Abstract:
:Drawing on experiences as a Physician Advisor to the Office of Quality Assurance of the American Psychiatric Association, the author discusses process interactions endemic to peer review and presents recommendations for facilitating this necessary professional activity.
journal_name
Gen Hosp Psychiatryjournal_title
General hospital psychiatryauthors
Green SAdoi
10.1016/0163-8343(89)90073-xsubject
Has Abstractpub_date
1989-07-01 00:00:00pages
264-7issue
4eissn
0163-8343issn
1873-7714pii
0163-8343(89)90073-Xjournal_volume
11pub_type
杂志文章abstract:OBJECTIVE:Eating disorder (ED) symptoms have gone mostly unexamined among veterans. The current study assessed rates of bulimia nervosa (BN) and binge eating disorder (BED) symptoms and diagnoses and their associations with common comorbidities among male and female veterans. METHOD:Participants were US military veter...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2014.03.013
更新日期:2014-07-01 00:00:00
abstract:INTRODUCTION:Chemical restraint is controversial. Appropriate use is ill-defined and chemical restraint may be overutilized. During the period of an unrelated observational study for patients with acute psychomotor agitation in a psychiatric emergency service, we noticed a significant reduction in the number of involun...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2006.06.001
更新日期:2006-09-01 00:00:00
abstract::Psychiatric morbidity among 240 pregnant women attending an antenatal unit was assessed by a two-stage screening procedure, using the General Health Questionnaire (GHQ-30) and Present State Examination Schedule (PSE). The prevalence of psychiatric morbidity was found to be significantly associated with younger age (< ...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(93)90109-2
更新日期:1993-03-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to examine the extent of health care utilisation (excluding costs) of diabetic patients with and without depressive symptoms attending a specialist clinic in Singapore. METHODS:A total of 537 Asian outpatients (aged 21 years and above) who were attending a Diabetes Centre were...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2009.01.001
更新日期:2009-05-01 00:00:00
abstract::We performed a randomized trial to prevent depression relapse in primary care by evaluating intervention effects on medication attitudes and self-management of depression. Three hundred and eighty six primary care patients at high risk for recurrent depression were randomized to receive a 12-month intervention. Interv...
journal_title:General hospital psychiatry
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0163-8343(03)00074-4
更新日期:2003-09-01 00:00:00
abstract::A structured interview, ADDIS (Alkohol Drog Diagnos InStrument), designed to assess substance use disorders, was included as a part of the intake protocol in a department of orthopedics at a general hospital. To evaluate both the effectiveness and feasibility of the new procedure, the attitudes of 29 staff members wer...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/s0163-8343(96)00088-6
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:Every year, millions of Americans become informal caregivers to loved ones admitted to Neuroscience Intensive Care Units (Neuro-ICU), and face challenges to Quality of Life (QoL). This study sought to identify associations between resiliency, distress, and caregiver QoL at time of Neuro-ICU admission. METHOD...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2018.02.012
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:Patients with factitious disorder (FD) fabricate illness, injury or impairment for psychological reasons and, as a result, misapply medical resources. The demographic and clinical profile of these patients has yet to be described in a sufficiently large sample, which has prevented clinicians from adopting an ...
journal_title:General hospital psychiatry
pub_type: 杂志文章,评审
doi:10.1016/j.genhosppsych.2016.05.002
更新日期:2016-07-01 00:00:00
abstract::The authors explore the difficulties present in the capacity evaluation of patients with strong religious beliefs. The article reviews the legal protection for treatment refusal on religious grounds as well as psychiatry's approach to religion. Clinical cases encountered in an urban hospital are presented to highlight...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(96)00003-5
更新日期:1996-05-01 00:00:00
abstract:OBJECTIVE:Physical activity (PA) following surgery for breast cancer may improve depressive symptoms and quality of life (QoL) via reduction in fatigue-related daily interference (FRDI). Less is known about how change in PA may relate to these psychosocial factors throughout the course of treatment. In a secondary anal...
journal_title:General hospital psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.genhosppsych.2017.05.007
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:Over the last decade, charcoal burning has become a common method of suicide in Taiwan; however, the underlying psychiatric diagnoses and gender differences have yet to be examined. METHODS:We conducted a retrospective chart review on inpatients after suicide attempt by charcoal burning during 2000-2010. The...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2012.03.015
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:Multiple barriers to quality health care may affect the outcomes of postacute treatment for individuals with serious mental illness (SMI). This study examined rehospitalization for medical and surgical inpatients with and without a comorbid diagnosis of SMI which included psychotic disorders, bipolar disorder...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2016.06.002
更新日期:2016-09-01 00:00:00
abstract::This study reports DSM-III diagnoses and demographic characteristics of 100 patients consecutively referred to a university hospital consultation-liaison service for evaluation of medically unexplained symptoms suggesting physical disorders. Thirty-seven percent of patients received diagnoses of somatoform, dissociati...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(85)90006-4
更新日期:1985-01-01 00:00:00
abstract:OBJECTIVE:In recent years, patients' preferences concerning treatment of emotional distress in general and of depression in particular have received more emphasis in the clinical setting as well as in research. METHODS:The treatment preferences of 607 primary care patients were assessed in a cross-sectional study usin...
journal_title:General hospital psychiatry
pub_type: 评论,杂志文章
doi:10.1016/j.genhosppsych.2005.10.001
更新日期:2006-03-01 00:00:00
abstract::This study examines the recognition and treatment of emotional distress in physically healthy primary care patients who perceive themselves to be in fair or poor physical health. Patients (N = 892) from three private primary care practices completed a mental health screening form prior to their medical visit which inc...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(95)00023-k
更新日期:1995-05-01 00:00:00
abstract::Individuals with severe mental illness (SMI) are at risk for inadequate general medical and preventive care, but little is known about their visits for primary care. We performed a cross-sectional analysis of primary care physician visits from the National Ambulatory Medical Care Survey (NAMCS) 1993-1998 and compared ...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/s0163-8343(02)00213-x
更新日期:2002-11-01 00:00:00
abstract::Utilization review (UR), Quality Assurance (QA), and Peer Review (PR) have become essential aspects in the practice of general hospital psychiatry. This article first defines and elaborates the basic elements of UR, QA, and PR and then outlines the development of a program for these professionally initiated and mainta...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(87)90010-7
更新日期:1987-05-01 00:00:00
abstract::This paper presents a checklist of conceptual issues and operational guidelines determining the organization of clinical services within a general hospital department of psychiatry. Issues emphasized include philosophy, target population, definition, structure, location, financing, and cost effectiveness of services, ...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(81)90039-6
更新日期:1981-12-01 00:00:00
abstract::Bromocriptine, an ergot alkaloid dopamine agonist, is a recent common treatment for suppression of lactation in postpartum women. A case is presented of a postpartum woman prescribed bromocriptine for suppression of lactation who developed hypertension, headaches, blurry vision, seizures, and pituitary hemorrhage. Dif...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(91)90131-f
更新日期:1991-07-01 00:00:00
abstract:OBJECTIVE:This study examined the feasibility and efficacy of a psychosocial intervention to address high-risk substance use in patients scheduled for elective surgery. METHOD:A group-format intervention, based on motivational interviewing principles, was provided prior to elective surgery to 107 participants with at-...
journal_title:General hospital psychiatry
pub_type: 临床试验,杂志文章
doi:10.1016/j.genhosppsych.2014.08.002
更新日期:2014-11-01 00:00:00
abstract::A 32-year-old female with a seven year history of multiple sclerosis was hospitalized due to an exacerbation of symptoms, and complained of a high frequency of urination and occasional urinary incontinence. A urologic consult was obtained and the patient was diagnosed as having neurogenic (spastic) bladder, resulting ...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(82)90022-6
更新日期:1982-04-01 00:00:00
abstract:OBJECTIVE:This prospective study investigates the relationships between depressive symptoms, psychiatric medication use, and their interaction on risk of developing type 2 diabetes. METHOD:Data come from the 1998-2010 waves of the Health and Retirement Study, a US nationally representative cohort of adults aged 51 yea...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2015.05.008
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:To assess the following among women hospitalized antenatally due to high-risk pregnancies: (1) rates of depression symptoms and anxiety symptoms, (2) changes in depression symptoms and anxiety symptoms and, (3) rates of mental health treatment. METHODS:Sixty-two participants hospitalized for high-risk obstet...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2014.07.011
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Oral loading with the delayed release formulation of divalproex sodium is widely used for the treatment of patients with acute mania and produces rapid attainment of therapeutic serum levels. Recently, an extended release formulation of divalproex sodium (divalproex ER) was approved for treatment of migraine...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2005.02.001
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVE:Depression is undertreated in cardiac disease. Our aim was to evaluate frequency and risk factors of psychiatric disorders in hypertrophic cardiomyopathy. METHODS:This was a two-phase epidemiological approach, using screening questionnaire then gold standard structured clinical interview. A cohort of 148 pat...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2007.09.005
更新日期:2008-01-01 00:00:00
abstract::Efforts to improve the care of depression in primary care patients have largely ignored the potential of obstetrics/gynecology (OB/GYN) practices. We describe feasibility studies of a depression screening and care management intervention in three diverse OB/GYN practices. Patients were screened using the Patient Healt...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/s0163-8343(03)00006-9
更新日期:2003-03-01 00:00:00
abstract::Piracetam is a cognitive-enhancing agent that is used for the treatment of cognitive impairments of various etiologies. Little is known about its side effect profile, especially in those with psychiatric illness. We herewith present two cases with cognitive impairment who had contrasting responses to piracetam. One of...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2012.05.009
更新日期:2013-07-01 00:00:00
abstract::Alcohol use disorders (AUDs) are common among inpatients in general hospitals and often cause excess mortality. This study investigates the prevalence of AUDs among nonpsychiatric inpatients in one general hospital and evaluates the ability of medical staff to identify such morbidity. A two-phase case-identification s...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2004.01.001
更新日期:2004-05-01 00:00:00
abstract::The authors report on three patients who developed severe postictal excitement at several consecutive electroconvulsive therapy (ECT) treatments. In all three cases, an increase in the anesthetic (or equivalent medication) dosage prior to ECT prevented the emergence of postictal excitement at subsequent treatments. Th...
journal_title:General hospital psychiatry
pub_type: 临床试验,杂志文章
doi:10.1016/0163-8343(92)90070-q
更新日期:1992-09-01 00:00:00
abstract:OBJECTIVES:The majority of VA patient suicides are completed with firearms. Interventions that delay patients' gun access during high-risk periods may reduce suicide, but may not be acceptable to VA stakeholders or may be challenging to implement. Using qualitative methods, stakeholders' perceptions about gun safety an...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2012.07.012
更新日期:2012-11-01 00:00:00