Behavioral treatment of headache following occupational trauma.
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Behavior Therapy↗
Biomedical subjects
R B Margolis
Publications and source records attributed to R B Margolis.
Application of the Trail Making Test in differentiating neuropsychological impairment of elderly persons.
This study investigated differences in Trail Making Test performance as a function of over-all level of neuropsychological impairment in a sample of elderly patients diagnosed as having various dementing diseases. Patients were classified as mildly, moderately, or severely impaired (ns = 19, 25, 26) based on the seven measures used to compute the Impairment Index of the Halstead-Reitan Neuropsychological Battery. The mean ages for the mildly, moderately, and severely impaired groups were 67.72, 71.56, and 71.16 yr., respectively. Using level of impairment as the grouping variable, subjects were compared on the mean number of seconds required to complete Trail Making Test A, B, and A + B. Three one-way analyses of variance indicated significant differences for Parts A, B, and A + B. As over-all level of impairment increased, time required to complete the Trail Making Test increased. Results are discussed and directions for further research are recommended.
Age Factors↗
Relationship between the WAIS-R and the WRAT in a geriatric sample with suspected dementia.
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Achievement↗
Age differences in Wechsler Memory Scale performance.
Calculated mean scores for older persons utilizing data from previous studies that measured Wechsler Memory Scale performance in healthy samples and compared with those of younger adults and a sample of neurologically impaired aged (N = 384). Statistical analysis indicated that in total raw scores, as well as in all subtest scores but Digit Span, there are significant differences in the performance of different age groups. The degree to which age is associated with subtest performance varies depending on the particular subtest involved. Results are discussed in terms of their clinical implications and current theories of aging and memory.
Adult↗
The extent, nature, and utility of evaluating consumer satisfaction in community mental health centers.
Evaluating consumer perceptions is a recent development in community mental health. The authors surveyed the 504 federally funded community mental health centers to discover the extent to which they assessed consumer satisfaction, the methods used to collect data, and the utility of the results. Of the 366 centers that responded, 48% had gathered consumer feedback in the previous 18 months, and most others planned to initiate such evaluations within a year. Methods of conducting the studies were extremely diverse. Respondents felt the results were useful and shared them primarily with agency personnel, rather than with outside funders, fellow agencies, or clients. The authors conclude that community mental health centers are evaluating consumer satisfaction more frequently than in the recent past, but this movement has not yet developed clear, standardized methods. Until evaluators consolidate their efforts this evaluation strategy will continue to have limited utility.
Community Mental Health Centers↗
Teaching humanistic and psychosocial aspects of care: current practices and attitudes.
OBJECTIVE: To assess current practices and attitudes toward teaching humanistic and psychosocial aspects of care in internal medicine residency programs. DESIGN AND PARTICIPANTS: Survey questionnaires were sent to residency directors at all 434 internal medicine residency programs accredited in 1985-1986. Response rate for two mailings was 71%. MEASUREMENTS AND MAIN RESULTS: 78% OF RESIDENCY DIRECTORS and 70% of department chairpersons had high or moderately high levels of commitment to teaching humanistic/psychosocial aspects of care, but only 44% of responding programs offered mandatory training, and only 18% offered elective training in these areas. Obstacles to expanded teaching of the humanistic/psychosocial aspects rated high or moderately high by residency directors included insufficient curriculum time (51%), lack of trained faculty (44%), and pressures to reduce both training costs (40%) and patient-care costs (37%). CONCLUSIONS: Most of the training that does occur in the humanistic/psychosocial aspects of care probably happens informally via mentoring and role modeling. Appeals to expand teaching in these areas raise questions regarding what to include in medical training and the proper scope of internal medicine. Sustainable change will depend on the politics of resource distribution and the influence of general internal medicine and primary care on traditional training.
Clinical Competence↗
Long-term follow-up of chronic pain patients: a preliminary study.
Patients who participated in a structured outpatient pain management program were followed for twenty-four to forty-three months with a mean of 31.8 months. Patients who were evaluated only were compared with patients who terminated prematurely or completed treatment. Patients completing treatment reported greater ability to handle domestic and occupational tasks, and greater tolerance for exercise. There appeared to be no significant effect of treatment on the subjective experience of pain, but patients who completed treatment reported markedly reduced use of medical resources for diagnosis and treatment of pain. Limitations of the present study are discussed.
Adaptation, Psychological↗