Pain-Related Anxiety Mediates the Relationship between Depressive Symptoms and Pain Interference in Veterans with Hepatitis C
Depression and chronic pain are common in persons chronically infected with the hepatitis C virus (HCV), although little is known about the rate of co-occurrence or mechanisms by which they are associated. We evaluated whether pain-related anxiety mediates the relationship between depressive symptoms and pain-related physical functioning in patients with HCV. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 17, 2015 Category: Psychiatry Authors: Melissa H. Adams, Travis I. Lovejoy, Dennis C. Turk, Steven K. Dobscha, Peter Hauser, Benjamin J. Morasco Source Type: research
A manic episode with psychotic features improved by methylprednisolone in a patient with Multiple Sclerosis
Several studies have reported a higher prevalence of unipolar depression and bipolar disorder among patients with MS. However, only a few studies have reported manic episodes concomitant with new lesions enhanced by gadolinium on brain MRI. Here we report the case of a 47 year old woman suffering from MS admitted for a manic episode with psychotic features. Brain MRI revealed three new T2 lesions enhanced by gadolinium located in the corpus callosum and in ventromedial prefrontal regions. She rapidly recovered with intra-veinous methylprednisolone in combination with risperidone. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 14, 2015 Category: Psychiatry Authors: Sevan Hotier, David Maltete, Bertrand Bourre, Xavier Jegouzo, Valérie Bourgeois, Olivier Guillin Source Type: research
Medical Comorbidity, Acute Medical Care Use in Late-Life Bipolar Disorder: A Comparison of Lithium, Valproate, and Other Pharmacotherapies
: Bipolar disorder is associated with high rates of medical comorbidity, particularly in late life. Little is known about medical health service utilization and potential effects of bipolar pharmacotherapy. We hypothesized that lithium use would not be associated with higher rates of medical hospitalization. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 11, 2015 Category: Psychiatry Authors: Soham Rej, Ching Yu, Kenneth Shulman, Nathan Herrmann, Hadas D. Fischer, Kinwah Fung, Andrea Gruneir Source Type: research
Individual risk factors for physician boundary violations: the role of attachment style, childhood trauma and maladaptive beliefs
The assessment and remediation of boundary-challenged healthcare professionals is enhanced through examination of individual risk factors. We assessed three such factors--attachment style, childhood trauma and maladaptive beliefs--in 100 attendees (mostly physicians) of a CME professional boundaries course. We propose a theoretical model which draws a causal arc from childhood maltreatment through insecure attachment and maladaptive beliefs to elevated risk for boundary violations. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 8, 2015 Category: Psychiatry Authors: Kai MacDonald, Andrés F. Sciolla, David Folsom, David Bazzo, Chris Searles, Christine Moutier, Michael L. Thomas, Katherine Borton, Bill Norcross Tags: Corrigendum Source Type: research
Corrigendum to “Individual Risk Factors for Physician Boundary Violations: the Role of Attachment Style, Childhood Trauma, and Maladaptive Beliefs” (Gen Hosp Psychiatry 2015;37/1:81–88)
The assessment and remediation of boundary-challenged healthcare professionals is enhanced through examination of individual risk factors. We assessed three such factors--attachment style, childhood trauma and maladaptive beliefs--in 100 attendees (mostly physicians) of a CME professional boundaries course. We propose a theoretical model which draws a causal arc from childhood maltreatment through insecure attachment and maladaptive beliefs to elevated risk for boundary violations. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 8, 2015 Category: Psychiatry Authors: Kai MacDonald, Andrés F. Sciolla, David Folsom, David Bazzo, Chris Searles, Christine Moutier, Michael L. Thomas, Katherine Borton, Bill Norcross Tags: Corrigendum Source Type: research
Describing the precursors to and management of medication nonadherence on acute psychiatric wards
This study aims to (a) describe what conflict (aggression, absconding etc.) and containment (de-escalation, restraining etc.) events occur before and after events of medication nonadherence on acute psychiatric wards and (b) identify which patient characteristics are associated with medication nonadherence. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 2, 2015 Category: Psychiatry Authors: Michelle Richardson, Geoffrey Brennan, Karen James, Mary Lavelle, Laoise Renwick, Duncan Stewart, Len Bowers Source Type: research
Describing the precursors to, and management of, medication non-adherence on acute psychiatric wards
This study aims to: i) describe what conflict (aggression, absconding etc.) and containment (de-escalation, restraining etc.) events occur before and after events of medication non-adherence on acute psychiatric wards and ii) identify which patient characteristics are associated with medication non-adherence. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - July 2, 2015 Category: Psychiatry Authors: Michelle Richardson, Geoffrey Brennan, Karen James, Mary Lavelle, Laoise Renwick, Duncan Stewart, Len Bowers Source Type: research
Barriers and Facilitators of Suicide Risk Assessment in Emergency Departments: A Qualitative Study of Provider Perspectives
To understand emergency department (ED) providers’ perspectives regarding the barriers and facilitators of suicide risk assessment and to use these perspectives to inform recommendations for best practices in ED suicide risk assessment. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 30, 2015 Category: Psychiatry Authors: Megan L. Petrik, Peter M. Gutierrez, Jon S. Berlin, Stephen M. Saunders Source Type: research
Familial liability for metoprolol-induced psychosis
: Beta-blockers are commonly used in the treatment of hypertension and cardiac arrhythmias. The incidence of neuropsychiatric side effects is generally low. This case report shows the potential familial liability of a metoprolol induced psychosis. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 25, 2015 Category: Psychiatry Authors: L. Rietveld, T. van der Hoek, M.H.C.T. van Beek van Beek, A.F.A. Schellekens Source Type: research
Implementing collaborative care programs for psychiatric disorders in medical settings: a practical guide
The objective of this article is to provide a practical guide to the implementation of collaborative care programs in real-world settings. Based on our experience delivering collaborative care programs, we provide: (a) specific, stepwise recommendations for the successful implementation of collaborative care in outpatient settings and (b) an examination of the additional benefits and challenges of collaborative care programs that begin during hospitalization. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 24, 2015 Category: Psychiatry Authors: Scott R. Beach, Jane Walker, Christopher M. Celano, Carol A. Mastromauro, Michael Sharpe, Jeff C. Huffman Source Type: research
Selecting, training and supervising nurses to treat depression in the medically ill: Experience and recommendations from the SMaRT Oncology collaborative care trials
We report our experience of selecting, training and supervising general nurses to deliver ‘Depression Care for People with Cancer’, a highly effective collaborative care treatment program. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 23, 2015 Category: Psychiatry Authors: Marta Wanat, Jane Walker, Laura Hodges, Alison Richardson, Michael Sharpe Source Type: research
Catatonia vis-à-vis delirium: The significance of recognizing catatonia in altered mental status
Catatonia is seldom considered in evaluation of altered mental status (AMS) in medical settings. Furthermore, catatonia often meets delirium criteria due to incoherence, altered awareness, and behavioral change. Catatonia may co-occur with or be preferentially diagnosed as delirium. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 17, 2015 Category: Psychiatry Authors: Mark A. Oldham, Hochang B. Lee Source Type: research
Screening and case finding for major depressive disorder using the Patient Health Questionnaire (PHQ-9): a meta-analysis
The PHQ-9 is a widely used screening tool for major depressive disorder (MDD), although there is debate surrounding it’s diagnostic properties. For the PHQ-9, we aimed to: (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 17, 2015 Category: Psychiatry Authors: Andrew Stephen Moriarty, Simon Gilbody, Dean McMillan, Laura Manea Source Type: research
A Horse in Zebra Stripes: A Peculiar Case of Undetected End-Stage AIDS
Abstract restructured as requested (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 17, 2015 Category: Psychiatry Authors: Kei Yoshimatsu, J. Michael Bostwick Source Type: research
Obsessive–compulsive disorder concurrent with Melkersson-Rosenthal Syndrome: a case report
To describe a case of obsessive–compulsive disorder (OCD) comorbid with Melkersson-Rosenthal Syndrome (MRS). (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - June 15, 2015 Category: Psychiatry Authors: Fatih Kayhan, Faik İlik, Ayşegül Kayhan Source Type: research
