Personal therapy reduced adverse outcomes in patients with schizophrenia living with family but increased psychotic relapse rates in those living independently; personal therapy improved social adjustment but increased anxiety

G. Marlowe

doi:10.1136/ebmh.1.4.112

Three-Year Trials of Personal Therapy Among Schizophrenic Patients Living With or Independent of Family, I: Description of Study and Effects on Relapse Rates

FOCUS The Journal of Lifelong Learning in Psychiatry ◽

10.1176/foc.2.1.146 ◽

2004 ◽

Vol 2 (1) ◽

pp. 146-157 ◽

Cited By ~ 1

Author(s):

Gerard E. Hogarty ◽

Sander J. Kornblith ◽

Deborah Greenwald ◽

Ann Louise DiBarry ◽

Susan Cooley ◽

...

Keyword(s):

Personal Therapy ◽

Schizophrenic Patients ◽

Relapse Rates

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Three-Year Trials of Personal Therapy Among Schizophrenic Patients Living With or Independent of Family, I: Description of Study and Effects on Relapse Rates

American Journal of Psychiatry ◽

10.1176/ajp.154.11.1504 ◽

1997 ◽

Vol 154 (11) ◽

pp. 1504-1513 ◽

Cited By ~ 147

Author(s):

Gerard E. Hogarty ◽

Sander J. Kornblith ◽

Deborah Greenwald ◽

Ann Louise DiBarry ◽

Susan Cooley ◽

...

Keyword(s):

Personal Therapy ◽

Schizophrenic Patients ◽

Relapse Rates

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Research Consumerism 101: Evaluating External Evidence of Treatment Effectiveness

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd17.2.43 ◽

2008 ◽

Vol 17 (2) ◽

pp. 43-49

Author(s):

James L. Coyle

Keyword(s):

Treatment Effectiveness ◽

Code Of Ethics ◽

Oropharyngeal Dysphagia ◽

Clinical Importance ◽

Professional Services ◽

Adverse Outcomes ◽

Professional Judgment ◽

Evidence Based ◽

Intervention Selection ◽

Published Research

Abstract The modern clinician is a research consumer. Rehabilitation of oropharyngeal impairments, and prevention of the adverse outcomes of dysphagia, requires the clinician to select interventions for which evidence of a reasonable likelihood of a successful, important outcome exists. The purpose of this paper is to provide strategies for evaluation of published research regarding treatment of oropharyngeal dysphagia. This article utilizes tutorial and examples to inform and educate practitioners in methods of appraising published research. It provides and encourages the use of methods of efficiently evaluating the validity and clinical importance of published research. Additionally, it discusses the importance of the ethical obligation we, as practitioners, have to use evidence-based treatment selection methods and measurement of patient performance during therapy. The reader is provided with tactics for evaluating treatment studies to establish a study's validity and, thereby, objectively select interventions. The importance of avoiding subjective or unsubstantiated claims and using objective methods of generating empirical clinical evidence is emphasized. The ability to evaluate the quality of research provides clinicians with objective intervention selection as an important, essential component of evidence-based clinical practice. ASHA Code of Ethics (2003): Principle I, Rule F: “Individuals shall fully inform the persons they serve of the nature and possible effects of services rendered and products dispensed…” (p. 2) Principle I, Rule G: “Individuals shall evaluate the effectiveness of services rendered and of products dispensed and shall provide services or dispense products only when benefit can reasonably be expected.” (p. 2) Principle IV, Rule G: “Individuals shall not provide professional services without exercising independent professional judgment, regardless of referral source or prescription.” (p. 4)

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The social adjustment of newcomers in secondary school

British Journal of Guidance and Counselling ◽

10.1080/03069889100760181 ◽

1991 ◽

Vol 19 (2) ◽

pp. 160-176

Author(s):

Jim Elliott ◽

Keith Punch

Keyword(s):

Secondary School ◽

Social Adjustment ◽

The Social

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Surgery, Radio- and Chemo- therapy for Multimodal Treatment of Rectal Cancer

Swiss Surgery ◽

10.1024/1023-9332.7.6.256 ◽

2001 ◽

Vol 7 (6) ◽

pp. 256-274 ◽

Cited By ~ 2

Author(s):

Link ◽

Staib ◽

Kornmann ◽

Formentini ◽

Schatz ◽

...

Keyword(s):

Rectal Cancer ◽

Multimodal Treatment ◽

Local Relapse ◽

Phase Iii ◽

Neoadjuvant Radiotherapy ◽

Term Survival ◽

Primary Tumors ◽

Impact On Survival ◽

Relapse Rates

The possibilities and results of multimodal treatment in rectal cancer were reviewed with respect to the results of surgical treatment only. Based on the results of 4 studies, reducing local relapse rates and increasing long term survival rates significantly, postoperative radiochemotherapy (RCT) + chemotherapy (CT) should remain the recommended standard for R0 resected UICC II and III rectal cancers. The addition of RT to adjuvant CT reduces local relapses without significant impact on survival (NSABP R-02). Vice versa, the addition of CT to RT or an improved CT in the RCT-concept prolongs survival. Preoperative neoadjuvant radiotherapy (RT) reduced local relapse rates in 9 studies, and extended survival in one study that evaluated all eligible patients. Preoperative RT reduced local relapse rates in addition to total mesorectal excision (TME) but did not extend survival. The preoperative RCT + CT downstages resectable and nonresectable tumors and induces a higher sphincter preservation rate. Phase III data justifying its routine use in all UICC II + III stages are not yet available. This treatment may be routinely applied in nonresectable primary tumors or local relapses. Preoperative RCT (or RT) may evolve as standard, if the patient selection is improved and postoperative morbidity and long term toxicity reduced. Intraoperative RT could be added to this concept or be used together with preoperative/postoperative RT at the same indications. Postoperative adjuvant RT reduced local relapses significantly in a single trial, and no impact on survival time is reported. Since postoperative RT is inferior to preoperative RT, this treatment cannot be recommended, if RT is chosen as a single treatment modality in adjunction to surgery. The results of local tumor excisions may be improved with pre- or postoperative RCT + CT. In the future, multimodal treatment of rectal cancer might be more effective, if individualized according to prognostic factors.

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Marital Stability Among Jewish and Mixed Couples Following Immigration to Israel From the Former Soviet Union

European Psychologist ◽

10.1027/1016-9040/a000112 ◽

2012 ◽

Vol 17 (2) ◽

pp. 158-167 ◽

Cited By ~ 4

Author(s):

Yoav Lavee ◽

Ludmila Krivosh

Keyword(s):

Soviet Union ◽

Cultural Identity ◽

Social Adjustment ◽

Former Soviet Union ◽

Marital Stability ◽

Marital Instability ◽

Factors Associated ◽

Mixed Marriages ◽

Marital Outcomes ◽

Jewish Immigrants

This research aims to identify factors associated with marital instability among Jewish and mixed (Jewish and non-Jewish) couples following immigration from the former Soviet Union. Based on the Strangeness Theory and the Model of Acculturation, we predicted that non-Jewish immigrants would be less well adjusted personally and socially to Israeli society than Jewish immigrants and that endogamous Jewish couples would have better interpersonal congruence than mixed couples in terms of personal and social adjustment. The sample included 92 Jewish couples and 92 ethnically-mixed couples, of which 82 couples (40 Jewish, 42 mixed) divorced or separated after immigration and 102 couples (52 Jewish, 50 ethnically mixed) remained married. Significant differences were found between Jewish and non-Jewish immigrants in personal adjustment, and between endogamous and ethnically-mixed couples in the congruence between spouses in their personal and social adjustment. Marital instability was best explained by interpersonal disparity in cultural identity and in adjustment to life in Israel. The findings expand the knowledge on marital outcomes of immigration, in general, and immigration of mixed marriages, in particular.

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