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Biomedical subjects

M B King

Publications and source records attributed to M B King.

At least 55 records · Page 3Linked to original sources
PubMed1990

A standardized assessment of patients referred to primary care and hospital psychiatric clinics.

General practice based psychiatric clinics have increased in number in recent years. Case-note and case-register data examining the nature of the psychiatric disorder of the patients seen in this setting have shown contradictory findings. In this study comparison of 113 patients referred to primary care and hospital out-patient clinics is made using standardized clinical and social measures. Our results show that both groups had similar degrees of physical and social dysfunction and comparable levels of psychiatric morbidity. However, in the primary care population there were more women, and schizophreniform psychoses predominated. In the hospital sample affective illnesses and personality disorders were more common. The majority of patients preferred to consult in the primary care setting.

Adolescent↗
PubMed1990

Clinical nurse specialist collaboration with physicians.

The nurse-physician relationship is the major dyad of the health care delivery system. The integration of the clinical nurse specialist (CNS) role in collaboration with physicians is an evolving style of practice reflecting collegial relationships. Various issues are associated with collaborative practice. Obstacles to collaboration between CNSs and physicians are addressed, followed by strategies to promote collaborative practice. Essential components of collaboration are identified. The impacts of collaborative practice on health care professionals and consumers are explored. Support for CNS and physician collaboration is validated by reports of CNS and physician collaborative practices.

Humans↗
PubMed1990

Long term use of benzodiazepines: the views of patients.

All long term benzodiazepine users in one inner London general practice were asked to participate in a study of their attitudes to their drugs. The 64 respondents had mixed views about benzodiazepines and did not conform to the stereotype presented in the media. Although 58% of the sample had attempted to stop taking benzodiazepines, this was usually not until at least one year of taking the drug. At the time of interview, 50% of the sample expressed a desire to stop taking their tablets. However, the majority were uncertain whether their general practitioner wished them to continue taking the drugs or not. It is argued that users' views of their medication must be taken into account in the debate about tranquillizer dependence.

Adult↗
PubMed1989

Psychological and social problems in HIV infection: interviews with general practitioners in London.

OBJECTIVE: To assess current practice and opinions of general practitioners in London about managing psychological and social problems relating to HIV infection. DESIGN: A stratified random sample of general practitioners, including those with a range of experience of people with HIV infection, were interviewed by medically trained interviewers. SETTING: Doctor's surgeries. PARTICIPANTS: 270 General practitioners working within the area covered by London postcodes. RESULTS: Two thirds of doctors had treated at least one patient with HIV infection and described their work with these patients. General practitioners were counselling and educating many of their patients about AIDS and associated risk behaviours and were aware of the need for careful attention to confidentiality. Doctors with no experience of patients with HIV infection were often older, in singlehanded practice, less inclined to deal with drug abusers or to counsel their patients on risk behaviours, and more in favour of insurance companies' policies towards people with HIV infection. CONCLUSIONS: General practitioners in London are quickly becoming involved in the care of patients with HIV infection and their relatives and friends. Many are counselling patients and testing for antibodies themselves and regard this as an integral part of their work. A considerable workload in primary care comprised patients who obsessively fear contracting HIV infection.

AIDS Serodiagnosis↗
PubMed1989

Eating disorders: lessons from a cross-cultural study.

Five hundred and eighty schoolgirls living in a small North Indian industrial town were screened using the EAT-26. Although twenty-nine per cent scored above the threshold for the questionnaire (greater than or equal to 20), closer scrutiny of the pattern of responses revealed misinterpretations of a large number of questions possibly on a conceptual basis. Linguistic and conceptual pitfalls inherent to cross-cultural epidemiological research are discussed with reference to previous work.

Adolescent↗
PubMed1989

Eating disorders in a general practice population. Prevalence, characteristics and follow-up at 12 to 18 months.

Attenders to four South London group general practices were screened using the Eating Attitudes Test (EAT), after which all high scorers and a random selection of low scorers were approached for interview. General practitioners (GPs) were given details on a random half of high-scoring patients with the aim of assessing intervention for revealed and hidden psychopathology. Twelve to 18 months later all high scorers on the EAT were followed up by post to measure change in behaviour and attitudes. Practice records were examined to determine the doctor's knowledge of the patient and any intervention that had occurred. It was found that 1.1% of women had bulimia nervosa and 2.8% a partial-syndrome eating disorder. No cases of anorexia nervosa were found. Cases of bulimia nervosa and partial syndromes were similar in being: mainly female, of higher social class, in the normal weight range but with considerable weight fluctuation in the past, more likely to have had a history of menstrual irregularity, and frequently psychologically troubled with more past psychiatric contact. Over the follow-up period there was some change along a spectrum of normal dieting to the full syndrome, although only one subject with bulimia nervosa recovered significantly. Although the GPs were unaware of the eating pathology and their intervention was minimal, most had documented their patients' psychological distress.

Adult↗
PubMed1989

Prejudice and AIDS: the views and experiences of people with HIV infection.

Discrimination against people on the basis of physical or mental infirmity is common and creates a considerable burden for sufferers. There has been considerable debate about the prejudice against people with disease resulting from human immunodeficiency virus (HIV) infection. This study reports on the views and experiences of stigmatization by 192 outpatients with HIV infection interviewed at two London teaching hospitals. Despite reticence about discussing their infection, one quarter of patients had received negative reactions from confidants. The implications for health and social policies are discussed.

Adult↗
PubMed1989

Prescribing of benzodiazepines by casualty officers.

The prescribing of benzodiazepines by casualty officers in a busy district hospital over a three month period was examined by a retrospective review of case notes. Benzodiazepines, mainly diazepam, were given to 1.1% of attenders, the majority of whom had disorders involving minor muscle spasm. The efficacy of diazepam in these conditions, as well as its potential for dependence, is discussed.

Adolescent↗
PubMed1989

Psychosocial status of 192 out-patients with HIV infection and AIDS.

One hundred and ninety-two out-patients with HIV infection were interviewed in a standardised manner at two London hospitals. Almost all had revealed their diagnosis to others, one-quarter receiving negative reactions from confidants. Thirty-one per cent had significant psychiatric problems, almost half of whom reported emotional problems before HIV infection. Twenty-two per cent complained of difficulties with memory or concentration, of whom 12.5% had objective cognitive impairment on brief assessment. Excessive health ruminations were an important indicator of more extensive psychological problems. This degree of psychological distress is in keeping with reports for patients with other medical conditions, and overall, patients appeared to have adapted well, despite the obvious stigma and poor prognosis of their condition.

Acquired Immunodeficiency Syndrome↗
PubMed1989

London general practitioners' involvement with HIV infection.

A total of 2510 general practitioners in the London postal districts were circulated with a questionnaire about their involvement with patients with human immunodeficiency virus (HIV) infection--1261 (50%) replies could be analysed. Over half of the respondents had at least one patients who was HIV seropositive and most felt confident to handle such patients' psychosocial problems. Although almost 60% of doctors had attended at least one postgraduate teaching session on the acquired immune deficiency syndrome (AIDS), this had not allayed the anxieties of those doctors who were apprehensive about working with patients infected with HIV. Doctors had a positive attitude towards HIV infected patients and homosexuals, but wanted to be better informed by their patients or the hospital services. They seemed less prepared to deal with drug abusers. Doctors who had HIV positive patients and had graduated in the UK within the past 10 years were likely to have the greatest knowledge of, and most positive attitudes towards AIDS.

Acquired Immunodeficiency Syndrome↗
PubMed1988

AIDS and the general practitioner: views of patients with HIV infection and AIDS.

An unselected series of outpatients infected with the human immunodeficiency virus (HIV) who attended two London hospitals were interviewed to assess their relationship with their general practitioner. Although most of the 192 patients were registered with a general practitioner, the doctors of only one half knew of the diagnosis. Patients feared a negative reaction from their general practitioner or were concerned about confidentiality. Although those who had told their doctor had received favourable reactions, few general practitioners attempted to counsel or educate their patients. The patients who previously had been open about their homosexuality were not more likely to have told their general practitioner of their HIV infection. Although most did not think that general practitioners were well informed about AIDS, half of the patients wished that general practitioners could take a bigger part in their care.

Acquired Immunodeficiency Syndrome↗
PubMed1988

Health of long term benzodiazepine users.

The physical and psychological health of long term (over one year) users of benzodiazepines in one general practice was assessed by patients' self reporting of illness and by general practitioners' records. Of 3741 patients registered with the practice, 82 had been prescribed a benzodiazepine, and 64 of these agreed to enter the study. All but five of these patients were over 40 years of age, nearly a third (19) were given a diagnosis related to depression by interviewers, and between a third and a half reported a current physical illness. Long term treatment with benzodiazepines is not necessarily optimum management but may reflect the realities of general practice.

Adult↗
PubMed1987

Eating behaviour of male racing jockeys.

Jockeys based on racing stables in the Newmarket and Epsom areas of England were screened using the 26-item Eating Attitudes Test. The mean score of the EAT was 14.9, significantly above that reported for males in other studies. The response rate was poor, but 10 jockeys agreed to a full psychiatric and eating interview. The majority of jockeys interviewed reported food avoidance, the use of saunas, and the abuse of laxatives. Diuretics and appetite suppressants were also used. Bingeing was common, but self-induced vomiting was unusual. Current weights were 13% below, and the lowest reported weights 21% below, matched population mean weights. The relationship between these forms of eating behaviour and clinical eating disorders is discussed.

Adult↗