OBJECTIVE: The goal of this direct-interview family study was to replicate and extend an earlier finding a familial liability for social phobia. authors hypothesized that there would be higher rates the generalized type phobia—but not nongeneralized (or "discrete") type—among relatives probands with They also avoidant personality disorder, frequent comorbid condition, in METHOD: examined three phobia subtypes defined priori—discrete, nongeneralized, generalized—as well as disorder by direct...

The long-term consequences of childhood abuse on adult mental health have been a major focus research. Much less attention has directed to its effects physical outcomes. By use data from the Ontario Health Survey (n = 9,953), association between retrospective reports and sexual care utilization was examined in men women. population survey conducted November 1990 March 1991 Canadian province Ontario. An moderate strength found multiple problems, poor or fair self-rated health, pain that...

We examined the relationship between childhood abuse and adult health risk behaviors, we explored whether behaviors or mental problems mediated care utilization.We used logistic regression to analyze data from Mental Health Supplement of Ontario Survey, a representative population sample (N = 8116) respondents aged 15 64 years.We found relationships sexual smoking (odds ratio [OR] 1.52; 95% confidence interval [CI] 1.16, 1.99), alcohol (OR 2.44; CI 1.74, 3.44), obesity 1.61; 1.14, 2.27),...

We conducted an 11-week forced-escalation open-label study of paroxetine in the treatment 36 patients with generalized social phobia. At mean dosage 47.9 +/- 6.2 mg/day, 23 30 completers (77%) were deemed responders on basis a clinician rating either "very much improved" or "much Clinical Global Impressions scale. Duke Social Phobia Scale ratings declined from 35.5 13.1 at baseline to 19.7 17.4 week 11 (p < 0.0005), and Liebowitz Anxiety 75.1 25.4 37.2 32.5 (A 0.0005). Sixteen randomized...

BACKGROUND AND OBJECTIVES: Perinatal outcomes have improved in developed countries but remain poor for disadvantaged populations. We examined whether an unconditional income supplement to low-income pregnant women was associated with birth outcomes. METHODS: This study included all mother–newborn pairs (2003–2010) Manitoba, Canada, where the mother received prenatal social assistance, infant born hospital, and pair had a risk screen (N = 14 591). Low-income who (Healthy Baby Prenatal Benefit...

Background. This study examined the relationship between potential childhood risk factors and social phobia in an epidemiological sample. Identifying such as adversities can often uncover important clues to aetiology of a disorder. information also enables health care providers predict which individuals are most likely develop Methods. Data came from Mental Health Supplement Ontario Survey survey 8116 Canadian respondents, aged 15–64. Social was diagnosed using Composite International...

To systematically assess sleep complaints in panic disorder (PD), the Pittsburgh Sleep Quality Index (PSQI) was administered to 34 untreated patients with DSM-III-R PD and age-matched healthy controls (HC). reported significantly more impaired than HC as indicated by higher global index scores on PSQI (6.9 ± 2.9 versus 3.1 2.0; p < 0.0001) four of seven its subscales; worst among those a prior history major depression. Sixty-eight percent moderately or severely compared only 15% (χ2 = 17.5,...

Ensuring high quality and equitable maternity services is important to promote positive pregnancy outcomes. Despite a universal health care system, previous research shows neighborhood-level inequities in utilization of prenatal Manitoba, Canada. The purpose this population-based retrospective cohort study was describe among women giving birth determine individual-level factors associated with inadequate care. We studied Manitoba from 2004/05–2008/09 using data repository de-identified...

This study describes the natural course of social phobia as recalled by a sample nonclinical subjects and explores, using qualitative research methods, perceived risk factors that may cause changes in its course. Thirty-nine respondents with lifetime diagnosis were interviewed semistructured interview schedule based on DSM-IV criteria. Four main patterns emerged: slight worsening phobic symptoms over time, no change, improvement complete remission. Thirty-eight percent was remission at time...

Aggression, bullying and violence in children youth are prevalent Canada (18%) internationally.The authors evaluated the effectiveness of Roots Empathy (ROE), a school-based mental health promotion prevention program for that has been widely implemented but rarely evaluated.Eight school divisions were randomly assigned to either treatment group received ROE 2002-2003 (445 students) or wait-list control (315 students).These compared on three child outcomes (physical aggression, indirect...

While home visiting programs are among the most widespread interventions to support at-risk families, there is a paucity of research investigating these under real-world conditions. The effectiveness Families First (FFHV) was examined for decreasing rates being in care child welfare, hospitalizations maltreatment-related injuries, and improving development at school entry. Data 4,562 children from 5,184 comparison were linked deidentified administrative health, social services, education...

This article explores and describes participatory action research (PAR) as a preferred method in addressing nursing practice issues. is the first study that used PAR with public health nurses (PHNs) Canada to develop professional model.Participatory sub-category of incorporates feminist critical theory foundations field social psychology. For nurses, analysis long-established beliefs practices through contributes emancipatory knowledge regarding impact traditional hierarchies on their...

Objective: To compare the rate of mental disorders (i.e., mood and anxiety, substance use, psychotic disorders) suicide attempts within same group women across pre-pregnancy, pregnancy, postpartum periods, between this perinatal cohort a non-perinatal reference group. Method: Data were from an administrative repository residents in Manitoba, Canada. The consisted aged 18 to 45 years who experienced &gt;1 live birth pregnancy 2011 2014 ( n = 45,362). Pre-pregnancy, periods defined over...

It is well established that adverse childhood experiences (ACEs) are associated with detrimental health outcomes in adulthood. Less known about the relationships between ACEs and education among adolescents. The aim of this study was to examine associations adolescents’ self-reported provincial assessments adolescents Manitoba, Canada. Data were gathered from 1002 who participated Well-Being Experiences (WE) Study. A subsample (84%) consented having their WE survey data linked administrative...

To clarify the relationship between panic disorder and symptoms of hypochondriasis somatization, we evaluated these diagnoses in patients attending an Anxiety Disorders Clinic. Structured clinical interviews, self-report measures, symptom diaries were used to assess 21 with disorder, 23 social phobia, 22 control subjects no psychiatric disorders. Ten (48%) also met DSM-IV criteria for hypochondriasis, whereas only one phobia none healthy this diagnosis. None participants somatization even...

Social phobia, particularly the generalized form, is strongly familial. Given probable continuity from extremes of normative personality (e.g., shyness) to social phobia disorder avoidant disorder), it unlikely that itself, at level an Axis I disorder, transmitted. Rather, seems more parsimonious, and in keeping with current notions about structure heritability mental disorders, one or temperamental risk factors for The goal this study was explore possibility by examining relevant...

Social phobia is a common anxiety disorder associated with significant impairment in social and occupational functioning. To date, few studies have examined the relationship between perceived support, construct important relationships to physical mental health. The present study data from 2 widely used measures of support administered 132 individuals DSM-IV generalized phobia. These were compared those obtained healthy control group several clinical non-clinical samples reported literature....

Patients with chronic kidney disease (CKD) are at risk to progress failure. We previously developed the Kidney Failure Risk Equation (KFRE) predict progression failure in patients referred nephrologists.The objective of this study was determine ability KFRE discriminate which will an unreferred population.A retrospective cohort conducted using administrative databases.This took place Manitoba, Canada.Age, sex, estimated glomerular filtration rate (eGFR), and urine albumin-to-creatinine ratio...