Showing papers in "Psychosomatics in 2005"

TL;DR: There were far more similarities than differences between the currently treated and untreated subjects, although the treated subjects displayed better insight and had more comorbidity.

TL;DR: D Dermatological treatment was most frequently sought and received (most often, topical acne agents), followed by surgery ( most often, rhinoplasty) followed by treatment with nonpsychiatric medical treatments, which rarely improved body dysmorphic disorder.

TL;DR: The authors review the pathology of brain trauma, symptoms of postconcussional syndrome, and criteria for diagnosis, and pharmacotherapies helpful, but care should be used in prescribing drugs that could produce deleterious CNS effects.

TL;DR: Findings have implications for identifying spouses of individuals with lung cancer who are vulnerable to depression and could inform the design of programs to reduce depressive symptoms in the context of cancer caregiving.

TL;DR: There were significant correlations between the will to live and existential, psychological, social, and, to a lesser degree, physical sources of distress, and existential variables proved to have the most influence.

TL;DR: Bedside psychotherapy with medically ill patients can help counter their demoralization, which is the despair, helplessness, and sense of isolation that many patients experience when affected by illness and its treatments.

TL;DR: This study suggests that alexithymia, attachment-related avoidance, and poor social support might increase susceptibility to exacerbations of diffuse plaque psoriasis, possibly through impaired emotional regulation.

TL;DR: The authors review the literature from human and animal studies on the neurochemical and pathological psychiatric effects of supraphysiological doses of anabolic-androgenic steroids and discuss the AAS use and abuse patterns, additional drug use patterns, and personality and behavioral characteristics of AAS abusers.

TL;DR: The metabolism and the enzymatic and P-glycoprotein inhibition/induction profiles of all antidepressants, antipsychotics, and mood stabilizers are described, and all clinically meaningful drug-drug interactions between agents in these psychotropic classes, as well as with frequently encountered nonpsychotropic agents, are detailed.

TL;DR: Patients with breast cancer who suppressed emotion and had chronically high levels of anxiety need psychological interventions, including encouragement to express and communicate their emotions, immediately after disclosure of the diagnosis to help maintain psychological adjustment in the face of the disease.

TL;DR: Psychological variables were as strong as, or stronger than, age, ejection fraction, and ICD shocks in predicting quality of life outcomes in implantable cardioverter defibrillator patients.

TL;DR: Drug-drug interactions or genetic variability may require using doses different from those recommended for atypical antipsychotics, and genetic variations of cytochrome P450 2D6 and/or CYP3A or induction may be important for risperidone, and perhaps for aripiprazole, dosing.

TL;DR: Despite health system, provider, and patient barriers to care, these initial results suggest that patients in public sector oncology clinics can benefit from onsite depression treatment.

TL;DR: A cross-sectional anonymous survey was administered to all directory-listed physicians within a network of three large teaching hospitals that provided care to SARS patients in Toronto, finding that the most frequent SARS concerns were about the care of non-SARS patients following suspension of nonessential services and loss of physician income.

TL;DR: It is concluded that mediating factors, especially depression and anxiety symptoms, should be taken into consideration in clinical routine if HRQL is regarded as a clinical outcome.

TL;DR: The results of the study indicate that case-finding for depressive disorders among multiple sclerosis patients can be facilitated by use of the CES-D scale.

TL;DR: Somatization disorder, somatoform autonomic dysfunction, pain disorder, and neurasthenia were equally prevalent; dissociative (conversion) disorders and undifferentiated somato form disorders were found in 2-3% of the patients.

TL;DR: The clinical management of patients experiencing baclofen-withdrawal delirium includes supportive interventions to reduce complications ofDelirium until symptoms resolve, and unrecognized and inadequately treated bacl ofen-Withdrawal Delirium is associated with significant morbidity and mortality.

TL;DR: The impact of medical illness on executive function is reviewed and practical diagnostic instruments and treatment strategies are discussed and the changes in functional status associated with executive impairment as well as pathophysiology and treatment strategy are discussed.

TL;DR: Clinical experience with reboxetine suggests that this noradrenergic antidepressant may have efficacy in the treatment of chronic pain in patients with depression, and a case series of depressed patients withThese subjects experienced significant relief of pain before any significant improvement in actual mood symptoms.

TL;DR: The suspected association between psychoactive drugs and delirium cannot be unambiguously confirmed with current epidemiological evidence and the interpretation of these results must take into account the limitations of published studies.

TL;DR: An in vitro drug dissolution model was developed to approximate the gastrointestinal environment of the preoperative (control) and post-RYGB states and suggested a need for an in vivo study of serum drug levels after RYGB surgery in patients taking psychiatric medications.

TL;DR: Gaps in diabetes knowledge may be reduced by specialized interventions that take into account the cognitive deficits of persons with serious mental illness.

TL;DR: Mood, cognitive, and substance use disorders remain major foci of consultation-liaison practice in the managed care era, although the rate of cognitive disorder diagnoses has increased.

TL;DR: Worry about serious illness was associated with functional impairment and health care utilization and worried people did not know what to do about it.

TL;DR: adjusting for preinfarction quality of life, in-hospital anxiety, and demographic variables, depression was prospectively and independently related to reduced global health at 4 months as well as reduced overall mental health-including vitality, psychological health, and social function-and increased role interference from psychological problems.

TL;DR: This hypothesis-driven study provides guidance for the inclusion of novel and important ethics domains in training curricula across medical school and diverse residency programs and suggests new ethics curricular approaches must be responsive to the current complex ethical environment.

TL;DR: The study examined the use of herbal medicine in a group of primary care patients with symptoms of anxiety and depression and found use was selectively associated with a diagnosis of major depression, higher education, and a lower burden of medical illness.

TL;DR: Substance use, mood disorders, and cognitive disorders were the most common psychiatric illnesses and increased lengths of stay with psychiatric comorbidity have persisted into the managed care era.

TL;DR: Patients with COPD at high risk for depression are likely to achieve greater relief of dyspnea with self-management programs that include more intensive supervised exercise.