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Biomedical subjects

L E Beutler

Publications and source records attributed to L E Beutler.

At least 55 records · Page 3Linked to original sources

Effect of negative air ionization on hyperactive and autistic children.

Twenty-one attention deficit disorder with hyperactivity and seven autistic children were randomly exposed to negatively ionized and ambient atmospheres under rigorously controlled experimental conditions. The negatively ionized condition did not significantly affect measurements of activity level, impulsivity, reality orientation, destructive/constructiveness, attention, or task performance. Significant results might be obtained if subgroups of known hyperserotoninemic autistic and attention deficit disorder children were exposed to negatively ionized conditions.

Air Ionization↗

Inflatable and noninflatable penile prostheses: comparative follow-up evaluation.

This evaluation was conducted with 63 men who were organically impotent and subsequently received either an inflatable penile prosthesis (n = 43), a noninflatable penile prosthesis (n = 14), or both in succession (n = 6). The patient groups were compared for sexual satisfaction, sexual activity, mental status, complications, satisfaction with prosthesis, and relationship changes. The methods of evaluation were the Derogatis Sexual Functioning Inventory and two unstandardized questionnaires. Significant differences were found between the two patient groups: inflatable prosthesis recipients report being more sexually satisfied, more satisfied with their implant, experiencing less psychiatric distress, having a more rapid postsurgical recovery, more sexually active, and experiencing more positive changes in relationships with their partners than do recipients of a noninflatable prosthesis. The data suggest that the inflatable prosthesis may be a more favorable choice for most individuals than noninflatable devices.

Adaptation, Psychological↗

Drawings by child victims of incest.

Art is an expression of the child's inner reality. Drawings by child victims of incest might be expected to differ from drawings by other children presenting at a child psychiatry clinic. This study compares drawings by child victims of incest with drawings by children referred to the University of Arizona Child Psychiatry Clinic for nonsexual issues. Each drawing was rated on 15 dimensions, including sexualization of the figure, degree of dependency, quality of ego defenses, and adequacy of impulse control. Child victims of incest were judged to have more poorly developed impulse controls and a defensive structure which emphasized repression. These children were also significantly more variable than their counterparts in the degree to which they expressed sexual features in the drawings, but were less variable in their rated maturity and in the rated adequacy of their ability to use sublimation as a defense against anxiety.

Adaptation, Psychological↗

Factors that contribute to posttherapy persistence of therapeutic change.

Studied 30 outpatient, psychotherapy clients and assessed their relative change of status at termination and 6-months posttreatment. The vast majority of clients indicated improvement during the treatment period. A majority maintained or continued to make gains during the posttherapy period. Socioeconomic status, age, total psychotherapy sessions, initial neuroticism, and initial extraversion were identified as predictors of positive change in status at termination and follow-up. Socioeconomic status, negative life events, marital change, total psychotherapy sessions, initial neuroticism, and age were identified as variables that discriminated between those individuals who did and did not improve.

Adult↗

Women's satisfaction with partners' penile implant. Inflatable vs noninflatable prosthesis.

We evaluated 49 women whose sexual partners were organically impotent and subsequently received either an inflatable or noninflatable penile prosthesis. The women comprised three groups, based on the type of prostheses their partners had received: inflatable (n = 34), noninflatable (n = 11), and a double implant group (n = 4). The comparisons made were (1) dimensions of sexual satisfaction, (2) emotional stability, (3) satisfaction with the prosthesis, and (4) relationship changes. Two special questionnaires and the Derogatis Sexual Functioning Inventory were utilized in this evaluation. Women in the inflatable prosthesis group were found to be significantly more satisfied with the quality of their sexual relations and with their partner's prosthesis than were the women in the noninflatable prosthesis group. There apparently is a general advantage to women whose partners have received an inflatable prosthesis compared with the noninflatable alternatives.

Adult↗

Reactions to the implantation of an inflatable penile prosthesis among psychogenically and organically impotent men.

We evaluated 17 nondepressed and psychologically stable recipients of an inflatable penile prosthesis who had been either organically or psychogenically impotent and 12 of their sexual partners several months after surgical implantation. The men were evaluated for changes in general psychological adjustment, sexual satisfaction and sexual activity. The partners were assessed separately on similar instruments. Two scales of the Minnesota Multiphasic Personality Inventory were found to have potential for initially discriminating organic and psychogenic impotence. The hypothesis that psychogenic recipients would manifest more psychological difficulties and would be less satisfied was only partially supported. While neither group suffered significant disturbance in psychological adjustment a consistent pattern was noted in which psychogenic patients were somewhat less satisfied with the results and experienced more postoperative complications. However, over-all reactions were positive, including increases in frequency of sexual over-all reactions were positive, including increases in frequency of sexual intercourse and duration of sexual play for patients and their partners.

Coitus↗

Use of the SCL-90R to assess health care staff's perceptions of patients' psychological states.

Many patients admitted through an emergency room service manifest significant psychological disturbance. This study of over 200 patients suggests that emergency room physicians and nurses are unable to judge accurately either the degree or nature of a patient's psychological state. While emergency room staff appear sensitive to the need for such awareness and use reliable dimensions for rating patients' subjective states, these ratings do not conform with patients' reports. The results reflect the need for more intensive psychological training of busy emergency room staff.

Adult↗

Stress management skill for nursing students.

Assessed the effectiveness of a 10-session, 5-week, group-administered stress management program for nursing students. The stress management group included sessions on progressive relaxation, deep muscle relaxation, autogenic training, visual imagery and modified systematic desensitization. Ten female nursing students participated in the stress management group. A second group of nursing students (7 female and 1 male) served as a control group. State and trait anxiety measures were taken before the group began and immediately prior to both mid-term and final examinations. The stress management group effectively reduced trait anxiety (p less than .05), while the control group's trait anxiety levels remained relatively unchanged. The experimental group showed a reduction in state (test-taking) anxiety from mid-semester to final examinations, while the control groups showed a slight increase from mid semester to final examination.

Anxiety↗

Integrating the advances in the diagnosis and treatment of male potency disturbance.

A program of screening and diagnostic assessment is outlined for making decisions about the disposition of patients with potency disturbances. Initial screening of the psychological status and nocturnal penile tumescence provides a basis for deciding the need for full scale sleep studies, medical diagnostic studies, intensive psychological and psychiatric evaluation and so forth. By basing decisions on the use of expensive diagnostic procedures upon reliable but cost-efficient assessment devices we believe that the patient's time and resources will be conserved without sacrificing good medical practice. Indeed, a "decision tree" method of evaluation and diagnosis probably will result in less inappropriate usage of psychological intervention and medical-surgical intervention among individuals complaining of an erectile dysfunction.

Adult↗

Differential psychotherapy outcome among depressed and impulsive patients as a function of analytic and experiential treatment procedures.

Assessment of five psychotherapy procedures, broadly representing experiential and analytical orientations, was undertaken with two groups of clinic outpatients. The patient groups were similar in the length of treatment received, degree of psychological disturbance present, and the frequency with which they were exposed to each of the treatment procedures. Both therapist and external raters assessed the patients' improvement on target symptoms and global change measures at the conclusion of treatment. The results suggest a clear superiority of experiential treatment procedures across patient groups. However, analytic treatments achieved their greatest effect among depressive anxious patients and their least effect among impulsive externalizing patients.

Adult↗

Differentiating psychological characteristics of patients with sleep apnea and narcolepsy.

Fifty male subjects were group-matched for age and socioeconomic status. Twenty of the subjects were diagnosed as having sleep apnea and 20 were diagnosed as having narcolepsy on the basis of sleep studies. The remaining 10 subjects served as normal controls. Differences among the groups were evaluated on the bases of two psychological instruments designed to assess personality characteristics and mood states. The findings suggest that narcoleptics and apneics both present discriminatively different psychological profiles than do normals. Moreover, personality characteristics of these two groups are distinguishable from one another. Apneics tend to be individuals with hypochondriacal and hysterical characteristics, whereas narcoleptics are more easily characterized by anxiety and social introversion. Both severity of psychological disturbance (mean Minnesota Multiphasic Personality Inventory elevations) and personality pattern (two-point codes) distinguish the groups. Key Words: Sleep apnea-Narcolepsy-Psychological profiles.

Affect↗