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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
R Gregory Lande, Jack Pierce
No abstract text is available yet for this article.
October 12, 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
Brendon Stubbs, Ai Koyanagi, Trevor Thompson, Nicola Veronese, Andre F Carvalho, Marco Solomi, James Mugisha, Patricia Schofield, Theodore Cosco, Nicky Wilson, Davy Vancampfort
BACKGROUND: Back pain (BP) is a leading cause of global disability. However, population-based studies investigating its impact on mental health outcomes are lacking, particularly among low- and middle-income countries (LMICs). Thus, the primary aims of this study were to: (1) determine the epidemiology of BP in 43 LMICs; (2) explore the relationship between BP and mental health (depression spectrum, psychosis spectrum, anxiety, sleep disturbances and stress). METHODS: Data on 190,593 community-dwelling adults aged ≥18 years from the World Health Survey (WHS) 2002-2004 were analyzed...
November 2016: General Hospital Psychiatry
Namkee G Choi, Diana M DiNitto, C Nathan Marti, Mark E Kunik
OBJECTIVE: This study examined age group differences in the rates of depression diagnosis and treatment using a national probability sample. METHODS: Using data from the 2012 National Ambulatory Medical Care Survey (n=62,723 visits by patients aged 18+ years), we used bivariate and multivariable binary logistic regression analyses to test age group differences in antidepressant medication (ADM) and psychotherapy prescribed/ordered or provided at visits during which depression was diagnosed...
November 2016: General Hospital Psychiatry
Joseph M Currier, Ryon C McDermott, Brook M Sims
OBJECTIVES: This study examined patterns of professional and nontraditional help-seeking in a national sample of veterans from 57 colleges/universities and demographically matched students from the same institutions who had not served in the US Armed Forces. METHODS: In total, 945 veterans and 2835 demographically matched nonveteran students from the same 4-year institutions completed assessments of help-seeking intentions and behaviors from professional, religious and informal sources in the Healthy Minds Study between 2011 and 2015...
November 2016: General Hospital Psychiatry
Katherine J Gold, Louise B Andrew, Edward B Goldman, Thomas L Schwenk
INTRODUCTION: Physicians have high rates of suicide and depression. Most state medical boards require disclosure of mental health problems on physician licensing applications, which has been theorized to increase stigma about mental health and prevent help-seeking among physicians. METHODS: We surveyed a convenience sample of female physician-parents on a closed Facebook group. The anonymous 24-question survey asked about mental health history and treatment, perceptions of stigma, opinions about state licensing questions on mental health, and personal experiences with reporting...
November 2016: General Hospital Psychiatry
Gurpreet Rekhi, Toe Toe Khyne, Jimmy Lee
OBJECTIVE: This study aims to describe the cardiovascular risk profile of Asian patients with schizophrenia. METHODS: Data was extracted from the databases of 139 patients with schizophrenia and 206 controls from two previous studies conducted at the Institute for Mental Health (IMH), Singapore. Their medical and smoking histories were obtained, and anthropometric parameters measured. Framingham risk score (FRS) calculator using body mass index was used to compute the 10-year cardiovascular disease risk (FRSBMI) and the vascular age (VABMI) for each participant...
November 2016: General Hospital Psychiatry
Carrie J Nobles, Sarah E Valentine, Monica W Gerber, Derri L Shtasel, Luana Marques
OBJECTIVE: Posttraumatic stress disorder (PTSD) is a chronic psychiatric condition associated with significant disability that often remains untreated. Sociodemographic and family-level factors may serve as predictors of unmet treatment need, identifying groups that would most benefit from policies aimed at increasing access to the mental health care system. METHOD: Data from the nationally representative Collaborative Psychiatric Epidemiologic Surveys were used to identify predictors of mental health treatment utilization, both with a mental health specialist and with a general health practitioner, and self-reported unmet treatment need among individuals who endorsed past-year PTSD...
November 2016: General Hospital Psychiatry
Yi-Ju Pan, Ling-Ling Yeh, Yu-Chun Chen, Hung-Yu Chan
OBJECTIVE: Whether the early treatment pattern in people with bipolar disorder (BD) could influence later mortality remains to be determined. We aimed to explore the potential effects of early hospitalization and number of outpatient clinic visits on the 3-year mortality in patients with newly diagnosed BD. METHOD: Adult participants with newly diagnosed BD were identified in Taiwan's National Health Insurance Research Database in 2008. Survival analyses were performed with this national cohort to examine the associations between the first-year treatment pattern (hospitalization and number of outpatient clinic visits) and mortality over a follow-up period of 3 years (2008-2011)...
November 2016: General Hospital Psychiatry
Sanjeev Sockalingam, Benoit H Mulsant, Maria Mylopoulos
No abstract text is available yet for this article.
November 2016: General Hospital Psychiatry
Sina Nikayin, Anahita Rabiee, Mohamed D Hashem, Minxuan Huang, O Joseph Bienvenu, Alison E Turnbull, Dale M Needham
OBJECTIVES: To evaluate the epidemiology of and postintensive care unit (ICU) interventions for anxiety symptoms after critical illness. METHODS: We searched five databases (1970-2015) to identify studies assessing anxiety symptoms in adult ICU survivors. Data from studies using the most common assessment instrument were meta-analyzed. RESULTS: We identified 27 studies (2880 patients) among 27,334 citations. The Hospital Anxiety and Depression Scale-Anxiety (HADS-A) subscale was the most common instrument (81% of studies)...
November 2016: General Hospital Psychiatry
Rachel A Millstein, Christopher M Celano, Eleanor E Beale, Scott R Beach, Laura Suarez, Arianna M Belcher, James L Januzzi, Jeff C Huffman
OBJECTIVE: This study examined the effects of optimism and gratitude on self-reported health behavior adherence, physical functioning and emotional well-being after an acute coronary syndrome (ACS). METHODS: Among 156 patients, we examined associations between optimism and gratitude measured 2 weeks post-ACS and 6-month outcomes: adherence to medical recommendations, mental and physical health-related quality of life (HRQoL), physical functioning, depressive symptoms and anxiety...
November 2016: General Hospital Psychiatry
Alex J Mitchell, Shahana Hussain, James Leaver, Chandhini Rajan, Andrew Jones, Natasha Malcolm, Tim Coats
OBJECTIVE: Repeated intentional self-harm (SH) is associated with economic costs and increased risk of suicide. Estimates of repetition vary according to method of data capture and are limited by short periods of follow-up observation. Some sources use hospital records and others self-reported SH (SRSH). Our aim was to examine the relationship between SRSH and hospital-verified SH (HVSH) and later repetition of SH (predictive validity). We also aimed to examine whether rates of SH repetition differ between first-time presenters and non-first-time presenters using either definition of SH...
November 2016: General Hospital Psychiatry
Osamah Saeedi, Hasan Ashraf, Marc Malouf, Eric P Slade, Deborah R Medoff, Lan Li, Julie Kreyenbuhl
OBJECTIVE: To compare the prevalence of diagnosed ocular disease and eye disease treatment between Veteran's Administration (VA) patients with and without serious mental illness (SMI). METHODS: Retrospective comparison of diagnosed ocular disease and treatment prevalence among patients with and without diagnosed SMI in fiscal year 2011 in the VA Capitol Health Care System (VISN 5). RESULTS: We identified 6462 VA patients with SMI and 137,933 without SMI...
November 2016: General Hospital Psychiatry
Torunn S Søyseth, May-Brit Lund, Øystein Bjørtuft, Aasta Heldal, Vidar Søyseth, Mary Amanda Dew, Gro Killi Haugstad, Ulrik Fredrik Malt
OBJECTIVE: We sought to investigate type and prevalence of psychiatric disorders and psychological distress in patients being evaluated for lung transplantation. METHODS: One hundred eighteen patients were assessed [74% with chronic obstructive pulmonary disease (COPD)] with the MINI Neuropsychiatric Interview, the General Health Questionnaire (GHQ), and Hospital Anxiety Depression Scale (HADS). Spirometry and the 6-min walk test (6MWT) assessed lung function with data subject to multivariate regression analyses...
September 2016: General Hospital Psychiatry
Marisa Toups, Thomas Carmody, Madhukar H Trivedi, A John Rush, S Susan Hedayati
OBJECTIVE: Because there is overlap between somatic symptoms of depression and symptoms of chronic kidney disease (CKD), it is unclear if self-reported depression rating scales can be used accurately in predialysis CKD patients, especially if CKD and other comorbidities are symptomatic. We assessed the performance of two depression scales - the Beck Depression Inventory (BDI) and the Quick Inventory of Depression Symptomatology (QIDS-SR16) - by CKD stage, diagnosis of diabetes and total medical comorbidity burden - using item response theory (IRT) in a sample of 272 predialysis CKD patients...
September 2016: General Hospital Psychiatry
Jer-Hwa Hsu, I-Chia Chien, Ching-Heng Lin
OBJECTIVE: This study aimed to investigate the prevalence and incidence of chronic liver disease in patients with bipolar disorder. METHODS: We used a random sample of 766,427 subjects aged ≥18 years from the National Health Research Institute database in the year 2005. Subjects with at least one primary diagnosis of bipolar disorder in 2005 were identified. Patients with a primary or secondary diagnosis of chronic liver disease were also defined. We compared the prevalence and associated factors of chronic liver disease between patients with bipolar disorder and the general population in 2005...
September 2016: General Hospital Psychiatry
Mytra Haerizadeh, Nathalie Moise, Bernard P Chang, Donald Edmondson, Ian M Kronish
OBJECTIVE: Depression may adversely affect health outcomes by influencing doctor-patient communication. We aimed to determine the association between depressive symptoms and doctor-patient communication among patients presenting to the emergency department (ED) with a suspected acute coronary syndrome (ACS). METHOD: We enrolled a consecutive sample of 500 patients evaluated for ACS symptoms from the ED of an urban medical center. Depressive symptoms (8-item Patient Health Questionnaire, PHQ-8) and doctor-patient communication in the ED (Interpersonal Processes of Care) were assessed during hospitalization...
September 2016: General Hospital Psychiatry
Daniel J Paulus, Jafar Bakhshaie, Monica Garza, Melissa Ochoa-Perez, Nubia Angelina Mayorga, Daniel Bogiaizian, Zuzuky Robles, Qian Lu, Joseph Ditre, Kevin Vowles, Norman B Schmidt, Michael J Zvolensky
BACKGROUND: Although pain severity is often related to poorer mental health and is one of the most common presenting complaints in community health care settings, there is little understanding of the pain experience in relation to anxiety/depressive symptoms and disorders among Latino populations in medical contexts. METHOD: To address this gap, the current study explored an interactive model of pain severity and emotion dysregulation in relation to anxiety/depressive symptoms and psychopathology among 274 Latinos who attended a community-based primary health care clinic [86...
September 2016: General Hospital Psychiatry
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