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Artigos de revistas sobre o tema "Morbidité (psychologie)"

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Publicado: 25 de maio de 2024

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1

Meert, Kathleen L., e Susan Eggly. "Interventions to Reduce Psychologic Morbidity After PICU Discharge". Pediatric Critical Care Medicine 18, n.º 4 (abril de 2017): 387–88. http://dx.doi.org/10.1097/pcc.0000000000001106.

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Hamilton, Alexander James, Fergus J. Caskey, Anna Casula, Carol D. Inward e Yoav Ben-Shlomo. "Associations with Wellbeing and Medication Adherence in Young Adults Receiving Kidney Replacement Therapy". Clinical Journal of the American Society of Nephrology 13, n.º 11 (16 de outubro de 2018): 1669–79. http://dx.doi.org/10.2215/cjn.02450218.

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Background and objectivesYoung adults receiving kidney replacement therapy (KRT) have impaired quality of life and may exhibit low medication adherence. We tested the hypothesis that wellbeing and medication adherence are associated with psychosocial factors.Design, setting, participants, & measurementsWe conducted a cross-sectional online survey for young adults on KRT. Additional clinical information was obtained from the UK Renal Registry. We compared outcomes by treatment modality using age- and sex-adjusted regression models, having applied survey weights to account for response bias by sex, ethnicity, and socioeconomic status. We used multivariable linear regression to examine psychosocial associations with scores on the Warwick–Edinburgh Mental Wellbeing Scale and the eight-item Morisky Medication Adherence Scale.ResultsWe recruited 976 young adults and 64% responded to the survey; 417 (71%) with transplants and 173 (29%) on dialysis. Wellbeing was positively associated with extraversion, openness, independence, and social support, and negatively associated with neuroticism, negative body image, stigma, psychologic morbidity, and dialysis. Higher medication adherence was associated with living with parents, conscientiousness, physician access satisfaction, patient activation, age, and male sex, and lower adherence was associated with comorbidity, dialysis, education, ethnicity, and psychologic morbidity.ConclusionsWellbeing and medication adherence were both associated with psychologic morbidity in young adults. Dialysis treatment is associated with poorer wellbeing and medication adherence.

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Wohl, Yonit, Olga Reitblat, Tsahi T. Lerman, Ornit Cohen e Tatiana Reitblat. "Psychologic Morbidity Among Psoriatic Arthritis Patients in Remission or With Low Disease Activity". JCR: Journal of Clinical Rheumatology 26, n.º 6 (13 de junho de 2020): 260–64. http://dx.doi.org/10.1097/rhu.0000000000001077.

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Mueller, Sabine, Cassie N. Kline, Robin A. Buerki, Yan Chen, Yutaka Yasui, Rebecca Howell, Kevin C. Oeffinger et al. "Stroke impact on mortality and psychologic morbidity within the Childhood Cancer Survivor Study". Cancer 126, n.º 5 (6 de dezembro de 2019): 1051–59. http://dx.doi.org/10.1002/cncr.32612.

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Triest, Filip J. J., Frits M. E. Franssen, Niki Reynaert, Swetlana Gaffron, Martijn A. Spruit, Daisy J. A. Janssen, Erica P. A. Rutten, Emiel F. M. Wouters e Lowie E. G. W. Vanfleteren. "Disease-Specific Comorbidity Clusters in COPD and Accelerated Aging". Journal of Clinical Medicine 8, n.º 4 (14 de abril de 2019): 511. http://dx.doi.org/10.3390/jcm8040511.

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Background: Patients with chronic obstructive pulmonary disease (COPD) often suffer from multiple morbidities, which occur in clusters and are sometimes related to accelerated aging. This study aimed to assess the disease specificity of comorbidity clusters in COPD and their association with a biomarker of accelerated aging as a potential mechanistic factor. Methods: Body composition, metabolic, cardiovascular, musculoskeletal, and psychological morbidities were objectively evaluated in 208 COPD patients (age 62 ± 7 years, 58% males, FEV1 50 ± 16% predicted) and 200 non-COPD controls (age 61 ± 7 years, 45% males). Based on their presence and severity, the morbidities were clustered to generate distinct clusters in COPD and controls. Telomere length in circulating leukocytes was compared across the clusters. Results: (co)morbidities were more prevalent in COPD patients compared to controls (3.9 ± 1.7 vs. 2.4 ± 1.5, p < 0.05). A “Psychologic” and “Cachectic” cluster were only present in the COPD population. “Less (co)morbidity”, “Cardiovascular”, and “Metabolic” clusters were also observed in controls, although with less complexity. Telomere length was reduced in COPD patients, but did not differ between the (co)morbidity clusters in both populations. Conclusions: Two COPD-specific comorbidity clusters, a “Cachectic” and “Psychologic” cluster, were identified and warrant further studies regarding their development. Accelerated aging was present across various multimorbidity clusters in COPD.

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Andersen, Barbara L. "Predicting sexual and psychologic morbidity and improving the quality of life for women with gynecologic cancer". Cancer 71, S4 (15 de fevereiro de 1993): 1678–90. http://dx.doi.org/10.1002/cncr.2820710437.

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Baldwin, David S., Emma K. Brandish e Daniel Meron. "The Overlap of Obsessive-Compulsive Disorder and Social Phobia and its Treatment". CNS Spectrums 13, S14 (2008): 47–53. http://dx.doi.org/10.1017/s1092852900026936.

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AbstractBoth obsessive-compulsive disorder (OCD) and social phobia are common in community and clinical settings, and it should be expected that a proportion of patients with one of these conditions will also fulfill either current or lifetime criteria for the other condition. However, comorbid social phobia is more common among patients with a primary diagnosis of OCD than is comorbid OCD in patients with a primary diagnosis of social phobia. This article explores the extent of the association of OCD and social phobia in epidemiological studies, and examines the possible role of underlying depression and other disorders in mediating the appearance of the comorbid condition. Although there have been no published randomized controlled trials in patients with this particular pattern of co-morbidity, it seems sensible to adopt pharmacologic and psychologic treatment approaches which have been found efficacious in both OCD and social phobia. Pharmacologic management therefore centers on first-line treatment with a selective serotonin reuptake inhibitor. Psychologic intervention should draw on the range of cognitive and behavioral approaches required for optimal outcomes in OCD and social phobia, as discrete conditions.

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Goodacre, Steve, Suzanne Mason, Jane Arnold e Karen Angelini. "Psychologic morbidity and health-related quality of life of patients assessed in a chest pain observation unit". Annals of Emergency Medicine 38, n.º 4 (outubro de 2001): 369–76. http://dx.doi.org/10.1067/mem.2001.118010.

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Goldney, Robert D., e Marcus A. Bain. "Double depression: its morbidity and management in a community setting". Acta Neuropsychiatrica 18, n.º 5 (outubro de 2006): 210–15. http://dx.doi.org/10.1111/j.1601-5215.2006.00153.x.

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Background:Double depression, the combination of major depression and dysthymia, is associated with poor health-related quality of life (HRQoL) and increased health service utilization.Objective:To determine the prevalence of double depression, its associated morbidity and use of health services and antidepressants.Methods:A random and representative sample of the South Australian general population was interviewed. The mood module of the Primary Care Evaluation of Mental Disorders (PRIME-MD), the Short-Form Health Status Questionnaire (SF-36) and Assessment of Quality of Life (AQoL) instruments were administered, and data relating to health service utilization, antidepressant use and role functioning were collected.Results:Double depression was present in 3.3% of the population. The use of health services was significantly higher in this group than those with no depression, or dysthymia or major depression alone. Only 15.2% had attended a community health service, 18.2% had seen a psychiatrist, 10.1% a psychologist, 16.2% a social worker and 9.1% any other counsellor in the last month. While 41.4% were currently taking an antidepressant, the average doses of the two most commonly prescribed antidepressants were below the maximum recommended doses, and the use of antidepressant augmentation strategies was also minimal.Conclusions:While double depression is associated with increased morbidity and use of health services, the optimum use of both pharmacological and nonpharmacological treatments is clearly lacking in this community sample.

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McMahon, Elaine M., Marta Buszewicz, Mark Griffin, Jennifer Beecham, Eva-Maria Bonin, Felicitas Rost, Kate Walters e Michael King. "Chronic and Recurrent Depression in Primary Care: Socio-Demographic Features, Morbidity, and Costs". International Journal of Family Medicine 2012 (6 de junho de 2012): 1–7. http://dx.doi.org/10.1155/2012/316409.

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Background. Major depression is often chronic or recurrent and is usually treated within primary care. Little is known about the associated morbidity and costs. Objectives. To determine socio-demographic characteristics of people with chronic or recurrent depression in primary care and associated morbidity, service use, and costs. Method. 558 participants were recruited from 42 GP practices in the UK. All participants had a history of chronic major depression, recurrent major depression, or dysthymia. Participants completed questionnaires including the BDI-II, Work and Social Adjustment Scale, Euroquol, and Client Service Receipt Inventory documenting use of primary care, mental health, and other services. Results. The sample was characterised by high levels of depression, functional impairment, and high service use and costs. The majority (74%) had been treated with an anti-depressant, while few had seen a counsellor (15%) or a psychologist (3%) in the preceding three months. The group with chronic major depression was most depressed and impaired with highest service use, whilst those with dysthymia were least depressed, impaired, and costly to support but still had high morbidity and associated costs. Conclusion. This is a patient group with very significant morbidity and high costs. Effective interventions to reduce both are required.

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Zamrik, Sonja, Federica Giachero, Michael Heldmann, Kai O. Hensel, Stefan Wirth e Andreas C. Jenke. "Impact of an In-House Pediatric Surgery Unit and Human Milk Centered Enteral Nutrition on Necrotizing Enterocolitis". BioMed Research International 2018 (13 de novembro de 2018): 1–6. http://dx.doi.org/10.1155/2018/5042707.

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The importance for mortality and morbidity of an in-house pediatric surgery unit for premature infants with necrotizing enterocolitis (NEC) remains undefined. Data on 389 consecutive very low birth weight infants with a birth weight <1250 g admitted between 2009 and 2014 was retrospectively analyzed in two almost identical neonatal intensive care units. Epidemiological data (n=172 and n=217, respectively) were comparable. Incidence of NEC stage II+ was significantly higher in center 1 (15.1 versus 5.5%, n=18 versus 6). This correlated with a significantly lower rate of exclusive human milk feeding compared to center 2 (24.2 versus 59.3%). Probiotic treatment did not differ. Importantly, in case of surgery the length of removed intestine (49.9 versus 19.5 cm) and the rate of severe short-bowel syndrome (38.9 versus 0 %) were significantly higher in center 1 (no in-house pediatric surgery). Furthermore, long-term morbidity assessment revealed more impaired motoric (-4.2 versus -2.2 months, p=0.21) and psychologic (-4.3 versus -1.6 months, p=0.09) development in center 1. Mortality was similar in both centers. Conclusions. Short- and possibly also long-term morbidity of NEC is clearly associated with the presence of an on-site pediatric surgery unit. Enteral nutrition with human milk seems to be a strong protective factor against NEC.

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Whitaker, Leighton C. "Macho and Morbidity:". Journal of College Student Psychotherapy 1, n.º 4 (13 de outubro de 1987): 33–48. http://dx.doi.org/10.1300/j035v01n04_03.

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Bourbonnais, Renée, e Michel Vézina. "La santé mentale des cols blancs et l’environnement psychosocial du travail". Santé mentale au Québec 20, n.º 2 (11 de setembro de 2007): 163–84. http://dx.doi.org/10.7202/032358ar.

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RÉSUMÉ Au Québec, comme dans plusieurs pays occidentaux, les problèmes de santé mentale représentent l'une des principales causes de morbidité de la population et d'absence du travail pour de longues périodes. Une partie des problèmes de santé mentale au travail résulterait de l'effet combiné d'une demande psychologique élevée et d'une faible latitude décisionnelle dans le travail. Au cours d'une étude longitudinale d'un an chez des cols blancs de la région de Québec, aucune association significative entre l'absence pour maladie et la tension au travail n'a été démontrée. Toutefois, certains sous-groupes plus à risque d'absence ont été identifiés parmi les cols blancs soumis dans leur travail à une combinaison de demande élevée et de latitude faible.

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Nirmala, B. P., N. Venkataswamy Reddy e V. G. Kaliaperumal. "Psychiatric Morbidity Among Female Prisoners". Indian Journal of Psychological Medicine 23, n.º 2 (julho de 2000): 27–32. http://dx.doi.org/10.1177/0975156420000207.

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Kiku, Pavel F., Evgeniy V. Zhovnerchuk, Irina P. Melnikova, Natalya I. Izmerovа e Kseniya M. Sabirova. "Peculiarities of psychophysiological adaptation of marine cadets during professional training in marine specialities". Occupational Health and Industrial Ecology, n.º 12 (15 de fevereiro de 2019): 19–24. http://dx.doi.org/10.31089/1026-9428-2018-12-19-24.

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Introduction.Occupational environment and occupational factors determine peculiarities in mastering marine occupations. Some unfavorable occupational educational and ecologic factors appear to cause high level of physical and psychoemotional stress.Objectiveis to study features of adaptation to study during occupational training in marine specialties in cadets of a higher marine educational institution, and to conduct medical and psychological rehabilitation.Material and methods.Examination covered 120 male cadets of 3rd and 4thyears of study: 70 (main group) and 50 (reference group). The age of the cadets was 21±0.4 years. To study characteristics of the cadets’ adaptation, the authors used psychological methods — Spielberger’s State Trait Anxiety Scale and Nemchin’s «Method measuring severity of neuropsychic stress». Statistical analysis was performed with software «Statistica for Windows 10.0».Study results and discussion.After 3 months of sailing, majority of the cadets appeared to be dysadapted. Deep clinical and laboratory studies proved that 39.4% of the examinees were apparently healthy and 60.6% of those had chronic diseases. Thus, a system of medical psychologic rehabilitation was designed, comprising primary and secondary prophylaxis methods. One of these prevention methods is a recovery complex of measures with intermittent normobaric hypoxia modified by us. The authors determined optimal regime of using intermittent normobaric hypoxia combined with medical rehabilitation.Conclusions.Adaptational state in cadets of high marine educational institution during professional training in marine occupations is characterized by increased psycho-emotional strain, anxiety and observed in 57.3% of the examinees. Findings are that after 3 months of sailing, majority of the cadets are dysadapted. To prevent morbidity and preserve health, the authors suggested a system of medical and psychologic rehabilitation including intermittent normobaric hypoxia with rehabilitation medical complex. The medical and prophylactic measures help to solve problems of psycho-emotional stress, lower morbidity parameters, prevent dysadaptation disorders, relieve functional overstrain. That preserves and improves the cadets’ health and forms an important stage in prevention of mental and behavioral disorders related to work.

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Dunn, Graham. "Records of psychiatric morbidity in general practice: the National Morbidity Surveys". Psychological Medicine 15, n.º 2 (maio de 1985): 223–26. http://dx.doi.org/10.1017/s0033291700023497.

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Kimmel, P. L., K. Weihs e R. A. Peterson. "Survival in hemodialysis patients: the role of depression." Journal of the American Society of Nephrology 4, n.º 1 (julho de 1993): 12–27. http://dx.doi.org/10.1681/asn.v4112.

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Depression has been identified at the most prevalent psychologic problem in patients with ESRD treated with hemodialysis (HD). Depression has been associated with mortality in HD patients; however, the similarity of the symptoms of depressive disorders to those of uremia and the difficulties in measuring depression and dissociating psychologic from physical aspects of depression in such patients render these studies difficult to evaluate. Conflicting data regarding the effects of depression on survival in HD patients may be the result of using somatic symptoms in quantifying the extent of depression. In this review, studies regarding the diagnosis of depression in HD patients, the association of depression and survival in HD patients in light of recent work on factors related to the morbidity and mortality in the ESRD population, and aspects of therapy for depression in HD patients are considered. Specifically, depression may affect immunologic function, nutrition, and compliance factors that may affect the prescription and delivery of dialysis, which may, in turn, influence outcome. Alternatively, depression may be an independent factor in influencing survival. Cognitive depression measures may be more useful in predicting outcome in HD patients than standard measures used in nonmedically ill populations. Although there are few studies of the effect of treatment of depression on outcome in HD patients, it is reasonable to hypothesize that treatment of depressive disorders in HD patients might effect outcome. Further studies on the association of depression and its treatment and mortality in ESRD patients are warranted.

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Schag, C. A., P. A. Ganz, M. L. Polinsky, C. Fred, K. Hirji e L. Petersen. "Characteristics of women at risk for psychosocial distress in the year after breast cancer." Journal of Clinical Oncology 11, n.º 4 (abril de 1993): 783–93. http://dx.doi.org/10.1200/jco.1993.11.4.783.

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PURPOSE To provide a detailed description of rehabilitation problems of women, considered to be low risk and at risk for psychosocial morbidity, diagnosed with stage I and II breast cancer 1 month and 1 year after primary treatment. PATIENTS AND METHODS A sample of 227 newly diagnosed breast cancer patients were systematically interviewed by a clinical social worker and classified for risk of psychosocial distress in the year after diagnosis. They completed a battery of standardized instruments to assess quality of life (QL), rehabilitation needs, and psychologic distress. The primary QL instrument, the Cancer Rehabilitation Evaluation System (CARES), provides a detailed listing of rehabilitation needs. Descriptive CARES data are presented with comparisons between the two groups. RESULTS The at-risk women had significantly more problems with greater severity than the low-risk women in all areas (physical, psychosocial, medical interaction, sexual, and marital). While both groups showed improvement over the year following diagnosis, the at-risk group had significantly more problems 1 year later. Many physical problems subside, but problems at the local surgical site, psychologic distress, communication with marital partners, and negative body image are more persistent in the at-risk group 1 year later, while half of both groups continue to have sexual dysfunction. CONCLUSION The detailed listing of problems provided by the CARES may be helpful to clinicians in their interactions with patients. The need for preventive and early intervention for the at-risk patients is underscored.

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Christiansen, Sandra C., Camila Lopes Veronez, Tukisa D. Smith, Marc A. Riedl e Bruce L. Zuraw. "Hereditary Angioedema: Impact of COVID-19 pandemic stress upon disease related morbidity and well-being". Allergy and Asthma Proceedings 44, n.º 2 (1 de março de 2023): 115–21. http://dx.doi.org/10.2500/aap.2023.44.220096.

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Background: Individuals with hereditary angioedema (HAE) experience stress-related sequelae, including enhanced disease morbidity and reduced quality of life. The pervasive societal strain that surround the coronavirus disease 2019 (COVID-19) pandemic may theoretically pose a disproportionate risk for patients with HAE. Objective: To dissect the interrelationship(s) among the COVID-19 pandemic, stress, and HAE disease-related morbidity and overall well-being. Methods: Subjects with HAE (either due to C1-inhibitor deficiency or with normal C1 inhibitor) as well as non-HAE household members (normal controls) completed online questionnaires that covered the impact of the COVID-19 pandemic on attack frequency, observed effectiveness of HAE medications, stress, and perceived quality of life and/or well-being. The subjects scored each of the questions to reflect their current status as well as their status before being aware of the pandemic. Results: Disease morbidity and psychologic stress outcomes were significantly worse in patients with HAE during the pandemic compared with before they were aware of the pandemic. A COVID-19 infection further increased attack frequency. Control subjects also experienced deterioration of well-being and optimism. A comorbid diagnosis of anxiety, depression, or posttraumatic stress disorder (PTSD) was generally associated with worse outcomes. Women consistently showed greater decrements in wellness during the pandemic compared with men. Women also reported higher levels of comorbid anxiety, depression, or PTSD than men and experienced a higher rate of job loss during the pandemic. Conclusion: The results implicated a deleterious impact of stress in the aftermath of COVID-19 awareness on HAE morbidity. The female subjects were universally more severely affected then were the male subjects. Overall well-being and/or quality of life, and optimism for the future deteriorated after awareness of the COVID-19 pandemic for the subjects with HAE and non-HAE household controls.

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Sensky, Tom. "Psychiatric Morbidity in Renal Transplantation". Psychotherapy and Psychosomatics 52, n.º 1-3 (1989): 41–46. http://dx.doi.org/10.1159/000288297.

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Hameed, Shahul, Afsha Shaheen S. Hullur, K. Chethana, Asif Khan e K. G. Kiran. "Morbidity Pattern and Health-related Quality of Life among Elderly in Rural Coastal Karnataka". Journal of Medical Sciences and Health 8, n.º 3 (15 de dezembro de 2022): 258–63. http://dx.doi.org/10.46347/jmsh.v8i3.22.27.

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Introduction : In elderly individuals, morbidity has a substantial impact on the physical and psychological well-being. Quality of life in elderly may be affected by the morbidities that they suffer. Material and Methods: A community-based cross-sectional study was conducted from September to November 2021 in the rural areas attached to the Rural Health Training Centre of a teaching hospital. Elderly individuals were selected by multistage sampling. The sample size was estimated as 118. Participants’ data was collected using a pretested semi-structured questionnaire regarding their socio-demographic profile and morbidity status. Quality of life (QOL) was assessed by using the WHOQOL-BREF scale. The difference between mean scores in the domains was tested by using an independent sample t-test. Statistical significance was set at 5% level of significance (p < 0.05). Results: Majority (57.6%) of the study population were males, 57.6% were illiterate and only 9.3% lived in joint families. Major morbidities reported were hypertension (55.9%), impaired vision (52.5%) and joint pain or stiffness (50.8%). The mean perceived overall quality of life scores in the study population were 61.9±17.5. Male participants had higher mean social and environmental domain scores. Literate individuals had higher social domain mean scores which was statistically significant. Conclusion: Appropriate rehabilitation measures along with health education with the assistance of a geriatric psychologist in order to identify gaps in QOL domains and approaches to solve them would help to improve the quality of life of the elderly. Keywords: Morbidity, Elderly, Quality of life, Rural

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Khan, Bushra. "Integration of Mind and Skin; Psychological Co-morbidity in Dermatology and Skin Signs in Psychiatry". TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH 9, n.º 1 (28 de janeiro de 2022): 43–52. http://dx.doi.org/10.21522/tijar.2014.09.01.art005.

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Being the largest organ of the body, the skin is known to respond to both exogenous and endogenous stimuli. Whereas it is known that having a dermatological ailment can have a negative effect on one’s body image, in addition to one’s mental state, it should also be noted that the opposite is also true. That is to say that possessing psychological issues can subsequently lead to dermatological ailments. Considering this, the study aimed to analyze the co-integration of the skin and mind, analyzing the comorbidity of psychiatric disorders and dermatological issues. 30 dermatological patients, 25 psychiatry patients, and 10 control patients were enrolled into the study. Patients were tasked to complete a 21-item Depression, Anxiety and Stress Scale (21-DASS) questionnaire and a 10-item Dermatology Life Quality Index. Each patient was then assessed by a dermatologist and a psychologist. It was found that when compared to the control group, the psychological out-patients were more likely to experience dermatological ailments (p<0.001). In addition, it was found that when compared to the control group, the dermatological patients experienced an overall lower quality of life and a higher 21-DASS test result. Ultimately, it can be seen that one’s mental state does in fact, have the potential to affect one’s dermatological condition. With that in mind, it has been proposed to utilize stress reduction techniques and psychological intervention as adjuvant treatments for dermatological ailments.

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Dye, Crystal, William B. Risinger, Spencer Thompson, David Keeven, Jason Smith e Matthew Bozeman. "567 Distance to Burn Center Is Not Associated with Long-term Psychologic Outcomes Following Burn Injury". Journal of Burn Care & Research 45, Supplement_1 (17 de abril de 2024): 158. http://dx.doi.org/10.1093/jbcr/irae036.201.

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Abstract Introduction Burn injury predisposes patients to significant psychologic morbidity including anxiety and depression. Adding to the burden of injury, patients often require transfer to specialized burn centers located far from home, family, and friends. We sought to assess the impact of distance to burn center on long-term psychologic outcomes. Methods Patients admitted to our American Burn Association verified center from January 2021- June 2023 were identified. Demographics, burn characteristics, and follow up anxiety (Generalized Anxiety Disorder-7) and depression (Patient Health Questionnarie-2) screening scores were reviewed. Distance to burn center (miles) was determined based on patient’s home address. Wilcoxson rank-sum, chi-squared, and logistic regression tests were used to identify variables associated with post-burn anxiety. Linear regression was used to evaluate the relationship between distance to burn center and GAD-7 scores. Results Of the 267patients identified, 35.6% and 27.9% screened positive for anxiety (GAD-7 > 10) and depression (PHQ-2 > 3) respectively at follow-up. On univariate analysis, female sex (38% vs. 21%, p < 0.01), morphine milligram equivalents (MME) on the last day of hospitalization (30 vs. 22.5, p=0.02), prior psychiatric history (37% vs. 13%, p< 0.01), and inhalation injury (9% vs. 3%, p=0.05) were associated with positive anxiety screens. Distance to burn center was similar between patients with positive and negative anxiety screens (40 vs. 47 miles, p=0.49). Via logistic regression, MME on the last day of hospitalization (OR: 1.02, p=0.03) and a history of psychiatric illness (OR: 3.93, p < 0.01) all predicted post-injury anxiety when accounting for age, %TBSA, burn mechanism, sex, injury at workplace, inhalation injury, and hand/face involvement. Distance to burn center showed no linear relationship to GAD-7 scores (β = -0.004, R2=0.00, p=0.64). Conclusions Distance to burn center is not associated with increased long-term psychologic outcomes following burn injury, further supporting the transfer of patients to specialized burn centers. However, prior history of psychiatric illness and increased utilization of inpatient narcotics are all associated with increased probability of long-term anxiety. Applicability of Research to Practice Provides further evidence for the transfer of burn patients to specialized centers.

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BAUMEISTER, ALFRED A., FRANK D. KUPSTAS e LUANN M. KLINDWORTH. "The New Morbidity". American Behavioral Scientist 34, n.º 4 (março de 1991): 468–500. http://dx.doi.org/10.1177/0002764291034004007.

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Alenezi, Mazyad, Abeer Alaglan, Abdulhakeem Almutairi, Sultan Alanazy e Osama Al Wutayd. "Unilateral internal jugular vein phlebectasia in an adult: Management and one year follow-up". SAGE Open Medical Case Reports 7 (janeiro de 2019): 2050313X1983635. http://dx.doi.org/10.1177/2050313x19836351.

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Phlebectasia describes an anomalous, fusiform dilatation of a vein. In the neck region, the internal and external jugular veins are mostly affected. To our knowledge, this is the first case in Saudi Arabia of internal jugular phlebectasia affecting an adult female. We describe a 61-year-old female with complaints of a neck swelling she noticed 4 years ago. Initially, the swelling increased in size and reached a stable level. It was asymptomatic and only enlarged during Valsalva maneuver. Flexible nasolaryngoscopy and computerized tomography scan showed unremarkable examination. Follow-up after 1 year with US Doppler showed no progression. Internal jugular phlebectasia is a rare disorder which is often diagnosed during childhood. More often than not, it does not cause any significant morbidity. Since it is a benign condition, observation is advised with regular monitoring. For asymptomatic lesions, surgical intervention is recommended if cosmetic or psychologic concerns are present.

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COSTELLO, ELIZABETH J., e THOMAS PANTINO. "The New Morbidity". Journal of Developmental & Behavioral Pediatrics 8, n.º 5 (outubro de 1987): 288???291. http://dx.doi.org/10.1097/00004703-198710000-00009.

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Jindal, K. C., Gurvinder Pal Singh, Varinder Mohan e B. B. Mahajan. "Psychiatric Morbidity Among Inmates of Leprosy Homes". Indian Journal of Psychological Medicine 35, n.º 4 (outubro de 2013): 335–40. http://dx.doi.org/10.4103/0253-7176.122221.

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Freriks, Kim, Janneke Timmermans, Catharina C. M. Beerendonk, Chris M. Verhaak, Romana T. Netea-Maier, Barto J. Otten, Didi D. M. Braat et al. "Standardized Multidisciplinary Evaluation Yields Significant Previously Undiagnosed Morbidity in Adult Women with Turner Syndrome". Journal of Clinical Endocrinology & Metabolism 96, n.º 9 (1 de setembro de 2011): E1517—E1526. http://dx.doi.org/10.1210/jc.2011-0346.

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Abstract Context: Besides short stature and gonadal dysgenesis, Turner syndrome (TS) is associated with various abnormalities. Adults with TS have a reduced life expectancy, mainly related to structural abnormalities of the heart and aorta, and an increased risk of atherosclerosis. Objective: Our objective was to investigate the yield of an initial standardized multidisciplinary screening in adult TS patients. Design and Setting: This was an observational study at a multidisciplinary care unit for adult women with TS. Participants: Participants were adult women with TS (n = 150). Mean age was 31.0 ± 10.4 yr, with 47% karyotype 45,X. Interventions: All women were consulted by an endocrinologist, a gynecologist, a cardiologist, an otorhinolaryngologist, and when indicated, a psychologist. The screening included magnetic resonance imaging of the heart and aorta, echocardiography, electrocardiogram, dual-energy x-ray absorptiometry, renal ultrasound, audiogram, and laboratory investigations according to international expert recommendations. Main outcome measures: New diagnoses and prevalence of TS-associated morbidity were evaluated. Results: Thirty percent of patients currently lacked medical follow-up, and 15% lacked estrogen replacement therapy in the recent last years. The following disorders were newly diagnosed: bicuspid aortic valve (n = 13), coarctation of the aorta (n = 9), elongation of the transverse aortic arch (n = 27), dilation of the aorta (n = 34), osteoporosis (n = 8), osteopenia (n = 56), renal abnormalities (n = 7), subclinical hypothyroidism (n = 33), celiac disease (n = 3), glucose intolerance (n = 12), dyslipidemia (n = 52), hypertension (n = 39), and hearing loss warranting a hearing aid (n = 8). Psychological consultation was needed in 23 cases. Conclusions: Standardized multidisciplinary evaluation of adult women with TS as advocated by expert opinion is effective and identifies significant morbidity. Girls with TS benefit from a careful transition to ongoing adult medical care.

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Kiecolt-Glaser, Janice K., e Stephanie J. Wilson. "Psychiatric Disorders, Morbidity, and Mortality". Psychosomatic Medicine 78, n.º 7 (setembro de 2016): 772–75. http://dx.doi.org/10.1097/psy.0000000000000373.

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Lee, Dominic T. S., C. K. Wong, G. S. Ungvari, L. P. Cheung, Christopher J. Haines e Tony K. H. Chung. "Screening Psychiatric Morbidity After Miscarriage". Psychosomatic Medicine 59, n.º 2 (1997): 207–10. http://dx.doi.org/10.1097/00006842-199703000-00014.

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David, Daniella, Thomas A. Mellman, Lourdes M. Mendoza, Renee Kulick-Bell, Gail Ironson e Neil Schneiderman. "Psychiatric morbidity following Hurricane Andrew". Journal of Traumatic Stress 9, n.º 3 (1996): 607–12. http://dx.doi.org/10.1002/jts.2490090316.

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Hadley, SA, e L. Saarmann. "Lipid physiology and nutritional considerations in coronary heart disease". Critical Care Nurse 11, n.º 10 (1 de novembro de 1991): 28–39. http://dx.doi.org/10.4037/ccn1991.11.10.28.

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Most authorities recommend a prudent diet, moderate exercise, and the maintenance of ideal body weight Although lowering total cholesterol and LDL levels has been demonstrated to lower CHD risk, the results of major clinical trials do not indicate a reduction in overall mortality. CHD is a complicated, multifaceted disease. In addition to recognized risk factors, there may be many more that have yet to be identified. With this in mind, it is important that the nurse does not place unmitigated stress on patients to make radical changes in diet and lifestyle. Moderation is the key in striking a balance between a prudent dietary regimen and the stress that such a regimen might induce. It would be wrong to lead patients to believe that dietary intervention will provide a panacea for all their ills. The adoption of a prudent diet can reduce the incidence of CHD morbidity. The benefits of lowering serum cholesterol may lie more in overall physical and psychologic fitness rather than longevity.

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Woodward, Mark N., Peter Foley e Eleri L. Cusick. "Colostomy for Treatment of Functional Constipation in Children: A Preliminary Report". Journal of Pediatric Gastroenterology and Nutrition 38, n.º 1 (janeiro de 2004): 75–78. http://dx.doi.org/10.1002/j.1536-4801.2004.tb12112.x.

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ABSTRACTObjectivesSurgery is indicated in very few children with intractable functional constipation. A number of operations have been described with unpredictable outcome and significant morbidity. The authors present a series of 10 children who underwent a Hartmann procedure with end colostomy formation.MethodPreoperative management, in addition to maximum conservative measures, included psychologic referral, rectal biopsy, transit studies, and contrast enemas. A standard Hartmann procedure was performed with on‐table rectal washout, formation of a proximal sigmoid colostomy, limited anterior resection of hypertrophic proximal rectosigmoid, and oversewing of the rectal stump.ResultsThe series includes 10 pediatric patients (4 female, 6 male), in whom constipation was first reported at a median age of 3 years (range, 2 months–7 years) and surgical referral was made at 8 years (range, 1–14 years). Surgery was performed at a median age of 9.5 years (range, 2–15 years), and the median postoperative stay was 5 days (range, 4–9 days). Complications occurred in four patients (transient mild rectal discharge in 2, stomal prolapse in 1, and an unrelated small bowel obstruction in 1 patient with an additional Mitrofanoff stoma). Median postoperative follow‐up was 31 months (range, 9–56 months), and the children and parents were all completely satisfied with the stoma.ConclusionColostomy formation is a potential surgical option for severe functional constipation with low associated morbidity and high patient satisfaction.

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Saxena, Ankur, Sunil K. Gupta, Jolly Saxena e Niranjan S. "A CLINICAL STUDY ON THE MANAGEMENT OF STHAULYA BY TRIKATU CHURNA". International Ayurvedic Medical Journal p4, n.º 05 (30 de julho de 2020): 2382–88. http://dx.doi.org/10.46607/iamj03p4052020.

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Sthaulya / Atisthaulya in Ayurveda comes under the heading of Medoroga which results due to dysfunc-tion of Meda Dhatvagni (factor responsible for nourishment / metabolism of Meda dhatu) and in modern parlance it is equated with Obesity due to its close similarities. It is the main cause for so many complica-tions like Hypertension, Diabetes mellitus, Osteoarthritis, Infertility, Impotency etc. as well as psychologi-cal disturbances like anxiety, depression etc. Thus, the mortality and morbidity rate were high in obese per-sons compared to others. This shows the importance of the need for further researches of effective measures in the management of Sthaulya. Hence in the present study a clinical trial was carried out with Trikatu Churna in the management of Sthaulya (obesity) for 30 days. 30 patients were selected with diag-nosis of Sthaulya out of which 24 completed the treatment. The study concluded with the positive results of Trikatu churna in reducing the signs and symptoms of Sthaulya.

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Munoli, Ravindra Neelakanthappa, Samir Kumar Praharaj e Podila Satya Venkata Narasimha Sharma. "Co-morbidity in Bipolar Disorder: A Retrospective Study". Indian Journal of Psychological Medicine 36, n.º 3 (julho de 2014): 270–75. http://dx.doi.org/10.4103/0253-7176.135377.

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Kiecolt-Glaser, Janice K., Lynanne McGuire, Theodore F. Robles e Ronald Glaser. "Emotions, Morbidity, and Mortality: New Perspectives from Psychoneuroimmunology". Annual Review of Psychology 53, n.º 1 (fevereiro de 2002): 83–107. http://dx.doi.org/10.1146/annurev.psych.53.100901.135217.

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Mensh, Ivan N. "The Hidden Psychiatric Morbidity of General Medical Practice". Contemporary Psychology: A Journal of Reviews 37, n.º 4 (abril de 1992): 365. http://dx.doi.org/10.1037/032025.

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Varghese, P. Joseph, Valsa Thomas e K. S. Jacob. "Psychiatric Morbidity in a Rural Community in Kerala". Indian Journal of Psychological Medicine 16, n.º 2 (julho de 1993): 5–7. http://dx.doi.org/10.1177/0975156419930202.

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Kurian, Suja, Prathap Tharyan e Suranjan Bhattacharjee. "Psychiatric Morbidity in Rehabilitated Patients with Physical Disability". Indian Journal of Psychological Medicine 26, n.º 2 (julho de 2003): 15–18. http://dx.doi.org/10.1177/0975156420030204.

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Fagundes, Christopher P., e E. Lydia Wu. "Matters of the Heart: Grief, Morbidity, and Mortality". Current Directions in Psychological Science 29, n.º 3 (7 de maio de 2020): 235–41. http://dx.doi.org/10.1177/0963721420917698.

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Spousal bereavement is associated with elevated risk of morbidity and mortality. Several well-regarded multidisciplinary research teams have investigated the biopsychosocial processes underlying why widows and widowers are at elevated physical-health risk. Here, we review research from multiple investigators showing that, on average, widows and widowers exhibit maladaptive patterns of autonomic, neuroendocrine, and immune activity compared with matched comparison subjects. Widows and widowers also exhibit poorer health behaviors than they did before their spouse’s death, and the considerable variation in postloss psychological-adjustment trajectories among widows and widowers likely corresponds to physical-health risk trajectories. Yet there is little biobehavioral research on patterns of change in physical-health risk after the death of a spouse. We summarize recently published work demonstrating how attachment theory can characterize and predict individual differences in physical-health biomarkers, highlighting the need for a biopsychosocial approach to understanding and characterizing postloss trajectory patterns. We conclude by discussing the possibility that this line of inquiry could help researchers, and ultimately providers, identify adjustment trajectories earlier and thus deliver appropriate interventions when they are most needed.

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Blanchard, Edward B., Edward J. Hickling, Ann E. Taylor, Warren R. Loos e Robert J. Gerardi. "Psychological morbidity associated with motor vehicle accidents". Behaviour Research and Therapy 32, n.º 3 (março de 1994): 283–90. http://dx.doi.org/10.1016/0005-7967(94)90123-6.

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Gillis, Mazy, Mark Lumley, Angelia Mosley-Williams e James Leisen. "CORRELATES OF MORBIDITY IN LUPUS ERYTHEMATOSUS". Psychosomatic Medicine 60, n.º 1 (1998): 122. http://dx.doi.org/10.1097/00006842-199801000-00141.

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Santonastaso, Paolo, Maurizio Zambenedetti, Angela Favaro, Cinzia Favaron e Tiziana Pavan. "Family Psychiatric Morbidity in Eating Disorders". European Eating Disorders Review 5, n.º 1 (março de 1997): 3–10. http://dx.doi.org/10.1002/(sici)1099-0968(199703)5:1<3::aid-erv170>3.0.co;2-h.

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Sanderson, Maureen, Jing Wang, Dorothy R. Davis, Marcia J. Lane, Carol B. Cornman e Mary K. Fadden. "Co-morbidity associated with dementia". American Journal of Alzheimer's Disease & Other Dementiasr 17, n.º 2 (março de 2002): 73–78. http://dx.doi.org/10.1177/153331750201700210.

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Stein, Robert, Elena Sergeyev, Wieland Kiess, Antje Körner e Arne Dietrich. "Chancen und Risiken der bariatrischen Chirurgie im Kindes- und Jugendalter". Adipositas - Ursachen, Folgeerkrankungen, Therapie 14, n.º 04 (novembro de 2020): 206–13. http://dx.doi.org/10.1055/a-1267-8163.

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ZusammenfassungAdipositas-chirurgische Eingriffe werden im Kindes- und Jugendalter noch immer selten durchgeführt. Erste Studien mit aussagefähigen Beobachtungszeiträumen und Fallzahlen zeigen jedoch vielversprechende Ergebnisse bei geringer operations-assoziierter Morbidität. Da die Langzeitfolgen für den sich noch entwickelnden Körper nach wie vor nicht abgeschätzt werden können, sollte die Indikationsstellung nur nach Ausschöpfen aller konservativen Maßnahmen in einem multidisziplinären Team aus Chirurg, Pädiater, Ernährungstherapeut und Psychologe als Einzelfallentscheidung erfolgen und die Operation interprofessionell begleitet werden. Besondere Bedeutung kommt hierbei der Nachsorge zu, da es neben dem Erkennen und Behandeln von operations-assoziierten Nebenwirkungen auch um die Sicherung eines langfristigen Erfolgs durch eine nachhaltige Änderung des Lebensstils unter Beachtung der psychosozialen Situation des heranwachsenden Patienten bis in das Erwachsenenalter hinein geht. Wir haben in diesem Artikel die aktuellen Empfehlungen aus nationalen Leitlinien und darüber hinaus reichenden wissenschaftlichen Veröffentlichungen anhand von Fallbeispielen aus dem Adipositas-Zentrum der Universitätsklinik Leipzig illustriert.

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SHEPERTYCKY, Martha R., Mohammed AL-BARRAK e Meir H. KRYGER. "Morbidity and mortality in obstructive sleep apnea syndrome 1: Effect of treatment on cardiovascular morbidity". Sleep and Biological Rhythms 1, n.º 1 (fevereiro de 2003): 15–28. http://dx.doi.org/10.1046/j.1446-9235.2003.00003.x.

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Cheng, T. A. "Urbanisation and minor psychiatric morbidity". Social Psychiatry and Psychiatric Epidemiology 24, n.º 6 (novembro de 1989): 309–16. http://dx.doi.org/10.1007/bf01788034.

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Ramakrishna, Podaralla, e Tenali Rajni. "Psychiatric Morbidity and Quality of Life in Vitiligo Patients". Indian Journal of Psychological Medicine 36, n.º 3 (julho de 2014): 302–3. http://dx.doi.org/10.4103/0253-7176.135385.

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Peltzer, Karl, Varghese I. Cherian e Lily Cherian. "Minor Psychiatric Morbidity in South African Secondary School Pupils". Psychological Reports 85, n.º 2 (outubro de 1999): 397–402. http://dx.doi.org/10.2466/pr0.1999.85.2.397.

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This study investigated minor psychiatric morbidity (“neurotic”: anxiety and depression symptoms) in rural (Black) South African secondary school pupils. The sample included 622 Grade 11 pupils (254 boys and 368 girls) in the age range of 17 to 24 years with a mean age of 19.3 yr. The inventories used were a questionnaire on the socioeconomic and family background, a Cultural Orientation Scale, a Student Stress Scale, a General Self-efficacy Scale, a Perceived Stress Scale, and the Self-reporting Questionnaire-20. The findings are that 12.6% of the pupils had a possible clinically significant psychological disorder. Contributing factors identified were interpersonal, study, finance, illness, perceived stress, low self-efficacy, and low religious orientation.

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PELTZER, KARL. "MINOR PSYCHIATRIC MORBIDITY IN SOUTH AFRICAN SECONDARY SCHOOL PUPILS". Psychological Reports 85, n.º 6 (1999): 397. http://dx.doi.org/10.2466/pr0.85.6.397-402.

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