Biomedical subjects

H L Piersma

Publications and source records attributed to H L Piersma.

25 records · Page 2Linked to original sources

PubMed1986

The Millon Clinical Multiaxial Inventory (MCMI) as a treatment outcome measure for psychiatric inpatients.

The Millon Clinical Multiaxial Inventory (MCMI) is a 175-item inventory designed to assess both clinical symptomatology and underlying, more enduring personality traits and syndromes. The purpose of this study was to determine whether the MCMI personality scales evidenced greater stability over time than did the MCMI symptom scales. The MCMI was administered to 151 consecutively admitted inpatients at an acute care, private psychiatric hospital. Patients were administered the MCMI shortly after admission and shortly before discharge. Results indicated that the personality scales evidenced greater stability than the symptomatology scales, although statistically significant changes between admission and discharge scores also occurred for the personality scales. Implications are discussed.

Adult↗

PubMed1986

The stability of the Millon Clinical Multiaxial Inventory for psychiatric inpatients.

This study investigated the stability of the personality and symptom scales of the Millon Clinical Multiaxial Inventory (MCMI) for a sample of psychiatric inpatients. Patients were administered the MCMI shortly following admission and shortly preceding discharge. As would be expected theoretically, results indicated that stability estimates were greater for the basic personality scales than for the symptom scales. These results were also compared with results from a previous study investigating the stability of MCMI scales. Overall, stability coefficients for the inpatient sample were lower than those reported for other samples. Possible explanations for this and other findings are discussed.

Adult↗

PubMed1986

The factor structure of the Millon Clinical Multiaxial Inventory (MCMI) for psychiatric inpatients.

This study examines the factor structure of the Millon Clinical Multiaxial Inventory (MCMI) for a sample of psychiatric inpatients. The results are compared and contrasted with previous studies that have examined the factor structure of the MCMI. Factors identified for the inpatient sample include Interpersonal Withdrawal/Avoidance, Emotional Distress, Impulsivity/Negativism, Paranoid Distrust/Delusions, and Dependency/Submission. In general, results from this study are consistent with previous findings. However, there is evidence that the factor structure for this inpatient sample demonstrated more discrimination between symptoms and personality traits than had been demonstrated in previous studies.

Adjustment Disorders↗

PubMed1985

An evaluation of treatment outcome for psychiatrically hospitalized adults.

The need for well-conducted outcome studies has become more critical in recent years due to the increasing demands of third-party payers for demonstrations of the efficacy of inpatient psychiatric treatment. This study evaluated whether or not improvements made by psychiatric inpatients during hospitalization were maintained following discharge. Patients were evaluated with measures assessing psychiatric symptomatology, social functioning, and satisfaction with treatment. These measures were administered at admission, discharge, and three and six months following discharge. Results indicated that improvements in symptomatology and social functioning were maintained three and six months postdischarge. However, patients reported less satisfaction with treatment three months after discharge than they reported at the time of discharge.

Adult↗

PubMed1985

"Mom and dad": views on the relationship between direct-care staff and therapists in residential, adolescent treatment facilities.

Some of the common conflicts that occur between therapists and direct-care staff in residential, adolescent treatment facilities are highlighted. These conflicts often parallel those occurring between an adolescent's parents. Common issues include the amount of time spent with the adolescent patient, questions of authority, and communication difficulties. These conflicts can have positive consequences, if each party recognizes that the other brings a needed perspective to adolescent treatment.

Adolescent↗

PubMed1983

Program evaluation using a patient opinion survey: one hospital's experience.

This article describes the development of a Patient Opinion Survey (POS) for hospitalized adolescents and adults at a private psychiatric hospital. In addition to patient satisfaction with treatment, patient perception of the importance of various treatment modalities (individual therapy, group therapy, medication, etc.) was also assessed. Results are discussed in regard to adolescent and adult differences in satisfaction, degree of satisfaction expressed by patients at our facility compared with degree of satisfaction expressed by patients in other institutions, and implications of patients' perceptions of the relative importance of different treatment modalities for future research.

Adolescent↗

PubMedDate not supplied

Patient comments concerning psychiatric hospitalization.

During the past decade increasing attention has been paid to consumer assessment of mental health services. This study summarizes and interprets the comments made by 1457 adults and 474 adolescents concerning their inpatient care at a large private psychiatric hospital. Although adult and adolescent comments evidenced many similarities, adolescents tended to give a greater number of responses and to be more critical of hospitalization than were adults. Comparisons with previous research also supported findings that individual therapy is the most highly valued treatment modality, while food, finances, and living conditions are the most commonly criticized aspects of psychiatric hospitalization.

Adolescent↗