RESUMO
One hundred fifty clients of a shelter for homeless youths in New York City were interviewed to obtain information about their backgrounds and the incidence of behavioral and emotional disorder. Most of the respondents came from backgrounds characterized by severe emotional deprivation and physical or sexual abuse. Of the 140 who completed the full interview, 90 percent fulfilled DSM-III-R criteria for an emotional or behavioral disorder. Fifty-nine percent had conduct disorder, three-quarters were depressed, 41 percent had considered suicide, and more than one-quarter had attempted suicide.
Assuntos
Sintomas Afetivos/epidemiologia , Transtorno da Personalidade Antissocial/epidemiologia , Pessoas Mal Alojadas/estatística & dados numéricos , Delinquência Juvenil/estatística & dados numéricos , Comportamento de Esquiva , Meio Social , População Urbana/estatística & dados numéricos , Adolescente , Sintomas Afetivos/diagnóstico , Sintomas Afetivos/psicologia , Transtorno da Personalidade Antissocial/diagnóstico , Transtorno da Personalidade Antissocial/psicologia , Estudos Transversais , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/epidemiologia , Transtorno Depressivo/psicologia , Feminino , Pessoas Mal Alojadas/psicologia , Humanos , Incidência , Delinquência Juvenil/psicologia , Acontecimentos que Mudam a Vida , Masculino , Cidade de Nova Iorque/epidemiologia , Desenvolvimento da Personalidade , Fatores de Risco , Fatores SocioeconômicosRESUMO
Twenty-four chronic schizophrenic patients were treated successfully with the addition of acetazolamide and thiamine (A + T) to their unchanged existing therapies in a double-blind, placebo-controlled crossover study. Therapeutic effects were measured by the Scale for the Assessment of Positive Symptoms and the Scale for the Assessment of Negative Symptoms. Overall, 50% of the patients showed improvement on all assessment scales. No untoward effects occurred in these patients or in patients in previous studies who have been treated continuously with A + T therapy for as long as 3 years.
Assuntos
Acetazolamida/administração & dosagem , Esquizofrenia/tratamento farmacológico , Tiamina/administração & dosagem , Adulto , Glicemia/metabolismo , Doença Crônica , Ensaios Clínicos como Assunto , Método Duplo-Cego , Quimioterapia Combinada , Humanos , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Psicologia do EsquizofrênicoRESUMO
At Rockland Psychiatric Center 60 newly admitted (and readmitted) young adult chronic patients were given tests of intellectual functioning and academic achievement three weeks after admission. The majority of these patients (83 percent) had below-normal IQs and more than half were found to be functionally illiterate. The authors point out that such patients require intensive socialization training and remedial education if they are to survive in the community.
Assuntos
Logro , Inteligência , Transtornos Mentais/psicologia , Adulto , Doença Crônica , Escolaridade , Feminino , Humanos , MasculinoRESUMO
This study was carried out to determine whether long term chronic deteriorated patients could be taught skills in activities of daily living by therapy aides to improve their quality of life in the hospital. It was designed as a controlled trial comparing active intervention in the experimental wards with routine nursing care in the control wards. The results showed that, even in such a short period as 3 months, active treatment produced results which were statistically significantly better than the controls. It is concluded that mental hygiene therapy aides, given adequate support and encouragement, can make measurable and observable improvements in the behavior of long term patients. The implications of the results are considered.
Assuntos
Transtornos Mentais/reabilitação , Auxiliares de Psiquiatria/estatística & dados numéricos , Unidade Hospitalar de Psiquiatria/organização & administração , Atividades Cotidianas , Adulto , Idoso , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Doença Crônica , Estudos de Avaliação como Assunto , Feminino , Hospitais Estaduais/organização & administração , Humanos , Assistência de Longa Duração/organização & administração , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Auxiliares de Psiquiatria/psicologia , Qualidade de VidaRESUMO
A three-month pilot project was devised to test the effectiveness of treatments designed by therapy aides for improving the daily living skills of long-term chronic psychiatric patients. The study was conducted on two male and two female wards; one male and one female ward were chosen for experimental treatment, the other two as controls. Patients behaviors were rated by a nurse or therapy aide and by one of the investigators both before and after the trial began. Ratings by nursing staff-showed no over-all effect of treatment on male and female patients combined but significant improvement among the males. Investigators rated both male and female treatment groups as significantly improved. The results suggest that improvements in behavior can be achieved using procedures that are much simpler and less costly than formal behavior modification programs.
Assuntos
Pessoal Técnico de Saúde , Transtornos Mentais/reabilitação , Psicoterapia/métodos , Terapia Comportamental , Doença Crônica , Feminino , Humanos , Masculino , Avaliação de Processos e Resultados em Cuidados de Saúde , Projetos PilotoRESUMO
Devised a checklist to measure the ability of regressed chronic, psychiatric patients to perform skills of daily living because no other scale found was appropriate for measuring the behavior of such patients (N = 73). Areas assessed by the checklist were eating habits, grooming, dressing, inappropriate social behavior, and uncooperative behavior. Reliability was high, and the checklist was a valid measured of change.
