bluuebunny/crossref_metadata_2025_split huggingface dataset:
A self-report scale predictive of drug compliance in schizophrenics: reliability and discriminative validity
Authors: Hogan Thomas P. , Awad A. G. , Eastwood Robin 
Published: July 2009

SynopsisSchizophrenic patients' self-reports of their experience of neuroleptic treatment were used as the basis for the construction of a scale predictive of drug compliance. Reliability analysis of the responses of 150 patients indicated high internal consistency in the 30-item scale, and preliminary validation in the form of discriminant classification accurately assigned 89% of the sample to compliant and non-compliant groupings. Both discriminant and factor analyses suggest that maximum variability in responding is accounted for by items reflecting how the patient feels on medication, rather than what he knows or believes about medication.
Medical students' attitudes to psychiatry
Authors: Wilkinson D. G. , Greeer S. , Toone B. K. 
Published: July 2009

SynopsisA questionnaire was developed to elicit medical students' attitudes to psychiatry. All 94 second year clinical students at a London teaching hospital completed the instrument before and after an 8-week psychiatric clerkship. Although two-thirds of the sample had mixed feelings about psychiatry initially, by the end of the clerkship the students' general attitude to psychiatry had changed significantly in a favourable direction. Analysis of 18 specific attitudes to psychiatry revealed that the students' first responses showed anticipatory bias and lack of uniformity. Later, however, only two specific attitudes had changed significantly: more students agreed that ‘problems presented by psychiatric patients are often particularly interesting and challenging’, and more of them disagreed with the statement that ‘psychiatric patients, generally speaking, are not easy to like’. The sexes differed on one attitude; more males than females agreed that “psychiatry is too inexact; it seems to lack a proper scientific basis”. Finally, the proportion of students who considered the possibility of specializing in psychiatry rose from 6 to 17% during the clerkship. The students' reasons for or against such a career are discussed.
Validity of the General Health Questionnaire in a Yugoslav student population
Authors: Radovanović Z. , Erić L. J. 
Published: July 2009

SynopsisThe General Health Questionnaire (GHQ) was shown to be a valid instrument for the screening of psychological impairment in a defined population of Yugoslav students. Optimal indices of validity were obtained by the use of the 60-item version of the GHQ and a cut-off score of 13/14. The product-moment correlation coefficients between clinical ratings of severity of mental impairment and GHQ scores ranged from 0·71 to 0·78.
Functional visual loss: I. A true psuchiatric disorder?
Authors: Kathol Roger G. , Cox Terry A. , Corbett James J. , Thompson H. Stanley , Clancy John 
Published: July 2009

SYNOPSISA review of the literature describing patients with functional visual loss reveals that a significant proportion of them do not manifest psychiatric disease as defined by current nomenclature. Apparently, these individuals are highly suggestible and do not necessarily have psychological pathology. The ramifications of this finding are discussed.
Psychosocial factors and obstetric complications
Authors: Chalmers B. 
Published: July 2009

SYNOPSISA number of studies have attempted to explain obstetric difficulties on the basis of psychosocial conditions which exist during pregnancy. In addition, recent research in the field of life event stress has indicated that life experiences occurring prior to a pregnancy may influence pregnancy outcome. The present study examines the ability of life event stress as well as a variety of medical, social and psychological variables to predict complications of pregnancy. In contrast to previous small-sample research, the present study examines 782 subjects. Multivariate statistical techniques are employed to analyse the numerous variables measured. Results suggest that ‘age at birth of first child’, ‘education level’, ‘menstrual history’, ‘attitudes to pregnancy’ and ‘age at menstruation’ best predict obstetric difficulties. However, only a small percentage of the variance of pregnancy complication scores is explained by these factors.
The factor structure of the GHQ: a scaled version for a hopital's general practice service in Mexico
Authors: Medina-Mora M. E. , Padilla G. P. , Campillo-Serrano C. , Mas C. C. , Ezbán M. , Caraveo J. , Corona J. 
Published: July 2009

SYNOPSISThis paper reports the factor structure of the symptoms comprising the GHQ when it is administered in the general practiāe service of a hospital. Two shorter versions are proposed: one with 6 scales and 30 items, and the other with 4 scales and 28 items. The latter is compared with the 28-item English version. Preliminary data concerning the validity of the scales are presented. In a comparison of the screening potentiality of the 60- and 28-item versions, no significant differences were found.
Dimensions of experience
Authors: Miller P. McC. , Ingham J. G. 
Published: July 2009

SYNOPSISLife-event data for a 3-month period were collected for 1058 adults. Six ways of categorizing life events and difficulties were analysed: namely, loss (L), threat (T), anti-social act (A), hopeless situation (H), uncertainty of outcome (U), and choice of action (C). Reliabilities were moderate to good. The number and the pattern of characteristics within a single event or difficulty were found to be the most important elements in predicting a depression score criterion. Two patterns were particularly predictive: CH present in an event or difficulty, and LH present with U absent. Approximately 21·9% of the depression score variance maybe explained using life events together with the respondent's social class, sex and social support. This represents a significant improvement over prediction based solely on the scoring methods of Brown & Harris (1978).
Mental illness and rehabilitation in early nineteenth-century Ireland: the case of Charles Stock
Authors: Clarke Basil 
Published: July 2009

SynopsisThe case of a sixteen-year-old youth is presented on the basis of correspondence over the years 1806 to 1813. His initial breakdown was probably due to hebephrenic schizophrenia, but clinical detail is defective and the evidence is chiefly about the difficulties of recovery and rehabilitation. The case is discussed in relation to the treatment he received and against the background of provision for insanity and psychiatric methods and ideas in Ireland during the period.
Continuous amphetamine intoxication: an animal model of the acute psychotic episode
Authors: Ellison Gaylord D. , Eison Michael S. 
Published: July 2009

SynopsisWhen amphetamines are administered to humans every few hours for several days, either during the ‘speed runs’ of addicts or in controlled laboratory settings, the psychosis which reliably results is similar to paranoid schizophrenia in a number of important aspects. This unique regimen of drug intake, which involves the continuous presence of stimulants over a prolonged period of time, can be simulated in animals using subcutaneously implanted slow-release silicone pellets containingd-amphetamine base. Monkeys and rats implanted with these pellets develop stages of behavioural alterations which are somewhat similar in sequence to those observed in humans who have received frequent doses of amphetamine. An initial period of hyperactivity and exploratory behaviour is followed by the gradual development of motor stereotypies which become virtually incessant. A period of relative inactivity then appears which is followed, at 4–5 days after pellet implantation, by a late stage. This final stage is characterized by ‘wet-dog’ shakes, parasitotic-like grooming episodes, and a variety of other forms of hallucinatory-like behaviour. At about the same time there are distinctive and partially irreversible alterations in dopaminergic innervations of the caudate nucleus, but not in mesolimbic dopamine innervation of the nucleus accumbens or in several other neurotransmitter systems. Continuous amphetamine administration may reproduce some aspects of the prolonged excitation which accompanies an acute psychotic episode and may be a fruitful model for the clarification of the dopamine theory of schizophrenia.
Stereotyped responding by schizophrenic patients on a two-choice guessing task
Authors: Frith Christopher D. , Done D. John 
Published: July 2009

SynopsisOn each of a sequence of trials subjects had to guess whether a cross would appear on the left or the right side of a computer screen. The sequence of cross positions was random. Normal controls, manic-depressive patients and patients with senile dementia produced relatively random sequences of responses, as did acute schizophrenic patients with positive symptoms. Acute schizophrenic patients with negative symptoms and chronic patients produced more stereotyped sequences with many response alternations (LRLR). Chronic schizophrenic patients with negative symptoms and intellectual deterioration (defect state) produced very stereotyped sequences with many preservations (LLLL). This severe restriction of response sequences is similar to that shown by animals after treatment with amphetamine. It is suggested that it is due to an impairment of a higher order control process which normally inhibits the repetition of sequences of behaviour when these have proved inappropriate.
Cross-cultural differences in the perception of female body shapes
Authors: Furnham Adrian , Alibhai Naznin 
Published: July 2009

SynopsisWhereas in Western societies there is an inverse relationship between high social class and low body weight, the inverse is true of less developed, non-Western societies. It has also been shown that the longer immigrants have been in Western societies, the less obese they tend to be. This study examined how Kenyan Asian, British and Kenyan British females from similar backgrounds perceived female body shapes. As predicted, the Kenyans rated larger figures more favourably and smaller figures less favourably than the British. Also, as predicted, it was found that the Kenyan Asian British were more similar to the British group in their perceptions. The results support the view that social and cultural factors play dominant role in the perception of one's own and others' body shapes. In addition, the results reveal that in Britain preferences for small body shapes to the point of being anorexic are not uncommon.
Psychosocial intervention with cancer patients: a review
Authors: Watson Maggie 
Published: July 2009

SynopsisIt is well established that a diagnosis of cancer and the subsequent treatment can cause a great deal of stress, and the need for psychosocial support is increasingly being advocated. The data for the efficacy of intervention programmes are reviewed. The evidence relating to the benefits gained by patients is equivocal. The indication is that a selective rather than a blanket service is needed, with the target for intervention being patients at high risk for psychological morbidity. The advantages of one type of support over another remain unproven.
Longitudinal records of anxiety and depression in general practice: the Second National Morbidity Survey
Authors: Dunn Graham 
Published: July 2009

SynopsisThis paper analyses patterns of episodes of anxiety and depression as recorded by 22 general practices which took part in the Second National Morbidity Survey (RCGP, 1980). The data comprise 6 years′ records. Simple Markov chains are fitted to each age-group of men and women, and the inter-practice variation in the resulting parameter estimates are compared, using Andrews′ plots and principal components plots. The implications for the presentation and interpretation of data from large-scale morbidity surveys are discussed.
Defective genetic control of sodium-pump density in manic depressive psychosis
Authors: Naylor Graham J. , Smith Anne H. W. 
Published: July 2009

SynopsisThe ability of lymphocytes from manic-depressive and normal subjects to produce new pump sites in response to increased cell sodium was compared in a series of experiments. Ethacrynate or different potassium concentrations were used to increase cell sodium concentration. The lymphocytes of manic depressives had a significantly reduced ability to produce new pump sites. It is suggested that this may be the genetic defect underlying manic depressive psychosis.
On pseudo-hallucinations
Authors: Taylor F. Kräupl 
Published: July 2009

SynopsisThe term ‘pseudo-hallucination’ has received two incompatible definitions. It can refer either to self-recognized hallucinations (exterocepted or interocepted) or to introspected images of great vividness and spontaneity. It is argued that the phenomena to which the two definitions refer might best be distinguished as perceived and imaged pseudo-hallucinations.
Some social and phenomenological characteristics of psychotic immigrants
Authors: Littlewood Roland , Lipsedge Maurice 
Published: July 2009

SynopsisVarious studies have shown: (i) increased rates of psychoses in immigrants to Britain, and a particularly high rate of schizophrenia in the West Indian- and West African-born; and (ii) a greater proportion of atypical psychoses in immigrants. A retrospective study of psychotic inpatients from a London psychiatric unit demonstrated increased rates of schizophrenia in patients from the Caribbean and West Africa. These patients included a high proportion of those with paranoid and religious phenomenology, those with frequent changes of diagnosis, formal admissions, and married women. The West Indian-born had been in Britain for nearly 10 years before first seeing a psychiatrist and, if they had an illness with religious symptomatology, were likely to have been in hospital for only 3 weeks. Rates of schizophrenia without paranoid phenomenology were similar in each ethnic group. It is suggested that the increase in the diagnosis of schizophrenia in the West Indian- born, and possibly in the West African-born, may be due in part to the occurrence of acute psychotic reactions which are diagnosed as schizophrenia.
Stressful life events preceding the onset of neurotic depression
Authors: Benjaminsen S. 
Published: July 2009

SynopsisSuccessively admitted neurotic and non-neurotic depressives were compared with respect to stressful life events experienced in the 6 months before the onset of the illness. Almost equal proportions of neurotics and non-neurotics had experienced a single stressful event. Significantly more neurotics than non-neurotics had suffered multiple stressful events. An analysis of the multiple events revealed that many were related and involved a single calamity. For multiple unrelated stressful events no significant difference was found between neurotic and non-neurotic depressions.
Subclinical anorexia nervosa
Authors: Button E. J. , Whitehouse A. 
Published: July 2009

SYNOPSISThe Eating Attitudes Test (Garner & Garfinkel, 1979) was administered to 578 students (446 females and 132 males) at a College of Technology and to 14 ‘control’ subjects fulfilling diagnostic criteria for anorexia nervosa. Although no male students scored highly, a total of 28 female students (6·3% of the female student sample) scored in the ‘anorexic’ range. These ‘high scorers’, together with a random control group of 28 ‘non-high scorers’, were subsequently Interviewed. Interview revealed that the symptoms of anorexia nervosa were common in the high scoring group but virtually absent in the student control group. It is concluded that a substantial proportion of post-pubertal females (approximately 5%) develop a subclinical form of anorexia nervosa. The implications of these findings are discussed in relation to the aetiology, prevention and treatment of disturbances in eating behaviour.
Subdividing the functional psychoses: a family hereditary approach
Authors: Scharfetter Christian 
Published: July 2009

SYNOPSISFamily genetic data, based on standardized and independent diagnostic procedures of index and secondary cases, confirmed the dichotomy between schizophrenias and affective disorders. The classical schizophrenic subtypes exhibited a significant tendency towards homotypia among their secondary cases. The genetic evidence did not support the monopolar–bipolar subdivision of affective disorder. Schizo-affective disorders impinged on the clear-cut schizophrenic and affective psychotic disorders and there was no homotypical tendency among the relatives of index cases with this diagnosis.
Insanity and the realities of history in early modern England
Authors: MacDonald Michael 
Published: July 2009

SYNOPSISThis paper argues that the attack on religious enthusiasm, a campaign against popular religious radicalism, prompted the governing classes in late seventeenth- and eighteenth-century England to embrace secular explanations of the nature of insanity and to repudiate treatments which were based on religious and magical beliefs. An objection to the argument is considered, and some of its implications are discussed.
A prospective study of children with head injuries: II. Cognitive sequelae
Authors: Chadwick Oliver , Rutter Michael , Brown Gillian , Shaffer David , Traub Michael 
Published: July 2009

SYNOPSISA 2¼-year prospective study of children suffering head injury is described. Three groups of children were studied: (a) 31 children with ‘severe’ head injuries resulting in a post-traumatic amnesia (PTA) of at least 7 days; (b) an individually matched control group of 28 children with hospital treated orthopaedic injuries; and (c) 29 children with ‘mild’ head injuries resulting in a PTA exceeding 1 hour but less than 1 week. Individual psychological testing was carried out as soon as the child recovered from PTA, and then again 4 months, 1 year, and 2¼ years after the injury. A shortened version of the Wechsler Intelligence Scale for Children (WISC), the Neale Analysis of Reading Ability and a battery of tests of specific cognitive functions were employed. The mild head injury group had a mean level of cognitive functioning below the control group, but the lack of any recovery during the follow-up period indicated that the intellectual impairment was not a consequence of the injury. In the severe head injury group, the presence of cognitive recovery and a ‘dose—response’ relationship with the degree of brain injury showed that the intellectual deficits were caused by brain damage. Some degree of cognitive impairment was common following head injuries giving rise to a PTA of at least 2 weeks. Conversely no cognitive sequelae, transient or persistent, could be detected when the PTA was less than 24 hours. The results were less consistent in the 1-day to 2-week PTA range, but the evidence suggested that a broadly defined threshold for impairment operated at about that level of severity of injury. Timed measures of visuo-spatial and visuo-motor skills tended to show more impairment than verbal skills but otherwise there was no suggestion of a specific pattern of cognitive deficit. Recovery was most rapid in the early months after injury, but substantial recovery continued for 1 year with some improvement continuing in the second year in some children, especially those with the most severe injuries. Age, sex and social class showed no significant effects on the course of recovery.
Body image in obese adults
Authors: Pearlson G. D. , Flournoy L. H. , Simonson M. , Slavney P. R. 
Published: July 2009

SYNOPSISData were gathered on 38 obese women and 16 obese men attending a weight-reduction programme and on an equal number of normal weight controls, regarding accuracy of perception of body width in 4 regions, as well as attitudes towards body size. Obese subjects, particularly women, tended to overestimate body width and to dislike their bodies, but neither of these factors predicted success in losing weight. Age of onset of obesity was not related to degree of adult obesity or to accuracy of estimation of body width.
The Present State Examination used by interviewers from a Survey Agency: report from the MRC Camberwell Community Survey
Authors: Sturt E. , Bebbingtion P. , Hurry J. , Tennant C. 
Published: July 2009

SYNOPSISA random sample of 800 men and women between the ages of 18 and 64 living in Camberwell, south-east London, were interviewed using a short form of the Present State Examination (PSE). The interviewers were from a professional Agency and had received a shortened version of the usual PSE training course. A further interview was sought one month later with all subjects who were above the threshold on the Index of Definition, and a sample of those below the threshold. At this interview the full PSE was administered by members of the MRC Social Psychiatry Unit. Forty-nine audiotapes of Agency interviews were available for the members of the MRC team to rate.This paper reports the reliability between interviewers. Techniques of comparison were chosen which enabled interviewer reliability to be assessed, without making the assumption that individual subjects would display the same symptom levels over a period of one month.There is strong evidence that at least 2 of the 8 Agency interviewers had thresholds that were lower than those of the MRC team for rating many of the common minor symptoms such as irritability, also the key symptom of depressed mood. At least 4 of the Agency interviewers, however, were rating in a similar manner to the MRC team. There was no marked tendency for thresholds to change over the 6-month period of interviewing.
Life events and the onset of neurotic illness: an investigation in general practice
Authors: Cooper Brian , Sylph Judith 
Published: July 2009

SynopsisNew cases of neurotic illness identified during one month by each in turn of eight general practitioners in a London borough were investigated by means of standardized clinical and social interviews. When compared with a matched control group of consulting patients, the index group was found to have experienced significantly more life events during the three months before the onset of illness. Events particularly associated with neurotic illness were unexpected crises and failure to achieve various life goals. The distribution of events suggested that serious, threatening events have an important aetiological role; minor events appear to play a small contributory part which may become critical when the morbid risk is already high. The problems of method involved in this type of investigation are discussed.
Down's syndrome and diabetes
Authors: Jeremiah D. E. , Leyshon G. E. , Francis Teresa Rose H. W. S. , Elliott R. W. 
Published: July 2009

SynopsisA survey to determine the prevalence of diabetes in people with Down's syndrome was carried out at t raining centres in the West Riding of Yorkshire. Out of a total of 914 people known to the County Health Department as having this condition, 456 attended either junior or adult training centres and, of these, 404 provided urine specimens on two separate occasions. There were seven cases of diabetes among this group—a prevalence of 17 per thousand. Of more significance is the finding that the rate among children aged 0–14 years was 20·6 per thousand, which is considerably higher than expected in a population of this age group. It is postulated that there is an underlying defect of carbohydrate metabolism in people with Down's syndrome.
International reliability and communicability of a rating scale for depression
Authors: Åsberg Marie , Kragh-Sørensen Per , Mindham R. H. S. , Tuck J. Richard 
Published: July 2009

SynopsisA rating scale for depression, intended for international studies of drug treatment, is presented. The reliability between raters differing in training and language was 0·86 (Swedish and English raters) and 0·92 (Swedish and Danish raters); the reliability between two Swedish raters was 0·97. There was a strong correlation between severity of depression as measured on this scale and on a nurses' rating scale (0·87). The correlation with patients' self-ratings of depression was weaker (0·63) but still significant.