Biomedical subjects

M A Van Tilburg

Publications and source records attributed to M A Van Tilburg.

3 recordsLinked to original sources

PubMed1996

Homesickness: a review of the literature.

Homesickness has not received due attention from psychological researchers, in spite of the fact that it is of considerable interest to counsellors and care-givers of those who have migrated or moved temporarily or permanently (e.g. immigrants, refugees, students, soldiers). First, this review addresses the definition of homesickness, the possible different kinds of homesickness, its prevalence rate, and symptomatology, Secondly, an overview is given of the theories that account for psychological distress following leaving home. These theories link homesickness with separation-anxiety and loss, the interruption of lifestyle, reduced control, role change, and internal conflict. In addition, the review focuses on: (i) studies that show that subjects reporting homesickness differ from non-homesick persons in terms of personality; (ii) the analyses of environmental characteristics that may play a crucial role in the onset and course of homesickness. Thirdly, Fisher's (1989) composite model of homesickness, which summarizes key findings of the major studies on homesickness is discussed. Fourthly, methodological issues are addressed. Finally, suggestions for future research are presented and possibilities for interventions are proposed.

Adult↗

PubMedDate not supplied

Depressed mood is a factor in glycemic control in type 1 diabetes.

OBJECTIVE: The diabetes literature contains conflicting evidence on the relationship between depression and glycemic control. This may be due, in part, to the fact that past studies failed to distinguish between patients with type 1 and type 2 diabetes. Because these are actually completely different diseases that are often treated differently and consequently make different demands on patients, the relationship between glycemic control and depressed mood in type 1 and type 2 diabetes was examined separately. METHODS: The relationship between Beck Depression Inventory (BDI) scores and HbA1c, as an index of long-term glycemic control, was measured in samples of 30 patients with type 1 and 34 patients with type 2 diabetes. RESULTS: Groups of patients with type 1 and type 2 diabetes did not differ in mean BDI score or HbA1c level. Correlation analysis revealed a significant positive relationship between BDI scores and HbA1c in the type 1 group (r = .44, p < .02) but not in the type 2 group (r = -0.06, p > .05). This relationship was evident throughout the entire range of BDI scores and was not restricted to scores indicative of clinical depression. Patients with type 1 diabetes who had higher HbA1c and BDI scores reported a lower frequency of home blood glucose monitoring. CONCLUSIONS: Variations in depressive mood, below the level of clinical depression, are associated with meaningful differences in glycemic control in type 1 but not type 2 diabetes. Preliminary data analysis suggests that this effect may be mediated, at least in part, by decreased self-care behaviors in patients with more depressed mood.

Adult↗

PubMedDate not supplied

Mood changes in homesick persons during a holiday trip. A multiple case study.

BACKGROUND: Homesickness is generally studied with respect to rather uncommon long-lasting situations such as a (forced) move, while short stays away from home, like holidays, are much more common homesickness situations. Furthermore, little is known about the development and course of homesickness feelings. Therefore, the present multiple case study was designed in order to obtain a better insight into the onset and course of homesickness and patterns of mood changes, as well as saliva cortisol levels during a short stay away from home. METHODS: Several times before, during and after their holiday, 10 adult homesick-prone females completed the Profile of Mood States (POMS), the Homesickness Decision Tree (HDT) and a Subjective Homesickness Rating. In addition, saliva samples were obtained. Data were analyzed individually. Furthermore, days with and without homesickness were compared across individuals using t tests. RESULTS: Using the HDT, the following typology, based upon four different reaction patterns, emerged: (1) no homesickness, (2) anticipation homesickness, (3) holiday homesickness, and (4) a combination of anticipation and holiday homesickness. POMS scores demonstrated significantly worsened mood when experiencing homesickness. Cortisol levels, however, failed to differ between days with and without homesickness. CONCLUSIONS: Homesickness is characterized by negative mood which is not necessarily reflected in significantly changed salivary cortisol levels. Feelings of homesickness are not only experienced during absence from home, but may occur also in anticipation to a leave. Future studies need to focus upon the prevalence, causes and consequences of the different types of homesickness.

Adult↗