Objective: The objective of this study was to examine how the chronicity of stress affects psychological stress-responses, depressive symptoms, and "in vivo" immunocompetence in spouses of women with metastatic breast cancer. Methods: Participants were 34 spouses of breast cancer patients. Their wives had been living with a diagnosis of…

As the size and diversity of the older population increases, mental health providers will be called upon to deliver high-quality services to the elderly. However, many of these professionals hold negative attitudes toward the elderly; psychotherapy conducted with older adults by clinicians with such biases could represent a waste of time and…

The aim of this study was to investigate perspectives and practices of Xhosa-speaking African traditional healers, known as "amagqirha", in managing psychosis. Four traditional healers, 3 male and one female, were chosen to take part in the study through their association with psychosis patients undergoing treatment at a South African…

This study used principles underlying item generation theory to posit competing perspectives about which features of situational judgment tests might enhance or impede consistent measurement across repeat test administrations. This led to 3 alternate-form development approaches (random assignment, incident isomorphism, and item isomorphism). The…

Living with HIV involves management of multiple stressful disease-related and other life events. Distress tolerance may provide a functional, individual-based context for qualifying the established relationships between major life events and psychosocial variables important in the management of HIV. The present study provided a preliminary test of…

A study investigated the role of the interpreter in doctor-patient communication by analyzing four complete medical interviews at a large urban hospital, each involving one of two Russian interpreters on staff. Both interpreters were native Russian speakers recently immigrated to the United States. Patients were middle-aged and elderly immigrants…

A study investigated translation problems arising in physician-patient interviews conducted in two languages with the help of an interpreter. Subjects were four adult native speakers of Gujarati, aged 42-70, whose physician interviews were videotape-recorded and translated, and the discourse was analyzed. Patients spoke in Gujarati, and the…

Altering the age of a patient in a problem-based curriculum should encourage students to explore ethical issues related to human development. To assess the influence of a patient's age on problem-based tutorial discussion, the relevant discussion categories and the numbers of age-related discussions were compared. Subjects were four groups of six…

This brief is a combination directory of contact persons and annotated bibliography designed to provide information on developing and implementing basic skills training programs for workers in the health care industry. The first section contains information on 33 contact persons currently operating employee basic skills programs for health care…

This handbook is intended for a 2-year secondary course for home health aides. Introductory information includes a description of the occupation, prerequisites, general objectives, and a chart depicting the number of hours and weeks devoted to each unit. The course outline covers 12 units: (1) the occupation of home health aide; (2) principles of…

Hypotheses presented in an initial report of this study were tested and, in general, all were supported. Maternal diagnosis, chronicity, and age of onset with regard to the child and to parent/child interaction were significantly associated with child competence. However, effects of these factors were not consistent across age of child or child…

Information on Indiana University's course in patient education is presented, along with sources of additional information on patient education and a summary of a national survey on professional preparation in patient education. An outline of the following course topics is presented: past and current developments, health care delivery, patient…

In a new required capstone course for medical students, students at the Northeastern Ohio Universities College of Medicine were asked to reflect on their relationships with patients, their colleagues, themselves and their families, and the communities they serve, using the humanities, particularly narrative domains, as the primary vehicles for…

Nutrition is well-recognized as a necessary component of educational programs for physicians. This is to be valued in that of all factors affecting health in the United States, none is more important than nutrition. This can be argued from various perspectives, including health promotion, disease prevention, and therapeutic management. In all…

These guidelines for effective school health education to prevent the spread of Acquired Immune Deficiency Syndrome (AIDS) and other sexually transmitted diseases, were developed to help school personnel and others plan, implement, and evaluate educational efforts to prevent unnecessary morbidity and mortality associated with AIDS and other human…