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Outcome Study of Psychological Distress and Nonspecific Symptoms in Patients With Mild Primary Hyperparathyroidism—Invited Critique

Outcome Study of Psychological Distress and Nonspecific Symptoms in Patients With Mild Primary... Invited Critique t is generally accepted among endocrine surgeons that many, if not most, patients with primary hyperparathyroidism I have a wide spectrum of physical and mental impairments, and that the severity of these impairments improves after correction of the condition by parathyroidectomy. To try to shed light on this phenomenon, Okamoto and colleagues from Japan report on the results of psychological testing, using the General Health Questionnaire, of 26 patients with primary hyperparathyroidism before and after curative operation. The General Health Questionnaire has been used since 1972 as a screening instrument for the detection of diagnosable psychiatric disorders in the primary care setting. The full questionnaire has 60 questions; the authors of this study used the shorter 28-question version, which has been validated internationally and used as a screening method for identifying psy- chiatric illness–associated somatic symptoms, anxiety and insomnia, social dysfunction, and severe depression, with sensi- tivities in the 80% to 90% range for detecting psychiatric illness. About half the patients in the study by Okamoto et al met the screening criteria for 1 or more of these dysfunctions, indicating they had possible underlying psychiatric illness. These patients showed transient improvement in scores at 3 months, with http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Outcome Study of Psychological Distress and Nonspecific Symptoms in Patients With Mild Primary Hyperparathyroidism—Invited Critique

JAMA Surgery , Volume 137 (7) – Jul 1, 2002

Outcome Study of Psychological Distress and Nonspecific Symptoms in Patients With Mild Primary Hyperparathyroidism—Invited Critique

Abstract

Invited Critique t is generally accepted among endocrine surgeons that many, if not most, patients with primary hyperparathyroidism I have a wide spectrum of physical and mental impairments, and that the severity of these impairments improves after correction of the condition by parathyroidectomy. To try to shed light on this phenomenon, Okamoto and colleagues from Japan report on the results of psychological testing, using the General Health Questionnaire, of 26 patients with primary...
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References (2)

Publisher
American Medical Association
Copyright
Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/archsurg.137.7.784
Publisher site
See Article on Publisher Site

Abstract

Invited Critique t is generally accepted among endocrine surgeons that many, if not most, patients with primary hyperparathyroidism I have a wide spectrum of physical and mental impairments, and that the severity of these impairments improves after correction of the condition by parathyroidectomy. To try to shed light on this phenomenon, Okamoto and colleagues from Japan report on the results of psychological testing, using the General Health Questionnaire, of 26 patients with primary hyperparathyroidism before and after curative operation. The General Health Questionnaire has been used since 1972 as a screening instrument for the detection of diagnosable psychiatric disorders in the primary care setting. The full questionnaire has 60 questions; the authors of this study used the shorter 28-question version, which has been validated internationally and used as a screening method for identifying psy- chiatric illness–associated somatic symptoms, anxiety and insomnia, social dysfunction, and severe depression, with sensi- tivities in the 80% to 90% range for detecting psychiatric illness. About half the patients in the study by Okamoto et al met the screening criteria for 1 or more of these dysfunctions, indicating they had possible underlying psychiatric illness. These patients showed transient improvement in scores at 3 months, with

Journal

JAMA SurgeryAmerican Medical Association

Published: Jul 1, 2002

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