Oregon Educational Functioning Level Descriptors

2013 ◽  
Keyword(s):  
Educational Functioning ◽  
Functioning Level

Pain is associated with reduced quality of life and functional status in patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

2019 ◽  
Vol 19 (1) ◽  
pp. 61-72 ◽  
Author(s):  
Elin Bolle Strand ◽  
Anne Marit Mengshoel ◽  
Leiv Sandvik ◽  
Ingrid B. Helland ◽  
Semhar Abraham ◽  
...  
Keyword(s):  
Patient Group ◽  
Joint Pain ◽  
Chronic Fatigue ◽  
Anxiety And Depression ◽  
Healthy Controls ◽  
Fatigue Syndrome ◽  
Health Related Qol ◽  
Health Related ◽  
Functioning Level

Abstract Background and aims Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is challenging to live with, often accompanied by pervasive fatigue and pain, accompanied by decreased quality of life (QoL) as well as anxiety and/or depression. Associations between higher pain, lower QoL and higher anxiety and depression have been shown in patients with various chronic pain disorders. Few studies have however examined such associations in a sample of patients with ME/CFS. The aims of the current study were to examine the impact of pain levels and compare levels of pain, health related QoL, anxiety and depression between patients with ME/CFS and healthy controls. In addition, the study aimed and to examine these relationships within the patient group only. Methods This is a cross-sectional questionnaire based study comparing 87 well-diagnosed patients with ME/CFS with 94 healthy controls. The De Paul Symptom Questionnaire (DSQ), the Medical Outcomes Study Short-Form Surveys (SF-36) and the Hospital Anxiety and Depression Scale (HADS) were used to examine and compare pain, physical function, QoL, anxiety and depression in patients and healthy controls. Further the pain variables were divided into pain total, pain intensity and a pain frequency score for analyses of the above mentioned variables within the patient group only. Results Significantly higher levels of pain, anxiety and depression, and lower levels of QoL were found in the patient group compared with healthy controls. For the patient group alone, pain was significantly associated with lower QoL in terms of physical functioning, bodily pain, general health functioning, vitality and social functioning capacity. In this patient sample, only frequency of joint pain showed significant difference in psychological variables such as depression and anxiety – depression combined. Conclusions ME/CFS patients differ significantly from healthy controls in pain, health related QoL, anxiety and depression. Pain is significantly associated with reduced QoL and overall a lower level of functioning. The relation between pain and anxiety and depression appears less clear. Implications Pain is for many ME/CFS patients associated with reduced physical functioning and reduced QoL. A thorough pain assessment can therefore be essential for clinicians, and subsequent medical pain treatment combined with good pain coping skills may increase functioning level and QoL for these patients. The link between joint pain and psychological factors should also be focused in clinical practice in terms of mapping and counseling. Pain should be further examined to understand the importance it may have for functioning level as reduced function is a main criteria when diagnosing the patients.

scholarly journals Two suggestions of how to define a multistate coherent system

1982 ◽  
Vol 14 (02) ◽  
pp. 434-455 ◽  
Author(s):  
B. Natvig
Keyword(s):  
General Model ◽  
Reliability Theory ◽  
Coherent System ◽  
Multistate System ◽  
Complete Failure ◽  
Functioning Level ◽  
The One ◽  
Independent Work

One inherent weakness of traditional reliability theory is that the system and the components are always described just as functioning or failed. However, recent papers by Barlow and Wu (1978) and El-Neweihi et al. (1978) have made significant contributions to start building up a theory for a multistate system of multistate components. Here the states represent successive levels of performance ranging from a perfect functioning level down to a complete failure level. In the present paper we will give two suggestions of how to define a multistate coherent system. The first one is more general than the one introduced in the latter paper, the results of which are, however, extendable. (This is also true for a somewhat more general model than ours, treated in independent work by Griffith (1980).) Furthermore, some new definitions and results are given (which trivially extend to the latter model). Our second model is similarly more general than the one introduced in Barlow and Wu (1978), the results of which are again extendable. In fact we believe that most of the theory for the traditional binary coherent system can be extended to our second suggestion of a multistate coherent system.

Social Cognition and Psychosocial Functioning in Schizophrenia

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
G. Juckel ◽  
M. Brüne
Keyword(s):  
Social Cognition ◽  
Theory Of Mind ◽  
Psychosocial Functioning ◽  
Social Performance ◽  
Anterior Cingulate ◽  
Healthy Controls ◽  
Significant Difference ◽  
Close Relationship ◽  
Functioning Level ◽  
Performance Scale

Ability for empathy and theory of mind are diminshed in patients with schizophrenia. These kinds of social cognition are, however, necessary to interact with other people and obtain a well-balanced psychosocial functioning level, i.e. to have friends, to go for work, to be in partnership and so on. Own studies revealed that disturbances in social cognition are accompanied by fMRI activation deficits in distinct regions of the underlying neuronanatomical loop in schizophrenia. The most significant difference compared to healthy controls was found in the region of the anterior cingulate cortex (ACC) and medial prefrontal cortex (mPFC). We think that training of social cognition would improve both the neurobiological hypoactivation and the ability for empathy and theory of mind. As consequence, psychosocial functioning of the patients should be become better as measured e.g. by the personal and social performance scale (PSP). To emphazise the close relationship between social cognition, ist underlying neuobiology and psychosocial functioning is the main purpose of this lecture.

scholarly journals A qualitative study of patient-centered goal-setting in geriatric rehabilitation: patient and professional perspectives

2018 ◽  
Vol 33 (1) ◽  
pp. 128-140 ◽  
Author(s):  
Rosanne van Seben ◽  
Susanne M Smorenburg ◽  
Bianca M Buurman
Keyword(s):  
Goal Setting ◽  
Self Care ◽  
Inpatient Rehabilitation ◽  
Geriatric Rehabilitation ◽  
Patient Centered ◽  
Patient Goals ◽  
Qualitative Interview Study ◽  
Functioning Level ◽  
Over Time ◽  
At Home

Objective: To characterize how rehabilitation goals of older patients change over time and to explore professionals’ attitudes toward patient-centered goal-setting and their perspectives on rehabilitation goals. Design: Qualitative interview study. Setting: Three geriatric rehabilitation centers. Subjects: Ten patients (aged ⩾ 80), who had recently received inpatient geriatric rehabilitation, and seven professionals were purposively recruited. Methods: Semi-structured interviews. Patients were interviewed in the third or fourth week after discharge from inpatient rehabilitation, to reflect on their inpatient goals and to investigate long-term goals now that they were at home. A thematic analysis was performed. Results: During inpatient rehabilitation, participants’ main goals were regaining independence in self-care activities and going home. Post-discharge, patients were not at their baseline functioning level. Rehabilitation goals appeared to shift over time, and once at home, patients formulated more ambitious rehabilitation goals that were related to regaining full independence and being able to perform activities. Although professionals thought goal-setting together with the patient is important, they also stated that older individuals often are either unable to formulate goals or they set unrealistic ones. In addition, professionals indicated that goals have to be related to discharge criteria, such as performing basic self-care activities, and rehabilitation revolves around getting patients ready for discharge. Conclusion: During inpatient rehabilitation, patient goals are related to going home. After discharge, patients have ambitious goals, related to their premorbid functioning level. Rehabilitation services should distinguish between goals that are important while patients are inpatient and goals that are important after discharge.

The Impact of Selected Demographic Variables and Disability Types on Perceptions of Client's Functioning Level

1992 ◽  
Vol 23 (2) ◽  
pp. 29-34
Author(s):  
Kenya B. Mattie ◽  
Linda Campbell ◽  
Jack R. Crisler ◽  
Cynthia Woodruff
Keyword(s):  
Program Implementation ◽  
Demographic Variables ◽  
Therapeutic Interventions ◽  
Treatment Goals ◽  
Client Perceptions ◽  
Level Of Functioning ◽  
Individual Client ◽  
Functioning Level ◽  
The Impact ◽  
Gender Type

Rehabilitation clients and their counselors often perceive the client's level of functioning differently from each other. When incongruence in perceptions exists, treatment goals may be compromised and therapeutic interventions ineffective. The present study investigates counselor and client perceptions of client functioning as a function of demographic variables descriptive of both the clients (n = 41) and the counselors (n = 9). The Client Goal Achievement Instrument (CGAI) was used to measure perception of functioning and paired t tests were used to analyze the scores. Significant differences were found between the counselors and clients on 35 of 50 items. Patterns of significance were shown on individual client demographic variables of age, education, gender, type of disability and race. Significance was also evidenced on counselor variables of age, experience, and education. General findings indicated that clients and their counselors view the client's functioning levels very differently. Implications are for the need to achieve greater congruence between counselors' and clients' perceptions before the development of goals and program implementation.

scholarly journals Two suggestions of how to define a multistate coherent system

1982 ◽  
Vol 14 (2) ◽  
pp. 434-455 ◽  
Author(s):  
B. Natvig
Keyword(s):  
General Model ◽  
Reliability Theory ◽  
Coherent System ◽  
Multistate System ◽  
Complete Failure ◽  
Functioning Level ◽  
The One ◽  
Independent Work

One inherent weakness of traditional reliability theory is that the system and the components are always described just as functioning or failed. However, recent papers by Barlow and Wu (1978) and El-Neweihi et al. (1978) have made significant contributions to start building up a theory for a multistate system of multistate components. Here the states represent successive levels of performance ranging from a perfect functioning level down to a complete failure level. In the present paper we will give two suggestions of how to define a multistate coherent system. The first one is more general than the one introduced in the latter paper, the results of which are, however, extendable. (This is also true for a somewhat more general model than ours, treated in independent work by Griffith (1980).) Furthermore, some new definitions and results are given (which trivially extend to the latter model). Our second model is similarly more general than the one introduced in Barlow and Wu (1978), the results of which are again extendable. In fact we believe that most of the theory for the traditional binary coherent system can be extended to our second suggestion of a multistate coherent system.

Beliefs about Depression in Patients and Their Partners

2005 ◽  
Vol 33 (2) ◽  
pp. 131-138 ◽  
Author(s):  
Peter L. Cornwall ◽  
Jan Scott ◽  
Anne Garland ◽  
Ben R. Pollinger
Keyword(s):  
Major Depression ◽  
Clinical Outcome ◽  
Caregiver Burden ◽  
Symptom Severity ◽  
Caregiver Distress ◽  
Marital Functioning ◽  
Major Depressive ◽  
Severity Of Depression ◽  
Functioning Level ◽  
The Impact

We examined beliefs about depression in patients and their partners and explored the impact of beliefs on perceptions of marital functioning, level of distress and caregiving in partners, and clinical outcome of major depression. Fifteen patients meeting criteria for major depressive disorder and their co-habiting spouses were interviewed at baseline using the Reasons for Depression Questionnaire (Addis, Truax and Jacobson, 1995) and measures of symptom severity, distress, caregiver consequences and marital satisfaction. Outcome was assessed at 6 months. Identifying biological reasons for depression was significantly associated with patient severity of depression and with caregiver burden. Caregiver distress was significantly associated with endorsement of interpersonal reasons for depression. Concordance in reason giving between patients and partners was significantly associated with a good outcome. This is the first study to show that beliefs about depression held by patients and their partners may have an impact on the clinical outcome of major depression.

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