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Biomedical subjects

K J Weiss

Publications and source records attributed to K J Weiss.

30 records · Page 2Linked to original sources
PubMed1985

Prevalence of anxiety disorder among alcoholics.

A preliminary study of the prevalence of DSM-III anxiety disorders in a group of inpatients treated for alcohol detoxification is presented. The rating was performed in accordance with the Structured Clinical Interview for DSM-III (SCID). The results showed that nineteen of 84 subjects (22.6%) met criteria for one or more anxiety disorders. In 12 of these subjects drinking followed the onset of anxiety by as long as 19 years. No conclusions can be drawn about the etiologic role of anxiety in alcoholism. However, to the extent that patients with treatable phobic and anxious states can be identified, there is a potential for prevention of alcoholism in some of these individuals.

Adult↗
PubMed1984

Diagnosis of organic brain syndrome: an emergency department dilemma.

Delirium and dementia frequently pose a diagnostic dilemma for clinicians in the emergency department. The overlap of symptoms between organic brain syndrome and functional psychiatric illness, coupled with a dramatic presentation, often leads to a premature psychiatric diagnosis. In this paper, the authors discuss those symptoms of organic brain syndrome that most frequently generate diagnostic confusion in the emergency department and result in a misdiagnosis of functional illness.

Adult↗
PubMed1984

Geriatric psychiatry in the emergency department, II: Evaluation and treatment of geriatric and nongeriatric admissions.

The records of a hospital psychiatric emergency department were reviewed for elderly and middle-aged patients who were diagnosed with organic brain syndrome (OBS) or psychiatric disorder. These records were then compared with those of elderly patients from the medical emergency department. While elderly medical patients received routine physical evaluations and laboratory testing, elderly psychiatric patients with behavioral symptoms were often referred to psychiatry before they received tests necessary to differentiate physical disorders from functional psychiatric disorders. When tests were administered to psychiatric patients, many abnormal results were apparent, indicating the possible presence of physical disease. It is recommended that all elderly patients with psychiatric symptoms undergo adequate medical evaluations to screen for physical causes of the psychiatric symptoms.

Aged↗
PubMed1983

Organic brain syndrome. The psychiatric imposter.

Rapid differentiation of organic brain syndrome (OBS) from functional psychiatric illness can be difficult when patients come to an emergency department with predominantly psychiatric symptoms. Using four screening criteria-disorientation, abnormal vital signs, clouded consciousness, and patients older than 40 years with no previous psychiatric history-we detected 38 cases of OBS from 1,140 medically cleared patients. Twelve of these patients were subsequently admitted to a medical unit. Despite the presence of striking behavioral aberration, an increased awareness of the clinical manifestations of OBS will enhance the physician's ability to discriminate OBS from other psychiatric illness.

Adult↗
PubMed1982

Partial hospitalization: state of the art.

While partial hospitalization as a treatment modality has existed since the 1930s it has been only recently begun to gain widespread attention. The attempts at defining partial hospitalization are traced to the current standards and guidelines. The authors review studies of efficacy and cost-effectiveness and find that partial hospitalization almost invariably compares favorably with inpatient treatment. There are a number of factors militating against increased use of the modality, including haziness in the definitions of goals and target populations, prejudice among clinicians and patients, institutions' resistance to relinquishing beds, and difficulty in establishing third-party reimbursement. The state of the art in partial hospitalization is an attempt to translate face-value validity into an acceptable and fundable alternative to inpatient treatment. The authors conclude that, despite the relatively small growth of programs nationwide and the reluctance of third-party payers to reimburse for the modality, partial hospitalization has an enduring role as a treatment modality.

Ambulatory Care↗
PubMed1982

Phenelzine treatment of depression with chronic diarrhea.

The monoamine oxidase inhibitors (MAOIs) have been used increasingly in treating nonendogenous depressions. Patients with psychophysiologic disorders have many characteristics in common with known MAOI responders. The authors present the case of a man who had had diarrhea for 36 years, with an underlying chronic depression. The patient was unresponsive to ECT and tricyclic antidepressants. Phenelzine, 60 mg/day, produced dramatic improvement in the patient's diarrhea and his sense of well-being.

Depressive Disorder↗