Physical Health Severity Research Articles

Things That Could Have Helped Me Cope: Adults Reflect on What They Needed as Children After the Deportation of a Parent

Experiencing parental deportation during childhood is associated with higher rates of mental health and behavioral health challenges. This adversity may be exacerbated by the uncertainty of what is happening to their deported parent and to their family system following a deportation experience. Effective clinical intervention can reduce the likelihood and/or severity of physical health, mental health and behavioral health difficulty caused by the trauma of parental deportation; however, clinicians have insufficient resources and guidance on effectively engaging with children and their families following parental deportation. Semi-structured qualitative interviews were conducted with English-speaking Latino individuals from the United States who experienced parental deportation between the ages of 6 and 17 ( n = 10). Using interpretive phenomenology analytic procedures, three major themes emerged related to participants’ experiences of their family after their parent’s deportation: (a) I wish I knew what was happening, (b) I wish people had checked in on my emotions, and (c) I wish people had been supportive and included us in the conversation. These findings are examined from an ambiguous loss framework to provide clinical implications of children’s needs after parental deportation. Suggestions are offered from the adults who lost their parent to deportation as a child about what they needed following their loss. By understanding what children need in these moments of crisis, practitioners, providers, and others are better prepared to address this form of complex childhood adversity.

Family involvement in care of Korean and US family members of persons with dementia in long term care

till depression in being cared of the geriatric patients with dementia. Assessment caregiver’s quality of life is important so we can make health plan for both of them. Methods: This is analytic research with cross sectional approach by using 80 respondent. WHOQOL-BREF instrument was used to measure the caregiver’s quality of life, CDR instrument was used to measure the severity of dementia, ADL/IADL instrument was used to measure the independency of dementia and NPI instrument was used to measure the changes of behavior and psychological of dementia. Data analysis technique with Kruskal Wallis, MannWhitney U and Spearman Statistic test.Results: There is a significant differences at caregiver’s quality of life with dementia patient. The severity of physical health is p 1⁄4 0.026 and environmental domain is p1⁄4 0.036. There is a significant differences at caregiver’s quality of life with dementia patients degree of dependency at social relation domain (p 1⁄4 0.049), and environmental domain (p 1⁄4 0.031). There is a significant differences at caregiver’s quality of lifewith dementia patients with patient’s independency function at psychological domain (p1⁄4 0.006)and social relation domain (p 1⁄4 0.005). Conclusions: There is a significant differences at caregiver’s quality of life who care of dementia patient in RSCM Jakarta. The differences could be analyzed further to make a screening to the caregiver who cared of dementia patient to help the caregivers find out their quality of life so that quality of life both of them would be better.

Cardiovascular disease and musculoskeletal disorder labels in family practice acted as markers of physical health severity

Objective Family practitioner diagnostic labels applied in consultation provide a signpost for treatment and management. Yet, it is unknown whether each label reflects the health of the respective patient group. Study Design and Setting Consultation records of 7,799 patients aged 50 years and older from six family practices were linked to a cross-sectional baseline health survey. Associations between six mutually exclusive cardiovascular disease and nine mutually exclusive musculoskeletal disorder categories, and physical health severity as measured by the Short Form-12 questionnaire were examined. Results There were 2,447 (31.4%) cardiovascular disease and 3,321 (42.6%) musculoskeletal disorder consulters. The mean physical health scores ranged from 38.38 (95% confidence interval [CI]: 37.8–39.0) for hypertension to the poorest score of health 28.98 (95% CI: 27.5–30.5) for consulters with heart failure, whereas in the musculoskeletal disorder group, scores ranged from 44.85 (95% CI: 42.2–47.5) for soft tissue disorder to 28.79 (95% CI: 26.8–30.8) for consulters with inflammatory polyarthropathy (trend P < 0.001). This trend in the association between diagnostic categories and physical health severity within both spectrums remained after adjustment for confounders. Conclusion Specific diagnostic labels for selected chronic illness indicate the severity of physical health for the corresponding consulting population.

Substance Abuse Severity in Female Adolescents

The authors investigated the association between age at menarche and age at onset of substance use with frequency of alcohol consumption in mid-adolescence; age at first DSM-III-R diagnosis of psychoactive substance use disorder (PSUD); severity of physical health, substance use, and psychosocial problems; and psychiatric disorders in female adolescents. Twenty-eight PSUD female adolescents (age 14–18 years) were studied. Chronological age at first substance use, and not age at menarche, was associated with the four variables mentioned above. These findings indicate that substance use in this population is encompassed within significant psychiatric disturbance that most commonly precedes the onset of PSUD.

Substance Abuse Severity in Female Adolescents: Association Between Age at Menarche and Chronological Age

The authors investigated the association between age at menarche and age at onset of substance use with frequency of alcohol consumption in mid-adolescence; age at first DSM-III-R diagnosis of psychoactive substance use disorder (PSUD); severity of physical health, substance use, and psychosocial problems; and psychiatric disorders in female adolescents. Twenty-eight PSUD female adolescents (age 14-28 years) were studied. Chronological age at first substance use, and not age at menarche, was associated with the four variables mentioned above. These findings indicate that substance use in this population is encompassed within significant psychiatric disturbance that most commonly precedes the onset of PSUD.