International journal of psychiatry in medicine
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Int J Psychiatry Med · Jan 2001
The development and evaluation of the brief depression screen in medically ill disability claimants.
There is literature demonstrating elevated prevalence of depression in primary care. Yet there remains a need for a brief depression screen designed and evaluated specifically for use among medically ill patients. Our objective was to develop and validate a brief, unobtrusive screen for depression among severely medically ill long-term disability claimants. ⋯ The Brief Depression Screen was developed and evaluated for use with severely ill long-term disability claimants. In practice, a positive screen for depression is to be followed with a comprehensive diagnostic assessment that could be conducted by a trained clinician. Further research is warranted to determine whether the identification and treatment of depression in disability claimants with non-psychiatric medical illnesses will facilitate return to work, even in the presence of comorbid medical illnesses.
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Int J Psychiatry Med · Jan 2000
Caring for depressed and suicidal older patients: a survey of physicians and nurse practitioners.
This study sought to describe patterns of mental health care for depressed and suicidal geriatric patients by primary care physicians (MDs) and nurse practitioners (NPs). ⋯ In terms of assessment of depression, preferred treatment approaches, the use of referral resources, and perceived barriers to mental health care, there appears to be a greater orientation towards a psychosocial approach among NPs. Primary care MDs and NPs often have different perspectives that in combination could enhance the mental health care of geriatric patients.
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Int J Psychiatry Med · Jan 1996
Randomized Controlled Trial Comparative Study Clinical TrialThe effect of cimetidine and ranitidine on cognitive function in postoperative cardiac surgical patients.
To compare the incidence of delirium in postoperative cardiac surgical patients treated with either cimetidine or ranitidine. ⋯ We found no significant difference between cimetidine's versus ranitidine's effect upon cognitive functioning in the postoperative cardiac surgical patient. This was true even when controlling for age and length of stay.
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To review the neuropsychiatry of boxing. ⋯ Boxing results in a spectrum of CTE ranging from mild, nonprogressive motor changes to dementia pugilistica. Recent emphasis on safety in the ring, rehabilitation techniques, and other interventions do not eliminate the risk for CTE. For this reason, there is an active movement to ban boxing.
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Int J Psychiatry Med · Jan 1995
The Mini Mental State Exam as a predictor of neuropsychological functioning after cardiac surgery.
The present longitudinal study was designed to: 1) determine the ability of the Mini Mental State Exam (MMSE) to predict neuropsychologic impairment based on neuropsychologic testing five to seven days and six weeks after cardiac surgery; and 2) to determine whether the traditional or the education-related MMSE norms are more appropriate to use for this purpose. ⋯ These results suggest that although the MMSE is widely used to assess cognitive mental status, it may have limited value in identifying patients with cognitive impairment post-cardiac surgery, and special attention must be paid to the cut-off scores used in interpreting the MMSE.