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Social conditions in a total population with long-term functional psychosis in three different areas of Stockholm County.

A number of social conditions regarding interpersonal relations, housing and employment were studied in a total population of individuals with long-term functional psychosis (n = 341) drawn from the population aged 18-64 years inhabiting three different areas of Stockholm County, altogether about 57,000 inhabitants. Individuals were included irrespective of whether they had a psychiatric treatment contact or not. They were mostly unmarried (57%) and living alone (64%). Most were unemployed (69%) and over half received a disability pension. However, 76% had their own flat and a reasonable financial standard, not deteriorating with illness duration. The diagnosis of schizophrenia led to poorer social conditions, as did early age at onset, male sex and co-morbidity of substance abuse. A larger number of individuals lived in an institution in the urban area while a greater number lived with relatives in the rural area.

Adolescent

A comparative study of the social conditions of spouses of long term patients cared for either in nursing homes or home care.

In order to study the social conditions of spouses of patients suffering from long term illnesses structured interviews were performed. The interviewees were divided into two groups: spouses of persons with chronic conditions cared for at home and spouses of patients cared for in nursing homes. Each group consisted of 27 spouses and there were no differences in physical health score, Mini mental score or ability to manage primary Activities of Daily Living functions between the groups. Home care spouses paid fewer visits to children, had fewer friends and paid fewer visits to friends and they also had time for hobbies or interests significantly more seldom (reading, visits to church) than nursing home spouses. There were no significant differences between the groups concerning sex, socio-economic class, housing conditions and amount of home health services. Their contact with children and their feelings of loneliness were reported to be the same.

Aged

[Social conditions of hemophiliacs].

The objects of this investigation were 1. to describe the social conditions of haemophiliacs by means of questionnaires and to compare these with the population as a whole and 2. to investigate the social integration of haemophiliacs as assessed by type of family, occupation, club membership and contact with family and friends. The group investigated consisted of all Danish haemophiliacs with moderate to severe factor VIII and IX deficiency and cases of severe von Willebrand's disease. 64% replied (n = 135). Comparison by the age stratification with the population as a whole, showed that fewer haemophiliacs in the age group 25-44 years lived with partners and children and that more lived with their parents or alone. Haemophiliacs had a higher school education and more haemophiliacs were currently receiving occupational training. The occupational frequency was low for all age groups and more haemophiliacs had reduced working hours. The frequencies of contact with friends and family and access to practical assistance corresponded to that of the population as a whole. Social integration was correlated directly with school education and occupational training and satisfaction with contact with other people and inversely correlated with age, contact with social welfare offices and number of social payments received. Only a total of 6% of haemophiliacs were very poorly socially integrated.

Adolescent

[Social conditions of the clientele attending the outpatient clinic for alcoholics in the County of Vejle. A re-examination].

A questionnaire investigation was performed among the clients attending the four outpatient clinics in the County of Vejle. The object of this investigation was to register aspects of the social conditions of 246 clients, to illustrate the present conditions and to observe changes as compared with previous conditions. The clientele attending outpatient clinics for alcoholics is still an extremely stressed group but, in several respects, the conditions are now better than previously. Nowadays, more of the clients had had prolonged school education and their earnings were relatively higher. Fewer clients lived in one room, fewer had received economic assistance, fewer were in social group V, fewer had come down in the world socially, and much fewer lived under extremely stressed circumstances. The clients lived most frequently alone. Nearly 40% had current or previous mixed addiction. Despite a relatively great number of new clients, the duration of addiction was now apparently longer to institution of treatment. Considerably fewer people under the age of 30 years now sought treatment in outpatient clinics for alcoholics. The authors consider that it is important that attractive offers of outpatient treatment of alcoholics are still available, one of the reasons being the possibility of altering the abuse as early as possible.

Adult

[Changes in social conditions and drinking patterns in male and female clients attending an outpatient clinic for alcoholics in Copenhagen].

The proportion of new female clients in the ALKO outpatient clinic in Copenhagen increased from 22% in 1975 to 37% in 1985. The first 100 new male and female clients in the ALKO outpatient clinic in 1975 and 1985 were investigated. The new female clients in 1985 were educated better as regards scholastic and occupational training than were the new female clients in 1975. Fewer of the clients of the ALKO outpatient clinic were married than was the case in the normal population in 1975 and also 1985. In 1975, fewer of the new female clients were registered in the occupational market than among the new female clients in 1985. Attention is drawn to a tendency to evening out of the differences between male and female alcohol addicts as regards social conditions and drinking patterns. The therapeutic consequences of these observations are discussed.

Adult

Temporal lobe epilepsy. Social conditions and rehabilitation after surgery.

A social investigation was performed of 74 patients with temporal lobe epilepsy resistant to medication, who underwent unilateral temporal lobectomy 1960-1969. The patients were compared to their sibilings and to the general population in Denmark. Comparatively many patients were born out of wedlock. The level of schooling achieved was lower than expected, and this was most pronounced in patients with an early onset of epilepsy. The number of patients having received further education was also smaller than calculated. At the time of the operation all patients were socially incapacitated by their epilepsy; this was most pronounced in males, of whom 30 per cent were institutionalized and 32 per cent were receiving disablement pension; at follow-up the figures were 6 per cent and 52 per cent, respectively. Working capacity was markedly improved postoperatively, and at follow-up 39 per cent were in full-time employment. Relief from seizures (or almost complete relief), normal intelligence, normal psychiatric status, and operation before the age of 18 years were factors which favourably influenced the postoperative working capacity. The majority of the patients were unmarried or divorced, and few of the group had children. Their housing conditions were inferior to those of their siblings and of the general population. Parental social class distribution showed an excess in the highest and lowest social classes compared to the Danish population. The patients were subjected to downward social mobility, presumably caused by their illness, as their siblings displayed an upward mobility, which was most marked in the females.

Criminology

Vulvovaginal conditions: social, psychological, and sexual considerations.

Women experiencing vulvovaginal conditions are affected socially, psychologically, and sexually. Although vulvovaginitis is a common women's health problem, these considerations are overlooked in the literature and, unfortunately, often in practice, as well. This article presents a discussion of the social, psychological, and sexual issues to be considered when treating women with vulvovaginal conditions, including implications for practice.

Adaptation, Psychological

Migrant farm workers: social conditions, adaptive belief systems, and psychiatric care.

Two migrant farm labor camps were observed during two summer harvesting seasons. A part of the observations consisted of interviews with 104 farm laborers, with 16 of them being interviewed intensively. Migrant farm workers were exploited by the crew boss and the farm owner, and they in turn exploited each other. Consequently, many workers left farm work. Those who remained in the camps adapted their attitudes and their views to the conditions. Though they had a begrudging respect for the crew boss, they showed an overriding concern with exploitation. They conveyed a numbness about life, themselves, and their place in society; this numbness was combined with self criticism and an attempt to maintain some self-respect. They expressed distrust for and suspicion of others, and though they could not articulate it very well, they felt great fear and anxiety. In order to diagnose and treat disorder in migrant farm workers, psychiatrists must understand the exploitive social setting of migrant farm work and the adaptations of workers to that setting.

Adaptation, Psychological

The psychological and social condition of hypertensives resistant to pharmacological treatment.

To characterize patients with therapy-resistant essential hypertension (TR) from a psychosocial point of view, 29 hypertensives, filling specified criteria for TR in a hypertension clinic were selected out of 800 patients screened. A control group of patients with established, but well controlled hypertension, pair-wise matching study patients for age and gender was also selected. TR patients were predominantly of working-class origin (68 vs 19% P less than 0.001). They tended to be more obese (BMI 28.7 +/- 5.5 vs 26.9 +/- 3.9 ns). TR tended to report fewer important life events, and reported significantly fewer positive events from the last 10 year period P less than 0.05. According to the EAI, their ability to channel emotions, especially anger, was impaired (P less than 0.01). So was their instrumental handling of emotions such as anger and sorrow (P less than 0.05). They experienced less of joy, and even had a more negative attitude towards that emotion (P less than 0.05). When adjusted for social class this latter difference was not statistically significant. Their degree of global emotional differentiation was lower (P less than 0.05). In the ISSI interview they had low scores for availability of emotional attachment (P less than 0.01), and friendship (P less than 0.05), but not for social integration. To conclude, when compared to well controlled hypertensives, TR exhibited the pattern, which has been shown to characterize young, asymptomatic, hypertensives in comparison to healthy subjects. These results must not be overinterpreted due to the limited sample.(ABSTRACT TRUNCATED AT 250 WORDS)

Affective Symptoms

[Characteristics of favorable and poor development of health services and social conditions for the aged].

Two stage probability samples were selected to represent the populations resident in one metropolitan (Prague-1 n = 484) and one country (Opava n = 538) geographical and administrative district. The index cases were contacted and surveyed in a field study. Data were collected by means of standardized interviews by nurses and social workers and complemented from GP's case notes, if available. A significant proportion of cases had no contact with health services at all. Both samples were followed-up for three years. The description of cases was condensed into 27 meaningful variables assessing social, health and living characteristics at the time of the beginning of the study. 11 follow-up course and outcome criteria were derived from the follow-up data in a similar way. Results of the metropolitan and country sample comparison of social and health care needs of five age groups, and of multivariate analysis of predictive relation between the initial characteristics and development and outcome criteria dependent variables are presented and discussed.

Aged

Health situation and related social conditions among 66-year-old Finnish men.

The aims of the study were to reveal the extent of physical activity, nutritional habits, smoking and alcohol consumption and the relation of these to previous occupation among recently retired men. The number of men belonging to various health risk groups was estimated on the basis of the results. About 10% had inadequate nutritional habits as judged from their food expenses and number of daily hot meals and about 20% practised physical exercise in the way which is considered necessary for the improvement of cardiovascular performance and maximal oxygen uptake. Only a small minority had been requested to undertake physical exercise. About 18% lived alone. The problems were more pronounced among the men retired from manual occupations compared with men whose main occupation had been of a sedentary nature. The results indicate that a considerable proportion of elderly men would need more advice and more adequate services in order to improve their daily living habits. Any such measures should preferably be started before retirement as the living habits adopted during the earlier periods of life seem to remain unchanged in old age. The results are based on an interview study carried out among 137 66-year-old men representing about 90% of the men of that age group living in Jyväskylä, a town of 60000 inhabitants in Central Finland.

Aged