Showing papers in "General Hospital Psychiatry in 2013"

TL;DR: For BITs to have a public health impact, research on implementation and application to prevention is required and research focused on understanding reach, adherence, barriers and cost is recommended.

TL;DR: Normative data provide a framework for the interpretation and comparisons of depression with other populations and evidence supports reliability and validity of the unidimensional PHQ-9 as a measure of depression in the general population.

TL;DR: Depression significantly increases the risk of mortality among individuals with diabetes, and early detection and treatment of depression may improve health outcomes in this population.

TL;DR: Mental illness is an important comorbidity for physicians who complete a suicide but postmortem toxicology data shows low rates of medication treatment, and inadequate treatment and increased problems related to job stress may be potentially modifiable risk factors to reduce suicidal death among physicians.

TL;DR: The RHS-15 appears to be effective, but further prospective research in a broad range of refugee groups is required to establish generalizability.

TL;DR: Nearly half of primary care patients with chronic pain screen positive for one or more anxiety disorders, which in turn are adversely associated with impairment across multiple domains of HRQL.

TL;DR: Meta-analysis of clinical observational studies found that delirium in critically ill patients is associated with higher mortality rate, more complications, longer duration of mechanical ventilation, and longer length of stay in ICU and hospital.

TL;DR: Antidepressant use during pregnancy remains high in this population; treatment patterns vary substantially by patient characteristics and region; and Comparative safety and effectiveness data to help inform treatment choices are needed.

TL;DR: In-hospital acute stress symptoms may represent a modifiable risk factor for psychiatric morbidity in ICU survivors and early interventions for at-risk ICUSurvivors may improve longer-term psychiatric outcomes.

TL;DR: A comprehensive literature review is generated that examines the complex relationship between tuberculosis and mental illness and it is probable that physicians will encounter previously undiagnosed mental illness among patients with tuberculosis.

TL;DR: ASDs should always be a consideration when dealing with suicide attempts in adults at the emergency room, according to this study.

TL;DR: In internal medicine clinics in Japanese rural hospitals, thePHQ-2 with an optimal cutoff point for each setting plus the suicidality item of the PHQ-9 can be recommended to detect depression without missing suicideality.

TL;DR: Promoting emotional support from the partner, family member and, possibly, the health provider could be a protective effect against the development of antenatal depression.

TL;DR: Benzodiazepines (BDZs) safety profiles in pregnancy suggest that the risk of major malformations (MMs) cannot be considered simply as a "class effect", and Diazepam and chlordiazepoxide should be considered drugs of first choice.

TL;DR: Investigating experienced stigma and self-stigma in patients with schizophrenia in mainland China found some socioeconomic variables, but not positive or negative symptoms, were related to the severity of psychiatric stigma.

TL;DR: Patients perceive many multilevel barriers to treatment that are similar to those found in a previous similar study of perinatal health care professionals' perspectives, however, patients and professionals do differ in their perceptions of one another.

TL;DR: Automated EMR screening can be used to efficiently and accurately triage injury survivors at risk for the development of PTSD and could be combined with stepped care protocols to optimize the sustainable implementation of PTSD screening and intervention at trauma centers nationwide.

TL;DR: The promise and evidence that HIT can expand access to mental health care and reduce disparities in use of services across groups in need are reviewed.

TL;DR: The study highlights the long-term impact of infant loss and points to attachment, coping and social support as important contributors to the development and maintenance of posttraumatic stress symptoms.

TL;DR: Antenatal depression and anxiety are highly prevalent in a sample of high-risk pregnant Singaporean women, and the Edinburgh Postnatal Depression Scale performs well in screening for depression and Anxiety in high- risk pregnant women.

TL;DR: Noncancer pain conditions occur in elevated rates among patients with schizophrenia and bipolar disorder and the highest associations between specific psychiatric diagnosis and pain condition were found with chronic pain, headache and psychogenic pain.

TL;DR: The results indicate, that these scales reflect emotional distress of tinnitus sufferers differently, and should be taken into consideration in the use of these scales as screening tools for assessment ofTinnitus handicap.

TL;DR: The cross-sectional evaluation found a prevalence of MetS higher than those reported in the Italian general population, although the confidence interval encompasses the general population estimate reported.

TL;DR: An association between suicidal attempts and the following are observed: family history of psychiatric disorders, affective disorders and psychoactive substance abuse/dependence; inappropriate guilt in depression; chronic insomnia and early onset of unipolar disorder.

TL;DR: Only by systematically observing and addressing potentially solvable medical and psychosocial barriers to treatment will more patients be enrolled in and complete HCV therapy.

TL;DR: SPD is common in both genders and is associated with significant mental and physical health detriments, including higher levels of stress, more psychiatric comorbidity and poorer perceived health, academic institutions, clinicians and public health officials should be aware of the multimodal presentation.

TL;DR: Expanding integrated mental health services resulted in increased staff and provider satisfaction, including on-site collaboration and assistance triaging patient needs, and the sustainability of integrated models of care requires additional study.

TL;DR: Tobacco use and weight gain/obesity may be associated with increased severity of symptoms of schizophrenia and bipolar disorder or decreased level of functioning.

TL;DR: Comparing the personality of fibromyalgia patients with other chronic painful and nonpainful disorders considering the confusion due to psychopathology and to assess the clustering of FM patients according to their personality profile found them to be divided into two clusters.

TL;DR: Catatonia in older adults referred to liaison psychiatry in a general hospital is not infrequent and has a multifactorial etiology, and Lorazepam seems to be an effective treatment.