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Volume Contents IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - November 1, 2009 Category: Psychiatry Source Type: journals

Author Index to Volume 31Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - November 1, 2009 Category: Psychiatry Source Type: journals

AcknowledgmentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - November 1, 2009 Category: Psychiatry Source Type: journals

AnnouncementsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - November 1, 2009 Category: Psychiatry Source Type: journals

Tobacco dependence, treatment and smoke-free policies: a survey of mental health professionals' knowledge and attitudesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Support for inpatient smokers by staff is likely to be severely compromised by low levels of knowledge and awareness of tobacco dependence. Further training and support for all staff groups are urgently required. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - September 17, 2009 Category: Psychiatry Authors: Elena Ratschen, John Britton, Gillian A. Doody, Jo Leonardi-Bee, Ann McNeill Tags: Authored by Trainees Source Type: journals

A longitudinal community study of major depression and physical activityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Major depressive episodes are associated with an increased risk of transition from an active to an inactive pattern of activity. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - September 17, 2009 Category: Psychiatry Authors: Scott B. Patten, Jeanne V.A. Williams, Dina H. Lavorato, Michael Eliasziw Tags: Original Contribution Source Type: journals

A key step for quality care in psychiatric emergency settingsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
It has been 10 years since the Institute of Medicine (IOM) published its landmark report demonstrating substantial medical errors . The 2001 IOM report, Crossing the Quality Chasm, sets forth an agenda to close the gap in quality of health care As many aspects of behavioral health care have no parallel in the overall health care, the IOM followed with another report in hope to improve the quality of health care for mental and substance-use conditions . How does this affect the users and providers of psychiatric emergency service (PES)? (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - September 2, 2009 Category: Psychiatry Authors: Benjamin K.P. Woo, David L. Sultzer Tags: Editorials Source Type: journals

Trends in long-term opioid therapy for noncancer pain among persons with a history of depressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Persons with a history of depression are more likely to receive long-term opioid therapy for noncancer pain than those without a history of depression. Results suggest that long-term opioid therapy for noncancer pain is being prescribed to a different population in clinical practice than the clinical trial populations where opioid efficacy has been established. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - August 28, 2009 Category: Psychiatry Authors: Jennifer Brennan Braden, Mark D. Sullivan, G. Thomas Ray, Kathleen Saunders, Joseph Merrill, Michael J. Silverberg, Carolyn M. Rutter, Constance Weisner, Caleb Banta-Green, Cynthia Campbell, Michael Von Korff Tags: Symptom Research Source Type: journals

Excess heart-disease-related mortality in a national study of patients with mental disorders: identifying modifiable risk factorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Objective: People with mental disorders are estimated to die 25 years younger than the general population, and heart disease (HD) is a major contributor to their mortality. We assessed whether Veterans Affairs (VA) health system patients with mental disorders were more likely to die from HD than patients without these disorders, and whether modifiable factors may explain differential mortality risks.Methods: Subjects included VA patients who completed the 1999 Large Health Survey of Veteran Enrollees (LHSV) and were either diagnosed with schizophrenia, bipolar disorder, other psychotic disorders, major depressive...
Source: General Hospital Psychiatry - August 28, 2009 Category: Psychiatry Authors: Amy M. Kilbourne, Nancy E. Morden, Karen Austin, Mark Ilgen, John F. McCarthy, Gregory Dalack, Frederic C. Blow Tags: Psychiatric-Medical Comorbidity Source Type: journals

Posttraumatic stress disorder in convalescent severe acute respiratory syndrome patients: a 4-year follow-up studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Objective: To measure the incidence and impact of posttraumatic stress disorder (PTSD) in a cohort of 70 subjects with severe acute respiratory syndrome (SARS).Methods: Clinical assessments of PTSD were conducted at 2, 7, 10, 20 and 46 months after discharge from medical hospitalization for treatment of SARS. Diagnoses of PTSD were established by a trained psychiatrist using the Chinese Classification of Mental Disorders (CCMD-III) and Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) criteria. To study the impact of PTSD, we used the Impact of Event Scale (IES), Zung Self-Rating Anxiety...
Source: General Hospital Psychiatry - August 28, 2009 Category: Psychiatry Authors: Xia Hong, Glenn W. Currier, Xiaohui Zhao, Yinan Jiang, Wei Zhou, Jing Wei Tags: Psychiatric-Medical Comorbidity Source Type: journals

Use of outpatient mental health services and psychotropic medications among HIV-infected patients in a multisite, multistate studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In the HAART era, self-reported rates of mental health service and psychotropic medication utilization are high. Blacks continue to report lower use of MHS and psychotropic medication compared to whites. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - August 28, 2009 Category: Psychiatry Authors: Seth Himelhoch, Joshua S. Josephs, Geetanjali Chander, P. Todd Korthuis, Kelly A. Gebo, For the HIV Research Network Tags: Psychiatric-Medical Comorbidity Source Type: journals

Trauma and mental health in US inner-city populationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Gillespie et al (this issue) call our attention to the heavy burden of violence and other trauma suffered by inner-city populations in the United States. The information they present is based on interviews with patients attending public clinics serving residents of the inner city of Atlanta, GA, almost all African-American and poor. An elevated risk of exposure to assaultive violence (including rape, sexual assault other than rape, shot/stabbed, mugged/threatened with a weapon, badly beaten) among inner-city populations of similar racial and socioeconomic composition has been documented in epidemiological surveys of the ge...
Source: General Hospital Psychiatry - August 28, 2009 Category: Psychiatry Authors: Naomi Breslau Tags: Editorials Source Type: journals

AnnouncementsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - August 27, 2009 Category: Psychiatry Source Type: journals

The management of depression during pregnancy: a report from the American Psychiatric Association and the American College of Obstetricians and GynecologistsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Antidepressant use in pregnancy is well studied, but available research has not yet adequately controlled for other factors that may influence birth outcomes including maternal illness or problematic health behaviors that can adversely affect pregnancy. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - August 24, 2009 Category: Psychiatry Authors: Kimberly A. Yonkers, Katherine L. Wisner, Donna E. Stewart, Tim F. Oberlander, Diana L. Dell, Nada Stotland, Susan Ramin, Linda Chaudron, Charles Lockwood Tags: Psychiatric-Medical Comorbidity Source Type: journals

Response to Tishler and Reiss' review of inpatient suicideEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We read your recent publication by Tishler and Reiss entitled “Inpatient Suicide: preventing a common sentinel event.” We recently completed a comprehensive review of all root cause analysis (RCA) reports of inpatient suicide and suicide attempts in the Veterans Health Administration between December 1999 and June 2006 . Our study was published in 2008 and, so, was missed by Tishler and Reiss. We found 185 RCA reports of inpatient suicide and serious suicide attempts, of which 42 were completed suicides. Fifty-two percent of the 185 events occurred while the patient was on an inpatient psychiatry unit. Primary methods ...
Source: General Hospital Psychiatry - July 24, 2009 Category: Psychiatry Authors: Peter D. Mills, James P. Bagian Tags: Letters to the Editor Source Type: journals

Response to Mills et al. regarding Tishler and Reiss' review of inpatient suicideEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The article by Mills et al. is an important work in the field of inpatient suicide and would have been an important contribution to our article . The research of Mills et al. reports on all inpatient suicides and suicide attempts occurring at Veterans Affairs Hospitals through 1999–2006, where reporting of these events is mandatory. As with our review, the authors found that the most common method of inpatient suicide was hanging, and both articles echo the suggestions of other authors , recommending proactive hospital environmental changes such as identifying and eliminating items that can be used for suicide (such as w...
Source: General Hospital Psychiatry - July 22, 2009 Category: Psychiatry Authors: Carl L. Tishler, Natalie Reiss Tags: Letters to the Editor Source Type: journals

Association between family structure in childhood and lifetime depressive disorder in adulthood among a nationally representative sample of BlacksEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Growing up in a household with one biological parent and a nonbiological parent was positively associated with depressive disorder in adulthood among Black women. Future studies should continue to explore the pathways linking family structure in childhood to the long-term consequences of depressive disorder. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 21, 2009 Category: Psychiatry Authors: Amelia R. Gavin, David H. Chae, David Takeuchi Tags: Original Contributions Source Type: journals

The effect of depression on self-care behaviors and quality of care in a national sample of adults with diabetesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In adults with diabetes, both minor and major depression are associated with decreased self-care behavior and quality of care. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 21, 2009 Category: Psychiatry Authors: Leonard E. Egede, Charles Ellis, Anouk L. Grubaugh Tags: Psychiatric-Medical Comorbidity Source Type: journals

Psychiatric disorders in bariatric surgery candidates: a review of the literature and results of a German prebariatric surgery sampleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: About one half of the bariatric surgery candidates in Germany presented with a current Axis I disorder.Prevalence rates reported in the literature so far are based on different premises. Details for example about the evaluation should be taken into account when interpreting the results. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 21, 2009 Category: Psychiatry Authors: Barbara Mühlhans, Thomas Horbach, Martina de Zwaan Tags: Psychiatric-Medical Comorbidity Source Type: journals

The accuracy of Patient Health Questionnaire-9 in detecting depression and measuring depression severity in high-risk groups in primary careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aims to determine the accuracy of the Patient Health Questionnaire-9 (PHQ-9) in (a) screening for depressive disorder, (b) diagnosing depressive disorder and (c) measuring the severity of depressive disorder in groups that are at high risk for depressive disorder.Method: We compared the performance of the PHQ-9 as a screening instrument and as a diagnostic instrument to that of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) interview, which we used as reference standard. Three high-risk groups of patients were selected: (a) frequent attenders, (b) patients with mental health problems and ...
Source: General Hospital Psychiatry - July 12, 2009 Category: Psychiatry Authors: Karin Wittkampf, Hiske van Ravesteijn, Kim Baas, Henk van de Hoogen, Aart Schene, Patrick Bindels, Peter Lucassen, Eloy van de Lisdonk, Henk van Weert Tags: Psychiatry and Primary Care Source Type: journals

Longitudinal associations among depression, obesity and alcohol use disorders in young adulthoodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Results show that depression, obesity and alcohol use disorders are interrelated conditions for women. A greater understanding of reasons underlying the co-occurrence of these conditions would benefit prevention and intervention efforts. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 12, 2009 Category: Psychiatry Authors: Carolyn A. McCarty, Rick Kosterman, W. Alex Mason, Elizabeth McCauley, J. David Hawkins, Todd I. Herrenkohl, Liliana J. Lengua Tags: Psychiatric-Medical Comorbidity Source Type: journals

Adherence to evidence-based guidelines for depression and anxiety disorders is associated with recording of the diagnosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Adherence to depression and anxiety guidelines can be improved, even when the general practitioner makes the diagnosis and records it. Data on actual health care delivery and quality of care provide insight and may be useful in developing quality improvement activities. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 5, 2009 Category: Psychiatry Authors: Mirrian Smolders, Miranda Laurant, Peter Verhaak, Marijn Prins, Harm van Marwijk, Brenda Penninx, Michel Wensing, Richard Grol Tags: Psychiatry and Primary Care Source Type: journals

Depression care for people with cancer: a collaborative care interventionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the design and delivery of DCPC as given in the SMaRT Oncology trials. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 5, 2009 Category: Psychiatry Authors: Jane Walker, Michael Sharpe Tags: Psychiatric-Medical Comorbidity Source Type: journals

Does comorbid psychiatric disorder argue for or against surgical treatment of obesity?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this issue of the journal, Mühlans et al. describe high rates of mood, anxiety and eating disorders in a sample of patients awaiting bariatric surgery for severe obesity. Nearly one third met criteria for a current mood disorder; one fifth had a current anxiety disorder, and over half had at least one current psychiatric diagnosis. Elevated rates of mood and anxiety disorders in patients awaiting bariatric surgery are certainly not surprising. As Mühlans et al. describe, community surveys consistently find an association between obesity and common mental disorders, and most find that this association grows stronger wi...
Source: General Hospital Psychiatry - July 5, 2009 Category: Psychiatry Authors: Gregory E. Simon, David E. Arterburn Tags: Editorial Source Type: journals

AnnouncementsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 25, 2009 Category: Psychiatry Source Type: journals

Constant special observation and self-harm on acute psychiatric wards: a longitudinal analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The lack of association with self-harm suggests that the use of constant special observation could be reduced without compromising patient safety. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 24, 2009 Category: Psychiatry Authors: Duncan Stewart, Len Bowers, Fiona Warburton Tags: Emergency Psychiatry in the General Hospital Source Type: journals

Aripiprazole in major depression and mania: meta-analyses of randomized placebo-controlled trialsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: We found evidence suggesting that aripiprazole is effective in both depressive and manic patients, but has relevant side effects. Further research is needed to identify its benefits for comorbid patients and its long-term effect. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 23, 2009 Category: Psychiatry Authors: Beatriz Arbaizar, Trinidad Dierssen-Sotos, Inés Gómez-Acebo, Javier Llorca Tags: Original Contributions Source Type: journals

The role of personality in comorbidity among anxiety and depressive disorders in primary care and specialty care: a cross-sectional analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Prevalence of and comorbidity among anxiety and depressive disorders in primary care were very similar to those in specialty care. Neuroticism — but no other personality traits — may help to understand the comorbidity among anxiety and depressive disorders irrespective of recruitment setting. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 23, 2009 Category: Psychiatry Authors: Philip Spinhoven, Mark de Rooij, Willem Heiser, Jan H. Smit, Brenda W.J.H. Penninx Tags: Psychiatry and Primary Care Source Type: journals

Predictors of posttraumatic stress disorder and return to usual major activity in traumatically injured intensive care unit survivorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Easily identifiable risk factors including ICU/acute care service-delivery characteristics and early post-ICU distress were associated with increased risk of PTSD and limitations in return to usual major activity. Future investigations could develop early screening interventions in acute care settings targeting these risk factors, facilitating appropriate treatments. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 23, 2009 Category: Psychiatry Authors: Dimitry S. Davydow, Douglas F. Zatzick, Frederick P. Rivara, Gregory J. Jurkovich, Jin Wang, Peter P. Roy-Byrne, Wayne J. Katon, Catherine L. Hough, Erin K. Kross, Ming-Yu Fan, Jutta Joesch, Ellen J. MacKenzie Tags: Psychiatric-Medical Comorbidity Source Type: journals

Psychiatric management of HIV/HCV-coinfected patients beginning treatment for hepatitis C virus infection: survey of provider practicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Many expert providers prescribe antidepressants to HIV/HCV-coinfected patients initiating Hepatitis C treatment in the absence of symptoms of depression, despite the lack of data supporting this approach in this population. Research is needed to provide an evidence base to guide the optimal psychiatric management of HIV/HCV-coinfected patients beginning hepatitis C treatment. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 10, 2009 Category: Psychiatry Authors: Jeffrey J. Weiss, Susan Morgello Tags: Psychiatric-Medical Comorbidity Source Type: journals

Trauma exposure and stress-related disorders in inner city primary care patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: These data document high levels of childhood and adult trauma exposure, principally interpersonal violence, in a large sample of an inner-city primary care population. Within this group of subjects, PTSD and depression are highly prevalent conditions. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 10, 2009 Category: Psychiatry Authors: Charles F. Gillespie, Bekh Bradley, Kristie Mercer, Alicia K. Smith, Karen Conneely, Mark Gapen, Tamara Weiss, Ann C. Schwartz, Joseph F. Cubells, Kerry J. Ressler Tags: Psychiatry and Primary Care Source Type: journals

The “inactivity trap”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this issue of General Hospital Psychiatry, Roshanaei-Moghaddam et al. report that baseline depression may be a significant risk factor for the development of a sedentary lifestyle or decreased level of physical exercise. To many, these findings simply document in writing a common clinical observation. One of the well-recognized symptoms of major depression is reduced physical activity, and depressed individuals often report that even previously simple tasks like shopping or going to work seem impossible when they are in the throes of their illness. However, in reality, clinicians seldom can determine whether depression ...
Source: General Hospital Psychiatry - June 9, 2009 Category: Psychiatry Authors: Mary Kate Elfrey, Roy C. Ziegelstein Tags: Editorial Source Type: journals

The Psychiatric Emergency Research Collaboration-01: methods and resultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Creating a common standard for documenting, abstracting and reporting on the nature and management of psychiatric emergencies is feasible across a wide range of health care institutions. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 5, 2009 Category: Psychiatry Authors: Edwin D. Boudreaux, Michael H. Allen, Cindy Claassen, Glenn W. Currier, Louise Bertman, Rachel Glick, Jennifer Park, David Feifel, Carlos A. Camargo, On behalf of the PERC Tags: Emergency Psychiatry in the General Hospital Source Type: journals

Use of dual health care services among veterans seen in Veterans Affairs primary care clinicsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Due to increased US military deployments, the Veterans Affairs (VA) system is challenged with meeting the health care needs of veterans post-deployment while also serving the needs of a pre-existing and rapidly aging veteran base. Through 2006, more than 631,000 veterans of war-zone deployment in Iraq or Afghanistan have returned to the United States . Of these, approximately 32.5% have sought VA healthcare, representing a significant increase in the number of veterans enrolled in the VA healthcare system. Simultaneously, the average age of veterans served in VA primary care clinics in 1999 was 60.1 years, with 42.6% over ...
Source: General Hospital Psychiatry - May 25, 2009 Category: Psychiatry Authors: Anouk L. Grubaugh, Kathryn M. Magruder, Heidi M. Zinzow, B. Christopher Frueh Tags: Letters to the Editor Source Type: journals

Was SARS a mental health catastrophe?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A few months after the resolution of the 2003 outbreak of Severe Acute Respiratory Syndrome (SARS), I was at an international meeting presenting some observations of the psychological impact of SARS in Toronto, Canada. I was met with two starkly contrasting responses. An infectious disease expert from the southern United States told me that she had no idea that the outbreak had been so serious. Later, another infectious disease expert from Hong Kong, which had been much more hardly hit than Toronto, sniffed that our results were interesting but we “hardly had any cases.” The severity of a natural disaster is in the eye...
Source: General Hospital Psychiatry - May 24, 2009 Category: Psychiatry Authors: Robert G. Maunder Tags: Editorial Source Type: journals

Response to the letterEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We were interested in discriminating severity among those who have been diagnosed with major depression (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) and not among those who may or may not have depression. While we agree with suggested point that, by definition, symptoms would discriminate poorly among those patients for whom the very symptoms were the selection criteria, it is important to remember that our analyses have shown that they do less well than alternative criteria in discriminating severity among such patients. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - May 21, 2009 Category: Psychiatry Authors: Tatsuo Akechi, Tetsuji Ietsugu, Masune Sukigara, Toshiaki A. Furukawa Tags: Letters to the Editor Source Type: journals

Should alternative diagnostic criteria be used to assess patients with cancer? A comment on Akechi et al.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Akechi et al. recently concluded that the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnostic criteria for major depressive disorder (MDD) poorly discriminated severity among 728 cancer patients with MDD and that alternative symptoms were better indicators of depression severity. Alternatives included “fearfulness or depressed appearance in face or posture” (mild depression); “not participating in medical care…or functioning at a lower level than the medical condition warrants” and “social withdrawal or decreased talkativeness” (moderate depression); and “cannot be chee...
Source: General Hospital Psychiatry - May 21, 2009 Category: Psychiatry Authors: Brett D. Thombs, James C. Coyne Tags: Letters to the Editor Source Type: journals

The longitudinal effects of depression on physical activityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Baseline depression may be a significant risk factor for development of sedentary lifestyle or decreased level of physical exercise. Future studies should examine mechanisms by which depression may lead to decline in activity. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - May 13, 2009 Category: Psychiatry Authors: Babak Roshanaei-Moghaddam, Wayne J. Katon, Joan Russo Tags: Authored by Trainees Source Type: journals

Psychiatric morbidity following electrical injury and its effects on cognitive functioningEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examines the prevalence of psychiatric morbidity in a large sample of electrical injury (EI) patients in three phases of recovery and its effects on cognitive functioning.Methods: Eight-six self-referred EI patients received psychiatric and neuropsychological evaluations. Descriptive statistics were conducted to examine the prevalence of psychiatric morbidity. Polytomous logistic regression was used to identify predictors of psychiatric diagnosis. Between-subjects analysis of variances (ANOVA) was conducted to examine the effects of psychiatric morbidity on cognitive functioning.Results: Seventy-eight percent of...
Source: General Hospital Psychiatry - May 11, 2009 Category: Psychiatry Authors: Alona Ramati, Leah H. Rubin, Alissa Wicklund, Neil H. Pliskin, Alia N. Ammar, Joseph W. Fink, Elena N. Bodnar, Raphael C. Lee, Mary Ann Cooper, Kathleen M. Kelley Tags: Psychiatric-Medical Comorbidity Source Type: journals

Depression increases risk of incident myocardial infarction among Veterans Administration patients with rheumatoid arthritisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Depressed RA patients, without a history of cardiovascular disease, are 40% more likely to have a heart attack as compared to those without depression. These data demonstrate a rapid (within 6 years) transition to MI following onset of depression in RA patients. Increased monitoring of depression and heart disease status in this patient population may be warranted which in turn may result in longer duration of life. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - May 11, 2009 Category: Psychiatry Authors: Jeffrey F. Scherrer, Katherine S. Virgo, Angelique Zeringue, Kathleen K. Bucholz, Theodore Jacob, Robert G. Johnson, William R. True, Robert M. Carney, Kenneth E. Freedland, Hong Xian, Liron Caplan, Jay McDonald, Seth A. Eisen Tags: Psychiatric-Medical Comorbidity Source Type: journals

Coping, self-efficacy and psychiatric history in patients with both chronic widespread pain and chronic fatigueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The unexpected finding that emotion-focused coping was associated differently with chronic pain and fatigue among patients who experience both symptoms is discussed in the context of the research on the effects of self-efficacy and possible treatment approaches. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - May 4, 2009 Category: Psychiatry Authors: Wayne R. Smith, Eric D. Strachan, Dedra Buchwald Tags: Psychiatric-Medical Comorbidity Source Type: journals

Mortality in medical–surgical inpatients referred for psychiatric consultationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Objective: The purpose of this study is to calculate the 1-year mortality rate of medical–surgical inpatients referred for psychiatric consultation and to determine factors associated with mortality in this population.Method: We conducted a retrospective chart review of medical–surgical inpatients referred for psychiatric consultation (N=454). Patients who died within 1 year of psychiatric consultation were compared to age-matched patients from the same group who survived on demographic and clinical domains.Results: Sixty-nine patients (15.2%) died within 1 year of referral for psychiatric consultation. Delir...
Source: General Hospital Psychiatry - May 4, 2009 Category: Psychiatry Authors: Gayla B. Tennen, James R. Rundell, Susanna R. Stevens Tags: Psychiatric-Medical Comorbidity Source Type: journals

Major depression and health-related quality of life in Parkinson's diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Substantial impact of depression and life stress, two modifiable factors, on HRQL is seen in PD. HRQL may be improved by clinical management of these nonmotor symptoms in PD. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - May 3, 2009 Category: Psychiatry Authors: C. Allyson Jones, Sheri L. Pohar, Scott B. Patten Tags: Psychiatric-Medical Comorbidity Source Type: journals

AnnouncementsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - May 1, 2009 Category: Psychiatry Source Type: journals

Letter to the Editor — “Longitudinal effects of depression and glycemic control in veterans with type 2 diabetes” by Richardson et alEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I have read with much interest the article by Richardson et al. which found a significant relationship between depression and poor glycemic control as measured by HgbA1c in veterans with type 2 diabetes. Several potential confounders were examined including race, gender, age and comorbidites, but the role of physical activity was not examined during the study, which may have affected the findings. The physiological changes that accompany physical activity include increases in muscle and liver sensitivity, muscle glucose uptake and utilization, and glycemic control . There is also a decrease in percentage of body fat, which...
Source: General Hospital Psychiatry - May 1, 2009 Category: Psychiatry Authors: Jacqueline Faulkner Tags: Letters to the Editor Source Type: journals

Depression, physical activity and glycemic control in adults with type 2 diabetesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We appreciate the interest in our manuscript that described the relationship between glycemic control and depression . We followed a cohort of elderly, predominantly male veterans over a period of 4.1 years and found that there was a significant longitudinal relationship between depression and glycemic control and that depression was associated with persistently higher hemoglobin A1c (HbA1c) levels over time. Multiple studies have shown that physical inactivity is associated with increased odds of depression ; however, few studies have examined whether physical inactivity mediates the effect of depression on glycemic contr...
Source: General Hospital Psychiatry - May 1, 2009 Category: Psychiatry Authors: Leonard E. Egede, Carrae L. Echols, Lisa K. Richardson, Martina Mueller, Mulugeta Gebregziabher Tags: Letters to the Editor Source Type: journals

Anxiety disorders and joint hypermobility syndrome: the role of collagen tissueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We were very interested in the paper by Roy-Byrne et al. , which reviewed the relationship between anxiety disorders and comorbid medical illness. We fully agree that anxiety disorders rival depression in terms of risk, comorbidity and outcome. However, we believe that most of the conditions the authors are referring to (i.e., irritable bowel syndrome, cardiovascular disease, asthma or chronic pain), can be explained as clinical features of joint hypermobility syndrome (JHS). Unfortunately, the existence of such a syndrome was neglected in the article. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - May 1, 2009 Category: Psychiatry Authors: Guillem Pailhez, Antonio Bulbena, Miquel Angel Fullana, Juan Castaño Tags: Letters to the Editor Source Type: journals

Toxic epidermal necrolysis associated with paroxetineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of paroxetine-induced toxic epidermal necrolysis (TEN). A 71-year-old female presented a pruritic cutaneous eruption on her arms after 14 days of paroxetine, a selective serotonin reuptake inhibitor (SSRI) treatment, with lesions developing on the thighs, lower back, abdomen and axillae. Physical examination on emergency room admission, 6 days after the first symptoms, revealed an exfoliating exanthema which exceeded 20% of the body surface area. A TEN was diagnosed. The drug was withdrawn; there were no complications, and the patient had a complete remission within 11 days. Physicians should be aware of t...
Source: General Hospital Psychiatry - May 1, 2009 Category: Psychiatry Authors: Emilie Tudela, Céline Villier, Michel Mallaret Tags: Letters to the Editor Source Type: journals

Self-limited erythema multiforme with risperidoneEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of self-limited risperidone-induced EM minor that did not require medication discontinuation. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - May 1, 2009 Category: Psychiatry Authors: Guenevere V. Burke, Donovan A. Wong, C. Scott Saunders, Joseph M. Pierre Tags: Case Reports Source Type: journals

Loss of vision secondary to obsessive–compulsive disorder: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Although rare, severe clinical complications can occur in OCD. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - May 1, 2009 Category: Psychiatry Authors: Albina Rodrigues Torres, Mariana de Souza Domingues, Alvio Isao Shiguematsu, Sumaia Inaty Smaira Tags: Case Reports Source Type: journals