Evolution of consultation-liaison services in bone marrow transplantation.


:Bone marrow transplantation offers new hope for cure in a variety of leukemias, aplastic anemia, and other immunodeficiency and hematologic disorders. But the psychologic circumstances accompanying this procedure are often profoundly stressful. The evolution of consultation--liaison services on a bone marrow transplantation unit are described and illustrated with several clinical vignettes. The results of a survey of 52 other bone marrow transplantation centers report the percentage that provide such services and the extent to which they are performed by a psychiatrist, a nonphysician psychosocial counselor, or both.


Gen Hosp Psychiatry


Rappaport BS




Has Abstract


1988-09-01 00:00:00














  • A group-based brief intervention for surgery patients with high-risk substance use.

    abstract:OBJECTIVE:This study examined the feasibility and efficacy of a psychosocial intervention to address high-risk substance use in patients scheduled for elective surgery. METHOD:A group-format intervention, based on motivational interviewing principles, was provided prior to elective surgery to 107 participants with at-...

    journal_title:General hospital psychiatry

    pub_type: 临床试验,杂志文章


    authors: Wyman MF,Kallio P,Allred E,Meyer D

    更新日期:2014-11-01 00:00:00

  • A successful psychiatric training program for medical residents.

    abstract::The psychosocial skills of 24 PGY I medical residents receiving psychiatric training every other week during the internship year were evaluated and compared to a control group of 13 PGY I residents. After the internship year, the psychiatrically trained residents showed an increase in their ability to recognize emotio...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: von Ammon Cavanaugh S,Kennedy S

    更新日期:1986-03-01 00:00:00

  • Screening inventories to detect depression in chronic hepatitis C patients.

    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


    authors: Fábregas BC,Vitorino FD,Rocha DM,Moura AS,Carmo RA,Teixeira AL

    更新日期:2012-01-01 00:00:00

  • Psychological comorbidities in Chinese patients with acute-on-chronic liver failure.

    abstract:OBJECTIVES:Patients with acute-on-chronic liver failure (ACLF) experience long-term chronic liver diseases plus an acute liver function decompensation. This study aimed to determine whether psychological symptoms in patients with hepatitis B virus (HBV)-related ACLF differ from those with other chronic liver diseases a...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Duan Z,Kong Y,Zhang J,Guo H

    更新日期:2012-05-01 00:00:00

  • The use of the psychiatric consultation record for residency training.

    abstract::The Psychiatric Consultation Record (PCR) is an instrument developed to aid in the teaching of consultation psychiatry, to evaluate the impact of this teaching, and to provide an overall assessment of the consultation training program at St. Luke's Hospital. The PCR both structures the resident's training experience a...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Kantor SJ,Chiarandini I,Heller SS

    更新日期:1979-09-01 00:00:00

  • Enhancing adherence to prevent depression relapse in primary care.

    abstract::We performed a randomized trial to prevent depression relapse in primary care by evaluating intervention effects on medication attitudes and self-management of depression. Three hundred and eighty six primary care patients at high risk for recurrent depression were randomized to receive a 12-month intervention. Interv...

    journal_title:General hospital psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Lin EH,Von Korff M,Ludman EJ,Rutter C,Bush TM,Simon GE,Unützer J,Walker E,Katon WJ

    更新日期:2003-09-01 00:00:00

  • Medical psychiatry units and the roles of the inpatient psychiatric service in the general hospital.

    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


    authors: Summergrad P

    更新日期:1994-01-01 00:00:00

  • Consultative psychiatry in both private and public general hospitals.

    abstract::Most psychiatric patients obtain care in the nonpsychiatric units of general hospitals. Two groups of 100 psychiatric consultation patients in a private hospital setting and in a public hospital were compared. Significant differences were found. Patients in the public hospital were medically, psychiatrically, and soci...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Kuhn WF,Bell RA,Frierson RL,Lippmann SB

    更新日期:1986-07-01 00:00:00

  • The self-inflicted dermatoses: a critical review.

    abstract::The self-inflicted dermatoses, namely dermatitis artefacta, neurotic excoriations, and trichotillomania, have been reported to be associated with various degrees of psychopathology in the dermatologic literature, but have received surprisingly little emphasis in the psychiatric literature. This probably reflects, firs...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Gupta MA,Gupta AK,Haberman HF

    更新日期:1987-01-01 00:00:00

  • "INTERMED": a method to assess health service needs. II. Results on its validity and clinical use.

    abstract::The validity and clinical use of a recently developed instrument to assess health care needs of patients with a physical illness, called INTERMED, is investigated. The INTERMED combines data reflecting patients' biological, psychological, and social characteristics with information on health care utilization character...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Stiefel FC,de Jonge P,Huyse FJ,Guex P,Slaets JP,Lyons JS,Spagnoli J,Vannotti M

    更新日期:1999-01-01 00:00:00

  • Predictors of nonresponse to treatment in primary care patients with dysthymia.

    abstract::Dysthymia is one of the most prevalent problems in primary care, especially in the elderly. In this study, we evaluated the demographic and clinical predictors of nonresponse to treatment in primary care patients with dysthymia. The study sample consisted of 338 primary care patients meeting DSMIII-R criteria for dyst...

    journal_title:General hospital psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Katon W,Russo J,Frank E,Barrett J,Williams JW Jr,Oxman T,Sullivan M,Cornell J

    更新日期:2002-01-01 00:00:00

  • Course of depression, mental health service utilization and treatment preferences in women receiving chemotherapy for breast cancer.

    abstract:OBJECTIVE:This prospective study aimed to estimate the prevalence and course of depression during chemotherapy in women with Stage I-III breast cancer, identify potential risk factors for depression and determine which treatments for depression were being used and which were most preferred. METHOD:Thirty-two women wer...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Reece JC,Chan YF,Herbert J,Gralow J,Fann JR

    更新日期:2013-07-01 00:00:00

  • Nursing staff development and facility design for medical-psychiatry units.

    abstract::Successful operation of a medical-psychiatry unit requires special considerations in nursing staff development and facility design. This article will discuss in detail issues related to the selection, training, and development of a medical-psychiatry unit nursing staff. Organizational details regarding establishing sc...

    journal_title:General hospital psychiatry

    pub_type: 更正并重新发布的文章,杂志文章


    authors: Cowart T,Stoudemire A

    更新日期:1989-03-01 00:00:00

  • An ethical argument for a right to mental health care.

    abstract::The author reviews moral arguments supporting a right to medical care, as well as empirical data concerning the effects of mental illness on society, and explores their relevance to a rights-based claim to mental health care. He concludes that there is ample ethical justification for a right to mental health care, giv...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,评审


    authors: Green SA

    更新日期:2000-01-01 00:00:00

  • Research problems for consultation-liaison psychiatry in the DRG era.

    abstract::Psychiatry needs to conduct more rigorously designed empirical research studies to demonstrate its cost-effectiveness, especially since the DRG era is becoming more firmly established. The effectiveness of psychiatric intervention can be evaluated on its abilities to improve physical functioning as well as its improve...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Mitchell WD,Thompson TL 2nd

    更新日期:1985-10-01 00:00:00

  • Ziconotide-induced psychosis: a case report.

    abstract::Ziconotide is used intrathecally in the management of severe chronic pain that contains a warning against neuropsychiatric adverse events. The definition of psychiatric events is broad and management strategies are vague. This case report describes a 49-year-old female who was admitted to the acute psychiatric unit to...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Phan SV,Waldfogel JM

    更新日期:2015-01-01 00:00:00

  • Utilization of primary care physicians in borderline personality.

    abstract:OBJECTIVE:Individuals with borderline personality disorder (BPD) consistently demonstrate high patterns of utilization in both mental health and non-psychiatric settings. However, utilization of primary care physicians by these individuals has not been examined. In this study, we examined physician use patterns and hyp...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Sansone RA,Farukhi S,Wiederman MW

    更新日期:2011-07-01 00:00:00

  • Epileptic seizure presenting as dementia with Lewy bodies.

    abstract::Psychotic symptoms and cognitive fluctuation are common manifestations of dementia with Lewy bodies (DLB). However, the differentiation of these symptoms is difficult because many psychiatric, neurologic, and medical conditions in addition to drug effects can mimic DLB in elderly people. We report on an 83-year-old wo...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Park IS,Yoo SW,Lee KS,Kim JS

    更新日期:2014-03-01 00:00:00

  • Who uses over-the-counter psychotropics? Characteristics, functioning, and (mental) health profile.

    abstract::As part of a population study on the prevalence of psychopathology, users of "Over-The-Counter" Psychotropics (OTC-Ps) were studied. First, their mental health profile was examined by a number of subjective and objective assessments. Second, the medical consumption of the users was studied with special attention to th...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: van Rijswijk E,van de Lisdonk EH,Zitman FG

    更新日期:2000-07-01 00:00:00

  • Depressive symptoms, psychiatric medication use, and risk of type 2 diabetes: results from the Health and Retirement Study.

    abstract:OBJECTIVE:This prospective study investigates the relationships between depressive symptoms, psychiatric medication use, and their interaction on risk of developing type 2 diabetes. METHOD:Data come from the 1998-2010 waves of the Health and Retirement Study, a US nationally representative cohort of adults aged 51 yea...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Ratliff S,Mezuk B

    更新日期:2015-09-01 00:00:00

  • Hospitalization, depression and dementia in community-dwelling older Americans: findings from the national health and aging trends study.

    abstract:OBJECTIVE:The objective was to estimate the prevalence of both dementia and depression among community-dwelling older Americans and to determine if hospitalization is independently associated with dementia or depression in this population. METHOD:This cross-sectional study utilized data from a nationally representativ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Davydow DS,Zivin K,Langa KM

    更新日期:2014-03-01 00:00:00

  • The reactions to research participation questionnaires for children and for parents (RRPQ-C and RRPQ-P).

    abstract::Systematic assessment of the effect of clinical research studies on child and parent participants has been limited. Such assessment could provide an empirical basis for the ethical conduct of research, assisting investigators and institutional review boards in balancing the need for sound research with the need to pro...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Kassam-Adams N,Newman E

    更新日期:2002-09-01 00:00:00

  • Pernicious anemia presenting as catatonia: correlating vitamin B12 levels and catatonic symptoms.

    abstract::Pernicious anemia has been associated with various psychiatric manifestations, such as depression, mania and psychosis. Psychiatric symptoms can sometimes occur without hematological and neurological abnormalities and can be prodromal of vitamin B12 deficiency. We report a case of autoimmune B12 deficiency presenting ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Bram D,Bubrovszky M,Durand JP,Lefevre G,Morell-Dubois S,Vaiva G

    更新日期:2015-05-01 00:00:00

  • Patients with medically unexplained symptoms: DSM-III diagnoses and demographic characteristics.

    abstract::This study reports DSM-III diagnoses and demographic characteristics of 100 patients consecutively referred to a university hospital consultation-liaison service for evaluation of medically unexplained symptoms suggesting physical disorders. Thirty-seven percent of patients received diagnoses of somatoform, dissociati...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Slavney PR,Teitelbaum ML

    更新日期:1985-01-01 00:00:00

  • Implications of two-stage depression screening for identifying persons with thoughts of self-harm.

    abstract:OBJECTIVE:Persons with thoughts of self-harm may need evaluation for suicide risk. We examine the prevalence of thoughts of self-harm and whether persons with thoughts of self-harm are identified when two-stage depression screening is used. METHODS:Data are from the 2005-2010 National Health and Nutrition Examination ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Pratt LA,Brody DJ

    更新日期:2014-01-01 00:00:00

  • Early neuropsychiatric involvement in antiphospholipid syndrome.

    abstract:OBJECTIVE:Neuropsychiatric symptoms may be the main manifestations and very early symptoms of developing autoimmune diseases. Early detection and treatment could reverse psychotic symptoms and restore cognitive function. CASE REPORT:A 24-year-old woman presented with acute psychotic symptoms. Routine physical examinat...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Lai JY,Wu PC,Chen HC,Lee MB

    更新日期:2012-09-01 00:00:00

  • Comorbid depression and increased health care utilisation in individuals with diabetes.

    abstract:OBJECTIVE:The objective of this study was to examine the extent of health care utilisation (excluding costs) of diabetic patients with and without depressive symptoms attending a specialist clinic in Singapore. METHODS:A total of 537 Asian outpatients (aged 21 years and above) who were attending a Diabetes Centre were...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Subramaniam M,Sum CF,Pek E,Stahl D,Verma S,Liow PH,Chua HC,Abdin E,Chong SA

    更新日期:2009-05-01 00:00:00

  • Undermedication for pain on a burn unit.

    abstract::As the consultation-liaison psychiatrist for a large burn service, the author investigated the undermedication for pain. This phenomenon could not be adequately explained by the staff's insensitivity, by mistaken ideas about analgesics, or by fears of iatrogenic addiction. For both patients and staff, the pain served ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Perry SW

    更新日期:1984-10-01 00:00:00

  • Type D personality among noncardiovascular patient populations: a systematic review.

    abstract:OBJECTIVE:This article reviews all available literature concerning the implications of Type D personality (the conjoint effects of negative affectivity and social inhibition) among patients with noncardiovascular conditions. METHODS:Published papers were included if they studied Type D personality among noncardiovascu...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,评审


    authors: Mols F,Denollet J

    更新日期:2010-01-01 00:00:00

  • Current practices for mental health follow-up after psychiatric emergency department/psychiatric emergency service visits: a national survey of academic emergency departments.

    abstract:OBJECTIVE:The objective was to describe continuity of care approaches for psychiatric emergencies in the emergency department. METHODS:A national survey of all 138 academic emergency departments in the United States was conducted. RESULTS:Most emergency physicians (81%) had no systematic method for identifying psychi...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章


    authors: Boudreaux ED,Niro K,Sullivan A,Rosenbaum CD,Allen M,Camargo CA Jr

    更新日期:2011-11-01 00:00:00