Showing papers in "General Hospital Psychiatry in 1986"

TL;DR: These economic figures provide a lower-bound estimate of the full economic burden of major depression and further emphasize the need for timely recognition and treatment to potentially minimize the negative impact of the illness on society.

TL;DR: Results indicated that earlier consultations predicted shorter lengths of stay, and applications of the present methodology to more complex evaluations of psychiatric consultation are discussed.

TL;DR: A systematic psychiatric evaluation of 21 subjects with intraabdominal malignancy (pancreatic or gastric carcinoma) was performed, finding depression was frequently associated with and often the presenting symptom complex of patients with carcinoma of the pancreas.

TL;DR: The author concludes that C-L psychiatry has achieved the status of a full-fledged subspecialty of psychiatry, one whose main contribution has been to draw attention of clinicians and researchers to psychosocial aspects of physical illness and to the psychiatric complications of such illness and of the medical and surgical therapies.

TL;DR: The number of anxiety symptoms paralleled the number of hyperthyroid symptoms whereas depressive symptoms did not, and the number with depression and anxiety was felt to be artificially inflated by the concurrent presence of somatic thyroid symptoms.

TL;DR: In this AIDS subject group, illness concerns, attitudes toward homosexuality, and social support satisfaction were significantly correlated with each other, and with previously reported levels of psychologic distress and subjective (but not objective) measures of health status.

TL;DR: Comparison of the two instruments showed that the MMPI subscale did not correlate highly with the BIQ, and when demographic variables were assessed, age was found to be correlated with alexithymia.

TL;DR: Some differences were found between the postlumpectomy and the postmastectomy groups in their perception of family relations, but the expected differences in terms of personality were not found.

TL;DR: It is suggested that future research investigate not only the accuracy of the clinician's diagnostic formulation but also the processes whereby the family practitioner elicits, analyzes, and synthesizes or discards cues pertinent to mental illness.

TL;DR: This study evaluated objectively the relationship between recent life events, social support systems, and blood glucose control in diabetic patients using both short-term and long-term measures of control.

TL;DR: A case illustrating factitious illness with a coexisting depressive disorder involved self-mutilation that served to procure and prolong patient status, while obscuring the recognition of a major depressive episode.

TL;DR: A selected review of recent advances and implications for five important topics in consultation-liaison research: diagnosis, disease mechanisms, biologic treatments, health services, and psychosocial treatments for medical disorders are presented.

TL;DR: Although the variety and frequency of psychiatric and physical disorders are quite similar to civilian consultation-liaison psychiatric services, the authors reported lower rates of personality disorder diagnoses and higher percentages of V code and no-psychiatric-disorder diagnoses.

TL;DR: There were few differences among the specialties or by level of training with regard to the numbers or types of problems identified and tentative diagnoses recorded and the variability within specialty groups was greater than among the groups.

TL;DR: In Ireland, as elsewhere, the rate of referral of general hospital inpatients to a psychiatric consultation-liaison service is below the rates of psychiatric illness found in hospital inPatients.

TL;DR: Survey of primary care physicians found that prior experience with a treatment strategy was a significant factor in predicting a recommendation for future use of a treatment independent of other considerations such as endorsement of positive attitudes about the efficacy or benefits of a Treatment.

TL;DR: A case of AIDS presenting as a psychiatric illness is described and its implications discussed further.

TL;DR: Surgical thyroidectomy should be considered in thyrotoxic patients who are unresponsive to medical therapy or who manifest unremitting or life-threatening psychotic behavior, especially if long-term compliance required for medical therapy appears unlikely.

TL;DR: This new field of behavioral medicine should not promise more than it may be able to provide, particularly in trying to achieve the biopsychosocial model of medicine.

TL;DR: The problem of recognition of an alcohol problem in the medical/surgical patient is explored with particular emphasis on the obstacles to diagnosis--masking of alcoholism by other major psychiatric disease, the categorization of patients by symptom rather than underlying causation, and the lack of sufficient employment of useful diagnostic screening devices.

TL;DR: The GHQ-28 proved to be a good screening instrument to detect cases of psychiatric morbidity in Chinese obstetrical patients in a clinic in New York's Chinatown, with a sensitivity of 74% and a specificity of 98% using GHQ greater than or equal to 9 as a predictor of probable Psychiatric morbidity.

TL;DR: The "stat" group was referred more often for the management of behavior and suicide risk evaluation, and received more diagnoses of organic mental disorders than the other referrals.

TL;DR: The potential effects of a DRG system of payment on clinical practice are reviewed, the reasons for the shortcomings of theDRG system in predicting utilization of services are discussed, and areas for future research are suggested.

TL;DR: The idea that certain aspects of good consultation-liaison skills make this appropriate and consultation- Liaison psychiatrists ought not to shy away from helping with difficult ethical problems is developed.

TL;DR: Two groups of 100 psychiatric consultation patients in a private hospital setting and in a public hospital were compared, finding that both patient groups had a similar frequency of psychiatric illness and had an equal need for psychiatric services.

TL;DR: Models of mental health training for PC residents in training are examined, with particular emphasis on competencies taught, pedagogic vehicles, disciplines of the mental health teacher, and the relationship to departments of psychiatry.

TL;DR: The development of a new psychiatric service for the elderly based in a university general hospital aims to provide and coordinate comprehensive psychiatric care for a defined population and also to serve as a tertiary care unit with academic responsibilities.

TL;DR: Physician test ordering responses to one vignettes was highly correlated with responses to the second vignette, suggesting that test ordering among physicians is partly based on personal habits and characteristics and not alone on the patient's signs and symptoms.