abstract：:Psychiatric morbidity among 240 pregnant women attending an antenatal unit was assessed by a two-stage screening procedure, using the General Health Questionnaire (GHQ-30) and Present State Examination Schedule (PSE). The prevalence of psychiatric morbidity was found to be significantly associated with younger age (< ...

journal_title：General hospital psychiatry

authors： Abiodun OA,Adetoro OO,Ogunbode OO

更新日期：1993-03-01 00:00:00

abstract：:To examine those patients referred to psychiatry for the "problem of coping," a structured clinical databased management system--MICRO-CARES--was employed to identify the frequency, demographic characteristics, psychiatric diagnoses, psychosocial interventions, use of psychopharmacology, number of follow-up visits, an...

journal_title：General hospital psychiatry

authors： Strain J,Hammer JS,Huertas D,Lam HT,Fulop G

更新日期：1993-01-01 00:00:00

abstract：:A study was conducted of all 51 patients admitted on 64 occasions with self-inflicted burns to the Welsh Regional Burns Unit between January 1979 and January 1991. Two different groups of patients were identified, namely, patients who attempted suicide and patients with self-mutilative behavior. Their differences on a...

journal_title：General hospital psychiatry

authors： Sonneborn CK,Vanstraelen PM

更新日期：1992-11-01 00:00:00

abstract：:The authors report on three patients who developed severe postictal excitement at several consecutive electroconvulsive therapy (ECT) treatments. In all three cases, an increase in the anesthetic (or equivalent medication) dosage prior to ECT prevented the emergence of postictal excitement at subsequent treatments. Th...

journal_title：General hospital psychiatry

authors： Devanand DP,Sackeim HA

更新日期：1992-09-01 00:00:00

abstract：:A 63-year-old married man with idiopathic terminal cardiomyopathy was admitted to the medical service for treatment of advanced heart failure. A psychiatric consultation was requested to assist the medical treatment team in dealing with the patient's abusive behavior. The case is presented and discussed within the con...

journal_title：General hospital psychiatry

authors： McDaniel JS,Stoudemire A,Riether AM,Firestone S,Cohen-Cole SA,Cobbs BW Jr

更新日期：1992-07-01 00:00:00

abstract：:Clinical observation had suggested that mild depression occurs after admission for acute medical treatment and then decreases during further hospitalization for rehabilitation treatment. The Geriatric Depression Scale (GDS) was given on admission and discharge to 14 stroke and 17 amputee rehabilitation patients. Each ...

journal_title：General hospital psychiatry

authors： Schubert DS,Burns R,Paras W,Sioson E

更新日期：1992-03-01 00:00:00

abstract：:A common problem facing the psychiatric consultant and the medical practitioner is evaluating depression in patients with concurrent medical illnesses. Depression is difficult to recognize in the medically ill, often presenting with "masked" symptoms and organized into unique syndromes. A primary concern of the clinic...

journal_title：General hospital psychiatry

authors： Gregory RJ,Jimerson DC,Walton BE,Daley J,Paulsen RH

更新日期：1992-01-01 00:00:00

abstract：:Many general hospitals are confronting issues of financial strain precipitated to a large extent by Medicare payment reductions. The viability of psychiatry programs within general hospitals more than ever depends upon some demonstration of their financial as well as clinical contribution. The aim of this study is to ...

journal_title：General hospital psychiatry

authors： Goldberg RJ,Simundson S

更新日期：1991-09-01 00:00:00

abstract：:Bromocriptine, an ergot alkaloid dopamine agonist, is a recent common treatment for suppression of lactation in postpartum women. A case is presented of a postpartum woman prescribed bromocriptine for suppression of lactation who developed hypertension, headaches, blurry vision, seizures, and pituitary hemorrhage. Dif...

journal_title：General hospital psychiatry

authors： Gittelman DK

更新日期：1991-07-01 00:00:00

abstract：:Detection of nonpsychotic morbidity in primary care patients presenting with nonspecific and somatic symptoms has been difficult because of several factors related to the patients, primary care clinicians, and working conditions of the over-crowded clinic. The available standardized screening questionnaires do not ove...

journal_title：General hospital psychiatry

authors： Srinivasan TN,Suresh TR

更新日期：1991-03-01 00:00:00

abstract：:Suicidal behavior is disproportionately frequent among inner-city Hispanic adolescent girls. In an attempt to generate a multifactorial set of hypotheses to explain this behavior, 33 such subjects consecutively admitted for suicidal behavior and 15 demographically identical nonsuicidal subjects were assessed by means ...

journal_title：General hospital psychiatry

authors： Razin AM,O'Dowd MA,Nathan A,Rodriguez I,Goldfield A,Martin C,Goulet L,Scheftel S,Mezan P,Mosca J

更新日期：1991-01-01 00:00:00

abstract：:Family systems theory provides the physician with a comprehensive paradigm to investigate the social and interpersonal context of physical illness. All physical illnesses, particularly life-threatening and chronic ones, profoundly affect the family life of the patient, and the changed family circumstances in turn have...

journal_title：General hospital psychiatry

authors： Sholevar GP,Perkel R

更新日期：1990-11-01 00:00:00

abstract：:The biopsychosocial model has been promoted for its advantages in many important health problems. However, the lack of administrative practice models specifically designed to develop and promote the model hinder the development of systematic clinical applications. This article describes a successful clinical teaching ...

journal_title：General hospital psychiatry

authors： Gallagher RM,McCann WJ,Jerman A,Hughes J,Langelier R,Stewart F

更新日期：1990-09-01 00:00:00

abstract：:We describe a schizophrenic man whose lack of pain and related objective signs of a perforated small bowel led to a delay in diagnosis and surgical intervention. A review of the literature suggests that both psychodynamic and specific biologic factors can produce atypical presentations in psychotic patients with illne...

journal_title：General hospital psychiatry

authors： Rosenthal SH,Porter KA,Coffey B

更新日期：1990-09-01 00:00:00

abstract：:The psychiatric consultant is dependent upon the consultee for the implementation of many of his or her recommendations. Therefore, research as to the fate of recommendations suggested to the consultee is of eminent importance. The concordance (performing a suggested recommendation) paradigm, as developed by Popkin et...

journal_title：General hospital psychiatry

authors： Huyse FJ,Strain JJ,Hammer JS

更新日期：1990-07-01 00:00:00

abstract：:A sample of 196 general medical patients with multiple unexplained somatic complaints was used to compare the performance (sensitivity and specificity) and positive and negative predictive values for the published screening indexes for somatization disorder. This study shows similar performances for both the DSM-III-R...

journal_title：General hospital psychiatry

authors： Smith GR Jr,Brown FW

更新日期：1990-05-01 00:00:00

abstract：:The paper examines the evidence regarding the extent to which differences exist in health and mental health status of psychiatric patients treated in the specialty mental health, general medical, and informal care sectors. Differences in types of patients treated in the three sectors are important to identify since th...

journal_title：General hospital psychiatry

authors： Frank RG,Kamlet MS

更新日期：1990-01-01 00:00:00

abstract：:Two patients with an acute organic brain syndrome and accompanying neurological symptoms are described. Extensive work up showed that both patients suffered from small-cell lung cancer. Cerebral metastases were absent. Following chemotherapy and radiotherapy to the primary tumor one of the two patients showed a comple...

journal_title：General hospital psychiatry

authors： den Hollander AM,van Hulst AM,Meerwaldt JD,Haasjes JG

更新日期：1989-11-01 00:00:00

abstract：:Evaluation of the incidence of depression among cancer patients has been the object of a number of studies. Recent reports of medically ill patients have indicated that depression is related to several dimensions of abnormal illness behavior (e.g., hypochondriasis, irritability, denial, disease conviction). To investi...

journal_title：General hospital psychiatry

authors： Grassi L,Rosti G,Albieri G,Marangolo M

更新日期：1989-11-01 00:00:00

abstract：:Drawing on experiences as a Physician Advisor to the Office of Quality Assurance of the American Psychiatric Association, the author discusses process interactions endemic to peer review and presents recommendations for facilitating this necessary professional activity. ...

journal_title：General hospital psychiatry

authors： Green SA

更新日期：1989-07-01 00:00:00

abstract：:Advancing medical technology presents problems to medical professionals previously unforeseen. Psychiatric consultants are frequently called upon to assist staff, patients, and families in addressing these issues. The nursing staff of an infant intensive care unit was surveyed as to their perceptions of their work and...

journal_title：General hospital psychiatry

authors： Brack G,LaClave LJ,Heumann KA

更新日期：1989-05-01 00:00:00

abstract：:Successful operation of a medical-psychiatry unit requires special considerations in nursing staff development and facility design. This article will discuss in detail issues related to the selection, training, and development of a medical-psychiatry unit nursing staff. Organizational details regarding establishing sc...

journal_title：General hospital psychiatry

authors： Cowart T,Stoudemire A

更新日期：1989-03-01 00:00:00

abstract：:Prior literature suggested that psychiatric liaison on medical wards would produce a more positive attitude towards psychiatry, more psychosocial chart documentation, and a higher consultation request rate. Over 3 years, liaison was conducted on two medical wards, and its effect was contrasted with two control (consul...

journal_title：General hospital psychiatry

authors： Schubert DS,Billowitz A,Gabinet L,Friedson W

更新日期：1989-03-01 00:00:00

abstract：:A number of reports have suggested that some cases of multiple personality disorder might be due to temporal lobe epileptic discharges. We have administered a structured interview, the Dissociative Disorders Interview Schedule, to 20 subjects with multiple personality disorder, 20 with complex partial seizures, and 28...

journal_title：General hospital psychiatry

authors： Ross CA,Heber S,Anderson G,Norton GR,Anderson BA,del Campo M,Pillay N

更新日期：1989-01-01 00:00:00

abstract：:There is still a striking lack of homogeneity in the terminology and classifications used in the registration of psychiatric consultation-liaison (C-L) data. Nowadays, the need for standardization of C-L data is greater than ever. Each registration consists of two components: the items and their categories. The presen...

journal_title：General hospital psychiatry

authors： Hengeveld MW,Huyse FJ,van der Mast RC,Tuinstra CL Jr

更新日期：1988-11-01 00:00:00

abstract：:The psychiatric literature on competency indicates that a diagnosable psychiatric condition alone does not imply incompetency to make treatment decisions. Nonetheless, it is frequently assumed that individuals who are either mentally retarded or demented are incompetent to make decisions. The authors, focusing on the ...

journal_title：General hospital psychiatry

authors： Kaplan KH,Strang JP,Ahmed I

更新日期：1988-11-01 00:00:00

abstract：:Bone marrow transplantation offers new hope for cure in a variety of leukemias, aplastic anemia, and other immunodeficiency and hematologic disorders. But the psychologic circumstances accompanying this procedure are often profoundly stressful. The evolution of consultation--liaison services on a bone marrow transplan...

journal_title：General hospital psychiatry

authors： Rappaport BS

更新日期：1988-09-01 00:00:00

abstract：:Forty consecutive patients with disabling tinnitus were interviewed using a structured psychiatric interview and were asked to complete the Hopkins Symptom Checklist (SCL-90), the Chronic Illness Problem Inventory, and the Revised Ways of Coping Checklist. They were compared to a control group of 14 patients attending...

journal_title：General hospital psychiatry

authors： Sullivan MD,Katon W,Dobie R,Sakai C,Russo J,Harrop-Griffiths J

更新日期：1988-07-01 00:00:00

abstract：:Parasuicide is usually associated with low suicidal intent and research data show that rising rates remain a challenging clinical and research problem. Hopelessness, a core characteristic of depression, appears to be the link between depression and suicidal behavior in high-risk patients. Previous research in this reg...

journal_title：General hospital psychiatry

authors： Schlebusch L,Wessels WH

更新日期：1988-05-01 00:00:00

abstract：:The treatment of adolescents in a general hospital setting is fraught with difficulty. There are significant limitations to time, space, finances, and the physical plant. There are limitations to the numbers, types, mix of patients with other patients, and the types of treatment available. To deal with these issues, a...

journal_title：General hospital psychiatry

authors： Madow MR

更新日期：1988-03-01 00:00:00

abstract：:A liaison rounds is presented, one attended by all members of a consultation-liaison (C-L) team along with the medical director of a burn unit. This structure is designated as a "reverse liaison rounds," as it is the opposite of the conventional liaison meeting, which consists of one C-L consultant and the total nonps...

journal_title：General hospital psychiatry

authors： Billowitz A,Schubert DS

更新日期：1988-01-01 00:00:00

abstract：:The authors review the forces that encouraged the entry of psychiatry into the general hospital in the 1930s. Those forces, which included concern about increasing health care costs, pressure to reform medical and psychiatric education, and the growth of dynamic psychiatry and psychosomatic medicine, are described. Th...

journal_title：General hospital psychiatry

authors： Summergrad P,Hackett TP

更新日期：1987-11-01 00:00:00

abstract：:This article presents research involving the comparison of levels of occupational stress across multiple units of a large teaching hospital. Using a scale designed to measure a four-component model of occupational stress in medical environments, the results indicated that a significant amount of the variation in this ...

journal_title：General hospital psychiatry

authors： Lyons JS,Hammer JS,Johnson N,Silberman M

更新日期：1987-11-01 00:00:00

abstract：:The pattern of inpatient referral to a general hospital psychiatry department was examined in the present study. The referral rate of 3.6% was higher than those reported by other investigators from India. The majority of the patients had concurrent physical illness. Neurotic depression and alcohol dependence were the ...

journal_title：General hospital psychiatry

authors： Srinivasan K,Babu RK,Appaya P,Subrahmanyam HS

更新日期：1987-09-01 00:00:00

abstract：:Utilization review (UR), Quality Assurance (QA), and Peer Review (PR) have become essential aspects in the practice of general hospital psychiatry. This article first defines and elaborates the basic elements of UR, QA, and PR and then outlines the development of a program for these professionally initiated and mainta...

journal_title：General hospital psychiatry

authors： Sederer LI

更新日期：1987-05-01 00:00:00

abstract：:The self-inflicted dermatoses, namely dermatitis artefacta, neurotic excoriations, and trichotillomania, have been reported to be associated with various degrees of psychopathology in the dermatologic literature, but have received surprisingly little emphasis in the psychiatric literature. This probably reflects, firs...

journal_title：General hospital psychiatry

authors： Gupta MA,Gupta AK,Haberman HF

更新日期：1987-01-01 00:00:00

abstract：:Medicine has undergone a technological explosion which presents physicians with an increased need to make difficult ethical decisions. This has been met by an equivalent development in American medical schools of efforts to teach the ethics of medical practice. The courses vary widely from school to school. It is reco...

journal_title：General hospital psychiatry

authors： McCartney JR

更新日期：1986-11-01 00:00:00

abstract：:Most psychiatric patients obtain care in the nonpsychiatric units of general hospitals. Two groups of 100 psychiatric consultation patients in a private hospital setting and in a public hospital were compared. Significant differences were found. Patients in the public hospital were medically, psychiatrically, and soci...

journal_title：General hospital psychiatry

authors： Kuhn WF,Bell RA,Frierson RL,Lippmann SB

更新日期：1986-07-01 00:00:00

abstract：:Drug abuse is a prevalent problem in society and often occurs as abuse of multiple substances. The authors present a model for understanding the clinical symptomatology and course of substance-induced organic mental disorders and present a hypothesis that explains how various factors might interact to produce the diso...

journal_title：General hospital psychiatry

authors： Kulick AR,Ahmed I

更新日期：1986-05-01 00:00:00

abstract：:The psychosocial skills of 24 PGY I medical residents receiving psychiatric training every other week during the internship year were evaluated and compared to a control group of 13 PGY I residents. After the internship year, the psychiatrically trained residents showed an increase in their ability to recognize emotio...

journal_title：General hospital psychiatry

authors： von Ammon Cavanaugh S,Kennedy S

更新日期：1986-03-01 00:00:00