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General Hospital Psychiatry

Jian Li, Orawan Kaewboonchoo, Yueying Jiang, Siripan Naknoi, Adrian Loerbroks
No abstract text is available yet for this article.
April 26, 2017: General Hospital Psychiatry
Jeffrey Seal, Bernard Lee, Mark Leary, Nicholas Riano, Christina Mangurian
No abstract text is available yet for this article.
March 9, 2017: General Hospital Psychiatry
Antje Freytag, Markus Krause, Thomas Lehmann, Sven Schulz, Florian Wolf, Janine Biermann, Jürgen Wasem, Jochen Gensichen
OBJECTIVE: For most patients with depression, GPs are the first and long-term medical providers. GP-centered health care (GPc-HC) programs target patients with chronic diseases. What are the effects of GPc-HC on primary care depression management? METHOD: An observational retrospective case-control study was conducted using health insurance claims data of patients with depressive disorder from July 2011 to December 2012. RESULTS: From 40,298 patients insured with the largest health plan in Central Germany participating in the GPc-HC program (intervention group, IG), we observed 4645 patients with depression over 18months: 72...
March 2017: General Hospital Psychiatry
Damara Gutnick, Carole Siegel, Eugene Laska, Joseph Wanderling, Ellen Cogen Wagner, Gary Haugland, Mary K Conlon
OBJECTIVES: We examined whether the cut-point 10 for the Patient Health Questionnaire-9 (PHQ9) depression screen used in primary care populations is equally valid for Mexicans (M), Ecuadorians (E), Puerto Ricans (PR) and non-Hispanic whites (W) from inner-city hospital-based primary care clinics; and whether stressful life events elevate scores and the probability of major depressive disorder (MDD). METHODS: Over 18-months, a sample of persons from hospital clinics with a positive initial PHQ2 and a subsequent PHQ9 were administered a stressful life event questionnaire and a Structured Clinical Interview to establish an MDD diagnosis, with oversampling of those between 8 and 12: (n=261: 75 E, 71 M, 51 PR, 64 W)...
March 2017: General Hospital Psychiatry
Emmert Roberts, Leah Jones, Alexandra Blackman, Thomas Dewhurst, Faith Matcham, Carol Kan, Omar Mustafa, Toral Thomas, Najma Siddiqi, Khalida Ismail, Hermione Price
OBJECTIVE: To systematically determine the prevalence of diabetes mellitus (DM), impaired fasting glucose (IFG), and impaired glucose tolerance (IGT) in psychiatric inpatients and explore the impact of patient and study variables on prevalence estimates. METHOD: We searched EMBASE, PsychINFO, Medline and CENTRAL from database inception until 1st December 2015. We included studies of any design reporting prevalence of abnormal glucose metabolism in any adult psychiatric inpatients...
March 2017: General Hospital Psychiatry
Hui Huang, Hongxian Chen, Huixi Dong, Kui Ning, Ruiling Zhang, Wei Sun, Bing Li, Haifeng Jiang, Wenzheng Wang, Jiang Du, Min Zhao, Zhihua Yi, Jing Li, Rongxin Zhu, Shuiping Lu, Shiping Xie, Xiaoping Wang, Wei Fu, Runzhi Yan, Chengge Gao, Wei Hao
OBJECTIVE: To determine the prevalence, associated factors and treatment status of alcohol use disorders (AUDs) in psychiatric patients in China. METHODS: We asked 24,379 consecutive patients aged ≥18years who presented at the psychiatric departments in eight hospitals in 2013 whether they had consumed alcoholic beverages in the previous month. Of the 2964 (12.2%) patients who answered yes and were then screened with the Alcohol Use Disorders Identification Test (AUDIT), 1304 (5...
March 2017: General Hospital Psychiatry
Ko Matsudaira, Hiroyuki Oka, Mika Kawaguchi, Masato Murakami, Shin Fukudo, Makoto Hashizume, Bernd Löwe
OBJECTIVE: We aimed to psychometrically validate the Japanese version of the Somatic Symptom Scale-8 (SSS-8) in Japanese individuals. METHOD: Data were collected from Japanese individuals aged 20-64years, who were recruited online, in February 2015. The scale reliability and validity were analyzed. RESULTS: Data from 52,353 individuals were analyzed. Cronbach's alpha for the assessment of internal consistency reliability was 0.86 for the total score...
March 2017: General Hospital Psychiatry
Fahad D Alosaimi, Mohammed Abalhassan, Bandar Alhaddad, Nasser Alzain, Ebtihaj Fallata, Abdulhadi Alhabbad, Mohammed Z Alassiry
OBJECTIVES: To evaluate the prevalence and clinical correlates of metabolic syndrome (MetS) and its components among patients with psychiatric disorders. METHODS: A cross-sectional study was conducted among adult patients with psychiatric disorders at major hospitals in Saudi Arabia. After measurements were recorded for all MetS components, demographic and clinical information was obtained mainly by reviewing the patients' medical charts. RESULTS: The prevalence rate of MetS among the 992 study participants was 41...
March 2017: General Hospital Psychiatry
Takumi Tsutsui, Hiroyuki Tanaka, Atsushi Nishida, Nozomu Asukai
No abstract text is available yet for this article.
March 2017: General Hospital Psychiatry
Juen Mei Ding, Richard Antony Alexander Kanaan
OBJECTIVE: It has been argued that the label given to unexplained neurological symptoms is an important contributor to their often poor acceptance, and there has been recent debate on proposals to change the name from conversion disorder. There have been multiple studies of layperson and clinician preference and this article aimed to review these. DESIGN: Multiple databases were searched using terms including "conversion disorder" and "terminology", and relative preferences for the terms extracted...
March 2017: General Hospital Psychiatry
Danielle F Loeb, Lori A Crane, Erin Leister, Elizabeth A Bayliss, Evette Ludman, Ingrid A Binswanger, Danielle M Kline, Meredith Smith, Frank V deGruy, Donald E Nease, L Miriam Dickinson
OBJECTIVE: Develop and validate self-efficacy scales for primary care provider (PCP) mental illness management and team-based care participation. STUDY DESIGN AND SETTING: We developed three self-efficacy scales: team-based care (TBC), mental illness management (MIM), and chronic medical illness (CMI). We developed the scales using Bandura's Social Cognitive Theory as a guide. The survey instrument included items from previously validated scales on team-based care and mental illness management...
March 2017: General Hospital Psychiatry
Abhinav Nahar, Nithin Kondapuram, Geetha Desai, Prabha S Chandra
OBJECTIVE: The aims of the present study were to determine the prevalence of catatonia in women with postpartum psychosis, describe its socio demographic, clinical and obstetric correlates and identify predictors of treatment response. METHODS: Data was extracted from clinical charts of 200 women with postpartum psychosis admitted to an inpatient mother baby unit (MBU) in India over a 3year period. RESULTS: Of the 200 patients, 20% (n=40) had symptoms of catatonia...
March 2017: General Hospital Psychiatry
Benjamin Lê Cook, Nicholas J Carson, E Nilay Kafali, Anne Valentine, Juan David Rueda, Sarah Coe-Odess, Susan Busch
OBJECTIVE: Clinical practice guidelines underscore the need for careful evaluation of the risk-benefit ratio of psychotropic medications treating mental health disorders among youth. While it is well known that racial/ethnic disparities exist in psychotropic medication use, little is known about whether these differences are driven by over-prescribing among white youth, under-prescribing among minority youth, or both. To build evidence in this area, this study examined racial/ethnic differences in the prescription of psychotropic medications among youth with and without psychological impairment...
March 2017: General Hospital Psychiatry
Joel F Farley, Richard A Hansen, Marisa E Domino, Mrudula Borse, Nirosha Mahendraratnam, Neepa Ray, Matthew L Maciejewski
OBJECTIVE: Patients with serious mental illness (SMI) often have comorbid cardiometabolic conditions (CMCs) that may increase the number of prescribers involved in treatment. This study examined whether patients with SMI (depression and schizophrenia) and comorbid CMCs experience greater discontinuity of prescribing than patients with CMCs alone. METHODS: 2009 Medicaid data were used to compare number and types of prescribers (primary care, cardiometabolic, psychiatric, other) in individuals with 1-3 CMCs (diabetes, hypertension, dyslipidemia) alone (n=76...
March 2017: General Hospital Psychiatry
Daniel H Wiznia, Julianna Maisano, Chang-Yeon Kim, Theodore Zaki, Hochang B Lee, Michael P Leslie
OBJECTIVE: The objective of the study was to assess the effect of insurance type (Medicaid, Medicare, private insurance or cash pay) on patients' access to psychiatrists for a new patient consultation. METHOD: 240 psychiatrists identified as interested in treating patients with PTSD were called across 8 states. The caller requested an appointment for her fictitious boyfriend who had been in a car accident to be evaluated for PTSD. Each office was called four times to assess the responses for each payment type...
March 2017: General Hospital Psychiatry
Faith Matcham, Amy Carroll, Natali Chung, Victoria Crawford, James Galloway, Anna Hames, Karina Jackson, Clare Jacobson, Dulka Manawadu, Lance McCracken, John Moxham, Lauren Rayner, Deborah Robson, Anna Simpson, Nicky Wilson, Matthew Hotopf
OBJECTIVE: Smoking is the largest preventable cause of death and disability in the UK and remains pervasive in people with mental disorders and in general hospital patients. We aimed to quantify the prevalence of mental disorders and smoking, examining associations between mental disorders and smoking in patients with chronic physical conditions. METHOD: Data were collected via routine screening systems implemented across two London NHS Foundation Trusts. The prevalence of mental disorder, current smoking, nicotine dependence and wanting help with quitting smoking were quantified, and the relationships between mental disorder and smoking were examined, adjusting for age, gender and physical illness, with multiple regression models...
March 2017: General Hospital Psychiatry
Davy Vancampfort, Ai Koyanagi, Mats Hallgren, Michel Probst, Brendon Stubbs
OBJECTIVE: This cross-sectional study assessed the association of chronic physical conditions and multimorbidity with anxiety among community-dwelling adults in 42 countries. METHOD: Data were analyzed from the World Health Survey including 181,845 adults aged ≥18years. Anxiety in the past 30days and nine chronic physical conditions (angina, arthritis, asthma, chronic back pain, diabetes, edentulism, hearing problem, tuberculosis, and visual impairment) were assessed...
March 2017: General Hospital Psychiatry
Colin A Ross, Caitlin Goode, Elizabeth Schroeder
No abstract text is available yet for this article.
March 2017: General Hospital Psychiatry
Kathleen S Tatem, Remle Newton-Dame, Jessica Black, Jesse Singer
No abstract text is available yet for this article.
February 20, 2017: General Hospital Psychiatry
Stephanie V Ng, Robert A Rosenheck
No abstract text is available yet for this article.
January 26, 2017: General Hospital Psychiatry
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