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 of 7.8 utilizations (SD = 3.2), were significantly more likely to be nonwhite, low income, and younger than low utilizers (LU) who had a mean of 0.99 utilizations (SD = 1.1). HU reported a 32% rate of recent abuse compared to 9% for LU. HU also reported significantly more stress, lower self-esteem, and more ambivalence about the pregnancy. Consistent with their higher utilization, they were more likely to be diagnosed with preterm labor, hyperemesis, and gestational diabetes. HU had a higher proportion of complaints of nausea, vomiting, diarrhea, and pain and more mental health diagnoses than LU. Overall, HU were a vulnerable group characterized by recent abuse, economic disadvantage, psychosocial stress, and mental health issues. Their high utilization of medical services may have been due in large part to unmet psychosocial needs.
journal_name
Issues Ment Health Nursjournal_title
Issues in mental health nursingauthors
Bloom T,Curry MA,Durham Ldoi
10.1080/01612840701493212subject
Has Abstractpub_date
2007-08-01 00:00:00pages
849-66issue
8eissn
0161-2840issn
1096-4673pii
781508191journal_volume
28pub_type
杂志文章,多中心研究,随机对照试验abstract::Group psychotherapy has been considered the treatment of choice by many therapists working with offenders within the criminal justice system. However, there has been little written by nurses regarding this special population. This article's purpose is to illustrate how King's theory of goal attainment may be used in c...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612849109058209
更新日期:1991-01-01 00:00:00
abstract::Postpartum Depression (PPD) is an important social and health problem for women and their families with an incidence of at least 13%. In comparing the diagnosis, timing, and symptom patterns of PPD and Major Depressive Disorder (MDD), there are distinct differences that may partially explain why PPD is under-diagnosed...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840701413590
更新日期:2007-07-01 00:00:00
abstract::The purpose of this study is to evaluate the underreporting of violence and aggression on the Staff Observation Aggression Scale-Revised (SOAS-R) when compared to a simpler assessment: the Aggression Observation Short Form (AOS). During a period of one year, two open and two closed wards gathered data on both the SOAS...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2013.879359
更新日期:2014-06-01 00:00:00
abstract::A descriptive correlation design was used to study the relationship between the degree of cognitive distortions and the level of depression in bulimic patients. The theoretical framework was based on Beck's (1976) cognitive theory of depression. Beck viewed symptoms of depression as consequences of distorted thought p...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612849109010015
更新日期:1991-10-01 00:00:00
abstract::The field of forensic psychiatric nursing is a relatively recent addition to the specialty of psychiatric nursing. This paper provides an overview of forensic psychiatric care of adolescent patients. It describes the juvenile justice system, identifies various theoretical models useful for understanding youthful offen...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840117472
更新日期:2001-01-01 00:00:00
abstract::Multidisciplinary mental health rehabilitation settings often encounter patients with complex comorbid medical and psychiatric issues that require integrative, multifaceted treatment strategies. Although medication and psychotherapy are typical treatment mainstays, a broader variety of therapeutic options are availabl...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.1080/01612840701748847
更新日期:2008-01-01 00:00:00
abstract::The aim of this study has been to synthesize research on suicidal patients' experiences of the suicide process. A literature search was performed in CINAHL, PubMed, and PsycINFO, and the analysis of the 15 articles covered was based on meta-synthesis. Patients experience a wide variety of feelings regarding their situ...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.1080/01612840.2016.1192706
更新日期:2016-10-01 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::Clients with schizophrenia require maintenance treatment with antipsychotic medication and psychosocial therapy to maintain symptom control. Rates of medication adherence or follow-through are low in clients with schizophrenia. This increases the risk of relapse and contributes to poor quality of life. As educators an...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2016.1157228
更新日期:2016-05-01 00:00:00
abstract::Late-life depression is common among nursing home residents, but often is not addressed by nurses. Using a self-directed CD-based depression training program, this pilot study used mixed methods to assess feasibility issues, determine nurse perceptions of training, and evaluate depression-related outcomes among reside...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,多中心研究
doi:10.3109/01612840.2012.723798
更新日期:2013-02-01 00:00:00
abstract::Communities of faith are important arenas for psychiatric mental health nurses to promote emotional well-being and support recovery for persons with mental health problems. This article describes an innovative faith-based mental health group, based on Buddhist philosophy and practice and established by an advanced pra...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.3109/01612840.2013.867465
更新日期:2014-04-01 00:00:00
abstract::This qualitative study explored the experiences of mental health employees working with Indigenous clients living with mental illness. Interviews were conducted with 20 mental health workers to identify strategies they adopt to facilitate community engagement with Indigenous clients. Using a thematic analysis approach...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840.2016.1224284
更新日期:2016-12-01 00:00:00
abstract::There has been little research to substantiate the nature and degree of self-esteem among persons with mental illness. The results reported here are from a study involving 92 clients with severe mental illness. The study explored the relation between work status and quality of life, drug attitudes, and self-esteem. In...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/016128498249196
更新日期:1998-01-01 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::A phenomenological study was conducted to answer the following question: What is the lived experience of aloneness for older women currently being treated for depression? Eight women from Northern Ohio composed the purposively selected sample. Transcriptions of each 1-hr interview were reviewed by use of Colaizzi's (1...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612849709010327
更新日期:1997-03-01 00:00:00
abstract::Metabolic syndrome is more prevalent in people with serious mental illness, compared to the general population. The main purpose of this study was to determine the extent electronic metabolic monitoring forms were being completed in a regional mental health service and the extent to which diagnoses of metabolic syndro...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2015.1119221
更新日期:2016-01-01 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::This paper proposes a framework for assessing the unmet needs of rape survivors during pregnancy based on the Sexual Assault Nurse Examiner (SANE) practice level theory and an empirical exploration of rape survivors' health status in pregnancy via a secondary analysis. Our findings indicate that there may be unmet nee...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2012.731136
更新日期:2012-12-01 00:00:00
abstract::This qualitative, descriptive, secondary analysis of spousal caregivers (n = 20) examined similarities and differences in help-seeking patterns to understand the processes underlying decisions regarding resource use. Husbands were comfortable with letting others assume care or getting others to provide care while wive...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840802182854
更新日期:2008-08-01 00:00:00
abstract::An inability to experience pleasure or a reduction in the ability to do so is a prominent feature of schizophrenia that is often included among the negative symptoms of the disorder. As a whole, dysfunction in the affective experience of pleasure in patients with schizophrenia is poorly understood and is mediated by a...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2013.843222
更新日期:2014-02-01 00:00:00
abstract::Following a literature review of nurses' attitudes and perceived barriers regarding the utilization of medical emergency teams (METs) and completing key informant interviews with psychiatric nurses, a questionnaire developed by the researcher was administered to inpatient psychiatric nurses to further examine their at...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2015.1021937
更新日期:2015-01-01 00:00:00
abstract::The interaction between people with intellectual disabilities and professional carers is often influenced by communicative difficulties contributing challenging behaviours. The aims of this study were to evaluate to a web-based training program aimed at improving carers' abilities to interact with people with learning...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840.2016.1189636
更新日期:2016-10-01 00:00:00
abstract::Most research designed to explore undergraduate nursing students' attitudes towards mental health nursing tends to uphold clinical experience as the decisive factor, with much less attention paid to the theoretical component. This paper presents the findings of a state-wide study conducted with undergraduate nursing s...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840802557113
更新日期:2009-01-01 00:00:00
abstract::In this paper, we present A Dynamic Cycle of Familial Mental Illness; an innovative framework, which considers family members' experiences and responses to mental illness. There is an acknowledged discourse noting parental experiences of mental illness alongside a growing body of knowledge acknowledging children's nee...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.3109/01612840.2014.927543
更新日期:2014-12-01 00:00:00
abstract::As advanced practice psychiatric-mental health nursing has transitioned from earlier models of practice, elements of clinical specialist and psychiatric nurse practitioner roles are being blended to produce a new type of practitioner. The challenge of preserving mental health expertise while expanding advanced practic...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840152393672
更新日期:2001-07-01 00:00:00
abstract::Infertility is considered a traumatic stressor for infertile couples. This cross-sectional study aimed to determine the mental health status and its relationship with social support in 345 male partners of infertile couples. Scores on the mental health measure (GHQ-28) indicated that 41.2% of the men had mental proble...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2016.1164772
更新日期:2016-08-01 00:00:00
abstract::Licensed care staff working in long-term care facilities may be poorly prepared to work with residents with mental illness. This research reports on the program evaluation of Caring Skills: Working with Mental Illness, a training program delivered on the Internet. It was tested with a randomized treatment-control desi...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,随机对照试验
doi:10.3109/01612840.2011.639482
更新日期:2012-03-01 00:00:00
abstract::The aim of this study was to examine the extent of psychiatric patients' compliance and non-compliance with treatment and examine the factors that affect compliance. Patients were recruited who were between 16 and 60 years of age and who were hospitalized with a psychiatric disorder and treated in the outpatient clini...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2012.745039
更新日期:2013-04-01 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::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