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Biomedical subjects

E Bromet

Publications and source records attributed to E Bromet.

At least 37 records · Page 2Linked to original sources

Maternal predictors of behavioral disturbance in preschool children: a research note.

The effects of maternal mental health and familial stress on child behavior were evaluated in a community sample of 691 preschoolers. Presence of behavior problems was determined using the Behavior Screening Questionnaire (BSQ) at age 3, and using the Conners Parent Rating Scale at age 4. In multivariate analyses, the development of disturbance was predicted by higher BSQ score, maternal role competition and maternal hostility assessed at both interviews; persistence was predicted by initial BSQ score and initial maternal hostility only. These results underscore the complexity of the relationships among maternal, familial and childhood variables.

Adult↗

Low level lead exposure and neuropsychological functioning in blue collar males.

To examine the interrelationships between normal aging, occupational lead exposure, and cognitive functioning, a comprehensive battery of neuropsychological tests was administered to 288 randomly-selected lead-exposed workers and 181 demographically-similar nonexposed controls. Contrary to previous reports, those workers with current blood-lead levels in the low to moderate range (less than 50 micrograms/dl) were found to perform as well as controls on measures of learning, memory, attention, visuospatial ability, and general intelligence. They differed from controls only on one measure of psychomotor speed and manual dexterity, the Grooved Pegboard Test, and these between-group differences were restricted to the older lead workers. It is likely that these results are secondary to lead-mediated neuromuscular damage. There is little support for the view that older adults with current blood lead levels in the low to moderate range are at risk for developing significant CNS dysfunction, even though they may have had a past history of excessively high blood lead levels.

Adult↗

Prevalence of behavior problems in three-year-old children living near Three Mile Island: a comparative analysis.

The Behavior Screening Questionnaire (BSQ) was used to determine whether 2 1/2-3 1/2 yr old children living near the TMI nuclear reactor were more disturbed than children living near another nuclear plant or near a fossil-fuel facility in Pennsylvania when assessed 2 1/2 yr later. The prevalence of behavior problems was 11%. Differences among the sites in overall rates and individual symptoms were small. Perceptions of environmental stress among the TMI sample of mothers were unrelated to BSQ scores, whereas in the comparison sites, where unemployment was rising, economic concerns were meaningfully related to the BSQ.

Accidents↗

Reactions of psychiatric patients to the Three Mile Island nuclear accident.

The reaction of patients in the community mental health system to the nuclear accident at Three Mile Island (TMI), Middletown, Pa, were assessed. The sample was composed of 151 patients from the TMI area and 64 patients from a comparison site where a similar nuclear plant is located. Mental health status was determined for the period immediately after the accident, nine to ten months later, and one year later. No significant differences were found between the TMI group and the comparison group. To isolate risk factors within the TMI group, patients who were most distressed were compared with patients with the least distress. The results showed that quality of network support and viewing TMI as dangerous were significantly associated with mental health.

Accidents↗

Strategies for evaluating the outcome of community services for the chronically mentally ill.

A growing number of community support services are being designed for the chronically mentally ill with the goal of improving this population's adjustment to noninstitutional settings. Program planners anticipate that a comprehensive array of psychiatry and other human services will also benefit families of the mentally ill, staff working with the mentally ill, and communities in which these persons reside. Given this complex services delivery model the authors discuss strategies that must be established for evaluating the effectiveness of community support services. They analyze the methodological issues in designing pertinent outcome studies and suggest research priorities for studying the various target populations and other variables.

Chronic Disease↗

Family characteristics and the outcome of treatment for alcoholism.

Families in which the alcoholic patient showed better treatment outcome were higher than the other in cohesion, active-recreational orientation and organization, and lower in conflict and control; they also experienced more positive and fewer negative life events, and reported fewer physical and emotional symptoms and disagreements.

Adult↗

Treatment experiences of alcoholic patients: an analysis of five residential alcoholism programs.

Five different residential alcoholism programs were studied to determine the influence of patient attributes on the treatment process. The relationship between patient characteristics and treatment experiences was analyzed separately for each of the five programs. There was no systematic relationship between patient characteristics and the kind or extent of treatment patients received or length of patient stay in treatment. The authors recommend more attention be paid to the type and intensity of treatment in relation to patient characteristics and a routine evaluation of program effectiveness.

Alcoholism↗

Sex and marital status in relation to the characteristics of alcoholics.

Data on 392 married and unmarried men and women alcoholics suggest that certain social antecedents and drinking patterns represent genuine sex differences and are independent of marital status. However, marital status was related to severity of alcoholism, particularly with respect to personal background characteristics and to psychological functioning at the time of treatment.

Age Factors↗