Showing papers in "General Hospital Psychiatry in 1999"

TL;DR: The Beck Depression Inventory for Primary Care (BDI-PC) was effective in screening for DSM-IV major depression disorders in outpatients who were scheduled for routine office visits with physicians specializing in internal medicine.

TL;DR: The data suggest that recognition and appropriate diagnosis of depression in primary care is associated with significantly greater short-term improvement and the absence of a relationship between recognition and long-term outcomes may reflect limitations of this observational study.

TL;DR: Though a small number of women may be disturbed by these investigations, in general, adverse reactions appear less common than previously anticipated and suggest that research on childhood victimization is well tolerated by women who participate.

TL;DR: The INTERMED proves to be a reliable method for classifying patients' care needs, especially when used by experienced raters scoring by patient interview, and can be a useful tool in assessing patients' Care needs, as well as the level of needed adjustment between general and mental health service delivery.

TL;DR: Women seen in public gynecology settings are at very high risk of developing psychiatric disorders, and low-income and ethnic minority women seen in such settings underutilize mental health services, it is important to better understand treatment preferences and obstacles among this high-risk patient population.

TL;DR: By means of the INTERMED, clinically relevant groups of patients can be identified, which supports its use in clinical practice and its use as a method to describe case mix for scientific or health care policy purposes.

TL;DR: A coexisting anxiety disorder indicates risk for persistent depression in primary care patients with major depression, and social phobia may be important to recognize in these patients.

TL;DR: Hypochondriasis is distinct from the anxiety disorders but, because of phenomenological similarities and extensive comorbidity, consideration should be given to classifying it among them.

TL;DR: Mental health professionals should bear in mind that many suicide attempters experience feelings of anxiety/panic prior to their suicidal act, and that a majority report having lost control over themselves, thus indicating a state of emotional crisis.

TL;DR: Differentiating levels of disagreement in depressive diagnoses between the primary care physician and research interview is not as frequent as indicated by an undifferentiated false-negative/ false-positive analysis.

TL;DR: It is suggested that the general hospital is a suitable site to initiate interventions for alcohol-dependent individuals and the stages of readiness to change and age contributed in predicting whether subjects belonged to the generalhospital or the general population sample.

TL;DR: Investigating suicidal behavior among young people in an Asian community found the incidence increased sixfold between 1991 and 1995, and young females of Indian origin were found to be a risk group.

TL;DR: It was observed that training PCPs improves the management of depression and recognition of MHP and accuracy of depression diagnosis improved, but was not statistically significant.

TL;DR: The background of this project and a description of it are presented at this time, prior to the availability of outcome data, to provide methodological detail and to increase awareness in the research community of this treatment trial, with results to appear subsequently.

TL;DR: Comparing a broad range of outcome and cost measures, the implications for sample sizes and study design using data from prior mental health and primary care studies that span a wide range of practice settings, patient populations, and geographic areas are analyzed.

TL;DR: In Japan, as in some other countries, not all cancer patients are informed of their diagnosis and expected prognosis, so the relationship between the kind of information given to cancer patients and their mental state is unclear.

TL;DR: Evaluating the extent and quality of consultation-liaison (C-L) activity in Italy found that two-thirds of the patients were given only one consultation whereas the reminder received two to four follow-up visits, and the rate of transfer to psychiatric wards was low.

TL;DR: Patients who were Hispanic, more educated, more confident in performing BSE, and whose physicians recommended monthly BSE were more likely to perform BSE monthly, highlighting the importance of physician recommendation of compliance with screening guidelines for early detection of breast cancer.

TL;DR: There may be a case for using the hospital computer to identify frequent attenders proactively at an earlier stage of their hospital visits so that appropriate management can be instituted.

TL;DR: This study may provide evidence in support of a human model of learned helplessness in that it supports the notion that exposure to an unavoidable and inescapable aversive stimulus was found to be related to patients' reported depression.

TL;DR: Evaluated patients at a stroke unit in 82 patients, DSM-IV criteria of adjustment disorder with depressed mood were fulfilled by 27% of the patients, and stroke was significantly more severe by the Barthel, Orgogozo, and Scandinavian scales.

TL;DR: Besides making the Western-style psychiatric community rehabilitation model more effective and accessible for patients and caregivers in Taiwan, cultural adaptation is also needed.

TL;DR: Examination of the psychiatric status and effects of full disclosure among 100 otolaryngology patients at Tokai University Hospital suggests that concealing the true diagnosis was not related to the presence of psychiatric disorders in Japanese cancer patients.

TL;DR: The SCL-90 somatization subscale, Agoraphobia Cognitions Questionnaire, chest pain quality, pain localization, and age were the best predictors of the presence of panic disorder.

TL;DR: A method to identify, understand, and codify the interactions between psychotropic and cardiac drugs, a systematic approach for updating this key database, and specific cardiac-psychotropic drug interactions are described.

TL;DR: It is suggested that few subjects develop DSM-III-R psychiatric disorders with AIM, and both biological and psychosocial factors are highly correlated with psychos social distress at 2 months, whereas psychossocial factors are more important at 6-month follow-up.

TL;DR: It is concluded that neuropsychological deficits can accompany CPM, and that these deficits do not necessarily diminish simultaneously with the radiological or clinical neurological findings but may persist for a longer period of time, or even become permanent.

TL;DR: Patients with schizophrenia performed significantly worse on clock drawing and copying than healthy, age-matched controls despite the fact that the groups had similar scores on the MMSE.

TL;DR: The aim of this study was to determine the prevalence of SAD in a sample of 259 consecutively evaluated outpatients admitted to an eating disorders clinic (254 women and 5 men), and a modified version of the Seasonal Pattern Assessment Questionnaire was used to determine seasonality among patients.

TL;DR: Stress, representing the way in which the environment impinges on the human being, allows the mind-body dichotomy to be eliminated and the preferred synthesis of mind- body interaction as partly the result of experience in the environment becomes the basis for the new nosology.