Psychiatric admission rates: the relationship with health and social factors and the effects of confounding variables

1996 ◽  
pp. 245-256 ◽  
Author(s):  
Brian Jarman
1991 ◽  
Vol 21 (1) ◽  
pp. 177-184 ◽  
Author(s):  
Sjoerd Sytema

SYNOPSISEnvironmental as well as individual socio-demographic and illness characteristics are related to the risk of admission. This paper addresses the problem of the interrelationships of these factors to admission rates. Using the Groningen Psychiatric Case Register, admission rates (during 1986 and 1987) from 34 administrative areas were calculated. Logit models were fitted in order to test the relationship between the relative risk of being admitted and sex, age, marital status, diagnosis, urbanization and distance from facilities. The effect of urbanization remains under the control of the other independent variables. The concept of ‘need for care’, related to ‘true’ and ‘treated’ incidence, is discussed.


1993 ◽  
Vol 17 (6) ◽  
pp. 339-340
Author(s):  
Robin G. McCreadie ◽  
Douglas J. Williamson

It is well established that there is a strong relationship between psychiatric admission rates and socioeconomic deprivation; the more deprived the area, the more admissions may be expected (Hirsch, 1988). In the development of community resources for the mentally ill, therefore, an aim might be to site the majority of facilities in areas of greatest social deprivation, as that is where the majority of patients will live. It might also be expected that areas of greater deprivation would have more professional NHS staff. The present survey examines the siting of rehabilitation and support services in the catchment areas of Scottish psychiatric hospitals in relation to measures to socioeconomic deprivation. It also examines the relationship between deprivation and numbers of professional NHS staff in the different catchment areas.


2021 ◽  
Vol 43 (2) ◽  
pp. 177-179 ◽  
Author(s):  
Chittaranjan Andrade

Students without prior research experience may not know how to conceptualize and design a study. This article explains how an understanding of the classification and operationalization of variables is the key to the process. Variables describe aspects of the sample that is under study; they are so called because they vary in value from subject to subject in the sample. Variables may be independent or dependent. Independent variables influence the value of other variables; dependent variables are influenced in value by other variables. A hypothesis states an expected relationship between variables. A significant relationship between an independent and dependent variable does not prove cause and effect; the relationship may partly or wholly be explained by one or more confounding variables. Variables need to be operationalized; that is, defined in a way that permits their accurate measurement. These and other concepts are explained with the help of clinically relevant examples.


Author(s):  
Fengrui Jing ◽  
Lin Liu ◽  
Suhong Zhou ◽  
Jiangyu Song ◽  
Linsen Wang ◽  
...  

Previous literature has examined the relationship between the amount of green space and perceived safety in urban areas, but little is known about the effect of street-view neighborhood greenery on perceived neighborhood safety. Using a deep learning approach, we derived greenery from a massive set of street view images in central Guangzhou. We further tested the relationships and mechanisms between street-view greenery and fear of crime in the neighborhood. Results demonstrated that a higher level of neighborhood street-view greenery was associated with a lower fear of crime, and its relationship was mediated by perceived physical incivilities. While increasing street greenery of the micro-environment may reduce fear of crime, this paper also suggests that social factors should be considered when designing ameliorative programs.


2021 ◽  
pp. 1-4
Author(s):  
Michaela Kranepuhl ◽  
Detlef May ◽  
Edna Hillmann ◽  
Lorenz Gygax

Abstract This research communication describes the relationship between the occurrence of lameness and body condition score (BCS) in a sample of 288 cows from a single farm that were repeatedly scored in the course of 9 months while controlling for confounding variables. The relationship between BCS and lameness was evaluated using generalised linear mixed-effects models. It was found that the proportion of lame cows was higher with decreasing but also with increasing BCS, increased with lactation number and decreased with time since the last claw trimming. This is likely to reflect the importance of sufficient body condition in the prevention of lameness but also raises the question of the impact of overcondition on lameness and the influence of claw trimming events on the assessment of lameness. A stronger focus on BCS might allow improved management of lameness that is still one of the major problems in housed cows.


2020 ◽  
Vol 47 (2) ◽  
pp. 247-262
Author(s):  
Kaustubh Gaurh

The aim of this study is to understand the ‘idea’ of music that existed in early India in the first millennium bce. Observing the historiographical trends that have emerged in the historical studies of music, it can be seen that there is scarcity of sources to study the kind of music that was practised in this time period. But the approach presented here deals with the traces of music in the literary sources (the Sanskrit epics: the Rāmāyaṇa and the Mahābhārata) which cover the representations of music and musicians. This would help us infer the nature of musical thought that evolved in early India. 1 The objective is to study the relationship between an art form and the society, by looking at ‘art in society’, not ‘society in art’ to see how music was conditioned by early Indian social factors. 2 After discussing the sources used for the study, a range of philosophical, material and societal aspects are addressed by looking at how the societies in early India engaged themselves with music.


1979 ◽  
Vol 24 (3) ◽  
pp. 207-211 ◽  
Author(s):  
A.J.R. Finlayson ◽  
G. Bartolucci ◽  
D.L. Streiner

A lessening of personal discomfort felt by residents on-call in the Emergency Psychiatric Service has resulted from changes in the frequency of being on-call, exclusion of beginning residents from duty and arranging for the presence of a faculty psychiatrist for one or two hours during each on-call period. Coincidental significant reductions in the number of cases admitted to hospital and reductions in the proportion of discrepancies between diagnoses made by the emergency resident and those made later by inpatient unit staff have been described. The relationship of the changes in resident experience to the reduction in admissions and decreased proportion of diagnostic discrepancy has been discussed using a model of the process of emergency psychiatric admission described earlier by Bartolucci et al. (1). Less isolation, anxiety and some increased experience on the part of the psychiatric residents on duty in the Emergency Psychiatric Service results in greater awareness and better appraisal of the nonmedical aspects of psychiatric emergencies.


2000 ◽  
Vol 12 (4) ◽  
pp. 463-471 ◽  
Author(s):  
Michael Dwyer ◽  
Gerard J. A. Byrne

Screaming and other types of disruptive vocalization are commonly observed among nursing home residents. Depressive symptoms are also frequently seen in this group, although the relationship between disruptive vocalization and depressive symptoms is unclear. Accordingly, we sought to examine this relationship in older nursing home residents. We undertook a controlled comparison of 41 vocally disruptive nursing home residents and 43 non-vocally-disruptive nursing home residents. All participants were selected to have Mini-Mental State Examination (MMSE) scores of at least 10. Participants had a mean age of 81.0 years (range 63-97 years) and had a mean MMSE score of 17.8 (range 10-29). Nurse ratings of disruptive vocalization according to a semioperationalized definition were validated against the noisy behavior subscale of the Cohen-Mansfield Agitation Inventory. Subjects were independently rated for depressive symptoms by a psychiatrist using the Dementia Mood Assessment Scale, the Cornell Scale for Depression in Dementia, and the Depressive Signs Scale. Vocally disruptive nursing home residents scored significantly higher than controls on each of these three depresion-in-dementia scales. These differences remained significant when the effects of possible confounding variables of cognitive impairment, age, and sex were removed. We conclude that depressive symptoms are associated with disruptive vocalization and may have an etiological role in the generation of disruptive vocalization behaviors in elderly nursing home residents.


2021 ◽  
Author(s):  
Isla Dougall ◽  
Mario Weick ◽  
Milica Vasiljevic

Within Higher Education (HE), lower social class staff and students often experience poorer wellbeing than their higher social class counterparts. Previous research conducted outside educational contexts has linked social class differences in wellbeing with differences in the extent to which low and high social class individuals feel respected (i.e., status), in control (i.e., autonomy), and connected with others (i.e., inclusion). However, to our knowledge, there has been no research that has investigated these factors within HE settings. Furthermore, inclusion, status and autonomy are correlated, yet little is known about how these factors contribute to wellbeing simultaneously, and independently, of one another. To fill these gaps, we report the results of two studies; firstly with HE students (Study 1; N = 305), and secondly with HE staff (Study 2; N = 261). Consistently across studies, reports of poor wellbeing were relatively common and more than twice as prevalent amongst lower social class staff and students compared to higher social class staff and students. Inclusion, status and autonomy each made a unique contribution and accounted for the relationship between social class and wellbeing (fully amongst students, and partially amongst staff members). These relationships held across various operationalisations of social class and when examining a range of facets of wellbeing. Social class along with inclusion, status and autonomy explained a substantial 40% of the variance in wellbeing. The present research contributes to the literature exploring how social class intersects with social factors to impact the wellbeing of staff and students within HE.


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