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PubMed1998

Social insurance cost of standard discectomy and percutaneous nucleotomy. A retrospective study of 87 social insurance claim files of male blue collar workers.

A retrospective review of social insurance claim files of male blue collar workers was conducted to compare the social insurance costs of percutaneous lumbar nucleotomy with standard lumbar discectomy ; 29 percutaneous nucleotomy procedures were matched with 58 standard discectomies all carried out between January 1992 and December 1994. It was concluded that a standard discectomy procedure results in significantly higher costs during hospitalisation with respect to surgery, anaesthesia and hospital stay. A percutaneous nucleotomy leads to a significantly higher outpatient expenditure especially in radiology and medical devices. The relative proportion of outpatient practitioner's visits and hospital stay costs was significantly higher for the standard discectomy whereas medical devices had a relatively higher share in outpatient expenditure for the percutaneous nucleotomy. In this population of 87 compensation claimants, the average social insurance costs did not significantly differ between the percutaneous nucleotomy and the standard discectomy.

Absenteeism↗
PubMed1997

Effect of novel antipsychotic drugs on phencyclidine-induced stereotyped behaviour and social isolation in the rat social interaction test.

Phencyclidine (PCP) induces stereotyped behaviour and social isolation in rats; comparisons with clinical observations have suggested that these behaviours may mimic certain aspects of the positive and the negative symptoms, respectively, of an acute schizophrenic episode. Novel antipsychotics are effective in treating the positive symptoms in schizophrenic patients and have also shown some promise in treating the negative symptoms. In the present study the effects of the novel antipsychotics remoxipride (2.5-20 mg/kg), risperidone (0.02-0.63 mg/kg), sertindole (0.01-2.5 mg/kg), olanzapine (0.16-2.5 mg/kg) and quetiapine (0.16-10 mg/kg) on PCP-induced behaviours were determined. The drugs were administered daily for 3 or 21 days in combination with vehicle or 2.0 mg/kg of PCP for the last 3 days of the administration regime, and the rats were tested using the social interaction test. The antipsychotic drugs all reliably reduced the level of PCP-induced stereotyped behaviour and had distinct effects on PCP-induced social isolation. Comparison with clinical findings suggests that the PCP-induced behaviours respond to treatment with antipsychotic drugs in a manner that correlates well with clinical observations, and that this animal model of schizophrenia may be useful for evaluating novel drug candidates. However, the study also showed that additional experiments are required to determine the specificity by which antipsychotic drugs alleviate PCP-induced behaviours because most of the drugs also affected considerably the behaviour of the control animals.

Animals↗
PubMed2000

Sociable and prosocial dimensions of social competence in Chinese children: common and unique contributions to social, academic, and psychological adjustment.

A sample of 6th-grade children (N = 470), initially aged 12 years, in Shanghai, People's Republic of China, participated in this longitudinal study. Data on children's sociability and prosocial orientation were collected from peer assessments. Information on indexes of adjustment was obtained from multiple sources. The results indicated that sociable and prosocial functions were 2 overlapping, but distinct, dimensions of social competence and had common as well as unique contributions to the prediction of adjustment in specific areas. Whereas prosocial orientation was mainly predictive of social and school adjustment and externalizing problems, sociability uniquely contributed to the prediction of internalizing problems and emotional adjustment. Finally, prosocial orientation and sociability might moderate the development of adjustment difficulties.

Achievement↗
PubMed1997

Social theory and social class.

Concepts of class developed with the emergence of industrial society in the nineteenth century. For an understanding of current divisions, theories must reflect the advances of capitalism and the global economy that characterize the late twentieth century. In industrialized societies, reductions in the industrial workforce and the growth of finance, investment and real-estate industries worldwide have produced a new, largely female, service workforce. Large sectors of industry have departed in search of cheaper labour in poorer countries, which also have a rising number of women workers. In those areas, as a result, a new industrial workforce has emerged. Concomitantly, accumulation of land in less developed agricultural regions for production for the world market has led to an increase in mobile agricultural labour and a shift of landless labourers to the cities of less developed countries. In addition, both upward and downward mobility have occurred for individuals and groups in specific populations, as well as for particular diseases in developed and less developed countries. All these processes have precipitated fundamental changes in class, gender and family relationships and transformed the living conditions of populations in both developed and less developed societies. These changes have major implications for the patterns of health and disease in the world today. Objective measures of social change may be difficult to construct and use in epidemiological cancer research. Since questions of class and shifting social relations are directly implicated in the patterns of disease, they must be assessed in future research as accurately as possible.

Developed Countries↗
PubMed2005

Social networks among users of mental health day care--predictors of social contacts and confiding relationships.

BACKGROUND: The social networks of people with mental illness have received much attention, but users of day care services have rarely been considered. METHODS: Users of day hospitals and day centres were surveyed cross-sectionally. Demographic and illness factors were tested for associations with network size, while intrinsic relationship factors were tested for association with confiding in a network member. RESULTS: There was some evidence that a longer duration of contact with services, more unmet needs, working, living in supported accommodation and needing help with psychotic symptoms were associated with having a larger network, while a longer duration of contact was associated with having more confidantes. Day centre users confided in people who were more likely to be friends or neighbours than professionals, and who were more likely to be the same sex. CONCLUSION: For people in day care, the stereotype that people with longer-term mental health problems are socially isolated is contradicted by this study. The limited role of professionals in providing confiding relationships is striking.

Adult↗
PubMed1992

Social facilitation of eating: effects of social instruction on food intake.

To investigate whether social influences cause increases in eating behavior, thirty undergraduate psychology students completed a diet diary for three 5-day periods. Subjects were instructed to either eat alone or eat with other people, actively eating with them for two of these periods. For the third period, subjects were instructed to eat as they normally would (with or without other people present). When instructed to eat with others present, subjects overall consumed more food, water, sodium, and alcohol than when they were instructed to eat alone. In the normal condition, food intake was 60% higher when the subjects ate with others present than when they ate alone. These results suggest that social facilitation has a causal influence on eating which increases food intake.

Adolescent↗
PubMed1990

Social support networks and formal help seeking: differences between applicants to social services and a nonapplicant sample.

Measures of social network strength have been shown to be positively correlated with the health and well-being of a range of populations, including older adults. This study compares the network structure and the support available to a group of elderly applicants for public social service assistance with those of a group of elderly persons who had not sought help (also taking into account predisposing characteristics and functional impairment). The applicant group was found to have significantly smaller networks and less affective support, even when controlling for age and physical capacity.

Aged↗
PubMed1989

Families of young adolescents who have survived cancer: social-emotional adjustment, adaptability, and social support.

Young adolescent (10-15 year old) survivors of childhood cancer and their families (n = 35) completed self-report measures of perceived self-competence, social support, child behavior, parental distress, and family adaptability and cohesion, at two data points, 6 months apart. Relative to instrument norms and a comparison group (n = 13), survivors and their families scored within normative levels. The overall lack of group differences is discussed in terms of the implications of tests of the null hypothesis for families with chronically ill children. Changes over time for the survivors suggest a decline in available social support. Parents of survivors who received educational assistance reported less family adaptability and more distress than parents of survivors not receiving these services.

Adaptation, Psychological↗
PubMed1996

Culturally informed social work practice with American Indian clients: guidelines for non-Indian social workers.

Culturally informed social work health and mental health interventions directed toward American Indian clients must be harmonious with their environment and acculturation. This article discusses American Indian beliefs about health and illness and degrees of acculturation. Guidelines are offered to help non-Indian social workers design culturally appropriate interventions.

Acculturation↗
PubMed1986

Social relationships and social cognition in nonhuman primates.

Complex social relationships among nonhuman primates appear to contribute to individual reproductive success. Experiments with and behavioral observations of natural populations suggest that sophisticated cognitive mechanisms may underlie primate social relationships. Similar capacities are usually less apparent in the nonsocial realm, supporting the view that at least some aspects of primate intelligence evolved to solve the challenges of interacting with conspecifics.

Animals↗
PubMed1980

A social work department develops and tests a screening mechanism to identify high social risk situations.

This paper describes a model for developing and testing a screening mechanism to identify high psychosocial risk patient situations in need of early intervention by social workers. Although the criteria developed need further refinement, it was found that multiple criteria are significantly more predictive of high risk than single factors and that three variables, (1) severity of illness: life threatening, (2) severity of illness: physically dysfunctional; and (3) chronic illness were good predictors of need for social work services. It is suggested that similar screening mechanisms be developed and utilized in hospitals throughout the country.

Health Status Indicators↗
PubMed1996

Social and public policy analysis: a niche for social work practice.

This article provides front line social work practitioners with a mechanism for becoming more meaningfully involved in social and public policy analysis. It suggests that a new entry point for shaping policy formulation should occur earlier on in the problem identification stage of the rational policymaking process. The article offers a series of process questions to guide this approach and contends that practitioners have the necessary knowledge and skills to effect the various role expectations required of them in this regard.

Health Policy↗
PubMed2001

A social categorization approach to distributive justice: social identity as the link between relevance of inputs and need for justice.

What are relevant inputs or criteria for judging entitlements in a given situation? As will be argued, an answer to this central problem of distributive justice must consider the perceiver's self-definition and structuring of the social context, in terms of social categorizations. The construal of the primary category of potential recipients is particularly important as its prototypical dimensions are likely criteria for entitlement judgments. Its representation depends on the perceiver's salient identity. Two studies yielded support for this perspective. In Study 1, students regarded their psychology department's distinctive quality as more important for psychologists than an out-group's quality. When highly identified, they perceived a psychologist who outperformed another on the in-group quality to have a higher entitlement to a job. In Study 2, German participants regarded the European Union's (EU) denial of EU membership to Turkey as more just the more prototypically European they thought Germany was, in contrast to Turkey; and, in turn, they did so the more strongly they identified as Germans. The findings suggest that relevance of inputs and, thus, the justice motive are based on identity concerns.

Adult↗
PubMed1992

[Social diagnosis: assessment scales and evaluation of "social adjustment" of psychiatric patients].

For diagnostic and prognostic considerations, rehabilitation and outcome evaluation in patients with mental disorders it proved to be indispensable to diagnose not only psychopathology but also social impairment. This study gives a review about the different instruments assessing social adjustment, and their application in out- and inpatient settings. Part of the instruments are based on statements of relevant informants, whereas others are based on observable behaviour. Hints are given to expense, objectivity of assessment and repeated measurements.

Humans↗
PubMed1992

Social evaluation of behaviors comprising three social skills and a comparison of the performance of people with and without mental retardation.

We evaluated whether behaviors commonly taught to persons with mental retardation as part of three important social skills (following instructions, accepting criticism, and negotiating to resolve conflicts) were responded to favorably by other people. People with mental retardation who lived in the community and other people from the community participated in videotaped role plays involving each of the social skills. The performances of participants were scored according to behavioral checklists. Participants with mental retardation scored as well as other participants on following instructions and accepting criticism but lower on negotiating. Community members were asked to evaluate how well the participants did in the videotaped role-play situations. There were high positive correlations between the scores derived from the behavioral checklists and the evaluations of community members for both groups of participants.

Adolescent↗
PubMed1990

Social behavior and knowledge of social "scripts" among mentally retarded adults.

Mentally retarded individuals' script-based knowledge and performance of routine events was explored. Twenty mentally retarded adults and 20 nonretarded preschoolers were asked to sequence photographs of events depicted in familiar and novel contexts. Retarded individuals were better able to sequence events depicted in familiar contexts than in novel contexts, suggesting deficits in generalizing social knowledge. Preschoolers performed above chance levels in the familiar context only. Observations of retarded individuals during naturally occurring events indicated that actual social behavior was unrelated to event knowledge.

Activities of Daily Living↗
PubMed2000

Anxiety sensitivity in social phobia: comparison between social phobics with and without panic attacks.

The current study examines levels of anxiety sensitivity among social phobic patients with and without panic attacks. Two-hundred fourteen individuals with a primary diagnosis of social phobia completed the Anxiety Sensitivity Index (ASI) prior to treatment. Social phobics who experienced panic attacks reported higher levels of anxiety sensitivity than those without panic attacks. Patterning of response to ASI items differed between panicking and non-panicking patients, with the panicking patients reporting greater fear of catastrophic consequences of bodily sensations. Individuals with an additional diagnosis of panic disorder did not differ from those with exclusively situational panic attacks. The findings suggest the importance of examining differences between anxiety-disordered individuals who experience panic attacks and their non-panicking counterparts.

Adult↗
PubMed1999

The roles of phylogeny and sociality in the evolution of social play in muroid rodents.

A composite index incorporating the frequency and structure (target, type of defence, etc.) of play fighting was used to compare the complexity of such play in 13 species of muroid rodents whose behaviour has been previously described. A phylogenetic comparison of the distribution of the complexity of play fighting revealed that relatedness did not predict complexity. The most likely pattern for the ancestral rodent was moderate levels of complexity, from which increases or decreases in complexity then appeared to have evolved independently, at the level of subfamily and genus. Given that phylogeny did not predict the distribution of the pattern of play fighting, an alternative hypothesis was tested. That is, that instead, the distribution was produced by species differences in sociality, as reflected by the degrees of male-female association amongst adults. The analysis revealed that play complexity was unrelated to species differences in sociality, with both highly social and relatively asocial species being equally likely to have high or low levels of play complexity. The implications of these results for the evolution of mammalian play are considered. Copyright 1999 The Association for the Study of Animal Behaviour.

Journal Article↗