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PubMed1998

The differential effects of alcohol consumption and dependence on adverse alcohol-related consequences: implications for the workforce.

Previous literature has supported the hypothesis that high rates of alcohol consumption are associated with adverse social consequences and that dependence on alcohol has an effect on that relationship. The purpose of this paper is to further specify the alcohol consumption-adverse consequences linkage by developing and estimating a latent variable model that incorporates the mediating effects of loss of control over alcohol consumption. This model is applied to measures for three alcohol-related constructs--consumption, loss of control and adverse consequences--incorporated in the 1991 National Household Survey on Drug Abuse, for members of the primary workforce in the US. The research suggests that workplace decision makers attempting to minimize the adverse workplace consequences of alcohol abuse should implement procedures that assess and respond to alcohol dependency rather than relying exclusively on detection of and intervention with alcohol consumption per se.

Adult↗

PubMed2001

Causes and consequences of comorbidity: a review.

A literature search was carried out to identify and summarize the existing information on causes and consequences of comorbidity of chronic somatic diseases. A selection of 82 articles met our inclusion criteria. Very little work has been done on the causes of comorbidity. On the other hand, much work has been done on consequences of comorbidity, although comorbidity is seldom the main subject of study. We found comorbidity in general to be associated with mortality, quality of life, and health care. The consequences of specific disease combinations, however, depended on many factors. We recommend more etiological studies on shared risk factors, especially for those comorbidities that occur at a higher rate than expected. New insights in this field can lead to better prevention strategies. Health care workers need to take comorbid diseases into account in monitoring and treating patients. Future studies on consequences of comorbidity should investigate specific disease combinations.

Adult↗

PubMed1996

A Cocaine Negative Consequences Checklist: development and validation.

Awareness of negative consequences of cocaine use is theoretically important for motivation for treatment and relapse prevention. This study reports on the development of an instrument designed to assess cocaine users' self-reported negative consequences of cocaine use. Two samples of cocaine users in treatment for substance abuse completed the Cocaine Negative Consequences Checklist (CNCC). The measure, which is unidimensional in nature with four content area subscales that may be scored, was found to possess excellent reliability across the two samples. The convergent and discriminant validity of the CNCC was supported by the pattern of relationships with other measures of cocaine consequences, cocaine use, the Addiction Severity Index, and with demographic measures. Further research is needed on the utility of this measure in treatment and research.

Adult↗

PubMed2000

Perceived consequences of teenage childbearing among adolescent girls in an urban sample.

PURPOSE: The purpose of this study was to examine the perceived positive consequences of teenage childbearing among female adolescents, and to determine whether perceived consequences of teenage childbearing are associated with other attitudes and sexual risk behaviors. METHODS: The sample consisted of 584 female students attending three urban high schools in Los Angeles, California. The respondents' mean age was 15.8 years, and 72% were Hispanic/Latina. Respondents completed a paper-and-pencil survey assessing their attitudes and risk behaviors relevant to teenage pregnancy. Multiple regression and logistic regression analyses were used to examine the associations between perceived consequences of teenage childbearing and demographic variables, educational variables, parental characteristics, psychosocial variables, attitudes, and sexual behavior. RESULTS: Higher scores on a scale of perceived positive consequences of teenage childbearing were associated with increased risk of sexual intercourse and unprotected sexual intercourse. Higher scores on this scale were found among girls who were Latinas, were non-U.S. natives, had low levels of expected educational attainment, had low parental monitoring, had good communication with parents, and wished to have many children. CONCLUSION: Potential strategies for preventing adolescent pregnancy include educating girls about the difficulties of teenage childbearing, countering their positive illusions about the expected benefits, and teaching them more adaptive ways to meet their emotional needs.

Adolescent↗

PubMed2000

Long-term physiological and economic consequences of growth retardation in children and adolescents.

The application of a lifespan perspective in human biology in recent years has shown that a number of early environmental factors influencing human growth and development have long-term biological or psycho-social consequences. Human growth is characterized by prolonged infancy, an extended childhood phase and high rates of growth during the adolescent growth spurt. It is unlikely that these characteristics would have evolved without having advantages, and curtailments have the potential for disadvantage. The present paper examines the evidence for long-term physiological and economic consequences of growth retardation in children and adolescents. The emphasis is the biological and economic imperatives of survival, subsistence, reproduction and production rather than aspects of metabolic competence. Many of the consequences of growth retardation are determined by the direct effect on body size, but many other consequences arise from the conditions that cause the growth retardation. Catch up of retarded growth can occur, but does not usually do so because of the continued presence of the retarding agents. Basal metabolism and physical work capacity are usually commensurate with the size of the individual; mechanical efficiency of physical work is unchanged, but falls in activity levels may occur along with a reduction in the pace of activity. Growth retardation in childhood is associated with a higher disease and mortality risk in adulthood, with decreased productivity and employment and promotion prospects. Studies are showing that relative deprivation and the accumulation of socially patterned exposures are important in some societies. Height and growth retardation have proved invaluable in reflecting these factors, but the next generation of studies may require more discriminating indices.

Adolescent↗

PubMedDate not supplied

The consequence of land mines on public health.

An estimated 110 million land mines scattered in 64 countries continue to terrorize people and destroy human lives long after wars and fighting have ceased. Despite efforts to clear these devices, their numbers continue to increase and their presence constitutes a substantial threat to public health in affected countries. Direct consequences include both the physical and emotional injuries from the impact, flying debris, and structural collapse associated with their detonation. Indirect consequences include increases in the incidence of waterborne diseases, diarrhea, malnutrition, infectious diseases, and spread of the human immunodeficiency virus associated with the increased use of blood. Those at highest risk of these later consequences are mostly the disadvantaged poor, especially children. Psychiatric disorders, such as post-traumatic stress disorder, occur in those not directly injured as well as those physically wounded by the explosion. Besides efforts to ban production, stockpiling and export of land mines, a comprehensive and integrated health program aimed at the prevention, treatment, and rehabilitation of those injured directly or indirectly by land mines is needed urgently. Strategies should include mine-awareness programs, enhanced transport of those directly injured, training the villagers in first aid, augmenting the capacity and quality of treatment facilities, improving the psychological support and treatment capabilities, development of rehabilitation programs, and the institution and enhancement of public-health programs directed at the indirect consequences associated with the presence of land mines. Land mines constitute a major public health problem in the world that must be addressed.

Adult↗

PubMedDate not supplied

[Causes and psychosocial consequences of schizophrenia: the opinions of patient's relatives].

OBJECTIVE: Description of the opinions on schizophrenia and its psychosocial consequences in a sample of relatives of patients with schizophrenia, recruited in 30 Italian Mental Health Centres (MHC), stratified by geographic areas and population density. DESIGN: Cross-sectional study on key-relatives of clinically stable patients with a DSM-IV diagnosis of schizophrenia. Evaluation of relatives' opinions on schizophrenia and its psychosocial consequences, in relation to: a) patient's clinical and family's socio-demographic variables; b) geographic areas and population density. SETTING: 30 Italian MHC randomised and stratified by geographic areas (Northern, Central, Southern Italy) and population density (> 100,000 inhabitants; between 100,000 and 25,000 inhabitants; < 25,000 inhabitants). Main outcome measures--Patient's clinical status and social functioning: Brief Psychiatric Rating Scale (BPRS) and Disability Assessment interview (AD). Interventions provided to patient and his/her family: Scheda di Rilevazione degli Interventi--Pattern of Care Schedule (SRI). Relatives' opinions on schizophrenia and its psychosocial consequences: Questionnaire on the Opinions of the Family (QOF). RESULTS: Data on 709 patients and their key-relatives were collected. Relatives' pessimistic opinions on social competence of patients with schizophrenia were found to be associated with: high levels of patient's disability, hostility and negative symptoms, relatives' knowledge of patient's diagnosis of schizophrenia, residence in a medium or low population density area, low levels of relative's education. Relatives' pessimistic opinions on social restrictions imposed by schizophrenia were found to be associated with high levels of disability and high number of hospital admissions in the patient and older age in the relative. CONCLUSIONS: The results of this study emphasise the need to: a) provide families with educational interventions covering not only clinical aspects of schizophrenia, but also those concerning disability and psychosocial consequences of the disorder; b) plan educational campaigns on mental illnesses which take into account the socio-cultural characteristics of the target populations.

Adolescent↗

PubMedDate not supplied

[Causes and psychosocial consequences of schizophrenia: opinions of mental health personnel].

OBJECTIVE: Description of the opinions about causes and psychosocial consequences of schizophrenia in a sample of psychiatric professionals, recruited in 29 Italian Mental Health Centres (MHC). DESIGN: Each professional was asked to read a case-vignette describing a patient who met the ICD-10 criteria for schizophrenia. Referring to case-vignette, he/she was asked to fill the Questionnaire on the Opinions about Mental Illness--Professionals' version (QO-P). Professionals' opinions were explored in relation to: a) their socio-demographic variables and professional background; b) geographic location of the MHC. SETTING: 29 MHC stratified by geographic area (Northern, Central, Southern Italy) and population density of their catchment areas (> 100,000 inhabitants; between 100,000 and 25,000 inhabitants; < 25,000 inhabitants) and randomly selected. RESULTS: Data on 465 professionals were collected. 75% of the sample identified in the vignette a case of schizophrenia, 22% of depression/anxiety disorder. Factors most frequently mentioned as causes of the detected disorder were heredity (68%), stress (61%), family difficulties (46%). More pessimistic opinions about psychosocial consequences of schizophrenia were found among nurses and among professionals of Southern Italy, among those with lower educational level, older age and among those working longer in psychiatry. No statistical difference in the opinions about psychosocial consequences of schizophrenia was found among staff who referred the case-vignette to schizophrenia and those who did not. CONCLUSIONS: The results of this study outline the need to: a) include issues such as disability and psychosocial consequences of mental disorders in the basic training of professionals; b) increase the number of professionals trained in evidence-based psychosocial interventions.

Adult↗

PubMed2002

Texture of cooked potatoes (Solanum tuberosum). 3. Preheating and the consequences for the texture and cell wall chemistry.

Two potato cultivars representing extremes with regard to the texture of the cooked product were divided into subcategories based on size and dry matter (DM) content. The effects of the preheating temperature and time on both the instrumentally determined firmness and the sensory-perceived firmness were measured and compared. Increasing the preheating time at 60 degrees C followed by cooking resulted in greater force required to fracture the tissue, an increase in perceived firmness, and a less mashable product. A principal component analysis showed that with higher DM contents of the potato samples, preheating resulted in a larger force required to fracture the tissue and a firmer product. The changes in fracture force were not linearly related with the changes in perceived firmness. The effects of preheating on the pectin methylesterase (PME) activity, the enzyme assumed to be responsible for the firming effect upon preheating, showed that the activity of this enzyme remained rather constant during preheating at 60 degrees C for 1 h. Preheating at 78 degrees C for 10 min abolished virtually all PME activity. To obtain insight into the consequences of preheating and preheating followed by steam cooking on the yield and composition of the cell wall material (CWM) of potatoes, a cell wall isolation followed by a pectin fractionation study was performed. Attention was also paid to the consequences of the processing conditions applied on the chemical composition of the CWM and the sequentially extracted pectic fractions. Preheating resulted in an increase in yield of the CWM of cooked potatoes and, as a consequence, all of the sequentially extracted fractions, including the residue. Preheating did not have a pronounced effect on the composition of the pectin of the sequentially extracted fractions. This altogether strongly indicates that preheating causes a PME-based firming effect, resulting in an decrease in pectin degradation and, as a consequence, a larger yield of CWM. It seems reasonable to assume that this increase in amount of CWM results in a firmer texture. The contribution of starch-based degradation products to the texture after preheating can, however, not be excluded.

Carboxylic Ester Hydrolases↗

PubMed2005

[Geriatric in-hospital patients: falls and their consequences].

UNLABELLED: There is a high incidence of falls for geriatric in-hospital patients, but a lack of knowledge about the consequences of those falls. The aim was to describe the injurious consequences of falls and their localisation, and the effect of falls on the length of hospital stay. METHODS: We analyzed the data of a standardized protocol for every fall in 2003 as well as the data of the hospital information system (KIS). RESULTS: We found 345 patients who fell ("fallers") (total falls: 506) and 1763 patients who did not fall ("non-fallers"). Injuries or pain are the consequences in 37.2% of the falls. Only 5 patients (1.4%) suffered a fracture. Differences between fallers were seen in "length of hospital stay" (28.8 days vs 19.5 days), ("female") (61.4% vs 69.4%) and "barthel index" (40.2 vs 48.5 score points). CONCLUSIONS: Falls are an indicator for a complicated treatment, because fallers have a longer hospital stay. To prevent consequences of falls is just as important as to prevent falls.

Accidental Falls↗

PubMed1994

Primary versus secondary and central versus consequence-related control in HIV-positive men.

Two dimensions of perceived control (primary vs. secondary and central vs. consequence-related) were examined in a sample of 104 HIV-positive men. Two hypotheses regarding the use of primary control (acting to achieve specific outcomes) and secondary control (acceptance) were supported: The use of both primary and secondary control was associated with better adjustment. Secondary control served a protective role at lower levels of primary control, but was not associated with adjustment at higher levels of primary control. The 2 hypotheses regarding central control (over the infection) and consequence-related control (over consequences of the infection) were also supported. Perceptions of consequence-related control were higher than perceptions of control over HIV and more strongly associated with low depression.

Adaptation, Psychological↗

PubMed2002

The joint effect of informational mood impact and performance-contingent consequences on effort-related cardiovascular response.

Drawing on the mood-behavior model (G. H. E. Gendolla, 2000) and J. W. Brehm and E. A. Self's (1989) theory of effort mobilization, 2 experiments investigated the joint effect of mood, task difficulty, and performance-contingent consequences on effort-related cardiovascular response. Informational mood impact on demand appraisals and performance-contingent consequences had a joint effect on effort mobilization. When consequences were noncontingent on performance, mood interacted with task difficulty to determine cardiovascular reactivity in the shape of a cross-over interaction pattern. Yet when positive consequences were performance contingent, cardiovascular reactivity strongly increased only in the negative-mood/difficult-task condition--the subjectively appraised high necessary effort was now justified. Implications for the role of mood in motivation are discussed.

Achievement↗

PubMed1988

Knowledge and beliefs regarding the consequences of cigarette smoking and their relationships to smoking status in a biracial sample.

The purpose of this investigation was to evaluate carefully smoking-related knowledge and beliefs and their relationships to smoking status in a large, heterogeneous sample of smokers and nonsmokers in two settings: (a) a large, biracial southern city and (b) a small midwestern community. Participants were 611 (198 male, 413 female) adult respondents to a random-dialing telephone survey in Fargo, North Dakota (n = 200), and Memphis, Tennessee (n = 411). Each participant was given the Smoking Attitudes Survey, which assesses generalized health beliefs as well as health-related problems associated with smoking. Participants' knowledge of smoking-associated diseases (e.g., lung cancer) and of diseases not associated with smoking (e.g., kidney stones) was assessed. Stepwise regression analysis of composite knowledge scores revealed four independent predictors of the health consequences of smoking: education, race, smoking status, and income. Smokers, compared to nonsmokers, reported less knowledge related to the health consequences of smoking, were more likely to be male, were less concerned with the health consequences of smoking, and were more concerned about the health consequences of cholesterol. The best predictor of smokers who had never attempted cessation was their greater concern over weight control when compared to smokers with a history of smoking cessation attempts. The results are discussed in terms of smoking prevention and intervention efforts.

Black or African American↗

PubMed1997

Tests of consequence monotonicity in decision making under uncertainty.

Consequence monotonicity means that if 2 gambles differ only in 1 consequence, the one having the better consequence is preferred. This property has been sustained in direct comparisons but apparently fails for some gamble pairs when they are ordered in terms of judged monetary certainty equivalents. In Experiments 1 and 3 a judgment procedure was compared with 2 variants of a choice procedure. Slightly fewer nonmonotonicities were found in one of the choice procedures, and, overall, fewer violations occurred than in previous studies. Experiments 2 and 3 showed that the difference was not due to procedural or stimulus presentation differences. Experiment 4 tested a noise model that suggested that the observed violations were due primarily to noise in estimating certainty equivalents, and so, despite some proportion of observed violations, consequence monotonicity cannot be rejected in that case.

Adult↗

PubMed1996

Psychological antecedents of escalation behavior: effects of choice, responsibility, and decision consequences.

Research on escalation behavior has proposed that choice of an initial course of action, responsibility for decision outcomes, and negative decision consequences are necessary conditions for the escalation effect to occur. This proposition was tested in a sample of 257 undergraduates. Results show that although responsibility and negative decision consequences contribute to the escalation effect, they are not necessary conditions for escalation to occur. Escalation is also observed when a choice is overruled, and there are positive consequences for the implemented course of action. The escalation bias is greatest when the consequences are inconsistent with participants' expectations. These results are consistent with a self-justification explanation.

Adult↗

PubMed2005

An alternative perspective on von Winterfeldt et al.'s (1997) test of consequence monotonicity.

D. von Winterfeldt, N.-K. Chung, R. D. Luce, and Y. Cho (1997) provided several tests for consequence monotonicity of choice or judgment, using certainty equivalents of gambles. The authors reaxiomatized consequence monotonicity in a probabilistic framework and reanalyzed von Winterfeldt et al.'s main experiment via a bootstrap method. Their application offers new insights into consequence monotonicity as well as into von Winterfeldt et al.'s 3 experimental paradigms: judged certainty equivalents (JCE), QUICKINDIFF, and parameter estimation by sequential testing (PEST). For QUICKINDIFF, the authors found no indication of violations of "random consequence monotonicity." This sharply contrasts the findings of von Winterfeldt et al., who concluded that axiom violations were the most pronounced under that procedure. The authors found potential evidence for violations in JCE and certainty equivalents derived from PEST.

Choice Behavior↗

PubMed2004

Shoulder pain and its consequences in paraplegic spinal cord-injured, wheelchair users.

STUDY DESIGN: Cross-sectional. OBJECTIVES: To describe the consequences of shoulder pain on activity and participation in spinal cord-injured paraplegic wheelchair users. To describe the prevalence and type of shoulder pain. SETTING: Two spinal cord injury (SCI) centres in Sweden. METHODS: All subjects with paraplegia due to an SCI of more than 1 year living in the counties of Uppsala and Linköping, Sweden were contacted by mail and asked to fill in a questionnaire (89 subjects). Those of the responding 56 subjects with current shoulder pain were asked to participate in further examination and interviews. A physiotherapist examined 13 subjects with shoulder pain in order to describe type and site of impairment. To describe consequences of shoulder pain on activity and participation, the Constant Murley Scale (CMS), the Wheelchair Users Shoulder Pain Index (WUSPI) the Klein & Bell adl-index and the Canadian Occupational Performance Measure (COPM) were used. RESULTS: Out of all respondents, 21 had shoulder pain (37.5%). Data from 13 of those subjects were used in the description of type and consequences of shoulder pain. Findings of muscular atrophy, pain, impingement and tendinits were described. We found no difference in ADL-performance with, respectively without, shoulder pain (P=0.08) using the Klein & Bell adl-index. No correlation was found between the various descriptions of impairment, activity limitations and participation restriction (P>0.08). All together 52 problems with occupational performance due to shoulder pain were identified using the COPM. Of these, 54% were related to self-care activities. CONCLUSION: The consequences of shoulder pain in paraplegic wheelchair users are mostly related to wheelchair activities. Since the wheelchair use itself presumably cause shoulder problems, this will become a vicious circle. More research is needed in order to reduce shoulder problems in wheelchair users.

Adult↗

PubMed2000

Do epidemiological results replicate? The prevalence and health-economic consequences of neck and back pain in the general population.

Current estimates of the prevalence and consequences of neck and back pain vary greatly between studies. It is not known whether this variance is due to differences in methodology, or if it depends on the dynamics of the problem over time. The aim of this study was consequently an attempt to replicate and extend the findings of a previous epidemiological study using the same methodology on a new population. A survey of 3000 35-45 year olds, selected at randon, was conducted to determine the prevalence, site, frequency and intensity of the pain as well as any work loss or health-care utilization. The response rate was 69% and an analysis of non-responders showed that they were very similar to responders, but had a slightly lower prevalence. The results replicated the original study: 73% reported back pain during the past year and the consequences included considerable suffering and functional impairment. Moreover, 17% of those reporting pain had utilized sick leave during the past year for the problem, while an additional 14% had been off work but had not used sick leave. Sufferers averaged 3.5 health-care visits during the past year. However, the consumption of resources was highly skewed and about 6% of the sufferers accounted for over 50% of the costs. It was concluded that when the same selection criteria and assessment techniques are employed, the results found are quite similar. This implies that much of the huge variation in reported prevalence rates and consequences of back pain may be due to methodological differences. This underscores the need for standardized methods.

Adult↗