General hospital psychiatry
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Gen Hosp Psychiatry · Nov 2009
Multicenter StudyUse of outpatient mental health services and psychotropic medications among HIV-infected patients in a multisite, multistate study.
Although co-occurring psychiatric disorders are highly prevalent among those with HIV, little is known about the use of outpatient mental health services (MHS) and psychotropic medication in the highly active antiretroviral therapy (HAART) era. ⋯ In the HAART era, self-reported rates of mental health service and psychotropic medication utilization are high. Blacks continue to report lower use of MHS and psychotropic medication compared to whites.
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Gen Hosp Psychiatry · Nov 2009
Trends in long-term opioid therapy for noncancer pain among persons with a history of depression.
We report trends in long-term opioid use among patients with a history of depression from two large health plans. ⋯ Persons with a history of depression are more likely to receive long-term opioid therapy for noncancer pain than those without a history of depression. Results suggest that long-term opioid therapy for noncancer pain is being prescribed to a different population in clinical practice than the clinical trial populations where opioid efficacy has been established.
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Gen Hosp Psychiatry · Sep 2009
Meta AnalysisAripiprazole in major depression and mania: meta-analyses of randomized placebo-controlled trials.
We performed meta-analyses to obtain pooled estimates from controlled clinical trials on the efficacy of aripiprazole in major depression disorder and manic phase of bipolar disorder. ⋯ We found evidence suggesting that aripiprazole is effective in both depressive and manic patients, but has relevant side effects. Further research is needed to identify its benefits for comorbid patients and its long-term effect.
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Gen Hosp Psychiatry · Sep 2009
Predictors of posttraumatic stress disorder and return to usual major activity in traumatically injured intensive care unit survivors.
To assess intensive care unit (ICU)/acute care service-delivery characteristics and pre-ICU factors as predictors of posttraumatic stress disorder (PTSD) and return to usual major activity after ICU admission for trauma. ⋯ Easily identifiable risk factors including ICU/acute care service-delivery characteristics and early post-ICU distress were associated with increased risk of PTSD and limitations in return to usual major activity. Future investigations could develop early screening interventions in acute care settings targeting these risk factors, facilitating appropriate treatments.