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PubMed2006

Configurations of informal social support among older lesbians.

Limited research has been conducted on the needs and concerns of older lesbians in the American population. The purpose of this paper is to present findings from a qualitative study of older (aged 55 and older) lesbians' experiences of and perspectives on aging, with a focus on their discussions of social support. Through an in-depth qualitative study with 25 older lesbians, we found that aging lesbians may be less likely to access formal social services due to perceptions of bias within the services and a potential lack of connection with those who do use services. However, participants were creative at formulating informal networks of support. Four heuristic categories (empowered, secure, independent, and precarious) of informal social support were developed to characterize the various ways in which participants configured their support systems. Social support within each category was conceptualized both in terms of intentionality and degree of connectedness. Being partnered did not necessarily equate with a strong sense of social support. Further research needs to be conducted on older lesbians in order to better characterize and respond to their needs as they age.

Aged↗
PubMed1987

Helping gay fathers come out to their children.

This paper describes the treatment of seven gay fathers who were concerned about revealing their sexual identity to their children. A time-limited group was established for the purpose of developing strategies to help them past this juncture in their development as gay men. Role playing of specific situations was the modality chiefly employed. Discussions of the effects of internalized homophobia were also held. At the conclusion of the group (eight sessions) all participants rated the experience as "highly useful." Follow-up data are presented at 6 months.

Adaptation, Psychological↗
PubMed1998

Patient-informant concordance on the Structured Clinical Interview for DSM-III-R personality disorders (SCID-II).

In the assessment of personality disorders, patients reports can be questioned for several reasons, such as lack of insight, shame, and acute psychiatric state. High concordance between patient-based and informant-based diagnoses would be an indication of the validity of patient reports (convergent validity). The present study examined the concordance between 42 psychotherapy outpatients and their informants (intimates) on the Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II). Similar to prior studies, low or only modest levels of agreement were found. In comparison with evaluations of the personality of the patient by the therapist, patient interviews seemed to be more valid than informant interviews. Furthermore, couples with high intensity and intimacy in the contact generally showed higher agreement than couples with low intensity and intimacy. In conclusion, the data slightly suggest that patient reports are more valid than informant reports. However, the lack of a golden standard forces us to find more evidence before concluding that patient reports on personality result in valid diagnoses.

Adult↗
PubMed2004

Self-destructive and delinquent behaviors of adolescent female victims of child sexual abuse: rates and covariates in clinical and nonclinical samples.

Self-destructive and delinquent behaviors were assessed in three samples of adolescent females. The first sample (N=140) were substantiated victims of sexual abuse recruited from clinical settings. They were contrasted to a second sample (N=430) of secondary school students, and a third sample from the same school setting (N=94), that reported that they had been sexually abused. Few differences were found between the two groups of sexually abused girls, and both groups reported significantly more at-risk behaviors than nonabused girls. Family adversity was a consistent predictor of both self-destructive and delinquent behaviors. However, violence during the abuse, lower quality mother-daughter relationships, and depression were also related to self-destructive behaviors, while family economic problems and self-blame for the abuse were the only correlates of delinquent behavior.

Adolescent↗
PubMed1993

Reports of childhood incest by adults with panic disorder or agoraphobia.

A convenience sample of 94 members of an agoraphobia self-help group responded to an anonymous survey on their possible histories of childhood incest. 12 (13%) respondents reported such a history. These results are discussed in terms of hypothesized etiologies of panic disorder and agoraphobia.

Adult↗
PubMed1992

Nursing care challenges: homosexual psychiatric patients.

1. Stereotypes of homosexual behavior may negatively affect the nursing care for homosexual patients. Nurses must closely examine their attitudes toward homosexuals. To be able to provide quality care to homosexual patients, nurses must feel comfortable and fully aware of their own attitudes toward sexuality and homosexuality. 2. Nurses stand in a unique position to foster acceptance of homosexuality by assuming the advocacy role and addressing the stereotypes regarding homosexuality for both individual clients and the community. 3. Nurses need to provide an atmosphere of acceptance for homosexual patients by creating an environment where sexuality can be discussed in nonthreatening ways.

Attitude of Health Personnel↗
PubMedDate not supplied

The sociology of intimacy in the nurse-patient relationship.

This article examines intimacy from a sociological perspective. It reveals that 'over-involved' or 'intimate' nurse-patient relationships do not tend to be welcomed by nurses. The work of certain theorists is explored to provide a sociological explanation of intimate nurse-patient relationships and to highlight the complexities of nurses developing intimate relationships with patients in the workplace.

Attitude of Health Personnel↗
PubMed2003

Self-reported exercise and quality of life in young type 1 diabetic subjects.

Evaluation of quality of life is important in treatment strategies of chronic illnesses, such as diabetes mellitus. The present study aimed at measuring the impact of self-reported exercise on quality of life in T1DM patients. Fifty-three young T1DM patients on intensive insulin-treatment regime who were regularly attending the Diabetes Clinic were selected. At the end of the scheduled clinic visit, they were asked to fill in an Italian version of the Diabetes Quality of Life (DQOL) questionnaire; 30 patients exercised regularly, whereas 23 were sedentary. Patients with clinical and laboratory evidence of major eye, renal and cardiovascular diseases were excluded. A significant difference in the scale of satisfaction (1.9 +/- 0.3 vs 2.2 +/- 0.5; p = 0.009), along with a better HbA1c level (7.0 +/- 1.0 vs 7.8 +/- 1.2; p = 0.014), was observed in physically active patients as compared to sedentary ones, whereas there were no differences between the 2 groups with respect to the impact and worry scale. Moreover, there were no significant correlations between glucose control parameters and the quality of life scores. In conclusion, we showed that self-reported exercise is associated with both a better quality of life and a better metabolic control in young T1DM patients. Further efforts should however be made to recognize all factors that can help motivate patients to exercise.

Adult↗
PubMed2003

[Deliberate self harm in adolescents].

BACKGROUND: The multisenterstudy Child and Adolescent Self Harm in Europe aims at gaining more valid knowledge about the prevalence of deliberate self harm in adolescents and the factors associated with it. A new method was developed by which the adolescents' self-reported acts of deliberate self harm are included and categorised according to strict predefined criteria. MATERIAL AND METHOD: 4060 11th grade students (response rate 91.2 %) aged 15 and 16 in 36 Norwegian high schools filled in an anonymous self-report questionnaire. RESULTS: 266 (6.6 %) reported one or more acts of deliberate self harm that met the study criteria over the course of the previous twelve-month period. Cutting (74.1 %) and self-poisoning (16.9 %) were most prevalent. 14.7 % had been in contact with a hospital; 46.7 % of self-poisoning episodes but only 6.1 % of cutting episodes were treated in hospital. Deliberate self harm was more common in females than in males (10.2 % vs 3.1 %, odds ratio 3.5, 95 % CI 2.66 - 4.72). Multiple logistic regression showed significant associations for both sexes between deliberate self harm and low self-esteem, deliberate self harm by friends, serious conflicts with parents, or drug misuse. For girls, alcohol misuse, parents being divorced, being sexually abused, anxiety and impulsivity were also significant; so was deliberate self harm in the family for boys. INTERPRETATION: Deliberate self harm among adolescents requires varied and intensified efforts.

Adolescent↗
PubMed2004

Evaluating behavioral and emotional problems with the Child Behavior Checklist and Youth Self-Report scales: cross-informant and longitudinal associations.

OBJECTIVE: This study investigated the inter-rater agreement between parents' reports and adolescents' self-reports of behavioral and emotional problems using cross-informant scales both cross-sectionally and longitudinally. MATERIAL AND METHODS: Subjects were participants in a longitudinal study of 695 school-aged children from the general population, aged 7-10 during the first assessment. They were evaluated with the Child Behavior Checklist (completed by parents) and later, from 11 year-old, with the Youth Self-Report. The scoring format and factor structure of the two assessment instruments are similar; cross-informant syndromes constructed from the two instruments are based on parents' and self-report information. Measures included anxiety/depression, withdrawal, somatic complaints, aggression, delinquency and attention problems. RESULTS: Findings indicate that there is longitudinal stability in parents' ratings of children's behavioral problems. Our findings also confirm that adolescents, especially as they grow older, are indispensable informants about their problem behavior, because many of the problems they experience remain unnoticed by their parents. Adolescents reported higher levels of anxiety/depression, withdrawal, somatic complaints, aggression and delinquency, but lower levels of attention problems than their parents. CONCLUSIONS: Our results reflect the typical level of parent-child agreement in reports of problem behaviors as it occurs in other samples. Other investigators could use these data as a background, for testing of longitudinal associations and parent-child agreements in different samples.

Adolescent↗
PubMed2005

[Social support in suicide forums].

Suicide forums--interactive forums on the Internet--are attractive to suicidal youth. The question if participation in these forums might be dangerous (because of imitation and contagion) or if it should be considered as helpful (being a chance to talk openly with others) is still discussed controversely. Mutual social support seems to be an important factor. By means of an online survey in German suicide forums and a content analysis of forum postings, we gathered information about this subject. Selected results from our study are presented in this paper. Social support in suicide forums is rated as high as support from friends and higher than support from family. Social support is higher in suicide forums where discussion of suicide methods does not occur. Higher social support in suicide forums correlates with participants' ratings of reduction of suicidality. Furthermore, some information about the contents of communication in suicide forums will be given, based on the results of the content analysis. Results are discussed regarding the potential risks of these forums.

Adolescent↗
PubMed1990

Healthy approaches to physician stress.

Many studies demonstrate that physicians in training and in practice experience considerable distress, with a high incidence of dysfunction and dissatisfaction. Little is known about the strategies employed by practicing physicians who find enjoyment and satisfaction in their work. We conducted an open-ended survey about how a group of physicians cope with common dilemmas they face today such as mistakes, death, self-care, uncertainty, patient demands, and time demands. We describe the techniques employed by those who felt they were effectively coping. Responses were organized into five general requirements for personal growth: (1) self-awareness, (2) sharing of feelings and responsibilities, (3) self-care, (4) developing a personal philosophy, and (5) nontraditional coping skills of reframing and limit setting. General descriptions of these requirements are followed by tables of specific examples from the survey. The application of these strategies to the dilemmas cited above are presented. These descriptive findings emphasize the need for training programs and governing bodies to incorporate strategies for physicians' personal growth into their priorities. The five basic areas described herein can provide a framework for formal attention to physicians' personal development.

Adaptation, Psychological↗