General hospital psychiatry最新文献

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Prevalence of reversible visual impairments and their association with the psychiatric illness severity among inpatients with psychotic disorders 精神病住院患者中可逆性视力障碍的患病率及其与精神病严重程度的关系。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.11.005

Mathieu Fradet , Fannie Nadeau , Alexandre Suey , Mazen Choulakian , Sylvain Grignon

引用次数: 0

Patients with severe mental illness in the general emergency department: Clinical characteristics, quality of care and challenges 普通急诊科重症精神疾病患者：临床特点、护理质量与挑战

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.11.014

Sharon Taub , Noa Menkes-Caspi , Tom Fruchtman-Steinbok , Shiri Kamhi-Nesher , Amir Krivoy

Background

Morbidity and mortality rates are notably higher among individuals with severe mental illnesses (SMI). People with SMI often have lower access to healthcare services, and the medical care they receive is known to be suboptimal. Consequently, treatment in an acute care setting rather than a community setting is more common. We aim to explore medical care in the emergency department (ED) for people with SMI compared to a control population.

Methods

In this matched cohort study, data on all adult Clalit Health Services (CHS) members who were referred to the general ED during the years 2018–2021 were extracted. Patients with SMI (ICD-10 codes for schizophrenia, schizoaffective disorder, and bipolar disorder) were matched with a control group of ED patients without SMI in a 1:3 ratio. The two groups were compared regarding ED admission reasons, management, and outcomes.

Results

The total sample (n = 92,848) included ED patients with SMI (n = 23,212) and without (n = 69,636). The most common ED admission reasons in both groups were pain, traumatic injury, and cardiac symptoms. Patients in the SMI group had higher rates of diagnosed diabetes mellitus and obstructive pulmonary disease.

ED assessment, measured by resource allocation, was less comprehensive for patients with SMI who presented with subjective complaints such as pain and weakness, while it was comparable between patients with and without SMI for other main presenting complaints. Workup for patients with SMI lasted longer and necessitated hospitalization at higher rates for most admission reasons. Mortality during the study period was almost twice as high among the SMI group (5 % vs. 2.3 %, p < 0.001).

Discussion

Our findings indicate higher rates of morbidity and treatment complexity among patients with SMI. As expected, the mortality rate was higher in this group. An alarming gap in resource allocation for ED assessment was observed when patients presented with subjective complaints. Enhanced awareness and integrated resources in primary care are required to improve the management and physical healthcare of patients with SMI.

背景：严重精神疾病（SMI）患者的发病率和死亡率明显较高。重度精神障碍患者通常很少获得医疗保健服务，而且他们得到的医疗保健是不理想的。因此，在急症护理机构而不是社区机构进行治疗更为常见。我们的目的是探索医疗护理在急诊科（ED）的人与重度精神障碍的对照人群。方法：在这项匹配的队列研究中，提取了2018-2021年间转介到普通急诊科的所有成年Clalit Health Services （CHS）成员的数据。重度精神障碍患者（精神分裂症、分裂情感性障碍和双相情感障碍的ICD-10编码）与对照组无重度精神障碍患者按1:3的比例配对。比较两组患者入院的原因、治疗和结果。结果：总样本（n = 92,848）包括伴有SMI的ED患者（n = 23,212）和不伴有SMI的ED患者（n = 69,636）。两组中最常见的急诊科入院原因是疼痛、创伤性损伤和心脏症状。重度精神分裂症组的患者诊断为糖尿病和阻塞性肺病的比例更高。ED评估，通过资源分配来衡量，对于表现为主观主诉（如疼痛和虚弱）的重度精神障碍患者来说，ED评估不太全面，而对于其他主要主诉，重度精神障碍患者和非重度精神障碍患者之间的ED评估具有可比性。重度精神障碍患者的随访时间更长，住院率更高。研究期间，重度精神障碍组的死亡率几乎是前者的两倍（5% vs. 2.3%）。讨论：我们的研究结果表明，重度精神障碍患者的发病率和治疗复杂性更高。不出所料，这一组的死亡率更高。当患者出现主观抱怨时，ED评估的资源分配存在惊人的差距。需要在初级保健方面提高认识并整合资源，以改善重度精神障碍患者的管理和身体保健。

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引用次数: 0

Comment on: “Global prevalence of poor sleep quality in cancer patients: A systematic review and meta-analysis”

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.11.001

Jingjing Hu, Shuangqin Chen

引用次数: 0

Addressing the relationship between depressive symptoms and utilisation of preventive health services: A global perspective 处理抑郁症状与利用预防性保健服务之间的关系：全球视角。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.12.006

Rikas Saputra , Isnaria Rizki Hayati , Kiki Mariah , Fadhila Rahman , Yenni Lidyawati , Rizky Andana Pohan , Erfan Ramadhani , Sesilianus Fau

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 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.10.004

Yiyuchen Zhu

引用次数: 0

Thematic analysis of cardiac arrest survivors' and their caregivers' psychosocial intervention needs 对心脏骤停幸存者及其照顾者的社会心理干预需求进行专题分析。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.10.015

Alexander M. Presciutti , Bonnie Siry-Bove , Robert A. Parker , Ona Wu , Jonathan Elmer , Michael W. Donnino , Sarah M. Perman , Ana-Maria Vranceanu

引用次数: 0

Mental health effects of neurosurgery for drug-resistant epilepsy 神经外科手术治疗耐药性癫痫对心理健康的影响。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.11.002

Irving Gabriel Calisaya-Madariaga , Lia Valentina Ubillús Peña

引用次数: 0

Associations of childhood trauma with remission and treatment response after 12 weeks of selective serotonin reuptake inhibitor treatment in patients with major depressive disorder 儿童创伤与重度抑郁症患者选择性血清素再摄取抑制剂治疗12周后缓解和治疗反应的关系

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.12.002

Yanzhi Li , Yan Chen , Yingchen Jiang , Wanxin Wang , Lan Guo , Beifang Fan , Yifeng Liu , Huimin Zhang , Xinyi Lin , Kayla M. Teopiz , Roger S. McIntyre , Ciyong Lu , Xue Han

Objective

To explore the associations of childhood trauma and its subtypes with remission and treatment response after 12 weeks of selective serotonin reuptake inhibitor (SSRI) treatment among patients with major depressive disorder (MDD).

Methods

Data were from patients with MDD in the Depression Cohort in China. At baseline, the Childhood Trauma Questionnaire-Short Form was used to assess childhood trauma, including physical abuse, emotional abuse, sexual abuse, physical neglect, and emotional neglect. After 12 weeks of SSRI treatment, depressive symptoms were evaluated using the Patient Health Questionnaire-9 (PHQ-9). Remission was defined as a PHQ-9 score < 5, and response was defined as a ≥ 50 % decline in the PHQ-9 score from baseline.

Results

The sample included 572 patients with MDD (mean [SD] age, 27.4 [7.2] years; 30.6 % male). After receiving 12 weeks of SSRI treatment, 32.2 % of patients achieved remission and 49.1 % of patients responded to treatment. After fully adjusting for confounders, patients with childhood trauma (OR, 0.55; 95 % CI, 0.36 to 0.84), physical abuse (OR, 0.43; 95 % CI, 0.23 to 0.79), emotional abuse (OR, 0.40; 95 % CI, 0.24 to 0.67), or sexual abuse (OR, 0.49; 95 % CI, 0.24 to 0.99) had a lower likelihood of remission, but those with physical neglect or emotional neglect did not. The response showed similar results.

Conclusions

Among patients with MDD, childhood abuse (i.e., physical abuse, emotional abuse, and sexual abuse), but not childhood neglect (i.e., physical neglect and emotional neglect), was associated with a lower likelihood of remission and response after 12 weeks of SSRI treatment.

目的：探讨重度抑郁障碍（MDD）患者接受选择性血清素再摄取抑制剂（SSRI）治疗12周后，儿童创伤及其亚型与缓解和治疗反应的关系。方法：数据来自中国抑郁症队列中的重度抑郁症患者。在基线，儿童创伤问卷-短表格被用来评估儿童创伤，包括身体虐待，情感虐待，性虐待，身体忽视和情感忽视。SSRI治疗12周后，使用患者健康问卷-9 （PHQ-9）评估抑郁症状。结果：样本包括572例重度抑郁症患者(平均[SD]年龄，27.4[7.2]岁；30.6%男性)。在接受12周的SSRI治疗后，32.2%的患者获得缓解，49.1%的患者对治疗有反应。在充分调整混杂因素后，儿童创伤患者(OR, 0.55；95% CI, 0.36 ~ 0.84)，身体虐待(OR, 0.43；95% CI, 0.23 ~ 0.79)，精神虐待(OR, 0.40；95% CI, 0.24 ~ 0.67)或性虐待(or, 0.49；95% CI（0.24 ~ 0.99）的患者缓解的可能性较低，但那些身体忽视或情感忽视的患者则不然。回应显示了类似的结果。结论：在重度抑郁症患者中，儿童期虐待（即身体虐待、情感虐待和性虐待），而不是儿童期忽视（即身体忽视和情感忽视），与SSRI治疗12周后缓解和反应的可能性较低相关。

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引用次数: 0

Reducing psychological distress through improved illness validation strategies 通过改进疾病确认策略减少心理困扰。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.12.004

Erfan Ramadhani , Nining Maizura , Ramtia Darma Putri , Rizky Andana Pohan , Rikas Saputra , Ali Fakhrudin

引用次数: 0

Illness invalidation: Multidimensional perspectives and implications for mental health 疾病无效：心理健康的多维视角和影响。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.12.007

Ramtia Darma Putri , Siska Mardes , Erfan Ramadhani , Muhammad Tsurayya Ramadhan , Muhammad Ilargi Rabbani

引用次数: 0

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