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International Journal of Psychiatry in Medicine

Sohrab Amiri, Sepideh Behnezhad
Although some studies have been conducted on the association between diabetes and anxiety symptoms, the data on this association remain controversial. The purpose of this meta-analysis was to examine the association between diabetes and anxiety symptoms. The authors systematically searched PubMed, Scopus, and Google Scholar databases until July 2018. After the screening process, 23 studies were included in the meta-analysis. Stata-14 was used for meta-analyzing. Forest plot was calculated for the whole 23 studies and subgroups, and publication bias was also examined...
April 2, 2019: International Journal of Psychiatry in Medicine
Sarah Nagle-Yang, MacKenzie Phillips, Avril Albaugh, Lulu Zhao, Jaina Amin, Erum Ahmad, Susan Hatters Friedman
OBJECTIVE: To examine the prevalence of depression, anxiety, attachment issues, and associated factors among pregnant women hospitalized on an antepartum unit. METHOD: Ninety-eight women hospitalized on an antepartum unit reported demographic and social information and were evaluated with screening tools for depression, anxiety, and maternal-fetal attachment. Data were analyzed using descriptive statistics and logistical regression analysis. RESULTS: Over one third (36%) of participants screened at risk for depression...
March 29, 2019: International Journal of Psychiatry in Medicine
Özlem Kuman Tunçel, Nihal Mete Gökmen, Ece Demir, Okan Gülbahar, Şebnem Pırıldar
OBJECTIVE: Hereditary angioedema is a serious disease with unpredictable attacks. It has an impact on patients' health-related quality of life. This study aimed to assess the quality of life of the hereditary angioedema patients and to investigate the relationship between quality of life and demographic, clinical, laboratory, and psychiatric parameters. METHOD: A semistructured face-to-face interview, Hamilton depression rating scale, and Hamilton anxiety rating scale were performed by a psychiatrist...
March 29, 2019: International Journal of Psychiatry in Medicine
Joseph A Morra, Adekola O Alao
OBJECTIVE: Schizophrenia is a chronic psychotic disorder in which patients experience positive and negative symptoms for over six months. Schizophrenia is associated with early mortality, with 40% of this excess mortality due to suicide. This is a case of patient with schizophrenia who was treated with quetiapine after suffering a traumatic brain injury and recovered enough to be discharged to a rehabilitation unit. This case illustrates the neuroprotective effects of quetiapine in treating neurologic deficits in a patient who recently suffered a traumatic brain injury...
March 26, 2019: International Journal of Psychiatry in Medicine
Swarndeep Singh, Saurabh Kumar, Raman Deep
OBJECTIVES: To describe the pattern and clinical-psychiatric profile of patients presenting with deliberate self-harm attempt to an emergency setting. METHODS: The study involves the analysis of the case records of 109 consecutive patients with deliberate self-harm evaluated by the psychiatric emergency team at a premier, tertiary care hospital in India over a period of 13 months (January 2015-January 2016). RESULTS: Deliberate self-harm had a clinical prevalence of 16...
March 25, 2019: International Journal of Psychiatry in Medicine
Christopher Yoon, Joanna Gedzior, Dwayne DePry
The authors present the case of an inpatient hospitalized at the Veterans Affairs psychiatric unit diagnosed with Wernicke-Korsakoff syndrome to promote awareness of this prevalent yet often underdiagnosed and undertreated condition. Although Veterans present with a unique predisposition for alcohol abuse, it remains problematic in the general population as well. Analysis from 2000 to 2003 reveals alcohol use in the past month in Veterans at 56.6% and 50.8% in comparable non-Veterans. According to the National Survey on Drug Use and Health, it is estimated that of those who are 18 and older, 86...
March 1, 2019: International Journal of Psychiatry in Medicine
Serhat Türkoğlu, Battal Tahsin Somuk, Emrah Sapmaz, Ayhan Bilgiç
OBJECTIVE: Chronic adenotonsillar hypertrophy is the most common etiologic reason for upper airway obstruction in childhood and has been found to be associated with a variety of psychiatric disorders and poor quality of life. In the present study, we investigated the impact of adenotonsillectomy on attention deficit hyperactivity disorder symptoms, sleep problems, and quality of life in children with chronic adenotonsillar hypertrophy. METHODS: The parents of children with chronic adenotonsillar hypertrophy filled out the Conners's Parent Rating Scale-Revised Short form (CPRS-RS), Children's Sleep Habits Questionnaire (CSHQ), and Pediatric Quality of Life Inventory, Parent version (PedsQL-P) before and six months after adenotonsillectomy...
March 1, 2019: International Journal of Psychiatry in Medicine
Muhammad Hassan Majeed, Ali Ahsan Ali, Donna M Sudak
BACKGROUND: Long-term use of opioids to treat chronic pain incurs serious risks for the individual-including misuse, abuse, addiction, overdose and death-as well as creating economic, social, and cultural impacts on society as a whole. Chronic pain and substance use disorders are often co-morbid with other medical problems and at the present time, primary care clinicians serve most of this population. Primary care clinicians would benefit from having alternatives to opioids to employ in treating such patients...
March 2019: International Journal of Psychiatry in Medicine
Andrea Williams, Amber Cadick
As the population ages, more Americans are moving into nursing homes/long-term care facilities. Per Accreditation Council for Graduate Medical Education 2017 guidelines, family medicine residents are required to gain experience and competence working in long-term care facilities; however, this unique environment poses several challenges for residents to hear the wishes of their patients over the demands of the patient's medical care team and family members. Also, many patients in long-term care facilities have sensory impairments (e...
November 2018: International Journal of Psychiatry in Medicine
Aaron J Grace, Scott A Fields
No abstract text is available yet for this article.
November 2018: International Journal of Psychiatry in Medicine
Claudia W Allen, Theodore Siedlecki, Alison G Nagel, Joseph S Tan, Pooja Datta, Kelly C Henkler, Joseph P Allen
Free medical fairs have emerged to compensate for the lack of access to affordable health care in rural areas of the United States. Mental health services are offered less frequently than other medical services, despite a documented need, perhaps due to a belief that mental health interventions could not be effective in a single session. We examined the types of problems presented at three rural medical fairs, and whether single session mental health interventions affected participants' health confidence, distress, or progress toward health-related goals...
November 2018: International Journal of Psychiatry in Medicine
Mary R Talen, Jeffrey Rosenblatt, Christina Durchholtz, Geraldine Malana
Training physicians to become person-centered is a primary goal of behavioral health curriculum. We have curriculum on doctor-patient communication skills and patient narratives to help physicians relate to the patient's experiences. However, there is nothing more effective than actually being the patient that gives providers an "aha" experience of the patient's perspective. In this article, we will share personal resident physician-patient stories based on their experiences within acute urgent care, chronic disease management, and routine well health care...
November 2018: International Journal of Psychiatry in Medicine
Dennis J Butler, Dominique Fons, Travis Fisher, James Sanders, Sara Bodenhamer, Julie R Owen, Marc Gunderson
A significant percentage of patients with psychiatric disorders are exclusively seen for health-care services by primary care physicians. To address the mental health needs of such patients, collaborative models of care were developed including the embedded psychiatry consult model which places a consultant psychiatrist on-site to assist the primary care physician to recognize psychiatric disorders, prescribe psychiatric medication, and develop management strategies. Outcome studies have produced ambiguous and inconsistent findings regarding the impact of this model...
November 2018: International Journal of Psychiatry in Medicine
Dave deBronkart
Professionalism in any field requires keeping pace with change, and nowhere is it more true than medicine. Knowledge flow has changed dramatically since today's accreditation standards were developed, and change continues more rapidly than ever. It's time for a fresh look at how best to achieve care in this altered environment, where valid knowledge may come from the patient as well as from clinician resources: a sociological change driven by technological change. The power structure of the clinical relationship is inevitably altered as constraints on patient knowledge are loosened by the internet, apps, and devices, undermining a paradigm of patients as uninformed recipients of care based on a one-way flow of wisdom from providers...
November 2018: International Journal of Psychiatry in Medicine
John Muench, Sheldon Levy, Rebecca Rdesinski, Rebekah Schiefer, Kristin Gilbert, Joan Fleishman
Objective This article will describe a pilot study to explore associations between adult attachment style, resilience, Adverse Childhood Experiences, and adult health. Method A self-report survey was mailed to 180 randomly selected primary care patients and linked to a retrospective chart review. The patients met the following criteria: (1) enrolled for at least the previous year at their primary care clinic, (2) 21 years of age or greater, (3) English as their primary language, and (4) were seen by their provider on selected dates of the study...
November 2018: International Journal of Psychiatry in Medicine
Kyle Bradford Jones, Katherine Fortenberry, Osman Sanyer, Rachel Knighton, Sonja Van Hala
Objective To describe the process of creating the Family Medicine Vital Signs blog, curated and edited by residents and faculty at the University of Utah Family Medicine Residency Program and to obtain feedback from participants regarding educational impact. Methods Each resident and faculty member contributes at least one blog post per year (with other invited authors), resulting in one post per week on the blog site. An editorial board composed of residents and faculty provides direction and editorial assistance for each post...
November 2018: International Journal of Psychiatry in Medicine
Aaron J Grace, Heather A Kirkpatrick
Medical ethics training is as variable as it is widespread. Previous research has indicated that medical learners find systematic approaches to ethical dilemmas to be helpful. This article describes a bioethics educational module. It includes an overview of common bioethical principles and presents a tool for organizing health-care providers' thinking and discussions about challenging ethical dilemmas. We discuss an area of bioethics that is often neglected, clinical integrity, and the role that a health-care provider's clinical integrity plays in ethical decision-making...
November 2018: International Journal of Psychiatry in Medicine
Michelle D Sherman, Stephanie A Hooker
Over five million children in the United States have a parent living with a serious mental illness. These offspring are at higher risk for developing mental health problems themselves due to a complex interplay of biological, psychological, and psychosocial factors. Life with a parent with psychiatric symptoms can be scary, confusing, overwhelming, and sad; children often blame themselves for their parent's problems, find their parent's behavior embarrassing, and struggle to explain the illness to their friends...
November 2018: International Journal of Psychiatry in Medicine
Kevin P Brazill, Stephen Warnick, Christopher White
Family medicine physicians are often the first providers to encounter and identify mental illness in their patients. Having a solid understanding of three landmark studies-Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE), Sequenced Treatment Alternatives to Relieve Depression (STAR*D), and Systemic Treatment Enhancement Program for Bipolar Disorder (STEP-BD)-can significantly improve a family medicine physician's approach to mental illness and treatment choices, ultimately improving patient outcomes...
November 2018: International Journal of Psychiatry in Medicine
Camille B Garrison, Veneshia McKinney-Whitson, Bryan Johnston, Ashley Munroe
The World Health Organization proclaimed in 1948 that "health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." In many underserved communities, the individual and social well-being of patients of color is threatened. The United States is currently experiencing an exacerbation of racial tensions, and as health-care providers, we are dealing with the effects of racism on a daily basis. To effectively address patients' needs, it is imperative that physicians and behavioral health providers acknowledge the racial and socioeconomic challenges that patients face and recognize how these factors transcend to the physical and psychological medical conditions that patients experience...
November 2018: International Journal of Psychiatry in Medicine
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