Gregory L Fricchione

..In sum, this article discusses human capacity building in global mental health, provides recommendations for training, and offers examples of recent initiatives...

..We also offer a contemporary account of the field and finish with a subjective view of the opportunities and pitfalls faced during the next phase of consultation-liaison psychiatry in the 21st century...

..In addition, mesolimbic/mesocortical control of the stress response systems may provide a way for the placebo response to benefit other medical conditions...

..We set out to detect whether morphine is present in tissue taken from a patient with intractable temporal lobe epilepsy and to characterize the presence and nature of mu opiate receptor subtypes in this tissue...

..The aim of this exploratory study was to determine whether post-MI anxiety was associated with in-hospital cardiac complications, independent of depressive symptoms...

..To assess the operating characteristics of the Beck-Depression Inventory-II (BDI-II) and the BDI-II cognitive subscale (BDI-II-cog) in screening for major depression (MDD) in post-myocardial infarction (MI) patients...

..Depression (MDD) and anxiety have been associated with negative long-term outcomes among patients with acute myocardial infarction (MI)...

..Collaborative care depression management programs have been used in outpatients to improve depression outcomes, but such a program had never been initiated in the hospital or used for patients with a wide range of cardiac illnesses...

..This study examined the feasibility, safety, and efficacy of using tai chi for treating major depressive disorder...

..Consultation-liaison (C-L) psychiatry, informed by principles of psychosomatic medicine, is well-positioned to address the global impact of mental disorders through primary care C-L models...

..Although alcohol use and abuse are common among general-hospital inpatients, many patients are inadequately assessed and treated for alcohol withdrawal...

..To make further progress, large, multicenter trials that use optimized screening tools, obtain data at several time points, consider multiple psychosocial variables, and correct carefully for medical/cardiac severity are required...

..Our objective was to assess the feasibility and results of such screening on inpatient cardiac units...

..Recognition and treatment of anxiety is substantially better, up to 50% of patients who are found to be anxious by psychiatrists after acute myocardial infarction remain unrecognized...

..Further studies are necessary to elucidate the complex physiology underlying the RR and its impact upon stress-related disease states...

..The study objectives were to develop and objectively assess the therapeutic effect of a novel movement-based complementary and alternative medicine approach for children with an autism-spectrum disorder (ASD)...

..All subjects' salivary cortisol levels were within low-normal range and did not significantly change. Our 5-week program in highly educated, mobile, healthy, aging adults significantly improved performance on a simple attention task...

..This review summarizes recent evidence on the effects of music on the hypermetabolic response of critical illness...

..Yet, nitric oxide involvement in stress-related diseases represents a common pathway, with various pathophysiological analogies, that may be accessible for strategies using stress management and relaxation response techniques...

....

..Our exploratory investigation considered whether variations in routinely available hematological parameters relate to the severity of fatigue reports...

..To determine factors associated with the occurrence of delirium among patients undergoing surgical repair of abdominal aortic aneurysm (AAA)...

....

..With open and honest support, the team was able to both care for and empower the patient. Issues of trust, liability, opioid tolerance, and barriers to optimal analgesia for cancer pain are discussed...

..Evidence for a connection between stress and selected cardiovascular diseases is analyzed. Does stress cause or exacerbate cardiovascular diseases?..

..To describe 2 cases of encephalitis with neuropsychiatric symptoms including catatonia, compounded by neuroleptic use for delirious agitation culminating in malignant catatonia responsive to electroconvulsive therapy (ECT)...

..Taken together, it appears that morphine has the ability to modulate its own synthesis via autocrine and paracrine signaling...

..Additionally, addictive drugs are capable of directly acting on reward pathways, now, in part, via endogenous morphine processes...

....

..We conclude that enough scientific information exists to support these phenotmena as actual physical processes that can be harnessed to provide better patient care...

..Evidence for a connection between stress and selected neurodegenerative diseases as well as mental disorders is analyzed. Does stress cause or exacerbate related pathophysiological disease processes?..

..Thus, it would appear that these responses evolved first in simpler organisms and were then maintained and enhanced during evolution...