General hospital psychiatry
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Gen Hosp Psychiatry · Jan 2007
Depression in burn reconstruction patients: symptom prevalence and association with body image dissatisfaction and physical function.
This study investigated the prevalence and the clinical correlates of symptoms of depression among burn reconstruction patients. ⋯ The high prevalence of significant symptoms of depression in burn reconstruction patients and their relationship with body image suggest the importance of the routine psychological screening of patients seeking reconstruction services.
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Gen Hosp Psychiatry · Nov 2006
Preoperative predictors of delirium after cardiac surgery: a preliminary study.
Preoperative risk factors of postoperative delirium were evaluated in 260 patients admitted for open heart surgery. The incidence of delirium was 11.5%. Independent predictors included cognitive impairment, atrial fibrillation, a history of peripheral vascular disease major depression and advanced age. Aforementioned factors might be helpful in predicting delirium following cardiac surgery.
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Gen Hosp Psychiatry · Nov 2006
A 1-year follow-up study of chest-pain patients with and without panic disorder.
The aims of this study were to (a) study the persistence of panic disorder (PD); (b) investigate the association between PD at baseline and outcome [chest pain, psychiatric morbidity, health care utilization, suicidal thoughts, work impairment and health-related quality of life (HRQOL)]; (c) study the course of pain, distress, symptom attribution and HRQOL; and (d) describe treatment and perceived treatment needs of patients with PD. ⋯ Despite chronic distress and impairment, we found significant undertreatment of PD, which needs to be addressed in future studies.
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Gen Hosp Psychiatry · Sep 2006
Multicenter StudyInfluence of patient preference and primary care clinician proclivity for watchful waiting on receipt of depression treatment.
We examined whether patients' preference for watchful waiting and their primary care clinician's proclivity for watchful waiting were associated with decreased likelihood of receiving depression treatment. ⋯ Patient preference for watchful waiting is associated with lower rates of some depression treatments, especially among patients with subsyndromal depression. Addressing patient preference for watchful waiting in primary care may include active symptom monitoring and patient education.
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This study aimed to determine a marker that predicts delirium using preoperative oxidative processes in patients undergoing cardiopulmonary bypass surgery. ⋯ Patients with low preoperative CAT levels appeared to be more susceptible to delirium than patients with higher CAT levels.