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Biomedical subjects

M D Blumenthal

Publications and source records attributed to M D Blumenthal.

3 recordsLinked to original sources

Developing a curriculum in psychogeriatrics.

Psychiatric problems are rampant among the aged, yet the psychiatric profession has not developed sufficient resources for training the necessary number of practitioners able and willing to treat elderly psychiatric patients. The management of psychiatric problems in old age differs substantially from that in younger age groups. The elderly patient is likely to have multiple needs and to require diverse services. Fundamental goals in training geriatric psychiatrists should focus on differential diagnosis and treatment, pharmacologic issues, consultation, community resources, and psychiatric, medical, and psychosocial aspects of care. The authors describe a curriculum tailored to meet these goals.

Aged

Measuring depressive symptomatology in a general population.

Three hundred twenty respondents in selected geographic areas were interviewed with a structured questionnaire that included the Zung Self-Rating Depression Scale. Dimensional analysis indicates that some items are not pure measures of the constructs they were originally intended to assess. Moreover, some of the dimensions within the scale apparently convey different meanings to different segments in the population. In addition, different dimensions within the scale have varying demographic correlates. The analysis suggests that in order for the scale to be a truly useful device for assessing depressive symptomatology in a general population, additional items need to be added and some questions need to be followed by probes to clarify the exact frame of reference of the respondents.

Adjustment Disorders

Depressive symptomatology and role function in a general population.

Depressive symptomatology, marital satisfaction and functioning, job satisfaction, and social relationships were investigated in 320 respondents comprising 160 married couples. Responses to the Zung Self-Rating Depression Scale indicated that 13% of the respondents had scores similar to those obtained by patients with diagnosed depressions and an additional 27% had scores comparable to those of persons with other psychiatric problems. Responses to a variety of questions about the respondents' social life, job satisfaction, and marital function indicate that increased depressive symptomatology in this general population is associated with a decline in satisfaction and functioning in these areas. The data suggest that this association is not solely due to response bias but is associated with a real decline in function, particularly in the area of child rearing.

Child Rearing