Abstract：
OBJECTIVE:This paper discusses a new technique for diagnosing pseudoseizures. The technique consists of an intensive psychiatric interview designed to provoke a pseudoseizure during EEG and video monitoring. We wished to determine the overall efficacy of the technique and learn how our patients felt about having undergone the procedure. We were also interested in whether their seizures persisted approximately three years later. METHOD:We reviewed medical records and conducted telephone interviews with thirty of thirty-two patients who had previously undergone the procedure as part of an evaluation for unusual or intractable seizures. All evaluations had been performed on a university hospital neurology service. The patients were consecutive referrals to the consultative psychiatry service for suspicion of pseudoseizures. RESULTS:Nineteen of the thirty-two patients interviewed had a pseudoseizure under EEG and video monitoring. Of the thirty reached by telephone for follow-up, twenty-two recalled the procedure as helpful or benign. None regarded the overall psychiatric consultation negatively. Among the patients who had exhibited pseudoseizures there was a variety of psychiatric diagnoses with a preponderance of personality disorders. Two thirds of those patients without coexisting epilepsy stopped having seizures or rarely had seizures following their evaluations. CONCLUSIONS:The diagnostic technique described here is useful in patients with possible pseudoseizures. It does not appear to be harmful when employed as part of a comprehensive psychiatric consultation. How it may compare with other methods of pseudoseizure diagnosis will have to be determined by further study.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Cohen LM,Howard GF 3rd,Bongar Bdoi
10.2190/NEHN-8QJN-1BGY-24NBsubject
Has Abstractpub_date
1992-01-01 00:00:00pages
131-40issue
2eissn
0091-2174issn
1541-3527journal_volume
22pub_type
杂志文章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：BACKGROUND:Breath holding spells (BHS) are apparently frightening events occurring in otherwise healthy children. Generally, no medical treatment is recommended and parental reassurance is believed to be enough, however, severe BHS can be very stressful for the parents and a pharmacological agent may be desired in some...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.38.2.f
更新日期：2008-01-01 00:00:00
abstract：:Acquired immune deficiency syndrome (AIDS) has become a major public health problem with over 12,000 cases and 6,000 deaths reported to date. Although there has been an explosion of knowledge in the virology, immunology and pathology of AIDS, relatively little has been written on the neuropsychiatric aspects. This rep...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/nucl-gpka-gt8w-5grt
更新日期：1986-01-01 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：: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：: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:The aim of the present study was to explore the relations between religious attitudes and subjective well-being in a sample of chronic pain (CP) patients and to investigate whether these associations would differ from those obtained with healthy controls. METHOD:A total of 155 CP patients (72% women) and 166...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.39.4.d
更新日期：2009-01-01 00:00:00
abstract：:Recent case reports have suggested an association between anorexia nervosa and/or bulimia with insulin-dependent diabetes mellitus (IDDM). Fifty-eight females aged fifteen to twenty-two with IDDM for more than one year were assessed for the presence of eating disorders. Patients were screened for eating and weight pat...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/hulh-ctpr-4v17-383c
更新日期：1986-01-01 00:00:00
abstract：OBJECTIVE:Despite all progress made in understanding and treating systemic arterial hypertension (SAH), the study of the impact of psychological disorders in SAH is still controversial and is not well understood. Our aim was to test the hypothesis that SAH can be associated with anxiety and depressive symptoms and to v...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.40.3.f
更新日期：2010-01-01 00:00:00
abstract：:Dialysis encephalopathy (DE) is a distinct neuropsychiatric syndrome typically occurring in patients undergoing longterm hemodialysis. It is characterized by electroencephalographic abnormalities in association with disturbances of speech, cognition, movement, affect, or behavior. Previously thought to be relentlessly...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/c36r-6wgp-lcyu-9vrg
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：: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：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：BACKGROUND:Motherhood is a critical situation characterized by role conflicts. These conflicts between the roles of mother, worker, and wife are the norm in the postpartum period and may jeopardize a mother's well-being. The purpose of this study was to explore the relationships between postpartum adaptation and depres...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.45.1.a
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVE:Epilepsy is a common condition worldwide and has been observed to affect quality of life (QOL). Though, much has been written on this subject among western populations, little research has been done in developing countries of Africa including Nigeria. The study aims to identify factors associated with quality...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/R80G-580X-X1H2-6936
更新日期：2006-01-01 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: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：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：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：:Although many leaders of the medical profession feel that community physicians should take responsibility for the psychiatric disorders of their patients, only a little more than half of the respondents in the current study agreed. The variations in willingness to take on this role and in interest in psychiatric activ...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/pwk5-0r78-t7kk-lj5j
更新日期：1980-01-01 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：:During five years of self-medication with Prednisone, a forty-one-year old asthmatic businessman experienced periods of euphoria, psychomotor hyperactivity, and poor judgement; a period of depression and anxiety during temporary steroid withdrawal; and finally, with resumption of Prednisone, episodes of grandiosity an...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/ygla-68km-q2vv-x03m
更新日期：1976-01-01 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：: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：OBJECTIVE:The authors sought to evaluate psychiatric comorbidity, subjective quality of life, and impact of psychopathology on quality of life measures in a clinical sample of patients attending a center for the diagnosis and treatment of obesity compared to a matched sample of non-obese subjects. METHODS:Two hundred ...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.39.1.e
更新日期：2009-01-01 00:00:00
abstract：:This article challenges the belief that depression and anxiety are the inevitable consequences of medical illness. The authors describe how cognitive behavioral therapy can help individuals accept their disabilities and modify the distorted thinking patterns which may compound their suffering. Three case studies demon...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/aabl-pqm5-jyq9-uu9e
更新日期：1989-01-01 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：: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：OBJECTIVE:Japan experienced a nationwide outbreak of hydrogen sulfide suicides (HSS) between April and May 2008. The annual number of HSS skyrocketed from 19 in 2007 to 1,056 in 2008. However, the factors affecting this enormous increase remain unknown. The present study aimed to examine the effect of media coverage of...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.44.2.d
更新日期：2012-01-01 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
