Early Memories and Maladjustment: Comment on Spirrison, et al. and Recalled Age of Earliest Memory

1998 ◽  
Vol 82 (3_suppl) ◽  
pp. 1287-1292 ◽  
Author(s):  
Arnold R. Bruhn

Spirrison, Schneider, Hartwell, Carmack, and D'Reaux (1997) argued that onset prior to age 4 of reported first memory is linked to maladjustment based on a study of 60 undergraduates; however, the literature suggests that sex, age, socioeconomic status, and Verbal IQ are likely to affect age of first recall. Responses of three previously unanalyzed samples were then reviewed for age of first recall. The first two samples yielded a 3-year earlier age of first recall for the female university student sample (3.2 vs 3.5 yr. for men); however, Spirrison, et at.'s prediction of maladjustment is probably better explained by various personal and demographic variables. A third sample—incarcerated male prisoners—was handpicked for specific demographic measures to test the notion that late age of first recall is linked with somatic complaints. Their average age of first recall was 6.2 yr. or “late onset.” Spirrison, et al.'s results would predict “somatic concerns”—extremely unlikely for this group. First recall at a later age is likely linked to a variety of psychological and demographic variables, including but not limited to low Verbal IQ, low education, low socioeconomic status, male, and a criminal background. Similarly, early age of first recall is probably linked to a high Verbal IQ, high education, middle-class socioeconomic status or higher, female, and an interest in reflection, among other variables. More research is needed on what affects age of first recall to avoid questionable attributions of pathology.

2019 ◽  
Vol 29 (3) ◽  
pp. 230-238
Author(s):  
Gloria Chen ◽  
Cynthia S. Bell ◽  
Penelope Loughhead ◽  
Bashar Ibeche ◽  
John S. Bynon ◽  
...  

Introduction: The Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) is a psychometric instrument designed to assess patient risk for transplant. We investigated the association between SIPAT scores and demographic data with psychosocial and medical outcomes within a diverse kidney/kidney–pancreas transplant population. Design: The SIPAT was administered to all pretransplant candidates. A retrospective review of transplanted patients who had at least 6 months of follow-up was completed. Results: The sample included 136 patients: male (n = 77 [57%]) with a mean age of 47 years old. Thirty-eight percent were black (n = 51), 55% had less than a high school education (n = 74), and 65% had low socioeconomic status (n = 89). Statistical difference was found among SIPAT scores and substance use and support system instability ( P = .035, P = .012). Females ( P = .012) and patients with a history of psychopathology ( P = .002) developed or had a relapse of psychopathology following transplant. Patients with more than a high school education ( P = .025) and who were less than 30 years ( P = .026) had higher rejection incidence rates. Risk factors for rehospitalizations included Hispanic race, diabetes, and low socioeconomic status ( P = .036, P = .038, P = .014). African American/Black and male patients had higher incidence of infection events ( P = .032, P = .049). Mortality and treatment nonadherence were not significantly associated with SIPAT scores or demographic variables. Conclusion: The SIPAT was associated with posttransplant substance use and support system instability, while demographic variables were associated with the development and/or relapse of psychopathology, graft loss, rejection, infection events, and medical rehospitalizations. Revision of the SIPAT to include additional demographic components may lend to improved prediction of transplant outcomes.


2014 ◽  
Author(s):  
Sarah Dayle Herrmann ◽  
Jessica Bodford ◽  
Robert Adelman ◽  
Oliver Graudejus ◽  
Morris Okun ◽  
...  

2020 ◽  
Vol 91 (6) ◽  
pp. 2042-2062
Author(s):  
Susana Mendive ◽  
Mayra Mascareño Lara ◽  
Daniela Aldoney ◽  
J. Carola Pérez ◽  
José P. Pezoa

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043547
Author(s):  
Donald A Redelmeier ◽  
Kelvin Ng ◽  
Deva Thiruchelvam ◽  
Eldar Shafir

ObjectivesEconomic constraints are a common explanation of why patients with low socioeconomic status tend to experience less access to medical care. We tested whether the decreased care extends to medical assistance in dying in a healthcare system with no direct economic constraints.DesignPopulation-based case–control study of adults who died.SettingOntario, Canada, between 1 June 2016 and 1 June 2019.PatientsPatients receiving palliative care under universal insurance with no user fees.ExposurePatient’s socioeconomic status identified using standardised quintiles.Main outcome measureWhether the patient received medical assistance in dying.ResultsA total of 50 096 palliative care patients died, of whom 920 received medical assistance in dying (cases) and 49 176 did not receive medical assistance in dying (controls). Medical assistance in dying was less frequent for patients with low socioeconomic status (166 of 11 008=1.5%) than for patients with high socioeconomic status (227 of 9277=2.4%). This equalled a 39% decreased odds of receiving medical assistance in dying associated with low socioeconomic status (OR=0.61, 95% CI 0.50 to 0.75, p<0.001). The relative decrease was evident across diverse patient groups and after adjusting for age, sex, home location, malignancy diagnosis, healthcare utilisation and overall frailty. The findings also replicated in a subgroup analysis that matched patients on responsible physician, a sensitivity analysis based on a different socioeconomic measure of low-income status and a confirmation study using a randomised survey design.ConclusionsPatients with low socioeconomic status are less likely to receive medical assistance in dying under universal health insurance. An awareness of this imbalance may help in understanding patient decisions in less extreme clinical settings.


Author(s):  
Kevin Kien Hoa Chung ◽  
Xiaomin Li ◽  
Cheuk Yi Lam ◽  
Chun Bun Lam ◽  
Wing Kai Fung ◽  
...  

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