Which factors predict the persistence of DSM-IV depression, anxiety, and somatoform disorders in the medically ill three months post hospital discharge?

McKenzie, Maria; Clarke, David M.; McKenzie, Dean Philip; Smith, Graeme C.

doi:10.1016/j.jpsychores.2009.08.004

Cited by 34 publications

(26 citation statements)

References 73 publications

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“…Another study reported 12 % of patients had anxiety and 22 % had depressive symptoms one year after hospital admission [8]. Also, studies found a high percentage of patients to have psychiatric symptoms after hospital discharge [9–12]. …”

Section: Introductionmentioning

confidence: 99%

“…These possible risk factors for an adverse psychological outcome following ED admission are still not well understood. Using the Global Assessment of Functioning (GAF) and the Karnofsky Performance Status Scale (KPS), McKenzie and colleagues [12] found lower initial psychological and physical functioning in hospitalized medical patients with persistence of depressive and anxiety disorders 3 months following discharge. Other studies found that physically ill patients with a positive screening for a depressive disorder or a major depression as assessed by the DSM-IV showed a longer hospital stay [13, 14].…”

Section: Introductionmentioning

confidence: 99%

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Psychological distress in medical patients 30 days following an emergency department admission: results from a prospective, observational study

et al. 2016

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BackgroundPsychological distress in medical patients admitted to the emergency department (ED) is not well studied. Our aim was to investigate the extent of psychological distress in a broad and unselected medical patient sample 30 days after ED admission and its association with socio-demographic and clinical variables.MethodWe used data from a prospective observational cohort study including 1575 consecutive adult medical patients presenting to the ED with acute somatic conditions. Outcome variables were patient’s psychological distress measured by the 4-item Patient Health Questionnaire (PHQ–4) and self-rated health assessed 30 days after ED admission using telephone interviews. Risk factors included socio-demographic variables (e.g. gender, marital status), clinical presentation (e.g. illness severity, main initial diagnosis) and course of illness (e.g. rehospitalisation, length of hospital stay).ResultsA total of 38 % of patients had evidence for psychological distress 30 days after ED admission. Multivariate analysis found female gender (adjusted odds ratio [aOR] 1.35, 95 % confidence interval [CI] 1.02 to 1.78), comorbid psychiatric disorder (aOR 1.63, 95 % CI 1.08 to 2.62), discharge to a post-acute care institution (aOR 1.47, 95 % CI 1.03 to 2.09), unplanned rehospitalisation (aOR 2.38, 95 % CI 1.47 to 3.86), and unplanned visit at general practitioner (aOR 4.75, 95 % CI 2.57 to 8.80) to be associated with distress at day 30 following ED admission.ConclusionsOne month after ED admission a significant number of patients still show a moderate amount of psychophysical distress. Strongest related variables were course of illness, in particular unplanned general practitioner visits. Future interventional studies should assess possibilities to reduce distress in patients at increased risk.Trial registrationNCT01768494, January 9, 2013 (registration date), February 25, 2013 (enrolment of first participant).

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Psychological distress in medical patients 30 days following an emergency department admission: results from a prospective, observational study

et al. 2016

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“…Vale salientar a importância do tratamento e do acompanhamento desses pacientes no contexto intra-hospitalar e após alta, pois já se evidenciou que os transtornos psiquiátricos em pacientes clínicos hospitalizados não remitem espontaneamente 17 . Ter história familiar psiquiátrica positiva e menor escolaridade já se mostrou relacionado com a persistência dos transtornos ansiosos, da depressão e dos transtornos somatoformes após a alta 17 . Identificar precocemente a combinação de diferentes riscos e instituir o tratamento adequado previne novos episódios de depressão 18 .…”

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Associação entre depressão, níveis de dor e falta de apoio social em pacientes internados em enfermarias de clínica médica

Marques

Stefanello

Mendonça

et al. 2013

J. bras. psiquiatr.

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rESUMo objetivo: Verificar a associação entre depressão, níveis de dor e falta de apoio social em pacientes clínicos internados. Métodos: Em um estudo transversal, 1.147 adultos admitidos nas enfermarias de clínica médica de um hospital universitário foram selecionados por randomização e avaliados durante a primeira semana de internação. Foram utilizados: Subescala Cognitivo-afetiva do Inventário Beck de Depressão (BDI-13), Índice Charlson de Comorbidade Física e escalas numéricas para avaliar dor e percepção de gravidade física. Foram considerados deprimidos os pacientes que pontuaram acima de 10 no BDI-13. Investigou-se apoio social por meio da pergunta direta: "Com quantos parentes ou amigos você se sente à vontade e pode falar sobre tudo ou quase tudo?". Foram considerados como tendo falta de apoio social os pacientes que relataram ter menos que quatro parentes ou amigos confidentes. aBStraCt objective:To evaluate the association of depression, levels of pain and lack of social support in medical inpatients. Methods: In a cross sectional observational study, 1,147 adults admitted to the general medical wards of a university hospital were randomized and evaluated during the first week of admission. The following instruments were used: cognitive--affective subscale of the Beck Depression Inventory (BDI-13), Charlson Comorbidity Index and numerical scales to evaluate pain and perception of medical burden. Patients who scored > 10 in the BDI-13 were considered depressed. Social support was investigated asking the

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“…McKenzie et al (in this issue) are able to distinguish the predictors for these three groups, which is an additional confirmation of the necessity of a discrete diagnosis for disabling somatic symptoms [4].…”

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confidence: 73%

Painting the picture of distressing somatic symptoms

Rief¹

2010

Journal of Psychosomatic Research

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Which factors predict the persistence of DSM-IV depression, anxiety, and somatoform disorders in the medically ill three months post hospital discharge?

Cited by 34 publications

References 73 publications

Psychological distress in medical patients 30 days following an emergency department admission: results from a prospective, observational study

Psychological distress in medical patients 30 days following an emergency department admission: results from a prospective, observational study

Associação entre depressão, níveis de dor e falta de apoio social em pacientes internados em enfermarias de clínica médica

Painting the picture of distressing somatic symptoms

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