Showing papers in "General Hospital Psychiatry in 1992"

TL;DR: The majority of longitudinal studies have determined that severity of initial depressive symptoms and the presence of a comorbid medical illness were predictors of persistence of depression.

TL;DR: Psychiatric consultation was associated with a significant increase in the use of antidepressants in intervention patients compared with controls in the first 6 months after intervention, and intervention patients were significantly more likely to continue antidepressant treatment than control patients.

TL;DR: A review of the literature from 1975 through mid-year 1990 addresses the epidemiology and treatment of these conditions and/or symptoms when they occur together and indicates that depression in the face of coexisting somatization disorder can be successfully treated.

TL;DR: 94 subjects with known somatization disorder (SD) were evaluated for 13 personality disorders with the Structured Clinical Interview for DSM-III-R Personality Disorders to examine the relationship of co-occurring personality disorders to symptom recurrence, health care utilization, and readiness for psychiatric referral.

TL;DR: The hypothesis that depression is associated with decreased physical functional ability in stroke patients is supported and patients scoring 17 or higher on the Beck Depression Inventory (BDI) had lower initial scores on the BFI than patients with lower BDI scores.

TL;DR: Analysis of emergency referrals indicated that patients from this referral source were more likely to be male, unmarried, unemployed or on welfare, and diagnosed personality disorder or substance abuse than referrals from general practice and internal sources.

TL;DR: The point prevalence of phobic anxiety disorders was determined in 107Asthmatic outpatients through a standardized psychiatric interview and DSM-III-R diagnostic criteria and the recognition of specific anxiety syndromes enhances the efficacy of the treatment of anxious asthmatic patients.

TL;DR: Results indicate that psychosexual sequelae in survivors of leukemia occur frequently and warrant intensive investigation, particularly to address the need for an intervention in those most distressed, and those survivors who reported decreased sexual frequency, satisfaction, and poorer body image.

TL;DR: A review of the studies conducted with adult patients diagnosed either with coronary heart disease or cancer suggests that psychosocial interventions are, in general, efficacious in relieving self-reported psychological distress.

TL;DR: In the study of the complex relationship of dyspnea to physical and emotional factors, it is desirable to use more than one measure of Dyspnea because the results depend in part on the method of assessment.

TL;DR: The Geriatric Depression Scale (GDS) was given on admission and discharge to 14 stroke and 17 amputee rehabilitation patients and each of the two groups showed decreasing GDS scores from beginning to end of the rehabilitation admission.

TL;DR: The clock drawing test might represent a quick-screen for cognitive impairment in an older general medical/surgical outpatient population, and might help identify patients not otherwise recognized as potentially unable to fully understand treatment recommendations.

TL;DR: 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, finding there is a need for consultation-liasion psychiatrists to provide a service to Burn Units.

TL;DR: An overview of outcome research will be used to illuminate the promise and the limitations of such studies, with special attention to bias in research design.

TL;DR: This study compares autogenic training and training in multiple self-hypnosis strategies in a sample of 56 patients diagnosed as having chronic tension headache on the basis of medical evaluation by a neurologist with no differences in the reduction of headache and psychological distress.

TL;DR: Patients with psychotic disorders were more likely than other patients to have researcher-identified TD, whereas DIP occurred more often in patients with affective diagnoses, and improved teaching and clinical exams are recommended to improve recognition.

TL;DR: The data concerning the use of such screening profiles in psychiatric patients are reviewed and certain populations appear to benefit from more extensive evaluation, including those older than 65 years of age or of low socioeconomic status, state hospital patients, patients with drug and alcohol histories, and patients with evidence of disorientation, self neglect, or organic mental disorders.

TL;DR: Physicians should maintain a high index of suspicion for depression, anxiety, or catatonia if their patients are taking antiemetics, as these symptoms may be extrapyramidal side effects of the antiemetic rather than indications of a primary mental disorder.

TL;DR: Studies of psychosocial issues in hemophilia before and after the HIV crisis are reviewed and future directions for research are suggested.

TL;DR: A study of 316 consultation cases was undertaken to examine the concordance between the psychiatric consultants' recommendations and the consultees' follow-through, and it was demonstrated that process variables, including who recommended what, were the significant predictors of case concords.

TL;DR: In this paper, a review of pathoneurophysiological mechanisms for the development of phantom pain are reviewed as well as psychological mechanisms that may be involved, and the authors recommend an integrated approach to management of chronic phantom pain that takes into consideration the multiple factors that may contribute to its etiology.

TL;DR: The components of crying combine in a more complex and varied way than commonly held stereotyped views suggest to determine the relationship between emotionalism and the frequency and severity of symptoms of depression.

TL;DR: The Dissociative Experiences Scale was administered to 299 inpatients on an acute care general adult psychiatric ward over a 2-year period, and an estimate is made that 6%-8% of general adult inpat patients may have multiple personality disorder.

TL;DR: Of 101 new admissions to an urban outpatient psychiatric clinic, 17 (16.8%) were known to be at high risk for developing or transmitting HIV infection, but apparently few were appropriately counseled.

TL;DR: A review of prior research studies reveals that though patients with depression do not appear to develop alcoholism to any great extent, recently detoxified alcoholics have a depressive syndrome about 20% of the time.

TL;DR: It appears that patient attitude to treatment withdrawal and refusal of CPR is related to disease progression and likely to change over time, and supports a dynamic and evolving model of advance directives rather than any fixed decree.

TL;DR: These guidelines were developed to assist both patients and primary care practitioners in the diagnosis and treatment of depressive conditions and suggest improvements in practice procedures may be called for.