Abstract:
:Patients coming to general hospital emergency rooms often present mixed physical and psychological problems. An unfortunate tendency of physicians caring for these patients to "label" them as either "organic" or "psychiatric," based on initial impressions, may lead to inadequate diagnosis and improper treatment. Four case examples are discussed, in which diagnostic errors resulted either from ignoring psychological and social factors, or by focusing on emotional factors to the exclusion of organic disease. The provision of quality medical care in a hospital emergency room requires that attention be directed coordinately to both physical and emotional factors in each patient's illness.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Leeman CPdoi
10.2190/G3YJ-8DJR-YQV9-DDDLsubject
Has Abstractpub_date
1975-01-01 00:00:00pages
533-40issue
4eissn
0091-2174issn
1541-3527journal_volume
6pub_type
杂志文章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:Previous studies have demonstrated the effects of the September 11th 2001 terrorist attacks on anxiety and anxiety-related conditions in Americans. However, data regarding associations between the attacks and patients' health perceptions are lacking. The objective of this study was to explore associations bet...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/DW00-WCKK-8B37-BJA6
更新日期:2005-01-01 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:OBJECTIVE:Development and evaluation of a method of training primary care providers in psychiatric skills which utilizes videofeedback of real and role-played consultations in a group setting. METHOD:The development of the basic training approach and additional material for teaching specific skills is described. Evalu...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/U8MM-JX7Y-LT0T-RKPX
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Autism spectrum disorder is a heterogenous neurodevelopmental condition accompanied by a variety of associated features. Case reports suggest one such associated feature, food selectivity, increases risk for nutritional deficiencies; however, little attention has been given to prevent and treat nutritional d...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217418791443
更新日期:2019-01-01 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::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::One-hundred seventy-seven family physicians were surveyed regarding their perceptions of the types of psychosocial problems encountered in their practices, the amount of time they felt they devoted to each problem, and their interests regarding continuing psychiatric education. Patients with "multiple somatic complain...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/174p-4nlg-qr2e-3npn
更新日期:1982-01-01 00:00:00
abstract:OBJECTIVES:To examine the association between ethnicity, depression, quality of life, and diabetic control in Malaysian adolescents and young adults with type I diabetes mellitus. METHODS:Fifty-two outpatients with type I diabetes (mean age 15.5 years) who attended a Diabetes Clinic were included. The level of HbA1c w...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/EQ71-RMWV-6CEJ-1DGM
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:An extraordinary case of an organic psychosis during the treatment of a patient with a bipolar affective disorder. METHODS:Clinical observation and further investigations including monitoring of serum levels (case report). RESULTS:A significant interaction between venlafaxine and propafenone causes markedly...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/8HJA-LPRY-P16X-BH8U
更新日期:2001-01-01 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::Forgiveness as a procedure has been gaining prominence. The objective of this article is to provide the basics of forgiveness as an intervention so primary care clinicians can facilitate its use. These clinicians include but are not limited to physicians, nurses, medical assistants, pharmacy professionals, physical th...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217419885468
更新日期:2020-03-01 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::The dexamethasone suppression test (DST) appears to be a sensitive and specific biological marker for endogenous depression that can have important diagnostic and treatment implications. The authors present three case studies of patients treated on a combined medicine-psychiatric inpatient unit, and who presented with...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/mq8m-7544-kg2j-6k8b
更新日期:1982-01-01 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::Across the lifespan, alcohol misuse affects a large percentage of patients seen in primary care clinics. It can lead to alcohol use disorders, ranging from risky use to alcohol dependence. Alcohol use disorders frequently complicate acute and chronic illnesses of patients seen in FM clinics. Screening patients for alc...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415592363
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:As evidence of a biologic determinant of schizophrenia has been elaborated, an interest in the relationship between schizophrenia and autoimmune disorders has become increasingly more developed over the last decade. Pedigree analysis has shown that schizophrenia, like autoimmune disorders, is likely a herita...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/V8JB-5M7Q-L5XU-XR2A
更新日期:2004-01-01 00:00:00
abstract::This case report describes a 20-year-old man with a severe presentation of anorexia nervosa. His case is unique in that he presented at 49% of his ideal body weight and had a body mass index (BMI) of 11.59. In addition, he had cognitive slowing on exam and had cortical atrophy on a head CT. Other medical complications...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.48.2.b
更新日期:2014-01-01 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::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::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: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::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::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::Pérez-San-Gregorio M. A., Fernández-Jiménez E., Luque-Budia A., Martín-Rodríguez A. (2015). Anxiety and concerns in Spanish living kidney donor candidates. The International Journal of Psychiatry in Medicine, 50, 163-177. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,已发布勘误
doi:10.1177/0091217415623373
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:The aim of this article is to review and discuss the efficacy of the Cognitive-Behavioral Therapy (CBT), in the prevention of postnatal depression (PD) in pregnant women at risk. METHOD:PubMed, Medline, PsychInfo, Embase, and the Cochrane Library databases were searched from February 1991 to February 2011. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/PM.43.3.b
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:Religious and spiritual factors in intimate partner violence have received increasing attention. But are such factors related to outcomes in violent relationships? The purpose of this study was to assess the relative impact of spiritual symptoms and religious coping on attitudinal/behavioral and clinical outc...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415589297
更新日期:2015-01-01 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: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::This study reports data describing a population of general hospital patients whose behavioral management required the use of constant observation (CO). In this retrospective chart review, the mean number of days of CO per patient was 3.8, with a median of 2.0 and a standard deviation of 14.8. The longest number of day...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/tu5y-a86b-frht-erdh
更新日期:1989-01-01 00:00:00