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International Journal of Psychiatry in Medicine

Dennis J Butler, Dominique Fons, Travis Fisher, James Sanders, Sara Bodenhamer, Julie R Owen, Marc Gunderson
A significant percentage of patients with psychiatric disorders are exclusively seen for health-care services by primary care physicians. To address the mental health needs of such patients, collaborative models of care were developed including the embedded psychiatry consult model which places a consultant psychiatrist on-site to assist the primary care physician to recognize psychiatric disorders, prescribe psychiatric medication, and develop management strategies. Outcome studies have produced ambiguous and inconsistent findings regarding the impact of this model...
August 22, 2018: International Journal of Psychiatry in Medicine
Jingjing Huang, Yang Shao, Huajian Ma, Weimin Yang, Huafang Li
Objective Few studies have addressed informed consent in Chinese psychiatric practice. We wished to explore psychiatrists' attitudes toward informed consent in Shanghai after promulgation of the first national law for mental health care in China: the National Mental Health Law. Method A total of 398 psychiatrists were recruited from seven psychiatric hospitals in Shanghai. Their anthropometric data were collected. A confidential, self-report questionnaire addressing attitudes toward the informed consent process was completed by all participants...
August 19, 2018: International Journal of Psychiatry in Medicine
Christopher M Celano, Taylor A Gianangelo, Rachel A Millstein, Wei-Jean Chung, Deborah J Wexler, Elyse R Park, Jeff C Huffman
Objective Eighteen million Americans with type 2 diabetes (T2D) do not follow recommended guidelines for physical activity. Motivational interviewing (MI) has had modest effects on activity and related behaviors in T2D. Positive psychological attributes (e.g., optimism) are associated with superior medical outcomes in T2D, and positive psychology (PP) interventions promote such attributes. There had been no study in T2D of a combined PP-MI intervention to promote well-being and health behavior adherence. We developed a novel, telephone-delivered, 16-week PP-MI intervention and explored its feasibility and impact in T2D patients in a single-arm, proof-of-concept trial...
August 16, 2018: International Journal of Psychiatry in Medicine
Dave deBronkart
Professionalism in any field requires keeping pace with change, and nowhere is it more true than medicine. Knowledge flow has changed dramatically since today's accreditation standards were developed, and change continues more rapidly than ever. It's time for a fresh look at how best to achieve care in this altered environment, where valid knowledge may come from the patient as well as from clinician resources: a sociological change driven by technological change. The power structure of the clinical relationship is inevitably altered as constraints on patient knowledge are loosened by the internet, apps, and devices, undermining a paradigm of patients as uninformed recipients of care based on a one-way flow of wisdom from providers...
August 16, 2018: International Journal of Psychiatry in Medicine
Liliya Gershengoren
Objective This is a pilot study which assesses the beliefs of psychiatric professionals regarding obtaining patient information via the Internet as well as the frequency with which they do it in a variety of clinical settings. Methods Psychiatry faculty and residents were asked to participate in an anonymous online survey about their use of the search engine Google to find information about their patients. Data were analyzed with Microsoft Excel. Results The participants included 48 faculty and 34 residents (118 faculty and 44 residents were surveyed) with response rates of 41% and 77%, respectively...
August 9, 2018: International Journal of Psychiatry in Medicine
John Muench, Sheldon Levy, Rebecca Rdesinski, Rebekah Schiefer, Kristin Gilbert, Joan Fleishman
Objective This article will describe a pilot study to explore associations between adult attachment style, resilience, Adverse Childhood Experiences, and adult health. Method A self-report survey was mailed to 180 randomly selected primary care patients and linked to a retrospective chart review. The patients met the following criteria: (1) enrolled for at least the previous year at their primary care clinic, (2) 21 years of age or greater, (3) English as their primary language, and (4) were seen by their provider on selected dates of the study...
August 9, 2018: International Journal of Psychiatry in Medicine
Volker Tschuschke, Guido Flatten
Objective Although effective Balint leadership is viewed as essential for good Balint practice, nearly no quantitative research is available regarding the importance of the person of the group leader in Balint group outcome. This study aims to identify Balint group leaders' impact on "typical Balint" learning processes in Balint groups. Method A total of 1460 medical doctors in 352 Balint groups in Germany, Austria, and Switzerland were investigated. Based on the three learning dimensions of the Balint Group Session Questionnaire, statistical analyses were conducted to identify differential effectiveness in Balint leadership...
August 9, 2018: International Journal of Psychiatry in Medicine
Jumana Antoun, Alan Johnson, Brock Clive, Maya Romani
Background It is not known in what ways is the doctor whose practice is secure in a clinic challenged to maintain a therapeutic doctor-patient relationship when confronting a flood of immigrants within a country that is politically volatile, internally fractionalized, and surrounded by sporadic military incursions? Methods During Balint seminars, a family medicine resident presents a troubling case which all group members reflect upon from the perspective of the doctor, the patient, and their relationship. Balint leaders later debrief and review the work of the group...
August 9, 2018: International Journal of Psychiatry in Medicine
Muhammad Hassan Majeed, Ali Ahsan Ali, Donna M Sudak
Background Long-term use of opioids to treat chronic pain incurs serious risks for the individual-including misuse, abuse, addiction, overdose and death-as well as creating economic, social, and cultural impacts on society as a whole. Chronic pain and substance use disorders are often co-morbid with other medical problems and at the present time, primary care clinicians serve most of this population. Primary care clinicians would benefit from having alternatives to opioids to employ in treating such patients...
August 9, 2018: International Journal of Psychiatry in Medicine
Kyle Bradford Jones, Katherine Fortenberry, Osman Sanyer, Rachel Knighton, Sonja Van Hala
Objective To describe the process of creating the Family Medicine Vital Signs blog, curated and edited by residents and faculty at the University of Utah Family Medicine Residency Program and to obtain feedback from participants regarding educational impact. Methods Each resident and faculty member contributes at least one blog post per year (with other invited authors), resulting in one post per week on the blog site. An editorial board composed of residents and faculty provides direction and editorial assistance for each post...
August 8, 2018: International Journal of Psychiatry in Medicine
Katherine Fu
No abstract text is available yet for this article.
August 6, 2018: International Journal of Psychiatry in Medicine
Weijie Violet Lin
No abstract text is available yet for this article.
August 6, 2018: International Journal of Psychiatry in Medicine
Robyn Thom
No abstract text is available yet for this article.
August 6, 2018: International Journal of Psychiatry in Medicine
Angela F Chiang
No abstract text is available yet for this article.
August 6, 2018: International Journal of Psychiatry in Medicine
Ju-Wan Kim, Hee-Ju Kang, Kyung-Yeol Bae, Sung-Wan Kim, Il-Seon Shin, Jin-Sang Yoon, Young Joon Hong, Youngkeun Ahn, Myung Ho Jeong, Jae-Min Kim
Objectives This study aimed to investigate whether social support deficit has moderating effects on depressive and cardiac outcomes in an antidepressant trial for depressed patients with acute coronary syndrome as a secondary analysis using Escitalopram for DEPression in acute coronary syndrome study ( registry number: NCT00419471). Methods In total, 217 acute coronary syndrome patients with Diagnostic and Statistical Manual of Mental Disorders, 4th edition depressive disorders were randomized into two groups that received escitalopram (Nā€‰=ā€‰108) or placebo (Nā€‰=ā€‰109) for 24 weeks...
August 4, 2018: International Journal of Psychiatry in Medicine
Christine L McKibbin, Aaron Lee, Dale Glaser, Stephanie Kanuch, Kristin Cassidy, Charles Thomas, Douglas Gunzler, Richard McCormick, Neal V Dawson, Martha Sajatovic
Objective Adults with serious mental illness are at increased risk for diabetes mellitus and diabetes-related complications. This article classifies subgroups among people with serious mental illness and comorbid diabetes with respect to functional status and examines differences among those groups. Methods This analysis used a baseline sample of 157 adults with serious mental illness and diabetes mellitus enrolled in a National Institute of Health-funded research study. Latent profile analysis was used to distinguish health status profiles and investigate how these subgroups differed across assessment domains...
August 4, 2018: International Journal of Psychiatry in Medicine
Aaron J Grace, Heather A Kirkpatrick
Medical ethics training is as variable as it is widespread. Previous research has indicated that medical learners find systematic approaches to ethical dilemmas to be helpful. This article describes a bioethics educational module. It includes an overview of common bioethical principles and presents a tool for organizing health-care providers' thinking and discussions about challenging ethical dilemmas. We discuss an area of bioethics that is often neglected, clinical integrity, and the role that a health-care provider's clinical integrity plays in ethical decision-making...
August 4, 2018: International Journal of Psychiatry in Medicine
T J France
If Meril was scared then she had a gift for feigned serenity. Her admission seemed routine to her, and so I tried to act the same. I was a green third year medical student who was quick to share a patient's confidence. It was easy, then, to take Meril's recovery for granted and so she became another temporary patient on my list. But Meril's recovery was not routine, and her confidence and calm cracked as she got sicker. I took this opportunity to connect with her and Meril showed me what there is to gain in doing so...
August 4, 2018: International Journal of Psychiatry in Medicine
Yaseen Rafee, Katherine Burrell, Crystal Cederna-Meko
Background Autism spectrum disorder is a heterogenous neurodevelopmental condition accompanied by a variety of associated features. Case reports suggest one such associated feature, food selectivity, increases risk for nutritional deficiencies; however, little attention has been given to prevent and treat nutritional deficiencies in youth with autism spectrum disorder. Method Single case report. Results This single case report presents a child with autism spectrum disorder and food selectivity difficulties that resulted in severe vitamin C deficiency...
August 4, 2018: International Journal of Psychiatry in Medicine
Andrew A Fingelkurts, Alexander A Fingelkurts
Contemporary psychiatry faces serious challenges because it has failed to incorporate accumulated knowledge from basic neuroscience, neurophilosophy, and brain-mind relation studies. As a consequence, it has limited explanatory power, and effective treatment options are hard to come by. A new conceptual framework for understanding mental health based on underlying neurobiological spatial-temporal mechanisms of mental disorders (already gained by the experimental studies) is beginning to emerge.
August 3, 2018: International Journal of Psychiatry in Medicine
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