Existing evidence suggests that military veterans with mental health disorders have poorer family functioning, although little research has focused on this topic.To test whether psychiatric symptoms are associated reintegration problems in recently returned veterans.Cross-sectional survey of a clinical population. Respondents who were referred to behavioral evaluation from April 2006 through August 2007 considered for the survey.Philadelphia Veterans Affairs Medical Center, Pa.199 served...

Two measures of marital satisfaction, the Quality Marriage Index (R. Norton, 1983) and Relationship Satisfaction Questionnaire (D. D. Burns & S. L. Sayers, 1992) were compared to a measure adjustment, Dyadic Adjustment Scale (G. B. Spanier, 1976). The showed excellent convergent validity (high correlations among each other with functioning) discriminant (low or nonsignificant psychopathology subscales). However, spouses' ratings frequency disagreements differed significantly from their...

BackgroundSocial support can influence treatment adherence of patients with chronic illnesses, which may explain the positive effects social on heart failure (HF) outcomes.

Although there have recently been numerous investigations exploring the role of couples' cognitions in an attempt to understand marital distress, at present is little cohesion and direction study how couples think about their relationships. The current article asserts that this lack results from least three factors: (a) a delineation important cognitive variables be considered functioning, (b) conceptual methodological difficulties arise attempts operationalize variables, (c) dearth models...

Confirmatory factor analysis (CFA) was used to examine the underlying structure of negative symptoms schizophrenia as measured by Scale for Assessment Negative Symptoms (SANS). Schizophrenia patients (AT = 457) were assessed with SANS on at least I 2 occasions: (a) 2-4 weeks after an index hospitalization, and (b) a clinical stabilization period that lasted 3-6 months. Results exploratory conducted first assessment (n 401) largely supported CFAs data second (« 345). The CFA solution included...

Self-care is an integral component of successful heart failure (HF) management. Engaging patients in self-care can be challenging.Fifteen with HF enrolled during hospitalization received a motivational intervention designed to improve self-care. A mixed method, pretest posttest design was used evaluate the proportion whom beneficial and mechanism effectiveness. Participants received, on average, 3.0 +/- 1.5 home visits (median 3, mode range 1-6) over three-month period from advanced practice...

The current study investigated whether the effectiveness of behavioral marital therapy (BMT) would be increased by addition cognitive restructuring (CR) and/or emotional expressiveness training (EET) for maritally distressed couples. Sixty such couples were randomly assigned to 1 3 therapists and 5 treatment conditions (BMT Alone, CR + BMT, BMT EET, or waiting list) 12 weeks conjoint therapy. Within each condition, typically improved on variables focused in treatment. However, comparisons...

Background: Self-care for patients with heart failure includes engaging in behaviours that maintain medical stability and manage problematic symptoms, as well the confidence one’s ability to carry out such behaviours. Given social context of self-care failure, there has been increasing interest support a predictor self-care. Aim: The goal present study was examine role across time persons failure. Methods: Using data from an observational chronic ( n = 280), we examined three types –...

Thirty-four schizophrenic patients in an acute in-patient hospital were compared with 24 in-patients major affective disorder and 19 non-patient controls on a role-play test of social skills affect perception. The consisted 12 simulated conversations which the subject was confronted by parents friends expressing high-EE criticism or non-critical dissatisfaction. Schizophrenic lacked assertiveness all conditions, but they did not show any differential impairment when presented high EE. They...

Objectives The purpose of this study was to explore the efficacy in a primary care setting telephone-based disease management program for acute depression and/or at-risk drinking. Materials and Methods Veterans (N = 97) with drinking were identified by systematic screening assessment. Eligible subjects received either telephone (TDM) or usual based on random assignment their clinician. TDM consisted regular contacts each subject behavioral health specialist (BHS) assist assessment,...

The Scale for the Assessment of Negative Symptoms is a widely used instrument measuring negative symptoms in schizophrenia, but few studies have examined its reliability. This study interrater, internal, and test-retest reliabilities scale factor structure context multisite study.Two hundred seven patients with schizophrenia who were participating Treatment Strategies Schizophrenia assessed following symptom exacerbation again 3-6 months later. All assessments performed by trained...

Both psychiatric patients and their relatives benefit from learning about mental illness how to cope with it, but the specific interests of these consumers remain unclear. To determine educational needs compare different consumers, a questionnaire survey was conducted sample schizophrenia affective disorder relatives. reported strong interest in more strategies for coping common problems, were less interested than both sets Discriminant analyses revealed that differed as function patient...

OBJECTIVES: To explore associations between psychiatric comorbidity and rehospitalization risk, length of hospitalization, costs. DESIGN: Cross‐sectional study 1‐year hospital administrative data. SETTING: Claims‐based older adults hospitalized in the United States. PARTICIPANTS: Twenty‐one thousand four hundred twenty‐nine patients from a 5% national random sample U.S. Medicare beneficiaries aged 65 older, with at least one acute care hospitalization 1999 Diagnostic‐Related Group congestive...

Background— Medication nonadherence rates are high. The factors predicting in heart failure remain unclear. Methods and Results— A sample of 202 adults with was enrolled from the northeastern United States followed for 6 months. Specific aims were to describe types objectively measured medication adherence (eg, taking, timing, dosing, drug holidays) identify contributors months after enrollment. Latent growth mixture modeling used distinct trajectories adherence. Indicators 5 World Health...

The causal pathways that link depression and dissatisfaction in intimate relationships were estimated 115 patients during the first 12 weeks of treatment with cognitive-behavioral therapy for depression. Depression severity, as measured by Beck Inventory, was negatively correlated relationship satisfaction at intake weeks. However, structural equation modeling not consistent hypothesis severity has a effect on levels suggested may have only weak reciprocal severity. As predicted, married...

It is well documented that family psychoeducation decreases relapse rates of individuals with schizophrenia. Despite the evidence, surveys indicate families have minimal contact their relative's treatment team, let alone participate in evidence-based practice psychoeducation. The Department Veterans Affairs (VA) sponsored a conference, Family Forum, to assess state art regarding and form consensus next steps increase involvement. forum reached on these issues: models should be optimized by...

The U.S. Department of Veterans Affairs (VA) has been undergoing tremendous transformation in the past 15 years with regard to delivery health care. This special issue describes one aspect this largest system U.S.; system-wide efforts integrate mental treatment into primary care setting VA. care-mental integration (PC-MHI) is being accomplished through central VA support and implementation three models developed field: White River Colocated models, Behavioral Health Laboratory, TIDES...

The social skills and perception of schizophrenia patients in response to negative affect was examined as a function family expressed emotion (EE). Patients participated role-play test, problem-solving discussion with member were assessed on several measures symptomatology. EE members evaluated the Camberwell Family Interview. On less critical relatives became more assertive increased from confederate portraying either or friend, but highly did not. also when confronted rather than friend....

Comorbid cocaine abuse adversely affects clinical outcomes in schizophrenia. Using a prospective, randomized, parallel group design (N = 24), we tested the hypothesis that patients with schizophrenia treated olanzapine have reduced craving and compared those haloperidol. In addition, examined whether this differential effect correlated reductions extrapyramidal symptoms, positive negative and/or depression. There were no significant differences overall proportions of drug screens between...

The purpose of the study was to explore association between depression and medication adherence in heart failure (HF) patients. Studies have shown that people with are likely be nonadherent their prescribed treatment. But other studies suggest nonadherence may overestimated by depression. A total 244 adults Stage C HF completed study. Self-reported obtained using Basel Assessment Adherence Scale (BAAS); objective data on were collected electronic Medication Event Monitoring System (MEMS)....