Abstract:
:This article characterizes the academic, administrative, clinical service, and fiscal characteristics of departments of psychiatry in traditional children's hospitals to determine the characteristics of fiscally successful programs. A survey of chairs of psychiatry from short-term general children's hospitals was conducted based on 38 questions addressing the descriptive characteristics of their respective departments. The characteristics of psychiatry programs identified as fiscally successful were compared to those of programs that required subsidy. Nine of 45 eligible children's hospitals (20%) did not have a department or section of psychiatry, and surveys were returned by 35 of 36 department chairs (97% response). Considerable variation exists in the academic, administrative, clinical services, and fiscal characteristics of programs, although over half are operating at a deficit. Fiscal success was associated with availability of inpatient and intermediate levels of psychiatric care, better integration of the psychiatry program within the children's hospital, and adequate fiscal information being provided to the psychiatry chair. Additional research regarding the potential of psychiatric services to generate clinical success and cost savings is warranted. Pediatric health care professionals and third-party payers should be educated regarding the relevance of psychiatric services within children's hospitals and in physically ill children.
journal_name
Psychosomaticsjournal_title
Psychosomaticsauthors
Campo JV,Kingsley RS,Bridge J,Mrazek Ddoi
10.1176/appi.psy.41.2.128subject
Has Abstractpub_date
2000-03-01 00:00:00pages
128-33issue
2eissn
0033-3182issn
1545-7206pii
S0033-3182(00)70642-6journal_volume
41pub_type
杂志文章相关文献
PSYCHOSOMATICS文献大全abstract::Injuries from blows to the head often are manifested only as subjective complaints. Postconcussional syndrome thus can be feigned for financial or psychological gain. The authors review the pathology of brain trauma, symptoms of postconcussional syndrome, and criteria for diagnosis. In addition to somatic deficits, ps...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1176/appi.psy.46.3.195
更新日期:2005-05-01 00:00:00
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
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:This study examines the use of substance abuse and mental health services among older adults with substance use disorders. METHODS:Participants were members of Humana Cares, a subsidiary of Humana, Inc., a care management program for chronically ill Medicare Advantage members, between 2008 and 2010. All adul...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2013.05.008
更新日期:2013-11-01 00:00:00
abstract::This article reviews diagnostic issues about body dysmorphic disorder and discusses its relationship to other disorders. Diagnostic and symptomatic overlap with obsessive-compulsive disorder is explored; associated features, course of illness, presumed etiology, and treatment outcome are compared; and similarities and...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(92)71991-4
更新日期:1992-04-01 00:00:00
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
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:Anxiety symptoms commonly occur in dermatological patients and can affect the severity of dermatological symptoms. Anxiety sensitivity (AS), defined as the fear of anxiety symptoms, is a well-supported cognitive vulnerability factor that may be particularly significant in these patients. OBJECTIVE:This stud...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2016.03.001
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Job descriptions for psychiatrists will change significantly over the next decade, as psychiatrists will be called on to work as caseload consultants to the primary care team. OBJECTIVE:The purpose of this pilot study was to examine the effects of an American Association of Directors of Psychiatric Residenc...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2015.03.006
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Although required by the Accreditation Council for Graduate Medical Education, training of general psychiatry residents in Psychosomatic Medicine (PM) varies significantly between programs. In 1996, the Academy of Psychosomatic Medicine (APM) developed guidelines for residency training in PM. Since then, the...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2013.07.005
更新日期:2013-11-01 00:00:00
abstract::Authors reviewed consecutive charts of 155 cognitive-disorder patients from a psychosomatic medicine service in 2001, analyzing factors of age, cognitive-disorder diagnosis, and length of stay. Mean length of stay for this cohort exceeded the typical hospital length of stay, and decreased with age. Increased age was a...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.47.5.414
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Mental illness is associated with an increased risk for medical hospitalizations. OBJECTIVE:This study investigates the degree to which nonpsychiatric factors account for these hospitalizations. METHODS:Using National Veterans Health Administration (VHA) fiscal year 2012 data for 2 million veterans under t...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2019.04.005
更新日期:2019-01-01 00:00:00
abstract::Depression is the major psychiatric complication of Parkinson's disease, and it occurs in approximately one-third of all cases. Diagnosis of depression is complicated by the overlap of depressive and parkinsonian symptoms. Its etiology is not fully understood but involves changes in dopamine and serotonin. Depression ...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(91)72039-2
更新日期:1991-10-01 00:00:00
abstract:BACKGROUND:The prevalence of diabetes in Canada is increasing. Multiple factors have been identified in the development of disability in diabetic patients, but the interaction of those risk factors is not clear. OBJECTIVE:The purpose of this paper was to assess the association between diabetes severity, health behavio...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2010.11.020
更新日期:2011-03-01 00:00:00
abstract::In a study of 294 consecutive medical inpatients, the authors assessed a subsample of 157 patients for psychiatric diagnoses using an extensive semistructured interview, Schedules for Clinical Assessment in Neuropsychiatry (SCAN). Patients rated their health and physical functioning, and medical consultants assessed t...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.42.1.41
更新日期:2001-01-01 00:00:00
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
更新日期:2012-11-01 00:00:00
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
更新日期:1998-05-01 00:00:00
abstract::Conflicts among consultants are frequent in general hospitals. Unfortunately, such disputes are rarely resolved to the satisfaction of all concerned. The authors discuss the conflicts that may arise among consultants and review techniques that can lead to more effective collaboration. Authors review the literature on ...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.49.1.8
更新日期:2008-01-01 00:00:00
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
更新日期:2000-07-01 00:00:00
abstract::The purpose of this study was to determine the utilization of medical specialists by anxiety disorder patients. The setting was a university's clinical outpatient drug trails for anxiety disorders. The participants were subjects identified by advertisement and diagnosed by psychiatric interviews and, in some instances...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(97)71478-6
更新日期:1997-03-01 00:00:00
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
更新日期:2012-07-01 00:00:00
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
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:Cerebral white matter lesions (WMLs) are more common in individuals with late-onset or late-life depression. It has been proposed that carotid atherosclerosis may predispose to WMLs by inducing cerebral hypoperfusion. This hemodynamic effect of carotid atherosclerosis could be important for the formation of ...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2016.02.005
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Chronic fatigue syndrome (CFS) has been found to be comorbid with various medical conditions in clinical samples, but little research has investigated CFS comorbidity in population-based samples. OBJECTIVE:This study investigated conditions concurrent with a CFS-like illness among twins in the population-ba...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2011.04.001
更新日期:2012-01-01 00:00:00
abstract::Much of the psychiatric literature advocates vigorous confrontation of patients with factitious physical disorder. Believing that such a strategy often drives the patient to a new physician, the author developed alternatives to confrontation. These strategies include use of inexact interpretations of psychological def...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(89)72243-X
更新日期:1989-10-01 00:00:00
abstract:BACKGROUND:First-episode secondary mania in human immunodeficiency virus (HIV) infection has been described among samples of predominantly Caucasian, HIV-positive male patients in developed countries. OBJECTIVE:The goal of this study was to compare the demographic and clinical characteristics of HIV-positive patients ...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.49.6.530
更新日期:2008-11-01 00:00:00
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
更新日期:1993-01-01 00:00:00
abstract::The authors conducted a study to examine the association between neuropsychological markers of central nervous system impairment and systemic human immunodeficiency virus (HIV) disease progression in a sample of 64 HIV-positive asymptomatic patients who were followed for a median of 45.6 months. Patients with poorer b...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/s0033-3182(93)71824-1
更新日期:1993-11-01 00:00:00
abstract:BACKGROUND:Hypertensive diseases in pregnancy (HDP) are a great challenge for healthcare providers. OBJECTIVE:The study aimed to investigate the experience of women developing HDP with different stressors associated with healthcare after a diagnosis of HDP. METHOD:A self- administered questionnaire referring to stres...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.49.5.413
更新日期:2008-09-01 00:00:00
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
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Provision of palliative care is part of the standard of care for patients with serious, life-limiting medical illnesses. Patients in the palliative care setting have high rates of psychiatric co-morbidity. However, integration of mental health care into palliative care remains a significant gap. With appropr...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2020.02.002
更新日期:2020-01-01 00:00:00
abstract::The psychological status and quality of life of 70 stable patients with asthma age > or =60 years and 40 age-matched comparison subjects were examined. The patients with long-standing asthma (duration > or = 8 years) had lower quality-of-life scores than those with recent-onset asthma (duration < 8 years). In multivar...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.46.1.41
更新日期:2005-01-01 00:00:00