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William Meller, Nicole Welle, Kristen Sutley, Steven Thurber
BACKGROUND: Patients who underwent liver transplantation and experienced clinical depression have heretofore evinced lower survival rates when compared to nondepressed counterparts. OBJECTIVE: To investigate the hypothesis that transplant patients who seek and obtain medical treatment for depression would circumvent the prior reduced survival findings. METHODS: A total of 765 patients with liver transplants were scrutinized for complications following transplantation...
September 21, 2016: Psychosomatics
Mary I Butler, Deirdre McCartan, Anne Cooney, Patrick O Kelly, Izhar Ahmed, Dilly Little, Siobhan MacHale, Peter Conlon
BACKGROUND: Patients with severe psychiatric disorders such as schizophrenia and bipolar affective disorder (BPAD) have in the past been excluded from organ transplantation programs based on their psychiatric illness. However, there is little data on the outcomes of renal transplantation in these patients and little evidence to support such exclusion. METHODS: We reviewed the database of the Irish National Renal Transplant Programme and identified all patients with a history of BPAD or schizophrenia who had received a transplant over a 28-year period...
September 20, 2016: Psychosomatics
Yvonne Chasser, Arthur Y Kim, Oliver Freudenreich
BACKGROUND: Hepatitis C virus (HCV) is a widespread and costly cause of morbidity and mortality globally and in the United States. The treatment of HCV has been revolutionized with the recent development of direct-acting antiviral medications. These new treatments are substantially better tolerated and more efficacious than previously used interferon-based therapies. Despite these innovations, sustained virologic response has remained low, hovering at approximately 9% of all infected persons...
September 14, 2016: Psychosomatics
Hsiang Huang, M Karen Tabb, M Joseph Cerimele, Nahida Ahmed, Amritha Bhat, Rachel Kester
BACKGROUND: The collaborative care model has been found to be effective for depression management in various primary care populations; however, no review has synthesized trials tailored to treat women. OBJECTIVE: The purpose of this systematic review is to evaluate the current evidence for collaborative depression care for women. METHODOLOGY: We searched for English language articles via MEDLINE, CINAHL, PsycINFO, EMBASE, Cochrane Library, and reference lists of key articles...
September 6, 2016: Psychosomatics
Tyler Okland, Matthew Shirazi, Melanie Rylander, John Holland
No abstract text is available yet for this article.
November 2016: Psychosomatics
Hudson Elmore, Justin Lewin, Mark Bradley, Arthur Sinkman
No abstract text is available yet for this article.
November 2016: Psychosomatics
Samuel N Doernberg, John R Peteet, Scott Y H Kim
BACKGROUND: Euthanasia or physician-assisted suicide (EAS) of psychiatric patients is legal in some countries but remains controversial. OBJECTIVE: This study examined a frequently raised concern about the practice: how physicians address the issue of decision-making capacity of persons requesting psychiatric EAS. METHODS: A review of psychiatric EAS case summaries published by the Dutch Regional Euthanasia Review Committees. Directed content analysis using a capacity-specific 4 abilities model (understanding of facts, applying those facts to self, weighing/reasoning, and evidencing choice) was used to code texts discussing capacity...
November 2016: Psychosomatics
Caroline Batka, Terri Tanielian, Mahlet A Woldetsadik, Carrie Farmer, Lisa H Jaycox
OBJECTIVE: This article examines stakeholder experiences with integrating treatment for posttraumatic stress disorder (PTSD) and depression within primary care clinics in the U.S. Army, the use-of-care facilitation to improve treatment, and the specific therapeutic tools used within the Stepped Treatment Enhanced PTSD Services Using Primary Care study. METHODS: We conducted a series of qualitative interviews with health care providers, care facilitators, and patients within the context of a large randomized controlled trial being conducted across 18 Army primary care clinics at 6 military installations...
November 2016: Psychosomatics
Margarita Beresnevaitė, Rimantas Benetis, Graeme J Taylor, Svetlana Rašinskienė, Albinas Stankus, Sarunas Kinduris
BACKGROUND: Although there is evidence supporting the efficacy of cognitive-behavioral therapy (CBT) in decreasing psychologic symptoms and improving health-related quality of life in patients who have undergone coronary artery bypass graft surgery, the effectiveness of these interventions in usual health care practice, and their effect on general heart rate variability (HRV), has not been tested. OBJECTIVE: This study investigated the effectiveness of CBT in improving health-related quality of life and HRV in patients with postcardiac surgery...
November 2016: Psychosomatics
Michele Magnani, Anna Sasdelli, Silvio Bellino, Antonello Bellomo, Bernardo Carpiniello, Pierluigi Politi, Marco Menchetti, Domenico Berardi
OBJECTIVE: To highlight clinical and sociodemographic factors associated with patients' preference in the treatment of depression, we conducted a randomized controlled trial comparing the efficacy of selective serotonin reuptake inhibitors and interpersonal counseling in patients with a major depressive episode. METHODS: Patients, recruited from a psychiatric consultation service in the primary care setting, were asked to express their preference for the type of treatment before randomization to one of the 2 intervention arms...
November 2016: Psychosomatics
Steven A Epstein, Carine W Maurer, Kathrin LaFaver, Rezvan Ameli, Stephen Sinclair, Mark Hallett
BACKGROUND: Patients with functional movement disorders (FMDs) are commonly seen by neurologists and psychosomatic medicine psychiatrists. Research literature provides scant information about the subjective experiences of individuals with this often chronic problem. OBJECTIVE: To enhance our understanding of psychologic aspects of FMDs by conducting qualitative interviews of research subjects. METHODS: In total, 36 patients with FMDs were recruited from the Human Motor Control clinic at the National Institutes of Health...
November 2016: Psychosomatics
Stephanie D Nichols, Maya Bulman, Annya Tisher, John J Campbell
No abstract text is available yet for this article.
September 2016: Psychosomatics
Mario J Hitschfeld, Terry D Schneekloth, Cassie C Kennedy, Teresa A Rummans, Shehzad K Niazi, Adriana R Vasquez, Jennifer R Geske, Tanya M Petterson, Walter K Kremers, Sheila G Jowsey-Gregoire
BACKGROUND: The United Network for Organ Sharing mandates a psychosocial assessment of transplant candidates before listing. A quantified measure for determining transplant candidacy is the Psychosocial Assessment of Candidates for Transplant (PACT) scale. This instrument's predictive value for survival has not been rigorously evaluated among lung transplantation recipients. METHODS: We reviewed medical records of all patients who underwent lung transplantation at Mayo Clinic, Rochester from 2000-2012...
September 2016: Psychosomatics
Jessica A Gold, Yelizaveta Sher, José R Maldonado
BACKGROUND: Frontal lobe epilepsy (FLE) can masquerade as a primary psychiatric condition, be misdiagnosed in-lieu of a true psychiatric disorder, or may be comorbid with psychiatric illness. OBJECTIVES: To (1) qualitatively review psychiatric manifestations of FLE and (2) to systematically review the cases/case series of psychiatric manifestations of FLE presented in the literature to date. METHODS: A systematic review of the literature was performed following the PRISMA guidelines and using PubMed/Medline, PsychInfo, and Cochrane database of systematic reviews to identify cases and case series of psychiatric manifestations of FLE...
September 2016: Psychosomatics
Thomas H McCoy, Leslie Snapper, Theodore A Stern, Roy H Perlis
BACKGROUND: Delirium is an acute neuropsychiatric syndrome that portends poor prognosis and represents a significant burden to the health care system. Although detection allows for efficacious treatment, the diagnosis is frequently overlooked. This underdiagnosis makes delirium an appealing target for translational predictive algorithmic modeling; however, such approaches require accurate identification in clinical training datasets. METHODS: Using the Massachusetts All-Payers Claims Database, encompassing health claims for Massachusetts residents for 2012, we calculated the rate of delirium diagnosis in index hospitalizations by reported ICD-9 diagnosis code...
September 2016: Psychosomatics
Peter Mulders, Vicky van Duijnhoven, Arnt Schellekens
No abstract text is available yet for this article.
September 2016: Psychosomatics
James Armontrout, David Gitlin, Thomas Gutheil
BACKGROUND: Previous research in the area of medical decision-making capacity has demonstrated relatively poor agreement between experienced evaluators in "gray area" cases. We performed a survey to determine the level of agreement about gray area decision-making capacity case scenarios within and between individuals of different professional backgrounds. METHOD: Participants received a survey consisting of 3 complicated decision-making capacity vignettes with an accompanying "yes/no" question regarding capacity and a certainty scale for each vignette...
September 2016: Psychosomatics
Xiaohong Chen, Lin Lu
BACKGROUND: Diabetic retinopathy (DR) is the most common microvascular complication of diabetes and one of the main causes of irreversible vision impairment in the working-age population. Multiple studies have demonstrated the significantly high prevalence of depression in patients with DR in recent years. The progression of DR could lead to depression, whereas depressive symptoms often worsen the condition of DR. Therefore, DR is one of the causes of psychosomatic diseases, the treatment for which should combine traditional DR therapy with depression interventions...
September 2016: Psychosomatics
Sarah L Laughon, Nathaniel A Sowa, Gary J Gala
No abstract text is available yet for this article.
September 2016: Psychosomatics
Lisa Renee Miller-Matero, Kelly Bryce, Maren E Hyde-Nolan, Kate Elizabeth Dykhuis, Anne Eshelman, Marwan Abouljoud
BACKGROUND: It is hypothesized that limited health literacy affects outcomes for patients referred for transplant; however, research has not examined this for all types of end-stage organ disease. OBJECTIVE: The purpose of this study was to determine whether health literacy and cognitive impairment were related to listing for transplant and posttransplant outcomes. METHODS: Chart reviews were conducted on 398 patients who completed a required psychiatric evaluation before transplant listing...
September 2016: Psychosomatics
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