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 clinic, University Kebangsaan Malaysia Medical Centre (UKMMC) with depressive disorders as assessed by using the Structured Clinical Interview for DSM-IV (SCID), who had been in remission for the previous 2 months as defined by a score of < or = 10 from an assessment using the Montgomery-Asberg Depression Rating Scale (MADRS) and were treated with either fluoxetine or escitalopram. Sexual arousal difficulties were assessed using the arousal subscale of Malay Version of the Female Sexual Function Index (MVFSFI). RESULTS:The rate of sexual arousal difficulties was 41.1% for all subjects. Sexual arousal difficulties occurred in 50.0% of subjects treated with fluoxetine and 32.1% with escitalopram. However, this difference was not statistically significant (p = 0.055). Multivariate logistic regression analysis showed that higher dose of antidepressant (adjusted OR = 4.08, 95 CI = 1.70-9.81) was significantly associated with female sexual arousal difficulties. CONCLUSION:The risk of sexual arousal difficulties was higher in female patients who were treated with higher doses of either fluoxetine or escitalopram.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Midi M,Kanagasundram S,Sidi H,Asmidar D,Naing L,Guan NCdoi
10.2190/PM.43.4.hsubject
Has Abstractpub_date
2012-01-01 00:00:00pages
405-18issue
4eissn
0091-2174issn
1541-3527journal_volume
43pub_type
杂志文章abstract::This case report describes a 20-year-old man with a severe presentation of anorexia nervosa. His case is unique in that he presented at 49% of his ideal body weight and had a body mass index (BMI) of 11.59. In addition, he had cognitive slowing on exam and had cortical atrophy on a head CT. Other medical complications...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.48.2.b
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:As evidence of a biologic determinant of schizophrenia has been elaborated, an interest in the relationship between schizophrenia and autoimmune disorders has become increasingly more developed over the last decade. Pedigree analysis has shown that schizophrenia, like autoimmune disorders, is likely a herita...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/V8JB-5M7Q-L5XU-XR2A
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:No systematic information exists on what U.S. medical schools are teaching on spirituality and health or on the attitudes of faculty toward inclusion of this subject in the medical curriculum. We systematically surveyed U.S. medical school deans and assessed both attitudes about and the extent to which spirit...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.40.4.c
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:This article examines the cognitive and psychiatric features of multiple sclerosis. MS can manifest as a neuropsychiatric disturbance even in the absence of physical disabilities. METHOD:Two MS patients with predominant behavioral symptoms are described, and the literature is reviewed. RESULTS:The first pat...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/NK8F-MTUW-QHH1-0531
更新日期:1995-01-01 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::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::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::Two cases of seriously burned patients are presented which differ in initial psychiatric presentation and subsequent course. In each case, the role of the psychiatric consultant is described. The role includes direct evaluative and psychotherapeutic contact with the patient and liaison with the surgical and nursing st...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BCLY-Q77G-PY6U-G7R9
更新日期:1975-01-01 00:00:00
abstract:OBJECTIVE:Behavioral science faculty in family medicine residencies work on inpatient medicine teaching service settings. However, there is limited research on the roles and responsibilities that behavioral science faculty fill while working in such settings. METHOD:Using a modified sequential explanatory study, resea...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217420905458
更新日期:2020-07-01 00:00:00
abstract::This review article addresses some of the complex issues surrounding antidepressant drug usage among elderly depressives. While primarily geared toward the psychiatrist in general practice, the article provides useful information for the nonpsychiatric physician who is frequently called upon to evaluate and treat affe...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/uhl6-0x4w-frng-8pff
更新日期:1986-01-01 00:00:00
abstract::Caring for patients can induce intense emotions in psychiatrists. Although clinical experience suggests that such feeling can become a source of stress for the psychiatrists, particularly the first year resident, and interfere adversely with patient care, research in this area has been lacking. We studied a group of p...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/nl9x-7tb9-4npm-0f6k
更新日期:1986-01-01 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:The aim of this study was to test the hypothesis that anxiety in older primary care patients is associated with functional impairment after controlling for depression and medical comorbidity. METHOD:Primary care patients (n = 303), aged sixty or older were interviewed with a series of instruments designed to...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/9736-0B8Y-28LD-5MX8
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:To gain more understanding about the relationship between human immunodeficiency virus type 1 (HIV-1) infection and new-onset psychosis, we compared clinical and immunological findings, psychiatric symptoms, global cognitive performance and, when available, computerized tomography (CT) findings between HIV-1-...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PLGX-N48F-RBHJ-UF8K
更新日期:2000-01-01 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::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:OBJECTIVE:Psychosocial associations have been observed with level of cervical dysplasia or "pre-cancer" and invasive cervical cancer [related to human papillomavirus (HPV) infection]. Psychoneuroimmunological relationships have been observed in human immunodeficiency virus type 1 (HIV-1) infection, which is being descr...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/F8F0-4UK8-XV79-EC6G
更新日期:1993-01-01 00:00:00
abstract::Approaching individuals in the emergency situation presenting with medical illness and depression requires an understanding of psychologic, biologic, social, and existential factors that converge to create alterations in mood, thought, and behavior. Clinicians must understand how these same factors may be used in mana...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/p2by-l94j-99p1-xaen
更新日期:1987-01-01 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::Background and Objectives This pilot study provides a description and evaluation of process-oriented dynamic group psychotherapy for depression as a teaching modality for family medicine residents. The main purpose of using this modality was to teach family medicine residents a variety of psychological clinical skills...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417703290
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:This study was designed to identify: 1) predictors of antidepressant pharmacotherapy among patients diagnosed with depression; and 2) predictors of prescription for either a selective-serotonin reuptake inhibitor (SSRI), or a serotonin-norepinephrine reuptake inhibitor (SNRI). METHOD:Data from the 1995 Natio...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6VR0-XRCG-G1H3-N9Q0
更新日期:1998-01-01 00:00:00
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 w...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.44.1.a
更新日期:2012-01-01 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::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:OBJECTIVE:To investigate the impact of psychiatric illness, aggression, and other covarying variables on the compliance and coping potential of cancer patients treated in liaison-consultation psychiatry. METHODS:The study involves 270 cancer patients who were admitted to the oncology ward for diagnosis and treatment. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/73UU-R7AY-P0LE-QQ5L
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:The article seeks to provide an international perspective on the facilitating role of health services research in the treatment of psychiatric disorders in primary care. It builds on Goldberg and Huxley's model describing pathways to mental care for the psychiatrically ill in the community. METHOD:Seventy st...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/YLPG-RV5E-MCPW-FKTM
更新日期:1997-01-01 00:00:00
abstract::Across the lifespan, alcohol misuse affects a large percentage of patients seen in primary care clinics. It can lead to alcohol use disorders, ranging from risky use to alcohol dependence. Alcohol use disorders frequently complicate acute and chronic illnesses of patients seen in FM clinics. Screening patients for alc...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415592363
更新日期:2015-01-01 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::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:AIMS:A modified version of the Mental Adjustment to Cancer Scale (The Mental Adjustment to HIV Scale--MAHIVS) was used to evaluate patterns of psychological adjustment in response to HIV infection. METHODS:A sample of 164 HIV positive homosexual/bisexual men were recruited across three Australian centers (79 asymptoma...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/FK4E-B9VJ-K4UG-0H0R
更新日期:2000-01-01 00:00:00