Cornell Medical Index Health Questionnaire Research Articles

Association Between Passive Smoking and Menstrual Discomfort: A Cross-Sectional Study of 2,571 Non-smoking Chinese Nurses.

IntroductionMenstrual discomfort affects women's quality of life, which is an important public health issue. Evidence confirming the link between passive smoking and menstrual discomfort is limited. Therefore, the aim of this study is to investigate the aforementioned topic on the basis of a cross-sectional study of 2,571 non-smoking Chinese nurses.MethodsDemographic information and passive smoking were assessed using a self-administered questionnaire. Menstrual discomfort was characterized as dysmenorrhea, illness or weakness, bed rest, and restlessness during menstruation, which was assessed using a modified version of the Cornell Medical Index-Health Questionnaire. Multivariate-adjusted odds ratio (OR) and 95% confidence intervals (CIs) were estimated using the logistic regression model.ResultsA total of 1:195 nurses (46.48%) were exposed to passive smoking. Compared with non-passive smoking nurses, passive smoking nurses were more likely to have menstrual discomfort symptoms (72.38 vs. 64.39%), especially symptoms of dysmenorrhea (49.54 vs. 42.08%), illnesses or weakness (48.28 vs. 42.08%), and restlessness during menstruation (53.05 vs. 46.22%). Exposure to passive smoking was significantly associated with menstrual discomfort (OR = 1.41, 95%CI: 1.19–1.67), especially symptoms of dysmenorrhea (OR = 1.32, 95%CI: 1.13–1.56), illness or weakness (OR = 1.24, 95%CI: 1.06–1.46), and restlessness (OR = 1.26, 95%CI: 1.08–1.48) during menstruation. The subgroup analyses, stratified by age, children, and marital status, agreed with the main findings.ConclusionsExposure to passive smoking was related to symptoms of dysmenorrhea and menstrual discomfort.

Association Between Passive Smoking and Health Among Chinese Nurses: A Cross-Sectional Study.

This study aimed to investigate the association between passive smoking and physical and psychological health in Chinese nurses. Participants of this cross-sectional study comprised 2,484 non-smoking nurses. Passive smoking and demographic information were assessed using a self-administered questionnaire. Physical, psychological, and overall health status of nurses were measured using the Cornell Medical Index (CMI) health questionnaire. Multivariate-adjusted odds ratio (OR) and 95% confidence interval (CI) for nurses' health were estimated by exposure to passive smoking using unconditional logistic regression models. A total of 1,219 nurses (49.07%) were exposed to passive smoking. Of these, 609 (24.52%), 160 (6.44%), and 587 (23.63%) nurses had poorer physical, mental, and overall health, respectively. After adjusting for other confounding factors, compared with the non-passive smoking group, passive smoking was associated with poor physical (OR = 1.51, 95% CI: 1.25–1.83), mental (OR = 1.48, 95% CI: 1.07–2.07), and overall (OR = 1.58, 95% CI: 1.30–1.93) health of nurses, respectively. We also carried out subgroup analyses stratified by age, department, and professional title, which showed that most findings supported the main results. This study demonstrated that exposure to passive smoking was a risk factor for overall decreased physical and mental health status among Chinese nurses.

IMPACTING HEALTH OF STUDENTS WITH VISUAL IMPAIRMENT THROUGH YOGA

Visual impairment during childhood hinders children's neurological progress, markedly impacting their physical, psychological, social, and emotional health. Yoga's multifarious approach can help children with visual impairment to cope with their challenges. The research was conducted with an objective to develop a Yoga based Intervention Program for Students with Visual Impairment and to measure its impact on their health. Experimental method of research with one group pretest-posttest design was used by the researcher. 39 visually impaired adolescent students were taken as sample chosen by Purposive Sampling technique. The intervention program consisted of yogic prayer, warm up exercises, asanas, pranayams, meditation etc. The program was conducted for two months, one hour session per day for six days per week. The Cornell Medical Index Health Questionnaire (Visually Handicapped) was used to assess the health of students with visual impairment. The results conveyed that there was a positive impact of Yoga Intervention Program on health of students with visual impairment. The intervention was found successful for both the dimensions of health i.e. physical health and psychological health. Further, yoga intervention was found beneficial for all the sub-dimensions of physical and psychological health.

Comparison of the Psychological Condition of Chinese Patients with or without Halitosis Complaints.

To investigate the psychological condition of Chinese patients with or without a primary complaint of halitosis. The psychological condition of 196 Chinese patients who visited the Department of Periodontics was evaluated using the Cornell Medical Index (CMI) health questionnaire. The breath malodour of all patients was scored using the organoleptic test (OLT). More than half of patients (53.1%) complaining of halitosis actually demonstrated pseudo-halitosis. The overall scores and scores for emotional symptoms of CMI were significantly higher in patients with a chief complaint of halitosis than in those without such a complaint (P < 0.05). Females with a chief complaint of halitosis exhibited significantly higher scores for all parameters relative to females without a complaint (P < 0.05), while males with a chief complaint of halitosis exhibited enhanced emotional symptoms, particularly inadequacy, anxiety, and tension (P < 0.05) when compared with males without a halitosis complaint. Among patients complaining of halitosis, CMI scores for all parameters showed no difference between genuine halitosis female patients and pseudo-halitosis female patients, while male patients with pseudo-halitosis showed higher scores in the CMI overall score, scores for emotional symptoms and sensitivity, than males with genuine halitosis. There was a marked inconsistency between the complaints of patients and their actual odour status. Patients with a chief complaint of halitosis exhibited a greater level of inadequacy, depression, anxiety, sensitivity, anger, and stress. The psychological status of the patients varied with gender.

RELATIONSHIP OF PARENTAL HEALTH AND SOCIAL SUPPORT DURING PREGNANCY WITH THE RISK OF NON-SYNDROMIC ORAL CLEFTS: A CASE � CONTROL STUDY

AbstractOral clefts are divided into cleft lip, cleft palate and cleft lip along with cleft palate. Cleft palate is defined as an inability of palatal shelves to approximate and close during the first months of embryogenic period thus leaving an opening in the roof of the mouth and forming communication between the nasal and oral cavities.Objective:To determine the relationship of risk of oral clefts with parental health and social support.Study Design: Case Control Study.Study Setting and Duration:Various hospitals in Lahore and 3 month duration.Materials and Methods:A Case Control Study was conducted. A total of 100 subjects (50 cases, 50 controls) were included. Sampling was done by purposive method. Data was collected with the help of Cornell Medical Index Health Questionnaire and Social Support Questionnaire after taking their informed consent. Data was analyzed by using SPSS version 20.0. Mean and standard deviation were used to describe quantitative variables like age. Test of significance were applied.Results:56% of cases were females and 44% were males. Mean age of mothers was 27 and fathers was 31. Most mothers were uneducated (36%) while most fathers were educated till matric (34%). Income of most parents was in the range of 10,000-20,000 PKR (44%). 24% of controls were females and 76% were males. The associations of oral cleft was found significant with parental respiratory, cardiovascular, gastro-intestinal, musculoskeletal, skin-related, genitourinary health, easy fatigability, health habits, anxiety, anger, paternal nervous system health, sensitivity, and mater-nal frequency of illness, depression and feeling of inadequacy (p &lt; 0.05). Maternal social support catego-ries indicated that cases were less supported than con-trols: number of persons available and level of satisfaction (p &lt; 0.05).Conclusion:Oral clefts have a multi-factorial etio-logy. Hence, an effective preventive program should take into account parental health and social support factors.Key Words:Non-syndromic Oral Clefts, Parental Health, Social Support.

Iron deficiency without anemia is associated with anger and fatigue in young Japanese women.

Iron deficiency without anemia (IDNA), the most prevalent nutritional deficiency worldwide, affects young women of reproductive age. This study aimed to elucidate the relationship between IDNA and mental and somatic symptoms including anger and fatigue using the Japanese version of the Cornell Medical Index Health Questionnaire (CMI-J). Data regarding demographic characteristics, anthropometry, hematological, and biochemical indices of the iron status, frequencies of selected food intakes assessed by self-administered food frequency questionnaires (FFQs), frequencies of nonspecific symptoms, and grades of neurotic tendencies assessed by CMI-J were collected from 76 young women aged 18-22 years living in the metropolitan area of Tokyo, Japan. The subjects were classified as having IDNA (hemoglobin (Hb)≥12 g/dL and serum ferritin<20 ng/mL; n=29), having iron deficiency anemia (IDA) (Hb<12 g/dL and serum ferritin<20 ng/mL; n=10), or having a normal iron status (Hb≥12 g/dL and serum ferritin≥20 ng/mL; n=36). One subject was excluded from the analyses because of Hb<12 g/dL and serum ferritin≥20 ng/mL. Fisher's protected least significant difference and the Dwass-Steel-Chritchlow-Fligner multiple comparison tests were used to compare the data of the three groups. P values<0.05 were considered significant. Sections M-R (mental complaints) were significantly higher in the IDNA subjects than in the normal subjects. No significant difference in CMI scores was found between the normal and IDA subjects. Sections I (fatigability), Q (anger), and R (tension) were significantly higher in the IDNA subjects than in the normal subjects, regardless of no significant differences between the normal and IDA subjects in those sections. Young women with IDNA demonstrated a significantly higher proportion of neurotic tendencies (grades II-IV). The intake frequency score of canned or bottled green tea fortified with vitamin C was significantly higher in the IDNA subjects than the IDA subjects. The findings suggest that IDNA may be a risk factor for anger, fatigue, and tension in women of childbearing age.

Relationship of Job Burnout and Type A Behaviour on Psychological Health among Secretaries

The present study examines the relationship of Job burnout and Type A behaviour with Psychological health. Thedata was collected through three self-report questionnaires distributed among the Secretaries working incorporate offices. The questionnaires used in the study are Job Burnout Inventory, Behaviour Activity Profile –Type A Measure of Personality and the Cornell Medical Index Health Questionnaire (CMIHQ). Data wasanalyzed by correlation coefficient and stepwise multiple regression. The obtained results revealed that Angerhave been found significantly related with Personal accomplishment and Overall job burnout. Tension was foundpositively and significantly related with Impatience, Job involvement and Type A behaviour. Overall job burnoutemerged as a significant predictor of Anger. Emotional exhaustion and Depersonalization emerged as thesignificant predictors of Tension.

Levels of salivary stress markers in patients with anxiety about halitosis

Objective To investigate the relationship between salivary stress markers and mental stress states in patients complaining of oral malodour. The utility of the salivary stress markers in assessment of mental conditions of those patients was also investigated. Design The study population included 74 patients, aged 20–59 years, who complained of oral malodour and were referred to the Breath Odor Clinic at Tokushima University Hospital. Patients were classified into two groups, genuine halitosis (GH) and psychosomatic halitosis (PH), according to the results of organoleptic rating measurement. All patients were subjected to examination by the Cornell Medical Index (CMI) Health Questionnaire. Resting saliva was collected and levels of salivary IgA, cortisol and chromogranin A were determined by ELISA. Twenty-three volunteers not complaining of halitosis were included as the control group. Kruskal–Wallis test and Mann–Whitney's U-test were used for statistical analysis. Results A significant increase was observed in the concentrations of salivary cortisol in the PH group as compared with GH and control groups ( p < 0.05). Concentrations of IgA and chromogranin A in saliva were not significantly different among the three groups. In addition, higher salivary cortisol concentrations were found in CMI scale III and IV (tendency towards neurosis) than in scale I and II (normal) ( p < 0.05). Since salivary cortisol reflects a status of chronic stress condition, psychosomatic halitosis might be closely related to this state of chronic stress. Conclusions Determination of cortisol levels in saliva may provide useful information for evaluating the mental status of patients complaining of halitosis.

Impaired Reproduction of Three-Dimensional Objects by Cocaine-Dependent Subjects

Impaired Reproduction of Three-Dimensional Objects by Cocaine-Dependent Subjects

Long-term results of osseointegrated implant-retained facial prostheses: a 5-year retrospective study.

In this study a questionnaire survey was prepared and distributed to patients who had been fitted with a facial prosthesis at least 5 years earlier, with the aim of: 1) reviewing the implants statistically, and 2) examining psychological changes before and after the use of an implant-supported prosthesis. Twelve patients had been fitted with implant-supported prostheses that had a survival rate of 97.5% after 5 years. To examine psychological changes, the patients were given the Cornell Medical Index-Health Questionnaire (CMI) and a questionnaire we originally developed. Eight of the 12 responded to the questionnaire. The CMI results from those 8 patients confirmed that none of them had sustained any emotional impairment. Our results revealed that, although the patients wore their prosthesis both indoors and out, eyeglasses were still necessary. However, wearing the prosthesis lessened the psychological impact of the facial defect, while also easing anxiety with regard to interpersonal relations.

Relations among premorbid weight, referral weight, and psychological test scores for patients with anorexia nervosa.

The purpose of this study was to test the hypothesis that, in anorexia nervosa, patients with a low premorbid weight are associated with a low weight at referral and that premorbid weight, referral weight, and weight loss are associated with mood states. The changes of Body Mass Index from premorbid to referral, the duration of illness, and the psychological scores on the Profile of Mood States and the Cornell Medical Index-Health Questionnaire were examined in 49 anorexia nervous patients. Body Mass Index at referral of patients with lower premorbid Body Mass Index was significantly lower than that of patients with higher premorbid level. For patients with a larger relative decrease, scores on depressive mood were lower. These findings suggested that in anorexia nervosa patients, lower premorbid Body Mass Index was associated with lower Body Mass Index at referral, and that the patients with higher relative decrease in Body Mass Index might be satisfied with their weight loss.

Symptoms and signs of irritation of the brachial plexus in whiplash injuries

We investigated the incidence of evidence of irritation of the brachial plexus in 119 patients with whiplash injuries sustained in road-traffic accidents. We compared the symptoms, physical signs, autonomic status, psychological status and findings from radiographs of the cervical spine using examination charts and a modified Cornell Medical Index Health questionnaire, in patients in two distinct groups: those with irritation of the brachial plexus and those without. There were 45 patients (37.8%) in the first group. The ratio of women to men was significantly higher in patients with irritation of the plexus as was the incidence of symptoms other than neck pain. There was no significant difference between the two groups with regard to psychological status or findings in radiographs of the cervical spine. Symptoms and signs attributable to stretching of the brachial plexus do occur in a significant proportion of patients after a whiplash injury. Their presence and persistence are associated with a poor outcome.

Psychological condition of patients complaining of halitosis

Objectives: The purpose of this study was to examine the relationship between the actual degree of malodor and the psychological condition of patients complaining of halitosis. Methods: The subjects consisted of 155 patients aged 46±17 years (mean±SD) who visited the Halitosis Clinic at Kyushu University Dental Hospital, Fukuoka, Japan. The Cornell Medical Index (CMI) Health Questionnaire was used to evaluate the psychological condition of patients. The degree of halitosis was estimated by the organoleptic test. Results: Fifty-five percent of the patients had no or slight odor. Patients with a lower degree of halitosis showed a stronger psychopathological profile. There was a significant correlation between the degree of halitosis and the tendency toward neurosis (Spearman’s rank correlation coefficient r=−0.37, P<0.001). Conclusions: The results suggest that psychological condition is closely associated with symptoms of patients complaining of halitosis. The CMI Health Questionnaire may be a helpful tool for the diagnosis of patients who complain of halitosis.

咽喉頭異常感に関与するアレルギーの調査

An upper airway allergy to inhaled or ingested allergens may induce an abnormal sensation in the throat (AST). However, little has been investigated about the incidence of allergic patients among patients with AST.Using the AlaSTAT system, we measured total IgE levels and antigen-specific IgE antibodies to pollen (cedar, cypress, birch), house dust, apple and two broad screening panels of food in 182 patients (75 males and 107 females; mean age was 57.7 years) with AST.Eighty-eight (48.4%) of 182 patients showed abnormally high (250<U/ml) total IgE levels and/or a positive (AlaSTAT class 1≤) IgE antibody to one or more allergens. These patients were classified into group A and compared with the other patients (group Non-A).A statistically significant difference (p<0.05 by Mann-Whitney U test) between groups A and Non-A was shown for the total IgE value (A>Non-A), average age (A<Non-A), average month after the onset of AST (A<Non-A), location of AST and average CIJ score by the Cornell Medical Index-Health Questionnaire. These findings indicate that upper airway allergies should be taken into consideration as a cause of AST.

Study of the measurement of defense style using Bond's Defense Style Questionnaire.

Two hundred and seventy healthy university students were surveyed in December 1995 using Bond's Defense Style Questionnaire (DSQ) to measure the subjects' defense mechanisms. At the same time, a survey using Byrne's R-S Scale (Repression-Sensitization Scale) of the MMPI (Minnesota multiphasic personality inventory) and five psychiatric symptom indexes (anxiety, sense of inadequacy, sensitivity, depression and impulsive anger) selected from the CMI (Cornell Medical Index-Health Questionnaire) was conducted. Three factors were extracted from the DSQ through factor analysis: immature defenses, neurotic defenses, and mature defenses. The results of analysis of variance revealed the following: (i) for anxiety and anxiety related symptoms, both immature defenses and neurotic defenses indicated principal effect; (ii) for impulsive anger and depression, immature defenses presented principal effect; and (iii) for sensitivity and impulsive anger, interaction between a mature defense style and neurotic defense style was noted. The relationship between defense styles and psychiatric symptoms in healthy people is studied in this paper.

Psychosomatic aspects of patients complaining of dizziness or vertigo with orthostatic dysregulation

Eighty-five patients (26 males and 59 females) with orthostatic dysregulation who visited our clinic complaining of dizziness or vertigo between December, 1990 and August, 1996 were analyzed using the Japanese Edition Cornell Medical Index-Health Questionnaire and the Yatabe-Guilford Personality Test. The condition of OD was most commonly noted in 29 patients (34.1%) with dizziness or vertigo of indeterminate etiology, followed by in 14 (16.5%) with Meniere's disease, in ten (11.8%) with hypotension and CNS disorder each, and in 22 (25.9%) with other disorders. The percentage classed as Type III (possible neurotic) or Type IV (probable neurotic), was 46.1% in males and 47.4% in females. The percentage classed as Type B or Type E, suggestive of emotional or psychological disturbance, was 38.5% in males and 37.3% in females. There was good correlation between the Japanese Edition Cornell Medical Index-Health Questionnaire and the Yatabe-Guilford Personality Test results as to psychosomatic aspects. We conclude that, in the treatment of patients with orthostatic dysregulation, it is necessary to consider both physical and psychological aspects of the condition.

The relationship between psychosomatic factors and orthostatic dysregulation in young men

We carried out a questionnaire survey regarding symptoms of orthostatic dysregulation and administered the Japanese Edition of the Cornell Medical Index-Health Questionnaire (JCMI) and the Yatabe-Guilford Personality Test (Y-G test) to 151 male medical students (mean age, 24.6 yr). Orthostatic dysregulation was identified in 19 (12.5%) of the subjects based on the questionnaire results. The percentage classed as types III (possible neurotic) and IV (probable neurotic) according to the health questionnaire was 47.3% in the 19 with orthostatic dysregulation and 8.9% in the controls (n = 78). The percentage classed as types B and E, suggestive of emotional or psychological disturbance according to the personality test, was 42.1% in those with orthostatic dysregulation and 8.9% in the controls. These differences were significant (P < 0.01). These results suggest that psychosomatic factors influence the occurrence of orthostatic dysregulation in young men.

Cornell Medical Index score observed among Japanese nursing students.

Purpose of this study was to survey subjective health problems occurring among Japanese nursing students. Data collected with the self-administered Cornell Medical Index Health Questionnaire Japanese version (JCMI) from 102 Japanese first year nursing students were analyzed. The total CMI score (section A-R) ranged from 2-108 with an average of 23.1 (SD = 15.9). The mean CMI for physical (section A-L) and psychological health complains (section M-R) were 15.7 (SD = 11.8) and 7.3 (SD = 6.1), respectively. Two-way analysis of variances with multiple comparison of means revealed significant relationships between age and psychological health complaints and both physical and overall health complaints. The older nursing students reported more physical and overall health complaints than the youngest. The nursing students who reported more complaints about psychological health also reported significantly more physical and overall health complaints. A comparison of Fukamachi's and Brodman's criteria for classification of neurotic traits is discussed. Findings from this study support the hypothesis that psychological health is somewhat reacted to physical health.

Psychosomatic aspects of healthy young women with orthostatic dysregulation.

The Japanese Edition of the Cornell Medical Index-Health Questionnaire and the Yatabe-Guilford personality test (Y-G Test) was given to 56 young women (mean age 19.2 years) who were identified as having orthostatic dysregulation among a total of 280 healthy young women. The percentage classed as types III (possible neurotic) and IV (probable neurotic) according to the Health Questionnaire was 37.5% in the 56 with orthostatic dysregulation and 9.2% in the controls (n = 65). The percentage classed as types B and E, suggestive of emotional or psychological disturbance according to the personality test, was 59.0% in those with orthostatic dysregulation and 23.1% in the controls. These differences were statistically significant (P < 0.01). Furthermore, there was a significant correlation (P < 0.01) between the two test results for the frequency distribution of the 280 women. These results suggest a possibility that psychosomatic factors influence the occurrence of orthostatic dysregulation in young women, even if these subjects have not sought treatment for dizziness or vertigo, nor for psychosomatic disorders.

めまい外来における起立性調節障害症例のＳｃｈｅｌｌｏｎｇ ｔｅｓｔと性格検査の検討

We examined dizzy patients with orthostatic dysregulation (OD) using the Schellong test, the Cornell Medical Index-Health Questionnaire (CMI) and the Yatabe-Guilford Personality test (Y-G test). Subjects were 134 patients (37 females and 97 females) who were confirmed to have OD based on a questionnaire survey conducted from December 1990 to November 1994.Systolic and diastolic pressures in the supine position in female patients with OD were lower than those in normal subjects. This tendency became more evident with advancing age.Of 17 males with OD, seven (41.2%) were types III or IV on the CMI, and seven (41.2%) were types B or E in the Y-G test which suggested mental and/or emotional Of 52 females with OD, 26 (50.0%) showed types III or IV on the CMI, and 19 (42.2%) were types B or E on the Y-G test. These results suggest that autonomic imbalance suspected on both the OD questionnaire results and the Schellong test is probably related to the occurrence of vertigo and/or dizziness, and that there is some correlation between OD and emotional and/or psychosomatic instability.