Roger Kathol | University of Minnesota - Twin Cities (original) (raw)

Papers by Roger Kathol

Professional Psychology: Research and Practice, 2007

The health care system in the United States, plagued by spiraling costs, unequal access, and unev... more The health care system in the United States, plagued by spiraling costs, unequal access, and uneven quality, can find its best chance of improving the health of the population through the improvement of behavioral health services. It is in this area that the largest potential payoff in reduction of morbidity and mortality and increased cost-effectiveness of care can be found. A review of the evidence shows that many forms of behavioral health services, particularly when delivered as part of primary medical care, can be central to such an improvement. The evidence supports many but not all behavioral health services when delivered in settings in which people will accept these services under particular administrative and fiscal structures.

Annals of Internal Medicine, 1979

New Directions for Mental Health Services, 1984

Archives of General Psychiatry, 1980

ABSTRACT

Journal of Psychosomatic Research, Mar 1, 2010

American Journal of Psychiatry, Oct 7, 2014

The International Journal of Psychiatry in Medicine, Feb 1, 1997

Reassurance is one of the most important therapies that primary care physicians give; however, li... more Reassurance is one of the most important therapies that primary care physicians give; however, little has been written about it in the literature. This article suggests six steps needed for effective reassurance in patients with benign disease or symptoms not explained by disease. These include; 1) question and examine the patient, 2) assure the patient that serious illness is not present, 3) suggest the symptom will resolve, 4) tell the patient to return to normal activity, 5) consider non-specific treatment, and 6) follow the patient Only if these systematic steps are followed will reassurance consistently work. Since examination of the patient is a critical component of reassurance therapy, it can most effectively be administered by individuals who include a physical assessment as a part of the clinical evaluation.

The Medical-Psychiatric Coordinating Physician Model, 2012

Journal of Psychosomatic Research, 2000

Psychosomatics, 2011

Objective: In 2008, the Board of the European Association of Consultation-Liaison Psychiatry and ... more Objective: In 2008, the Board of the European Association of Consultation-Liaison Psychiatry and Psychosomatics (EACLPP) and the Academy of Psychosomatic Medicine (APM) Council commissioned the creation of a task force to study consensus-based summaries of core roles, scope of clinical practice, and basic competencies for psychiatrists working in the field of Psychosomatic Medicine (PM) and/or Consultation-Liaison Psychiatry (CLP). Method: The task force used existing statements of competencies and feedback from EACLPP and APM symposia and workshops to develop a draft document. After review by the EACLPP and APM committees, and the EACLPP Board and APM Council, a period of comment from the field preceded a final draft resubmitted for consideration of the EACLPP Board and APM Council in February 2010. Results: The two organizations completed approval of final publication of the consensus statement on June 11, 2010. This consensus statement is a summary of clinical competencies, scope of clinical effort, and roles considered by the sponsoring organizations to be fundamental to the practice of this subspecialty or special area of expertise, anywhere, of PM or CLP. Conclusion: This consensus statement delineates a set of basic competencies and roles of a PM/CLP psychiatrist to serve as an internationally recognized base that may be used by national societies and institutions to formulate their own competencies, scope of practice, and roles or help with guideline formulation.

Progress in Neuro-Psychopharmacology and Biological Psychiatry, 1986

Journal of Psychosomatic Research, 2011

Journal of Affective Disorders, 1981

The relationship between medical illness and depression is critically reviewed. Evidence for an a... more The relationship between medical illness and depression is critically reviewed. Evidence for an association exists but is based on relatively few studies of adequate research design. Data suggest the period prevalence of depressive syndrome in medically ill patients is around 18% for the severely medically ill. An etiologic relationship has not established. The incidence of diseases in the medical subspecialities of endocrinology, neurology, cardiology, gastroenterology, and rheumatology appears to be increased in patients with depression. A causal relationship has been suggested in the first four.

Journal of Affective Disorders, 1985

... 1969). Recent evidence suggests that correction of urinary cortisol with creatinine excretion... more ... 1969). Recent evidence suggests that correction of urinary cortisol with creatinine excretion normalizes values among individuals of different age, weight and sex (Juselius and Kenny 1974; Walker 1979; Strain et al. 1980; Ohwovoriole et al. 1983). ... Juselius and Kenny, 1974. ...

Chronobiology International, 1986

Seven male recovered depressive patients who were dexamethasone suppression test (DST) nonsuppres... more Seven male recovered depressive patients who were dexamethasone suppression test (DST) nonsuppressors while ill and eight male controls submitted an average of thirty-six 24-hr urine specimens for analysis during a 12-mo collection period. Recovered depressive patients had a significantly greater mean peak amplitude (mean distance from fitted regression line to the highest point on the peak) when compared to controls. Peak frequency (number of peaks per year) for recovered depressive patients for peaks greater than 30 micrograms/g-cr was three times that found in the control population. The number of collections by each patient did not account for these differences. Only one of seven recovered depressives had a circasemiannual rhythm of cortisol excretion while none demonstrated a seasonal rhythm. These findings suggest that patients with a history of depression and DST nonsuppression have greater variability in cortisol excretion than a control population while in the compensated state.

The American Journal of Psychiatry, Dec 1, 1997

This article examines social and occupational disability associated with several DSM-IV mental di... more This article examines social and occupational disability associated with several DSM-IV mental disorders in a group of adult primary care outpatients. The subjects were 1,001 primary care patients (aged 18-70 years) in a large health maintenance organization. Data on each patient's sociodemographic characteristics and functional disability, including scores on the Sheehan Disability Scale, were collected at the time of a medical visit. A structured diagnostic interview for current DSM-IV disorders was then completed by a mental health professional over the telephone within 4 days of the visit. The most prevalent disorders were phobias (7.7%), major depressive disorder (7.3%), alcohol use disorders (5.2%), generalized anxiety disorder (3.7%), and panic disorder (3.0%). A total of 8.3% of the patients met the criteria for more than one mental disorder. The proportion of patients with co-occurring mental disorders varied by index disorder from 50.0% (alcohol use disorder) to 89.2% (generalized anxiety disorder). Compared with patients who had a single mental disorder, patients with co-occurring disorders reported significantly more disability in social and occupational functioning. After adjustment for other mental disorders and demographic and general health factors, compared with patients with no mental disorder, only patients with major depressive disorder, bipolar disorder, phobias, and substance use disorders had significantly increased disability, as measured by the Sheehan Disability Scale. Primary care patients with more than one mental disorder are common and highly disabled. Individual mental disorders have distinct patterns of psychiatric comorbidity and disability.