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Biomedical subjects

D L Wolcott

Publications and source records attributed to D L Wolcott.

29 records · Page 2Linked to original sources
PubMed1986

Psychiatric aspects of bone marrow transplantation: a review and current issues.

BMT represents a major medical advance and offers to most individuals who undergo this procedure the only hope for long term survival. The current psychiatric literature is anecdotal and mostly restricted to discussion of psychiatric issues related to the BMT hospitalization itself. There is substantial agreement about the important psychiatric issues concerning BMT recipients, their families, and the BMT team. However, many post-BMT hospitalization psychiatric and psychosocial issues need attention: the psychological impact of being a BM donor, the consequences of BMT for donor-recipient relationships, the long-term family consequences of BMT, and the long-term cognitive, neuroendocrine, sexual/reproductive, and psychosocial status of BMT survivors. Hopefully, these issues will be increasingly rigorously and effectively addressed in the near future, so that effective psychiatric and psychosocial interventions can be developed which maximize the psychosocial outcome of those affected by BMT.

Adaptation, Psychological↗
PubMed1986

Psychosocial aspects of acquired immune deficiency syndrome and the primary care physician.

Acquired immune deficiency syndrome is now an epidemic in the United States. Multiple factors contribute to the high degree of psychosocial stress experienced by those with HTLV-III infection, regardless of their current clinical status. Family members, friends, and health care professionals all often experience significant stresses associated with HTLV-III infection or AIDS-spectrum illness in the patient. Knowledge about the psychosocial consequences of cancer, of the unique psychosocial stresses experienced by individuals with AIDS-spectrum illness, and of the functional psychiatric syndromes and organic mental disorders common to AIDS can assist the primary care physician as he cares for individuals with HTLV-III infection and AIDS-spectrum illness.

Acquired Immunodeficiency Syndrome↗
PubMed1985

Acquired immune deficiency syndrome (AIDS) and consultation-liaison psychiatry.

Acquired Immune Deficiency Syndrome (AIDS) is a new highly lethal transmissible syndrome that occurs primarily in identified high-risk groups. The number of AIDS cases has been doubling approximately every 6 months in the United States since 1981. A large number of healthy HTLV-III seropositive individuals, and a significant number of individuals with AIDS-related complex (ARC), who are at increased risk for eventual development of AIDS, have been identified. At least one third of AIDS patients develop neurologic disease prior to death. Organic mental disorders are frequent in AIDS and can have devastating consequences. Severe psychologic distress and functional psychiatric syndromes are also common. The psychosocial effects of AIDS for patients, family and friends, and health-care professionals are discussed in relationship to the psychosocial consequences of other serious medical illnesses including cancer. An ideal comprehensive program to meet the needs of "AIDS affected" individuals is presented, as are the authors' views on the tasks of C-L psychiatrists in participating in the comprehensive care of these individuals.

Acquired Immunodeficiency Syndrome↗
PubMed1984

Consultation-Liaison outpatient clinics.

This paper describes the history of the provision of psychiatric services to outpatients in general (medical) hospitals in the United States. It also reviews the rationale for the development of consultation-liaison psychiatric clinics that have been created to meet the psychiatric needs of these patients. Results of a random survey of current consultation-liaison psychiatry outpatient clinics are presented and recommendations are made for a model outpatient clinic.

Adolescent↗
PubMed1981

Serum gastrin and the family environment in duodenal ulcer disease.

The study investigated the relationships between specific demographic, psychosocial, and physiological variables and the severity of duodenal ulcer disease in a population of patients with proved duodenal ulcer. Intercorrelations between psychosocial and physiological variables were also studied. The study design was cross sectional and retrospectively assessed life change units and DUD severity during the previous 6 months in 39 male ulcer clinic outpatients. Anxiety, depression, life change units, the family environment, ABO blood type, secretor status, serum pepsinogen, and serum fasting gastrin were evaluated. A DUD severity score was calculated from self-reported ulcer pain symptoms and ulcer complications. Gastrin levels correlated significantly with three Family Environment Scale (FES) subscales, including: (a) independence, (b) achievement orientation, and (c) expressiveness. Duodenal ulcer disease severity scores correlated with Zung SDS scores, but not with state or trait anxiety, life change units, or the FES.

Achievement↗
PubMedDate not supplied

The Transplant Evaluation Rating Scale. A revision of the psychosocial levels system for evaluating organ transplant candidates.

Psychosocial criteria play an important role in evaluating organ transplant candidates. The Transplant Evaluation Rating Scale (TERS) classifies patients' level of adjustment in 10 aspects of psychosocial functioning that are thought to be important in adjusting to transplantation. On the basis of pretransplant psychiatric consultations, 35 liver transplant recipients received retrospective TERS ratings. Results showed significant correlations between TERS scores and visual analogue scale ratings of five outcome variables at 1-3 years posttransplant. Significant interrater reliability was also found. The TERS represents a promising instrument for transplant candidate selection as well as a valuable tool for further research.

Adaptation, Psychological↗