Anxiety Disorders: Yager J

Ursano RJ, Bell C, Eth S, Friedman M, Norwood A, Pfefferbaum B, Pynoos JD, Zatzick DF, Benedek DM, McIntyre JS, Charles SC, Altshuler K, Cook I, Cross CD, Mellman L, Moench LA, Norquist G, Twemlow SW, Woods S, Yager J, Anonymous00293, Anonymous00294. · No affiliation provided · Am J Psychiatry. · Pubmed #15617511 No free full text.

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Bailey R, Yager J, Jenson J. · Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque 87131-5326, USA. · Am J Psychiatry. · Pubmed #12153820 links to  free full text

This publication has no abstract.

Escalona R, Achilles G, Waitzkin H, Yager J. · New Mexico VA Health Care System, Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque, NM, USA. · Psychosomatics. · Pubmed #15232042 links to  free full text

Abstract: The authors examined the association between trauma, posttraumatic stress disorder (PTSD), and somatization in 264 women attending a Department of Veterans Affairs primary care clinic. Using a structured computerized interview (Composite International Diagnostic Interview), they found that traumatic events were reported by 81% of the women. The lifetime prevalence of PTSD was 27%; for somatization it was 19%. PTSD was the best predictor of somatization after control for demographic variables, veteran status, and other mood and anxiety disorders. Psychological numbing symptoms of PTSD emerged as a particularly strong predictor of somatization. The link between PTSD and somatization deserves further study.

Duran B, Malcoe LH, Sanders M, Waitzkin H, Skipper B, Yager J. · Department of Family and Community Medicine, MSC09 5040, 1 University of New Mexico, Albuquerque, NM 87131-0001, USA. · Child Abuse Negl. · Pubmed #15003398 No free full text.

Abstract: OBJECTIVE: To examine (1) the prevalence, types, and severity of child abuse and neglect (CAN) and (2) the relationship between CAN and lifetime psychiatric disorders among American Indian women using primary care services. METHODS: A cross-sectional study was conducted among 234 American Indian women, age 18-45 who presented for outpatient ambulatory services at a community-based Indian Health Service Hospital in Albuquerque, New Mexico. Dependent measures included mood, substance abuse, and anxiety disorders as well as posttraumatic stress disorder (PTSD) as measured by the Composite International Diagnostic Interview. CAN was assessed using the Childhood Trauma Questionnaire. RESULTS: Approximately three-quarters of respondents (76.5%; 95% CI = 70.4, 81.7) reported some type of childhood abuse or neglect; over 40% reported exposure to severe maltreatment. Severity of child maltreatment was associated in a dose response manner with lifetime diagnosis of mental disorders. After adjusting for social and demographic correlates, severe child maltreatment was strongly associated with lifetime PTSD (prevalence ratio [PR] 3.9; 95% CI = 1.9, 8.0); and was moderately associated with lifetime substance use disorders (PR = 2.3; 95% CI = 1.6, 3.3); mood disorders (PR = 2.1; 95% CI 1.4, 3.2); and with two or more disorders (PR = 2.3; 95% CI = 1.6, 3.4). CONCLUSION: CAN was common in our sample of American Indian women in primary care and was positively associated with lifetime psychiatric disorders outcomes. Screening for CAN and psychiatric disorders would enhance the treatment of patients seeking primary care services. Primary prevention of child maltreatment might reduce the high prevalence of mental disorders among American Indian women.

Duran B, Sanders M, Skipper B, Waitzkin H, Malcoe LH, Paine S, Yager J. · Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, NM 87131-0001, USA. · Am J Public Health. · Pubmed #14713701 links to  free full text

Abstract: OBJECTIVES: We examined the lifetime and the past-year prevalence and correlates of common mental disorders among American Indian and Alaska Native women who presented for primary care. METHODS: We screened 489 consecutively presenting female primary care patients aged 18 through 45 years with the General Health Questionnaire, 12-item version. A subsample (n = 234) completed the Composite International Diagnostic Interview. We examined associations between psychiatric disorders and sociodemographic variables, boarding school attendance, and psychopathology in the family of origin. RESULTS: The study participants had high rates of alcohol use disorders, anxiety disorders, and anxiety/depression comorbidity compared with other samples of non-American Indian/Alaska Native women in primary care settings. CONCLUSIONS: There is a need for culturally appropriate mental health treatments and preventive services.

Silk KR, Yager J. · Department of Psychiatry, University of Michigan Health System, Ann Arbor, Mich., USA. · J Clin Psychiatry. · Pubmed #12934981 No free full text.

Abstract: BACKGROUND: Physicians and patients are increasingly communicating with one another by e-mail concerning administrative issues, medications, and other aspects of care. The objective of this article is to review existing guidelines for general physicians communicating with patients by e-mail as the basis for developing more specific guidelines for psychiatric practice. METHOD: We review e-mail guidelines previously developed by the American Medical Informatics Association, subsequently promulgated by the American Medical Association, and consider each suggestion for clinical and administrative practice from the perspective of psychiatric practice. Case vignettes illustrate several of these issues. RESULTS: We suggest expansion and/or modification of existing guidelines to address more directly issues of specific concern in psychiatric practice. CONCLUSION: Existing general guidelines concerning the use of e-mail in medical practice are useful starting points for psychiatric practice. Psychiatrists must pay particular attention to issues of confidentiality, communicative tone, and professional boundaries. With cautious application, e-mail may provide a useful tool for enhancing communication and treatment options for psychiatrists and their patients.

Yager J, Siegfreid SL, DiMatteo TL. · Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque 87131-5326, USA. · Am J Psychiatry. · Pubmed #10484957 links to  free full text

This publication has no abstract.