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Biomedical subjects

N Long

Publications and source records attributed to N Long.

At least 19 recordsLinked to original sources
PubMed1992

The health and mental health of New Zealand Vietnam war veterans with posttraumatic stress disorder.

AIM: To examine the extent of posttraumatic stress disorder (PTSD) in a sample of New Zealand Vietnam veterans and to compare the pattern of health and mental health between veterans classified as posttraumatic stress disorder cases and non-cases. METHOD: Five hundred and seventy-three randomly selected male Vietnam veterans participated in a mailed survey. The questionnaire assessed several mental health dimensions and a number of components of physical health. Demographic and military service details were also gathered. RESULTS: The study classified 12% of the sample of veterans as suffering from posttraumatic stress disorder. The posttraumatic stress disorder group differed from the non-posttraumatic stress disorder group on all measures of physical and mental health. They reported higher symptom scores, more disability days, lower self rated health and made more frequent contacts with health care providers. They also experienced greater anxiety, depression and loss of control, and lower wellbeing. Significant differences on some demographic and military service measures were also found between the groups. CONCLUSIONS: A number of New Zealand Vietnam veterans may be classified as exhibiting the symptoms of posttraumatic stress disorder, with the proportion being comparable to rates found in US studies. Veterans with posttraumatic stress disorder experience significantly poorer physical and mental health. Combat experience in Vietnam appears to contribute to posttraumatic stress disorder level. It is suggested that posttraumatic stress disorder may be under-utilised as a diagnostic category because it may coexist with depression or anxiety states and that physicians should be attentive to military service as an indicator of posttraumatic stress disorder.

Adult↗
PubMed1992

Labeling relaxation procedures: impact on adolescent's self-report of effectiveness.

Adolescents are being taught relaxation techniques by health-care professionals with increased frequency. The present study examined the effect, on self-reported relaxation, of labeling passive relaxation techniques as "hypnotic relaxation" or as "relaxation training." Subjects were 64 adolescent college students who scored above the 50th percentile, from a subject pool of 189 potential subjects, on the Spielberger Trait Anxiety Inventory. A two by two by two factorial design was utilized with sex, label (hypnotic relaxation versus relaxation training) and relaxation technique (hypnotic induction versus autogenic training) as the independent variables. Under the guise of an investigation of the physiologic correlates of relaxation, subjects were assigned at random to one of four groups. Manipulations of label and relaxation technique were presented on tape via an intercom system. The dependent variable, perceived degree of relaxation, was obtained using a form presented as a "double check" of the accuracy of the physiologic monitoring equipment to which subjects seemingly were attached. Results indicate that the label attached to relaxation techniques can have a significant effect on an individual's subjective report of relaxation depending on the subject's sex.

Adolescent↗
PubMed1991

A short-term longitudinal examination of young adolescent functioning following divorce: the role of family factors.

The purposes of this study were to examine young adolescent functioning over a 2-year period after divorce and to assess the role of two family factors, interpersonal conflict and the parent-adolescent relationship, in predicting such functioning. One hundred and twelve young adolescents, their mothers, and their social studies teachers served as participants. One-half of the adolescent were from recently divorced families and one-half were from married families. Mothers completed measures concerning interparental conflict and the parent-adolescent relationship, adolescents completed a measure of the relationship, and teachers completed measures assessing four areas of adolescent functioning. The results indicated that adolescents from divorced families were functioning less well than those from married families. There were no changes in adolescent functioning and the parent-adolescent relationship from the first to second year postdivorce. High levels of interparental conflict in divorced families were associated with more parent-adolescent relationship problems. In turn parent-adolescent relationships problems served as the best predictor of concurrent and subsequent difficulty in adolescent functioning.

Adolescent↗
PubMed1991

Children in context: the role of the family in child psychotherapy.

Over the past several decades, both individual and family-oriented approaches to child therapy have been shown to be of moderate success in reducing children's psychological and behavioral problems. However, the data from comparative outcome research do not yet allow us to determine whether one approach is superior to the other in a broad sense; nor has the research addressed the more prudent question of whether there are specific conditions under which one approach may be preferable to the other. In this article, family factors related to child psychopathology are identified, and it is argued that researchers and clinicians interested in the question of family involvement should increase their focus on the presence of family process variables that may be actively contributing to the child's difficulties. Research issues and clinical guidelines are outlined.

Affective Symptoms↗
PubMed1991

Preventing parental child abduction: analysis of a national project.

Recent data from a study indicate that child abduction by a parent is up to six times more frequent than previous estimates had suggested. Relative to parental child abductions, stranger abductions occur on a very infrequent basis. While much attention has been placed on prevention programs for stranger abductions, prevention programs for parental child abduction have been nonexistent. The present study analyzes data from a national hotline program that targeted prevention of parental child abduction. Data were collected on 86 consecutive telephone calls from parents contemplating abduction of their child(ren). These data provide information on demographic variables, level of interparental conflict/violence, reasons for contemplating abduction, and abduction plans. Data are also presented that indicate a mediation program may be effective in preventing some cases of parental child abduction. However, such a mediation program is a very difficult course of action and impacts only a small percentage of parental child abduction cases.

Adolescent↗
PubMed1989

Child abduction. Parent and child functioning following return.

The functioning of 17 children who had been abducted by one parent but subsequently returned was examined. The parent to whom the child was returned completed a behavior rating scale on the child for each of three time periods: pre-abduction, immediately post-abduction, and follow-up (the present time). The parents also completed a measure regarding the coping strategy they utilized while the child was missing and a measure of their own functioning at each of three times: pre-abduction, during the abduction, and follow-up. The results indicated that the child was rated as functioning worse immediately post-abduction than at pre-abduction and at follow-up was functioning between that reported at pre-abduction and post-abduction. However, the level of maladjustment was not in the severe range at any of the assessments. Parents reported using a problem-focused or action style of coping. Parents also reported that their psychological functioning decreased during abduction and then improved at follow-up. Again, functioning was not in the severe range at any assessment. Variables such as age at the time of abduction and length of abduction were only minimumally related to parent or child functioning.

Adaptation, Psychological↗
PubMed1988

Parent-completed and adolescent-completed CDIs: relationship to adolescent social and cognitive functioning.

The purpose of this study was to examine the relationship of both young adolescents' scores on the Children's Depression Inventory (CDI) and their mothers' ratings of the adolescents' depression (parent-completed CDI) to indices of their social and cognitive functioning obtained from a source outside the home. Subjects consisted of a nonclinic sample of 85 young adolescents (11-15 years of age), their mothers, and their social studies teachers. Recent school grades and teacher-completed measures served as the indices of adolescent social and cognitive competence. The results indicated that both adolescents' and mothers' CDI scores were significantly and negatively correlated with measures of adolescent cognitive and social functioning. Multiple regression analyses, utilizing adolescent- and parent-completed CDI scores as predictors, indicated that both predictor variables entered into the equations for cognitive functioning while only the mother-completed CDI entered into those for social functioning. When maternal depression was also entered into the multiple regressions, the findings regarding mother- and adolescent-completed CDI scores were not altered. The relationship of these findings to other somewhat disparate findings concerning the utility of mother and child reports of child depression is discussed.

Adolescent↗
PubMed1988

Training social skills to severely mentally retarded multiply handicapped adolescents.

Three severely mentally retarded, multiply handicapped, adolescents were treated in a classroom setting for social skills deficits. Two of these children exhibited symptoms of autism including periods of echolalia, and fascination with tactile and visual stimulation. One of the pair was deaf. The third child was profoundly mentally retarded and had minimal expressive language skills. All had received sign language training to facilitate communication. Treatment focused on increasing the frequency of eye contact, in seat and response to verbal prompt behaviors, skills deemed necessary to facilitate use of sign language communication and to increase social interaction. Baseline and treatment were evaluated in a multiple baseline, alternating treatment design across children. Baseline was taken on responses to 10 standard questions, asked by the teacher, based on verbal presentation and sign language. This same procedure was then continued during the initial treatment phase following training sessions. During training, the children received social reinforcement, performance feedback and edible reinforcement, in the form of candy, for appropriate performance. Physical and verbal prompts as well as pictorial cues were employed to shape appropriate behavior. In the second treatment phase, training was implemented in the classroom in which baseline data had been collected. Improvement in target behaviors, via training sessions held four days a week, was noted. These data suggest that use of a combination of visual stimuli, operant and social learning methods can remediate social skills deficits in children with multiple psychological and physical deficits. The implications of these findings for current and future research are discussed.

Achievement↗
PubMed1987

Self-perceived and independently observed competence of young adolescents as a function of parental marital conflict and recent divorce.

The self-perceived and independently observed cognitive and social competence of young adolescents as a function of parental conflict and recent divorce was investigated. Subjects were 40 young adolescents between the ages of 11 years 1 month and 15 years 1 month. A 2 X 2 factorial design was used, with the independent variables being parental marital status (married vs. recently divorced) and parental conflict (high vs. low). Dependent variables included the following measures of adolescent competence: adolescent-completed measures of self-perceived competence, teacher-completed measures, behavioral observations, and school grades. The results indicated that the level of parental conflict, rather than parental marital status, appears to be the critical variable associated with adolescents' independently observed levels of cognitive and social competence. In regard to adolescents' self-perceived levels of cognitive and social competence, parental marital status was found to be the critical variable. The implications of these findings are discussed.

Achievement↗
PubMed1987

Family characteristics of adolescents who display overt and covert behavior problems.

The purpose of the present study was to examine and compare the families of young adolescents who demonstrated overt behavior problems, overt and covert behavior problems (i.e. versatile adolescents), and neither type of problem. From 176 nonclinic adolescents, a sample of 23 was selected based upon a teacher-completed measure. Interparental conflict, parental marital status, and mother-adolescent conflict were examined. The results indicated that families with a versatile adolescent were characterized by divorce as well as more interparental and mother-adolescent conflict than the other two groups. Assessment of and intervention for school-identified adolescents may need to include a focus on interparental conflict and parent-adolescent conflict.

Adolescent↗
PubMed1987

The effects of parental divorce and parental conflict on children: an overview.

Pediatricians and other primary care professionals are frequently called upon to offer their advice concerning the psychosocial problems that families confront. Currently, one area that appears to be of great concern to parents is the effect that parental divorce has on children. However, giving advice in this area is difficult as parental divorce does not have the same effect on all children. Researchers are now beginning to identify and study numerous factors that appear to play a critical role in mediating child adjustment following parental divorce. Understanding these mediating factors will likely prove crucial when addressing questions pertaining to parental divorce. Several investigators believe that one of the most important of these mediating factors is parental conflict. This article reviews the research addressing the relationship between parental divorce, parental conflict, and child adjustment.

Adaptation, Psychological↗
PubMed1986

Home predictors of young adolescents' school behavior and academic performance.

The purpose of the present study was to examine the relation between home variables and young adolescents' school behavior/performance. 46 mother-father-adolescent triads (ages 11.5 years to 14.9 years) served as participants. Home factors included the adolescents' relation with each parent as well as a measure of each parent's personal adjustment and perception of conflict in the marriage. School measures consisted of grades and a teacher-completed assessment of internalizing and externalizing problems demonstrated by the adolescent. The results indicated that externalizing problems were related to the mother's depression level, the adolescent's relationship with the mother, and the adolescent's relationship with the father. The first 2 variables (maternal depression and mother-adolescent relation) entered into a multiple regression equation with sex of adolescent and accounted for 35% of the variance in externalizing problems. The relationship with the father was related to school grades and, in a multiple regression, combined with birth order of the adolescent to account for 15% of the variance. The results were discussed in terms of the importance of considering not only the mother-child relationship when examining cross-setting influences in the school but also the mother's personal adjustment and the father's relationship with the child.

Achievement↗
PubMed1983

Maintenance of nutritional competence after gastric partitioning for morbid obesity.

Can normal nutritional status, as indicated by albumin, transferrin and lean body mass values, be maintained during a 100 lb weight loss after gastric partitioning? Fifteen morbidly obese patients with normal nutritional status were fed three diets before (diet A) and after (diets B and C) gastric partitioning, and changes in albumin, transferrin, and lean body mass were monitored. Diets A and C were compositionally equal and contained 40 to 60 g of protein and 600 to 900 calories administered in six to eight equally divided portions per day. Diet B contained 20 to 40 g of protein and 600 to 800 calories per day and was given through a gastrostomy tube for three months after surgery while oral input was limited to noncaloric liquids. Results showed that weight loss was more rapid before surgery with diet A, than after surgery with diet B or C (diet A versus diet B, p less than 0.05; diet A versus diet C, p less than 0.05). Lean body mass was maintained with each diet, but transferrin (p less than 0.01) and albumin (p less than 0.05) decreased while patients were fed diet B. When gastrostomy tube feedings were discontinued, diet C restored albumin and transferrin to preoperative values (diet C versus diet B, p less than 0.05, diet C versus diet A, p greater than 0.1). Total postoperative weight loss averaged 106 +/- 20 lb after 2 years. These data show that in carefully selected patients with morbid obesity who demonstrate compliance to diet A before surgery, a 100 lb weight loss may be achieved while nutritional competence is maintained.

Adult↗