Social and Behavioral Sciences Commons^™

Determinants Of Medical Costs Following A Diagnosis Of Depression, Regina H. Powers, Thomas J. Kniesner, Thomas W. Croghan

Center for Policy Research

Objective: Assess the determinants of medical costs for depressed individuals.

Method: Using medical insurance claims for a population of depressed individuals with employer provided insurance, we estimated multivariate models of the costs for general medical care, exclusive of costs for mental health services, following diagnosis. Explanatory variables included provider choice (psychiatrist or non-physician mental health specialist), treatment choice (medication, psychotherapy, or combination treatment); treatment adequacy as defined by APA guidelines; characteristics of depression symptoms and severity; and other demographic characteristics.

Results: On average, there were increases in the costs for general medical services in the year following diagnosis of a …

Intergenerational Labor Market And Welfare Consequences Of Poor Health, Thomas J. Kniesner, Anthony T. Losasso

Center for Policy Research

Our research provides new econometric evidence concerning partial economic risk sharing between a frail elderly parent and an adult child. We estimate a jointly determined limited dependent variables system explaining the parent’s entry into a nursing home, the adult child’s visits to the parent, and the adult child’s labor supplied. The time allocation of adult sons is unaffected by a parent’s frail health. Adult daughters who visit a frail elderly parent daily decrease their annual labor supplied by about 1,000 hours annually, largely through labor force non-participation. The implied welfare loss to the daughter from a frail elderly parent in …

A Study From Uganda: Hiv Causal Attributional Structuring, Negative Affect, And Coping Among People With Hiv/Aids. Part Ii, Ibpp Editor

International Bulletin of Political Psychology

Note: The following is the last section of the article authored by Dr. Peter Kakubeire Baguma, Institute of Psychology, Makerere University, Kampala, Uganda. (See the IBPP issue of February 16 for the first section.) Dr. Baguma's work is extremely timely for three reasons. First, AIDS continues as a pandemic, and culturally relevant theory and data continue to be crucial in developing primary, secondary, and tertiary intervention strategies. Second, AIDS continues as a global security issue with implications for economics, politics, governmental stability, and war and peace. The psychology of AIDS bears on this issue and implications. Third, Baguma's efforts …

A Study From Uganda: Hiv Causal Attributional Structuring, Negative Affect, And Coping Among People With Hiv/Aids. Errata., Ibpp Editor

International Bulletin of Political Psychology

Readers should access http://www.pr.erau.edu/~security/baguma-tables.html for the conclusion of this article and twelve data tables.

A Study From Uganda: Hiv Causal Attributional Structuring, Negative Affect, And Coping Among People With Hiv/Aids [Part I], Ibpp Editor

International Bulletin of Political Psychology

Weiner's attribution theory suggests relationships between attributions, emotions, coping, and behavioral consequences (Weiner, 1986, Amirkhan, 1990). Studies supporting the theory are still limited especially in the health area and AIDS in particular.

Creation Of Paranoia, Part Ii, Ibpp Editor

International Bulletin of Political Psychology

This is the final section of an article that explores parallels between delusions and paranoia suffered by society and by the mentally ill. Motives behind the creation of paranoia are discussed. Focus is given to creation of paranoia toward the Jewish people, because this social pathology has infected most of the world for a greater period of time than any other. Reaction to rejection of ideology is found to be an important motive for creation of paranoia in society. Other manifestations of social paranoia, such as the creation of false memories, are also discussed. (Note 1: The article is written …

Trends. Double Bind In Quebec And In The World, Ibpp Editor

International Bulletin of Political Psychology

This article discusses the desire for Quebec to become an independent nation-state but there are dynamics that affect that process. The Separatist Movement faces roadblocks no matter the state of the national economy in Canada.

How Can Health Serve As A Bridge For Peace? Certi Crisis And Transition Tool Kit, Rosalia Rodriguez-Garcia, James Macinko, F. Xavier Solorzano, Marita Schlesser, George Washington University School Of Public Health And Health Services

Global Health Faculty Publications

No abstract provided.

Treatment Utilization By Patients With Personality Disorders, Donna S. Bender, Regina T. Dolan, Andrew E. Skodol, Charles A. Sanislow, Ingrid R. Dyck, Thomas H. Mcglashan, M. Tracie Shea, Mary C. Zanarini, John M. Oldham, John G. Gunderson

Charles A. Sanislow, Ph.D.

Objective: Utilization of mental health treatment was compared in patients with personality disorders and patients with major depressive disorder without personality disorder.

Method: Semistructured interviews were used to assess diagnosis and treatment history of 664 patients in four representative personality disorder groups—schizotypal, borderline, avoidant, and obsessive-compulsive—and in a comparison group of patients with major depressive disorder.

Results: Patients with personality disorders had more extensive histories of psychiatric outpatient, inpatient, and psychopharmacologic treatment than patients with major depressive disorder. Compared to the depression group, patients with borderline personality disorder were significantly more likely to have received every type of psychosocial treatment …

Myopia Of Health-Care Reform Using Business Models, Macinnes Kenneth, Vivian C. Mcalister

Vivian C. McAlister

Background: Health-care institutions have looked to business for models to respond to the requirement for reform. This has changed the perspective of institutions that were founded on charitable principles, and managed with liberal employment policies and deficit budgeting. Using lesions from supply-side management, hospitals are fragmenting into independent programs with demands to balance budgets regardless of the source of cost.

Methods: Costs from the institution’s perspective are compared with those of the payer (province) using an example of a proposal to reduce costs in the surgical program by buying disposable drapes.

Results: The actual cost of disposable drapes bought from …

Creation Of Paranoia, Part I, Ibpp Editor

International Bulletin of Political Psychology

This article explores parallels between delusions and paranoia suffered by society and by the mentally ill. Motives behind the creation of paranoia are discussed. Focus is given to creation of paranoia toward the Jewish people, because this social pathology has infected most of the world for a greater period of time than any other. Reaction to rejection of ideology is found to be an important motive for creation of paranoia in society. Other manifestations of social paranoia, such as the creation of false memories, are also discussed. (Note 1: The article is written by Dr. Karl Ericson. Dr. Ericson has …

Peripheral Blood Leukocyte Response And Macrophage Function During Eimeria Adenoeides Infection In Turkey Poults, Amanda D. Drake, Sarah E. Heuer, Timothy G. Kimball, Timothy O. Peters, H. David Chapman, Gisela F. Erf

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Intestinal coccidiosis, caused by various species of Eimeria, is an economically important disease of chickens and turkeys. The peripheral blood leukocyte response and macrophage functions during a coccidial infection in turkeys have not been defined. To examine these aspects of innate immunity during primary Eimeria infection in turkeys, 4-week-old poults were orally inoculated with either 50,000 E. adenoeides oocyst (24 infected poults) or water (24 control poults). To monitor the concentrations and proportions of white blood cells (WBC) throughout the course of infection, heparinized blood was collected from 12 infected and 12 control poults prior to inoculation (day 0), and …

Anorexia Nervosa : A Psychological Perspective Of Etiology And Current Treatment Procedures, Arlene Lagary

Graduate Research Papers

Anorexia nervosa is a chronic and sometimes fatal illness characterized by physical and psychological complications. Although no etiology for this illness has been determined, this paper presents a psychological etiology based on a synthesis of both traditional and current literature. The influence of culture, the therapeutic alliance, and client resistance are also considered. Relapse is common and the illness may last for many years. The health care community has addressed the complexity and chronicity of this illness by using a multi-component approach that includes psychoeducation, cognitive-behavioral therapy, psychodynamic interventions, family therapy, and psychopharmacology.

Mental Health Needs And Resources In Christian Communities Of South Korea, Lisa Graham Mcminn

Faculty Publications - Department of World Languages, Sociology & Cultural Studies

In an effort to understand the mental health needs and resources of Korean Christians, we collected quantitative and qualitative data through surveys and interviews with Korean pastors and Christian educators. Several mental health concerns were identified: the high level of daily stress faced by many Koreans, marriage and family concerns, conflicts between Korean culture and the teachings of the church, and a tendency to keep emotional discomfort suppressed. Mental health resources include deep spiritual commitment to a life of prayer, high levels of commitment to family and community, cultural values of persistence and patience, and reliance on Christian communities for …

Attention Deficit Hyperactivity Disorder : Is It A Behavior Disorder Or Active Childhood Behavior?, Larry G. Scheel

Graduate Research Papers

Although attention-deficit hyperactivity disorder constitutes 33 to 50% of mental health referrals for children, an increasing number of researchers has begun to question the validity of ADHD as a legitimate diagnosis. Eberstadt in her 1999 review stated, "Society has changed since the mid-1980s to view what may be normal childhood activity as lack of behavioral compliance" (p.1). Could the prevalence of ADHD simply be an increasingly active society's response to normal, active childhood behavior? The purpose of this paper is to examine the history of ADHD and explore assessment methods. Data from current literature and personal interviews with recognized professionals …

The Motivational Quality Of Global Attributions In Hypothetical And Experienced Situations Of Gender Discrimination, Mindi D. Foster

Psychology Faculty Publications

Traditionally, global attributions have been thought to reduce instrumental behavior aimed at resolving negative events. However, the present research shows global attributions for gender discrimination are related to taking action against unfair treatment. In Study 1, women ( N = 157) completed a questionnaire assessing attributions for hypothetical scenarios of discrimination and collective responses to discrimination. In Study 2, women ( N = 79) were placed into a laboratory situation of discrimination and asked to indicate their attributions for and responses to their unfair treatment. In both studies, hierarchical regression analyses showed that global attributions were related to both individual …

Assessment Of Clinical Partner Violence Screening Tools, Ann L. Coker, Brian O. Pope, Paige H. Smith, Maureen Sanderson, James R. Hussey

CRVAW Faculty Journal Articles

Objective: to compare the Women’s Experience with Battering Scale (WEB) with the Index of Spouse Abuse-Physical Scale (ISA-P) as screening tools to identify intimate partner violence (IPV).

Methods: We conducted a large cross-sectional survey of women age 18 to 65 attending one of two family practice clinics from 1997 to 1998. All women completed both the WEB and the ISA-P and a telephone interview. We figured agreement estimates between the two tools, used stratified analyses to evaluate attributes of those more likely to screen as battered or physically assaulted, and compared associations between the WEB and ISA-P and a range …

Globalization, Diet, And Health: An Example From Tonga, Mike Evans, Robert C. Sinclair, Caroline Fusimalohi, Viliami Liava’A

Aboriginal Policy Research Consortium International (APRCi)

The increased flow of goods, people, and ideas associated with globalization have contributed to an

increase in noncommunicable diseases in much of the world. One response has been to encourage lifestyle changes with educational programmes, thus controlling the lifestyle-related disease. Key assumptions with this approach are that people’s food preferences are linked to their consumption patterns, and that consumption patterns can be transformed through educational initiatives. To investigate these assumptions, and policies that derive from it, we undertook a broad-based survey of food-related issues in the Kingdom of Tonga using a questionnaire. Data on the relationships between food preferences, perception …

Eye Position Sense Contributes To The Judgement Of Slant., F M James, S Whitehead, G K Humphrey, M S Banks, T Vilis

Brain and Mind Institute Researchers' Publications

We measured monocular judgements of the slant of a cube face while varying eye position in the absence of stereoscopic and external lighting cues. Errors were found to be small, only 10% on average of the cube's eccentricity. Two factors appear to have contributed approximately equally to this error: an underestimate of cube slant as seen by the eye and an underestimate of eye position. When prism adaptation altered the sensed eye position, the pattern of slant judgements changed to reflect the altered sense of eye position.

Tobacco Use Among Latinos, Gerardo Marín

Psychology

No abstract provided.

An Assessment Of Selected Sub-Systems Of The Egyptian Norplant® Program, Fatma El-Zanaty, Laila Nawar, Ramadan Hamed

Reproductive Health

The Egyptian Ministry of Health and Population and FRONTIERS discussed the need for investigating service delivery aspects of the Egyptian NORPLANT® program. This study emerged from those consultations. The study provides a comprehensive assessment of the program: how services are administered and used through the ongoing Introduction Program as it approaches five years of operation. The report lists major findings with program implications and offers recommendations regarding quality of care; tracking and locating NORPLANT® users; program sustainability; and information, education, and communication strategies.

An Assessment Of Youth Centres In South Africa, Annabel Erulkar, Mags Beksinska, Queen Cebekhulu

Reproductive Health

Within South Africa there is much interest in expanding youth center programs, particularly in the nongovernmental sector, in part because of recognition that the HIV/AIDS crisis is disproportionately affecting young South Africans. This study was designed to give implementing agencies and donors a broad view of how the youth centers function, who they reach, and the quality of information and services. The assessment underscored the importance of monitoring the performance of programs and understanding who is being reached with what interventions. Youth centers that focus on providing recreational facilities attract a large number of clients, often boys who are repeat …

Community Involvement In The Prevention Of Mother-To-Child Transmission Of Hiv: Insights And Recommendations, Naomi Rutenberg, Mary Lyn Field-Nguer, Laura Nyblade

HIV and AIDS

Mother-to-child transmission is the primary route of HIV infection in children under 15 years of age. Since the beginning of the HIV epidemic, an estimated 5.1 million children worldwide have been infected with HIV. Clinical trials in several countries have shown that mother-to-child transmission of HIV can be greatly reduced through administering antiretroviral therapy to pregnant women. These trials culminated in a recommendation by UNAIDS and its partners in the Interagency Task Team for the Prevention of Mother-to-Child Transmission that prevention of perinatal transmission should be a part of the standard package of care for HIV-positive women and their children. …

Hiv And Partner Violence: What Are The Implications For Voluntary Counseling And Testing?, Carolyn Knapp

HIV and AIDS

Millions of women around the world face two great threats to their health and well-being: HIV/AIDS and violence by an intimate partner. One of the strongest associations between the two is the role that violence and the threat of violence play in limiting a woman’s ability to negotiate safer sex with a partner. A similar fear of violence also discourages women who receive HIV voluntary counseling and testing (VCT) from telling partners about test results. This study explored the links between HIV infection, serostatus disclosure, and partner violence among women attending a VCT clinic in Dar es Salaam, Tanzania. Researchers …

A Case Study Of Nairobi City Council's Decentralised Syphilis Screening Programme In Antenatal Clinics, Baker Ndugga Maggwa, Ian Askew, Elizabeth Mugwe, Bilhah Hagembe, Rick Homan

Reproductive Health

It has long been known that syphilis is one of the more serious sexually transmitted infections (STI), especially during pregnancy when, if untreated, at least 60 percent of infected women will experience an adverse pregnancy outcome. There has been renewed interest in its control and prevention because of its proven link with HIV transmission. In 1992, the Nairobi City Council (NCC) pilot-tested a decentralized approach to syphilis screening and management in a sample of their antenatal clinics. A case study was carried out to assess the effectiveness, readiness, and cost effectiveness of the NCC’s antenatal care program, with a focus …

Ecuador: Use Commercial Marketing To Increase Sustainability, Frontiers In Reproductive Health

Reproductive Health

Many nongovernmental organizations sell contraceptives through retail outlets to generate income and expand access to these products. In 1998 Centro Médico de Orientación y Planifación Familiar (CEMOPLAF) employed 25 sales agents in 14 cities throughout Ecuador. These agents sold products, including contraceptive methods and home pregnancy tests, to pharmacies, physicians, other distributors, and nontraditional outlets. Contraceptive sales were CEMOPLAF’s largest source of revenue in 1997. Sales had grown rapidly during 1996–97, but CEMOPLAF managers did not know whether product sales were profitable. With support from the Population Council and Family Health International, CEMOPLAF made a detailed analysis of product sales …

Animal Research: A Review Of Developments, 1950–2000, Andrew N. Rowan, Franklin M. Loew

State of the Animals 2001

The third phase of the animal research debate started around 1950. After World War II the government became a major sponsor of scientific research, including biomedical research. The budget of the National Institutes of Health (NIH) grew dramatically and has continued to grow, with a few minor retrenchment periods, up to the present time (see Figure 1). This growth led to an enormous expansion in publicly funded research. In the private sector, the discovery of penicillin and streptomycin led to a tremendous expansion in pharmaceutical research and in the size of the prescription drug industry. These expansions in government funding …

The Image Of Paul Robeson:Role Model For The Student And Athlete, Keith Harrison

Dr. C. Keith Harrison

No abstract provided.

Rights Of Inequality: Rawlsian Justice, Equal Opportunity, And The Status Of The Family, Justin Schwartz

Justin Schwartz

Is the family subject to principles of justice? In A Theory of Justice, John Rawls includes the (monogamous) family along with the market and the government as among the "basic institutions of society" to which principles of justice apply. Justice, he famously insists, is primary in politics as truth is in science: the only excuse for tolerating injustice is that no lesser injustice is possible. The point of the present paper is that Rawls doesn't actually mean this. When it comes to the family, and in particular its impact on fair equal opportunity (the first part of the the Difference …

Benchmarking Patient Outcomes, Ellen B. Rudy, Joseph F. Lucke, Gayle R. Whitman, Lynda J. Davidson

Joseph Lucke

Purpose: To examine the usefulness of three types of benchmarking for interpreting patient outcome data.

Design: This study was part of a multiyear, multihospital longitudinal survey of 10 patient outcomes. The patient outcome used for this methodologic presentation was central line infections (CLI). The sample included eight hospitals in an integrated healthcare system, with a range in size from 144 to 861 beds. The unit of analysis for CLI was the number of line days, with the CLI rate defined as the number of infections per 1,000 patient-line days per month.

Methods: Data on each outcome were collected at the …