Abstract:
BACKGROUND:People with serious mental illness (SMI) are at elevated risk of HIV infection, but do not receive HIV tests regularly. Inpatient psychiatric admissions provide opportunities for HIV testing. OBJECTIVE:This study retrospectively examined the impact of three sequential interventions designed to increase HIV testing on an acute inpatient psychiatry service: (1) advocacy by an administrative champion, (2) an on-site HIV counselor, and (3) a clinician championing HIV testing. METHOD:Demographic and HIV testing data were extracted from hospital data systems for 11,360 admissions of HIV-negative patients to an inpatient psychiatry service between 2006 and 2012. Relationships among interventions, length of stay, patient demographics, and receipt of an HIV test were examined using general estimating equation methods. RESULTS:In the year prior to the intervention, 7.2% of psychiatric inpatients received HIV tests. After 1 year of administrative advocacy, 11.2% received tests. Following the HIV counseling intervention, 25.1% of patients were tested. After the counseling intervention ended, continued administrative and clinical advocacy was associated with further increases in testing. In the final year studied, 30.3% of patients received HIV tests. Patients with shorter inpatient stays and those of Black or Asian race/ethnicity were less likely to be tested. Further, 1.6% of HIV tests were positive. CONCLUSION:Three interventions of varying intensity were associated with a 5-fold increase in HIV testing on an acute inpatient psychiatry service. Nonetheless, 70% of inpatients were not tested. Continued efforts are needed to increase HIV testing in inpatient psychiatric settings.
journal_name
Psychosomaticsjournal_title
Psychosomaticsauthors
Shumway M,Mangurian C,Carraher N,Momenzadeh A,Leary M,Lee EK,Dilley JWdoi
10.1016/j.psym.2017.10.007subject
Has Abstractpub_date
2018-01-01 00:00:00pages
186-192issue
2eissn
0033-3182issn
1545-7206pii
S0033-3182(17)30218-9journal_volume
59pub_type
杂志文章相关文献
PSYCHOSOMATICS文献大全abstract::Thirty inpatients with multiple somatoform symptoms admitted to a psychosomatic hospital were diagnosed using the Structured Clinical Interview for DSM-III-R and questionnaires. Two years later, a reexamination by interview and a follow-up questionnaire took place. The authors found high comorbidity rates not only for...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(95)71647-4
更新日期:1995-07-01 00:00:00
abstract:BACKGROUND:Although physical restraint is still used in psychiatric inpatient settings, it sometimes causes serious side effects, including deep vein thrombosis (DVT) and resulting pulmonary embolism. OBJECTIVE:The aim of this study was to investigate the incidence of the DVT in restrained patients who were receiving ...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2013.04.001
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:In patients with Parkinson disease (PD), motor symptoms coexist with several nonmotor neuropsychiatric symptoms. Various anxiety subtypes (generalized anxiety disorder, panic disorder, and social anxiety disorder [SAD]) are more prevalent in patients with PD than in the general population. OBJECTIVE:We esti...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2020.03.006
更新日期:2020-01-01 00:00:00
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
更新日期:2012-07-01 00:00:00
abstract::The authors examine the relationship of the Toronto Alexithymia Scale (TAS) to sociodemographic characteristics, medical history, symptomatology, and illness cognition in a sample of 244 family medicine patients. The TAS had moderate internal reliability. In multiple regression analysis, the TAS was related to age, ed...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(93)71926-X
更新日期:1993-01-01 00:00:00
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
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Delirium is a serious postoperative condition for which few pharmacologic prevention trials have been conducted. OBJECTIVE:The authors tested the efficacy of perioperative olanzapine administration to prevent postoperative delirium in elderly patients after joint-replacement surgery. METHOD:The authors con...
journal_title:Psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1176/appi.psy.51.5.409
更新日期:2010-09-01 00:00:00
abstract::The temporolimbic structures of the brain that subserve emotional representation are highly epileptogenic and play an important role in the modulation of hormonal secretion and mediation of hormonal feedback. Estrogen is highly epileptogenic and exerts energizing and antidepressant effects. Excessive estrogen influenc...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(99)71254-5
更新日期:1999-03-01 00:00:00
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
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Although the hepatitis C virus (HCV) alone increases the risk of cirrhosis, alcohol use is thought to act synergistically with HCV to significantly hasten the development of fibrosis. OBJECTIVE:The authors assessed the impact of brief medical counseling or integrated-care approaches to lessen or eliminate a...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.51.2.149
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Individuals with co-existing serious mental illness and non-psychiatric medical illness are at high risk of acute care utilization. Mining of electronic health record data can help identify and categorize predictors of psychiatric hospital readmission in this population. OBJECTIVE:This study aimed to identi...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2019.05.002
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Research has shown that Intensive Short-Term Dynamic Psychotherapy (ISTDP) can effectively decrease pain intensity and improve quality of life in patients with medically unexplained pain. OBJECTIVE:Understanding that not all patients with medically unexplained pain have access to in-person ISTDP, this study...
journal_title:Psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.psym.2016.01.001
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Delirium is a prevalent neuropsychiatric disorder associated with increased morbidity and mortality. Half the cases remain misdiagnosed. OBJECTIVE:Assess the effectiveness of the Stanford Proxy Test for Delirium (S-PTD) in detecting delirium in an inpatient setting. METHODS:This is a comparison study. Dail...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2019.11.009
更新日期:2020-01-01 00:00:00
abstract::The authors describe 12 patients with antipsychotic-induced hyperprolactinemia. Six patients had erroneous ideas of being pregnant (four delusional and two non-delusional) temporally associated with hyperprolactinemia and resolving as prolactin levels returned to normal. The remaining six patients did not develop such...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.49.2.163
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Patients with severe psychiatric disorders such as schizophrenia and bipolar affective disorder (BPAD) have in the past been excluded from organ transplantation programs based on their psychiatric illness. However, there is little data on the outcomes of renal transplantation in these patients and little evi...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2016.08.010
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:First-episode secondary mania in human immunodeficiency virus (HIV) infection has been described among samples of predominantly Caucasian, HIV-positive male patients in developed countries. OBJECTIVE:The goal of this study was to compare the demographic and clinical characteristics of HIV-positive patients ...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.49.6.530
更新日期:2008-11-01 00:00:00
abstract::In the treatment of psychiatric patients with complicating medical illness, clinicians may encounter patients who cannot take oral medications. This review will acquaint the practicing clinical psychiatrist with psychotropic medications available by nonenteral routes of administration. A computerized MEDLINE search wa...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(99)71234-X
更新日期:1999-05-01 00:00:00
abstract:BACKGROUND:Delusional parasitosis is an uncommon psychiatric condition in which patients have the immutable conviction that small, living organisms, such as worms, insects, or larvae infest their skin or other organs. OBJECTIVE/METHOD:The authors describe a case of an unusual association of delusional parasitosis and ...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.50.5.534
更新日期:2009-09-01 00:00:00
abstract::Psychotropic drugs are frequently used in both psychiatric and general medical practice. Familiarity with common side effects and their management may assist psychiatrists in the selection of agents to suit individual patient needs. The authors describe the morphologic features and pathologic basis of cutaneous reacti...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(97)71418-X
更新日期:1997-09-01 00:00:00
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
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:The motivation of patients with functional gastrointestinal disorders to accept psychotherapy (PT) as a treatment option is not known. OBJECTIVE:The authors investigated motivation for patients' refusal to participate and dropout from PT/medical management programs. METHOD:Consecutive patients with symptom...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.51.3.225
更新日期:2010-05-01 00:00:00
abstract::Depressive disorders are far more serious than most people realize, and depressive disorders are disabling affected persons progressively earlier in life. Heavy utilization of medical services, extensive disability and morbidity, and high suicide risk exact a staggering economic toll in the United States annually. Dep...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(95)71698-X
更新日期:1995-03-01 00:00:00
abstract:BACKGROUND:Fibromyalgia, as defined by the American College of Rheumatology, is characterized by widespread pain lasting for at least 3 months, with pain in at least 11 out of 18 tender points when palpated with digital pressure. OBJECTIVE:The authors investigated the relationship between changes in pain and symptoms ...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.51.6.489
更新日期:2010-11-01 00:00:00
abstract::Despite attention to depression and cognitive disorders, the prevalence of other mental disorders following breast cancer chemotherapy has not been well described. The authors undertook a pilot study using insurance claims data to compare the prevalence of mental disorders other than depression in a population of brea...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.46.6.517
更新日期:2005-11-01 00:00:00
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
更新日期:2000-11-01 00:00:00
abstract::Psychoneuroimmunology represents the newest interdisciplinary endeavor relevant to psychosomatic medicine. Work in this area is particularly exciting because it promises to reveal a more unified view of the individual and the complex interactions between social, psychological, neural, endocrinological, immunological, ...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(90)72211-6
更新日期:1990-01-01 00:00:00
abstract::To study the prevalence of somatoform disorders (SDs) in primary care, a questionnaire including the modified 25-item version of the Symptom Checklist-90 was administered to 191 patients consecutively consulting their family physician. A stratified sample of the patients was interviewed with the Schedules for Clinical...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(99)71228-4
更新日期:1999-07-01 00:00:00
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
更新日期:2015-09-01 00:00:00
abstract::Poor health-related quality of life (HRQL) is associated with mortality in cardiac patients. Patients (N=667) with poor HRQL after percutaneous coronary intervention had a higher incidence of early (< or =6 months) major adverse cardiac events (MACE) than did patients with good HRQL, whereas there was no difference fo...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.48.4.331
更新日期:2007-07-01 00:00:00
abstract::Delirium is presumed to be the same syndrome in all ages. Comparing pediatric and adult studies, the authors found many of the same symptoms reported, but often at significantly different rates. Sleep-wake disturbance, fluctuating symptoms, impaired attention, irritability, agitation, affective lability, and confusion...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.47.4.320
更新日期:2006-07-01 00:00:00