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Ristkari T Sourander A Ronning J Helenius H 《Social psychiatry and psychiatric epidemiology》2006,41(7):523-531
Objective To study the associations between psychiatric disorders and self-perceived problems among adolescent boys.
Method The study population consisted of 2348 Finnish boys born during 1981 attending obligatory military call-up (79.7% of the original
sample). At military call-up in 1999, the boys filled in the Young Adult Self-Report (YASR) and Orientation of Life Questionnaire
(SOC-13). Information about psychiatric disorders was obtained from the national military register during the years 1999–2004.
Results Most of the psychopathology, adaptive functioning and SOC scales were associated with a variety of psychiatric disorders at
follow-up. However, when the effects of scales were controlled in multivariate analysis, only YASR somatic problems and SOC-13
showed an independent association with a wide range of psychiatric disorders at follow-up. Poor SOC-13 predicted anxiety,
depression, antisocial personality and substance use disorders. The YASR somatic problems scale predicted anxiety, depression,
substance use, psychotic, and adjustment disorders. Self-reported delinquency and poor competence at school predicted substance
use and antisocial personality disorders.
Conclusions Self-reports of poor sense of coherence and somatic complaints have a non-specific association with a wide range of psychiatric
disorders. Clinical and theoretical implications of these findings are discussed. 相似文献
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Teija Hammar RN MNSc Marja-Leena Perälä RN PhD Pekka Rissanen PhD 《Scandinavian journal of caring sciences》2009,23(1):21-32
The aim of the study was to compare clients' and named home care (HC) workers' perceptions of clients' functional ability (FA) and need for help and to analyse which client- and municipality-related factors are associated with perceptions of client's FA. The total of 686 Finnish HC clients was interviewed in 2001. Further, the questionnaire was sent to 686 HC workers. FA was assessed by activities of daily living (ADL), which included both basic/physical (PADL) and instrumental (IADL) activities. The association between client's FA and municipality-related variables was analysed by using hierarchical logistic regression models. The findings indicated that clients' and HC-workers' perceptions about what the clients were able to do were similar in the PADL functions, but perceptions differed when it comes to the IADL functions for mobility and in climbing stairs. A smaller proportion of clients compared with HC workers assessed themselves to be in need of help in all ADL functions. Use of home help and bathing services increased the probability of belonging to the 'poor' FA class while living alone and small size of municipality decreased the probability. The study indicates that although clients and workers assessed client's FA fairly similarly, there were major differences in perceptions concerning clients' needs for help in ADL functions. Clients' and workers' shared view of need for help forms a basis for high-quality care. Therefore, the perception of both the clients and workers must be taken into account when planning care and services. There was also variation in clients' FA between municipalities, although only the size of municipality had some association with the variation. The probability that clients with a lower FA are cared for in HC is higher if the clients live in large- rather than small-sized municipalities. This may reflect a better mix of services and resources in large-sized municipalities. 相似文献
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Brenda Happell RN Cert Psych Nurs BA DipEd MEd PhD FACMHN Shifra Waks BA MIHP B Int Global Stud Aine Horgan PhD MSc BNS PGCert T&L RPN Sonya Greaney DipSPH PG Cert Peer Support Fionnuala Manning John Goodwin MA PGDip Bsc BA ALCM DipMgmt RPN Julia Bocking BPhil B Soc & Comm Stud Brett Scholz BHSci PhD Elisabeth Hals MA Arild Granerud PhD Rory Doody B.Soc.Sc. Chris Platania-Phung BA PhD Martha Griffin H. Dip in Community Youth Work Siobhan Russell BSc RPN PhD Liam MacGabhann BSc MSc DrNursSci Jarmo Pulli Annaliina Vatula BA Graeme Browne RN MHN PhD FACMHN Kornelis Jan van der Vaart BN MSci Jerry Allon Einar Bjornsson Heikki Ellilä RN MNSc PhD Mari Lahti MNSc PhD Pall Biering PhD 《Perspectives in psychiatric care》2020,56(4):811-819