Abstract:
:Prior literature suggested that psychiatric liaison on medical wards would produce a more positive attitude towards psychiatry, more psychosocial chart documentation, and a higher consultation request rate. Over 3 years, liaison was conducted on two medical wards, and its effect was contrasted with two control (consultation only) medical wards. Liaison activities were more favorably received by consultees than consultation alone and increased the consultation request rate, but produced no change in psychosocial documentation. Additional effectiveness of liaison activities might be achieved through direct, focused interventions, and through active involvement of senior medical faculty.
journal_name
Gen Hosp Psychiatryjournal_title
General hospital psychiatryauthors
Schubert DS,Billowitz A,Gabinet L,Friedson Wdoi
10.1016/0163-8343(89)90050-9subject
Has Abstractpub_date
1989-03-01 00:00:00pages
77-87issue
2eissn
0163-8343issn
1873-7714pii
0163-8343(89)90050-9journal_volume
11pub_type
杂志文章abstract::This paper reviews the purposes and methodologic requirements of conclusion-oriented research for evaluating outcomes of consultation-liaison (C-L) teaching in psychiatry. Requirements for replicating educational methods and outcomes, and for demonstrating cause-effect relationships between program inputs and program ...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(79)90008-2
更新日期:1979-12-01 00:00:00
abstract::Most low-income minority women do not obtain screening mammography on a regular basis. Compliance with recommended breast cancer screening guidelines may be even lower in women with psychiatric illnesses. We investigated compliance with breast cancer screening guidelines among 121 ethnically diverse low-income women r...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/s0163-8343(99)00036-5
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:Delusional disorder is an uncommon psychotic disorder. The first-line treatments for this chronic and resistant condition are antipsychotic medications, usually associated with several side effects that can exacerbate poor adherence. Conversely, aripiprazole is a well-tolerated antipsychotic drug that is eff...
journal_title:General hospital psychiatry
pub_type: 杂志文章,评审
doi:10.1016/j.genhosppsych.2020.06.012
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:Previous epidemiologic studies have documented a link between anxiety disorders and ulcer among adults. Few studies have examined these associations over time and little is understood about the pathways underlying these relationships. METHOD:Data were drawn from n = 2101 adult participants in the Midlife Dev...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2014.07.005
更新日期:2014-11-01 00:00:00
abstract::Parasuicide is usually associated with low suicidal intent and research data show that rising rates remain a challenging clinical and research problem. Hopelessness, a core characteristic of depression, appears to be the link between depression and suicidal behavior in high-risk patients. Previous research in this reg...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(88)90021-7
更新日期:1988-05-01 00:00:00
abstract:OBJECTIVE:Factors determining community tenure (CT) between subsequent referrals to a psychiatric emergency room (PER) are only partly understood. We investigated the differential effect of patient and health system characteristics on the CT of patients with a previous referral to a PER. METHOD:Data were collected for...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2005.04.003
更新日期:2005-07-01 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::Forty consecutive patients with disabling tinnitus were interviewed using a structured psychiatric interview and were asked to complete the Hopkins Symptom Checklist (SCL-90), the Chronic Illness Problem Inventory, and the Revised Ways of Coping Checklist. They were compared to a control group of 14 patients attending...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(88)90037-0
更新日期:1988-07-01 00:00:00
abstract:OBJECTIVE:To investigate longitudinal associations of burnout with heart rate variability (HRV) in patients after their first events of acute coronary syndrome (ACS). METHODS:In total, two hundred eight patients participated in this one-year follow-up study. On the day before discharge, their personal burnout level wa...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2018.05.008
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To settle the best cutoffs for inventories to diagnose depression in chronic hepatitis C (CHC) patients. METHOD:Seventy-five CHC patients were assessed using a standard psychiatric interview (Mini International Neuropsychiatric Interview) to establish Diagnostic and Statistical Manual of Mental Disorders, Fo...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2011.09.002
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Outpatient psychiatric treatment provides both psychotherapy and pharmacotherapy for a large portion of psychiatric patients. Dropping out, or early termination of treatment, may be considered a common barrier to outpatient's psychiatric treatment. There are limited studies on this issue in Iran. The current...
journal_title:General hospital psychiatry
pub_type: 杂志文章,多中心研究
doi:10.1016/j.genhosppsych.2012.10.008
更新日期:2013-05-01 00:00:00
abstract::Although dialysis discontinuation is the second leading "cause" of death among individuals who are maintained with chronic dialysis, little attention is accorded in the literature to patient ambivalence with this crucial decision. Three cases are presented of clinical situations involving termination of dialysis and a...
journal_title:General hospital psychiatry
pub_type: 杂志文章,评审
doi:10.1016/s0163-8343(96)00091-6
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVE:Demoralization, a state of lowered morale and poor coping, has a prevalence of 13-18% among patients with advanced cancer. We surveyed clinicians' perspectives of the utility of "with demoralization" as a diagnostic specifier for adjustment and depressive disorders. METHOD:Using comparative clinical vignette...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2017.01.007
更新日期:2017-05-01 00:00:00
abstract::Minicomputer systems have been designed for researchers who have no prior computer experience and, therefore, require no computer training, that is, programming knowledge. Such systems allow immediate access to the data, their retrieval, reduction, and analysis, and the retention of direct control over the data base b...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(85)90021-0
更新日期:1985-04-01 00:00:00
abstract::Coping with impaired appearance presents difficulties for children. This study is based on interviews of children with vitiligo, a disfiguring disorder that involves depigmentation of the skin, and focuses on social and psychologic factors that predict effectiveness of coping. Age plays an extremely important part in ...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(84)90024-0
更新日期:1984-10-01 00:00:00
abstract::Outpatient consultation-liaison (C-L) psychiatry has been beset with problems concerning funding and patient acceptance. Though the consultation, liaison, and referral clinic models for outpatient C-L psychiatry each offer advantages, they have not conquered these fundamental problems. This paper introduces the multid...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(93)90005-9
更新日期:1993-11-01 00:00:00
abstract::Hyperthyroidism has profound effects on mental health. The literature is sparse, however, with regard to suicide attempts related to untreated hyperthyroidism. This case report illustrates the presentation of a patient in the intensive care unit after a life-threatening Tylenol overdose presumed to be secondary to adj...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2012.12.006
更新日期:2013-09-01 00:00:00
abstract::There has been increasing recognition and documentation of the impact of psychiatric problems on the outcome and cost of medical care. Because consultation-liaison psychiatrists have the expertise to address the psychiatric aspects of medical illness, this group should be in a strong position to facilitate integration...
journal_title:General hospital psychiatry
pub_type: 杂志文章,评审
doi:10.1016/0163-8343(95)00053-t
更新日期:1995-07-01 00:00:00
abstract::Persistent somatization patients put a serious burden on the health care system with multiple admissions, tests, surgeries, and medications. This study reports on factors relevant to the health-seeking behavior of somatizing patients and aspects of the health care system that facilitate their overutilization of health...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(93)90035-m
更新日期:1993-07-01 00:00:00
abstract::The medical-psychiatric unit concept has been the most important influence in the development of general hospital inpatient psychiatry in the last decade. This concept and style of unit organization is reviewed in the context of the history of general hospital inpatient psychiatry. It is suggested that elements of the...
journal_title:General hospital psychiatry
pub_type: 杂志文章,评审
doi:10.1016/0163-8343(94)90083-3
更新日期:1994-01-01 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: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::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::The interrater reliability and validity of brief interview rated measures of psychosocial adjustment were examined in four sequential studies. A total of 25 videotaped interviews with cancer patients were rated by 105 social workers, nurses, physicians, and specialists in psychosocial oncology. The Rating of Psychosoc...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(81)90048-7
更新日期:1981-06-01 00:00:00
abstract::A sample of 196 general medical patients with multiple unexplained somatic complaints was used to compare the performance (sensitivity and specificity) and positive and negative predictive values for the published screening indexes for somatization disorder. This study shows similar performances for both the DSM-III-R...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(90)90072-k
更新日期:1990-05-01 00:00:00
abstract::The current study investigated differences in self-harm behavior among individuals with borderline personality symptomatology from two different clinical settings. Participants were women, between the ages of 18 and 45, from an outpatient mental health setting or a primary care setting. Each participant completed the ...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/s0163-8343(00)00074-8
更新日期:2000-05-01 00:00:00
abstract::Thirty-one maintenance hemodialysis patients were observed for a six-month period. Seven of these patients (22.6%) were severe and persistent abusers of the hemodialysis diet. Because there are serious, even lethal, consequences of the sequelae of hemodialysis diet abuse such as fluid overload and/or hyperkalemia, thi...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(81)90052-9
更新日期:1981-06-01 00:00:00
abstract::Interviews with patients and staff of the New York Hospital Burn Unit in which they discuss their reactions to a variety of unit milieu stresses were videotaped. These were then edited together and played back at staff conference. This intervention increased staff awareness of unit stresses, facilitated discussion abo...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(86)90058-7
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVE:Although breast cancer patients' depression changes over time, most longitudinal studies have assessed the influence of only baseline depression on quality of life (QoL). Therefore, this study investigated the influence of changes in depression status on QoL in the year after surgery. METHODS:Participants we...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/j.genhosppsych.2017.09.009
更新日期:2018-01-01 00:00:00
abstract::There is still a striking lack of homogeneity in the terminology and classifications used in the registration of psychiatric consultation-liaison (C-L) data. Nowadays, the need for standardization of C-L data is greater than ever. Each registration consists of two components: the items and their categories. The presen...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(88)90064-3
更新日期:1988-11-01 00:00:00