General hospital psychiatry最新文献_第7页

Prevalence and predictors of substance use in adults with cystic fibrosis: A single-center retrospective review. 囊性纤维化成人药物使用的流行率和预测因素：单中心回顾性研究。

IF 4.1 2区医学

General hospital psychiatry Pub Date : 2024-10-16 DOI: 10.1016/j.genhosppsych.2024.10.009

Margret Z Powell, Jennifer L Goralski, Agathe S Ceppe, Scott H Donaldson, Nathaniel A Sowa

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Clinical validation of the GAD-7 for the Peruvian Quechua population. 针对秘鲁盖丘亚族人群的 GAD-7 临床验证。

IF 4.1 2区医学

General hospital psychiatry Pub Date : 2024-10-15 DOI: 10.1016/j.genhosppsych.2024.10.008

Norman López, Juan-Carlos Coronado, César Quispe-Ayala, Paola García-Roncallo, Juan Cárdenas-Valverde, Yuliana Flórez, Régulo Antezana, David Salazar, Raúl Quincho-Apumayta, Carol Saldías, Nicole Caldichoury

引用次数: 0

Transitional care programs to improve the post-discharge experience of patients with multiple chronic conditions and co-occurring serious mental illness: A scoping review 改善患有多种慢性疾病和并发严重精神疾病的患者出院后体验的过渡性护理计划：范围综述。

IF 4.1 2区医学

General hospital psychiatry Pub Date : 2024-10-15 DOI: 10.1016/j.genhosppsych.2024.10.007

Heather Brom , Kathy Sliwinski , Kelvin Amenyedor , J. Margo Brooks Carthon

{"title":"Transitional care programs to improve the post-discharge experience of patients with multiple chronic conditions and co-occurring serious mental illness: A scoping review","authors":"Heather Brom , Kathy Sliwinski , Kelvin Amenyedor , J. Margo Brooks Carthon","doi":"10.1016/j.genhosppsych.2024.10.007","DOIUrl":"10.1016/j.genhosppsych.2024.10.007","url":null,"abstract":"<div><div>The transition from hospital to home can be especially challenging for those with multiple chronic conditions and co-occurring serious mental illness (SMI). This population tends to be Medicaid-insured and disproportionately experiences health-related social needs. The aim of this scoping review was to identify the elements and outcomes of hospital-to-home transitional care programs for people diagnosed with SMI. A scoping review was conducted using Arksey and O’Malley's methodology. Three databases were searched; ten articles describing eight transitional care programs published from 2013 to 2024 met eligibility criteria. Five programs focused on patients being discharged from a psychiatric admission. Five of the interventions were delivered in the home. Intervention components included coaching services, medication management, psychiatric providers, and counseling. Program lengths ranged from one month to 90 days post-hospitalization. These programs evaluated quality of life, psychiatric symptoms, medication adherence, readmissions, and emergency department utilization. Notably, few programs appeared to directly address the unmet social needs of participants. While the focus and components of each transitional care program varied, there were overall positive improvements for participants in terms of improved quality of life, increased share decision making, and connections to primary and specialty care providers.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 106-114"},"PeriodicalIF":4.1,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142462528","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}

引用次数: 0

The impact of physiological marker variations during kidney transplantation on emotional and cognitive outcomes. 肾移植过程中生理标记物的变化对情绪和认知结果的影响。

IF 4.1 2区医学

General hospital psychiatry Pub Date : 2024-10-10 DOI: 10.1016/j.genhosppsych.2024.10.004

Yiyuchen Zhu

引用次数: 0

Linking cognitive function and biological markers in depression: Can IL-6 plasma levels and attention domain be used as an ensemble classification system? 将抑郁症患者的认知功能与生物标记物联系起来：IL-6血浆水平和注意力域可用作集合分类系统吗？

IF 4.1 2区医学

General hospital psychiatry Pub Date : 2024-10-09 DOI: 10.1016/j.genhosppsych.2024.10.003

Maria J Portella, Gara Arteaga-Henríquez, Javier de Diego-Adeliño, Joan Trujols, Dolors Puigdemont, Josefina Pérez, Carlo Alemany, Júlia Carrasco-Hernández, Marc Udina, Narcís Cardoner, Muriel Vicent-Gil

引用次数: 0

Illness invalidation and psychological distress in adults with chronic physical health symptoms 有慢性身体健康症状的成年人的疾病无效感和心理困扰。

IF 4.1 2区医学

General hospital psychiatry Pub Date : 2024-10-09 DOI: 10.1016/j.genhosppsych.2024.10.001

Thomas Woldhuis , Milena Gandy

{"title":"Illness invalidation and psychological distress in adults with chronic physical health symptoms","authors":"Thomas Woldhuis , Milena Gandy","doi":"10.1016/j.genhosppsych.2024.10.001","DOIUrl":"10.1016/j.genhosppsych.2024.10.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Illness invalidation is a term used to describe when someone's illness experience is delegitimised by another person in the social environment. This study investigated whether illness invalidation was associated with psychological distress in Australian adults managing symptoms of chronic physical health conditions (CPHCs), and whether illness factors were related to levels of illness invalidation experienced.</div></div><div><h3>Methods</h3><div>In 2022, a large cross-sectional online survey was conducted on adults managing symptoms of CPHCs (e.g., chronic pain, fatigue). Participants self-reported demographic and illness information, health-related self-efficacy, psychological distress, and illness invalidation using validated scales.</div></div><div><h3>Results</h3><div>The sample data revealed (<em>N</em> = 1610) that illness invalidation was experienced across many symptom categories. Hierarchical regressions indicated that discounting from family members, medical professionals, and the spouse/partner, as well as lack of understanding from family members, was significantly and uniquely associated with psychological distress while controlling for adjustment-related factors. Adults with multiple CPHCs, longer symptom durations and suspected/unconfirmed CPHC diagnoses experienced higher illness invalidation.</div></div><div><h3>Conclusions</h3><div>Illness invalidation, particularly discounting, is common in people managing symptoms of CPHCs and appears to be uniquely associated with psychological distress. Future research should attend to illness invalidation in adjustment and reducing invalidating experiences for people with CPHCs.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 89-95"},"PeriodicalIF":4.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142462525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is development and persistence of multiple physical symptoms associated with coping? A longitudinal study over a decade 多种躯体症状的发展和持续与应对措施有关吗？十年纵向研究

IF 4.1 2区医学

General hospital psychiatry Pub Date : 2024-10-09 DOI: 10.1016/j.genhosppsych.2024.10.005

Isabella Raasthøj , Dorte Ejg Jarbøl , Sanne Rasmussen , Tina Birgitte Wisbech Carstensen , Marianne Rosendal

{"title":"Is development and persistence of multiple physical symptoms associated with coping? A longitudinal study over a decade","authors":"Isabella Raasthøj , Dorte Ejg Jarbøl , Sanne Rasmussen , Tina Birgitte Wisbech Carstensen , Marianne Rosendal","doi":"10.1016/j.genhosppsych.2024.10.005","DOIUrl":"10.1016/j.genhosppsych.2024.10.005","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the development and persistence of multiple physical symptoms (MPS) over a decade including the associations with sociodemographics and coping strategies.</div></div><div><h3>Method</h3><div>A longitudinal study of 16,405 individuals aged 20–64 years participating in the Danish Symptom Cohort (DaSC) was conducted in 2012 with follow-up data in 2022 (DaSC II). MPS were assessed according to the unifying diagnostic construct of bodily distress syndrome, and coping was measured with the Brief Approach/Avoidance Coping Questionnaire. Descriptive statistics and multivariable logistic regression analyses were performed.</div></div><div><h3>Results</h3><div>Among individuals not having MPS in 2012, 17 % had developed MPS in 2022. Among individuals having MPS in 2012, 57 % had persistence of MPS in 2022. Individuals who developed or had persistence of MPS at follow-up were more likely to be female, have lower educational level, be immigrant, redeem antidepressants, have lower approach scores as well as higher diversion and resignation scores.</div></div><div><h3>Conclusions</h3><div>Individuals responding to stressful situations with low approach, high diversion, and high resignation may be at higher risk of developing MPS and have persistence of MPS. As coping can be targeted through psychotherapy, it is important to focus on maladaptive strategies, especially in high-risk groups for developing and maintaining MPS.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 96-105"},"PeriodicalIF":4.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142462526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceived discrimination regarding choice of specialty in medical residencies: Specialties facing greater challenges and related factors. 住院医师在选择专业时感受到的歧视：面临更大挑战的专业及相关因素。

IF 4.1 2区医学

General hospital psychiatry Pub Date : 2024-10-09 DOI: 10.1016/j.genhosppsych.2024.10.006

Ana Fresán, Diana Guízar-Sánchez, Rebeca Robles-García, María Yoldi-Negrete, Carlos-Alfonso Tovilla-Zárate, Ricardo-Arturo Saracco-Alvarez

引用次数: 0

Post-pandemic persistence of adverse health behaviors in patients with psychotic disorders: A follow-up study 大流行后精神病患者不良健康行为的持续性：跟踪研究。

IF 4.1 2区医学

General hospital psychiatry Pub Date : 2024-09-29 DOI: 10.1016/j.genhosppsych.2024.09.015

Serkan Yazıcı , Ezgi Sıla Ahi Üstün , Rıfat Serav İlhan , Meram Can Saka

{"title":"Post-pandemic persistence of adverse health behaviors in patients with psychotic disorders: A follow-up study","authors":"Serkan Yazıcı , Ezgi Sıla Ahi Üstün , Rıfat Serav İlhan , 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> < 0.001, r: -0.57; Z: −6.852, p < 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> < 0.001, r: −0.45). Both suicidal ideations and attempts were significantly higher during the pandemic compared to after the pandemic (<em>p</em> < 0.001,p < 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}

引用次数: 0

Depression is associated with unintended pregnancy among fathers during the first 3 years after childbirth 抑郁症与产后 3 年内父亲意外怀孕有关。

IF 4.1 2区医学

General hospital psychiatry Pub Date : 2024-09-27 DOI: 10.1016/j.genhosppsych.2024.09.014

Alexandre Faisal-Cury , Karen M. Tabb , Alicia Matijasevich

{"title":"Depression is associated with unintended pregnancy among fathers during the first 3 years after childbirth","authors":"Alexandre Faisal-Cury , Karen M. Tabb , 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 (> 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 >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}

引用次数: 0