Long-Term Course in Female Survivors of Childhood Abuse after Psychodynamically Oriented, Trauma-Specific Inpatient Treatment: A Naturalistic Two-Year Follow-Up

Long-term exposure to childhood abuse and occurrence of mental illness are positively correlated. Using long-term tracking data in Korea, we identified the characteristics of children and adolescents who experienced abuse and impact thereof on their psychopathology. Using the Korea Welfare Panel data, 354 teenagers in grades 4–6 of elementary school participated, were assessed at baseline, and monitored 3 years later. They were categorized into Never, Occurrence, Continuation, and Discontinuation groups according to changes in the abuse experienced. Psychopathology was evaluated using K-CBCL. Childhood abuse experience significantly affected psychopathology. At the baseline, the Continuation and Discontinuation groups had a higher severity of psychopathology than the Never group. Psychopathology at the baseline was associated with whether the patient experienced abuse that year. In the follow-up observation, the risk of psychopathology in the Occurrence and Continuation groups was higher than that in the Never group. The Discontinuation group had decreased psychopathology, which was not clinically significant in the follow-up observation (INT aRR = 2.09; 95% CI 0.61–7.13, EXT aRR = 4.23; 95% CI 1.12–16.07). Stopping abuse in late childhood reduces adolescents’ psychopathology in the long term, meaning they can recover their normal developmental trajectory according to risk groups and provide effective interventions including discontinuation of abuse.

Download Full-text

Long-term patterns in interpersonal behaviour amongst psychopathic patients in secure inpatient treatment: A follow-up study

Personality and Mental Health ◽

10.1002/pmh.1292 ◽

2015 ◽

Vol 9 (2) ◽

pp. 124-132 ◽

Cited By ~ 3

Author(s):

Simon Draycott ◽

Roxanna Short ◽

Tim Kirkpatrick

Keyword(s):

Inpatient Treatment ◽

Interpersonal Behaviour ◽

Follow Up Study

Download Full-text

EFFECT OF BRIEF VERSUS LONG-TERM INPATIENT TREATMENT ON HOMECOMING STRESS IN COMBAT-RELATED POSTTRAUMATIC STRESS DISORDER: THREE-YEAR FOLLOW-UP

The Journal of Nervous and Mental Disease ◽

10.1097/00005053-200201000-00013 ◽

2002 ◽

Vol 190 (1) ◽

pp. 47-51 ◽

Cited By ~ 4

Author(s):

David Read Johnson ◽

Hadar Lubin

Keyword(s):

Posttraumatic Stress Disorder ◽

Posttraumatic Stress ◽

Inpatient Treatment ◽

Stress Disorder

Download Full-text

Breast Cancer Risk in Female Survivors of Hodgkin's Lymphoma: Lower Risk After Smaller Radiation Volumes

Journal of Clinical Oncology ◽

10.1200/jco.2008.19.9174 ◽

2009 ◽

Vol 27 (26) ◽

pp. 4239-4246 ◽

Cited By ~ 234

Author(s):

Marie L. De Bruin ◽

Judith Sparidans ◽

Mars B. van't Veer ◽

Evert M. Noordijk ◽

Marieke W.J. Louwman ◽

...

Keyword(s):

Breast Cancer ◽

Hodgkin’S Lymphoma ◽

Ovarian Function ◽

Cox Regression ◽

Hodgkin's Lymphoma ◽

Female Survivors ◽

Increased Risk ◽

Absolute Excess Risk

Purpose We assessed the long-term risk of breast cancer (BC) after treatment for Hodgkin's lymphoma (HL). We focused on the volume of breast tissue exposed to radiation and the influence of gonadotoxic chemotherapy (CT). Patients and Methods We performed a cohort study among 1,122 female 5-year survivors treated for HL before the age of 51 years between 1965 and 1995. We compared the incidence of BC with that in the general population. To assess the risk according to radiation volume and hormone factors, we performed multivariate Cox regression analyses. Results After a median follow-up of 17.8 years, 120 women developed BC (standardized incidence ratio [SIR], 5.6; 95% CI, 4.6 to 6.8), absolute excess risk 57 per 10,000 patients per year. The overall cumulative incidence 30 years after treatment was 19% (95% CI, 16% to 23%); for those treated before age 21 years, it was 26% (95% CI, 19% to 33%). The relative risk remained high after prolonged follow-up (> 30 years after treatment: SIR, 9.5; 95% CI, 4.9 to 16.6). Mantle field irradiation (involving the axillary, mediastinal, and neck nodes) was associated with a 2.7-fold increased risk (95% CI, 1.1 to 6.9) compared with similarly dosed (36 to 44 Gy) mediastinal irradiation alone. Women with ≥ 20 years of intact ovarian function after radiotherapy at young ages (< 31 years) experienced significantly higher risks for BC than those with fewer than 10 years of intact ovarian function. Conclusion Reduction of radiation volume appears to decrease the risk for BC after HL. In addition, shorter duration of intact ovarian function after irradiation is associated with a significant reduction of the risk for BC.

Download Full-text

Retrospective Long-Term Comparison of Naturopathic Fasting Therapy and Weight Reduction Diet in Overweight Patients

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2014/453407 ◽

2014 ◽

Vol 2014 ◽

pp. 1-8

Author(s):

André-Michael Beer ◽

Lena Elisabeth Ismar ◽

Dominik Karl Wessely ◽

Tanja Pötschke ◽

Beate Weidner ◽

...

Keyword(s):

Weight Reduction ◽

Inpatient Treatment ◽

Lifestyle Modification ◽

Leisure Activity ◽

Overweight And Obesity ◽

Control Group ◽

Complex Treatment

In a follow-up study overweight and obese patients fasting according to Buchinger (modified) and a control group treated by a weight reduction diet in the context of an inpatient naturopathic complex treatment were compared using a questionnaire developed for a standardized phone interview6.8±1.1years after inpatient treatment. During the inpatient treatment the fasting patients significantly more body weight, but at the time of the interview significantly more weight was gained again. 10.7% of the fasting patients and 31.9% of the control group lowered their weight at least 5% of their initial weight up to the interview. 42% of the fasting and 74% of the control group persistently changed their diet. The control group followed a significantly higher number of trained nutritional aspects. 21% of the fasting and 40% of the control group increased their leisure activity permanently. Continued improvement in quality of life was achieved by 16% of the fasting patients and 28% of the control group. The fasting therapy, carried out as part of the inpatient naturopathic complex treatment, turned out to be less suitable for the treatment of overweight and obesity compared to standard therapy. One likely determinant is the minor poststationary lifestyle modification.

Download Full-text

Resection of the coccyx as an outpatient procedure

Orthopedic Reviews ◽

10.4081/or.2020.8813 ◽

2020 ◽

Vol 12 (3) ◽

Author(s):

Ante Matti Kalstad ◽

Rainer G. Knobloch ◽

Vilhjalmur Finsen

Keyword(s):

Spinal Anaesthesia ◽

Inpatient Treatment ◽

Deep Infection ◽

Safe Alternative ◽

Outpatient Procedure ◽

Outpatient Group ◽

Superficial Wound ◽

One Year

We wished to determine if coccygectomy as an outpatient procedure is a safe alternative to inpatient treatment. 68 patients were treated at our institution with coccygectomy as an outpatient procedure during a seven-year period. Out of these 61 (90%) responded to final follow-up questionnaires after a minimum of one year. We recorded satisfaction with the outpatient modality, and compared postoperative complications and long-term satisfaction with patients who had been operated as inpatients during the same period. Out of the 61 patients who responded to final follow up, 39 (64%) were satisfied with having the operation as an outpatient procedure. The patients who would have preferred overnight hospitalization generally felt that traveling home the same day was painful. There was significantly less pain on the journey home if the procedure had been performed under spinal anaesthesia. In terms of complications, there were 10% reoperations due to deep infection in the outpatient group, and 12% superficial wound infections treated with oral antibiotics. The corresponding numbers for the in-patient group were 8% and 14%. The long-term success rate was similar for both groups. 87% of outpatients and 89% of inpatients reported that they would have consented to the operation if they had known the result in advance. Coccygectomy as an outpatient procedure gives similar results to inpatient treatment and can be regarded as an acceptable alternative. Spinal anaesthesia reduces postoperative pain on the journey home.

Download Full-text