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Medical doctor depression

Mark Haddad, Ahmed Waqas, Wahhaj Qayyum, Maryam Shams, Saad Malik
BACKGROUND: Mental disorders such as depression are common and rank as major contributors to the global burden of disease. Condition recognition and subsequent management of depression is variable and influenced by the attitudes and beliefs of clinicians as well as those of patients. Most studies examining health professionals' attitudes have been conducted in Western nations; this study explores beliefs and attitudes about depression among doctors working in Lahore, Pakistan. METHODS: A cross-sectional survey conducted in 2015 used a questionnaire concerning demographics, education in psychiatry, beliefs about depression causes, and attitudes about depression using the Revised Depression Attitude Questionnaire (R-DAQ)...
October 18, 2016: BMC Psychiatry
Ilonka Kreitschmann-Andermahr, Michael Buchfelder, Bernadette Kleist, Johannes Kohlmann, Christa Menzel, Rolf Buslei, Maria Kołtowska-Häggström, Christian Strasburger, Sonja Siegel
OBJECTIVE: Even if treated, acromegaly has a considerable impact on patient quality of life (QoL); despite this, the exact clinical determinants of QoL in acromegaly are unknown. This study retrospectively examines a cohort of treated patients with acromegaly, with the aim of identifying these determinants. METHODS: Retrospective survey analysis, with 165 patients included in the study. All patients completed a survey, which included demographic data and the clinical details of their disease, the Short Form-36 Health Survey (SF-36), the revised Beck Depression Inventory (BDI-II), and the Bern Embitterment Inventory (BEI)...
October 17, 2016: Endocrine Practice
Valeria Markova, Gro M Sandal
Objective: Refugees are at high risk of experiencing mental health problems due to trauma in their pasts and to acculturation stress as they settle in a new country. To develop efficient health services that meet the needs of refugees from different regions, an understanding is required of how they make sense of and prefer to cope with mental health problems. This study aims to investigate lay explanatory models of depression and preferred coping strategies among Somali refugees in Norway. Methods: The study used a mixed-method design with a vignette describing a moderately depressed person based on ICD-10 criteria...
2016: Frontiers in Psychology
Vishal Kumar, Amarjeet Singh, Manoj K Tewari, Sukhpal Kaur
PROBLEM STATEMENT: Neurosurgical patients require special care not only in the hospital but also after their discharge from the hospital. Comprehension and compliance to the instructions given by the doctors/nurses at the time of discharge is important in home care of these patients. Many such patients suffer from various co-morbidities. Variable periods of convalescence affect health-related quality of life in these patients. PURPOSE OF THE STUDY: To determine the degree of compliance of neurosurgery patients and their family caregivers with the discharge advice given by the consultantsTo evaluate the quality of life of these patientsTo know the problems faced by these patients at home...
October 2016: Asian Journal of Neurosurgery
Steven P Roose, Bret R Rutherford
OBJECTIVE: This study aimed to review the data on the effect of selective serotonin reuptake inhibitors (SSRIs) on bleeding during or after operative procedures and to offer guidelines for clinical management. DATA SOURCES: Search of PubMed and MEDLINE for all articles in English from 1990-2016 with key words depression, antidepressants, bleeding, platelets, and operation. STUDY SELECTION: Studies were included if they reported information on bleeding complications during operative or childbirth procedures in patients taking antidepressants...
September 28, 2016: Journal of Clinical Psychopharmacology
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
Okechukwu Thompson, IkeOluwapo Ajayi
Objective. The prevalence of antenatal depression (AD) and associated risk factors among pregnant women attending antenatal clinics in Abeokuta North Local Government Area, Nigeria, was determined. Methods. A descriptive cross-sectional survey was conducted, interviewing 314 pregnant women selected by multistage sampling technique from among those attending antenatal clinics. Information was collected using structured questionnaire and a screening tool, Edinburgh Postnatal Depression Scale (EPDS), to assess probable depression...
2016: Depression Research and Treatment
María Valeria Jiménez-Báez, Horacio Márquez-González, Juan Leonardo Monsreal-Góngora, Gonzalo Góngora-González, Luis Sandoval-Jurado, Rubén Boquer-Hernández
OBJECTIVE: Identify factors related to preclinical depression in healthy adults, their risk factors and concordance with family doctor diagnostic. MATERIALS AND METHODS: Case-control study in adult from family medicine consulting room. Beck inventory for depression was applied. The correlation between depression and the diagnosis by the family physician was evaluated. Odds ratio (OR) was determined. RESULTS: Involved 138 patients randomly from four family medicine units (FMU) in the Northern Region of Quintana Roo, Mexico...
July 2016: Gaceta Médica de México
Helen Verdeli, Tatiana Therosme, Eddy Eustache, Olissaint St Hilaire, Benissois Joseph, Cemile Ceren Sönmez, Giuseppe Raviola
After the 2010 Haiti earthquake, Zanmi Lasante, a local health care organization, implemented a collaborative stepped-care model to address depression in community and primary care settings in rural Haiti. Specialized community health workers, the ajans santé, collaborate with local psychologists and primary care doctors to offer home-based evaluation, support, and follow-up. The services include brief interpersonal psychotherapy (IPT) and/or medication to persons who met locally defined criteria for depression...
August 2016: Journal of Clinical Psychology
Katherine Sanchez, Brittany H Eghaneyan, Madhukar H Trivedi
BACKGROUND: Barriers to depression treatment among Hispanic populations include persistent stigma, inadequate doctor patient communication (DPC) and resultant sub-optimal use of anti-depressant medications. Stigma is primarily perpetuated due to inadequate disease literacy and cultural factors. Common concerns about depression treatments among Hispanics include fears about the addictive and harmful properties of antidepressants, worries about taking too many pills, and the stigma attached to taking psychotropic medications...
2016: BMC Health Services Research
Christine E Gould, Ruth O'Hara, Mary K Goldstein, Sherry A Beaudreau
OBJECTIVES: The present study determined whether the number of medical conditions was associated with increased occurrence of anxiety and whether triads of medical conditions were associated with anxiety in a nationally representative sample of older Americans. We determined whether multimorbidity findings were unique to anxiety as compared with depressive symptoms. METHODS: A sample of 4219 participants (65 years or older) completed anxiety and depression measures in the Health and Retirement Study 2006 wave...
October 2016: International Journal of Geriatric Psychiatry
Shailesh Kumar
Doctors are exposed to high levels of stress in the course of their profession and are particularly susceptible to experiencing burnout. Burnout has far-reaching implications on doctors; patients and the healthcare system. Doctors experiencing burnout are reported to be at a higher risk of making poor decisions; display hostile attitude toward patients; make more medical errors; and have difficult relationships with co-workers. Burnout among doctors also increases risk of depression; anxiety; sleep disturbances; fatigue; alcohol and drug misuse; marital dysfunction; premature retirement and perhaps most seriously suicide...
2016: Healthcare (Basel, Switzerland)
Patricia A Parker, Smita C Banerjee, Matthew J Matasar, Carma L Bylund, Kara Franco, Yuelin Li, Tomer T Levin, Paul B Jacobsen, Alan B Astrow, Howard Leventhal, Steven Horwitz, David W Kissane
INTRODUCTION: Survivors of cancer often describe a sense of abandonment post-treatment, with heightened worry, uncertainty, fear of recurrence and limited understanding of what lies ahead. This study examines the efficacy of a communication skills training (CST) intervention to help physicians address survivorship issues and introduce a new consultation focused on the use of a survivorship care plan for patients with Hodgkin's lymphoma and diffuse large B-cell lymphoma. METHODS AND ANALYSIS: Specifically, this randomised, 4-site trial will test the efficacy of a survivorship planning consultation (physicians receive CST and apply these skills in a new survivorship-focused office visit using a survivorship plan) with patients who have achieved complete remission after completion of first-line therapy versus a control arm in which physicians are trained to subsequently provide a time-controlled, manualised wellness rehabilitation consultation focused only on discussion of healthy nutrition and exercise as rehabilitation postchemotherapy...
2016: BMJ Open
Imad Maatouk, Wolfgang Herzog, Friederike Böhlen, Renate Quinzler, Bernd Löwe, Kai-Uwe Saum, Hermann Brenner, Beate Wild
OBJECTIVE: The aim of the study was to assess the association of hypertension and symptoms of depression and generalized anxiety in a large cohort of elderly people. METHODS: Data were derived from the 8-year follow-up (2008-2010) of the epidemiological ESTHER-cohort study. A total of 3124 randomly chosen participants aged 57-84 were visited at their homes by trained study doctors. General practitioner based diagnosis, self-reported status of hypertension, medication, and blood pressure measurement were considered to define the existence of hypertension...
September 2016: Journal of Hypertension
Sabine Lechner, Wolfgang Herzog, Friederike Boehlen, Imad Maatouk, Kai-Uwe Saum, Hermann Brenner, Beate Wild
OBJECTIVE: Older adults appear to be a specifically vulnerable group that could benefit considerably from the assessment of their decision-making preferences. The aim of this study was to estimate prevalence rates and to explore characteristics of control preferences in a population-based sample of older adults. METHODS: Data was derived from the 8-year follow-up of the ESTHER study - a German epidemiological study in the elderly population. n=3124 participants ages 57 to 84 were visited at home by trained medical doctors for a comprehensive assessment regarding various aspects of their life...
July 2016: Journal of Psychosomatic Research
Mythily Subramaniam, Edimansyah Abdin, Rajeswari Sambasivam, Janhavi A Vaingankar, Louisa Picco, Shirlene Pang, Esmond Seow, Boon Yiang Chua, Harish Magadi, Rathi Mahendran, Siow Ann Chong
INTRODUCTION: Depression is a significant public health issue across all sociodemographic groups and is identified as a common and serious mental health problem particularly among the older adult population. The aims of the current study were to determine the prevalence of depression and subsyndromal depression among older adults in Singapore. MATERIALS AND METHODS: The Well-being of the Singapore Elderly (WiSE) study was a comprehensive single phase, cross-sectional survey...
April 2016: Annals of the Academy of Medicine, Singapore
Jean-Philippe Empana, Christof Prugger, Frédérique Thomas, Marie-Cécile Perier, Luca Zanoli, Paolo Castiglioni, Catherine Guibout, Sophie Causeret, Caroline Barnes, Cédric Lemogne, Gianfranco Parati, Stéphane Laurent, Bruno Pannier, Pierre Boutouyrie, Xavier Jouven
BACKGROUND AND AIMS: We assess the respective relationship of high depressive symptoms and antidepressant use (ATD) with baroreflex sensitivity (BRS) in subjects from the community who enrolled the Paris Prospective Study III. METHODS: Recruitment took place in a large health preventive centre in Paris (France), between May 2008 and June 2012. BRS was investigated by spectral analysis of the spontaneous carotid distension rate and RR intervals using non-invasive high-resolution ultrasound carotid-echotracking...
August 2016: Atherosclerosis
Joan E Broderick, Francis J Keefe, Stefan Schneider, Doerte U Junghaenel, Patricia Bruckenthal, Joseph E Schwartz, Alan T Kaell, David S Caldwell, Daphne McKee, Elaine Gould
Moderator analyses are reported for posttreatment outcomes in a large, randomized, controlled effectiveness trial for chronic pain for hip and knee osteoarthritis (N = 256). Pain Coping Skills Training, a form of cognitive behavioral therapy, was compared to usual care. Treatment was delivered by nurse practitioners in patients' community doctors' offices. Consistent with meta-analyses of pain cognitive behavioral therapy efficacy, treatment effects in this trial were significant for several primary and secondary outcomes, but tended to be small...
September 2016: Pain
Khaula Atif, Habib Ullah Khan, Muhammad Zia Ullah, Farrukh Saleem Shah, Abdul Latif
OBJECTIVES: To analyze prevalence of anxiety and depression among doctors serving in a tertiary care hospital in Lahore, with a study of impact of relevant demographic features. METHODS: A cross sectional study was conducted at Combined Military Hospital, Lahore, from February 2014 to Jan 2015. Participants were doctors serving in subject hospital for at least six months duration. Standardized Hospital Anxiety Depression Score (HADS) inventory was selected as inventory...
March 2016: Pakistan Journal of Medical Sciences Quarterly
Marco Annoni, Franklin G Miller
In this article we explore the ethics of manipulating verbal information for the sake of influencing health outcomes through placebo and nocebo responses. Recent scientific research on placebo and nocebo effects has drawn attention to the ways in which communication by health professionals may modulate the symptoms of patients across an array of highly prevalent conditions such as pain, depression, anxiety, insomnia, irritable bowel syndrome, migraine, and Parkinson's disease. The positive and negative effects of clinicians' communication on patient outcomes pose important ethical issues, which we describe in this article under the label of "the ethics of therapeutic communication" (TC)...
March 2016: Kennedy Institute of Ethics Journal
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