Racial and ethnic differences in mental healthcare utilization consistent with potentially effective care: The role of patient preferences
Ethnic minorities are less likely than Whites to initiate and continue mental healthcare. Minorities also prefer non-medical approaches to address mental health issues. We evaluated sector-type as a modifier of the association of race/ethnicity with service utilization for mental health. We hypothesized that minorities utilize non-mental health sectors at rates consistent with guidelines and similar to Whites. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - February 9, 2017 Category: Psychiatry Authors: Anika L. Hines, Lisa A. Cooper, Leiyu Shi Source Type: research
Diabetes quality of care and outcomes: Comparison of individuals with and without schizophrenia
The objective of this study was to determine the quality of diabetes care and diabetes-related health outcomes among individuals with and without schizophrenia. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - February 9, 2017 Category: Psychiatry Authors: Paul Kurdyak, Simone Vigod, Raquel Duchen, Binu Jacob, Th érèse Stukel, Tara Kiran Source Type: research
Exploratory examination of the utility of demoralization as a diagnostic specifier for adjustment disorder and major depression
Demoralization, a state of lowered morale and poor coping, has a prevalence of 13 –18% among patients with advanced cancer. We surveyed clinicians' perspectives of the utility of “with demoralization” as a diagnostic specifier for adjustment and depressive disorders. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - February 1, 2017 Category: Psychiatry Authors: D.W. Kissane, I. Bobevski, P. Gaitanis, J. Brooker, N. Michael, C. Lethborg, G. Richardson, P. Webster, C. Hempton Source Type: research
Letter to the Editor regarding “Severe mental illness and emergency department service use nationally in the Veterans Health Administration”
I read your article Severe Mental Illness and Emergency Department Service Use Nationally in the Veterans Health Administration [1] with interest and would like to add insight from VHA Emergency Medicine Community. Nationally, access to mental health care service for non-Veterans of moderate means is severely limited [2]. Not unexpectedly this limit drives care to Emergency Departments and the limited mental health infrastructure outside of VHA results in long ED stays [3]. However, the referenced NEHI publication excludes federal health systems and extrapolation of these finding to VA may not be valid [4]. (Source: Genera...
Source: General Hospital Psychiatry - January 25, 2017 Category: Psychiatry Authors: Curt Dill, Arnaldo Gonzalez-Aviles Source Type: research
Characterizing and predicting rates of delirium across general hospital settings
To better understand variation in reported rates of delirium, this study characterized delirium occurrence rate by department of service and primary admitting diagnosis. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - January 24, 2017 Category: Psychiatry Authors: Thomas H. McCoy, Kamber L. Hart, Roy H. Perlis Source Type: research
Response to editorial
We thank the author for their comments, as they reinforce some of the points we hoped to make about clinical aspects of VA ED care. They state in that “perhaps ED visits are not necessarily a failure of public health within VA, but rather an appropriate venue to care for Veterans with health conditions not yet solved by society.” We agree with this statement, and as we noted in the paper, the extensive access veterans have to both psychiatric and medical outpatient care suggests that their high levels of ED use is unlikely to reflect poor access to needed servicers but rather is “primarily attributable to the well-kn...
Source: General Hospital Psychiatry - January 24, 2017 Category: Psychiatry Authors: Stephanie V. Ng, Robert A. Rosenheck Tags: Short communication Source Type: research
The yield from vitamin D screening among psychiatric inpatients
Extensive information is available concerning the physical health effects of vitamin D deficiency [1,2]. There is less information on the mental health benefits of vitamin D, but there is evidence that mental health patients have high rates of vitamin D deficiency, like the population in general [3 –10]. In view of the above literature, we obtained serum 25-hydroxy vitamin D levels from a sample of psychiatric inpatients in a Trauma Program specializing in posttraumatic stress disorder (PTSD) and dissociative disorders, to determine if low vitamin D levels occur in this population. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - January 16, 2017 Category: Psychiatry Authors: Colin A. Ross, Caitlin Goode, Elizabeth Schroeder Tags: Letter to the Editor Source Type: research
The prevalence of diabetes mellitus and abnormal glucose metabolism in the inpatient psychiatric setting: A systematic review and meta-analysis
To systematically determine the prevalence of diabetes mellitus (DM), impaired fasting glucose (IFG), and impaired glucose tolerance (IGT) in psychiatric inpatients and explore the impact of patient and study variables on prevalence estimates. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - January 12, 2017 Category: Psychiatry Authors: Emmert Roberts, Leah Jones, Alexandra Blackman, Thomas Dewhurst, Faith Matcham, Carol Kan, Omar Mustafa, Toral Thomas, Najma Siddiqi, Khalida Ismail, Hermione Price Tags: Review article Source Type: research
Prevalence, correlates and treatment status of alcohol use disorders in psychiatric patients in China
To determine the prevalence, associated factors and treatment status of alcohol use disorders (AUDs) in psychiatric patients in China. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - January 8, 2017 Category: Psychiatry Authors: Hui Huang, Hongxian Chen, Huixi Dong, Kui Ning, Ruiling Zhang, Wei Sun, Bing Li, Haifeng Jiang, Wenzheng Wang, Jiang Du, Min Zhao, Zhihua Yi, Jing Li, Rongxin Zhu, Shuiping Lu, Shiping Xie, Xiaoping Wang, Wei Fu, Runzhi Yan, Chengge Gao, Wei Hao Source Type: research
Development and preliminary performance of a risk factor screen to predict posttraumatic psychological disorder after trauma exposure
We examined data from a prospective study of risk factors that increase vulnerability or resilience, exacerbate distress, or foster recovery to determine whether risk factors accurately predict which individuals will later have high posttraumatic (PT) symptom levels and whether brief measures of risk factors also accurately predict later symptom elevations. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - December 25, 2016 Category: Psychiatry Authors: Eve B. Carlson, Patrick A. Palmieri, David A. Spain Source Type: research
Conversion disorder: A systematic review of current terminology
It has been argued that the label given to unexplained neurological symptoms is an important contributor to their often poor acceptance, and there has been recent debate on proposals to change the name from conversion disorder. There have been multiple studies of layperson and clinician preference and this article aimed to review these. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - December 23, 2016 Category: Psychiatry Authors: Juen Mei Ding, Richard Antony Alexander Kanaan Tags: Research paper Source Type: research
Catatonia among women with postpartum psychosis in a Mother-Baby inpatient psychiatry unit
The aims of the present study were to determine the prevalence of catatonia in women with postpartum psychosis, describe its socio demographic, clinical and obstetric correlates and identify predictors of treatment response. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - December 22, 2016 Category: Psychiatry Authors: Abhinav Nahar, Nithin Kondapuram, Geetha Desai, Prabha S Chandra Source Type: research
Depression management within GP-centered health care — A case-control study based on claims data
For most patients with depression, GPs are the first and long-term medical providers. GP-centered health care (GPc-HC) programs target patients with chronic diseases. What are the effects of GPc-HC on primary care depression management? (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - December 21, 2016 Category: Psychiatry Authors: Antje Freytag, Markus Krause, Thomas Lehmann, Sven Schulz, Florian Wolf, Janine Biermann, J ürgen Wasem, Jochen Gensichen Source Type: research
Development and initial validation of primary care provider mental illness management and team-based care self-efficacy scales
Develop and validate self-efficacy scales for primary care provider (PCP) mental illness management and team-based care participation. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - December 21, 2016 Category: Psychiatry Authors: Danielle F. Loeb, Lori A. Crane, Erin Leister, Elizabeth A. Bayliss, Evette Ludman, Ingrid A. Binswanger, Danielle M. Kline, Meredith Smith, Frank V. deGruy, Donald E. Nease, L. Miriam Dickinson Source Type: research
Prevalence of metabolic syndrome and its components among patients with various psychiatric diagnoses and treatments: A cross-sectional study
To evaluate the prevalence and clinical correlates of metabolic syndrome (MetS) and its components among patients with psychiatric disorders. (Source: General Hospital Psychiatry)
Source: General Hospital Psychiatry - December 18, 2016 Category: Psychiatry Authors: Fahad D. Alosaimi, Mohammed Abalhassan, Bandar Alhaddad, Nasser Alzain, Ebtihaj Fallata, Abdulhadi Alhabbad, Mohammed Z. Alassiry Source Type: research
