Abstract:
:When a patient suffering from bipolar II disorder is misdiagnosed as experiencing unipolar depression, the recommended treatment of the latter may precipitate a hypomanic or manic episode. Unchecked hypomanic symptoms may include risky behaviors, through which a patient could sustain irreparable damage to relationships, careers, and finances. Sometimes, patients are familiar enough with bipolar illness that they may anticipate or interpret inquiry regarding hypomanic symptomology (Goodwin & Jamison, 1990). Applying their own stigmas to bipolar illness, such patients may only admit to depressive symptoms to avoid a bipolar diagnosis (Goodwin & Jamison, 1990). Also, hypomanic symptoms can be nuanced and difficult to detect in patients who may misinterpret the elevated mood state as a return to good mental health rather than the pathologic condition it is. These and other factors, such as poor memory, substance use, physical problems, and co-morbid mental illnesses, contribute to the misdiagnosis and delayed diagnosis of bipolar II disorder for many patients (APA, 2013; Goodwin & Jamison, 1990). The astute clinician, however, can bypass the cascade of events leading up to the poor outcomes associated with unrecognized and mistreated hypomanic symptoms by committing to due diligence when assessing mood symptoms, depressed and elevated.
journal_name
Arch Psychiatr Nursjournal_title
Archives of psychiatric nursingauthors
Steelman BCdoi
10.1016/j.apnu.2018.06.014subject
Has Abstractpub_date
2018-12-01 00:00:00pages
868-871issue
6eissn
0883-9417issn
1532-8228pii
S0883-9417(18)30134-1journal_volume
32pub_type
杂志文章abstract::Residential instability is relatively common among low-income families and is associated with a host of negative outcomes, especially for children and adolescents. Psychiatric nurses, especially those in the advanced practice role, observe the consequences of residential instability within the clinical setting. Yet, t...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,评审
doi:10.1016/j.apnu.2015.11.006
更新日期:2016-04-01 00:00:00
abstract::Polydipsia, or excessive intake of water, is reviewed in the chronically mentally ill from a nursing perspective. The purpose of this article is to review research related to excessive water ingestion, the magnitude and types of problems that these patients experience, and the treatment interventions reported. Future ...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,评审
doi:10.1016/0883-9417(90)90005-6
更新日期:1990-06-01 00:00:00
abstract::Psychiatric comorbidities in the general hospital population have been found to increase the cost of health care. This descriptive study provides an in-depth analysis (including nursing hours), of general hospital patients receiving low, medium, and high intensity consultation/liaison (C/L) services from C/L psychiatr...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/0883-9417(93)90054-z
更新日期:1993-12-01 00:00:00
abstract:PURPOSE:This study was to develop and examine the effects of an emotion management nursing program for schizophrenic patients. METHODS:Fifty-two patients diagnosed as schizophrenia participated were recruited from community mental health facilities in Seoul, Korea. The experimental group received the Emotion Managemen...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2011.02.006
更新日期:2012-02-01 00:00:00
abstract::For a number of years, the Department of Psychosocial Nursing, University of Washington, engaged in a region-wide State-University collaboration with the Division of Mental Health authorities in states of the Pacific Northwest. This collaboration provided the basis for another 12 years of a Washington State Division o...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/0883-9417(93)90039-y
更新日期:1993-06-01 00:00:00
abstract::This case-controlled study was conducted to determine and compare the emotional eating, social anxiety and parental attitude in those adolescents with obesity and healthy counterparts. The sample of the study consist of obese adolescents in 14-18 aged (n = 150) followed up in the pediatric endocrinology outpatient cli...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2020.09.007
更新日期:2020-12-01 00:00:00
abstract::Highly suicidal, borderline patients are difficult to treat within the hospital and the community. The institution of managed care necessitates that care for these and other chronically hospitalized populations take place in the community. Psychotherapy has shown moderate success for some borderlines, however, treatme...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,评审
doi:10.1016/s0883-9417(97)80058-1
更新日期:1997-04-01 00:00:00
abstract::This randomized, controlled intervention study was carried out to investigate the effects of a Family-to-Family Support (FFS) program on the coping strategies and mental health status of caregivers of schizophrenia patients. Data were collected via a General Health Questionnaire (GHQ) and the Ways of Coping with Stres...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.apnu.2014.08.011
更新日期:2014-12-01 00:00:00
abstract::Currently there are approximately 31.5 million Americans 65 years and older. This number is expected to reach 39.3 million by 2010. This group represents 12% of the population, however, they use 25% to 40% of the prescription medications, averaging 4.5 medications daily; 75% of them use over-the-counter medications as...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,评审
doi:10.1016/s0883-9417(98)80062-9
更新日期:1998-04-01 00:00:00
abstract::An eight-session training model used a social interactive framework to combine theoretical and methodological aspects of peer counseling, cross-cultural communication, and transcultural nursing, with a conviction that the participants (volunteers from an ongoing, urban methadone maintenance program) had significant st...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/0883-9417(92)90085-w
更新日期:1992-12-01 00:00:00
abstract:BACKGROUND:Mental health problems, particularly depression, are a major risk factor for suicide. Currently, there is no way to predict, with 100% accuracy, who will make a suicide attempt, but during a clinical interview, it is possible to assess the risk presented by each patient based on the investigation of risk and...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2016.04.009
更新日期:2016-08-01 00:00:00
abstract::This study describes efforts to reduce turnover of child care workers, one of the many activities undertaken within the Milieu Enhancement Project. This 3-year endeavor, funded by the Division of Nursing of the Department of Health and Human Services, allowed nurses to provide care for orphaned and disadvantaged child...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/0883-9417(91)90053-8
更新日期:1991-08-01 00:00:00
abstract::Some aggressive incidents in psychiatric wards result in seclusion, whereas others do not. We used the Staff Observation Aggression Scale-Revised and the mental health trust's database to identify determinants that predicted seclusion after aggression. These consisted of demographic, diagnostic, contextual, and aggres...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2011.10.004
更新日期:2012-08-01 00:00:00
abstract:AIM:Schizophrenia enormously impacts the lives of the patients who have this psychiatric disorder. This study addresses the lived experience of grief in schizophrenia. METHOD:A qualitative study based on the grounded theory was designed. Ten patients were interviewed in depth on their feelings of loss and ways of copi...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2008.06.006
更新日期:2009-06-01 00:00:00
abstract::The purpose of this study was to evolve a structural description of nurses' experience of countertransference. The phenomenological method was chosen for the study. The sample consisted of 5 participants who met selection criteria. The participants gave audiotaped descriptions of their experiences in caring for patien...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/s0883-9417(99)80064-8
更新日期:1999-12-01 00:00:00
abstract::This article explores the tension between defining psychiatric-mental health nursing as fundamental to the discipline yet also special, an historic dilemma that continues to influence efforts to establish a secure place for the specialty. Analysis focuses on the formative work of three pioneers in this field, using pr...
journal_title:Archives of psychiatric nursing
pub_type: 历史文章,杂志文章
doi:10.1016/s0883-9417(96)80079-3
更新日期:1996-02-01 00:00:00
abstract::Positive dimensions of mental health are strong protective factors against physical and mental illness in general population. A cross-sectional study including a randomly selected sample of 141 outpatients was performed to explore differences in patients' self-reported importance of elements of health and subjective e...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2011.04.002
更新日期:2011-10-01 00:00:00
abstract::Depression is a costly illness, with broad social, economic and personal consequences. It affects many black women, yet only 7% of them receive traditional treatment. Given the chronic nature of depression and its broad impact on women's wellness, there is a need for more research examining both the conceptualization ...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2008.05.009
更新日期:2009-08-01 00:00:00
abstract::Patient participation is an important topic in mental health and receives increased attention along with deinstitutionalization. No tool exists to measure healthcare worker-related factors that influence patient participation. A three-staged study was conducted to develop and validate the 'Patient Participation Cultur...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2017.06.010
更新日期:2017-10-01 00:00:00
abstract::Sense of belonging has recently been described and defined as one specific interpersonal process that influences health. The purpose of this study was to examine the relationships between sense of belonging and personal characteristics and selected indicators of social and psychological functioning in men and women. U...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/s0883-9417(96)80029-x
更新日期:1996-08-01 00:00:00
abstract::A descriptive study was designed to identify and describe the ways in which registered nurses use nonprocedural touch in the inpatient psychiatric setting. Natural setting observation and nurse interviews were used to examine the decision-making process and intentions of nurses who used touch. Twenty-five incidents of...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/0883-9417(90)90035-j
更新日期:1990-08-01 00:00:00
abstract::Behavioral and psychological symptoms of dementia (BPSD) are sources of psychological distress for caregivers who take care of people with dementia. The purpose of this study was to examine the association between BPSD and the burden on formal caregivers of nursing homes in South Korea. Results showed that the total s...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2015.06.004
更新日期:2015-10-01 00:00:00
abstract::Critically ill patients receiving mechanical ventilatory support experience profound anxiety with this common treatment modality. Music intervention is one adjunctive therapy that can be implemented to allay anxiety. This article reviews the evidence support music as an adjunctive intervention with mechanically ventil...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2008.12.005
更新日期:2009-04-01 00:00:00
abstract::This study investigated the key aspects of a successful integration experience into mental health nursing from the perspectives of new nurses working in a psychiatric institution. Analysis of 10 semistructured interviews revealed that the relational atmosphere in which new nurses find themselves is determinant of thei...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2010.07.008
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:To clinically validate risk factors for the nursing diagnosis risk for suicide in older adults. METHODS:Case-control study (105 older adults). The strength of the association between variables was assessed using odds ratio (OR). Risk factors were grouped into hierarchical blocks according to the Integrated M...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2020.01.003
更新日期:2020-04-01 00:00:00
abstract::The two most useful treatments in obsessive-compulsive disorder are pharmacotherapy with potent serotonin reuptake-blocking agents and behavioral techniques, such as exposure and response prevention. Based on the authors' cumulative clinical experience, it is suggested that patient education, cognitive therapy, and ps...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/0883-9417(91)90028-4
更新日期:1991-10-01 00:00:00
abstract::Agitation is a significant behavior problem for many elderly nursing-home residents with dementia. Lack of conceptual clarity constrains effective management of agitated behaviors. This conceptual analysis examines the meaning of agitation and attempts to disentangle its antecedents, critical attributes, and consequen...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:
更新日期:1989-04-01 00:00:00
abstract::Traditional models of psychotherapy have failed to meet the demands for accessible, cost-effective, and accountable mental health services. This traditional approach to mental health based on the received view of science is deconstructed in terms of its cure-orientation and contrasted with the care-orientation of nurs...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,评审
doi:10.1016/0883-9417(94)90026-4
更新日期:1994-10-01 00:00:00
abstract::Despite the fact that nurses are in key positions to learn and use hypnosis to bolster a child's symptom management, ability to solve problems, or self-esteem, they lack knowledge about the clinical effectiveness of hypnosis. Substantial clinical literature demonstrates that hypnosis effectively reduces anxiety, enhan...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/0883-9417(90)90020-l
更新日期:1990-04-01 00:00:00
abstract:BACKGROUND:Elopement is a problem in the inpatient mental health community. Elopement can have serious and long term effects for the patients and staff. OBJECTIVE:The purposes of this paper are to present a review of the literature regarding elopement and to provide recommendation for practice. DESIGN:Using several d...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,评审
doi:10.1016/j.apnu.2012.07.002
更新日期:2013-02-01 00:00:00