Empirical validation of the Marital Satisfaction Inventory: an actuarial approach.
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Adult↗
Biomedical subjects
D K Snyder
Publications and source records attributed to D K Snyder.
Differential patterns of wife abuse: a data-based typology.
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Adolescent↗
Differential diagnosis of marital and sexual distress: a multidimensional approach.
Although recent literature has emphasized the inappropriateness of short-term sexual dysfunction therapy for couples with severe marital discord, few objective measures for successfully screening couples have previously been described. The present study utilizes an objective multidimensional measure of marital interaction and sexual functioning in a comparison of couples presenting marital disruption as their primary concern with couples having sexual distress as their chief complaint. The Marital Satisfaction Inventory (MSI) was found to differentiate between these two treatment groups along several dimensions. Results are discussed in terms of the potential use of the MSI as a screening device in treatment decisions and in assessing the nature and extent of marital complaints.
Behavior Therapy↗
Screening for primary aldosteronism: hypokalemia in hypertensive patients.
A serum potassium determination is usually recommended for new hypertensive patients as a screening test for primary aldosteronism and as a baseline for drug therapy. Since hypokalemia is not specific for aldosteronism, the authors assessed its use and limitations as a screening test in nine reported studies of 303 patients with aldosterone-producing adenomas (n = 252) or adrenal hyperplasia (n = 51). The optimal potassium cutoff level and the predictive ability of hypokalemia to detect aldosteronism were analyzed in a primary care setting with different diseases, test characteristics, and prevalences. Optimal screening for primary aldosteronism occurred at serum potassium less than 3.2 mEq/l in a primary care, low-prevalence population, and at higher potassium levels in higher-prevalence populations. Other screening tests, such as urinary aldosterone levels and plasma renin activity, showed lower individual test performance characteristics, but when combined were similar in performance to serum potassium measurement.
Adenoma↗