Abstract:
:Priapism is a rare but severe medical condition of sustained and painful erection of penis in the absence of any sexual stimulation, in which the penis does not return to a flaccid state. It is considered to be a medical emergency because without treatment it can lead to permanent damage and fibrosis of penis and in the long run to impotency. Albeit that there is no uniform consensus regarding the duration of sustained erection, an erection lasting more than 4 h is generally considered as an emergency which needs immediate medical attention and care. Priapism is commonly associated with iatrogenic, pharmacologic, underlying medical, or traumatic causes. In this report, we present the case of a 42-year-old African American man who developed priapism after three weeks of therapy with paroxetine which lasted for more than 96 h before coming to the attention of his health-care providers. This case is unique in that there are no reports in literature of an erection lasting for such a long duration following therapy with paroxetine. The objective of this report is to highlight the importance of recognizing the possibility of priapism with selective serotonin reuptake inhibitors in general and paroxetine in particular since this condition is not commonly seen in clinical practice to be associated with selective serotonin reuptake inhibitors and may go unrecognized. Also, potential biological mechanisms involved in the development of paroxetine-induced priapism are presented.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Bhat IA,Shannon KD,Ara A,Coe Idoi
10.1177/0091217415610312subject
Has Abstractpub_date
2015-01-01 00:00:00pages
326-34issue
3eissn
0091-2174issn
1541-3527pii
0091217415610312journal_volume
50pub_type
杂志文章,评审abstract::Twenty-one individuals underwent extensive psychological evaluation before, and four months after, coronary bypass surgery, that examined: defensive mechanisms; fantasies and distortions; subjective meaning of the procedure; and transference and projections. Patients showed a significant improvement in their physical ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/u8y8-gcng-m3xl-hvvy
更新日期:1980-01-01 00:00:00
abstract::Clonazepam, a unique benzodiazepine with anticonvulsant and serotonin enhancing capacity, can be used in conjunction with conventional psychopharmacologic agents to treat a variety of psychiatric conditions including schizophrenia, borderline personality disorder, and psychotic mania. Three representative case studies...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6dk0-tpwy-mcdj-ddf9
更新日期:1985-01-01 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: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:To determine if demographic differences exist in patients with depressive symptoms as the principal reason for visits to primary care physicians (PCP) versus psychiatrists. To estimate the likelihood of these patients receiving a range of mental health services from each provider group. METHODS:Review and an...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6BUL-MWTQ-0M18-30GL
更新日期:2001-01-01 00:00:00
abstract::State and trait anxiety correlates of eight dimensions of illness behavior in response to myocardial infarction, were examined for 120 survivors of myocardial infarction. Six of eight illness behavior dimensions were found to be significantly associated with measures of state anxiety or trait anxiety or both. Trait an...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/y9bw-rl3y-a2ck-0gm9
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:Japan experienced a nationwide outbreak of hydrogen sulfide suicides (HSS) between April and May 2008. The annual number of HSS skyrocketed from 19 in 2007 to 1,056 in 2008. However, the factors affecting this enormous increase remain unknown. The present study aimed to examine the effect of media coverage of...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.44.2.d
更新日期:2012-01-01 00:00:00
abstract::The present study examines the sensitivity and specificity of the Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for post-stroke depression. Eighty stroke patients were evaluated by a research nurse over a two-year period using the CES-D and also by a trained psychiatrist using a s...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/bh75-euya-4fm1-j7qa
更新日期:1988-01-01 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:OBJECTIVE:Although generalized social anxiety disorder (gSAD) is more prevalent in women, the role of female reproductive hormones in gSAD has never been investigated. Therefore, our aim was to make a first inventory of the influence of female reproductive hormones on gSAD symptoms. METHOD:Female patients with gSAD wh...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.39.3.e
更新日期:2009-01-01 00:00:00
abstract::In August 2016, U.S. Surgeon General Vivek Murthy, MD, MBA, issued a letter to healthcare providers requesting aid in addressing "an urgent health crisis facing America: the opioid epidemic." In this article, we address some of the more poignant challenges that surface in treating patients with opiate addiction. We pr...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417720897
更新日期:2017-03-01 00:00:00
abstract::Sixty right-handed adult subjects, divided equally into three groups (mildly depressed, normal, and "low normal") on the basis of the Zung self-Rating Depression Scale, were exposed for forty seconds each to forty-eight imagery items designed to reflect happy, sad, angry, and fearful situations. Expressed emotion (fac...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/h3ax-k9nm-q2xl-6gr3
更新日期:1982-01-01 00:00:00
abstract::In the management of patients it is often important to combine physical and psychotherapeutic treatment methods according to the individual patient's needs. In analytically oriented psychotherapy more attention can usefully be paid to the patient's bodily attitudes and behavior than has been customary. A psychosomatic...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/KDQE-6U5W-UUKW-JC2F
更新日期:1975-01-01 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:To describe religious affiliation, importance of religion, and the relationship between religion and self-rated health in persons aged 60 or older living in Latin America or the Caribbean. METHOD:We used data from seven cities (n = 10,587). Multivariate models were used to analyze the associations between re...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.37.4.f
更新日期:2007-01-01 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: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:Depression has been found to impede several health outcomes among people living with HIV, but little research has examined whether depression treatment mitigates this influence. We assessed the impact of antidepressant therapy on measures of work, condom use, and psychosocial well-being among depressed HIV cl...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.48.3.a
更新日期:2014-01-01 00:00:00
abstract::A short-term, open membership group therapy program for kidney transplant patients and their families is described. The content and process of this group is related to the ten curative factors described by Yalom for psychiatric patients. The primary benefits for the patients seemed to be the opportunity to observe oth...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/A8VM-RQ87-V8AL-FQQ4
更新日期:1975-01-01 00:00:00
abstract:OBJECTIVE:Mania and other mood changes are known to be associated with various organic etiologies. This article documents a case of organic mania associated with hyponatremia, a phenomenon which has not been previously reported, and reviews the pertinent medical literature. METHOD:The mental status of a patient with e...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BB2P-2YM7-69GE-WC7P
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVE:We hypothesized that a systematic determination of symptom severity would predict psychiatric admission for non-suicidal patients referred for a psychiatric evaluation in an urban emergency department (ED) setting. METHOD:In a pilot study involving consecutive patients referred for a psychiatric evaluation i...
journal_title:International journal of psychiatry in medicine
pub_type: 临床试验,杂志文章
doi:10.2190/1YVH-LBFF-QJRD-R2ET
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVE:Prostate cancer is the most common cancer in German men and associated with various physical and psychosocial problems. This study investigated the association between mental distress and the subjective need for psychosocial support comparing subgroups of patients with different treatments and disease stages....
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217420938896
更新日期:2021-01-01 00:00:00
abstract::Using standardized instruments, personality traits of twenty-two hemophilic boys and child-rearing attitudes and practices of their parents were evaluated at the beginning and end of a six-year period, during which psychosocial services were provided in a comprehensive care hemophilia program. The children changed sig...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/67xa-e87f-qh9c-x3r0
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVE:Recent genome wide association studies (GWASs) assessing the relationship between schizophrenia (SZ) and the ZNF804A gene, particularly the single nucleotide polymorphism (SNP) rs1344706, have yielded conflicting results. Schizophrenia is a heterogeneous disorder, so it is possible that an association may be ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.45.3.f
更新日期:2013-01-01 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:OBJECTIVE:To seek clues to the enhancement of primary care management by (i) Determining how often and in whom primary care clinicians in the United States, Puerto Rico, and Canada identify pediatric mood or anxiety syndromes; (ii) Determining which clinical and demographic features predict higher rates of identificati...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/UT6D-RDFG-LBT7-G39N
更新日期:2003-01-01 00:00:00
abstract::The author describes the delivery of medical, psychiatric and social work services to residents of a facility for the aged. Although the Home had already benefited from the introduction of sound medical standards and the influence of an acute medical hospital, a satisfactory staff organization needed to be developed t...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/k1ed-ep92-n418-n8a8
更新日期:1978-01-01 00:00:00
abstract::Recent case reports have suggested an association between anorexia nervosa and/or bulimia with insulin-dependent diabetes mellitus (IDDM). Fifty-eight females aged fifteen to twenty-two with IDDM for more than one year were assessed for the presence of eating disorders. Patients were screened for eating and weight pat...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/hulh-ctpr-4v17-383c
更新日期:1986-01-01 00:00:00
abstract::Philosophical and theological notions regarding food and eating are briefly reviewed, as is the history of anorexia nervosa. Modern studies of social, psychological, and biological aspects of anorexia nervosa have failed, as yet, to provide an organized coherent understanding of the etiology of this disorder. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/844b-8rpe-621y-g3dk
更新日期:1981-01-01 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