Interviewed 88 family caregivers concerning experience with medical care of demented relatives. Most caregivers expressed overall satisfaction with services. Greatest dissatisfaction was expressed in regard to receiving insufficient information about dementia; fewest concerns were expressed about inappropriate physician control. Families reported…

Relatives of patients with dementia completed questionnaires about caregiver stress and patients' functional and psychiatric problems during initial evaluation, at 4-17-month follow-up, and retrospectively. Retrospective accounts correlated well with initial reports but psychiatric symptoms were underreported in retrospective accounts. Spouses…

Analyzed 145 Chinese American outpatient clients to determine how long they would stay in psychotherapy when ethnic- and language-matched therapists were provided. Results indicated that median duration of psychotherapy was 8 sessions, mean duration was 12 sessions, and drop-out rate was 12.38%. Results were comparable to those from general…

A three-phase study was conducted to develop and validate the Penn Inventory for Posttraumatic Stress Disorder (PTSD), a 26-item self-report measure. Results with 83 and 98 combat veterans and with 76 general population patients and disaster survivors support usefulness of the measure. (SLD)

Interviewed 13 amyotrophic lateral sclerosis patients. All believed that they alone should make decision regarding use of mechanical ventilation. Factors they considered important were quality of life, severity of disability, availability of ventilation by means of nasal mask, possible admission to long-term care facility, ability to discontinue…

Compared to normal controls who had never attempted suicide, suicide attempters (n=45) between 16 and 30 years of age admitted to a general hospital psychiatric ward were significantly more hopeless, depressed, and hostile. The suicide attempts seemed to occur in response to stress. A crisis intervention model was suggested as most appropriate way…

Examined three-way relationships among patient characteristics, type of care (admission to nursing home or community setting), and 6-month outcomes of 352 long-term care patients. Found that patient characteristics influenced type of care received and that substantial portions of variance in outcomes were attributable to initial differences among…

A study investigated optimal length of screening tests used to sort out medical students needing to take a full-length performance-based standardized-patient test from those not needing it. Receiver operating characteristic analysis determined a good length is one-third the full test, with cutoff just above the mean case pass level. (Author/MSE)

Examined adaptation to chronic pain in 118 patients. Control appraisals, ignoring pain, using coping self-statements, and increasing activities were positively related to psychological functioning. Control appraisals, diverting attention, ignoring pain, and using coping self-statements were positively related to activity level for patients…

Studies in five senior medical school classes at Southern Illinois University investigated whether using multiple standardized patients to simulate the same case in postclerkship medical student evaluation affects the measure's reliability. Results of three studies show little or no effect on reliability of total, checklist, or written test…

Residents benefit from general practice dental residencies by getting training in areas not adequately covered in the undergraduate curriculum and having time to mature professionally. Patients benefit from improved care and increased access to services. Greater attention should go to the quality and types of services such programs make possible.…

Surveyed clinical social workers (n=216) concerning rights of psychiatric patients who are involuntarily committed to institutions. Although majority of respondents support patients' rights, minority demonstrated restrictive attitudes and unawareness of existing laws regarding patients' rights. Controversial issues, such as right to refuse…

Notes that there often is no formally established bereavement service designed to assist surviving family members, patients, or staff members when patient dies while receiving care in acute care setting. Presents exemplar bereavement service using data from few existing or proposed efforts to formalize bereavement services in acute care settings…

Reviews climate in legal and clinical formulation of standards of care for hospitalized adult suicidal patients. Suggests general guidelines for effective assessment, management, and treatment procedures that balance need for high-quality care by reasonable and prudent practitioner with requirements of court-determined/statutory standards.…

The construct validity of neuropsychological tests in patients with schizophrenia was studied with 39 patients who were evaluated with a battery of six tests assessing attention, memory, and abstract reasoning abilities. Results support the construct validity of the neuropsychological tests in patients with schizophrenia. (SLD)