Assessing health care needs and clinical outcome with urological case complexity: a study using INTERMED.

Abstract:

:Urinary tract symptoms and, particularly, urinary incontinence are often chronic and complex conditions that cause diagnosis, treatment, and management problems. In many cases, psychosocial factors contribute to the development of a chronic condition. The authors investigated whether INTERMED, an instrument for assessing case complexity and health care needs, was able to identify such complex cases, to estimate the amount of comorbidity, and to predict clinical outcome for 31 consecutive patients suffering from urinary tract symptoms. To assess clinical outcome, the authors used the American Urologic Association Symptom Score, the Brief Symptom Inventory, and the Hospital Anxiety and Depression Scale. On the basis of the patients' INTERMED scores, the authors distinguished between low-complexity patients (INTERMED score <21, N=25, 80.6%) and high-complexity patients (INTERMED score >or=21, N=6; 19.4%). Low-complexity patients had fewer depressive and anxiety symptoms, less distress, and better clinical outcome at their 3-month follow-up than high-complexity patients. The data confirmed the ability of the instrument to detect patients at risk of complex urinary tract symptoms and to predict clinical outcome.

journal_name

Psychosomatics

journal_title

Psychosomatics

authors

Di Gangi Herms AM,Pinggera GM,De Jonge P,Strasser H,Söllner W

doi

10.1176/appi.psy.44.3.196

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

196-203

issue

3

eissn

0033-3182

issn

1545-7206

pii

S0033-3182(03)70288-6

journal_volume

44

pub_type

杂志文章
  • 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

  • The Management Experiences, Priorities, and Challenges of Medical Directors in the Subspecialty of Consultation-Liaison Psychiatry: Results of a Needs Assessment.

    abstract:BACKGROUND:Medical directors need management skills; yet, few studies describe the specific tasks that directors consider most important, their confidence for these tasks, and how their confidence develops. We studied these questions among directors in the subspecialty of Consultation-Liaison Psychiatry. METHODS:A nee...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2020.09.006

    authors: Bronson B,Perlman G

    更新日期:2020-09-22 00:00:00

  • Association between apolipoprotein E epsilon4 and neuropsychiatric symptoms during interferon alpha treatment for chronic hepatitis C.

    abstract::Neuropsychiatric complications are common in patients with chronic hepatitis C undergoing treatment with interferon alpha. These side effects include alterations of mood, cognition, and neuroendocrine function and are unpredictable. In a number of neurological disorders characterized by neuropsychiatric symptoms and c...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.45.1.49

    authors: Gochee PA,Powell EE,Purdie DM,Pandeya N,Kelemen L,Shorthouse C,Jonsson JR,Kelly B

    更新日期:2004-01-01 00:00:00

  • Thoughts of death and suicide reported by cancer patients who endorsed the "suicidal thoughts" item of the PHQ-9 during routine screening for depression.

    abstract:BACKGROUND:Patients with serious medical illnesses, such as cancer, are at increased risk of suicide but are also often facing death. The Patient Health Questionnaire-9 (PHQ-9) is widely used to screen patients for depression. It includes an item that asks about thoughts of death and hurting yourself (Item-9). OBJECTI...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2011.02.003

    authors: Walker J,Hansen CH,Butcher I,Sharma N,Wall L,Murray G,Sharpe M

    更新日期:2011-09-01 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

  • The Relationship Between Social Anxiety Disorder and Motor Symptoms of Parkinson Disease: A Pilot Study.

    abstract:BACKGROUND:In patients with Parkinson disease (PD), motor symptoms coexist with several nonmotor neuropsychiatric symptoms. Various anxiety subtypes (generalized anxiety disorder, panic disorder, and social anxiety disorder [SAD]) are more prevalent in patients with PD than in the general population. OBJECTIVE:We esti...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2020.03.006

    authors: Moguel-Cobos G,Saldivar C,Goslar PW,Shill HA

    更新日期:2020-01-01 00:00:00

  • Clinical utility and use of DSM-IV and ICD-10 Criteria and The Memorial Delirium Assessment Scale in establishing a diagnosis of delirium after cardiac surgery.

    abstract::Authors evaluated the sensitivity and specificity of DSM-IV and ICD-10 criteria and the cutoff value of the Memorial Delirium Assessment Scale (MDAS) in diagnosing postoperative delirium in 260 cardiac surgery patients. Incidence of delirium diagnosed on the basis of DSM-IV and ICD-10 criteria, and with the use of the...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.49.1.73

    authors: Kazmierski J,Kowman M,Banach M,Fendler W,Okonski P,Banys A,Jaszewski R,Sobow T,Kloszewska I

    更新日期:2008-01-01 00:00:00

  • Factitious disorders in neurology: an analysis of reported cases.

    abstract:BACKGROUND:Factitious disorder (FD) is the deliberate production or simulation of symptoms in order to adopt the sick role. OBJECTIVE:The authors look at FD in the neurology setting. METHOD:The authors examined documented, published cases. RESULTS:FD cases in neurology are strikingly different from those in other sp...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.51.1.47

    authors: Kanaan RA,Wessely SC

    更新日期:2010-01-01 00:00:00

  • Somatization in primary care. Prevalence, health care utilization, and general practitioner recognition.

    abstract::To study the prevalence of somatoform disorders (SDs) in primary care, a questionnaire including the modified 25-item version of the Symptom Checklist-90 was administered to 191 patients consecutively consulting their family physician. A stratified sample of the patients was interviewed with the Schedules for Clinical...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(99)71228-4

    authors: Fink P,Sørensen L,Engberg M,Holm M,Munk-Jørgensen P

    更新日期:1999-07-01 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

  • 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

  • Corticosteroid-induced psychotic and mood disorders: diagnosis defined by DSM-IV and clinical pictures.

    abstract::The authors investigated long-term outcome and treatment strategy of corticosteroid-induced psychotic and mood disorders as defined by DSM-IV. Review of medical records of 2,069 referral patients revealed 18 applicable patients. Their clinical characteristics, longitudinal courses, and treatments were studied. The aut...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.42.6.461

    authors: Wada K,Yamada N,Sato T,Suzuki H,Miki M,Lee Y,Akiyama K,Kuroda S

    更新日期:2001-11-01 00:00:00

  • The prevalence of the metabolic syndrome in psychiatric inpatients with primary psychotic and mood disorders.

    abstract::Patients with severe mental illness have elevated rates of cardiovascular disease (CVD) and diabetes compared with the general population, but little is known about the prevalence of the metabolic syndrome that predisposes patients with severe mental illness to both medical conditions. The purpose of this study was to...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.47.6.491

    authors: Bermudes RA,Keck PE Jr,Welge JA

    更新日期:2006-11-01 00:00:00

  • Psychiatric aspects of the eosinophilia-myalgia syndrome.

    abstract::The eosinophilia-myalgia syndrome (EMS) is a rare systemic disease caused by presumably contaminated L-tryptophan. Thirteen outpatients with EMS were found to have a high degree of depression, anxiety, and difficulty adjusting to illness. Pre-EMS history of major depression but not EMS severity predicted poor adjustme...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/s0033-3182(95)71703-0

    authors: Epstein SA,Krahn L,Clauw DJ,Gomes AP,Weigert S,Goldberg RL

    更新日期:1995-01-01 00:00:00

  • Predictors of quality of life in patients with implantable cardioverter defibrillators.

    abstract::Few studies have prospectively examined characteristics of implantable cardioverter defibrillator (ICD) patients as predictors of postimplant outcome. In this study the authors considered the association between preimplant psychological characteristics, ICD shocks, and postimplant quality of life at short- and long-te...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.46.5.451

    authors: Sears SF,Lewis TS,Kuhl EA,Conti JB

    更新日期:2005-09-01 00:00:00

  • Eating disorders and insulin-dependent diabetes mellitus.

    abstract::The eating disorders anorexia nervosa and bulimia nervosa have been reported to occur in Type I diabetes mellitus. Although prevalence estimates vary, the most rigorous studies yield rates similar to the population at large. Intentional insulin omission is more common, especially in young diabetic women, and at times ...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(98)71340-4

    authors: Crow SJ,Keel PK,Kendall D

    更新日期:1998-05-01 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

  • 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

  • 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

  • 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...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.51.4.320

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

    更新日期:2010-07-01 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

  • 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

  • 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

  • Incidence of deep vein thrombosis in restrained psychiatric patients.

    abstract:BACKGROUND:Although physical restraint is still used in psychiatric inpatient settings, it sometimes causes serious side effects, including deep vein thrombosis (DVT) and resulting pulmonary embolism. OBJECTIVE:The aim of this study was to investigate the incidence of the DVT in restrained patients who were receiving ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2013.04.001

    authors: Ishida T,Katagiri T,Uchida H,Takeuchi H,Sakurai H,Watanabe K,Mimura M

    更新日期:2014-01-01 00:00:00

  • The Prevalence of Mitral Valve Prolapse in Panic Disorder: A Meta-Analysis.

    abstract:BACKGROUND:Although most studies have suggested that mitral valve prolapse (MVP) is more prevalent in patients with panic disorder (PD) than in healthy controls, there is a substantial uncertainty in the rates of MVP across studies. OBJECTIVE:To investigate, through systematic review and meta-analysis, the relative ri...

    journal_title:Psychosomatics

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.psym.2018.10.002

    authors: Tural U,Iosifescu DV

    更新日期:2019-01-01 00:00:00

  • Depressive disorders in the medically ill. An overview.

    abstract::Depressive disorders are far more serious than most people realize, and depressive disorders are disabling affected persons progressively earlier in life. Heavy utilization of medical services, extensive disability and morbidity, and high suicide risk exact a staggering economic toll in the United States annually. Dep...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(95)71698-X

    authors: Cassem EH

    更新日期:1995-03-01 00:00:00

  • Personality disorder as a contraindication for liver transplantation in alcoholic cirrhosis.

    abstract::Severe personality disorder has been proposed as a contraindication for liver transplantation. Seventy-three subjects with alcoholic-related liver disease were evaluated for personality disorder and followed for 6 months. The subjects with severe personality disorder had higher rates of divorce, higher rates of comorb...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(98)71282-4

    authors: Yates WR,LaBrecque DR,Pfab D

    更新日期:1998-11-01 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

  • Wernicke-Korsakoff-syndrome: under-recognized and under-treated.

    abstract:BACKGROUND:Wernicke-Korsakoff syndrome (WKS) is a well described syndrome of neurological and cognitive problems that comprises both Wernicke's encephalopathy (WE) and Korsakoff syndrome (KS). WE is an acute neuropsychiatric disorder caused by thiamine deficiency. KS is a chronic consequence of thiamine deficiency with...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.psym.2012.04.008

    authors: Isenberg-Grzeda E,Kutner HE,Nicolson SE

    更新日期:2012-11-01 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