Posttraumatic stress disorder in primary care: a hidden diagnosis.

Posttraumatic stress disorder (PTSD) is common worldwide, with prevalence rates ranging from 1% to nearly 40%, depending on the population studied. The disability and natural course of PTSD in psychiatric patients have been well characterized. However, even though the primary care setting has been described as the “de facto mental health care system,” surprisingly little […]

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The influence of comorbid depression on seizure severity.

Purpose: To determine the relation between depressive symptoms and seizure severity among people with epilepsy. Methods: A postal questionnaire was used to survey a nationwide community sample about seizures and depression. The Seizure Severity Questionnaire (SSQ) assessed the severity and bothersomeness of seizure components. The Centers for Epidemiological Studies-Depression scale categorized levels of depression. Results: […]

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Psychological disturbance associated with sexual abuse in people with learning disabilities. Case-control study.

Background: The association between sexual abuse, mental health and behavioural problems in people with learning disabilities has not previously been examined in a controlled study. Aims: To identify symptoms of psychological disturbance in adults with and without a confirmed history of sexual abuse. Methods: The study used a matched (1:1) case-control design comparing 54 adults […]

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Minority Research: Women

Barriers to exercise in African American women with physical disabilities. Rimmer JH, Rubin SS, Braddock D.  Arch Phys Med Rehabil. 2000 Feb;81(2):182-8. OBJECTIVE: To examine what factors African American women with one or more physical disabilities perceive as barriers to exercise and how they rank them. SETTING: Department of Disability and Human Development at a […]

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Gender analyses of nursing home residents with multiple sclerosis.

Objective: To present gender comparisons of residents with multiple sclerosis (MS) at admission to nursing facilities, including demographic characteristics, health measures, and treatments. Methods: We analyzed 13,998 admission assessments in the Minimum Data Set for residents with MS recorded between June 23, 1998 and December 31, 2000. p. Results: Although both male and female residents […]

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Distribution of services and supports for people with traumatic brain injury in rural and urban Missouri.

New paradigms of disability suggest that many variables interact to influence the community functioning of people with traumatic brain injury (TBI), including injury severity and social, psychological, and environmental factors. Unfortunately, the majority of TBI outcome research to date has primarily focused on injury severity variables (e.g., neuroradiologic findings, loss of consciousness, posttraumatic amnesia) to […]

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Needs Assessment Research: Youth

A qualitative study of the transition to adulthood for youth with physical disabilities. Stewart DA, Law MC, Rosenbaum P, Willms DG. School of Rehabilitation Science, CanChild Centre for Childhood Disability, McMaster University, Hamilton, Ontario, Canada. Phys Occup Ther Pediatr 2001;21(4):3-21 The purpose of this qualitative study was to explore the experiences, perceptions, and needs of […]

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Needs Assessment Research: Quality of Life

Estimating health needs: the impact of a checklist of conditions and quality of life measurement on health information derived from community surveys. Knight M, Stewart-Brown S, Fletcher L. Health Services Research Unit, Department of Public Health, University of Oxford, Institute of Health Sciences, Headington. marian.knight@epublichealth.org.uk J Public Health Med 2001 Sep;23(3):179-86 Background: Prevalence estimates of […]

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The long-term treatment outcomes of depression and anxiety comorbid with substance abuse.

The impact of the comorbidity of psychiatric disorder and substance abuse on treatment outcomes was estimated using data from a longitudinal survey of 1,920 individuals who were followed nearly 15 years. Individuals with anxiety or depression symptoms at baseline generally experienced increased distress at follow-up; those who received mental health treatment experienced decreased distress at […]

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