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 functioning ("F"), individual psychological maturity ("I"), and the capacity to form and communicate a mature psychological construct of the transplant ("T") process. The results were recorded in a semiquantitative manner, assigning a possible score of 1 to 3 for each parameter, for a possible total of 3 to 9 (the "F.I.T." assessment). Survival after the transplant was analyzed retrospectively in relation to the F.I.T. assessment. RESULTS:In a series of 112 candidates interviewed prior to transplant, those with the lowest F.I.T. assessment tended not to survive as long. By one year, 95 percent of individuals assigned the lowest score (F.I.T. = 3) had died, whereas 96 percent of those assigned the highest scores (F.I.T. = 7-9) remained alive. The strongest predictors were the "I" and "T" parameters. CONCLUSION:This approach to assessment of candidates for bone marrow transplantation may identify individuals who require added, supportive measures, both medical and psychological. Furthermore, the results suggest possible leads in the search for how psychological factors might influence the physiologic response to a toxic stress.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Hoffman LH,Szkrumelak N,Sullivan AKdoi
10.2190/1C24-H366-CGC9-V1PWsubject
Has Abstractpub_date
1999-01-01 00:00:00pages
13-28issue
1eissn
0091-2174issn
1541-3527journal_volume
29pub_type
杂志文章abstract::This article describes a novel inter-professional curriculum designed to address the needs of homeless patients in a Midwestern region of the United States which has high rates of poverty. The curriculum is intended for healthcare trainees coming from undergraduate pre-medical programs, nursing, pharmacy, social work,...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417730288
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVES:To assess: a) the prevalence and determinants of self-reported emotional distress in the Israeli population; b) the rate of self-reported discussion of emotional distress with family physicians; and c) the association between such discussions and patient satisfaction with care. METHOD: DESIGN:Retrospective...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.37.3.i
更新日期:2007-01-01 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: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:OBJECTIVE:Vitamin D deficiency might influence the development of depression; however, the association between vitamin D and depression in renal transplant recipients has not been evaluated. We aimed to test if there is a relation between 25-hydroxy (OH) vitamin D levels and depressive symptoms in patients with kidney ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.47.2.e
更新日期:2014-01-01 00:00:00
abstract::The epidemiological triad of host, agent and environment used conceptually in infectious disease may serve as a model for psychosomatic disorders, despite the involvement of many more variables. There are major problems with diagnosis and measurement, however, and the term "psychosomatic" has several meanings. The two...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:
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::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::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::In the management of patients it is often important to combine physical and psychotherapeutic treatment methods according to the individual patient's needs. In analytically oriented psychotherapy more attention can usefully be paid to the patient's bodily attitudes and behavior than has been customary. A psychosomatic...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/KDQE-6U5W-UUKW-JC2F
更新日期:1975-01-01 00:00:00
abstract::Males with anxiety disorders appear to have increased mortality due to circulatory system disease, and Type A behavior is a risk factor for coronary heart disease (CHD). Thus, we determined Type A behavior in anxious patients. Fifty-seven DSM-III defined anxiety disorder patients completed the Jenkins Activity Survey ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/updt-4qcv-fhr3-lud6
更新日期:1986-01-01 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: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::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:OBJECTIVE:The aim of the present study was to explore the relations between religious attitudes and subjective well-being in a sample of chronic pain (CP) patients and to investigate whether these associations would differ from those obtained with healthy controls. METHOD:A total of 155 CP patients (72% women) and 166...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.39.4.d
更新日期:2009-01-01 00:00:00
abstract::Depressive illness was a common clinical syndrome found in general practice in Hong Kong. The phenomenon of somatization among Chinese depressives in general practice was investigated. Patients clinically identified as depressed were compared with organic patients in terms of their presenting complaints and responses ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/bvy5-yccr-ct1v-20fr
更新日期:1980-01-01 00:00:00
abstract:OBJECTIVE:The goal of our study was to compare the incidence of Attention Deficit Hyperactivity Disorder (ADHD) observed in students at the School of Physical Education and Sports (SPES), which is a school that provides higher education in athletics, with that observed in students studying in other departments of the u...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.46.2.d
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:No systematic information exists on what U.S. medical schools are teaching on spirituality and health or on the attitudes of faculty toward inclusion of this subject in the medical curriculum. We systematically surveyed U.S. medical school deans and assessed both attitudes about and the extent to which spirit...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.40.4.c
更新日期:2010-01-01 00:00:00
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 an...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/ygla-68km-q2vv-x03m
更新日期:1976-01-01 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::We present a case of a 16-year-old Caucasian female with a history of major depressive disorder and post-traumatic stress disorder who was admitted to an inpatient adolescent psychiatric unit with symptoms of conversion disorder, including non-epileptic seizures, an inability to speak or walk, and not eating on her ow...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415612720
更新日期:2015-01-01 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:OBJECTIVE:Epilepsy is a common condition worldwide and has been observed to affect quality of life (QOL). Though, much has been written on this subject among western populations, little research has been done in developing countries of Africa including Nigeria. The study aims to identify factors associated with quality...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/R80G-580X-X1H2-6936
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::Patients coming to general hospital emergency rooms often present mixed physical and psychological problems. An unfortunate tendency of physicians caring for these patients to "label" them as either "organic" or "psychiatric," based on initial impressions, may lead to inadequate diagnosis and improper treatment. Four ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/G3YJ-8DJR-YQV9-DDDL
更新日期:1975-01-01 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::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:OBJECTIVES:To examine the association between ethnicity, depression, quality of life, and diabetic control in Malaysian adolescents and young adults with type I diabetes mellitus. METHODS:Fifty-two outpatients with type I diabetes (mean age 15.5 years) who attended a Diabetes Clinic were included. The level of HbA1c w...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/EQ71-RMWV-6CEJ-1DGM
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: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