Showing papers in "General Hospital Psychiatry in 2009"

TL;DR: PTSD was the most prevalent long-term psychiatric condition, followed by depressive disorders in survivors of SARS, and the need to enhance preparedness and competence of health care professionals in detecting and managing the psychological sequelae of future comparable infectious disease outbreaks is highlighted.

TL;DR: Antidepressant use in pregnancy is well studied, but available research has not yet adequately controlled for other factors that may influence birth outcomes including maternal illness or problematic health behaviors that can adversely affect pregnancy.

TL;DR: These data document high levels of childhood and adult trauma exposure, principally interpersonal violence, in a large sample of an inner-city primary care population and predictors of posttraumatic stress and depressive symptomatology.

TL;DR: Baseline depression may be a significant risk factor for development of sedentary lifestyle or decreased level of physical exercise and future studies should examine mechanisms by which depression may lead to decline in activity.

TL;DR: An evidence-based approach to the pharmacotherapy of chronic pain is provided, finding a number of medications have proven effective in chronic pain disorders and their use individually or in combination should improve the management of Chronic pain.

TL;DR: Persons with a history of depression are more likely to receive long-term opioid therapy for noncancer pain than those without aHistory of depression, and results suggest that long- term opioid therapy is being prescribed to a different population in clinical practice than the clinical trial populations where opioid efficacy has been established.

TL;DR: Axis I psychopathology was related to gender (with women reporting higher prevalence rates) and was positively associated with a lifetime history of any eating disorder and the results compared with the findings of the three published studies having used structured clinical interviews to assess psychiatric comorbidity in bariatric surgery candidates.

TL;DR: For reduction of HD-related mortality, early interventions that promote smoking cessation and physical activity among veterans with psychotic disorders are warranted.

TL;DR: PTSD occurs in a significant percentage of subjects who recover from SARS, and the occurrence of PTSD predicts persistent psychological distress and diminished social functioning in the 4 years after SARS treatment.

TL;DR: Despite active follow-up, rates of accessing and particularly continuing in mental health treatment were low and more work is needed to support the integration of specialty behavioral health services in primary care settings accessed by perinatal women.

TL;DR: A prevalence of PTSD following SARS is found that is either higher than or somewhat lower than has been found in other disasters, depending on whether one counts the cumulative proportion of patients with PTSD or only those who continue to meet criteria at 30 weeks.

TL;DR: The PHQ-9 performs well as a screening instrument and as a diagnostic instrument to that of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) interview, but in diagnosing depressive disorder, a formal diagnostic process following the PHZ-9 remains imperative.

TL;DR: In adults with diabetes, both minor and major depression are associated with decreased self-care behavior and quality of care.

TL;DR: A strong association between IPV and HIV in a representative sample of US women is demonstrated and Screening and prevention programs need to be aware of this important association.

TL;DR: Prototypic descriptions of patterns of adult attachment may guide clinicians in appreciating individual differences in interpersonal style that affect the health of patients.

TL;DR: The collaborative care model is feasible and highly acceptable to adolescents and parents as demonstrated both by self-report and by engagement in the intervention and is also associated with improved depressive outcomes at similar levels to adult interventions.

TL;DR: Easily identifiable risk factors including ICU/acute care service-delivery characteristics and early post-ICU distress were associated with increased risk of PTSD and limitations in return to usual major activity.

TL;DR: Support for inpatient smokers by staff is likely to be severely compromised by low levels of knowledge and awareness of tobacco dependence, with healthcare assistants being least knowledgeable overall.

TL;DR: Adherence to depression and anxiety guidelines can be improved, even when the general practitioner makes the diagnosis and records it, and data on actual health care delivery and quality of care provide insight and may be useful in developing quality improvement activities.

TL;DR: A telecare management intervention delivered by a nurse-psychiatrist team that is designed to improve recognition and treatment of pain and depression in cancer patients with depression and/or pain is described.

TL;DR: Environmental, patient care, staff training, and hospital policy recommendations for decreasing the number of inpatient suicides are presented, and factors which contribute to this tragic event are presented.

TL;DR: Exposure to shocks may lead to an increased risk of anxiety and depressive symptoms, and research subjects receiving a high number of shocks andResearch subjects with congenital cardiovascular diseases were atHigher risk of depressive symptoms or at higher risk of poorer psychological aspects of QOL.

TL;DR: Hypnagogic hallucinations in narcolepsy can be differentiated on a phenomenological basis from hallucinations in schizophrenia which is useful in differential diagnostic dilemmas.

TL;DR: Major depressive episodes are associated with an increased risk of transition from an active to an inactive pattern of activity and the probability of moving from an inactive to an active lifestyle.

TL;DR: Results show that depression, obesity and alcohol use disorders are interrelated conditions for women and a greater understanding of reasons underlying the co-occurrence of these conditions would benefit prevention and intervention efforts.

TL;DR: Receiving help for common mental disorders depends not only on the objective need of the patient but also at least as much on the patients' own recognition that their problems have a mental health origin.

TL;DR: Both anxiety and psychosocial stress should be considered in the assessment and treatment of patients with musculoskeletal pain and depression, both of which are found to be associated with depression severity.

TL;DR: The majority of psychiatric outpatients in southwestern Nigeria had poor medication adherence, and the importance of patients' perception and social environment in determining treatment adherence and the necessity of educating the patient was stressed.

TL;DR: Pregnant women commonly experience somatic and other symptoms in this first trimester, but depressed women still differ from those who are not depressed, and the EPDS had an optimal cutoff of 10 and showed acceptable predictive value.

TL;DR: Depressed RA patients, without a history of cardiovascular disease, are 40% more likely to have a heart attack as compared to those without depression, demonstrating a rapid transition to MI following onset of depression in RA patients.