Abstract:
OBJECTIVE:To examine the relationship between adherence to antidepressant medications and HbA1c levels among patients with diabetes in a managed care setting. METHOD:The analysis included measures of HbA1c levels before, during, and after initial antidepressant use among 568 patients with diabetes enrolled in the Harvard Pilgrim Health Care insurance plan from 1991-1995. Adherence was defined as four refills in a six-month period after the first antidepressant prescription. General linear models using SAS PROC MIXED were used to estimate the effects of covariates including antidepressant adherence on HbA1c levels over time, comparing patients who were adherent to antidepressant medications to those patients who were non-adherent to antidepressant medications. RESULTS:Adherence to antidepressant treatment was not significantly associated with HbA1c levels among diabetic patients who are antidepressant users. Younger age, use of insulin and oral medications, and female gender were all significantly associated with HbA1c levels over time. CONCLUSIONS:Although we did not observe any association between level of adherence to antidepressant therapy among diabetic patients and levels of glucose control, our results confirm previously established associations between patient characteristics and glycemic control. Further research is needed to disentangle the complex relationship among antidepressant treatment adherence and diabetes outcomes.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Bambauer KZ,Soumerai SB,Adams AS,Mah C,Zhang F,McLaughlin TJdoi
10.2190/KKGW-Y42P-BAAB-JDJ0subject
Has Abstractpub_date
2004-01-01 00:00:00pages
291-304issue
4eissn
0091-2174issn
1541-3527journal_volume
34pub_type
杂志文章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::Priapism is a rare but severe medical condition of sustained and painful erection of penis in the absence of any sexual stimulation, in which the penis does not return to a flaccid state. It is considered to be a medical emergency because without treatment it can lead to permanent damage and fibrosis of penis and in t...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.1177/0091217415610312
更新日期:2015-01-01 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::The prescription of medications for a patient with kidney failure requires special consideration since the kidneys are major organs of excretion and regulator the body's fluid environment. Physicians need to have a working knowledge of the pharmacokinetics of the medications they intend to prescribe. Protein binding o...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/T5TH-9UJY-A3MW-M1PR
更新日期:1990-01-01 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: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::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::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: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 AND METHODS:Perimenstrual psychosis is an uncommon disorder, not included under the accepted classifications of functional psychoses. Our aim was to describe two Israeli female adolescents who fit this diagnosis. RESULTS:Both youngsters developed an acute psychosis a few days before menstruation, which subs...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6E0C-52XC-GGWQ-DPU4
更新日期:2003-01-01 00:00:00
abstract::A study of patterns of communications in families with a terminal cancer patient being treated at three urban institutions revealed that may first-order relatives (spouses, children, siblings) of patients did not have a communication link to the physician, especially if direct communication was not established at the ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/7vny-wfnu-5510-v8bc
更新日期:1977-01-01 00:00:00
abstract::We present a case of a 16-year-old Caucasian female with a history of major depressive disorder and post-traumatic stress disorder who was admitted to an inpatient adolescent psychiatric unit with symptoms of conversion disorder, including non-epileptic seizures, an inability to speak or walk, and not eating on her ow...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415612720
更新日期:2015-01-01 00:00:00
abstract::This study examines the use of a behavior modification program as an adjunct to the medical treatment of essential hypertension. The subjects, outpatients with medically treated, but uncontrolled, essential hypertension, were exposed to group interaction (including such processes as peer reinforcement, peer competitio...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/tr5l-q04u-gc1q-jb0b
更新日期:1977-01-01 00:00:00
abstract:OBJECTIVE:Few studies have addressed informed consent in Chinese psychiatric practice. We wished to explore psychiatrists' attitudes toward informed consent in Shanghai after promulgation of the first national law for mental health care in China: the National Mental Health Law. METHOD:A total of 398 psychiatrists were...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217418791436
更新日期:2019-01-01 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::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 authors discuss the case of a mildly disfigured patient with Neurofibromatosis from the perspectives of his distorted body image, need to attribute problems in his social and work lives to unrealistic assessment of his disfigurement, changes in his self-concept following communication training, and the need for ph...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/rpjq-g087-4qly-rped
更新日期:1981-01-01 00:00:00
abstract::Personal and familial psychopathological histories and information about early losses were collected and the results of the locus of control test and tests for psychological responses were determined for a series of ninety-two HIV-infected subjects (58 drug addicts; 26 homosexuals; 8 heterosexuals, partners of drug ad...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/8R5Y-1KFG-5JN8-R0DP
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVE:Anxiety and depression disorder are the most prevalent mental health problems. However, few studies are available pertaining to these problems among Chinese doctors, especially the assessment of the anxiety and depression symptoms among primary-care providers. The aim of this study was to assess the anxiety a...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.44.3.f
更新日期:2012-01-01 00:00:00
abstract::An historical narrative tracing the inception, evolution, structure, educational focus, integration with international Balint movements and challenges to future growth of the American Balint Society (ABS) is enlivened and deepened by twelve Balint autobiographies that follow it. The ABS in choosing to create its histo...
journal_title:International journal of psychiatry in medicine
pub_type: 历史文章,杂志文章
doi:10.1177/0091217420919000
更新日期:2020-05-01 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::Anti-N-methyl-D-aspartate receptor (NMDA-R) encephalitis, first characterized in 2005, is a neurological disease with prominent psychiatric features that frequently involves the consultation of psychiatrists. Since its discovery, the rate of diagnosis of new cases has increased rapidly and several epidemiological stud...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.46.4.f
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:This article reviews burnout in psychiatrists. A model of burnout is presented which considers three factors: those which may predispose, precipitate, and perpetuate burnout. Lastly, recommendations are made for future research. METHODS:We conducted a selective literature review to expand on two recent syste...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/8XWB-AJF4-KPRR-LWMF
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was determine the rate of depression in people with diabetes in an Iranian population. METHOD:A hospital-based prospective study with a comparison group was conducted in Firozgar Teaching Hospital in Tehran, Iran. The condition of depression and relationship to diabetes was asses...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/FP64-82V3-1741-842V
更新日期:2007-01-01 00:00:00
abstract::This article explores the association between normal pressure hydrocephalus and psychiatric symptoms, such as depressed mood, delusions, and hallucinations. We are reporting a case of a 30-year-old female with a history of congenital hydrocephalus, is used to illustrate this association. Such patients may benefit from...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/HQXL-FV6T-03UF-XANH
更新日期:2001-01-01 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:The goal of our study was to compare the incidence of Attention Deficit Hyperactivity Disorder (ADHD) observed in students at the School of Physical Education and Sports (SPES), which is a school that provides higher education in athletics, with that observed in students studying in other departments of the u...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.46.2.d
更新日期:2013-01-01 00:00:00
abstract::Depression, anxiety and fear of recurrence following myocardial infarction often lead to disability in excess of actual cardiac impairment in a large number of patients. The high social, economic and emotional cost of psychogenic cardiac invalidism has stimulated the development of cardiovascular rehabilitation progra...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6bca-7buk-0vwd-83le
更新日期:1977-01-01 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: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