General Hospital Psychiatry (GEN HOSP PSYCHIAT )

Publisher: Elsevier


General Hospital Psychiatry explores the linkages and interfaces among psychiatry, medicine and primary care. The Journal emphasizes a biopsychosocial approach to illness and health, and provides a forum for communication among professionals with clinical, academic, and research interests in psychiatry's essential function in "the mainstream of medicine." Building upon those liaison consultation and psychiatric services which have burgeoned in the general hospital setting, the Journal expands beyond this base to encourage new contributions to the understanding and treatment of illness - in inpatient, ambulatory, and community settings. Studies of multisystem relationships of life stresses, physical experience, psychosocial factors, interpersonal and intrapsychic reactions, family structure, ecological change, and institutional forces are especially relevant to the Journal's objectives. General Hospital Psychiatry publishes original articles on biopsychosocial approaches to medicine; liaison-consultation psychiatry; the relationship of psychiatric services to general medical systems; and new directions in medical education which stress psychiatry's role in primary care, family practice, and continuing education. It also features Brief Communications, News and Notes, Book Reviews, and Medical Psychiatric Rounds, of interest to physicians and other professionals and students in this field.

  • Impact factor
    Show impact factor history
    Impact factor
  • 5-year impact
  • Cited half-life
  • Immediacy index
  • Eigenfactor
  • Article influence
  • Website
    General Hospital Psychiatry website
  • Other titles
    General hospital psychiatry (Online)
  • ISSN
  • OCLC
  • Material type
    Document, Periodical, Internet resource
  • Document type
    Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details


  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Voluntary deposit by author of pre-print allowed on Institutions open scholarly website and pre-print servers
    • Voluntary deposit by author of authors post-print allowed on institutions open scholarly website including Institutional Repository
    • Deposit due to Funding Body, Institutional and Governmental mandate only allowed where separate agreement between repository and publisher exists
    • Set statement to accompany deposit
    • Published source must be acknowledged
    • Must link to journal home page or articles' DOI
    • Publisher's version/PDF cannot be used
    • Articles in some journals can be made Open Access on payment of additional charge
    • NIH Authors articles will be submitted to PMC after 12 months
    • Authors who are required to deposit in subject repositories may also use Sponsorship Option
    • Pre-print can not be deposited for The Lancet
  • Classification
    ​ green

Publications in this journal

  • [show abstract] [hide abstract]
    ABSTRACT: There is a growing body of case reports of catatonic symptoms after organ transplantations. A considerable number of these cases might be attributed to neurotoxicity induced by immunosuppressive medications. However, the etiology of other cases remains unclear. We present the case of a 21-year-old woman, who developed catatonia after kidney transplantation from deceased donor. In this case non-toxic tacrolimus levels were found and other causal factors including infections, uremia or transplant rejection were excluded. Electroconvulsive therapy followed by olanzapine proved to be effective treatment.
    General Hospital Psychiatry 01/2014;
  • [show abstract] [hide abstract]
    ABSTRACT: Objective Bodily distress syndrome (BDS) was recently introduced as an empirically based, unifying diagnosis for so-called medically unexplained symptoms and syndromes. BDS relies on a specific symptom pattern rather than on a lack of objective findings, which may increase the risk of overlooking physical disease. We investigated whether physical disease was missed in the first patients diagnosed with BDS. Method The study was a register-based follow-up study of 120 patients diagnosed with BDS at a University Clinic from 2005 to 2007. Median follow-up time was 3.7 years. We used data containing all diagnoses from inpatient, outpatient and emergency admissions supplied by systematic review of hospital records. Medical specialists evaluated all cases of suspected overlooked physical disease. Results According to registered diagnoses, none of the 120 patients had been misdiagnosed with BDS. In five cases [4.2% (95% confidence interval: 1.4–9.5)] though, we found comorbid medical problems that had not been taken properly care of alongside BDS management. These were disc protrusion, degeneration and prolapsus, hip osteoarthritis, anemia and calcific tendinitis. Conclusion The BDS symptom pattern reliably identified patients with multiple medically unexplained symptoms referred to tertiary care. Nevertheless, differential diagnostics remains important in order to identify comorbid medical problems that require additional treatment.
    General Hospital Psychiatry 01/2013;
  • General Hospital Psychiatry 01/2012;
  • General Hospital Psychiatry 01/2012;
  • General Hospital Psychiatry 01/2010; 32:433-442.
  • [show abstract] [hide abstract]
    ABSTRACT: This study aimed to assess the impact of mental disorders on weight loss maintenance among initially successful weight losers who participated in a very-low-calorie diet program. A total of 251 obese individuals were assessed in a prospective longitudinal study over a period of 4 years. Mental disorders and eating patterns were assessed by structured interviews at baseline and by standardized questionnaires at baseline (T(1)), after 1 year (T(2)) and on 3-year follow-up (T(3)). Analyses were performed with an intention-to-treat method. Based on the intention-to-treat sample, 166 successful weight losers at T(2) (weight loss > or = 10%) were identified. Of those, 47 (28.3%) maintained a weight loss of > or = 5% of their pretreatment weight, whereas 119 (71.7%) maintained a loss of less than 5% of their pretreatment weight at T(3). History of substance abuse/dependence disorder and grazing prior to treatment increased the likelihood of successful weight loss maintenance. High levels of cognitive control, low levels of disinhibition on 3-year follow-up and initial body mass index also were associated with successful weight loss maintenance. Strategies that helped individuals overcome earlier mental disorders might help to establish better self-regulation and maintain high cognitive control of eating and subsequently increase the possibility of maintaining weight loss in the long run.
    General Hospital Psychiatry 01/2010; 32(2):132-40.
  • General Hospital Psychiatry 01/2010; 32(3):337.
  • Source
    [show abstract] [hide abstract]
    ABSTRACT: The article by Boudreaux et al. [1] in the current issue regarding the prevalence and interest in treatment for mood disorders among ED patients raises several important concerns for acute care providers and for the health care system as a whole. Hospital emergency departments (EDs) have increasingly become a location in which mental illness first presents [2]. The result is that identification, diagnosis and referral for mental health symptoms rests, not infrequently, with ED physicians. However, neither the training of emergency physicians nor the needed support infrastructure of psychiatric and social services has kept up with national trends, leaving ED providers poorly prepared and under-resourced for the task.
    General Hospital Psychiatry 01/2008; 30(1):1-3.
  • [show abstract] [hide abstract]
    ABSTRACT: The objective of this study was to examine how the outcomes of a structured diagnostic interview for depression are related to the results of a self-report scale in alexithymic and nonalexithymic groups. Subjects (N=389) recruited from primary care and psychiatric care completed the Depression Scale (DEPS) and the 20-item Toronto Alexithymia Scale. Major depression was diagnosed using the Composite International Diagnostic Interview-Short-Form by telephone. In the group without major depression, the DEPS scores of the alexithymic subjects were significantly higher than those of the nonalexithymic subjects. In the group with major depression, the ideal cutoff points of the DEPS, assessed by receiver operating characteristic analyses, were essentially higher for the alexithymic patients. Alexithymic subjects without major depression may be rated as depressive if the only criterion is the score on a self-report scale. Furthermore, alexithymic patients may require higher cutoff points in a self-report depression scale.
    General Hospital Psychiatry 01/2008; 30(1):77-9.
  • [show abstract] [hide abstract]
    ABSTRACT: Primary spontaneous pneumothorax (PSP) is a frequent and problematic disease, but its underlying causes and pathophysiology remain unclear. This study examined whether anger, which is related to many psychosomatic diseases, is a psychosocial factor associated with first-onset PSP. We administered the State-Trait Anger Expression Inventory, Stress Response Inventory, Coping Scale, Beck Depression Inventory and Global Assessment of Recent Stress to 91 patients with first-onset PSP and to 77 patients with recent minor trauma as controls. The scores on anger-in, anger-out, state anger and trait anger were significantly higher in the PSP group than in the control group. Logistic regression analysis revealed that low body mass index and trait anger could be associated with PSP. We hypothesize that anger could play a role in the pathophysiology of PSP.
    General Hospital Psychiatry 01/2008; 30(4):331-6.
  • [show abstract] [hide abstract]
    ABSTRACT: According to the psychiatric hypothesis, the symptoms of dyspepsia may be due to depression, anxiety or a somatization disorder. We investigated the frequency of psychiatric symptoms in patients undergoing endoscopic procedures with dyspepsia, either with or without pathological findings, and compared this with control subjects without dyspeptic symptoms. Ninety patients with dyspeptic symptoms and 90 control subjects participated in the study. Both the patients and the controls were asked to complete a questionnaire about socio-demographic characteristics, the Turkish version of the Spielberger State-Trait Anxiety Inventory (STAI) and the Symptom Check List-90 (SCL-90). In order for us to determine whether the criteria for any of the conditions listed in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were met, the patients were asked to take part in the Structured Clinical Interview for DSM-IV disorders. Of the participants, 47.8% had a psychiatric disorder according to DSM-IV criteria, somatoform disorder (44.2%) being the most common. While 42.2% patients were determined to have a pathological finding using endoscopic evaluation, 57.8% had no findings. Together with the somatization and obsessive-compulsive disorder subscale scores, the total SCL-90 score and the mean trait anxiety score were statistically significantly higher in participants with no pathological findings. There were trends for anxiety (13.2% vs. 7.7%) and mood (2.6% vs. 0.0%) disorders to be more frequent in patients with pathological findings, while somatoform disorder+depressive disorder (17.3% vs. 5.2%) was more frequent in patients with no findings, although the differences were not statistically significant (Z=0.7, P>.05). The scores of state-trait anxiety, somatization, obsession-compulsion, depression, anxiety, phobic anxiety and psychotism subscales, and the total SCL-90 score were statistically significantly higher in those participants without a pathological finding than in the controls. Regarding the high frequency of psychiatric disorders in patients with dyspeptic symptoms, we think that such patients should be evaluated by two separate departments, gastroenterology and psychiatry.
    General Hospital Psychiatry 01/2008; 30(3):252-6.
  • General Hospital Psychiatry 01/2008; 30(5):488-9.
  • [show abstract] [hide abstract]
    ABSTRACT: Inpatient treatment of severe and chronic mood disorders can be challenging as clinicians are often under pressure to stabilize mood symptoms in a short period of time with limited resources. However, a multipronged team approach can help in fairly rapid resolution of symptoms. The case presented illustrates that this is both practical and beneficial.
    General Hospital Psychiatry 01/2008; 30(5):485-7.
  • [show abstract] [hide abstract]
    ABSTRACT: This naturalistic prospective study explored the predictors of laboratory test ordering in a psychiatric emergency department. We used a standardized questionnaire to collect clinical and nonclinical features in 527 consecutive patients. Test ordering was independently predicted by age, spoken language, referral by relatives, eating disorders, and somatic complaints. Having been referred by a general practitioner predicted test ordering only in the absence of a clinical report. Alcohol- and substance-related symptoms predicted test ordering only in patients older than 35 years. Age did not predict test ordering in patients consulting for anxiety or suicidal ideation. Clinicians should be aware of possible biases when assessing the need of laboratory tests in patients presenting with psychiatric complaints.
    General Hospital Psychiatry 01/2008; 30(4):356-9.
  • [show abstract] [hide abstract]
    ABSTRACT: The objective of this case report is to highlight the possible dangers in individuals with prior psychiatric illness of the use of amino acid and caffeine-containing drinks marketed as energy drinks to combat mental and physical fatigue. We report on three patients with known psychiatric illness who demonstrated sequelae following use of these beverages with probable association with clinical deterioration leading to hospitalization. In all three cases, hospitalizations were associated with deterioration of mental state, manifested, amongst other symptoms, by hypervigilance, psychomotor unease and intensified affected responses. While a casual relationship between the use of these drinks and hospitalization cannot be definitively stated, the close temporal association between the two cannot be ignored. Use of these beverages by individuals with prior psychiatric illness should be with caution and the use of energy drinks may be relevant in the patients' evaluations.
    General Hospital Psychiatry 01/2008; 30(2):187-9.
  • [show abstract] [hide abstract]
    ABSTRACT: To discuss two cases of life-threatening serotonin toxicity due to a drug interaction between citalopram and fluconazole and to review the pertinent literature. A Medline search without date limitation was conducted using the terms serotonin syndrome, serotonin toxicity, fluconazole and citalopram. Fluconazole inhibits CYP2C19. Citalopram is a substrate for 2C19 and inhibition of its metabolism may result in serotonin toxicity. Serotonin toxicity in oncology patients may not present with the classic constellation of signs typically described in the literature. Delirium may be the only presenting feature. Current level of evidence for treatment of serotonin toxicity is level 4 or 5 (case series and expert opinion). Nevertheless, there is a strong theoretical basis for treating serotonin toxicity in medical patients with a 5H(2A) blocker such as cyproheptadine. Consultation-liaison psychiatrists and oncologists should be aware of this preventable and underrecognized interaction. Citalopram should be stopped or substituted prior to the concurrent administration of fluconazole, and in the event of toxicity, treatment with cyproheptadine has a favorable risk-benefit ratio despite a lack of randomized controlled data to support its use.
    General Hospital Psychiatry 01/2008; 30(4):372-7.

Related Journals