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Full-Text Articles in Medicine and Health Sciences
The Relationship Among Maternal Parenting Stress, Coping, And Depressive Symptoms Across Time, Karen Foren Lake
The Relationship Among Maternal Parenting Stress, Coping, And Depressive Symptoms Across Time, Karen Foren Lake
Theses and Dissertations
This study was a secondary analysis in which the relationship among maternal parenting stress, coping, and depressive symptoms over time in 161 low-income mothers who participated in an Early Head Start Pathways Project were examined. Measurements were assessed longitudinally over a 12 year period of time. Direct and indirect relationships were proposed between maternal mastery, pre-existing depressive symptoms, relationship with significant other, child behavior, child temperament, maternal parenting stress, coping, and later depressive symptoms. Results from path analyses showed that when assessed earlier in the childbearing years, mastery, depressive symptoms, relationship with significant other, child temperament, child behavior, and maternal …
An Anaylsis Of Patient-Physician Discourse: Comparing Physician Diagnostic Scripts To Patient Social Script Expectations, Denis Grimes
An Anaylsis Of Patient-Physician Discourse: Comparing Physician Diagnostic Scripts To Patient Social Script Expectations, Denis Grimes
Theses and Dissertations
This study examines how participants interpret physicians' diagnostic discourse and physician interruptions during the patient's disclosure of problems and concerns. Using medical diagnostic scripts written for upper respiratory infections, participants' reactions to physician attentiveness and physician interruptions were measured. When physicians interrupt patients during the patient's disclosure of problems and concerns, interruptions violate patient's social script expectations and negatively affect patient satisfaction. Physicians' demonstrations of attentiveness and explanations of the purposes for the interruptions do not compensate for interruption's effects, and satisfaction with physician behavior is reduced.
Quality And Coordination Of Care For Persons With Brain Injury In The Community: Developing A Survey, Brian Philip Johnson
Quality And Coordination Of Care For Persons With Brain Injury In The Community: Developing A Survey, Brian Philip Johnson
Theses and Dissertations
Background: Because of increasing demand on primary care physicians and a complex, fragmented, healthcare "system", people now must coordinate their own healthcare and services. In response, care coordination has become a clinical specialty, typically done by nurses or social workers. People with disabilities (PWD) also must coordinate their care, including health and disability-support services, knowing who to call, advocating for themselves, and scheduling appointments, among other things. Such demands can be particularly problematic after brain injury, which may impair abilities to prioritize, coordinate, manage, and schedule activities. Coordinating services requires participation of the PWD, and supportive significant others (SSO). At …