The International Journal of Psychiatry in Medicine

The International Journal of Psychiatry in Medicine is a peer-reviewed American journal about psychiatry as it is practised outside mental hospitals, founded in 1973 as the continuation of Psychiatry in Medicine and issued eight times a year under the SAGE imprint since 2015.《国际医学中的精神病学》是一本美国同行评审刊物，关心精神病院之外的精神科实践，1973 年接续《Psychiatry in Medicine》出版，2015 年起以 SAGE 名义每年出八期。

Its subject is the borderland where clinical psychiatry meets general medicine and primary care, and the 2025 Journal Impact Factor of 1.9 puts the title in the third quartile of the psychiatry category.它的选题落在临床精神科与综合医疗、初级保健相接的地带，2025 年影响因子 1.9，在精神病学类目处于第三四分位。

Scope

• Consultation-liaison psychiatry supplies the centre of gravity, covering the psychiatric assessment of inpatients on medical and surgical wards and the advice passed to the teams treating them.会诊联络精神医学是本刊的重心，稿件涉及内外科病房住院患者的精神科评估，也涉及给主管医疗团队的处置建议。
• Comorbidity is the second standing theme, with depression and anxiety studied in people who also carry cancer, heart disease, kidney failure or diabetes, and delirium tracked through the same admissions.共病是第二个常设主题，研究抑郁与焦虑在肿瘤、心脏病患者身上的表现，谵妄也在这类住院过程中被追踪。
• The stated aim is to bridge clinical psychiatry research and primary care clinical research, so that findings from either side reach the clinicians who see these patients first.宗旨句写明要弥合临床精神科研究与初级保健临床研究之间的缺口，让两侧的发现都能到达最先接诊这批患者的医师手里。
• Psychobiological mechanisms are named in the aims, including the relation of biomarkers to psychiatric symptoms and syndromes as they present in primary care settings.宗旨页点出心理生物学机制，其中包括生物标志物与初级保健场景中精神症状及综合征之间的关系。
• Psychological and social factors are written into the illness itself rather than treated as background, in work on coping, social support and the course of chronic disease.心理与社会因素被写进疾病本身，不作背景变量处理，相关稿件讨论应对方式、社会支持与慢性病的病程。
• Family factors get a strand of their own, with studies of caregiver burden, family responses to mental illness, and the household arrangements that decide whether treatment is followed.家庭因素单列一支，稿件研究照护者负担与家庭对精神疾病的反应，也研究决定治疗能否坚持的家庭安排。
• Religious and cultural factors are listed explicitly, a combination rare in psychiatry journals, and they show in a steady flow of papers on religion, spirituality and mental health.宗教与文化因素被明确列入范围，这一组合在精神科刊物中少见，也带来持续不断的宗教性、灵性与心理健康稿件。
• Psychotropic prescribing in the medically ill recurs often, from drug interactions and dose adjustment in hepatic or renal impairment to the choice of antidepressant in cardiac patients.躯体疾病患者的精神药物处方反复出现，从药物相互作用、肝肾功能不全时的剂量调整，到心脏病患者抗抑郁药的选择。
• Delirium and cognitive decline in hospital inpatients are handled through detection instruments, prevention protocols, and the outcomes that follow an episode once it has passed.住院患者的谵妄与认知衰退通过筛查工具、预防方案以及发作之后的结局来讨论。
• Cancer psychiatry and care at the end of life appear regularly, taking in pain management, existential distress, and requests for hastened death that ward teams find hard to answer.肿瘤精神医学与临终照护经常出现，涉及疼痛处理、存在性痛苦，以及病房团队难以回应的加速死亡请求。
• Somatisation and medically unexplained symptoms are examined from both ends of the referral, the physician's uncertainty on one side and the patient's account of bodily distress on the other.躯体化与医学上无法解释的症状从转诊的两端来考察，一端是医师的不确定，一端是患者对身体不适的叙述。
• Screening studies test short instruments such as the PHQ-9 in medical populations, where somatic items overlap with genuine physical disease and cut-offs travel badly between clinics.筛查研究在躯体疾病人群中检验 PHQ-9 这类短量表，此处的躯体条目与真实的躯体疾病相重叠，界值在科室之间很难通用。
• Health services research covers collaborative and integrated care models, referral pathways, and the cost consequences of placing psychiatric staff inside medical clinics.卫生服务研究覆盖协作医疗与整合医疗模式、转诊路径，以及把精神科人员嵌入内科门诊之后的费用后果。
• Medical education and doctor-patient communication also fit, with work on how physicians recognise psychiatric disorder and on stigma inside general hospitals.医学教育与医患沟通同样在范围内，稿件关注医师如何识别精神障碍，也关注综合医院内部的病耻感。
• Addiction and consultation for self-harm or suicide risk on medical wards complete the picture, together with the ethical questions that surround capacity and involuntary treatment.成瘾问题与内科病房内的自伤或自杀风险会诊补齐了版图，围绕决策能力与强制治疗的伦理问题也在其中。

History

• The title began as Psychiatry in Medicine, launched in January 1970 by Greenwood Press of Westport, Connecticut, and numbered from volume 1 of that year.本刊前身是《Psychiatry in Medicine》，1970 年 1 月由康涅狄格州韦斯特波特的 Greenwood Press 创办，卷次自当年第 1 卷起算。
• The present name was adopted in 1973, with Baywood of Farmingdale taking over the imprint, and rather than restarting the count the volume number carried on at 4, where NLM indexing also begins with the winter 1973 issue.1973 年改用现名，出版事务转到法明代尔的 Baywood 手中，卷号没有重新起算，而是接续到第 4 卷，美国国家医学图书馆的收录同样从 1973 年冬季号第 4 卷第 1 期开始。
• Baywood carried the journal for four decades from Farmingdale on Long Island, keeping the quarterly rhythm that shaped its early volumes.Baywood 经营这本刊物四十年，社址一直留在长岛的法明代尔，早期各卷维持每季一期的节奏。
• SAGE took over the imprint in 2015, moving the editorial address to Los Angeles and putting the back volumes onto its online platform.2015 年出版方转至 SAGE，编辑部地址改到洛杉矶，过刊也进入其在线平台。
• For most of the first four decades the journal appeared four times a year, a pattern Crossref records without a break from volume 5 in 1974 through volume 40 in 2010.最初四十年里多数年份为季刊，Crossref 的记录显示，1974 年第 5 卷到 2010 年第 40 卷一直是每年四期。
• Eight issues a year began in 2011, when volumes 41 and 42 both closed inside the same calendar year, and the National Library of Medicine has recorded that frequency ever since.2011 年起改为每年八期，第 41 卷与第 42 卷在同一年内出齐，美国国家医学图书馆此后一直按这个频率著录。
• The count has been less tidy since 2019, with Crossref showing nine numbered issues in 2020 and eleven in both 2023 and 2025, still spread over two volumes a year.2019 年之后期数不再整齐，Crossref 记录 2020 年有九个编号期，2023 年与 2025 年各十一个，仍分属一年两卷。
• Both citation indexes list it, Science Citation Index Expanded and the Social Sciences Citation Index, an arrangement uncommon for a clinical journal of this size.两个引文索引都收录本刊，即 Science Citation Index Expanded 与 Social Sciences Citation Index，这对如此体量的临床刊物并不常见。
• MEDLINE has covered the journal in full since 1973, PubMed follows the same span, and Index Medicus listed it for the years that index still ran.MEDLINE 自 1973 年起全文收录，PubMed 覆盖同一区间，Index Medicus 在该索引存续期间也一直著录。
• Impact factors have moved inside a narrow band, from 1.21 in 2021 and 1.275 in 2022 down to 1.1 in 2023, then 1.3 in 2024 and 1.9 in 2025.影响因子长期窄幅波动，2021 年 1.21，2022 年 1.275，2023 年落至 1.1，2024 年 1.3，2025 年升至 1.9。
• The five-year figure stands at 1.7, and the 2025 report credits 1,626 citations against roughly 47 articles a year, with a cited half-life of 11.9 years.五年值为 1.7，2025 年报告记入被引 1626 次，年发文约 47 篇，被引半衰期 11.9 年。
• Access is hybrid with subscription as the default, and gold open access accounts for 7.78 per cent of recent output, bought through the publisher's own charge scheme.访问模式为混合制，订阅仍是默认，金色开放获取占近年发文的 7.78%，费用走出版方自家的收费通道。
• The NLM record still carries the older ISSN 0033-278X beside the current pair, a trace of the predecessor title that survives in library catalogues.美国国家医学图书馆的记录在现行两个 ISSN 之外仍保留旧号 0033-278X，前身刊的痕迹就这样留在图书馆目录里。
• Volume numbering has run without interruption since 1970 and reached volume 61 in 2025, so the current series descends directly from the Farmingdale launch.卷号自 1970 年起从未中断，2025 年已到第 61 卷，现行序列直承法明代尔创刊时的第一卷。

Editors

• Harold G. Koenig of Duke University is editor-in-chief, a psychiatrist and researcher known for work on religion, spirituality and health and on depression in the chronically ill.主编是杜克大学的 Harold G. Koenig，这位精神科医师与研究者的工作集中在宗教性、灵性与健康，以及慢性病患者的抑郁。
• He signs the editorial that opens most issues, summarising the contents and tying them to a single clinical question such as cardiovascular disease or cancer psychiatry.多数期次的卷首社论由他署名，概述本期内容，常把各篇串到一个临床问题上，例如心血管疾病或肿瘤精神医学。
• Those opening pieces carry titles close to the issue's theme, among them psychiatric problems in cardiovascular disease, chronic kidney disease and lung cancer in late 2026.这类卷首文章标题贴着当期主题，2026 年末的一期就写作心血管疾病、慢性肾病与肺癌中的精神科问题。
• The imprint has carried a Los Angeles address since 2015, the year the title moved to SAGE, while the editor-in-chief works from Duke University.出版印记自 2015 年转投 SAGE 那年起改记洛杉矶，主编本人则在杜克大学办公。
• Manuscripts are submitted through SAGE's ScholarOne site, where the editor assigns handling and reviewers are drawn from consultation-liaison psychiatry and primary care.稿件经 SAGE 的 ScholarOne 站点投递，由主编分派处理，审稿人多来自会诊联络精神科与初级保健。
• Original research dominates, and among the last 150 PubMed records randomised trials and systematic reviews are plentiful, with narrative reviews and meta-analyses close behind.原创研究占多数，最近 150 条 PubMed 记录中，随机试验与系统评价数量可观，叙述性综述与荟萃分析也不少。
• Brief reports, letters and case reports fill out the remaining pages, and the occasional erratum or retraction notice shows that corrections are printed rather than quietly dropped.简报、读者来信与病例报告构成剩余篇幅，偶见的勘误或撤稿声明说明更正会印出来，不会悄悄带过。
• The aims address researchers, educators and clinicians from around the world, and the board weighs local service organisation as heavily as trial data when it reads a paper.宗旨句面向世界各地的研究者、教育者与临床医师，编委会读稿时对本地服务组织的关切不亚于试验数据。
• Themed clusters have grown more visible, with recent issues gathering papers on psilocybin-assisted psychotherapy, neuromodulation for suicide risk and psychiatric care in women's health.专题聚类近年更醒目，近期各期把裸盖菇素辅助心理治疗、自杀风险的神经调控以及女性健康中的精神科照护收在一处。
• Reviewers are asked for clinical relevance, and a paper that reports a biomarker without saying what it adds to a bedside decision tends to draw criticism.审稿意见看重临床相关性，只报告生物标志物却说不清它对床旁决策有何增量的稿件，往往招来批评。
• Case reports and short communications give room to uncommon presentations in the medically ill, a category the journal has kept since its Baywood years.病例报告与短通讯为躯体疾病患者中的少见表现留出位置，这一类目从 Baywood 时期延续至今。