Current Utilization of Day Hospitalization*

1978 ◽  
Vol 23 (8) ◽  
pp. 557-566 ◽  
Author(s):  
Hassan F.A. Azim ◽  
Theodore D. Weiden ◽  
William D. Ratcliffe ◽  
Richard W. Nutter ◽  
Ronald J. Dyck ◽  
...  

The present study examined characteristics of comparable samples of patients admitted to nonaffiliated day and full-time psychiatric hospitals. Moreover, the influence of the day hospital program on symptomatology and social functioning was assessed. In general, the results indicated that day patients were of higher socioeconomic status and had fewer previous hospitalizations in comparison to 24-hour patients. While fewer day patients were diagnosed as psychotic, they did obtain higher scores of social inadequacy, depression and social introversion. Participation in the day hospital program was generally found to be related to decreased psychopathology, increased self-esteem and social role activities, and symptom relief. However, patients suffering from functional psychoses were found to demonstrate improvement below the average of the patient sample. These results were discussed in relation to previous research.

Author(s):  
Ewa Kupcewicz ◽  
Elżbieta Grochans ◽  
Marzena Mikla ◽  
Helena Kadučáková ◽  
Marcin Jóźwik

Background: This study analyzed the role of global self-esteem and selected sociodemographic variables in predicting life satisfaction of nursing students in Poland, Spain and Slovakia. Methods: The study subjects were full-time nursing students from three European countries. A diagnostic survey was used as a research method, while the Rosenberg self-esteem scale (SES) and the satisfaction with life scale (SWLS) were used to collect data. Results: The research was performed on a group of 1002 students. The mean age of those surveyed was 21.6 (±3.4). The results showed significant differences both in the level of the global self-esteem index (F = 40.74; p < 0.0001) and in the level of general satisfaction with life (F = 12.71; p < 0.0001). A comparison of the structure of results demonstrated that there were significantly fewer students with high self-esteem in Spain (11.06%) than in Poland (48.27%) and in Slovakia (42.05%), while more students with a high sense of life satisfaction were recorded in Spain (64.90%) than in Poland (37.87%) or in Slovakia (47.44%). A positive, statistically significant correlation was found between global self-esteem and satisfaction with life in the group of Slovak students (r = 0.37; p < 0.0001), Polish students (r = 0.31; p < 0.0001) and Spanish students (r = 0.26; p < 0.0001). Furthermore, a regression analysis proved that three variables explaining a total of 12% output variation were the predictors of life satisfaction in Polish students. The regression factor was positive (ßeta = 0.31; R2 = 0.12), which indicates a positive correlation and the largest share was attributed to global self-esteem (9%). In the group of Spanish students, global self-esteem explained 7% (ßeta = 0.27; R2 = 0.07) of the output variation and 14% in the group of Slovak students (ßeta = 0.38; R2 = 0.14). Conclusions: The global self-esteem demonstrates the predictive power of life satisfaction of nursing students, most clearly marked in the group of Slovak students. The measurement of the variables under consideration may facilitate the planning and implementation of programs aimed at increasing self-esteem among young people and promoting the well-being of nursing students.


1973 ◽  
Vol 122 (568) ◽  
pp. 307-314 ◽  
Author(s):  
J. K. W. Morrice

Nowadays the idea of a day hospital is familiar and no longer seems revolutionary or slightly suspect. Considerable growth of such units has occurred since the Marlborough Day Hospital opened in London in 1946. However, there has been no real attempt in this country to accept the challenge of Epps and Hanes (1964) who estimated that 50–75 per cent of patients in psychiatric hospitals could be cared for equally well in day units.


2006 ◽  
Vol 34 (1) ◽  
pp. 59-76 ◽  
Author(s):  
H. Durell Johnson ◽  
Renae Mcnair ◽  
Alex Vojick ◽  
Darcy Congdon ◽  
Jennifer Monacelli ◽  
...  

Previous research suggests many of the qualities necessary for successful well-being are masculine in nature. However, masculinity and femininity have been considered related constructs as opposed to being distinctly different sex-role characterizations. Therefore, this study examined the hypothesized associations between sex-role orientation and reports of well-being by looking at the combined and separate contributions of masculinity and femininity reports. Responses from 286 college undergraduates to the BEM Sex Role Inventory (Bem, 1974) and measures of well-being (i.e., loneliness (UCLA Loneliness Scale, revised by Russell, Peplau, & Cutrona, 1980), personal discomfort (Personal Discomfort Subscale of the Multiphasic Personality Inventory, Social Introversion-Extroversion Scale, Graham, Schroeder, & Lilly, 1971), self-esteem (Rosenberg Self-Esteem Scale, Rosenberg, 1965), and social anxiety and avoidance (Social Anxiety and Social Avoidance Scale, Franke & Hymel, 1984) indicated both categorical and continuous measures of sex role were associated with well-being. Examination of sex-role categories revealed participants with masculine and androgynous orientations reported higher well-being scores than did those with feminine and undifferentiated orientations. Further, examination of separate femininity and masculinity scores indicated that masculinity was positively – and femininity was negatively – associated with participant reports of well-being. Findings are discussed in terms of considering masculinity and femininity as separate measures of sex-role orientation when examining the association between sex roles and well-being.


2003 ◽  
Vol 9 (5) ◽  
pp. 163-166 ◽  
Author(s):  
Sharon M. Valente

Nurses are well positioned to use hypnosis to relieve symptoms, but they may lack knowledge about its clinical effectiveness. Hypnosis can help clients alleviate anxiety, reduce arousal, control behavior, and develop control when they become upset or worried. With education and supervision, psychiatric nurses in general or advanced practice can use hypnosis to help clients achieve symptom control and improve self-esteem and self-confidence.


2016 ◽  
Vol 8 (1) ◽  
pp. 35-44
Author(s):  
E.S. Polishchuk

of psychological well-being features in students with different levels of role victimization. Role victimization shall be understood to mean such a strategy of victim relations, which is based on the individual predisposition to produce a particular playing or social type of victim behavior (playing and social role of the victim) (M.A. Odintsova). The article presents the analysis of psychological well-being of students with different levels of role victimization (N = 82, average age 21 years). "Auto-viktim» (N = 28), "victim» (N = 31), "non-viktim» (N = 23) groups were formed according to the level and nature of manifestations of the role victimization, and a comparative analysis of the level of psychological well-being and perception of the image of the world in these groups was made. The study shows that while level of role victimization increases, psychological well-being of students reduces and negative attitude toward the world forms. "Auto-viktim" students while facing difficulties play the role of victim, and "victim" students use social role. "Non-viktim" students have positive self-esteem, they are optimistic, easy to set goals and reach them. Also the article present an analysis of the peculiarities of the psychological well-being, the perception of image of the world, the level of role victimization in groups of male and female youth.


2018 ◽  
Vol 25 (4) ◽  
pp. 385-398 ◽  
Author(s):  
Minseo Kim ◽  
Terry A. Beehr

Based on the conservation of resources theory and intrinsic motivation principles, this study examined the effects of empowering leadership on employees’ positive and negative behaviors and well-being through two mediators, organization-based self-esteem, and meaningful work, over an 8-week period. With 347 full-time employees, results from structural equation modeling demonstrated that empowering leadership was positively associated with organization-based self-esteem and meaningful work. Organization-based self-esteem led to greater organizational citizenship behaviors and fewer deviant behaviors. Perceptions of meaningful work resulted in lower levels of emotional exhaustion and higher levels of life satisfaction. Together, these findings highlight the important roles of the two psychological states explaining why empowering leadership contributes to employees’ favorable work behaviors and psychological well-being.


BJPsych Open ◽  
2017 ◽  
Vol 3 (3) ◽  
pp. 102-105 ◽  
Author(s):  
Matthew Michael Large ◽  
Daniel Thomas Chung ◽  
Michael Davidson ◽  
Mark Weiser ◽  
Christopher James Ryan

BackgroundBeing a current psychiatric in-patient is one of the strongest statistical risk factors for suicide. It is usually assumed that this strong association is not causal but is a result of the combination of the selection of high-risk patients for admission and the imperfect protection from suicide afforded by psychiatric wards. Logically, a third factor, which is causal, might play a role in the association. It has recently been suggested that adverse experiences in psychiatric units such as trauma, stigma and loss of social role might precipitate some in-patient suicides.AimsTo consider whether there is a causal association between psychiatric hospitalisation and suicide.MethodWe used the framework of Austin Bradford Hill's criteria for assessing causality in epidemiology to consider the possibility that psychiatric hospitalisation might causally contribute to the extent and variation in in-patient suicide rates.ResultsThe association between psychiatric hospitalisation and suicide clearly meets five of the nine Hill's criteria (strength of association, consistency, plausibility, coherence and analogy) and partially meets three of the remaining four criteria (gradient of exposure, temporality and experimental evidence).ConclusionsAdmission to hospital itself might play a causal role in a proportion of in-patient suicides. The safety of being in hospital with respect to suicide could be examined with a large-scale randomised controlled trial (RCT). In the absence of an RCT, the possibility of a causal role provides further impetus to calls to make care in the community more available and psychiatric hospitals more acceptable to patients.


1996 ◽  
Vol 30 (4) ◽  
pp. 304-309 ◽  
Author(s):  
Paulo R. Menezes ◽  
Anthony H. Mann

High mortality rates among those suffering from schizophrenia and related psychoses have been consistently described in developed societies. However, to date there is a lack of data on this matter in Brazil. In order to examine this issue, a prospective 2-year follow-up study was carried out in S. Paulo. The sample consisted of 120 consecutive admissions to psychiatric hospitals in a defined catchment area, aged 18 to 44 years old, with clinical diagnoses of non-affective functional psychoses according to the ICD-9. After 2 years, 116 (96.7%) subjects were traced. During the study period there were 7 deaths (6.0% of those traced), 5 (4.3%) due to suicide. All but one of the suicides occurred in the first year after discharge from hospital. Age and sex Standardised Mortality Ratios (relative to rates for the population of the city of Sao Paulo) were 8.4 for overall mortality (95% confidence interval: 4.0-15.9) and 317.9 for deaths due to suicide (95% confidence interval: 125.2-668.3). These results are in agreement with previous studies, and show that in Brazil non-affective functional psychoses are life-threatening illnesses, which need adequate care, particularly when patients go back to live in the community after hospital discharge.


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