HIV Infection: Psychiatric Findings in the Netherlands

1989 ◽  
Vol 155 (6) ◽  
pp. 814-817 ◽  
Author(s):  
Herman N. Sno ◽  
Jitschak G. Storosum ◽  
Jan A. Swinkels
Keyword(s):  
Hiv Infection ◽  
Drug Users ◽  
Depressive Disorders ◽  
Psychiatric Treatment ◽  
Psychiatric Symptoms ◽  
Negative Attitudes ◽  
Medically Ill ◽  
Major Depressive Disorders ◽  
Medically Ill Patients ◽  
Avoidance Reactions

A psychiatric consultation was requested in 51 in-patient cases of HIV infection. Reasons for referral included counselling, the evaluation of depressive symptoms, and the treatment of delirium. The most common DSM–III diagnoses included: delirium (n = 13), major depressive disorders (n = 12), dementia (n = 5), and adjustment disorders with depressive or anxious mood (n = 5). The psychiatric treatment of patients with HIV infection does not differ fundamentally from that of other medically ill patients with similar psychiatric symptoms. However, the psychiatric treatment of patients with HIV infection can be hampered by the fear of contagion, negative attitudes towards homosexuals and drug users, and overidentification or avoidance reactions.

Management of psychiatric disorders in medically ill patients, including emergencies

2012 ◽  
pp. 1128-1134
Author(s):  
Pier Maria Furlan ◽  
Luca Ostacoli
Keyword(s):  
Health Care ◽  
Psychiatric Disorders ◽  
Psychiatric Treatment ◽  
Care Staff ◽  
Severe Illness ◽  
Health Care Staff ◽  
Social Changes ◽  
Medically Ill ◽  
Care Giving ◽  
Medically Ill Patients

The coexistence of psychiatric disorders in patients with medical illnesses may influence both the diagnosis and the course of the illness by their effects on pathophysiological, diagnostic, and therapeutic processes. There may also be effects on patients’ collaboration with treatment and on their relationships with health care staff. Several factors change the management of, medical illnesses and psychiatric disorders, and their inter-relation ♦ increased life-expectancy and increasing survival of people with-severe illness alter the risk of other medical and psychiatric disorders; ♦ social changes affecting family structure can affect care giving. Other social factors include changes in the role of women (work, delayed maternity); increased immigration with consequent cultural diversity including different concepts of medical and psychiatric disorders (see Chapter 1.3.2); ♦ increased use of medication in medical and in psychiatric treatment, and changes in the organization of health care and social assistance from hospital-based to community-based. This chapter describes how to recognize, treat and manage psychiatric disorders in medical illnesses.

scholarly journals The relationship between the severity of asthma and comorbidites with anxiety and depressive disorders

2006 ◽  
Vol 28 (3) ◽  
pp. 206-208 ◽  
Author(s):  
Alexandre M Valença ◽  
Rodrigo Falcão ◽  
Rafael C Freire ◽  
Isabella Nascimento ◽  
Ronaldo Nascentes ◽  
...  
Keyword(s):  
Anxiety Disorders ◽  
Depressive Disorders ◽  
Psychiatric Treatment ◽  
Psychiatric Symptoms ◽  
High Morbidity ◽  
Depression And Anxiety ◽  
University Hospitals ◽  
Asthmatic Patients ◽  
The Moment ◽  
The Relationship

OBJECTIVE: There is evidence that asthma is associated with increased frequency of psychiatric symptoms and mental disorders. Our aim was to assess the frequency of anxiety and depressive disorders in a sample of asthmatic outpatients and observe if there is any relationship between this comorbidity and the severity of asthma. METHOD: Sixty-two consecutive patients of two outpatient asthma clinics located in university hospitals were evaluated. Psychiatric diagnoses were assessed with the Mini-International Neuropsychiatric Interview 4.4 Version. RESULTS: Twenty-seven patients (43.5%) met criteria for at least one psychiatric diagnosis. The most frequent diagnoses were major depression (24%), generalized anxiety disorder (20.9%) and panic disorder/agoraphobia spectrum disorders (17.7%). We found no significant differences in the prevalence of anxiety disorders and depression between the groups with mild/moderate and severe asthma. Despite the high frequency of depression and anxiety disorders, only 4 (6.5%) patients were under psychiatric treatment and 13 (20.9%) patients were taking benzodiazepines. Twelve of 15 (80%) patients who reported present use of psychotropic medication were not under psychiatric treatment at the moment of the study. CONCLUSIONS: Our results support the high morbidity of anxiety and depressive disorders in asthmatic patients, independent of the severity of asthma.

Doubts about Being of Value: An Important Aspect of Countertransference in Consultation-Liaison Psychiatry

1986 ◽  
Vol 15 (4) ◽  
pp. 329-333 ◽  
Author(s):  
Mark L. Teitelbaum
Keyword(s):  
Emotional Reaction ◽  
Liaison Psychiatry ◽  
Negative Attitudes ◽  
Medically Ill ◽  
Medical Environment ◽  
Consultation Liaison Psychiatry ◽  
Effective Collaboration ◽  
Referring Physicians ◽  
Medically Ill Patients

Doubts about being of value to medically ill patients and their referring physicians is not an uncommon emotional reaction of consultation-liaison psychiatrists to the medical environment. Both realistic perceptions of negative attitudes of non-psychiatric physicians as well as unrealistic doubts about their potential uesfulness, which may be projected upon and attributed to their non-psychiatric colleagues, can contribute to this unsettling response. This reaction may interfere with effective collaboration between consultation-liaison psychiatrists and their non-psychiatric colleagues and needs to be understood and mastered.

Liaison psychiatry in old age practice

2002 ◽  
Vol 12 (1) ◽  
pp. 52-61 ◽  
Author(s):  
Sabina T Fahy ◽  
Brian A Lawlor
Keyword(s):  
General Hospital ◽  
Psychiatric Illness ◽  
Psychiatric Symptoms ◽  
Hospital Setting ◽  
Bad News ◽  
Liaison Psychiatry ◽  
Medically Ill ◽  
Hospital Patients ◽  
Consultation Liaison Psychiatry ◽  
Medically Ill Patients

Liaison psychiatry, a term that is sometimes used interchangeably with consultation-liaison psychiatry, refers to the interface between psychiatry and general hospital patients and specialists. It involves psychiatrists’ intervention in the care of medically ill patients who present with psychiatric symptoms whilst in a general hospital setting. It may also involve assessment of patients who have pre-existing psychiatric illness or those who develop psychiatric symptoms because of their medical or surgical illness (e.g. coping with bad news).

Use of Nonsomatic Symptoms to Differentiate Clinically Depressed and Nondepressed Hospitalized Patients with Chronic Medical Illnesses

1994 ◽  
Vol 75 (3) ◽  
pp. 1089-1090 ◽  
Author(s):  
David A. Clark ◽  
Robert A. Steer
Keyword(s):  
Depressive Disorders ◽  
Depression Scale ◽  
Hospitalized Patients ◽  
Self Report ◽  
Differential Sensitivity ◽  
Medically Ill ◽  
Depression Subscale ◽  
Clinically Depressed ◽  
Medically Ill Patients ◽  
Report Measure

The differential sensitivity of the Depression subscale scores of the Hospital Anxiety and Depression Scale and the Cognitive-Affective subscale scores of the revised Beck Depression Inventory were compared for 21 chronic medically ill hospitalized patients with DSM-III—R unipolar depressive disorders and 54 hospitalized medically ill patients without a comorbid psychiatric disorder. Both subscales significantly differentiated these two types of patients beyond the .001 level and yielded comparable effect sizes. The Cognitive-Affective subscale detected clinical depression as well as a specialized self-report measure.

Review of Group Therapy for Medically Ill Patients.

1997 ◽  
Vol 42 (12) ◽  
pp. 1134-1134
Author(s):  
Brian A. Buford
Keyword(s):  
Group Therapy ◽  
Medically Ill ◽  
Medically Ill Patients
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