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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.

Descriptive characteristics of inpatients with tardive dyskinesia as distinguished from inpatients without tardive dyskinesia

Savage, Lucy Glover 01 January 1980 (has links)
The purpose of this study was to investigate the relationship of the presence or absence of tardive dyskinesia (TD) to drug and behavioral history variables. The author hoped to determine if there were descriptive characteristics, unique to patients with TD, which could merit further investigation as precursors of TD. Two samples, with 26 subjects each, were drawn from patients identified at Eastern State Hospital and screened by a psychiatrist. The TD and No-TD groups were matched on age, sex, and diagnosis. Entire drug histories were recorded and entire behavioral (hospitalization) histories were rated. Data collection was discontinued, for both subjects, with the emergence of TD symptoms in the TD subject. This was an ex post facto design.;It was hypothesized that significant differences would be found between the two groups on history of antipsychotic and antiparkinson medications, history of polypharmacy, history of drug-free days and periods, history of extrapyramidal symptoms (EPS), history of psychiatric behavior patterns, race, eye color, and dental status. A trend was noted for the No-TD group to have consistently higher means on all of the drug variables. Significantly higher means for the No-TD group were found for mean cumulative and mean daily dose of antipsychotics, mean length of antiparkinson agent administration, and in the number of EPS incidences. The TD group had significantly more edentulous subjects than the No-TD groups.;Although TD is clearly related to antipsychotic ingestion, apparently it is not related to the quantity of antipsychotics ingested. Future study should, therefore, focus on the relationship of individual vulnerability to the development of TD rather than on drug variables such as those investigated in this study. Further investigation of the behavioral precursors is indicated. A prospective design is recommended in order to clarify relationships, such as EPS history and the development of TD, that remain unclear in retrospective investigations.

Therapeutic intervention in the treatment of adult patients with metastatic cancer : a comparative study of two group counseling approaches

Cumbia, Gilbert Garner 01 January 1985 (has links)
The purpose of this study was to analyze the efficacy of two group counseling approaches upon adult patients diagnosed with metastatic cancer since August 1, 1980. Eighteen adult outpatients from metropolitan Richmond, Virginia area hospitals were the subjects. All were volunteers and were randomly assigned, using a modified random sampling procedure, to a nondirective, stress management, or control group. Five personality characteristics were examined: state anxiety, trait anxiety, self-esteem, innerdirectedness, and time competence.;The nondirective and stress management groups met for 90 minute sessions twice a week for five consecutive weeks. The control group did not meet. Each group facilitator distributed the State-Trait Anxiety Inventory, Tennessee Self Concept Scale, and the Personal Orientation Inventory to the participants at an eleventh session and explained the directions. These assessment instruments were self-administered at home. Proper test-taking procedures were stressed by the facilitator. The same instruments were taken to the homes of the control group members for self-administration.;The research design used in this study was the Posttest-Only Control Group Design. The statistical procedure employed was the analysis of variance. Five null hypotheses provided the basis for testing for significant differences ((alpha) = .05) among the nondirective, stress management, and control groups on posttest anxiety, self-esteem, innerdirectedness, and time competence measures.;Analyses of the test data revealed that there was no significant difference among the nondirective, stress management, and control groups on any of the posttest measures. The investigator failed to reject all five null hypotheses.;Individual post-group interviews were conducted within two weeks of the termination of each group. They served as a validity check of the instrumentation results, and a content analysis was conducted with the interview data. The interview data analyses revealed that there was no appreciable difference among the nondirective, stress management, and control groups. There was, however, a qualitative difference when comparing the nondirective and stress management groups with the control group. In each treatment group, the group experience was credited for a diminution of stress and anxiety and an enhancement of self-esteem, innerdirectedness, and time competence. The control group period did not appear to be as meaningful or beneficial.

The Social Institution of Insanity

Chesno, Frank A. 01 January 1968 (has links)
No description available.

Reducing Length of Hospital Stay for Intellectually Disabled Psychiatric Patients with Chronic Medical Problems

Wigwe, Joseph 01 January 2016 (has links)
Length of hospital stay (LOS) is a major indicator for measuring efficient care. Intellectually disabled psychiatric patients (IDPP) with chronic medical problems have longer LOS due to challenges faced by providers in jointly managing both psychiatric and medical problems. The purposes of this study were to understand the significance of LOS for IDPP, create an intervention toolkit to reduce LOS, establish the content validity of the toolkit, and recommend its implementation. The items of the toolkit are pharmacology, somatic, rehabilitation, psychosocial, and monitoring patients' psychiatric and medical symptoms across care domains. The toolkit was created from the constructs of the psychiatric rehabilitation process model to jointly mange psychiatric and medical issues. The project question asked if a universal agreement rating will be achieved to establish content validity of the toolkit. Orem's self-care deficit theory was used to guide this study. Ten experts with experience in the clinical, financial, legal, and psycho-social aspects of IDPP care, were recruited from 5 county facilities and asked to participate in the study. The inclusion criteria focused on the experts' leadership roles in those facilities. The experts answered two online quantitative surveys. Survey 1 asked 9 questions and elicited opinions on LOS issues for IDPP. Survey 2 asked the experts to rate the efficacy of the toolkit to reduce LOS for IDPP. Survey 1 finding showed that 8 of 10 experts agreed that LOS for IDPP needed to be reduced. Survey 2 finding showed a universal agreement toolkit rating of 0.84, indicating the experts' readiness to adopt the toolkit to reduce LOS for IDPP. This study has the potential to promote social change by enhancing interdisciplinary and collaborative use of best care processes in psychiatry to reduce LOS and jointly manage psychiatric and medical problems affecting IDPP.

A Constructivist Grounded Theory Study of Counselors' Preparedness to Counsel Refugees

Atiyeh, Shadin Riem 01 January 2019 (has links)
A gap exists in the current literature on the training needs of professional counselors so they can meet the increasing demand for counseling services among refugee populations. The purpose of this constructivist, grounded theory study was to explore the perceptions of professional counselors related to their preparedness to demonstrate multicultural competence when counseling refugees. A constructivist grounded theory approach following Charmaz's principles guided the investigation into perceptions of professional counselors towards counseling with refugee clients. The author conducted a qualitative demographic form, individual interviews, and a focus group with professional counselors who had experience working with refugees. Sample included 21 licensed professional counselors who had experience working with at least one refugee client. Utilizing a thematic data analysis on the qualitative data, the main themes outlined in this comprehensive theory included contexts, challenges, competencies, and professional development. The study may contribute to positive social change through increasing access to mental health services for refugee populations who currently underuse the services.

The effects of rate of presentation of therapeutic procedures in multimodal therapy treatment of public speaking, generalized, and nonspecific anxiety

McNeill, John W. 01 January 1979 (has links)
No description available.

Clinical Practice Guideline: Posttraumatic Stress Disorder Screening Tool for Patients

Smith, Stephanie Lynn 01 January 2019 (has links)
The National Institute of Health has estimated that over 1 million new cancer cases will occur yearly. Posttraumatic stress disorder (PTSD) is commonly associated with near death experiences or traumatic events, such as cancer diagnosis and treatment. There is a lack of knowledge and awareness by healthcare professionals in identifying PTSD in cancer patients. In this population, PTSD symptoms often contribute to anxiety, and there is no standardized protocol being used to screen these individuals for the trauma they are facing or have faced. The purpose of this project was to develop a clinical practice guideline for screening cancer patients for PTSD in a clinic population serving cancer patients. The stress theory developed by Lazarus and Folkman guided this project. The project questions were to identify the most appropriate screening tool for PTSD in cancer patients and recommend a clinical practice guideline to the clinic healthcare providers. Five widely used PTSD screening tools were reviewed. Based on the project question the Clinician Administered PTSD Scale was identified as the most appropriate for this clinic setting and patient population. An expert panel consisting of 3 experienced psychiatric nurse practitioners reviewed the proposed guideline using the AGREE II tool. Using a scale of 1 (strongly disagree) to 7 (strongly agree), the team members agreed with a score of 5 or higher in each domain with the proposed guideline. Utilization of this guideline will promote a positive social change towards mental health awareness and improve the quality of life for these patients and their families.

Suicide and Disability: Three Different Analyses of a Nation-Wide Sample of American Adults

Lund, Emily M. 01 December 2016 (has links)
Suicidality is a major public health issue and is more common among people with disabilities. However, relatively little is known about the context and specifics of suicidality among adults with disabilities compared to their peers without disabilities. This dissertation presents three different analyses of suicidality and disability using a sample of American adults. Chapter I introduces the topic and dataset. Chapter II presents an analysis of the internal consistency, mean scores, and response patterns on the Suicidal Behavior Questionnaire—Revised (SBQ-R) by disability status in order to establish the internal of the measure in people with disabilities and explore the uniformity of suicidality in people with and without disabilities. Participants with disabilities tended to more frequently endorse response choices consistent with increased past, current, and perceived future suicidality. Chapter III presents an analysis of the relationship between suicidality, disability, and psychiatric disability. Disability remained a significant predictor of suicidality even when depressive symptoms were included in the analysis, and psychiatric disability predicted greater suicidality within the disability subsample, even when depressive symptoms were controlled for via statistical analysis. Chapter IV presents an analysis of suicidality and disability within the context of both depressive symptoms and sociodemographic risk and protective factors for suicidality. Participants with disabilities experienced more sociodemographic risk factors than participants without disabilities; however, disability status remained a significant predictor of suicidality even when sociodemographic risk and protective factors, as well as depressive symptoms, were included in the analysis. Chapter V summarizes and concludes the dissertation, including our consistent and major finding that disability is linked to significantly higher suicidality, even when depression and sociodemographic risk factor are accounted for in statistical analysis.

An examination of the similarities and differences in mental health status, working alliance, and social persence between face-to-face and online counseling.

Holmes, Courtney M. 01 January 2011 (has links)
No description available.

Growing up with violence: Examining the role of moral development in mediating the effects of community violence exposure.

Dewell, John A. 01 January 2011 (has links)
No description available.

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