withdrawal

English translation: état de manque

15:43 May 2, 2012

English language (monolingual) [PRO]
Medical - Medical (general) / pharmaceuticals/forms

English term or phrase: withdrawal

I don't have any context for this, except that it is the title of a form about symptoms of mental illness, in US English.
The title of the form is 'Physician withdrawal checklist'
Would this be the same as a patient discharge form in the UK, or is it something else, to do with withdrawing a patient from a drug?
I suppose that what I am really asking is, would this be a standard heading for a form in the UK? If not, I can probably just state that the meaning is unclear.

mportal KudoZ activity Questions: 655 (2 open) (1 without valid answers) (24 closed without grading) Answers: 86
Local time: 11:40

Selected answer:état de manque

Explanation:
;

Selected response from:

Marion Feildel (X)
Türkiye
Local time: 13:40

Grading comment

Selected automatically based on peer agreement.
4 KudoZ points were awarded for this answer

SUMMARY OF ALL EXPLANATIONS PROVIDED

3 +3

état de manque

Marion Feildel (X)

sevrage

FX Fraipont (X)

3 +1

effects of titrating down a medicine

Stephanie Ezrol

Summary of reference entries provided

reference

liz askew

Discussion entries: 7

Answers

12 mins confidence:

sevrage

Explanation:
Liste de contrôle du médecin lors du sevrage

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Note added at 12 mins (2012-05-02 15:55:33 GMT)
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"Physician Withdrawal Checklist (PWC-20).
Rickels K, Garcia-Espana F, Mandos LA, Case GW.
Source

Mood and Anxiety Disorders Section, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA. [email protected]
Abstract

Anxiety disorders are the most common mental illnesses in the United States. Despite having a number of medication options readily available, benzodiazepines (BZs) and antidepressants have achieved remission rates of only 35% after 8 weeks of acute treatment. In the development of new anxiolytics, particularly those that affect the gamma-aminobutyric acid system, it is essential to assess the new compound's potential to cause discontinuation symptoms after stopping the medication as part of both short- and long-term treatment. This report describes the development of the 20-item Penn Physician Withdrawal Checklist (PWC), a smaller version of the original 35-item PWC, and examines its validity, internal consistency, test-retest and interrater reliability, and factor structure. The PWC scores, assessed at the peak of withdrawal severity, were selected from 143 of our patients for an orthogonal factor analysis. Our results suggest that the Penn Physician Withdrawal Checklist is a simple and accurate method to assess anxiolytic discontinuation symptoms."
http://www.ncbi.nlm.nih.gov/pubmed/18626273

FX Fraipont (X)
Belgium
Local time: 12:40
Works in field
Native speaker of:

French

15 mins confidence:

peer agreement (net): +3

état de manque

Explanation:
;

Marion Feildel (X)
Türkiye
Local time: 13:40
Works in field
Native speaker of: French
PRO pts in category: 4

Grading comment

Selected automatically based on peer agreement.

1 hr confidence:

peer agreement (net): +1

effects of titrating down a medicine

Explanation:
One of the references given in the discussion offers a good definition of the check list:

"Global clinical assessment was conducted by using the Clinical Global Impression (CGI) change rating (1=very much improved, 7=very much worse). The Physician Withdrawal Checklist was used to assess symptoms commonly associated with benzodiazepine withdrawal during the taper phase. The Physician Withdrawal Checklist is a clinician-rated instrument that measures 20 common symptoms of withdrawal"
http://ajp.psychiatryonline.org/article.aspx?articleid=17609...

The taper down phase is phase of titrating down the medication, of reducing it by progressively lower doses.

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Note added at 7 hrs (2012-05-02 22:55:00 GMT)
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On a taper down phase:

Duration of treatment: An 8-week double-blind treatment phase, plus an optional 2-week double-blind taper-down phase
http://trials.boehringer-ingelheim.com/content/dam/internet/...

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Note added at 7 hrs (2012-05-02 22:57:54 GMT)
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here's the rest of the link:

dam/internet/opu/clinicaltrial/com_EN/results/1208/1208.24_U09-176919820.pdf

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Note added at 7 hrs (2012-05-02 22:58:35 GMT)
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http://trials.boehringer-ingelheim.com/content/dam/internet/...

Stephanie Ezrol
United States
Local time: 06:40
Native speaker of: English
PRO pts in category: 48

Reference comments

15 mins

Reference: reference

Reference information:
http://ajp.psychiatryonline.org/article.aspx?Volume=157&page...

Clinical Assessments
Psychiatric diagnosis was assessed by a research psychiatrist who used a semistructured interview based on DSM-III-R diagnostic criteria. Discontinuation symptoms were assessed with an empirically derived 38-item physician-rated checklist of withdrawal symptoms (physician-rated withdrawal checklist) R15712CHDHEIHF, and the patient completed the withdrawal cluster derived from the HSCL R15712CHDHIAIF, as described by Covi et al. (Covi withdrawal checklist) R15712CHDBCIDG. Both checklists inquired about symptoms present during the past week. The Hamilton Anxiety Rating Scale, the Hamilton Depression Rating Scale, and the patient-rated HSCL were used to provide measures of anxiety and depression. Possible responses to HSCL items ranged from 1 ("not ill") to 4 ("extremely ill") R15712CHDBCIDG.

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Note added at 16 mins (2012-05-02 16:00:01 GMT)
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http://www.proz.com/kudoz/English/medical_general/1150664-wi...

withdrawal symptoms
English translation: symptoms that arise from having the drug/substance withdrawn
Entered by:

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Note added at 19 mins (2012-05-02 16:02:20 GMT)
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Guide d'aide à l'arrêt du cannabis
www.inpes.sante.fr/cfesbases/catalogue/.../807.pdf - Translate this page
File Format: PDF/Adobe Acrobat - Quick View
des symptômes de manque à l'arrêt de la consommation (irritabilité, anxiété, troubles du sommeil). • On constate fréquemment que les consommateurs réguliers ...

liz askew
United Kingdom
Specializes in field
Native speaker of:

English
PRO pts in category: 88

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English translation: état de manque

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