Academic literature on the topic 'Clinical psychological attention in institution'

The paper presents the results of a comprehensive study of aggressive and hostile tendencies among pupils of socio-protective institutions. In adolescents living in families, but found themselves in a difficult life situation, the prevalence of physical, verbal and indirect aggressiveness, significantly more frequently encountered irritability was revealed. In adolescents, orphans (true and social), on the contrary, the prevalence of negativism and the significantly more frequent suspicion are determined. The conducted research allows us to speak about two different reaction profiles in a collision with a new stressful situation in pupils of social protection institutions, depending on their belonging to the group. In one case, we are talking about the prevalence of the "aggressiveness index" (adolescents from families), in the case of orphanhood, the prevalence of hostile tendencies attracts attention. The data obtained are consistent with the results of the evaluation of traumatic experiences on the PIVIPSD questionnaire and the results of the determination of coping strategies of behavior, which is reflected in the article. It was concluded that there is a need for a differentiated approach in studying the issues of psychotraumatology in pupils of socio-protective institutions, one of the aspects of which should be a detailed study of aggressive and hostile tendencies at the affective, cognitive and behavioral levels. This approach explains the need to develop an appropriate algorithm for clinical, psychological and social assistance, depending on who belongs to the group.

Background Poisoning has become a major public health problem, with the intent in most cases being self-harm and commit suicide. This study highlights the psychological and clinical-epidemiological profile of patients visiting Scheer Memorial Adventist Hospital after poisoning. Methods This retrospective record-based study was done among poisoning patients of a hospital in Nepal from 1st January 2018 to 31st December 2020. Data were analyzed using STATA version-15. Results Out of 134 total poisoning cases, 71 had consumed organophosphate compounds. The majority of the cases were female (59.2% in organophosphate groups, 69.8% in non-organophosphate groups). The circumstances of poisoning were mostly suicidal (95.8% in organophosphate groups, 90.5% in non-organophosphate groups) and the reasons for this being mostly family disputes. Organophosphate groups had 8.41 times higher odds of having complications when compared to non-organophosphorus compounds. Conclusions The majority of the poisoning cases were suicidal in nature and family disputes being the major reason for the intake of a poisonous substance. This demands that more attention be given to psychological and family counseling to resolve any disputes, as well as psychological management of poisoning cases after medical management. Also, a strong regulatory mechanism should be imposed to control the easy access to poisonous substances.

Background Poisoning has become a major public health problem, with the intent in most cases being self-harm and commit suicide. This study highlights the psychological and clinical-epidemiological profile of patients visiting Scheer Memorial Adventist Hospital after poisoning. Methods This retrospective record-based study was done among poisoning patients of a hospital in Nepal from 1st January 2018 to 31st December 2020. Data were analyzed using STATA version-15. Results Out of 134 total poisoning cases, 71 had consumed organophosphate compounds. The majority of the cases were female (59.2% in organophosphate groups, 69.8% in non-organophosphate groups). The circumstances of poisoning were mostly suicidal (95.8% in organophosphate groups, 90.5% in non-organophosphate groups) and the reasons for this being mostly family disputes. Organophosphate groups had 8.41 times higher odds of having complications when compared to non-organophosphorus compounds. Conclusions The majority of the poisoning cases were suicidal in nature and family disputes being the major reason for the intake of a poisonous substance. This demands that more attention be given to psychological and family counseling to resolve any disputes, as well as psychological management of poisoning cases after medical management. Also, a strong regulatory mechanism should be imposed to control the easy access to poisonous substances.

Abstract. The present study compared the perceived attainment of developmental tasks of 220 adolescents diagnosed with anxiety disorder, attention-deficit / hyperactivity disorder, conduct disorder, or depression with a matched sample of 220 peers without a mental illness. The clinical sample perceived lower success with solving personal, social, and socio-institutional developmental tasks compared with their healthy peers. Comparisons across diagnoses identified the largest differences between students with internalizing disorders (anxiety, depression) versus other disorders. We conclude that psychological interventions with adolescents with mental disorders should promote their attainment of age-typical developmental goals.

Background: This study aimed to evaluate and report the national prevalence of disability across undergraduate medical education (UME) and examine differences in the category of disability, and accommodation practices between allopathic (MD)- and osteopathic (DO)-granting programs. Methods: Between May 20 and June 30, 2020, 75% of institutional representatives at eligible DO schools responded to a web-based survey. The survey assessed the aggregate prevalence of disabled DO students, prevalence of DO students by category of disability, and prevalence of accommodations granted. Descriptive statistics were used to summarize results. Using 2019 MD data, comparisons were made between MD and DO programs to calculate overall prevalence and differences in accommodation practices across undergraduate medical education. Results: DO-granting programs reported a disability prevalence of 4.27% of the total enrollment. Attention-deficit/hyperactivity disorder (ADHD), psychological disabilities, and chronic health disabilities were reported most frequently. DO-granting programs reported higher rates of ADHD than the MD-granting program. The national pooled prevalence of disability across MD- and DO-granting programs was 4.52%. MD-granting programs reported a higher number of students with disabilities and higher rates of psychological disabilities when compared with DO-granting programs. One hundred percent of DO students disclosing disability received some form of accommodation. General clinical accommodations were more frequently provided in MD-granting programs when compared to DO-granting programs. Conclusions: This study provides the first comprehensive prevalence of US medical student disability and accommodations. Additionally, these data may serve as a benchmark for DO programs, with implications for curricular development, instructional planning and disability support, and resource allocation in medical education.

Abstract BACKGROUND There is a growing attention to determine the factors that predict quality of life (QoL) improvement after deep brain stimulation (DBS) for Parkinson's disease. Prior literature has largely focused on examining predictors one at a time, sometimes controlling for covariates. OBJECTIVE To develop a model that could be used as a nomogram to predict improvement in QoL following DBS surgery in patients with Parkinson's disease. METHODS All patients with complete pre- and postoperative movement disorder and neuropsychological testing who underwent DBS at a single institution between 2007-2012 were analyzed. The Parkinson's Disease Questionnaire-39 (PDQ-39) was used to measure QoL. Potential predictive factors, including patient demographics, clinical presentation characteristics, radiographic imaging, and motor and psychological testing were analyzed for impact on QoL. RESULTS Sixty-seven patients were identified, 36 (53.73%) of whom had meaningfully improved QoL following surgery. Five baseline variables showed significant relationships with the outcome: years since symptom onset, percent change in on/off motor evaluation, levodopa equivalent daily dose, bilateral vs unilateral DBS implantation, and PDQ-39 score. The final model includes PDQ-39, percent change in UPRS-III, and years since symptom onset and is able to predict improvement in QoL with 81% accuracy. CONCLUSION Our model accurately predicted whether QoL would improve in patients undergoing subthalamic nucleus DBS 81% of the time. Our data may serve as the foundation to further refine a clinically relevant prognostic tool that would assist the decision-making process for clinicians and DBS multidisciplinary teams assessing patient candidacy for surgery.

In recent years there Portuguese higher education institutions have been aiming to attract more people to the educational system that are either in the labor market by offering evening and weekend graduate academic programs. Blending work and school is a demanding task and, so far, at the country level this phenomenon has received relatively little empirical attention. The purpose of the study is to build on existing work‐to-school conflict literature and to explore a possible relationship between professional work load on work-to-school conflicts among working students enrolled in a master program. Moreover we test the role of psychological detachment from work as mediator in this process. This model was tested, through path analysis, using 152 working students, 88 women and 64 men, enrolled as fulltime students in evening and weekend master programs.. The model showed an adequate fit to the data, suggesting that the influence of professional work load on work-to-school conflict is fully mediated by psychological detachment from work. These findings unveil a new perspective on working students enrolled in postgraduate school, pointing out the importance of psychological detachment from work to a better understand the impact of blending work and school. Contributions to the work-school literature, future research directions, and limitations of the study are discussed.

The article considers peculiarities of teaching, upbringing and development of children with special educational needs in the conditions of the modern educational space – an inclusive education institution. Among modern children of both preschool and primary school age, a special place is occupied by schoolchildren with hyperactivity disorder and attention deficit. The specificity of disorder manifestations has a negative impact on their behavior, causes certain difficulties during assimilation of the educational material, affects the level of formation of the necessary knowledge, skills and abilities. The purpose of the article is to study and summarize the data on the justification and definition of the concept of “hyperactivity disorder with attention deficit”; to analyze and systematize the etiology, the specifics of disorders manifestations in junior schoolchildren in the modern educational space. To achieve this goal, the theoretical methods were used: analysis, systematization and generalization of scientific data in the field of medicine, psychology, neuropsychology, special pedagogy on the problem of scientific search – to determine the state of its development and promising areas for its further implementation. The practical significance of the study is to identify the features of the disorder for further development and justification of effective methods of educational and developmental work with the selected category of schoolchildren. The study found out that Attention Deficit/Hyperactivity Disorder (ADHD) is a polymorphic clinical syndrome, the main manifestations of which are a violation of the child’s ability to control and regulate his/her behavior, which is manifested in motor hyperactivity, attention deficit and impulsivity. These disorder manifestations negatively affect the level of assimilation of information by the child, reduce its volume, cause difficulties in establishing interpersonal relationships with both adults and peers. This makes the child vulnerable, prevents his/her normal entry into the educational environment, affects his/her further socialization. We see the prospect of further research in the development and justification of the experimental methods for identifying the features of manifestation of the hyperactivity disorder with attention deficit in junior schoolchildren; development and substantiation of the algorithm of psychological and pedagogical support of the selected category of children for the purpose of partial or complete correction of behavioral disorders.

Abstract Introduction Studies have reported an increased prevalence of depression in patients with inflammatory bowel disease (IBD). Depression rates have been reported as high as 21.2% in IBD patients compared to 13.4% in healthy controls (1). Addressing depression and improvement in psychological health has been associated with decrease in IBD-related morbidity, reduction in health-care utilization and improvement in quality of life (2). This study evaluated the rate at which gastroenterology providers discussed or documented depression and /or anxiety in IBD patients. Methods A 5-year chart review of all IBD patients seen in a university GI clinic was conducted. A confidential database using Microsoft Excel included patient age, gender, race, disease type, depression or anxiety (in GI notes or remainder of electronic medical record) was created. Statistical analysis using Fisher’s Exact Test was performed with significance set at p<0.05. The study was approved by the institutional IRB. Results 381 records of IBD patients were reviewed. There were 209 females and 172 males (mean age 44 years; range 20–82). 96 had Crohn’s disease, 279 had Ulcerative Colitis, and 6 had indeterminate colitis. Self-reported race/ethnicity included 195 White, 97 African American (AA), 11 Asian, 1 Hawaiian, 34 other and 43 did not document an ethnicity. 66 (17.32%) patients had depression and/or anxiety, 298 (78.22%) did not have depression and/or anxiety and 17 (4.46%) patients did not have documentation of mental health discussion during appointments. In patients with depression and/or anxiety, 46.97% had it documented by a gastroenterology provider. There was no statistically significant difference of depression and / or anxiety based upon gender (p=1.000), ethnicity (White vs AA p=1.000; White vs Asian p=0.2129; Asian vs AA p=0.208) or disease type (p=0.091). Conclusion Depression is reported to occur more frequently in patients with IBD compared to the general population. However, this study revealed that university gastroenterology providers did not consistently document the presence of or a discussion about depression and/or anxiety. While this study is limited based upon size and single institution design, it suggests that increased attention to psychological health is needed in IBD patients to optimize health and clinical outcomes. References

The article deals with highlighting of the results of psychological problem analysis demanded by the current state of the development of psychotherapy – medical and psychological science and practice of treatment by word; establishing the relationship between psychology, psychiatry and psychotherapy, which has been recently formed in the world practice on providing psychological care; identifying the ideas of scientists and practitioners working in the field of psychotherapy, the strategies and tactics of training future psychotherapists in universities. The article presents debatable, sometimes diametrically opposed, views of domestic and foreign scientists (physicians, practicing psychotherapists and supervisors) on the definition of their own, different from each other, subjects in psychology, psychiatry and psychotherapy - sciences related to a common object of study – the human psyche, as well as which of the specialists who provide psychological assistance has the right to work as a psychotherapist. Considerable attention in the content of this article is paid to the explanation of what points of view exist in the representatives of science, public organizations, medicine and psychology on the delimitation of psychotherapeutic functions and powers of psychotherapists at present; showing how the competencies of psychiatrists, psychologists, psychoanalysts, medical psychotherapists and psychologists-psychotherapists differ, and what are the specific differences between them. The traditions and author’s understanding of training the future psychotherapists in medical and psychological institutions of higher education and retraining of specialists in the field of psychotherapy, as well as the role and importance of psycholinguistic knowledge, discursive skills, abilities and competencies in psychotherapeutic education are described. The results of monitoring the content of training the psychotherapists in medical and psychological institutions of higher education in the specialties: “clinical psychology”, “psychotherapy” are shown, the imperfection characteristic for the current psychotherapeutic education are described, and it is emphasized on existing of the problem of significant terminological disorder not only among the names of specialities acording to which the psychotherapists are trained, but also in the educational and professional qualifications received by future specialists. It is proved that regardless of the medical or psychological sphere in psychotherapy, it cannot exist and develop in a promising direction without applied psycholinguistics, which equips it with scientifically substatiated rational means, in particular speech-language psychotechnics, metamodels of psychological (discursive) influence, samples of psychotherapeutic discourses providing lapidary effective intervention in the subconscious and conscious layers of the psyche of clients / patients.