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Biomedical subjects

W F Kuhn

Publications and source records attributed to W F Kuhn.

25 records · Page 2Linked to original sources
PubMed1986

Consultative psychiatry in both private and public general hospitals.

Most psychiatric patients obtain care in the nonpsychiatric units of general hospitals. Two groups of 100 psychiatric consultation patients in a private hospital setting and in a public hospital were compared. Significant differences were found. Patients in the public hospital were medically, psychiatrically, and socioeconomically more disabled. In the private setting, psychiatric consultants were usually seen as members of a treatment team. The public facility expected consultants to function as psychiatric triage officers. However, both patient groups had a similar frequency of psychiatric illness and had an equal need for psychiatric services.

Adjustment Disorders↗
PubMed1984

Chronic pain.

Chronic pain has attracted more and more attention lately as a condition in its own right, regardless of the disorder that started it. We now know more about the central mechanisms involved in modulation and modification of pain perception and understand better the multitude of factors involved in bringing it about. A similarity to depression is no coincidence, even though the two entities are not the same. Currently, the most often recommended treatment is interdisciplinary and multimodal, a combination of treatments leading to better results than any one mode. This paper presents some treatment recommendations that may enable the primary physician to treat this condition without referral to a pain center.

Antidepressive Agents, Tricyclic↗
PubMedDate not supplied

Psychiatric distress during stages of the heart transplant protocol.

Psychiatric observations are reported on 101 heart transplant candidates (40 of whom had transplantations). Emotional responses were recorded during the evaluation, during the waiting period, perioperatively, at biopsy, during rejection episodes, and before and after discharge. Those phenomena, with the exception of behavioral management problems, were unrelated to initial psychiatric diagnoses; the diagnoses often reflected emotional reaction to cardiac illness. Most distress after evaluation appeared to be related to the protocol rather than to preexisting psychopathology. The stage of the protocol affected the nature of the reactions. Psychiatric assistance aided the adjustment process.

Adaptation, Psychological↗
PubMedDate not supplied

Psychopathology in heart transplant candidates.

Psychodiagnostic data are reported on 69 heart transplant candidates. Twenty-seven patients actually received a transplantation. A high prevalence of anxiety and depression appeared related to their desperate cardiac status. Distressful symptoms did not predict postoperative psychiatric complications. Reduced coping skills as reflected by diagnoses of personality disorders or organic mental impairment were associated with many behavioral problems capable of jeopardizing survival. Psychiatric input is necessary for, and was helpful in, the management of these patients.

Adolescent↗