ABSTRACT
To provide appropriate help to children with mental health problems, a thorough assessment of the nature and extent of the disorder is essential. This article identifies some common disorders encountered among children and describes how to tailor assessments to particular problems.
Subject(s)
Mental Disorders/diagnosis , Mental Disorders/nursing , Nursing Assessment/methods , Adolescent , Child , Child Welfare , Health Promotion/methods , Humans , Information Services , Internet , Mental Disorders/epidemiology , Mental Disorders/etiology , Mental Health , Pediatric Nursing/methods , Psychiatric Nursing/methods , Risk FactorsSubject(s)
Consultants , Job Description , Models, Nursing , Nurse Clinicians , Psychiatric Nursing , Humans , Nursing AssessmentABSTRACT
Recent developments in healthcare legislation have caused nurses to examine new and innovative styles of practice. Psychiatric consultation liaison nursing promotes collaboration among healthcare practitioners, raises standards of patient care and strengthens rather than negates the traditional role of the mental health nurse.
Subject(s)
Consultants , Models, Nursing , Patient Care Team , Psychiatric Nursing/methods , Humans , RoleABSTRACT
The possible relationship between psychological responses among breast cancer patients and disease outcome continues to be an area of controversy and debate. Two parallel findings are reported separately in the literature: first, that emotional control is more common among women with breast cancer than in women with benign breast disease or in healthy controls and second, that a helpless attitude towards the disease is related to a poor prognosis. These previously unrelated psychological responses are examined here in a group of women (N = 359) with early stage breast cancer, who were seen one to three months after diagnosis. The relationships between emotional control, adjustment to cancer and psychological morbidity were examined. Prevalence levels of 16 and 6% were observed for anxiety and depression respectively, which are lower than reported more generally in the literature. The results indicated a highly significant association between scores for the tendency to control emotional reactions and a fatalistic attitude toward cancer. A significant association was observed between anger control and a helpless attitude. Psychological morbidity was also linked to type of adjustment to cancer. The data are interpreted in terms of a process model of psychological responses which suggests that emotional control (an important component of the Type C behaviour pattern) fatalism, helplessness and psychological morbidity are linked.
Subject(s)
Adaptation, Psychological , Anger , Anxiety/psychology , Breast Neoplasms/psychology , Depression/psychology , Internal-External Control , Adult , Aged , Breast Neoplasms/surgery , Defense Mechanisms , Female , Follow-Up Studies , Humans , Mastectomy, Segmental/psychology , Middle Aged , Personality AssessmentABSTRACT
An exploratory factor analysis of the HAD was carried out in 568 cancer patients. Two distinct, but correlated, factors emerged which corresponded to the questionnaire's anxiety and depression subscales. The factor structure proved stable when subsamples of the total sample were investigated. The internal consistency of the two subscales was also high. These results provide support for the use of the separate subscales of the HAD in studies of emotional disturbance in cancer patients.
