Depression in medical patients

Depressive illness is usually treatable. It is common and results in marked disability, diminished survival, and increased healthcare costs. As a result, it is essential that all doctors have a basic understanding of its diagnosis and management. In patients with physical illness depression may

Long-term adjustment in burn victims : a matched-control study.



To date, there is little information about how severely burned patients compare to unburned healthy individuals in terms of psychological profile and quality of life. As part of a larger study on the sensory consequences of burns, we assessed psychological functioning and quality of life in burned patients and unburned healthy control subjects. We also examined whether burn patients experiencing pain and/or paresthetic sensations (i.e. symptomatic patients) present a profile that is different from those who are asymptomatic.


Predicting posttraumatic distress in hospitalized trauma survivors with acute injuries.



Each year approximately 2.5 million Americans are hospitalized after sustaining traumatic physical injuries. Few investigations have comprehensively screened for posttraumatic symptomatic distress or identified predictors of posttraumatic stress disorder (PTSD) in representative samples of surgical inpatients.


Doctors and social epidemics : the problem of persistent unexplained physical symptoms, including chronic fatigue.

Among general practitioners (GPs) opinion has been
divided about the validity of chronic fatigue syndrome or
myalgic encephalopathy (CFS/ME) as an illness. Now, in a
report to the Chief Medical Officer (CMO) an expert group
has concluded that the condition is indeed a chronic illness
meriting significant NHS resources, including the unreserved
attention of the medical profession. Widespread
publicity was given to the CMO’s enthusiastic reception of
the report, which included the statement: ‘This is a real disease