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 measure psychiatric symptoms including anxiety, depression, medical illness burden, and both examiner-rated and self-reported functional status. Anxiety was measured by the anxiety item of the Hamilton Rating Scale for Depression and the anxiety items of the Medical Outcomes Study Short Form SF-36. Multiple regression techniques were used to examine the association of anxiety with functional status after controlling for age, gender, education, medical burden, and depression. RESULTS:When controlled for depression and medical morbidity, increased anxiety predicted poorer social function. Anxiety was not independently associated with more basic activities of daily living. CONCLUSIONS:Further studies with more comprehensive measures of anxiety are warranted to clarify the relationships between anxiety and functional status.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Upadhyaya AK,Lyness JM,Cox C,Seidlitz L,Caine EDdoi
10.2190/9736-0B8Y-28LD-5MX8subject
Has Abstractpub_date
2000-01-01 00:00:00pages
221-8issue
3eissn
0091-2174issn
1541-3527journal_volume
30pub_type
杂志文章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:To examine the relationship between adherence to antidepressant medications and HbA1c levels among patients with diabetes in a managed care setting. METHOD:The analysis included measures of HbA1c levels before, during, and after initial antidepressant use among 568 patients with diabetes enrolled in the Harv...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/KKGW-Y42P-BAAB-JDJ0
更新日期:2004-01-01 00:00:00
abstract::Depression, anxiety and fear of recurrence following myocardial infarction often lead to disability in excess of actual cardiac impairment in a large number of patients. The high social, economic and emotional cost of psychogenic cardiac invalidism has stimulated the development of cardiovascular rehabilitation progra...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6bca-7buk-0vwd-83le
更新日期:1977-01-01 00:00:00
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 underg...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/NEHN-8QJN-1BGY-24NB
更新日期:1992-01-01 00:00:00
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::Fifty years of scholarship by behavioral science faculty shaped the training and practice of family physicians. One can trace behavioral science influence from the philosophical underpinnings of family medicine (whole-person, patient-centered, biopsychosocial care), to the translation of psychotherapy skills into tool...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217420950530
更新日期:2020-09-01 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:OBJECTIVE:Prostate cancer is the most common cancer in German men and associated with various physical and psychosocial problems. This study investigated the association between mental distress and the subjective need for psychosocial support comparing subgroups of patients with different treatments and disease stages....
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217420938896
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVE:To seek clues to the enhancement of primary care management by (i) Determining how often and in whom primary care clinicians in the United States, Puerto Rico, and Canada identify pediatric mood or anxiety syndromes; (ii) Determining which clinical and demographic features predict higher rates of identificati...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/UT6D-RDFG-LBT7-G39N
更新日期:2003-01-01 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::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::In August 2016, U.S. Surgeon General Vivek Murthy, MD, MBA, issued a letter to healthcare providers requesting aid in addressing "an urgent health crisis facing America: the opioid epidemic." In this article, we address some of the more poignant challenges that surface in treating patients with opiate addiction. We pr...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417720897
更新日期:2017-03-01 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::Clonazepam, a unique benzodiazepine with anticonvulsant and serotonin enhancing capacity, can be used in conjunction with conventional psychopharmacologic agents to treat a variety of psychiatric conditions including schizophrenia, borderline personality disorder, and psychotic mania. Three representative case studies...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6dk0-tpwy-mcdj-ddf9
更新日期:1985-01-01 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: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::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::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:OBJECTIVE:To determine the prevalence of anxiety and depression in a residents' clinic and if these diagnoses are associated with patients being perceived as difficult, as well as how often these diagnoses are documented in the patients' charts. METHODS:This was a cross-sectional study conducted in a general internal ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/C7WY-RELT-3U1N-JX9C
更新日期:2001-01-01 00:00:00
abstract::Mrs. A. B., a 61-year-old woman who presented with carcinoma of the breast in 1964, was readmitted to the hospital in 1974 in respiratory distress ensuing from chronic lung disease and metastatic illness. An active member of Alcoholics Anonymous for the past sixteen years, she had a living pattern in which she felt in...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/CQ8C-HFAN-D31T-XBWL
更新日期:1975-01-01 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:OBJECTIVES:Depression and diabetes are closely biologically and behaviorally intertwined. We examined the impact of comorbid diabetes mellitus on the incidence of serious psychiatric outcomes among patients with depression. METHODS:We used claims data from the Korean Health Insurance Review & Assessment Service databa...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415605024
更新日期:2015-01-01 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:The purpose of this study was to examine the course and clinical correlates of depression during the first year after myocardial infarction. METHOD:A group of seventy patients hospitalized for the treatment of myocardial infarction (MI) were assessed for the presence of mood disorders during their hospital a...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/U8R0-A61Y-AKRP-T24V
更新日期:1994-01-01 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::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:OBJECTIVE:Cognitive behavioral therapy (CBT) is the most common psychotherapy approach for the treatment of PTSD. Nevertheless, previous reviews on the efficacy of several types of psychotherapy were unable to detect differences between CBT and other psychotherapies. The purpose of this study was to conduct systematic ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/PM.38.3.b
更新日期:2008-01-01 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::Two cases of seriously burned patients are presented which differ in initial psychiatric presentation and subsequent course. In each case, the role of the psychiatric consultant is described. The role includes direct evaluative and psychotherapeutic contact with the patient and liaison with the surgical and nursing st...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BCLY-Q77G-PY6U-G7R9
更新日期:1975-01-01 00:00:00
abstract:OBJECTIVE:Premature ejaculation is the most prevalent male sexual dysfunction. The present article is a comprehensive review of the literature on premature ejaculation. METHOD:This critical discussion of the literature evaluates the definitional issues, theoretical conceptualizations, assessment strategies, and treatm...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/UWP1-CNHH-L0NK-YQY9
更新日期:1992-01-01 00:00:00