Social Functioning of Psychiatric Patients in Contrast With Community Cases in the General Population

SummaryOne hundred and fifty-six women with menorrhagia of benign origin were interviewed before hysterectomy, and re-interviewed six months post-operatively (n = 147), and again 18 months post-operatively (n = 148). Levels of psychiatric morbidity were significantly higher before the operation than after. On the Present State Examination, 58 per cent of patients were psychiatric cases before surgery, as against 29 per cent at the 18-month follow-up. Similar post-operative improvements were found on measures of mood (POMS), and of psychosexual and social functioning. Most of these improvements had occurred within three to six months after the operation. Both before and after hysterectomy, levels of psychiatric morbidity were high by comparison with women in the general population, but lower than in psychiatric patients. The pre-operative psychiatric morbidity had been mainly of long duration.

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Improving the physical health of long-stay psychiatric in-patients

Advances in Psychiatric Treatment ◽

10.1192/apt.10.2.107 ◽

2004 ◽

Vol 10 (2) ◽

pp. 107-115 ◽

Cited By ~ 32

Author(s):

Irene Cormac ◽

David Martin ◽

Michael Ferriter

Keyword(s):

Health Care ◽

General Population ◽

Physical Health ◽

Research Evidence ◽

Psychiatric Patients ◽

Mortality Rates ◽

Morbidity And Mortality ◽

Physical Health Care

Research evidence has shown that morbidity and mortality rates are higher in psychiatric patients than in the general population. This article describes factors that affect the physical health of psychiatric patients living in institutions and the steps that can be taken to review, monitor and improve their physical health. The physical health care of long-stay patients should reach the same standards as those expected in the general population.

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Support Functions of the Social Networks of Psychiatric Patients and the General Population

Manage or Perish? ◽

10.1007/978-1-4615-4147-9_70 ◽

1999 ◽

pp. 585-593

Author(s):

E. Zbinden ◽

W. Fischer ◽

D. Goerg ◽

N. Camparini ◽

J. Guimón

Keyword(s):

Social Networks ◽

General Population ◽

Psychiatric Patients ◽

Support Functions ◽

The Social

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The Dangerousness of Female Patients: A Comparison of the Arrest Rate of Discharged Psychiatric Patients and the General Population

American Journal of Psychiatry ◽

10.1176/ajp.123.4.413 ◽

1966 ◽

Vol 123 (4) ◽

pp. 413-419 ◽

Cited By ~ 32

Author(s):

JONAS R. RAPPEPORT ◽

GEORGE LASSEN

Keyword(s):

General Population ◽

Psychiatric Patients ◽

Arrest Rate ◽

Female Patients

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Abstract 13165: Self-Reported Social Functioning is Responsive to Change in Functional Class in Patients With a Left Ventricular Assist Device: Findings From the Mechanical Circulatory Support Measures of Adjustment and Quality of Life Study

Circulation ◽

10.1161/circ.142.suppl_3.13165 ◽

2020 ◽

Vol 142 (Suppl_3) ◽

Author(s):

Elizabeth A Hahn ◽

Peter D Cummings ◽

Katy Wortman ◽

Joann Lindenfeld ◽

Jeffrey Teuteberg ◽

...

Keyword(s):

Quality Of Life ◽

General Population ◽

Social Functioning ◽

Social Roles ◽

Left Ventricular ◽

Clinical Change ◽

Ventricular Assist ◽

Population Mean ◽

Left Ventricular Assist

Introduction: Improvement in social functioning is an important goal for advanced heart failure (HF) patients (pts) who receive left ventricular assist devices (LVADs). Self-reported social functioning and its association with clinical change is understudied. Methods: Adult HF pts who received LVADs at nine U.S. sites completed two measures of social functioning prior to, and 3-6 months after, surgery. Patient-Reported Outcomes Measurement Information System (PROMIS) measures were: Ability to Participate in Social Roles and Activities (Ability) and Satisfaction with Social Roles and Activities (Satisfaction). PROMIS uses T-scores standardized to a U.S. general population (mean=50; standard deviation, SD=10); higher scores represent better outcomes. New York Heart Association (NYHA) Functional Classification was assigned at both times by treating clinicians; change was subsequently categorized as Better, Same or Worse NYHA. Linear mixed effects models and least-squares means were estimated for Ability and Satisfaction. Results: Pts ( n =107) were primarily male (78%) and non-Hispanic White (68%); mean age (SD)=54 (12.5) years; 74% were NYHA Class IV prior to surgery and only 18% were NYHA IV at follow-up. NYHA was better for the majority ( n =75, 70%); 24% ( n =26) were the same, and 6% ( n =6) were worse. Mean Ability and Satisfaction were lower than the general population mean of 50 at both time points (Figure). Ability improved for the NYHA Better ( p <0.001) and Same ( p =0.030) groups, and nominally decreased for the Worse group ( p =0.800). Satisfaction improved for the Better ( p <0.001) group, and nominally improved for the Same and Worse groups ( p >0.300). Conclusions: Self-reported social functioning measures were responsive to clinician-rated clinical change. Understanding these relationships may guide clinicians in providing targeted health-related quality of life therapies to improve social functioning.

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Persistence of Restrictions in Quality of Life From the First to the Third Year After Diagnosis in Women With Breast Cancer

Journal of Clinical Oncology ◽

10.1200/jco.2005.03.475 ◽

2005 ◽

Vol 23 (22) ◽

pp. 4945-4953 ◽

Cited By ~ 89

Author(s):

Volker Arndt ◽

Henrike Merx ◽

Christa Stegmaier ◽

Hartwig Ziegler ◽

Hermann Brenner

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

General Population ◽

Social Functioning ◽

Population Based ◽

Breast Cancer Patients ◽

Functional Changes ◽

Role Emotional ◽

Financial Difficulties

Purpose To assess whether detriments in quality of life (QOL) among women with breast cancer persist over years. Patients and Methods QOL was assessed in a population-based cohort of 314 women with breast cancer from Saarland (Germany) 1 and 3 years after diagnosis and compared internally and with reference data from the general population. Results Three years after diagnosis, deficits in QOL were still apparent for role, emotional, cognitive, and social functioning and for the symptoms of insomnia, fatigue, dyspnea, and financial difficulties. Differences between breast cancer patients and women from the general population were predominantly found in younger ages. Compared with the QOL scores measured 1 year after diagnosis, only minor functional changes were observed, but recurrence of breast cancer during the follow-up interval had a deleterious effect on QOL. Conclusion Deficits in role, emotional, cognitive, and social functioning persist over years in women with breast cancer and predominantly affect younger patients.

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Physical disorders associated with mental illness. A register investigation

Psychological Medicine ◽

10.1017/s0033291700036515 ◽

1990 ◽

Vol 20 (4) ◽

pp. 829-834 ◽

Cited By ~ 22

Author(s):

Per Fink

Keyword(s):

Mental Illness ◽

General Population ◽

Mental Disorders ◽

Psychiatric Patients ◽

Physical Illness ◽

Illness Behaviour ◽

Chronic Physical Illness ◽

Physical Disorders ◽

High Utilization ◽

Psychiatric Department

SynopsisOn the basis of nationwide patient register data the diagnostic pattern of the medical admissions of a general population (17–49 year-olds; N = 30427) during an 8-year period was studied by comparing those individuals who had been admitted to the psychiatric department (i.e. psychiatric patients) with those individuals who had not. The results suggest that the high utilization of medical admissions by psychiatric patients could not be explained simply by coincident chronic physical illness or particular types of physical disease including the somatic complications of mental disorders. It is more likely to be attributable to other factors such as an increased general susceptibility to physical illness, different forms of illness behaviour, and the process of somatization.

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Changes in Social Functioning of Hospitalized Psychiatric Patients

Social Service Review ◽

10.1086/642151 ◽

1967 ◽

Vol 41 (4) ◽

pp. 371-378

Author(s):

John R. Schuerman ◽

Dorothy A. Shaw ◽

George W. Magner

Keyword(s):

Social Functioning ◽

Psychiatric Patients

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Needs for care in psychiatric patients: a systematic review. I. General concepts and assessment measures. Needs for services

Epidemiologia e Psichiatria Sociale ◽

10.1017/s1121189x00007879 ◽

2000 ◽

Vol 9 (3) ◽

pp. 190-213 ◽

Cited By ~ 3

Author(s):

Antonio Lasalvia ◽

Benedetta Stefani ◽

Mirella Ruggeri

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Services ◽

General Population ◽

Health Services ◽

Mental Health Care ◽

Psychiatric Patients ◽

Assessment Tools ◽

Needs For Care ◽

Number Of Patients

SummaryObjective – In Italy, mental health care is in phase of reorganisation. In this frame the measurement of users' needs may be a useftil tool in planning individualised mental health service interventions and in their evaluation. Aims of the present study are (I) to highlight the basic concepts of 'needs for care' and give a brief description of the main needs assessment tools specifically developed for psychiatric patients; (II) to review studies assessing needs for mental health services in the general population; (III) to discuss the role played by the assessment of needs in planning mental health care. Methods – Studies published in the international literature from January 1980 to June 1999 were reviewed. The studies were located through a computerised search of the databases MEDLINE and PsycLit; in addition, the reference lists of the studies located through the computerised search and the content of main international psychiatric journals were manually scanned in order to avoid possible omissions. Studies assessing needs for services and studies assessing needs on individual level were separately reviewed. Both groups of studies, in turn, were divided in studies assessing needs for mental health care in the general population and in psychiatric patients. Results – Although most studies on needs for services used indirect methodologies and employed quite heterogeneous experimental design, they provide at large overlapping results. In the general population, about 60%- 70% of patients with anxiety, depression and other neurotic disorders and 30%-40% of psychotic patients do not receive any specialist mental health care, suggesting that the majority of subjects suffering from a psychiatric disorder do not receive the mental health care they need. Conclusions – Unmet needs for services show a higher frequency in patients with neurotic and depressive disorders, indicating a shortage in services delivery that should be taken into account both by psychiatrists and mental health planners. Moreover, the finding that a large number of patients suffering from psychotic disorders do not receive any kind of mental health care is of particular relevance for planning mental health services, since these subjects are usually the most problematic and difficult to treat.

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