Parental loss of family members within two years of offspring birth predicts elevated absorption scores in college

Liotti proposed that interactions during infancy with a parent suffering unresolved loss could lead to vulnerabilities to altered states of consciousness. Hesse and van IJzendoorn provided initial support for Liotti’s hypothesis, finding elevated scores on Tellegen’s Absorption Scale - a normative form of dissociation - for undergraduates reporting that their parents had experienced the loss of family members within two years of their birth. Here, we replicated the above findings in a large undergraduate sample (N = 927). Additionally, we investigated mother’s and father’s losses separately. Perinatal losses, including miscarriage, were also considered. Participants reporting that the mother or both parents had experienced loss within two years of their birth scored significantly higher on absorption than those reporting only perinatal, only father, or no losses. While not applicable to the assessment of individuals, the brief loss questionnaire utilized here could provide a useful addition to selected large-scale studies.     

Bridging the Disability Divide? Young Children's and Teenager's with Disability Internet Experiences in Greece

Given the overall paucity of research on youngsters with disability, and the ways they participate in online culture, this paper wishes to unpack the norms and divisions that become enacted or undone through online technologies and the impact these may have on the everyday practices of children and teenagers with disability in Greece. Based on our interviews with 20 youngsters with physical, and/or cognitive difficulties, or deafness, and premised on a socially constructed notion of disability and childhood, we support the view that social and digital exclusion are inextricably linked and that online technologies are differentially used in order to compensate for the physical, communicative, identity and socializing shortcomings of different kinds of impairment.     

Patient participation in pressure injury prevention: giving patient's a voice

Pressure injuries burden patients and healthcare organisations, with some preventative practices having little impact on prevalence reduction. Patient participation in care may be an effective pressure injury prevention strategy, yet patient preferences are unknown. The aim of this interpretive study was to describe patients' perceptions of their current and future role in pressure injury prevention. Semi‐structured interviews were conducted with 20 adult inpatients recruited from four medical units, at two Australian metropolitan hospitals. Interview data were analysed using content analysis, with three categories emerging: ‘experiencing pressure injuries’; ‘participating in pressure injury prevention’; and ‘resourcing pressure injury prevention and treatment’. These categories reflect the complex nature of participants’ pressure injury experience. The findings suggest participants gather pressure injury knowledge from first‐hand and vicarious experience; knowledge they bring to hospital. Most participants preferred a proactive pressure injury prevention role. Many identified barriers in the healthcare environment that impeded their participation and affected their experience of pressure injuries and pressure injury prevention. If patient participation as a pressure injury prevention strategy is to be considered, nurses and organisations need to view patients as partners.     

AWARE—AWAreness during REsuscitation—A prospective study

BackgroundCardiac arrest (CA) survivors experience cognitive deficits including post-traumatic stress disorder (PTSD). It is unclear whether these are related to cognitive/mental experiences and awareness during CPR. Despite anecdotal reports the broad range of cognitive/mental experiences and awareness associated with CPR has not been systematically studied.MethodsThe incidence and validity of awareness together with the range, characteristics and themes relating to memories/cognitive processes during CA was investigated through a 4 year multi-center observational study using a three stage quantitative and qualitative interview system. The feasibility of objectively testing the accuracy of claims of visual and auditory awareness was examined using specific tests. The outcome measures were (1) awareness/memories during CA and (2) objective verification of claims of awareness using specific tests.ResultsAmong 2060 CA events, 140 survivors completed stage 1 interviews, while 101 of 140 patients completed stage 2 interviews. 46% had memories with 7 major cognitive themes: fear; animals/plants; bright light; violence/persecution; deja-vu; family; recalling events post-CA and 9% had NDEs, while 2% described awareness with explicit recall of ‘seeing’ and ‘hearing’ actual events related to their resuscitation. One had a verifiable period of conscious awareness during which time cerebral function was not expected.ConclusionsCA survivors commonly experience a broad range of cognitive themes, with 2% exhibiting full awareness. This supports other recent studies that have indicated consciousness may be present despite clinically undetectable consciousness. This together with fearful experiences may contribute to PTSD and other cognitive deficits post CA.     

On the Dimensionalities of the Dissociative Experiences Scale (DES) and the Dissociation Questionnaire (DIS-Q)

Abstract

The dimensionalities of the Dissociative Experiences Scale (DES) and the Dissociation Questionnaire (DIS-Q) have been explored by factor analysis by a number of investigators. The general claim is that both scales are multidimensional. However, we argue that, in both cases, this ap parent multidimensionality is a form of range restriction that arises because some symptoms are more common than other symptoms. As a result, the resulting subscales derived from the multifactor solutions are so highly intercorrelated as to be incapable of meaningful discriminant validity. The current findings support a more parsimonious single factor solution for both scales.     

Memory Distortion and Dissociation: Exploring the Relationship in a Non-Clinical Sample

ABSTRACT

There is a growing interest in the relationship between the tendency to have dissociative experiences and performance on several cognitive tasks, in particular the susceptibility to memory distortions. Participants are shown a video of a crime and then are given a post-event questionnaire that has several misleading questions. Later, participants are questioned about the event. The sample showed a large range in susceptibility to the post-event misleading information. This susceptibility was related to their responses to a dissociative experiences questionnaire (based on the DES) adapted for non-clinical populations (DES C). The results are discussed in relation to theories of memory distortion.     

Vaccination rates and adherence in premature infants before and after pneumococcal conjugate vaccine schedule change for term infants – A claims database analysis in Germany

BackgroundIn 2015, the German Standing Committee on Vaccination (STIKO) changed the pneumococcal conjugate vaccination (PCV) schedule for mature infants from a 3+1 scheme (2, 3, 4, and 11–14 months of age) to a 2+1 scheme (2, 4, and 11–14 months of age). For premature infants, the 3+1 scheme remained. The aim of this study was to assess vaccination rates, completeness, and timeliness for PCV in premature infants before and after the modified recommendation.MethodsA retrospective claims data analysis using the “Institut für angewandte Gesundheitsforschung Berlin” Research Database was conducted. Premature infants born in 2013 and 2016 with an individual follow-up of 24 months were included. Hexavalent combination (HEXA) vaccination with a consistent 3+1 recommendation for mature and premature infants was analyzed as reference vaccination.ResultsAfter 24 months, the PCV rate for at least one dose remained stable in premature newborns of 2016 compared to 2013, while the HEXA vaccination rate increased slightly. However, a significant decrease of a completed PCV schedule (4 doses) in premature infants was noted, whereas the completeness of HEXA vaccination did not change. The timeliness of PCV in premature newborns increased for the first and the booster PCV, while the timeliness of HEXA immunization did not change from 2013 to 2016.ConclusionAlthough STIKO still recommends a 3+1 PCV schedule for premature infants in Germany, premature infants were vaccinated according to the changed recommendations for mature born infants. A substantial share of premature infants remained unvaccinated, and their vaccinations were often delayed.