Biomedical subjects

Jacqueline Horn

Publications and source records attributed to Jacqueline Horn.

5 recordsLinked to original sources

PubMed2005

Nursing student attitudes to psychiatric nursing and psychiatric disorders in New Zealand.

Attitudes towards mental illness and psychiatric nursing can have far-reaching consequences for patients and the perceived desirability of this as a future career choice. Attitudes can be both brought into training and affected by training experiences, although the direction of these associations is unclear. Using a cross-section design, this study investigates the associations between attitudes, demographic variables, mental illness exposure, and career aspirations in 164 nursing students. Year of training and area of intended practice independently predicted attitudes. These findings have important implications for nursing training. They demonstrate the need for specifically focusing training to target the students with the most negative attitudes.

Adult↗

PubMed2004

Health status of clients receiving methadone maintenance treatment using the SF-36 health survey questionnaire.

This study investigated the health status of a representative sample of clients (35 Maori, 72 non-Maori) receiving methadone maintenance treatment in New Zealand, using the SF-36 health survey. The publication of New Zealand norms in 1999 enabled comparisons of the health of the Methadone Treatment Programme study participants with that of the New Zealand population. Although over 50% of participants rated their health as good, very good or excellent, 44% rated their health as fair or poor and compared with population norms, the health of the study participants was significantly poorer on all eight SF-36 scales. Male and female participants rated their health similarly to male and female clients attending another New Zealand Methadone Treatment Programme. Results highlighted the impact of a chronic disorder and co-existing health-related problems on the health and well-being and day-to-day functioning of this client group. Higher frequency of benzodiazepine use was associated with poorer social functioning, mental health and role functioning and higher frequency of cannabis use was associated with poorer role functioning due to emotional problems. Findings support routine monitoring of health status with clients receiving methadone maintenance treatment as a guide to preventative and treatment interventions and health maintenance strategies.

Adult↗

PubMed2003

"Knowing one's self" anorexic: implications for therapeutic practice.

OBJECTIVE: Recent postmodernist studies of anorexia nervosa (AN) challenge current clinical understandings and therapies by illuminating not what AN is but how what it is known to be by clinicians helps construct the disorder and therapy for it. This study points to the equal if not greater importance of how patients know AN. METHODS: Using a deconstructive approach, the discourses of a group of women diagnosed with severe AN were analyzed to reveal radically different versions of "knowing one's self" anorexic. RESULTS: These versions of "self" have strategically different implications for, and meanings of, any therapeutic endeavour. DISCUSSION: Postmodernist approaches point to the need for social reconstruction of lay and community understandings of AN. They also have implications at the level of individual therapy, and could be deployed with patients to establish individual but authentic bases for therapy.

Adolescent↗

PubMed2003

Anxiety and psychoactive substance use disorder comorbidity in anorexia nervosa or depression.

OBJECTIVE: This study considered whether the prevalence and type of anxiety and psychoactive substance use disorder (PSUD) diagnoses differ between women with spectrum anorexia nervosa (AN) (N=40) and women with major depressive disorder (N = 58) participating in outpatient clinical trials. METHOD: Anxiety and PSUD diagnoses (according to criteria in the 3rd Rev. ed. of the Diagnostic and Statistical Manual of Mental Disorders) were assessed using structured clinical interviews. Comparisons were made between AN subtypes (restricting or binge eating/purging) and by history of depression within the AN sample. RESULTS: A high prevalence of obsessive-compulsive disorder (OCD) was found in women with AN. However, social phobia, simple phobia, and PSUD were significantly elevated in both women with depression and women with AN. Prevalences were similar for anxiety and PSUD diagnoses between AN subtypes. DISCUSSION: Women with anorexia or depression were comparable in all respects, except for the elevated OCD prevalence in AN, emphasizing the need to use clinical comparison groups to avoid inadvertently attributing elevated prevalences of comorbid conditions to specific disorders.

Adolescent↗

PubMed2002

Links between psychological sense of control and disturbed eating behavior in women with diabetes mellitus. Implications for predictors of metabolic control.

PURPOSE: Eating disturbances and aspects of psychological control are both repeatedly cited as significant correlates of metabolic control in diabetes mellitus (DM), yet such findings are typically discussed in separate literatures and have been criticized for overreliance on outdated constructs of psychological control when more complex means of analysis are available. METHODS: Utilizing a multidimensional control inventory, this study investigates the relationship between eating disturbance and psychological sense of control, and assesses the utility of these two constructs in predicting metabolic control in 96 women recruited from a specialist diabetes clinic. RESULTS: Despite significantly overlapping relationships between these two predictor variables and metabolic control, it is control specific to the domain of interpersonal relationships, along with eating disturbance in the form of bulimia/food preoccupation, that independently predicts level of metabolic control. CONCLUSIONS: These findings have implications for the current form and content of psychological interventions in the management of DM.

Adolescent↗