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Biomedical subjects

D J Hand

Publications and source records attributed to D J Hand.

25 records · Page 2Linked to original sources
PubMed1982

Statistical tests in experimental psychiatric research.

It is pointed out that the subjects used in psychiatric research experiments are usually drawn in such a way as to invalidate many of the commonly applied statistical tests. The necessarily non-statistical component of any inference is noted, and the area where one might hope for an exact statistical inference is identified. A class of tests permitting such inferences is described. Their theoretical and practical advantages are outlined.

Humans↗
PubMed1980

Aircraft noise and mental health: I. Prevalence of individual symptoms.

A domiciliary survey (sample size circa 6000) was conducted in areas of different aircraft noise exposure affected by London (Heathrow) Airport. Respondents were urban dwellers age 16+. Since no differences were found in the prevalence of manifest psychiatric disorders, the frequency of 27 individual acute and chronic symptoms was investigated. Many acute symptoms showed an increase with noise, and this was particularly evident for waking at night, irritability, depression, difficulty in getting to sleep, swollen ankles, burns/cuts/minor accidents, and skin troubles. Two chronic symptoms, tinnitus and ear problems, showed evidence of an increase with noise, while most other chronic symptoms were more common in low noise conditions. Results are controlled for the effects of age, sex and other standard epidemiological variables. Irrespective of their association with noise, most symptoms, chronic and acute, were more frequent among those respondents who also reported high annoyance. Suggestions for the analysis of surveys of health effects by noise are put forward.

Accidents↗
PubMed1979

Comparison of three studies of aircraft noise and psychiatric hospital admissions conducted in the same area.

Two earlier studies conducted in the vicinity of London (Heathrow) Airport compared the rate of admissions to a psychiatric hospital from areas exposed to different levels of aircraft noise. Their methods and results were not identical. A third study, reported here, examined standardized rates of admission to the same hospital for a longer period and for a larger area divided into 4 bands of aircraft noise. Statistically significant trends of decreasing admission with increasing noise levels were found. Comparisons between the investigations show how the contradictory results are related to the methods used and the accuracy of the data, and that caution should be exercised in formulating conclusions from exploratory research.

Aircraft↗
PubMed1979

Validity and uses of a screening questionnaire (GHQ) in the community.

The 30-item General Health Questionnaire (GHQ) has been validated against the criterion of a standardized psychiatric interview in the community. Used for screening, the GHQ misclassified 25 per cent of 105 respondents, being worse for men. Specificity and sensitivity were above .70. The alternative use of the GHQ as an estimator and as an indicator of morbidity in epidemiological surveys is described and discussed.

Epidemiologic Methods↗