K Kroenke

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..Cross-sectional studies have established the prevalence and functional impairment of somatic symptoms in cancer patients. The purpose of this study was to determine the trajectory and adverse consequences of such symptoms over time...

..Ultra-brief measures offer a valid and efficient means of assessing and monitoring pain for the clinical management as well as research of cancer-related pain...

..abstract:..

..Would rural patients have adequate access to technologies for home-based symptom reporting?..

..Because even briefer measures might be desirable for use in busy clinical settings or as part of comprehensive health questionnaires, we evaluated a 2-item version of the PHQ depression module, the PHQ-2...

..The most common mental disorders in both outpatient settings and the general population are depression and anxiety, which frequently coexist. Both of these disorders are associated with considerable disability...

..Coupling a heuristic classification system with evidence-based measures for assessing severity and monitoring treatment outcomes are important steps in the optimal care of symptomatic patients...

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..Pain and depression are two of the most prevalent and treatable cancer-related symptoms, each present in at least 20%-30% of oncology patients...

..However, instruments for identifying and monitoring somatic symptoms are few in number and not widely used. Therefore, we examined the validity of a brief measure of the severity of somatic symptoms...

..The objective of this article is to describe a study that tests the effectiveness of a stepped-care approach using a combined medication-behavioral intervention...

..Pain is prevalent in patients with depression. The purpose of this study was to determine the impact of pain on depression treatment outcomes...

..Although somatoform disorders are among the most common mental disorders presenting in the general medical setting, the strength of evidence for specific treatments has not been well synthesized...

..Pain and depression are the most common physical and psychological symptoms in primary care, respectively. Moreover, they co-occur 30% to 50% of the time and have adverse effects on quality of life, disability, and health care costs...

..This article describes a telecare management intervention delivered by a nurse-psychiatrist team that is designed to improve recognition and treatment of pain and depression. The enrolled sample is also described...

..This article provides an evidence-based approach to the pharmacotherapy of chronic pain...

..a PHQ-8 cutpoint > or = 10...

..Pain and depression are 2 of the most prevalent and treatable cancer-related symptoms, yet they frequently go unrecognized, undertreated, or both...

..A stepped care approach is described, which consists of three phases that may be useful in the care of patients with somatic symptoms...

..Thus, recognition and management of both conditions may be warranted, particularly when treatment focused on 1 condition is not leading to an optimal response...

..This pilot study explored the efficacy and tolerability of extended-release venlafaxine (venlafaxine ER) in anxious and/or depressed patients with multisomatoform disorder (MSD)...

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..And eighth, since death and serious illness are uncommon, alternative outcomes that might be measured include symptom alleviation, health-related quality of life, patient and provider satisfaction, and health care costs...

..While considerable attention has focused on improving the detection of depression, assessment of severity is also important in guiding treatment decisions. Therefore, we examined the validity of a brief, new measure of depression severity...

..Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed class of antidepressant, yet it is not known whether one SSRI is more effective than another...

..Survey results regarding the current CER capacity and needs of CTSAs are presented, and recommendations are provided. Volume 5: 258-262...

..We evaluated how well physicians' global estimates of disease severity correspond to more specific physician-rated disease variables as well as patients' self-rated health and other patient variables...

..The adverse impact of a high somatic symptom burden is well established for primary care and other noncancer populations with chronic medical disorders...

..Anxiety, although as common as depression, has received less attention and is often undetected and undertreated...

..An efficient means for measuring and monitoring all three conditions would be desirable...

..To assess 5-year mental disorder recognition rates and determine the natural history of mental disorders in primary care...

..To assess the relationship between depression and anxiety comorbidity on pain intensity, pain-related disability, and health-related quality of life (HRQL)...

..Understanding the differences between preferential strategies of pain patients with and without depression may be useful in tailoring pain self-management programs...

..The authors sought to determine the predictors of persistent depression and pain symptoms at 3 and 12 months after an initial outpatient neurology clinic visit...

..Because the disorders are highly comorbid, we examined the relationship of anxiety and depression with health-related quality of life (HRQL) in cancer patients...

..To study whether physician awareness of symptom-related expectations and mental disorders reduces unmet expectations or improves patient satisfaction...

..Also, the impact of psychological factors on sex differences in disability is uncertain...

..4, p<0.0001). However, the impact of MSD was eliminated after controlling for pain severity. Regardless of the location of pain, pain severity appears to be an important correlate of functional status, both mental and physical...

..MSD, defined as > or = 3 bothersome, medically unexplained somatic symptoms, has been proposed as a more inclusive disorder...

..The presence of a psychiatric disorder, particularly if somatoform, makes it unlikely that endoscopy will reveal significant GI disease...

..Unlike depression, however, improvement in physical symptoms typically plateaus with minimal resolution in subsequent months...

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..To determine the prevalence of pain and its association with glycaemic control, mental health and physical functioning in patients with diabetes...

..Patient satisfaction surveys need to carefully consider the sampling time frame as well as adjust for pertinent patient characteristics...

..We examined the prevalence and health related quality of life (HRQoL) of depression and/or pain in neurology outpatients...

..A model that incorporates assessment and treatment of depression and pain simultaneously is necessary for improved outcomes...

..Comparative responsiveness data are needed to inform choices about pain outcome measures...

..Depression and pain have a substantial effect on patient satisfaction. Future studies should assess the reasons for dissatisfaction with care in patients with depression and pain...

..To identify barriers and facilitators to self-management of chronic musculoskeletal pain among patients with comorbid pain and depression...

..In this study, we report the predictors of pain intensity and activity interference in primary care patients with co-morbid pain and depression...

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..Self-reported and refill adherences appear to provide complementary information and are associated with reductions in systolic and diastolic blood pressure of similar magnitude...

..The HR of clinical depression on mortality was 2.2 (95% CI 1.2- 3.9, p = 0.01). CONCLUSION: Depression increases the risk of mortality in RA. Our study highlights the importance of comorbid depression in patients with RA...

..37) or SCID score (P=.44). These findings should caution physicians against acceptance of borderline TSH values as the primary cause of a patient's clinical depression...

..In the past decade, however, clinical trials of cognitive-behavioral therapy (CBT) have been promising. Our aim was to critically review and synthesize the evidence from these trials...

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..This study aimed to identify predictors of psychiatric comorbidity for diagnostic use in busy medical settings and to describe their criterion validity...

..Our objectives were to identify ED physicians' prescribing patterns when discharging patients with common musculoskeletal conditions and to determine if disparities in opioid prescribing exist...

..Therefore, we investigated the sensitivity to change of the PHQ-9 in three groups of patients whose depression status either improved, remained unchanged, or deteriorated over time...

..The results of this study underscore the importance of the NCM, particularly for patients with chronic conditions such as pain...

..A brief and straightforward multidimensional pain measure could potentially improve initial assessment and follow-up of chronic pain in primary care...

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..Pain commonly coexists with depression, but its impact on treatment outcomes has not been well studied. Therefore, we prospectively evaluated the impact of comorbid pain on depression treatment response and health-related quality of life...

..To determine what learners and teachers value most in ambulatory learning encounters and whether the choices of the two groups are in concordance...

..02). Patients most likely to complete the documents were white, married, or attendees at the educational seminar. CONCLUSIONS: Interactive group seminars for medical outpatients increased discussions and use of written advance directives...

..Our objective was to determine the effectiveness of the Activate-Initiate-Monitor care management program for the treatment of poststroke depression...

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..The magnitude of this difference, the degree of agreement between patients and proxies, and the factors influencing agreement are not well known...

..For some syndromes, the data for or against treatment effectiveness is relatively robust, for many, however, the data, one way or the other is scanty...

..Fatigue is an important symptom in cancer and has been shown to be associated with psychological distress...

..A variety of interventions and further research may be effective in improving the recognition and management of mental disorders in primary care...

..Broader dissemination of guidelines may be one means of changing physician behavior. At the same time, future guidelines should further consider the potentially different viewpoints of patients and physicians...

..Patient Health Questionnaire-9 (PHQ-9), a brief dual-purpose instrument yielding DSM-IV diagnoses and severity, and PHQ-2, an ultra-brief screening tool, offer advantages in resource-constrained settings...

..e., seven or more medical diagnoses). Developing better management strategies for prevalent, medically unexplained, persistent somatic symptoms is a health care priority...

..Comprehensive assessment of the unique needs of caregivers of aphasic survivors is suggested for more individualized nursing interventions...

..To determine the effect of collaborative care management for depression on physical functioning in older adults...

..This could significantly improve patient satisfaction with the transfer process and, as previous studies suggest, translate into greater compliance with medications and follow-up...

..An international, multidisciplinary, and multiinstitutional consensus project was completed to summarize current knowledge on unexplained symptoms after terrorism and war...

..To determine whether educational sessions with medical residents, with or without letters to their patients, improve patient satisfaction with transfer of their care from a departing to a new resident in an internal medicine clinic...

..The purpose of this study was to document the prevalence rates of reported abuse in obstetric/gynecology settings and to characterize physical symptoms, function, and psychologic distress of women who report abuse...

..To examine the natural history of complementary and alternative medicine (CAM) use and its impact on outcomes within a cohort of rheumatology patients...

..The purpose of the present study was to characterize psychological disorders and psychosocial stressors in older primary care patients and identify differences with younger patients...

..This study aimed to identify the predictors and outcomes of SSRI antidepressant continuation, discontinuation and switching over a 9-month period of naturalistic observation...

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..To determine the association between major depression and suicidal ideation and the role of physical illness in this link among primary care patients...

..The gender of the clinician had no effect on any outcome...

..Depression and arthritis are disabling and common health problems in late life. Depression is also a risk factor for poor health outcomes among arthritis patients...

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..This study evaluates the two-item Patient Health Questionnaire (PHQ-2) as a measure for diagnosing and monitoring depression...

..We investigated responsiveness to treatment, reproducibility, and minimal clinically important difference of the Patient Health Questionnaire-9 (PHQ-9), a standard instrument for diagnosing depression in primary care...

..Although this approach may be preferred, the validity of the anchor-based approach is currently under scrutiny...

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..Primary care patients with anxiety and depression often describe multiple physical symptoms, but no systematic review has studied the effect of anxiety and depressive comorbidity in patients with chronic medical illnesses...

..The present study investigates the psychometric properties of the PHQ-9 and HSCL-20, determines the degree of instrument concordance, and describes the factor structure of the HSCL-20...

..Yet, little is known on its usefulness as a case-finding tool for anxiety disorders within the context of a clinical trial...

..Change in health-related quality of life (HRQoL) is an important outcome in asthma treatment. Patient and provider consensus on how to determine thresholds for identifying important improvements and declines, however, has not been achieved...

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..Longitudinal assessment of the nondepressed cohort will establish the frequency and risk factors for incident depression. ..

..Furthermore, if proven effective for depression and pain, TCM could readily be expanded to reducing barriers and improving care of other cancer-related symptoms. ..

..Furthermore, if proven effective for depression and pain, TCM could readily be expanded to reducing barriers and improving care of other cancer-related symptoms. ..