Tesi sul tema "Health and illness"
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1
Baker, Katie, Kelly A. Dorgan, Rebecca Adkins Fletcher, Sadie P. Hutson e Amber E. Kinser. "Health, Wellness, and Illness in Appalachia". Digital Commons @ East Tennessee State University, 2017. https://youtu.be/7VQko-nRbOE.
Testo completoAbstract (sommario):
This NCA Public Program addressed health, health care, and understandings about health in the Appalachian region, an area where residents face a disproportionately high incidence of poor health and unique barriers to health. The program took place in the East Tennessee Room of the D.P. Culp Center on the campus of East Tennessee State University. The moderated panel included scholars in Communication, Community Health, Nursing, and Appalachian Studies, as well as community practitioners.
2
O'Brien, Rosaleen. "Men's health and illness : the relationship between masculinities and health". Thesis, University of Glasgow, 2006. http://theses.gla.ac.uk/2817/.
Testo completoAbstract (sommario):
This thesis presents men’s discussions and experiences of health and illness and its relation to, and implications for, the practices of masculinity amongst a diversity of men. Fifty five men participated in fourteen semi-structured focus group interviews. Diversity in men’s experiences of health and illness and in their constructions of masculinity was sought within the sample by age (range 15-72 years), occupational status, socio-economic background and current health status. Groups of men were recruited who had had ‘everyday’ or unremarkable experiences of masculinity and health and groups of men with health experiences that could have prompted reflection on masculinity and health. This included groups with men who had prostate cancer, coronary heart disease, mental health problems, and Myalgic Encephalomyelitis (ME). All of the men that participated in the study lived in central Scotland (Glasgow, Edinburgh, Dundee, Lanarkshire and Perthshire) and just one group was conducted with men of Asian origin, which reflects the limited ethnic diversity in this part of Britain. The first data chapter examines participants’ descriptions of their masculinity and their health-related beliefs and behaviours. The data capture both the experiences of men who felt pressured to engage in behaviours that may be harmful to their health in order to appear masculine and the accounts of those who regarded themselves as freer to embrace salutogenic health practices as they perceived there to be fewer consequences for their masculinities. These considerations are then followed by an examination of how participants re-negotiated male identity in the light of illness. The final data chapter presents participants’ discussions and experiences of help seeking and its relation to the practice of masculinity. The data suggests a widespread endorsement of a ‘hegemonic’ view that men ‘should’ be reluctant to seek help, particularly amongst younger men.
3
Baines, Tineke. "An exploration of illness perceptions in mental health utilising the illness perceptions questionnaire". Thesis, University of Manchester, 2011. https://www.research.manchester.ac.uk/portal/en/theses/an-exploration-of-illness-perceptions-in-mental-health-utilising-the-illness-perceptions-questionnaire(ac657de4-f3d0-444f-8a62-3ee062115a3f).html.
Testo completoAbstract (sommario):
This research project explored how mothers experiencing depression after childbirth perceived their mental illness. Illness perceptions were assessed across the dimensions outlined within the Self-Regulatory Model (SRM, Leventhal, Nerenz & Steele, 1984) via the use of the Revised Illness Perceptions Questionnaire (IPQ-R, Moss-Morris, Weinman, Petrie, Horne, Cameron & Buick, 2002). The psychometric properties of the IPQ-R within this clinical sample and relationships between illness perceptions, depression severity and maternal bonding were assessed. A literature review of the use of the IPQ and IPQ-R within mental health identified that these measures with modifications (in particular to the causal and identity subscales) were largely reliable and valid measures of assessing illness perceptions in mental health. The illness dimensions outlined within the SRM were largely endorsed within the clinical populations sampled, offering support of the applicability of the SRM within mental health. Mental illnesses were consistently viewed as chronic with serious negative consequences. Perceptions regarding mental illness consequences, chronicity and controllability were associated with coping strategies and help-seeking. Treatment adherence and attitudes towards taking medication were associated with illness controllability beliefs. The IPQ-R modified for depression after childbirth was shown to be a reliable measure for assessing illness perceptions within this clinical sample and was shown to be reliable over a four-week time period.Mothers experiencing depression after childbirth perceived their depression as having a moderate number of symptoms, a high number of negative consequences and responded to their depression with a number of emotions. Mothers perceived having a coherent understanding of their difficulties, believing that depression was amenable to treatment and personal control and that depression was cyclical in nature. Commonly reported symptoms experienced attributed to depression included depressed mood, difficulties concentrating, loss of interest/pleasure in activities, fatigue/loss of energy and sleep difficulties. Frequently endorsed causes of depression included stress or worry, hormonal changes, own emotional state, family problems, mental attitude and own behaviour. Interestingly, no significant difference was found between illness perceptions of mothers who previously experienced psychological problems and mothers who had not.Mothers who perceived having many symptoms and a high emotional response to depression were more likely to report higher depression severity. Whereas mothers who believed they had control over their depression were more likely to report lower depression severity. Illness identity and consequence beliefs were associated with maternal bonding difficulties. The project's findings were presented with reference to previous literature with implications for theory and clinical practice explored. Difficulties and limitations of the research and its related theory were discussed in addition to reflections upon the research project. Possible improvements to the research procedure and areas for future research were also identified.
4
Strasser, Meagan. "Health, Illness, and Aging in Carceral Spaces". Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/37061.
Testo completoAbstract (sommario):
In Canada, the number of adults over the age of 50 incarcerated in federal penitentiaries has doubled over the past ten years, now comprising nearly 25 percent of the federal prison population (Martin, 2017). As this population continues to grow, so too will the demands placed on prison health services. To address this issue, researchers, policymakers, and practitioners suggest creating more accessible bedspace within existing institutions, cordoning off age-segregated prison units, building specialized geriatric prisons, and/or increasing the use of compassionate release. These solutions implicate institutional and community-based corrections, which produce ‘carceral’ and ‘transcarceral’ spaces respectively. These spaces are characterized by the application of social control within, across, and outside of custodial settings, which can have enormous implications for accessing health and healthcare. This research project explores how the health of incarcerated and formerly incarcerated older adults unfolds in the spaces to which they are confined. Semi-structured interviews were conducted with staff (n=4) and older residents (n=5) at halfway houses in Ottawa, Ontario. Drawing upon French Marxist philosopher Henri Lefebvre’s theorization of space, including three ‘moments’ of spatial production, and complementary criminological literature on carceral space, a thematic analysis of interview data revealed several important findings. Ultimately, the present study highlights tensions with respect to how the aging body is negotiated in carceral space, how the everyday practices that shape the lives of incarcerated and formerly incarcerated older adults contribute to the production of space, and what this reveals about the nature of these spaces.
5
Litva, Andrea. "Placing lay perceptions of health and illness". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ30154.pdf.
Testo completo
6
Brady, Ann Marie Brigid. "Chronic illness in childhood and adolescence : a longitudinal exploration of co-occurring mental illness". Thesis, Queen Mary, University of London, 2017. http://qmro.qmul.ac.uk/xmlui/handle/123456789/31703.
Testo completoAbstract (sommario):
Chronic health problems are hypothesised to be a risk factor to child and adolescent mental health, due the consistent and continuing stress these health problems pose to normative patterns of development. However, this theory remains to be substantiated by empirical research. Moreover, a systematic review conducted as part of this research indicated that the empirical body is not one on which the validity of this theory can be adequately tested. The major question posed is whether the lack of high quality epidemiological data in the field is obscuring a true psychiatric risk associated with chronic illness in childhood and adolescence, or whether, in contrast, the theory of chronic health problems as a particular risk factor to child and adolescent mental health, is based on false premises. In order to provide a stronger insight into the association of chronic health problems to mental ill-health across the late childhood and adolescent period, this study used data from a large, representative British sample (the Avon Longitudinal Study of Parents and Children (ALSPAC)) and sensitive measures of mental health outcomes. Mediating factors in these associations were also identified, and a model of the association of chronic health problems to poor mental health outcomes in early adolescence was developed. In order to ensure that all findings were applicable across chronic health conditions, outcomes over this period for children with chronic illness more generally were compared to outcomes for children with asthma diagnoses. Children with chronic health problems presented with a disproportionate rate of psychiatric illness at 10 years, and these chronic health problems continued to be associated with poor mental health outcomes across the early to mid-adolescent period. The outcomes at 10 and 13 years were suggested to be mediated by factors non-specific to any diagnosis, specifically peer victimisation and health-related school absenteeism. Limitations to external validity in the research, and implications for public health and future research are discussed.
7
Hipwell, Michele. "Models of health enhancing and illness provoking factors in mental health". Thesis, Queen Margaret University, 2005. https://eresearch.qmu.ac.uk/handle/20.500.12289/7351.
Testo completoAbstract (sommario):
The aim of this study is to increase understanding about the causes of dysphoria, depression and anxiety by identifying the psychological factors that predict the development or protect the individual from developing mental health problems. A quantitative study, it is conducted over a period of a year and utilises a 3 wave observational longitudinal cohort design to investigate the relationship between the psychological variables and processes leading to mental health or ill health in a community group of female undergraduate students (N=183). Data is collected at 6 montly intervals for a period of a year from 183 female students. The participants are first year undergraduate students at a college of higher education. Characteristics from the students are collected using a battery of paper and pencil self report questionnaires in a group administration for the first wave of data and two postal questionnaires for follow up. Conceptual models are developed and tested statistically using structural equation modelling to explore the relationship between the elements identified for each model retrospectively and prospectively over a period of 12 months. Longitudinal and cross-sectional analyses are conducted for anxiety and depression separately. The elements of the models include positive and negative life events and protective and vulnerability factors for depression and dysphoria. Results from the cross-sectional and logitudinal analysis demonstrate that psychological factors have a significant effect on the development of depression and anxiety, with illness provoking factors explaining between 33-55% of the variance of depression in longitudinal analyses and 59-42% of the variance in cross-sectional analyses. They explain 45-57% of the variance in anxiety in longitudinal analyses and 28-50% in cross-sectional analyses. Health enhancing factors explain 18-19% of the variance in deprssion in longitudinal analyses and 47-49% of the variance in cross-sectional analyses. They explain 15-20% of the variance in anxiety in longitudinal analyses and 12-=20% of the variance in cross-sectional analyses. Health enhancing and illness provoking characteristics for depression and anxiety are identified in this study. They include enduring personality characteristics, cognitive styles and coping strategies and act as predictors for mental health outcomes or mediate or moderate the relationship between predictors and mental health outcomes.
8
Bridge, Laurie. "Contributing Factors of Substance Abuse: Mental Illness, Mental Illness Treatment andHealth Insurance". Youngstown State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1516979553258238.
Testo completo
9
Khanum, Sultana Mustafa. "'We just buy illness in exchange for hunger' : experiences of health care, heath and illness among Bangladeshi women in Britain". Thesis, Keele University, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.386604.
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10
Alemagno, Sonia Annette. "Health and illness behavior of Type A individuals". Case Western Reserve University School of Graduate Studies / OhioLINK, 1990. http://rave.ohiolink.edu/etdc/view?acc_num=case1054562478.
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11
Waugh, Jennifer. "Clinical Mental Health Counseling Students' Views of Serious Mental Illness and Persons with Serious Mental Illness". Kent State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1573037350270326.
Testo completo
12
Baker, Elizabeth. "Illness Perceptions of Polycystic Ovary Syndrome". Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5176.
Testo completoAbstract (sommario):
Polycystic ovary syndrome (PCOS) is a chronic illness that affects approximately five million premenopausal women in the United States and is associated with significant cosmetic, reproductive, metabolic, and psychological consequences. Despite its prevalence, few studies have explored the lived experiences and illness perceptions of women living with PCOS. Identifying illness perceptions of women living with (WLW) PCOS is important, because mounting research suggests that a person's perceptions of their chronic illness and its management determine that person's coping behaviors (e.g., adherence, self-management) and, consequently, illness outcomes.
In this dissertation, the Common Sense Model (CSM) is used as a framework to identify the illness perceptions of PCOS held by WLW the syndrome. As such, this dissertation is the first to test the ecological validity of the CSM in a population of women diagnosed with PCOS. In addition, the relationship between illness perceptions and (1) infertility, a common symptom of the syndrome, and (2) health-related quality of life (HRQoL) is explored. Lastly, this study makes a novel contribution to the literature by describing one of the first samples of WLW PCOS recruited through a social networking site. This includes a discussion of the participant's demographic information, fertility experiences, and HRQoL.
This is a two-phase mixed methods study. Phase one consisted of an online quantitative survey capturing data on 376 participants' demographic information and medical history. Data were also collected on each participant's HRQoL using the SF-36, a generic, well-validated measure of the phenomenon. Of the 376 survey participants, 34 were interviewed via phone or video chat in the fall 2013 and spring 2014 semesters. Quantitative data were downloaded from Qualtrics® and analyzed using SAS statistical software version 9.3. In this analysis, descriptive statistics were generated to describe sample characteristics and SF-36 domain scores were calculated for each participant. In the qualitative analysis, data were analyzed through a series of sorting techniques and transcripts were imported into NVivo 10 and subjected to content analysis.
The mean age of survey participants was 31.8 years (SD=5.8). Respondents were primarily non-Hispanic (92.5%), white (88.3%), straight (94.4%), and married (73.4%) with a college education (64.1%). On average, participants reported living with PCOS for 7.6 years (SD=6.1). Approximately half of the sample reported having biological children (47.9%) and currently trying to conceive (42.1%), and most participants reported a history of infertility (70.7%). In addition, almost half of the total sample reported heights and weights that placed them in the morbidly obese category (BMI>35). Lastly, a history of depression (63.6%) and anxiety (68.6%) was common among participants.
Few survey participants reported their general health as being excellent (2.6%) or very good (27.4%). Similarly, women reported the lowest levels of functioning on the dimension of vitality, meaning that, in general, women reported feeling tired and being low in energy. Conversely, women reported the highest scores on the dimensions of physical functioning and role limitations due to physical health, meaning that, in general, women did not report that their health limited their physical abilities or caused problems with work or other daily activities.
Interview findings suggest that WLW PCOS generally have illness perceptions of the syndrome that are consistent with the domains identified in the CSM. In addition, it was found that, in relation to their illness cognitions, WLW PCOS described the extent to which they felt they had a comprehensive understanding of the syndrome, a phenomenon labeled illness coherence. Similarly, participants identified PCOS as a common condition (i.e. labeled perceived prevalence). Lastly, a number of relationships were identified between illness perceptions and (1) infertility status and (2) HRQoL scores.
Overall, this dissertation identifies a number of implications for patient education, provider education, clinical practice, and policy improvements. Examples include addressing (1) unmet information needs, (2) significant psychological morbidity and unmet mental health needs, (3) breastfeeding challenges and need for breastfeeding support, (4) poor quality of care and low patient satisfaction, and (5) limited access to care - all among women living with PCOS.
13
Kennedy, Justin Leo. "Mental "illness" as portrayed in western concert music". Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1523328.
Testo completoAbstract (sommario):
This paper examines representations of supposed mentally "ill" and mad characters from Claudio Monteverdi's Lamento della ninfa, Gaetano Donizetti's Lucia di Lammermoor, Arnold Schoenberg's Erwartung, Peter Maxwell Davies's Eight Songs for a Mad King , and my own work Christopher. It argues that none of these characters are mentally "ill" and criticizes their being labeled as mad. Furthermore, this writing submits that treatment of the mentally "ill" is strongly correlated with their specific representation in western art music.
14
Box, Graham Nigel. "Justice and health care : allocating liability for lifestyle illness". Thesis, University of Oxford, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287074.
Testo completo
15
Chan, Mee-yin Becky. "Children's conceptualizations of health and illness: a developmental perspective". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1985. http://hub.hku.hk/bib/B29648117.
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16
Lees, Andrea Mary. "Selective attention to illness-related stimuli in health anxiety". Thesis, University of Southampton, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.369868.
Testo completo
17
Jones, Hannah F. "The oral health of people with serious mental illness". Thesis, University of Nottingham, 2016. http://eprints.nottingham.ac.uk/32720/.
Testo completoAbstract (sommario):
The physical health needs of people with serious mental illness have been neglected for a long time (1), this has initiated the development of guidelines and recommendations from the British Society for Disability and Oral Health (BSDH) for the oral health care for people with serious mental illness (2). Guidelines recommend monitoring and advice and although they are well meaning, randomised controlled trial evidence to support the recommendations is missing (3, 4). Cochrane systematic reviews found no randomised controlled trials of oral health advice or monitoring for people with serious mental illness (5). A Cochrane systematic review of general physical health advice interventions for people with serious mental illness (6) found evidence to suggest such interventions could lead to people accessing more health services. For oral health there is some survey evidence to suggest regular dental check-ups have been found to be associated with better oral health (7), so if a monitoring and advice intervention can influence someone with serious mental illness to visit a dentist this may in turn improve their oral health. A systematic review of 55 studies examining the prevalence of poor oral health and hygiene practices, dental treatment needs, and dental attendance of people with serious mental illness, was conducted to assess the extent to which people with serious mental illness brush their teeth and attend dental appointments. The majority of participants did not practice good oral hygiene, and were more likely not to have seen a dentist for a longer period of time than the general population. Those with serious mental illness also had more decayed teeth, more missing teeth, but fewer filled teeth, than the general population. Most of those with mental illness required some form of dental treatment ranging from oral hygiene instruction to complex dental treatment for those with shallow pockets or deep pockets in their teeth. A narrative review of the knowledge and attitudes regarding oral health in populations with serious mental illness from service users, and mental health and dental professionals’ perspectives found that individuals with serious mental illness were more likely to have poor oral health due to neglecting their oral hygiene and because they did not attend regular dental appointments. Previous negative experiences at dental appointments or general dental anxiety prevented individuals with a mental illness from seeking help until they experienced a dental emergency. The majority of service users reported that support from mental health nurses was helpful, even though nurses tended to report feeling unconfident and inadequately trained to provide this care. A systematic review of randomised controlled trials of interventions for improving the oral health of people with serious mental illness identified four studies which all had such varied interventions and measured different outcomes that combining them in a meta-analysis was not possible. Providing toothbrushes appeared to improve the oral health of people with serious mental illness. Some of the interventions involved an education element which also significantly improved oral health. A pragmatic cluster randomised controlled trial of an oral health intervention for people with serious mental illness involved 1074 service users from the Early Intervention in Psychosis teams in the East Midlands of England being randomised either to receive a dental intervention or standard care. The dental intervention involved completing a checklist with their Care Co-ordinator concerning their oral health and oral hygiene behaviour and the standard care simply involved continuing with standard care for 12 months before then completing the checklist. At baseline only 271/550 service users randomised to the dental intervention group completed dental checklists. Only 98/271 (36.1%) of service users returned a completed dental checklist at the 12 month follow up and for those allocated to standard care 91/524 (17%) returned a completed dental checklist at the 12 month follow up. The checklist did not improve oral health behaviour in people with serious mental illness. The oral health of people with serious mental illness remains a vastly under researched area. Mental health professionals should receive training to improve their oral health care knowledge. Mental health professionals should also provide advice to their patients regarding their oral health, monitor oral health as part of standard care and support patients to attend regular dental check-ups. An effective intervention that can be used within standard care could significantly improve the quality of life for people with serious mental illness.
18
Cameron, Nancy G. "Health, Safety, and Immediate Response to Illness and Injury". Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/7074.
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19
Stainton, Rogers Wendy. "Accounting for health and illness : a social psychological investigation". Thesis, n.p, 1987. http://ethos.bl.uk/.
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20
Blount, Michelle. "Mental Health Courts: Mental Illness, Diversion Programs and Recidivism". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7217.
Testo completoAbstract (sommario):
Many large urban juvenile probation departments have begun to utilize mental health courts to meet the demands of the increasing number of individuals who have mental health issues that end up in the juvenile justice system. Diversion programs are designed to keep youth in the community and out of the juvenile justice system, but it is not clear whether these programs keep individuals from re-offending. Therefore, this study was conducted to determine whether diversion programs used in the mental health courts are helping to decrease recidivism for juveniles identified with mental illness. This study was also aimed at identifying how mental illnesses affect successful completion of programming. The theory of therapeutic jurisprudence was used as the theoretical foundation to help guide this quantitative, quasi-experimental study and answer the research questions. The data utilized was from a large urban juvenile probation department, which uses the mental health court as a diversion program. Data was collected from 2009 to 2017 on both youth who participated in the program and those who chose not to participate in the program. Chi-square and logistic regression were used to analyze the data. Based on the chi-square, recidivism rates were significantly impacted by participation in the mental health court. The data presented demonstrated mental health court is effective at reducing recidivism. The potential is there for positive social change in the treatment of youth with mental illness both in the community and the juvenile justice system.
21
Simpson, Christy. "The intersections of hope, health, and illness, moral responsibilities of health care providers". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/NQ66678.pdf.
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22
Poppe, Leslie Dean. "Metatheoretical constructs : implications for health and illness definition preference and health related behaviors". Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/1001180.
Testo completoAbstract (sommario):
Metatheoretical constructs are believed to be philosophical commitments that affect a variety of areas in an individual's life. This study was designed to investigate two questions. First, do individuals subscribe to personal definitions of health and illness because they are committed to different philosophical and epistemological positions. Second, does an individual's personal definition of health and illness predict the frequency of health and illness related behaviors.Two studies were conducted to investigate these questions. In the first, 102 undergraduate subjects expressed a preference for one of three possible definitions of health and illness. Further, these definitions were shown to predict rates of health and illness behaviors. In the second, 72 nursing professionals also selected one of the three definitions of health and illness. A combination of health and illness definition, and personal worldview were shown to strongly predict an individual's frequency of engaging in health and illness behaviors.These data suggest that individuals have personal preferences for defining health and illness. - Further, their health and illness definition, plus personal worldview, reliably predicts health and illness behavior frequency. These results have implications for health psychology research and practice.Department of Counseling Psychology and Guidance Services
23
Hwu, Yueh-Juen. "The concept of health and health behaviour in Chinese people with chronic illness". Thesis, University of Ulster, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.274392.
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24
Cancino, Ramon Samera. "Health services utilization of adult dual eligible patients with mental health illness, 2011". Thesis, Boston University, 2014. https://hdl.handle.net/2144/21129.
Testo completoAbstract (sommario):
Thesis (M.S.H.P.)BACKGROUND: Dual eligible (DE) patients qualify for Medicare and Medicaid. There are approximately nine million DE patients in the United States, and healthcare costs for this population totaled 319.5 billion dollars in 2011. Behavioral health illness (BHI) is a risk factor for increased healthcare service utilization. The healthcare utilization of adult DE patients <65 years of age with BHI has been studied sparsely. This study sought to describe the adult DE patient population <65 years of age at an urban academic safety net health center and compare hospital and emergency department (ED) utilization of those with and without BHI. METHODS: The study was a secondary analysis of hospital administrative data. Inclusion criteria were patients with Medicare and Medicaid between ages 18 and 65 years, who utilized Boston Medical Center between 1/1/2011 and 1/1/2012. The independent variable was diagnosis of BHI, and the dependent variables were hospital admission and ED utilization. Chi-square and Wilcoxon rank-sum tests were used for descriptive statistics on categorical and continuous variables, respectively. Greedy propensity-score matching without replacement with a caliper distance of half of a standard deviation was used to control for confounding factors. Rate ratios (RR) and confidence intervals (CI) were determined after matching and after adjusting for those variables that remained significantly different after matching. RESULTS: Pre-propensity-score matched data showed significant differences in age, sex, race/ethnicity, marital status, education, employment, physical comorbidities, and Charlson Comorbidity Index score. Post-propensity-score matched analysis found significant differences in sex, Hispanic race, and other education and employment status. As compared to those patients without BHI, patients with BHI had RR 2.07 (CI: 1.81- 2.38) (p<.0001) of hospital admission and a RR 1.61 (CI:1.46-1.77) (p<.0001) of ED utilization. After adjustment, RR for hospital admission and ED utilization remained significantly different and even increased slightly, RR 2.14 (CI: 1.87-2.46) (p<.0001) and RR 1.64 (CI:1.49-1.81) (p<.0001), respectively. CONCLUSION: As compared to DE patients without BHI, those with BHI had significantly more hospital admission and ED utilization, even after controlling for confounding factors. Results suggest interventions for decreasing healthcare services utilization in this population should focus on those DE patients with mental health illness.
2031-01-01
25
Hubbard, Andrew. "Risk and Confinement: Geographies of Mental Illness". Thesis, Griffith University, 2009. http://hdl.handle.net/10072/367560.
Testo completoAbstract (sommario):
This thesis examines the role of risk in framing confinement and spatial control in contemporary mental health policy. It argues that geographers’ focus on ‘post-asylum’ geographies has meant that the continued role of confinement in mental health has not been sufficiently examined. While deinstitutionalisation resulted in a change to the spatial configuration of care for people with mental illness it did not mean that confinement of people with mental illness ceased. Indeed, as the thesis shows, there has been a renewed emphasis on confinement in a number of jurisdictions. The thesis argues that the concept and language of risk has been used in mental health policy to support this renewed focus on confinement.
The thesis a) provides evidence for the continued and/or resurgent significance of confinement, b) explains how this resurgence relates to the increasing framing of mental health policy by risk and c) explains what this means in relation to the spatiality of social control of people with mental illness.
The methodological approach is shaped by an emphasis on understanding the historical context of the use of risk in public policy. There are two key aspects of the methodology. First, the importance of ‘the history of the present’; this is a concern to understand the historical conditions of existence upon which contemporary practices exist. Second, a discursive analysis of public policy broadly framed around critical discourse analysis.
The continued role of confinement and how it relates to risk in contemporary mental health systems is examined in two case studies, one England and Wales, the other Queensland, Australia. The thesis demonstrates that there has been a renewed focus on confinement in these jurisdictions, driven by a policy concern to exert greater control over risk and uncertainty. It rejects the argument proposed by Castel (1991), and other governmentality theorists, including Deleuze (1992) and Rose (2002), that moves towards decentralised control have been shaped by governance through the abstract factors of risk.
In both of the case studies risk was used largely in an individualised sense, in which risk was identified as being embodied in particular individuals, rather than in an aggregative sense. The thesis concludes that the concept of risk has primarily been used to support the continuation of spatially fixed modes of control over people with mental illness, rather than to facilitate decentred forms of control of people with mental illness.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
Griffith School of Environment
Science, Environment, Engineering and Technology
Full Text
26
Rose, Susan S. "Catastrophic injury and illness in the elderly". Diss., The University of Arizona, 2003. http://hdl.handle.net/10150/289909.
Testo completoAbstract (sommario):
This study examined characteristics of elderly veterans who had suffered disability subsequent to catastrophic injury or illness, identified variables common to those who maintained rehabilitative gains, and developed a theoretical model that may be useful for description and explanation of the experience. The results of six preliminary studies laid the foundation for the theoretical model contained in the study. The Geriatric Rehabilitation Intervention Program (GRIP) was developed from themes gathered from a grounded theory study of elders who had recently suffered catastrophic disability. Targeted toward assisting elders with the transition to the community after discharge from geriatric rehabilitation, GRIP includes components of Adjusting to Disability, Coping with Loss, Life after Rehabilitation, and Maintaining Motivation. Those patients that participated in GRIP had significantly greater improvement in functional status, health-related quality of life (HRQOL), and self-efficacy. Qualitative and quantitative data were triangulated to form latent variables to reflect the nature of the experience from the perspective of the patient. The latent variable model demonstrated appropriate fit with this data set; however a confirmatory study is needed. Predictors of rehabilitative gain are desired by stakeholders in an effort to maximize rehabilitative programs and control health care costs. The confidence with which patients were able to manage the symptoms secondary to their catastrophic injury or illness was identified as a predictor of functional gain. This area provides a target for which to aim nursing interventions. In addition, the ability to plan for survival and information gained from the GRIP program were identified as predictors of increased general health one month after discharge to the community. This study explored client, intervention, and context characteristics of catastrophic disability in the elderly. Personal and social factors not yet identified in the literature were examined for their influence on rehabilitative outcomes and a theoretical model was developed. Further research is needed to refine and test the model.
27
Hamilton-West, Kate. "Coping with stress and illness". Thesis, University of Kent, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.274368.
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Honey, Anne. "Mental Health and Employment: Personal perspectives". Thesis, The University of Sydney, 2002. http://hdl.handle.net/2123/1942.
Testo completoAbstract (sommario):
Policy makers, service agencies and people with mental illness themselves view employment for people with mental illness as a major concern. This is due to the low rate of employment of people with mental illness, the difficulties many experience in finding and keeping satisfactory jobs, and the perception of paid employment as highly desirable for people with mental illness. The most extensive research on employment for people with mental illness has focused on establishing statistical relationships between various hypothesised predictors of employment success and vocational outcomes. While some attention has been paid to how individuals with mental illness view being employed, this has primarily focused on specific areas such as the benefits of employment, difficulties encountered and coping techniques used. My aim in this research was to develop a theoretical formulation which explains the processes that people with mental illness engage in with regard to employment. Data was gathered by way of in-depth interviews with users of psychiatric services. Some of these participants were employed, others were seeking employment, while others were not engaged in employment-related activities. At the centre of the theoretical formulation is a process I have called negotiating an appropriate vocational place. Using this process, people with mental illness make decisions about actions to take in relation to employment and these may or may not include trying to get and keep a job. Decisions are made by weighing up the benefits and drawbacks of employment and the advantages and risks of different vocational strategies. In doing so, people with mental illness are influenced by the Australian societal context, their individual social networks, their individual characteristics and circumstances (including their mental illness), and their employment options. This process of negotiating an appropriate vocational place is cyclical, ongoing and dynamic, as individuals' views and circumstances change. Knowing that people with mental illness strive toward an appropriate vocational place rather than taking for granted that they are working towards getting a job presents a challenge to policy and practice in which a successful outcome is defined as obtaining and maintaining a paid position in the workforce. Detailing and elaborating the process by which people with mental illness go about negotiating an appropriate vocational place provides a framework for practitioners, policy makers and researchers to understand the decisions made by people with mental illness and their actions in relation to employment. The understanding provided by the findings from this study will assist those working with people with mental illness and those responsible for employment policies to tailor their work more closely to individuals' desired goals. Immediate and longer term research opportunities are identified to apply the theoretical formulation derived from this study to vocational service practice with people with mental illness.
29
Speredelozzi, Alex. "Beyond shame and stigma| The disclosure of mental illness". Thesis, Harvard University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1553603.
Testo completoAbstract (sommario):
This paper, written in journalistic style, discusses the disclosure of mental illness and its relation to stigma and discrimination. It consists of two magazine length articles. The first article (designated as Chapter I) is about the personal disclosure of mental illness by mental health professionals, including psychiatrists, psychologists, social workers, and others who have experienced mental illness themselves. This article discusses the extent of mental illness among professionals, the reasons professionals often remain silent, the risks and benefits of disclosing, and the complexity involved in revealing mental illness. The second article (designated as Chapter I) discusses disclosure as it pertains to all people who have mental illness. This article discusses disclosure and its relationship to stigma and discrimination, why stigma exists and persists, the disclosure of mental illness on the job, and the role of work in stigma reduction and recovery.
30
Nixon, Eileen. "Healthy-illness representation of HIV in the UK". Thesis, University of Brighton, 2013. https://research.brighton.ac.uk/en/studentTheses/ef2f3637-96b1-4219-b836-ce0fbd4cd691.
Testo completoAbstract (sommario):
The purpose of this research was to explore the interactions between the perceived healthcare needs of people with HIV and the processes involved in their healthcare in order to inform future models of care. A grounded theory approach was adopted utilising semi-structured interviews with 13 HIV patients and 21 healthcare workers in 3 HIV facilities of different size and service specification. Constant comparative analyses of concepts that emerged from the data were undertaken and a dimensional analysis strategy applied to develop conceptual categories and the connections between them. HIV as a condition was conceptualised in different ways by patients and healthcare workers. Although most patients viewed their condition as stable, previous illness experience, uncertainty and the impact of HIV on social integration influenced their views on the role of HIV services. Patient-provider relationships, feeling accepted and participating in care was central to maintaining high levels of patient engagement within the HIV setting. This was in contrast to the felt or enacted stigma experienced by most patients either in other healthcare settings or in their communities and challenges current theory that advances in treatment have reduced the social stigma of HIV. The service user illness representations were not necessarily reflective of HIV service provider views on the health status of medically stable patients or of funding mechanisms for HIV healthcare. A theory of illness representation has been developed utilising the principles of Leventhal’s model adapted for service planning. While HIV clinics were actively adapting services, the pervasive experience of HIV for some stable patients suggests that representations of HIV span a healthy-illness spectrum comprising a complex range of cognitive and emotional processes. These representations influenced how HIV healthcare services were organised and utilised and may be a useful tool to inform healthcare delivery and sustain quality and public health outcomes.
31
Shen, Liying. "Stigma Against Mental Illness and Cerebral Palsy in China". Thesis, Harvard University, 2016. http://nrs.harvard.edu/urn-3:HUL.InstRepos:27201730.
Testo completoAbstract (sommario):
This dissertation examines the stigmatization of two health conditions: mental disability and physical disability in the context of China. In particular, it addresses two main themes: the processes and impacts of stigma, and the variables that moderate the association of stigma with social attributes.
The first paper applied a qualitative approach to identify the sources of burdens of raising a child with cerebral palsy in China and how stigma and “face” as a cultural factor affect children with cerebral palsy and their families. The findings showed that families with children of cerebral palsy report tremendous financial burdens, insufficient educational and medical services, as well as discrimination among family members and communities. An overwhelming majority of caregivers reported to have had the feeling of “loss of face,” while family members considered the child with cerebral palsy as “useless” and “burdensome.” Their common remarks o “send away the child to orphanage” and “give another birth to a normal child”, reinforced caregivers’ feeling of helplessness, and put many family relationships to an end.
The second and third papers on stigma and mental illness studied the underlying social determinants of public stigma and the variations in the general public’s attitudes and reactions toward people with mental illness. Using a population-based stratified sample of 3703 adults from the Stigma in Global Context-Mental Health Study, paper II investigated social attributes, stigma, and the links between them. Paper III assessed how demographics and geographical location structured public perceptions and reactions towards people with mental illness.
Findings from paper II indicated that Chinese are less willing to interact with people with depression and schizophrenia than those with a physical illness. Depressive disorders had more rejections than schizophrenia in this study. Age, education, and place of residence among respondents had significant association with public stigma. The label of “mental illness” and perception of dangerousness had significant negative association on social stigma. Findings from paper III indicated that social distance had a significant association with regional context, which suggests that public stigma exists at larger cultural levels. Our findings help inform specific factors in the pursuit of tackling structural discrimination.
32
Nolan, Terence. "Clinical trial of social worker assistance in childhood chronic illness". Thesis, McGill University, 1986. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=75376.
Testo completoAbstract (sommario):
Children with chronic illnesses have a doubled risk of developing psychosocial maladjustment--emotional problems, behavior disorder or difficulties in social relationships. Social work support and counselling aims to reduce this secondary morbidity, and is a common form of hospital-based psychosocial service. The first randomized controlled trial of this type of intervention was carried out to evaluate its effectiveness in treating and preventing maladjustment. This thesis describes how child behavior outcomes were assessed before and 4 months after a 6 month period of social worker assistance in 173 children randomized to intervention, and in 169 controls, all with chronic illnesses.No significant difference between intervention and control groups in the overall prevalence of maladjustment was found. There was no evidence to support a therapeutic or preventive effect of social work counselling on child behavior outcomes, nor was there improvement in child perceived competence. A search for treatment interactions failed to reveal any sub-group that benefitted from the intervention, and restriction of the analysis to individuals who actually received the intervention does not alter any of these conclusions.
Measurement problems, co-intervention, or other forms of bias cannot account for the negative results. It is speculated that if social work support is to be effective, it should be targetted, potent, of adequate duration, and possibly integrated within specialist clinic services.
33
Cytryn, Kayla N. "Lay reasoning and decision making related to health and illness". Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=36903.
Testo completoAbstract (sommario):
Research in decision making has identified the importance of prior knowledge and heuristics on decision making behaviour. These develop with experience in a fashion similar to how domain experts develop specialized knowledge structures and heuristic reasoning patterns. This research is extended to the domain of health and lay decision making in a series of studies characterizing conceptualizations of health and illness, information-seeking strategies, and the impact of medical information on lay decision making. Lay subjects included those with diabetes, heart disease, and no identified ongoing medical diagnosis.Semi-structured interviews and think aloud methodology were employed. Interviews focused on understanding of health and illness, prior knowledge and beliefs, and decision making. In Study One, subjects were presented with health-related problem scenarios and instructed to think aloud as they reasoned through them to make decisions. In Study Two, subjects (lay and medical) were presented with a telecommunications device and scenarios of data to enter into the system. All data were audiorecorded, transcribed, and analyzed for factors and strategies related to information-seeking and decision making behaviours.
Lay understanding of health and illness was characterized as feeling well and functioning in everyday life. The knowledge used in making decisions was based on experience and socio-cultural tradition. Knowledge about disease was found to be decoupled from decisions to act related to illness. Additional information was sought using four criteria grounded in common experience: accessibility, familiarity, complexity, and credibility. These characteristics influenced interactions between lay people and domain experts, such as health care providers, and with technology designed by experts for lay users.
Both technical and lay people make decisions with incomplete information and uncertain outcomes. For lay people making decisions about health-related issues, this incomplete knowledge is filled in based on everyday life rather than medical and scientific facts.
34
Alidu, Lailah. "An exploration of health and illness beliefs of Ghanaian migrants". Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/7977/.
Testo completoAbstract (sommario):
Migration to high income countries (such as the UK) has been found to be associated with declining health. The overall aim of the thesis was to advance our knowledge and understanding about migration, health beliefs and behaviours of Ghanaian migrants living in the UK. The thesis employed two approaches: a systematic review and qualitative methodology utilising interviews with a total of 62 participants. The systematic review explored associations between acculturation and body weight in migrants, examining the role of health behaviours. The two qualitative studies, which yielded two datasets, focused on the experiences of Ghanaian migrants living in the UK and also included Indian migrants and White British and Ghanaian home populations as comparative samples. Findings from the systematic review suggested that migrants may be prone to developing obesity, however factors such as socioeconomic status influences this risk. The review also showed that behaviours and beliefs relating to health may be influenced by culture. From the qualitative studies there were three themes that cut across the findings of this thesis: (i) migrant’s knowledge of their environment and how it affects healthy behaviours, (ii) the lay meaning of health, which is embedded in the migrant’s culture and (iii) social/cultural influences on engagement with healthy behaviours. This thesis provides a starting point in understanding the lay meaning of health that can affect the engagement of healthy behaviours. Different cultures have exhibited different health belief systems and knowledge of these differences is important in the design of effective interventions that will be acceptable to patients of different cultural backgrounds.
35
Waenerlund, Anna-Karin. "Temporary employment and illness". Doctoral thesis, Umeå universitet, Institutionen för folkhälsa och klinisk medicin, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-80095.
Testo completoAbstract (sommario):
Background: It is debated whether temporary employment compared to permanent employment entails an elevated risk of illness or not, as the empirical studies have not shown a unified picture. Since a significant part of the Swedish workforce is currently working under temporary employment contracts, it is important for public health research to pay close attention to what the implications in terms of illness might be. Therefore the aim of this thesis was to explore the relationship between temporary employment and illness. Methods: This thesis was based on data from the Northern Swedish Cohort, consisting of all pupils in grade 9 in Luleå in 1981 (n=1083). The cohort was followed with extensive questionnaires. The latest follow-up was performed in year 2007, when 94% participated. To analyse the quantitative questionnaire data, logistic regression and trajectory analysis were used. A qualitative method, Grounded Theory, was also applied in this thesis to analyse interviews performed in 2011, with a strategic selection of 12 participants from the cohort. Results: Quantitative data showed that temporary employees had overall higher odds ratios for illness in terms of psychological distress and non-optimal self-rated health compared to permanent employees. This general difference in odds ratios was evident irrespective of how temporary employment was measured as well as after control for earlier health status and confounders. The qualitative analysis gained insight into temporary employment as social processes of: underling the driving force for employment; working hard for a job. The structural conditions emerged in terms of, being used and exploited on the labour market and these conditions were related to the individual strategies of adaptation and coping. In the intersection of agency, structural conditions and adaption, emotional and bodily reactions emerged, such as being worn out, worried and wrathful. Conclusion: Illness is unevenly distributed between temporary and permanent employees, with temporary employees being the unfavourable group. Striving for good and evenly distributed health conditions in the population, policy makers should aim at reducing the number of employees working in temporary contracts. In addition, there is a need to improve surveillance of the health situation among temporary employees and to reduce unfavourable conditions, such as job and financial insecurity and unemployment, among temporary employees.
36
Bell, Emily A. "The Relationship Between Illness Representations, Avoidant Coping, and Health Outcomes in People with Ongoing Symptoms of Chronic Illness". UNF Digital Commons, 2015. http://digitalcommons.unf.edu/etd/572.
Testo completoAbstract (sommario):
Illness representations play an important role in the way people with chronic illness manage symptoms and view their overall health. Those suffering from functional somatic syndromes as well as conventional diagnoses seek information and meaning about their health threats in order to make appraisals concerning health outcomes. The primary interest of this study was to determine whether illness representations predict coping strategies which in turn influence general health outcomes. Data was collected from a series of four online surveys that measured an individual’s illness representations (IPQ-R), coping responses (Brief COPE), and health outcomes (RAND-36). The sample included 204 participants (169 females and 30 males) all of whom experienced chronic illness symptoms and were classified as having a functional somatic syndrome (FSS) or conventional diagnosis (CD). As hypothesized, illness perceptions predicted avoidant coping strategies as well as general health. Specifically, illness beliefs of greater consequences and lower coherence were associated with greater reported use of self-blame, behavioral disengagement, and denial. Furthermore, these avoidant coping strategies were associated with poorer health. Self-blame emerged as a coping strategy most associated with illness representations and general health. Although a meditational model was proposed, self-blame did not mediate the relationship between illness consequence and general health.These findings suggest that viewing an illness as having more consequences is associated with more avoidant coping and has a negative impact on the overall general health in those suffering with chronic illness.
37
Ferens, Christine L. "Treatment of Patients with a Mental Illness in Emergency Services". Thesis, Capella University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10936352.
Testo completoAbstract (sommario):
The purpose of this action research study was to examine the effects of the stigma of mental illness towards individuals with mental illness on services provided by medical professionals, specifically, registered nurses who work in an emergency department (ED). There have been numerous studies on how attitudes towards mental illness can be present in health care professionals; however, none that focused specifically on the attitudes of ED nurses. Nurses working in the ED are often the first health care professional a patient with mental illness sees and their attitude can influence the rest of the ED visit. The Opening Minds Scale for Health Care Workers (Modgill, Patten, Knaak, Kassam, & Szeto, 2014. “Opening Minds Stigma Scale for Health Care Providers (OMS-HC): Examination of Psychometric Properties and Responsiveness”) and the Caring Nurse Patient Interaction Short Form (Cossette, Cote, Pepin, Ricard, & D’Aoust, 2006. “A Dimensional Structure of Nurse-Patient Interactions from a Caring Perspective: Refinement of the Caring Nurse-Patient Interaction Scale (CNPI-Short Scale)”) were used to measure attitude towards stigma and the perception of the care a nurse gives a patient. Thirty-four nurses from two emergency departments participated in the research with the expectation of there being high levels of stigma which would in turn affect the care given to the patients with mental illness. Descriptive statistics, multiple regression and ANOVA were used to find low to moderate levels of stigma of mental illness, and these nurses had a perception of providing excellent care to their patients. This is in contrast to other studies finding moderate to high levels of stigma in general among health care professionals. This information can be useful in exploring and then using any policies and procedures present in the research sites for the benefit of other emergency departments. Additional research is planned to further review these sites and other emergency departments within the hospital network to ascertain if these results hold true, and if so, identify the dynamics involved.
38
Chandler, Helena Kate. "Factors affecting the relationship between trauma and illness behavior". Diss., Virginia Tech, 2002. http://hdl.handle.net/10919/27626.
Testo completoAbstract (sommario):
Associations between the experience of traumatic events and illness behaviors such as health complaints and healthcare use are reported in recent studies. Posttraumatic Stress Disorder (PTSD) symptoms and diagnosis have been found to mediate this trauma-illness relationship. Differences in health behaviors have additionally been noted in the literature, with trauma victims engaging in more negative health behaviors, which may subsequently affect illness status. Further, illness behaviors such as somatic complaints and healthcare utilization are influenced by modeling and reinforcement of such behaviors. The current study sought to evaluate the contributions of negative health behaviors, illness-related learning history, and PTSD symptoms on trauma victims' health complaints, functional health status, and utilization of healthcare services.
The final sample included 298 undergraduate students at a large southeastern university. Participants provided information about their trauma histories, health behaviors, illness-related learning history and current illness behaviors on group-administered self-report questionnaires. Consent to obtain utilization information from the university health center was also obtained. Hierarchical regression analyses were used to assess the additive contributions of the predictor variables.
The results indicated that health complaints, functional health status, and utilization behavior are each influenced by trauma history, with more illness behavior associated with greater trauma severity. In addition, health behaviors, illness-related learning history and PTSD symptoms all contribute to the prediction of health complaints and functional health status. Utilization behavior, however, was predicted only by trauma history and learning history. Further, the different types of learning history (modeling, reinforcement, priming) appear to affect different illness behaviors. Implications of the study are discussed.Ph. D.
39
Cherrington, Candace C. "Illness representation after Acute Myocardial Infarction : impact on recovery /". The Ohio State University, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=osu1488204276530951.
Testo completo
40
Fulop, Naomi Judith. "Gender, parenthood and health : a study of mothers' and fathers' experiences of health and illness". Thesis, University College London (University of London), 1992. http://discovery.ucl.ac.uk/10018627/.
Testo completoAbstract (sommario):
This study makes an original contribution to the literature on gender differences in health and illness which attempts to explain why 'women get sick and men die'. It focuses on how women and men as parents experience health and illness. It also contributes to studies of motherhood, specifically women's experiences, and extends this by making visible men's experiences of fatherhood. A qualitative study of fifteen working class families, involving both parents, was undertaken. Using a feminist theoretical framework based on parents' lived experiences' of health, I explored gender differences in health status, attitudes and behaviour; and the additional role of material and social resources. Each parent was interviewed three times over the course of a year. Data were also collected using health diaries. The mothers reported more health problems than the fathers. The data lend support to the 'nurturant role hypothesis' ie. that mothers' social role as carer leads them to have different experiences of health and illness from fathers. The mothers experience their role as more stressful than the fathers, particularly with regard to the lack of opportunity to rest. The finding that the 'mothering' role has a significant negative impact on health is supported by data that show that fathers who are more involved in childcare report more health problems than fathers less involved. Three typologies of parenthood have been developed which extend the hypothesis in important ways: (a) the congruence between mothers' ideologies of parenthood and their actual situation; (b) fathers' degree of involvement in childcare; and (c) the congruence between mothers' and fathers' ideologies. An analysis of gender differences in concepts of health adds to the explanation of parents' different health experiences. Finally, the structural context within which women and men carry out their roles as parents helps to account for the health differences found.
41
Quenneville, Brenda. "Walking Recovery Talk : Mental Health Organizational Change". Thesis, Laurentian University of Sudbury, 2014. https://zone.biblio.laurentian.ca/dspace/handle/10219/2180.
Testo completoAbstract (sommario):
The full experience of mental illness cannot be described in isolation from the context in which one lives, yet the internal physical manifestation of symptoms has been the focus of treatment in western cultures. The “recovery” paradigm is emerging as best-practice philosophy for mental health practice and represents a significant departure from existing standards thereby challenging mental health organizations to re-negotiate their relationship with the dominant bio-medical model. Despite the growing acceptance of recovery philosophy, literature exploring large-scale recovery-oriented organizational change is sparse. The purpose of this research was twofold; 1) to outline the steps taken by change agents within an organization embarking on recovery organizational change, and 2) to understand the experience, including successes and challenges associated with change. The qualitative data obtained from interviewing seventeen participants revealed the impact of organizational contextual factors, leadership and communication on recovery organizational change. Further, the data exposed the complexity of challenging preconceptions and practice when trying to adopt recovery approaches. The findings may guide other community based mental health organizations in their recovery journey.
42
Gillman, Linda V. "The psychospiritual dimensions of living with life-threatening illness". Thesis, Institute of Transpersonal Psychology, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3560638.
Testo completoAbstract (sommario):
The qualitative phenomenological study described herein examined the meaning and essence of the lived psychospiritual and felt-sense experiences arising in individuals who are living with a life-threatening illness. The purpose of the study and the research question are described in this dissertation along with definitions of important terms, the theoretical lenses through which the research was conducted, and an autobiographical reflection describing the motivation behind the research. A historical background of early medical and spiritual practices and beliefs provides context for the study and precedes a review of pertinent literature. The literature review discusses existing germane research studies that support the need for the study. Research methods used to conduct this study are described, along with participant qualifications, recruitment processes used, and ethical considerations undergirding this study. This document includes references for the many citations appearing throughout this research, a chapter that discusses the results that arose from an examination of the data, along with a discussion of findings. It is my sincere hope that my words inspire greater interest in this topic and open a sacred space for the study to have deep and lasting meaning within the wider transpersonal and scientific community.
43
White, Holly A. "Teaching medication knowledge to participants diagnosed with a mental illness". Scholarly Commons, 2004. https://scholarlycommons.pacific.edu/uop_etds/2723.
Testo completoAbstract (sommario):
Using a multiple baseline design, this study examined the effect of preferred items in increasing medication knowledge among individuals diagnosed with a mental illness. Participants were asked questions regarding their Haldol medication. After baseline, participants received the answers and a pharmacy-generated medication profile. During the Repeated Trials intervention, participants were given only verbal feedback. Those who had not reached criterion after 4 weeks entered the Preferred Trials intervention. In this phase, participants received a high, medium, or low preferred item contingent on the number of correct answers. All participants increased their number of correct answers. Although the effects of a contingent preferred item were mixed, this study showed that information regarding medications can be learned with minimal staff intervention.
44
Addley, Kenneth. "Mental health in the Northern Ireland Civil Service : studies on prevalence and determinants of mental ill-health". Thesis, Queen's University Belfast, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.322642.
Testo completo
45
Montgomery, Leigh Ann. "The relationship between the health belief model constructs and medication compliance in the treatment of bipolar disorder". Access restricted to users with UT Austin EID Full text (PDF) from UMI/Dissertation Abstracts International, 2001. http://wwwlib.umi.com/cr/utexas/fullcit?p3034938.
Testo completo
46
Van, Ruth Judith. "A Q-methodological study of linguistic constructs of health and illness /". Title page, contents and introduction only, 1996. http://web4.library.adelaide.edu.au/theses/09PM/09pmv275.pdf.
Testo completo
47
Kensall, Sherri Lynn. "Experiences of ethnic minorities with chronic illness accessing primary health care". Thesis, University of British Columbia, 2011. http://hdl.handle.net/2429/34185.
Testo completoAbstract (sommario):
Living with a chronic illness such as diabetes or heart disease and accessing health care over many years can be a challenge for anyone. This experience is further impacted by experiences associated with being an ethnic minority where challenges in communicating with health care providers or encountering different views on health care can make navigating the system more difficult. Within the current health care system in British Columbia, the Primary Health Care (PHC) Charter articulates a clear role for PHC as the setting in which chronic illness care is organized and delivered. Unfortunately, interactions in PHC can be both a source of support and of stress for individuals. In order to provide care which supports individuals to self manage their health, it is important that PHC providers understand common experiences and priorities for diverse populations when seeking care in the ongoing management of their condition.
Through secondary analysis, this study analyzes data from a recent research project exploring the experiences of ethnic minorities in PHC by Dr Wong. Data from twelve focus groups with a subset of participants with chronic illness was examined to further advance aspects of chronic illness management within the context of the current health care environment in British Columbia (BC). This data was viewed within a critical cultural perspective to inform both current and future practice in order to promote care which is culturally safe and at the same time supports individuals in adopting healthier lifestyles and maximizing their confidence in managing their health. Results from this study highlight the challenges encountered by anyone managing a chronic illness but also how ethnic minorities may face an increased burden of illness. This study also explores how approaches in the charter, specifically the expanded chronic care model, need to be viewed critically in terms of the potential to promote a sense of individual responsibility for care or further racialization through subcategorizing individuals based on ethnicity. This study also highlights benefits in the approaches to CDM especially in the investments in resources in multiple languages and potential for building stronger linkages to community programs.
48
Garthwaite, Kayleigh Ann. "Incapacitated? : exploring the health and illness narratives of Incapacity Benefit recipients". Thesis, Durham University, 2013. http://etheses.dur.ac.uk/6387/.
Testo completoAbstract (sommario):
Previous research has focused upon health, illness and identity, but the experience of receiving welfare benefits has largely been omitted. This thesis attempts to address this deficit by exploring the relationship between long-term Incapacity Benefit (IB) receipt and stigma in areas of North East England. Employing qualitative methodology, 25 IB recipients participated in the study, alongside 18 key stakeholders who worked with IB recipients. The narratives presented in this study uncover lives that are fraught with ill health and disability on a daily basis, accompanied by a strong sense of stigma, shame and frustration. Further, not all long-term IB recipients are resigned to a life on benefits – many possess a deep-seated desire to return to the labour market, including engaging in permitted or voluntary work – a sentiment which directly refutes any ‘dependency culture’ rhetoric. Tying all of this together is the construction and reconstruction of identity for long-term IB recipients. Stigma and shame arose as a result of the widespread suspicion of sick and disabled people; suspicion that was replicated in the views of some of the stakeholders involved in this study. Disturbingly, this led to a further distinction between ‘deserving’ and ‘undeserving’ amongst sickness benefits recipients themselves. Crucially, narratives were relayed against a backdrop of ongoing welfare reform which led to a dominant discourse of fear and insecurity for many participants who worried that their health would get worse, yet they could still be classified as ‘fit for work’. Fundamentally, this research calls for the need for a greater understanding of the lives of sick and disabled people, and an acceptance that being on sickness benefits is not the easy way out.
49
Jones, Emma Rachel. "Lay management of health and illness : a qualitative study using men". Thesis, Cardiff University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.404628.
Testo completo
50
Lora-Wainwright, Anna. "Perceptions of health, illness and healing in a Sichuan village, China". Thesis, University of Oxford, 2007. http://ora.ox.ac.uk/objects/uuid:b00f24dc-3f7b-4ea3-a524-3f3b717b6c6f.
Testo completoAbstract (sommario):
This thesis explores attitudes to the body, illness and healing in contemporary rural China through the prism of Pierre Bourdieu's notion of habitus. It is divided in two parts. Part 1 aims to situate attitudes to the body in the specific social, cultural and political economic settings which have engendered them. I show that bodily dispositions articulate ways of engaging with one's surroundings and claims to authority and status. Past experiences equip different generations with different habitus (Bourdieu, 1977; 1990). At the same time, habitus is revised in light of engagements with new environments. As such, this section shows that habitus is made through daily practices, and that attitudes to the body are contingent and contested. Hierarchies with regard to what constitutes a desirable body or a healthy diet are not stable but always disputed. Negotiations surrounding them are informative of wider social processes and serve to reproduce or challenge social relations and values. Part 2 examines bodily practices at times of illness through the case of oesophagus cancer, an illness prevalent in the area, and with specific reference to one case and brief comparisons to others (including some discussion of stomach cancer). This section aims to show that family relationships are produced and contested through various practices of care, and that such relations engender particular bodily attitudes. These practices are not enactments of an already given reality or relationship, but rather vital to producing them. Closer attention to practices during illness are therefore important for understanding how illness is experienced by all involved, but also how it intersects with family relations, attitudes to resources, strategies to secure them and invest them, and perceptions of the state and welfare provision. It shows that a study of social change and reproduction is central to understanding cancer. Conversely, practices surrounding cancer, such as decisions not to undergo surgery, also present ways in which social reproduction and change take place. Employing habitus allows a closer grasp of the intricate processes through which family relations are formed, why families opt for particular forms of treatment and how the effectiveness of therapy is produced.