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Biomedical subjects

M L Bowman

Publications and source records attributed to M L Bowman.

4 recordsLinked to original sources

Test-retest stability of injured workers' MMPI-2 profiles.

Ninety-four workers completed the Minnesota Multiphasic Personality Inventory--2 (MMPI-2) on 2 separate occasions, with an average lag of 21.3 months (SD = 14.1, range = 2-75), within the context of a psychological assessment after suffering an injury due to crime or accident. MMPI-2 profiles were moderately consistent, with correlation coefficients ranging from .61 to .73 for clinical scales, from .52 to .80 for supplementary scales, from .65 to .78 for content scales, and from .32 to .73 for the Personality Psychopathology Five scales (A. R. Harkness, J. L. McNulty, & Y. S. Ben-Porath, 1995). The results suggest that the MMPI-2 provides consistent and stable results across time in injured workers.

Accidents, Occupational↗

Individual differences in posttraumatic distress: problems with the DSM-IV model.

OBJECTIVE: To evaluate the evidence concerning the role of threatening life events in accounting for clinically significant posttraumatic stress responses. METHOD: Research was examined to review the epidemiology, evidence of dose-response relations, and individual difference factors in accounting for variations in conditions, including posttraumatic stress disorder, after exposure to threatening events. RESULTS: The evidence is significantly discrepant from the clinical Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) model. Greater distress arises from individual differences than from event characteristics. Important individual differences that interact with threat exposures include trait negative affectivity (neuroticism); beliefs about emotions, the self, the world, and the sources and consequences of danger; and prevent acts, disorders, and intelligence. Reasons for the discrepancies between the evidence and the current model of posttraumatic distress are proposed. CONCLUSION: In accounting for responses to threatening life events, the relatively minor contribution of event qualities compared with individual differences has significant treatment implications. Treatment approaches assuming that toxic event exposure creates a posttraumatic disorder fail to consider individual differences that could improve treatment efficacy.

Adaptation, Psychological↗

Intrapartum labetalol for the treatment of maternal and fetal thyrotoxicosis.

Maternal thyrotoxicosis complicates approximately 0.2% of pregnancies. Simultaneous occurrence of maternal and fetal thyrotoxicosis during labor is rare, and control of maternal tachycardia and hypertension, as well as fetal manifestations of thyrotoxicosis, are cornerstones of management. An 18-year-old nulliparous female at 33 weeks gestational age presented in labor with thyrotoxicosis. Fetal tachycardia was present as well. Labetalol therapy resulted in a decrease in maternal pulse and blood pressure, and resolution of fetal tachycardia. Vaginal delivery occurred. Subsequent evaluation demonstrated neonatal thyrotoxicosis and high maternal titers of thyroid-stimulating immunoglobulin. In conclusion, labetalol was beneficial in the treatment of maternal and fetal thyrotoxicosis during labor.

Adolescent↗