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General Hospital Psychiatry

Roberto Sánchez-González, Amanda Rodríguez-Urrutia, Eila Monteagudo-Gimeno, Eduard Vieta, Víctor Pérez-Solá, Sandra Herranz-Villanueva, Luis Pintor-Pérez
No abstract text is available yet for this article.
August 10, 2018: General Hospital Psychiatry
Alexander J Millner, Michael D Lee, Kelly Hoyt, Joshua W Buckholtz, Randy P Auerbach, Matthew K Nock
OBJECTIVE: For over 100 years impulsiveness has been cited as a key factor in why some people that think about killing themselves go on to attempt suicide. Yet prior studies are limited by not using experimental groups that can test this hypothesis and by treating impulsiveness as a unidimensional construct. To overcome these limitations, we compared suicide ideators and suicide attempters on several dimensions of impulsiveness. METHOD: In Study 1 we compared inpatient suicide attempters who made an attempt within the prior two weeks (n = 30), current inpatient suicide ideators (n = 31), and community controls (n = 34) on several dimensions of impulsiveness using self-report and behavioral measures...
August 4, 2018: General Hospital Psychiatry
Eleonora M Guzmán, Katherine M Tezanos, Bernard P Chang, Christine B Cha
OBJECTIVE: The emergency department (ED) offers a critical and unique opportunity to assess and intervene on suicide risk. Despite its potential benefits, the ED setting presents several potential sources of stress. The present paper calls attention to how suicidal patients may be especially vulnerable to stressful ED experiences. METHOD: This research synthesis cites the growing literature on ED-related stressors, as they have been shown to affect both psychiatric and nonpsychiatric patient populations...
July 22, 2018: General Hospital Psychiatry
Valentina Ivezaj, Rachel D Barnes, Zafra Cooper, Carlos M Grilo
OBJECTIVE: To characterize loss-of-control eating following sleeve gastrectomy surgery by comparing relevant patient groups. METHOD: Participants were 431 adults seeking treatment for eating/weight concerns categorized into one of four groups: 1) overweight/obesity (OW/OB), 2) binge-eating disorder (BED), 3) "Bariatric Binge-Eating Disorder" (Bar-BED) defined as meeting all criteria for DSM-5 binge-eating disorder, except for the requirement of an unusually large amount of food, following sleeve gastrectomy surgery, and 4) "Bariatric Loss-of-Control Eating" (Bar-LOC Only), defined as experiencing at least once weekly loss-of-control eating episodes during the past month without the other associated clinical features and distress that characterize Bar-BED, following sleeve gastrectomy surgery...
July 17, 2018: General Hospital Psychiatry
Rebecca K Sripada, Paul N Pfeiffer, Sheila A M Rauch, Dara Ganoczy, Kipling M Bohnert
OBJECTIVES: The VA has mandated that evidence-based psychotherapies (EBPs) be offered to patients with PTSD, but only a small minority of the psychotherapy delivered to VA patients with PTSD is a documented EBP. It is unknown what factors are associated with receiving a documented EBP. METHOD: Patients who received an EBP in FY2015 that was documented using a templated progress note (N = 21,808) were compared with patients who received psychotherapy for PTSD that was not documented using a template (N = 251,886)...
July 11, 2018: General Hospital Psychiatry
S Rodenburg-Vandenbussche, I V E Carlier, I M van Vliet, A M van Hemert, A M Stiggelbout, F G Zitman
OBJECTIVE: To investigate treatment selection in a naturalistic sample of MDD outpatients and the factors influencing treatment selection in specialized psychiatric care. METHOD: Multinomial Logistic Regression analysis investigated associations between treatment selection and patients' sociodemographic and clinical characteristics, using retrospective chart review data and Routine Outcome Monitoring (ROM) data of MDD outpatients. RESULTS: Of the patients included for analyses (N = 263), 34% received psychotherapy, 32% received an antidepressant (AD) and 35% received a combination...
June 27, 2018: General Hospital Psychiatry
Paul S Nestadt, Patrick Triplett, Ramin Mojtabai, Alan L Berman
No abstract text is available yet for this article.
June 25, 2018: General Hospital Psychiatry
Craig N Sawchuk, Julia R Craner, Summer L Berg, Kileen Smyth, John Mack, Melissa Glader, Lisa Burke, Sean Haggerty, Marcia Johnson, Stephanie Miller, Sara Sedivy, Denise Morcomb, Dagoberto Heredia, Mark W Williams, David J Katzelnick
OBJECTIVE: Although anxiety, mood, and adjustment disorders are commonly treated in primary care, little evidence exists regarding psychotherapy outcomes within this setting. The primary objective of this study was to describe outcomes of a large-scale primary care psychotherapy program. METHODS: Patients (N = 2772) participated in cognitive behavioral therapy (CBT) as part of a multi-site primary care program. A tracking system was utilized to collect data on demographics, diagnoses, course of care, anxiety and depressive symptoms, and frequencies of psychotherapy principles used over the course of primary care CBT...
June 24, 2018: General Hospital Psychiatry
Wei Du, Matt Luther, Jane Desborough, Mark Rogalewicz, Nicholas Glasgow
OBJECTIVE: Psychosocial interventions demonstrate benefits during care for self-harm patients, however their adoption in hospital care remain largely unknown. This study aimed to evaluate the variation in and factors associated with psychosocial intervention use when treating self-harm patients at New South Wales (NSW) public hospitals. METHOD: We used the all-inclusive NSW Admitted Patient Data from July 2001 to June 2014. The primary outcome was receipt of hospital based psychosocial intervention...
June 12, 2018: General Hospital Psychiatry
Nicholas D Lawson, J Wesley Boyd
No abstract text is available yet for this article.
June 9, 2018: General Hospital Psychiatry
Ruth Ann Marrie, Randy Walld, James M Bolton, Jitender Sareen, Scott B Patten, Alexander Singer, Lisa M Lix, Carol A Hitchon, Renée El-Gabalawy, Alan Katz, John D Fisk, Charles N Bernstein
OBJECTIVE: We determined the association between any common mental disorder (CMD: depression, anxiety disorder, bipolar disorder) and mortality and suicide 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 administrative data, we identified 28,384 IMID cases (IBD: 8695; MS: 5496; RA: 14,503) and 141,672 matched controls...
June 7, 2018: General Hospital Psychiatry
Marlene P Freeman, Lina Góez-Mogollón, Kathryn A McInerney, Abigail C Davies, Taylor R Church, Alexandra Z Sosinsky, Olivia B Noe, Adele C Viguera, Lee S Cohen
OBJECTIVE: The goal of this analysis was to examine the effect of benzodiazepine use during pregnancy on maternal and neonatal outcomes in a cohort of women with psychiatric disorders. METHODS: 794 evaluable women from the Massachusetts General Hospital National Pregnancy Registry for Psychiatric Medications were followed across pregnancy (N = 144 exposed to benzodiazepines and N = 650 unexposed). Data obtained through maternal report and medical records included maternal outcomes (cesarean section, preeclampsia) and neonatal outcomes (birth weight, breathing difficulty, feeding difficulty, head circumference, 5-minute Apgar score, muscular and/or extrapyramidal symptoms, NICU admission, prematurity)...
May 29, 2018: General Hospital Psychiatry
Jiuping Xu, Yan Wang, Wanjie Tang
OBJECTIVE: This study aimed to estimate the prevalence and risk factors of probable posttraumatic stress disorder (PTSD) among adolescent survivors of the 2013 Lushan earthquake. METHODS: A cross-sectional survey was conducted in the Longmenshan thrust fault area at three years after the 2013 earthquake in Lushan, China. Most respondents (60.8%) had also been exposed to the 2008 Wenchuan earthquake. Probable PTSD was identified based on the Children's Revised Impact of Event Scale (CRIES-13), the Adolescent Self-Rating Life Events Checklist and Earthquake Experience Scale...
May 27, 2018: General Hospital Psychiatry
Min Zhang, Ling Liu, Yunke Shi, Yanfei Yang, Xiaoju Yu, Peter Angerer, Tage S Kristensen, Jian Li
OBJECTIVE: To investigate longitudinal associations of burnout with heart rate variability (HRV) in patients after their first events of acute coronary syndrome (ACS). METHODS: In total, two hundred eight patients participated in this one-year follow-up study. On the day before discharge, their personal burnout level was assessed by the Copenhagen Burnout Inventory. HRV signals were collected at four time points: the day before discharge, one month, six month and one year after discharge...
May 25, 2018: General Hospital Psychiatry
Deanna R Zhu, Jacob Julian, Sung J A Lee, Anusorn Thanataveerat, Jennifer A Sumner
OBJECTIVE: Prior posttraumatic stress disorder (PTSD) and elevated threat perceptions predict posttraumatic psychopathology after evaluation for acute coronary syndrome (ACS), but most research has measured threat retrospectively. We investigated how threat perceptions during ACS evaluation in the emergency department (ED) and upon recall were associated with posttraumatic psychopathology burden due to prior trauma and the suspected ACS. METHODS: Perceived threat was assessed in the ED, and ED threat recall was assessed upon inpatient transfer/discharge, along with acute stress disorder (ASD) symptoms due to suspected ACS and PTSD symptoms due to prior trauma...
July 2018: General Hospital Psychiatry
R B Katz, M Toprak, S T Wilkinson, G Sanacora, R Ostroff
No abstract text is available yet for this article.
May 22, 2018: General Hospital Psychiatry
Brendon Stubbs, Davy Vancampfort, Trevor Thompson, Nicola Veronese, Andre F Carvalho, Marco Solmi, James Mugisha, Patricia Schofield, A Matthew Prina, Lee Smith, Ai Koyanagi
OBJECTIVE: Pain and sleep disturbances are widespread, and are an important cause of a reduced quality of life. Despite this, there is a paucity of multinational population data assessing the association between pain and sleep problems, particularly among low- and middle-income countries (LMICs). Therefore, we investigated the relationship between pain and severe sleep disturbance across 45 LMICs. METHOD: Community-based data on 240,820 people recruited via the World Health Survey were analyzed...
May 22, 2018: General Hospital Psychiatry
Linda A Dimeff, David A Jobes, Samantha A Chalker, Brian M Piehl, Leticia Lobo Duvivier, Benjamin C Lok, Mohan S Zalake, Julie Chung, Kelly Koerner
No abstract text is available yet for this article.
May 20, 2018: General Hospital Psychiatry
Lye Poh Aaron Ang
No abstract text is available yet for this article.
May 17, 2018: General Hospital Psychiatry
Danny Horesh, Malka Nukrian, Yael Bialik
OBJECTIVES: Pregnancy loss (PL) can be a very difficult experience. However, the evidence regarding the prevalence and correlates of psychopathology following PL is inconsistent at best. The present study aimed to assess the prevalence of Post-Traumatic Stress Disorder (PTSD) and Major Depressive Disorder (MDD) following PL, and their differential predictors. METHODS: Participants were 97 women, ages 23-47, who have experienced PL starting from the 2nd trimester...
May 16, 2018: General Hospital Psychiatry
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