A J Mitchell

..We suggest that future field studies of screening tools should also measure the issue of acceptability...

..Despite a close association, SCC may be neither necessary nor sufficient for a diagnosis of either MCI or dementia...

..Despite increased cardiometabolic risk in individuals with mental illness taking antipsychotic medication, metabolic screening practices are often incomplete or inconsistent...

..Clinicians have considerable difficulty identifying and helping those people with alcohol problems but no previous study has looked at this systematically...

..We therefore examined the value of a single item NCCN Distress Thermometer and an enhanced visual-analogue method (Emotion Thermometers, ET) that incorporates four emotion thermometers...

..The effect of age on prognosis may be largely explained by factors such as previous episodes and medical comorbidity...

..To examine the value of a new screening instrument in a visual-analogue format...

..To examine the added value of an algorithmic combination of visual-analogue thermometers compared with the Distress Thermometer (DT) when attempting to detect depression, anxiety or distress in early cancer...

..To quantify the risk of developing dementia in those with mild cognitive impairment (MCI)...

..Recently, a number of long term studies have been published with observation periods of 5 years of longer...

..Our aim was to elucidate the best possible specific symptoms that would assist in ruling in or ruling out a major depressive episode in a psychiatric out-patient setting...

..In conclusion the MMSE offers modest accuracy with best value for ruling-out a diagnosis of dementia in community and primary care. For all other used it should be combined with or replaced by other methods...

..The 'two question' method is significantly more accurate than either single question but clinicians should not rely on these simple questions alone and should be prepared to assess the patient more thoroughly...

..Subjective memory complaints (SMC) are frequently reported by individuals with objective evidence of cognitive decline although the exact rate of complaints and their diagnostic value is uncertain...

..Ultra-short methods cannot be used alone to diagnose depression, anxiety, or distress in cancer patients but they may be considered as a first-stage screen to rule out cases of depression...

..To evaluate the accuracy and clinical utility of phosphorylated tau (p-tau) for the diagnosis and prognosis of Alzheimer's disease (AD) and mild cognitive impairment (MCI)...

..There has been long-standing concern about the quality of medical care offered to people with mental illness...

..We aimed to examine the ability of the general practitioners (GPs) to recognize a spectrum of cognitive impairment from mild cognitive impairment (MCI) to severe dementia in routine practice using their own clinical judgment...

..High levels of comorbid physical illness and excess mortality rates have been previously documented in people with severe mental illness, but outcomes following myocardial infarction and other acute coronary syndromes are less clear...

..There are international differences in the epidemiology of depression and the performance of primary care physicians but the factors underlying these national differences are uncertain...

..Every effort should be made to deliver high-quality medical care to people with severe mental illness...

..To evaluate the diagnostic validity of single-domain cognitive tests for detecting dementia. These methods were defined as those that focus mainly on one domain of cognitive function such as orientation, memory, or executive function...

..There is increasing emphasis on distress and mild depression but uncertainty regarding how well general practitioners (GPs) identify these conditions. Further, the proportion of attendees suffering distress is also unclear...

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..To examine the validity of the Hospital Anxiety and Depression Scale (HADS) in the identification of psychiatric complications of cancer, as defined by a robust criterion standard...

..Most care for depression is delivered by general practitioners (GPs). We assessed the rate of true positives and negatives, and false positives and negatives in primary care when GPs make routine diagnoses of depression...

..This study examined the frequency of missed appointments among 9,511 initial outpatient appointments and 7,700 follow-up appointments across ten psychiatric subspecialties in a publicly funded mental health service in the United Kingdom...

..The authors sought to identify research that has compared the prognosis of depression in late life with depression in midlife under similar conditions...

..Subjective (self-report) HRQoL measures may serve to alert clinicians to areas that would otherwise be overlooked. Studies of new interventions should include an assessment of HRQoL not just impairment or disability alone...

..It is debatable whether this is related to shared risk factors, antipsychotic medication or inherent to the condition itself. This review will describe this association and the recent advances in the field...

..It is also recommended that adolescents and elderly people warrant a mandatory specialist assessment...

..To evaluate the diagnostic accuracy of all brief multidomain alternatives to the Mini-Mental State Examination (MMSE) in the detection of dementia...

..The self-medication hypothesis applied to prescribed psychotropic medication should assist rather than heed clinicians in improving adherence by taking a patient centred approach and where possible promoting patient autonomy...

..Ultra-short (one-, two-, three- or four-item) tests have appeal due to their simple administration but their accuracy has not been established...

..National guidance in most medical specialties supports the full and open disclosure of diagnoses to patients...

..We therefore conducted a meta-analysis analysing the diagnostic accuracy, clinical utility and added value of the GDS in primary care...

..The aim of this study was to investigate the attitudes of accident and emergency (A&E) staff towards patients who self-harm through laceration...

..Nevertheless, short methods seem to be at least as successful as the HADS, although substantially more efficient and hence more acceptable, and therefore may be a suitable initial method of assessment in busy clinical settings...

..There is long-standing concern regarding poor recognition of depression in primary care, especially in older people...

..Here we assess the diagnostic accuracy of a modified 2-item patient health questionnaire (PHQ-2) as a pre-screen in assessing depression...

..Several practice guidelines recommend that depression be evaluated and treated in patients with cardiovascular disease, but the potential benefits of this are unclear...

..To examine whether seizure remission is a comprehensive marker of outcome in psychogenic nonepileptic seizures (PNESs)...

..The presence of progressive numbness, motor weakness, or pain in the limbs of patients receiving olanzapine should raise suspicion of Guillain-Barré syndrome...

..Nevertheless, a practical approach based on the temporal relationship between anxiety and epileptic seizures allows clinicians to consider appropriate treatment strategies to reduce the psychiatric comorbidity in patients with epilepsy...

..AB is presented as an unusual case of rapid progressive AD following a mild head injury...

..Recent data using weekly or daily mood ratings demonstrate that maximum improvement occurs during the first 2 weeks, with some improvement within the first 3 days. Methodological issues may underlie the delayed-onset hypothesis...