Psychiatric symptoms masking pituitary adenoma in Spanish speaking immigrants

Rueda-Lara, Maria; Buchert, Stephanie; Clemow, Lynn

doi:10.1016/s0163-8343(03)00065-3

Cited by 7 publications

(2 citation statements)

References 23 publications

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“…Two weeks after discharge, the patient’s symptoms worsened. After a second interview in Spanish, a pituitary tumor was found to be causing the hallucinations (Rueda-Lara, Buschert, Skotzko, & Clemow, 2003).…”

Section: Research On Interpreter Accuracymentioning

confidence: 99%

Working with foreign language interpreters: Recommendations for psychological practice.

Searight¹,

Searight²

2009

Professional Psychology: Research and Practice

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Given the growing linguistic diversity in the United States, many practicing psychologists will work with foreign language interpreters. However, few clinicians receive formal training in providing interpreteraided psychological services. By federal law (88th Congress, 1964; PL-88-352), psychologists or their agencies are responsible for providing interpreter services. To maintain a patient-centered, rather than interpreter-centered dialogue, psychologists should initiate pre-and postsessions to orient the interpreter to the pending encounter, clarify expectations, and discuss cultural issues. Psychological testing, diagnostic interviewing, crisis intervention, family, child, and individual adult therapy present distinct challenges when an interpreter is involved. Mental health is a specialized area requiring advanced interpreter knowledge and skills. According to the American Psychological Association's (2002) "Ethical Principles," psychologists are responsible for ensuring that interpreters demonstrate competence and professionalism. Because there are relatively few interpreters trained specifically for mental health practice, psychologists and health care institutions may need to assist in providing specialized interpreter education.

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Section: Research On Interpreter Accuracymentioning

confidence: 99%

Working with foreign language interpreters: Recommendations for psychological practice.

Searight¹,

Searight²

2009

Professional Psychology: Research and Practice

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“…It is important to ask whether the presence of PI impacts on cancer diagnosis via patient or provider‐related factors. One study demonstrated a delay in diagnosis of central nervous system tumors in patients with psychotic symptoms which was exacerbated by a co‐existing language barrier 15 . The authors suggest that triage personnel focused on psychiatric complaints to the exclusion of other complaints, confounding diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric illness delays diagnosis of esophageal cancer

O’Rourke

Diggs

Spight

et al. 2008

Diseases of the Esophagus

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SUMMARYEvidence suggests that patients with psychiatric illnesses may be more likely to experience a delay in diagnosis of coexisting cancer. The association between psychiatric illness and timely diagnosis and survival in patients with esophageal cancer has not been studied. The specific aim of this retrospective cohort study was to determine the impact of coexisting psychiatric illness on time to diagnosis, disease stage and survival in patients with esophageal cancer. All patients with a diagnosis of esophageal cancer between 1989 and 2003 at the Portland Veteran's Administration hospital were identified by ICD-9 code. One hundred and sixty patients were identified: 52 patients had one or more DSM-IV diagnoses, and 108 patients had no DSM-IV diagnosis. Electronic charts were reviewed beginning from the first recorded encounter for all patients and clinical and demographic data were collected. The association between psychiatric illness and time to diagnosis of esophageal cancer and survival was studied using Cox proportional hazard models. Groups were similar in age, ethnicity, body mass index, and history of tobacco and alcohol use. Psychiatric illness was associated with delayed diagnosis (median time from alarm symptoms to diagnosis 90 days vs. 35 days in patients with and without psychiatric illness, respectively, P < 0.001) and the presence of advanced disease at the time of diagnosis (37% vs. 18% of patients with and without psychiatric illness, respectively, P = 0.009). In multivariate analysis, psychiatric illness and depression were independent predictors for delayed diagnosis (hazard ratios 0.605 and 0.622, respectively, hazard ratio < 1 indicating longer time to diagnosis). Dementia was an independent risk factor for worse survival (hazard ratio 2.984). Finally, psychiatric illness was associated with a decreased likelihood of receiving surgical therapy. Psychiatric illness is a risk factor for delayed diagnosis, a diagnosis of advanced cancer, and a lower likelihood of receiving surgical therapy in patients with esophageal cancer. Dementia is associated with worse survival in these patients. These findings emphasize the importance of prompt evaluation of foregut symptoms in patients with psychiatric illness.

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Higher stakes ahead for cultural competence

Vega¹

2005

General Hospital Psychiatry

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Psychiatric symptoms masking pituitary adenoma in Spanish speaking immigrants

Cited by 7 publications

References 23 publications

Working with foreign language interpreters: Recommendations for psychological practice.

Working with foreign language interpreters: Recommendations for psychological practice.

Psychiatric illness delays diagnosis of esophageal cancer

Higher stakes ahead for cultural competence

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