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At least 19 recordsLinked to original sources
PubMedDate not supplied

Frustrating patients: physician and patient perspectives among distressed high users of medical services.

OBJECTIVE: To identify differences between patients viewed as frustrating by their physicians and those considered typical and satisfying. DESIGN: This cross-sectional observational study focused on psychologically distressed high users of medical services. Frustrating patients were compared with typical and satisfying patients, using data from patient questionnaires, physician assessments, structured psychiatric interviews, and computerized utilization records. SETTING: Group Health Cooperative of Puget Sound, a large health maintenance organization. PATIENTS/PARTICIPANTS: Study patients were in the top decile for ambulatory visits, and bad elevated scores for anxiety, depression, and somatization. Among the 339 patients invited to participate in the study, 251 agreed, and 228 were rated by their physicians. MAIN RESULTS: A substantial proportion (37%) of the high users were viewed as frustrating by their physicians. Physicians' ratings of physical disease severity did not differ among the groups, but frustrating patients rated their own health status less favorably and reported more somatic symptoms and disabilities. The frustrating group utilized more medical services than did other distressed high utilizers. All three groups had a high prevalence of mental disorders. However, frustrating patients had higher rates of somatization and generalized anxiety disorder. CONCLUSIONS: Physicians and their frustrating patients had contrasting views of the patients' illnesses. The best predictors of physician frustration were somatization and increased medical service utilization. There is need for further research and clinical attention concerning optimal clinical management for patients with somatization.

Adult↗
PubMed1978

Frustration odor of rats receiving small numbers of prior rewarded running trials.

Three related experiments were performed to examine trial-to-trial differences in production of frustration odor during runway extinction by rats that had received 0, 2, 4, or 6 prior rewards. Differences in odor production were indexed by the subsequent speed of escape from the runway goal box by conspecifics. The results indicated that (a) subjects will perform a hurdle-jump response to escape from frustration odor; (b) escape performance even after several prior escape trials accurately reflects trial-to-trial changes in production of frustration odor; and (c) production of frustration odor requires only 4 prior rewards. Implications of the present data for frustration analyses of the limited-trial partial reinforcement effect and future investigations of frustration odor are discussed.

Animals↗
PubMed1979

Sex and age differences in young children's reactions to frustration: a further look at the Goldberg and Lewis subjects.

This study reports 1-year follow-up data on the children originally observed by Goldberg and Lewis in a barrier frustration situation. Changes in reactions to frustration over a 2-year time span were examined for age and sex differences. Regardless of sex, over the first 2 years of life, barrier frustration was responded to with a decrease in stress and an increase in problem-solving behavior. The data suggest that sex differences in success at coping with the frustration may change with age and may be dependent on what behaviors are considered to be more instrumental in solving the frustration. Sex differences related to behavior in the barrier frustration were highly age specific. As previously reported in Goldberg and Lewis, at 1 year of age boys cried less and made more active attempts to get around the barrier than girls. However, at 2 years of age, girls vocalized more for help from the mother and made more attempts at problem solving than boys.

Adaptation, Psychological↗
PubMed1976

Relationship between sex drive and sexual frustration and purpose in life.

Forty-eight college students (18 males, M age = 24.3, 30 females, M age = 23.5) participated in a study that investigated the relationship between one's sense of purpose in life and sexual attitudes and behavior. The test instruments included the Purpose in Life Test (PIL), a Sex Drive and Interest Scale, and a Sexual Frustration and Maladjustment Scale. Correlations were computed between the students' PIL scores and scores on each of the sex scales. The results indicated no relationship between PIL scores and the scores on the sex drive scale, whereas significant negative correlations were found between PIL scores and the sexual frustration scores for males and for the combined group of males and females. The scores on the PIL and the sexual frustration scale were not related to the students' sex. These results support Frankl's theory that sexual frustration may be a manifestation of a more general existential frustration.

Adult↗
PubMed1990

[The results of a study of frustration and depression in older primiparae].

On the basis of an experimental group of 40 elder nulliparous women (ENP) (over 35 years of age) and a control group of 70 nulliparous women, aged up to 30 years of age, and examined at the chair of obstetrics and gynecology in the town of Pleven, the authors investigated the psychic state of women under the conditions of frustration and searched for hidden or manifest depression. Picture-frustration test of C. Rosenzweig and self-evaluating scale of A. K. Beck for disclosure of depression were used for the purpose of the study. It was established that in the experimental group of women there was diminished reaction to frustrating events and increased exactingness to oneself and to the others for liquidation of frustration. Correlation between elevated autoaggression and light and moderate degree of depression in 20% of ENP was found. ENP are determined as a risk group from a psychological point of view on the basis of the obtained results. This is of interest in determining the prophylactic and therapeutic approach for formation of the most correct regimen (programme) for the protection of pregnancy.

Adult↗
PubMed1978

Marital sexual enjoyment and frustration of professional men.

The psychological maturity, interpersonal, and marital attributes associated with the sexual pleasure and frustration of 59 married professional men, who had also been studied as adolescents, were examined by means of 10--12 hr of psychological tests, questionnaires, and interviews. The men's wives, closest friends, and colleagues also completed questionnaires about them. Masters and Johnson's hypothesis was confirmed that sexual pleasure is enhanced in psychologically mature and healthy men whose interpersonal relations are mature, whose relations with their spouses are marked by mutuality in fulfillment of each other's needs, and whose marriages are happy and satisfying. Increasing sexual frustration was associated, although not so consistently, with psychological unhealthiness, interpersonal immaturity, inadequate marital communication, and marital unhappiness. Degree of adult sexual pleasure and frustration was not reliably predicted by adolescent peraonality traits.

Adult↗
PubMed1992

ACTH and beta-endorphin responses to physical exercise in adolescent women tested for anxiety and frustration.

Thirty healthy adolescent women (age: 14 years), high school students without clinical signs of psychiatric or major affective disorders, received psychological and endocrinological examinations. Two psychological tests were used: the Anxiety Score Test for Adolescents and the Pictures Frustration Test for Adolescents of Rosenzweig. On the basis of the results of these tests, subjects were divided into two groups: A (n = 21), normal subjects; B (n = 9), subjects with evidence of anxiety (n = 1), frustration (n = 1), or both (n = 7). Plasma levels of adrenocorticotropic hormone (ACTH) and beta-endorphin were measured under basal conditions and after physical exercise (Step Test) in all subjects. Hormonal responses in groups A and B were compared. Basal concentrations of ACTH and cortisol were similar in the two groups, whereas basal beta-endorphin levels were significantly higher in group B than in group A. Exercise induced a slight but significant increase in plasma concentrations of both ACTH (32% increase) and beta-endorphin (60% increase) in group A. A striking increase in plasma ACTH (100% increment) and a slight increase of beta-endorphin (60% increment) levels were observed in group B after exercise. Absolute levels of ACTH and beta-endorphin after physical exercise were significantly higher in group B than in group A. These findings indicate increased levels of adrenocorticotropic and opioid activity in adolescent women with high scores on psychological measures of anxiety and frustration.

Adolescent↗
PubMed1992

Frustration theory--many years later.

The role of frustration in learning theory, in the invigoration of behavior and in the development of learned persistence and discrimination learning, is conceptualized. This and other phenomena are facets of the larger explanatory domain of what has come to be known as frustration theory, a theory that has guided the author's own research--from behavioral to developmental to psychobiological --until the present time and has had some influence on the research of other investigators. This is a commentary on the 1st of several published theoretical papers on frustration theory.

Animals↗
PubMed1975

The regressive effects of frustration upon the concrete reasoning ability of seven and eight-year-old-boys.

Forty-four seven- to eight-year-old boys were divided randomly into a experimental group and a contro group. All children took Forms A and B of the Concrete Reasoning Test as arranged by Siegelman and Block (12) and originally constructed by Smedslund (13). In the experimental group, each boy took Form A first and then was told that he could win a prize, which he selected from several items offered, if he could put together an easy puzzle (which was difficult in actuality). Each boy was given three minutes to work on the puzzle and was then given Form B. After each item he was allowed to work again on the puzzle for three more minutes. The individuals in the control group followed the same procedures, except that they had a much easier task to perform. It was hypothesized that (a) frustrated boys at a high level of concrete reasoning ability will regress less than frustrated boys at a lower level with the exception that (b) boys in the transitional period of thinking will regress more than those who are not, and (c) those boys who are frustrated will tend to regress more than those who are not. The results supported all of these hypotheses.

Animals↗
PubMedDate not supplied

[Frustration and body image in children with and without congenital cardiopathy].

The aim of the present study was to determine the existence of differences on the type of response to frustration and disintegration of body image among children with congenital heart diseases (hospitalized and out patients) with or without symptomatology and children without heart disease. The study was performed in the outpatient clinic and the pediatric cardiology ward of the Instituto Nacional de Cardiología "Ignacio Chávez". Two tests were used: The Rosenzweig picture frustration test for children (PFT) and the human figure drawing (HFD) of Elizabeth Koppitz. No differences were found regarding the type of response to frustration, differences between groups were present in only two emotional items of the HFD. We conclude that children with congenital heart disease have special capabilities that enable them to respond to illness in adaptative ways.

Analysis of Variance↗
PubMed1991

Consequences of person-environment incongruence: absenteeism, frustration, and stress.

Two correlational studies using English nurses and working adults are reported that examined the relationship between the three measures of person-environment (P-E) fit as derived from Holland's (1973) theory and three dependent work-related variables. In the first study, the P-E fit measures of congruence, consistency, and differentiation were correlated with two measures of absenteeism, frustration, and various demographic variables. Contrary to predictions, two measures of absenteeism were positively correlated with congruence and consistency. In accordance with the hypothesis, however, frustration was highly negatively correlated with congruence and consistency. In the second study, consistency, but not congruence or differentiation, was significantly negatively correlated with stress, as predicted. These studies provide some support for Holland's theses, although not all hypotheses were supported, both for methodological and theoretical reasons. It is argued that P-E fit measures are useful predictors of occupational behavior in conjunction with other major determinants.

Absenteeism↗
PubMed1991

Aggressive and nonaggressive behavior as a function of alcohol intoxication and frustration in women.

An experiment tested whether alcohol increases aggression in women in a situation in which both an aggressive and a nonaggressive response alternative of equal instrumentality and of equal variability are available. Subjects were assigned to one of three groups, namely, an alcohol, a placebo, or a control group. The alcohol dose was 1.0 ml of pure alcohol/kg body weight. After drinking their respective drink, subjects were instructed to supervise a bogus partner on a visual scan test over a series of trials. Each time this partner made a mistake, subjects could either give an uncomfortable electric shock (scale 1 to 10) or a comfortable vibration (scale 1 to 10) to the partner. Aggressive and nonaggressive behavior was measured as numbers, intensities, and durations of shocks or vibrations, respectively. Neither alcohol nor frustration differentiated the groups on aggressive or nonaggressive behavior. All groups were significantly more inclined to use the nonaggressive alternative irrespective of alcohol dose and level of frustration. In conclusion it was stated that women do not increase their aggression as a function of alcohol in a situation with more than one response alternative available. The need to incorporate gender differences as to aggressive effects of alcohol was stressed.

Adult↗
PubMed1991

Male physical aggression as a function of alcohol, frustration, and subjective mood.

An experiment tested the hypothesis that alcohol intoxication will increase aggression only if the subject is experiencing the intoxicated state as displeasing. Forty males drank either 0.8 mL of pure alcohol/kg body weight or a placebo drink and were then exposed to either a pleasant or an unpleasant mood manipulation. Following this, they were given the chance to aggress in a modified version of the Buss "aggression machine" paradigm. All subjects were observed under varying levels of frustration. Results indicated that alcohol-drinking subjects were more aggressive than placebo-drinking subjects, and that both intoxicated and sober subjects increased their aggression when frustrated. Intoxicated subjects in a pleasant mood were most aggressive under both provocative and nonprovocative conditions. The hypothesis was not supported and results are discussed in relation to different theoretical models and in relation to results from other similar studies.

Affect↗
PubMed1976

Responses to frustration: comparison of institutionalized and noninstitutionalized retarded adolescents and nonretarded children and adolescents.

Thirty adolescents (10 institutionalized retarded, 10 noninstitutionalized retarded, 10 nonretarded CA-matched) and 10 children (nonretarded MA-matched) were individually given the Rosenzweig Picture-Frustration Study (Children's Form). Responses were scored for direction of blame and reaction type, yielding nine frustration response categories. Three of the nine response categories showed significant group relationships. Retardation, institutionalization, and CA were all found to have an effect on responding, although analysis of response profiles showed all groups to be very similar in response pattern.

Adolescent↗
PubMed1976

Aggressive behavior and the Rosenzweig Picture-Frustration (P-F) Study.

The current status of the Rosenzweig Picture-Frustration (P-F) Study, a measure of aggressive verbal behavior in response to frustration at the developmental levels of the child, the adolescent and the adult, is described. Conceived as generically or essentially self-assertive, aggression can be viewed as affirmative or negative, constructive or destructive in effect. Six categories, three under direction and three under type, have been conceptualized to define the modes of aggressive response. These interrelated categories combine into nine scoring factors. Norms at the various age levels have been established, and the reliability and validity of the instrument have veen determined. Pragmatic validity has been shown in the investigation of behavior disorders, psychosomatic conditions, delinquency, school adjustment, and a large variety of vocational and social problems. The P-F has been adapted and standardized world-wide (France, Germany, Italy, Sweden, Argentina, Brazil, India, Japan). Its applicability in cross-cultural research has been demonstrated.

Age Factors↗
PubMed1990

Developmental changes in the response types versus aggression categories on the Rosenzweig Picture-Frustration Study, Children's Form.

To examine the developmental changes on the Children's Form of the Picture-Frustration (P-F) Study, the instrument was administered to 291 children between the ages of 6 and 13, from two schools. Developmental changes in the 11 response types were compared with changes in the six aggression category scores, which were combinations of the 11 response types. In contrast to the findings for the aggression categories, changes in the response types were consistent with developmental research on children's aggression. The findings supported the validity of the P-F Study as a measure of children's thought content in response to frustration and supported previous research indicating that the response types may be more meaningful data from the instrument than from the aggression category scores.

Adolescent↗
PubMed1991

Relationship of the children's form of the Rosenzweig Picture-Frustration Study to children's behavior, gender, and fantasies.

To examine the validity of the Children's Form of the Picture-Frustration (P-F) Study, the instrument was administered to 245 children in Grades 1 through 6. Children were also administered the Make A Picture Story (MAPS) and the Response Hierarchy Measure. Teachers rated children's aggression on the Conners Teacher Rating Scale. Hostile responses on the P-F Study were related to self-reported verbal and physical aggression in conflict situations but were unrelated to teachers' ratings of aggressive behavior. Hostile responses were exhibited more often by boys than girls. Responses on the measure were related to children's fantasy patterns. Results supported the validity of the P-F Study as a measure of children's thought content in response to frustration.

Aggression↗
PubMed1978

Frustration and temporomandibular joint pain.

The significance of frustration as a cause of temporomandibular joint pain is investigated through the use of bilateral electromyographic recording. Interpretation of both parametric and nonparametric data indicates the lack of relationship. The need for careful controls and the problems of psychologizing are discussed.

Analysis of Variance↗