General hospital psychiatry
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Gen Hosp Psychiatry · Mar 2006
The Spanish version of the FibroFatigue Scale: validation of a questionnaire for the observer's assessment of fibromyalgia and chronic fatigue syndrome.
To examine some of the psychometric properties of the Spanish version of the FibroFatigue Scale (FFS). ⋯ These results support the reliability and validity of the data obtained with the Spanish version of the FSS.
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Gen Hosp Psychiatry · Jan 2006
Multicenter StudyWhere is the patient? The association of psychosocial factors and missed primary care appointments in patients with diabetes.
Missed appointments are associated with poorer health outcomes. We predicted that compared to secure attachment style, fearful and dismissing attachment styles would be associated with greater number of missed primary care visits in patients with diabetes. ⋯ Attachment styles characterized by low levels of collaboration are associated with more missed primary care appointments compared to secure attachment style in patients with diabetes. These associations are moderated by depression status.
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Gen Hosp Psychiatry · Jan 2006
Validity and reliability of the Hospital Anxiety and Depression Scale in a hypertrophic cardiomyopathy clinic: the HADS in a cardiomyopathy population.
The purpose of this study is the validation of the Hospital Anxiety and Depression Scale (HADS) in patients suffering from hypertrophic cardiomyopathy in an inner city teaching hospital. The secondary objective was to establish whether the use of the total HADS score to detect "caseness" is justified. ⋯ The HADS performs well as a screening instrument for anxiety and depression in this population at the designed cutoff score 8. However, its use as a research instrument and the practice of using the total score to detect caseness are not supported by this study.
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Gen Hosp Psychiatry · Jul 2005
Comparative StudyPsychiatric disorders among patients admitted to a French medical emergency service.
The authors assessed the prevalence of psychiatric disorders among a population of patients examined in the emergency service of a French general hospital. They compared patients with and without psychiatric disorders. They also compared patients where the primary motive of emergency was psychiatric to those whose psychiatric disorders were secondarily diagnosed by a systematic assessment. ⋯ Thirty-eight percent of the patients examined in a French emergency service presented with psychiatric disorders. The majority of the patients (78%) were not referred to the emergency service for psychiatric reasons. Patients seen in an emergency service should thus be identified as a population at risk for psychiatric disorders whatever their reason for utilizing this service.
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Gen Hosp Psychiatry · Jul 2005
Desire for death near the end of life: the role of depression, anxiety and pain.
This study evaluated the desire of patients with advanced cancer for hastened death to determine its relationship to psychological distress, anxiety and pain. ⋯ In terminally ill cancer patients, depression and anxiety as well as the interaction between HADS-Depression and opioids appeared to have a significant impact on the desire for hastened death while pain does not. Effective management of psychological symptoms seems to be an important aspect of adequate palliative care in order to reduce the desire for hastened death.