Abstract:
OBJECTIVE:This study examined correlates of depressive symptoms, particularly the role of religious coping (RCOPE), among people living with HIV/AIDS (PLWHA). The study also examined social support as a possible mediator of the proposed association between religious coping and depressive symptoms and the impact of depressive symptomatology on health outcomes such as HIV medication adherence, immune function, and health-related quality of life (HRQOL) among PLWHA. METHOD:A convenience sample of 292 PLWHA were recruited from an out-patient infectious disease clinic and AIDS-service organizations in the Southeastern United States. RESULTS:56.7% reported depressive symptoms. PLWHA with depressive symptomatology reported significantly poorer health outcomes, including poorer HIV medication adherence, lower CD4 cell count, and poorer HRQOL. The odds of being depressed was significantly associated with birth sex (female: OR = 0.43, 95% CI = .23-.80), sexual orientation (gay/bisexual: OR = 1.95, 95% CI = 1.04-3.65), marital status (single: OR = .52, 95% CI = .27-.99), social support satisfaction (OR = 0.65, 95% CI = .49-.86), and negative RCOPE (OR = 1.22, 95% CI = 1.14-1.31). Social support partially mediated the relationship between religious coping and depressive symptoms. CONCLUSIONS:High rates of depressive symptoms are present in PLWHA, which negatively impact health outcomes. Religious coping, perceived stress, and social support satisfaction serve an important role in depressive symptomatology among PLWHA. These findings underscore the need for healthcare providers to regularly screen PLWHA for and adequately treat depression and collaborate with mental health providers, social workers, and pastoral care counselors to address PLWHA's mental, social, and spiritual needs and optimize their HIV-related outcomes.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Dalmida SG,Koenig HG,Holstad MM,Wirani MMdoi
10.2190/PM.46.1.esubject
Has Abstractpub_date
2013-01-01 00:00:00pages
57-83issue
1eissn
0091-2174issn
1541-3527journal_volume
46pub_type
杂志文章,多中心研究abstract::George Engel's biopsychosocial vision was simultaneously scientific and humanistic. He passionately presented an approach to clinical care to correct the progressive distancing of clinical care and research from the lived experience of the patient. Yet, while science provides ever greater evidence for the linkages bet...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.47.4.b
更新日期:2014-01-01 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::Integrated biopsychosocial treatment is necessary for medical patients in whom psychosocial and behavioral issues strongly influence medical outcome. In this article the authors identify several large groups of such patients, and point out the limitations of three established approaches to improving their care: psycho...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/25uq-5tp7-grw5-ph3j
更新日期:1983-01-01 00:00:00
abstract::Mrs. A. B., a 61-year-old woman who presented with carcinoma of the breast in 1964, was readmitted to the hospital in 1974 in respiratory distress ensuing from chronic lung disease and metastatic illness. An active member of Alcoholics Anonymous for the past sixteen years, she had a living pattern in which she felt in...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/CQ8C-HFAN-D31T-XBWL
更新日期:1975-01-01 00:00:00
abstract:OBJECTIVE:The aim of this article is to review and discuss the efficacy of the Cognitive-Behavioral Therapy (CBT), in the prevention of postnatal depression (PD) in pregnant women at risk. METHOD:PubMed, Medline, PsychInfo, Embase, and the Cochrane Library databases were searched from February 1991 to February 2011. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/PM.43.3.b
更新日期:2012-01-01 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
abstract::Acute confusional state (delirium) appears as one of the common neuropsychiatric manifestations of systemic lupus erythematosus (SLE). It has been suggested that neuropsychiatric SLE (NP-SLE) could promote the occurrence of drug-induced extrapyramidal symptoms (EPS). Atypical antipsychotics have been thought to be use...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/P2T8-Y12E-ANKM-8MWF
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:The study was to examine the changes in attitudes towards psychiatry and mental illness among Chinese medical students during their psychiatry clerkship training. METHODS:The Attitudes Towards Mental Illness (AMI) and the Attitudes Towards Psychiatry-30 (ATP-30) questionnaires were administered to 325 fourth...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.47.3.e
更新日期:2014-01-01 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::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:OBJECTIVE:To compare the risk of sexual arousal difficulties between two groups of depressed female patients in remission who were treated with either escitalopram or fluoxetine. Associated factors were also examined. METHODS:This was a cross-sectional study involving 112 female patients attending the psychiatric clin...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.43.4.h
更新日期:2012-01-01 00:00:00
abstract::There is rising evidence of patients' use of alternative and complementary medicine. The percentage of the U.S. population who used at least one dietary supplement increased from 42% in 1988-1994 to 53% in 2003-2006. We present a case of an Asian female in her 40s, with no previous psychiatric illness, who presented t...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417696733
更新日期:2016-08-01 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::This study examines the use of a behavior modification program as an adjunct to the medical treatment of essential hypertension. The subjects, outpatients with medically treated, but uncontrolled, essential hypertension, were exposed to group interaction (including such processes as peer reinforcement, peer competitio...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/tr5l-q04u-gc1q-jb0b
更新日期:1977-01-01 00:00:00
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: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::Depressive illness was a common clinical syndrome found in general practice in Hong Kong. The phenomenon of somatization among Chinese depressives in general practice was investigated. Patients clinically identified as depressed were compared with organic patients in terms of their presenting complaints and responses ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/bvy5-yccr-ct1v-20fr
更新日期:1980-01-01 00:00:00
abstract:BACKGROUND:Autism spectrum disorder is a heterogenous neurodevelopmental condition accompanied by a variety of associated features. Case reports suggest one such associated feature, food selectivity, increases risk for nutritional deficiencies; however, little attention has been given to prevent and treat nutritional d...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217418791443
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The rate of smoking is known to be high in patients with schizophrenia. The purpose of this study was to quantitatively examine the relationship between smoking and family history of smoking in patients with schizophrenia. METHODS:The sample consisted of 172 patients (mean age: 54 years, 55% male) hospitali...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.41.2.h
更新日期:2011-01-01 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:OBJECTIVES:To examine the associations of Buddhist values with medication and dietary self-care, healthcare use, and glycosylated hemoglobin (HbA1c) level among Thai patients with a confirmed diagnosis of type 2 diabetes. METHOD:A total of 173 patients with non-insulin dependent diabetes mellitus were surveyed at two ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.38.4.g
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:Few studies have addressed informed consent in Chinese psychiatric practice. We wished to explore psychiatrists' attitudes toward informed consent in Shanghai after promulgation of the first national law for mental health care in China: the National Mental Health Law. METHOD:A total of 398 psychiatrists were...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217418791436
更新日期:2019-01-01 00:00:00
abstract::Integrating behavioral health into primary healthcare offers multiple advantages for patients and health professionals. This model requires a new skill set for all healthcare professionals that is not emphasized in current educational models. The new skills include interprofessional team-based care competencies and ex...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.45.4.g
更新日期:2013-01-01 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
abstract:OBJECTIVE:To compare the incidence of delirium in postoperative cardiac surgical patients treated with either cimetidine or ranitidine. METHOD:Cardiac surgery patients were randomized to receive either cimetidine or ranitidine postoperatively. Each patient underwent three Mini-Mental Status Examinations (MMSE) and the...
journal_title:International journal of psychiatry in medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2190/CBUA-RL4V-5UN8-MWJ3
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVE:Vitamin D deficiency might influence the development of depression; however, the association between vitamin D and depression in renal transplant recipients has not been evaluated. We aimed to test if there is a relation between 25-hydroxy (OH) vitamin D levels and depressive symptoms in patients with kidney ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.47.2.e
更新日期:2014-01-01 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 is a review of some of the sparse investigation of EEG concomitants of verbally induced stress. The difficulties encountered in good experimental design in this formidable area, which may account for the paucity of work, are discussed. A recent experiment in which spectral analysis of EEG played a promine...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/EC12-16LJ-1GJY-8DF8
更新日期:1975-01-01 00:00:00
abstract::Acquired immune deficiency syndrome (AIDS) has become a major public health problem with over 12,000 cases and 6,000 deaths reported to date. Although there has been an explosion of knowledge in the virology, immunology and pathology of AIDS, relatively little has been written on the neuropsychiatric aspects. This rep...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/nucl-gpka-gt8w-5grt
更新日期:1986-01-01 00:00:00
abstract::Patients coming to general hospital emergency rooms often present mixed physical and psychological problems. An unfortunate tendency of physicians caring for these patients to "label" them as either "organic" or "psychiatric," based on initial impressions, may lead to inadequate diagnosis and improper treatment. Four ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/G3YJ-8DJR-YQV9-DDDL
更新日期:1975-01-01 00:00:00