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Biomedical subjects

C S Raps

Publications and source records attributed to C S Raps.

9 recordsLinked to original sources

Adverse outcome of hip fractures in older schizophrenic patients.

The psychiatric and ambulatory course of 21 older chronic schizophrenic patients who sustained hip fractures was studied prospectively, and their walking ability after the fractures was compared to that of 25 nonpsychiatric hip fracture patients. Although the schizophrenic patients were younger when the hip fractures occurred, their recuperation and ambulatory outcome were significantly worse. The psychiatric course was assessed with a standardized rating scale that was administered 6 months and 1 year after the fractures and compared to similar ratings done before the fractures. Significant mental deterioration was found at 6 months after the fractures, with no further changes later.

Activities of Daily Living↗

Helplessness and hospitalization: more remarks.

Our recent research (Raps, Peterson, Jonas, & Seligman, 1982), in which we concluded that hospitalization may cause learned helplessness among patients, was criticized because (a) perceived control was not directly assessed and (b) factors other than helplessness might explain the observed data. On a general level, we agree with these criticisms because our investigation was not fine grained. However, we suggest that field research in the helplessness tradition should be evaluated in part on the basis of convergence between field and laboratory findings and that the criticisms of our study ignore this convergence.

Helplessness, Learned↗

Patient behavior in hospitals: helplessness, reactance, or both?

Forty-eight inpatients hospitalized for 1, 3, or 9 weeks and 24 outpatients were tested on cognitive tasks: poor performance and depressive symptoms increased with length of hospitalization, even as illness resolved. Further, increased hospitalization made patients more susceptible to the debilitating effect of uncontrollable events. Taken together, these results imply that the passive, compliant, and inanimate behavior of the "good patient" may be the result of learned helplessness engendered by hospitalization.

Adult↗

Identity alterations and prognosis in schizophrenia.

Delusions of altered personal identity were studied over a four-year period in 53 young schizophrenic in-patients divided into 13 with persistent delusions, 16 with fleeting delusions and 24 with no delusions of identity alteration at first examination. The three groups were clinically otherwise comparable. Follow-up showed that those with persistent delusions of altered identity had a poor prognosis and deteriorating course.

Adult↗