Impact of delirium on decision-making capacity after hematopoietic stem-cell transplantation.

Abstract:

BACKGROUND:Delirium is a common complication of myeloablative hematopoietic stem-cell transplantation (HSCT), yet no studies have explored the later effects of an episode of delirium in this setting on patients' decision-making capacity after the acute symptoms of delirium have resolved. OBJECTIVE:The authors assessed the impact of delirium during the acute phase of myeloablative HSCT on later decision-making capacity. METHOD:Decision-making capacity was assessed with the MacArthur Competence Assessment Tool in 19 patients before they received their first HSCT and at 30 and 80 days post-transplantation. Delirium was assessed 3 times per week with the Delirium Rating Scale and the Memorial Delirium Assessment Scale from 7 days pre-transplantation through 30 days post-transplantation. RESULTS:Although there was little variance in the pre-treatment scores, with most patients showing very high or perfect scores on decision-making abilities, a multivariate regression model showed that delirium was predictive of a lower reasoning score at Day 30 post-transplantation. CONCLUSION:Patients who experienced a delirium episode during the acute phase of HSCT were not likely to develop clinically meaningful impairments in decision-making capacity post-transplantation, although they evidenced minor impairment in their reasoning ability.

journal_name

Psychosomatics

journal_title

Psychosomatics

authors

Zaubler T,Fann JR,Roth-Roemer S,Katon WJ,Bustami R,Syrjala KL

doi

10.1176/appi.psy.51.4.320

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

320-9

issue

4

eissn

0033-3182

issn

1545-7206

pii

51/4/320

journal_volume

51

pub_type

杂志文章
  • The etiology of depression in Parkinson's disease patients.

    abstract::Depression is the major psychiatric complication of Parkinson's disease, and it occurs in approximately one-third of all cases. Diagnosis of depression is complicated by the overlap of depressive and parkinsonian symptoms. Its etiology is not fully understood but involves changes in dopamine and serotonin. Depression ...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(91)72039-2

    authors: Guze BH,Barrio JC

    更新日期:1991-10-01 00:00:00

  • Psychosocial distress associated with treatment of hypertensive diseases in pregnancy.

    abstract:BACKGROUND:Hypertensive diseases in pregnancy (HDP) are a great challenge for healthcare providers. OBJECTIVE:The study aimed to investigate the experience of women developing HDP with different stressors associated with healthcare after a diagnosis of HDP. METHOD:A self- administered questionnaire referring to stres...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.49.5.413

    authors: Leeners B,Stiller R,Neumaier-Wagner P,Kuse S,Schmitt A,Rath W

    更新日期:2008-09-01 00:00:00

  • How do delirium and dementia increase length of stay of elderly general medical inpatients?

    abstract::The purpose of this study was to identify the proximate causes through which dementia and delirium extend length of stay (LOS) in elderly general hospital patients. Among 93 patients age >/=65 years admitted to a tertiary-care teaching hospital through the emergency department, admission ratings of cognitive impairmen...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.45.3.235

    authors: Saravay SM,Kaplowitz M,Kurek J,Zeman D,Pollack S,Novik S,Knowlton S,Brendel M,Hoffman L

    更新日期:2004-05-01 00:00:00

  • Screening for somatizing patients in the pulmonary subspecialty clinic.

    abstract::Somatizing patients present a history of vague, unexplained medical symptoms. This study compared somatizing patients with pulmonary control subjects by using the Diagnostic Interview Schedule (DIS-III-R), the Illness Attitude Scales (IAS), and the Minnesota Multiphasic Personality Inventory (MMPI-2). The groups diffe...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(96)71545-1

    authors: Labott SM,Preisman RC,Torosian T,Popovich J Jr,Iannuzzi MC

    更新日期:1996-07-01 00:00:00

  • Antihistamines.

    abstract::Antihistamines and their drug-drug interactions are reviewed in depth. The metabolism of "classic" or sedating antihistamines is coming to light through in vivo and in vitro studies. The polymorphic CYP 2D6 metabolic enzyme appears to be potently inhibited by many of these over-the-counter medications. The history of ...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.44.5.430

    authors: Armstrong SC,Cozza KL

    更新日期:2003-09-01 00:00:00

  • Increasing HIV Testing in Inpatient Psychiatry.

    abstract:BACKGROUND:People with serious mental illness (SMI) are at elevated risk of HIV infection, but do not receive HIV tests regularly. Inpatient psychiatric admissions provide opportunities for HIV testing. OBJECTIVE:This study retrospectively examined the impact of three sequential interventions designed to increase HIV ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2017.10.007

    authors: Shumway M,Mangurian C,Carraher N,Momenzadeh A,Leary M,Lee EK,Dilley JW

    更新日期:2018-01-01 00:00:00

  • Personality profiles in patients referred for chest pain. Investigation with emphasis on panic disorder patients.

    abstract::Patients (N = 199) referred to cardiac outpatient investigation because of chest pain were assessed with the Personality Diagnostic Questionnaire (PDQ-4). Thirty-nine percent scored positive for any personality disorder. Borderline and avoidant personality disorders were found significantly more often in patients with...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.41.3.269

    authors: Dammen T,Ekeberg O,Arnesen H,Friis S

    更新日期:2000-05-01 00:00:00

  • Somatoform disorders and trauma in medically-admitted children, adolescents, and young adults: prevalence rates and psychosocial characteristics.

    abstract:OBJECTIVE:The purpose of this study is to describe past traumatic experiences in medically-admitted pediatric and young adult patients diagnosed with somatoform disorders and to explore the demographic, diagnostic, and psychosocial differences between those with and without trauma histories. METHODS:Retrospective medi...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2014.05.006

    authors: Thomson K,Randall E,Ibeziako P,Bujoreanu IS

    更新日期:2014-11-01 00:00:00

  • A two-year follow-up study of patients with somatoform disorders.

    abstract::Thirty inpatients with multiple somatoform symptoms admitted to a psychosomatic hospital were diagnosed using the Structured Clinical Interview for DSM-III-R and questionnaires. Two years later, a reexamination by interview and a follow-up questionnaire took place. The authors found high comorbidity rates not only for...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(95)71647-4

    authors: Rief W,Hiller W,Geissner E,Fichter MM

    更新日期:1995-07-01 00:00:00

  • Administration of olanzapine to prevent postoperative delirium in elderly joint-replacement patients: a randomized, controlled trial.

    abstract:BACKGROUND:Delirium is a serious postoperative condition for which few pharmacologic prevention trials have been conducted. OBJECTIVE:The authors tested the efficacy of perioperative olanzapine administration to prevent postoperative delirium in elderly patients after joint-replacement surgery. METHOD:The authors con...

    journal_title:Psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1176/appi.psy.51.5.409

    authors: Larsen KA,Kelly SE,Stern TA,Bode RH Jr,Price LL,Hunter DJ,Gulczynski D,Bierbaum BE,Sweeney GA,Hoikala KA,Cotter JJ,Potter AW

    更新日期:2010-09-01 00:00:00

  • Evidence for the partial dopamine-receptor agonist aripiprazole as a first-line treatment of psychosis in patients with iatrogenic or tumorogenic hyperprolactinemia.

    abstract:BACKGROUND:Antipsychotic drugs have many side effects, including elevation of prolactin levels through tuberoinfundibular dopamine-receptor blockade. Although a number of studies claim that aripiprazole is a prolactin-sparing antipsychotic drug that may even lower prolactin levels, there has not been an exhaustive eval...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.50.4.317

    authors: Hoffer ZS,Roth RL,Mathews M

    更新日期:2009-07-01 00:00:00

  • Palliative Care Training for Consultation-Liaison Psychiatry Fellows: A National Survey Project.

    abstract:BACKGROUND:Provision of palliative care is part of the standard of care for patients with serious, life-limiting medical illnesses. Patients in the palliative care setting have high rates of psychiatric co-morbidity. However, integration of mental health care into palliative care remains a significant gap. With appropr...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2020.02.002

    authors: Shalev D,Nash SS,Levenson JA,Shapiro PA

    更新日期:2020-01-01 00:00:00

  • Motivation for psychotherapy in patients with functional gastrointestinal disorders.

    abstract:BACKGROUND:The motivation of patients with functional gastrointestinal disorders to accept psychotherapy (PT) as a treatment option is not known. OBJECTIVE:The authors investigated motivation for patients' refusal to participate and dropout from PT/medical management programs. METHOD:Consecutive patients with symptom...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.51.3.225

    authors: Martens U,Enck P,Matheis A,Herzog W,Klosterhalfen S,Rühl A,Zipfel S,Sammet I

    更新日期:2010-05-01 00:00:00

  • Relationships among pain and depressive and anxiety symptoms in clinical trials of pregabalin in fibromyalgia.

    abstract:BACKGROUND:Fibromyalgia, as defined by the American College of Rheumatology, is characterized by widespread pain lasting for at least 3 months, with pain in at least 11 out of 18 tender points when palpated with digital pressure. OBJECTIVE:The authors investigated the relationship between changes in pain and symptoms ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.51.6.489

    authors: Arnold LM,Leon T,Whalen E,Barrett J

    更新日期:2010-11-01 00:00:00

  • Evolution of Emotional Symptoms Over Time Among Daughters of Patients With Breast Cancer.

    abstract:OBJECTIVE:This study longitudinally profiled anxiety and depressive symptoms of daughters of patients with breast cancer and examined the mother׳s survival status, the daughter׳s age at the time of mother׳s diagnosis, and the style of family communication about breast cancer as moderators of change in symptomatology ac...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2014.07.001

    authors: Wellisch DK,Ormseth SR,Aréchiga AE

    更新日期:2015-09-01 00:00:00

  • Problem substance use among depressed patients in managed primary care.

    abstract::This study identifies characteristics associated with problem substance use among 1,187 patients with either depressive symptoms (44%) or depressive disorders (56%) in primary care clinics of six managed care organizations. Sedative misuse (reported by 14% of all patients) was associated with greater wealth, social ph...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.43.5.405

    authors: Roeloffs CA,Wells KB,Ziedonis D,Tang L,Unützer J

    更新日期:2002-09-01 00:00:00

  • Consultation-liaison psychiatry and the practice of medicine. The Thomas P. Hackett Award lecture given at the 42nd annual meeting of the Academy of Psychosomatic Medicine, 1995.

    abstract::The contributions of consultation-liaison psychiatrists have significantly influenced the practice of medicine. The author reviews the pertinent literature that substantiates this observation as well as suggests areas that hold promise for such contributions in the future. ...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(96)71562-1

    authors: Kornfeld DS

    更新日期:1996-05-01 00:00:00

  • The role of psychiatrists and mental disorder in assisted dying practices around the world: a review of the legislation and official reports.

    abstract:OBJECTIVE:To establish the role of psychiatrists and mental disorder in assisted dying practices in countries and states where such practices are legal. METHODS:The authors reviewed the Assisted Dying Acts and official statistical reports from Belgium, The Netherlands, Luxembourg, and the states of Washington and Oreg...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.psym.2012.03.005

    authors: McCormack R,Fléchais R

    更新日期:2012-07-01 00:00:00

  • Sensitivity and specificity of observer and self-report questionnaires in major and minor depression following myocardial infarction.

    abstract::This study evaluated screening abilities of self-report questionnaires for depression in first myocardial infarction (MI) patients. One month post-MI, 206 patients with first MI were screened for major and minor depression using the 90-item Symptom Check List (SCL-90), the Beck Depression Inventory (BDI), the Hospital...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.42.5.423

    authors: Strik JJ,Honig A,Lousberg R,Denollet J

    更新日期:2001-09-01 00:00:00

  • Somatization or psychosomatic symptoms?

    abstract::The author describes some problems emerging from the approach to and comprehension of somatization symptoms, discussing ambiguities regarding somatization seen in the current classification manuals (ICD-10 and DSM-IV). Then the author presents a case report of a man who presented with a bizarre symptom of feminization...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.47.2.163

    authors: Avila LA

    更新日期:2006-03-01 00:00:00

  • Neuropsychiatric scurvy.

    abstract:BACKGROUND:Scurvy is a disease with well-known peripheral symptoms, such as bleeding and pain. METHODS:The clinical and historical evidence for a distinct form of scurvy affecting the central nervous system, called neuropsychiatric scurvy, is reviewed. Pathophysiologic factors are described, as well as its diagnosis a...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.psym.2014.05.010

    authors: Brown TM

    更新日期:2015-01-01 00:00:00

  • Health care utilization of patients with psychogenic nonepileptic seizures.

    abstract::Medical records were reviewed for 94 consecutive inpatients diagnosed with nonepileptic seizures. A 122-item follow-up questionnaire was returned by 71 patients (76%). The majority of the subjects reported fewer seizures (73%), their general health as "very good" (20%) or "good" (37), and "improved" quality of life (5...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(97)71398-7

    authors: Krahn LE,Reese MM,Rummans TA,Peterson GC,Suman VJ,Sharbrough FW,Cascino GD

    更新日期:1997-11-01 00:00:00

  • Psychometric properties of the 20-item toronto alexithymia scale and prevalence of alexithymia in a finnish adolescent population.

    abstract::The authors assessed, in an adolescent population sample, the internal consistency, test-retest stability, and factor structure of the Toronto Alexithymia Scale (TAS-20) and established the frequency of alexithymia in this age-group. Pupils (N=882; age-groups: 14-, 15-, and 16-year-olds) from two secondary schools com...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.48.2.154

    authors: Säkkinen P,Kaltiala-Heino R,Ranta K,Haataja R,Joukamaa M

    更新日期:2007-03-01 00:00:00

  • Fluoxetine in pathologic skin-picking: open-label and double-blind results.

    abstract::Various studies suggest that selective serotonin reuptake inhibitors (SSRIs) may be useful in treating pathologic skin-picking. The authors investigated the effectiveness of fluoxetine in treating this behavior. Fifteen subjects with clinically significant skin-picking were recruited by newspaper advertisement. They r...

    journal_title:Psychosomatics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1176/appi.psy.42.4.314

    authors: Bloch MR,Elliott M,Thompson H,Koran LM

    更新日期:2001-07-01 00:00:00

  • Body dysmorphic disorder. Diagnostic issues and related disorders.

    abstract::This article reviews diagnostic issues about body dysmorphic disorder and discusses its relationship to other disorders. Diagnostic and symptomatic overlap with obsessive-compulsive disorder is explored; associated features, course of illness, presumed etiology, and treatment outcome are compared; and similarities and...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(92)71991-4

    authors: Hollander E,Neville D,Frenkel M,Josephson S,Liebowitz MR

    更新日期:1992-04-01 00:00:00

  • Are doctors who have been ill more compassionate? Attitudes of resident physicians regarding personal health issues and the expression of compassion in clinical care.

    abstract:BACKGROUND:Compassion is an attribute central to professionalism and modern clinical care, yet little is known about how compassion is acquired and preserved in medical training. We sought to understand whether personal illness experiences are thought by residents to foster compassion. METHODS:The authors surveyed 155...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2011.01.042

    authors: Roberts LW,Warner TD,Moutier C,Geppert CM,Green Hammond KA

    更新日期:2011-07-01 00:00:00

  • Psychiatric sequelae following breast cancer chemotherapy: a pilot study using claims data.

    abstract::Despite attention to depression and cognitive disorders, the prevalence of other mental disorders following breast cancer chemotherapy has not been well described. The authors undertook a pilot study using insurance claims data to compare the prevalence of mental disorders other than depression in a population of brea...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.46.6.517

    authors: Miller SL,Jones LE,Carney CP

    更新日期:2005-11-01 00:00:00

  • Understanding associations between serious mental illness and hepatitis C virus among veterans: a national multivariate analysis.

    abstract:BACKGROUND:Hepatitis C virus (HCV) is a leading cause of hepatocellular carcinoma and cirrhosis in the United States and is known to be transmitted via pathways associated with substance use (e.g., injection drug use and intranasal drug use). OBJECTIVE:Although individuals with serious mental illness (SMI) have a high...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.50.1.30

    authors: Himelhoch S,McCarthy JF,Ganoczy D,Medoff D,Kilbourne A,Goldberg R,Dixon L,Blow FC

    更新日期:2009-01-01 00:00:00

  • Gender differences in the disability (functional limitations) associated with cardiovascular disease: a general population study.

    abstract:BACKGROUND:Although it is widely believed that women with heart disease have poorer adjustment than men, the term 'adjustment' has typically been narrowly defined as depression. Gender differences in adjustment more broadly defined to encompass functional limitations in addition to depression have seldom been investiga...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2011.05.005

    authors: Scott KM,Collings SC

    更新日期:2012-01-01 00:00:00

  • Medical-Surgical Hospitalization Among Veterans With Psychiatric and Substance Use Disorders.

    abstract:BACKGROUND:Mental illness is associated with an increased risk for medical hospitalizations. OBJECTIVE:This study investigates the degree to which nonpsychiatric factors account for these hospitalizations. METHODS:Using National Veterans Health Administration (VHA) fiscal year 2012 data for 2 million veterans under t...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2019.04.005

    authors: Moore DT,Rosenheck RA

    更新日期:2019-01-01 00:00:00