Showing papers in "General Hospital Psychiatry in 1993"

TL;DR: Preliminary findings suggest that a meditation-based stress reduction program is effective for patients with fibromyalgia.

TL;DR: The HADS was an easily administered tool that identified a large proportion of cancer patients as having high levels of anxiety or depression, however, clinical psychiatric interviews were not performed, so it is not possible to determine what proportion of patients would benefit from treatment.

TL;DR: Analysis of patterns of antidepressant use by primary care physicians and psychiatrists in a large staff-model health maintenance organization suggests more intensive antidepressant treatment than in earlier reports, especially in primary care.

TL;DR: It is proposed that understanding the patients' self-concepts and patterns of self-other relationships is essential for an objective understanding of the Patients' experience of illness, and can profoundly affect the quality of the physician-patient relationship and medical care.

TL;DR: The major cultural issues that should be considered in order to increase cultural sensitivity in the medical setting are discussed: family function, sex roles, language, disclosure of disease-related information, pain, attitudes towards illness and health practices, immigration, region, autonomy versus dependency, and death and bereavement.

TL;DR: It is suggested that more attention needs to be paid to the mental health of pregnant women in developing countries (where pregnancy rates and the risks associated with pregnancy/delivery are much higher than in the developed countries) at the primary, secondary, and tertiary levels of health care.

TL;DR: Alexithymic characteristics were assessed in 230 consecutive outpatients referred to a psychiatric consultation-liaison service and Alexithymia was significantly associated with male gender, low socioeconomic status, the presence of psychiatric disorder, especially depression, with old age and with a high level of psychological distress.

TL;DR: The authors prospectively studied a cohort of HIV-seropositive women, none of whom had AIDS, to assess changes in their psychiatric status over time, finding that most women with early stage disease were free of major psychiatric disorders at both assessments.

TL;DR: In contrast to some prior reports, it is found that the use of etomidate anesthesia in the sample of 28 consecutive inpatients enhanced seizure duration in ECT.

TL;DR: Using a two-stage case identification method, the Japanese version of the General Health Questionnaire (GHQ) and the Japanese modified Diagnostic Interview Schedule (DIS-JM), patients in a general medicine clinic in Japan were assessed for psychiatric disorders during a 12-month period.

TL;DR: Data indicate that smoking can be stopped on inpatient psychiatry units without increases in unit disruption or adverse effects on staff morale, and a significant change in staff attitude toward supporting the ban is demonstrated.

TL;DR: Following extensive study of this patient population, a detailed management protocol has been described and is used in the Cardiff Breast Clinic and after investigation to exclude cancer, the patient is reassured and the pain is then defined.

TL;DR: This paper describes the institution of a clinical database in the consultation-liaison psychiatry service of an Australian general hospital psychiatry unit and argues that such a database is also necessary for interhospital and international collaborative studies and comparisons.

TL;DR: An OPTICAL SCAN databased management system that permits flexible form generation, desktop publishing, and linking of observations in multiple files, and direct transfer of the data to ASCII and SAS format for mainframe manipulation of the clinical information is described.

TL;DR: The results suggest that life events may be significant to metabolic control in insulin-dependent diabetes and suggest the importance to the diabetic of learning of life events both the relative lack and preponderance of positive as well as negative events.

TL;DR: Five predictors are identified as significantly relating to the duration of the psychiatric consultation process that may enable hospital administrators and medical staff to plan and implement psychiatric emergency room care.

TL;DR: Brief hospitalization within the psychiatric emergency service offers intensive treatment and a rapid return to the community for the patient and is cost-effective for the mental health system.

TL;DR: Overutilization of health care resources could be reduced and much suffering avoided if physicians displayed the same enthusiasm in diagnosing somatization as in ruling out organic pathology.

TL;DR: NOAH (No One Alone with HIV), an innovative, hospital-based program of family-focused HIV mental health services, will be described, designed to meet the needs of primary care providers, allied professionals/paraprofessionals, and the diversity of inner-city patients they serve.

TL;DR: Surveying patients shortly after each was released from an isolation room in a voluntary general hospital psychiatric unit revealed that patients often found seclusion to be restful and therapeutically helpful.

TL;DR: This relatively long-term follow-up suggests that subtle cognitive deficits develop over time and can be identified early, but their course is slow and appears generally to parallel that of non-CNS symptoms/signs of HIV infection.

TL;DR: Research on C-L psychiatry is emerging, complementing a strong history of research in psychosomatic medicine and collaboration with the MICRO-CARES Consortium and the European Consultation-Liaison Workgroup is proving to be a great stimulus.

TL;DR: Four patients with HIV infection and psychosis from various etiologies, refractory to standard treatments, and suffering from severe extrapyramidal symptoms, had a marked beneficial response to molindone.

TL;DR: It is suggested that the clinical demands placed upon a psychiatric facility may affect the incidence of suicide and attempted suicide in the general hospital setting where resources may be limited by competing requirements from other units and the current trend to close large mental hospitals places more demand upon them.

TL;DR: Clinical and investigational collaboration between the neuro-ophthalmologist and the psychiatrist will provide the most appropriate patient management and may further the understanding of the biological basis of psychiatry.

TL;DR: During brief hospitalization, patients appear to improve in several areas of psychosocial functioning, including symptoms, global functioning, self-esteem, perceptions of others, and ego functioning.