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The impact of physical illnesses on non-psychotic psychiatric morbidity: data from the household survey of psychiatric morbidity in Great Britain
- Authors:
- COOKE Debbie, et al
- Journal article citation:
- British Journal of Health Psychology, 12(3), September 2007, pp.463-471.
- Publisher:
- Wiley
Psychiatric morbidity among the physically ill is an important issue, particularly in the light of research documenting the difficulties in accurately diagnosing and effectively treating psychiatric disorders in this group. The objectives of this study were: (1) To compare psychiatric morbidity in 11 physical conditions and a healthy comparison group. (2) To compare psychiatric morbidity between respondents with one of the 11 illnesses to those with more than one physical illness. The sample was derived from the cross-sectional Household Survey of Psychiatric Morbidity. Psychiatric morbidity (excluding psychosis) was assessed by interview using the revised Clinical Interview Schedule (CIS-R) and physical illness through self-report in 10,108 adults. Eight of the 11 illness groups were more likely to be classified as having psychiatric morbidity on the CIS-R than the physically healthy group. There were no differences in psychiatric morbidity between the different illness groups. The presence of more than one physical illness significantly increased the likelihood of psychiatric morbidity in 10 of the 11 groups. This study further supports the association between physical and psychiatric illness. Importantly, it suggests an increased likelihood of psychiatric morbidity in the presence of more than one physical condition.
Unfitting stories: narrative approaches to disease, disability, and trauma
- Authors:
- RAOUL Valerie, et al
- Publisher:
- Wilfrid Laurier University Press
- Publication year:
- 2007
- Pagination:
- 360p., bibliog.
- Place of publication:
- Waterloo, ON
Unfitting Stories: Narrative Approaches to Disease, Disability, and Trauma illustrates how stories about ill health and suffering have been produced and received from a variety of perspectives. Bringing together the work of Canadian researchers, health professionals, and people with lived experiences of disease, disability, or trauma, it addresses central issues about authority in medical and personal narratives and the value of cross- or interdisciplinary research in understanding such experiences. The book considers the aesthetic dimensions of health-related stories with literary readings that look at how personal accounts of disease, disability, and trauma are crafted by writers and filmmakers into published works. Topics range from psychiatric hospitalization and aestheticizing cancer, to father-daughter incest in film. The collection also deals with the therapeutic or transformative effect of stories with essays about men, sport, and spinal cord injury; narrative teaching at L’Arche (a faith-based network of communities inclusive of people with developmental disabilities); and the construction of a “schizophrenic” identity. A final section examines the polemical functions of narrative, directing attention to the professional and political contexts within which stories are constructed and exchanged. Topics include ableist limits on self-narration; drug addiction and the disease model; and narratives of trauma and Aboriginal post-secondary students. Unfitting Stories is essential reading for researchers using narrative methods or materials, for teachers, students, and professionals working in the field of health services, and for concerned consumers of the health care system. It deals with practical problems relevant to policy-makers as well as theoretical issues of interest to specialists in bioethics, gender analysis, and narrative theory
The joint effect of poor physical function and childcare on psychological distress among elderly Latinos
- Authors:
- FARONE Diane W., et al
- Journal article citation:
- Journal of Intergenerational Relationships, 5(1), 2007, pp.21-38.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia
A sample of 2,160 Latinos aged 65 and over was used to test the hypothesis that older people with poor physical function are likely to experience more psychological distress if they also provide child care than if they do not. Regression analysis shows that after controlling for age, gender, marital status and education, the joint effect of physical function and child care on psychological distress remains statistically significant. A further sub-group analysis shows clearly that poor physical functioning has a greater impact on psychological distress among those who provided child chare than among those who did not. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Disentangling the effects of race and SES on arthritis-related symptoms, coping, and well-being in African American and White women
- Author:
- McILVANE J. M.
- Journal article citation:
- Aging and Mental Health, 11(5), September 2007, pp.556-569.
- Publisher:
- Taylor and Francis
This study examined both unique and interactive effects of race and socioeconomic status (SES) on arthritis-related symptoms, coping, and well-being in African American and White women. Participants included 77 African American and 98 White women, aged 45 to 90, who completed structured, face-to-face interviews. A series of 2 × 2 MANCOVAs examined race (African American, White) and SES (high/low education or high/low occupational status) differences in arthritis-related symptoms, coping, and well-being. African Americans used more religious coping, wishful-thinking, seeking social support, and emotional expression than Whites. Individuals with low SES reported worse arthritis-related symptoms, poorer well-being, and greater use of coping strategies that tend to be maladaptive. Race × SES interactions revealed higher depressive symptoms in African Americans with low versus high education and coping differences in African Americans with low versus high occupational status; however differences in depressive symptoms and coping based on SES were not evident for Whites. Results demonstrate unique and interactive race and SES differences for arthritis-related symptoms, coping, and well-being showing the complexity of race and SES in the realm of physical and mental health.
How honesty could harm your career
- Author:
- TICKLE Louise
- Journal article citation:
- Community Care, 18.10.07, 2007, pp.14-15.
- Publisher:
- Reed Business Information
The General Social Care Council's official standards seem to suggest social workers with health problems present a potential danger to clients. The author reports on a row over discriminatory bias. The article also features a brief case study of one social worker who was open about his diagnosis of bipolar disorder.
Post-divorce adjustment and social relationships: a meta-analytic review
- Authors:
- KRUMREI Elizabeth, et al
- Journal article citation:
- Journal of Divorce and Remarriage, 47(3/4), 2007, pp.145-166.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
A meta-analysis of the findings of 21 studies on the role of social relationships in post-divorce adjustment is reported. It shows that network relationships (such as being part of a circle of friends or a support group) are particularly associated with positive post-divorce adjustment, as reflected in measures of well-being. Conversely, one-to-one relationships (with, for example, a family member or close friend) are particularly important in protecting against maladjustment, as reflected by measures of psychological distress or physical ill-health. The limitations of the meta-analysis are such that the findings need to be interpreted with caution, but there are implications nonetheless for professionals working with divorcing or recently divorced clients.
Improving access to primary care
- Authors:
- SEYMOUR Linda, MORRIS Brigid
- Journal article citation:
- Mental Health Today, September 2007, pp.33-35.
- Publisher:
- Pavilion
- Place of publication:
- Hove
In 2006 the Disability Rights Commission completed a formal enquiry into the inequalities in physical health and care experienced by people with mental health problems and learning disabilities. As part of this inquiry the Sainsbury Centre for Mental Health interviewed mental health service users, people with learning disabilities, carers and health and social care professionals, managers, GP reception staff and advocates in three primary care trust areas in England and one local health board in Wales. This article reports findings from this research, highlighting both problems areas and examples of good practice. The article also suggests solutions that may help to address the inequalities in physical health and care experienced by people with mental health problem and learning disabilities.
Results of an interdisciplinary intervention to improve the psychosocial well-being and physical functioning of African American grandmothers raising grandchildren
- Authors:
- KELLEY Susan J., WHITLEY Deborah, SIPE Theresa Ann
- Journal article citation:
- Journal of Intergenerational Relationships, 5(3), 2007, pp.45-64.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia
The participants in this study were predominantly low income African American grandmothers raising one or more grandchildren in the absence of the children’s parent(s). The intervention consisted of social work and nursing case management, participation in monthly support groups and parenting classes, and legal advice for those seeking custody or adoption. The results show statistically significant improvements in psychological distress, family resources, social support and family coping, but not in physical health. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Mental health and physical health of family caregivers for persons with dementia: a comparison of African American and white caregivers
- Authors:
- KNIGHT B. G., et al
- Journal article citation:
- Aging and Mental Health, 11(5), September 2007, pp.538-546.
- Publisher:
- Taylor and Francis
This investigation analyzed the differences between African American and white caregivers in the effects of family caregiving for a person with dementia on mental health and physical health variables (including subjective health, reported diseases and cardiovascular measures). A population-based sample of 102 caregivers is compared with 102 non-caregivers matched on ethnicity, gender and age. There were no significant group differences for mental health effects. Most significant physical health effects were attributable to main effects of ethnicity rather than caregiving status. However, African American caregivers had higher diastolic blood pressure than all other groups, a finding consistent with group-specific risk for circulatory system disorders.