Biomedical subjects

Michael J Rice

Publications and source records attributed to Michael J Rice.

5 recordsLinked to original sources

PubMed2006

The BE SMART trauma reframing psychoeducation program.

Despite the human capacity to survive and adapt, traumatic experiences can cause alterations in health, attitudes and behaviors, environmental and interpersonal functioning, and spiritual balance such that the memory of an event or a set of events taints all other experiences. The BE SMART (Become Empowered: Symptom Management for Abuse and Recovery from Trauma) group psychoeducation program is a 12-week course designed for both men and women to learn wellness coping principles in recovering from the aftermaths of trauma and abuse. The course is based on the Murphy-Moller Wellness Model [Murphy, M. F., & Moller, M. D. (1996). The Three R's Program: A Wellness Approach to Rehabilitation of Neurobiological Disorders. The International Journal of Psychiatric Nursing Research, 3(1), 308-317] and the Trauma Reframing Therapy [Rice, M. J., & Moller, M. D. (2003). Wellness Outcomes of Trauma Psychoeducation. Podium presentation at the 2003 Meeting of the American Psychiatric Nurses Association. Atlanta, Georgia. October].

Adaptation, Psychological↗

PubMed2006

Wellness outcomes of trauma psychoeducation.

A program evaluation study was conducted to determine if a group psychoeducation course would improve wellness scores in subjects with trauma-related disorders. The sample consisted of 10 men age 20-65 years and 44 women age 20-66 years. Levels of wellness were evaluated using the Wellness Assessment Tool [International Journal of Psychiatric Nursing Research, 3(1) (1996), 308-317] that evaluates 10 wellness items in each of the four domains: health, attitudes/behavior, environment/relationship, and spirituality. Paired sample correlations showed statistically significant correlations among 37 of the 50 pairs, ranging from .524 in the health scores to .830 in spirituality. The paired t tests also showed significant differences at P = .05 in each of the wellness domains. Subjects felt an improvement in overall health, a decrease in interpersonal conflict, a stronger sense of spirituality, and improvement in environmental control and interpersonal relationships.

Adult↗

PubMed2006

Cardiac response rate variability in physically abused women of childbearing age.

Physical abuse directly affects maternal and fetal/infant health, with documented reports of higher rates of pregnancy termination, neonatal death, and lower birth weights. Although the Centers for Disease Control and Prevention recommend repeated interviews of women of childbearing age to screen for abuse, the paper-and-pencil instruments available for such screening are adversely affected by the hesitancy of women to disclose physical abuse. Biophysical measures of physiological stress adaptations may hold potential for identifying physically abused childbearing women. This pilot investigation used a Latin square design to assess the effects of physically abusive trauma on the cardiac rate response of three clinical groups and one control group of childbearing-age women. Participants were screened using the Childbearing Health Questionnaire. Cardiac response rates were measured during a standardized orthostatic challenge using a Tanito cardiac rate response monitor. Forty participants participated with an average age of 27. Multiple analyses of variance revealed that there were significant differences between cardiac rate responses at the 5-min interval. Post hoc testing using Dunnett's t indicated that only the abused pregnant women had significantly higher cardiac responses to orthostatic challenges; differences were apparent at the 5-min testing period. The findings suggest that physical abuse may alter the vasovagal response beyond the attenuation associated with pregnancy. These findings support further testing with larger samples to identify vasovagal changes in abused pregnant women.

Adolescent↗

PubMed2005

A comparative study of postpartum depression in abused and non-abused women.

Because of a rise in postpartum depression (PPD), the U.S. Department of Health and Human Services recently indicated a need for more studies of possible risk factors for PPD. PPD can continue for months or years after birth and has consequences for the family as a whole. Past research has not investigated the relationships between abuse, whether physical, sexual, or emotional, and PPD. The aim of this pilot study was to compare the prevalence of PPD among abused and non-abused women during the first 4 months after birth. Although 89 women initially enrolled in the study, only 50 participants completed the 1-week data collection. Of these 50, 30% reported previous or current physical or sexual abuse. Of these 50 participants, 22 dropped out during the 4-month-long study, resulting in a final sample size of 28. Abused women were significantly more depressed at 1 week and 2 and 3 months postpartum than the non-abused group until their depression scores at entry into the study and 1 week were statistically controlled. An unexpected finding was the prevalence of depression at 1 week after birth, indicative of unresolved prenatal depression, "baby blues," or true PPD. In addition, emotional abuse was reported by both groups and was significantly higher for the previously abused women. Although sample size and high attrition limit generalization, there was no significant difference in the prevalence of PPD between the two groups. Future research should explore the relationships between abuse and depression with larger samples and include pregnant subjects.

Adult↗

PubMedDate not supplied

The lived experience of postpartum depression in a psychiatric population.

PROBLEM: Studies have examined the quantitative causal factors of postpartum depression. However, the lived experience of postpartum depression has not been investigated. METHOD: Using a psychophenomenological design, the investigators examined reports from seven clients with a psychiatric diagnosis of postpartum depression and the role life experiences played in their labor, delivery, and postpartum periods. FINDINGS: Phenomenological analysis indicated that the psychological and physiological effects of abuse interact to create a cognitive frame of reference similar to the experience of abuse. CONCLUSION: The normal developmental event of childbearing contributes to the recall of abuse and sets the stage for postpartum depression.

Adaptation, Psychological↗