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General Hospital Psychiatry

Pascal Jordan, Meike C Shedden-Mora, Bernd Löwe
OBJECTIVE: To obtain predictors of suicidal ideation, which can also be used for an indirect assessment of suicidal ideation (SI). To create a classifier for SI based on variables of the Patient Health Questionnaire (PHQ) and sociodemographic variables, and to obtain an upper bound on the best possible performance of a predictor based on those variables. METHODS: From a consecutive sample of 9025 primary care patients, 6805 eligible patients (60% female; mean age = 51...
February 2, 2018: General Hospital Psychiatry
Carrol Zhou, Thiyake Rajaratnam, Susan Abbey, Raed Hawa, Kathleen Sheehan, Sanjeev Sockalingam
No abstract text is available yet for this article.
February 2, 2018: General Hospital Psychiatry
Johanne L Agger, Per K Fink, Lise K Gormsen, Jens S Jensen, Andreas Schröder
OBJECTIVE: To describe the use of prescription drugs and their association with patient characteristics in patients with multiple functional somatic syndromes (FSS) focusing on drugs generally recommended and not recommended in FSS treatment. METHOD: Using data from a national prescription registry, we describe the drug use during a two-year period for 239 trial participants. Using regression models, we analyse the associations of patient characteristics with the patterns of use of antidepressants, anticonvulsants, opioids and sedatives...
February 2, 2018: General Hospital Psychiatry
Ying-Chuan Hung, Yi-Chieh Lin, Hui-Min Hsieh, Chun-Jen Huang, Herng-Chia Chiu
OBJECTIVE: There has been a growing recognition that obstructive sleep apnea (OSA) could increase the propensity for type 2 diabetes the metabolic syndrome. However, studies concerning about the impact of non-apnea sleep disorders (NSD) on diabetes control and metabolic outcomes are relatively scarce. Our aim is to investigate the impact of non-apnea sleep disorders (NSD) on diabetic control and associated metabolic outcomes in patients with type 2 diabetes. METHODS: The data were obtained from two nationwide population-based databases for a period 2007 to 2012...
January 31, 2018: General Hospital Psychiatry
Rebecca M Saracino, Barry Rosenfeld, Christian J Nelson
OBJECTIVE: The potentially confounding influence of somatic symptoms in identifying depression in medically ill patients has long been of concern, resulting in several proposed alternative diagnostic approaches. These approaches have been compared in the cancer setting, but the strengths and weaknesses of the alternative approaches have rarely been examined. The purpose of the current study was to examine the performance of four approaches to depression assessment among ambulatory cancer patients...
January 31, 2018: General Hospital Psychiatry
Carly Johnco, Brittany B Kugler, Tanya K Murphy, Eric A Storch
OBJECTIVE: This study examined the phenomenology and clinical characteristics of obsessive compulsive symptoms (OCS) in adults diagnosed with Lyme disease. METHOD: Participants were 147 adults aged 18-82 years (M = 43.81, SD = 12.98) who reported having been diagnosed with Lyme disease. Participants were recruited from online support groups for individuals with Lyme disease, and completed an online questionnaire about their experience of OCS, Lyme disease characteristics, and the temporal relationship between these symptoms...
January 31, 2018: General Hospital Psychiatry
Valerie H Taylor, Jennifer Hensel, Mehran Anvari
No abstract text is available yet for this article.
January 31, 2018: General Hospital Psychiatry
Patrick J Smith, Andrew Sherwood, James A Blumenthal
No abstract text is available yet for this article.
January 31, 2018: General Hospital Psychiatry
Ruth Ann Marrie, Randy Walld, James M Bolton, Jitender Sareen, John R Walker, Scott B Patten, Alexander Singer, Lisa M Lix, Carol A Hitchon, Renée El-Gabalawy, Alan Katz, John D Fisk, Charles N Bernstein
OBJECTIVE: We tested the association between physical comorbidity and incident depression, anxiety disorder and bipolar disorder in three immune-mediated inflammatory diseases (IMID): inflammatory bowel disease (IBD), multiple sclerosis (MS) and rheumatoid arthritis (RA) versus age-, sex- and geographically-matched controls. METHODS: Using population-based administrative data we identified 6119 persons with IBD, 3514 persons with MS, 10,206 persons with RA and 97,727 matched controls...
January 11, 2018: General Hospital Psychiatry
Katherine M Iverson, Anneliese E Sorrentino, Scarlett L Bellamy, Alessandra R Grillo, Terri N Haywood, Elina Medvedeva, Christopher B Roberts, Melissa E Dichter
OBJECTIVE: Veterans Health Administration (VHA) has implemented screening for past-year intimate partner violence (IPV) in some healthcare facilities along with secondary screening of risk for severe violence among those screening positive in order to facilitate follow-up care for high-risk patients. We evaluated the adoption, penetration, and effectiveness of secondary screening as a tool to facilitate timely follow-up services. METHODS: Retrospective review of medical records (screening and healthcare use) of 774 women screening positive for past-year IPV (IPV+) at 11 facilities nationwide from April 2014-April 2016...
January 10, 2018: General Hospital Psychiatry
Danielle S Roubinov, Jennifer N Felder, Cassandra Vieten, Kimberly Coleman-Phox, Barbara Laraia, Nancy Adler, Leslie Wilson, Elissa Epel, Nicole R Bush
No abstract text is available yet for this article.
January 4, 2018: General Hospital Psychiatry
Nicholas Kontos, John B Taylor, Scott R Beach
OBJECTIVE: The therapeutic discharge of patients assessed as misrepresenting suicidal ideation, though in the best interests of the patient, physician, and health care system, is an inherently risk-assuming action. The rationale and conduct of the therapeutic discharge has been written on previously. Here, we propose a method of documenting the therapeutic discharge in a way that is useful and teachable. METHOD: After describing some other types of note-writing that can be needed in the care of deceptive patients, we describe an approach to each of the major sections of an initial consultation/encounter note as it applies to the therapeutic discharge...
December 22, 2017: General Hospital Psychiatry
Kathryn L Connor, Joshua Breslau, Molly T Finnerty, Emily Leckman-Westin, Riti Pritam, Hao Yu
OBJECTIVE: To inform providers and policy-makers about the potential costs of providing physical health care in mental health clinics. METHODS: Cost data were collected through interviews with 22 behavioral health clinics participating in New York State Office of Mental Health's health monitoring and health physicals programs. The interview data was combined with financial reporting data provided to the state to identify per interaction costs for two levels of physical health services: health monitoring and health monitoring plus health physicals...
December 20, 2017: General Hospital Psychiatry
Narges Mohammadi, Alireza Aghayousefi, Gholam Reza Nikrahan, Caitlin N Adams, Ahmad Alipour, Masoumeh Sadeghi, Hamidreza Roohafza, Christopher M Celano, Jeff C Huffman
OBJECTIVE: Optimism is prospectively and independently associated with superior cardiac outcomes, but there has been minimal study of optimism-specific interventions in persons with cardiovascular illness. We aimed to examine the feasibility and impact of an optimism-promoting program among patients with heart disease in a randomized controlled trial. METHODS: Participants (N=61) were outpatients, age 35-60, with coronary artery disease who were randomized to an 8-week in-person group-based optimism training intervention or an attention-matched educational control condition...
December 19, 2017: General Hospital Psychiatry
Brian Tong, Oluchi Abosi, Samantha Schmitz, Janie Myers, Gary L Pierce, Jess G Fiedorowicz
BACKGROUND: Individuals with bipolar disorder are at increased risk for adverse cardiovascular disease (CVD) events. This study aimed to assess endothelial function and wave reflection, a risk factor for CVD, as measured by finger plethysmography in bipolar disorder to investigate whether CVD risk was higher in bipolar disorder and altered during acute mood episodes. We hypothesized that EndoPAT would detect a lower reactive hyperemia index (RHI) and higher augmentation index (AIX) in individuals with bipolar disorder compared with controls...
December 19, 2017: General Hospital Psychiatry
Emma E McGinty, Alene Kennedy-Hendricks, Sarah Linden, Seema Choksy, Elizabeth Stone, Gail L Daumit
OBJECTIVE: We conducted a case study examining implementation of Maryland's Medicaid health home program, a unique model for integration of behavioral, somatic, and social services for people with serious mental illness (SMI) in the psychiatric rehabilitation program setting. METHOD: We conducted interviews and surveys with health home leaders (N=72) and front-line staff (N=627) representing 46 of the 48 total health home programs active during the November 2015-December 2016 study period...
December 16, 2017: General Hospital Psychiatry
Alina Wilkowska, Marcin Wojciechowski, Wiesław J Cubała
No abstract text is available yet for this article.
December 13, 2017: General Hospital Psychiatry
Susanne S Pedersen, Christina M Andersen, Johan Denollet, Mirela Habibovic
OBJECTIVE: Patients with an implantable cardioverter defibrillator (ICD) and co-morbid depression are at greater risk of poor quality of life and premature death. We examined if treatment expectations predict depressive symptoms 12months post implant. METHODS: First-time implant patients from the WEBCARE study (n=177; 83.1% men) completed the EXPECTations towards ICD therapy questionnaire and the Type D Scale at baseline, and the Patient Health Questionnaire at baseline and 12months...
December 13, 2017: General Hospital Psychiatry
Kasra Moazzami, Elena V Dolmatova, Mirela Feurdean
OBJECTIVE: Previous studies have shown a possible link between cardiovascular disease (CVD) and suicidal ideation (SI). However, limited information exists regarding the association between different subtypes of CVD and SI and the role of depression. METHODS: Data were used from the National Health and Nutrition Examination Survey for cycles 2009-2010 and 2011-2012. SI was assessed by item 9 of the Patient Health Questionnaire 9. Data regarding sociodemographic factors, and comorbid conditions were collected and examined as potential correlates...
December 12, 2017: General Hospital Psychiatry
Fernanda Lucia Capitanio Baeza, Neusa Sica da Rocha, Marcelo Pio de Almeida Fleck
INTRODUCTION: Readmission into inpatient psychiatric beds is a useful outcome for patients, care providers, and policymakers. This study aims to investigate the role of level of symptoms at discharge and type of post-discharge care in determining readmissions after a year before a psychiatric admission. METHODS: We performed a prospective and observational study in a general hospital psychiatric facility. Patients were assessed at admission, discharge, and one year after discharge...
December 2, 2017: General Hospital Psychiatry
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