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International Journal of Psychiatry in Medicine

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https://www.readbyqxmd.com/read/29807502/stigmatizing-attitudes-of-primary-care-professionals-towards-people-with-mental-disorders-a-systematic-review
#1
Angel O Rojas Vistorte, Wagner Silva Ribeiro, Denisse Jaen, Miguel R Jorge, Sara Evans-Lacko, Jair de Jesus Mari
Objective To examine stigmatizing attitudes towards people with mental disorders among primary care professionals and to identify potential factors related to stigmatizing attitudes through a systematic review. Methods A systematic literature search was conducted in Medline, Lilacs, IBECS, Index Psicologia, CUMED, MedCarib, Sec. Est. Saúde SP, WHOLIS, Hanseníase, LIS-Localizador de Informação em Saúde, PAHO, CVSO-Regional, and Latindex, through the Virtual Health Library portal ( http://www.bireme.br website) through to June 2017...
July 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29298535/multimethod-assessment-of-baseline-depression-and-relationship-to-hepatitis-c-treatment-discontinuation
#2
Jeffrey J Weiss, Sarah Prieto, Norbert Bräu, Douglas T Dieterich, Sue M Marcus, Alicia Stivala, Jack M Gorman
Objective The primary study objective is to determine which measures of depression are associated with early discontinuation of hepatitis C virus infection treatment and to determine which measure best characterizes the depression that develops during treatment. Methods Seventy-eight treatment-naïve subjects who initiated pegylated interferon/ribavirin treatment for hepatitis C virus infection were included. Baseline depression was assessed with the Structured Interview for the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), the Hamilton Depression Rating Scale, and the Beck Depression Inventory-II...
July 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29292668/two-cases-of-high-serum-clozapine-concentrations-occurring-during-inflammation-in-chinese-patients
#3
Can-Jun Ruan, Xiao-Ling Zhang, Wei Guo, Wen-Biao Li, Hong-Yan Zhuang, Ya-Qiong Li, Chuan-Yue Wang, Yi-Lang Tang, Fu-Chun Zhou, Jose de Leon
Objective Serious infections or inflammations have been associated with serum clozapine concentration increases and sometimes with clozapine toxicity. Method These two cases describe Chinese patients (Case 1: a 57-year-old female nonsmoker with severe dermatitis and Case 2: a 47-year-old male nonsmoker with influenza and secondary infection). Results In both cases, the Drug Interaction Probability Scale established the presence of a probable drug-drug interaction. In both cases, the clozapine and the total clozapine concentration-to-dose ratios followed a temporal pattern (normal-high-normal), consistent with an inhibition of clozapine metabolism during peak inflammation...
July 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29292667/a-suicidal-dysarthric-patient-who-wishes-to-discontinue-life-sustaining-treatments-a-case-report
#4
Zachary Orlins
Psychiatrists may be among the clinicians to encounter a depressed and suicidal patient who wishes to discontinue life-sustaining treatment. A patient who is suffering from a condition such as dysarthria makes decision-making capacity (a physician's determination of a patient's ability to medically consent) increasingly difficult to assess. The clinician must balance ethical principles of autonomy, non-maleficence, beneficence, and justice in order to achieve a plan of care that is in the patient's best interest...
July 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29280687/evaluation-of-the-value-of-team-based-psychiatric-consultation-in-a-general-hospital-setting
#5
Catherine Orsak, Abey Thomas, Paul Bush, E Sherwood Brown
Background With the increase use of pay for performance in healthcare, 30-day readmissions after discharges are critically important. Objective A team-based psychiatric consultation approach was tested in an inpatient hospital setting. This is the first study that examines 30-day readmission rate with this approach. Methods In this quality improvement study, 164 patients received a team-based psychiatric consultation that included daily meetings during the weekdays between psychiatrists and hospitalists and 436 received care of treatment-as-usual or traditional consultation-liaison services...
July 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29280686/state-dependent-alterations-of-lipid-profiles-in-patients-with-bipolar-disorder
#6
Yu-Jui Huang, Shang-Ying Tsai, Kuo-Hsuan Chung, Pao-Huan Chen, Shou-Hung Huang, Chian-Jue Kuo
Objective Serum lipid levels may be associated with the affective severity of bipolar disorder, but data on lipid profiles in Asian patients with bipolar disorder and the lipid alterations in different states of opposite polarities are scant. We investigated the lipid profiles of patients in the acute affective, partial, and full remission state in bipolar mania and depression. Methods The physically healthy patients aged between 18 and 45 years with bipolar I disorder, as well as age-matched healthy normal controls were enrolled...
July 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29264941/a-90-year-old-man-with-factious-disorder-separating-fact-from-fiction
#7
Anjani K Amladi, Dwayne R DePry
Objective Factitious disorders are known to exist in the medical community but are not commonly diagnosed in clinical practice. The majority of the literature on factitious disorder comes from case reports or case series. This particular case is unusual because it describes a patient who initially presented with purely physical complaints, but over time, the symptoms transitioned into predominantly psychiatric concerns. This case describes the patient's unique presentation and is followed by a discussion of the management of factitious disorder...
July 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/26740455/orbito-frontal-cortex-and-thalamus-volumes-in-the-patients-with-obsessive-compulsive-disorder-before-and-after-cognitive-behavioral-therapy
#8
Murad Atmaca, Hanefi Yildirim, Seda Yilmaz, Neslihan Caglar, Osman Mermi, Sevda Korkmaz, Unsal Akaslan, M Gurkan Gurok, Yasemin Kekilli, Hakan Turkcapar
Background The effect of a variety of treatment modalities including psychopharmacological and cognitive behavioral therapy on the brain volumes and neurochemicals have not been investigated enough in the patients with obsessive-compulsive disorder. Therefore, in the present study, we aimed to investigate the effect of cognitive behavioral therapy on the volumes of the orbito-frontal cortex and thalamus regions which seem to be abnormal in the patients with obsessive-compulsive disorder. We hypothesized that there would be change in the volumes of the orbito-frontal cortex and thalamus...
July 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29609525/balint-2-0-a-virtual-balint-group-for-doctors-around-the-world
#9
Donald E Nease, Albert Lichtenstein, Luis Pinho-Costa, Kyle Hoedebecke
Objective Balint groups have shown promise in addressing clinician-patient relationships, clinician burnout, referral practices, and psychological mindedness. However, their traditional format of in-person sessions limits their ability to meet the needs of clinicians practicing in locations without trained Balint leaders. We report on a pilot of an international, internet-based Balint group in collaboration between the World Organization of Family Doctors regional Young Doctors Movements and the International Balint Federation...
May 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29609524/editor-s-note
#10
John R Freedy
No abstract text is available yet for this article.
May 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29546792/the-team
#11
Russell Blackwelder
Aligning patient goals with treatment plans is an ongoing challenge in the current healthcare environment. Particularly in patients with multiple comorbidities and terminal illness, this planning is even more important. This poem, which tells the story of a dying patient, highlights the significance of prioritizing patient values and the teamwork it often takes to achieve patient goals. In this case, the patient's goal was to make it to his granddaughter's wedding and give a special toast at the reception. A team of healthcare professionals assembled and attempted to align our objectives with his, and this poem tells of that journey...
May 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29320908/psychiatric-diagnoses-and-their-influencing-factors-in-patients-complaining-of-sleep-problems-a-study-of-a-psychiatric-consultation-liaison-service
#12
Yan Chen, Enyan Yu, Zhengluan Liao, Yunfei Tan, Yaju Qiu, Junpeng Zhu, Sisi Lin, Minghao Wu
Objective This study aimed to identify misdiagnosed or undiagnosed psychiatric disorders and the factors associated with these disorders in patients with sleep problems who are referred to a consultation-liaison service. Method Records of all inpatients receiving a consultation from the Psychiatry Department between January and December 2016 were retrospectively reviewed. Psychiatric diagnoses were analyzed using descriptive statistics, and the factors associated with the risk of these disorders in patients with sleep problems were determined by multiple logistic regression analysis...
May 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29292669/possible-role-of-stress-coping-strategies-and-life-style-in-the-development-of-breast-cancer
#13
Nazmiye K Yıldırım, Mine Özkan, Ahmet S İlgün, Dauren Sarsenov, Gül Alço, Fatma Aktepe, Nesiba Kalyoncu, Filiz İzci, Derya Selamoğlu, Çetin Ordu, Kezban N Pilancı, Zeynep E İyigün, Yeşim Eralp, Vahit Özmen
Objective The aim of the present study was to investigate the possibility of the effect of life long stressful events, along with coping method used, perception of social support, and life style on the development of breast cancer. Methods In this hospital-based case control study, the study group comprised 250 women with breast cancer who were followed by Florence Nightingale Breast Study Group. Control group included 250 women, who had similar sociodemographic characteristics to the study group. Data were collected with semi-structured interview form, Healthy Life Style Behavior Scale, Coping Strategy Indicator, and Stress Evaluation Form developed by us...
May 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29282999/the-concept-of-chronotypes-and-its-clinical-importance-for-depressive-disorders
#14
Matthias J Müller, Anja Haag
Chronobiology and chronobiological research deal with time-dependent physiological processes and behavioral correlates as well as their adaptation to environmental conditions. Chronobiological research is presently focused on the impact of circadian rhythms on human behavior. In the last three decades, chronobiology has established itself as an independent area of research evolving to an important field of clinical psychology and psychiatry. In this overview, the results of studies on the clinical importance of chronotypes are summarized...
May 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29280685/associations-among-comorbid-anxiety-psychiatric-symptomatology-and-diabetic-control-in-a-population-with-serious-mental-illness-and-diabetes-findings-from-an-interventional-randomized-controlled-trial
#15
Awais Aftab, Chetan Bhat, Douglas Gunzler, Kristin Cassidy, Charles Thomas, Richard McCormick, Neal V Dawson, Martha Sajatovic
Objective Serious mental illness and type II diabetes mellitus have a high comorbidity, and both have a higher prevalence of anxiety disorders compared to the general population. Targeted Training in Illness Management is a group-based self-management training approach which targets serious mental illness and type II diabetes mellitus concurrently. This analysis examines data from a randomized controlled trial of Targeted Training in Illness Management intervention to examine the impact of comorbid anxiety on baseline psychiatric symptomatology and diabetic control, and on longitudinal treatment outcomes...
May 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29271269/prior-disclosure-and-emotional-expression-interactive-effects-on-post-traumatic-stress-disorder-symptoms
#16
Yung Y Chen, Min C Kao
Background Previous research has revealed mixed findings with regard to the effects of disclosure on trauma recovery. More recently, studies on psychological trauma have found associations among religion, meaning, and health. This study investigated prior disclosure as a moderator for the association between religious emotional expression and adaptive trauma processing, as measured by post-traumatic stress disorder (PTSD) symptoms. Methods Using Pennebaker's written emotional expression paradigm, 105 participants were assigned to either a conventional trauma-writing condition or religious trauma-writing condition...
May 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29264939/clinical-and-care-intensity-differences-among-patients-suffering-from-somatic-diseases-electively-referred-to-a-consultation-and-liaison-service
#17
Juan Valdes-Stauber, Susanne Bachthaler
Background This investigation mainly explores possible care differences among patients hospitalized because of medical conditions being electively referred to a psychiatric-psychosomatic consultation and liaison service. Methods A four-year survey ( N = 2518 individuals) based on clinical and care variables selected from the basic documentation. STATISTICS: Chi-square tests, analysis of variance, logistic and multivariate regression analyses, considering statistical modeling assumptions...
May 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29380650/demystifying-balint-culture-and-its-impact-an-autoethnographic-analysis
#18
Jeffrey L Sternlieb
Balint groups are a structured group process designed for physicians and other helping professionals to provide feedback to each other concerning troublesome patient encounters. The process of Balint groups has survived and even thrived for more than a half century since their inception, suggesting their inherent value. However, measuring the impact in order to communicate the nature of that value has been elusive. A recent literature review highlighted the equivocal nature of research results and suggested that well-designed qualitative research may be more effective in selecting target measures which could result in better evidence for this group process...
January 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29380649/characterizing-the-good-enough-balint-group-a-work-in-progress
#19
C Paul Scott, Laurel Milberg, Richard Addison
No abstract text is available yet for this article.
January 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29380648/fort-da-fancy-words-for-a-patient-s-fuck-you-or-exploring-subject-permanence-in-the-therapeutic-clinical-encounter
#20
Kristen A Schmidt
No abstract text is available yet for this article.
January 2018: International Journal of Psychiatry in Medicine
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