General hospital psychiatry最新文献

{"title":"Perceived discrimination regarding choice of specialty in medical residencies: Specialties facing greater challenges and related factors.","authors":"Ana Fresán, Diana Guízar-Sánchez, Rebeca Robles-García, María Yoldi-Negrete, Carlos-Alfonso Tovilla-Zárate, Ricardo-Arturo Saracco-Alvarez","doi":"10.1016/j.genhosppsych.2024.10.006","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.10.006","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142462472","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":"Comment on: \"Prevalence and incidence of suicide, suicidal ideation and self-harm in caregivers of cancer patients: A systematic review and meta-analysis\".","authors":"Ankur Kapoor, Rachana Mehta, Sanjit Sah, Ganesh Bushi","doi":"10.1016/j.genhosppsych.2024.09.016","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.09.016","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142462470","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":"Post-pandemic persistence of adverse health behaviors in patients with psychotic disorders: A follow-up study","authors":"Serkan Yazıcı ,&nbsp;Ezgi Sıla Ahi Üstün ,&nbsp;Rıfat Serav İlhan ,&nbsp;Meram Can Saka","doi":"10.1016/j.genhosppsych.2024.09.015","DOIUrl":"10.1016/j.genhosppsych.2024.09.015","url":null,"abstract":"<div><h3>Objective</h3><div>The ramifications of the COVID-19 pandemic on patients with psychotic disorders have been previously documented by the authors of this study. The aim of study is to investigate whether the effects of the pandemic continued among the same cohort of patients with psychotic disorders who participated in the initial study.</div></div><div><h3>Methods</h3><div>232 of the 255 participants in the initial study participated in this follow-up study. The assessment covered sociodemographic data, changes in physical and mental health since the pandemic, new diagnoses of physical illnesses, smoking, medication adherence, suicidal behavior.</div></div><div><h3>Results</h3><div>The body weight of the patients before, during, and after the pandemic was 77.6 ± 13.1,81.3 ± 14.1,and 83.1 ± 14.3, respectively and there was increase in BW in the post-pandemic compared to before the pandemc and the during the pandemic (Z: - 8.658, <em>p</em> &lt; 0.001, r: -0.57; Z: −6.852, p &lt; 0.001, r: ‐0.45 respectively). The mean number of cigarettes smoked daily by the patient's before the pandemic, during the pandemic, and after the pandemic was 11.1 ± 14.2,14.9 ± 16.2,and 12.9 ± 14.9, respectively. There was a decrease in the number of cigarettes smoked daily in the post-pandemic compared to the during the pandemic (Z: −4753, <em>p</em> &lt; 0.001, r: −0.45). Both suicidal ideations and attempts were significantly higher during the pandemic compared to after the pandemic (<em>p</em> &lt; 0.001,p &lt; 0.001). Medication adherence in the post-pandemic period was not different compared to the pandemic levels (Z: −0.621, p:0.535).</div></div><div><h3>Conclusion</h3><div>The study confirmed the continuation of adverse outcomes noted previously, such as increased body weight, increased daily cigarette consumption, and diminished medication adherence.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 78-82"},"PeriodicalIF":4.1,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365005","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":"Depression is associated with unintended pregnancy among fathers during the first 3 years after childbirth","authors":"Alexandre Faisal-Cury ,&nbsp;Karen M. Tabb ,&nbsp;Alicia Matijasevich","doi":"10.1016/j.genhosppsych.2024.09.014","DOIUrl":"10.1016/j.genhosppsych.2024.09.014","url":null,"abstract":"<div><h3>Background</h3><div>The aim of the present study is to estimate the prevalence of unintended pregnancy in fathers with children aged less than or equal to 36 months and evaluate whether unintended pregnancy is associated with depression after controlling for covariates.</div></div><div><h3>Methods</h3><div>We used data from the Brazilian National Health Survey (PNS) of 2019, a cross-sectional study that comprised a representative sample of residents in private households in Brazil. For the analysis of this study, we selected 30,579 men (&gt; 14 years old) who answered to the Selected Resident questionnaire of the PNS and reported having a biological child (son). Among these 4806 had a child with less than 4 years of age and were used in our analysis.</div></div><div><h3>Results</h3><div>The prevalence of unintended pregnancy in this group of fathers with a child ≤ 3 years was 35.0 % (95 % CI 32.6–37.5). In the final adjusted model, the variables associated with depression were: PHQ-9 total score (OR: 1.07, 95 % CI 1.03–1.11, <em>p</em> ≤0.001), a higher father's age (OR 1.01, 95 % CI 1.01–1.02), a higher father's age at birth (OR: 0.92, 95 % CI 0.90–0.94), self-reported black (OR: 3.00, 95 % CI 1.94–4.66), brown (OR: 1.63, 95 % CI 1.25–2.13) or indigenous (OR: 0.22, 95 % CI 0.07–0.69) skin color, lower per capita family income &gt;1 to 2 MW (OR: 1.54, 95 % CI 1.01–2.35), ½ to 1 MW (OR: 2.22, 95 % CI 1.46–3.38) and up to 1 MW (OR: 1.76, 95 % CI 1.19–2.59) and not participating in the partner's prenatal appointments (OR: 2.04, 95 % CI 1.55–2.68).</div></div><div><h3>Discussion</h3><div>In our study, the prevalence of unplanned pregnancy among fathers of child less than 4 years of age is high, and it is associated with depression. Black and brown self-reported skin color, lower family income and higher father's age are associated with increased risk of unintended pregnancy.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 72-77"},"PeriodicalIF":4.1,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365004","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":"Opioid-related emergency admissions in people with opioid dependence/use disorder with and without sickle cell disease: An analysis of multi-state insurance claims","authors":"Shiyuan A. Liu ,&nbsp;Tashalee R. Brown ,&nbsp;Allison A. King ,&nbsp;Lewei Allison Lin ,&nbsp;Sana S. Rehman ,&nbsp;Richard A. Grucza ,&nbsp;Kevin Y. Xu","doi":"10.1016/j.genhosppsych.2024.09.013","DOIUrl":"10.1016/j.genhosppsych.2024.09.013","url":null,"abstract":"<div><h3>Objective</h3><div>We estimated rates of opioid-related admissions in people with sickle cell disease (SCD) diagnosed with opioid-related disorders.</div></div><div><h3>Method</h3><div>We analyzed ten years (1/2006–12/2016) of multi-state claims data from 191,638 people receiving treatment for opioid-related disorders in the U.S. We used multivariable cox regression to estimate the association between admissions for opioid-related adverse events after initiating treatment and SCD status (SCD[<em>n</em> = 320] vs no SCD[<em>n</em> = 191,318]) among people with opioid-related disorders, controlling for sociodemographic variables and comorbidities. In secondary analyses, we excluded events occurring simultaneously as vaso-occlusive crises (VOCs) and computed rates of admissions for non-opioid substance-related events (i.e., alcohol, cannabis).</div></div><div><h3>Results</h3><div>Whereas 287(90 %) of the SCD cohort had &gt;1 all-cause admission, of which 199 were for VOCs, only 78(20 %) experienced an opioid-related adverse event. The SCD cohort experienced higher rates of opioid-related admissions than the non-SCD cohort (aHR = 1.82[95 % CI = 1.51–2.19), a finding that remained robust even after excluding events that occurred at the same time as a VOC. SCD diagnoses were not associated with admissions for non-opioid substance-related events.</div></div><div><h3>Conclusions</h3><div>Even though clinicians may perceive people with SCD as being at elevated risk for substance use disorders, opioid-related admissions made up only a small fraction of all-cause admissions among people with SCD diagnosed with opioid-related disorders, in contrast to VOCs that comprised the majority of admissions. Opioid-related admissions, while modestly higher among those with SCD than among peers without SCD, were relatively uncommon.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 83-88"},"PeriodicalIF":4.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142389550","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":"Insomnia moderates the association between positive symptoms and suicidal ideation: A large-scale cross-sectional study in Chinese patients with chronic schizophrenia","authors":"Pu Peng ,&nbsp;Zejun Li ,&nbsp;Qianjin Wang ,&nbsp;Yanan Zhou ,&nbsp;Qiuxia Wu ,&nbsp;Jinsong Tang ,&nbsp;Yanhui Liao ,&nbsp;Xiangyang Zhang","doi":"10.1016/j.genhosppsych.2024.09.012","DOIUrl":"10.1016/j.genhosppsych.2024.09.012","url":null,"abstract":"<div><h3>Objective</h3><div>Both insomnia and positive symptoms are linked to suicidal ideation (SI) in schizophrenia, yet their interaction remains unexplored. This study aims to investigate whether insomnia moderates the relationship between positive symptoms and SI in a large sample of Chinese patients with chronic schizophrenia.</div></div><div><h3>Method</h3><div>We recruited 1407 patients and assessed them using the Positive and Negative Syndrome Scale (PANSS), Insomnia Severity Index (ISI), and Beck Scale for Suicide Ideation (BSSI). We also collected demographic information and lifetime history of suicide attempts (SA). Positive symptoms were evaluated using the PANSS positive factor. Multivariate logistic regression and moderation analysis were performed.</div></div><div><h3>Results</h3><div>The prevalence of insomnia and SI was 13.5 % and 9.7 %, respectively. ISI scores (adjusted odds ratio [AOR]: 1.06; 95 % confidence interval [CI]: 1.01–1.10, <em>p</em> = 0.011), PANSS positive factor (AOR: 1.05; 95 % CI: 1.01–1.09, <em>p</em> = 0.008), PANSS mood factor (AOR: 1.16; 95 % CI: 1.10–1.22, <em>p</em> &lt; 0.001), and lifetime SA (AOR: 4.35; 95 % CI: 2.86–6.61, p &lt; 0.001) were independently associated with SI. Moderation analysis revealed that insomnia amplified the association between positive symptoms and SI. Specifically, higher levels of insomnia significantly strengthened this relationship (b = 0.086, 95 % CI = 0.048–0.124, <em>p</em> &lt; 0.001), while the association was negligible in patients with low levels of insomnia (b = −0.003, 95 % CI = -0.042–0.036, <em>p</em> = 0.870).</div></div><div><h3>Conclusion</h3><div>Both insomnia and positive symptoms were independently related to SI in schizophrenia, with insomnia moderating the relationship between positive symptoms and SI. Further studies are needed to test whether interventions against insomnia and positive symptoms would be effective at reducing SI in this population.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 66-71"},"PeriodicalIF":4.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142323314","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":"Preventing chronic distress in cardiac arrest survivors and their caregivers: Perspectives of multidisciplinary healthcare professionals.","authors":"Alexander M Presciutti, Jonathan Elmer, Michael W Donnino, Ona Wu, Robert A Parker, Sarah M Perman, Ana-Maria Vranceanu","doi":"10.1016/j.genhosppsych.2024.09.011","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.09.011","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344806","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":"Expert and patient cognitive interviews in the development of a novel alcohol insight scale for use in hepatology and liver transplantation.","authors":"Gerald Scott Winder, Victoria Gill, Shivali Patel, Haila Asefa, Jessica L Mellinger","doi":"10.1016/j.genhosppsych.2024.09.010","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.09.010","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344805","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":"Does physical disability bias clinical general impression of psychiatrists evaluating older adults with moderate to severe depressive symptoms? A randomized controlled trial.","authors":"Sandra Abou Kassm, Louise Gratecap, Evan Ragey, Francois Alexis Richard, Dominique Somme, Florian Naudet, Gabriel Hadrien Robert","doi":"10.1016/j.genhosppsych.2024.09.007","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.09.007","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344804","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":"Suicidal ideation among U.S. adults aged 20 and older with and without tinnitus: A retrospective study.","authors":"Ying Cui, Tong Wu, Wen Zhang","doi":"10.1016/j.genhosppsych.2024.09.009","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.09.009","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142283606","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}