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Biomedical subjects

C F Kane

Publications and source records attributed to C F Kane.

13 recordsLinked to original sources

Schizophrenia.

Psychiatric nursing research has historically focused on psychosocial phenomena characteristic of personal experience or symptomatology associated with mental illness. The current climate of the mental health service system and basic science knowledge proliferation require nurse researchers to develop and evaluate interventions based on biological understanding of symptoms. This review examines psychiatric nursing and the broader psychiatric literature from 1990 to 1996 to provide a synthesis of the current research knowledge about important components of the field of schizophrenia research including causal processes, course and outcome, symptoms, treatment, relapse prevention, and consumer providers, followed by a discussion of directions for future research.

Humans↗

Health care reform and rural mental health: severe mental illness.

Service needs of rural severely mentally ill and strengths of rural communities are addressed. Health care reform policy development at present appears to neglect the seriously mentally ill in general and rural services specifically. Examples of strategies to meet the needs for health care, psychiatric treatment, psychosocial rehabilitation and appropriate housing are described. The advantages and drawbacks of such efforts are considered.

Community Health Workers↗

Object relations and nursing care of persons experiencing psychosis.

Object-relations theory explains human behavior in terms of a person's inner experiences of others, which are called objects. Internalization of relationships, projective identification, and containment are concepts within object-relations theory that help to explain the confusing and frustrating behavior of acutely psychotic patients. These concepts also provide a framework for understanding the reactions of nurse clinicians to psychotic behaviors. This article explains the basic principles of object-relations theory, illustrates the concepts through a case study, and proposes nursing interventions from an object-relations perspective.

Female↗

Cognitive theory applied to the treatment of delusions of schizophrenia.

This article reviews theory regarding cognitive interventions in schizophrenia, focusing particularly on the treatment of delusions. The cognitive theory of psychopathology is first introduced and the specific goals of cognitive therapy are then presented. A range of philosophical and etiologic perspectives on the nature of delusions are explored, including the cognitive perspective. Specific stages and techniques of therapy are discussed with theoretical underpinnings and suggestions for incorporation in advanced practice psychiatric nursing.

Cognitive Behavioral Therapy↗

Severe psychiatric disorder and physical health risks.

IN THIS ARTICLE, research findings are discussed that indicate a high rate of general physical health problems in persons with persistent, long-term psychiatric disorders. The self-regulation theory of health behaviors is proposed as a method to examine the complexity of interpreting physical complaints and discomforts. Attribution of meaning to vague physical symptoms is confounded by mood states, especially negative moods. Little is known about how persons with persistent mental disorders assess physical symptoms, which is relevant to self-care behavior. Research evidence suggests that persons with chronic health problems use different patterns of symptom interpretation and management than do healthy persons with similar symptoms.

Affect↗

Visual evoked potential correlates of positive/negative symptoms in schizophrenia.

Previous studies of schizophrenic patients have found evoked potential (EP) correlates of clinical symptomatology, including EP differences between subtypes of schizophrenia. In the current study, 14 medicated male schizophrenics underwent flash visual evoked potentials (VEP) and were clinically rated for positive and negative symptoms. We tested the hypothesis that positive symptoms would be associated with VEP latency reduction and negative symptoms with latency prolongation. Patients were divided into predominantly positive symptom and predominantly negative symptom groups using a combination of positive and negative symptom ratings. Patients with predominantly positive symptoms exhibited reduced latencies when compared with predominantly negative symptom patients. Similarly, significant negative correlations between positive symptom ratings and P200 latency variables were found. Correlations between negative symptom measures and P200 latencies (in the opposite direction) were also noted, but were less significant. These relationships persisted when confounders were statistically controlled for. The results are consistent with previous findings of evoked potential correlates of clinical symptomatology, especially those finding EP latency correlates of psychosis severity and affective blunting. The findings are discussed in relationship to concepts relevant to psychosis, including arousal, sensory gating, and the dopamine hypothesis.

Adult↗

A comparison of short-term psychoeducational and support groups for relatives coping with chronic schizophrenia.

The differences between two short-term, multifamily group intervention programs for relatives of hospitalized chronic schizophrenics were examined in a nonequivalent comparison group design. The psychoeducational intervention consisted of interactive instructional activities. The support group intervention consisted of nonstructured discussions. Analysis of covariance on adjusted posttest means indicated a differential treatment effect for depression and satisfaction for the psychoeducational group. The findings suggest that the process of a support group may not be compatible with a short time frame.

Adult↗

Family social support: toward a conceptual model.

Nursing clinical assessment and empirical investigations of the social support resources available to families are hampered by the lack of theoretical bases regarding the family social support process. This article presents a preliminary conceptual model of family social support in the interest of stimulating discussion and further development. Assumptions of the model are presented, family characteristics and interaction processes are identified, and propositional statements are derived from the model. The model proposes that social support is not an outcome or a resource but a process of interaction through which the family develops versatility and resourcefulness in identifying and using resources available in its environment. The conceptual model presents family social support as a process of relationships between the family and its social environment.

Cognition↗

Antonovsky's sense of coherence: theoretical basis of psychoeducation in schizophrenia.

Psychoeducational models have been found to be effective interventions for people with schizophrenia. However, a unifying theoretical basis for these models has not been articulated. This article explicates the sense of coherence theory developed by A. Antonovsky (1987) and demonstrates its utility as a framework for conceptualizing the basis for the effectiveness of psychoeducational programs.

Humans↗