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Biomedical subjects

B D Dufton

Publications and source records attributed to B D Dufton.

4 recordsLinked to original sources

Measures in the day hospital. I. The global assessment of functioning scale.

This clinical study explored the use of the Global Assessment of Functioning Scale (GAF Scale) in a day hospital setting. In general, the GAF Scale was found to be of use in categorizing patients and in detecting change from admission to discharge. However, changes in GAF Scale scores may lack clinical significance, and moreover, there was little evidence of concurrent validity. Implications for the use of the GAF Scale in day hospitals were discussed.

Activities of Daily Living↗

Measures in the day hospital. II. The interpersonal behavior survey.

This study explored the use of the Interpersonal Behavior Survey (IBS) with a day hospital population. The patients completed the IBS in such a way as to suggest potential deficits in a variety of assertiveness skills and potential excesses in two areas of aggressiveness. Moreover, the IBS was correlated with measures of psychological distress, suggesting the relevance for training in social skills for this population.

Day Care, Medical↗

Depression and the mediation of chronic pain.

To explore Ward and colleagues' 1982 hypothesis of a biochemical link between depression and pain mediated by the paleospinothalamic tract (PSTT), the author retrospectively examined a series of questionnaires completed by 113 chronic pain patients. The measures included the Beck Depression Inventory, the Minnesota Multiphasic Personality Inventory, the Millon Behavioral Health Inventory, and a background questionnaire assessing demographic and pain variables that included portions of the McGill Pain Questionnaire (MPQ). Adjectives on the sensory scale of the MPQ were divided into two groups: those descriptive of pain mediated by the PSTT and those descriptive of pain mediated by the neospinothalamic tract (NSTT). To facilitate analysis of the data, two median splits were performed on the basis of PSTT and NSTT adjective scores to create four groups. Group differences were then examined by way of multivariate analysis of variance and chi-square. As hypothesized, psychologic distress was found to be related to the use of PSTT sensory adjectives but not to the use of NSTT sensory adjectives. The findings may be supportive of Ward et al.

Adolescent↗

Cognitive failure and chronic pain.

Relationships between pain variables, emotional functioning, and cognitive inefficiency as assessed by the Cognitive Failures Questionnaire (CFQ) were investigated. In general, the tendency to make cognitive errors was found to be related to emotional difficulties but to be unrelated to pain variables. Four explanations were proposed: First, that increased reports of cognitive and affective difficulties may reflect a "complaining" response set; second, that the constructs of cognitive inefficiency and affective distress overlap while the constructs of the former and pain do not; third, cognitive and affective dysfunction exist in a circular relationship; and finally, that high rates of cognitive failure may predispose pain patients to have subsequent difficulties with low mood.

Adult↗