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Biomedical subjects

D S Schubert

Publications and source records attributed to D S Schubert.

At least 55 records · Page 3Linked to original sources
PubMed1982

Serum creatine phosphokinase levels in patients meeting the St. Louis research diagnostic criteria for schizophrenia.

In this study 18 patients with a research diagnostic criteria diagnosis of schizophrenia had a mean initial serum creatine phosphokinase level significantly higher than that of 36 control subjects with other RDC diagnoses. There were no corresponding elevations in the serum levels of nondrinking alcoholics or patients with primary or secondary affective disorders. The authors suggest that increased creatine phosphokinase levels in schizophrenic patients may be due to a sudden increase in the substance in the dopaminergic or limbic system due to increased muscle membrane permeability or to sympathetic nervous system or adrenergic dominance.

Creatine Kinase↗
PubMed1981

Use of local norms to improve configural reproducibility of an MMPI short form.

Short forms of the MMPI have been criticized due to their inability to adequately reproduce the profiles of the full length version of the MMPI Oftentimes these short forms are used with subject populations dissimilar to the population upon which the short form was originally standardized. This study evaluates the effect of using local norms with one of these short forms (the FAM) upon the concordance rates of profile code-types with the original full-length MMPI profile. Single point, first 2 high-point and first 3 high-point code-types were found to have higher concordance rates when using local norms. Use of local norms for short MMPI forms may compensate, in part, for information lost in the shortening.

Journal Article↗
PubMed1981

Social class and perceived improvement in therapy: the effects of therapist discipline and therapy type.

The present study approached the question of differential perception of improvement across social classes by various disciplines and therapeutic orientations. Records of 4,257 psychiatric patients were examined for type of therapy, discipline of therapist, rated improvement, and social class. For variables "type of therapy" and "discipline of therapist," the interaction term of analysis of variance was significant, indicating that some therapists (i.e., with a given therapeutic orientation) show greater differential among the social classes with regard to perceived improvement than others. Psychiatrists were found more reluctant to rate patients as improved, and responded less differentially among the classes than social workers and psychologists. With regard to therapeutic orientation used, therapists using family therapy or medication rated a higher percentage of patients improved in Class IV than in Class III. The results suggest that therapists with differential training backgrounds (either discipline or therapeutic orientation) have different perceptions of change in psychiatric patients, which may be due to their differential training.

Humans↗
PubMed1980

Liaison psychiatry on a burn unit.

Psychiatric liaison activities and intervention on a burn unit are described. The authors review the psychiatrist's interventions with regard to unhealthy staff denial; educating staff about psychiatric issues; facilitating improved staff-patient communication; and helping nurses manage patients' inappropriate sexual behavior.

Adult↗
PubMed1979

A biphasic change in mood with a tricyclic antidepressant.

Eight depressed patients received 150 mg of clomipramine for 4 weeks. They completed the Profile of Mood States five to seven times the first week of treatment and five to seven times at the end of treatment. Moods showing significant decrease from the beginning to the end of the first week were: tension-anxiety, depression, anger-hostility, and confusion. The only changes from the beginning to the end of the 4-week period were an increase in vigor and a decrease in fatigue. The occurrence of rapid and slow mood changes with antidepressants suggested that the former were due to sedative effects and the latter occurred at the rate of the improvement in the disease depression.

Adjustment Disorders↗
PubMed1978

Are divided doses of tricyclic antidepressants necessary?

A double blind control comparison on the effects of 50 mg of clomipramine given three times a day and 150 mg of clomipramine in a single bedtime dosage revealed no significant differences in therapeutic efficacy. Patients reported more lightheadedness and dizziness but no differences on other side effects. The theoretical basis was the long biological half-life of such tricyclic antidepressants. Advantages included ease of administration, patient compliance, and timing of sedative effect.

Adjustment Disorders↗
PubMed1977

Alertness and clear thinking as characteristics of high naturally occurring autonomic nervous system arousal.

Studies of the effect of induced mood on the autonomic nervous system (ANS) suggested that naturally occurring mood might also covary with the ANS. Ss were 13 men and women aged 20 to 70. Fatigue, confusion, and depression were measured on the Profile of Mood States, while barometric pressure and the ANS indices of heart rate and body temperature were also recorded. Fatigue and confusion each showed negative relationships to both heart rate and body temperature. Barometric pressure showed a suggestively positive relationship to the mood of depression. Hypothalamic serotonin concentration was suggested as a central factor producing the covariations between the mood indices (alertness and clear thinking) and the ANS measures.

Adult↗
PubMed1977

Family constellation and creativity: firstborn predominance among classical music composers.

Biographies of classical musci composers were examined for family constellation information. Usable data were found for 80 composers. Firstborns, especially only children, were found significantly more frequently than in a sample of creative writers studied by Bliss. Increased frequency of firstborns was also suggested in a study of musical performers by Raychaudhuri. Classical musci composition was seen as an ability more similar to usual academic pursuits than creative writing.

Birth Order↗
PubMed1977

Teaching psychiatry to medical students on a consultation service.

Medical students experience psychiatric consultation as part of their undergraduate psychiatric clerkship experience. This allows further identification of the medical student with the psychiatrist in management of psychiatric problems in patient who are primarily non-psychiatric. Reaction has tended to be favourable from the medical students without a great loss of speed or efficiency in terms of the service committment.

Education, Medical, Undergraduate↗
PubMed1976

Psychiatric consultation education--1976.

The teaching of consultation liaison (CL) psychiatry to psychiatric residents, medical students, and other trainees is reported from 92 medical schools, representing 81% of those surveyed with a one-page questionnaire. Psychiatric residency programs devote approximately 10% of their time to CL training, a slight increase over the percentage ten years ago. Approximately 35% of medical students in programs from which we received responses have some consultation CL education, although this varies from a few seminars to an eight-week full-time rotation. Other trainees receiving CL experience include nonpsychiatric residents and interns (22 programs), psychologists (18), nurses (12), and social workers (5). Program directors report an approximately 90% "favorable" reaction to such training by all trainees. Consultation liaison training for residents still represents a small portion of their entire experience. A surprisingly large percentage of medical students are exposed to CL education, but with tremendous variation in that exposure. Other trainees are not heavily involved in CL programs, indicating a possible future expansion of integrated psychosomatic teaching. The data presented should serve as a comparative baseline for future program design.

Allied Health Personnel↗
PubMed1975

Increase of personality response consistency by prior response.

Twenty-nine Ss were given the MMPI weekly for 4 weeks. Experiments 1, 2 and 3 reported data that support each of the following specific predictions: (1) scale reliabilities over trials 3-4 will be greater than over trials 1-2; and (3) correlation of standard score patterns over trials 3-4 will be greater than similar correlations over trials 1-2. These results, as well as other literature, support the general hypothesis that personality response consistency is increased by prior response. A negatively accelerated decreasing curve of novelty was proposed to account for this general hypothesis. In addition, split-half reliability and test-retest reliability showed moderate intercorrelation. Moderate support also was derived for Windle's generalization that maladjustment scores decrease on retest.

Awareness↗