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Biomedical subjects

D M Hartsough

Publications and source records attributed to D M Hartsough.

6 recordsLinked to original sources

Self-disclosure and coping styles in men with cardiovascular reactivity.

The purpose of this study was to investigate self-disclosure, emotion-focused, and problem-focused coping styles among men with borderline hypertension and two groups of normotensive men differentiated by parental hypertension. Because blood pressure reactivity may discriminate between hypertensive and normotensive men, subjects in these three groups were categorized as high or low cardiovascular reactors based on their blood pressure response to a mental arithmetic task. Self-disclosure and coping styles were investigated in relation to status effects within the doctor-patient relationship. Men with exaggerated blood pressure reactivity were less self-disclosive and used fewer emotion-focused coping strategies than men with no blood pressure reactivity. Normotensives with a history of parental hypertension were less self-disclosive than normotensives without a history of parental hypertension.

Adaptation, Psychological↗

Planning for disaster: a new community outreach program for mental health centers.

Disaster victims typically do not request services from the mental health system. Victims must be contacted through innovative outreach programs linked to the disaster relief network. Advance planning for disaster programs by mental health centers is highly desirable, but barriers may be encountered related to (a) external support, (b) information on victim needs, (c) intervention methods, (d) linkage with disaster agencies, or (d) planning guidelines. Advice and information are offered on how to overcome each potential barrier. A model disaster plan is outlined that is consistent with NIMH guidelines for disaster preparedness planning, and with three criteria considered essential for an effective plan.

Community Mental Health Centers↗

Testing a model for the process of telephone crisis intervention.

A four-stage model of telephone helping was tested by rating 59 calls to a crisis intervention service. The rating instrument was the Crisis Call Interaction Form, a process measure with 19 behaviors in four categories: establishment of a helpful climate, assessment of the crisis, affect integration, and problem solution. Hypotheses stated that helper behaviors would vary differentially across portions (thirds) of calls. After controlling for length of call and within-call similarities, residual variances in each third of the calls were subjected to planned orthogonal comparisons. Hypotheses were generally supported: Climate decreased from first to middle third; assessment decreased in the last third; affect tended to be highest in the middle third; and problem solution increased steadily throughout the calls. However, helper behaviors from all categories were present in every portion of calls. The term "phase" was offered to replace the stage concept as a more fluid model of telephone crisis intervention.

Adolescent↗