Search results for ‘Subject term:"diagnosis"’ Sort:
Results 1 - 10 of 137
The expansion of abnormality and the biomedical norm: neonatal screening, prenatal diagnosis and cystic fibrosis in France
- Author:
- VAILLY Joelle
- Journal article citation:
- Social Science and Medicine, 66(12), June 2008, pp.2532-2543.
- Publisher:
- Elsevier
... of clinical abnormality. Lastly, the consequences of those practices are analysed at the point where neonatal screening and prenatal diagnosis meet, showing how the biomedical norm, with respect to foetuses, is altered. The political and moral space in which this development has occurred is discussed.
Clock drawing test in screening for Alzheimer's dementia and mild cognitive impairment in clinical practice
- Authors:
- VYHNALEK Martin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(9), 2017, pp.933-939.
- Publisher:
- Wiley
... the diagnostic accuracy of subjective categorical ratings with complex scoring of CDT. Methods: Three cognitive neurologists, three neuropsychologists and six neurology residents without experience in cognitive neurology blinded to the diagnosis rated 187 CDTs (50 mild AD, 49 aMCI and 88 cognitively healthy older adults) using a “yes” (abnormal) versus “suspected” versus “no” (normal) classification. (Edited publisher abstract)
Establishing a database for proactive screening of adults with Down's syndrome: when services work together
- Authors:
- HOBSON Ben, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 6(2), 2012, pp.99-105.
- Publisher:
- Emerald
Adults with Down’s syndrome are at higher risk of developing dementia than the general population and do so at an earlier age. Diagnosis of dementia in an adult with Down’s syndrome can be difficult because of the lack of a functional baseline. This paper describes a service improvement project with 2 aims: to identify and screen all adults with Down's syndrome aged over 30 years in a defined locality using a standardised instrument to establish functional baselines; and to set up a database to facilitate early diagnosis of dementia in this population. An assistant psychologist used a standardised instrument to screen 65 participants with a diagnosis of Down’s syndrome who had been identified through contact with health, social, and third sector, and housing services. Three groups were by employing working partnerships between intellectual disability and older adult services to aid diagnosis.
Primary care and dementia: 1. diagnosis, screening and disclosure
- Authors:
- ILIFFE Steve, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(9), September 2009, pp.895-901.
- Publisher:
- Wiley
... overestimate the prevalence of vascular dementia compared with Alzheimer's disease. Diagnosis is a step-wise process which can be aided by use of a cognitive function test, of which there are a number suitable for primary care use. Evidence based practice protocols can enhance detection rates in primary care, and there is growing evidence that communication skills in talking to people with dementia about The diagnosis of dementia is a shared responsibility between generalist and specialist disciplines. Primary care physicians should explore patients' ideas and concerns around their symptoms prior to referral and tentatively discuss possible diagnoses. Once the diagnosis has been confirmed, the primary care physician should provide both practical and emotional support to allow the patient and their family
Instruments for the detection of depressive symptoms in people with intellectual disabilities: a systematic review
- Authors:
- PEREZ-ACHIAGA N., NELSON S., HASSIOTIS A.
- Journal article citation:
- Journal of Intellectual Disabilities, 13(1), March 2009, pp.55-76.
- Publisher:
- Sage
- Place of publication:
- London
Affective disorders, particularly depression, are common in adults with intellectual disabilities. However the detection of these disorders is hindered by the varied presentation of depressive symptoms across the range of intellectual disability. A systematic review of the available English-language diagnostic instruments for depressive disorders for adults with all levels of intellectual disability was undertaken. Studies were appraised based on the instruments' psychometric properties, sensitivity and specificity. Twenty one of 28 identified studies which contained original data on validity and reliability; the `gold standard' ranged from clinical opinion to other established instruments, some of which had limited validation in people with intellectual disability. In view of the benefits of psychological treatments for common mental disorders, it is important to develop instruments to be used in monitoring cognitive as well as behavioural outcomes for people with intellectual disability and depressive disorders.
Prevalence of autism-spectrum conditions: UK school-based population study
- Authors:
- BARON-COHEN Simon, et al
- Journal article citation:
- British Journal of Psychiatry, 194(6), June 2009, pp.500-509.
- Publisher:
- Cambridge University Press
Recent reports estimate the prevalence of autism-spectrum conditions in the UK to be 1%. This study used a number of different methods to estimate the prevalence of autism-spectrum conditions in Cambridgeshire. A survey of autism-spectrum conditions in Cambridgeshire was conducted using the Special Educational Needs (SEN) register. A diagnosis survey was distributed to participating schools to be handed out to parents of all children aged 5–9 years. The mainstream primary school population was screened for unknown cases. The prevalence estimates generated from the SEN register and diagnosis survey were 94 per 10 000 and 99 per 10 000 respectively. A total of 11 children received a research diagnosis of an autism-spectrum condition following screening and assessment. The ratio of known:unknown
Cancer and intellectual disability: a review of some key contextual issues
- Authors:
- HOGG James, TUFFREY-WIJNE Irene
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 21(6), November 2008, pp.509-518.
- Publisher:
- Wiley
... and men, and screening services discussed. The overall issue of timely diagnosis of cancer in members of this population is reviewed with special reference to avoidable deaths. The need for methodologically sound studies to clarify the epidemiology of cancer in people with intellectual disabilities is discussed.
Limitations of the patient health questionnaire in identifying anxiety and depression in community mental health: many cases are undetected
- Authors:
- EACK Shaun M., GREENO Catherine G., LEE Bong-Jae
- Journal article citation:
- Research on Social Work Practice, 16(6), November 2006, pp.625-631.
- Publisher:
- Sage
The aim of this study was to determine the concordance between the Structured Clinical Interview for DSM-IV (SCID) and the Patient Health Questionnaire (PHQ) in diagnosing anxiety and depressive disorders. Fifty women seeking psychiatric services for their children at two mental health centres in western Pennsylvania were assessed for anxiety and depressive disorders using the SCID and the PHQ. Twenty-five women met SCID criteria for at least one anxiety disorder, 11 (44%) of whom the PHQ failed to identify. The PHQ was particularly limited in identifying individuals with anxiety disorders other than panic disorder. Seventeen women met SCID criteria for at least one depressive disorder, 6 (35%) of whom the PHQ failed to identify. The PHQ was particularly limited in identifying depressed individuals with dysthymia. It is concluded that caution should be used when screening for anxiety and depression with the PHQ. Implications for improving diagnostic accuracy in social work practice are discussed.
From a genetic innovation to mass health programmes: the diffusion of Down's Syndrome prenatal screening and diagnostic techniques in France
- Author:
- VASSY Carine.
- Journal article citation:
- Social Science and Medicine, 63(8), October 2006, pp.2041-2051.
- Publisher:
- Elsevier
Down's Syndrome prenatal diagnostic and screening techniques have spread widely in France over the last 30 years and are now part of the routine clinical practice of prenatal care. These techniques, which originated in the field of genetics, ultrasonography and biochemistry, were the first to provide the possibility of choosing the features of the foetus, or at least to reject some of its characteristics. They lead to new norms of healthy foetuses and a progressive acceptance of medical abortions. The aim of this paper is to understand how the use of these tests has been generalised in France despite scientific controversies about their risks and ethical questioning about a potential renewal of eugenics. It analyses the representations of public needs that have been articulated by key players in the scientific and medical fields. This research explores political and administrative decision making processes to understand how progressively widening public access to prenatal testing has been organised and funded. The results highlight the scientific and political role of biomedical researchers, the forms of involvement of health authorities and politicians, and the passive participation of the vast majority of the users. The paper also examines the characteristics of the French health system that facilitated the generalised use of the technology.
Deaf children identified through newborn hearing screening: parents' experiences of the diagnostic process
- Authors:
- TATTERSALL H., YOUNG A.
- Journal article citation:
- Child: Care, Health and Development, 32(1), January 2006, pp.33-45.
- Publisher:
- Wiley
... predictors of their experiences. The discussion concentrates on the question of whether early identification of deafness and the subsequent compressed time frame of events between birth and diagnosis create 'new' experiences for parents or whether in fact the new circumstances surrounding diagnosis make no difference to the way in which professionals approach their encounters with parents.