Abstract：
:We present a case of a 16-year-old Caucasian female with a history of major depressive disorder and post-traumatic stress disorder who was admitted to an inpatient adolescent psychiatric unit with symptoms of conversion disorder, including non-epileptic seizures, an inability to speak or walk, and not eating on her own. She has a history of multiple previous medical and psychiatric hospitalizations without any significant resolution of symptoms, and extensive medical workups have all been negative. Treatment ultimately involved reassuring the patient and family that there was no underlying medical condition and emphasizing the conversion disorder diagnosis. The patient participated daily in physical therapy to improve mobility, deconditioning, and functioning. Hospital staff was instructed on the nature of the non-epileptic seizures, which continued to occur during the hospitalization. After one month, the patient was discharged home fully functional: walking, speaking, and eating on her own. One week after discharge, the patient presented with the same symptoms and was readmitted to the psychiatric facility. She subsequently never regained her previous level of functioning, and she was ultimately transferred to a residential treatment facility. We will discuss factors that led to the initial improvement and the factors that led to recurrence and persistence of symptoms.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Shapiro M,Mehta A,Avila J,Nguyen Mdoi
10.1177/0091217415612720subject
Has Abstractpub_date
2015-01-01 00:00:00pages
361-9issue
4eissn
0091-2174issn
1541-3527pii
0091217415612720journal_volume
50pub_type
杂志文章abstract：BACKGROUND:Low back pain is a common disorder that has many consequences. This study is an attempt to meta-analyze the risk of depression symptoms in back pain. METHOD:Four databases were selected for review, and this search was conducted using key words. Eleven eligible articles were selected for review and meta-anal...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.1177/0091217420913001
更新日期：2020-03-27 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:Elsewhere, curricula for undergraduate and postgraduate psychiatry have been extended to include the role of spirituality. It has also become important to establish how, within accepted professional boundaries, spirituality should be incorporated appropriately into the current model for South African practice...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.45.2.f
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVE:The article seeks to provide an international perspective on the facilitating role of health services research in the treatment of psychiatric disorders in primary care. It builds on Goldberg and Huxley's model describing pathways to mental care for the psychiatrically ill in the community. METHOD:Seventy st...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/YLPG-RV5E-MCPW-FKTM
更新日期：1997-01-01 00:00:00
abstract：:The Existential Plight in cancer is a poorly recognized but significant period. It starts with the definite diagnosis and continues for two to three months into the illness, approximately 100 days. The chief signs are the predominance of life/death concerns, e-en over worries about health or physical symptoms. One hun...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/uq2g-ugv1-3ppc-6387
更新日期：1976-01-01 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：: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：OBJECTIVES:To assess: a) the prevalence and determinants of self-reported emotional distress in the Israeli population; b) the rate of self-reported discussion of emotional distress with family physicians; and c) the association between such discussions and patient satisfaction with care. METHOD: DESIGN:Retrospective...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.37.3.i
更新日期：2007-01-01 00:00:00
abstract：BACKGROUND:Motherhood is a critical situation characterized by role conflicts. These conflicts between the roles of mother, worker, and wife are the norm in the postpartum period and may jeopardize a mother's well-being. The purpose of this study was to explore the relationships between postpartum adaptation and depres...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.45.1.a
更新日期：2013-01-01 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：:Background and Objectives This pilot study provides a description and evaluation of process-oriented dynamic group psychotherapy for depression as a teaching modality for family medicine residents. The main purpose of using this modality was to teach family medicine residents a variety of psychological clinical skills...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.1177/0091217417703290
更新日期：2017-01-01 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：:This report describes four approaches to the evaluation of hospital psychiatric consultation. These are: 1) a survey of actual consultation use; 2) a house staff attitudinal survey; 3) a patient chart review; and 4) a patient questionnaire. The findings of this project and those previously reported are: 1) The psychia...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/ufxa-q8d6-68rn-gfay
更新日期：1978-01-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to test the hypothesis that anxiety in older primary care patients is associated with functional impairment after controlling for depression and medical comorbidity. METHOD:Primary care patients (n = 303), aged sixty or older were interviewed with a series of instruments designed to...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/9736-0B8Y-28LD-5MX8
更新日期：2000-01-01 00:00:00
abstract：:The prescription of medications for a patient with kidney failure requires special consideration since the kidneys are major organs of excretion and regulator the body's fluid environment. Physicians need to have a working knowledge of the pharmacokinetics of the medications they intend to prescribe. Protein binding o...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/T5TH-9UJY-A3MW-M1PR
更新日期：1990-01-01 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：OBJECTIVE:Psychosocial associations have been observed with level of cervical dysplasia or "pre-cancer" and invasive cervical cancer [related to human papillomavirus (HPV) infection]. Psychoneuroimmunological relationships have been observed in human immunodeficiency virus type 1 (HIV-1) infection, which is being descr...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/F8F0-4UK8-XV79-EC6G
更新日期：1993-01-01 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：:During three and a half years of psychiatric liaison with a cardiac transplantation program, the authors evaluated and followed 101 transplantation candidates. Ten exhibited pronounced ambivalence toward cardiac transplantation. Ambivalence appears to be associated with three factors: difficulties facing the seriousne...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/arhl-ygd4-t9f5-5uyv
更新日期：1988-01-01 00:00:00
abstract：OBJECTIVE:Cognitive behavioral therapy (CBT) is the most common psychotherapy approach for the treatment of PTSD. Nevertheless, previous reviews on the efficacy of several types of psychotherapy were unable to detect differences between CBT and other psychotherapies. The purpose of this study was to conduct systematic ...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/PM.38.3.b
更新日期：2008-01-01 00:00:00
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journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.46.4.f
更新日期：2013-01-01 00:00:00
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journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/tu5y-a86b-frht-erdh
更新日期：1989-01-01 00:00:00
abstract：:There have been consistent reports in the psychosomatic literature indicating that a patient's perception of tinnitus as well as differential response to various treatment modalities may be affected by personality variables. The present study examined several personality correlates of subjective tinnitus in forty-five...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/e59l-2pru-gpae-vj8b
更新日期：1985-01-01 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 examine the relationship between adherence to antidepressant medications and HbA1c levels among patients with diabetes in a managed care setting. METHOD:The analysis included measures of HbA1c levels before, during, and after initial antidepressant use among 568 patients with diabetes enrolled in the Harv...
journal_title：International journal of psychiatry in medicine
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doi：10.2190/KKGW-Y42P-BAAB-JDJ0
更新日期：2004-01-01 00:00:00
abstract：:Fifty years of scholarship by behavioral science faculty shaped the training and practice of family physicians. One can trace behavioral science influence from the philosophical underpinnings of family medicine (whole-person, patient-centered, biopsychosocial care), to the translation of psychotherapy skills into tool...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.1177/0091217420950530
更新日期：2020-09-01 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 propose an answer to Medicine's confusion about what Type A Behavior is. METHOD:To critically review early writings about Type A as well as current literature with a focus on five key articles which are frequently mentioned in medical and lay literature as containing relevant data undermining the Type A h...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/CDU1-6JN8-RDW8-70RN
更新日期：1993-01-01 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: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
