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Initial Interview (initial + interview)
Selected AbstractsPosttraumatic stress symptom trajectories in children living in families reported for family violence,JOURNAL OF TRAUMATIC STRESS, Issue 5 2009Nicole R. Nugent The present study examined latent class trajectories of posttraumatic stress disorder (PTSD) and associations between demographics, prior trauma, and reason for referral on class membership. Children ages 7,18 (n=201) were recruited for participation in the Navy Family Study following reports to the U.S. Navy's Family Advocacy Program (FAP). Initial interviews were conducted 2,6 weeks following FAP referral, with follow-ups conducted at 9,12, 18,24, and 36,40 months. Growth mixture modeling revealed two latent class trajectories: a resilient class and a persistent symptom class. Relative to youth in the resilient class, participants in the persistent symptom class were more likely to be older and to report exposure to a greater number of trauma experiences at Time 1. [source] Cost of Alzheimer's disease in a developing country settingINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 7 2005M. Zencir Abstract Purpose To evaluate the economic impact of AD in Denizli, Turkey. Design and Methods This observational study was conducted with 42 AD patients and their primary caregivers. During the initial interview, demographic data and medical histories were collected with questionnaires. For an observational period of 15 days, data on time spent for patient care were collected using standard forms. Calculations on direct cost (e.g. per day medication, outpatient physician visits during the last 3 months), indirect cost (e.g. time spent for care by caregiver for daily living (ADL) and instrumental activity of daily living (IADL)) were made by summing up and taking averages of the appropriate items. ANOVA, and linear regressions were the methods for comparisons. Results The primary caregivers of the patients mainly were their children and/or spouses. The maximum mean time spent (h/week) was 21.0 (17.5) for severely damaged cognition. The average annual cost per case was between $1,766 [95% Confidence Intervals (CI); 1.300,2.231] and $4,930 (95% CI; 3.3714,6.147). The amount of caregiver cost was the most significant item in the overall cost and it showed an increase with the declining cognitive function of patients. Daily medication cost reflected the same pattern. In contrast, cost of outpatient physician was the lowest among the patients with the worst cognition. Conclusions These results suggest that recently AD has become a significant cost for developing countries. This pilot study gives an idea of the cost of AD in developing countries where determining the actual cost can be difficult. Copyright © 2005 John Wiley & Sons, Ltd. [source] Assessing expressed emotion: comparing Camberwell Family Interview and Five-minute Speech Sample ratings for mothers of children with behaviour problemsINTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, Issue 3 2006R. Calam Abstract Little is known of the concordance between ratings of expressed emotion (EE) derived from the Camberwell Family Interview (CFI) and Five-minute Speech Sample (FMSS) for parents of children with behaviour problems. Concordance between CFI and FMSS ratings of EE was assessed prior to intervention and compared to parent-rated behaviour after intervention, at follow-up, 12 months later. Female primary caretakers of 75 children (3,10 years) showing behavioural difficulties were interviewed using FMSS and CFI. Interviews were coded independently by criterion-standard raters. Using CFI, 57 families were classified high EE, and 18 low EE. Using FMSS, 65 families were classified high EE and 10 low EE. 55/75 pairs of ratings (73%) were the same (high, n = 51: low, n = 4) and 20 mothers (27%) were allocated different EE status (Kappa = 0.14, n.s.). The FMSS ratings at initial interview appeared more closely related to behaviour rating at follow-up than CFI. Further investigation is required to establish comparability of CFI and FMSS results for carers of children. Copyright © 2006 John Wiley & Sons, Ltd. [source] Studying the incidence of depression: an ,interval' effectINTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, Issue 4 2000Jane M. Murphy Abstract A review of studies about the incidence of depression suggested that the length of the ,interval' of follow up may influence the findings. Exploration of these issues is carried out using data from the Stirling County Study, an investigation of psychiatric epidemiology in a general population. The study's customary method of diagnosis, DePression and AnXiety (DPAX), and the Diagnostic Interview Schedule (DIS) were used in an incidence investigation whose ,interval' was less than three years. Average annual incidence rates of depression for both DPAX and DIS were about 15 per 1000. Where longer intervals were used in the Stirling Study, rates were close to four per 1000. Projected lifetime risk based on the lower rates was more congruent with reported lifetime prevalence than that based on the higher rates. Irrespective of method, 90% or more of the incident cases gave an onset that predated the initial interview, suggesting poor reliability. This was often due to the fact that information given in the first interview met some but not all of the criteria for diagnosis. Being in the ,borderline' category at the beginning of the study significantly increased incidence. Thus, evidence from the Stirling County Study replicated findings that suggest an ,interval effect' and pointed to the need in incidence studies for distinguishing between the onset of the prodrome and the onset of diagnosable depression. Copyright © 2000 Whurr Publishers Ltd. [source] A 5-Year Prospective Evaluation of DSM-IV Alcohol Dependence With and Without a Physiological ComponentALCOHOLISM, Issue 5 2003M. A. Schuckit Background: The DSM-III-R removed tolerance and withdrawal as required elements for a diagnosis of alcohol dependence. Although this practice was continued in DSM-IV, the more recent manual asked clinicians to note whether physiological aspects of withdrawal (tolerance and withdrawal) had ever been experienced. Few studies have determined the prognostic meaning of a history of a physiological component to DSM-IV alcohol dependence. Methods: Face-to-face structured interviews were used to evaluate the course of alcohol, drug, and psychiatric problems during the subsequent 5 years for 1094 alcohol-dependent men and women. These subjects had been classified into subgroups at the time of initial interview regarding evidence of tolerance or withdrawal, and all evaluations were based on DSM-IV criteria. At baseline, the application of DSM-IV diagnostic guidelines resulted in 649 (59.3%) individuals having a history of an alcohol withdrawal syndrome, with or without tolerance (group 1); 391 (35.7%) with histories of tolerance but not withdrawal (group 2); and 54 (4.9%) with no lifetime histories of tolerance or withdrawal (group 3). Results: During the 5-year follow-up, both the broad (group 1 plus 2 versus group 3) and narrow (group 1 versus group 2 plus group 3) definitions of physiological dependence were associated with more alcohol and drug problems. However, for most items, this differential primarily reflected differences between groups 1 and 3, with a less impressive effect by group 2. Although no group differences were noted for the rate of independent major depressive episodes, substance-induced depressions did differentiate among groups, a finding also most closely related to the distinction between groups 1 and 3. Conclusions: These data support the prognostic importance of noting the presence of a physiological component in alcohol dependence and indicate the potential relevance of limiting the definition of a physiological component to withdrawal. [source] The Psychological Impact of Implantable Cardioverter-Defibrillator Recalls and the Durable Positive Effects of CounselingPACING AND CLINICAL ELECTROPHYSIOLOGY, Issue 8 2009JOHN D. FISHER M.D. Background: It is known that patients with lifesaving devices such as implantable cardioverter-defibrillators (ICDs) may be alarmed and worried by recalls or alerts related to their ICDs. Objectives: This study aimed to determine whether counseling has any short- or long-term benefits, and to look for characteristics that identify those most worried and those most in need of counseling. Methods: Among 100 patients with recall or alert ICDs, 14 were pacer dependent; 50 had ICDs for 1° prevention and 22 were women. Patients completed a survey indicating how worried they were on learning of the recall or alert (0,10 scale). After counseling and advice in accordance with manufacturer guidelines, patients were asked to indicate their level of worry, and were again asked after 6 months. Results: For all patients, the "worry level" at the initial interview was 5.0±3.7, falling to 2.2±3.0 after counseling (P < 0.001) and 1.4±2.3 after 6 months (P < 0.001 vs both earlier levels). There were no significant differences between those implanted for 1° versus 2° prevention or for pacer dependency. Women were initially more worried than men, but not for the long term. The 49 patients whose ICDs could be managed by reprogramming or software fix had significant reduction in worry after counseling and at 6 months compared to others. The 18 patients recommended for operative intervention remained more concerned after counseling (3.5±3.3 vs 1.9±2.9, P = 0.043). Conclusions: Patients' concerns resulting from ICD recalls or alerts can be reduced by appropriate counseling. Those patients whose ICDs could be reprogrammed to safer parameters had the most reduction in worry levels. [source] Does patient partnership in continuing medical education (CME) improve the outcome in osteoporosis management?THE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, Issue 3 2002Dr. Mahmood Puzirandeh MD FACP Director Abstract Introduction: There is an apparent gap between physicians' knowledge and their practical application of such knowledge. Educating patients to educate physicians toward improved care has been shown to be effective in selected settings. This study describes the influence of an active community education program on changing physician behavior. Methods: A total of 672 schoolteachers were interviewed and screened for detection of osteoporosis risk factors. The teachers were educated about osteoporosis and the significance of bone mass densitometry (BMD) in its management and returned to their physicians with the results of their screening. One group of their physicians received didactic lectures on the results of the screening and the impact of appropriate management on the outcome of osteoporosis. The second group of physicians did not. Six months after the initial interview and screening, patients received a mailed survey. Results: After 6 months, 258 of the teachers who had visited their physicians were resurveyed. The percentage of BMD tests ordered by physicians rose form 8.6% to 33% in both the intervention and control physician groups. Findings at the 6-month survey indicated that physicians initiated the osteoporosis discussion an average of 18% of the visits and patients did an average of 60%, prompting the physician to order a BMD test. Discussion: In this study, there was no evidence that didactic lectures affect physician behavior in ordering BMD. There were, however, compelling indications that patient education, which included written screening results, enhanced physician-patient diaglogue, resulting in more BMD orders. [source] Do early interviews affect children's long-term event recall?APPLIED COGNITIVE PSYCHOLOGY, Issue 7 2004Margaret-Ellen Pipe The present study examined the effects of the timing of an initial interview on children's recall of an event over delays of 1 and 2 years. Fifty-five children who had originally participated in a novel event when they were between 5- and 6-years old and had been interviewed about it following either short (1 week or less) or long (1 or 6 month) delays were re-interviewed 1 and 2 years after the original experience. An additional 20 children not interviewed prior to the 1-year interview were included as a no-prior-interview control group. Long delays to the initial interview led to better open-ended recall at the 1-year delay than short delays to initial interview or no prior interview. However, initial interviews that followed short delays had a greater impact on children's responses to specific questions. The results suggest that prior interview history is an important consideration when examining the effects of long delays on children's event reports, and that the effects of the timing of an initial interview depend on the nature of the information recalled. Copyright © 2004 John Wiley & Sons, Ltd. [source] Children's memory for emergency medical treatment after one year: the impact of individual difference variables on recall and suggestibilityAPPLIED COGNITIVE PSYCHOLOGY, Issue 7 2001Elaine Burgwyn-Bailes This study explores the impact of individual difference variables on children's recall and suggestibility when they discuss a stressful personal experience. It was hypothesized that some differences in social factors, including child self concept and parenting style, would be associated with variations in the way children related their experiences. Participants were 24 3- to 7-year-old children who sustained facial lacerations requiring minor medical emergency treatment by a plastic surgeon. The children were interviewed about their surgeries on three occasions: a few days, 6 weeks and 1 year after the experience. A number of individual difference measures were administered to the children and their parents at the time of the first two interviews. The results support the hypothesis that there are individual difference variables that may help to explain some of the variability in children's recall and suggestibility. Younger children with poorer receptive language skills and children of more traditional parents recalled less total information about their surgeries after one year. Child traditionalism, achievement-motivation and social avoidance, as assessed by use of the Eder Self-View Questionnaire, made a difference in suggestibility at the initial interview, but not at subsequent memory assessments. The results are interpreted as suggesting that both the demand characteristics of the interview and the strength of the memory trace are important in understanding the effects of individual difference variables in memory performance. Implications for child testimony are discussed. Copyright © 2001 John Wiley & Sons, Ltd. [source] Stimulant Medications: A Trade-off?JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2006The Lived Experience of Adolescents With ADHD PURPOSE.,The purpose of this study was to gain information and insight about prescription stimulant medication use among children and adolescents with attention deficit,hyperactivity disorder (ADHD) across developmental stages. DESIGN AND METHODS.,Investigators conducted semistructured qualitative interviews with 15 college students with ADHD. Follow-up interviews confirmed and validated information obtained during initial interviews. RESULTS.,Qualitative data analysis resulted in three global categories related to the use of prescription stimulant medication from childhood to late adolescence: (a) the early years, (b) "the trade-off," and (c) stimulant medications in college. PRACTICE IMPLICATIONS.,Increased education about prescription stimulant medications and closer management is needed to reduce side effects and minimize the risks of misuse. [source] Refugee families in therapy: from referrals to therapeutic conversationsJOURNAL OF FAMILY THERAPY, Issue 2 2001Nora Sveaass Refugee families referred for therapy present a wide array of problems and expectations, not always in accordance with what therapy may offer. Major differences between referring professionals, families and therapists regarding problem definitions and solutions may complicate collaboration. Interventions that may overcome these barriers and move initial interviews into a therapeutic context are described. Three patterns regarding referral process, problem presentation and expectations (here called referral contexts) are outlined: ,the relational', where families ask for psychological and interpersonal assistance, ,the unfocused', where families are referred to therapy without expressing any wish for it, and ,the fixed solution', where families seek support for solutions that are not of a therapeutic nature. The interventions described form part of a negotiation where motives and interest for therapy are explored and agreements regarding further therapy are outlined. [source] ,And I was very very crying': Children's self-descriptions of distress as predictors of recallAPPLIED COGNITIVE PSYCHOLOGY, Issue 7 2010Carole Peterson One hundred and forty-five children's (2,13-year-olds) self-descriptions of how much they cried when injured and subsequently treated in a hospital emergency room were used as predictors of their recall accuracy, completeness and number of unique details in interviews occurring a week, a year and 2 years later. Hierarchical regressions showed that stress was related to all three ways of evaluating children's recall of their injury in initial interviews, although only the completeness of hospital recall was related to stress. For accuracy, stress compromised recall of 2,6-year-olds in initial but not later interviews; for completeness, stress compromised recall of both events in initial but not later interviews. In contrast, highly distressed children provided the most detail in their first two interviews and the oldest children still did so 2 years later. However, stress effects were modest. Copyright © 2009 John Wiley & Sons, Ltd. [source] Do early interviews affect children's long-term event recall?APPLIED COGNITIVE PSYCHOLOGY, Issue 7 2004Margaret-Ellen Pipe The present study examined the effects of the timing of an initial interview on children's recall of an event over delays of 1 and 2 years. Fifty-five children who had originally participated in a novel event when they were between 5- and 6-years old and had been interviewed about it following either short (1 week or less) or long (1 or 6 month) delays were re-interviewed 1 and 2 years after the original experience. An additional 20 children not interviewed prior to the 1-year interview were included as a no-prior-interview control group. Long delays to the initial interview led to better open-ended recall at the 1-year delay than short delays to initial interview or no prior interview. However, initial interviews that followed short delays had a greater impact on children's responses to specific questions. The results suggest that prior interview history is an important consideration when examining the effects of long delays on children's event reports, and that the effects of the timing of an initial interview depend on the nature of the information recalled. Copyright © 2004 John Wiley & Sons, Ltd. [source] Implementing HoNOS: An eight stage approachCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 2 2001Derek Milne The Health of the Nation Outcome Scales (HoNOS) were developed as a brief way to quantify progress towards the national target of improving significantly the health and social functioning of mentally ill people (Wing et al., 1998). As an instrument, HoNOS was regarded as adequate for this purpose and so field testing was deemed to be the next task. However, the implementation of an outcome measure such as HoNOS under routine service conditions represents a significant implementation challenge. Therefore, we conducted an eight stage approach to implementation, with a sample of multi-disciplinary care managers from one county in the UK (N = 30). The results of shadowing and initial interviews indicated that significant barriers to implementation were insufficient staff and the high level of routine demands on staff for the completion of paperwork. These barriers outweighed the perceived boosters, including the favourable responses of colleagues and the benefits of data feedback from HoNOS. More staff, standardized training in the use of HoNOS, regular feedback and less paperwork were amongst ten suggestions for facilitating implementation. During a pilot period, staff received training, used HoNOS and were given graphical feedback of the HoNOS results. They were then re-interviewed, at which time they reported becoming fairly positive about the use of HoNOS and definitely valued the implementation approach. However, it is concluded that the routine use of HoNOS will require continued effort from staff and their managers (e.g. refresher training courses) and alternative or additional outcome measures may be necessary to provide useful clinical information. Copyright © 2001 John Wiley & Sons, Ltd. [source] | |||||||||||||