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General Hospital Psychiatry
Volume 27, Issue 2, Pages 87-152 (March-April 2005)
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Psychiatry and Primary Care

Recent epidemiologic studies have found that most patients with mental illness are seen exclusively in primary care medicine. These patients often present with medically unexplained somatic symptoms and utilize at least twice as many health care visits as controls. There has been an exponential growth in studies in this interface between primary care and psychiatry in the last 10 years. This special section, edited by Wayne J. Katon, M.D., will publish informative research articles that address primary care-psychiatric issues.


A direct comparison of presenting characteristics of depressed outpatients from primary vs. specialty care settings: preliminary findings from the STAR*D clinical trial
Bradley N. Gaynes, A. John Rush, Madhukar Trivedi, Stephen R. Wisniewski, G.K. Balasubramani, Donald C. Spencer, Timothy Petersen, Michael Klinkman, Diane Warden, Robert K. Schneider, Daniel B. Castro, Robert N. Golden
pages 87-96
Abstract | Full Text | Full-Text PDF (147 KB)


Health beliefs and depression in a group of elderly high utilizers of medical services
Carolyn M. Levinson, Benjamin G. Druss
pages 97-99
Abstract | Full Text | Full-Text PDF (81 KB)


Correlates and consequences of chronic insomnia
Michael E. Thase
pages 100-112
Abstract | Full Text | Full-Text PDF (204 KB)


Personality characteristics among cardiothoracic transplant recipients
Carol S. Stilley, Mary Amanda Dew, Paul Pilkonis, Ann Bender, Mary McNulty, Alan Christensen, Kenneth R. McCurry, Robert L. Kormos
pages 113-118
Abstract | Full Text | Full-Text PDF (112 KB)


Mental illness and health care use: a study among new neurological patients
Morten Steen Hansen, Per Fink, Lene Søndergaard, Morten Frydenberg
pages 119-124
Abstract | Full Text | Full-Text PDF (110 KB)


Psychological state, quality of life, and coping style in patients with digestive cancer
Toshiko Matsushita, Eisuke Matsushima, Michio Maruyama
pages 125-132
Abstract | Full Text | Full-Text PDF (129 KB)


Mood and anxiety disorders in women with treated hyperthyroidism and ophthalmopathy caused by Graves' disease
Robertas Bunevicius, Dzilda Velickiene, Arthur J. Prange
pages 133-139
Abstract | Full Text | Full-Text PDF (123 KB)

Emergency psychiatry in the general hospital

The emergency room is the interface between community and health care institution. Whether through outreach or in-hospital service, the psychiatrist in the general hospital must have specialized skill and knowledge to attend the increased numbers of mentally ill, substance abusers, homeless individuals, and those with greater acuity and comorbidity than previously known. This Special Section will address those overlapping aspects of psychiatric, medicine, neurology, psychopharmacology, and psychology of essential interest to the psychiatrist who provides emergency consultation and treatment to the general hospital population.


Rapid-acting IM ziprasidone in a psychiatric emergency service: a naturalistic study
Horacio Preval, Steven G. Klotz, Robert Southard, Andrew Francis
pages 140-144
Abstract | Full Text | Full-Text PDF (109 KB)

Letters to the Editor

Letters to the Editor are invited for comment on a topic of current interest or on material published in GENERAL HOSPITAL PSYCHIATRY. Letters should be typed double-spaced and are subject to editing according to space limitations.


Left–sided chest pain as an unusual presentation of extrapyramidal symptoms
Axel Ropohl, Samuel Elstner, Johannes Kornhuber, Igor Alexander Harsch
pages 145-146
Full Text | Full-Text PDF (90 KB)

Letter to the editor


Use of the Epworth Sleepiness Scale to evaluate the symptom of excessive sleepiness in major depressive disorder
Leslie Lundt
pages 146-148
Full Text | Full-Text PDF (124 KB)


Fluvoxamine induced complex partial seizure in the treatment of bulimia nervosa
Hitoshi Nakahira, Masahito Tomotake, Tetsuro Ohmori
pages 148-150
Full Text | Full-Text PDF (166 KB)

Letter to the Editor


A “shrinking” patient — an endocrine disorder?
Axel Ropohl, Samuel Elstner, Johannes Hensen, Igor Alexander Harsch
pages 150-152
Full Text | Full-Text PDF (111 KB)

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