Abstract:
OBJECTIVE:To gain more understanding about the relationship between human immunodeficiency virus type 1 (HIV-1) infection and new-onset psychosis, we compared clinical and immunological findings, psychiatric symptoms, global cognitive performance and, when available, computerized tomography (CT) findings between HIV-1-seropositive patients with new-onset psychosis and well-matched nonpsychotic HIV-1-seropositives. METHODS:Two groups of subjects: HIV-1-seropositives with new-onset psychosis (n = 12) and HIV-1-seropositives without psychosis (n = 15) were recruited through outpatient departments. Organic Delusional Syndrome and Organic Hallucinosis were clinically diagnosed using DSM-III-R diagnostic criteria. Of the baseline participants, twenty-two participated in the two-year follow-up examination. RESULTS:The prevalence of new-onset psychosis in HIV-1-infected subjects was 3.7 per 100 (95% C.I. = 1.6-5.7). HIV-1-seropositive persons with new-onset psychosis had more frequently a positive past psychiatric history, no antiretroviral therapy, and a lower global cognitive performance than did the nonpsychotic HIV-1-seropositives. CT was positive, showing generalized brain atrophy, in three out of nine patients. Remission of psychotic symptoms was observed only in two HIV-1-seropositive persons with new-onset psychosis. Death occurred in two psychic HIV-1-seropositives with simple loosely held delusions. Autopsy results showed that cortical sulci and ventricle size were graded as with moderate/severe enlargement. CONCLUSIONS:New-onset psychosis in HIV infected patients could raise considerable problems in deciding whether a presentation is organic or functional. An interaction of the disease or of psychologically "having" the disease with the presence of a psychotic reaction should also be considered. Interestingly, a protective effect of antiretroviral therapy for new-onset psychosis is suggested.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
de Ronchi D,Faranca I,Forti P,Ravaglia G,Borderi M,Manfredi R,Volterra Vdoi
10.2190/PLGX-N48F-RBHJ-UF8Ksubject
Has Abstractpub_date
2000-01-01 00:00:00pages
173-83issue
2eissn
0091-2174issn
1541-3527journal_volume
30pub_type
杂志文章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
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::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:OBJECTIVE:The authors review the evaluation and treatment of anxiety symptoms in elderly patients, with particular emphasis on elderly patients with chronic medical illness. METHODS:A computer search for articles addressing anxiety symptoms in patients sixty-five and older was supplemented by the authors' clinical exp...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/XRGV-FD1A-VWP5-RE9Q
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVE:To seek possible relationships between psychological factors and survival after an intensive medical therapy, using bone marrow transplantation as a model. METHOD:Candidates for bone marrow transplantation underwent two to three psychodynamically-oriented psychiatric interviews that explored family functioni...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/1C24-H366-CGC9-V1PW
更新日期:1999-01-01 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: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: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::Tardive dyskinesia (TD) is a consequence of chronic neuroleptic therapy. It is an irregular stereotyped movement disorder that is usually choreic in appearance, and is subject to temporary volitional control. Dystonia, akathisia, and tics are uncommon variants of the classic tardive syndrome. Characteristic clinical f...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/ce34-rxqr-9cc6-c3ay
更新日期:1989-01-01 00:00:00
abstract::Using standardized instruments, personality traits of twenty-two hemophilic boys and child-rearing attitudes and practices of their parents were evaluated at the beginning and end of a six-year period, during which psychosocial services were provided in a comprehensive care hemophilia program. The children changed sig...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/67xa-e87f-qh9c-x3r0
更新日期:1988-01-01 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: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::This review article addresses some of the complex issues surrounding antidepressant drug usage among elderly depressives. While primarily geared toward the psychiatrist in general practice, the article provides useful information for the nonpsychiatric physician who is frequently called upon to evaluate and treat affe...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/uhl6-0x4w-frng-8pff
更新日期:1986-01-01 00:00:00
abstract::Acute confusional state (delirium) appears as one of the common neuropsychiatric manifestations of systemic lupus erythematosus (SLE). It has been suggested that neuropsychiatric SLE (NP-SLE) could promote the occurrence of drug-induced extrapyramidal symptoms (EPS). Atypical antipsychotics have been thought to be use...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/P2T8-Y12E-ANKM-8MWF
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:Depression and co-morbid substance abuse disorders are a major public health problem. Information is limited for patients attending Polish primary care clinics. This article addresses 30-day and lifetime prevalence of major depression in a heavy drinking population from 12 Polish primary care clinics. METHOD...
journal_title:International journal of psychiatry in medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2004-01-01 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:To determine if demographic differences exist in patients with depressive symptoms as the principal reason for visits to primary care physicians (PCP) versus psychiatrists. To estimate the likelihood of these patients receiving a range of mental health services from each provider group. METHODS:Review and an...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6BUL-MWTQ-0M18-30GL
更新日期:2001-01-01 00:00:00
abstract::A short-term, open membership group therapy program for kidney transplant patients and their families is described. The content and process of this group is related to the ten curative factors described by Yalom for psychiatric patients. The primary benefits for the patients seemed to be the opportunity to observe oth...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/A8VM-RQ87-V8AL-FQQ4
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abstract:OBJECTIVE:Mania and other mood changes are known to be associated with various organic etiologies. This article documents a case of organic mania associated with hyponatremia, a phenomenon which has not been previously reported, and reviews the pertinent medical literature. METHOD:The mental status of a patient with e...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BB2P-2YM7-69GE-WC7P
更新日期:1994-01-01 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
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journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/b4hh-cy6p-2nkx-54l3
更新日期:1981-01-01 00:00:00
abstract::There is rising evidence of patients' use of alternative and complementary medicine. The percentage of the U.S. population who used at least one dietary supplement increased from 42% in 1988-1994 to 53% in 2003-2006. We present a case of an Asian female in her 40s, with no previous psychiatric illness, who presented t...
journal_title:International journal of psychiatry in medicine
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doi:10.1177/0091217417696733
更新日期:2016-08-01 00:00:00
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journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.37.4.f
更新日期:2007-01-01 00:00:00
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journal_title:International journal of psychiatry in medicine
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更新日期:1989-01-01 00:00:00
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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: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::Electroconvulsive therapy (ECT) is well recognized as an effective treatment for depression. However, it is not often used among the elderly due to increased co-morbid medical problems and fear of complications. We present here the case of an 88-year-old man with a history of depression and co-morbid medical illness. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/KPUK-NGKJ-R2PV-NAV6
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this review, which also includes the report of a new case, is to discuss the pervasive denial of responsibility among individuals who have engaged in Munchausen syndrome by proxy (MSBP) behavior. In MSBP, a caretaker (almost always the mother) fabricates or induces illness in her child; she the...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/1B42-9RD9-H1PE-7UVF
更新日期:1994-01-01 00:00:00
abstract::There have been consistent reports in the psychosomatic literature indicating that a patient's perception of tinnitus as well as differential response to various treatment modalities may be affected by personality variables. The present study examined several personality correlates of subjective tinnitus in forty-five...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/e59l-2pru-gpae-vj8b
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:The rate of smoking is known to be high in patients with schizophrenia. The purpose of this study was to quantitatively examine the relationship between smoking and family history of smoking in patients with schizophrenia. METHODS:The sample consisted of 172 patients (mean age: 54 years, 55% male) hospitali...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.41.2.h
更新日期:2011-01-01 00:00:00