General Hospital Psychiatry via MedWorm.com MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'General Hospital Psychiatry' source. Tue, 07 Feb 2012 09:35:46 +0100 Announcements http://www.medworm.com/index.php?rid=5570675&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311003835%2Fabstract%3Frss%3Dyes (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570675 Sun, 01 Jan 2012 05:00:00 +0100 5570675 Which psychotropic medications induce hepatotoxicity? http://www.medworm.com/index.php?rid=5570657&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311003550%2Fabstract%3Frss%3Dyes Conclusion: Knowing the risk levels associated with various medicines is important; prescribing multiple drugs with hepatotoxic effects should be avoided. One should educate patients about early warning signs of liver injury. Always provide clinical and laboratory monitoring before and during the use of hepatotoxic drugs. Clinical features and laboratory results govern medication prescribing with ongoing risk-to-benefit ratio assessment during pharmacotherapy. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570657 Fri, 02 Dec 2011 05:00:00 +0100 5570657 Three-year mortality of delirium among elderly inpatients in consultation–liaison service http://www.medworm.com/index.php?rid=5570659&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311003045%2Fabstract%3Frss%3Dyes Abstract: Objective: The purpose of this study is to assess 3-year mortality in delirious patients receiving consultation–liaison service in a general hospital setting.Methods: We consecutively enrolled inpatients 65 years of age and older that were referred for psychiatric consultation (N=614) from 2002 to 2006. One hundred and seventy-two patients were diagnosed with delirium. The exact date of death was based on the registration data from the Department of Health, Executive Yuan, in Taiwan and was used to calculate the mortality rate and time to death (days) after psychiatric consultation. Furthermore, the 1-year, 2-year and 3-year mortality rates of delirious patients were compared to mortality rates of nondelirious patients. Factors (e.g., age, length of hospital stay, gender, physi... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570659 Mon, 07 Nov 2011 05:00:00 +0100 5570659 Cytokine changes in the pathophysiology of poststroke depression http://www.medworm.com/index.php?rid=5570654&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311003094%2Fabstract%3Frss%3Dyes Conclusion: Our study suggested that immune imbalance plays a possible role in the pathophysiology of PSD and that IL-6 and TNF-α are key cytokines. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570654 Mon, 07 Nov 2011 05:00:00 +0100 5570654 Depression in pregnancy is associated with preexisting but not pregnancy-induced hypertension http://www.medworm.com/index.php?rid=5570651&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311003070%2Fabstract%3Frss%3Dyes Conclusion: Women with preexisting hypertension, but not pregnancy-induced hypertension, are more likely to meet criteria for an antenatal depressive disorder and/or to be treated with antidepressants and could be targeted by obstetricians for screening for depression and enhanced treatment. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570651 Fri, 04 Nov 2011 04:00:00 +0100 5570651 Acknowledgments http://www.medworm.com/index.php?rid=5378689&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311003318%2Fabstract%3Frss%3Dyes (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378689 Tue, 01 Nov 2011 04:00:00 +0100 5378689 Announcements http://www.medworm.com/index.php?rid=5378688&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311003306%2Fabstract%3Frss%3Dyes (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378688 Tue, 01 Nov 2011 04:00:00 +0100 5378688 Internet addiction: hours spent online, behaviors and psychological symptoms http://www.medworm.com/index.php?rid=5570661&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311003021%2Fabstract%3Frss%3Dyes Conclusion: Findings suggest that a misuse of internet, characterized by many hours spent online avoiding interpersonal relationships with real and known people, could be an important criterion in the clinical interview in order to diagnose the IAD. The association between the lost interest in communicating with real people and psychological symptoms such as anxiety and depression could be relevant to detect IAD patients. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570661 Mon, 31 Oct 2011 04:00:00 +0100 5570661 Medication adherence and quality of life among Nigerian outpatients with schizophrenia http://www.medworm.com/index.php?rid=5570660&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002908%2Fabstract%3Frss%3Dyes Conclusions: Medication nonadherence is common among outpatients with schizophrenia and is associated with poor quality of life. Clinicians’ awareness of the risk factors for medication nonadherence early in patients’ management may significantly improve treatment outcomes, including patients’ quality of life. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570660 Mon, 31 Oct 2011 04:00:00 +0100 5570660 Failure to diagnose herniated discs in a depressed 43-year-old woman http://www.medworm.com/index.php?rid=5570674&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002994%2Fabstract%3Frss%3Dyes We report on the case of a middle-aged woman for whom preexisting psychiatric illness with a concurrent affective episode may have contributed to the failure by an array of clinicians across specialties to recognize an evolving surgical emergency. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570674 Mon, 24 Oct 2011 04:00:00 +0100 5570674 Hepatitis C treatment and erotomania http://www.medworm.com/index.php?rid=5570673&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002957%2Fabstract%3Frss%3Dyes We present a patient who began a clinical picture of erotomania that involved his doctor a few days after treatment of interferon and ribavirin was started. He stalked his doctor, forcing the police and the court to intervene. Nevertheless, once antipsychotic treatment was established, symptoms remitted, and the patient continued antiviral treatment successfully. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570673 Mon, 24 Oct 2011 04:00:00 +0100 5570673 Race and the clinical diagnosis of depression in new primary care patients http://www.medworm.com/index.php?rid=5570663&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002970%2Fabstract%3Frss%3Dyes Conclusion: For African American primary care patients, first visits may be a high-risk period for missed diagnoses of depression. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570663 Mon, 24 Oct 2011 04:00:00 +0100 5570663 Depressive symptoms, risk factors and sleep in asthma: results from a national Israeli health survey http://www.medworm.com/index.php?rid=5570652&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002969%2Fabstract%3Frss%3Dyes The objective was to assess the association between asthma and depressive symptoms (DS) and to evaluate the relationship between DS and risk factors [smoking, physical inactivity, body mass index (BMI) and sleep duration] in asthmatic individuals.Methods: We analyzed data from the Israeli National Health Interview Survey, conducted among 9509 participants aged ≥21 years in 2003–2004. Data on sociodemographic factors, chronic respiratory disorders, DS and risk factors were obtained through telephone interviews. DS were measured using Short Form 36 mental health items. Analyses were performed using multivariate logistic regression models.Results: A total of 393 participants (4.2%) reported chronic asthma in the 12 months previous to the interview. Of those, 37.4% had DS, compared with 21... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570652 Mon, 24 Oct 2011 04:00:00 +0100 5570652 Are patient characteristics associated with quality of depression care and outcomes in collaborative care programs for depression? http://www.medworm.com/index.php?rid=5570650&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002891%2Fabstract%3Frss%3Dyes Abstract: Objective: To determine whether demographic or clinical characteristics of primary care patients are associated with depression treatment quality and outcomes within a collaborative care model.Methods: Collaborative depression care, based on principles from the Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) trial, was implemented in six community health organizations serving disadvantaged patients. Over 3 years, 2821 patients were treated. Outcomes were receipt of quality treatment and depression improvement.Results: Logistic regression analyses revealed that patients who were older, more depressed or more anxious were more likely to be retained in treatment and to receive appropriate pharmacotherapy. Whereas gender and depression severity were unrelated to d... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570650 Mon, 24 Oct 2011 04:00:00 +0100 5570650 Steroid-induced psychosis in a child: treatment with risperidone http://www.medworm.com/index.php?rid=5570672&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002921%2Fabstract%3Frss%3Dyes Abstract: Steroid-induced psychosis is one of the most serious adverse effects of steroid therapy but is a little-known complication in children. There is no clear mechanism model for steroid-induced behavioral disturbance, but it may be related with dose or level of free fraction of steroids. Our case is a 12-year-old boy diagnosed with steroid-induced psychosis and treated with risperidone, an atypical antipsychotic, due to distinct psychotic symptoms. Pediatricians should be aware of this rare complication when administering corticosteroids for various medical illnesses. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570672 Wed, 19 Oct 2011 04:00:00 +0100 5570672 Psychiatric disorders as assessed with SCID in chronic pain patients: the anxiety disorders precede the onset of pain http://www.medworm.com/index.php?rid=5570656&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002933%2Fabstract%3Frss%3Dyes Conclusions: Chronic pain patients have a remarkable psychiatric morbidity. A structured diagnostic interview, covering a large range of psychiatric diagnoses, allows a more comprehensive approach to the assessment of the patient. This should improve the management of chronic pain. However, prospective studies are needed to show this. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570656 Mon, 17 Oct 2011 04:00:00 +0100 5570656 Screening inventories to detect depression in chronic hepatitis C patients http://www.medworm.com/index.php?rid=5570655&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS016383431100291X%2Fabstract%3Frss%3Dyes Conclusion: BDI, BDI-PC and HAD-D showed good discriminative properties to screen for depression in CHC patients and should be considered in clinical practice. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570655 Mon, 17 Oct 2011 04:00:00 +0100 5570655 Effects of heart disease on depression treatment: results from the COMED study http://www.medworm.com/index.php?rid=5570653&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS016383431100288X%2Fabstract%3Frss%3Dyes Abstract: Objective: To determine the impact of self-reported heart disease (HD) on major depressive disorder (MDD) treatment outcomes.Method: This single-blind, 7-month prospective randomized trial enrolled 665 participants, 18–75 years old, from six primary and nine psychiatric care sites across the USA. Participants had at least moderately severe (baseline 17-item Hamilton Rating Scale of Depression ≥16), nonpsychotic chronic and/or recurrent MDD. Participants with and without self-reported HD were randomized into three treatment groups (1:1:1 ratio): escitalopram plus placebo, bupropion sustained-release plus escitalopram or venlafaxine extended-release plus mirtazapine. The primary outcome (remission) was defined by the last two consecutive 16-item Quick Inventory of Depressive Sy... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570653 Mon, 17 Oct 2011 04:00:00 +0100 5570653 Prospective study of risk factors for increased suicide ideation and behavior following recent discharge http://www.medworm.com/index.php?rid=5570662&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002623%2Fabstract%3Frss%3Dyes Conclusions: The high risk of suicide ideation, suicide attempts and suicide demonstrated in these recently discharged patients supports the need to develop selective prevention strategies. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570662 Thu, 13 Oct 2011 04:00:00 +0100 5570662 Psychosis and Dandy–Walker complex: report of four cases http://www.medworm.com/index.php?rid=5570669&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002581%2Fabstract%3Frss%3Dyes Abstract: Concurrence of psychosis and Dandy–Walker complex (DWC) has been reported in some medical literature. Here, we reported four patients with concurrent psychosis and DWC of all four subtypes. Some clinical features found were juvenile or young adult age onset, high frequency of family history of psychosis, atypical psychotic symptoms, and high prevalence of cognitive deficit and refractoriness to treatment, in line with the cases in previous reports. These findings might help further illuminate the role that the cerebellum plays in the etiology of schizophrenia or bipolar disorder. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570669 Mon, 10 Oct 2011 04:00:00 +0100 5570669 Mania following addition of hydroxytryptophan to monoamine oxidase inhibitor http://www.medworm.com/index.php?rid=5570670&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS016383431100260X%2Fabstract%3Frss%3Dyes Abstract: This case report highlights the risk of nutritional supplements and misinformation obtained from the internet particularly for those on monamine oxdiase inhibitors (MAOIs). Despite sophisticated medical knowledge, this patient, who was taking an MOAI and complying with a tyramine-free diet, used a supplement of hydroxytryptophan that along with the MAOI appears to have precipitated mania, despite no personal or familial history of bipolar disorder. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570670 Mon, 03 Oct 2011 04:00:00 +0100 5570670 Safe use of electroconvulsive therapy in a highly suicidal survivor of carbon monoxide poisoning http://www.medworm.com/index.php?rid=5570671&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002635%2Fabstract%3Frss%3Dyes We present a suicidal patient of CO intoxication, who received ECT safely and effectively 5 weeks after CO exposure and review the previously reported ECT-related DNS cases and the recent studies about the predictors of DNS. We propose that ECT can be safely implemented in carefully selected patients without known risk factors for DNS after an extended observation period from CO exposure. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570671 Wed, 28 Sep 2011 04:00:00 +0100 5570671 Posttraumatic stress syndromes and health-related quality of life following myocardial infarction: 8-year follow-up http://www.medworm.com/index.php?rid=5378669&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002611%2Fabstract%3Frss%3Dyes Conclusion: Although most ASD patients demonstrate a trend of recovery, ASD in the immediate aftermath of MI remains a marker of long term adjustment difficulties. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378669 Wed, 28 Sep 2011 04:00:00 +0100 5378669 Adolescent and parent experiences with a primary care/Internet-based depression prevention intervention (CATCH-IT) http://www.medworm.com/index.php?rid=5378667&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002507%2Fabstract%3Frss%3Dyes This article describes a mixed-methods approach to understand the experience of adolescents involved in the Internet-based intervention for depression, Competent Adulthood Transition with Cognitive Behavioral Humanistic and Interpersonal Training (CATCH-IT), as well as the experiences of their parents while they were involved. Qualitative analysis was done with grounded theory-based categorization of interview comments and typed program responses (adolescents only) into themes. Quantitative analysis was done with self-report surveys. The article describes the nine themes reflecting the adolescent experience and the three themes reflecting the parent experience. The article also describes the results of the quantitative surveys of helpfulness and attitudes change, which were favorable of th... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378667 Wed, 28 Sep 2011 04:00:00 +0100 5378667 Psychiatric morbidity in mothers of children attending primary care facility in Ilorin, Nigeria: drawing attention to those affected concurrently with their children http://www.medworm.com/index.php?rid=5378666&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS016383431100257X%2Fabstract%3Frss%3Dyes Conclusion: The presence of psychiatric morbidity in mothers may require that other members of the family especially the children be screened for psychiatric disorders particularly when there are parenting difficulties and poor spousal support; in this way primary prevention or control can effectively be carried out. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378666 Wed, 28 Sep 2011 04:00:00 +0100 5378666 Successful use of ECT in post-stroke depression http://www.medworm.com/index.php?rid=5570668&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002520%2Fabstract%3Frss%3Dyes We report the case of a 30-year-old woman with a history of stroke and antiphospholipid syndrome, who became depressed and suicidal. Neurologic and Internal Medicine consults did not reveal any contraindications to ECT, but stroke risk factor management was identified as an important measure for patient safety. The patient tolerated ECT well, reporting improvement of mood and abatement of hopelessness. This case suggests that ECT may be a safe and well-tolerated treatment for post-stroke depression. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570668 Wed, 21 Sep 2011 04:00:00 +0100 5570668 What role does ethnicity play in psychiatric emergency service? http://www.medworm.com/index.php?rid=5378665&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002556%2Fabstract%3Frss%3Dyes While patient entry into a psychiatric emergency service (PES) can be an important first step toward improved mental health, PESs have become increasingly more complex. Over the years, on top of providing triage and disposition, PES has become the place where psychiatric treatment may be rendered for patient safety. In times of economic recession, however, PESs may also have become de facto psychiatric wards . (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378665 Wed, 21 Sep 2011 04:00:00 +0100 5378665 Sociodemographic and clinical factors associated with antidepressant type in a national sample of the home health care elderly http://www.medworm.com/index.php?rid=5378672&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS016383431100243X%2Fabstract%3Frss%3Dyes Conclusion: Race/ethnicity and age differences by AD type — including blacks' increased TCA use, Hispanics' decreased SNRI and “Other” AD use, and older elderly's increased tricyclic use — suggest systematic differences in prescribing practice variations including differences by geography, patient preferences or access to care in the HHC elderly. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378672 Thu, 15 Sep 2011 04:00:00 +0100 5378672 Late-onset OCD as presenting manifestation of semantic dementia http://www.medworm.com/index.php?rid=5570667&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002465%2Fabstract%3Frss%3Dyes We describe a patient presenting with late-onset typical obsessive–compulsive disorder (OCD) that lasted for 10 years as an isolated condition before developing clinical and neuroimaging features of SD. This case alerts clinicians that late-onset OCD may be a psychiatric presentation of a neurodegenerative disorder such as frontotemporal dementia and requires an accurate diagnostic work-up. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570667 Mon, 12 Sep 2011 04:00:00 +0100 5570667 Distress due to delirium experience http://www.medworm.com/index.php?rid=5378680&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002490%2Fabstract%3Frss%3Dyes Conclusion: Overall experience of delirium is distressing for the patients. Most of the patients (those who remembered or who were not able to remember) experienced at least moderate level of distress. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378680 Mon, 12 Sep 2011 04:00:00 +0100 5378680 Does on-site urine toxicology screening have an added diagnostic value in psychiatric referrals in an emergency setting? http://www.medworm.com/index.php?rid=5378677&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002453%2Fabstract%3Frss%3Dyes Conclusions: In an ER setting, the validity of the diagnosis of drug abuse exclusively based on psychiatric interview is low. The use of on-site UTS provides accurate data on drug use and is more practical as compared to post hoc laboratory assessment. On-site UTS has an added diagnostic value of drug use with high sensitivity and specificity. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378677 Mon, 12 Sep 2011 04:00:00 +0100 5378677 The influence of childhood abuse and adult attachment style on clinical relationships in breast cancer care http://www.medworm.com/index.php?rid=5378671&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002441%2Fabstract%3Frss%3Dyes Conclusion: The damaging effects of childhood abuse on adult relationships extend to relationships with surgeons in cancer care. While effects of abuse on attachment can explain the damage that patients experience, mediators of the difficulty that surgeons experience need further research. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378671 Mon, 12 Sep 2011 04:00:00 +0100 5378671 Suicidal ideation in medical inpatients: psychosocial and clinical correlates http://www.medworm.com/index.php?rid=5378670&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002477%2Fabstract%3Frss%3Dyes Abstract: Objective: To identify psychosocial and clinical correlates of suicidal ideation in medical inpatients.Method: In a cross-sectional study, all adults consecutively admitted to the medical wards of a University Hospital had their names recorded and were randomized and evaluated during the first week of admission. Suicidal ideation was assessed using Item 9 of Patient Health Questionnaire-9. The Beck Depression Inventory, the Beck Anxiety Inventory, the WHO Subjective well-being scale, the Charlson Comorbidity Index and other numerical rating scales (pain and self-reported physical illness severity) were used. Patients with less than four confidants were considered with poor social support. The Student's t test, Mann-Whitney U test, chi-square test and stepwise logistic regression ... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378670 Mon, 12 Sep 2011 04:00:00 +0100 5378670 Comorbid physical health conditions and anxiety disorders: a population-based exploration of prevalence and health outcomes among older adults http://www.medworm.com/index.php?rid=5378668&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002428%2Fabstract%3Frss%3Dyes Conclusion: Health problems in older adults are associated with increased odds of anxiety, and this comorbidity is associated with poorer self-reported health than medical problems or anxiety alone. These findings have important clinical implications for health professionals. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378668 Mon, 12 Sep 2011 04:00:00 +0100 5378668 Announcements http://www.medworm.com/index.php?rid=5221021&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002763%2Fabstract%3Frss%3Dyes (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221021 Thu, 01 Sep 2011 04:00:00 +0100 5221021 Does colocated care improve access to cardiometabolic screening for patients with serious mental illness? http://www.medworm.com/index.php?rid=5378679&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002404%2Fabstract%3Frss%3Dyes Abstract: Objective: Individuals with serious mental illness (SMI; e.g., schizophrenia, bipolar disorder) experience disparities in mortality relative to the general population, mainly because of medical conditions (i.e., cardiometabolic disease).We assessed whether VA patients with SMI and receiving care from VA mental health facilities with colocated medical care were more likely to receive cardiometabolic risk assessments in accordance with clinical practice guidelines than patients from noncolocated facilities.Methods: Patients with SMI identified prescribed second-generation antipsychotic medications in fiscal year (FY) 2007 receiving care from VA mental health facilities completing the VA Mental Health Program Survey were included. VA administrative data were ascertained to assess re... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378679 Mon, 29 Aug 2011 04:00:00 +0100 5378679 Current practices for mental health follow-up after psychiatric emergency department/psychiatric emergency service visits: a national survey of academic emergency departments http://www.medworm.com/index.php?rid=5378678&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001940%2Fabstract%3Frss%3Dyes Conclusion: While systematic identification of repeat psychiatric emergency patients was uncommon, emergency departments reported using a variety of fairly intensive strategies to promote continuity of care with outpatient mental health services. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378678 Mon, 29 Aug 2011 04:00:00 +0100 5378678 Bupropion-induced psychosis: folklore or a fact? A systematic review of the literature http://www.medworm.com/index.php?rid=5378675&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002386%2Fabstract%3Frss%3Dyes Conclusions: The literature is incomplete and in some cases contradictory. In selected cases, bupropion appears to be associated with the induction of psychotic symptoms in addition to the precipitation or worsening of an existing psychotic syndrome. Further research including controlled studies is required to clarify the risk of bupropion precipitating a psychotic illness in vulnerable populations. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378675 Mon, 29 Aug 2011 04:00:00 +0100 5378675 Taming hornets: the therapeutic relationship in successful treatment of delusional infestation http://www.medworm.com/index.php?rid=5378664&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002398%2Fabstract%3Frss%3Dyes Asked to give Dermatology Grand Rounds at my institution on the topic of Delusional Infestation (DI), I had no idea what a hornets' nest I was stepping into, particularly delivering the apparently radical opinion that a new collaborative care model is needed for DI patients since they so frequently take umbrage when a skin doctor shunts them off to a psychiatrist for a condition that's “all in the head.” The question and answer period after my talk started benignly enough, but the buzzing began when a senior dermatologist took the floor and roared, “How dare you! These patients are crazy and they belong to psychiatry! We can't afford to take care of them! We don't have time for them in our busy schedules!” This messenger definitely felt like he was being stung. (Source: General Hos... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378664 Mon, 29 Aug 2011 04:00:00 +0100 5378664 The need for chronic opioids to treat persistent noncancer pain http://www.medworm.com/index.php?rid=5221003&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002519%2Fabstract%3Frss%3Dyes “… For the easing of neurotraumatic pain … morphia salts are invaluable. When continuously used … hypnotic manifestations lessen, whereas its power to abolish pain continues, so that the patient … may become free of pain.…” Silas Weir Mitchell . (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221003 Fri, 26 Aug 2011 04:00:00 +0100 5221003 Introduction http://www.medworm.com/index.php?rid=5221001&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002568%2Fabstract%3Frss%3Dyes In this volume of General Hospital Psychiatry, we have added a new dimension–point and counterpoint editorials on prescription of opiate medications for chronic benign pain. There are many controversial areas of clinical practice, and having experts with opposing views on the subject describe their perspectives is a scholarly way to enhance understanding of differing viewpoints. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221001 Fri, 26 Aug 2011 04:00:00 +0100 5221001 Specific fatigue-related items in self-rating depression scales do not bias an association between depression and fatigue in patients with coronary artery disease http://www.medworm.com/index.php?rid=5221018&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002337%2Fabstract%3Frss%3Dyes Conclusions: Fatigue-related items should not be removed from the HADS-D and the BDI-II when evaluating CAD patients for depressive symptoms. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221018 Thu, 18 Aug 2011 04:00:00 +0100 5221018 Hard to swallow: a systematic review of deliberate foreign body ingestion http://www.medworm.com/index.php?rid=5221016&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002350%2Fabstract%3Frss%3Dyes Conclusion: Understanding the function of this behavior is critical in developing treatment for patients who engage in these dangerous, potentially life-threatening, self-injurious behaviors. An amalgam of medical, pharmacological and cognitive–behavioral interventions is recommended, as is additional research. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221016 Thu, 18 Aug 2011 04:00:00 +0100 5221016 Recurrent escitalopram-induced hyponatremia in an elderly woman with dementia with Lewy bodies http://www.medworm.com/index.php?rid=5570665&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002313%2Fabstract%3Frss%3Dyes We report the development of hyponatremia following initiation of escitalopram therapy in a 73-year-old woman. The patient, with a history of dementia with Lewy bodies, had presented with multiple neuropsychiatric symptoms. Within 2 months of escitalopram, she became delirious with a serum sodium level of 122 mmol/L. After discontinuation of escitalopram, her consciousness improved with resolving hyponatremia. Delirium and hyponatremia (122 mmol/L), however, recurred after escitalopram was rechallenged. Apart from eight other cases to date, this is the only one with recurrent hyponatremia. Rechallenge of the same antidepressant is discouraged especially in patients at risk of developing hyponatremia. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570665 Wed, 10 Aug 2011 04:00:00 +0100 5570665 QT variability among weight-restored patients with anorexia nervosa http://www.medworm.com/index.php?rid=5570658&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002362%2Fabstract%3Frss%3Dyes Conclusions: Medically treated AN patients who gained weight and had normal serum electrolytes appeared to have normal QTc and QT variability indexes, reflecting a nonincreased risk for cardiac arrhythmias. We suggest that weight normalization, medical treatment and lack of electrolyte abnormalities are responsible in part for these results. Further evaluation of the prognostic significance of QTVI and QTVN in AN is warranted. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570658 Wed, 10 Aug 2011 04:00:00 +0100 5570658 Psychiatric disorders, body mass index and C-reactive protein in dialysis patients http://www.medworm.com/index.php?rid=5221008&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002349%2Fabstract%3Frss%3Dyes Conclusion: Depressive and anxiety disorders were common in dialysis patients and were associated with impaired HRQoL, while prevalence of somatoform disorders was low. A strong correlation between psychiatric comorbidity, CRP and BMI indicates that special attention should be given to patients with CRP≥6 mmol/L and BMI≤21 kg/m2. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221008 Wed, 10 Aug 2011 04:00:00 +0100 5221008 Health care costs in persons with asthma and comorbid mental disorders: A systematic review http://www.medworm.com/index.php?rid=5221007&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002374%2Fabstract%3Frss%3Dyes Conclusion: The present systematic review highlights a meaningful impact of comorbid mental disorders on health care utilization and costs in adult patients with asthma. Thus, psychodiagnostic routines and appropriate mental health treatments are needed to reduce health care costs in asthma care. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221007 Wed, 10 Aug 2011 04:00:00 +0100 5221007 Factors affecting psychiatric inpatient hospitalization from a psychiatric emergency service http://www.medworm.com/index.php?rid=5378676&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002283%2Fabstract%3Frss%3Dyes Discussion: While clinical characteristics played an essential role in disposition decisions, these results point to the importance of factors external to PES. Individual and community factors that affect use of psychiatric emergency services merit additional focused attention. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378676 Thu, 04 Aug 2011 04:00:00 +0100 5378676 Psychiatric assessment of children with nonsyndromic cleft lip and palate http://www.medworm.com/index.php?rid=5378673&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002301%2Fabstract%3Frss%3Dyes Abstract: Objective: The aim of the study was to determine whether children with nonsyndromic cleft lip and palate (NSCLP) are more likely to be diagnosed with psychiatric disorders and whether cleft-related factors are related to psychopathology.Method: Twenty children from 6 to 16 years of age with NSCLP, attending the Plastic, Reconstructive and Aesthetic Surgery Department of Cerrahpasa Medical Faculty between January and October 2010, were included as the case group. Forty healthy children who were matched on age and sex with the case group served as controls. Children were assessed by psychiatric interviews and scales.Results: Social anxiety disorder (SAD) (P=.003) and major depressive disorder (MDD) (P=.010) were more prevalent in children with NSCLP. The severity of dentofacial (P=... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378673 Thu, 04 Aug 2011 04:00:00 +0100 5378673 Prevalence and features of panic disorder and comparison to posttraumatic stress disorder in VA primary care http://www.medworm.com/index.php?rid=5221012&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002295%2Fabstract%3Frss%3Dyes Conclusions: These findings demonstrate the high prevalence and severe impairment associated with PD in veterans and highlight the need for improved recognition, assessment and specialized treatments for PD in VAMCs and other care settings. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221012 Thu, 04 Aug 2011 04:00:00 +0100 5221012 Rage: associations with compulsive buying http://www.medworm.com/index.php?rid=5570676&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001988%2Fabstract%3Frss%3Dyes In the extant literature, associations between compulsive buying and comorbid disorders of impulse control have been infrequently studied. McElroy et al. examined a sample of 20 psychiatric patients with compulsive buying and reported that 40% had adjunctive impulse control disorders. Mueller et al. examined 171 patients with compulsive buying who presented for treatment trials (i.e., a treatment-seeking sample) and found that 11% had intermittent explosive disorder. Because of the scant existing literature and the possible common underlying dynamic of disinhibition (i.e., disinhibition has been empirically related to impulsivity , and impulsivity has been empirically related to various dysfunctional behaviors including aggression , compulsive buying , substance abuse , binge drinking and ... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570676 Mon, 01 Aug 2011 04:00:00 +0100 5570676 Urinary tract infection complicated by urine retention presenting as pseudocyesis in a schizophrenic patient http://www.medworm.com/index.php?rid=5570666&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002325%2Fabstract%3Frss%3Dyes We report the case of a middle-aged female schizophrenic patient who developed pseudocyesis secondary to a urinary tract infection complicated by acute urine retention. The patient accepted that she had pseudocyesis after the causative medical condition resolved. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570666 Mon, 01 Aug 2011 04:00:00 +0100 5570666 Five-year follow-up study of disability pension rates in first-onset schizophrenia with special focus on regional differences and mortality http://www.medworm.com/index.php?rid=5221015&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001915%2Fabstract%3Frss%3Dyes Conclusion: Half of the schizophrenia patients were pensioned off in 5 years. Lower mortality, especially suicide mortality among disability pensioners, suggests that the decision on a permanent disability pension, indicating for its part the activation of the service system, might be a relief to schizophrenic patients, helping them cope with illness. The retirement process has regional differences, which may be caused by the regional nature of treatment and resources. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221015 Mon, 01 Aug 2011 04:00:00 +0100 5221015 Chronic opioid therapy for chronic noncancer pain in the United States: Long Day's Journey into Night? http://www.medworm.com/index.php?rid=5221002&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001976%2Fabstract%3Frss%3Dyes Since 1980, use of chronic opioid therapy (COT) for chronic noncancer pain (CNCP) has approximately doubled every 10 years. This increase is a result of at least two factors. First, in the 1980s, efforts were made to liberalize use of opioids for CNCP, with much of the impetus for these liberalization efforts coming from prior successful opioid initiatives for patients with cancer pain. Unfortunately, these efforts to liberalize opioids for CNCP were based primarily on clinical consensus, not evidence. Second, in the 1990s, and continuing to the present, there has been a push to formally include pain as the “fifth vital sign.” Today, many healthcare organizations, including the VA, the nation's largest healthcare provider, have adopted the practice of pain as the “fifth vital sign,... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221002 Mon, 01 Aug 2011 04:00:00 +0100 5221002 A brief screening tool for assessing psychological trauma in clinical practice: development and validation of the New York PTSD Risk Score http://www.medworm.com/index.php?rid=5221013&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001964%2Fabstract%3Frss%3Dyes The objective was to develop a brief posttraumatic stress disorder (PTSD) screening instrument that is useful in clinical practice, similar to the Framingham Risk Score used in cardiovascular medicine.Methods: We used data collected in New York City after the World Trade Center disaster (WTCD) and other trauma data to develop a new PTSD prediction tool — the New York PTSD Risk Score. We used diagnostic test methods to examine different clinical domains, including PTSD symptoms, trauma exposures, sleep disturbances, suicidal thoughts, depression symptoms, demographic factors and other measures to assess different PTSD prediction models.Results: Using receiver operating curve (ROC) and bootstrap methods, five prediction domains, including core PTSD symptoms, sleep disturbance, access to ca... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221013 Thu, 21 Jul 2011 04:00:00 +0100 5221013 One-year postcollaborative depression care trial outcomes among predominantly Hispanic diabetes safety net patients http://www.medworm.com/index.php?rid=5221006&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001927%2Fabstract%3Frss%3Dyes Abstract: Objective: The aim of this study was to determine sustained effectiveness in reducing depression symptoms and improving depression care 1 year following intervention completion.Method: Of 387 low-income, predominantly Hispanic diabetes patients with major depression symptoms randomized to 12-month socioculturally adapted collaborative care (psychotherapy and/or antidepressants, telephone symptom monitoring/relapse prevention) or enhanced usual care, 264 patients completed 2-year follow-up. Depression symptoms (Symptom Checklist-20 [SCL-20], Patient Health Questionnaire-9 [PHQ-9]), treatment receipt, diabetes symptoms and quality of life were assessed 24 months postenrollment using intent-to-treat analyses.Results: At 24 months, more intervention patients received ongoing antidepr... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221006 Wed, 20 Jul 2011 04:00:00 +0100 5221006 Encephalopathy associated with autoimmune thyroid disease (Hashimoto's thyroiditis) presenting as depression: a case report http://www.medworm.com/index.php?rid=5378687&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001939%2Fabstract%3Frss%3Dyes We report a 46-year-old man who presented with an acute depressive episode and was proven to have encephalopathy associated with Hashimoto's thyroiditis. The exclusive psychiatric manifestations of this case called our attention to the fact that an improved awareness of EAATD in patients with a history of thyroid disease can lead to a timely diagnosis and excellent disease prognosis. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378687 Fri, 15 Jul 2011 04:00:00 +0100 5378687 Psychosis-induced vitamin D deficiency with secondary hyperparathyroidism and osteoporotic fractures http://www.medworm.com/index.php?rid=5378686&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001897%2Fabstract%3Frss%3Dyes We present a patient with vitamin D deficiency, secondary hyperparathyroidism and resulting osteoporotic fractures caused or supported by psychosis-induced minimal sunlight exposure and nutritional deficits. To our knowledge, this is the first case where delusional ideas could have led to a vitamin D deficiency, secondary hyperparathyroidism and osteoporotic fractures. Similar clinical cases could be more often, but significantly underdiagnosed, among schizophrenia patients. An appropriate prevention by UV light exposure, food fortification and supplements is normally sufficient for patients at risk. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378686 Fri, 15 Jul 2011 04:00:00 +0100 5378686 Delusional infestation: treatment outcome with antipsychotics in 17 consecutive patients (using standardized reporting criteria) http://www.medworm.com/index.php?rid=5378674&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001873%2Fabstract%3Frss%3Dyes Conclusions: Our study confirmed previous experience that an excellent clinical outcome can be achieved in unselected patients with different DI forms provided that patients can be engaged in antipsychotic treatment. Although studies in DI are difficult to conduct, randomized controlled trials would be desirable to evaluate specific antipsychotic medication in DI in general and in the different forms of DI. More sophisticated investigations (single photon emission computed tomography and positron emission tomography) than structural brain imaging (magnetic resonance imaging and computed tomography) are needed to better elucidate underlying brain dysfunction in DI. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378674 Fri, 15 Jul 2011 04:00:00 +0100 5378674 Hallucinatory delirium following use of MDPV: “Bath Salts” http://www.medworm.com/index.php?rid=5221017&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001885%2Fabstract%3Frss%3Dyes We describe three cases of a paranoid psychotic delirium following use of “Bath Salts”. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221017 Fri, 15 Jul 2011 04:00:00 +0100 5221017 Antipsychotic polytherapy on an inpatient psychiatric unit: how does clinical practice coincide with Joint Commission guidelines? http://www.medworm.com/index.php?rid=5221014&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001861%2Fabstract%3Frss%3Dyes Conclusions: The majority of patients discharged on antipsychotic polytherapy had justifiable clinical rationales that were concordant with the new quality measures. However, two additional subsets were identified, one where quality improvement efforts may be warranted and another where revision of existing quality measure definitions should be considered. Given the implications of public reporting of quality measures, further study and refinement of these measures are required to provide meaningful information to all concerned stakeholders. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221014 Fri, 15 Jul 2011 04:00:00 +0100 5221014 Obsessive–compulsive symptoms among patients with blepharospasm and hemifacial spasm http://www.medworm.com/index.php?rid=5221011&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001903%2Fabstract%3Frss%3Dyes Conclusions: The finding that the severity of different OCD symptoms did not differ between the BSP and HFS groups suggests that BSP may not interfere significantly with behavioral components of the striato-thalamo-cortical circuitry. However, the fact that OCD symptoms were found to follow different courses in distinct diagnostic groups deserves further study. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221011 Fri, 15 Jul 2011 04:00:00 +0100 5221011 Depression and incident diabetic retinopathy: a prospective cohort study http://www.medworm.com/index.php?rid=5221005&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001952%2Fabstract%3Frss%3Dyes Conclusion: Diabetic patients with comorbid depression have a significantly higher risk of developing diabetic retinopathy. Improving depression treatment in patients with diabetes could contribute to diabetic retinopathy prevention. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221005 Fri, 15 Jul 2011 04:00:00 +0100 5221005 Announcements http://www.medworm.com/index.php?rid=5036123&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311002143%2Fabstract%3Frss%3Dyes (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036123 Thu, 30 Jun 2011 23:00:00 +0100 5036123 Personal meaning as a predictor of psychological well-being over time in individuals receiving HIV-related mental health services http://www.medworm.com/index.php?rid=5221010&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001848%2Fabstract%3Frss%3Dyes Conclusions: Assessing personal meaning as a resilience variable in this clinical psychiatric sample of individuals enrolled in an HIV mental health services program was useful in predicting psychological well-being over time. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221010 Mon, 27 Jun 2011 04:00:00 +0100 5221010 Fatigue in patients with sarcoidosis, compared with the general population http://www.medworm.com/index.php?rid=5221009&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001836%2Fabstract%3Frss%3Dyes Conclusion: The comparison to norm data is highly recommended for the evaluation of age and gender differences. Compared with the general population, young sarcoidosis patients are especially affected by fatigue. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221009 Mon, 27 Jun 2011 04:00:00 +0100 5221009 Are major depression and generalized anxiety disorder associated with intrauterine growth restriction in pregnant women? A case-control study http://www.medworm.com/index.php?rid=5378684&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001812%2Fabstract%3Frss%3Dyes Conclusions: According to the results of the present study, both major depression and generalized anxiety disorder appear to be associated with IUGR in pregnant women. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378684 Wed, 22 Jun 2011 04:00:00 +0100 5378684 Varenicline induces manic relapse in bipolar disorder http://www.medworm.com/index.php?rid=5378685&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001824%2Fabstract%3Frss%3Dyes We report a patient with bipolar disorder who developed manic relapse after starting treatment with varenicline for tobacco dependence. Further research is necessary to establish the safety of using varenicline in individuals who have significant mental illness and want to stop smoking. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378685 Thu, 16 Jun 2011 04:00:00 +0100 5378685 Predicting the future development of depression or PTSD after injury http://www.medworm.com/index.php?rid=5036104&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001770%2Fabstract%3Frss%3Dyes Conclusions: A simple screener that can help identify those patients at highest risk for future development of PTSD and depression postinjury allows the judicious allocation of costly mental health resources. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036104 Wed, 15 Jun 2011 23:00:00 +0100 5036104 Consultation psychiatry in the medical home and accountable care organizations: achieving the triple aim http://www.medworm.com/index.php?rid=5036101&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS016383431100185X%2Fabstract%3Frss%3Dyes We are in a time of increasing concern about unsustainable increases in health care costs to Medicare, Medicaid, employers and individuals. At the same time, more than half of patients with mental health needs do not receive care in any given year , and untreated mental disorders can be important drivers of high health care costs. As in the rest of health care, we are challenged with achieving the “triple aim” of improving access to care while at the same time improving quality and outcomes of care and reducing total health care costs . To achieve this triple aim, psychiatrists of the future will have to shift professional roles. In addition to traditional consultation liaison activities focused on individual patients in outpatient clinics or hospital settings, psychiatrists should hav... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036101 Wed, 15 Jun 2011 23:00:00 +0100 5036101 Symptoms of delirium: an exploratory factor analytic study among referred patients http://www.medworm.com/index.php?rid=5036111&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001757%2Fabstract%3Frss%3Dyes Conclusions: Similar to previous factor analytic studies, the present study supported the existence of two principal dimensions of delirium, cognitive and behavioral. Additionally, it extended the results of earlier investigations to a wider group of patients with delirium, suggesting that these dimensions might provide important clues to the neurobiology of delirium. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036111 Sun, 12 Jun 2011 23:00:00 +0100 5036111 Persistent, severe hypoglycemia-induced organic brain syndrome with neurological sequelae: a case report http://www.medworm.com/index.php?rid=5036122&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001794%2Fabstract%3Frss%3Dyes Abstract: Hypoglycemia is a biochemical abnormality and often the rate-limiting step in the treatment of both type 1 and type 2 diabetes mellitus. Left uncorrected and prolonged, hypoglycemia can result in neuronal dysfunction and death, with deficits ranging from measurable cognitive impairments to aberrant behavior, seizures and coma. In this case report, hypoglycemia resulted in severe and persistent neurological (slurred speech and gait abnormalities), cognitive (inattention, disorientation and memory deficits) and behavioral manifestations (verbal hostility and irritability). It highlights the potentially severe neuropsychiatric sequelae following hypoglycemia and is timely for clinicians to be reminded that hypoglycemia prevention needs to be more of a focus of diabetes care in gener... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036122 Wed, 08 Jun 2011 23:00:00 +0100 5036122 A cross-sectional study among survivors of the 2008 Sichuan earthquake: prevalence and risk factors of posttraumatic stress disorder http://www.medworm.com/index.php?rid=5036112&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001782%2Fabstract%3Frss%3Dyes Conclusion: Female, Han nationality, low monthly income, fear during earthquake and low social support in the past year were significant risk factors in heavily damaged counties, while the probable PTSD in moderately damaged counties was related to female, youth, fear during earthquake and low social support. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036112 Wed, 08 Jun 2011 23:00:00 +0100 5036112 Course and prediction of somatoform disorder and medically unexplained symptoms in primary care http://www.medworm.com/index.php?rid=5036103&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001769%2Fabstract%3Frss%3Dyes Conclusion: Somatoform disorder has a favorable course. The predictors of the courses of SFD and MUS we found can be integrated into previous explanatory models. The coping with MUS or SFD can be seen as a mediating factor. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036103 Wed, 08 Jun 2011 23:00:00 +0100 5036103 Drug reaction with eosinophilia and systemic symptoms induced by carbamazepine: DRESSed to kill http://www.medworm.com/index.php?rid=5036121&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001356%2Fabstract%3Frss%3Dyes Abstract: Two elderly patients with dementia-related behavioral problems developed rash, edema, eosinophilia and systemic symptoms after administration of carbamazepine. Drug reaction with eosinophilia and systemic symptoms (DRESS) was diagnosed with some delay. The relevance and complexity of recognizing DRESS are shown. Symptoms occur 1 to 8 weeks after start of carbamazepine, progress slowly and are similar to those in infections and neoplastic disorders. DRESS is a severe and potentially fatal complication, occurring in 1 of every 1000 to 10,000 patients using antiepileptic drugs. Treatment consists of immediate withdrawal of the offending drug, while reexposure should be avoided. First-degree relatives need to be informed about being at increased risk. (Source: General Hospital Psychi... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036121 Sun, 05 Jun 2011 23:00:00 +0100 5036121 Screening for depression in patients with hepatitis C using the Beck Depression Inventory-II: do somatic symptoms compromise validity? http://www.medworm.com/index.php?rid=5036108&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001289%2Fabstract%3Frss%3Dyes The objective of the study was to evaluate the validity of the Beck Depression Inventory-II (BDI-II) when used to measure depression in patients with hepatitis C virus (HCV).Method: Factor analysis was utilized to validate the BDI-II in a sample of 671 patients with HCV recruited from a large Veterans Affairs medical center. The data were split randomly: the first half was subjected to exploratory factor analysis, and confirmatory factor analysis was used with the second half to confirm the model. Diagnostic data were retrieved from the electronic medical records.Results: Subjects were 97.0% male, average age was 52.8 years, 16.1% had a cirrhosis diagnosis, 62.9% had a current major depressive disorder diagnosis, and 42.3% endorsed significant depressive symptoms on the BDI-II. A two-facto... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036108 Sun, 05 Jun 2011 23:00:00 +0100 5036108 Training primary care staff to deliver a computer-assisted cognitive–behavioral therapy program for anxiety disorders http://www.medworm.com/index.php?rid=5036105&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001344%2Fabstract%3Frss%3Dyes Conclusions: Primary care staff with none or minimal prior CBT experience can be trained to deliver a computer-assisted, evidence-based treatment for anxiety disorders. The implications for dissemination and transportability of evidenced-based interventions are discussed. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036105 Sun, 05 Jun 2011 23:00:00 +0100 5036105 Hemochromatosis-induced bipolar disorder: a case report http://www.medworm.com/index.php?rid=5570664&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001368%2Fabstract%3Frss%3Dyes Conclusion: Clinicians should explore the possibility of iron overload and seek genetic confirmation of hemochromatosis in resistant bipolar disorder to avoid unnecessary medication. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5570664 Mon, 30 May 2011 04:00:00 +0100 5570664 Marijuana-induced mania in a healthy adolescent: a case report http://www.medworm.com/index.php?rid=5378682&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001307%2Fabstract%3Frss%3Dyes Abstract: Marijuana is the most commonly used illegal substance by adolescents in the United States. According to a 2009 survey conducted by Monitoring the Future, there were about 11.8% of 8th graders, 26.7% of 10th graders and 32.8% of 12th graders who had abused marijuana at least once in the year (Johnston L.D., Bachman J.G., O'Malley P.M., Schulenberg J.E. Monitoring the Future: A Continuing Study of American Youth (12th-Grade Survey), 2009 [Computer file]. ICPSR28401-v1. Ann Arbor, MI: Interuniversity Consortium for Political and Social Research [distributor], 2010-10-27. doi:10.3886/ICPSR28401). A retrospective review of published literature disclosed case reports of marijuana-induced mania in adult patients with no prior psychiatric history (Bonnet U., Chang D.I., Wiltfang J., Sche... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378682 Mon, 30 May 2011 04:00:00 +0100 5378682 Trends in the prescription of opioids for adolescents with non-cancer pain http://www.medworm.com/index.php?rid=5221004&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001320%2Fabstract%3Frss%3Dyes We examined trends in mean dose prescribed, mean number of prescriptions and types of medications given, as well as clinical and demographic features of adolescents receiving opioids.Results: In 2005, 21% of adolescents with common NCP conditions in HealthCore and 40.2% of adolescents with NCP in Arkansas Medicaid had received prescription opioids. The majority of opioid prescriptions in both 2001 and 2005 were for DEA Schedule II and III short-acting opioids. In both samples, rates of prescription were higher for adolescents with comorbid mental health diagnoses compared to those without and for adolescents with multiple pain conditions compared to a single pain condition.Discussion: Prescription of opioids among adolescents with NCP is common, and the prescription rate is higher among ad... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221004 Mon, 30 May 2011 04:00:00 +0100 5221004 Paranoid psychosis induced by consumption of methylenedioxypyrovalerone: two cases http://www.medworm.com/index.php?rid=5378683&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001332%2Fabstract%3Frss%3Dyes Abstract: Of growing concern has been the phenomenon of psychoactive chemicals legally marketed as a variety of products such as “bath salts” or “herbal incense.” There is little in the formal literature about actual adverse effects of such chemicals. We have two cases of a paranoid psychosis in individuals consuming methylenedioxypyrovalerone. A discussion of this chemical and its abuse follows. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378683 Fri, 27 May 2011 04:00:00 +0100 5378683 Olfactory reference syndrome: demographic and clinical features of imagined body odor http://www.medworm.com/index.php?rid=5036114&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001277%2Fabstract%3Frss%3Dyes Conclusion: ORS appears to be characterized by high morbidity and seeking of nonpsychiatric treatment. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036114 Thu, 26 May 2011 23:00:00 +0100 5036114 Isolated nocturnal auditory hallucinations: a case report http://www.medworm.com/index.php?rid=5221020&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001319%2Fabstract%3Frss%3Dyes We report a case of prominent hypnopompic auditory hallucinations — which gradually became continuous and distressing with characteristics of schizophrenia-like hallucinations — that responded to a low dose of olanzapine. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221020 Thu, 26 May 2011 04:00:00 +0100 5221020 An adolescent case with Internet addiction and hacking: how are we dealing with this diverse spectrum of disorder? http://www.medworm.com/index.php?rid=5036124&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001241%2Fabstract%3Frss%3Dyes We would like to bring your attention to an adolescent case of internet addiction. This common disorder may be placed in the Diagnostic and Statistical Manual of Mental Disorder, Fifth Edition soon . It has been characterized by inability to limit Internet use despite an awareness of its harm on academic and social life. The addicted people experience intense anxiety when they face any limitation of their Internet access. This type of addiction has been reported in the literature since mid-1990s and has been increasing in prevalence . (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036124 Wed, 25 May 2011 23:00:00 +0100 5036124 Defining medical posttraumatic stress among young adult survivors in the Childhood Cancer Survivor Study http://www.medworm.com/index.php?rid=5036107&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS016383431100123X%2Fabstract%3Frss%3Dyes Conclusions: Choice of the definition used in studying posttraumatic stress after serious illness alters not only epidemiological findings, but also associations with correlates and predictors. This is important in the current debate about the criteria for PTSD in the upcoming DSMV. Further study is needed to determine if these findings are applicable to people exposed to other types of traumatic events. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036107 Wed, 25 May 2011 23:00:00 +0100 5036107 Upper gastrointestinal bleeding in an end-stage renal disease patient treated with fluoxetine http://www.medworm.com/index.php?rid=5221019&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001204%2Fabstract%3Frss%3Dyes Abstract: The defective platelets of end-stage renal disease patients might be further incapacitated by the antiplatelet effect of selective serotonin reuptake inhibitor, and bleeding tendency in these patients could be aggravated. Here we demonstrate an end-stage renal disease patient who was admitted for duodenal ulcer bleeding during the treatment with fluoxetine, and the bleeding did not stop by various active treatments until the cessation of fluoxetine. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5221019 Wed, 25 May 2011 04:00:00 +0100 5221019 Erratum to “The prevalence of restless legs syndrome in adult Saudis attending primary health care” [General Hospital Psychiatry 33 (2011) 102–106] http://www.medworm.com/index.php?rid=5036116&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001800%2Fabstract%3Frss%3Dyes In the above article, the second and fifth authors' names were misspelled as Khalid Al-sharani and Nojowd Al-amri. The correct spellings are Khalid Al-shahrani and Nojoud Al-amri. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036116 Tue, 24 May 2011 23:00:00 +0100 5036116 Treatment of delirium with ramelteon: initial experience in three patients http://www.medworm.com/index.php?rid=5036115&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001216%2Fabstract%3Frss%3Dyes Conclusion: These cases suggest that ramelteon may be beneficial in the treatment of delirium. Randomized controlled studies are needed to confirm the therapeutic benefits. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036115 Tue, 24 May 2011 23:00:00 +0100 5036115 Relationship between a hopeful attitude and cellular immunity in patients with breast cancer http://www.medworm.com/index.php?rid=5036110&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001253%2Fabstract%3Frss%3Dyes Conclusion: The results suggest that hopefulness may be associated with immunity in patients with breast cancer, independent of depression and quality of life. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036110 Tue, 24 May 2011 23:00:00 +0100 5036110 Utilization of primary care physicians in borderline personality http://www.medworm.com/index.php?rid=5036106&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001290%2Fabstract%3Frss%3Dyes Conclusions: Patients with borderline personality symptomatology appear to see a greater number of primary care physicians and specialists than patients without these Axis II symptoms. These findings may reflect the underlying psychological processes of the disorder as well as a general pattern of over-utilization of healthcare services by these types of patients. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036106 Tue, 24 May 2011 23:00:00 +0100 5036106 Association of serious psychological distress with health services expenditures and utilization in a national sample of US adults http://www.medworm.com/index.php?rid=5036102&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001228%2Fabstract%3Frss%3Dyes Conclusions: Among US adults, SPD is associated with significant increases in total expenditures and most other categories of expenditure and utilization. Targeted interventions to mitigate the adverse effects of SPD are needed. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036102 Sun, 08 May 2011 23:00:00 +0100 5036102 Hoofbeats and zebras: neurodegenerative disorder presenting as a “first episode” of psychosis http://www.medworm.com/index.php?rid=5036120&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001198%2Fabstract%3Frss%3Dyes Abstract: Neurodegenerative disorders can include diverse neuropsychiatric symptoms. Here we present a case referred to a “first-episode” psychosis clinic with socio-occupational decline, auditory hallucinations and paranoid ideation who subsequently exhibited a rapid, severe cognitive and behavioral decline. The brain magnetic resonance imaging findings of the patient have shown a progressive cortical atrophy prominent in the frontal lobes due to a neurodegenerative disorder. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036120 Thu, 05 May 2011 23:00:00 +0100 5036120 Venlafaxine-induced acute eosinophilic pneumonia http://www.medworm.com/index.php?rid=5036119&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001186%2Fabstract%3Frss%3Dyes Conclusion: This is a case report with clinical adverse reaction of AEP in two antidepressant agents (venlafaxine and sertraline) with a similar neurochemical mechanism of action via the serotoninergic system. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036119 Thu, 05 May 2011 23:00:00 +0100 5036119 Announcements http://www.medworm.com/index.php?rid=4862311&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001472%2Fabstract%3Frss%3Dyes (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862311 Sat, 30 Apr 2011 23:00:00 +0100 4862311 Response to comments on “Desvenlafaxine as a possible cause of acquired hemophilia” http://www.medworm.com/index.php?rid=4862315&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001150%2Fabstract%3Frss%3Dyes We are pleased to receive Dr. Oo's comments describing the course of acquired hemophilia A (AHA) in our patient. A review of records showed that our patient suffered a relapse of AHA in July 2009, approximately 2 months after remission. The relapse while essentially asymptomatic was characterized by prolonged partial thromboplastin time of 44.3 s (normal=12–15 s), factor VIII activity level of 12.5% (normal >50%) and elevated factor VIII inhibitor level. Relapses that follow tapering and stopping of steroids are known to occur in AHA. In our patient, the relapse was successfully treated with a course of cyclophosphamide as described by Dr. Oo. The patient recovered approximately 4 weeks later and had a factor VIII activity level of 94% in August 2009 with factor VIII inhibitor level bein... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862315 Thu, 28 Apr 2011 23:00:00 +0100 4862315 Erratum to “Decreased thyroid function in Korean women with bipolar disorder receiving valproic acid” [General Hospital Psychiatry 33 (2011) 200.e13–200.e15] http://www.medworm.com/index.php?rid=4862299&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001265%2Fabstract%3Frss%3Dyes The above article omitted an affiliation for Seung-Gul Kang. Affiliations for all authors are now listed correctly. The Publisher regrets any confusion this oversight may have caused. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862299 Thu, 28 Apr 2011 23:00:00 +0100 4862299 Toward a more comprehensive assessment of depression remission: the Remission Evaluation and Mood Inventory Tool (REMIT) http://www.medworm.com/index.php?rid=4862296&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000703%2Fabstract%3Frss%3Dyes Conclusion: Depression remission is a multidimensional concept that includes important nondepressive symptom dimensions. These important dimensions can be measured using a self-report instrument feasible for routine primary care. Pending longitudinal validation, REMIT5 is a promising tool for depression management. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862296 Thu, 28 Apr 2011 23:00:00 +0100 4862296 Prevalence of liver disease in veterans with bipolar disorder or schizophrenia http://www.medworm.com/index.php?rid=4862290&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001149%2Fabstract%3Frss%3Dyes Conclusions: This study in veterans shows that the presence of mental illness and its comorbidities represents a significant risk factor for the diagnosis of liver disease, including HCV and alcohol-related cirrhosis. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862290 Thu, 28 Apr 2011 23:00:00 +0100 4862290 Joint hypermobility syndrome is a risk factor trait for anxiety disorders: a 15-year follow-up cohort study http://www.medworm.com/index.php?rid=5036109&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001113%2Fabstract%3Frss%3Dyes The objective of the study was to assess whether joint hypermobility syndrome (JHS) is a risk factor for developing anxiety disorders using a 15-year prospective cohort study.Method: The initial cohort recruited 158 subjects aged 16 to 20 years from the general population in a Spanish rural town. The cohort was studied at baseline and at a 15-year follow-up. Joint hypermobility syndrome was assessed using Beighton's criteria, and the psychiatric disorders were assessed using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Disorders. Subjects with anxiety disorders at baseline were excluded from the follow-up.Results: Joint hypermobility syndrome at baseline was found in 29 of 158 subjects (21.1%). Cumulative incidence of panic/ag... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036109 Tue, 26 Apr 2011 23:00:00 +0100 5036109 Comments on “Desvenlafaxine as a possible cause of acquired hemophilia” http://www.medworm.com/index.php?rid=4862314&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001137%2Fabstract%3Frss%3Dyes I have read with interest the article by Shaligram et al. which was recently published in your journal. I was actually involved in the care of this patient in the capacity of the attending hematologist while I was employed at the St. Elizabeth's Medical Center in Boston. The authors accurately described the presentation and management of the case; however, the actual story did not end here as the authors described. The authors probably did not have access to the hematology clinic notes. He was followed up in the hematology clinic. Eight weeks after the discontinuation of prednisone, he was noted to have prolonged activated partial thromboplastin time. His factor VIII activity was decreased and factor VIII inhibitor reappeared, suggesting a relapse. Clinically, he had no active bleeding epi... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862314 Tue, 26 Apr 2011 23:00:00 +0100 4862314 Depressive vulnerabilities predict depression status and trajectories of depression over 1 year in persons with acute coronary syndrome http://www.medworm.com/index.php?rid=4862289&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001162%2Fabstract%3Frss%3Dyes Conclusions: Self-reported vulnerabilities — stressful life events, reduced reinforcing events, cognitive distortions, personality — measured during hospitalization can identify those at risk for depression post-ACS and especially those with persistent depressive episodes. Interventions should focus on these vulnerabilities. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862289 Tue, 26 Apr 2011 23:00:00 +0100 4862289 Prevalence of depressive symptoms in patients with chronic obstructive pulmonary disease: a systematic review, meta-analysis and meta-regression http://www.medworm.com/index.php?rid=4862288&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311001174%2Fabstract%3Frss%3Dyes Conclusion: This meta-analytical review identified higher prevalence of depressive symptoms among COPD patients, and meta-regression showed that demographic and clinical factors were not the determinants of heterogeneity in prevalence of depressive symptoms. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862288 Tue, 26 Apr 2011 23:00:00 +0100 4862288 A case study: neuroleptic malignant syndrome with risperidone and CYP2D6 gene variation http://www.medworm.com/index.php?rid=5378681&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000715%2Fabstract%3Frss%3Dyes We present a schizophrenic patient who experienced neuroleptic malignant syndrome with risperidone treatment due to variants of the CYP2D6 gene with reduced function. Clinicians need to be aware of this potential complication. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5378681 Wed, 13 Apr 2011 04:00:00 +0100 5378681 Oral health of psychiatric inpatients: a survey of central Taiwan hospitals http://www.medworm.com/index.php?rid=4862293&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000697%2Fabstract%3Frss%3Dyes Conclusion: The oral health of psychiatric inpatients was poor compared with the general population and was generally ignored by the patients themselves. The phenomenon is universal, occurring in both Western and Eastern countries. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862293 Tue, 12 Apr 2011 23:00:00 +0100 4862293 A case of obsessive-compulsive disorder by proxy http://www.medworm.com/index.php?rid=4862310&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000685%2Fabstract%3Frss%3Dyes In this report, we describe an interesting case of a 58-year-old lady who substituted her husband for her to perform the compulsive behaviors. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862310 Wed, 06 Apr 2011 23:00:00 +0100 4862310 Treatment dilemma in comorbidity of schizophrenia and idiopathic Parkinson's disease http://www.medworm.com/index.php?rid=5036118&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000636%2Fabstract%3Frss%3Dyes We report a 59-year-old male with a diagnosis of schizophrenia for 32 years. Progressive hand tremor was noted from age 53; and then masked face, bradykinesia, dysphagia, sialorrhea; and unsteady shuffling gait became markedly exacerbated, even after discontinuing all antipsychotics for 6 months. The diagnosis of idiopathic Parkinson's disease was confirmed by Tc99m TRODAT SPECT. The dilemma of psychopharmacological treatment to control both disorders was encountered. Based on the review of treatment for Parkinson's disease psychosis (PDP), the recommended treatments suggest the utilization of quetiapine, clozapine, or aripiprazole. However, monotherapy with each of the three atypical antipsychotics failed due to poor efficacy or worsening of parkinsonism symptoms. After a 2-month cautious... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036118 Sun, 03 Apr 2011 23:00:00 +0100 5036118 Attitudes of Japanese nursing personnel toward patients who have attempted suicide http://www.medworm.com/index.php?rid=5036113&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000624%2Fabstract%3Frss%3Dyes Conclusions: The results suggest that less favorable attitudes may to some extent be the result of lack of knowledge regarding suicidal patients. Future studies should focus on the evaluation of educational experiences on attitudes and skill acquisition of nurses. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036113 Thu, 31 Mar 2011 23:00:00 +0100 5036113 Acute Charles Bonnet syndrome secondary to eye patching http://www.medworm.com/index.php?rid=4862309&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000673%2Fabstract%3Frss%3Dyes Conclusion: This case of Charles Bonnet syndrome describes an unusually acute onset of hallucinations and is only the second reported case following eye patching. Eye patching is commonly used in a number of situations, and it is important to be aware of this association, as the diagnosis of Charles Bonnet syndrome is often overlooked. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862309 Thu, 31 Mar 2011 23:00:00 +0100 4862309 OB CARES — The Obstetric Clinics and Resources Study: providers' perceptions of addressing perinatal depression — a qualitative study http://www.medworm.com/index.php?rid=4862295&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000582%2Fabstract%3Frss%3Dyes Conclusion: Our results highlight the pivotal role of internal factors in decisions to deliver perinatal depression care. Future interventions in obstetric settings should target the intrinsic motivations of providers. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862295 Thu, 31 Mar 2011 23:00:00 +0100 4862295 Prevalence and associated factors of psychological distress among Korean cancer patients http://www.medworm.com/index.php?rid=4862292&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS016383431100065X%2Fabstract%3Frss%3Dyes Conclusion: The results of this study showed that approximately one-third of the cancer patients suffered from psychological distress. We recommend that physicians focus on the psychological status of female cancer patients with low levels of education and poor performance status. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862292 Thu, 31 Mar 2011 23:00:00 +0100 4862292 Multimorbidity and depression treatment http://www.medworm.com/index.php?rid=4862291&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000661%2Fabstract%3Frss%3Dyes Conclusion: Individuals with multiple conditions are as likely as those with single condition to report treatment for depression perhaps due to increased contact with the health care system. Our findings suggest that competing demands due to multiple chronic conditions may not affect depression treatment. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862291 Thu, 31 Mar 2011 23:00:00 +0100 4862291 Prognostic association of depression following myocardial infarction with mortality and cardiovascular events: a meta-analysis of 25 years of research http://www.medworm.com/index.php?rid=4862287&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000648%2Fabstract%3Frss%3Dyes Abstract: Objective: A meta-analysis of over 25 years of research into the relationship between post-myocardial infarction (MI) depression and cardiac prognosis was conducted to investigate changes in this association over time and to investigate subgroup effects.Method: A systematic literature search was performed (Medline, Embase and PsycINFO; 1975–2011) without language restrictions. Studies investigating the impact of post-MI depression on cardiovascular outcome, defined as all-cause mortality, cardiac mortality and cardiac events within 24 months after the index MI, were identified. Depression had to be assessed within 3 months after MI using established instruments. Pooled odds ratios (ORs) were calculated using a random effects model.Results: A total of 29 studies were identified,... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862287 Thu, 31 Mar 2011 23:00:00 +0100 4862287 Psychoses as the presenting manifestation of Creutzfeldt-Jakob disease in an elderly male http://www.medworm.com/index.php?rid=4862307&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000594%2Fabstract%3Frss%3Dyes We report the case of a healthy elderly man who presents with acute psychosis. We describe our diagnostic evaluation based on the patient's history and physical examination, which identified Creutzfeldt-Jakob disease. Avoiding diagnostic error in patients who face such a rapidly progressive and catastrophic illness is paramount. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862307 Fri, 25 Mar 2011 00:00:00 +0100 4862307 Factors associated with referral to mental health services among suicide attempters visiting emergency centers of general hospitals in Korea: does history of suicide attempts predict referral? http://www.medworm.com/index.php?rid=4862298&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000107%2Fabstract%3Frss%3Dyes Conclusion: Psychiatric interventions for suicide reattempters visiting emergency centers are important for preventing suicide, but providers have not considered suicide attempt history as a critical factor for referral to mental health services. Therefore, we suggest that more effort is needed to systemize psychiatric interventions for suicide reattempters at emergency centers in Korea. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862298 Fri, 25 Mar 2011 00:00:00 +0100 4862298 Quality of psychiatric care in the general hospital: referrer perceptions of an inpatient liaison psychiatry service http://www.medworm.com/index.php?rid=4862294&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000600%2Fabstract%3Frss%3Dyes Conclusions: Consultants and senior nurses differed in their expectations of liaison psychiatry. Referrers valued speed of response and regarded time from referral to definitive management plan as a key performance indicator for benchmarking services. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862294 Fri, 25 Mar 2011 00:00:00 +0100 4862294 Panic-attack-induced transient leukocytosis in a healthy male: a case report http://www.medworm.com/index.php?rid=4862308&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000612%2Fabstract%3Frss%3Dyes Abstract: The lifetime prevalence of panic attacks is 28.3% in American adults 18 years and older. The age of onset of panic attack extends throughout adulthood; however, it typically develops in early adulthood, with median age of onset of 22 years [Kessler R.C., Chiu W.T., Jin R., Ruscio A.M., Shear K., Walters E.E. The epidemiology of panic attacks, panic disorder, and agoraphobia in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2006 Apr;63(4):415–24.]. As reported in our case, panic attacks could induce transient leukocytosis in healthy adults. If practitioners recognize this association, expensive investigations and extensive hospital stays may be prevented, although prudent practice would likely still require some type of investigations. (Source: General Hospita... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862308 Thu, 24 Mar 2011 00:00:00 +0100 4862308 Psychiatric emergency “surge capacity” following acts of terrorism and mass violence with high media impact: what is required? http://www.medworm.com/index.php?rid=4862297&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000570%2Fabstract%3Frss%3Dyes Conclusions: Although these sentinel US disasters varied in scope, method, geographic proximity to the study site, perpetrator characteristics, public response, sequelae and degree of media coverage, the extent to which they impacted emergency department treatment-seeking was minimal. Geographically distant mass violence and disaster events of the type and scope studied here may require only minimal mental health “surge capacity” in the days following the event. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862297 Wed, 23 Mar 2011 00:00:00 +0100 4862297 Comments on “Hyponatremia-induced change in mood mimicking late-onset bipolar disorder” http://www.medworm.com/index.php?rid=4862313&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000569%2Fabstract%3Frss%3Dyes The interesting report by Drs. McKnight and Hampson related to the hyponatremia-induced development of a manic episode, and subsequently, a state of confusion that progress to catatonia in an older patient inspired us on a few comments. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862313 Wed, 09 Mar 2011 00:00:00 +0100 4862313 Clinical correlates of worsening in obsessive–compulsive symptoms during pregnancy http://www.medworm.com/index.php?rid=4841174&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000557%2Fabstract%3Frss%3Dyes This study examined clinical factors related to worsening of obsessive–compulsive disorder (OCD) in pregnant women. For comorbid diagnoses at the onset of pregnancy and frequency of several obsessive–compulsive symptoms, there was a significant difference between women whose OCD worsened during the pregnancy and those in whom the OCD did not worsen. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841174 Mon, 07 Mar 2011 00:00:00 +0100 4841174 “Well it's like someone at the other end cares about you.” A qualitative study exploring the views of users and providers of care of contact-based interventions following self-harm http://www.medworm.com/index.php?rid=4841170&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000119%2Fabstract%3Frss%3Dyes Conclusion: The findings suggest that an appropriate design for an intervention might be the provision of an information leaflet, telephone calls (soon after discharge), then letters (offering continuity of contact). Aspects of value and concern expressed by service users should be helpful to clinicians and service providers. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841170 Thu, 03 Mar 2011 00:00:00 +0100 4841170 Announcements http://www.medworm.com/index.php?rid=4841179&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000843%2Fabstract%3Frss%3Dyes (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841179 Tue, 01 Mar 2011 00:00:00 +0100 4841179 Association between the Malnutrition–Inflammation Score and depressive symptoms in kidney transplanted patients http://www.medworm.com/index.php?rid=4841169&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000545%2Fabstract%3Frss%3Dyes Abstract: Objective: Depressive symptoms and the Malnutrition–Inflammation Complex Syndrome (MICS) are prevalent in patients with chronic kidney disease. The complex relationship between MICS and depression has never been studied in kidney transplanted (Tx) patients. Here we evaluate the association between the Malnutrition–Inflammation Score (MIS) (Kalantar score) and depressive symptoms in Tx patients.Methods: Cross-sectional data of 973 prevalent Tx patients were analyzed. Sociodemographic and anthropometric characteristics and clinical and laboratory data were collected, and serum levels of inflammatory markers [C-reactive protein (CRP), interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α)] were measured. The Center for Epidemiologic Studies-Depression (CES-D) scale, the M... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841169 Tue, 01 Mar 2011 00:00:00 +0100 4841169 Aphthous ulcers associated with bupropion in a female adolescent: a case verified by rechallenge http://www.medworm.com/index.php?rid=5036117&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000120%2Fabstract%3Frss%3Dyes This article describes a female adolescent with depression who developed aphthous ulcers while on high-dose bupropion with positive rechallenge. This is the first case report indicating the incidence of aphthous ulcers associated with bupropion treatment. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=5036117 Mon, 28 Feb 2011 00:00:00 +0100 5036117 A case of catatonia due to posterior reversible encephalopathy syndrome treated successfully with antihypertensives and adjunctive olanzapine http://www.medworm.com/index.php?rid=4862306&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000090%2Fabstract%3Frss%3Dyes Abstract: Catatonia is a distinct neuropsychiatric syndrome with prominent motor manifestations. Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiologic syndrome usually precipitated by malignant hypertension. Given the overlapping neuropathology in both syndromes, we present a case of catatonia precipitated by PRES, with full resolution of the former after successful treatment of the latter. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862306 Mon, 28 Feb 2011 00:00:00 +0100 4862306 The base rates and factors associated with reported access to firearms in psychiatric inpatients http://www.medworm.com/index.php?rid=4841173&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000132%2Fabstract%3Frss%3Dyes Abstract: Objective: The aim of this study was to define whether specific patient demographic groups, diagnoses or other factors are associated with psychiatric inpatients reporting firearms access.Methods: A retrospective medical records review study was conducted using information on access to firearms from electronic medical records for all patients 16 years and older admitted between July 2007 and May 2008 at the Mayo Clinic Psychiatric Hospital in Rochester, MN. Data were obtained only on patients providing authorization for record review. Data were analyzed using univariate and multivariate logistic regression analyses accounting for gender, diagnostic groups, comorbid substance use, history of suicide attempts and family history of suicide/suicide attempts.Results: Seventy-four perc... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841173 Mon, 28 Feb 2011 00:00:00 +0100 4841173 Posttraumatic stress disorder is a risk factor for metabolic syndrome in an impoverished urban population http://www.medworm.com/index.php?rid=4841166&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS016383431100003X%2Fabstract%3Frss%3Dyes Abstract: Objective: Metabolic syndrome is associated with elevated risk for cardiovascular disease and diabetes and has increased prevalence in low-income African Americans, which constitutes a significant health disparity. The mechanisms responsible for this disparity remain unclear; the current study investigated the relationship between posttraumatic stress disorder (PTSD) and metabolic syndrome.Method: We assessed childhood and adult trauma history, major depressive disorder, PTSD and the components of metabolic syndrome in an urban population. We recruited 245 low-socioeconomic-status, primarily African American subjects from general medical clinics in an inner-city hospital.Results: Trauma exposure was extremely prevalent, with 90.6% of subjects reporting at least one significant tr... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841166 Mon, 28 Feb 2011 00:00:00 +0100 4841166 Catastrophizing, depression and pain-related disability http://www.medworm.com/index.php?rid=4841168&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000065%2Fabstract%3Frss%3Dyes Conclusions: Routine assessment of both catastrophic thinking and depression is important in the treatment of chronic pain patients, and modification of these factors may reduce disability and increase the ability of chronic pain patients to participate in daily life activity. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841168 Mon, 21 Feb 2011 00:00:00 +0100 4841168 Depressive disorders and panic attacks in women with bladder pain syndrome/interstitial cystitis: a population-based sample http://www.medworm.com/index.php?rid=4841167&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000053%2Fabstract%3Frss%3Dyes Conclusions: In this community-based sample, rates of probable current depression and panic attacks are high, and there is considerable unmet need for treatment. These findings suggest that clinicians should be alert to complaints of bladder pain in patients seeking treatment for depressive or anxiety disorders and to complaints of emotional or personal problems in patients seeking treatment for painful bladder symptoms. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841167 Mon, 21 Feb 2011 00:00:00 +0100 4841167 Enhancing the population impact of collaborative care interventions: mixed method development and implementation of stepped care targeting posttraumatic stress disorder and related comorbidities after acute trauma http://www.medworm.com/index.php?rid=4841165&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000028%2Fabstract%3Frss%3Dyes Conclusions: Stepped care protocols targeting PTSD may enhance the population impact of early interventions developed for survivors of individual and mass trauma by extending the reach of collaborative care interventions to acute care medical settings and other nonspecialty posttraumatic contexts. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841165 Mon, 21 Feb 2011 00:00:00 +0100 4841165 Multiple intracerebral hemorrhages in an elderly patient after adding quetiapine to a stable warfarin regimen http://www.medworm.com/index.php?rid=4862305&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000089%2Fabstract%3Frss%3Dyes Abstract: The efficacy of antipsychotics in patients with dementia exhibiting psychiatric symptoms has been overshadowed by safety concerns in recent years. Evidence suggests that the long-term use of antipsychotics in older adults is associated with a greater risk of cerebrovascular adverse events than accrues with short-term use (less than 30 days) [J Clin Psychiatry. 2010;71(6):689–98]. Here, we present an elderly male patient with dementia who developed multiple intracerebral hemorrhages (ICHs) 3 days after the addition of quetiapine to his stable warfarin regimen. To our knowledge, this is the second case of possible interaction between quetiapine and warfarin. We suggest mechanisms that may account for the patient's clinical presentation and highlight that combining treatment with ... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862305 Thu, 17 Feb 2011 00:00:00 +0100 4862305 Is it possible to assess subjective well-being among bipolar inpatients? An 18-week follow-up study http://www.medworm.com/index.php?rid=4841172&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000041%2Fabstract%3Frss%3Dyes Conclusion: Data of this study provide further support for the need to consider the subjective well-being as a personal variable associated to psychopathological state in bipolar patients. However, results seem to be in line with authors who suggest to use other subjective quality of life scales in acute mania. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841172 Mon, 14 Feb 2011 00:00:00 +0100 4841172 The prevalence of restless legs syndrome in adult Saudis attending primary health care http://www.medworm.com/index.php?rid=4841162&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000077%2Fabstract%3Frss%3Dyes Conclusion: Restless leg syndrome is common among Saudis (Arabs). Our study supports the findings of reports in other countries demonstrating that primary care physicians do not often recognize RLS. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841162 Mon, 14 Feb 2011 00:00:00 +0100 4841162 The association of traumatic experiences and posttraumatic stress disorder with health care utilization in the elderly — a German population based study http://www.medworm.com/index.php?rid=4841171&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002598%2Fabstract%3Frss%3Dyes Conclusion: These results indicate that both trauma and PTSD are positively associated to some indicators of HCU. Posttraumatic stress disorder has a weak mediating role in the association of TE and HCU. Physical health has a weak mediating role in the association of PTSD and HCU. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841171 Mon, 31 Jan 2011 00:00:00 +0100 4841171 Associations between posttraumatic stress disorder and hemoglobin A1C in low-income minority patients with diabetes http://www.medworm.com/index.php?rid=4841164&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002586%2Fabstract%3Frss%3Dyes The objective of this cross-sectional study was to evaluate associations between PTSD and A1C among low-income minorities with diabetes.Method: Adults with diabetes were recruited from a network of primary care clinics. Data were obtained from surveys and electronic medical records. Lifetime PTSD symptoms were assessed using the Structured Clinical Interview—DSM-IV and depressive symptoms with the Patient Health Questionnaire-9. A1C was obtained from chart review.Results: Of 103 adults analyzed, 12% had lifetime full PTSD and 12% had subthreshold PTSD. On backward stepwise logistic regression, patients with any PTSD symptoms were significantly more likely to have an A1C >7% compared to patients without symptoms (ORadj 2.98, 95% CI 1.04–8.52, P=.04). An A1C >7% also was associated with ... General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841164 Mon, 31 Jan 2011 00:00:00 +0100 4841164 Racial differences in the prevalence of antenatal depression http://www.medworm.com/index.php?rid=4841160&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002501%2Fabstract%3Frss%3Dyes Conclusion: Results suggest the importance of race/ethnicity as a risk factor for antenatal depression. Prevention and treatment strategies geared toward the mental health needs of Black and Asian/Pacific Islander women are needed to reduce the racial/ethnic disparities in antenatal depression. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841160 Mon, 31 Jan 2011 00:00:00 +0100 4841160 Post-stroke mania precipitated by withdrawal of antidepressant in an elderly patient with chronic major depression http://www.medworm.com/index.php?rid=4862304&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002604%2Fabstract%3Frss%3Dyes In this report, we present the case of an elderly woman with depression and chronic vascular burden; she experienced her first episode of mania after a lacunar infarct on the right side and the withdrawal of antidepressant therapy. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862304 Thu, 27 Jan 2011 00:00:00 +0100 4862304 High prevalence and prescription of benzodiazepines for elderly: data from psychiatric consultation to patients from an emergency room of a general hospital http://www.medworm.com/index.php?rid=4591992&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002574%2Fabstract%3Frss%3Dyes Conclusion: There is a wide prevalence of benzodiazepine use among elderly patients in a psychiatric emergency service. Despite the recommendations for its judicious use, benzodiazepines were the most commonly used drug by psychiatrists on duty, regardless of patient's age. These results call for caution in prescribing these drugs and require alternatives to the treatment of psychiatric disorders in the elderly. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4591992 Thu, 27 Jan 2011 00:00:00 +0100 4591992 Predicting insomnia in medical wards: the effect of anxiety, depression and admission diagnosis http://www.medworm.com/index.php?rid=4591997&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002562%2Fabstract%3Frss%3Dyes Conclusions: Patients with depressive and mainly anxiety symptoms are more likely to experience insomnia in medical wards. Patients with infections are also likely to have insomnia, independently of depressive and anxiety symptoms, and appropriate interventions should be applied. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4591997 Fri, 21 Jan 2011 00:00:00 +0100 4591997 The relationship between treatment settings and diagnostic attributions of depression among African Americans http://www.medworm.com/index.php?rid=4591995&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002550%2Fabstract%3Frss%3Dyes Conclusion: Results suggest that encounters with health care providers influence the diagnostic attribution of depression in a systematic manner. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4591995 Fri, 21 Jan 2011 00:00:00 +0100 4591995 Racial and ethnic differences in diabetes mellitus among people with and without psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions http://www.medworm.com/index.php?rid=4841163&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002495%2Fabstract%3Frss%3Dyes Conclusion: Policies and services that support culturally appropriate prevention and treatment strategies are needed to reduce racial/ethnic disparities in diabetes among people with and without psychiatric disabilities. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841163 Thu, 20 Jan 2011 00:00:00 +0100 4841163 The long-term trajectory of depression among Latinos in primary care and its relationship to depression care disparities http://www.medworm.com/index.php?rid=4841161&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002549%2Fabstract%3Frss%3Dyes Conclusions: While relapse/recurrence is common, most Latinos in this study experienced improvement in depression over 30 months. For many, there is a considerable time to reach improvement/remission. Also, these findings confirm the significance of antidepressant underutilization, DPC and stigma in the long-term outcome of depression among Latinos in primary care. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841161 Thu, 20 Jan 2011 00:00:00 +0100 4841161 A manic episode in a 64-year-old man: an adverse effect of varenicline http://www.medworm.com/index.php?rid=4841177&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002434%2Fabstract%3Frss%3Dyes We report a case of an acute manic episode in a 64-year-old man with a history of bipolar disorder post stroke, who was started on varenicline. This case demonstrates the importance of monitoring neuropsychiatric adverse drug reactions after the start of varenicline therapy in patients with a current or past history of mental illness. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841177 Fri, 14 Jan 2011 00:00:00 +0100 4841177 New-age patient communications through social networks http://www.medworm.com/index.php?rid=4841175&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310001817%2Fabstract%3Frss%3Dyes We report a case of a suicide attempt and how communications through online social networks initiated treatment and affected its outcome. We discuss advantages and challenges to clinicians regarding use social networks and electronic communication in patient care. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841175 Fri, 14 Jan 2011 00:00:00 +0100 4841175 Psychiatric consultation and care after acute burn injury: a 6-month naturalistic prospective study http://www.medworm.com/index.php?rid=4591988&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002525%2Fabstract%3Frss%3Dyes Conclusions: After hospitalized burn injury, only half of the patients with mental disorders and unequivocal need for psychiatric care actually received such care. Psychiatric consultations and care follow the course of acute burn treatment, not of later emerging mental disorders. Previous psychiatric history strongly influences care decisions. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4591988 Fri, 14 Jan 2011 00:00:00 +0100 4591988 Serotonin syndrome associated with polypharmacy in the elderly http://www.medworm.com/index.php?rid=4862303&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002537%2Fabstract%3Frss%3Dyes We describe a case of serotonin syndrome in a 79-year-old man taking mirtazapine, venlafaxine and quetiapine. As this case illustrates, serotonin syndrome can be caused by combinations of direct serotonin agonists (e.g., serotonergic antidepressants) and indirect serotonin agonists (e.g., atypical antipsychotics). (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862303 Mon, 10 Jan 2011 00:00:00 +0100 4862303 Neuroleptic malignant syndrome associated with bromocriptine withdrawal in Parkinson's disease — a case report http://www.medworm.com/index.php?rid=4862302&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002513%2Fabstract%3Frss%3Dyes We present the first case report of neuroleptic malignant syndrome associated with the withdrawal of bromocriptine. The symptoms were alleviated by adequate replenishment of intravenous fluid, temperature reduction and replacement of bromocriptine. Clinicians need to be aware of this potential complication and that a thorough history of current medications is crucial to its identification. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4862302 Mon, 10 Jan 2011 00:00:00 +0100 4862302 Decreased thyroid function in Korean women with bipolar disorder receiving valproic acid http://www.medworm.com/index.php?rid=4841178&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS016383431000246X%2Fabstract%3Frss%3Dyes We report here two adult female patients with bipolar disorder who developed abnormal thyroid function after short-or long-term administration of valproic acid (VPA). The first patient developed sick euthyroid syndrome (relative to her pretreatment thyroid levels) after only 2 months of treatment with VPA and quetiapine. The second patient, who had no pretreatment medical history including thyroid disease, developed hypothyroidism after several years of treatment with VPA and quetiapine. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4841178 Wed, 05 Jan 2011 00:00:00 +0100 4841178 Nonfatal pulmonary embolus associated with clozapine treatment: a case series http://www.medworm.com/index.php?rid=4592012&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002483%2Fabstract%3Frss%3Dyes Abstract: Clozapine is a tricyclic dibenzodiazepine efficacious in the management of treatment-resistant chronic schizophrenia. Although case reports of arrhythmias and cardiomyositis have been reported with clozapine use, severe acute cardiovascular side effects (SE) tend to be rare in clozapine treatment. The author reports on a case series of three patients treated with clozapine on a long-term inpatient unit that developed nonfatal pulmonary emboli (PE) and deep venous thrombosis (DVT). While not a contraindication, potential increased PE risk should be discussed with initiation of clozapine treatment. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4592012 Wed, 05 Jan 2011 00:00:00 +0100 4592012 Announcements http://www.medworm.com/index.php?rid=4592013&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834311000260%2Fabstract%3Frss%3Dyes (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4592013 Sat, 01 Jan 2011 00:00:00 +0100 4592013 Potentiating effect of fluphenazine decanoate and risperidone on development of neuroleptic malignant syndrome http://www.medworm.com/index.php?rid=4592009&cid=s_35586_172_f&fid=35586&url=http%3A%2F%2Fwww.ghpjournal.com%2Farticle%2FPIIS0163834310002057%2Fabstract%3Frss%3Dyes We present the case of a woman with paranoid schizophrenia who was receiving oral risperidone. She developed neuroleptic malignant syndrome (NMS) following the addition of depot fluphenazine for the treatment of refractory delusions. NMS subsided and psychotic features were controlled after both antipsychotics were discontinued and the patient was treated instead with olanzapine. (Source: General Hospital Psychiatry) General Hospital Psychiatry journals http://www.medworm.com/rss/comments.php?id=4592009 Fri, 24 Dec 2010 00:00:00 +0100 4592009