Showing papers in "Psychosomatics in 2013"

TL;DR: The majority of patients in need of psychotropic medications display few risk factors for QTc prolongation and should be considered to be at low risk for TdP, and the frequency of cardiac monitoring for patients receiving psychiatric medications should be individually determined, based on the prescribed agent(s) and additional risk factors.

TL;DR: The goal of the 3RP is to enhance individuals' adaptive responses to chronic stress through increasing awareness and decreasing the physiological, emotional, cognitive, and behavioral effects of the stress response, while simultaneously promoting the effects of being in the RR.

TL;DR: HELP can be successfully adapted for implementation in a community hospital setting to decreaseDelirium episodes, total patient-days with delirium and LOS, and generate substantial cost savings.

TL;DR: Lower short-term mortality in spite of higher comorbidity burden and without extensive changes in perioperative complication profile indicates better outcome for this group of patients.

TL;DR: It is suggested that perioperative use of prophylactic antipsychotic medication may effectively reduce the overall risk of postoperative delirium in elderly patients.

TL;DR: Although depression has been suspected to be associated with a number of CLD, this association remains strong only for CH-C, and the presence of insulin resistance and Mexican American race/ethnicity, were predictive of NAFLD.

TL;DR: The results suggest that the PHQ-9 has adequate operating characteristics compared with a criterion standard measure and a PHZ-9 cutoff of 15 is recommended to identify bariatric surgery candidates who may require further assessment of depressive symptoms.

TL;DR: In PWD, DM-specific distress measured by the PAID correlated significantly with impaired glycemic control, and both past and current depressions are independently associated with DM-distress.

TL;DR: This study used medical chart notes from 103 patients to shed light on the diagnostic process of PNES, showing that accurate diagnosis was typically achieved via the use of multiple medical tests, including vEEG, magnetic resonance imaging, and computed tomography scans, as well as historical diagnostic and clinical information.

TL;DR: Nurses can feasibly screen hospitalized medical/surgical patients for suicide risk with a two-item screening instrument, designed specifically for nurses to administer to medical patients, and supported the idea of universal suicide screening in the hospital.

TL;DR: These findings suggest that schizophrenia spectrum patients experience increased metabolic risk independent of weight, and primary care clinicians can utilize general CVD risk and vascular age scores to communicate metabolic risk more easily and to help make treatment decisions.

TL;DR: Standardized data collection may help quantify psychological outcomes with facial transplantation to determine whether the risks of immunosuppression over time are offset by improved quality of life for recipients.

TL;DR: A significant positive relationship between depression and mortality in patients with type 2 diabetes is confirmed and, in contrast to the 5-year data, no trend or significant relationship was observed between depression status and cancer related deaths.

TL;DR: Examination of the simultaneous presence of ideal cardiovascular health behaviors and factors in Aerobics Center Longitudinal Study participants found an inverse relationship with depressive symptoms.

TL;DR: There is insufficient evidence to conclude that low testosterone level routinely leads to major depressive disorder in men, but physicians should consider screening for low testosterone levels in certain subgroups of depressed men.

TL;DR: A survey of members of the Academy of Psychosomatic Medicine found that approximately one in six psychiatric consultations involve decision-making capacity assessment as mentioned in this paper, which can have profound consequences for patients.

TL;DR: In this article, exploratory factor analysis (EFA) and confirmatory Factor Analysis (CFA) were conducted in a pooled international dataset of 592 delirious and nondelirious patients using DSM-IV criteria from 14 studies with comparable methodologies.

TL;DR: Preliminary support is given indicating that MBSR can influence the hypothalamic-pituitary-adrenocortical (HPA) axis functioning, and an adjustment of cortisol levels as a result of MBSr is suggested.

TL;DR: The most significant variable associated with these symptoms was pain; improved treatment of pain, and in particular from lupus arthritis, may result in alleviation of depressive symptoms in patients with SLE.

TL;DR: If a patient reports a THI score greater than 36, the audiologist should supplement diagnostic studies with a psychiatric evaluation and THI is a moderately accurate test to individuate psychiatric affected people among the authors' sample.

TL;DR: It is found that participants experienced significant improvement on quality of life measures of physical and mental health based on the MOS-SF -12 and there were no changes in participants ' self-esteem or dyadic function over the same period of time.

TL;DR: The aim of the present report is to assess the prevalence of medical conditions in patients with BPD, and to determine the clinical variables associated with the presence of a medical condition.

TL;DR: Logistic regression showed that mental health providers who counseled clients about CVD risk factors were less likely to be obese, and were more likely to have received formal training about how to counsel clients aboutCVD risk.

TL;DR: The authors utilize the "principlism" approach to biomedical ethics to illustrate some common moral issues in patient care that are poorly captured by the "autonomy-versus-paternalism" paradigm.

TL;DR: In this paper, the authors assess the assignment rates for SFD, FD, and related diagnoses among general medical inpatients and find that the target diagnoses were assigned far less frequently than published prevalence and recognition rates suggest.

TL;DR: A case of an adolescent with anti-NMDAR encephalitis associated with ovarian teratoma is described, highlighting the importance of not only recognizing but also treating the downstream neuropsychiatric effects of these antibodies on the central nervous system.

TL;DR: Patients with somatoform disorders make significantly greater use of health care services than do controls and patients with anxiety, and Somatoform patients made more use of psychiatric services than expected.

TL;DR: Remission correlated with having disability income and having a viral load that was not detectable, and individuals with depression and HIV/AIDS respond at rates similar to what is seen in other depressed populations.

TL;DR: In an increasingly globalized world, clinicians must be able to properly diagnose and treat patients from other cultures, who may report symptoms that are influenced by their beliefs, culture, or place of origin.