Search PubMed⌕ Search

Biomedical subjects

R H Rahe

Publications and source records attributed to R H Rahe.

98 records · Page 6Linked to original sources

Psychological and physiological assessments on American hostages freed from captivity in Iran.

Medical evaluations of 52 Americans held hostage in Iran for 444 days included psychological testing and physiological measurements. Psychological testing utilized the Minnesota Multiphasic Personality Inventory (MMPI) and the 16 Personality Factor Questionnaire (16-PF) and focused on the stress management capabilities of the group upon their arrival at Wiesbaden, West Germany. Physiological testing utilized plasma and urinary cortisol along with plasma and urinary catecholamine levels to help document former hostages' stress responses following their release from captivity. Saliva cortisol and testosterone were measured over the first three hospital days to assess the group's psychophysiological recovery. Psychological testing indicated that the former hostages, as a group, were generally well defended, appearing to have endured their ordeal well. In contrast, plasma and saliva cortisol, urinary catecholamines, and saliva testosterone were seen to be highly elevated. These physiological measures appeared to reflect three strong affects: distress, anxiety, and elation. Saliva cortisol was the only physiological measurement that demonstrated a significant correlation with psychiatrists' ratings of the released hostages' psychological disturbance. Psychiatrists' disturbance ratings appeared to be a valid psychometric estimate, as adduced from their correlations with MMPI and 16-PF major scales.

Adult↗

Life change, stress responsivity, and captivity research.

One purpose of a presidential address is to allow the speaker to identify seminal studies in their area of research which are generally unknown and likely were published before the advent of computerized searches of the scientific literature. Particularly in life change research, many important papers are obscurely placed and because of their early dates of origin are out of the computer's reach. Therefore, for this talk I will present some of this formative, but cloistered, material. Similarly, selected findings from early studies of biochemical correlates of life change stress could also bear repetition. For example, previously documented large variability in the serum concentration of these metabolites across varying life situations frequently goes unheeded, perhaps even unrecognized, by today's investigators. Finally, I wish to re-acquaint many of you with the utility and clinical appeal of the life chart. From Meyer, Hinkle, Holmes, Rahe, and Theorell, illustrations of the origin, development, and current status of this approach to understanding the timing of illness onset will be presented.

Arousal↗

A teaching evaluation questionnaire for postmyocardial infarction patients.

The above report is primarily a methodologic presentation of a questionnaire designed to assess the knowledge of patients with a recent myocardial infarction (MI) concerning the nature of their disease, emergency treatment, diet and smoking, resumption of physical activity, psychological factors important in heart disease, and problems encountered when returning home and to work. This questionnaire was designed to asses an in-hospital teaching program for post-MI patients in these areas. Test, re-test results from our first group of 24 patients indicated they significantly increased their knowledge about problems surrounding their return home and to work during their time in the hospital. The failure of these patients to demonstrate a learning effect in the other areas covered has stimulated changes in the teaching program.

Aftercare↗

Using family life drawings in medical student education.

A life drawing technique was used to educate third-year medical students in a diagnostic and therapeutic approach to young children. Students were asked to produce their own early family life drawings. A sample of 48 drawings were collected. A major goal was to sensitize students as to how their early family experiences likely shaped their current perceptions regarding children and families in the practice of medicine. Six of these student drawings were chosen to illustrate this goal. A few students even found that their drawings helped them resolve personal early life stresses.

Caricatures as Topic↗