Assessing the Victimized Psychiatric Patient

Westermeyer, Joseph; Wahmenholm, Karen

doi:10.1176/ps.40.3.245

Cited by 7 publications

(6 citation statements)

References 19 publications

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“…Familiarity with both Wernicke and Korsakoff syndromes can abet clinicians who treat either disorder. Our Wernicke cases consisted of refugees, combatants, and prisoners of war encountered in Asia and Minnesota (Westermeyer, 1982; Westermeyer, 1989; Williams and Westermeyer, 1986). By definition, Wernicke syndrome patients do not typically require intervention for AUD.…”

Section: Literature Search Reviewmentioning

confidence: 99%

Identifying, Assessing, and Treating Korsakoff Syndrome Patients

et al. 2021

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Objectives consist of updating published reports on the recognition, assessment, and care of patients with Wernicke-Korsakoff syndrome (WKS). Methods included defining relevant terms, describing core clinical phenomena, conducting meaningful reviews for latter-day WKS publications, and selecting instructive case examples. Findings covered epidemiology, precipitants, neuroimaging studies, alternate learning strategies in WKS, adjunctive treatments, and promising research. In conclusion, patients, their family members, clinicians, and public health experts should benefit from this updated knowledge. Countries with substantial alcohol consumption should consider emulating Holland in designating WKS research centers, founding regional clinical facilities, and funding multidisciplinary expert teams.

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Section: Literature Search Reviewmentioning

confidence: 99%

Identifying, Assessing, and Treating Korsakoff Syndrome Patients

et al. 2021

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“…One research group has explored the ability of physical symptoms to predict PTSD in two small refugee populations: 620 Somali and 512 Ethiopian (Gulden et al, 2010; Westermeyer et al, 2010). An alternative to reporting standard PTSD symptoms was sought with the justification that refugees are reluctant to disclose past traumatic experiences due to a perceived lack of relevance or suppression of traumatic memories due to the emotional responses such as shame, guilt, remorse, grief, or rage (Westermeyer & Wahmenholm, 1989). An advantage of physical symptoms is that they offer low face validity for PTSD and therefore maybe an alternative in environments where the stigma of mental illness is high, or when it is preferable not to confront the trauma or emotionally distressing diagnostic criteria of DSM-IV PTSD (American Psychiatric Association, 2000).…”

Section: Physical Symptoms In Predicting Ptsdmentioning

confidence: 99%

The Value of Physical Symptoms in Screening For Posttraumatic Stress Disorder in the Military

et al. 2019

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Physical symptoms are highly comorbid with posttraumatic stress disorder (PTSD). As PTSD is underdiagnosed, this study explored the value of self-reported physical symptoms in screening for 30-day PTSD in military personnel. Two physical symptom scales were constructed using items from a 67-item health symptom checklist, clinical interviews were used as the diagnostic reference standard, and diagnostic utility of physical symptoms was compared with the current gold standard screen, the PTSD checklist (PCL). Receiver operating characteristic analyses showed that both a 9-item and a 10-item physical symptom scale were of value in predicting PTSD (areas under the curve 0.81 and 0.85). Importantly, two thirds of PTSD positive personnel missed by the PCL were captured with physical symptoms scales, and when physical symptoms were added to the PCL, prediction was improved (areas under the curve 0.90 to 0.92). Our findings highlight the value of including assessing physical symptoms in PTSD screening.

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“…Some methodological problems arise in studying refugees. Some questions may appear threatening to participants especially when asked about family history and family members who, for political reasons, should remain anonymous (Westermeyer & Wahmanholm 1989; Eisenbruch 1990; Hillifield et al. 2002).…”

Section: Challenges In Accessing and Interviewing Refugeesmentioning

confidence: 99%

“…The interview should begin with a discussion of relatively non‐threatening constructs (Eisenbruch 1990) that reflect the familiarity of the researcher with traditional beliefs and practices of people (Brainard & Zaharlick 1989), familiarity with people, and concludes on an appreciation note. The researcher should give the refugee an opportunity to elaborate fully on fears and concerns (Kinzie & Fleck 1987; Westermeyer & Wahmanholm 1989). If the researcher is conversing with the participants through a bilingual worker, the researcher must ensure that the bilingual worker translates the patients’ entire account rather than abbreviating this account (Westermeyer & Wahmanholm 1989; Eisenbruch 1990).…”

Section: Challenges In Accessing and Interviewing Refugeesmentioning

confidence: 99%

“…The researcher should give the refugee an opportunity to elaborate fully on fears and concerns (Kinzie & Fleck 1987; Westermeyer & Wahmanholm 1989). If the researcher is conversing with the participants through a bilingual worker, the researcher must ensure that the bilingual worker translates the patients’ entire account rather than abbreviating this account (Westermeyer & Wahmanholm 1989; Eisenbruch 1990). Using a translator who is also a refugee should be done with caution as he or she might become distressed, especially if he or she experienced similar events (Kinzie & Fleck 1987; Westermeyer & Wahmanholm 1989).…”

Section: Challenges In Accessing and Interviewing Refugeesmentioning

confidence: 99%

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