Bibliography: leaves 233-306. A study of the phenomenon of somatization as it occurs in the primary care setting. The phenomenon was studied in terms of aspects of illness behaviour and risk of psychiatric morbidity. It is suggested that abnormal illness behaviour in the form of somatization may be an important factor in the non-recognition of mild non-psychotic psychiatric illness in the primary care setting. The results of the study indicate that an assessment of the patients' attitudes and beliefs about symptoms, and an exploration of psychosocial issues, may lead to a better understanding of why the patients have sought help, and may lead to early identification and appropriate treatment of somatizing behaviour and the psychiatric morbidity underlying such behaviour.

Bibliography: leaves 233-306. / xvii, 306 leaves : ill. ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / A study of the phenomenon of somatization as it occurs in the primary care setting. The phenomenon was studied in terms of aspects of illness behaviour and risk of psychiatric morbidity. It is suggested that abnormal illness behaviour in the form of somatization may be an important factor in the non-recognition of mild non-psychotic psychiatric illness in the primary care setting. The results of the study indicate that an assessment of the patients' attitudes and beliefs about symptoms, and an exploration of psychosocial issues, may lead to a better understanding of why the patients have sought help, and may lead to early identification and appropriate treatment of somatizing behaviour and the psychiatric morbidity underlying such behaviour. / Thesis (Ph.D.)--University of Adelaide, Depts. of Psychiatry and General Practice, 2001

The common mental disorders (CMDs) which include non-psychotic depression and anxiety-related disorders aggregate mental illnesses commonly seen together without assuming clear diagnostic boundaries. Thus, it provides an excellent platform for a symptom-level investigation of common suffering in regions where the current Western-based diagnostic categories may not apply. This current study investigates the symptom networks of CMDs among adult primary care patients in India, using data from a clinical trial testing the effectiveness of a collaborative stepped-care intervention led by lay health counselors. Network modeling was used to investigate a) symptom centralities, b) boundaries between depression and anxiety-related disorders, and c) baseline differences in network configurations across gender, public versus private health care settings, and treatment response over one-year of follow-up. Intense anxiety/panic and fatigue were the most central symptoms overall. While panic and depressed mood were the most central in public health care settings, fatigue and depressed mood were most central in private settings. Overall, findings indicate central symptoms might differ across cultures and socioeconomic groups. To the knowledge of this current author, this is the first study investigating the symptom networks of CMDs among primary care patients in India.

No description available.

This study was undertaken to determine whether the Mini-Mult is able to function as well as the MMPI for a limited clinical purpose, the discrimination of psychosis and neurosis by Goldberg's rule. The smaller size of the Mini-Mult (71 items) allows conservation of time .and energy by subjects and professionals. Thirty male residents of the Austin State Hospital completed two standard MMPIs and one oral Mini-Mult. A fourth set of scores was obtained by extracting Mini-Mult from the first MMPI. Correlations and tests of significance were computed for raw scores and Goldberg's index scores. Results indicate no significant differences in the discrimination of psychosis and neurosis between the MMPI and the Mini-Mult.

The Embree/Butler scoring system served as criterion for ascertaining brain dysfunction on the protocols of 100 subjects--50 had been diagnosed by health professionals as having brain dysfunction, and 50 had been diagnosed as having no brain dysfunction. In comparing the hospital's diagnoses with those of the Embree/Butler method, the data strongly supported the hypothesis that the Embree/Butler scoring system did effectively discriminate (chi square of 77.99 < .01) between those with organic brain syndrome (or cerebral dysfunction) and those with psychiatric classification. A point-biserial correlation was used to distinguish the relationship between diagnosis and the score. A cutoff score of above 14 produced the least false-negative or false-positive evaluations.

Typescript (photocopy). / Digitized by Kansas Correctional Industries

Typescript (photocopy). / Digitized by Kansas Correctional Industries / Department: Computer Science.

Research in the field of dual diagnosis (the coexistence of symptoms indicative of a substance abuse problem and a mental health problem) has expanded immensely over the past 15 years. Unfortunately, much of the existing literature available on this topic is limited to adult populations. The researcher explored the rate of dual diagnosis in the adolescent population by conducting a secondary data analysis of the Canadian Incidence Study of Child Abuse and Neglect (CIS-2003; Trocme et al., 2005). The rate of having one or more substance abuse problems in the CIS-2003 was 8.8% and the rate of having one or more mental health problems was 23.6%. Dual diagnosis was found to be under-reported in the child welfare system in Canada. Results of the secondary data analysis indicate that 4.4% of the total sample of adolescents aged between 10 and 15 years old had symptoms indicative of a dual diagnosis over the 3 month study period (n=4381). By providing a profile of child and caregiver characteristics and risk factors associated with dual diagnosis, clinicians from all realms can become better equipped to understand these issues. In the future, Social Workers and other professionals can work collaboratively on identification of DD and improving outcomes for youth and families affected by symptoms of a dual diagnosis.

In reviewing the literature on adult survivors of child sexual abuse/incest, it became apparent that one area has remained in its infancy: a systematic method of symptom assessment. Symptoms, both short and long term, have become clinically well documented. An index, the Sexual Abuse Survivors Symptom Index (evaluating absence/presence, frequency, severity, and impact of symptoms upon the survivor), was developed rationally from the literature was administered. A background questionnaire, simplified from one already in use, was also administered to provide information regarding variables that could confound the research.Approximately 130 female adult clinical subjects were approached to determine whether they would participate in the study. Thirty-three subjects agreed to participate. Due to the small sample size, results of the factor analysis cannot be considered reliable. The principal component factor analysis did produce eight factors, which did not converge in the varimax rotation, however, three factors did emerge. The three factors represented an affective component (almost one half of the symptoms), a somatic/sexual component, and an acting out component.The background questionnaire provided some basic support to the variables the literature reported as affecting symptom severity or likelihood for abuse to occur. Areas endorsed as most severe or correlated strongly and moderately to individual symptoms were ones that were directly connected to the abuse(i.e., age of first inappropriate sexual experience, duration of the abuse, multiple abusers, frequency of the abuse, fear of being hurt by the abusers, and overt/contact type of abuse). The variables that influenced the likelihood for abuse to occur, (i.e., substance abuse, strictness, rigid religious traditions, and physical discipline) were endorsed by slightly less than one half of the subjects, but may have had severe impact individually upon each survivor of abuse. / Department of Counseling Psychology and Guidance Services