The Journal of clinical psychiatry
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Comparative Study
The economic impact of bipolar disorder in an employed population from an employer perspective.
To determine the economic impact of bipolar disorder on health benefit costs and health-related work absences from an employer perspective. ⋯ The impact of bipolar disorder can be costly in the workplace, leading to increased health benefit costs and increased absenteeism.
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Review Comparative Study
Anxiety disorders during pregnancy and the postpartum period: A systematic review.
The postpartum period is recognized as a time of vulnerability to affective disorders, particularly postpartum depression. In contrast, the prevalence and clinical presentation of anxiety disorders during pregnancy and the postpartum period have received little research attention. In this article, we review the medical literature as it relates to the prevalence and clinical presentation of panic disorder, obsessive-compulsive disorder, posttraumatic stress disorder, and generalized anxiety disorder during pregnancy and the postpartum period. ⋯ Future research is needed to estimate the prevalence of perinatal anxiety disorders more precisely, to identify potential implications of maternal anxiety disorders for maternal quality of life and child development, and to determine safe and effective treatment methods.
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Comparative Study
Comorbidity of fibromyalgia and psychiatric disorders.
To assess the co-occurrence of fibromyalgia with psychiatric disorders in participants of a fibromyalgia family study. ⋯ There is substantial lifetime psychiatric comorbidity in individuals with fibromyalgia. These results have important clinical and theoretical implications, including the possibility that fibromyalgia might share underlying pathophysiologic links with some psychiatric disorders.
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Comparative Study
Major depressive disorder, somatic pain, and health care costs in an urban primary care practice.
To evaluate the extent to which pain severity contributes to the increased medical care costs associated with depression in primary care. ⋯ In this urban primary care practice, major depressive disorder is associated with increased health care costs, but only among patients with moderate to extreme pain-related interference in daily activities.