2009
Gender Differences in the Association of Cardiovascular Symptoms and Somatosensory Amplification to Mortality
Shortridge EF, Marsden PV, Ayanian JZ, Cleary PD. Gender Differences in the Association of Cardiovascular Symptoms and Somatosensory Amplification to Mortality. Research In Human Development 2009, 6: 219-234. PMID: 21218196, PMCID: PMC3017363, DOI: 10.1080/15427600903281236.Peer-Reviewed Original Research
1996
Subsyndromal Delirium
Levkoff SE, Liptzin B, Cleary PD, Wetle T, Evans DA, Rowe JW, Lipsitz LA. Subsyndromal Delirium. American Journal Of Geriatric Psychiatry 1996, 4: 320-329. PMID: 28530969, DOI: 10.1097/00019442-199622440-00006.Peer-Reviewed Original ResearchSymptoms of deliriumSubsyndromal deliriumRisk factorsIndependent risk factorDistinct clinical entityAcute care hospitalsCare hospitalConsiderable morbidityClinical entityDeliriumNeurobehavioral impairmentsBehavioral abnormalitiesPatientsOnset of occurrenceDSM criteriaSymptomsSignificant predictorsLongitudinal studyMorbidityHospitalAbnormalitiesCliniciansImpairment
1994
The accuracy of symptom reporting by patients complaining of palpitations
Barsky A, Cleary P, Barnett M, Christiansen C, Ruskin J. The accuracy of symptom reporting by patients complaining of palpitations. The American Journal Of Medicine 1994, 97: 214-221. PMID: 8092169, DOI: 10.1016/0002-9343(94)90003-5.Peer-Reviewed Original ResearchConceptsPositive predictive valuePredictive valueAmbulatory electrocardiographic monitoringMedical care utilizationCardiac activityStructured diagnostic interviewElectrocardiographic resultsSymptom diaryConsecutive patientsSignificant arrhythmiasCare utilizationElectrocardiographic monitoringPsychologic distressHypochondriacal patientsHeart diseasePatient reportsPsychiatric symptomsSelf-report questionnairesPalpitationsPatientsArrhythmiasMedical careDiagnostic InterviewSymptom reportingSymptomsProgression and Resolution of Delirium in Elderly Patients Hospitalized for Acute Care
Levkoff SE, Liptzin B, Evans DA, Cleary PD, Lipsitz LA, Wetle T, Rowe JW. Progression and Resolution of Delirium in Elderly Patients Hospitalized for Acute Care. American Journal Of Geriatric Psychiatry 1994, 2: 230-238. PMID: 28530936, DOI: 10.1097/00019442-199400230-00007.Peer-Reviewed Original Research
1993
Health-Related Quality of Life in Persons with Acquired Immune Deficiency Syndrome
Cleary P, Fowler F, Weissman J, Massagli M, Wilson I, Seage G, Gatsonis C, Epstein A. Health-Related Quality of Life in Persons with Acquired Immune Deficiency Syndrome. Medical Care 1993, 31: 569-580. PMID: 8326772, DOI: 10.1097/00005650-199307000-00001.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusHealth-related qualityQuality of lifeHealth statusAcquired Immune Deficiency SyndromeGlobal health assessmentImmune deficiency syndromeFunctioning of personsHIV infectionImmunodeficiency virusFunctional statusPrimary careDeficiency syndromeFunctional impairmentBest predictorDiscrete symptomsSymptomsMental healthImportant signHealth assessmentAverage severityStrongest correlateFace interviewsValid measureStatusHypochondriacal patients' beliefs about good health
Barsky A, Coeytaux R, Sarnie M, Cleary P. Hypochondriacal patients' beliefs about good health. American Journal Of Psychiatry 1993, 150: 1085-1089. PMID: 8317581, DOI: 10.1176/ajp.150.7.1085.Peer-Reviewed Original ResearchConceptsMore symptomsHypochondriacal patientsGood healthNonhypochondriacal patientsAggregate medical morbiditySymptom-free stateGeneral medicine clinicMedical care utilizationGood test-retest reliabilityNumerous somatic symptomsMedical morbidityCare utilizationClinical featuresTest-retest reliabilityMedicine clinicHypochondriacal symptomsPatients' beliefsBodily preoccupationPatientsMedical careSociodemographic characteristicsSomatic symptomsSymptomsAmbiguous symptomsComparison groupThe course of transient hypochondriasis
Barsky A, Cleary P, Sarnie M, Klerman G. The course of transient hypochondriasis. American Journal Of Psychiatry 1993, 150: 484-488. PMID: 8434667, DOI: 10.1176/ajp.150.3.484.Peer-Reviewed Original ResearchConceptsHypochondriacal symptomsHypochondriacal patientsMedical record reviewMore functional disabilityGeneral medical clinicStructured diagnostic interviewMore psychopathological symptomsOnly significant predictorComparison patientsMedical morbidityFunctional disabilityRecord reviewBaseline evaluationSelf-report questionnairesPrevious episodesPatientsNonhypochondriacal patientsLongitudinal courseMedical careMultivariate analysisDiagnostic InterviewMedical clinicsSymptomsDSM-IIIBodily sensationsThe Perception of Cardiac Activity in Medical Outpatients
Barsky A, Cleary P, Brener J, Ruskin J. The Perception of Cardiac Activity in Medical Outpatients. Cardiology 1993, 83: 304-315. PMID: 8111763, DOI: 10.1159/000175986.Peer-Reviewed Original ResearchConceptsPalpitation patientsPsychiatric morbidityHypochondriacal symptomsReports of palpitationsEvaluation of palpitationsAmbulatory patientsECG findingsHolter monitoringAsymptomatic controlsMedical outpatientsSpontaneous reportsPatientsSymptom reportingPalpitationsCardiac systoleSymptomsCardiac activityMorbidityAccurate patientArrhythmiasHeartbeat detection taskHeartbeat awarenessSomatizationECGAccurate awareness
1992
Delirium: The Occurrence and Persistence of Symptoms Among Elderly Hospitalized Patients
Levkoff S, Evans D, Liptzin B, Cleary P, Lipsitz L, Wetle T, Reilly C, Pilgrim D, Schor J, Rowe J. Delirium: The Occurrence and Persistence of Symptoms Among Elderly Hospitalized Patients. JAMA Internal Medicine 1992, 152: 334-340. DOI: 10.1001/archinte.1992.00400140082019.Peer-Reviewed Original ResearchHospital dischargeNew symptomsNew-onset deliriumLong-term care facilitiesProlonged hospital stayPersistence of symptomsRisk of mortalityPersistence of deliriumHospital stayIncident deliriumElderly patientsAdvanced ageCommon disorderTeaching hospitalDeliriumIndividual symptomsCare facilitiesPatientsFull criteriaCognitive impairmentMental disordersStudy participantsIncomplete manifestationsSymptomsInitial evaluationDelirium. The occurrence and persistence of symptoms among elderly hospitalized patients.
Levkoff S, Evans D, Liptzin B, Cleary P, Lipsitz L, Wetle T, Reilly C, Pilgrim D, Schor J, Rowe J. Delirium. The occurrence and persistence of symptoms among elderly hospitalized patients. JAMA Internal Medicine 1992, 152: 334-40. PMID: 1739363, DOI: 10.1001/archinte.152.2.334.Peer-Reviewed Original ResearchConceptsHospital dischargeNew symptomsNew-onset deliriumLong-term care facilitiesProlonged hospital stayPersistence of symptomsRisk of mortalityPersistence of deliriumHospital stayIncident deliriumElderly patientsAdvanced ageCommon disorderTeaching hospitalDeliriumIndividual symptomsCare facilitiesPatientsCognitive impairmentFull criteriaMental disordersStudy participantsIncomplete manifestationsSymptomsInitial evaluationThe Delirium Symptom Interview: An Interview for the Detection of Delirium Symptoms in Hospitalized Patients
Albert M, Levkoff S, Reilly C, Liptzin B, Pilgrim D, Cleary P, Evans D, Rowe J. The Delirium Symptom Interview: An Interview for the Detection of Delirium Symptoms in Hospitalized Patients. Journal Of Geriatric Psychiatry And Neurology 1992, 5: 14-21. PMID: 1571069, DOI: 10.1177/002383099200500103.Peer-Reviewed Original Research
1991
An empirical study of diagnostic criteria for delirium
Liptzin B, Levkoff SE, Cleary PD, Pilgrim DM, Reilly CH, Albert M, Wetle TT. An empirical study of diagnostic criteria for delirium. American Journal Of Psychiatry 1991, 148: 454-457. PMID: 2006690, DOI: 10.1176/ajp.148.4.454.Peer-Reviewed Original ResearchConceptsICD-10 criteriaDMS-IIIAcute medical problemsPresence of symptomsDSM-III criteriaDiagnostic criteria setsElderly patientsPatient's symptomsGeneral HospitalDiagnostic criteriaPatientsDeliriumMedical problemsDSM-IIIClinical interestSymptomsStructured instrumentCriteria setsResearch assistantsPure groupCriteriaGroupHospitalDifferent groupsDaily
1988
The amplification of somatic symptoms.
Barsky A, Goodson J, Lane R, Cleary P. The amplification of somatic symptoms. Psychosomatic Medicine 1988, 50: 510-519. PMID: 3186894, DOI: 10.1097/00006842-198809000-00007.Peer-Reviewed Original ResearchConceptsOverall discomfortMedical walkTract infectionsMedical morbidityMedical illnessSystemic symptomsVocational disabilitySelf-report questionnairesSociodemographic characteristicsSomatic symptomsSomatosensory amplificationSignificant predictorsPatientsMultiple regression analysisRegression analysisMeasures of dysphoriaSymptomsDiscomfortDisabilityBodily sensationsMorbidityClinicIllnessInfectionSymptomatologyIllness Behavior in the Aged
Levkoff S, Cleary P, Wetle T, Besdine R. Illness Behavior in the Aged. Journal Of The American Geriatrics Society 1988, 36: 622-629. PMID: 3290313, DOI: 10.1111/j.1532-5415.1988.tb06158.x.Peer-Reviewed Original Research
1987
Seeking Help for Psychologic Problems
Greenley J, Mechanic D, Cleary P. Seeking Help for Psychologic Problems. Medical Care 1987, 25: 1113-1128. PMID: 3695641, DOI: 10.1097/00005650-198712000-00001.Peer-Reviewed Original ResearchConceptsMultispecialty clinicPsychologic problemsLarge multispecialty clinicMedical record dataMental health servicesMental health service usersPrepaid medical planRepresentative community sampleHealth service usersPsychologic distressPsychologic symptomsSatellite clinicsMental health usersPsychiatric servicesEligible populationAlcohol consumptionClinic usersHealth servicesMultivariate analysisObsessive-compulsive symptomsSymptomsClinicRecord dataMedical planHealth usersWhy people take precautions against health risks
Cleary P. Why people take precautions against health risks. 1987, 119-149. DOI: 10.1017/cbo9780511527760.009.Peer-Reviewed Original ResearchDifferences in the appraisal of health between aged and middle-aged adults.
Levkoff S, Cleary P, Wetle T. Differences in the appraisal of health between aged and middle-aged adults. Journal Of Gerontology 1987, 42: 114-20. PMID: 3794190, DOI: 10.1093/geronj/42.1.114.Peer-Reviewed Original ResearchConceptsPsychological distressHealth assessmentMiddle-aged adultsMusculoskeletal deformitiesMedical recordsIllness behaviorDepressive symptomsNervous systemPoor healthDiagnostic categoriesMiddle AgedPhysical healthDigestive problemsStrong associationHealthProbability sampleDistressSymptomsDeformityDiagnosisRheumatism
1986
Screening for HIV Infection: Risks, Benefits, and the Burden of Proof
Barry M, Cleary P, Fineberg H. Screening for HIV Infection: Risks, Benefits, and the Burden of Proof. The Journal Of Law, Medicine & Ethics 1986, 14: 259-267. PMID: 3475517, DOI: 10.1111/j.1748-720x.1986.tb00993.x.Peer-Reviewed Original Research
1982
Distress Syndromes, Illness Behavior, Access to Care and Medical Utilization in a Defined Population
Mechanic D, Cleary P, Greenley J. Distress Syndromes, Illness Behavior, Access to Care and Medical Utilization in a Defined Population. Medical Care 1982, 20: 361-372. PMID: 7078293, DOI: 10.1097/00005650-198204000-00002.Peer-Reviewed Original ResearchConceptsMental health careIllness behaviorPhysical symptomsMedical care visitsGeneral medical servicesHealth careMedical care useSample of personsRetrospective utilizationCare visitsDistress syndromePsychologic disordersProspective dataCare useMedical utilizationPsychiatric carePsychiatric patientsProspective periodRetrospective periodCareMedical servicesSymptomsRepresentative sampleCentBehavior measures