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Biomedical subjects

J Kincey

Publications and source records attributed to J Kincey.

25 records · Page 2Linked to original sources

Locus of control and cognitive behaviour therapy with mastectomy patients: a pilot study.

A cognitive behaviour therapy programme was designed for use with mastectomy patients, and a pilot study performed to test the efficacy of the programme. This article reports the locus of control data collected during the pilot study and the relationship between these data and the clinical assessment measures. Lower chance scores at pre-treatment are associated with greater clinical improvement as predicted. Surprisingly, however, there is an increase in chance scores over treatment although this disappears at follow-up. Patients who also received medication scored higher on internal control than those who did not. These results are discussed and it was concluded that antidepressant medication may assist the cognitive therapy programme.

Adjustment Disorders↗

Clinical psychology in general practice: a controlled trial evaluation.

A controlled trial study is described in which 50 consecutive potential referrals for psychological treatment from one general practice were randomly allocated either to behavioural treatment or no-treatment conditions. Treatment-group patients received treatment from a clinical psychologist working within the practice; the control-group patients continued to be managed by their general practitioner. The patients' use of NHS resources was assessed during the treatment period (or its equivalent for the control group) and at a follow-up comparison point, when the patients' subjective ratings of their progress were also obtained. Between referral and the end of treatment the treated group received significantly less psychotropic medication than the control group. This difference was not, however, maintained at the longer-term follow-up. No differences in general practice consultation rates, in the subjective ratings of psychological distress, in control orientation or life satisfaction were found between the two groups, but the level of patient satisfaction was high. Implications for the design of future studies and for psychological health care delivery systems are discussed.

Adult↗

Internal-external control and weight loss in the obese: predictive and discriminant validity and some possible clinical implications.

It is argued that the locus of control dimension relates to various aspects of noncompliance with health-related advice. Among a sample (N = 131) of obese females following a behavioral weight loss program a measure of perceived personal control significantly predicted outcome. Internals and externals did not differ in cumulative weight loss early in the program, but did so from 8 weeks on; internals achieved greater mean weight loss. The internal control orientation was associated with higher extraversion and self-acceptance, but neither of these other variables correlated with weight loss. Clinical and theoretical implications of the interaction with time are discussed.

Adult↗

Evaluation of standardized behavioural treatment for agoraphobic in-patients administered by untrained therapists.

Using a standardized behavioural programme, nine in-patients with severe agoraphobia were treated by staff who had minimal training in the theory and practice of behaviour therapy. With one exception patients showed marked reduction in subjective fear and avoidance, both following treatment and at follow-up. The indications for such treatment are considered and compared with those for alternative behavioural approaches that have recently been advocated.

Adult↗

Patients' satisfaction and reported acceptance of advice in general practice.

Patients' views were sought by questionnaires and home visits on how satisfied they were with the care they received from their general practitioners and how much of the advice received they were prepared to accept. The results showed a high degree of satisfaction and a higher level than has been found in hospital. Studies like this may identify difficulties which some patients may have and help doctors to make difficult advice easier to follow.

Consumer Behavior↗