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Biomedical subjects

P Corten

Publications and source records attributed to P Corten.

13 recordsLinked to original sources
PubMed1995

Life satisfaction as a mediator between distressing events and neurotic impairment in a general population.

Quality of life and life satisfaction have often been investigated as concomitant variables of anxious and depressive symptoms as well as an outcome measure in psychotherapy research. In the present prospective survey, life satisfaction and stressful events function as independent variables predicting the development of neurotic disturbances in a general population. A random sample of 184 adults completed two quality of life surveys (1990 and 1992). Results showed that satisfaction in relevant life domains was related to the mental status assessed 2 years later, and more specifically, that domain satisfactions were mediators of the event-impairment relationship. It is argued that life satisfaction might be considered as a vulnerability or resistance factor with regard to stress-related disorders.

Adaptation, Psychological↗
PubMed1994

"Subjective quality of life": clinical model for assessment of rehabilitation treatment in psychiatry.

The aim of this study was to develop a comprehensive model in order to approach the structure of the concept of subjective quality of life. A total of 188 Belgian subjects took part in the present study: 148 psychiatric out-patients and 40 normal controls. The principal component analysis used as a statistical method revealed three significant factors for the model: a first one called "hedonist factor" with a high level of interdependencies and subjective satisfaction, a second one called "achievement factor" and a third one called "conformity factor". Contrary to the hypothesis of the Social Indicators movement, it appeared that items related to the objective satisfaction of needs were not related to items of the subjective quality of life, as defined by the international literature.

Adult↗
PubMed1991

[Organic morbidity of a hospitalized psychiatric population].

In order to determine organic morbidity in psychiatry, 140 psychiatric inpatients (aged between 20 and 49) were examined. After various investigations (physical, biological, chest film, EEG, ECG), it was concluded that 52% of the patients suffer from at least one physical disease, and 23% suffer from more than one. The most frequent diseases are digestive (hepatic), respiratory and cardiovascular. The relationship between opiate addiction and stomatological, urogenital and dermatological diseases, and between alcoholism and liver diseases seems clear. It would appear that a medical approach adapted to psychiatric patients is necessary in order better to diagnose these physical diseases, and to reduce psychiatric overmorbidity, which might lead to a decrease in psychiatric excess mortality.

Adult↗
PubMed1991

Premature death among outpatients at a community mental health center.

In a ten-year prospective study, mortality among psychiatric outpatients under age 40 was investigated in a sample of 322 Belgian patients who first visited a community mental health center in a district of Brussels between 1970 and 1973. Fifteen of the patients died before age 40. Compared with 15 matched controls from the group of living patients, the deceased patients had a higher incidence of concurrent physical illness and changed residence less frequently. The standardized mortality ratio for male patients in the study was 5.05 times greater than expected for a sample of the general population of Belgium, and for women it was 5.63 times greater. Not all of the excess mortality could be attributed to suicide. Results confirmed previous findings of excess mortality due to natural causes in this population and of the greater incidence of mortality during the first years of treatment.

Adolescent↗
PubMed1989

[Crisis intervention in the emergency service of a general hospital].

Two general hospitals of Brussels tapped, in 1977, 47% of all the emergency ambulance traffic. More than 50,000 patients were examined there in one year. A randomized sample of 12,000 records were analyzed. From this file, 1707 psychosocial cases were carried out. The study will follow the progression of the patients during this crisis situation. Statistic tests pinpoint that the most determining variable is the symptoms. Seven symptoms cover more than 95% of the interventions. These symptoms are: alcoholism, suicide attempts, abnormal behavior, psychologic complaints, somatic complaints, violence, drug-addiction. Statistical analysis reveals that the two most important variables to draws crisis interventions at the emergency room were the time used by patient and the frequency of call of the psychiatrist. Other variables used to draw up the progression of the patients were: way of arrival, diagnosis and final destination.

Belgium↗
PubMedDate not supplied

Alcoholics and drug addicts at the emergency room of the hospital. Analysis of the staff behavior and patients' progressions.

The statistical analysis of a large sample (1.707 cases) was carried out using objective variables. These variables consist of the key points in the progression of alcoholics and drug addicts within two emergency departments situated in general hospitals. This study pinpoints a lack of therapeutic work at the emergency room where neither medical diagnoses nor psychopathological analyses seem to be done.

Alcoholism↗
PubMedDate not supplied

[Evaluation of the fate of young patients treated in therapeutic communities].

This study was attempted to analyse the trajectories of patients who have left a therapeutic community centre since two and a half years. The statistical analysis has permitted us to show that a series of variables concerning personal, family or medical history have a repercussion on these trajectories. The study shows that patients who have become less dependent on assisting psychiatric networks are better integrated in the relational and social networks.

Adult↗
PubMedDate not supplied

[Mortality in patients attending a psychiatric service].

This study followed during 10 years 322 Belgian patients aged between 20 and 39 years living in the district of Anderlecht and who had presented themselves for the first time to the psychosocial sector of this district between 1970 and 1973. Fifteen deaths were observed, 10 of which were among the under 30's. The S.M.R. observed (5.27) is similar to the results obtained in other international studies. The survival curves (Kaplan-Meier method) confirm the more considerable excess of mortality during the first years of the follow-up. The decreased sample was matched to a control sample of patients frequenting the centre and compared by the Mac Nemar test. There was very little difference between the two samples. The deceased had however rarely moved house during their follow-up and had accumulated a series of risk factors from the beginning.

Adult↗
PubMedDate not supplied

[Hospitalisation profile in a psychiatric service within a general hospital (author's transl)].

The first part of the study indicates that this small unit has a rapid turnover, that the population is young and that there are fresh cases. The main reason for admission in males are first alcoholism and secondly schizophrenia, and for women first depression and neurotic troubles and secondly endogenous depressions. The second part of this study deals with length of stays and shows that it behaves like random variables of Pascal, with a mean stay of 34 days and a peak within the three first days of hospitalisation.

Adolescent↗
PubMedDate not supplied

[Profile of psychiatric emergencies in general hospital wards].

Statistical study, using objective variables, was carried out to draw the profile of psycho-social cases at the emergency unit of Publics hospitals. The study analyses the attitude of the nursing and medical staff. This paper looks the problem throw three parameters: the symptoms, the diagnosis and the final destination. The most important conclusion is: staff seems to see his work with emergencies cases like a shunting problem and not like a beginning of therapeutical work.

Attitude of Health Personnel↗
PubMedDate not supplied

[Interventions with a patient in a psychologic or social crisis in the hospital of the psychiatric district].

Three questions have been analysed in the study on patients in a state of psychosocial crisis : Who is coming? Who is intervening? Where are they sent? Three epidemiological studies have been taken into account : one study on 16 medical surgical centers in Brussels, the second study on two public emergency services linked to psychiatric services and the third one on a psychiatric district of a popular suburb in Brussels. The study stresses the importance of alcoholism and analyses the differences in population, intervention and response brought by the hospital or the district.

Adult↗