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Biomedical subjects

P J Long

Publications and source records attributed to P J Long.

15 recordsLinked to original sources

The revictimization of child sexual abuse survivors: an examination of the adjustment of college women with child sexual abuse, adult sexual assault, and adult physical abuse.

Child sexual abuse (CSA) is associated with greater vulnerability to victimization in adulthood. Such experiences may have a cumulative effect. This study compared the adjustment of 633 women experiencing revictimization, multiple adult victimizations, single adult victimization, CSA only, or no victimization. Somatization, depression, anxiety, interpersonal sensitivity, hostility, and post-traumatic stress disorder (PTSD) symptomatology were examined. Results support the cumulative effect of trauma but do not indicate differential effects for child to adult revictimization. Women with revictimization and multiple adult assaults reported more difficulties compared to women with only one form of adult abuse or no victimization. Women with CSA only reported similar symptoms as revictimized women and women with multiple adult assaults reported higher levels of distress than nonabused women and appeared somewhat more likely to experience anxiety and PTSD-related symptoms as compared to women with only adult abuse. Women with adult assault only and no abuse reported similar levels of distress.

Adolescent↗

The impact of trauma and disaster on young children.

In the past few decades, the study of the impact of trauma and disaster on children has grown; however, information about the effects on very young children is still scarce in the literature. In some regards, the characteristics of stress in young children are similar to those of older children and adults; in other ways, their reactions are unique. These characteristics, as well as mediating factors and interventions with young children, are discussed. Suggestions for future research are offered.

Adult↗

Toward a new understanding of early menarche: the role of environmental stress in pubertal timing.

A recent theory (Belsky, Steinberg, & Draper, 1991) suggests that environmental stress may trigger early menarche in adolescents. This is in contrast to a more traditional view that early menarche is biologically determined and serves as a risk factor for developing girls. The purpose of the present study was to examine two family stressors, divorce and interparental conflict, in light of the Belsky et al. theory. Participants were 71 adolescent females and their mothers. Of these, 44 were from intact families (i.e., the parents were married), and 27 were from divorced families. Age at first menarche was obtained via self-report. Maternal reports of interparental conflict as well as adolescent perception of conflict were obtained. Mothers reported on marital status. Results showed that, compared to girls from intact families, those from divorced families had an earlier onset of menarche. In addition, higher maternal reports of interparental conflict were significantly related to earlier menarche in the total sample. Results are discussed in relation to the Belsky et al. theory as well as traditional views of early menarche.

Adolescent↗

Somatic complaints in anxious children.

Although stomachaches and headaches are considered characteristic of children with anxiety disorders, there is converging evidence that a broader range of somatic symptoms may be associated with children's expressions of anxiety. The purpose of this study was to determine the prevalence of somatic complaints in anxious children. The results indicated that children with anxiety disorders endorsed the presence of many different somatic complaints, and that contrary to clinical intuition, stomaches and headaches were not among the most commonly reported symptoms. In addition, the anxious children endorsed significantly more somatic complaints when compared to normal controls. Furthermore, the symptom pattern reported by anxious children indicated the presence of both the somatic and cognitive components usually associated with panic attacks, although none of the children met diagnostic criteria for panic disorder. The results are discussed in terms of the contribution of somatic symptoms to the understanding of anxiety disorders in children.

Adolescent↗

Memoirs of FNS days.

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History, 20th Century↗

Survival in systemic lupus erythematosus.

The prevalence of SLE has increased throughout the world, due in part to the recognition of milder forms. Significant renal disease is now less common but late cardiovascular disease is being reported more often. The latter was previously attributed to steroid therapy, but we believe that the thrombotic tendency associated with antiphospholipid antibodies provides a significant contribution. Infection still ranks high in the mortality statistics in SLE, despite the move to more conservative treatment.

Adult↗

Home deliveries.

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Delivery, Obstetric↗

Service-teaching.

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Inservice Training↗

Rethinking iron supplementation during pregnancy.

Iron supplementation is an intervention frequently initiated without adequate data collection to identify iron deficiency. The physiologic changes of normal pregnancy result in lowered hemoglobin and hematocrit levels and make these lab values difficult to interpret. Because excess iron intake by healthy women may have harmful sequelae, safe practice requires an individual assessment of iron status.

Anemia, Iron-Deficiency↗