{"title":"Index—Contents of Volume 40, 2010","authors":"","doi":"10.2190/pm.40.4.j","DOIUrl":"https://doi.org/10.2190/pm.40.4.j","url":null,"abstract":"","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"52 1","pages":"473 - 477"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79546676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Book Review: The Rise and Fall of the Biopsychosocial Model: Reconciling Art and Science in Psychiatry","authors":"D. Blazer","doi":"10.2190/PM.40.3.j","DOIUrl":"https://doi.org/10.2190/PM.40.3.j","url":null,"abstract":"","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"44 1","pages":"361 - 362"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87649719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ABBAS, CHIARA C.: Trajectory of Posttraumatic Stress Disorder Caused by Myocardial Infarction: A Two-Year Follow-Up Study, No. 4, p. 359 ABDELMONEIM, ISMAIL: See Mahfouz, Ahmed A., jt. author ADÈS, JEAN: See Romo, Lucia, jt. author ADEYEMI, JOSEPH D.: See Erinfolami, Adebayo R., jt. author AL AMRI, HASAN: See Mahfouz, Ahmed A., jt. author AL-GELBAN, KHALID S.: See Mahfouz, Ahmed A., jt. author ALGUL, AYHAN: Evaluation of General Psychopathology, Subjective Sleep Quality, and Health-Related Quality of Life in Patients with Obesity, No. 3, p. 297 ALLGAIER, ANTJE-KATHRIN: See Kramer, Dietmar, jt. author ALTEMUS, MARGARET: See Pfeffer, Cynthia R., jt. author ARROLL, BRUCE: See Gale, Christopher, jt. author ATES, M. ALPAY: See Algul, Ayhan, jt. author AUBRY, CAROLINE: See Romo, Lucia, jt. author BACK, SUDIE E.: See Spratt, Eve G., jt. author BASOGLU, CENGIZ: See Algul, Ayhan, jt. author BATEL, PHILIPPE: See Romo, Lucia, jt. author BAYLES, BRYAN P.: Culture-Bound Syndromes in Hispanic Primary Care Patients, No. 1, p. 15 BEGRÉ, STEFAN: See Abbas, Chiara C., jt. author BERG, JOHN E.: Sense of Coherence in Patients Treated for Depression with ECT, No. 1, p. 101 BHARADWAJ, RAHUL: See Grover, Sandeep, jt. author BIANCOSINO, BRUNO: Factors Related to Admission of Psychiatric Patients to Medical Wards from the General Hospital Emergency Department: A 3-Year Study of Urgent Psychiatric Consultations, No. 2, p. 133 BN, SUBODH: See Grover, Sandeep, jt. author BOELENS, PETER A.: A Randomized Trial of the Effect of Prayer on Depression and Anxiety, No. 4, p. 377
张晓明，张晓明。创伤后应激障碍对心肌梗死的影响:一项为期两年的随访研究，第4期，第359页。作者ADÈS, JEAN:见Romo, Lucia, jt。作者ADEYEMI, JOSEPH D.:参见Erinfolami, addebayo R.， jt。作者AL AMRI, HASAN:见Mahfouz, Ahmed A.， jt。作者AL-GELBAN, KHALID S.:见Mahfouz, Ahmed A.， jt。作者ALGUL, AYHAN:肥胖症患者的一般精神病理、主观睡眠质量和健康相关生活质量的评估，第3期，297页。ALLGAIER, ANTJE-KATHRIN: See Kramer, Dietmar, jt。作者玛格丽特·阿尔特姆斯:见普费弗，辛西娅·R.， jt。作者BRUCE ARROLL:见Gale, Christopher, jt。作者ATES, M. ALPAY:参见Algul, Ayhan, jt。作家奥布里，卡洛琳:见罗莫，露西娅，jt。作者BACK, SUDIE E.:参见Spratt, Eve G.， jt。作者BASOGLU, gengiz:参见Algul, Ayhan, jt。作者巴特尔，菲利普:见罗莫，露西亚，jt。作者BAYLES, BRYAN P.:西班牙裔初级保健患者的文化约束综合征，第1期，第15页BEGRÉ， STEFAN:见Abbas, Chiara C.， jt。作者伯格:《用电痉挛疗法治疗抑郁症患者的连贯性感》，第1期，第101页。作者BIANCOSINO, BRUNO:精神病患者从综合医院急诊科进入病房的相关因素:一项为期3年的紧急精神病咨询研究，第2期，133页BN, subbodh:见Grover, Sandeep, jt。《祈祷对抑郁和焦虑影响的随机试验》，第4期，第377页
{"title":"Index—Contents of Volume 39, 2009","authors":"","doi":"10.2190/pm.39.4.j","DOIUrl":"https://doi.org/10.2190/pm.39.4.j","url":null,"abstract":"ABBAS, CHIARA C.: Trajectory of Posttraumatic Stress Disorder Caused by Myocardial Infarction: A Two-Year Follow-Up Study, No. 4, p. 359 ABDELMONEIM, ISMAIL: See Mahfouz, Ahmed A., jt. author ADÈS, JEAN: See Romo, Lucia, jt. author ADEYEMI, JOSEPH D.: See Erinfolami, Adebayo R., jt. author AL AMRI, HASAN: See Mahfouz, Ahmed A., jt. author AL-GELBAN, KHALID S.: See Mahfouz, Ahmed A., jt. author ALGUL, AYHAN: Evaluation of General Psychopathology, Subjective Sleep Quality, and Health-Related Quality of Life in Patients with Obesity, No. 3, p. 297 ALLGAIER, ANTJE-KATHRIN: See Kramer, Dietmar, jt. author ALTEMUS, MARGARET: See Pfeffer, Cynthia R., jt. author ARROLL, BRUCE: See Gale, Christopher, jt. author ATES, M. ALPAY: See Algul, Ayhan, jt. author AUBRY, CAROLINE: See Romo, Lucia, jt. author BACK, SUDIE E.: See Spratt, Eve G., jt. author BASOGLU, CENGIZ: See Algul, Ayhan, jt. author BATEL, PHILIPPE: See Romo, Lucia, jt. author BAYLES, BRYAN P.: Culture-Bound Syndromes in Hispanic Primary Care Patients, No. 1, p. 15 BEGRÉ, STEFAN: See Abbas, Chiara C., jt. author BERG, JOHN E.: Sense of Coherence in Patients Treated for Depression with ECT, No. 1, p. 101 BHARADWAJ, RAHUL: See Grover, Sandeep, jt. author BIANCOSINO, BRUNO: Factors Related to Admission of Psychiatric Patients to Medical Wards from the General Hospital Emergency Department: A 3-Year Study of Urgent Psychiatric Consultations, No. 2, p. 133 BN, SUBODH: See Grover, Sandeep, jt. author BOELENS, PETER A.: A Randomized Trial of the Effect of Prayer on Depression and Anxiety, No. 4, p. 377","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"7 1","pages":"463 - 467"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79760261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Index—Contents of Volume 38, 2008","authors":"","doi":"10.2190/pm.38.4.j","DOIUrl":"https://doi.org/10.2190/pm.38.4.j","url":null,"abstract":"","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"47 1","pages":"525 - 530"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72799127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.2190/J26T-YQMJ-BF83-M05D
J. Alvidrez, P. Areán
Objective: Psychotherapy for late-life depression is an efficacious treatment option for older primary care patients who do not wish to take or do not respond to antidepressant medication. However, rates of physician referral to psychotherapy to treat late-life depression tend to be low. The purpose of this study was to assess attitudes toward psychotherapy for late-life depression and to identify predictors of physician willingness to refer older patients to psychotherapy. Methods: Two hundred and five physicians identified from PPO directories of general internists in California and North Carolina completed a brief mailed survey about how they would treat a hypothetical older depressed patient and specific attitudes and practices regarding their own treatment of late-life depression. Results: Only 27 percent of physicians said they would refer a depressed older patient to psychotherapy. In a regression analysis, female gender, the belief that psychotherapy is effective for older adults, and physician use of psychosocial techniques were associated with increased willingness to refer to psychotherapy. Practicing in North Carolina, awareness of depression treatment guidelines, and the perception of patient willingness to attend psychoeducational classes on depression and medication management were associated with decreased willingness to refer. Conclusions: More efforts are needed to increase the use of referral to psychotherapy as a treatment option for older medical patients. Education about guideline-level treatment alone may not be sufficient. More specific education, including information about the efficacy of psychotherapy for older adults, as well as direct training in psychosocial techniques, may be helpful in promoting referral to psychotherapy.
{"title":"Physician Willingness to Refer Older Depressed Patients for Psychotherapy","authors":"J. Alvidrez, P. Areán","doi":"10.2190/J26T-YQMJ-BF83-M05D","DOIUrl":"https://doi.org/10.2190/J26T-YQMJ-BF83-M05D","url":null,"abstract":"Objective: Psychotherapy for late-life depression is an efficacious treatment option for older primary care patients who do not wish to take or do not respond to antidepressant medication. However, rates of physician referral to psychotherapy to treat late-life depression tend to be low. The purpose of this study was to assess attitudes toward psychotherapy for late-life depression and to identify predictors of physician willingness to refer older patients to psychotherapy. Methods: Two hundred and five physicians identified from PPO directories of general internists in California and North Carolina completed a brief mailed survey about how they would treat a hypothetical older depressed patient and specific attitudes and practices regarding their own treatment of late-life depression. Results: Only 27 percent of physicians said they would refer a depressed older patient to psychotherapy. In a regression analysis, female gender, the belief that psychotherapy is effective for older adults, and physician use of psychosocial techniques were associated with increased willingness to refer to psychotherapy. Practicing in North Carolina, awareness of depression treatment guidelines, and the perception of patient willingness to attend psychoeducational classes on depression and medication management were associated with decreased willingness to refer. Conclusions: More efforts are needed to increase the use of referral to psychotherapy as a treatment option for older medical patients. Education about guideline-level treatment alone may not be sufficient. More specific education, including information about the efficacy of psychotherapy for older adults, as well as direct training in psychosocial techniques, may be helpful in promoting referral to psychotherapy.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"22 S4","pages":"21 - 35"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91427612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.2190/5XKK-G84J-FNPP-P5JJ
T. Inagaki, J. Horiguchi, Kent Subouchi, T. Miyaoka, J. Uegaki, H. Seno
Objective: Some patients develop an eating disorder at a late age. It is worth investigating why this syndrome develops at such widely different ages. Methods: Two Japanese cases of late onset anorexia nervosa are reported. Results: In these late onset cases, anorexia developed out of sadness over a loss such as bereavement, divorce, and fear or anxiety for the future. In addition, these two patients didn't demonstrate a fear of aging or of losing their attractiveness and sexuality, nor did they develop a dissociative disturbance based on an early traumatic history of sexual abuse in PTSD. Conclusion: Although the clinical features are similar, there appear to be differences between late onset and adolescent cases in psychological mechanisms.
{"title":"Late Onset Anorexia Nervosa: Two Case Reports","authors":"T. Inagaki, J. Horiguchi, Kent Subouchi, T. Miyaoka, J. Uegaki, H. Seno","doi":"10.2190/5XKK-G84J-FNPP-P5JJ","DOIUrl":"https://doi.org/10.2190/5XKK-G84J-FNPP-P5JJ","url":null,"abstract":"Objective: Some patients develop an eating disorder at a late age. It is worth investigating why this syndrome develops at such widely different ages. Methods: Two Japanese cases of late onset anorexia nervosa are reported. Results: In these late onset cases, anorexia developed out of sadness over a loss such as bereavement, divorce, and fear or anxiety for the future. In addition, these two patients didn't demonstrate a fear of aging or of losing their attractiveness and sexuality, nor did they develop a dissociative disturbance based on an early traumatic history of sexual abuse in PTSD. Conclusion: Although the clinical features are similar, there appear to be differences between late onset and adolescent cases in psychological mechanisms.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"s3-21 1","pages":"91 - 95"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90813431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.2190/RKYX-EM1C-H8RL-K606
A. Alao, M. Soderberg
Sickle Cell Disease (SCD) is a common condition among African Americans. It is associated with severe complications including severe pain in the chest, back, abdomen, or extremities. Individuals with SCD also have a reduced life span. Post traumatic stress disorder (PTSD) is a condition increasingly being recognized. In this article we discuss, to our knowledge, the first case of a patient with comorbid sickle cell disease and post-traumatic stress disorder.
{"title":"Sickle Cell Disease and Posttraumatic Stress Disorder","authors":"A. Alao, M. Soderberg","doi":"10.2190/RKYX-EM1C-H8RL-K606","DOIUrl":"https://doi.org/10.2190/RKYX-EM1C-H8RL-K606","url":null,"abstract":"Sickle Cell Disease (SCD) is a common condition among African Americans. It is associated with severe complications including severe pain in the chest, back, abdomen, or extremities. Individuals with SCD also have a reduced life span. Post traumatic stress disorder (PTSD) is a condition increasingly being recognized. In this article we discuss, to our knowledge, the first case of a patient with comorbid sickle cell disease and post-traumatic stress disorder.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"15 1","pages":"101 - 97"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84718065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.2190/RJY7-CRR1-HCW5-XVEG
D. Oman, J. Kurata, W. Strawbridge, R. Cohen
Objective: Frequent attendance at religious services has been reported by several studies to be independently associated with lower all-cause mortality. The present study aimed to clarify relationships between religious attendance and mortality by examining how associations of religious attendance with several specific causes of death may be explained by demographics, socioeconomic status, health status, health behaviors, and social connections. Method: Associations between frequent religious attendance and major types of cause-specific mortality between 1965 and 1996 were examined for 6545 residents of Alameda County, California. Sequential proportional hazards regressions were used to study survival time until mortality from circulatory, cancer, digestive, respiratory, or external causes. Results: After adjusting for age and sex, infrequent (never or less than weekly) attenders had significantly higher rates of circulatory, cancer, digestive, and respiratory mortality (p < 0.05), but not mortality due to external causes. Differences in cancer mortality were explained by prior health status. Associations with other outcomes were weakened but not eliminated by including health behaviors and prior health status. In fully adjusted models, infrequent attenders had significantly or marginally significantly higher rates of death from circulatory (relative hazard [RH] = 1.21, 95 percent confidence interval [CI] = 1.02 to 1.45), digestive (RH = 1.99, p < 0.10, 95 percent CI = 0.98 to 4.03), and respiratory (RH = 1.66, p < 0.10, 95 percent CI = 0.92 to 3.02) mortality. Conclusions: These results are consistent with the view that religious involvement, like high socioeconomic status, is a general protective factor that promotes health through a variety of causal pathways. Further study is needed to determine whether the independent effects of religion are mediated by psychological states or other unknown factors.
目的:几项研究报告频繁参加宗教仪式与较低的全因死亡率独立相关。本研究旨在通过考察宗教活动与几种特定死亡原因之间的关联如何可以通过人口统计学、社会经济地位、健康状况、健康行为和社会关系来解释，从而澄清宗教活动与死亡率之间的关系。方法:在1965年至1996年间，对6545名加利福尼亚州阿拉米达县的居民进行了频繁参加宗教活动与主要类型的死因特异性死亡率之间的联系。顺序比例风险回归用于研究从循环、癌症、消化、呼吸或外因致死的生存时间。结果:在调整了年龄和性别后，不经常(从不或少于每周一次)参加治疗的人的循环系统、癌症、消化系统和呼吸系统死亡率显著升高(p < 0.05)，但外因死亡率无显著升高。癌症死亡率的差异可以用先前的健康状况来解释。纳入健康行为和既往健康状况后，与其他结果的关联减弱，但并未消除。在完全调整后的模型中，不经常参加治疗的患者在循环系统(相对危险度[RH] = 1.21, 95%可信区间[CI] = 1.02至1.45)、消化系统(RH = 1.99, p < 0.10, 95% CI = 0.98至4.03)和呼吸系统(RH = 1.66, p < 0.10, 95% CI = 0.92至3.02)死亡率方面显著或略微显著升高。结论:这些结果与以下观点一致，即宗教参与，就像高社会经济地位一样，是通过各种因果途径促进健康的一般保护因素。需要进一步的研究来确定宗教的独立影响是否由心理状态或其他未知因素介导。
{"title":"Religious Attendance and Cause of Death over 31 Years","authors":"D. Oman, J. Kurata, W. Strawbridge, R. Cohen","doi":"10.2190/RJY7-CRR1-HCW5-XVEG","DOIUrl":"https://doi.org/10.2190/RJY7-CRR1-HCW5-XVEG","url":null,"abstract":"Objective: Frequent attendance at religious services has been reported by several studies to be independently associated with lower all-cause mortality. The present study aimed to clarify relationships between religious attendance and mortality by examining how associations of religious attendance with several specific causes of death may be explained by demographics, socioeconomic status, health status, health behaviors, and social connections. Method: Associations between frequent religious attendance and major types of cause-specific mortality between 1965 and 1996 were examined for 6545 residents of Alameda County, California. Sequential proportional hazards regressions were used to study survival time until mortality from circulatory, cancer, digestive, respiratory, or external causes. Results: After adjusting for age and sex, infrequent (never or less than weekly) attenders had significantly higher rates of circulatory, cancer, digestive, and respiratory mortality (p < 0.05), but not mortality due to external causes. Differences in cancer mortality were explained by prior health status. Associations with other outcomes were weakened but not eliminated by including health behaviors and prior health status. In fully adjusted models, infrequent attenders had significantly or marginally significantly higher rates of death from circulatory (relative hazard [RH] = 1.21, 95 percent confidence interval [CI] = 1.02 to 1.45), digestive (RH = 1.99, p < 0.10, 95 percent CI = 0.98 to 4.03), and respiratory (RH = 1.66, p < 0.10, 95 percent CI = 0.92 to 3.02) mortality. Conclusions: These results are consistent with the view that religious involvement, like high socioeconomic status, is a general protective factor that promotes health through a variety of causal pathways. Further study is needed to determine whether the independent effects of religion are mediated by psychological states or other unknown factors.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"29 1","pages":"69 - 89"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87694950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.2190/DB1V-85M4-E65T-R3QA
C. Miodownik, E. Witztum, V. Lerner
Objective: The occurrence of tremor in patients receiving lithium is well known, but the management of this side effect is a significant problem both for patients and physicians. Although some reports have suggested that beta-blockers may be useful in treating lithium-induced tremor (LT), these agents have different side effects which limit the possibility of their use. Vitamin B6 has been reported to be effective in treatment of patients suffering from different kinds of neuroleptic-induced movement disorders including parkinsonism and tardive dyskinesia. Methods: This report presents the results of a preliminary four-week open-label clinical trial of five patients who suffered from LT and who were treated with vitamin B6 (900–1200mg/d). The severity of tremor was assessed using the tremor subscale from the Simpson-Angus Scale (SAS) and Subjective Clinical Improvement Impression scale (SCII). Results: After the addition of vitamin B6 to their treatment, according to the SAS scores four patients showed an impressive improvement until total disappearance of tremor. The subjective scale, on which the patients' scored their impression of clinical improvement, showed similar results. None of the patients suffered from any side effects attributable to vitamin B6. Conclusions: The results suggest that vitamin B6 may alleviate LT, double-blind controlled trials are needed to establish this effect.
{"title":"Lithium-Induced Tremor Treated with Vitamin B6: A Preliminary Case Series","authors":"C. Miodownik, E. Witztum, V. Lerner","doi":"10.2190/DB1V-85M4-E65T-R3QA","DOIUrl":"https://doi.org/10.2190/DB1V-85M4-E65T-R3QA","url":null,"abstract":"Objective: The occurrence of tremor in patients receiving lithium is well known, but the management of this side effect is a significant problem both for patients and physicians. Although some reports have suggested that beta-blockers may be useful in treating lithium-induced tremor (LT), these agents have different side effects which limit the possibility of their use. Vitamin B6 has been reported to be effective in treatment of patients suffering from different kinds of neuroleptic-induced movement disorders including parkinsonism and tardive dyskinesia. Methods: This report presents the results of a preliminary four-week open-label clinical trial of five patients who suffered from LT and who were treated with vitamin B6 (900–1200mg/d). The severity of tremor was assessed using the tremor subscale from the Simpson-Angus Scale (SAS) and Subjective Clinical Improvement Impression scale (SCII). Results: After the addition of vitamin B6 to their treatment, according to the SAS scores four patients showed an impressive improvement until total disappearance of tremor. The subjective scale, on which the patients' scored their impression of clinical improvement, showed similar results. None of the patients suffered from any side effects attributable to vitamin B6. Conclusions: The results suggest that vitamin B6 may alleviate LT, double-blind controlled trials are needed to establish this effect.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"30 1","pages":"103 - 108"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88187539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.2190/AGPF-VB1G-U82E-AE8C
Harriet J. Rosenberg, S. Rosenberg, M. Ernstoff, G. Wolford, R. Amdur, Mary R Elshamy, S. Bauer-Wu, T. Ahles, J. Pennebaker
Objective: This pilot study explored the feasibility and the efficacy of a brief, well-defined psychosocial intervention (expressive disclosure) in improving behavioral, medical, immunological, and emotional health outcomes in men with diagnosed prostate cancer. Method: Thirty prostate cancer patients receiving outpatient oncology care were randomized into experimental (disclosure) and control (non-disclosure) groups. All had been previously treated by surgery or radiation within the last 4 years and were being monitored without further intervention for change in PSA levels. Psychological and physical health surveys were administered and peripheral blood for PSA levels and immune assays was obtained upon study enrollment and again at 3 and 6 months post enrollment. Multivariate analyses were used to examine how the expressive disclosure impacted the hypothesized domains of functioning: physical and psychological symptoms; health care utilization; and immunocompetence. Results: Compared to controls, patients in the expressive disclosure condition showed improvements in the domains of physical symptoms and health care utilization, but not in psychological variables nor in disease relevant aspects of immunocompetence. Conclusions: Study results support the feasibility of an expressive disclosure intervention for men with prostate cancer. The intervention was well accepted by this population, and participation/adherence was quite high. Results provide only limited support for the hypothesis that a written emotional disclosure task can positively impact health outcomes in a cancer population. However, this pilot study may have lacked adequate power to detect possible intervention benefits. Further studies with larger samples are needed to better assess the intervention's impact on psychological well-being and immunocompetence.
{"title":"Expressive Disclosure and Health Outcomes in a Prostate Cancer Population","authors":"Harriet J. Rosenberg, S. Rosenberg, M. Ernstoff, G. Wolford, R. Amdur, Mary R Elshamy, S. Bauer-Wu, T. Ahles, J. Pennebaker","doi":"10.2190/AGPF-VB1G-U82E-AE8C","DOIUrl":"https://doi.org/10.2190/AGPF-VB1G-U82E-AE8C","url":null,"abstract":"Objective: This pilot study explored the feasibility and the efficacy of a brief, well-defined psychosocial intervention (expressive disclosure) in improving behavioral, medical, immunological, and emotional health outcomes in men with diagnosed prostate cancer. Method: Thirty prostate cancer patients receiving outpatient oncology care were randomized into experimental (disclosure) and control (non-disclosure) groups. All had been previously treated by surgery or radiation within the last 4 years and were being monitored without further intervention for change in PSA levels. Psychological and physical health surveys were administered and peripheral blood for PSA levels and immune assays was obtained upon study enrollment and again at 3 and 6 months post enrollment. Multivariate analyses were used to examine how the expressive disclosure impacted the hypothesized domains of functioning: physical and psychological symptoms; health care utilization; and immunocompetence. Results: Compared to controls, patients in the expressive disclosure condition showed improvements in the domains of physical symptoms and health care utilization, but not in psychological variables nor in disease relevant aspects of immunocompetence. Conclusions: Study results support the feasibility of an expressive disclosure intervention for men with prostate cancer. The intervention was well accepted by this population, and participation/adherence was quite high. Results provide only limited support for the hypothesis that a written emotional disclosure task can positively impact health outcomes in a cancer population. However, this pilot study may have lacked adequate power to detect possible intervention benefits. Further studies with larger samples are needed to better assess the intervention's impact on psychological well-being and immunocompetence.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"32 1","pages":"37 - 53"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82091118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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