Thesis--PlanB (M.S.)--University of Wisconsin--Stout, 2001. / Includes bibliographical references.

Thesis (M.A.)--Ohio State University, 1964. / Available online via OhioLINK's ETD Center

Thesis (M.A.)--Marshall University, 2001. / Title from document title page. Document formatted into pages; contains vii, 25 p. Includes bibliographical references (p. 16-18).

Thesis (M.A.)--Marshall University, 2001. / Title from document title page. Document formatted into pages; contains 32 p. Includes bibliographical references (p. 22-26).

Thematic unity and modal mixture in Francis Poulenc's violin sonata -- Violin sonata / Francis Poulenc. / text

BACKGROUND: Increasing proportion of students reported high level of mental stress in regards to school environment. Adolescent and young adults often have inadequate abilities and skills to coping with stress-related impairments. Stress management intervention (SMI) is considered as a primary prevention from adverse effect of stress and with potential of increasing coping skills for students. OBJECTIVES: 1) to assess internal and external validity of published SMI among adolescents and young adults and 2) to evaluate the effectiveness on mental health issues considered in included SMIs. METHODS: This is a review of assessing effectiveness of published SMI from database, including PubMed, Medline and PsycINFO, from 2000 to 2012, limited to adolescent and young adult. Data including the country of where study conducted, participants, intervention process and control group, length of follow-up, outcome measures and findings was gained and synthesised. Effect sizes categorised into five groups were calculated. RESULTS: Ten studies were identified. Five studies were comprehensive interventions that consisted of multiplied fundamental types of interventions to variety of outcomes. Three studies narrowed to single fundamental training for intervention and two studies used a specific approach. Concerning Internet-based intervention, three out of ten studies conducted with computer-assisted approach. Most of outcome measurements had positive effect size, in terms of symptoms of stress, coping strategies, cognition functions and academic performance. CONCLUSION: In general, SMI can effectively decrease stress and improve coping skills in adolescent and young adults. Sustainable effect of post-period of stress management programme is satisfactory. The positive effect size of this review could provide evidences and support the efficacy and effectiveness of stress management in adolescents and young adults. / published_or_final_version / Public Health / Master / Master of Public Health

Disengagement from mental health services by patients with schizophrenia spectrum disorders is an important issue. Most research in this area has been focused on studying the patients’ demographic and clinical characteristics that may be related to disengagement. However, research on patients’ perspective in regard to their decision of disengagement has been limited. An assessment tool developed based on an in--‐‑depth understanding of patients’ subjective experiences may capture other crucial factors. This may widen our scope of understanding of this phenomenon. Therefore, a mixed research method was employed in this thesis and three independent studies with distinctive research aims were carried out. The first study was a qualitative study which aimed at exploring reasons and factors that patients perceived influential to their decision of disengagement. Six ever--disengaged male patients aged between 18 and 28 with schizophrenia spectrum disorder were interviewed as a purposive sample after a thorough subject identification procedure. A thematic analysis of the data yielded seven themes which grouped into three domains: service (patient--‐‑clinician communication, service orientation, clinic operation); patient (psychological response, perception of illness); and medication (side effects and uncertain efficacy). A 16--‐‑item self--‐‑administered questionnaire, the Patient’s Perception of Psychiatric Service (PPPS) questionnaire, was developed. The construction of PPPS was based entirely on the themes identified from the first qualitative study. This questionnaire measured the subjective perception of the patient about the service and patient--clinician communication. Validation of the PPPS questionnaire was conducted in the second study by recruiting 50 patients with a diagnosis of a schizophrenia spectrum disorder from a psychiatric outpatient clinic. Results demonstrated that the PPPS questionnaire has good internal consistency, test-retest reliability, and convergent validity. The Singh O'ʹBrien Level of Engagement Scale (SOLES), Client Satisfaction Questionnaire (CSQ), and an internalized stigma scale were also translated and validated in this study for use in the third study. The third study explored the relationship between disengagement and the patient’s perception of service, using PPPS, level of engagement (SOLE), satisfaction with service (CSQ), and other factors including clinical characteristics and service utilization. One hundred and fifty patients with schizophrenia spectrum disorder were recruited from two specialized outpatient clinics. In view of local clinical observation, patients who had more than one disengagement episode and each lasted more than two weeks were classified into the severe--‐‑disengagement group. In a forward stepwise regression model, results suggested that PPPS and length of service predict severe disengagement. In this thesis, the use of mixed study methods showed that it was pertinent to incorporate patients’ first person experience into an assessment tool. Measuring patients’ perception of service, by using PPPS, can effectively identify patients with severe disengagement history. PPPS as a patient--‐‑rated self--‐‑administered questionnaire can be used in clinical settings to enhance the understanding of a patient’s appraisal of the service and thus proactive measures can be taken to reduce service disengagement. / published_or_final_version / Psychiatry / Master / Master of Philosophy

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