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Psychiatric Inpatients (psychiatric + inpatient)
Terms modified by Psychiatric Inpatients Selected AbstractsPsychometric evaluation of the body investment scale for use with adolescentsJOURNAL OF CLINICAL PSYCHOLOGY, Issue 3 2010Augustine Osman Abstract We conducted two studies to examine the psychometric properties of the Body Investment Scale (BIS; Orbach & Mikulincer, 1998) in U.S. adolescent samples. The BIS was designed to assess bodily experiences that are associated with suicide-related behaviors. In Study 1, confirmatory factor analysis (CFA) with data from a combined sample of 204 high school adolescents (83 boys, 121 girls) and 197 psychiatric inpatient (101 boys, 96 girls) adolescents provided moderate support for the oblique four-factor solution: Body Feelings (,=.86, 95% CI=.83,.89), Body Touch (,=.71, 95% CI=.65,.76), Body Care (,=.78, 95% CI=.71,.81), and Body Protection (,=.78, 95% CI=.73,.82); robust comparative fit index=.88 and the robust Tucker Lewis Index=.83. The second-order factor model also provided moderate fit to the data. In Study 2, results of the CFA with data from adolescent psychiatric inpatients (N=205; 101 boys, 104 girls) provided additional support for the four-factor solution. In addition, results of the receiver operating characteristic and logistic regression analyses showed that scores on the Body Feelings and Body Protection scales were most useful in differentiating the responses of suicidal and nonsuicidal adolescents, all Cohen's d values >.30. The study also examined associations between scores on the BIS scales and the validation self-report measures of hopelessness, suicide-related behavior, and reasons for living. © 2009 Wiley Periodicals, Inc. J Clin Psychol 66: 259,276, 2010. [source] Physical examinations of mental health service usersPROGRESS IN NEUROLOGY AND PSYCHIATRY, Issue 4 2010Andrew Peter Vanezis BSc, MBChB The Royal College of Psychiatrists recommends that every psychiatric inpatient should have a thorough physical examination within 24 hours of admission. Here, the authors present their cross-sectional audit to assess the timing and quality of physical examinations within an inner London inpatient mental health unit. Copyright © 2010 Wiley Interface Ltd [source] An audit of the prevalence of recorded nicotine dependence treatment in an Australian psychiatric hospitalAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 3 2010Paula Wye Abstract Objectives: To investigate the prevalence of recorded smoking status, nicotine dependence assessment, and nicotine dependence treatment provision; and to examine the patient characteristics associated with the recording of smoking status. Method: A retrospective systematic medical record audit was conducted of all psychiatric inpatient discharges over a six-month period (1 September 2005 to 28 February 2006), at a large Australian psychiatric hospital, with approximately 2,000 patient discharges per year. A one-page audit tool identifying patient characteristics and prevalence of recorded nicotine dependence treatment, and requiring ICD-10-AM diagnoses coding was used. Results: From 1,012 identified discharges, 1,000 medical records were available for audit (99%). Documentation of smoking status most frequently occurred on the admission form (28.8%) and diagnoses summary (41.6%). Documentation of nicotine dependence was not found in any record, and recording of any nicotine dependence treatment was negligible (0-0.5%). The rate of recorded smoking status on discharge summaries was 6%. Patients with a diagnosis of alcohol, cannabis, sedative use disorders or asthma were twice as likely to have their smoking status recorded compared to those who did not have these diagnoses. Conclusions: Mental health services, by failing to diagnose and document treatment for nicotine dependence, do not conform to current clinical practice guidelines, despite nicotine dependence being the most commonly diagnosed psychiatric disorder. Implications: Considerable system change and staff support is required to provide an environment where a primary prevention approach such as smoking care can be sustained. [source] A retrospective evaluation of the impact of total smoking cessation on psychiatric inpatients taking clozapineACTA PSYCHIATRICA SCANDINAVICA, Issue 5 2010I. Cormac Cormac I, Brown A, Creasey S, Ferriter M, Huckstep B. A retrospective evaluation of the impact of total smoking cessation on psychiatric inpatients taking clozapine. Objective:, To investigate the effect of a complete smoking ban on a group of psychiatric inpatients maintained on the antipsychotic medication clozapine. Method:, Retrospective data on clozapine dose and plasma levels were collected from a three month period before and a six month period after the introduction of the smoking ban. Results:, Before the ban only 4.2% of patients who smoked had a plasma clozapine level ,1000 ,g/l but after the ban this increased to 41.7% of the sample within the six month period following the ban despite dose reductions. Conclusion:, Abrupt cessation of smoking is associated with a potentially serious risk of toxicity in patients taking clozapine. Plasma clozapine levels must be monitored closely and adjustments made in dosage, if necessary, for at least six months after cessation. [source] Validity and reliability of an inpatient severity of psychiatric illness measureINTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, Issue 2 2005Bentson H. McFarland Abstract Inpatient psychiatric severity measures are often used but few psychometric data are available. This study evaluated the psychometric properties (reliability and validity) of a measure used to assess severity of psychiatric illness among inpatients. Using the severity measure, minimally trained raters conducted retrospective patient record reviews to assess medical necessity for psychiatric hospitalization. The data analysis compared 135 civilly committed psychiatric inpatients with a heterogeneous group of 248 psychiatric inpatients at a general hospital. The severity measure showed acceptable inter-rater reliability in both populations. Two-way analysis of variance showed that the intra-class correlation coefficient for the total score was 0.65 for general hospital subjects and 0.63 for civilly committed subjects. Differences in mean scores were substantial (15 out of a possible 75 points for general hospital subjects versus 42 for civilly committed subjects, Mann-Whitney U = 562, p < 0.001). As expected, all civilly committed subjects were well above admission cut-off score of 12, versus only 64% of the general hospital patients. The measure is appropriate for retrospective severity assessment and may also be useful for pre-admission screening. Copyright © 2005 Whurr Publishers Ltd. [source] Efficacy of progressive muscle relaxation training in reducing anxiety in patients with acute schizophreniaJOURNAL OF CLINICAL NURSING, Issue 15 2009Wen-Chun Chen Aim and objectives., The objective of this study was to examine the efficacy of progressive muscle relaxation training on anxiety in patients with acute schizophrenia. Background., Many empirical studies have found progressive muscle relaxation training beneficial in reducing the psychological effects of anxiety. Progressive muscle relaxation training is also effective in reducing the distress symptoms associated with the symptomatology of schizophrenia. Design., An experimental randomised controlled trial using repeated measures. Method., The study was designed to examine the effects of progressive muscle relaxation training on patients diagnosed with schizophrenia. Study participants were acute psychiatric inpatients in Taiwan. Eighteen patients were block randomised and then assigned to an experimental or control group. The experimental group received progressive muscle relaxation training and the control group received a placebo intervention. Results from the Beck anxiety inventory were compared between groups as a pretest before intervention, on day 11 of intervention and one week post-test after the intervention was completed. Changes in finger temperature were measured throughout the experiment. Results., The degree of anxiety improvement was significantly higher in the progressive muscle relaxation training group than in the control group after progressive muscle relaxation training intervention (p < 0·0001) and at follow-up (p = 0·0446; the mean BAI score fell from 16·4 pretest to ,5·8 post-test. After adjusting for the change in patient finger temperature, the mean change in temperature was significantly different between the two patient groups. The average body temperature increased significantly after applying the progressive muscle relaxation training to patients with schizophrenia. Conclusion., This study demonstrated that progressive muscle relaxation training can effectively alleviate anxiety in patients with schizophrenia. Relevance to clinical practice., Progressive muscle relaxation training is potentially an effective nursing intervention in the reduction of anxiety in patients diagnosed with schizophrenia, depending on the quality of their mental status at the time of intervention. Progressive muscle relaxation training is a useful intervention as it is proven to reduce anxiety levels across a spectrum of psychiatric disorders. [source] Psychometric evaluation of the body investment scale for use with adolescentsJOURNAL OF CLINICAL PSYCHOLOGY, Issue 3 2010Augustine Osman Abstract We conducted two studies to examine the psychometric properties of the Body Investment Scale (BIS; Orbach & Mikulincer, 1998) in U.S. adolescent samples. The BIS was designed to assess bodily experiences that are associated with suicide-related behaviors. In Study 1, confirmatory factor analysis (CFA) with data from a combined sample of 204 high school adolescents (83 boys, 121 girls) and 197 psychiatric inpatient (101 boys, 96 girls) adolescents provided moderate support for the oblique four-factor solution: Body Feelings (,=.86, 95% CI=.83,.89), Body Touch (,=.71, 95% CI=.65,.76), Body Care (,=.78, 95% CI=.71,.81), and Body Protection (,=.78, 95% CI=.73,.82); robust comparative fit index=.88 and the robust Tucker Lewis Index=.83. The second-order factor model also provided moderate fit to the data. In Study 2, results of the CFA with data from adolescent psychiatric inpatients (N=205; 101 boys, 104 girls) provided additional support for the four-factor solution. In addition, results of the receiver operating characteristic and logistic regression analyses showed that scores on the Body Feelings and Body Protection scales were most useful in differentiating the responses of suicidal and nonsuicidal adolescents, all Cohen's d values >.30. The study also examined associations between scores on the BIS scales and the validation self-report measures of hopelessness, suicide-related behavior, and reasons for living. © 2009 Wiley Periodicals, Inc. J Clin Psychol 66: 259,276, 2010. [source] The dependent patient in a psychiatric inpatient setting: Relationship of interpersonal dependency to consultation and medication frequenciesJOURNAL OF CLINICAL PSYCHOLOGY, Issue 3 2001Richard M. O'Neill To examine the relationship between interpersonal dependency and medical service use in a hospital setting, the number of medical consultations and psychotropic medication prescriptions were compared in matched, mixed-sex samples of 40 dependent and 40 nondependent psychiatric inpatients. Results indicated that dependent patients received more medical consultations and a greater number of medications than did nondependent patients with similar demographic and diagnostic profiles. Implications of these results for theoretical models of interpersonal dependency and for previous research on the dependency,help-seeking relationship are discussed. Practical implications of these findings for work with dependent patients are summarized. © 2001 John Wiley & Sons, Inc. J Clin Psychol 57: 289,298, 2001. [source] SCL-90-R profiles in a sample of severely violent psychiatric inpatientsAGGRESSIVE BEHAVIOR, Issue 6 2002Stål Bjørkly Abstract A sample of 39 patients who had committed serious violent acts toward others were assessed with the revised Symptom Checklist (SCL-90-R). The SCL-90-R is a self-report symptom inventory for the measurement of psychopathology in psychiatric and medical patients. In addition to the patients' self-report, an observer-rated SCL-90-R was obtained. This was accomplished by letting one pair of nurses complete SCL-90-R ratings for each patient. The first aim of the study was to compare the SCL-90-R self-report scores of the patient sample with the psychiatric inpatient norms [Derogatis LR (1992): Clinical Psychometric Research Inc]. Another purpose of this study was to explore possible trends of discordance between the observer ratings and the self-reports of the study group. Always considering the limitations of the small sample, it was nevertheless also of interest to look for possible sex differences and differences between violent subgroups and between diagnostic groups in the self-reported scores as well as in the observer ratings. The most striking findings of the present study were that the self-reported scores were lower than the inpatient norms for SCL-90-R and that the patients' self-reported levels of distress were significantly lower than those found in the observer ratings. Underreporting of psychopathology as a marker of violence risk is discussed in light of these findings. In this study, women reported higher distress levels than men in the Interpersonal Sensitivity symptom dimension. There were no significant differences concerning SCL-90-R ratings between patients who had committed homicide, attempted homicide, or physically assaulted another person in a serious but not life-threatening way. Aggr. Behav. 28:446,457, 2002. © 2002 Wiley-Liss, Inc. [source] The dynamics between structure and flexibility in constant observation of psychiatric inpatients with suicidal ideationJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 5 2005G. B. VRÅLE rn cand.mag The aim of the study is to describe how expert nurses perform constant observation of patients with suicidal ideation. A qualitative content analysis is used to analyse individual and focus group interviews of five nurses. One main finding is identified: organizing phases and transitional phases formed during constant observation and the creation of a therapeutic relation. The findings are explained and discussed. In summary, the findings show that constant observation of inpatients with suicidal ideation seems to consist of two main aspects. One refers to its phases and consists primarily of assessing the need for control and controlling the patient from self-harm. The other aspect refers to the relationship between the nurse and the patient during a period of constant observation. There is a dynamic relation between structure and flexibility, and between control and the development of a therapeutic relationship between the patient and the nurse. The therapeutic relation is important when staff assess the need to continue round-the-clock observation. [source] Real world application of an intervention to reduce abscondingJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 5 2005L. BOWERS rmn phd Absconding by acute psychiatric inpatients is associated with risk of harm to self and others, and creates considerable emotional as well as tangible burdens for staff. Previous research has led to the development of an effective nursing intervention to reduce absconding. In this project, that intervention was encapsulated in a self-training package, and offered freely to wards across the UK who agreed to implement it and audit the results. Fifteen wards completed this distributed audit, and achieved overall a 25.5% decrease in their absconding rates, as measured by official reports. The results support the efficacy of the intervention, and indicate that significant reductions can be made in absconding rates from unlocked or partially locked acute psychiatric wards. [source] The perceived expressed emotion in staff scaleJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 1 2003J. FORSTER Recent research has highlighted the role of expressed emotion by ward staff in determining the well-being of psychiatric inpatients. Existing methods of assessing staff expressed emotion involve standardized interviews and are expensive and time-consuming. We report the development of a questionnaire measure of expressed emotion in staff as perceived by patients. In study 1, factor analysis of items administered to patients in a variety of settings led to the development of a questionnaire with three subscales: supportiveness, criticism and intrusiveness. In study 2, the test,retest reliability of the questionnaire was found to be adequate, and some evidence of concurrent validity for the scale was obtained against expressed emotion rated from staff speech samples. In study 3, the scale was shown to have good concurrent validity against the ward atmosphere scale, and scores were found to be independent of insight or experience of admission to hospital. The perceived expressed emotion in staff scale is a convenient measure, which may have utility for both research and clinical purposes. [source] Posttraumatic stress disorder in a general psychiatric inpatient populationJOURNAL OF TRAUMATIC STRESS, Issue 4 2001Alexander C. McFarlane Abstract This study examined the incidence of traumatic experiences and prevalence of lifetime posttraumatic stress disorder (PTSD) in a sample of 141 general hospital psychiatric inpatients. Sixty-one percent of the patients reported at least one traumatic event during their lifetime and 28% met the formal DSM-III-R criteria for a lifetime diagnosis of PTSD. A high degree of comorbidity between PTSD and other psychiatric disorders was found, but PTSD was the incident disorder in at least 50% of cases. The experience of trauma and its associated complex patterns of symptomatology suggest that PTSD complicates the process of recovery from another disorder. [source] Consequences of childhood abuse among male psychiatric inpatients: Dual roles as victims and perpetratorsJOURNAL OF TRAUMATIC STRESS, Issue 1 2001Marylene Cloitre Abstract The relationship between retrospective self-reports of childhood abuse and subsequent interpersonal violence was assessed among 354 consecutive male inpatient admissions. Three logistic regressions revealed that, controlling for sociodemo-graphic and diagnostic variables, the association between childhood abuse and three mutually exclusive adult negative outcomes were as follows: (1) being a perpetrator of violence (Odds Ratio [OR] = ns), (2) being a victim of violence (OR = 2.5), and (3) being a perpetrator and victim (OR = 4.9). The results suggest that, among men with significant psychiatric impairments and childhood abuse, rates of adult victimization are high, and the most frequent negative outcome reflects involvement in dual roles of perpetrator and victim. The possible dynamics of this relationship are discussed. [source] Tattoos and antisocial personality disorderPERSONALITY AND MENTAL HEALTH, Issue 3 2008William Cardasis Objective,The relationship of tattoos to the diagnosis of antisocial personality disorder (ASPD) was explored in a forensic psychiatric inpatient hospital setting. It was hypothesized that a greater proportion of forensic inpatients that possessed tattoos had ASPD than patients who did not possess tattoos. Method,Forensic male psychiatric inpatients (N = 36) were administered a semi-structured interview to determine the presence of a tattoo. ASPD was determined by criteria on a Diagnostic and Statistical Manual of Mental Disorders-IV ASPD checklist. Demographic and background characteristics of the patients were collected, and details about each tattoo were obtained including a calculation of the surface area of each tattoo. Results,Significantly more forensic psychiatric inpatients with tattoos had a diagnosis of ASPD compared to patients without tattoos. Patients with ASPD also had a significantly greater number of tattoos, a trend toward having a greater percentage of their total body surface area tattooed, and were more likely to have a history of substance abuse than patients without ASPD. Tattooed subjects, with or without ASPD, were significantly more likely to have histories of substance abuse, sexual abuse and suicide attempts than non-tattooed patients. Conclusions,Forensic psychiatric inpatients with tattoos should be assessed carefully for the presence of ASPD as well as for substance abuse, sexual abuse and suicide attempts, factors having potentially significant influence on the assessment and treatment of such patients. Copyright © 2008 John Wiley & Sons, Ltd. [source] Differences in Patterns of Symptom Attribution in Diagnosing Schizophrenia Between African American and Non-African American CliniciansAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 2 2006Steven J. Trierweiler PhD The authors examined clinician race differences in symptom attribution patterns in diagnosing psychiatric inpatients from a low-income, African American community. Different decision models were applied to patients based on clinician race. African American clinicians diagnosed schizophrenia with higher odds than non-African American clinicians when they believed hallucinations were present and avoided that diagnosis with lower odds when they considered substance abuse issues. Non-African American clinicians usually related the attribution of negative symptoms to the diagnosis of schizophrenia while African American clinicians did not make this linkage. The study highlights the need for more detailed examination of cultural influences on diagnostic judgments. [source] A new accurate method for predicting lithium clearance and daily dosage requirements in adult psychiatric patientsBIPOLAR DISORDERS, Issue 3 2008Hisham S Abou-Auda Objective:, The present study aimed to derive new equations for estimating lithium clearance and daily dosage requirements needed to achieve an intended lithium serum level for adult psychiatric inpatients and outpatients. Methods:, Data were retrospectively collected from 60 adult psychiatric patients (34 males and 26 females, aged between 18,80 years) in both inpatient and outpatient settings. All variables that might affect lithium clearance and/or lithium serum concentration were included and analyzed by stepwise multiple linear regression to produce equations describing lithium clearance and daily dosage requirements for these patients. The validation of the developed equations was performed by application to another 60 psychiatric subjects in both the inpatient and outpatient settings. The bias and accuracy of the new methods were also compared to those set forth by the empirical method and the a priori methods developed by Zetin, Pepin, Jermain and Terao and colleagues. Results:, The following prediction equations for lithium clearance (CLLi) were obtained: CLLi (inpatients) = 0.932 + 0.185CLCr and CLLi (outpatients) = 1.021 + 0.141CLCr. The equations derived for daily dosage requirements were: daily dose (inpatients, mg) = 350.15 + 289.92 (desired lithium level, mmol/L) + 0.84 (weight, kg) , 1.76 (age, years) + 34.43 [tricyclic antidepressant (TCA), yes = 1, no = 0] + 62.1(CLCr, L/h) + 13.1 [blood urea nitrogen (BUN), mmol/L] + 40.9 (sex, male = 1, female = 0) and daily dose (outpatients, mg) = 784.92 + 530.22 (desired lithium level, mmol/L) + 8.61 (weight, kg) , 12.09 (age, years) , 11.14 (TCA, yes = 1, no = 0) , 7.63 (CLCr, L/h) , 42.62 (BUN, mmol/L) , 23.43 (sex, male = 1, female = 0). In the present method, the prediction error for clearance was 10.31% and 6.62% for inpatients and outpatients, respectively, and the prediction error for daily dosage requirements was 3.96% and 2.95% for inpatients and outpatients, respectively. Conclusions:, Compared to previously reported methods, the present method proved to be accurate and can be safely used for the prediction of lithium clearance and daily dosage requirements in psychiatric inpatients and outpatients. [source] Self-inflicted bodily harm among victims of intimate-partner violenceCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 5 2007Randy A. Sansone In this study, we surveyed 113 women psychiatric inpatients with regard to histories of intimate-partner violence and six self-harm behaviours related to the intentional damage of one's body (e.g., cutting, hitting, scratching self). Multiple regression analysis revealed that a history of domestic violence was a statistically significant predictor of bodily self-harm even after controlling for age and having ever been married. Among some victims of domestic violence, this statistical relationship may indicate an underlying common psychodynamic theme such as a high threshold for body maltreatment and/or low body esteem. Regardless, these data suggest that mental health clinicians need to explore among women victims of intimate-partner violence the presence of self-initiated bodily self-harm.,Copyright © 2007 John Wiley & Sons, Ltd. [source] The influence of socio-demographic and illness variables on quality of life in acute psychiatric inpatientsCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 4 2007Z. G. Hodgson The mental-health literature highlights the importance of improved quality of life as an explicit goal of the mental-health service. Recent work indicates that assessment of subjective quality of life can be feasible and meaningful in individuals with psychiatric disorders. Although a number of studies have examined the influence of demographic variables on subjective quality of life in individuals with psychiatric disorders, there remains a paucity of studies that have made comparisons between diagnoses in inpatient populations. We used the WHOQOL-BREF to examine the influence of different psychiatric diagnoses on quality of life and investigated whether the relationship between demographic variables and quality of life was the same across diagnoses. We found that the relationship between demographic and illness variables was complex, with inconsistent effects across WHOQOL-BREF domains. Certain domains of the WHOQOL-BREF were more sensitive to the influence of psychiatric diagnosis than others.,Copyright © 2007 John Wiley & Sons, Ltd. [source] | |||||||||||||||||||||||||