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Biomedical subjects

M Eisemann

Publications and source records attributed to M Eisemann.

81 records · Page 5Linked to original sources

Choice of symptoms in a multi-aspects classification model applied to depressed patients.

A multi-aspects classification model (MACM) has been developed and presented in detail elsewhere. However, it is not clear which symptoms are best used to characterize the patient. The present investigation tried to answer four questions. Are the most severe symptoms most frequently used to characterize the patient? Are there severe symptoms which are not used? Are mild symptoms frequently used to characterize the patient? Are syndromatic stereotypes frequently used to characterize the patient? 50 consecutive admissions (15 males) with depression were rated on the Comprehensive Psychopathological Rating Scale and these ratings were compared with the symptoms used by the senior ward psychiatrists to characterize the patient. No indication was found that doctors use only the most severe symptoms; nor did they seem to use only diagnostic stereotypes based on theory.

Adolescent↗

Aspects of aggression in formerly depressed patients and in healthy controls.

Thirty former inpatients (14 male and 16 female) who had suffered from a nonpsychotic depressive syndrome were investigated by means of a new personality inventory--the KSP--when they had recovered from the depressive disorder, and their results were contrasted to those obtained from 53 healthy controls (19 male, 34 female). Attention was focused on the subscales of the KSP which refer to aspects of aggression. Former patients scored significantly higher than controls in the variables 'irritability,' 'suspicion,' 'guilt,' and 'inhibition of aggression.' The findings suggest a particular personality makeup for at least one subgroup of depression-prone subjects and closely resemble classical concepts of hostility and depression.

Aggression↗

Variations in self-assessment of personality characteristics in depressed patients, with special reference to aspects of aggression.

30 in-patients, 14 male and 16 female, aged 24-69 years (mean age 47.1 +/- 2.7) suffering from a moderately severe or severe depressive syndrome completed a new personality inventory, the KSP, on two separate occasions. The first-when they were depressed and had just been admitted to the hospital, the second when they were at home and in their customary situation. On the same test occasions the severity of their psychopathology was rated by means of the CPRS. A significant improvement in CPRS rating was ascertained on the second test occasion. In contrast only small changes occurred in the subscales of the KSP. The score referring to 'psychic anxiety' and to 'somatic anxiety' decreased slightly but significantly (p less than 0.05). The scores referring to 'social desirability' also showed a significant (p less than 0.01) slight decrease. Of particular note is that no significant differences were found in the 6 KSP subscales concerned with aspects of aggression, or in the factors which can be obtained from these subscales. Our findings amongst this population of non-psychotic depressed patients do not support the assumption that changes in the direction of aggression occur during depression.

Adult↗

Interrelations between temperament, character, and parental rearing in male delinquent adolescents in northern Russia.

A comparison between 192 male delinquent adolescents and 121 controls from Northern Russia using the Temperament and Character Inventory (TCI) and Own Memories of Parental Rearing (EMBU) questionnaire on perceived parental rearing showed significant differences. The delinquent group had a higher level of Novelty Seeking, Harm Avoidance, and Self-transcendence, and also scored lower on Self-directedness. Delinquents who committed nonviolent crimes (thefts) appeared to have a higher level of Harm Avoidance compared with those who committed violent crimes (hooliganism, robbery, rape, and murder). As concerns perceived parental rearing practices, delinquents experienced more parental rejection and overprotection. Most of the personality dimensions were found to be highly correlated with the level of parental emotional warmth. Furthermore, both temperament traits and maternal rearing practices predicted the development of character dimensions. Findings are discussed in light of the interactive nature of parent-child relationships and of character development.

Adolescent↗

Quality of life as an indicator for successful geriatric inpatient rehabilitation-a validation study of the 'Vienna List'.

Quality of life (QoL) appears as an adequate outcome measure of geriatric rehabilitation since it reflects its major goals in terms of improvement in self-service, mobility, interpersonal behavior and communication. The objective of the present study was the application of a newly developed instrument, the 'Vienna List', in this context. Its sensitivity to detect changes during geriatric rehabilitation and the ability to differentiate between various diseases and disturbances of functional abilities has been investigated. The total population of patients of one geriatric rehabilitation clinic of 1 year (from November 2001 to October 2002; N=683) was evaluated at admission and discharge by means of this proxy rating. Several reasonable differences appeared between seven diagnostic groups as well as between admission and discharge concerning crucial areas, which are the focus of geriatric rehabilitation such as communication and mobility and which reflect an improved QoL. On the other hand, some factors remained mostly unaffected, e.g. negative affect and bodily contact. The 'Vienna List' which was originally developed for the assessment of QoL in severely demented patients, proved to be a useful, differentiating, less time-consuming and practical tool for the documentation of the outcome of geriatric inpatient rehabilitation.

Aged↗

Temperament, character and perceived parental rearing in healthy adults: two related concepts?

The goal of this study was to test for relationships between personality according to Cloninger's Temperament and Character Inventory (TCI) and perceived parental rearing under consideration of cognitive distortions as confounding variables. Five hundred and forty healthy volunteers completed the TCI, the EMBU questionnaire (assessing perceived parental rearing), and the Dysfunctional Attitude Scale. The data were subjected to Pearson correlations, partial correlations, multiple regression, and factor analyses. Gender-specific relationships were found between parental rearing and both the temperament and the character dimensions. The factor structure of the TCI remained unchanged irrespective of the inclusion of the parental rearing factors. Since environmental factors (e.g., parental rearing) influence both temperament (supposed to be genetically determined) and character dimensions, the focus should be on the interaction between both aspects through the life span.

Adult↗

Coping styles and psychosomatic problems: are they related?

A number of recent studies have shown avoidant coping to be related with diverse types of somatic and mental pathology. In order to investigate the relevance of coping for both psychological and somatic problems in delinquent subjects, 185 boys from juvenile correction and 96 boys from secondary schools in Arkhangelsk, Northern Russia, were assessed by means of the Coping Scale for Children and Youth, the Youth Self-Report and the Giessen Subjective Complaints List - youth form. The results from the delinquent subjects partly confirmed previous findings on the dominant role of behavioural avoidance in the relationships between coping styles and both behavior/emotional problems and somatic complaints. Further implications of the results are discussed.

Adaptation, Psychological↗

Stability of memories of parental rearing among psychiatric inpatients: a replication based on EMBU subscales.

With regard to information about parental rearing, retrospective data are exclusively available among adults. These data are vulnerable due to various biases. This study was performed in order to replicate the findings of overall stability of three perceived parental rearing factors of the EMBU (Swedish acronym for 'own memories of childhood upbringing') based on 14 rather detailed subscales. A consecutive sample of 220 depressive inpatients were investigated on admission and at discharge by means of the EMBU, the Beck Depression Inventory and the Dysfunctional Attitude Scale. Perceived parental rearing scores showed high stability despite clinically significant changes in the severity of depression, except for 'tolerance', 'guilt engendering', 'performance orientation' and 'shaming' parenting with probable gender-specific effects which were found to covary with dysfunctional attitudes. Recall of parenting should be taken as a subjective truth when it is assessed by standardised behaviour-oriented questionnaires like the EMBU.

Adult↗