abstract：OBJECTIVE:Tinnitus is known to have an association with depression and other psychiatric disorders. As part of a larger epidemiological survey, we evaluated the associations among tinnitus, depression and alexithymia in a group of elderly people. METHODS:A survey of hearing loss, audiological rehabilitation and associ...

journal_title：General hospital psychiatry

authors： Salonen J,Johansson R,Joukamaa M

更新日期：2007-09-01 00:00:00

abstract：OBJECTIVE:We examined the association between panic disorder (PD), physician-diagnosed cardiac disease (CD), and the interaction of these variables in relation to health care utilization, as measured by emergency department (ED) visitations, in an epidemiologic sample. METHODS:Subjects were identified from the Nationa...

journal_title：General hospital psychiatry

authors： Korczak DJ,Goldstein BI,Levitt AJ

更新日期：2007-07-01 00:00:00

abstract：OBJECTIVE:Psychogenic factors may play a contributory role in the development or persistence of lichen simplex chronicus (LSC). The objective of this study was to evaluate the psychiatric profile of patients with LSC including depression and dissociative experiences. METHOD:Dermatology outpatients with a LSC (n=30) we...

journal_title：General hospital psychiatry

authors： Konuk N,Koca R,Atik L,Muhtar S,Atasoy N,Bostanci B

更新日期：2007-05-01 00:00:00

abstract：:Cocaine use is an under-recognized risk factor of antipsychotic-induced acute dystonia. A case of a patient with psychotic illness and concurrent cocaine use developing acute dystonia with ziprasidone is described. ...

journal_title：General hospital psychiatry

authors： Duggal HS

更新日期：2007-05-01 00:00:00

abstract：OBJECTIVE:This study examined mental health needs, receptivity to psychosocial aftercare, and barriers to care among survivors of violence-related facial injuries. METHODS:Face-to-face interviews were conducted with 25 consecutively treated individuals at a hospital-based specialty outpatient clinic one month after a ...

journal_title：General hospital psychiatry

authors： Wong EC,Marshall GN,Shetty V,Zhou A,Belzberg H,Yamashita DD

更新日期：2007-03-01 00:00:00

abstract：OBJECTIVE:Behçet's disease (BD) is a multisystemic inflammatory disorder associated with high levels of depressive symptoms and lower quality of life (QoL). In this study, we aimed to investigate the impact of major depression (MD) on the QoL of patients with BD. METHOD:BD outpatients (n=25) and psychiatric outpatient...

journal_title：General hospital psychiatry

authors： Uğuz F,Dursun R,Kaya N,Cilli AS

更新日期：2007-01-01 00:00:00

abstract：:The occurrence of malignant catatonia in pregnancy is a psychiatric emergency. In this article, we present the case of a pregnant woman with a first psychotic episode with catatonic features, autonomic abnormalities and elevated creatinine phosphokinase levels in the context of a severe adverse reaction to antipsychot...

journal_title：General hospital psychiatry

authors： Espínola-Nadurille M,Ramírez-Bermúdez J,Fricchione GL

更新日期：2007-01-01 00:00:00

abstract：:Preoperative risk factors of postoperative delirium were evaluated in 260 patients admitted for open heart surgery. The incidence of delirium was 11.5%. Independent predictors included cognitive impairment, atrial fibrillation, a history of peripheral vascular disease major depression and advanced age. Aforementioned ...

journal_title：General hospital psychiatry

authors： Kazmierski J,Kowman M,Banach M,Pawelczyk T,Okonski P,Iwaszkiewicz A,Zaslonka J,Sobow T,Kloszewska I

更新日期：2006-11-01 00:00:00

abstract：INTRODUCTION:Rural populations remain underserved in terms of psychiatric services. This study assesses changes over time in the utilization of telepsychiatric services by individual primary care providers (PCPs) and clinics in rural areas, specifically: (a) types of referrals for telepsychiatry service; (b) PCPs' know...

journal_title：General hospital psychiatry

authors： Hilty DM,Yellowlees PM,Nesbitt TS

更新日期：2006-09-01 00:00:00

abstract：INTRODUCTION:Chemical restraint is controversial. Appropriate use is ill-defined and chemical restraint may be overutilized. During the period of an unrelated observational study for patients with acute psychomotor agitation in a psychiatric emergency service, we noticed a significant reduction in the number of involun...

journal_title：General hospital psychiatry

authors： Damsa C,Ikelheimer D,Adam E,Maris S,Andreoli A,Lazignac C,Allen MH

更新日期：2006-09-01 00:00:00

abstract：BACKGROUND:Adolescent depression has been shown to be associated with later development of obesity. The purpose of this study was to examine the association between depressive symptoms and obesity with progressive pubertal development. METHODS:We conducted an analysis of the association between depressive symptoms and...

journal_title：General hospital psychiatry

authors： Richardson LP,Garrison MM,Drangsholt M,Mancl L,LeResche L

更新日期：2006-07-01 00:00:00

abstract：OBJECTIVE:Primary care providers are increasingly taking on the role of ad hoc mental health provider. However, before patients in primary care can be treated, they must be identified. This study set out to validate a very brief screening instrument for identifying primary care patients with anxiety and depression. ME...

journal_title：General hospital psychiatry

authors： Means-Christensen AJ,Sherbourne CD,Roy-Byrne PP,Craske MG,Stein MB

更新日期：2006-03-01 00:00:00

abstract：OBJECTIVE:In recent years, patients' preferences concerning treatment of emotional distress in general and of depression in particular have received more emphasis in the clinical setting as well as in research. METHODS:The treatment preferences of 607 primary care patients were assessed in a cross-sectional study usin...

journal_title：General hospital psychiatry

authors： Backenstrass M,Joest K,Frank A,Hingmann S,Mundt C,Kronmüller KT

更新日期：2006-03-01 00:00:00

abstract：OBJECTIVE:Missed appointments are associated with poorer health outcomes. We predicted that compared to secure attachment style, fearful and dismissing attachment styles would be associated with greater number of missed primary care visits in patients with diabetes. METHODS:In patients with diabetes from nine health m...

journal_title：General hospital psychiatry

authors： Ciechanowski P,Russo J,Katon W,Simon G,Ludman E,Von Korff M,Young B,Lin E

更新日期：2006-01-01 00:00:00

abstract：:Cultural competence, as a tool to overcome disparities in mental healthcare to ethnic minorities, is facing unprecedented challenges. Providers are turning to cultural competence as one of the few resources available for badly needed information and strategies for improving clinical care. This essay provides backgroun...

journal_title：General hospital psychiatry

authors： Vega WA

更新日期：2005-11-01 00:00:00

abstract：OBJECTIVE:This study presents the psychometric properties of a brief measure to assess beliefs about psychotropic medications and psychotherapy among patients with anxiety disorders. METHOD:Data were collected on a large sample of primary care patients with a range of anxiety disorders, as part of the Collaborative Ca...

journal_title：General hospital psychiatry

authors： Bystritsky A,Wagner AW,Russo JE,Stein MB,Sherbourne CD,Craske MG,Roy-Byrne PP

更新日期：2005-09-01 00:00:00

abstract：OBJECTIVE:Factors determining community tenure (CT) between subsequent referrals to a psychiatric emergency room (PER) are only partly understood. We investigated the differential effect of patient and health system characteristics on the CT of patients with a previous referral to a PER. METHOD:Data were collected for...

journal_title：General hospital psychiatry

authors： Bruffaerts R,Sabbe M,Demyttenaere K

更新日期：2005-07-01 00:00:00

abstract：BACKGROUND:Oral loading with the delayed release formulation of divalproex sodium is widely used for the treatment of patients with acute mania and produces rapid attainment of therapeutic serum levels. Recently, an extended release formulation of divalproex sodium (divalproex ER) was approved for treatment of migraine...

journal_title：General hospital psychiatry

authors： Miller BP,Perry W,Moutier CY,Robinson SK,Feifel D

更新日期：2005-05-01 00:00:00

abstract：:Using a standardized measure of health beliefs, this study sought to disentangle factors that contribute to increased medical service use in a sample of 64 high-utilizing elderly patients. In adjusted models, people with depressive symptoms were more likely than those without depression to believe that they were susce...

journal_title：General hospital psychiatry

authors： Levinson CM,Druss BG

更新日期：2005-03-01 00:00:00

abstract：:A randomized and prospective study examined the effects of intensive communication between treatment providers on physician behavior and patient care using a representative sample of patients referred to a German psychosomatic consultation-liaison (C-L) service (1998-1999). Sixty-seven patients were grouped (ICD-10) a...

journal_title：General hospital psychiatry

authors： de Cruppé W,Hennch C,Buchholz C,Müller A,Eich W,Herzog W

更新日期：2005-01-01 00:00:00

abstract：OBJECTIVE:History of prolonged traumatization has been associated with reduced quality of life (QoL) and difficulties in coping with major life-threatening conditions. We assessed the association between the impact of Holocaust experience (posttraumatic symptoms) and QoL of patients before and after an open heart surge...

journal_title：General hospital psychiatry

authors： Schreiber S,Soskolne V,Kozohovitch H,Deviri E

更新日期：2004-11-01 00:00:00

abstract：:We report that infertile women in Japan as well as in the Western world have high levels of emotional distress, anxiety, and depression. The reasons for anxiety and depression in infertile women are easy to presume but remain unclear. We conducted the present study to assess the relationship between the anxiety and de...

journal_title：General hospital psychiatry

authors： Matsubayashi H,Hosaka T,Izumi S,Suzuki T,Kondo A,Makino T

更新日期：2004-09-01 00:00:00

abstract：:Posttraumatic stress disorder (PTSD) is associated with high numbers of self-reported physical symptoms and functional disability in clinical samples, but little is known about the magnitude of these associations in population samples and using actual physician-coded diagnoses. We administered a 22-page survey to 1225...

journal_title：General hospital psychiatry

authors： Ciechanowski PS,Walker EA,Russo JE,Newman E,Katon WJ

更新日期：2004-07-01 00:00:00

abstract：:Alcohol use disorders (AUDs) are common among inpatients in general hospitals and often cause excess mortality. This study investigates the prevalence of AUDs among nonpsychiatric inpatients in one general hospital and evaluates the ability of medical staff to identify such morbidity. A two-phase case-identification s...

journal_title：General hospital psychiatry

authors： Chen CH,Chen WJ,Cheng AT

更新日期：2004-05-01 00:00:00

abstract：:Additional psychiatric disorders in eating disorders patients may contribute to the risk of suicide and suicide attempts. The aim of this study was to examine associations between Axes I and II comorbidity and suicidality in a large sample of women currently suffering from an eating disorder (ED). In a sample of 288 w...

journal_title：General hospital psychiatry

authors： Milos G,Spindler A,Hepp U,Schnyder U

更新日期：2004-03-01 00:00:00

abstract：:Detection of cognitive impairment among hospitalized older individuals has shown to be insufficient. A point prevalence study in two geriatric hospitals in Helsinki, Finland, was performed among 219 acutely ill individuals over 70 years to assess the detection of dementia and delirium. Documentation of dementia and de...

journal_title：General hospital psychiatry

authors： Laurila JV,Pitkala KH,Strandberg TE,Tilvis RS

更新日期：2004-01-01 00:00:00

abstract：:We performed a randomized trial to prevent depression relapse in primary care by evaluating intervention effects on medication attitudes and self-management of depression. Three hundred and eighty six primary care patients at high risk for recurrent depression were randomized to receive a 12-month intervention. Interv...

journal_title：General hospital psychiatry

authors： Lin EH,Von Korff M,Ludman EJ,Rutter C,Bush TM,Simon GE,Unützer J,Walker E,Katon WJ

更新日期：2003-09-01 00:00:00

abstract：:Barriers to clear communication, such as culture, language, and other aspects of self-presentation may have an important impact on the doctor-patient relationship. When not addressed, cultural and linguistic issues can result in unreliable clinical histories, noncompliance with medical treatment, misinterpretation of ...

journal_title：General hospital psychiatry

authors： Rueda-Lara MA,Buchert S,Skotzko C,Clemow LP

更新日期：2003-09-01 00:00:00

abstract：:The present study aims to validate the Spanish version of the Hospital Anxiety and Depression Scale (HADS) and to determine the use of this tool for screening mood and anxiety disorders. Psychometric properties of the HADS were assessed in different groups of general medical outpatients attending the Hospital Clínic i...

journal_title：General hospital psychiatry

authors： Herrero MJ,Blanch J,Peri JM,De Pablo J,Pintor L,Bulbena A

更新日期：2003-07-01 00:00:00

abstract：:More information is needed regarding the medical care utilization and costs of individuals who report depressed mood, persistent anxiety, brief anxiety, panic, and trouble controlling violent behavior. We present findings from a 1-year prospective follow-up study of a stratified random sample of adult HMO enrollees (N...

journal_title：General hospital psychiatry

authors： Hunkeler EM,Spector WD,Fireman B,Rice DP,Weisner C

更新日期：2003-05-01 00:00:00

abstract：:Efforts to improve the care of depression in primary care patients have largely ignored the potential of obstetrics/gynecology (OB/GYN) practices. We describe feasibility studies of a depression screening and care management intervention in three diverse OB/GYN practices. Patients were screened using the Patient Healt...

journal_title：General hospital psychiatry

authors： Scholle SH,Haskett RF,Hanusa BH,Pincus HA,Kupfer DJ

更新日期：2003-03-01 00:00:00

abstract：:Somatization is a common phenomenon that has been defined in many ways. The two most widely used diagnoses, Somatization Disorder (SD) and Abridged Somatization Disorder (ASD), are based on lifetime unexplained symptoms. However, reports indicate instability in lifetime symptom recall among somatizing patients. Multis...

journal_title：General hospital psychiatry

authors： Dickinson WP,Dickinson LM,deGruy FV,Candib LM,Main DS,Libby AM,Rost K

更新日期：2003-01-01 00:00:00

abstract：:Individuals with severe mental illness (SMI) are at risk for inadequate general medical and preventive care, but little is known about their visits for primary care. We performed a cross-sectional analysis of primary care physician visits from the National Ambulatory Medical Care Survey (NAMCS) 1993-1998 and compared ...

journal_title：General hospital psychiatry

authors： Daumit GL,Pratt LA,Crum RM,Powe NR,Ford DE

更新日期：2002-11-01 00:00:00

abstract：:Systematic assessment of the effect of clinical research studies on child and parent participants has been limited. Such assessment could provide an empirical basis for the ethical conduct of research, assisting investigators and institutional review boards in balancing the need for sound research with the need to pro...

journal_title：General hospital psychiatry

authors： Kassam-Adams N,Newman E

更新日期：2002-09-01 00:00:00

abstract：:This paper, the first in a series commissioned by NIMH for the "Challenges for the 21st Century: Mental Health Services Research Conference," seeks to provide a broad perspective on the primary care/mental health interface in the United States. The manuscript examines both the care of mental disorders in medical setti...

journal_title：General hospital psychiatry

authors： Druss BG

更新日期：2002-07-01 00:00:00

abstract：:Several predictors of the course of depression and generalized anxiety have been identified. Whether these predictors provide a solid basis for primary care physicians (PCPs) to give an accurate prognosis remains unclear. A parallel study showed modest agreement between PCP prognosis and observed course (kappa< or = 0...

journal_title：General hospital psychiatry

authors： van den Brink RH,Ormel J,Tiemens BG,Smit A,Jenner JA,van der Meer K,van Os TW

更新日期：2002-05-01 00:00:00

abstract：:This paper reports on the results of a pilot study comparing the efficacy of an experimental case review program between psychiatrists and primary care physicians (PCPs) with PCPs' usual care on the outcome of depressive disorders at 1-year. The secondary aim of the paper is to identify correlates of remission of depr...

journal_title：General hospital psychiatry

authors： Ceroni GB,Rucci P,Berardi D,Ceroni FB,Katon W

更新日期：2002-03-01 00:00:00

abstract：:Dysthymia is one of the most prevalent problems in primary care, especially in the elderly. In this study, we evaluated the demographic and clinical predictors of nonresponse to treatment in primary care patients with dysthymia. The study sample consisted of 338 primary care patients meeting DSMIII-R criteria for dyst...

journal_title：General hospital psychiatry

authors： Katon W,Russo J,Frank E,Barrett J,Williams JW Jr,Oxman T,Sullivan M,Cornell J

更新日期：2002-01-01 00:00:00

abstract：:This report describes the rates of recovery and remission from minor depression or dysthymia in primary care patients three months after completing a randomized controlled treatment trial. The subjects were primary care patients who received > or =4 treatment sessions with Problem-Solving Treatment, paroxetine, or pla...

journal_title：General hospital psychiatry

authors： Oxman TE,Barrett JE,Sengupta A,Katon W,Williams JW Jr,Frank E,Hegel M

更新日期：2001-11-01 00:00:00

abstract：:Children (N = 110) hospitalized on a child psychiatric unit improved significantly in psychological functioning at discharge and 1- and 6-months follow-up relative to their functioning at admission. Children who were more impaired at admission made more progress during admission but were more impaired at follow-up tha...

journal_title：General hospital psychiatry

authors： Mayes SD,Krecko VF,Calhoun SL,Vesell HP,Schuch S,Toole WR

更新日期：2001-09-01 00:00:00