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Isabella Soreca, Caitlan A Tighe, Adam D Bramoweth
BACKGROUND: Individuals with serious mental illness (SMI) have a high prevalence of risk factors for sleep apnea, but these risk factors often go unrecognized, partly due to the overlap among sleep apnea, somatic conditions, and symptoms (e.g., obesity, daytime sleepiness), leading to potential under-recognition of sleep apnea in a high-risk population. OBJECTIVE: The objective of our study was to compare sleep apnea prevalence and clinical features among Veterans with and without SMI...
January 22, 2019: Psychosomatics
Zev M Nakamura, Rebekah P Nash, Laura J Quillen, Daniel R Richardson, Rebecca C McCall, Eliza M Park
BACKGROUND: Patients with cancer frequently experience neuropsychiatric symptoms due to their medical illness or its treatment. In recent decades, psychiatrists have become increasingly involved in the care of patients with cancer. However, psychiatrists may be less familiar with hematopoietic stem cell transplantation (HSCT), a distinct cancer treatment modality associated with multiple neuropsychiatric sequelae. OBJECTIVE: To provide an overview of HSCT, and describe the prevalence, impact, risk factors, and suggested management of psychiatric consequences of HSCT...
January 19, 2019: Psychosomatics
Jennifer L Darnell, Sheryl B Fleisch
No abstract text is available yet for this article.
January 15, 2019: Psychosomatics
Nicole M Benson, John B Taylor, Suzanne A Bird, Scott R Beach
BACKGROUND: Resident supervision is critical for education and ensuring patient safety. After hours, communication with attendings is variable. OBJECTIVE: The objective was to identify differences among psychiatry residents and attendings regarding the desired level of supervision for issues that arise overnight in the psychiatric emergency department (ED). METHODS: In a single-site psychiatric ED, an electronic survey containing 30 hypothetical scenarios was administered...
December 25, 2018: Psychosomatics
Andrew W Mezher, Curtis A McKnight, Jason P Caplan
No abstract text is available yet for this article.
December 23, 2018: Psychosomatics
Thomas H McCoy
BACKGROUND: Delirium is an acute confusional state, associated with morbidity and mortality in diverse medically-ill populations. Delirium is recognized, through both professional competencies and instructional materials, as a core topic in consultation psychiatry. OBJECTIVE: Conduct a computational scoping review of the delirium literature to identify the overall contours of this literature and evolution of the delirium literature over time. METHODS: Algorithmic analysis of all research articles on delirium indexed in MEDLINE between 1995 and 2015 using network analysis of citation Medical Subject Headings (MeSH) tags and probabilistic topic modeling of article abstracts...
December 22, 2018: Psychosomatics
Federico Gomez-Bernal, Elizabeth N Madva, Judith Puckett, Hermioni L Amonoo, Rachel A Millstein, Jeff C Huffman
OBJECTIVES: (1) To explore stressors affecting midlife adults and understand their impact on health behaviors and the development of chronic medical conditions; (2) To identify midlife-specific interventions that mitigate the impact of stressors on the health of this population. METHODS: We searched the PubMed database from inception to December 2017 using the search terms [mid-life] and [midlife] paired with related behaviors and conditions. Eligible articles provided data on: (1) sources of stress and effects on health behaviors, (2) development of chronic medical conditions, or (3) midlife interventions targeting health-related stressors or behaviors...
December 21, 2018: Psychosomatics
Ryan J Kimmel, Ramanpreet Toor
BACKGROUND: Telepsychiatry has the potential to help address the uneven distribution of psychiatrists between urban and rural areas. While telepsychiatry has been used for several decades, employing video conferencing technologies to conduct psychiatry consults to the medical wards of rural hospitals is a more recent application. OBJECTIVE: To develop the first US program wherein psychiatrists covering the consult service at a public, academic medical center also delivered same-day consults to patients on the medical wards of unaffiliated, rural hospitals...
December 21, 2018: Psychosomatics
Oliver Freudenreich, Nicholas Kontos
BACKGROUND: Professionalism, although broadly acknowledged to be an important goal of medical education, needs to be taught well. OBJECTIVE: We describe the content selection and structure of an elective professionalism seminar for advanced trainees in psychiatry at the Massachusetts General Hospital. METHOD: We critically evaluate the curriculum content based on participant feedback. RESULTS: We successfully implemented and sustained for 8 years a monthly, 10-session professionalism seminar for advanced trainees in psychiatry...
December 21, 2018: Psychosomatics
Rebekah P Nash, Marc S Weinberg, Sarah L Laughon, Rebecca Carlson McCall, James R Bateman, Donald L Rosenstein
BACKGROUND: Traumatic Brain Injury (TBI) is an increasingly common cause of behavioral and emotional dysregulation among hospitalized patients. While consult liaison psychiatrists are often called to help manage these behaviors, acute pharmacological management guidelines are limited. OBJECTIVE: Conduct a systematic review to determine which pharmacological measures are supported by the literature for targeting agitation and aggression in the acute time period following a TBI...
December 18, 2018: Psychosomatics
Jeffrey P Kahn, Andre Barciela Veras, Antonio Egidio Nardi, Anne B Curtis
No abstract text is available yet for this article.
December 12, 2018: Psychosomatics
Timothy M Scarella, Polina Teslyar
No abstract text is available yet for this article.
December 12, 2018: Psychosomatics
Justin M Johnson, Bruce P Capehart
BACKGROUND: Post-September 11, 2001 combat veterans represent a growing cohort of patients with unique mental health needs, particularly around post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI). The United States (US) remains engaged in conflicts around the globe, so this patient cohort will continue to grow in number. With around 40% of American combat veterans from Iraq and Afghanistan seeking mental health care outside of the Veterans Affairs, understanding the psychiatric needs of the post-September 11 combat veteran is an important goal for all psychiatrists...
November 30, 2018: Psychosomatics
Michael Hawkins, Andrew Lee, Samantha Leung, Raed Hawa, Susan Wnuk, Richard Yanofsky, Sanjeev Sockalingam
OBJECTIVE: We aimed to describe the rates of psychiatric medication use in bariatric surgery candidates and factors associated with psychiatric medication use. METHODS: Patients from the Toronto Western Hospital Bariatric Surgery Program were recruited from 2011 to 2014. Data extracted included demographics, clinical factors (e.g., mood disorder, anxiety disorder, eating disorder, Patient Health Questionnaire-9, Generalized Anxiety Disorder 7), and psychiatric medication use...
November 27, 2018: Psychosomatics
David W Rhee, Jillian Diuguid-Gerber, Andrea Kondracke
No abstract text is available yet for this article.
November 24, 2018: Psychosomatics
Liu-Jia-Zi Shao, Fu-Shan Xue, Rui-Juan Guo, Li Zheng
No abstract text is available yet for this article.
November 24, 2018: Psychosomatics
Aysel Gökçek, Oğuzhan Çelik, Cem Çil, Bülent Özlek, Murat Biteker
No abstract text is available yet for this article.
November 24, 2018: Psychosomatics
Colin A Ross
No abstract text is available yet for this article.
November 15, 2018: Psychosomatics
Deepa S Pawar, Jessica R Molinaro, Jennifer M Knight, Thomas W Heinrich
No abstract text is available yet for this article.
November 13, 2018: Psychosomatics
Nino Cesar Marchi, Juliana Nichterwitz Scherer, Letícia Schwanck Fara, Lysa Remy, Rafaela Ornel, Monique Reis, Amanda Zamboni, Mariana Paim, Taís Regina Fiorentin, Carlos Alberto Yasin Wayhs, Lisia Von Diemen, Flavio Pechansky, Felix Henrique Paim Kessler, Renata Pereira Limberger
BACKGROUND: NBOMes are a new class of potent hallucinogens widely present in illicit drugs. Little is known about this class of drugs, regarding its detection and clinical manifestations of intoxication. OBJECTIVE: This study aims to enhance care involving NBOMes by reviewing the literature on their clinical manifestations and laboratory detection. METHODS: A systematic review was performed on the clinical manifestations and laboratory tests of NBOMEs ingestion...
November 13, 2018: Psychosomatics
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