Delirium's Arousal Subtypes and Their Relationship with 6-Month Functional Status and Cognition
We sought to determine how delirium subtyped by arousal affected 6-month function and cognition in acutely ill older patients. (Source: Psychosomatics)
Source: Psychosomatics - May 17, 2018 Category: Psychiatry & Psychology Authors: Jin H. Han, Christina J. Hayhurst, Rameela Chandrasekhar, Christopher G. Hughes, Eduard E. Vasilevskis, Jo Ellen Wilson, John F. Schnelle, Robert S. Dittus, E. Wesley Ely Tags: Original Research Article Source Type: research
When Something is Better than Nothing: Response to Tully and Cosh
Tully and Cosh [1] recognize the need to provide effective treatment for anxiety in patients with coronary heart disease (CHD). We agree. However, in our systematic review of the literature, we were struck by the paucity of quality research on the treatment of anxiety in CHD populations. Indeed, our ongoing randomized clinical trial (RCT) of exercise and anxiolytic medication in anxious CHD patients, known as the UNWIND study, represents one of the few trials targeting this patient group [2]. In contrast, depression has been widely studied in CHD populations, and a has been recognized as a risk factor [3] and treatment tar...
Source: Psychosomatics - May 17, 2018 Category: Psychiatry & Psychology Authors: Julia M. Farquhar, Gregory L. Stonerock, James A. Blumenthal Source Type: research
Electronic Medical Record Reporting Enhances Proactive Psychiatric Consultation
Numerous studies have demonstrated that psychiatric and substance use issues in general hospital inpatients result in increased length of stay and associated costs. Additional studies have demonstrated that proactive consultation models in psychiatry can effectively address these problems. Selecting patients for proactive interventions is less well studied. We sought to develop an automated, electronic medical record (EMR) based screening tool to select patients who might benefit from proactive psychiatric consultation. (Source: Psychosomatics)
Source: Psychosomatics - May 17, 2018 Category: Psychiatry & Psychology Authors: Christine T. Finn, Devendra Thakur, Katherine M. Shea, Natalie B.V. Riblet, H. Benjamin Lee, Gena Heng, Robert Scott, Todd S. Gardner, Susan Randlett, Teri LaRock, Nadee Siriwardana, Gilbert Green, William C. Torrey Tags: Original Research Article Source Type: research
Delirium's Arousal Subtypes and Their Effect on 6-month Functional Status and Cognition
We sought to determine how delirium subtyped by arousal affected 6-month function and cognition in acutely ill older patients. (Source: Psychosomatics)
Source: Psychosomatics - May 17, 2018 Category: Psychiatry & Psychology Authors: Jin H. Han, Christina Hayhurst, Rameela Chandrasekhar, Christopher Hughes, Eduard Vasilevskis, Jo Ellen Wilson, John F. Schnelle, Robert S. Dittus, E. Wesley Ely Tags: Original Research Article Source Type: research
Progressive encephalomyelitis with rigidity and myoclonus syndrome presenting as catatonia
In this case report, we discuss a patient who was initially diagnosed with catatonia, and was later found to have GAD-65 associated progressive encephalomyelitis with rigidity and myoclonus (PERM) syndrome, which is a variant of an autoimmune condition known as stiff person syndrome. Her catatonia was initially treated with benzodiazepines and ECT, and later in her hospitalization course was treated with steroids, IVIG, and rituximab. She had marked recovery returning near to baseline within months. (Source: Psychosomatics)
Source: Psychosomatics - May 17, 2018 Category: Psychiatry & Psychology Authors: Witek N, Hebert C, Gera A, Comella C Source Type: research
Fibroids and Antipsychotics
Leiomyoma can lead to significant morbidity in reproductive-aged women, causing symptoms that range from bleeding and pain to infertility. Despite recent progress made regarding tumor mitogens and nonsurgical treatments, the exact pathogenesis of fibroids remains unknown. Prolactin has been implicated as a mitogen growth factor in leiomyoma. Antipsychotic medications, in lowering dopamine levels and thereby removing the inhibition of prolactin secretion, can increase serum prolactin levels. Given this relationship, it stands to reason that antipsychotics may have a deleterious effect on myometrial smooth muscle cells. (Source: Psychosomatics)
Source: Psychosomatics - May 11, 2018 Category: Psychiatry & Psychology Authors: Kerry Sheehan, Jilyan Decker, Douglas Opler Source Type: research
The Use of Dignity Therapy Beyond Terminal Illness: A Case Report
Dignity therapy (DT) is a brief psychotherapeutic approach designed to increase patient ´s sense of meaning and purpose and it has been primarily developed and studied for those near death, and has shown efficacy on several psychosocial outcomes.1–3 Dignity therapy offers patients the opportunity to talk about issues that matter most to them, to share moments that they feel were mos t important and meaningful, and to speak of things they would like to be remembered by. (Source: Psychosomatics)
Source: Psychosomatics - May 10, 2018 Category: Psychiatry & Psychology Authors: Miguel Juli ão Tags: Letter to the Editor Source Type: research
The use of Dignity Therapy beyond terminally illness: a case report.
To the Editor, (Source: Psychosomatics)
Source: Psychosomatics - May 10, 2018 Category: Psychiatry & Psychology Authors: Miguel Juli ão Source Type: research
Impact and Prevalence of Physical and Verbal Violence Toward Healthcare Workers
Threatening and assaultive behaviors against healthcare workers is a growing national concern.1,2,3 To assess the incidence and impact of aggression against healthcare workers, a safety and quality improvement project was initiated in an academic, tertiary care, urban hospital. (Source: Psychosomatics)
Source: Psychosomatics - May 9, 2018 Category: Psychiatry & Psychology Authors: Lisa J. Rosenthal, Ashley Byerly, Adrienne D. Taylor, Zoran Martinovich Tags: Original Research Article Source Type: research
Editorial Board
(Source: Psychosomatics)
Source: Psychosomatics - May 1, 2018 Category: Psychiatry & Psychology Source Type: research
Table of Contents
(Source: Psychosomatics)
Source: Psychosomatics - May 1, 2018 Category: Psychiatry & Psychology Source Type: research
Quality of Life and Psychosocial Functioning 2 Years Following Facial Transplantation
Face transplantation is a novel option for patients with severe facial disfigurement. Quality of life (QoL) outcomes of face transplantation remain poorly understood. (Source: Psychosomatics)
Source: Psychosomatics - April 19, 2018 Category: Psychiatry & Psychology Authors: Megan L. Oser, Marie-Christine Nizzi, Jennifer L. Zinser, Marvee Turk, Russell Epstein, Ericka Bueno, David Gitlin, Bohdan Pomahac Tags: Original Research Reports Source Type: research
Quality of Life and Psychosocial Functioning Two Years Following Facial Transplantation
Face transplantation is a novel option for patients with severe facial disfigurement. Quality of life (QoL) outcomes of face transplantation remain poorly understood. To evaluate psychosocial functioning among six patients undergoing facial transplantation, we prospectively assessed depressive symptoms, health status, mental and physical QoL, and self-esteem at three-month intervals for two years. Social desirability was assessed pre-transplant. On average, before transplantation, patients generally reported minimal to subthreshold depressive symptoms, normal to high health status, normal mental-health QoL, slightly below ...
Source: Psychosomatics - April 19, 2018 Category: Psychiatry & Psychology Authors: Megan L. Oser, Marie-Christine Nizzi, Jennifer L. Zinser, Marvee Turk, Russell Epstein, Ericka Bueno, David Gitlin, Bohdan Pomahac Tags: Original Research Article Source Type: research
Much a review about nothing: A comment on the treatment of anxiety in patients with coronary heart disease
Letter to the editor (Source: Psychosomatics)
Source: Psychosomatics - April 16, 2018 Category: Psychiatry & Psychology Authors: Phillip J. Tully, Suzanne M. Cosh Tags: Letter to the Editor Source Type: research
