General hospital psychiatry
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Gen Hosp Psychiatry · Jul 2009
Psychiatric morbidity following electrical injury and its effects on cognitive functioning.
This study examines the prevalence of psychiatric morbidity in a large sample of electrical injury (EI) patients in three phases of recovery and its effects on cognitive functioning. ⋯ Psychiatric difficulties commonly emerge and persist following EI. EI patients with psychiatric conditions exhibited poorer cognitive performance as compared to EI patients with no post-injury psychiatric difficulties. Health care professionals need to devote careful attention to psychiatric and cognitive status when treating survivors of EI.
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Gen Hosp Psychiatry · Jul 2009
Coping, self-efficacy and psychiatric history in patients with both chronic widespread pain and chronic fatigue.
To investigate the relationship of coping style and self-efficacy to functional impairment in a group of patients with both chronic widespread pain (CWP) and chronic fatigue, as well as the possible mediating role of psychiatric diagnosis. ⋯ The unexpected finding that emotion-focused coping was associated differently with chronic pain and fatigue among patients who experience both symptoms is discussed in the context of the research on the effects of self-efficacy and possible treatment approaches.
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Gen Hosp Psychiatry · May 2009
Review Meta AnalysisPharmacotherapy of chronic pain: a synthesis of recommendations from systematic reviews.
Chronic pain is one of the most prevalent, costly and disabling conditions in both clinical practice and the workplace, yet often remains inadequately treated. Moreover, chronic pain commonly co-occurs with depression, anxiety and somatoform disorders, and adversely affects response of these conditions to psychiatric treatments. This article provides an evidence-based approach to the pharmacotherapy of chronic pain. ⋯ A number of medications have proven effective in chronic pain disorders and their use individually or in combination should improve the management of chronic pain.
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Gen Hosp Psychiatry · Mar 2009
Psychosocial stress and anxiety in musculoskeletal pain patients with and without depression.
The objective of this study was to determine if psychosocial stress and anxiety were associated with depression severity in primary care patients with chronic musculoskeletal pain. ⋯ Both anxiety and psychosocial stress should be considered in the assessment and treatment of patients with musculoskeletal pain and depression. Psychosocial stressors among patients with pain may have an impact on depression beyond that of anxiety. Tailored, integrated treatments that target the psychosocial needs of patients with pain and depression are needed. In addition to pharmacotherapy, psychotherapy and other behavioral treatments may be especially important for depression complicated by anxiety or psychosocial stress.
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Gen Hosp Psychiatry · Mar 2009
Pain locus of control predicts return to work among Spanish fibromyalgia patients after completion of a multidisciplinary pain program.
To assess the influence of the pain locus of control on return to work in fibromyalgia patients. ⋯ Fibromyalgia patients undergoing a multidisciplinary treatment who were least likely to return to work at discharge were those with a pain locus of control characterized by more negative expectations about pain progression and a high perceived functional disability.