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General Hospital Psychiatry

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https://www.readbyqxmd.com/read/29631248/psychosocial-well-being-over-the-two-years-following-cardiac-rehabilitation-initiation-association-with-heart-health-behaviors
#1
Saba Ali, Carolina Santiago de Araújo Pio, Gabriela S S Chaves, Raquel Britto, Robert Cribbie, Sherry L Grace
OBJECTIVE: To track psychosocial well-being over 2 years following cardiac rehabilitation (CR) initiation, and its' association with heart-health behaviors. METHODS: Patients from 3 CR programs were approached at their first visit, and consenters completed a survey. Participants were emailed surveys again 6 months, 1 and 2 years later. Depressive symptoms (PHQ-8) and quality of life were assessed at each point, as were exercise, nutrition, smoking and medication adherence, among other well-being indicators...
March 27, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29621659/suicide-deaths-by-intentional-self-poisoning-in-people-with-cardiovascular-disease
#2
Michael Hawkins, Ayal Schaffer, Mark Sinyor, Yasunori Nishikawa, Nathan Herrmann, Krista L Lanctôt, Rima Styra, Maurizio Pompili, Jeffrey Huffman
OBJECTIVE: We aimed to characterize self-poisoning deaths in people with cardiovascular disease (CVD) and compare to other suicide decedent groups. METHODS: Suicide deaths by self-poisoning in people with CVD (n = 151) were compared to suicide deaths by other methods in people with CVD (n = 260) and suicide deaths by self-poisoning in people without CVD (n = 509). Sub-analysis of the CVD self-poisoning group compared people with depression and without depression...
March 23, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29549820/resiliency-is-independently-associated-with-greater-quality-of-life-among-informal-caregivers-to-neuroscience-intensive-care-unit-patients
#3
Emily L Zale, Tessa J Heinhuis, Tara Tehan, Danielle Salgueiro, Jonathan Rosand, Ana-Maria Vranceanu
OBJECTIVE: Every year, millions of Americans become informal caregivers to loved ones admitted to Neuroscience Intensive Care Units (Neuro-ICU), and face challenges to Quality of Life (QoL). This study sought to identify associations between resiliency, distress, and caregiver QoL at time of Neuro-ICU admission. METHODS: Informal caregivers (N = 79, Mage  = 53, 64% female) of Neuro-ICU patients were recruited and completed self-report questionnaires during the hospitalization...
March 6, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29549821/improving-suicide-risk-assessment-in-the-emergency-department-through-physician-education-and-a-suicide-risk-assessment-prompt
#4
Taras R Reshetukha, Nazanin Alavi, Eric Prost, Ryan H Kirkpatrick, Saad Sajid, Charmy Patel, Dianne L Groll
OBJECTIVE: To determine the efficacy of two interventions on suicide risk assessment within emergency departments (EDs) on improving the documentation of suicide risk factors by emergency medicine and psychiatric physicians during suicide risk assessment. METHOD: An educational intervention on suicide was provided to all emergency medicine and psychiatry physicians and was followed by the placement of a suicide risk assessment prompt within local EDs. The medical charts of all ED patients presenting with suicidal ideation or behaviours were reviewed immediately and six months after the interventions and compared to pre-intervention...
March 2, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29482917/peritraumatic-distress-predicts-depression-in-traumatically-injured-patients-admitted-to-a-level-i-trauma-center
#5
LETTER
Brian E Bunnell, Tatiana M Davidson, Margaret T Anton, Bruce A Crookes, Kenneth J Ruggiero
No abstract text is available yet for this article.
February 21, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29475010/impact-of-a-mental-health-based-primary-care-program-on-emergency-department-visits-and-inpatient-stays
#6
Joshua Breslau, Emily Leckman-Westin, Bing Han, Riti Pritam, Diana Guarasi, Marcela Horvitz-Lennon, Deborah M Scharf, Molly T Finnerty, Hao Yu
OBJECTIVE: Integrating primary care services into specialty mental health clinics has been proposed as a method for improving health care utilization for medical conditions by adults with serious mental illness. This paper examines the impact of a mental health based primary care program on emergency department (ED) visits and hospitalizations. METHOD: The program was implemented in seven New York City outpatient mental health clinics in two waves. Medicaid claims were used to identify patients treated in intervention clinics and a control group of patients treated in otherwise similar clinics in New York City...
February 17, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29518742/the-utility-of-assessing-for-pain-interference-and-psychological-factors-among-emergency-department-patients-who-present-with-pain
#7
Ashley Brienza, Alexandro Gianforcaro, Brian Suffoletto, Clifton W Callaway, Maria L Pacella
No abstract text is available yet for this article.
February 14, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29428582/predicting-suicidal-ideation-in-primary-care-an-approach-to-identify-easily-assessable-key-variables
#8
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
https://www.readbyqxmd.com/read/29428224/measuring-quality-of-care-in-consultation-liaison-psychiatry-outcomes-from-two-canadian-hospitals
#9
LETTER
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
https://www.readbyqxmd.com/read/29427870/the-use-of-prescription-medication-in-239-patients-with-multiple-functional-somatic-syndromes
#10
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
https://www.readbyqxmd.com/read/29494854/text-messaging-to-support-a-perinatal-collaborative-care-model-for-depression-a-multi-methods-inquiry
#11
Amritha Bhat, Johnny Mao, Jürgen Unützer, Susan Reed, Jennifer Unger
OBJECTIVE: Mental health care integrated into obstetric settings improves access to perinatal depression treatments. Digital interactions such as text messaging between patient and provider can further improve access. We describe the use of text messaging within a perinatal Collaborative Care (CC) program, and explore the association of text messaging content with perinatal depression outcomes. METHODS: We analyzed data from an open treatment trial of perinatal CC in a rural obstetric clinic...
January 31, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29448065/impact-of-non-apnea-sleep-disorders-on-diabetic-control-and-metabolic-outcome-a-population-based-cohort-study
#12
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
https://www.readbyqxmd.com/read/29427869/performance-of-four-diagnostic-approaches-to-depression-in-adults-with-cancer
#13
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
https://www.readbyqxmd.com/read/29408088/obsessive-compulsive-symptoms-in-adults-with-lyme-disease
#14
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
https://www.readbyqxmd.com/read/29402469/the-impact-of-health-discipline-designation-on-psychological-assessments-prior-to-bariatric-surgery
#15
LETTER
Valerie H Taylor, Jennifer Hensel, Mehran Anvari
No abstract text is available yet for this article.
January 31, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29402468/effects-of-aerobic-exercise-on-white-matter-hyperintensities-an-exploratory-analysis
#16
LETTER
Patrick J Smith, Andrew Sherwood, James A Blumenthal
No abstract text is available yet for this article.
January 31, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29353128/adoption-penetration-and-effectiveness-of-a-secondary-risk-screener-for-intimate-partner-violence-evidence-to-inform-screening-practices-in-integrated-care-settings
#17
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...
March 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29353127/physical-comorbidities-increase-the-risk-of-psychiatric-comorbidity-in-immune-mediated-inflammatory-disease
#18
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...
March 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29324277/readmission-in-psychiatry-inpatients-within-a-year-of-discharge-the-role-of-symptoms-at-discharge-and-post-discharge-care-in-a-brazilian-sample
#19
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...
March 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29316451/an-innovative-model-to-coordinate-healthcare-and-social-services-for-people-with-serious-mental-illness-a-mixed-methods-case-study-of-maryland-s-medicaid-health-home-program
#20
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...
March 2018: General Hospital Psychiatry
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