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International Journal of Psychiatry in Medicine

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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
#1
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...
January 1, 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...
January 1, 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
#3
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...
January 1, 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
#4
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...
January 1, 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29292667/a-suicidal-dysarthric-patient-who-wishes-to-discontinue-life-sustainingtreatments-a-case-report
#5
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...
January 1, 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29179664/incorporating-peer-support-during-in-vivo-exposure-to-reverse-dropout-from-prolonged-exposure-therapy-for-posttraumatic-stress-disorder-clinical-outcomes
#6
Melba A Hernandez-Tejada, Stephanie Hamski, David Sánchez-Carracedo
Objective Prolonged exposure is characterized by reported dropout rates ranging from 25% to 40%. This premature attrition is also observed in other evidence-based treatments for posttraumatic stress disorder. While home-based telehealth delivery of prolonged exposure resolves logistical barriers to care such as travel time and cost, dropout appears unaffected. A previous study on dropouts from prolonged exposure delivered via telehealth found that Veterans, particularly those receiving care via telehealth, reported problems with in vivo exposure and that having a peer to offer support during in vivo exposure assignments might have prevented their attrition from treatment...
July 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29179663/balint-group-leadership-conceptual-foundations-and-a-framework-for-leadership-development
#7
Andrew Elder
This article is based on a talk given at the International Balint Federation leadership congress in Warsaw (September 2016). It explores the conceptual foundations of Balint group leadership and starts by emphasizing the mutuality between psychoanalysts and medical practitioners working together. The parallel process between consulting room and group, and subsequently from group back to the consulting room, is delineated as the central construct in understanding the role of the leader. Having proposed a conceptual model for thinking about leadership interventions, the article discusses developments in some contemporary approaches to leadership: coleadership, the use of role play, psychodrama, pushback, and morale...
July 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29179662/patient-experience-with-healthcare-services-among-older-adults-with-serious-mental-illness-compared-to-the-general-older-population
#8
Karen L Fortuna, Matthew C Lohman, John A Batsis, Elizabeth A DiNapoli, Peter R DiMilia, Martha L Bruce, Stephen J Bartels
Objective To compare patient experience with healthcare services and providers among older patients (≥50 years old) with and without serious mental illness. Methods Using secondary data from the Medical Expenditures Panel Survey from 2003 through 2013, we compared adults aged 50 years and older with schizophrenia spectrum disorder ( n = 106), mood disorders (i.e., major depressive disorder and bipolar disorder) ( n = 419), and no serious mental illness ( n = 34,921). Results Older adults with schizophrenia spectrum disorder reported significantly worse provider communication than older adults without serious mental illness...
July 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29179661/psychoactive-substance-use-in-specialized-psychiatric-care-patients
#9
Boris Karpov, Grigori Joffe, Kari Aaltonen, Jaana Suvisaari, Ilya Baryshnikov, Maaria Koivisto, Tarja Melartin, Kirsi Suominen, Petri Näätänen, Martti Heikkinen, Jorma Oksanen, Erkki Isometsä
Objective Life expectancy of psychiatric patients is markedly shorter compared to the general population, likely partly due to smoking or misuse of other substances. We investigated prevalence and correlates of substance use among psychiatric patients. Methods Within the Helsinki University Psychiatric Consortium Study, data were collected on substance use (alcohol, smoking, and illicit drugs) among patients with schizophrenia or schizoaffective disorder (n = 113), bipolar (n = 99), or depressive disorder (n = 188)...
July 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29179660/teaching-resident-physicians-the-power-of-implicit-bias-and-how-it-impacts-patient-care-utilizing-patients-who-have-experienced-incarceration-as-a-model
#10
Sabrina Hofmeister, Andrya Soprych
Over 2 million adults in the United States are incarcerated and over 650,000 return to the community each year. This disparate population is known to have an elevated burden of chronic disease and lower socioeconomic status. Medical residency training about care of incarcerated or previously incarcerated patients is significantly lacking in the United States. Curriculum can be developed and implemented in residency programs to help physicians learn how to work with this population, be sensitive to their unique needs, and achieve positive health outcomes...
July 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29117756/long-term-postpartum-effect-of-severe-maternal-morbidity-on-sexual-function
#11
Mohd Noor Norhayati, Mohd Azman Yacob
There was limited knowledge on the sexual function in women who have survived severe obstetric complications. The aim of this study was to compare the level of sexual functioning among women with and without severe morbidity at six months postpartum and to identify the factors associated with sexual function scores of women. A prospective double-cohort study design was applied at two tertiary hospitals over a six-month period. Postpartum women with and without severe maternal morbidity were selected as the exposed and the non-exposed group, respectively...
July 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29065814/a-commitment-to-health-equity-reflections-on-why-one-journey-toward-how
#12
Jennifer Yc Edgoose
Many health care practitioners and educators feel stymied as to how to address the pervasive and persistent problem of health care disparities between racial and ethnic groups. The closing plenary for the 37th Forum for Behavioral Science in Family Medicine held in September 2016 reminded participants of the urgent need to attend to health inequities and provided both a theoretical framework as well as some sample resources for where to begin.
May 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29065813/enter-as-an-outsider-teaching-organizational-humility
#13
John F Clabby
The concept of cultural humility acknowledges the enormous task of becoming culturally competent by encouraging curiosity about the context within which others live. For physicians, this includes curiosity about the organizations in which they work as Outsiders in settings such as a new hospital or patients' homes. However, efforts to train healthcare professionals in cultural competence are often de-emphasized due to the pressure learners feel to acquire Medical Knowledge and clinical skills. Little time is devoted to address the significance of cultural humility for fully appreciating the experiences of others...
May 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29065812/grant-writing-moving-from-generating-ideas-to-applying-to-grants-that-matter
#14
David Nelson, Leslie Ruffalo
There is an extraordinary burden placed upon the healthcare system and people as a result of health disparities that exist within the United States. If there is going to be a concerted effort to develop innovative strategies to reduce health disparities, input from the community and behavioral scientists can and should be included in this approach and narrative. Grant writing provides one vehicle to express the narrative and to provide a means to fund research and programs within clinic-based and community settings...
May 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29065811/educational-strategies-for-overcoming-health-care-disparities
#15
Dennis J Butler, John R Freedy
No abstract text is available yet for this article.
May 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29065810/teaching-health-care-trainees-empathy-and-homelessness-iq-through-service-learning-reflective-practice-and-altruistic-attribution
#16
Leanne Chrisman-Khawam, Neelab Abdullah, Arjun Dhoopar
This article describes a novel inter-professional curriculum designed to address the needs of homeless patients in a Midwestern region of the United States which has high rates of poverty. The curriculum is intended for healthcare trainees coming from undergraduate pre-medical programs, nursing, pharmacy, social work, clinical psychology, medical school and post-graduate medical training in family medicine, medicine-pediatrics, and psychiatry. The clinical component is specifically designed to reach destitute patients and the curriculum is structured to reverse commonly held myths about homelessness among the trainees, thereby improving their Homelessness Information Quotient, the ability to more fully understand homelessness...
May 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29065809/teaching-resident-physicians-to-work-with-the-previously-incarcerated-patient
#17
Sabrina Hofmeister, Andrya Soprych
Over 2 million adults in the United States are incarcerated and over 650,000 return to the community each year. This disparate population is known to have an elevated burden of chronic disease and lower socioeconomic status. Medical residency training about care for incarcerated or previously incarcerated patients is significantly lacking in the United States. Curriculum can be developed and implemented in residency programs to help physicians learn how to work with this population, be sensitive to their unique needs, and achieve positive health outcomes...
May 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29065808/childhood-abuse-in-adults-in-primary-care-empirical-findings-and-clinical-implications
#18
John H Porcerelli, John R Jones, Rachel Klamo, Rebecca Heeney
In the healthcare setting, adult patients with histories of childhood abuse are of significant concern and are frequently encountered in the primary care setting. However, there is a dearth of studies investigating the relationships between psychopathology, overall health, healthcare utilization, physician ratings of patient difficulty, and childhood abuse. The present study examines these relationships in primary care patients with (N = 45) and without (N = 129) histories of childhood abuse (physical, sexual, and both)...
May 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28792293/the-opioid-epidemic-challenges-of-sustained-remission
#19
Nitin Chopra, Lauren H Marasa
Opioid use disorder is a growing epidemic, with an alarming number of associated deaths. In 2014, in the United States, 18,893 lethal overdoses were related to prescription opioids and 10,574 due to heroin. Despite the growing number of treatment options for substance use disorders, which are chronic, relapsing-remitting conditions, relapse rates remain as high as 91%. In the United States, 7.5 million children reside with at least one patient who abuses drugs or alcohol. Mothers are twice as likely to lose custody of their children...
March 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28792292/moodivate-a-self-help-behavioral-activation-mobile-app-for-utilization-in-primary-care-development-and-clinical-considerations
#20
Jennifer Dahne, C W Lejuez, Jacob Kustanowitz, Julia W Felton, Vanessa A Diaz, Marty S Player, Matthew J Carpenter
Depressive symptoms are highly prevalent and are associated with considerable functional impairment, significant public health costs, and heightened mortality risk. Individuals experiencing impairment due to depressive symptomatology are most likely to report their symptoms to a primary care provider. As such, national guidelines highlight the need to assess and effectively treat depression via primary care. Despite these guidelines, the dissemination of evidence-based psychotherapy via primary care is limited, likely due to both provider- and patient-level treatment barriers...
March 2017: International Journal of Psychiatry in Medicine
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