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Childhood impairments and subsequent social adjustment.

The relationship of a variety of childhood impairments to subsequent social adjustment measures of occupations, agency utilization, social participation, and arrest records was examined. Generally, results indicated that impaired persons adjust quite well in some respects but not so well in others. There were differential social adjustments by type of impairment and by age, sex, ethnicity, and socioeconomic status. The data analysis suggests complex relationships between impairment and social adjustment.

Adolescent

Epidemiological indicators of the origins of behavior disturbance as measured by the Bristol social adjustment guides.

Sex and social-class differences in juvenile behavior disturbance are quoted from two large surveys in Britain (N = 15,496) and Canada (N = 2527). These were significant in overreacting, but small or nonexistent among underreacting types of maladjustment. Comparable differences for social class and/or sex are quoted for developmental and health handicaps, perinatal mortality, and other congenital variables, notably the mother's smoking during the pregnancy. The greater prevalence among males over a wide range of deficits could not be accounted for by differing child-rearing practices, but seemd to be genetic. Similarly, the greater prevalence of overreacting maladjustment in lower-class children could not be explained in terms of cultural conflict, but rather as the outcome of prenatal stresses associated with child morbidity. A unifying theory accounting for both sets of phenomena could be found in mechanisms for the control of population numbers observed in many animal species.

Child

Social adjustment by self-report in a community sample and in psychiatric outpatients.

Data are presented on social functioning derived from a self-report social adjustment scale (SAS-SR) administered to 774 subjects including a community sample and three psychiatric outpatient populations: acute depressives, alcoholics, and schizophrenics. This self-report scale derives from an interview form and was developed and tested on depressed outpatients. Since its publication, it has been used in populations other than depressives including other psychiatric patients, nonpsychiatric patients, and nonpatients. The purpose of this paper is to make data available to other investigators on results of this self-report social adjustment scale in a broad range of subjects and to describe further the psychometric properties, limitations, and utility of the scale. Findings show that the scale has wide applicability in a range of subjects but that certain cautions should be followed in using it with chronically impaired psychiatric populations who may not be involved in the major roles assessed by the scale.

Acute Disease

Psycho-social adjustment of rheumatoid arthritis patients from two alternative treatment settings.

Fifty rheumatoid arthritis (RA) patients are compared with a control sample of 72 non-patients on five attitude scales which measure psychol-social adjustment. Patients generally indicate more negative attitudes toward self, which are significantly related to variables such as severity of condition and socio-economic status. The adjustment of patients who are being treated by registered nurses (physician extenders) is not significantly different from that of patients who are being treated by physicians.

Adaptation, Psychological

Social adjustment profiles of female drivers involved in fatal and nonfatal accidents.

Previous research by the authors has shown that male drivers involved in fatal and nonfatal accidents can be differentiated from the general population on the basis of background, behavior, and social adjustment. The results of the present study suggest that female drivers involved in serious crashes do not differ from the overall female driving population.

Accidents, Traffic

Assessment of social adjustment by patient self-report.

Current emphasis on early case finding, outpatient care, and on longitudinal studies of asymptomatic patients has focused attention on the community adjustment of psychiatric patients. Thus, simple and inexpensive methods such as self-report scales, which allow the routine assessment of patient adjustment, are potentially useful. The derivation and testing of such a method, the Social Adjustment Scale Self-Report, is described. This scale covers the patient's role performance, interpersonal relationships, friction, feelings and satisfaction in work, and social and leisure activities with the extended family, as a spouse, parent, and member of a family unit. Self-report results based on 76 depressed outpatients were comparable to those obtained from relatives as well as by a rater who interviewed the patient directly.

Depression

Physical, emotional and social adjustments to home dialysis.

Forty home dialysis patients and their families were interviewed by means of a standard questionnaire to determine their physical, emotional, and social adjustment to treatment. The results indicated a reasonable level of health, particularly in patients under the age of 50 years. However, home dialysis produced considerable strain in the family, particularly in the dialysis partners. Home training programmes should provide appropriate learning and technical experience for the dialysis partners and continued support, including integrated medical and paramedical services, domiciliary visiting, and regular holidays. Limited-care dialysis facilities should be provided where home dialysis is impractical or becomes intolerable.

Adaptation, Psychological

Psychological and social adjustment to mastectomy: a two-year follow-up study.

A consecutive series of 160 women admitted to hospital for breast tumor biopsy was assessed prior to, and at 3, 12, and 24 months following operation for marital, sexual, interpersonal and work adjustment, depression, and personality characteristics by means of rating scales based on structures interviews and standard tests. By 2 years there wery no significant differences in social adjustment between mastectomy patients and benign breast disease controls; 70% of cancer patients were no longer stressed by mastectomy at 1 year. Factors predicting poor adjustment to mastectomy were high preoperative scores on the Hamilton Rating Scale for Depression and the Neuroticism Scale of the Eysenck Personality Inventory; deterioration in sexual adjustment was associated with biological or chronological perimenopausal status. Significantly more cancer than benign disease patients were dissatisfied with the information they received about operation and diagnosis. Implications of these findings for the care of the mastectomy patient are discussed.

Breast Diseases

Social support and social adjustment: implications for mental health professionals.

The general importance of an individual's support network has been recognized in the field of community mental health; yet a more detailed understanding of how a client's available social ties may contribute to his or her adjustment is presently lacking. This study used network analysis to examine differences in the social networks of mental health clients to identify factors associated with positive social adjustment. Subjects were selected from three different types of mental health programs as well as from the general population of Marion County, Oregon. Results generally revealed that subjects from the community sample more often would look to immediate family members for support. Better functioning chronic clients emphasized professional contacts, whereas more poorly adjusted chronic clients would look to friends for support. The results have implications both for understanding the nature of the support available to a client and mobilizing the support resources of the existing network of relationships to aid adjustment to community living.

Adult

Psychological and social adjustment of blind subjects and the 16PF.

Determined whether individuals who adapted well or poorly to the loss of their vision could be differentiated on the basis of the Cattell 16PF. Well adjusted individuals were defined as those who displayed minimal depression and high social independence, while poorly adjusted individuals were highly depressed and socially dependent. By the use of discriminant analysis based upon the standard 16PF, 84.5% of highly depressed and 81% of the minimally depressed group were classified accurately. In a second analysis, 75% of socially independent and 73% of socially dependent individuals were classified correctly. Premorbid characteristics of well and poorly adjusted blind Ss were described.

Adaptation, Psychological

Working wives and housewives: do they differ in mental status and social adjustment?

Matched groups of working wives and housewives drawn from a community sample did not differ on current and past psychiatric symptoms, diagnosis, treatment, and social functioning. They did differ markedly on enjoyment in and satisfaction from their work. The working women derived considerably more satisfaction from their outside jobs than either they or the housewives did from their work in the home.

Adult