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Biomedical subjects

L G Bischoff

Publications and source records attributed to L G Bischoff.

3 recordsLinked to original sources

Predictors of children's emotional distress in a mother-absent situation: implications for caregiving research.

Although many factors have been found to be associated with caregiving behavior among preschool-age siblings, few studies have considered the older child's emotional responses to the distress of a younger sibling in the mother's absence. In this study, the authors considered both individual and family factors that predict older and younger sibling distress in a mother-absent situation designed to elicit caregiving behavior. For both older and younger siblings, the strongest predictor of distress following the mother's departure was distress in the other sibling, suggesting the importance of situational factors. Individual and family factors, however, were also found to predict child distress. Among older siblings, shy and sociable temperaments were associated with greater distress during the mother's absence. Higher levels of parenting stress were found to be associated with less distress among both older and younger siblings in the mother-absent situation. Results are discussed in terms of individual and family environment influences on the sibling relationship.

Affect↗

Acute and chronic effects of hypoglycemia on cognitive and psychomotor performance.

The acute and chronic effects of hypoglycemia on cognitive and psychomotor performance are reviewed. Studies involving pediatric and adult subjects, both with and without diabetes were evaluated. The preponderance of studies suggest that hypoglycemia can be an unintended yet frequent result of treatment of patients with IDDM. Significant cognitive and psychomotor deficits were reported even with mild episodes of hypoglycemia. Early age of diabetes onset and frequent episodes of hypoglycemia were found to be highly related to significant deficits in intellectual and academic performance. Patients evidencing performance deficits did not always report symptoms of hypoglycemia. Recovery of cognitive functioning lagged restoration of euglycemia but typically returned to baseline levels of performance. Recommendations for improved patient care are provided.

Cognition↗

Developing anxiety-reduction procedures for a ventilator-dependent pediatric patient.

This study evaluated two strategies to reduce anxiety behaviors which interfered with the daily tracheostomy care and ventilator maintenance of an eight-year-old ventilator-dependent boy. A multiple-baseline design (across ventilator and tracheostomy procedures) was used to evaluate the effectiveness of an information-only procedure and combined relaxation and cognitive distraction procedures. Partial-interval recording was used to measure heart rate, disruptive mouth noises, and demands and complaints to staff members. The patient's behavior did not change during a no-intervention baseline or during the information-only condition. Cognitive distraction and relaxation procedures were introduced, first during ventilator checks and then during tracheostomy care; corresponding decreases in heart rate, mouth noises, and demands and complaints were noted. Gains were maintained at one year follow-up. Results suggest that information alone may not effectively reduce anxiety behaviors for some ventilator-dependent patients unless additional anxiety-reduction procedures are implemented.

Anxiety Disorders↗