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General Hospital Psychiatry

Curt Dill, Arnaldo Gonzalez-Aviles
No abstract text is available yet for this article.
January 26, 2017: General Hospital Psychiatry
Colin A Ross, Caitlin Goode, Elizabeth Schroeder
No abstract text is available yet for this article.
January 17, 2017: General Hospital Psychiatry
Navratan Suthar, Naresh Nebhinani
No abstract text is available yet for this article.
December 9, 2016: General Hospital Psychiatry
Stephanie V Ng, Robert A Rosenheck
No abstract text is available yet for this article.
January 2017: General Hospital Psychiatry
Karin A M Janssens, Jan H Houtveen, Lineke M Tak, Irma J Bonvanie, Anna Scholtalbers, Anne van Gils, Rinie Geenen, Judith G M Rosmalen
OBJECTIVE: The aim of this concept mapping study was to identify the structure and alleged importance of perpetuating factors of functional somatic symptoms (FSS) from the perspective of professionals. Further, we examined to which extent these factors have been addressed in scientific literature. METHODS: Ninety-nine perpetuating factors were sorted with respect to content using a card-sorting task by 61 experienced clinicians (62.3% psychologists, 75.4% female, mean age: 45...
January 2017: General Hospital Psychiatry
Thomas A Veeder, Raphael J Leo
OBJECTIVE: To identify psychiatric diagnoses and psychosocial factors associated with intentional male genital self-mutilation (GSM) of specific injury subtypes. METHODS: A search of MEDLINE, EMBASE, PsycINFO, PubMed, Web of Science and CINAHL for cases of GSM was conducted until December 2015, based on GSM and related terms. Cases were examined for injury subtype, psychiatric diagnosis and psychosocial factors. Chi-square analyses were employed to determine differences in frequency of such factors across injury subtypes...
January 2017: General Hospital Psychiatry
Esra Aydin Sunbul, Murat Sunbul, Huseyin Gulec
BACKGROUND: Depression is an independent risk factor in cardiovascular diseases. Changes in the cardiac autonomic functions and pro-inflammatory processes are potential biological factors. Endothelial dysfunction plays an important role in the etiopathogenesis of atherosclerosis. Our objective was to evaluate the impact of major depression on heart rate variability and endothelial dysfunction in patients with stable CAD. METHODS: The study group included 65 CAD patients with a diagnosis of major depression and 54 CAD patients without major depression...
January 2017: General Hospital Psychiatry
Yang Yang, Yu-Zhi Shi, Ning Zhang, Shuo Wang, Gabor S Ungvari, Chee H Ng, Yi-Long Wang, Xing-Quan Zhao, Yong-Jun Wang, Chun-Xue Wang, Yu-Tao Xiang
OBJECTIVE: Few studies on suicidal ideation have been conducted in post-stroke patients in China. This national study examined suicidal ideation at 1-year post-stroke and explored its demographic and clinical correlates. METHODS: A total of 1418 patients with ischemic stroke were included in 56 hospitals nationwide. Demographic, clinical characteristics and neuro-imaging information were collected with standardized instruments, including assessment of stroke severity, depression, cognitive impairment, stroke recurrence, physical disability and insomnia...
January 2017: General Hospital Psychiatry
Andres G Viana, Daniel J Paulus, Jafar Bakhshaie, Monica Garza, Jeanette Valdivieso, Melissa Ochoa-Perez, Chad Lemaire, Jodi Berger Cardoso, Michael J Zvolensky
OBJECTIVE: Research has found that Latinos (versus non-Latino Whites) evince higher rates of posttraumatic stress symptoms (PTS) and posttraumatic stress disorder (PTSD), yet little attention has been given to intra-individual, emotion-related processes to explicate the higher incidence of these symptoms among Latinos. METHOD: Participants included 183 trauma-exposed adult Latinos (88.5% female; Mage=37.7, SD=10.7 and 93.4% reported Spanish as their first language) who attended a community-based primary healthcare clinic in Houston...
January 2017: General Hospital Psychiatry
Frauke Dorothee Weiss, Winfried Rief, Maria Kleinstäuber
OBJECTIVE: Somatoform disorders are characterized by increased health care utilization producing high health costs. The aim of this study was to assess facets of and interdiagnostic differences in health care use in somatoform disorders and to examine health anxiety, symptom-related disability, depression, and phobic anxiety as potential mediating factors of the relationship between somatization and health care use. METHOD: An outpatient sample of N=254 patients with somatoform disorders was investigated by analyzing different facets of their health care use over the last 12months...
January 2017: General Hospital Psychiatry
Michael H Antoni, Jamie M Jacobs, Laura C Bouchard, Suzanne C Lechner, Devika R Jutagir, Lisa M Gudenkauf, Bonnie B Blomberg, Stefan Glück, Charles S Carver
BACKGROUND: Mild to moderate depressive symptoms are common during treatment for non-metastatic breast cancer. The goal of this secondary analysis was to determine if depressive symptoms predict clinical outcomes at long-term follow-up. METHODS: From 1998 to 2005, we interviewed 231 women with the Hamilton Rating Scale for Depression who were participating in a psychosocial study 2-10weeks post-surgery for non-metastatic breast cancer (Stage 0-IIIb). We conducted Kaplan Meier (K-M) curves and Cox proportional hazards (PH) models to examine associations between depressive symptoms, overall survival, and disease-free survival at 8-15-year follow-up...
January 2017: General Hospital Psychiatry
Lydia A Chwastiak, Sara L Jackson, Joan Russo, Pamela DeKeyser, Meghan Kiefer, Brittaney Belyeu, Kathleen Mertens, Lisa Chew, Elizabeth Lin
OBJECTIVE: Demonstrate the feasibility of implementing a collaborative care program for poorly-controlled type 2 diabetes and complex behavioral health disorders in an urban academically-affiliated safety net primary care clinic. METHODS: This retrospective cohort study evaluates multidisciplinary team care approach to diabetes in a safety net clinic, and included 634 primary care clinic patients with hemoglobin A1c (HbA1c)>9%. HbA1c, blood pressure, and depression severity were assessed at the initial visit and at the end of treatment, and compared to those of patients who were not referred to the team...
January 2017: General Hospital Psychiatry
Daniel Shalev, Katherine Brewster, Melissa R Arbuckle, Jon A Levenson
No abstract text is available yet for this article.
January 2017: General Hospital Psychiatry
Karen J Coleman, Sanne Magnan, Claire Neely, Leif Solberg, Arne Beck, Jim Trevis, Carla Heim, Mark Williams, David Katzelnick, Jürgen Unützer, Betsy Pollock, Erin Hafer, Robert Ferguson, Steve Williams
OBJECTIVE: To describe a national effort to disseminate and implement an evidence-based collaborative care management model for patients with both depression and poorly controlled diabetes and/or cardiovascular disease across multiple, real-world diverse clinical practice sites. METHODS: Goals for the initiative were as follows: (1) to improve depression symptoms in 40% of patients, (2) to improve diabetes and hypertension control rates by 20%, (3) to increase provider satisfaction by 20%, (4) to improve patient satisfaction with their care by 20% and (5) to demonstrate cost savings...
January 2017: General Hospital Psychiatry
Rebecca C Rossom, Leif I Solberg, Sanne Magnan, A Lauren Crain, Arne Beck, Karen J Coleman, David Katzelnick, Mark D Williams, Claire Neely, Kris Ohnsorg, Robin Whitebird, Emily Brandenfels, Betsy Pollock, Robert Ferguson, Steve Williams, Jürgen Unützer
OBJECTIVE: The spread of evidence-based care is an important challenge in healthcare. We evaluated spread of an evidence-based large-scale multisite collaborative care model for patients with depression and diabetes and/or cardiovascular disease (COMPASS). METHODS: Primary care patients with depression and comorbid diabetes or cardiovascular disease were recruited. Collaborative care teams used care management tracking systems and systematic case reviews to track and intensify treatment for patients not improving...
January 2017: General Hospital Psychiatry
Karen J Coleman, Tani Hemmila, Mark D Valenti, Nasya Smith, Rachel Quarrell, Lynnice K Ruona, Emily Brandenfels, Barbara Hann, Todd Hinnenkamp, Margarita D Parra, Jeyn Monkman, Sue Vos, Rebecca C Rossom
OBJECTIVE: To understand how care managers implemented COMPASS and if this was related to patient health outcomes. METHODS: A total of 96 COMPASS care managers were approached to participate in the online survey and 93 (97%) provided responses. Correlations were generated between key survey responses and the average number of care management contacts, patient depression, blood pressure and glycosylated hemoglobin outcomes. RESULTS: Patients of care managers who reported spending more time on COMPASS-related tasks had higher rates of depression improvement (r=0...
January 2017: General Hospital Psychiatry
Robin R Whitebird, Leif I Solberg, A Lauren Crain, Rebecca C Rossom, Arne Beck, Claire Neely, Mark Dreskin, Karen J Coleman
OBJECTIVE: To describe primary care clinicians' self-reported satisfaction, burnout and barriers for treating complex patients. METHODS: We conducted a survey of 1554 primary care clinicians in 172 primary care clinics in 18 health care systems across 8 states prior to the implementation of a collaborative model of care for patients with depression and diabetes and/or cardiovascular disease. RESULTS: Of the clinicians who responded to the survey (n=709; 46%), we found that a substantial minority (31%) were experiencing burnout that was associated with lower career satisfaction (P<...
January 2017: General Hospital Psychiatry
James R Rundell, Jeff C Huffman
No abstract text is available yet for this article.
January 2017: General Hospital Psychiatry
Jae-Min Kim, Hee-Ju Kang, Kyung-Yeol Bae, Sung-Wan Kim, Il-Seon Shin, Jin-Sang Yoon, Young Joon Hong, Youngkeun Ahn, Myung Ho Jeong
No abstract text is available yet for this article.
November 10, 2016: General Hospital Psychiatry
Constanza Caneo, Louise Marston, Juan Ángel Bellón, Michael King
BACKGROUND: There is evidence that inflammation may play a role in the association between physical illness and depression. Our aim was to compare the impact of chronic medical conditions on incidence of depression and to examine if risk of depression varies in terms of the presence and degree of inflammation. METHODS: This is a secondary analysis conducted within the Spanish sample of the predictD-study. PARTICIPANTS: 5437. PRIMARY OUTCOME: Incident major depression measured with the Composite International Diagnostic Interview...
November 2016: General Hospital Psychiatry
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