Showing papers in "General Hospital Psychiatry in 2010"

TL;DR: In this article, the psychometric and pragmatic characteristics of the Patient Health Questionnaire (PHQ)-9 depression, generalized anxiety disorder (GAD)-7 anxiety and PHQ-15 somatic symptom scales are synthesized from two sources: (1) four multisite cross-sectional studies (three conducted in primary care and one in obstetric-gynecology practices) comprising 9740 patients, and (2) key studies from the literature that have studied these scales.

TL;DR: A patient with classic signs and symptoms of NMO who also demonstrated prominent psychiatric symptoms and polydipsia that were tied to his flares and resolved with treatment of his NMO is described.

TL;DR: The treatment of depression in people with diabetes is a necessary step, but improvement of the general medical condition including glycemic control is likely to require simultaneous attention to both conditions.

TL;DR: The history and evolution of collaborative depression care, adaptation of collaborative care to new populations and medical settings, and optimal ways to enhance dissemination of this model are described.

TL;DR: The findings do not support some prior hypotheses that the use of high dose corticosteroids is protective against the development of PTSD, and the adversity both before and after the SARS outbreak may be more important in hindering recovery from PTSD.

TL;DR: Type D was associated with poor physical and mental health status and poor self-management of the disease, and including Type D in future studies seems warranted.

TL;DR: The stigma checklist presented for treating Spanish-speaking Latino patients in primary care may be used to assess depressed patients for stigma to help inform clinical management of patients.

TL;DR: There is strong evidence to suggest that the quality of preventive and screening services received by patients with mental illness is often lower, but occasionally superior to that received by individuals who have no comparable mental disorder.

TL;DR: Youth screening positive for high levels of depressive symptoms compared to those with few or no depressive symptoms were significantly more likely to meet criteria for obesity, had a poorer perception of health, spent more time on the computer, and got along less well with parents and friends.

TL;DR: Although symptoms of mood disorders are present in many patients, the prevalence of major depression is not increased, and the possibility that mood and anxiety symptoms are primary disease phenomena in narcolepsy is raised.

TL;DR: Medical variables that predicted depression or anxiety at 1 year no longer predicted depression and anxiety at 2 years, and medical variables appear to have a short-term effect on psychiatric outcomes.

TL;DR: Evaluating the demographic, clinical and laboratory variables which may be correlated with symptoms of depression and anxiety in hemodialysis patients treated at a single HD center in a Mediterranean country found only a direct correlation between BDI and IL-6 was found.

TL;DR: GPs adequately treat most of those whom they consider to be depressed, however, they fail to recognise depressed patients when compared to a psychiatric gold standard.

TL;DR: Because the ICU is now a well-established site for death, ICU physicians should be trained with EOL communication skills so as to facilitate palliative care more hospitably in this challenging setting.

TL;DR: The results suggest that a considerable proportion of patients with fibromyalgia also present with Axis I and Axis II psychopathologies, which are significantly more common in the patient group compared to the control group.

TL;DR: It is suggested that the current standard practice of depression screening and referral to specialty treatment does not match with perceived influences on treatment use among a sample of perinatal women.

TL;DR: The study provides evidence of the comorbidity of common mental disorders and somatic diseases and needs a predominant focus on affective and anxiety disorders in primary care patients with chronic somatic Diseases.

TL;DR: ThePHQ-8 and PHQ-2 are found to have lower sensitivity and specificity in the pregnant population as compared to findings in nonpregnant populations; however, characteristics of the authors' sample and choice of diagnostics instrument could explain these discrepant findings.

TL;DR: Assessment with HADS within the first 2 weeks of stroke can contribute to the detection of patients at risk for clinically significant anxiety, depression and apathy at 4 months after stroke.

TL;DR: Depressive mood was significantly related to FD and FD-IBS overlap but not to IBS based on Rome III criteria, andFD-Ibs overlap patients have worse quality of life than FD-alone and IBS-alone patients.

TL;DR: Erratum to “Effect of interventions for major depressive disorder and significant depressive symptoms in patients with diabetes mellitus: a systematic review and meta-analysis” [General Hospital Psychiatry 32 (2010) 380–395] Christina M. van der Feltz-Cornelis.

TL;DR: A longer duration of admission, more sessions of hyperbaric oxygen therapy, and positive findings in brain CT scans were more often found in patients with DNS than those without DNS, which may help clinicians understand and treat COP patients efficiently.

TL;DR: Suboptimal detection and treatment of perinatal depression among 'high-risk' women highlight gaps between UK policy and practice and evidence suggests that Black women might be particularly vulnerable to deficiencies in provision.

TL;DR: Major depression at baseline was associated with a 2.95-fold greater risk of mortality among stage 5 CKD diabetic patients, and further testing of targeted depression interventions should be considered in this population of patients.

TL;DR: The prevalence of delirium was 20% in ICU patients and 80% in ventilated patients in a Japanese ICU, and APACHE II scores and max-CRP were significantly higher in patients who experiencedDelirium than in those who did not.

TL;DR: The results suggest that pregnancy is not a risk factor for the development of mood and anxiety disorders, and there was no significant difference between pregnant and nonpregnant women with respect to the prevalence rate of mood or anxiety disorders.

TL;DR: The importance of providing supportive interventions tailored to the specific emotional concerns of cancer patients, assessed via appropriate, disease-specific instruments, and the need to pay special attention to the concerns of recurrence patients are suggested.

TL;DR: A higher score on Item 9 of the PHQ-9 indicates a greater likelihood that the patient is suicidal, however, even patients who score only 1 may be suicidal and consequently also require further assessment.

TL;DR: The prevalence of depression among inpatients of general hospitals in Wuhan, China, was high and none of the depressive patients were recognized or treated for depression, indicating a serious neglect of depression in general hospitals.

TL;DR: Major depression in adults with diabetes is associated with decreases in a wide range of quality-of-life indices as well as preventive self-care practices that were not entirely limited to diabetes-specific disease management.