PubMed Health⌕ Search

Biomedical subjects

F Staples

Publications and source records attributed to F Staples.

7 recordsLinked to original sources

Epidemiology of depression and dysphoria in an elderly Hispanic population. Prevalence and correlates.

Depression among older minority groups, including Hispanics, has not been well studied. Little is known of the true rates of depression, it correlates or how well it is treated. This research is part of a series examining health status of older Hispanics using the Comprehensive Assessment and Referral Evaluation (CARE). Seven hundred older Hispanics living in Los Angeles County were studied using an area-probability sampling method. The CARE items were regrouped to reflect Diagnostic and Statistical Manual III criteria for depression and dysphoria. More than 26% were found to have a major depression or dysphoria. These affective disorders were strongly correlated with physical health status. Without physical health complications, the rate was 5.5%. A number of socioeconomic, health behavior, and family variables were related to affective state. Treatment for affective disorder appeared to be very poor for this population.

California↗

Use of health care services by older Hispanics.

This paper presents information on regarding older Hispanics' use of health care services in an urban setting. Using the Comprehensive Assessment and Referral Evaluation (CARE) questionnaire, data on patterns of health care use and correlates of health services utilization were collected from a sample of 704 Hispanics age 60 and over residing in Los Angeles County. The results indicate that during the year preceding the interview, 79.4 per cent of the respondents saw a physician and 10 per cent were hospitalized. Of those seeing a doctor, 83.5 per cent saw a general practitioner and 32.6 per cent a specialist. When requiring medical care, respondents said that they would go to local private doctors (49.9%), hospitals (26.7%), neighborhood clinics (18.6%), and Mexico (2%). Further analysis revealed that some utilization measures varied significantly according to respondents' sociodemographic and economic correlates such as age, language, income, and availability of health insurance.

Aged↗

Which patients respond to a mental health consumer survey.

Characteristics of patients at the Los Angeles County - University of Southern California Medical Center, Adult Psychiatric Outpatient Clinic who responded to a Los Angeles County voluntary "Client Satisfaction Survey" were compared with those who did not. Three significant differences consistently emerged. If an individual was a member of a minority group (black of Spanish surname), had less than a high school education, and was taking antispsychotic medication, his chance of returning a questionnaire to a waiting-room collection box was 79% as compared to the 30% chance of returning if he had none of these three characteristics. Younger patients had "Anglos" more often used the U.S. mail than the collection box to return the questionnaires. It is important that both methods be used to minimize bias. Most of the many patient-characteristics studied did not influence return rate. These findings are discussed in relation to the return method, ethnicity, medication, chronic mental illness, diminished freedom, and consumer voice in voluntary questionnaires.

Adult↗

Behavioural treatment of orgasmic dysfunction: a controlled study.

Twenty-two anorgasmic women received 20 sessions of a multiple-technique behavioural therapy. The design included blind ratings by two independent assessors, multiple assessment instruments, and a waiting list control group. Treatment was significantly better than no treatment in terms of: (1) the percentage of patients experiencing orgasm during at least 50 per cent of sexual relations; (2) the percentage of women reporting satisfactory sexual relations at least 50 per cent of the time; (3) patients' ratings of positive reactions to various sexual behaviours; and (4) assessors' global clinical ratings. Significant improvement was also noted on the MMPI, IPAT, and Symptom Check List. Improvement was maintained at a follow-up average 9 months later. These results support the impression that a behavioural approach offers much promise in treating female orgasmic dysfunction.

Adult↗