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Family Psychosocial Screening

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3461. Health care utilization and needs after pediatric traumatic brain injury. (PubMed)

Health care utilization and needs after pediatric traumatic brain injury. Children with moderate to severe traumatic brain injury (TBI) show early neurobehavioral deficits that can persist several years after injury. Despite the negative impact that TBI can have on a child's physical, cognitive, and psychosocial well-being, only 1 study to date has documented the receipt of health care services after acute care and the needs of children after TBI. The purpose of this study was to document (...) services to address the dysfunction; and whose caregiver did not report unmet need for services. Polytomous logistic regression was used to model unmet and unrecognized need at 3 and 12 months after injury as a function of child, family, and injury characteristics.At 3 months after injury, 62% of the study sample reported receiving at least 1 outpatient health care service. Most frequently, children visited a doctor (56%) or a physical therapist (27%); however, 37% of caregivers reported

2006 Pediatrics

3462. Late-life depression: the differences between early- and late-onset illness in a community-based sample. (PubMed)

) depressive illness in a community-based sample.Large (n = 3107) representative sample of older persons (55-85 years) in the Netherlands. Two-stage screen procedure to identify elderly with MDD. The Center for Epidemiologic Studies Depression scale (CES-D) was used as a screen and the Diagnostic Interview Schedule (DIS) to diagnose MDD. Data on 90 older persons with early-onset depression and 39 with late-onset depression were available.Those with LOD were older, and more often widowed. Family psychiatric (...) history, vascular pathology, and stressful early and late life events did not differ between groups. EOD subjects had more often double depression and more anxiety.In a community-based sample we did not detect clear differences in etiology and phenomenology between EOD and LOD. This discrepancy with reports from clinical samples could be due to selection bias in clinical studies. Consequently, all patients with late-life depression deserve a diagnostic work-up of both psychosocial and somatic risk

2006 International Journal of Geriatric Psychiatry

3463. Impact of bipolar disorder on a U.S. community sample. (PubMed)

Impact of bipolar disorder on a U.S. community sample. Bipolar disorder is a chronic psychiatric illness characterized by depression and at least 1 manic or hypomanic episode during the lifetime of the illness. Bipolar symptoms have been associated with significant functional impairment. We conducted a study to determine the psychosocial impact of bipolar disorder in a U.S. community sample.3059 subjects were selected from a large epidemiologic study of bipolar prevalence that used the Mood (...) Disorder Questionnaire (MDQ) to screen for bipolar I and II disorder. Subjects were surveyed from April 24, 2001, to August 6, 2001, using the Sheehan Disability Scale and the Social Adjustment Scale-Self Report. Comorbid disease data were also collected.Of the 3059 subjects surveyed, 2450 (80%) returned completed surveys: 1167 (48%) subjects screened positive for bipolar disorder based on MDQ scores; 1283 (52%) screened negative. MDQ-positive subjects reported significantly (p <.0001) more

2003 Journal of Clinical Psychiatry

3464. School performance of Nigerian adolescents with epilepsy. (PubMed)

school performance in adolescents with epilepsy in Nigeria are multivariate, with psychosocial factors most important. These should be noted for early identification and screening of those children at greatest risk for academic failure and the greatest need for appropriate educational remediation services. (...) variables (age, gender, perceived stigma, attitude toward epilepsy, and psychopathology), seizure variables (age at onset of illness, years of illness, types of seizures, and frequency of seizures per month), drug variables [types of antiepileptic drugs (AEDs), number of AEDs and side effects of AEDs], and family variables (family's socioeconomic status, family functioning, caretakers' psychopathology, and caretakers' perceived stigma) were assessed.The mean school grades of adolescents with epilepsy

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2006 Epilepsia

3465. Mental health treatment received by primary care patients with posttraumatic stress disorder. (PubMed)

Mental health treatment received by primary care patients with posttraumatic stress disorder. Posttraumatic stress disorder (PTSD) is receiving growing attention as a pervasive and impairing disorder but is still undertreated. Our purpose was to describe the characteristics of mental health treatment received by primary care patients diagnosed with PTSD.4383 patients from 15 primary care, family practice, or internal medicine clinics were screened for anxiety symptoms using a self-report (...) at the time of intake to the study. Of those receiving treatment, psychopharmacologic interventions were most common. Few patients were receiving empirically supported psychosocial interventions. Current comorbid major depressive disorder and current comorbid panic disorder with agoraphobia were significantly associated with receiving mental health treatment (major depressive disorder, p <.10; panic disorder with agoraphobia, p <.05). The most common reason patients gave for not receiving medication

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2003 Journal of Clinical Psychiatry

3466. Prevalence of dementia in an urban population in Kerala, India. (PubMed)

Prevalence of dementia in an urban population in Kerala, India. Dementia is emerging as an important health problem of elderly people in India.To investigate the prevalence, psychosocial correlates and risk factors of various dementing disorders in an urban population in Kerala, southern India.A door-to-door survey was conducted in the city of Kochi (Cochin) to identify residents aged > or =65 years using cluster sampling. Of 1934 people screened with a vernacular adaptation of the Mini-Mental (...) State Examination, all those scoring at or below the cut-off of 23 were evaluated further and those with confirmed cognitive and functional impairment were assigned diagnoses according to DSM-IV criteria. Identified cases were categorised by ICD-10 criteria. Ten per cent of those screened as negative were evaluated at each stage.Prevalence of dementia was 33.6 per 1000 (95% CI 27.3-40.7). Alzheimer's disease was the most common type (54%) followed by vascular dementia (39%), and 7% of cases were due

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2005 British Journal of Psychiatry

3467. Maternal lifestyle factors in pregnancy risk of attention deficit hyperactivity disorder and associated behaviors: review of the current evidence. (PubMed)

systematically. Studies using DSM diagnostic criteria and other validated diagnostic or screening instruments for ADHD and those examining ADHD symptoms were included. A narrative approach was used because the studies differed too much in methods and data sources to permit a quantitative meta-analysis.Twenty-four studies on nicotine (tobacco smoking), nine on alcohol, one on caffeine, and five on psychosocial stress were identified. All were published between 1973 and 2002. In spite of inconsistencies (...) Maternal lifestyle factors in pregnancy risk of attention deficit hyperactivity disorder and associated behaviors: review of the current evidence. The purpose of this review was to examine the literature assessing the relationship between prenatal exposure to nicotine, alcohol, caffeine, and psychosocial stress during pregnancy to the risk of developing behavioral problems related to attention deficit hyperactivity disorder (ADHD) in childhood.PubMed, MEDLINE, EMBASE, and PsycINFO were searched

2003 American Journal of Psychiatry

3468. The association between hyperkinesis and breakdown of parenting in clinic populations. (PubMed)

of 201 cases were coded using mulitaxial ICD-10 criteria and Jarman indices derived from census data.Hyperkinetic children were more than three times more likely to have suffered removal from home than children with other psychiatric diagnoses, independent of any psychosocial measure.Hyperkinesis is a specific risk factor for removal from home, which can operate in the absence of other psychosocial stressors. Screening children for hyperactivity is now simple, and the routine paediatric examination (...) The association between hyperkinesis and breakdown of parenting in clinic populations. There is increasing recognition that child based, as well as parent based factors may be associated with children being excluded from their families. Despite the distress routinely observed among the parents of hyperactive children, there is little research on this in clinic populations.To examine removals from home in a typical secondary care population, where hyperkinesis was accurately diagnosed.A total

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2005 Archives of Disease in Childhood

3469. Disparities in oral health-related quality of life in a population of Canadian children. (PubMed)

Disparities in oral health-related quality of life in a population of Canadian children. To assess socioeconomic disparities in the oral health-related quality of life in a group of Canadian children.Data were obtained as part of a study designed to assess the functional and psychosocial impact of traumatic dental injury. Clinical data were collected on a random sample of children during a school-based dental screening program that included measures of dental decay experience, treatment needs (...) , dental trauma, fluorosis, and malocclusion. Children with dental trauma and a comparison group of trauma-free children were selected for follow-up. Their parents were mailed a questionnaire concerning the child's personal and family characteristics. Also enclosed was a questionnaire for the child that contained a short form of the Child Perceptions Questionnaire (CPQ) 11-14. Bivariate and multivariate analyses were undertaken to determine whether there were disparities in oral health-related quality

2007 Community Dentistry and Oral Epidemiology

3470. Development of a preliminary questionnaire to assess parental response to children's food allergies. (PubMed)

suggested 4 factors that accounted for 53.6% of the variance: parental anxiety/distress, psychosocial impact of allergies, parental coping/competence, and family support. Medical variables (greater number of food allergies, positive history of anaphylaxis) were associated with higher scores on the anxiety/distress and psychosocial impact subscales. Internal consistency was good for the anxiety/distress and psychosocial impact subscales (Cronbach alpha = .80 and .77, respectively) but lower (...) for the parental coping/competence and family support subscales (alpha = .57 and .32, respectively).Although further psychometric data for the FAPQ is needed, preliminary findings suggest that the measure may be useful in screening for parental anxiety, perceived impact of food allergies, level of family support, and coping skills.

2006 Asthma & Immunology

3471. Multiple cancer prevalence: a growing challenge in long-term survivorship. (PubMed)

are to ensure optimal physical and psychosocial well-being of these long-term cancer survivors and their families. Efforts to design and evaluate effective, efficient, and equitable approaches to surveillance for second malignancies will be critical in reducing the national burden of cancer. (...) %) whose first primary was colorectal cancer and men (13%) whose first primary was prostate cancer.The findings in this report have important implications for public health practice. With individuals diagnosed with cancer living longer and the aging of the U.S. population, the number who will develop multiple malignancies is expected to increase. As a consequence, there is a growing need to promote effective cancer screening along with healthy life-styles among these at-risk populations if we

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2007 Cancer Epidemiology & Biomarkers and Prevention

3472. Women's desired information about human papillomavirus. (PubMed)

Women's desired information about human papillomavirus. As human papillomavirus (HPV) DNA testing is incorporated into cervical carcinoma screening programs, educational messages must be developed to inform women's screening choices and manage psychosocial responses to HPV DNA test results. However, little is known about women's questions and concerns about HPV or their attitudes toward HPV testing.Eight focus groups with 48 ethnically diverse, low-income women were conducted at community (...) centers, family planning and primary care clinics, and substance abuse rehabilitation facilities in Massachusetts.The participants' comments and questions about HPV revealed five major themes. First, most women overestimated the likelihood that women with HPV would develop cancer. Second, women struggled to balance the anxiety of knowing that HPV infection causes cervical carcinoma with the information that HPV infection often regresses without treatment. Third, many women were confused

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2004 Cancer

3473. Phase II Study of CG100649 for Primary Osteoarthritis in Male Subjects

for chronic pain within 2 months of screening; Serious psychosocial co-morbidities; Cognitive or psychiatric disorders, or daytime use of medications that could diminish compliance with study procedures, including maintenance of a daily pain and symptom diary and accurate dosing of study medication; Use of anticoagulants within 2 weeks of screening; Use of any medications that will affect pain perception; History of drug or alcohol abuse within one year prior to screening; Use of any other investigational (...) of the washout period and meeting all other inclusion criteria will be randomized into the study. Subjects meeting screening criteria will be randomized to receive 21 days dosing of an active dose of CG100649 or placebo. Antiarthritic efficacy will be evaluated by changes in the Western Ontario and McMaster Universities (WOMAC) OA index completed on Day 0 (Baseline) and on Days 7, 14, 21, 28, and 35. DPI and functional interference (BPI scales) will be evaluated by subject diary during the screening period

2007 Clinical Trials

3474. Study to Assess the Efficacy of Direct Observation and Mental Visualization of Foot Movements to Treat Bilateral Lower Limb Phantom Limb Pain

limb pain episodes each week in one phantom leg. Degree of pain evaluated by VAS scoring a minimum of 3 cm at time of screening for entry into study. Ability to follow study instructions and likely to complete all required visits. Exclusion Criteria: Age less than 18 or greater than 70. Unilateral upper or lower limb amputation. Severe traumatic brain injury (TBI) - permanent or temporary impairments of cognitive, physical, and psychosocial functions with an associated diminished or altered state (...) (50) subjects will be recruited and screened according to the inclusion and exclusion criteria since we expect that some may not qualify or drop-out sooner than the scheduled 4-month completion time. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 42 participants Allocation: Randomized Intervention Model: Factorial Assignment Masking: None (Open Label) Primary Purpose: Treatment Official Title: Study to Assess the Efficacy

2007 Clinical Trials

3475. L’identification et traitement du trouble panique avec ou sans agoraphobie: Mise à jour (PubMed)

L’identification et traitement du trouble panique avec ou sans agoraphobie: Mise à jour To describe for family physicians screening, diagnosis, and treatment of panic disorder with or without agoraphobia (PD/A).Articles were identified through PsycLIT, PsyINFO, and MEDLINE (1985 to 2006) using the terms panic disorder, psychotherapy, psychosocial treatment, treatment, and pharmacotherapy. Recommendations on treatment choices and guidelines are based on data from high-quality studies only (...) . Information about assessment and diagnosis of PD/A is supported by the most recent epidemiologic studies, as well as expert consensus and opinion.Panic disorder with or without agoraphobia is a psychiatric disease frequently encountered in primary care. It appears to be underdiagnosed and undertreated in this medical setting. Early successful screening requires a focus on unexplained symptoms and specific questions aimed at identifying panic attacks and their meaning for patients. The treatment of choice

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2007 Canadian Family Physician

3476. Drug misuse in over 16s: psychosocial interventions

Adults and young people over 16 who misuse opioids, stimulants or cannabis and their families and carers Drug misuse in over 16s: psychosocial interventions (CG51) © NICE 2018. All rights reserved. Subject to Notice of rights ( conditions#notice-of-rights). Page 5 of 38Introduction Introduction This guideline makes recommendations for the use of psychosocial interventions in the treatment of people who misuse opioids, stimulants and cannabis in the healthcare (...) with additional needs, such as physical, sensory or learning disabilities, and to people who do not speak or read English. If the service user agrees, families and carers should have the opportunity to be involved in decisions about treatment and care. Families and carers should also be given the information and support they need. Drug misuse in over 16s: psychosocial interventions (CG51) © NICE 2018. All rights reserved. Subject to Notice of rights ( conditions#notice

2007 National Institute for Health and Clinical Excellence - Clinical Guidelines

3477. Dyadic Interactions in Depressed and Non-Depressed Mothers and Their Infants

, and other areas of development. Depressed and non-depressed English-speaking mothers between 20 and 45 years of age, with an infant 4 months or younger, may be eligible for this study. Candidates will be screened with a mailed survey regarding their moods and feelings. Participants will undergo the following procedures: Psychiatric Interview: Subjects will participate in a 30-90 minute interview consisting of a series of standardized questions about the their behaviors and feelings. Participants whose (...) and socioemotional development. Several socio-demographic and psychosocial factors will be assessed by maternal and paternal self-reports to examine which factors exacerbate or buffer the effects of maternal depression. In addition to modifying the observations of maternal and child behaviors to be age-appropriate, new measures will be introduced at 12 and 24 months to capture child s functioning in multiple areas. Study Design Go to Layout table for study information Study Type : Observational Actual Enrollment

2002 Clinical Trials

3478. Study of Health Promotion in Patients With Early-Stage Breast or Prostate Cancer

in promoting health in patients who have early-stage breast cancer or prostate cancer. Condition or disease Intervention/treatment Phase Breast Cancer Depression Fatigue Malnutrition Prostate Cancer Psychosocial Effects of Cancer and Its Treatment Procedure: fatigue assessment and management Procedure: nutritional support Procedure: physical therapy Procedure: psychosocial assessment and care Procedure: quality-of-life assessment Not Applicable Detailed Description: OBJECTIVES: Compare the efficacy (...) in these patients. OUTLINE: This is a randomized, multicenter study. Patients are randomized to 1 of 2 arms. Arm I: Patients receive home-based telephone counseling by a personal nutritionist and a personal trainer. Arm II: Patients receive home-based standard health telephone counseling in unrelated areas of cancer care (e.g., sun exposure, screening, and falls prevention). In both arms, counseling continues every 2 weeks for 6 months. Patients are followed at 6 months. PROJECTED ACCRUAL: A total of 420

2002 Clinical Trials

3479. Pilot Study of High-Dose Capsaicin Patches to Treat Postherpetic Neuralgia Pain

Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts (...) Healthy Volunteers: No Criteria Eligibility Criteria Inclusion Criteria: Patients may be eligible for this study if they: Have a diagnosis of Painful Postherpetic Neuralgia and are at least 6 months post vesicle crusting. Are in good health. Have an adequate pain score during the screening period. Have painful areas (maximum of two sites) below the neck. If female, are of non-childbearing ability as defined by absence of menses for a minimum of 3 months or surgically sterile. If male, are willing

2002 Clinical Trials

3480. Breast Imaging Studies in Women at High Genetic Risk of Breast Cancer: Menstrual Cycle Study

Cancer Institute (NCI) Information provided by: National Institutes of Health Clinical Center (CC) Study Details Study Description Go to Brief Summary: Women who carrying a BRCA1 or BRCA2 gene mutation or who are the first- or second-degree relative of an individual with a BRCA-associated cancer in a family documented to have a BRCA1 or BRCA2 mutation will be eligible for enrollment into this pilot study of breast cancer screening modalities. We will recruit up to fifty women (twenty-five women who (...) carry an altered BRCA1 or BRCA2 gene and 25 non-carriers matched by age and family mutation type) with regular menstrual cycling (documented by menstrual history and premenopausal FSH level). A physical exam including exam of the breast and pelvis, a standard four view mammogram, breast MRI and PET scan will be scheduled initially during either the follicular or mid-luteal phase of the menstrual cycle. A unilateral cranio-caudal mammogram, and bilateral MRI and PET scan will be repeated three months

2000 Clinical Trials

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