Abstract:
OBJECTIVE:This study sought to determine whether patients on psychiatric medication evaluated by inpatient consultation psychiatrists followed up with psychiatric aftercare and continued psychiatric medication 8 weeks post-discharge. Barriers to care and their effect on aftercare follow-up were assessed. METHOD:This was a prospective study of a consecutive sample of adults who received a psychiatric consultation and were prescribed psychotropic medication during hospitalization on the general medical or surgical inpatient units at the University of Maryland Medical Center. Baseline information was collected from 36 patients who received an inpatient psychiatric consultation and were: (1) prescribed psychiatric medications; and (2) discharged to home. Follow-up data was collected from 21 (58.3%) of these patients 8 weeks post-discharge. RESULTS:Of 36 patients who provided baseline data, 93% recognized they had a psychiatric disorder, 90% recognized the importance of taking psychiatric medication, and 80% recognized the importance of psychiatric aftercare. Aftercare recommendations were included in only 33% of patient discharge instructions. Of 21 patients providing follow-up data, 57% reported receiving psychiatric aftercare. Patients who did not receive psychiatric aftercare were significantly more likely to be at risk for poor literacy (88.9% vs. 33.3% Fisher's exact test = 0.024) and were less often given psychiatric aftercare instructions at discharge (22% vs. 42%). CONCLUSIONS:Poor communication of aftercare instructions as well as poor literacy may be associated with lack of psychiatric aftercare. Consultation psychiatrists should assess literacy and insure aftercare information is provided to patients.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Ehrenreich MJ,Robinson CT,Glovinsky DB,Dixon LB,Medoff DR,Himelhoch SSdoi
10.2190/PM.44.1.asubject
Has Abstractpub_date
2012-01-01 00:00:00pages
1-15issue
1eissn
0091-2174issn
1541-3527journal_volume
44pub_type
杂志文章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::This article presents several case studies which illustrate the way in which a terminal patient's attention may be diverted from the primary disease process, cancer, to secondary somatic symptomatology such as pain and nausea. This phenomenon has important consequences for the patient, family, physician, and the patie...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/ap4y-x1u9-ftdh-w7dc
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:Depression scales that are responsive to changes in clinical symptoms are important for clinical monitoring and outcomes assessment in longitudinal studies. We evaluated the psychometric properties and responsiveness to clinical change of the 13- and 20-item versions of the Hopkins Symptom Checklist Depressio...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/U1B0-NKWC-568V-4MAK
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Depression is a common mental disorder that leads to undesirable consequences. The study of the role of depression in disability pension can provide valuable insights. This study was conducted with the goal of systematic review and meta-analysis of the relationship between depression and disabi...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217419837412
更新日期:2019-05-06 00:00:00
abstract:OBJECTIVE:Borderline personality disorder (BPD) is characterized in the DSM by anger. While previous studies have examined various types of externalized aggression and violence among individuals with BPD, we are aware of no investigations of disruptive behaviors perpetrated by patients with BPD in medical settings-the ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.41.4.e
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVES:To examine the association between ethnicity, depression, quality of life, and diabetic control in Malaysian adolescents and young adults with type I diabetes mellitus. METHODS:Fifty-two outpatients with type I diabetes (mean age 15.5 years) who attended a Diabetes Clinic were included. The level of HbA1c w...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/EQ71-RMWV-6CEJ-1DGM
更新日期:2005-01-01 00:00:00
abstract::This article aims to promote awareness among primary care providers and support electroconvulsive therapy as a generally well-tolerated, effective therapeutic modality to treat specific psychiatric conditions in appropriately selected patients. There seem to be several potential barriers to treatment with electroconvu...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.1177/0091217416651255
更新日期:2016-04-01 00:00:00
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::Even when non-epileptic seizures are correctly diagnosed, appropriate treatment recommendations may not be fully or correctly implemented. We present a case of a 17-year-old girl with frequent non-epileptic seizures who presented for frequent trips to the emergency room (ER) and was admitted to an inpatient Child and ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.42.3.g
更新日期:2011-01-01 00:00:00
abstract::It is possible that Jack the Ripper can be understood in terms of doctor-identification borne of one or more terrifying experiences he may have had with doctors during his childhood. The fantasies acted out by this primitive murderer are similar to the fantasies experienced by people who have been surgically traumatiz...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BTBK-Q6QD-N88Y-82VA
更新日期:1975-01-01 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: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::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: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::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::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::A prospective study over three months explored whether measures of response "qualities" of life change events (e.g., whether the event was positive or negative in its subjective impact) enhance the ability of a simple counting of recent life change events to predict near future illness rates. Thirty-four nursing stude...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/jlhc-trd4-568w-nqt9
更新日期:1978-01-01 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::The case of a man who falsely represented himself as being HIV positive is reported. In less than one year he was admitted twice with symptoms suggestive of HIV infection. The diagnoses malingering and factitious disorder were consecutively made. Early recognition of Factitious Disorder is essential to prevent patient...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/4BJM-U288-Q8KR-JQ3C
更新日期:1991-01-01 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: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:OBJECTIVE:To seek possible relationships between psychological factors and survival after an intensive medical therapy, using bone marrow transplantation as a model. METHOD:Candidates for bone marrow transplantation underwent two to three psychodynamically-oriented psychiatric interviews that explored family functioni...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/1C24-H366-CGC9-V1PW
更新日期:1999-01-01 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::We present the case of a thirty-eight-year-old woman who developed a febrile illness which was associated with a rise of blood lithium and amitriptyline, and subsequently suffered permanent neurological impairment, implicating CNS dysfunction at several levels. Medical, laboratory, radiological and neuropsychological ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/t774-au51-l92t-2ra2
更新日期:1986-01-01 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: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::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::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::Patients who have both medical and psychiatric illnesses often present very difficult diagnostic and treatment problems. Cross referrals by the two or more specialties necessarily involved in their management are often perceived by these patients as rejection and not only may induce in them feelings of frustration, he...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/56ry-mccb-p7my-9mn3
更新日期:1977-01-01 00:00:00
abstract::Tardive dyskinesia (TD) is a consequence of chronic neuroleptic therapy. It is an irregular stereotyped movement disorder that is usually choreic in appearance, and is subject to temporary volitional control. Dystonia, akathisia, and tics are uncommon variants of the classic tardive syndrome. Characteristic clinical f...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/ce34-rxqr-9cc6-c3ay
更新日期:1989-01-01 00:00:00