Abstract:
:During five years of self-medication with Prednisone, a forty-one-year old asthmatic businessman experienced periods of euphoria, psychomotor hyperactivity, and poor judgement; a period of depression and anxiety during temporary steroid withdrawal; and finally, with resumption of Prednisone, episodes of grandiosity and bizarre fugue-like behavior, with adoption of a second identity and culminating in an irrational crime. Steroids were then withdrawn, and the patient resumed his premorbid personality, but had amnesia for much of his previous behavior. The literature on hysterical fugues and corticosteroid-induced mental disturbance is reviewed. The patient's reactions are analyzed in terms of his premorbid neurotic conflicts, the psychological stresses acting upon him, and the effects of Prednisone on his central nervous system.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Gifford S,Murawski BJ,Kline NS,Sachar EJdoi
10.2190/ygla-68km-q2vv-x03msubject
Has Abstractpub_date
1976-01-01 00:00:00pages
97-122issue
2eissn
0091-2174issn
1541-3527journal_volume
7pub_type
杂志文章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...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/9736-0B8Y-28LD-5MX8
更新日期:2000-01-01 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: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::The case of a man who falsely represented himself as being HIV positive is reported. In less than one year he was admitted twice with symptoms suggestive of HIV infection. The diagnoses malingering and factitious disorder were consecutively made. Early recognition of Factitious Disorder is essential to prevent patient...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/4BJM-U288-Q8KR-JQ3C
更新日期:1991-01-01 00:00:00
abstract::The prevalence of alcohol related admissions to hospitals in Manitoba was examined in an investigation limited to the general medicine units of four representative hospitals within the province. All admissions during one-month periods were closely examined. In order to determine if an admission was related to alcohol,...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/b8tq-5eg9-fht8-uvxl
更新日期:1989-01-01 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 developed a Japanese self-rating anxiety scale, the Himorogi Self-rating Anxiety Scale (HSAS), and tested psychometric properties of its use in Japanese psychiatric patients. METHODS:The process of developing the scale consisted of an intensive literature review, assessment of existing instruments...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.41.1.d
更新日期:2011-01-01 00:00:00
abstract::This article explores the association between normal pressure hydrocephalus and psychiatric symptoms, such as depressed mood, delusions, and hallucinations. We are reporting a case of a 30-year-old female with a history of congenital hydrocephalus, is used to illustrate this association. Such patients may benefit from...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/HQXL-FV6T-03UF-XANH
更新日期:2001-01-01 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:OBJECTIVE:The authors sought to evaluate psychiatric comorbidity, subjective quality of life, and impact of psychopathology on quality of life measures in a clinical sample of patients attending a center for the diagnosis and treatment of obesity compared to a matched sample of non-obese subjects. METHODS:Two hundred ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.39.1.e
更新日期:2009-01-01 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: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: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:BACKGROUND:Low back pain is a common disorder that has many consequences. This study is an attempt to meta-analyze the risk of depression symptoms in back pain. METHOD:Four databases were selected for review, and this search was conducted using key words. Eleven eligible articles were selected for review and meta-anal...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217420913001
更新日期:2020-03-27 00:00:00
abstract::This essay was chosen as an "honorable mention" for the 2020 Enid Balint Essay Contest. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217420985969
更新日期:2020-12-30 00:00:00
abstract:OBJECTIVE:To propose an answer to Medicine's confusion about what Type A Behavior is. METHOD:To critically review early writings about Type A as well as current literature with a focus on five key articles which are frequently mentioned in medical and lay literature as containing relevant data undermining the Type A h...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/CDU1-6JN8-RDW8-70RN
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:The development of instruments to measure emotional maladjustment in diabetic Hispanic populations has received little attention. We present the development and validation of the Diabetes Emotional Adjustment Scale in Spanish. METHOD:An eighteen-item self-administered scale was construed to assess emotional ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/95FU-2TVW-UA8C-LPN8
更新日期:1995-01-01 00:00:00
abstract::The existence of the putative "serotonin irritation syndrome" (SIS) was tested in a human population. Volunteers were exposed to a highly cationized environment for two hours. Symptoms of anxiety and excitement significantly increased. During the time of exposure serum serotonin levels also increased significantly. Th...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/gm1h-2gbg-jk6r-vy2a
更新日期:1986-01-01 00:00:00
abstract::It is possible that Jack the Ripper can be understood in terms of doctor-identification borne of one or more terrifying experiences he may have had with doctors during his childhood. The fantasies acted out by this primitive murderer are similar to the fantasies experienced by people who have been surgically traumatiz...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BTBK-Q6QD-N88Y-82VA
更新日期:1975-01-01 00:00:00
abstract::Religion and medicine have a long, intertwined, tumultuous history, going back thousands of years. Only within the past 200-300 years (less than 5 percent of recorded history) have these twin healing traditions been clearly separate. This series on religion and medicine begins with a historical review, proceeding from...
journal_title:International journal of psychiatry in medicine
pub_type: 历史文章,杂志文章
doi:10.2190/2RWB-3AE1-M1E5-TVHK
更新日期:2000-01-01 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:OBJECTIVE:Japan experienced a nationwide outbreak of hydrogen sulfide suicides (HSS) between April and May 2008. The annual number of HSS skyrocketed from 19 in 2007 to 1,056 in 2008. However, the factors affecting this enormous increase remain unknown. The present study aimed to examine the effect of media coverage of...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.44.2.d
更新日期:2012-01-01 00:00:00
abstract::Patients and family members often turn to prayer in response to serious, life-threatening illness. Prayer for a miraculous cure is often the request. While prayer can keep hope alive, it may also promote unrealistic expectations that fuel demands for life-preserving technology in medically futile situations. Furthermo...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.42.4.d
更新日期:2011-01-01 00:00:00
abstract::Primary care providers are increasingly responsible for providing mental health care in the United States. For those patients who do receive specialty mental health services, the primary care provider functions as the main entry point into the mental health system. Given the persistent racial and ethnic health dispari...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415592368
更新日期:2015-01-01 00:00:00
abstract::A patient whose clinical presentation met criteria for schizophreniform disorder was ultimately found to have neurosarcoidosis, and the psychiatric symptoms responded to steroid treatment. The ongoing search for organic etiology was prompted by the presence of cognitive decline, perseveration and rare bizarre automati...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/4AHB-AH4N-URK2-T22J
更新日期:1992-01-01 00:00:00
abstract::Olanzapine, an atypical antipsychotic, is often regarded as a safe choice for psychosis management. We hereby report an aged case that presented with conscious depression, bradycardia, hypotension, miosis and hypothermia. Olanzapine was thought to be the offending agent. His condition improved with supportive therapy....
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/U99G-XDML-0GRG-BYE0
更新日期:2003-01-01 00:00:00
abstract::Philosophical and theological notions regarding food and eating are briefly reviewed, as is the history of anorexia nervosa. Modern studies of social, psychological, and biological aspects of anorexia nervosa have failed, as yet, to provide an organized coherent understanding of the etiology of this disorder. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/844b-8rpe-621y-g3dk
更新日期:1981-01-01 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::The failure-to-thrive syndrome in geriatric patients is marked by social withdrawal, apathy, depression, anorexia, and cognitive impairment. For therapy to be effective, the treatment plan must target several of theseareas. This case report describes one such course of treatment for a patient with multiple myeloma wit...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/J82T-B61G-7DHD-4PW5
更新日期:2002-01-01 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