General hospital psychiatry
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Gen Hosp Psychiatry · Nov 2010
Randomized Controlled Trial Multicenter Study Comparative StudyAssociation between change in depression and change in weight among women enrolled in weight loss treatment.
To examine the association between improvement in depression and loss of weight among women with depressive symptoms entering a behavioral weight loss program. ⋯ Among women with co-occurring obesity and depression, short-term improvement in depression is associated with weight loss.
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Gen Hosp Psychiatry · Nov 2009
Multicenter StudyUse of outpatient mental health services and psychotropic medications among HIV-infected patients in a multisite, multistate study.
Although co-occurring psychiatric disorders are highly prevalent among those with HIV, little is known about the use of outpatient mental health services (MHS) and psychotropic medication in the highly active antiretroviral therapy (HAART) era. ⋯ In the HAART era, self-reported rates of mental health service and psychotropic medication utilization are high. Blacks continue to report lower use of MHS and psychotropic medication compared to whites.
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Gen Hosp Psychiatry · Jul 2008
Multicenter Study Comparative StudyPsychiatric emergencies in prehospital emergency medical systems: a prospective comparison of two urban settings.
Psychiatric emergency situations (PES) are of high importance to the German prehospital physician-based emergency medical system. So far, however, no prospective studies regarding the incidence of PES have been performed, neither have effects of training programs on diagnostic and therapeutic accuracy been studied. ⋯ Accounting for 12% of all missions, psychiatric emergencies are a frequent reason for calls for EPs, equaling trauma-related and neurological emergencies. The most frequent reasons for calls were alcohol intoxication, states of agitation and suicidal behavior. The diagnostic and therapeutic accuracy of EPs may be improved with a concise standardized teaching program.
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Gen Hosp Psychiatry · May 2008
Randomized Controlled Trial Multicenter Study Comparative StudyFactors associated with the use of physical restraints for agitated patients in psychiatric emergency rooms.
To examine factors associated with physical restraint in psychiatric emergency rooms. ⋯ Restraint practices in Rio are predictable and based on a limited clinical assessment. Predictive factors for physical restraint may vary worldwide, but should be monitored and studied to assist training, and to establish programs to evaluate and refine this controversial practice.
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Gen Hosp Psychiatry · Sep 2006
Multicenter StudyInfluence of patient preference and primary care clinician proclivity for watchful waiting on receipt of depression treatment.
We examined whether patients' preference for watchful waiting and their primary care clinician's proclivity for watchful waiting were associated with decreased likelihood of receiving depression treatment. ⋯ Patient preference for watchful waiting is associated with lower rates of some depression treatments, especially among patients with subsyndromal depression. Addressing patient preference for watchful waiting in primary care may include active symptom monitoring and patient education.