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 phobia, and misuse of prescription opioids. Cannabis use (11%) was associated with younger age, male gender, single marital status, white ethnicity, less education, recurrent depression, agoraphobia, and hazardous alcohol use. Hazardous drinking (11%) was significantly associated with younger age, male gender, single marital status, and cannabis use. Greater understanding of substance use problems in primary care patients with depressive symptoms and disorders may aid efforts to more quickly identify, educate, and provide services for those in need.

journal_name

Psychosomatics

journal_title

Psychosomatics

authors

Roeloffs CA,Wells KB,Ziedonis D,Tang L,Unützer J

doi

10.1176/appi.psy.43.5.405

subject

Has Abstract

pub_date

2002-09-01 00:00:00

pages

405-12

issue

5

eissn

0033-3182

issn

1545-7206

pii

S0033-3182(02)70369-1

journal_volume

43

pub_type

杂志文章
  • Depression in Korean immigrants with hepatitis B and related liver diseases.

    abstract::The authors evaluated 50 Korean immigrants who had chronic viral hepatitis or who were healthy carriers for the hepatitis B virus in terms of the relationships between their depression scores, psychosocial stressors, social support, and biological markers of dysfunction. All participants completed a questionnaire, des...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.41.6.472

    authors: Kunkel EJ,Kim JS,Hann HW,Oyesanmi O,Menefee LA,Field HL,Lartey PL,Myers RE

    更新日期:2000-11-01 00:00:00

  • Constant observation in the general hospital.

    abstract::Constant observation (CO) is a technique in which continuous one-to-one monitoring is used to assure the safety and well-being of an individual patient or others. This study reviewed 115 patient charts in a tertiary-care hospital to determine the correlates and predictors of the financial cost of CO. The mean duration...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.41.4.289

    authors: Blumenfield M,Milazzo J,Orlowski B

    更新日期:2000-07-01 00:00:00

  • Levels of depressive symptoms in spouses of people with lung cancer: effects of personality, social support, and caregiving burden.

    abstract::The authors sought to identify the personality correlates of depressive symptoms in 120 spouses of people with lung cancer. Spouses completed questionnaires, including measures of personality (neuroticism, extraversion, and interpersonal self-efficacy), social support, and caregiving burden. Their level of depressive ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.46.2.123

    authors: Kim Y,Duberstein PR,Sörensen S,Larson MR

    更新日期:2005-03-01 00:00:00

  • Psychosocial assessment of organ transplant candidates. Current status of methodological and philosophical issues.

    abstract::Psychosocial assessments of candidates for organ transplant surgery are conducted to ascertain that potential patients are likely to benefit from the surgery through adequate coping, good compliance, and commitment to rehabilitation. Such assessments must be based on a realistic analysis of the behavioral demands of t...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/s0033-3182(95)71662-0

    authors: Olbrisch ME,Levenson JL

    更新日期:1995-05-01 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

  • 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

  • Fluoxetine and cyclosporine in organ transplantation. Failure to detect significant drug interactions or adverse clinical events in depressed organ recipients.

    abstract::Depression and anxiety disorders are common clinical problems in organ transplant recipients, but there is a paucity of clinical data to inform the selection of psychopharmacologic treatment. The authors retrospectively compared 13 depressed organ transplant recipients treated with fluoxetine with 13 nondepressed matc...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(96)71594-3

    authors: Strouse TB,Fairbanks LA,Skotzko CE,Fawzy FI

    更新日期:1996-01-01 00:00:00

  • Personality profiles in patients referred for chest pain. Investigation with emphasis on panic disorder patients.

    abstract::Patients (N = 199) referred to cardiac outpatient investigation because of chest pain were assessed with the Personality Diagnostic Questionnaire (PDQ-4). Thirty-nine percent scored positive for any personality disorder. Borderline and avoidant personality disorders were found significantly more often in patients with...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.41.3.269

    authors: Dammen T,Ekeberg O,Arnesen H,Friis S

    更新日期:2000-05-01 00:00:00

  • Sexual abuse in patients with anorexia nervosa and bulimia.

    abstract::Few studies have documented the extent and nature of sexual abuse among women who later come to treatment for anorexia nervosa or bulimia. This comparison study reports on a sample of 158 patients admitted to an eating-disorder unit, of whom 60 gave a history of sexual abuse, compared to 98 with no history of abuse. F...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(89)72320-3

    authors: Hall RC,Tice L,Beresford TP,Wooley B,Hall AK

    更新日期:1989-01-01 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

  • 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

  • Cognitive and social correlates of the Toronto Alexithymia Scale.

    abstract::The authors examine the relationship of the Toronto Alexithymia Scale (TAS) to sociodemographic characteristics, medical history, symptomatology, and illness cognition in a sample of 244 family medicine patients. The TAS had moderate internal reliability. In multiple regression analysis, the TAS was related to age, ed...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(93)71926-X

    authors: Kirmayer LJ,Robbins JM

    更新日期:1993-01-01 00:00:00

  • Antiretrovirals, Part II: focus on non-protease inhibitor antiretrovirals (NRTIs, NNRTIs, and fusion inhibitors).

    abstract::The second in a series reviewing the HIV/AIDS antiretroviral drugs. This review summarizes the non-protease inhibitor antiretrovirals: nucleoside and nucleotide analogue reverse transcriptase inhibitors (NRTIs), the nonnucleoside reverse transcriptase inhibitors (NNRTIs), and cell membrane fusion inhibitors. In an ove...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.45.6.524

    authors: Zapor MJ,Cozza KL,Wynn GH,Wortmann GW,Armstrong SC

    更新日期:2004-11-01 00:00:00

  • Somatoform disorder and the DSM-V Workgroup's interim proposals: two central issues.

    abstract::This paper discusses the published interim report of the DSM-V Workgroup onSomatic Symptom Disorders (SSDs). "SSD" is the term proposed by the Workgroup to replace "somatoform disorder." ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2012.03.002

    authors: Sykes R

    更新日期:2012-07-01 00:00:00

  • Treatment of behavioral problems with pindolol.

    abstract::A study was conducted on a group of chronically hospitalized, brain-damaged male patients to assess the effectiveness of treatment with pindolol on behavioral problems. The study was conducted in two parts. The first was a double-blind, placebo-controlled analysis of the effect of pindolol on assaultive behavior, both...

    journal_title:Psychosomatics

    pub_type: 临床试验,杂志文章

    doi:10.1016/S0033-3182(89)72297-0

    authors: Greendyke RM,Berkner JP,Webster JC,Gulya A

    更新日期:1989-04-01 00:00:00

  • Antihistamines.

    abstract::Antihistamines and their drug-drug interactions are reviewed in depth. The metabolism of "classic" or sedating antihistamines is coming to light through in vivo and in vitro studies. The polymorphic CYP 2D6 metabolic enzyme appears to be potently inhibited by many of these over-the-counter medications. The history of ...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.44.5.430

    authors: Armstrong SC,Cozza KL

    更新日期:2003-09-01 00:00:00

  • Significant reductions in drinking following brief alcohol treatment provided in a hepatitis C clinic.

    abstract:BACKGROUND:Although the hepatitis C virus (HCV) alone increases the risk of cirrhosis, alcohol use is thought to act synergistically with HCV to significantly hasten the development of fibrosis. OBJECTIVE:The authors assessed the impact of brief medical counseling or integrated-care approaches to lessen or eliminate a...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.51.2.149

    authors: Dieperink E,Ho SB,Heit S,Durfee JM,Thuras P,Willenbring ML

    更新日期:2010-03-01 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

  • Evolution of Emotional Symptoms Over Time Among Daughters of Patients With Breast Cancer.

    abstract:OBJECTIVE:This study longitudinally profiled anxiety and depressive symptoms of daughters of patients with breast cancer and examined the mother׳s survival status, the daughter׳s age at the time of mother׳s diagnosis, and the style of family communication about breast cancer as moderators of change in symptomatology ac...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2014.07.001

    authors: Wellisch DK,Ormseth SR,Aréchiga AE

    更新日期:2015-09-01 00:00:00

  • Nonenteral routes of administration for psychiatric medications. A literature review.

    abstract::In the treatment of psychiatric patients with complicating medical illness, clinicians may encounter patients who cannot take oral medications. This review will acquaint the practicing clinical psychiatrist with psychotropic medications available by nonenteral routes of administration. A computerized MEDLINE search wa...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(99)71234-X

    authors: Thompson D,DiMartini A

    更新日期:1999-05-01 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

  • An open clinical trial of venlafaxine treatment of fibromyalgia.

    abstract::Of 15 patients with fibromyalgia who were first evaluated for the presence of Axis I psychiatric diagnoses by use of the Structured Clinical Interview for DSM-IV, 11 completed an open 8-week trial with the novel antidepressant venlafaxine. Six (55%) of 11 completers experienced a > or = 50% reduction of fibromyalgia s...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(98)71375-1

    authors: Dwight MM,Arnold LM,O'Brien H,Metzger R,Morris-Park E,Keck PE Jr

    更新日期:1998-01-01 00:00:00

  • Consultation-liaison psychiatry and clinical ethics. Historical parallels and diversions.

    abstract::As clinical ethicists increasingly populate hospital settings, a definition of their roles and responsibilities vis à vis those of consultation-liaison (C-L) psychiatrists remains a matter of both interest and uncertainty. Both fields share certain evolutionary and ideological features, yet until very recently, psychi...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(97)71437-3

    authors: Youngner SJ

    更新日期:1997-07-01 00:00:00

  • The Neuroanatomy of Somatoform Disorders: A Magnetic Resonance Imaging Study.

    abstract:BACKGROUND:Somatoform disorders (SDs) are a heterogeneous group of psychiatric syndromes characterized by common symptoms, which may mimic a physical condition but they are not explained by a medical condition. Although the biologic nature of this disorder has been widely accepted, the neuroanatomical correlates charac...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2018.07.005

    authors: Delvecchio G,Rossetti MG,Caletti E,Arighi A,Galimberti D,Basilico P,Mercurio M,Paoli R,Cinnante C,Triulzi F,Altamura AC,Scarpini E,Brambilla P

    更新日期:2019-01-01 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 Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT): a new tool for the psychosocial evaluation of pre-transplant candidates.

    abstract:BACKGROUND:While medical criteria have been well established for each end-organ system, psychosocial listing criteria are less standardized. To address this limitation, we developed and tested a new assessment tool: the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT). METHODS:The SIPAT was deve...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2011.12.012

    authors: Maldonado JR,Dubois HC,David EE,Sher Y,Lolak S,Dyal J,Witten D

    更新日期:2012-03-01 00:00:00

  • Pediatric Catatonia: A Case Series-Based Review of Presentation, Evaluation, and Management.

    abstract:BACKGROUND:Pediatric catatonia is believed to be a rare condition, but challenges in recognition and variability in presentation may lead to underdiagnosis. Early identification and effective treatment of pediatric catatonia is critical given the significant morbidity and mortality associated with the condition. Given ...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.psym.2018.05.012

    authors: Sorg EM,Chaney-Catchpole M,Hazen EP

    更新日期:2018-11-01 00:00:00

  • 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 assess...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.44.3.196

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

    更新日期:2003-05-01 00:00:00

  • Health care utilization of patients with psychogenic nonepileptic seizures.

    abstract::Medical records were reviewed for 94 consecutive inpatients diagnosed with nonepileptic seizures. A 122-item follow-up questionnaire was returned by 71 patients (76%). The majority of the subjects reported fewer seizures (73%), their general health as "very good" (20%) or "good" (37), and "improved" quality of life (5...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(97)71398-7

    authors: Krahn LE,Reese MM,Rummans TA,Peterson GC,Suman VJ,Sharbrough FW,Cascino GD

    更新日期:1997-11-01 00:00:00

  • Determining the effect that consultation-liaison psychiatry in primary care has on family physicians' psychiatric knowledge and practice.

    abstract::The impact of a community-based consultation-liaison (C-L) psychiatry service on family physicians' levels of psychiatric knowledge, diagnostic and treatment confidence, and patterns of referral to mental health care agencies was evaluated over a 12-month period. The physicians with long-term access to the C-L service...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(97)71458-0

    authors: Carr VJ,Faehrmann C,Lewin TJ,Walton JM,Reid AA

    更新日期:1997-05-01 00:00:00