General hospital psychiatry最新文献

{"title":"Biomarkers for predicting depression after acute coronary syndrome","authors":"Jae-Min Kim , Ju-Wan Kim , Hee-Ju Kang , Wonsuk Choi , Ju-Yeon Lee , Sung-Wan Kim , Il-Seon Shin , Youngkeun Ahn , Myung Ho Jeong","doi":"10.1016/j.genhosppsych.2024.04.009","DOIUrl":"10.1016/j.genhosppsych.2024.04.009","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"90 ","pages":"Pages 173-174"},"PeriodicalIF":4.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142162072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of psychometric properties of the union physio-psycho-social assessment questionnaire (UPPSAQ-70) in a large sample of general hospital psychiatric outpatients","authors":"Yufei Wang ,&nbsp;Ting Gong ,&nbsp;Siqin Gaowa ,&nbsp;Yanping Duan ,&nbsp;Yinan Jiang ,&nbsp;Jing Jiang ,&nbsp;Wenqi Geng ,&nbsp;Xiaohui Zhao ,&nbsp;Tao Li ,&nbsp;Lili Shi ,&nbsp;Xia Hong ,&nbsp;Jinya Cao ,&nbsp;Jing Wei","doi":"10.1016/j.genhosppsych.2024.08.013","DOIUrl":"10.1016/j.genhosppsych.2024.08.013","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the psychometric properties of the Union Physio-Psycho-Social Assessment Questionnaire (UPPSAQ-70) among general hospital psychiatric outpatients.</p></div><div><h3>Methods</h3><p>A total of 2000 participants responded to the survey. Factor analyses were used to test the construct validity of the scale. Convergent validity was evaluated by the correlation between UPPSAQ-70 and symptoms measured using the Chinese versions of Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Patient Health Questionnaire-15 (PHQ-15), Somatic Symptom Disorder - B Criteria Scale (SSD-12) and Pittsburgh Sleep Quality Index (PSQI).</p></div><div><h3>Results</h3><p>The nine-factor model was supported (<em>χ</em>² = 8816.395, <em>df</em> = 2309, <em>χ</em>²/<em>df</em> = 3.818, RMSEA = 0.053, CFI = 0.929). The UPPSAQ-70 showed significant correlation with the SAS (<em>r</em> = 0.396, <em>P</em> &lt; .001), SDS (<em>r</em> = 0.451, <em>P</em> &lt; .001), PHQ-15 (<em>r</em> = 0.381, <em>P</em> &lt; .001), SSD-12 (<em>r</em> = 0.324, <em>P</em> &lt; .001) and PSQI (<em>r</em> = 0.220, <em>P</em> &lt; .001). UPPSAQ-70 and its subscales showed good internal consistency with Cronbach's alpha coefficients ranging from 0.79 to 0.96.</p></div><div><h3>Conclusions</h3><p>The UPPSAQ-70 was a rating scale with good construct validity and reliability, which can measure overall health in the biological, psychological, and social domains for Chinese psychiatric outpatients, but its convergent validity still requires further empirical research.</p></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"90 ","pages":"Pages 165-170"},"PeriodicalIF":4.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to “Identification of Depression in Patients with Acute Coronary Syndrome using multiple serum biomarkers”- Are biological markers sufficient to predict depression after Acute Coronary Syndrome?","authors":"","doi":"10.1016/j.genhosppsych.2024.04.010","DOIUrl":"10.1016/j.genhosppsych.2024.04.010","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"90 ","pages":"Page 175"},"PeriodicalIF":4.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dismissed, anxious, and feeling abandoned: The experiences and perspectives of people with functional neurological disorder accessing UK healthcare services","authors":"","doi":"10.1016/j.genhosppsych.2024.04.008","DOIUrl":"10.1016/j.genhosppsych.2024.04.008","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"90 ","pages":"Pages 171-172"},"PeriodicalIF":4.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mind-body therapies for resilience in adolescents: A systematic review of randomized controlled trials","authors":"Zhengyang Mei,&nbsp;Wenfeng Jiang,&nbsp;Yuanzhuo Zhang,&nbsp;Shulai Luo,&nbsp;Shi Luo","doi":"10.1016/j.genhosppsych.2024.08.014","DOIUrl":"10.1016/j.genhosppsych.2024.08.014","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this systematic review was to synthesize evidence from randomized controlled trials on the efficacy of different mind-body therapies (MBTs) in enhancing resilience in adolescents.</p></div><div><h3>Methods</h3><p>Randomized controlled trials of different MBTs were identified using electronic databases and manual searches, including PubMed, Embase, Web of Science, Scopus, EBSCOhost, APA PsycINFO, Cochrane Library, and Google database. The Revised Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to assess risk of bias in randomized controlled trials. A narrative synthesis of the included trials was conducted.</p></div><div><h3>Results</h3><p>A total of 11 randomized controlled trials involving 3640 adolescents met the inclusion criteria, with 7 trials evaluating the efficacy of Mindfulness, 2 Martial arts, and 2 Yoga. Among the 11 trials, 3 trials reported a significant effect of Mindfulness on resilience in adolescents (Cohen's d = 0.11 to 0.92), while 2 trials reported a significant effect of Martial arts (Cohen's d = 0.51 to 0.73). However, 2 trials evaluating Yoga did not find significant improvements in resilience.</p></div><div><h3>Conclusions</h3><p>Due to inconsistencies in the available evidence and heterogeneity across populations, sample sizes, and interventions, it is currently not possible to derive compelling recommendations to guide clinical practice on MBTs for enhancing resilience in adolescents. Whether MBTs can serve as alternative or adjuvant approaches to other established interventions to foster resilience in adolescents and mitigate the physical-health risks caused by stressful environments remains undetermined, necessitating further high-quality randomized controlled trials to evaluate their actual efficacy.</p></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 43-51"},"PeriodicalIF":4.1,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unravelling the impact of prior depression and trauma-related cognitive processes on depression following trauma: A 2-year prospective study of burn survivors","authors":"Yi-Jen Su ,&nbsp;Sophie Hsin-Yi Liang","doi":"10.1016/j.genhosppsych.2024.08.012","DOIUrl":"10.1016/j.genhosppsych.2024.08.012","url":null,"abstract":"<div><h3>Objective</h3><p>Individuals with severe burn injuries may develop depression, yet knowledge about psychological risk factors for depression following trauma is limited. This study investigated the prospective impact and interplay of prior depression and trauma-related cognitive processes (posttraumatic negative appraisals and trauma-related rumination) to depressive symptoms between 6 and 24 months after burn injury.</p></div><div><h3>Method</h3><p>Taiwanese adult survivors of burn (<em>N</em> = 118) participated in surveys immediately post-burn and at 6-, 12-, and 24-months follow-up. Participants were 7 5% men, with an average age of 41.8 years and an average of TBSA of 18.3%.</p></div><div><h3>Results</h3><p>A total of 8.5%, 5.9%, and 4.2% met criteria for probable major depression at 6, 12, and 24 months post-burn, respectively. The prevalence increased to 23.7%, 11.0%, and 5.9% using the cutoff on the PHQ-9. Prior depression and trauma-related cognitive processes immediately post-burn explained 13.5%, 20.5%, and 18.6% of the variance in depressive symptoms at 6, 12, and 24 months post-burn, respectively. Posttraumatic negative appraisals strongly predicted depressive symptoms post-burn across follow-ups. Moreover, posttraumatic negative appraisals significantly mediated the effect of prior depression on subsequent depressive symptoms across follow-ups. Prior depression significantly moderated the effect of trauma-related rumination on depressive symptoms at 6 months post-burn.</p></div><div><h3>Conclusions</h3><p>Our results are the first to demonstrate the role and interplay of prior depression and trauma-related cognitive processes in post-burn depression. Findings highlight that pre-and post-trauma psychological factors jointly affect depression following trauma, broadening the applicability of cognitive theories of PTSD.</p></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"90 ","pages":"Pages 157-164"},"PeriodicalIF":4.1,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modifiable risk factors and excess mortality in depression: Data from the UK Biobank","authors":"Vivian Boschesi Barros,&nbsp;Alexandre Dias Porto Chiavegatto Filho","doi":"10.1016/j.genhosppsych.2024.08.010","DOIUrl":"10.1016/j.genhosppsych.2024.08.010","url":null,"abstract":"<div><h3>Objective</h3><p>To study the role of modifiable risk factors in explaining the excess mortality associated with depression using data from the UK Biobank, a middle-aged and elderly cohort recruited in 2006–2010.</p></div><div><h3>Methods</h3><p>We estimated the prevalence and relative mortality associated with modifiable risk factors and groups of risk factors (socioeconomic factors, diet and exercise, smoking and substance-related disorders, and cardiometabolic diseases) in a subsample of probable cases of lifetime/current depression (<em>n</em> = 51,302) versus non-cases. We also estimated the relative mortality associated with depression and the percentages of excess mortality associated with depression explained by modifiable risk factors in the total sample (499,762).</p></div><div><h3>Results</h3><p>In our depression subsample, all modifiable risk factors were associated with increased prevalence and mortality. In our total sample, depression was associated with an age and sex-adjusted mortality hazard ratio of 1.63 (95% CI = [1.58–1.68]). Modifiable risk factors explained 70.5% [66.9%–75.0%] of the excess mortality associated with depression.</p></div><div><h3>Conclusions</h3><p>In the UK Biobank cohort, depression was associated with a higher prevalence of modifiable risk factors. These risk factors were associated with increased mortality in the depression subsample and explained most of the excess mortality risk associated with depression in the total sample.</p></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 11-17"},"PeriodicalIF":4.1,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of objective sleep duration and physical activity with risk of heart failure: A prospective cohort study","authors":"Xinru Chen ,&nbsp;Mingqing Zhou ,&nbsp;Jinyu Wang ,&nbsp;Mingyang Liu ,&nbsp;Changguo Zhu ,&nbsp;Chao Wu ,&nbsp;Mingchao Dong ,&nbsp;Yaping Liu ,&nbsp;Sizhi Ai ,&nbsp;Hongliang Feng ,&nbsp;Tong Luo ,&nbsp;Yannis Yan Liang ,&nbsp;Jihui Zhang ,&nbsp;Yun-Kwok Wing ,&nbsp;Fujun Jia ,&nbsp;Yuping Ning ,&nbsp;Binbin Lei","doi":"10.1016/j.genhosppsych.2024.08.005","DOIUrl":"10.1016/j.genhosppsych.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to investigate the independent and joint associations of accelerometer-derived sleep duration and physical activity (PA) in different intensities with the risk of incident heart failure (HF).</p></div><div><h3>Methods</h3><p>The study included 89,572 participants (mean age 62.2 ± 7.8 years, 42.8% male) from the UK Biobank. Sleep duration (short: &lt;6 h/day; normal: 6–8 h/day; long: &gt;8 h/day) and PA [total PA, light PA (LPA), moderate-to-vigorous PA (MVPA), vigorous PA (VPA)] were measured using accelerometers over 7 days. MVPA and VPA were categorized according to the World Health Organization's recommended levels, while LPA and total PA were categorized based on the median. HF cases were identified through hospital records or death registries.</p></div><div><h3>Results</h3><p>Over a 7-year follow-up period, 1324 participants (2.1%; incidence rate, 2.1 per 1000 person-years) developed HF. Short, but not long, sleep duration was linked to a 33% increased risk of HF [hazard ratio (HR) 1.33, 95% confidence interval (CI): 1.11–1.59]. This increased risk associated with short sleep could be mitigated by increasing PA, especially to the levels of recommended MVPA or VPA. In joint analyses, compared to participants meeting the recommended MVPA and with normal sleep duration, those not meeting the MVPA recommendation and with short sleep had the highest HF risk (HR 1.78, 95% CI: 1.42–2.25).</p></div><div><h3>Conclusions</h3><p>Accelerometer-derived short, but not long, sleep duration was associated with a higher risk of incident HF. Engaging in sufficient PA, especially recommended MVPA or VPA, can partially mitigate this risk.</p></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"90 ","pages":"Pages 141-149"},"PeriodicalIF":4.1,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between psychosocial factors and left ventricular assist device implant outcomes: A systematic review","authors":"Joy J. Choi,&nbsp;Shreya Bhasin,&nbsp;Johannes Levstik,&nbsp;Patrick Walsh,&nbsp;Mark A. Oldham,&nbsp;Hochang Benjamin Lee","doi":"10.1016/j.genhosppsych.2024.08.007","DOIUrl":"10.1016/j.genhosppsych.2024.08.007","url":null,"abstract":"<div><h3>Background</h3><p>Psychosocial assessment is a core component of the multidisciplinary evaluation for left ventricular assist device (LVAD) implantation. The degree to which psychosocial conditions are considered a contraindication to LVAD implantation continues to be debated. This systematic review examines modifiable psychosocial factors as predictors of outcomes in patients undergoing LVAD implantation.</p></div><div><h3>Methods</h3><p>We conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. The search resulted in 2509 articles. After deduplication, abstract and full-text review, 20 relevant articles were identified.</p></div><div><h3>Results</h3><p>Included studies evaluated socioeconomic status (<em>n</em> = 6), caregiver characteristics (<em>n</em> = 6), non-adherence (<em>n</em> = 6), substance use (<em>n</em> = 13), and psychiatric disorder (<em>n</em> = 8). The most commonly measured outcomes were all-cause death, readmission rate, and adverse events. Studies varied widely in definition of each psychosocial factor and selected outcomes. No psychosocial factor was consistently associated with a specific outcome in all studies. Socioeconomic status was generally not associated with outcomes. Non-adherence, psychiatric disorder, and substance use were associated with higher risks of mortality, adverse events, and/or readmission. Findings on caregiver characteristics were mixed.</p></div><div><h3>Conclusion</h3><p>Of the psychosocial factors studied, non-adherence, psychiatric disorder, and substance use were the most consistently associated with an increased risk of mortality, readmission, and/or adverse events. Heterogeneity in research methodology and study quality across studies precludes firm conclusions regarding the impact of psychosocial factors on long-term patient outcomes. The results of this review reveal a need for adequately powered studies that use uniform definitions of psychosocial factors to clarify relationships between these factors and outcomes after LVAD implantation.</p></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"90 ","pages":"Pages 132-140"},"PeriodicalIF":4.1,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation and evaluation of a proactive consultation-liaison model on an inpatient obstetric unit","authors":"Lindsay G. Lebin ,&nbsp;Parvaneh K. Nouri ,&nbsp;Melissa A. Kwitowski ,&nbsp;Allison G. Dempsey ,&nbsp;Jacob A. Lebin ,&nbsp;Sarah Nagle-Yang","doi":"10.1016/j.genhosppsych.2024.08.003","DOIUrl":"10.1016/j.genhosppsych.2024.08.003","url":null,"abstract":"<div><h3>Objective</h3><p>Perinatal mental and anxiety disorders (PMADs) contribute to adverse health outcomes, though they are underrecognized and undertreated. Inpatient obstetric settings represent a unique opportunity for behavioral health engagement, including screening, brief treatment, and referrals for outpatient care. The proactive consultation-liaison (CL) model has proven effective in general hospital settings but is not well-studied in obstetric settings. This article describes the implementation and evaluation of a proactive CL model in an inpatient obstetric unit within a tertiary medical center.</p></div><div><h3>Methods</h3><p>We implemented a multidisciplinary, proactive CL model in an inpatient obstetric unit with the purpose of identifying patients at risk for or experiencing PMADs and providing intervention and/or referral to treatment. Systematic screening of 7322 admitted patients was performed over a 17-month period to identify eligible patients for behavioral health consultation. Consultation data was retrospectively extracted from the electronic medical record. Key implementation outcomes were assessed using a RE-AIM measures (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework.</p></div><div><h3>Results</h3><p>1589 initial consults were conducted by the multidisciplinary team, yielding a consult rate of 21.7 %. The majority of consults (94 %) were completed by a social worker or psychologist, with most patients identified for consultation at multidisciplinary rounds (60.7 %). The most common indications for consultation with a psychiatrist included medication management, history of bipolar disorder, and history of anxiety. All invited staff and providers participated in the model. Alternative funding sources agreed to cover the salaries of the multidisciplinary team following conclusion of pilot grant funding.</p></div><div><h3>Conclusions</h3><p>A proactive CL model implemented in an inpatient obstetric unit led to a higher consult rate (21.7 %) than is observed with traditional CL services. A multidisciplinary proactive CL model shows promise in identifying people at-risk for PMADs and providing targeted interventions to prevent PMADs and treat those with active symptoms.</p></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"90 ","pages":"Pages 124-131"},"PeriodicalIF":4.1,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142041172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}