Showing papers in "Psychosomatics in 1997"

TL;DR: The authors summarize the features of muscle dysmorphia, present several case examples, and offer proposed diagnostic criteria that may be useful for subsequent research.

TL;DR: This special article emphasizes the importance of the medical interview not only as a human encounter but also as a rigorous instrument to better understand the patient and help explain the data that the patient presents.

TL;DR: It is concluded that antidepressant treatment for major depression complicating Alzheimer's disease (AD) is effective, and fluoxetine is better tolerated than amitriptyline.

TL;DR: The prevalence of disorder in this sample was contrasted with published data on a representative national community-dwelling comparison group in the National Comorbidity Study, and the risk for developing posttraumatic stress disorder was elevated in the subjects with a preburn affective disorder but not preburn anxiety disorder.

TL;DR: House staff on the general medicine wards and the nonintensive care unit environment did significantly better than those on the surgical wards and intensive care units, and the consultees improved over an academic year in accurately identifying women as delirious, whereas no such learning curve existed for men.

TL;DR: This study examined timeliness, access, and intensity of outpatient medical service use in a national sample of veterans with comorbid medical disorders discharged from Veterans Affairs psychiatric units to help improve access to medical care for the severely mentally ill.

TL;DR: The authors surveyed 1,137 physicians, nurses, and social workers (overall response = 48%) to characterize the willingness to endorse assisted suicide and found that physicians' attitudes toward assisted suicide are influenced by diverse personal attributes, among which may be competence in symptom management and burnout.

TL;DR: Development and evaluation of intervention programs to enhance parents' ability to cope with stress and maintain family stability are warranted.

TL;DR: It is suggested that alexithymia, especially difficulty identifying and/or describing feelings, is related to increased illness behavior, but alexithsymia may not be related to the presence or severity of organic disease.

TL;DR: A sample of 437 patients being evaluated for bone marrow transplantation (BMT) completed interviews and questionnaires to assess their psychosocial adjustment, and it was found that these BMT candidates were experiencing a high level of psychological distress.

TL;DR: The women who practice excessive BSE would benefit from enhanced educational efforts and screening for the presence of psychiatric problems such as anxiety and hypochondriasis.

TL;DR: Primary care physicians were seen more often by panic disorder (PD) subjects than by obsessive-compulsive disorder (OCD) or generalized anxiety disorder (GAD) subjects, and medical specialists were seen most frequently by the GAD subjects.

TL;DR: It is suggested that psychiatric illness may be a risk factor for development of retinopathy in Type I diabetic patients.

TL;DR: There is no reason to believe that hospitalized patients similar to this sample--even if being treated for potentially life-threatening conditions--are at increased risk of inability to engage in a meaningful informed consent process.

TL;DR: Post hoc analyses indicated that the women who had a previous elective abortion had higher levels of anxiety, lower marital adjustment, and different attributions regarding their pregnancy losses than theWomen who had not had an electiveabortion.

TL;DR: A structured interview was administered to a sample of patients on maintenance dialysis and their attending physicians to obtain information on the documentation of their end-of-life treatment preferences, finding that most patients were preoccupied with the struggles of daily life and had avoided or denied considerations of terminal illness and death.

TL;DR: Depressed primary care patients were assessed to determine if certain personality characteristics predict health domains independent of chronic disease, demographics, depression, and psychiatric diagnoses, and neuroticism explained significant variance in all health outcomes independent of the other predictors.

TL;DR: Although depressive symptoms are not strong enough to warrant a psychiatric diagnosis of mood disorders, including major depression, avoidance coping behaviors and poor existence of social support may be a high-risk combination for the manifestation of depressive symptoms in HIV-positive patients without AIDS in Japan.

TL;DR: It is revealed that both clinical impressions and SMMSE scores were generally inaccurate in determining capacity, although all 23 participants with a clinical impression of "definitely capable" were found capable by the psychiatrist.

TL;DR: Patients and doctors in this study were opponents who used specific strategies to assert authority by emphasizing contrasting areas of expertise: knowledge of subjective symptoms vs. the inside of the body.

TL;DR: The authors describe the morphologic features and pathologic basis of cutaneous reactions to drugs and discuss the common and reported cutaneous side effects of psychotropic drugs.

TL;DR: This study examines the key clinical and systems variables and the effect of consultation timing on subsequent length of hospital stay and results from the interaction of multiple systems show earlier consultations were associated with a shorter time to discharge.

TL;DR: Community C-L services in family practice appear to have a limited role in the provision of psychiatric care and are not an efficient way for improving family physicians' levels of psychiatric knowledge or altering their practices.

TL;DR: The author describes how to make a "situational diagnosis" that includes patient/family issues, staff issues, joint issues, legal/regulatory issues, andethical issues, thus enabling the psychiatrist to institute an appropriate "hierarchy of interventions": educational, psychological, and ethical.

TL;DR: In this article, the authors compared patients seeking treatment for dysthymia in an outpatient setting to an age and sex-matched comparison group of patients (N = 54) seeking treatment in a general physician's office for other medical illnesses.

TL;DR: In this article, a cognitive-behavioral approach to the problem is described, using chronic fatigue syndrome as an example, and it is concluded that the utility of the cognitivebehavioral theory and the proven effectiveness cognitive behavior therapy provide the basis for a new evidence-based approach to psychosomatics.

TL;DR: The authors examined whether there is a difference in the psychological distress and/or coping modes of patients with early localized malignant melanoma compared with those diagnosed at stages IIA and B. The women showed greater distress than men, confirming earlier observations made in patients with colon cancer.