Showing papers in "General Hospital Psychiatry in 2016"

TL;DR: The GAD-7 had acceptable properties for identifying GAD at cutoff scores 7-10 and the GAD/GAD-2 had acceptable qualities for identifying generalized anxiety disorder at a cutoff score of 3.

TL;DR: One third of ICU survivors experience anxiety symptoms that are persistent during their first year of recovery, and psychiatric symptoms during admission and memories of in- ICU delusional experiences were associated with post-ICU anxiety.

TL;DR: Women physicians report substantial and persistent fear regarding stigma which inhibits both treatment and disclosure, and licensing questions, particularly those asking about a diagnosis or treatment rather than functional impairment may contribute to treatment reluctance.

TL;DR: Qualified professionals (e.g., physical therapists/exercise physiologists) should prescribe supervised physical activity for people with schizophrenia to enhance adherence, improve psychiatric symptoms and reduce the onset of cardiovascular disease.

TL;DR: The addition of clinician support appears to increase the effectiveness of self-management alone, and a larger-scale randomized controlled trial is warranted to confirm these encouraging preliminary findings.

TL;DR: The data establish that BP is associated with elevated mental health comorbidity in LMICs, and integrated interventions that address back pain and metal healthComorbidities might be an important next step to tackle this considerable burden.

TL;DR: The findings are consistent with targeting health behaviors and physical illnesses as strategies for reducing this excess mortality among people with anxiety/depression.

TL;DR: Findings highlight the substantial gap between the prevalence of probable mental health disorders and treatment seeking among community college students and interventions are needed to link community collegeStudents to services, especially for student veterans.

TL;DR: Based on the largest sample of patients with factitious disorder analyzed to date, the findings offer an important first step toward an evidence-based approach to the disorder.

TL;DR: Prazosin showed medium-to-large and statistically significant effects on PTSD symptoms in general and sleep disturbances in particular, and should be interpreted with caution given the limited total number of participants and the limitations induced by the majority of participants being male and noncivilian.

TL;DR: Mental health clinicians are positive about OpenNotes in general but ambivalent about the use of Open notes in mental health care, and call for research on outcomes and education and support to help clinicians adapt to OpenNotes.

TL;DR: The volume of encounters, number of women served and low cost suggest that MCPAP for Moms is a feasible, acceptable and sustainable approach that can help frontline providers effectively identify and manage perinatal depression.

TL;DR: Emotional IPV during pregnancy negatively affects women's mental health in the postnatal period and Clinicians and researchers should include it in their conceptualisation of violence and health.

TL;DR: Among adolescents presenting to the ED for any reason, symptoms consistent with PTSD, depressive symptoms, physical peer violence, cyberbullying and community violence exposure are common and interrelated.

TL;DR: It is suggested that treatment for ExD has benefit; however, the meta-analysis did not provide strong evidence to support any specific treatment or to suggest its unique clinical benefit over control conditions.

TL;DR: Optimism and gratitude at 2 weeks post-ACS were associated with higher self-reported adherence and improved emotional well-being 6 months later, independent of negative emotional states.

TL;DR: Having a contact in community services did not turn out as protective from early readmission and implications for quality assessment in psychiatry emerged: readmission seems actionable by LoS and not by community follow-up.

TL;DR: Until anchor-based MIDs for these instruments are available, these distribution-based estimates can help researchers plan future studies and interpret the clinical importance of findings in ARF patient populations.

TL;DR: Although rates of clinically relevant anxiety and depression were comparably low, attention toward persisting physical symptoms and psychosocial needs related to a young age at diagnosis and having children will contribute to address potential long-term psychological distress in germ cell tumor survivors.

TL;DR: The PHQ-9 may be considered as a screening tool for SI, although it should not be relied on solely in view of its suboptimal PPV.

TL;DR: The MNA-SF is a simple and effective tool that can be used to predict incident delirium in elderly patients after orthopedic surgery, and is associated with significantly increased likelihood of POD.

TL;DR: Although brief intensive case management interventions have the potential to improve continuity of care for frequent ED users, continuity of Care may be compromised by program and personal characteristics as well as lack of broader system integration.

TL;DR: The findings support prior literature and suggest the importance of identifying targeted interventions aimed at lowering the likelihood of rehospitalization among inpatients with a comorbid SMI diagnosis.

TL;DR: Understanding female veterans' priorities and preferences for healthcare-based IPV counseling can inform patient-centered brief counseling interventions for women who experience IPV, which may ultimately reduce health disparities and violence among this population.

TL;DR: The mixed feature specifier was the strongest risk factor for suicidal behavior in bipolar patients in the present study and may help clinicians understand potential risk factors and manage bipolar disorders with suicidal behaviors.

TL;DR: It is suggested that resilience was significantly associated with low psychological distress in RT recipients, and psychosocial interventions focused on resilience might provide useful approaches to overcome psychological distress.

TL;DR: Type D personality in fibromyalgia exceeds prevalence estimates in general, cardiovascular and chronic pain populations and some indication of an additive but not of a synergistic effect was found, particularly for mental health.

TL;DR: Social support has opposite associations with mental and nonmental health service use among adults with clinically significant depression, largely attributable to the effect of male gender on the relationship between social support and healthservice use.

TL;DR: Responses of interviews illustrate current opinion regarding best practice in the design of psychiatric facilities and emphasize the need for more substantive research on appropriate physical environments in mental and behavioral health settings.

TL;DR: In this paper, the authors defined the competencies required for integrated care practice, with an emphasis on those competencies necessary for all psychiatric postgraduate learners regardless of their intended future practice setting or population.