Sex roles, social roles, and clinical judgments of mental health

Sex Roles ◽  
1988 ◽  
Vol 19 (5-6) ◽  
pp. 265-272 ◽  
Author(s):  
Debra A. Poole ◽  
Anne E. Tapley
1984 ◽  
Vol 8 (4) ◽  
pp. 229-245 ◽  
Author(s):  
Joseph Westermeyer ◽  
Mayka Bouafuely ◽  
Tou Fu Vang
Keyword(s):  

2016 ◽  
Vol 33 (S1) ◽  
pp. s237-s237 ◽  
Author(s):  
M. Müller ◽  
V. Stefan ◽  
W. Godehard ◽  
S. Prinz ◽  
S. Egger

IntroductionResearch into the relationship between the subjective perception of clinical change and the objective evidence of the same is very limited. Less is known about the relationship between clinical judgments by mental health experts and the patient's perception of symptom change, in particular across different diagnostic groups.Aims and objectivesThis study aims to determine the level of concordance between the HONOS as a tool for clinical outcome monitoring and the self-reported change in psychopathology in a total sample of psychiatric patients as well as stratified by their primary diagnosis at admission.MethodsA consecutive sample of patients admitted to a Swiss psychiatric hospital for either alcohol use disorders, schizophrenic psychoses, mood disorders, anxiety and somatoform disorders, or personality disorders, was assessed using the Brief Symptom Inventory (BSI) at admission and at discharge. The HoNOS were rated by the responsible clinicians. Complete data of admission and discharge were available from approximately 600 cases. Reliable change index (RCI) will be calculated to determine a clinically meaningful change based on the HoNOS scores. Concordance of RCI and change in BSI scores will be explored and compared between different diagnostic groups.Results and conclusionsAccording to our preliminary results from this ongoing evaluation program, we hope to provide a step towards a deeper understanding of the interrelationship between clinical judgments and the course of subjectively experienced mental health problems.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 10038-10038
Author(s):  
Mackenzi Pergolotti ◽  
Allison Mary Deal ◽  
Grant Richard Williams ◽  
Ashley Leak Bryant ◽  
Lauren McCarthy ◽  
...  

10038 Background: Limitations in functional status and reduced health status are common among older adults with cancer, yet occupational and physical therapy (OT/PT) remain underutilized (Pergolotti, et.al. JGO,2015). For this population, we evaluated an outpatient CAncer REhabilitation (CARE) program and compared it to usual care (UC). Methods: We recruited adults 65 years and older who had a diagnosis of cancer or recurrence within 5 years and had at least one functional limitation as measured by a geriatric assessment (GA). Participants were then randomized to OT/PT (CARE) or UC. CARE delivered individualized outpatient intervention; OT addressed functional activities, and PT strength/endurance needs. UC participants received a brochure on supportive care services. Primary outcome was functional status (Nottingham Extended Activities of Daily Living Scale [NEADL] (range 0-22)) and secondary outcomes were global Mental and Physical Health, and ability to participate in Social Roles (SR) and activities (Patient-Reported Outcomes Measurement Information System [PROMIS] (range 0-100)), for all measures, higher scores indicate better health. We used t-tests to compare groups. Results: 51 adults were randomized: median age 73 years, 55% male, 92% White, 33% with Leukemia/lymphoma, 26% Breast, 22% Colorectal, 67% in active treatment, and 37% with Stage 3 or 4. After 3 months, both groups experienced a significant decline in functional status ( p = .046; p = .005), but change in functional status (-1.5 UC, -1.1 CARE, p = .637) , physical health status (0.0 UC, 2.4 CARE, p = .121) and participation in SR (.11 in UC, 3.71 CARE, p = .088) between UC and CARE were not significant. However, change in mental health (-1.0 in UC, 3.0 CARE, p= .032) significantly different between groups. Conclusions: CARE was associated with a significant improvement in participant’s mental health status compared to a decline in UC. Results suggest CARE may influence ability to participate in social roles and activities and physical health, but further study is needed with larger sample sizes. We demonstrated that for older adults with cancer, OT/PT are promising interventions to improve mental health. Clinical trial information: NCT02306252.


1970 ◽  
Vol 34 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Inge K. Broverman ◽  
Donald M. Broverman ◽  
Frank E. Clarkson ◽  
Paul S. Rosenkrantz ◽  
Susan R. Vogel

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