OBJECTIVE This article examines social and occupational disability associated with several DSM-IV mental disorders in a group of adult primary care outpatients. METHOD The subjects were 1,001 primary care patients (aged 18-70 years) in a large health maintenance organization. Data on each patient's sociodemographic characteristics and functional disability, including scores on the Sheehan Dis...

Introduction Disruptive Mood Dysregulation Disorder (DMDD) is a new disorder that has been added to the category of mood disorders in fifth Diagnostic and Statistical Manual Mental Disorders distinguish chronic non-periodic irritability from periodic bipolar disorder. The main characteristic DMDD severe irritability. Because it diagnostic entity, little research done on literature subject still...

Severe mental illness and obesity are each serious public health problems that overlap to a clinically significant extent. Unfortunately, some of the most effective medications for severe mental illness are associated with the greatest weight gain, and the most effective strategy for severe obesity, bariatric surgery, is a treatment of last resort. First-line medication choices for patients wit...

This study compared the mental and physical health of two groups of black mothers aged 55 years and older: those who were providing care for their adult child with schizophrenia or schizoaffective disorder (N=30) and those who did not have a child with mental illness (N=263). The only demographic variable that was found to differ between the two groups was that the women who were providing care...

According to Kessler et als.’ review, mental disorders are among the most prevalent of chronic “diseases” with a life-time prevalence that approaches 50 percent of the population and with 12-month prevalence rates in the 15-25 percent range. Actually, the extent of mental disorders is unclear. Social desirability factors, nay saying, or even lying may bias psychometric attempts to gather accura...

OBJECTIVES Chronic care models improved outcomes for persons with mental disorders but to date have primarily been tested for single diagnoses (e.g. unipolar depression). We report findings from a pilot multisite randomized controlled trial of a cross-diagnosis care model for patients with mood disorders. METHODS Patients (N = 60) seen in one of four primary care or mental health clinics affi...

OBJECTIVE To compare patients with and without mental disorders who seek services from a complementary therapy practitioner with regard to quality of life, reasons for seeking complementary therapies, complaints, and physical conditions. METHOD We studied new patients who attended a complementary therapy clinic offering acupuncture treatment between July 1, 1993, and March 31, 1995. We collec...

Development of an integrated co-occurring disorder (COD) program in the community mental health center is essential for comprehensive care. Research shows that about half to two thirds of patients served by community mental health centers have ongoing or past substance use issues that profoundly impact diagnosis, treatment planning, and outcomes. Addiction is a chronic relapsing and remitting d...