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 time of diagnosis. Family members were frequently critical of the way information was communicated, yet relied upon the physician's interpretation of the patient's status to form their own opinion of the patient's future. Intra-familial communications regarding illness and dying were frequently discordance and guarded, leading to preceptions that the patient was withdrawing, and fostering a reliance upon the hospital for terminal care. More than half of the family members were uncomfortable visiting the patient in the hospital, experiencing feelings of helplessness, or sensing helplessness in the patients. Bearing the patient's pain was seen as particularly difficult.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Krant MJ,Johnston Ldoi
10.2190/7vny-wfnu-5510-v8bcsubject
Has Abstractpub_date
1977-01-01 00:00:00pages
203-16issue
2eissn
0091-2174issn
1541-3527journal_volume
8pub_type
杂志文章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: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:Borderline personality disorder (BPD) is characterized in the DSM by anger. While previous studies have examined various types of externalized aggression and violence among individuals with BPD, we are aware of no investigations of disruptive behaviors perpetrated by patients with BPD in medical settings-the ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.41.4.e
更新日期:2011-01-01 00:00:00
abstract::Noncompliance in the taking of medication for a chronic disorder was related to emotional adjustment, psychosocial adjustment, ability to assume responsibility in life generally, and financial factors. Of 282 adults with epilepsy, eighty were identified by physicians' ratings as definitely compliant and forty-two as n...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/4ny4-3p1r-e2r9-mhcy
更新日期:1987-01-01 00:00:00
abstract::The existence of the putative "serotonin irritation syndrome" (SIS) was tested in a human population. Volunteers were exposed to a highly cationized environment for two hours. Symptoms of anxiety and excitement significantly increased. During the time of exposure serum serotonin levels also increased significantly. Th...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/gm1h-2gbg-jk6r-vy2a
更新日期:1986-01-01 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:To gain more understanding about the relationship between human immunodeficiency virus type 1 (HIV-1) infection and new-onset psychosis, we compared clinical and immunological findings, psychiatric symptoms, global cognitive performance and, when available, computerized tomography (CT) findings between HIV-1-...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PLGX-N48F-RBHJ-UF8K
更新日期:2000-01-01 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: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::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::Across the lifespan, alcohol misuse affects a large percentage of patients seen in primary care clinics. It can lead to alcohol use disorders, ranging from risky use to alcohol dependence. Alcohol use disorders frequently complicate acute and chronic illnesses of patients seen in FM clinics. Screening patients for alc...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415592363
更新日期:2015-01-01 00:00:00
abstract::We present the case of a 21-year-old young lady with Wilson's disease, asymptomatic at first and consequently declining prophylaxis with chelating agents, who presented years after her diagnosis was made with multiple motor and neuropsychiatric manifestations of the disease, causing extensive morbidity and a major dec...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/1A0B-2M98-0VVE-485R
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:Epilepsy is a common condition worldwide and has been observed to affect quality of life (QOL). Though, much has been written on this subject among western populations, little research has been done in developing countries of Africa including Nigeria. The study aims to identify factors associated with quality...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/R80G-580X-X1H2-6936
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:This study was designed to identify: 1) predictors of antidepressant pharmacotherapy among patients diagnosed with depression; and 2) predictors of prescription for either a selective-serotonin reuptake inhibitor (SSRI), or a serotonin-norepinephrine reuptake inhibitor (SNRI). METHOD:Data from the 1995 Natio...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6VR0-XRCG-G1H3-N9Q0
更新日期:1998-01-01 00:00:00
abstract::Clonazepam, a unique benzodiazepine with anticonvulsant and serotonin enhancing capacity, can be used in conjunction with conventional psychopharmacologic agents to treat a variety of psychiatric conditions including schizophrenia, borderline personality disorder, and psychotic mania. Three representative case studies...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6dk0-tpwy-mcdj-ddf9
更新日期:1985-01-01 00:00:00
abstract:OBJECTIVE:This paper discusses a new technique for diagnosing pseudoseizures. The technique consists of an intensive psychiatric interview designed to provoke a pseudoseizure during EEG and video monitoring. We wished to determine the overall efficacy of the technique and learn how our patients felt about having underg...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/NEHN-8QJN-1BGY-24NB
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was determine the rate of depression in people with diabetes in an Iranian population. METHOD:A hospital-based prospective study with a comparison group was conducted in Firozgar Teaching Hospital in Tehran, Iran. The condition of depression and relationship to diabetes was asses...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/FP64-82V3-1741-842V
更新日期:2007-01-01 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::This article is a review of some of the sparse investigation of EEG concomitants of verbally induced stress. The difficulties encountered in good experimental design in this formidable area, which may account for the paucity of work, are discussed. A recent experiment in which spectral analysis of EEG played a promine...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/EC12-16LJ-1GJY-8DF8
更新日期:1975-01-01 00:00:00
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: psycho...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/25uq-5tp7-grw5-ph3j
更新日期:1983-01-01 00:00:00
abstract::The authors discuss the case of a mildly disfigured patient with Neurofibromatosis from the perspectives of his distorted body image, need to attribute problems in his social and work lives to unrealistic assessment of his disfigurement, changes in his self-concept following communication training, and the need for ph...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/rpjq-g087-4qly-rped
更新日期:1981-01-01 00:00:00
abstract:OBJECTIVE:This article examines the cognitive and psychiatric features of multiple sclerosis. MS can manifest as a neuropsychiatric disturbance even in the absence of physical disabilities. METHOD:Two MS patients with predominant behavioral symptoms are described, and the literature is reviewed. RESULTS:The first pat...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/NK8F-MTUW-QHH1-0531
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:Breath holding spells (BHS) are apparently frightening events occurring in otherwise healthy children. Generally, no medical treatment is recommended and parental reassurance is believed to be enough, however, severe BHS can be very stressful for the parents and a pharmacological agent may be desired in some...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.38.2.f
更新日期:2008-01-01 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: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::Two cases from an adolescent dialysis group are presented to illustrate the limitations of the generally used models of patient compliance and noncompliance with medical treatment. Understanding the noncompliance of these two young men required awareness of their psychological development and of the interpersonal matr...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/3vm7-gkwn-6pc2-rr76
更新日期:1981-01-01 00:00:00
abstract::This study examines the use of a behavior modification program as an adjunct to the medical treatment of essential hypertension. The subjects, outpatients with medically treated, but uncontrolled, essential hypertension, were exposed to group interaction (including such processes as peer reinforcement, peer competitio...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/tr5l-q04u-gc1q-jb0b
更新日期:1977-01-01 00:00:00
abstract:OBJECTIVE:To investigate the impact of psychiatric illness, aggression, and other covarying variables on the compliance and coping potential of cancer patients treated in liaison-consultation psychiatry. METHODS:The study involves 270 cancer patients who were admitted to the oncology ward for diagnosis and treatment. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/73UU-R7AY-P0LE-QQ5L
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:Psychiatric conditions are known to have a detrimental impact on functioning and may therefore influence patterns of disability associated with MS. Population-based studies are needed to evaluate such interactions. The objective of this study was to describe the pattern of interaction of MS and mental disorde...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.43.1.d
更新日期:2012-01-01 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