[Education about eating disorders or to become a constant customer in the slimming shop of Nycomed in Denmark?].
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Biomedical subjects
Publications and source records attributed to B H Petersson.
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One hundred and thirty consecutive women were interviewed about the development of psychological symptoms related to induced abortion two days before and four months after the abortion. Sixty-one (47%) participated in the second interview. Of the 61 women, 52% were psychologically influenced before the abortion to an extent which indicated severe crisis or actual psychiatric illness. Four months after the abortion 13 of these women were still psychologically affected. Furthermore, five women who were not affected before the abortion had developed psychological problems. Among ten of these women (16%) the physiological problems could only be related to the circumstance in connection with the abortion. For a number of women (30%) the abortion had a negative influence on their relationships and their sex lives, whereas other claimed that their relationship had become closer because of their reactions towards the abortions. In spite of these conditions all women indicated that their decision about the abortion had been the correct one under the given circumstances.
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The object of this study was to describe a group of women applying for legal abortion in relation to their use of contraception and reasons for choosing an abortion. During a period of 13 months (1991-92) a questionnaire was distributed to women applying for legal abortion at Hillerød Hospital in Denmark. Three hundred and thirty-nine women participated. Fifty-nine percent of the women had become pregnant although they had used contraception. As seen in other studies, women still state demographic factors as their most important reasons for choosing an abortion. Women with two or more children do not want to have more children. Single women do not want children without being in a stable relationship. Furthermore occupation and education were frequently stated as important reasons for having an abortion. Economy and housing were not main reasons but contributory factors. Thirty percent of the women expressed ambivalence about the choice of abortion at the time when the abort was due.
The records of all women applying for permission to have an abortion performed after the 12th week of pregnancy during a one-year period in the County of Aarhus were continuously reviewed, and the women who had the abortion performed due to psychosocial reasons were interviewed with a questionnaire at the time of the abortion and again four months later. Of the 76 women who applied for permission for a late abortion the following were excluded from the study: 31 who had the abortion because a malformed child was suspected, six women who did not have the abortion although permission had been given, five women who did not receive permission, four who were under 18 years of age, one who had a miscarriage, 10 who were from another country of origin and did not understand Danish and finally four women who were allowed an abortion on a medical indication and who were either in hospital or in jail. Fifteen women were questioned concerning their age, length of pregnancy and psychological and social histories and were asked to fill out a depression scale. The data showed that none of them had planned their pregnancy and they had had no symptoms of pregnancy until the time at which they applied for the abortion. None of them regretted the abortion afterwards; half of the women were under psychological strain at the time of application, and a few of them had even more psychological symptoms four months after the abortion. Although they had many social problems, physical complications and psychological problems only a few of the women had seen a doctor in the four month period between the abortion and the follow-up.
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A questionnaire was given to 254 medical students matriculated in 1992/93 concerning their motivation for wanting to become a doctor, attitudes towards which qualities a doctor should have and their potential choice of medical specialty. The analysis focuses on whether answers are relation-orientated (i.e. directed towards relations to others) or autonomy-orientated (i.e. directed towards rationality and independence). The results show that motivations for becoming a doctor are both relation- and autonomy-orientated. Most students expect the doctor to both be able to relate to the patient and be professionally competent. No gender differences could be demonstrated concerning motivations for becoming a doctor or which qualities a good doctor should possess. Significant gender differences were displayed concerning choice of specialty, most women aiming towards relation-orientated specialties and most men aiming towards autonomy-orientated specialties. It is concluded that the growing proportion of women doctors could change the medical profession towards becoming more patient- and relation-orientated, however their choice of relation-orientated and lower prestige specialties could result in less overall influence than one might otherwise expect.
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As part of a prospective survey of Danish medical student's conditions we looked into the question of the frequency of bulimic behaviour in this group of students. One hundred and ninety-one (75.2%) of 254 students matriculated during 1992-1993 answered a minor structured questionnaire in 1994 about their eating habits, weight and weight control and perception of their bodies. Body mass index was calculated. Forty-five percent of the women and 15.2% of the men admitted to binge-eating, 28.0% of the women and 9.1% of the men admitted to binge-eating together with some kind of weight regulation. Fifty-six percent of the women and 25.8% of the men used some weight regulating procedures, most often exercising and eating less of sweet and fattening foods. Only a very few admitted to self-induced vomiting. Binge eating was clearly related to suppressing depressive and negative feelings. Almost 30% of the women were underweight (BMI < 20) but felt themselves to be a normal weight. The male students seemed to be more satisfied with their body and psyche than the women who more often felt overweight and were prone to binge-eating when they felt depressed, and consequently had to regulate their weight in order to live up to their ideals. In order to elucidate the magnitude of the problem of bulimic behaviour and the consequences, we need further surveys of other groups in the Danish population.
As part of a prospective survey of medical students' conditions and of the different kinds of influence they are subjected to during their study periods, we looked into the question of from which social strata the students were recruited. Two hundred and fifty-four (79%) of 323 medical students matriculated during the summer of 1992 answered a structured questionnaire forwarded to them. One hundred and thirty-one (52%) medical students were recruited from the highest social class (I), whereas only 19 (7%) were recruited from the lowest social class (V). In comparison, the underlying population in the age groups relevant for the survey is made up as follows: 7% in social class I and 20% in social class V. A comparison with earlier surveys shows that only insignificant changes in the medical students' social class profiles have taken place in spite of the introduction of better possibilities of financing medical studies irrespective of social class affiliations.
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