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Memorial Minute: Avery D. Weisman, M.D
Avery Danto Weisman, M.D., Emeritus Professor of Psychiatry at the Harvard Medical School (HMS), founder and former Chief of the Psychiatric Consultation Service (that now bears his name) at the Massachusetts General Hospital (MGH), died in Scottsdale, Arizona on January 2, 2017 at the age of 103 years. His ground-breaking clinical research and teaching in the fields of psychosomatic medicine and psycho-oncology forged a path for scores of clinicians and investigators. (Source: Psychosomatics)
Source: Psychosomatics - August 11, 2017 Category: Psychiatry & Psychology Authors: Julia C. Cromwell, John B. Herman, Theodore A. Stern Source Type: research

Telepsychiatry Consultation for Medical and Surgical Inpatient Units
Telepsychiatry is becoming more commonplace in the provision of psychiatric care. Most commonly used in the outpatient setting, there is little available in the literature as to the use of telepsychiatry for inpatient medical/surgical consultation. We review the University of Pittsburgh Medical Center ′s telepsychiatry consultation program which provides consultation to an outlying community based rural hospital. This paper examines the 69 telepsychiatry consultations which were performed from November 2014 through February 2016, looking at the patients served, common consultation questions, an d patterns of diagnose...
Source: Psychosomatics - August 11, 2017 Category: Psychiatry & Psychology Authors: Julie A. Graziane, Priya Gopalan, Jack Cahalane Source Type: research

Delirium Following Topical Application of Compounded Creams Containing Multiple Analgesic Medications in Geriatric Patients: Two New Cases
Compounded topical formulations containing multiple classes of analgesic medications are becoming increasingly common; however, the current literature is sparse regarding complications such as delirium and inadvertent overdose in the elderly. (Source: Psychosomatics)
Source: Psychosomatics - August 11, 2017 Category: Psychiatry & Psychology Authors: Alyssa A. Soumoff, David L. Cook, Caroline C. Clark Source Type: research

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This book reviews the foundations, evolution, and current status of Psychosomatic Medicine (nee Consultation-Liaison Psychiatry). Its author has been a major figure in the modern development of the specialty. Dr Lipsitt established and edited two important journals that have shaped our field. Both the International Journal of Psychiatry in Medicine and General Hospital Psychiatry provided an essential forum for clinical data and broad ranging perspectives that have led to the designation of Consultation-Liaison Psychiatry as a recognized subspecialty within Psychiatry. (Source: Psychosomatics)
Source: Psychosomatics - August 10, 2017 Category: Psychiatry & Psychology Authors: Thomas N. Wise Tags: Book review Source Type: research

Characteristics of Patients with Constant Observers
The use of constant observers ( “sitters”) has been common practice in many medical centers to maintain patient safety. A retrospective chart review of patients who required sitters from October 1, 2007 to September 31, 2013 at a large, private hospital serving a multiethnic community showed that the top reasons for sitters in clude suicide risk, agitation, fall risk, interfering with medical devices, and confusion/disorientation. Sitters were used for a mean of 3.4 days ranging from 1 to 287 days, with a mean hospital length of stay of 18.9 days. (Source: Psychosomatics)
Source: Psychosomatics - August 10, 2017 Category: Psychiatry & Psychology Authors: Deborah Goebert, Susan Solimine, Junji Takeshita, June Lee, Brian Schultz, Maria Guerrero, Michael Tanael, Mark Pilar, Loraine Fleming, Stacy Kracher, Leah Lawyer Source Type: research

Non-Neurogenic Language Disorders: A Preliminary Classification
Few publications deal with non-neurogenic language disorders (NNLDs), distinct from psychogenic speech disorders such as psychogenic dysphonia or stuttering. NNLDs are alterations in language due to psychosomatic preoccupations, conversion disorder, psychiatric disorders, or other psychological reasons. (Source: Psychosomatics)
Source: Psychosomatics - August 10, 2017 Category: Psychiatry & Psychology Authors: Mario F. Mendez Source Type: research

The Association Between Leukotriene Modifying Agents and Suicidality: A Review of Literature
In 2008 FDA issued a warning regarding possible association between leukotriene modifying agents (LTMAs) and suicidality. The warning remains controversial to this date and this review of literature is an attempt to examine the evidence on the matter. The data supporting a relationship between LTMAs and suicidality comes primarily from reviews of individual case safety reports in adverse event databases; is subject to considerable reporting bias and does not control for confounding factors. Case-control and cohort studies as well as data from clinical trials do not support an association between LTMAs and suicidality. (Source: Psychosomatics)
Source: Psychosomatics - August 9, 2017 Category: Psychiatry & Psychology Authors: Faiza Khalid, Awais Aftab, Sumita Khatri Source Type: research

A comparison of the Severe Cognitive Impairment Rating Scale with the Mini-Mental State Examination and Delirium Rating Scale-Revised-98 for delirium: A cross-sectional study
Cognitive impairment including attention deficits, disorientation, memory impairment, language disturbance, and impaired visuospatial ability, are core symptoms of delirium. The Severe Cognitive Impairment Rating Scale (SCIRS) was developed to assess cognition in patients with severe dementia, but may also be useful in elderly people with delirium. (Source: Psychosomatics)
Source: Psychosomatics - August 5, 2017 Category: Psychiatry & Psychology Authors: Jeong Lan Kim, Jin-Hoon Choi, Chae-Sung Im, Tae-Sung Kim, So-Hyun Ahn Source Type: research

Dermatologic Conditions and Risk of Suicide: A Case Control Study
Patients diagnosed with skin conditions have a higher risk of comorbid psychiatric conditions and suicide related outcomes such as suicidal ideations and behaviors. There is paucity of evidence in the US general population about the risk of suicide death in patients with dermatologic conditions. (Source: Psychosomatics)
Source: Psychosomatics - August 4, 2017 Category: Psychiatry & Psychology Authors: Deepak Prabhakar, Edward L. Peterson, Yong Hu, Rebecca C. Rossom, Frances L Lynch, Christine Y. Lu, Beth E. Waitzfelder, Ashli A. Owen-Smith, L. Keoki Williams, Arne Beck, Gregory E. Simon, Brian K. Ahmedani Source Type: research

Medical Student Experiences on Consultation-Liaison Psychiatry Rotations: A Nationwide Survey
This study aimed to characterize students′ experiences on C-L rotations. (Source: Psychosomatics)
Source: Psychosomatics - August 2, 2017 Category: Psychiatry & Psychology Authors: Fremonta Meyer, Omair Abbasi, David Kasick, Kewchang Lee, Christine Pelic, Jennifer Zinser, Thomas Harris, Margo Funk, The Academy of Psychosomatic Medicine ′s Medical Student Education Subcommittee Source Type: research

Psychiatric Manifestations of Hyperammonemic Encephalopathy Following Roux-en-Y Gastric Bypass
Roux-en-Y gastric bypass (RYGB) is considered to be the optimal surgical treatment in the morbidly obese patient and the most common weight loss procedure in the United States. In this case report we describe the life threatening complication of hyperammonemic encephalopathy and its psychiatric presentation in a gastric bypass patient.Hyperammonemic encephalopathy is an extremely uncommon syndrome but also a severe complication of RYGB with only a small number of case reports and high reports of mortality. (Source: Psychosomatics)
Source: Psychosomatics - July 25, 2017 Category: Psychiatry & Psychology Authors: Kristin L. Borreggine, Daniel K. Hosker, Teresa A. Rummans, Dennis M. Manning Source Type: research

Risk Factors for New-Onset Depression After First-Time Traumatic Brain Injury
Major depression after traumatic brain injury (TBI) has devastating consequences as it increases the risk of suicide, impairs overall quality of life, and affects interpersonal, occupational, and social functioning. Although the literature has reported factors associated with depression after TBI, very few studies have examined the prevalence and correlates focused on the development of new-onset depression (NOD) after first-time TBI. Our study aimed to identify TBI- and non –TBI-related factors associated with the development of NOD in the first year after TBI. (Source: Psychosomatics)
Source: Psychosomatics - July 20, 2017 Category: Psychiatry & Psychology Authors: Durga Roy, Vassilis Koliatsos, Sandeep Vaishnavi, Dingfen Han, Vani Rao Tags: Original Research Report Source Type: research

Risk Factors for New Onset Depression After First-Time Traumatic Brain Injury
Major depression after traumatic brain injury (TBI) has devastating consequences as it increases the risk of suicide, impairs overall quality of life, and impacts interpersonal, occupational, and social functioning. While the literature has reported factors associated with depression after TBI, very few studies have examined the prevalence and correlates focused on the development of new onset depression (NOD) after first-time TBI. Our study aimed to identify TBI- and non-TBI related factors associated with the development of NOD in the first year after TBI. (Source: Psychosomatics)
Source: Psychosomatics - July 20, 2017 Category: Psychiatry & Psychology Authors: Durga Roy, Vassilis Koliatsos, Sandeep Vaishnavi, Dingfen Han, Vani Rao Source Type: research

Increasing the Safety of Clozapine Management in Hospitalized Patients With or Without Infection: Still Much to Learn …and Teach
To the editor (Source: Psychosomatics)
Source: Psychosomatics - July 18, 2017 Category: Psychiatry & Psychology Authors: Jonathan G. Leung Source Type: research

Nonconvulsive Status Epilepticus After Electroconvulsive Therapy: A Review of Literature
The clinical presentation and risk factors of nonconvulsive status epilepticus (NCSE) in the context of electroconvulsive therapy (ECT) are poorly understood, and guidance regarding diagnosis and management remains scarce. In this article, we identify case reports of ECT-induced NCSE from literature, and discuss the presentation, diagnosis, and management of these cases in the context of what is known about NCSE from the neurology literature. (Source: Psychosomatics)
Source: Psychosomatics - July 15, 2017 Category: Psychiatry & Psychology Authors: Awais Aftab, Ashley VanDercar, Ayham Alkhachroum, Christine LaGrotta, Keming Gao Tags: Review Article Source Type: research

Severe Noncardiac Chest Pain Responds to Interdisciplinary Chronic Pain Rehabilitation
Campbell et al1 recently reviewed the causes, differential diagnosis, evaluation, and treatment of noncardiac chest pain (NCCP) in a comprehensive and eloquent manner. The review is excellent in capturing the various psychiatric disorders implicated in NCCP as well as treatments ranging from cognitive-behavioral therapy, hypnosis, pharmacotherapy, care management, and multidisciplinary approaches. One other important level of care that should be mentioned is that of interdisciplinary chronic pain rehabilitation program (iCPRP) care. (Source: Psychosomatics)
Source: Psychosomatics - July 15, 2017 Category: Psychiatry & Psychology Authors: Xavier F. Jimenez Tags: Letters to the Editor Source Type: research

The Impact of Psychosocial Factors on Success Rates of Hepatitis C Treatment
Our study was to determine which psychosocial factors interfere with patients reaching sustained virologic response (SVR), a marker for HCV eradication. (Source: Psychosomatics)
Source: Psychosomatics - July 15, 2017 Category: Psychiatry & Psychology Authors: Maria Janda, Kari A. Mergenhagen Source Type: research

Downwards Vertical Attention Bias in Conversion Disorder vs Controls; A Pilot Study
Conversion disorder (CD) is a largely enigmatic disorder, one that requires a thorough ruling-out process. Prior research suggests that metaphors and conceptualization are rooted in physical experience, and that we interpret our affective world through metaphors. Spatial metaphors (interaction of affect and vertical space) are a prominent example of the grounding of metaphors. This is a relatively unpaved direction of research of CD. (Source: Psychosomatics)
Source: Psychosomatics - July 15, 2017 Category: Psychiatry & Psychology Authors: Sivan Gazit, Odelia Elkana, Liraz Dawidowicz, Liel Yeshayahu, Iftah Biran Source Type: research

Non-Convulsive Status Epilepticus after Electroconvulsive Therapy: A Review of Literature
The clinical presentation and risk factors of Non-Convulsive Status Epilepticus (NCSE) in the context of Electroconvulsive Therapy (ECT) are poorly understood, and guidance regarding diagnosis and management remains scarce. In this review we identify case reports of ECT-induced NCSE from literature, and discuss the presentation, diagnosis, and management of these cases in the context of what is known about NCSE from the neurology literature. (Source: Psychosomatics)
Source: Psychosomatics - July 15, 2017 Category: Psychiatry & Psychology Authors: Awais Aftab, Ashley VanDercar, Ayham Alkhachroum, Christine LaGrotta, Keming Gao Source Type: research

Severe Non-Cardiac Chest Pain Responds to Interdisciplinary Chronic Pain Rehabilitation
Cambell et al1 recently reviewed the causes, differential diagnosis, evaluation, and treatment of non-cardiac chest pain (NCCP) in a comprehensive manner, citing evidence for behavioral, psychotherapeutic, psychopharmacological, and other approaches to the condition. In addition to these approaches, the most severe of cases may benefit from interdisciplinary chronic pain rehabilitation program (iCPRP) care. A case vignette is offered of an adult male suffering from persistent and recurrent NCCP after extensive medical evaluations and repeated acute care utilization. (Source: Psychosomatics)
Source: Psychosomatics - July 15, 2017 Category: Psychiatry & Psychology Authors: Xavier F. Jimenez Source Type: research

Psychiatric Disease Among Patients With Takotsubo Syndrome
The article by Nayeri et al published in Psychosotmatics1 about the impact of preexisting psychiatric illness in Takotsubo syndrome (TTS) patients and on the prognosis of TTS presented very interesting data. (Source: Psychosomatics)
Source: Psychosomatics - July 5, 2017 Category: Psychiatry & Psychology Authors: Ibrahim El-Battrawy, Martin Borggrefe, Ibrahim Akin Tags: Letter to the Editor Source Type: research

Psychiatric disease among Takotsubo Syndrome patients
The article by Nayeri et al. published in Psychosotmatics 1 determining the impact of pre-existing psychiatric illness in takotsubo syndrome (TTS) patients on the prognosis of Takotsubo syndrome (TTS) presented very interesting data. (Source: Psychosomatics)
Source: Psychosomatics - July 5, 2017 Category: Psychiatry & Psychology Authors: Ibrahim El-Battrawy, Martin Borggrefe, Ibrahim Akin Source Type: research

A Model of Collaborative Spiritual and Psychiatric Care of Oncology Patients
In this study we present one model of chaplaincy-psychiatry collaboration, hypothesizing that both specialties would find the intervention helpful.   Methods: From April through December 2015, the C/L psychiatry service at Brigham& Women ′s Hospital piloted thirteen sessions of interdisciplinary rounds, where chaplains and C/L psychiatrists discussed common oncology patients. (Source: Psychosomatics)
Source: Psychosomatics - June 24, 2017 Category: Psychiatry & Psychology Authors: Larkin Elderon Kao, Hermioni N. Lokko, Kathleen Gallivan, Vera O ′Brien, John R. Peteet Source Type: research

Editorial Board
(Source: Psychosomatics)
Source: Psychosomatics - June 20, 2017 Category: Psychiatry & Psychology Source Type: research

Table of Contents
(Source: Psychosomatics)
Source: Psychosomatics - June 20, 2017 Category: Psychiatry & Psychology Source Type: research

Intentional Self-inflicted Burn Injuries: Review of the Literature
Intentional self-inflicted burn injuries are a rare occurrence in the United States, but represent a considerable portion of all burn injuries in the developing world. Compared to non-intentional burns, patients with intentional self-inflicted burns have increased rates of higher total body surface area (TBSA) involvement and associated complications, including overall mortality. (Source: Psychosomatics)
Source: Psychosomatics - June 13, 2017 Category: Psychiatry & Psychology Authors: Mladen Nisavic, Shamim Nejad, Scott Beach Source Type: research

Psychosis Due to Disseminated Cryptococcal Infection and Delirium in an Immunocompetent Patient: A Case Report and Review of the Literature
Infectious diseases affecting the central nervous system can manifest as a psychiatric illness. When psychiatric symptoms predominate, all too often clinicians are quick to give a psychiatric diagnosis. A rare but possible cause of psychosis is cryptococcal meningitis, which is an opportunistic neuroinfection that can lead to fatality if left untreated. Literature reports of patients with cryptococcal meningitis (CM) presenting with psychosis in the absence of constitutional symptoms is sparse, especially in immunocompetent hosts. (Source: Psychosomatics)
Source: Psychosomatics - June 9, 2017 Category: Psychiatry & Psychology Authors: Jungjin Kim, Georgina Hartzell, Neguine Rezaii, Lauren Gensler, Wendy Baer, Raymond Young, Ann C. Schwartz Source Type: research

Feeding Systems and the Gut Microbiome: Gut-Brain Interactions with Relevance to Psychiatric Conditions
Physical and mental health is dependent on the environment and feeding is a prime example of this environmental exchange. Feeding is a common behavior but the underlying biology of feeding behavior is regulated is a complicated story which has implications for clinical treatment. The hypothalamus controls both feeding behavior and the stress response. Integration of the neural control centers and the peripheral gut provides ample coordination between these systems but also allows for disruption in the gastrointestinal (GI) systems to transmit dysfunctional communication to the brain. (Source: Psychosomatics)
Source: Psychosomatics - June 8, 2017 Category: Psychiatry & Psychology Authors: Brittany L. Mason Source Type: research

Validation of a Nurse-Based Delirium-Screening Tool for Hospitalized Patients
Guidelines recommend daily delirium monitoring of hospitalized patients. Available delirium-screening tools have not been validated for use by nurses among diverse inpatients. (Source: Psychosomatics)
Source: Psychosomatics - June 5, 2017 Category: Psychiatry & Psychology Authors: Anita Hargrave, Jesse Bastiaens, James A. Bourgeois, John Neuhaus, S. Andrew Josephson, Julia Chinn, Melissa Lee, Jacqueline Leung, Vanja Douglas Tags: Original Research Report Source Type: research

Validation of a Nurse-Based Delirium Screening Tool for Hospitalized Patients
Guidelines recommend daily delirium monitoring of hospitalized patients. Available delirium-screening tools have not been validated for use by nurses among diverse inpatients. We sought to validate the Nursing Delirium Screening Scale (Nu-DESC) under these circumstances. (Source: Psychosomatics)
Source: Psychosomatics - June 5, 2017 Category: Psychiatry & Psychology Authors: Anita Hargrave, Jesse Bastiaens, James A. Bourgeois, John Neuhaus, S Andrew Josephson, Julia Chinn, Melissa Lee, Jacqueline Leung, Vanja Douglas Source Type: research

A Likely Case of Limbic Encephalitis in a Patient With Voltage-Gated Potassium Channel Complex Antibody, Without a Known Antigenic Target: A Review of the Disease State and Value of Antibody Titers
Limbic encephalitis (LE) is an inflammation of the limbic system, which includes the hippocampus, thalamus, hypothalamus, and amygdala. The cardinal sign of LE is severe impairment of short-term memory. Anterograde amnesia is often associated with behavioral and psychiatric symptoms (i.e., delirium and hallucinations) and complex partial and secondary generalized seizures.1 Several antineuronal antibodies have been described in patients with LE (discussed in Ref. 2 —the overview of various autoimmune encephalitides). (Source: Psychosomatics)
Source: Psychosomatics - June 1, 2017 Category: Psychiatry & Psychology Authors: David R. Spiegel, Anastasia Samaras, Cameron L. Oldham, Meghana Kaloji, Alyssa Warren, Shannon Maj, Sharmeen R. Husain, Jeremy I. Solomons, Stephanie Le Tags: Case Reports Source Type: research

Epidemiology of back pain in young and middle-aged adults: A longitudinal population cohort survey from age 27 to 50 years
Back pain is extremely common and a huge burden for both individuals and public health care services. The aim was to determine prevalences and incidences of lumbar and cervical back pain over a period of 23 years and to quantify associations with concomitant disorders. (Source: Psychosomatics)
Source: Psychosomatics - June 1, 2017 Category: Psychiatry & Psychology Authors: Felix Angst, Jules Angst, Vladeta Ajdacic-Gross, Andr é Aeschlimann, Wulf Rössler Source Type: research

A Likely Case of Limbic Encephalitis in a Patient with Voltage Gated Potassium Channel Complex Antibody, Without a Known Antigenic Target: A Review of the Disease State and Value of Antibody Titers
A major development in neuroimmunology in the past 10 years has been the impressive rise in the number of antibodies identified that recognize neuronal cell-surface or synaptic proteins. Identification of these antibodies has enabled the characterization of new forms of autoimmune encephalitis. Limbic encephalitis is characterized by short-term memory impairment, neuropsychiatric symptoms and seizures. Several antineuronal antibodies have been described in patients with limbic encephalitis, including towards voltage gates potassium channels; however, these antibodies are mainly directed toward associated proteins, i.e., le...
Source: Psychosomatics - June 1, 2017 Category: Psychiatry & Psychology Authors: David R. Spiegel, Anastasia Samaras, Cameron L. Oldham, Meghana Kaloji, Alyssa Warren, Shannon Maj, Sharmeen R. Husain, Jeremy I. Solomons, Stephanie Le Source Type: research

Pneumonia Can Cause Clozapine Intoxication: A Case Report
Since the 1970s it was thought that respiratory infections, including pneumonia, may inhibit cytochrome P450 1A2 (CYP1A2) because they decrease theophylline clearance, and theophylline metabolism is mediated by CYP1A2 inhibition.1 The mechanism was not completely understood, but it was thought that the release of cytokines during the infection decrease the activity and synthesis of CYP1A2.2 Therefore, Shilalukey et al.3 suggested that when a child taking theophylline develops an upper respiratory infection, the theophylline dose should be decreased almost by half. (Source: Psychosomatics)
Source: Psychosomatics - May 17, 2017 Category: Psychiatry & Psychology Authors: Can-Jun Ruan, Xue-Yang Zhen, Xin-Liang Ge, Chuan-Yue Wang, Wei Guo, Yi-Lang Tang, Wen-Biao Li, Jose de Leon Tags: Case Reports Source Type: research

Pneumonia can Cause Clozapine Intoxications: A Case Report
Since the 1970s it was thought that respiratory infections, including pneumonia, may inhibit cytochrome P450 1A2 (CYP1A2) because they decrease theophylline clearance and theophylline metabolism is mediated by CYP1A2 inhibition.1 The mechanism was not completely understood, but it was thought that the release of cytokines during the infection decrease the activity and synthesis of CYP1A2.2 Therefore, Shilalukey et al.3 suggested that when a child taking theophylline develops an upper respiratory infection, the theophylline dose should be decreased almost by half. (Source: Psychosomatics)
Source: Psychosomatics - May 17, 2017 Category: Psychiatry & Psychology Authors: Can-Jun Ruan, Xue-Yang Zhen, Xin-Liang Ge, Chuan-Yue Wang, Wei Guo, Yi-Lang Tang, Wen-Biao Li, Jose de Leon Source Type: research

Decisional and Dispositional Capacity Determinations: Neuropsychiatric Illness and an Integrated Clinical Paradigm
Assessment of decisional capacity requires thorough clinical review of a patient ’s current psychiatric symptoms and cognitive processes. The assessment to determine the patient’s capacity for self-management postdischarge is a different clinical concept from decisional capacity. (Source: Psychosomatics)
Source: Psychosomatics - May 13, 2017 Category: Psychiatry & Psychology Authors: James A. Bourgeois, Mary Ann Cohen, Jennifer M. Erickson, Rebecca Weintraub Brendel Tags: Review Article Source Type: research

Decisional and Dispositional Capacity Determinations: The Role of Neuropsychiatric Illness and an Integrated Clinical Paradigm
Assessment of decisional capacity requires thorough clinical review of a patient ′s current psychiatric symptoms and cognitive processes. The assessment to determine the patient′s capacity for self-management post-discharge is a different clinical concept from decisional capacity. Standardized guidelines for capacity determinations (both for informed consent and for disposit ion) would be helpful to clinicians, patients and their caregivers. (Source: Psychosomatics)
Source: Psychosomatics - May 13, 2017 Category: Psychiatry & Psychology Authors: James A. Bourgeois, Mary Ann Cohen, Jennifer M. Erickson, Rebecca Weintraub Brendel Source Type: research

Safety, Science, or Both? Deceptive Healthy Volunteers: Psychiatric Conditions Uncovered by Objective Methods of Screening
Healthy volunteers (HVs) play an important role in psychiatric research. They provide scientists with valuable information for comparison with patients who have mental disorders, or who serve as participants in studies of healthy brain anatomy and physiology, such as attention, perception, and memory. Previous reports document a high prevalence of psychopathology among HVs (16 –44%) and highlight the importance of mental health screening of HVs.1–4 (Source: Psychosomatics)
Source: Psychosomatics - May 9, 2017 Category: Psychiatry & Psychology Authors: Adriana Pavletic, Maryland Pao Tags: Case Reports Source Type: research

Safety, Science or Both? Deceptive Healthy Volunteer: Psychiatric Conditions Uncovered by Objective Methods of Screening
Previous reports document a high prevalence of psychopathology and highlight the importance of mental health screening of healthy volunteers in psychiatric research. Psychiatric research has typically used self-report scales and structured clinical interviews to rule out psychopathology. These subjective methods are often unreliable as some volunteers conceal their psychiatric conditions and substance use. Here we describe illustrative cases of psychiatric conditions in healthy volunteers that were uncovered by objective methods of screening including physical exam, laboratory testing, toxicology screen, and chart review. ...
Source: Psychosomatics - May 9, 2017 Category: Psychiatry & Psychology Authors: Adriana Pavletic Source Type: research

Editorial Board
(Source: Psychosomatics)
Source: Psychosomatics - May 1, 2017 Category: Psychiatry & Psychology Source Type: research

Table of Contents
(Source: Psychosomatics)
Source: Psychosomatics - May 1, 2017 Category: Psychiatry & Psychology Source Type: research

Valproate-induced hyperammonemic encephalopathy in a general hospital
April 18, 2017 (Source: Psychosomatics)
Source: Psychosomatics - April 25, 2017 Category: Psychiatry & Psychology Authors: William. T. Regenold, Lawrence W. Adler Source Type: research

Stiff Person Syndrome Presenting After the Initiation of Buspirone
Stiff Person Syndrome (SPS, also known as Stiff-man Syndrome) is a rare, potentially debilitating disease of uncertain etiology presenting with variable psychiatric and somatic symptoms that often leave the afflicted with no solid medical diagnosis and poorly controlled symptoms .1 –5 SPS was first described by Moersch and Woltman, who over 30 years of practice categorized 14 of their patients in a case series reporting a constellation of symptoms such as fluctuating muscular rigidity and spasticity. (Source: Psychosomatics)
Source: Psychosomatics - April 24, 2017 Category: Psychiatry & Psychology Authors: Ibrahim Sablaban, Deepak Prabhakar Tags: Case Report Source Type: research

Comorbidity in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Nationwide Population-Based Cohort Study
Previous studies have shown evidence of comorbid conditions in CFS/ME. (Source: Psychosomatics)
Source: Psychosomatics - April 21, 2017 Category: Psychiatry & Psychology Authors: Jes ús Castro-Marrero, Mónica Faro, Luisa Aliste, Naia Sáez-Francàs, Natalia Calvo, Alba Martinez-Martinez, Tomás Fernández de Sevilla, Jose Alegre Source Type: research

Pre-Existing Psychiatric Illness is Associated with Increased Risk of Recurrent Takotsubo Cardiomyopathy
The increased prevalence of psychiatric illness among patients with takotsubo cardiomyopathy (TC) has been previously described. We sought to assess the impact of pre-existing psychiatric illness on clinical outcomes following diagnosis of TC. (Source: Psychosomatics)
Source: Psychosomatics - April 20, 2017 Category: Psychiatry & Psychology Authors: Arash Nayeri, Eric Rafla-Yuan, Eric Farber-Eger, Marcia Blair, Boback Ziaeian, Martin Cadeiras, John A. McPherson, Quinn S. Wells Source Type: research

Teaching Psychiatric Trainees to “Think Dirty”: Uncovering Hidden Motivations and Deception
Despite the prevalence with which trainees encounter patients who attempt to manipulate, deceive, or withhold information from them, trainees receive little formal training in “thinking dirty”—that is, incorporating elements of hidden patient motives into their interview, formulation, and plan. Lack of acknowledgment of these aspects of patient care can lead to resident dissatisfaction, negative countertransference reactions, and decreased empathy for patients. (Source: Psychosomatics)
Source: Psychosomatics - April 17, 2017 Category: Psychiatry & Psychology Authors: Scott R. Beach, John B. Taylor, Nicholas Kontos Tags: Perspective Source Type: research

Teaching Psychiatric Trainees to ‘Think Dirty:′ Uncovering Hidden Motivations and Deception
Despite the prevalence with which trainees encounter patients who attempt to manipulate, deceive or withhold information from them, they receive little formal training in “thinking dirty” – that is, incorporating elements of hidden patient motives into their interview, formulation and plan. Lack of acknowledgement of theseaspects of patient care can lead to resident dissatisfaction, negative countertransference reactions, and decreased empathy for patients. (Source: Psychosomatics)
Source: Psychosomatics - April 17, 2017 Category: Psychiatry & Psychology Authors: Scott R. Beach, John B. Taylor, Nicholas Kontos Source Type: research

Psychiatric Care of the Radiation Oncology Patient
In recent decades, psychiatrists have become increasingly involved in the care of patients with cancer. Psychiatrists are often less familiar with the field of radiation oncology than with other medical specialties. Therefore, it is beneficial for consulting psychiatrists to be familiar with the basic principles of radiation therapy (RT) and its potential neuropsychiatric sequelae. (Source: Psychosomatics)
Source: Psychosomatics - April 15, 2017 Category: Psychiatry & Psychology Authors: Emily G. Holmes, Jordan A. Holmes, Eliza M. Park Source Type: research

The Evolving Practice of Psychiatry in the Era of Integrated Care
Integrating behavioral health care into the primary care setting is increasingly recognized as an effective way to manage mental illness and substance use disorders on a population level in the United States. The term “integrated care” however, is used in many ways and encompasses several different models. The aim of this article to provide a conceptual framework to understand the landscape of models of integrated care and to use this framework to contrast the roles of behavioral health providers in integrate d settings with those in traditional behavioral health delivery models. (Source: Psychosomatics)
Source: Psychosomatics - April 14, 2017 Category: Psychiatry & Psychology Authors: Robert Joseph, Rachel Kester, Colleen O'Brien, Hsiang Huang Source Type: research

Screening for Psychologic Distress in Taiwanese Cancer Inpatients Using the National Comprehensive Cancer Network Distress Thermometer: The Effects of Patients ’ Sex and Chemotherapy Experience
Patients with cancer often experience distress, and early detection and management of psychologic distress are vital for improving patients ’ outcomes. (Source: Psychosomatics)
Source: Psychosomatics - April 6, 2017 Category: Psychiatry & Psychology Authors: Yu-Jie Chiou, Chun-Yi Lee, Shau-Hsuan Li, Mian-Yoon Chong, Yu Lee, Liang-Jen Wang Tags: Original Research Report Source Type: research