Biomedical subjects

Margaret England

Publications and source records attributed to Margaret England.

8 recordsLinked to original sources

PubMed2005

Exploration of the psychometric properties of an Inventory of Voice Experiences.

The aim of the study was to identify psychometric properties of an inventory of voice-hearing experiences (IVE) [corrected] One hundred fifteen psychiatric nurses rated the language content represented on two forms of the IVE and the Brief Psychiatric Rating Scale (BPRS) [corrected] while viewing a videotaped assessment of an experienced voice hearer. Findings revealed modest to moderate support for internal consistency and concordance of the language represented on the measures as well as moderate support for convergent validity of IVE Forms A and B and modest support for their convergence with the BPRS. Nurse ratings of the IVE [corrected] explained 14 to 15 percent [corrected] of the variation in the same nurses' ratings of the hallucinated symptom item on the BPRS measure. Other [corrected] findings from the study [corrected]augment the position that not all hallucinated voices are indicative of clinical pathology, providing an additional basis on which to further refine and test the two measures [corrected]

Attitude of Health Personnel↗

PubMed2005

Planning and emotional health of abused adult children caregivers.

The purpose of this study was to explore markers associated with the advance-planning patterns and emotional health of adult child caregivers pre-selected for their history of childhood abuse within the family. An informational decision grid and two classification procedures were used to organize and link 246 written plans of 50 adults providing nearly 6 hours of care per day to a cognitively impaired parent. Results revealed 3 constellations of plans describing hands-on person-centred, instrumental, and grief-based approaches to caregiver planning. The 31 participants taking an instrumental approach to planning were significantly more likely than the 17 taking a grief-driven approach to report experiences of abandonment, betrayal, suicidal ideation, and use of alcohol. The 2 participants taking a person-centred approach reported significantly less emotional arousal and risk for loss of health and did not recount experiences of distress or emotion-focused coping. Nurses can use the findings to highlight and strengthen the decision-making and parental-care capacities of caregivers traumatized in childhood.

Adult↗

PubMed2004

Nurse judgments of hallucinated voice descriptions: relevance for intervention.

The aim of the research was to explore the importance of 58 items of descriptive content represented on two parallel forms of an Inventory of Voice Experiences (IVE). A convenience sample of 317 well-educated psychiatric nurses rated descriptions of IVE item content three times over a period of six months according to how the content might relate to the selection of interventions for the management of verbal auditory hallucinations. Cronbach's alpha, Cohen's kappa, Pearson's r, and Bartko's intra-class correlation coefficients were used to measure the internal consistency of the nurses' judgments as well as the concordance of the judgments with a pre-selected standard. Findings from the study revealed modest-to-moderate support for internal consistency and overall equivalence of parallel item content represented on both forms of the IVE within and across three waves of data collection. Also revealed was a relative lack of concordance of the nurses' judgments with the pre-selected standard, and modest-but-consistent concordance of the nurses' original and subsequent judgments. Eight parallel items represented on the IVE demonstrated potential to serve as important cues for making decisions about intervention. This information shall be used to standardize the language and response categories of items tied to the IVE to permit more-definitive decisions about the management of verbal auditory hallucinations.

Attitude of Health Personnel↗

PubMed2004

Association of caregiver planning with recent experiences of crisis.

In this exploratory descriptive study, two classification procedures were used to organize and link 479 written plans of 92 adult children caregivers pre-selected for recent experiences of crisis. The subjects provided nearly five hours of care daily to a cognitively impaired parent and composed an average of 5.21 plans for caregiving in the coming two weeks. Subjects reflecting a hands-on, personal approach to caregiver planning reported significantly lower ratings for emotional arousal and perceived risk for loss of health than other subjects. Subjects reflecting an instrumental approach to planning, in addition, composed significantly more abstract plans directed to concerns about personal or relational sense of security. Subjects composing plans reflective of their grief provided significantly fewer hours of parental care and composed fewer plans for parental care than other subjects. This information and how it was obtained can be used to highlight and strengthen decision-making and parental care capacities within the family.

Adaptation, Psychological↗

PubMed2003

Imminent concerns of filial caregivers reporting recent experiences of crisis.

The purpose of this descriptive study was to generate information about imminent concerns of adult children that could serve as initial context for development of a meaningful framework for coping with an ongoing parent care situation. Ninety-two adult children pre-selected for self-reports of crisis were interviewed about their concerns and goals for caregiving and asked to discuss experiences of crisis in the previous six months of caregiving. Key issues pertaining to their experiences were extracted from notes of the interviews and classified according to their common properties. Cohen's kappa for interrater reliability of the classifications was .79 while percentage agreement was 98 percent. The results of the study point to the presence of multiple issues pertaining to significant life and death events, relational burdens, early experiences with the family of origin, and focal patterns of distress and coping. Synthesis of the findings reveals overriding concerns for making improvements in one's family of origin, created family of adulthood, and middle-aged self. Findings have implications for experiential adult education in the area of filial maturity and caregiving.

Activities of Daily Living↗

PubMedDate not supplied

Cognitive intervention for voice hearers.

Cognitive behavioral therapy is an emerging treatment being used to attenuate negative thoughts and emotions tied to the formation, expression, and maintenance of verbal auditory hallucinations. This paper describes the theoretical underpinnings for the intervention and a clinical application of a prototype cognitive nursing intervention for treating faulty thinking and beliefs linked with problematic voice hearing experiences. The paper ends with a review of current evidence and implications concerning the efficacy of cognitive intervention approaches with voice hearers.

Adaptation, Psychological↗

PubMedDate not supplied

Mediation of the relationship between inner voice experiences and health-related quality of life.

PROBLEM: Appraisals tied to voice hearing and other subjective experiences pose serious challenges for nursing because of their implications for health and safety of voice hearers and others. METHOD: An exploratory, correlational design involving hierarchical analysis of data from 337 voice hearers. FINDINGS: Inner voice experiences and subjective-deficit symptoms each had significant negative, independent effects on perceptions of the integrity of the functional nervous system, self-esteem, and health-related quality of life. The combination of subjective-deficit symptoms, perceptions of the integrity of the functional nervous system and self-esteem significantly reduced the negative impact of inner voice experiences on health related quality of life (R2 = .511). Perceived integrity of the functional nervous system and self-esteem together almost completely attenuated the impact of voice hearing on subjects' health-related quality of life. CONCLUSION: These results highlight the need to develop strategies that can help voice hearers respond to inner experiences in a more positive manner.

Adaptation, Psychological↗

PubMedDate not supplied

Relevance of cues for assessing hallucinated voice experiences.

PURPOSE: To assess psychiatric nurses' views of the importance of itemized content represented on an Inventory of Voice Experiences (IVE) for ongoing assessment of atypical auditory sense perception in people who hear voices. METHODS: Over 6 months, 317 experienced psychiatric nurses rated 58 assessment cues for hallucinated voice experiences. Cronbach's alpha, Cohen's kappa, and Bartko's intraclass correlation coefficients were used to measure concordance of the nurses' judgments against two hypothetical standards derived for purposes of the study. FINDINGS: There was moderate support for both the internal consistency of the nurses' judgments concerning the importance of itemized content represented on the IVE and overall equivalence of the content. There was modest-to-moderate concordance of the nurses' original and subsequent judgments but a lack of concordance of the nurses' judgments with equally weighted judgments of the principal investigator even though the judgments of the investigator were based on extant literature and published reports of voice hearers. CONCLUSIONS: Results may reflect the effects of repeated testing, but it also is possible that some nurses did not have enough knowledge or professional experience to quantify judgments about the importance of hallucinated voice descriptions tied to the items on the IVE. The findings are being used to refine the IVE. PRACTICE IMPLICATIONS: Findings provide nurses with opportunities for discerning specific characteristics, antecedents, and consequences of voice hearing along with their implications for health and well-being. Discernment of this information will facilitate identification of more specific and meaningful options for helping voice hearers manage their voices.

Adult↗