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General Hospital Psychiatry

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https://www.readbyqxmd.com/read/28625704/mental-health-consequences-of-exercise-withdrawal-a-systematic-review
#1
REVIEW
Ali A Weinstein, Christine Koehmstedt, Willem J Kop
OBJECTIVE: A sedentary lifestyle has been associated with mental health disorders. Many medical conditions result in the cessation of exercise, which may increase the risk of developing mental health problems. The purpose of this article is to systematically review the literature examining the effects of exercise withdrawal on mental health. METHOD: Literature was searched using PubMed, PsycINFO, and SPORTdiscus for studies that experimentally manipulated the withdrawal of exercise and included mental health as outcome measure...
June 6, 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28583700/how-changes-in-physical-activity-relate-to-fatigue-interference-mood-and-quality-of-life-during-treatment-for-non-metastatic-breast-cancer
#2
Hannah M Fisher, Jamie M Jacobs, Chloe J Taub, Suzanne C Lechner, John E Lewis, Charles S Carver, Bonnie B Blomberg, Michael H Antoni
OBJECTIVE: Physical activity (PA) following surgery for breast cancer may improve depressive symptoms and quality of life (QoL) via reduction in fatigue-related daily interference (FRDI). Less is known about how change in PA may relate to these psychosocial factors throughout the course of treatment. In a secondary analysis of a previous psychosocial intervention trial, we examined relationships between change in PA, depressive symptoms, and functional QoL, as mediated by change in FRDI, and whether naturally occurring change in PA provided benefit independent of the intervention...
May 29, 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28545762/authors-response-to-the-comments-on-prevalence-and-risk-factors-for-postoperative-delirium-in-joint-arthroplasty-patients-a-prospective-study
#3
LETTER
Lei Zhang
No abstract text is available yet for this article.
May 17, 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28499462/a-stressful-work-environment-is-associated-with-tinnitus-initial-evidence-from-asia
#4
LETTER
Jian Li, Orawan Kaewboonchoo, Yueying Jiang, Siripan Naknoi, Adrian Loerbroks
No abstract text is available yet for this article.
April 26, 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622823/does-behavioral-health-integration-improve-primary-care-providers-perceptions-of-health-care-system-functioning-and-their-own-knowledge
#5
Leah Zallman, Robert Joseph, Colleen O'Brien, Emily Benedetto, Ellie Grossman, Lisa Arsenault, Assaad Sayah
OBJECTIVE: To examine the impact of behavioral health integration (BHI) on primary care providers' (PCPs') (1) perceptions of behavioral health (BH)-primary care (PC) system functioning and (2) perceptions of their own knowledge regarding how to manage, triage, and access help in caring for patients with mental health conditions and substance use disorders. METHODS: We implemented BHI based on evidence-based models consisting of seven elements: (1)Screening for mental health and substance use disorders, (2)Training of PC teams, (3)Integration of BH providers into PC teams, (4)Roll-out of unlicensed mental health care managers and establishment of a BH registry, (5)Psychiatry consult service, (6)Site-based BHI meetings, and (7)Site self assessments...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622822/the-high-price-of-depression-family-members-health-conditions-and-health-care-costs
#6
G Thomas Ray, Constance M Weisner, Cosette J Taillac, Cynthia I Campbell
OBJECTIVE: To compare the health conditions and health care costs of family members of patients diagnosed with a Major Depressive Disorder (MDD) to family members of patients without an MDD diagnosis. METHODS: Using electronic health record data, we identified family members (n=201,914) of adult index patients (n=92,399) diagnosed with MDD between 2009 and 2014 and family members (n=187,011) of matched patients without MDD. Diagnoses, health care utilization and costs were extracted for each family member...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622821/the-therapeutic-discharge-an-approach-to-dealing-with-deceptive-patients
#7
John B Taylor, Scott R Beach, Nicholas Kontos
OBJECTIVE: Patients with factitious disorder or malingering behaviors pose particular problems in acute care settings. We sought to describe a manner to effectively discharge these patients and keep further harm, iatrogenic or otherwise, from being inflicted. METHOD: Once an indication has been identified, the therapeutic discharge can be carried out in a stepwise fashion, resulting in a safe discharge. We outlined how to prepare for, and execute, the therapeutic discharge, along with preemptive consideration of complications that may arise...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622820/diabetes-quality-of-care-and-outcomes-comparison-of-individuals-with-and-without-schizophrenia
#8
Paul Kurdyak, Simone Vigod, Raquel Duchen, Binu Jacob, Thérèse Stukel, Tara Kiran
OBJECTIVE: Individuals with schizophrenia are more likely to develop diabetes than individuals without schizophrenia. The objective of this study was to determine the quality of diabetes care and diabetes-related health outcomes among individuals with and without schizophrenia. METHOD: We conducted a retrospective cohort study. As of April 1, 2011, we identified all individuals with diabetes in Ontario with and without a diagnosis of schizophrenia. The main outcomes were quality of diabetes care (guideline-concordant testing for HbA1c, lipid testing, eye exams) and diabetes-related Emergency Department (ED) visits and hospitalizations between April 1, 2011 and March 31, 2013...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622819/systematic-and-organizational-issues-implicated-in-post-hospitalization-suicides-of-medically-hospitalized-patients-a-study-of-root-cause-analysis-reports
#9
Natalie Riblet, Brian Shiner, Peter Mills, Brett Rusch, Robin Hemphill, Bradley V Watts
OBJECTIVE: Medical hospitalization is a high risk period for suicide. It is important to understand system-level factors that may be associated with suicide after a medical hospitalization. METHOD: Retrospective study of root-cause analysis (RCA) reports of suicide occurring within three months of Veterans Administration (VA) medical hospitalization, 2002-2015. We collected patient and system-level factors to characterize events. RESULTS: There were 96 RCA reports pertaining to suicide within three months of medical hospitalization...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622818/use-of-a-smartphone-application-to-screen-for-depression-and-suicide-in-south-korea
#10
Seung-Ho Jang, Young Sup Woo, Jeong-Wan Hong, Bo-Hyun Yoon, Tae-Yeon Hwang, Moon-Doo Kim, Sang-Yeol Lee, Won-Myong Bahk
OBJECTIVE: This is a cross-sectional study using a free depression and suicide screening smartphone application, which contains the data from the Center for Epidemiological Studies-Depression (CES-D) and a Suicide Behaviors Questionnaire-Revised (SBQ-R). METHOD: The free application was downloaded worldwide from Apple's App Store and Android Market, and the participants who downloaded the application were actively measured. RESULTS: The subjects totaled 208,683 men and women...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622817/prevalence-and-risk-factors-for-postoperative-delirium-in-total-joint-arthroplasty-patients-a-prospective-study
#11
Wenliang Chen, Xiurong Ke, Xiaoqing Wang, Xiaoliang Sun, Juncheng Wang, Guojing Yang, Haijie Xia, Lei Zhang
BACKGROUND: The aim of this prospective study was to investigate the incidence and clinical features of delirium after total joint arthroplasty, and to establish the potential risk factors for postoperative delirium. METHODS: A total of 212 consecutive patients undergoing hip or knee arthroplasty, who met the inclusion and exclusive criteria were enrolled. The general characteristics, preoperative and postoperative hematological variables were documented respectively...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622816/the-association-between-posttraumatic-stress-symptoms-depression-and-length-of-hospital-stay-following-traumatic-injury
#12
Erin Sullivan, Jordin Shelley, Evan Rainey, Monica Bennett, Purvi Prajapati, Mark B Powers, Michael Foreman, Ann Marie Warren
OBJECTIVE: The present study examined the relationship between posttraumatic stress symptoms (PTSS) and depression symptoms with hospital outcome measures to explore how psychiatric factors relate to hospital length of stay (LOS). METHOD: Participants were adults admitted to a large Level I Trauma Center for longer than 24h. Depression was assessed at hospitalization using the Patient Health Questionnaire (PHQ-8), and PTSS was measured by the Primary Care PTSD Screen (PC-PTSD)...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622815/effects-of-a-brief-ed-based-alcohol-and-violence-intervention-on-depressive-symptoms
#13
Megan L Ranney, Jason Goldstick, Andria Eisman, Patrick M Carter, Maureen Walton, Rebecca M Cunningham
OBJECTIVE: Depressive symptoms frequently co-exist in adolescents with alcohol use and peer violence. This paper's purpose was to examine the secondary effects of a brief alcohol-and-violence-focused ED intervention on depressive symptoms. METHOD: Adolescents (ages 14-18) presenting to an ED for any reason, reporting past year alcohol use and aggression, were enrolled in a randomized control trial (control, therapist-delivered brief intervention [TBI], or computer-delivered brief intervention [CBI])...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622814/identifying-treating-and-advocating-for-human-trafficking-victims-a-key-role-for-psychiatric-inpatient-units
#14
EDITORIAL
Phuong T Nguyen, John H Coverdale, Mollie R Gordon
No abstract text is available yet for this article.
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622813/evaluation-of-drug-use-and-medication-compliance-in-adolescents-admitted-to-a-psychiatric-facility-from-the-pediatric-emergency-department
#15
George Sam Wang, Genie Roosevelt, Amy Becker, Lina Brou, Jeffrey L Galinkin
OBJECTIVES: Knowledge of drug use and medication compliance during mental health evaluation can help guide evaluation and treatment. The objective was to evaluate drug use and medication compliance in a pediatric emergency department (PED) psychiatric population by comparing medical history, standard urine drug screen (EIA), and expanded urine drug screen (HPLC-MS/MS). METHODS: A prospective cohort study of admitted psychiatric patients ≥13years and ≤18years in a tertiary-care children's hospital psychiatric ED from January 31, 2013 through April 16, 2014...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622812/clozapine-induced-gastrointestinal-hypomotility-a-potentially-life-threatening-adverse-event-a-review-of-the-literature
#16
REVIEW
Stephen West, David Rowbotham, Glen Xiong, Chris Kenedi
OBJECTIVE: The haematological and cardiac complications of clozapine have been well documented. Recent evidence from pharmacovigilance databases suggests that gastrointestinal (GI) complications are the leading cause of clozapine related deaths. This review aims to describe clinical features along with preventative and treatment options. METHOD: A review of MEDLINE via PubMed searching for all articles published up to February of 2016. Inclusion criteria were articles that provided clinical or epidemiological information relating to the diagnosis, outcome, management or pathophysiology of clozapine related gastrointestinal disorders in humans...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622811/development-and-preliminary-performance-of-a-risk-factor-screen-to-predict-posttraumatic-psychological-disorder-after-trauma-exposure
#17
Eve B Carlson, Patrick A Palmieri, David A Spain
OBJECTIVE: We examined data from a prospective study of risk factors that increase vulnerability or resilience, exacerbate distress, or foster recovery to determine whether risk factors accurately predict which individuals will later have high posttraumatic (PT) symptom levels and whether brief measures of risk factors also accurately predict later symptom elevations. METHOD: Using data from 129 adults exposed to traumatic injury of self or a loved one, we conducted receiver operating characteristic (ROC) analyses of 14 risk factors assessed by full-length measures, determined optimal cutoff scores, and calculated predictive performance for the nine that were most predictive...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622810/exploratory-examination-of-the-utility-of-demoralization-as-a-diagnostic-specifier-for-adjustment-disorder-and-major-depression
#18
D W Kissane, I Bobevski, P Gaitanis, J Brooker, N Michael, C Lethborg, G Richardson, P Webster, C Hempton
OBJECTIVE: Demoralization, a state of lowered morale and poor coping, has a prevalence of 13-18% among patients with advanced cancer. We surveyed clinicians' perspectives of the utility of "with demoralization" as a diagnostic specifier for adjustment and depressive disorders. METHOD: Using comparative clinical vignettes in a field survey, clinicians from a range of disciplines were asked their perception of the utility of diagnosis and treatment options. Response frequencies were compared using Cochran's Q and McNemar's tests, with sensitivity and specificity rated against expert rankings of diagnosis...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622809/racial-and-ethnic-differences-in-mental-healthcare-utilization-consistent-with-potentially-effective-care-the-role-of-patient-preferences
#19
Anika L Hines, Lisa A Cooper, Leiyu Shi
OBJECTIVE: Ethnic minorities are less likely than Whites to initiate and continue mental healthcare. Minorities also prefer non-medical approaches to address mental health issues. We evaluated sector-type as a modifier of the association of race/ethnicity with service utilization for mental health. We hypothesized that minorities utilize non-mental health sectors at rates consistent with guidelines and similar to Whites. METHODS: We examined data from the Collaborative Psychiatric Epidemiologic Studies (CPES) (n=3803)...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622808/characterizing-and-predicting-rates-of-delirium-across-general-hospital-settings
#20
Thomas H McCoy, Kamber L Hart, Roy H Perlis
OBJECTIVE: To better understand variation in reported rates of delirium, this study characterized delirium occurrence rate by department of service and primary admitting diagnosis. METHOD: Nine consecutive years (2005-2013) of general hospital admissions (N=831,348) were identified across two academic medical centers using electronic health records. The primary admitting diagnosis and the treating clinical department were used to calculate occurrence rates of a previously published delirium definition composed of billing codes and natural language processing of discharge summaries...
May 2017: General Hospital Psychiatry
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