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Biomedical subjects

Suzanne Perraud

Publications and source records attributed to Suzanne Perraud.

5 recordsLinked to original sources

Predictive validity of the Depression Coping Self-Efficacy Scale (DCSES).

The Depression Coping Self-Efficacy Scale (DCSES) was developed to measure depressed individuals' confidence in their ability to follow treatment recommendations. The purpose of this study was to evaluate the validity of the DCSES as a unidimensional measure of depression coping self-efficacy. Data were collected from depressed psychiatric inpatients at admission and discharge (n = 99), and 6-8 weeks post-discharge (n = 75). Exploratory factor analysis yielded a single factor solution accounting for 48.8% of the variance with an eigenvalue of 12.7. DCSES scores at discharge were related to self-reported levels of functional impairment (FI), depression symptom distress, and suicidal ideation (SI), and predicted rehospitalization 6-8 weeks later. Patients with lower DCSES scores at discharge showed less improvement in depression coping self-efficacy from admission to discharge.

Adaptation, Psychological↗

Advanced practice psychiatric mental health nursing, finding our core: the therapeutic relationship in 21st century.

TOPIC: Increasingly, students from various professional backgrounds are enrolling in Psychiatric Mental Health (PMH) Nursing graduate programs, especially at the post-master's level. Faculty must educate these students to provide increasingly complex care while socializing them as PMH advanced practitioners. PURPOSE: To present how one online program is addressing these issues by reasserting the centrality of the relationship and by assuring it has at least equal footing with the application of a burgeoning knowledge base of neurobiology of mental illness. SOURCES: Published literature from nursing and psychology. CONCLUSIONS: The PMH graduate faculty believes that they have developed strategies to meet this challenge and to help build a PMH workforce that will maintain the centrality of the relationship in PMH practice.

Clinical Competence↗

Alzheimer's disease caregiving information and skills. Part II: family caregiver issues and concerns.

In recent years researchers have carried out an increasing number of clinical trials with family caregivers of the elderly. The results of these interventions have suggested that caregiver skill-building interventions may be more effective than information/support interventions. Although researchers have given considerable attention to the information and support needed by family caregivers, less is known about how this information and support translates into caregiver skills or into changes in behavior. This is the second in a series of three articles on a study in which researchers used qualitative methods to analyze summaries from the group component of a larger caregiver clinical trial. In this article we describe caregiver issues and concerns in five major areas: (a). dealing with change, (b). managing competing responsibilities and stressors, (c). providing a broad spectrum of care, (d). finding and using resources, and (e). experiencing emotional and physical responses to care. We identify specific skills needed by caregivers in addressing these caregiving issues and concerns, and we compare and contrast skilled with less skilled caregivers. Further work is needed concerning the focus and methods of future caregiver skill-based interventions.

Adaptation, Psychological↗

Alzheimer's disease caregiving information and skills, part III: group process issues and concerns.

In this descriptive study we examined content and processes in a group-based component of an ongoing clinical trial with family caregivers of persons with dementia. The purpose was to identify issues arising from the group processes that could be used to inform future skill-building caregiver groups. Summaries from two types of intervention groups, a caregiver skill-building (CSB) treatment intervention and an information and support only (ISO) control intervention were examined, along with data collected during a group leader debriefing session. Three major categories of process information were identified: (a) group member behaviors that support group processes necessary for skill development, (b) group leader behaviors that support group processes necessary for skill development, and (c) the phases of learning in caregiver (CG) skill development. Subcategories and specific content in each of these areas are identified in this article, and a list of member and leader behaviors that might support future skill development in groups is presented.

Alzheimer Disease↗

Alzheimer's disease caregiving information and skills. Part I: care recipient issues and concerns.

Increasing attention has been given to testing clinical trials with family caregivers of the elderly. More recent intervention studies indicated that caregiver skill-building interventions may be more effective than information/support interventions. Researchers have given considerable attention to the content and support needed by family caregivers, but we know less about how this content and support translates into caregiver skills. This is the first in a series of three articles on a study in which qualitative methods were used to analyze summaries from the group component of a larger caregiver clinical trial. In this article we identify content and skills that dementia family caregivers need in addressing three major care recipient issues and concerns: (a) difficult behaviors and emotional responses, (b) personal and instrumental activities of daily living, and (c) cognitive decline.

Activities of Daily Living↗