primary care of selected medical patients by psychiatrists is feasible and would improve patient care, interspecialty communication, reimbursement, and recruitment of psychiatric residents.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Fogel BS,Goldberg RJdoi
10.2190/25uq-5tp7-grw5-ph3jsubject
Has Abstractpub_date
1983-01-01 00:00:00pages
185-92issue
3eissn
0091-2174issn
1541-3527journal_volume
13pub_type
杂志文章abstract::This case report describes a 20-year-old man with a severe presentation of anorexia nervosa. His case is unique in that he presented at 49% of his ideal body weight and had a body mass index (BMI) of 11.59. In addition, he had cognitive slowing on exam and had cortical atrophy on a head CT. Other medical complications...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.48.2.b
更新日期:2014-01-01 00:00:00
abstract::We present the case of a thirty-eight-year-old woman who developed a febrile illness which was associated with a rise of blood lithium and amitriptyline, and subsequently suffered permanent neurological impairment, implicating CNS dysfunction at several levels. Medical, laboratory, radiological and neuropsychological ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/t774-au51-l92t-2ra2
更新日期:1986-01-01 00:00:00
abstract::A study of patterns of communications in families with a terminal cancer patient being treated at three urban institutions revealed that may first-order relatives (spouses, children, siblings) of patients did not have a communication link to the physician, especially if direct communication was not established at the ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/7vny-wfnu-5510-v8bc
更新日期:1977-01-01 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:OBJECTIVE:The purpose of this review, which also includes the report of a new case, is to discuss the pervasive denial of responsibility among individuals who have engaged in Munchausen syndrome by proxy (MSBP) behavior. In MSBP, a caretaker (almost always the mother) fabricates or induces illness in her child; she the...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/1B42-9RD9-H1PE-7UVF
更新日期:1994-01-01 00:00:00
abstract::Anti-N-methyl-D-aspartate receptor (NMDA-R) encephalitis, first characterized in 2005, is a neurological disease with prominent psychiatric features that frequently involves the consultation of psychiatrists. Since its discovery, the rate of diagnosis of new cases has increased rapidly and several epidemiological stud...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.46.4.f
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:To examine the associations of Buddhist values with medication and dietary self-care, healthcare use, and glycosylated hemoglobin (HbA1c) level among Thai patients with a confirmed diagnosis of type 2 diabetes. METHOD:A total of 173 patients with non-insulin dependent diabetes mellitus were surveyed at two ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.38.4.g
更新日期:2008-01-01 00:00:00
abstract::The failure-to-thrive syndrome in geriatric patients is marked by social withdrawal, apathy, depression, anorexia, and cognitive impairment. For therapy to be effective, the treatment plan must target several of theseareas. This case report describes one such course of treatment for a patient with multiple myeloma wit...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/J82T-B61G-7DHD-4PW5
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:To determine if demographic differences exist in patients with depressive symptoms as the principal reason for visits to primary care physicians (PCP) versus psychiatrists. To estimate the likelihood of these patients receiving a range of mental health services from each provider group. METHODS:Review and an...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6BUL-MWTQ-0M18-30GL
更新日期:2001-01-01 00:00:00
abstract::During five years of self-medication with Prednisone, a forty-one-year old asthmatic businessman experienced periods of euphoria, psychomotor hyperactivity, and poor judgement; a period of depression and anxiety during temporary steroid withdrawal; and finally, with resumption of Prednisone, episodes of grandiosity an...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/ygla-68km-q2vv-x03m
更新日期:1976-01-01 00:00:00
abstract::Patients coming to general hospital emergency rooms often present mixed physical and psychological problems. An unfortunate tendency of physicians caring for these patients to "label" them as either "organic" or "psychiatric," based on initial impressions, may lead to inadequate diagnosis and improper treatment. Four ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/G3YJ-8DJR-YQV9-DDDL
更新日期:1975-01-01 00:00:00
abstract::Approaching individuals in the emergency situation presenting with medical illness and depression requires an understanding of psychologic, biologic, social, and existential factors that converge to create alterations in mood, thought, and behavior. Clinicians must understand how these same factors may be used in mana...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/p2by-l94j-99p1-xaen
更新日期:1987-01-01 00:00:00
abstract::Background and Objectives This pilot study provides a description and evaluation of process-oriented dynamic group psychotherapy for depression as a teaching modality for family medicine residents. The main purpose of using this modality was to teach family medicine residents a variety of psychological clinical skills...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417703290
更新日期:2017-01-01 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::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::Separation and loss issues arise frequently in pediatric hospital settings. Three forms of psychiatry/psychology liaison are presented which demonstrate: 1. case-centered collaboration to address child and family concerns about death; 2. team-centered activities which link family and staff roles in the course of termi...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/lg8l-3quw-289r-gyy6
更新日期:1981-01-01 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:OBJECTIVE:Recent genome wide association studies (GWASs) assessing the relationship between schizophrenia (SZ) and the ZNF804A gene, particularly the single nucleotide polymorphism (SNP) rs1344706, have yielded conflicting results. Schizophrenia is a heterogeneous disorder, so it is possible that an association may be ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.45.3.f
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:To propose an answer to Medicine's confusion about what Type A Behavior is. METHOD:To critically review early writings about Type A as well as current literature with a focus on five key articles which are frequently mentioned in medical and lay literature as containing relevant data undermining the Type A h...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/CDU1-6JN8-RDW8-70RN
更新日期:1993-01-01 00:00:00
abstract::One-hundred seventy-seven family physicians were surveyed regarding their perceptions of the types of psychosocial problems encountered in their practices, the amount of time they felt they devoted to each problem, and their interests regarding continuing psychiatric education. Patients with "multiple somatic complain...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/174p-4nlg-qr2e-3npn
更新日期:1982-01-01 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::Although many leaders of the medical profession feel that community physicians should take responsibility for the psychiatric disorders of their patients, only a little more than half of the respondents in the current study agreed. The variations in willingness to take on this role and in interest in psychiatric activ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/pwk5-0r78-t7kk-lj5j
更新日期:1980-01-01 00:00:00
abstract:BACKGROUND:Autism spectrum disorder is a heterogenous neurodevelopmental condition accompanied by a variety of associated features. Case reports suggest one such associated feature, food selectivity, increases risk for nutritional deficiencies; however, little attention has been given to prevent and treat nutritional d...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217418791443
更新日期:2019-01-01 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:OBJECTIVE:Prostate cancer is the most common cancer in German men and associated with various physical and psychosocial problems. This study investigated the association between mental distress and the subjective need for psychosocial support comparing subgroups of patients with different treatments and disease stages....
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217420938896
更新日期:2021-01-01 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::Acquired immune deficiency syndrome (AIDS) has become a major public health problem with over 12,000 cases and 6,000 deaths reported to date. Although there has been an explosion of knowledge in the virology, immunology and pathology of AIDS, relatively little has been written on the neuropsychiatric aspects. This rep...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/nucl-gpka-gt8w-5grt
更新日期:1986-01-01 00:00:00
abstract::Even when non-epileptic seizures are correctly diagnosed, appropriate treatment recommendations may not be fully or correctly implemented. We present a case of a 17-year-old girl with frequent non-epileptic seizures who presented for frequent trips to the emergency room (ER) and was admitted to an inpatient Child and ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.42.3.g
更新日期:2011-01-01 00:00:00
abstract::The Existential Plight in cancer is a poorly recognized but significant period. It starts with the definite diagnosis and continues for two to three months into the illness, approximately 100 days. The chief signs are the predominance of life/death concerns, e-en over worries about health or physical symptoms. One hun...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/uq2g-ugv1-3ppc-6387
更新日期:1976-01-01 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