General hospital psychiatry
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Gen Hosp Psychiatry · Mar 2021
Primary drivers and psychological manifestations of stress in frontline healthcare workforce during the initial COVID-19 outbreak in the United States.
The purpose of this study was to understand the physical and psychological impact of high stress clinical environments and contributory factors of burnout in multidisciplinary healthcare workforce during the initial outbreak of COVID-19. ⋯ COVID-19 has presented healthcare workforce with unprecedented challenges in their work environment. With attention to understanding stressors and supporting clinicians during healthcare emergencies, more research is necessary in order to effectively promote healthcare workforce well-being.
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Gen Hosp Psychiatry · Jan 2021
Anxiety among front-line health-care workers supporting patients with COVID-19: A global survey.
We aimed to explore anxiety status across a broad range of HCWs supporting patients with COVID-19 in different global regions. ⋯ Front-line HCWs, regardless of the levels of COVID-19 transmission in their country, are anxious when they do not feel protected. Our findings suggest that anxiety could be mitigated ensuring sufficient levels of protective personal equipment alongside greater education and information.
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Gen Hosp Psychiatry · Jan 2021
Premature mortality associated with severe mental illness or substance use disorder in an integrated health care system.
Research has reported shortened lifespans (by 15-30 years) for those with severe mental illness (SMI) or substance use disorder (SUD), particularly among public mental health treatment consumers. We assessed SMI- and SUD-associated mortality in the understudied setting of a large, nonprofit integrated health care system. ⋯ Some indicators of premature mortality were lower than those reported for U.S. public mental health consumers, but risk level varied widely by diagnosis. While patients' having insurance and broad access to care may lower risk, access to care may be insufficient to overcome the many patient-, provider-, and system-level factors contributing to poor physical health in SMI and SUD.
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Gen Hosp Psychiatry · Nov 2020
Multicenter Study Observational StudySafety and effectiveness of antipsychotic medication for delirium in patients with advanced cancer: A large-scale multicenter prospective observational study in real-world palliative care settings.
To clarify the safety and effectiveness of antipsychotic medication for delirium in patients with advanced cancer receiving palliative care. ⋯ The use of antipsychotics as part of comprehensive delirium management was safe and may provide some symptomatic benefits for patients with terminal illness and delirium. Along with adequate non-pharmacological interventions, judicious use of antipsychotics is still recommended.