The contribution of a modified transactional model to the adaptation of schizophrenics living in the city of Montreal.
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Adaptation, Psychological↗
Biomedical subjects
Yves Lecomte
Publications and source records attributed to Yves Lecomte.
The stress process perspective and adaptation of people with schizophrenia--an exploratory study.
BACKGROUND: Adaptation of people suffering from schizophrenia still raises numerous questions left unanswered by correlational studies and predictive models. A theoretical framework likely to bring new answers is the stress process perspective. Using the transactional model of coping, to which psychological and social variables have been added, this exploratory research studies the adaptation of 101 people with schizophrenia. METHOD: The research design is correlational with only one crosswise measure. RESULTS: The model predicts 60.7% of variance of adaptation and gives support that the transactional model of coping contributes to this variance. Five variables show a significant effect and account for 48% of the variance, and three interaction effects (two two-way and one three-way) add another 12.7% to the explained variance. CONCLUSION: Results give support to the significant impact of the variables education, age and negative symptoms on adaptation. They highlight the importance of accommodation, a cognitive strategy used by people with schizophrenia to increase their adaptation. They also challenge the broadly accepted assumption of a negative influence of life events on adaptation. Finally, the interaction effects allow us to better understand the mutual effects of variables on adaptation and confirm their relevance.
Adaptation, Psychological↗
Predictors of quality of life in schizophrenia.
The objective of this study was to clarify the relationships between socio-demographics, clinical characteristics, stressors, coping strategies, social support and quality of life (QOL) in 143 patients with a diagnosis of either schizophrenia or schizoaffective disorders. The research design is cross-sectional with repeated measures on the same subjects after a 6-month interval. A regression analysis generated a model that accounts for 50% of the variance in QOL at Time 1 and 43% at Time 2. The best predictors of QOL were two components of social support: attachment and reassurance of worth. Severity of daily hassles, the coping strategy of changing the situation, level of education and life-time hospitalization length were also related to QOL.
Adaptation, Psychological↗
[Presentation].
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Community Mental Health Services↗
[Developing better practices].
This editorial consists in a review of the literature describing the expansion of the movement promoting "Best practices." Still partly unknown among practitioners, this movement is nevertheless sufficiently important to warrant a literature review, all the more so given the French language literature on the subject is practically inexistant. After formulating an economic and political hypothesis explaining their emergence, the article describes the principal models underlying their development: the evidence-based model as well the expert-consensus model. The author then suggests two ways of presenting best practices in order to facilitate their use: guidelines and algorithms, as well as interventions favoring their expansion with practitioners and administrators. The author concludes with a critical analysis of this approach.
Editorial↗
[Guidelines for the treatment of patients with borderline personality disorder].
The prevalence of patients with borderline personality disorder in outpatient psychiatric clinics, the severity of their presenting symptoms including potential mortality and the difficulty to treat these poorly collaborative healthseekers are sufficient arguments to justify the need for a practice guideline about their treatment. Supported by a strong experience in the creation of many practice guidelines, the American Psychiatric Association has produced a guide that answers quite well to the scientific criteria of a treatment guide and respects most of the specified requirements emitted by the Canadian Medical Association and the Advisory Committee to Public Health Services of the American Institute of Medicine. A review of the suggested recommendations on psychotherapeutic and pharmacological treatments and their scientific evidence is given followed by comments and a critical discussion.
English Abstract↗
[Benzodiazepines: mental health and social health].
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Editorial↗