Showing papers in "Psychosomatics in 1985"

TL;DR: This review suggests that, with the exception of demonstrable nonpsysiologic findings, no other clinical or historical information provides other than “soft” data to support a diagnosis of conversion disorder.

TL;DR: Data support the clinical observation that families of children with RAP have high levels of anxiety and fathers of RAP children reported significantly more anxiety than fathers in the two comparison groups.

TL;DR: The major role of MAOIs now appears to be in depressed patients refractory to other pharmacologic treatments, and especially in outpatients with features of both anxiety and depression.

TL;DR: The pathophysiology of closed head injury is summarized and its psychiatric complications are examined with specific attention to the relationship of head trauma and schizophrenia, affective disorders, and personality change.

TL;DR: A review of the literature for causes for manic symptoms found cases of secondary mania owing to drugs, infection, neoplasm, epilepsy, and metabolic disturbances and reemphasizes the importance of the medical and neurologic history and examination, of a medication history, and of appropriate laboratory studies in evaluating manic patients for underlying medical conditions.

TL;DR: Using data derived from the National Hospice Study, this article reviewed utilization patterns for psychotropics in the last weeks of life of terminal cancer patients served in home-based and hospital-based hospice programs, and in conventional oncologic care settings.

TL;DR: Tardive dyskinesia is a side effect of neuroleptic treatment and its complications present a serious health care problem and also can be misdiagnosed.

TL;DR: Some mood disorders in stroke patients may result from injury to the norepinephrine-containing neurons as they arborize throughout the cerebral cortex, and this may explain the association with anterior hemisphere injury.

TL;DR: Findings raise questions about the concept of chronic low back pain simply as a variant of depression and suggest that the occurrence of major depression together with chronic back pain might relate to genetic vulnerability to depression.

TL;DR: By relating the data available to the urgency of the patient's need for psychotropic treatment, the physician can strive for an optimal benefit-to-risk decision in what at present is one of the most unclear and difficult areas of psychiatric drug prescription.

TL;DR: Routine monitoring of thyroid function in otherwise healthy patients taking antipsychotic agents, tricyclic antidepressants, or monoamine oxidase inhibitors (MAOIs) is not believed necessary.

TL;DR: Observations reiterate previous observations that significant numbers of patients have depression that may be under-recognized because of the presence of somatic symptoms and the prominent use of denial, repression, and obsessive-compulsive defenses.

TL;DR: To aid in preventing motor vehicle accidents, physicians should be aware of psychiatric factors related to impaired driving ability and individuals with antisocial traits and personality appear to have an important role in motor vehicles accidents.

TL;DR: The health beliefs and psychological status of 20 vegetarians were assessed and the group demonstrated elevated somatic concerns on the Hopkins Symptom Checklist and the Illness Behavior Questionnaire, but did not differ from control populations on other dimensions of psychopathology.

TL;DR: The model is believed to be a viable and effective approach to the delivery of care for patients with combined psychiatric and medical illnesses in the psychiatric inpatients and in response to increased requirements from the general hospital.

TL;DR: Evidence is presented for a relationship between premenstrual syndrome and affective disorders, recommendations for clinical management are described, and areas for future research are discussed.

TL;DR: The pathophysiology of neuroleptic malignant syndrome is reviewed, including characteristics of the population most at risk, clinical precautions to take against its occurrence or rapid development, and the specifics of treatment with bromocriptine or dantrolene.

TL;DR: Depression is frequent in the cardiac patient, but it can be treated effectively, provided that appropriate guidelines are adhered to, and melancholia is the most commonly encountered.

TL;DR: Six patients, from the author's own practice or from the literature, whose asthma began during a period of mourning are described, and Mourning was found to be particularly complicated in all of them.

TL;DR: Two hundred patients in a medical-psychiatric unit (MPU) were compared with equal numbers seen in a liaison-consultation service (LCS) and in a psychiatric inpatient unit (PIU) to establish an apples-to- apples comparison.

TL;DR: A high index of suspicion and routine serologic screening of psychiatric and neurologic patients are needed to confirm the diagnosis of neurosyphilis.

TL;DR: It is indicated that significant emotional and adaptive deficits characterize this patient population and psychiatric consultation can provide valuable assistance to the primary care physician by reducing emotional distress and correcting dysfunctional attitudes and beliefs.

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