Abstract:
:This review article addresses some of the complex issues surrounding antidepressant drug usage among elderly depressives. While primarily geared toward the psychiatrist in general practice, the article provides useful information for the nonpsychiatric physician who is frequently called upon to evaluate and treat affective disorders in the geriatric population. Since tricyclic antidepressants and lithium are the most commonly used psychotropic drugs in the treatment of depression, their side effects and adverse reactions are discussed specifically as these relate to the elderly. Suggestions are offered on how to improve safety and enhance compliance. Brief mention is made of the monoamine oxidase inhibitors and the second generation antidepressants. Dose ranges are recommended for use of these agents in geriatric patients. Finally, a section of the article reviews the most commonly encountered encountered drug interactions between tricyclic and a variety of other psychotropic and nonpsychotropic drugs.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Halaris Adoi
10.2190/uhl6-0x4w-frng-8pffsubject
Has Abstractpub_date
1986-01-01 00:00:00pages
1-19issue
1eissn
0091-2174issn
1541-3527journal_volume
16pub_type
杂志文章,评审abstract:OBJECTIVE:To determine the prevalence of anxiety and depression in a residents' clinic and if these diagnoses are associated with patients being perceived as difficult, as well as how often these diagnoses are documented in the patients' charts. METHODS:This was a cross-sectional study conducted in a general internal ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/C7WY-RELT-3U1N-JX9C
更新日期:2001-01-01 00:00:00
abstract::Patients and family members often turn to prayer in response to serious, life-threatening illness. Prayer for a miraculous cure is often the request. While prayer can keep hope alive, it may also promote unrealistic expectations that fuel demands for life-preserving technology in medically futile situations. Furthermo...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.42.4.d
更新日期:2011-01-01 00:00:00
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:OBJECTIVE:The aim of the present study was to explore the relations between religious attitudes and subjective well-being in a sample of chronic pain (CP) patients and to investigate whether these associations would differ from those obtained with healthy controls. METHOD:A total of 155 CP patients (72% women) and 166...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.39.4.d
更新日期:2009-01-01 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:OBJECTIVE:Despite all progress made in understanding and treating systemic arterial hypertension (SAH), the study of the impact of psychological disorders in SAH is still controversial and is not well understood. Our aim was to test the hypothesis that SAH can be associated with anxiety and depressive symptoms and to v...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.40.3.f
更新日期:2010-01-01 00:00:00
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::Males with anxiety disorders appear to have increased mortality due to circulatory system disease, and Type A behavior is a risk factor for coronary heart disease (CHD). Thus, we determined Type A behavior in anxious patients. Fifty-seven DSM-III defined anxiety disorder patients completed the Jenkins Activity Survey ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/updt-4qcv-fhr3-lud6
更新日期:1986-01-01 00:00:00
abstract::Patients who have both medical and psychiatric illnesses often present very difficult diagnostic and treatment problems. Cross referrals by the two or more specialties necessarily involved in their management are often perceived by these patients as rejection and not only may induce in them feelings of frustration, he...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/56ry-mccb-p7my-9mn3
更新日期:1977-01-01 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::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 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::Balint groups are a structured group process designed for physicians and other helping professionals to provide feedback to each other concerning troublesome patient encounters. The process of Balint groups has survived and even thrived for more than a half century since their inception, suggesting their inherent valu...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417745290
更新日期:2018-01-01 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::Primary care providers are increasingly responsible for providing mental health care in the United States. For those patients who do receive specialty mental health services, the primary care provider functions as the main entry point into the mental health system. Given the persistent racial and ethnic health dispari...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415592368
更新日期:2015-01-01 00:00:00
abstract:INTRODUCTION:In patients with acute physical illness, symptoms used in the diagnosis of major depression such as sleep or appetite disturbance may be nonspecific for depression. This study was undertaken to examine the association of depressed mood with other depressive symptoms to determine which symptoms were most us...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BWJA-KQP3-7VUY-D06T
更新日期:1997-01-01 00:00:00
abstract::This article describes a novel inter-professional curriculum designed to address the needs of homeless patients in a Midwestern region of the United States which has high rates of poverty. The curriculum is intended for healthcare trainees coming from undergraduate pre-medical programs, nursing, pharmacy, social work,...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417730288
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVE:To report the results from a retrospective chart review looking at the combination of linezolid and serotonergic antidepressants and to report two cases of serotonin syndrome which were identified at our hospital. CASE SUMMARY:During the retrospective chart review one case of serotonin syndrome was identifie...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.38.1.h
更新日期:2008-01-01 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::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::Pérez-San-Gregorio M. A., Fernández-Jiménez E., Luque-Budia A., Martín-Rodríguez A. (2015). Anxiety and concerns in Spanish living kidney donor candidates. The International Journal of Psychiatry in Medicine, 50, 163-177. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,已发布勘误
doi:10.1177/0091217415623373
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:Anxiety and depression disorder are the most prevalent mental health problems. However, few studies are available pertaining to these problems among Chinese doctors, especially the assessment of the anxiety and depression symptoms among primary-care providers. The aim of this study was to assess the anxiety a...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.44.3.f
更新日期:2012-01-01 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: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::Forgiveness as a procedure has been gaining prominence. The objective of this article is to provide the basics of forgiveness as an intervention so primary care clinicians can facilitate its use. These clinicians include but are not limited to physicians, nurses, medical assistants, pharmacy professionals, physical th...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217419885468
更新日期:2020-03-01 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::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:OBJECTIVES:Depression and diabetes are closely biologically and behaviorally intertwined. We examined the impact of comorbid diabetes mellitus on the incidence of serious psychiatric outcomes among patients with depression. METHODS:We used claims data from the Korean Health Insurance Review & Assessment Service databa...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415605024
更新日期:2015-01-01 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:OBJECTIVE:Development and evaluation of a method of training primary care providers in psychiatric skills which utilizes videofeedback of real and role-played consultations in a group setting. METHOD:The development of the basic training approach and additional material for teaching specific skills is described. Evalu...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/U8MM-JX7Y-LT0T-RKPX
更新日期:1998-01-01 00:00:00