SEARCH · PubMed Health

Results for “Problem Solving”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 451 records · Page 25Linked to original sources

PubMed1995

Maladjustment and socio-cognitive problem solving: the validity of quantitative and qualitative assessment.

General socio-cognitive problem-solving deficits have become accepted as the basis for applied interventions with maladjusted children despite conflicting findings and problematic assessment procedures. This study used Kendall's deficit/distortion distinction to compare the performance of conduct disorder and non-problem boys on means-ends and optional thinking measures, using both quantitative and qualitative indices. Although quantitative problem/non-problem deficits were found, the pattern of results did not support the notion of a consistent maladjustment deficit. The nature of the qualitative differences, however, suggested a more specific role for the assessment of socio-cognitive problem solving with increased emphasis on context and problem differentiation.

Adolescent↗

PubMed1979

Superior colliculus lesions and environmental experience: nonvisual effects on problem solving and locomotor activity.

Bilateral lesions of the superior colliculus were produced in rats reared in either a restricted or complex environment. Problem solving ability in a Hebb-Williams closed field and activity in an open field were subsequently observed in conditions of either bright or dim illumination. Animals with superior colliculus lesions were deficient in problem solving ability and were hyperactive in the open field. Complex environment exposure during development increased problem solving ability and initial ambulation scores in all groups. Extent of pretectal damage and behavioral measures were significantly related for animals reared in the complex, but not in the restricted environment. There were no interactions with illumination level, suggesting that the deficits resulting from collicular lesions are not dependent upon the availability of visual cues.

Animals↗

PubMed2004

Do clozapine and risperidone affect social competence and problem solving?

OBJECTIVE: The purpose of this investigation was to evaluate the effects of clozapine and risperidone on social skill and problem solving in patients with schizophrenia. METHOD: The Wisconsin Card Sorting Test and the Maryland Assessment of Social Competence were administered at baseline, week 17, and week 29 of a multisite clinical trial. RESULTS: Despite evidence of clinical improvement with both medications, there was virtually no medication effect on either social competence or problem solving. CONCLUSIONS: These findings underscore the circumscribed nature of symptomatic improvement in the broader spectrum of clinical outcomes and suggest that new-generation medications may not be expected to produce substantial changes in social role functioning or social problem-solving capacity in the community. The generalizability of the findings should be viewed cautiously because of the low power of this trial, and replication is warranted.

Adult↗

PubMed2004

Aggression-related hostility bias and social problem-solving deficits in adult males with mental retardation.

Attributional bias and social problem-solving deficits in two groups of adult males (aggressive vs. nonaggressive) with mild mental retardation were investigated. When presented with vignettes depicting various problem situations, aggressive participants were less accurate in correctly identifying interpersonal intent, characterized by more problem-solving deficits, and generated higher numbers of aggressive solutions to resolve problems as compared to their nonaggressive counterparts. The present results support the applicability of contemporary models of social information processing and adjustment with regard to reactive aggression to men with mental retardation.

Adolescent↗

PubMed1988

Developing problem-solving skills in the classroom.

The purposes of this article are 1) to describe a series of classroom activities emphasizing problem-solving skills that was designed for physical therapy students in their first year of professional course work and 2) to examine the students' initial attitudes toward the learning experiences. Simulated patient information was presented in writing, on videotape, or by role-playing. Students defined the case problem, developed and ranked clinical problems, set goals, and considered treatment possibilities. Completion of a problem-oriented "subjective, objective, assessment, plan" patient-status note, based on the information derived from the problem-solving activities, was part of the learning experience. Changes in course design that were made during a three-year period are identified. A discussion of the difficulties related to student acceptance of and interest in problem-solving activities is included.

Adult↗

PubMed1985

Cognitive problem-solving and life event correlates of depressive symptoms in children.

This study examined the relationship between a number of cognitive problem-solving and life event variables and depressive symptoms in a sample of non-referred grade school children. The results indicated that higher levels of depressive symptoms were associated with an external locus of control, increased levels of objective and subjective life stress, and lower performance levels on an impersonal problem-solving task. Level of depressive symptoms was also found to be inversely related to socioeconomic status as measured by father's occupation. Contrary to prediction, no consistent relationship was found between depression and interpersonal problem-solving ability.

Child↗

PubMed1993

Adolescent suicidal risk: psychological, problem solving, and environmental factors.

This study examined the life stress and problem-solving interactional model of suicide proposed by Clum, Patsiokas, and Luscomb (1979). Thirty-three hospitalized suicidal adolescents were compared with 21 adolescents hospitalized for other psychiatric problems and with 89 controls. The assessment battery was composed of psychological measures, problem-solving measures, and environmental and family measures. The discriminant analyses revealed that the suicide group could be discriminated from the psychiatric control group but not from the high school control group. Unexpectedly, life stresses did not contribute to the identification of current suicide risk. The results suggest the importance of assessing suicide risk at the time of admission to minimize any subsequent changes in the risk group.

Adaptation, Psychological↗

PubMed1999

Strategic problem solving in the new millennium.

Diagnosing problems, such as those related to failing equipment, lack of supplies, or scheduling disputes, and finding immediate and effective solutions can pose a challenge to perioperative nurses. Solving these problems can be accomplished, however, without excessive paperwork and cumbersome protocols. The problem tracking system is a standardized problem-solving method that creates a continuous cycle of documentation, feedback, action, and assessment, thus establishing an interdependence between problem identification, solution, and evaluation. In this system, all participants have a vested interest in ensuring successful outcomes, valuable internal resources are optimized, and measurable results are demonstrated.

Achievement↗

PubMed1992

Cognitive-behavioural problem solving in the treatment of patients attending a medical emergency department: a controlled trial.

Previous research has pinpointed high levels of undetected psychiatric and psychosocial problems in medical attenders at an Accident and Emergency department (A&E). In a controlled trial, patients were selected if they fulfilled criteria which had been shown in the previous studies to be associated with high levels of psychopathology and repeat attendance at the A&E department. Patients were randomly allocated to either cognitive-behavioural problem solving treatment, or to a 'treatment as usual' control condition. The use of a brief, home-based treatment and assessments ensured 100% compliance. Results indicated only limited clinical benefits associated with such treatment. The reasons for the limited treatment response are considered; future treatments should be focused and evaluated in specifically defined problem and diagnostic groups. It is concluded that problem solving treatment should be confined to populations in which problem solving deficits have been identified, such as deliberate self-harm.

Adaptation, Psychological↗

PubMedDate not supplied

Talk and task mastery: the importance of socially shared talk during computer-based problem solving.

In order to examine more closely the ways that children use socially constructed dialogue to mediate task mastery a hierarchical set of computer tasks were presented in an animated game format (ToonTalk) to three adult/child (US Kindergarten) dyads over five sessions. Transcriptions of the adult-child talk were used to determine (1) the types of discourses utilized by the children (i.e., procedural, conversation, narrative) during problem solving and (2) the relationship of this talk to task mastery. It was found that (1) shared talk was associated with more successful problem solving; (2) socially shared talk did not have to be on task to be beneficial; and (3) procedural discourse was more successfully and frequently used for independent problem solving if first requested by the child. These results highlight the importance of socially shared talk in the development of problem solving strategies even when using computer technology.

Adult↗

PubMed1996

Perceived problem-solving and vocational identity: implication for nontraditional premedical students.

The purpose of this study was to examine the relationship between vocational identity and self-appraised problem solving. A total of 86 students enrolled in a special program took the Vocational Identity subscale of My Vocational Situation and the Problem Solving Inventory one week apart. Pearson product-moment correlations indicated a relationship between personal problem-solving appraisal and vocational identity, suggesting the inventories assess one construct. Implications for intervention strategies for the present population are discussed.

Adult↗

PubMedDate not supplied

Problem-solving counseling for caregivers of the cognitively impaired: effective for whom?

BACKGROUND: Individualized problem-solving counseling for caregivers of cognitively impaired relatives is thought to help caregivers cope with the stress and burden of caregiving. Few studies have shown the effectiveness of counseling for these caregivers. OBJECTIVES: To determine the effectiveness of individualized problem-solving counseling by nurses for caregivers and the expenditures of health care utilization. METHOD: Caregivers (n = 77) of the cognitively impaired living at home were randomized to receive nurse counseling or not. Psychosocial adjustment to their relative's illness, psychological distress, burden, coping skills, and expenditures were measured after 6 months and 1 year. RESULTS: Although on average, all caregivers receiving nurse counseling indicated no improvement in psychosocial adjustment to their relative's illness, psychological distress, or caregiver burden, they found counseling very helpful and it was effective for a subgroup of caregivers. Those with poor logical analysis coping skills at baseline had decreased psychological distress (F(1,53) = 9.7, p = .003) and improved psychosocial adjustment (F(1,53) = 4.7, p = .035) after 1 year. Caregivers in control and counseling groups whose relatives entered a nursing home improved their psychosocial adjustment 23% on average whereas those continuing to live in the community decreased by 8%. Almost half as many relatives entered nursing homes in the counseling group (n = 9 vs. n = 5) but these compared to control group relatives had greater annualized per person expenditures for health and social services (Cdn$23,437 vs. Cdn$15,151). CONCLUSIONS: Caregivers found nurse counseling most helpful. Those indicating infrequent use of logical analysis coping skills showed benefits.

Adaptation, Psychological↗

PubMed1995

Ontology-based configuration of problem-solving methods and generation of knowledge-acquisition tools: application of PROTEGE-II to protocol-based decision support.

PROTEGE-II is a suite of tools and a methodology for building knowledge-based systems and domain-specific knowledge-acquisition tools. In this paper, we show how PROTEGE-II can be applied to the task of providing protocol-based decision support in the domain of treating HIV-infected patients. To apply PROTEGE-II, (1) we construct a decomposable problem-solving method called episodic skeletal-plan refinement, (2) we build an application ontology that consists of the terms and relations in the domain, and of method-specific distinctions not already captured in the domain terms, and (3) we specify mapping relations that link terms from the application ontology to the domain-independent terms used in the problem-solving method. From the application ontology, we automatically generate a domain-specific knowledge-acquisition tool that is custom-tailored for the application. The knowledge-acquisition tool is used for the creation and maintenance of domain knowledge used by the problem-solving method. The general goal of the PROTEGE-II approach is to produce systems and components that are reusable and easily maintained. This is the rationale for constructing ontologies and problem-solving methods that can be composed from a set of smaller-grained methods and mechanisms. This is also why we tightly couple the knowledge-acquisition tools to the application ontology that specifies the domain terms used in the problem-solving systems. Although our evaluation is still preliminary, for the application task of providing protocol-based decision support, we show that these goals of reusability and easy maintenance can be achieved. We discuss design decisions and the tradeoffs that have to be made in the development of the system.

Artificial Intelligence↗

PubMedDate not supplied

The influence of social support and health on everyday problem solving in adult African Americans.

The purpose of this study was to examine the relationship between social support, health status, and everyday problem solving in African Americans. The sample included subjects recruited from Baltimore, Maryland. The sample consisted of 249 community-dwelling African American adults, 32% of whom were male, with a sample mean age of 67.8 years (SD = 8.47 years). Variables included: Everyday Problem Solving Test (EPT), social support given and received, physical limitations, counts of chronic illness, smoking, and demographic information. Using stepwise regression, age, education, physical limitations, and social support given were found to be significant predictors of performance on the EPT. Further analysis found support for a partial mediating effect of physical limitations on the relationship between social support and everyday problem solving. The results indicate that there may be differences in the cognitive abilities of those actively involved in social activities.

Black or African American↗

PubMed2000

Use of scheme-based problem solving: an evaluation of the implementation and utilization of schemes in a clinical presentation curriculum.

CONTEXT: The University of Calgary has implemented a new curriculum which is organized according to 120 ways in which patients may present to a physician. Students are taught scheme-based problem solving rather than the more typical hypothetico-deductive or search and scan approach to problem resolution. OBJECTIVE: This study sought to determine the extent to which faculty and students were implementing and utilizing scheme-based problem solving. METHOD: All classes taught within the new clinical presentation curriculum were surveyed at the year end. Participants included four classes of first-year students and three classes of second-year students. Using a 5-point scale, students responded to survey items regarding scheme implementation and utilization. RESULTS: Data were analysed using MANOVA (multivariate analysis of variance) and revealed significant differences among classes in both first- and second-year students. Increments in scheme implementation and utilization by instructors and students were observed, although instructors' utilization of schemes lagged behind that of students. A levelling effect to the benefits of schemes for problem solving was also evident. First-year students reported schemes to be very useful for learning and organizing new information. CONCLUSION: Although it has taken time to implement curriculum change, the student response to schemes has been favourable. Faculty development and further generation of pictorial/spatial representations for all schemes, to ensure that all clinical presentations provide pathways that students can use for both learning and problem solving are recommended. Whether students who utilize schemes are more successful problem solvers is not yet known but will be the subject of study as soon as scheme delivery is predominant.

Adult↗

PubMed1986

Impact of a preventive social problem solving intervention on children's coping with middle-school stressors.

Children receiving 1 year or 1/2 year of a preventive social problem solving program in elementary school were compared with each other and with a no-treatment group upon entry into middle school. One year of training was significantly related to reductions in the severity of a variety of middle-school stressors. Most importantly, a clear mediating role for social problem solving (SPS) skills was found. Children lacking in SPS skills were more likely to experience intense stressors; however, possessing the skills was not necessarily predictive of adjustment to stressors. The results are discussed in terms of the implications of this asymmetry and the strong support given to the value of social problem solving as a preventive intervention for children.

Adaptation, Psychological↗

PubMed1995

Depression and maltreatment as predictors of social competence and social problem-solving skills in school-age children.

Childhood depression and child maltreatment have been shown to be important predictors of childhood adjustment problems, including difficulties in the spheres of home, school, and peer relationships. In this study, depression and maltreatment were used to predict social competence and social problem-solving skills, as rated by self, parent, and teacher. The total sample contained 68 children (35 girls, 33 boys), most of whom were at high-risk either due to poverty, physical abuse and neglect (as determined by substantiated Protective Services reports), or exposure to negative life events. Hierarchical multivariate regression analyses were used to identify the contribution of depression and maltreatment to social competence and social problem-solving skills. Depression predicted parents' and teachers' ratings of social competence and parents' ratings of peer rejection. Additionally, depression predicted children's ratings of social competence and both measures of social problem-solving skills. Maltreatment predicted parents' and teachers' ratings of social competence. Gender predicted teachers' ratings of peer rejection and social competence. An additive effect of depression and maltreatment was found such that children who are depressed and maltreated have the lowest social competence as rated by parents and teachers. These children are, therefore, doubly at risk for problems in future relationships.

Child↗

PubMed2000

Alcoholics' initial organizational and problem-solving skills predict learning and memory performance on the Rey-Osterrieth Complex Figure.

This study was undertaken to investigate whether alcoholics differ qualitatively from controls in their organizational approach to the Rey-Osterrieth Complex Figure (ROCF) and to examine the effects of problem-solving and organizational ability on learning and retention. Data were collected on 3 groups of neuromedically healthy, middle-aged men: 29 recently detoxified alcoholics (RDA) abstinent at least 2 weeks, 29 long-term abstinent alcoholics (LTA) abstinent at least 18 months, and 29 nonalcoholic controls (NAC). Groups were comparable in age, education, WAIS-R Vocabulary score, and ANART IQ. Three indices of problem-solving approach were used to score how participants produce the ROCF during the copy condition: perceptual clustering, organization, and constructional accuracy. Learning and retention were measured by immediate recall, 20-min delayed recall, and recognition performance. RDAs had significantly impaired immediate recall, delayed recall, and recognition scores compared to NACs. RDAs also had significantly lower perceptual clustering, organization, and constructional accuracy scores than their long-term abstinent and nonalcoholic counterparts. Multiple regression analyses revealed that problem-solving ability at copy accounted for a significant proportion of the variance in immediate recall, delayed recall, and recognition. Further investigation of memory performance using a repeated measures design revealed that across the 3 groups, little forgetting occurred between immediate and delayed recall, while performance improved significantly on the recognition trial. Use of less efficient problem-solving strategies appears to affect RDAs' ability to learn and retrieve complex figural information.

Adult↗