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Physiological and psychological adaptation to respiratory protective devices.

This study was conducted to investigate the adaptation process to respiratory protective devices (RPD). Twenty healthy subjects were tested at 80% of their Vo2 max for 6 consecutive days with a fitted RPD with an airway resistance of 2.80 +/- 0.07 cm H2O s/1. It was concluded that working with RPD at a work capacity close to maximum for several minutes per day induces a rapid adaptation process. This is demonstrated by an improvement in physiological parameters rather than in subjective sensations.

Adaptation, Physiological↗

[The social psychological adaptation of patients with borderline mental disorders].

Social Interview Scale (SIS) elaborated by A. Clare and V. Cairns was applied. The principal information concerning adaptation and reliability of the method was presented. Two groups of patients with borderline disorders and control group (120 cases at all) were examined. The patient's groups were distinguished by the severity of the illness: the 1-st group included 30 continuous sluggish schizophrenic patients with pseudoneurotic symptoms (ICD-10: F 21) registered in mental health dispensary, the 2-nd group consisted of 50 neurotic patients who attended a psychiatrist in a district out-patient clinic (ICD-10: F 4). Social adaptation was estimated in terms of the basic areas of the man's life: housekeeping, professional occupation, material conditions, entertainments and leisure, microsocial relationships, matrimonial and family relations. It was found that schizophrenic patients were characterized first of all by severe complications in the interpersonal relations exactly with close relatives and in matrimonial sphere. Meanwhile neurotic patients were preoccupied mainly by social functioning problems as well as by job or housewife role dissatisfaction.

Adaptation, Psychological↗

Postburn psychologic adaptation of family members of patients with burns.

Although long-term followup studies have shown that the quality of family support is the most important factor influencing a patient's postburn adjustment, little has been published regarding the process of postburn adaptation of family members. This article describes a model of postburn adaptation that delineates the most common sequence of cognitive and emotional issues faced by autonomous, adult family members of burn survivors from the time of the patient's acute injury through completion of the patient's recovery and rehabilitation. In addition to focusing burn team attention on the needs of family members, this model includes descriptions of specific interventions burn staff can make with family members to resolve the issues faced and thus facilitate appropriate postburn adjustment.

Adaptation, Psychological↗

The life closure scale: additional psychometric testing of a tool to measure psychological adaptation in death and dying.

The purpose of this study was to conduct additional psychometric testing on an instrument designed to measure psychological adaptation in end-of-life populations across a wide spectrum of terminal illnesses. A sample of 20 participants completed initial testing of the Life Closure Scale (LCS); however, its usefulness was limited by the small sample size. A larger sample of 113 home hospice individuals who met established criteria and who gave informed consent completed the 27-item LCS for additional psychometric testing. Cronbach's alphas and correlation coefficients were computed, and factor analysis was conducted to establish internal consistency reliability, theoretical clarity, and criterion-related validity. The number of scale items was reduced to 20, with a total alpha of.87. Cronbach's alphas for the two subscales were.80 (self-reconciled) and.82 (self-restructuring). Item-total correlations for the subscales ranged from a low of.37 to a high of.68, with confirmatory factor analysis yielding two loadings. These findings lend credence to the usefulness of the LCS in measuring psychological adaptation in dying persons.

Adaptation, Psychological↗