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At least 19 recordsLinked to original sources

Social conditions in a total population with long-term functional psychosis in three different areas of Stockholm County.

A number of social conditions regarding interpersonal relations, housing and employment were studied in a total population of individuals with long-term functional psychosis (n = 341) drawn from the population aged 18-64 years inhabiting three different areas of Stockholm County, altogether about 57,000 inhabitants. Individuals were included irrespective of whether they had a psychiatric treatment contact or not. They were mostly unmarried (57%) and living alone (64%). Most were unemployed (69%) and over half received a disability pension. However, 76% had their own flat and a reasonable financial standard, not deteriorating with illness duration. The diagnosis of schizophrenia led to poorer social conditions, as did early age at onset, male sex and co-morbidity of substance abuse. A larger number of individuals lived in an institution in the urban area while a greater number lived with relatives in the rural area.

Adolescent

Social conditions of children born after artificial insemination by donor.

Few objective data are available concerning the social conditions of children born after artificial insemination by donor (AID). We have studied 341 consecutive AID children born of 261 women during a 13-year period. Data from hospital archives were compared with information from the National Register of Norway. The parameters studied included age-relations of parents and offspring, sex- and age-relations between siblings as well as the divorce rate in AID families. Median maternal age at birth of the first AID child was 30 years. Forty-three percent of AID children were born in families that already had children or that later obtained an additional child; the majority of these siblings were conceived by AID. Mean age difference between the closest related AID siblings was three years. Six of the 261 AID families were split by divorce during the study period. The results only reflect such information as can currently be obtained with maintenance of the promise of secrecy.

Adolescent

[The effect of physical training on physical, mental and social conditions in drug and/or alcohol addicts].

The physical, mental and social conditions of eight drug and alcohol addicts were examined prior to and after a period of three months with systemical physical training. The condition improved significantly during training. The circulatory reaction to stress remained unchanged before and after training but the resting levels for pulse and blood pressure were lower after training. Prior to training, a significant correlation was observed between the excretion of adrenalin in the urine and the anxiety level and this was not observed after training. The anxiety level measured by a STAI test decreased during the period of training whereas the excretion of adrenalin in the urine was not altered significantly and remained within the normal range. The patients were followed-up for approximately 18 months after discharge from hospital. During this period, the result of the physical stress and a hiking holiday which was included in the treatment were discussed before discharge. None of the patients continued the physical training after discharge from hospital despite encouragement to do so. The group gradually disintegrated and two years after the conclusion of the training, five patients had resumed the addiction. This investigation suggests that physical training may be of significance in the treatment of addicts but continued contact with the therapist is of decisive significance.

Adult

A comparative study of the social conditions of spouses of long term patients cared for either in nursing homes or home care.

In order to study the social conditions of spouses of patients suffering from long term illnesses structured interviews were performed. The interviewees were divided into two groups: spouses of persons with chronic conditions cared for at home and spouses of patients cared for in nursing homes. Each group consisted of 27 spouses and there were no differences in physical health score, Mini mental score or ability to manage primary Activities of Daily Living functions between the groups. Home care spouses paid fewer visits to children, had fewer friends and paid fewer visits to friends and they also had time for hobbies or interests significantly more seldom (reading, visits to church) than nursing home spouses. There were no significant differences between the groups concerning sex, socio-economic class, housing conditions and amount of home health services. Their contact with children and their feelings of loneliness were reported to be the same.

Aged

[Social conditions of hemophiliacs].

The objects of this investigation were 1. to describe the social conditions of haemophiliacs by means of questionnaires and to compare these with the population as a whole and 2. to investigate the social integration of haemophiliacs as assessed by type of family, occupation, club membership and contact with family and friends. The group investigated consisted of all Danish haemophiliacs with moderate to severe factor VIII and IX deficiency and cases of severe von Willebrand's disease. 64% replied (n = 135). Comparison by the age stratification with the population as a whole, showed that fewer haemophiliacs in the age group 25-44 years lived with partners and children and that more lived with their parents or alone. Haemophiliacs had a higher school education and more haemophiliacs were currently receiving occupational training. The occupational frequency was low for all age groups and more haemophiliacs had reduced working hours. The frequencies of contact with friends and family and access to practical assistance corresponded to that of the population as a whole. Social integration was correlated directly with school education and occupational training and satisfaction with contact with other people and inversely correlated with age, contact with social welfare offices and number of social payments received. Only a total of 6% of haemophiliacs were very poorly socially integrated.

Adolescent

[Social conditions of the clientele attending the outpatient clinic for alcoholics in the County of Vejle. A re-examination].

A questionnaire investigation was performed among the clients attending the four outpatient clinics in the County of Vejle. The object of this investigation was to register aspects of the social conditions of 246 clients, to illustrate the present conditions and to observe changes as compared with previous conditions. The clientele attending outpatient clinics for alcoholics is still an extremely stressed group but, in several respects, the conditions are now better than previously. Nowadays, more of the clients had had prolonged school education and their earnings were relatively higher. Fewer clients lived in one room, fewer had received economic assistance, fewer were in social group V, fewer had come down in the world socially, and much fewer lived under extremely stressed circumstances. The clients lived most frequently alone. Nearly 40% had current or previous mixed addiction. Despite a relatively great number of new clients, the duration of addiction was now apparently longer to institution of treatment. Considerably fewer people under the age of 30 years now sought treatment in outpatient clinics for alcoholics. The authors consider that it is important that attractive offers of outpatient treatment of alcoholics are still available, one of the reasons being the possibility of altering the abuse as early as possible.

Adult

The endocrinology of puberty and reproductive functioning in female cotton-top tamarins (Saguinus oedipus) under varying social conditions.

Sexual maturation and fertility were assessed in fourteen cotton-top tamarin (Saguinus oedipus) females under various social conditions. Six tamarin females (20-28 mo of age) showed a suppression of fertility while living with their families. Hormonal profiles demonstrated low, acyclic levels of urinary luteinizing hormone (LH) and estrone-conjugates (E1C). A rapid onset of ovarian and pituitary cyclicity occurred when four of the six females were removed from their families and paired with an unrelated male. In one female, an ovulatory LH peak occurred as early as eight days after pairing and resulted in conception and full-term pregnancy. Two of the six females were housed in total isolation for 30 days following their removal from the family and prior to pairing. Gradual increases in hormone concentrations occurred during isolation; however, there was no ovarian cyclicity until each female was paired with an unrelated male. In all six females, conception occurred before or as a result of the third ovulatory cycle. Partial isolation of a 36-mo-old female resulted in elevated LH and E1C levels, but cyclicity was not observed until the female was paired with an unrelated male. These findings indicate that removal of a female from the family alone does not initiate ovarian cycling. Sexual maturation, or puberty, occurs in female tamarins living with their families between 15 and 17 mo of age when mean LH and E1C levels began to increase. However, when a female is removed and paired at 9 mo of age with an unrelated male, elevated levels of LH and E1C may be seen by 10 and 11 mo of age. Our findings indicate that a suppression of fertility occurs in cotton-top tamarins living with their families, but that reproductive suppression does not affect the process of sexual maturation. Both removal from the family environment and stimulation by an unrelated male tamarin were necessary to induce normal reproductive activity. An acceleration of puberty occurred when a female tamarin was removed from her family early in development and paired with a male.

Animals

Effects of behavior and social condition on cardiovascular response to footshock stress.

Rats were instrumented with arterial catheters and directional-pulsed Doppler flow probes for assessment of blood pressure, heart rate, and blood flow in the renal, mesenteric, and hindquarter vascular beds. Subjects were tested in an intermittent shock procedure under paired and isolated social conditions and the cardiovascular indices associated with first shock, prone immobile behavior, upright behavior, and boxing behavior were recorded. Both shock procedures resulted in increased heart rate, mesenteric resistance, and renal resistance, as well as decreased hindquarter resistance. Blood pressure response was variable. Social and behavioral conditions generally accounted for little variance in cardiovascular indices during the treatments. Blood pressure assessed 2.5 min after the last shock was significantly higher in the isolated shock condition. In the context of divergent results from previous research in the area, the current results are most consistent with the view that a similar form of cardiovascular adjustment is present under paired and isolated shock, but that under some conditions the presence of a conspecific or the opportunity to fight may attenuate cardiovascular response to shock.

Aggression

[Changes in social conditions and drinking patterns in male and female clients attending an outpatient clinic for alcoholics in Copenhagen].

The proportion of new female clients in the ALKO outpatient clinic in Copenhagen increased from 22% in 1975 to 37% in 1985. The first 100 new male and female clients in the ALKO outpatient clinic in 1975 and 1985 were investigated. The new female clients in 1985 were educated better as regards scholastic and occupational training than were the new female clients in 1975. Fewer of the clients of the ALKO outpatient clinic were married than was the case in the normal population in 1975 and also 1985. In 1975, fewer of the new female clients were registered in the occupational market than among the new female clients in 1985. Attention is drawn to a tendency to evening out of the differences between male and female alcohol addicts as regards social conditions and drinking patterns. The therapeutic consequences of these observations are discussed.

Adult

Mental distress and social conditions and lifestyle in northern Norway.

In a cross sectional survey of risk factors for coronary heart disease three questions about mental distress were included in a questionnaire completed by 13,704 people, 64% of the total population aged 20-54 in one municipality. Overall, 860 (12.5%) of the men and 1141 (16.8%) of the women reported having at least one symptom of mental distress. There were no distinct differences between the age groups. Single people, separated and divorced people, and those who reported that the financial situation of the family during their childhood was difficult reported more mental problems. Heavy smoking, frequent alcohol consumption, and, in men, little or no physical activity in leisure time were also associated with a high prevalence of mental distress. By multiple regression analyses, marital state, financial situation of family during childhood, and current lifestyle were found to be highly significantly associated with mental distress. Including a few questions on mental distress in health surveys provides a way to establish relations between such symptoms and social conditions and lifestyle in large numbers of subjects.

Adult

Temporal lobe epilepsy. Social conditions and rehabilitation after surgery.

A social investigation was performed of 74 patients with temporal lobe epilepsy resistant to medication, who underwent unilateral temporal lobectomy 1960-1969. The patients were compared to their sibilings and to the general population in Denmark. Comparatively many patients were born out of wedlock. The level of schooling achieved was lower than expected, and this was most pronounced in patients with an early onset of epilepsy. The number of patients having received further education was also smaller than calculated. At the time of the operation all patients were socially incapacitated by their epilepsy; this was most pronounced in males, of whom 30 per cent were institutionalized and 32 per cent were receiving disablement pension; at follow-up the figures were 6 per cent and 52 per cent, respectively. Working capacity was markedly improved postoperatively, and at follow-up 39 per cent were in full-time employment. Relief from seizures (or almost complete relief), normal intelligence, normal psychiatric status, and operation before the age of 18 years were factors which favourably influenced the postoperative working capacity. The majority of the patients were unmarried or divorced, and few of the group had children. Their housing conditions were inferior to those of their siblings and of the general population. Parental social class distribution showed an excess in the highest and lowest social classes compared to the Danish population. The patients were subjected to downward social mobility, presumably caused by their illness, as their siblings displayed an upward mobility, which was most marked in the females.

Criminology

Maternal and peer imprinting in mallard ducklings under experimentally simulated natural social conditions.

Previous studies revealed that if socially reared mallard ducklings actively follow a stuffed mallard (Anas platyrhynchos) hen, they later show a visual preference for the familiar mallard hen over an unfamiliar redhead (Aythya americana) hen. The present study determined that the experience of actively following the hen is essential to the induction of a visually controlled, species-typical, maternal preference. Domestic mallard ducklings that had not been given the opportunity to follow the mallard hen were "passively" reared in social groups consisting of a stuffed mallard hen and seven same-aged siblings for either 24, 48, or 72 hr after hatching. These birds were largely unresponsive to the hen in a later choice test, even when they were passively exposed to the mallard hen for as long as 72 hr prior to testing. The question arose as to whether passive exposure to the ducklings induced a preference for them that interfered with establishment of maternal imprinting under these simulated natural nest conditions. Results indicated that socially reared ducklings do prefer stuffed ducklings to a stuffed mallard hen in a simultaneous choice test even when the hen is present and vocalizing during social rearing. Further, even ducklings reared individually with the mallard hen were unresponsive to her in the later choice test. That there is something special about the stimulation provided by ducklings was further demonstrated by the finding that stuffed ducklings were preferred over the mallard hen (1) when the social rearing situation precluded active physical interaction with live ducklings and (2) when reared with inanimate stuffed ducklings. Thus, the ineffectiveness of the stuffed mallard hen in inducing visual imprinting under simulated nesting conditions cannot be attributed to the fact that she was not alive or reciprocally interactive. The present results suggest that mallard ducklings do not become visually imprinted to their hen until after departure from the nest, that the visual component of maternal imprinting likely involves active following subsequent to nest departure, and that early in postnatal development siblings are more visually attractive than is the hen.

Animals

Free choice ethanol intake of laboratory rats under different social conditions.

To study the effects of different kinds of social deprivation on voluntary ethanol (ETOH) intake male Wistar rats were housed by (a) individual caging, (b) "contact" caging (partial social deprivation), and (c) group caging (four individuals per cage). In the latter condition the individuals were separated once a week from each other for 24 h. The rats simultaneously received water 5%, 10% and 20% ETOH for a period of 14 weeks. Additional control animals received water. Isolated individuals drank significantly more alcohol than group-housed or contact-caged rats. After a few days they preferred the 20% solution. Circadian measures revealed a discontinuous intake of high doses (greater than 0.5 g/kg/h) during short time periods. Contact-caged rats consumed much less ETOH, but both the preference for 20% ETOH and the circadian course of intake were similar to those occurring after isolation. ETOH intake of group-housed individuals was low. These individuals preferred the 5% solution and continuously consumed small ETOH doses. During the period of short-term isolation they drank even more ETOH than long-term isolated individuals. In contrast to the latter, the enhancement of intake decreased after some weeks. It is suggested that the differences between the housing groups not only reflect different degrees of isolation stress, but may also be explained by a contribution of different reinforcing or aversive psychotropic effects of ETOH. Reduction of isolation stress is probably most important in the situation of short term separation, whereas dose-dependent reinforcement via social stimulation or sedation may affect the drug taking behavior under the other social conditions.

Alcohol Drinking

Vulvovaginal conditions: social, psychological, and sexual considerations.

Women experiencing vulvovaginal conditions are affected socially, psychologically, and sexually. Although vulvovaginitis is a common women's health problem, these considerations are overlooked in the literature and, unfortunately, often in practice, as well. This article presents a discussion of the social, psychological, and sexual issues to be considered when treating women with vulvovaginal conditions, including implications for practice.

Adaptation, Psychological

[The course after amputation of upper extremities with special reference to the use of prostheses and social conditions].

Sixty-six patients with upper limb amputations were followed-up in their homes. The object of this article was to assess the course as regards the prosthesis, the extent to which this was employed, and to investigate the factors which influence the type of prosthesis and the social conditions of the patient. The amputees were divided into four groups. Twenty-six employed an active prosthesis for more than eight hours daily, six for less than eight hours daily, 16 employed passive prostheses and 18 did not employ prostheses. 65% of the amputations were performed on account of accidents. A group of six were submitted to amputation as part of the treatment of irreversible brachial plexus lesion. The investigation demonstrated the significant importance of the year of amputation. This is explained by late development of the prosthesis supply and the possibilities for rehabilitation and the legislative conditions. Great differences were observed between the prosthetic conditions at the primary equipment and at follow-up investigation. The type of prosthesis employed depended on loss of the dominant arm, prostheses available and the general condition of the individual patient. There were differences in the mental reactions for patients with planned and traumatic amputations. It is recommended that this patient group should be ensured rapid fitting with prostheses by an experienced prosthesis and adequate rehabilitation within a geographically manageable district. This patient group requires team therapy and this functions best when the relevant staff are experienced with this type of patient.

Adolescent

The role of the social condition of women in the decline of maternal and female mortality.

The objective of this article is to study the changes that have occurred in the mortality pattern of women of fertile age in Spain throughout the 20th century, the significance of maternal mortality in the development of this pattern, and the other causes of death that have contributed most to such changes. Female mortality has most often been approached from the perspective of the genetic differences from males--particularly from the sexual-biological, basically reproductive, aspect--without considering other possible (social) differences. We have studied the female mortality pattern from the double incline of date of death (period) and of date of birth (cohort). Using the mortality theory of competing risks as our basis, we excluded in turn maternal mortality and mortality due to tuberculosis from overall mortality, and analyzed the transformations produced in the mortality pattern. Our results show that maternal mortality alone cannot be held responsible for the excess female mortality of the 1910s and 1920s, or for the mortality pattern among women of fertile age during the first half of this century. We suggest that the social discrimination against females from infancy has been responsible for most of the differences observed in mortality patterns.

Adolescent

Photoperiod and parturition period in isolated or paired rats: influence of sight deprivation and social conditions.

Time of delivery was studied in normal (N) or enucleated (E) rats. Isolated (1/cage) at mating (day 1 of gestation), they were all anaesthetized on day 8 and some of them were then blinded. After anaesthesia, they were kept either alone (N and E) or in homogeneous (NN and EE) and heterogeneous (NE) pairs either under a 12L-12D or a 2L-22D light-dark (LD) cycle. Activity, monitored throughout the rest of pregnancy in 2 homogeneous (NN and EE) and heterogeneous (NE) pairs of rats, kept a marked circadian rhythm under each light regimen. Birth distributions differed according to LD cycle in normal (N or NN) but not in enucleated (E and EE) rats. Under the 12L-12D regimen, parturitions of N and E rats were divided into 2 parts, the majority occurred on the afternoon of day 22 before 21:00 h, the remainder were observed after 6:00 h on day 23. Under the 2L-22D regimen, N rats gave birth over one period, mainly on day 23, whereas E rats had the same birth distribution as those subjected to the 12L-12D LD cycle. In heterogeneous pairs of rats (NE), birth times were affected by photoperiod; under the 2L-22D regimen it was intermediate between those of homogeneous pairs (NN and EE). These results indicate that the eyes were the first link of the nervous chain by which photoperiod influenced birth time. Social conditions may also modulate the photodependent mechanism in ways which remain to be determined.

Animals

Migrant farm workers: social conditions, adaptive belief systems, and psychiatric care.

Two migrant farm labor camps were observed during two summer harvesting seasons. A part of the observations consisted of interviews with 104 farm laborers, with 16 of them being interviewed intensively. Migrant farm workers were exploited by the crew boss and the farm owner, and they in turn exploited each other. Consequently, many workers left farm work. Those who remained in the camps adapted their attitudes and their views to the conditions. Though they had a begrudging respect for the crew boss, they showed an overriding concern with exploitation. They conveyed a numbness about life, themselves, and their place in society; this numbness was combined with self criticism and an attempt to maintain some self-respect. They expressed distrust for and suspicion of others, and though they could not articulate it very well, they felt great fear and anxiety. In order to diagnose and treat disorder in migrant farm workers, psychiatrists must understand the exploitive social setting of migrant farm work and the adaptations of workers to that setting.

Adaptation, Psychological