Abstract:
:This study evaluated a one year long course education and counseling program with 93 family caregivers of elders afflicted with Alzheimer's disease. The elders had received treatment for agitation in an inpatient setting and were subsequently discharged to the caregivers' home. Caregivers were randomly assigned to an experimental group (n = 68) and a control group (n = 25). Baseline assessments (Time 0) were conducted while the elder was an inpatient. Postdischarge interventions and assessments were conducted at 2 weeks, 6 weeks, 12 weeks, and 6 and 12 months (Times 1-5 respectively). There were no significant treatment effects for care recipient agitation, caregiver stress, depression, and physical health, and no significant differences between groups in rates of institutionalization for afflicted elders. Longitudinal data, however, revealed several important trends. Afflicted elders' agitation rose steadily for control group subjects at Times 3 through 5 but declined for experimental group subjects. Caregiver depression increased for control group subjects at Time 5, but declined for experimental group subjects. Caregiver physical health declined for control group subjects at Times 4 and 5 but was maintained for experimental group subjects. A significantly higher number of afflicted elders were still at home among experimental group subjects at the end of the one year study. The difficulties in demonstrating efficacy of interventions with family caregivers of Alzheimer's disease are discussed. Finally, the issue of data collection being perceived as support by control group subjects is evaluated.
journal_name
Issues Ment Health Nursjournal_title
Issues in mental health nursingauthors
Wright LK,Litaker M,Laraia MT,DeAndrade Sdoi
10.1080/01612840152053084subject
Has Abstractpub_date
2001-04-01 00:00:00pages
231-52issue
3eissn
0161-2840issn
1096-4673journal_volume
22pub_type
临床试验,杂志文章,随机对照试验abstract::Dual diagnosis is associated with frequent relapse, poor treatment engagement and overall unsatisfactory treatment outcomes. A comprehensive review of the contemporary literature examining this issue was conducted, finding a paucity of literature concerning dual diagnosis in older adults. Of the literature appraised f...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.3109/01612840.2014.951135
更新日期:2015-02-01 00:00:00
abstract::Although the hearing voices movement (HVM) has yet to take root in the US to the extent it has in the UK (and parts of Australia and Europe), recent publications and events, including a keynote presentation by UK hearing voices trainer Ron Coleman at the 2012 Annual NAMI convention and a TED 2013 talk in Los Angeles b...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2013.783659
更新日期:2013-07-01 00:00:00
abstract::This exploratory study investigated the ward atmosphere of single-sex wards in a forensic psychiatric context in the light of Moos' conceptualization of the treatment setting. The wards for female patients bore similarities to Relationship-Oriented and Insight-Oriented programmes and had a generally positive ward atmo...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840701869858
更新日期:2008-03-01 00:00:00
abstract::Elevated suicide mortality rates have been reported for farmers and for the elderly. Very little literature exists that looks at the health of older minority farmers. This mixed-method study describes older African-American farmers (N = 156) in the contexts of active coping, personal satisfaction from farm work, and a...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2012.753560
更新日期:2013-05-01 00:00:00
abstract::Recent years have seen a rise in the number of children diagnosed at an early age with bipolar disorder and evidence is increasing that parents are performing most of the caregiving and illness management. This existential phenomenological study describes the personal experience of the parents whose children, age 6-11...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840600842493
更新日期:2006-10-01 00:00:00
abstract::Mental health disorder and alcohol and other drug comorbidity is prevalent in Australia. This qualitative study used semistructured interviews (N = 20) to elicit clinicians' and workers' knowledge, experiences, and opinions regarding issues pertaining to service needs of people with comorbidity in a metropolitan regio...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840.2016.1233596
更新日期:2017-01-01 00:00:00
abstract::Anxiety sensitivity (AS) is a multidimensional construct associated with the etiology and maintenance of panic disorder (PD) symptoms. However, only a few studies have evaluated whether cognitive-behavioral group therapy (CBGT) can modify the condition. The objective of this study was to evaluate the impact of CBGT on...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840.2020.1780527
更新日期:2020-07-09 00:00:00
abstract::Central to providing culturally appropriate nursing care is sensitivity to and knowledge about the group being cared for. Although "mental health" and "mental illness" are artificial concepts among people who do not differentiate and treat mind, body, and spirit separately, and who may not differentiate illness from o...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612849409040533
更新日期:1994-11-01 00:00:00
abstract::The focus of the care of potentially aggressive psychiatric patients has been on the use of seclusion and restraints. Recent concerns, however, about the potential for patient injury have made it imperative that nurses use alternative methods to calm patients who are escalating. Little is known about how expert nurses...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/016128401750434464
更新日期:2001-10-01 00:00:00
abstract::Reminiscence therapy has shown to be an effective treatment that supports people with dementia. The objective of this review article was to assess the effects of reminiscence therapy (RT) on people living with dementia. The authors searched for randomised, controlled trials in which RT was compared with no treatment o...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840.2019.1654572
更新日期:2020-03-01 00:00:00
abstract::Depression in its own right is a disabling condition impairing all aspects of human function. In persons with a chronic medical disease, depression often makes the management of chronic illness more difficult. Recently, vitamin D has been reported in the scientific and lay press as an important factor that may have si...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840903437657
更新日期:2010-06-01 00:00:00
abstract::Psychiatric nurses are subject to a high rate of assault by patients. The stress of exposure to assault and the potential for assault appear to impact nurses' emotional states in the form of post-traumatic stress and post-traumatic stress disorder (PTSD). Most studies report a prevalence rate of PTSD in this populatio...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.3109/01612840.2013.824053
更新日期:2013-11-01 00:00:00
abstract::The aim of this clinical training site innovation is to develop accessible pediatric mental health clinical training sites for psychiatric mental health nurse practitioner (PMHNP) students. Mental health services in school settings provide treatment in the child's community and create opportunities for innovation and ...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840.2017.1406021
更新日期:2018-04-01 00:00:00
abstract::This article responds to the call by Heinrich (1992) to harness the power of metaphor to reenergize nursing classrooms. An overview of the power of metaphor is provided, as well as a description of a learning activity that prompted students to think metaphorically about a nursing experience. Students reflected on the ...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612849509006941
更新日期:1995-09-01 00:00:00
abstract::Most individuals with Alzheimer's disease are cared for at home by family members, particularly spouses. As language impairment progresses, communication between spouses becomes difficult and caregivers are likely to be unprepared for this challenge. The purpose of this study is to describe spouse caregivers' knowledg...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2010.521292
更新日期:2011-01-01 00:00:00
abstract::Individuals with a chronic illness such as sickle cell disease are at risk for depression. Moreover, they are at risk for untreated depression. Depression may go untreated because of the stigma and high rates of disability associated with this chronic illness that most often affects African Americans in the United Sta...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840500280745
更新日期:2005-12-01 00:00:00
abstract::Twenty-three nursing staff in a state psychiatric hospital in the eastern United States narrated their experiences in establishing meaningful presence with seriously and persistently mentally ill clients. Interviews were audiotaped, transcribed, and then interpreted using a phenomenological hermeneutic method. The res...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840500184475
更新日期:2005-10-01 00:00:00
abstract::Patient education in mental health care is a conventional intervention to increase patients' knowledge about their illness and treatment. A provider-centered focus in patient education may put patients in a passive role, which can counteract their processes of recovery. There is an increasing emphasis on recovery-orie...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2013.775614
更新日期:2013-07-01 00:00:00
abstract::In the United States, nearly one in five adolescents has a diagnosable mental health disorder. Beginning in the teenage years, adolescents become less reliant on their parents for support and begin to turn to their peer group for support; therefore, it is important to understand the role of peers during this developme...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.1080/01612840.2018.1496498
更新日期:2018-09-01 00:00:00
abstract::Risk assessment pervades mental health care policy, practice, and legislation. This paper aims to establish the research evidence for the effectiveness of a risk assessment approach in mental health. A search was conducted of the professional literature on risk assessment in mental health, specifically seeking any res...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.3109/01612840.2011.616984
更新日期:2012-01-01 00:00:00
abstract::Reviews panels on the prevention of preterm birth (PTB) conducted by the Office of the Surgeon General and the Eunice Kennedy Shriver National Institute of Child Health and Human Development made numerous novel recommendations for research on the assessment of risk factors for PTB and the development of personalized, ...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2010.538812
更新日期:2011-01-01 00:00:00
abstract::The Internet offers a wealth of convenience and nearly unlimited connectivity for sharing news, demonstrating talents, and voicing opinions. However, technology and the cyber world also bring new risks to technology users, including cyberbullying. Adolescents are particularly at risk and it is imperative that the dyna...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840.2020.1833118
更新日期:2020-10-26 00:00:00
abstract::The use of reframing as a means of increasing nurses' choices in their behavioral responses to manipulative patients and an example of how the process might be used to influence nurses' perceptions are discussed. Perceptions influence nurses' behavioral responses. As individuals, nurses become accustomed to approachin...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612849009014557
更新日期:1990-01-01 00:00:00
abstract::This study determined the differences in demographic and sleep characteristics in cognitively impaired nursing home residents with and without severe sleep/wake pattern inefficiency. Identification of characteristics associated with severe sleep/wake pattern inefficiency will allow health care providers to make the be...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840591008339
更新日期:2005-08-01 00:00:00
abstract::Community-based mental health as the primary focus of treatment has influenced more autonomous roles for mental health nurses. A limited literature suggests that this has resulted in the expansion of community mental health nursing into territory usually the exclusive domain of the medical profession. Consumers and ca...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840701522069
更新日期:2007-09-01 00:00:00
abstract::Emotional intelligence (EI) is necessary for the development of interpersonal and professional competence in nurses. We argue that the concept of emotional intelligence has particular relevance for mental health nursing leadership. In this critique, we examine the recent empirical evidence (2010-2014) related to emoti...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.3109/01612840.2014.994079
更新日期:2015-05-01 00:00:00
abstract::Gaining experience in clinical mental health settings is central to the education of health practitioners. To facilitate the ongoing development of knowledge and practice in this area, we performed a review of the literature on clinical placements in mental health settings. Searches in Academic Search Complete, CINAHL...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.3109/01612840.2014.915899
更新日期:2015-01-01 00:00:00
abstract::This article details some of the key elements related to feminism in American society. It suggests that the meaning and significance of a feminist perspective need to be reexamined for their importance and utility in this dynamic and rapidly changing society. A discussion of the meaning of feminism provides a framewor...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.1080/016128498249132
更新日期:1998-03-01 00:00:00
abstract::Individuals who experience repeated stressful events are at risk for developing physical and psychological illnesses. African Americans are an ethnic group that is exposed to a range of stressors over time, including racism which leads to discrimination. African Americans also suffer disproportionately from hypertensi...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612849309006902
更新日期:1993-10-01 00:00:00
abstract::High utilization of medical services during pregnancy has not been described as most studies have focused on women who receive inadequate or no prenatal care. This paper describes the characteristics and medical utilization data of 500 pregnant women enrolled in a prospective study. High utilizers (HU), who had a mean...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1080/01612840701493212
更新日期:2007-08-01 00:00:00