Abstract：
OBJECTIVE:Depression and co-morbid substance abuse disorders are a major public health problem. Information is limited for patients attending Polish primary care clinics. This article addresses 30-day and lifetime prevalence of major depression in a heavy drinking population from 12 Polish primary care clinics. METHOD:277 heavy drinkers were interviewed by a researcher in each clinic. Heavy drinking was defined as more than 20 drinks per week for males, or more than 13 drinks per week for females, or consumption of more than four drinks five or more times in the previous 30 days, or two or more positive replies to the CAGE questions. Criteria from the Diagnostic and Statistical Manual were used to assess lifetime and past 30-day depression. RESULTS:35% of women and men met criteria for depression in the 30 days prior to the interview. Lifetime rates were 45% for women and 52% for men. Men and women with a CAGE score of 4 were at higher risk for both 30-day (67%, OR = 3.85 [1.47, 10.08]) and lifetime (78%, OR = 3.28 [1.12, 9.66]) depression. Recreational drug users and patients reporting symptoms of anti-social personality disorders were at increased risk for lifetime depression. Subjects reporting symptoms of a childhood conduct disorder were at higher risk for 30-day depression. CONCLUSIONS:Depression among patients with substance abuse problems is a common problem. The rates are higher than for other countries and highlight the need for Polish primary care clinicians to routinely screen for depression in patients with substance use disorders.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Manwell LB,Czabala JC,Ignaczak M,Mundt MPdoi
10.2190/A736-FBBC-RBKC-Q0YMsubject
Has Abstractpub_date
2004-01-01 00:00:00pages
165-78issue
2eissn
0091-2174issn
1541-3527journal_volume
34pub_type
临床试验,杂志文章,多中心研究,随机对照试验abstract：INTRODUCTION:Empirical data indicate that patients seen in internal medicine outpatient settings have substantial rates of depression and other psychiatric disorders. Surprisingly, the training requirements established by the Residency Review Committee in Internal Medicine do not include a specific psychiatry training ...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/BBC8-M25L-QWR0-7ARU
更新日期：2006-01-01 00:00:00
abstract：OBJECTIVE:Recent genome wide association studies (GWASs) assessing the relationship between schizophrenia (SZ) and the ZNF804A gene, particularly the single nucleotide polymorphism (SNP) rs1344706, have yielded conflicting results. Schizophrenia is a heterogeneous disorder, so it is possible that an association may be ...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.45.3.f
更新日期：2013-01-01 00:00:00
abstract：:There is rising evidence of patients' use of alternative and complementary medicine. The percentage of the U.S. population who used at least one dietary supplement increased from 42% in 1988-1994 to 53% in 2003-2006. We present a case of an Asian female in her 40s, with no previous psychiatric illness, who presented t...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.1177/0091217417696733
更新日期：2016-08-01 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：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：: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：: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：:Integrated biopsychosocial treatment is necessary for medical patients in whom psychosocial and behavioral issues strongly influence medical outcome. In this article the authors identify several large groups of such patients, and point out the limitations of three established approaches to improving their care: psycho...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/25uq-5tp7-grw5-ph3j
更新日期：1983-01-01 00:00:00
abstract：:During three and a half years of psychiatric liaison with a cardiac transplantation program, the authors evaluated and followed 101 transplantation candidates. Ten exhibited pronounced ambivalence toward cardiac transplantation. Ambivalence appears to be associated with three factors: difficulties facing the seriousne...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/arhl-ygd4-t9f5-5uyv
更新日期：1988-01-01 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：: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：: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：:Olanzapine, an atypical antipsychotic, is often regarded as a safe choice for psychosis management. We hereby report an aged case that presented with conscious depression, bradycardia, hypotension, miosis and hypothermia. Olanzapine was thought to be the offending agent. His condition improved with supportive therapy....
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/U99G-XDML-0GRG-BYE0
更新日期：2003-01-01 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：:Twenty-one individuals underwent extensive psychological evaluation before, and four months after, coronary bypass surgery, that examined: defensive mechanisms; fantasies and distortions; subjective meaning of the procedure; and transference and projections. Patients showed a significant improvement in their physical ...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/u8y8-gcng-m3xl-hvvy
更新日期：1980-01-01 00:00:00
abstract：:Balint groups are a structured group process designed for physicians and other helping professionals to provide feedback to each other concerning troublesome patient encounters. The process of Balint groups has survived and even thrived for more than a half century since their inception, suggesting their inherent valu...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.1177/0091217417745290
更新日期：2018-01-01 00:00:00
abstract：:This essay was chosen as an "honorable mention" for the 2020 Enid Balint Essay Contest. ...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.1177/0091217420985969
更新日期：2020-12-30 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：OBJECTIVES:The purpose was to: 1) determine which aspects of religious belief incompatibility were associated with husband-to-wife abuse; 2) determine whether religious coping was independently associated with functional status among victims of spousal abuse; and 3) whether degree of abuse correlated with degrees of re...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/G674-15N5-4626-W138
更新日期：2007-01-01 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：INTRODUCTION:In patients with acute physical illness, symptoms used in the diagnosis of major depression such as sleep or appetite disturbance may be nonspecific for depression. This study was undertaken to examine the association of depressed mood with other depressive symptoms to determine which symptoms were most us...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/BWJA-KQP3-7VUY-D06T
更新日期：1997-01-01 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：:This article is a review of some of the sparse investigation of EEG concomitants of verbally induced stress. The difficulties encountered in good experimental design in this formidable area, which may account for the paucity of work, are discussed. A recent experiment in which spectral analysis of EEG played a promine...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/EC12-16LJ-1GJY-8DF8
更新日期：1975-01-01 00:00:00
abstract：:Two cases from an adolescent dialysis group are presented to illustrate the limitations of the generally used models of patient compliance and noncompliance with medical treatment. Understanding the noncompliance of these two young men required awareness of their psychological development and of the interpersonal matr...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/3vm7-gkwn-6pc2-rr76
更新日期：1981-01-01 00:00:00
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：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：:Ethical and pragmatic considerations often preclude the application of classical experimental approaches to in vivo thanatological research. While quasi-experimental and correlational designs may be employed to circumvent a number of potential problems, many more empirically testable research questions simply remain u...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/5djw-2229-rh8b-4x8f
更新日期：1978-01-01 00:00:00
abstract：:George Engel's biopsychosocial vision was simultaneously scientific and humanistic. He passionately presented an approach to clinical care to correct the progressive distancing of clinical care and research from the lived experience of the patient. Yet, while science provides ever greater evidence for the linkages bet...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.47.4.b
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:To propose an answer to Medicine's confusion about what Type A Behavior is. METHOD:To critically review early writings about Type A as well as current literature with a focus on five key articles which are frequently mentioned in medical and lay literature as containing relevant data undermining the Type A h...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/CDU1-6JN8-RDW8-70RN
更新日期：1993-01-01 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
