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Full-Text Articles in Psychiatry and Psychology

Grandparents As Parents: Investigating The Health And Well-Being Of Trauma-Exposed Families, Ginny Sprang, Moon Choi, Jessica Eslinger, Adrienne Whitt-Woosley, Rachel Looff Apr 2014

Grandparents As Parents: Investigating The Health And Well-Being Of Trauma-Exposed Families, Ginny Sprang, Moon Choi, Jessica Eslinger, Adrienne Whitt-Woosley, Rachel Looff

Center on Trauma and Children Reports

An excerpt from the introduction:

Over the past two decades, the number of grandparents serving as primary caregivers for their grandchildren has steadily increased. Nationally, 42% of all grandparents living with grandchildren function as the primary caregivers (U.S. Census, 2006).

In the southern region of the country, this phenomenon is particularly salient, and expected to continue, with estimates that range from 7% to 15% higher than in 2000 (U.S. Census, 2004). Kentucky is no exception, with 67,394 children living with their grandparents, 58.8% of those grandchildren fall under the responsibility of their grandparents (American Community Survey, 2005). In fact, Region …


False-Negative Studies May Systematically Contaminate The Literature On The Effects Of Inducers In Neuropsychopharmacology. Part I: Focus On Epilepsy, Jose De Leon Apr 2014

False-Negative Studies May Systematically Contaminate The Literature On The Effects Of Inducers In Neuropsychopharmacology. Part I: Focus On Epilepsy, Jose De Leon

Psychiatry Faculty Publications

No abstract provided.


Narco-Trauma: The Phenomenology Of The Mexican Drug War Among Binational Students At The Border, Kathleen A. O'Connor Apr 2014

Narco-Trauma: The Phenomenology Of The Mexican Drug War Among Binational Students At The Border, Kathleen A. O'Connor

Nursing Faculty Publications

In this article, I present research conducted among 242 university students living in the binational metropolitan area encompassing El Paso, Texas, and Ciudad Juárez, Mexico, that has been affected by drug violence. The particular focus is on narratives of social suffering and lived experience in the context of drug violence.


Comparison Of Functional Network Connectivity For Passive-Listening And Active-Response Narrative Comprehension In Adolescents, Yingying Wang, Scott K. Holland Apr 2014

Comparison Of Functional Network Connectivity For Passive-Listening And Active-Response Narrative Comprehension In Adolescents, Yingying Wang, Scott K. Holland

Center for Brain, Biology, and Behavior: Faculty Publications

Comprehension of narrative stories plays an important role in the development of language skills. In this study, we compared brain activity elicited by a passive-listening version and an active-response (AR) version of a narrative comprehension task by using independent component (IC) analysis on functional magnetic resonance imaging data from 21 adolescents (ages 14–18 years). Furthermore, we explored differences in functional network connectivity engaged by two versions of the task and investigated the relationship between the online response time and the strength of connectivity between each pair of ICs. Despite similar brain region involvements in auditory, temporoparietal, and frontoparietal language networks …


Impulsive Choice In Unmedicated And Medicated Children Diagnosed With Adhd: Examining The Variables Of Reward Type And Adhd Subtype, Nicole Henriksen Apr 2014

Impulsive Choice In Unmedicated And Medicated Children Diagnosed With Adhd: Examining The Variables Of Reward Type And Adhd Subtype, Nicole Henriksen

Dissertations

Developmentally inappropriate and impairing impulsive behaviors are often seen in attention-deficit/hyperactivity disorder (ADHD). One method for objectively assessing impulsivity is the Choice-Delay Task (C-DT) which presents repeated opportunities to choose between a smaller, sooner (SS) or larger, later (LL) reward. A preference for the SS reward that results in less total reward is considered impulsive. Many studies have found that participants diagnosed with ADHD choose the SS reward more than typical controls. However, less is known about the effects of different types of rewards, or the comparative performance of certain subgroups, such as children diagnosed with ADHD Predominantly Inattentive Type …


The Intersection Of Depression, Partner Violence And Poverty During The Perinatal Period, Catherine L. Kothari Apr 2014

The Intersection Of Depression, Partner Violence And Poverty During The Perinatal Period, Catherine L. Kothari

Dissertations

Problem: Despite the wealth of research documenting the individual links between maternal depression, partner violence, and poverty, important gaps remain regarding their combined interactions, and their variation related to perinatal timing (pregnancy and postpartum). The current dissertation examined the interplay of these phenomena across perinatality.

Methods: This dissertation utilized secondary analysis of telephone survey data from a representative sample of women recruited during their postpartum hospital stay and interviewed four times over the subsequent 18 months. Linear regression was used for predictive modeling of fixed effects, and generalized estimating equation regression was used for multivariate analysis of temporal trends.

Findings: …


From Blue To Green: The Development And Implementation Of A Horticultural Therapy Program For Residents Of A Battered Women’S Shelter, Claire M. Renzetti, Diane R. Follingstad, Diane Fleet Mar 2014

From Blue To Green: The Development And Implementation Of A Horticultural Therapy Program For Residents Of A Battered Women’S Shelter, Claire M. Renzetti, Diane R. Follingstad, Diane Fleet

CRVAW Faculty Presentations

No abstract provided.


The Effects Of Systematic Reinforcement On Academic Performance In Precision Teaching: An Investigation Of Acquisition, Retention, And Endurance, Victoria Ann Hoch Mar 2014

The Effects Of Systematic Reinforcement On Academic Performance In Precision Teaching: An Investigation Of Acquisition, Retention, And Endurance, Victoria Ann Hoch

USF Tampa Graduate Theses and Dissertations

The use of positive reinforcement in acquisition programming is a hallmark of Applied Behavior Analysis; however, the Precision Teaching literature reveals a lack of reporting on the use of reinforcement. The present study utilized a groups design and single case analyses to investigate the effect of programming systematic tangible reinforcement on acquisition performance, retention and endurance of academic skills with 10 typically developing students ranging from 5-7 years of age. Results indicate that for both control and experimental participants, an increase in accuracy on both See/Say sight words and math problems occurred; however, the experimental group performed better on See/Say …


Using Contingency Mapping To Decrease Problem Behavior And Increase Social Communication Skills In Children With Autism, Diana Carolina Sanguino Mar 2014

Using Contingency Mapping To Decrease Problem Behavior And Increase Social Communication Skills In Children With Autism, Diana Carolina Sanguino

USF Tampa Graduate Theses and Dissertations

Abstract

Social communication skills play a central role in the developmental outcomes for young children with autism. Due to deficits in social communication skills, many young children with autism develop problem behavior. Providing these children with the right tools to communicate properly may decrease their problem behavior. This study examines the impact of contingency mapping intervention on problem behavior and functional communication skills in three children with autism, using a multiple-baseline design. Before implementation of contingency mapping, verbal contingency was implemented in the first phase of intervention, which was associated with minimal increases in communication skills and decreases in problem …


Using Auditory Feedback To Improve The Performance Of Judokas During Uchi Komi, Taylor Easton Ferguson Mar 2014

Using Auditory Feedback To Improve The Performance Of Judokas During Uchi Komi, Taylor Easton Ferguson

USF Tampa Graduate Theses and Dissertations

Auditory feedback has been shown to be highly effective at teaching new skills to athletes in a variety of sports. This method consists of targeting a routine, breaking down the specific skills required to complete the routine, and training an individual on those skills using an auditory device to provide feedback on correct responses. This study evaluated the effectiveness of auditory feedback for improving a judo technique. One set of techniques taught in judo are standing throws, which require a partner to receive the technique (uke.) These throws require specific skills to successfully implement the technique. Auditory feedback was evaluated …


Promoting Generalization Of Skills Acquired Through Behavioral Skills Training With Embedded Visual Prompts, Andrea N. Perdomo Mar 2014

Promoting Generalization Of Skills Acquired Through Behavioral Skills Training With Embedded Visual Prompts, Andrea N. Perdomo

USF Tampa Graduate Theses and Dissertations

Studies on the "Tools" for Positive Behavior Change were originally conducted with people involved in the foster care system. Few studies have conducted the trainings in classroom environments to increase the positive interactions between teachers and their students. Numerous studies have demonstrated the usefulness of behavioral skills training in teaching a wide variety of behavioral skills; however, relatively few of them have shown generalization to their natural environment and maintenance of appropriate responding following the training. Methods of prompting following the initial trainings that have been utilized are often quite intrusive especially when it interrupts the flow of the participants' …


Swing Dancing Along The Spectrum: A Proposed Unique Adjunctive Treatment Approach For Individuals With Autism Spectrum Disorder, Alia Mulder-Rosi Mar 2014

Swing Dancing Along The Spectrum: A Proposed Unique Adjunctive Treatment Approach For Individuals With Autism Spectrum Disorder, Alia Mulder-Rosi

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Autism Spectrum Disorder (ASD) is a class of developmental disorders typically diagnosed during childhood. ASD is characterized by social deficits and repetitive behavioral patterns, which cause clinically significant impairment and are not better explained by intellectual disability (American Psychiatric Association, 2013). This doctoral paper proposes swing dancing as an adjunctive treatment option for high functioning adults with ASD. Swing dance is a category of social, partner dance initially set to swing style jazz music. This category most notably includes Lindy Hop, Charleston, Jitterbug and Balboa. Swing dance is an activity which grants social structure, is typically surrounded by an accepting …


An Evaluation Of Group Contingency Interventions: The Role Of Teacher Preference, Christina Ennis Mar 2014

An Evaluation Of Group Contingency Interventions: The Role Of Teacher Preference, Christina Ennis

USF Tampa Graduate Theses and Dissertations

Disruptive behavior within classrooms is a major concern for teachers and parents. Positive Behavior Interventions and Supports (PBIS) provides a multi-tiered framework for schools to provide supports to students, which are matched to each student's needs. Whereas most students are successful with the school-wide supports provided to all students, approximately 20% of students are likely to require additional supports. Group contingencies have an established basis of support as effective Tier 2 interventions; however, these contingencies vary in a variety of dimensions that may influence their efficacy and acceptability. The purpose of this study was to evaluate the relative impact of …


Research Brief: "Housing Instability And Mental Distress Among Us Veterans", Institute For Veterans And Military Families At Syracuse University Mar 2014

Research Brief: "Housing Instability And Mental Distress Among Us Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study highlights potential relationships between veteran mental health and veteran housing instability. This research shows that veterans reporting housing instability have an increased likelihood of symptoms of mental distress and mental illness, especially among female, younger, and unmarried veterans. Future researchers should conduct similar studies throughout the United States, as well as look at long-term data for the purpose of providing ways to improve quality of life for at-risk veterans.


Acquisition Of A Social Problem Solving Method By Caregivers In The Foster Care System: Evaluation And Implications, Evan Ann Skelton Mar 2014

Acquisition Of A Social Problem Solving Method By Caregivers In The Foster Care System: Evaluation And Implications, Evan Ann Skelton

USF Tampa Graduate Theses and Dissertations

All youth are faced with many social issues and problems on a daily basis, and youth in foster care are often less equipped than their peers to make good decisions for themselves. The SODAS problem solving method is a component of the Transition to Independence Process (TIP) model and is intended for personnel to use with youth to help them make better decisions when faced with difficult situations. The SODAS method is designed to guide youth through a problem solving method for a current situation, and over time to acquire improved problem solving skills. Three caregivers at a group facility …


Using Video Feedback To Improve Horseback Riding Skills, Heather Kelley Mar 2014

Using Video Feedback To Improve Horseback Riding Skills, Heather Kelley

USF Tampa Graduate Theses and Dissertations

This study used video feedback to improve the horseback riding skills of advanced beginner riders. The study focused on three skill sets, those used in jumping over obstacles, dressage riding on the flat, and jumping position riding on the flat. Baseline consisted of standard lesson procedures. Intervention consisted of video feedback in which a recorded attempt at the target behaviors was immediately shown to the rider and the instructor. The rider and instructor reviewed the video while the instructor delivered feedback. Target behaviors were scored according to checklists that correspond to each skill. For all participants, video feedback increased their …


Linking Brain Electrical Signals Elicited By Current Outcomes With Future Risk Decision-Making, Dandan Zhang, Ruolei Gu, Lucas S. Broster, Yang Jiang, Wenbo Luo, Jian Zhang, Yue-Jia Luo Mar 2014

Linking Brain Electrical Signals Elicited By Current Outcomes With Future Risk Decision-Making, Dandan Zhang, Ruolei Gu, Lucas S. Broster, Yang Jiang, Wenbo Luo, Jian Zhang, Yue-Jia Luo

Behavioral Science Faculty Publications

The experience of current outcomes influences future decisions in various ways. The neural mechanism of this phenomenon may help to clarify the determinants of decision-making. In this study, thirty-nine young adults finished a risky gambling task by choosing between a high- and a low-risk option in each trial during electroencephalographic data collection. We found that risk-taking strategies significantly modulated mean amplitudes of the event-related potential (ERP) component P3, particularly at the central scalp. The event-related spectral perturbation and the inter-trial coherence measurements of the independent component analysis (ICA) data indicated that the “stay” vs. “switch” electrophysiological difference associated with subsequent …


Review: The Rediscovery Of The Wild, Jillian M. Slater Mar 2014

Review: The Rediscovery Of The Wild, Jillian M. Slater

Marian Library Faculty Publications

Copyright (c) 2014, Jillian Slater. This review is available for non-commercial, educational use, provided that the user identify the author and the publication listed as the place of first publication, along with the volume and the year of the work's publication.


Child And Adolescent Psychiatrists' Attitudes And Practices Prescribing Second Generation Antipsychotics, Angie Mae Rodday, Susan K. Parsons, Christoph U. Correll, Adelaide S. Robb, Bonnie T. Zima, Tully S. Saunders, Laurel K. Leslie Mar 2014

Child And Adolescent Psychiatrists' Attitudes And Practices Prescribing Second Generation Antipsychotics, Angie Mae Rodday, Susan K. Parsons, Christoph U. Correll, Adelaide S. Robb, Bonnie T. Zima, Tully S. Saunders, Laurel K. Leslie

Psychiatry and Behavioral Sciences Faculty Publications

Objective: The purpose of this study was to examine psychiatrists' attitudes and practices in prescribing second-generation antipsychotics (SGA) to children and adolescents (referred to here as “children”) and identify factors associated with off-label SGA use.

Methods: A survey was mailed to a national, randomly selected sample of 1600 child and adolescent psychiatrists identified by the American Medical Association. Multivariable logistic regression was used to identify factors, including psychiatrists' characteristics, practice characteristics, and psychiatrists' attitudes, that are associated with off-label SGA use (i.e., SGAs used in children with attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder, conduct disorder, or nonbipolar mood disorders).

Results: …


Tms-Induced Neural Noise In Sensory Cortex Interferes With Short-Term Memory Storage In Prefrontal Cortex, Tyler D. Bancroft, Jeremy Hogeveen, William E. Hockley, Philip Servos Mar 2014

Tms-Induced Neural Noise In Sensory Cortex Interferes With Short-Term Memory Storage In Prefrontal Cortex, Tyler D. Bancroft, Jeremy Hogeveen, William E. Hockley, Philip Servos

Psychology Faculty Publications

In a previous study, Harris et al. (2002) found disruption of vibrotactile short-term memory after applying single-pulse transcranial magnetic stimulation (TMS) to primary somatosensory cortex (SI) early in the maintenance period, and suggested that this demonstrated a role for SI in vibrotactile memory storage. While such a role is compatible with recent suggestions that sensory cortex is the storage substrate for working memory, it stands in contrast to a relatively large body of evidence from human EEG and single-cell recording in primates that instead points to prefrontal cortex as the storage substrate for vibrotactile memory. In the present study, we …


Does Negative Affect Mediate The Relationship Between Daily Ptsd Symptoms And Daily Alcohol Involvement In Female Rape Victims? Evidence From 14 Days Of Interactive Voice Response Assessment, Amy Cohn, Brett T. Hagman, Kathleen A. Moore, Jessica Mitchell, Sarah Ehlke Mar 2014

Does Negative Affect Mediate The Relationship Between Daily Ptsd Symptoms And Daily Alcohol Involvement In Female Rape Victims? Evidence From 14 Days Of Interactive Voice Response Assessment, Amy Cohn, Brett T. Hagman, Kathleen A. Moore, Jessica Mitchell, Sarah Ehlke

Mental Health Law & Policy Faculty Publications

The negative reinforcement model of addiction posits that individuals may use alcohol to reduce negative affective (NA) distress. The current study investigated the mediating effect of daily NA on the relationship between daily PTSD symptoms and same-day and next-day alcohol involvement (consumption and desire to drink) in a sample of 54 non-treatment-seeking female rape victims who completed 14 days of interactive voice response assessment. The moderating effect of lifetime alcohol use disorder diagnosis (AUD) on daily relationships was also examined. Multilevel models suggested that NA mediated the relationship between PTSD and same-day, but not next-day alcohol involvement. NA was greater …


Comparing The Characteristics Of Homeless Adults In Poland And The United States, Paul A. Toro, Karen Hobden, Kathleen Wyszacki Durham, Marta Oko-Riebau, Anna Bokszczanin Mar 2014

Comparing The Characteristics Of Homeless Adults In Poland And The United States, Paul A. Toro, Karen Hobden, Kathleen Wyszacki Durham, Marta Oko-Riebau, Anna Bokszczanin

Psychology Faculty Research Publications

This study compared the characteristics of probability samples of homeless adults in Poland (N = 200 from two cities) and the United States (N = 219 from one city), using measures with established reliability and validity in homeless populations. The same measures were used across nations and a systemic translation procedure assured comparability of measurement. The two samples were similar on some measures: In both nations, most homeless adults were male, many reported having dependent children and experiencing out-of-home placements when they themselves were children, and high levels of physical health problems were observed. Significant national differences were …


Tripartite Conflicts Of Interest And High Stakes Patent Extensions In The Dsm-5, Lisa Cosgrove, Sheldon Krimsky, Emily E. Wheeler, Jenesse Kaitz, Scott B. Greenspan, Nicole L. Dipentima Mar 2014

Tripartite Conflicts Of Interest And High Stakes Patent Extensions In The Dsm-5, Lisa Cosgrove, Sheldon Krimsky, Emily E. Wheeler, Jenesse Kaitz, Scott B. Greenspan, Nicole L. Dipentima

Counseling, School Psychology & Sport Faculty Publication Series

Background: The revision process for and recent publication of the DSM-5 initiated debates about the widening of diagnostic boundaries. The pharmaceutical industry had a major financial stake in the outcome of these debates. This study examines the three-part relationship among DSM panel members, principal investigators (PIs) of clinical trials for new DSM-5 diagnoses, and drug companies.

Methods: Financial conflicts of interest (FCOI) of DSM panel members responsible for some new diagnoses in the DSM-5 and PIs of clinical trials for related drug treatments were identified. Trials were found by searching ClinicalTrials.gov. Patent and revenue information about these drugs was found …


Global Health Training In U.S. Graduate Psychiatric Education, Alexander C. Tsai, Gregory Fricchione, Rochelle P. Walensky, Courtney Ng, David Bangsberg, Vanessa B. Kerry Mar 2014

Global Health Training In U.S. Graduate Psychiatric Education, Alexander C. Tsai, Gregory Fricchione, Rochelle P. Walensky, Courtney Ng, David Bangsberg, Vanessa B. Kerry

OHSU-PSU School of Public Health Faculty Publications and Presentations

Objective—Global health training opportunities have figured prominently into medical students’ residency program choices across a range of clinical specialties. To date, however, the national scope of global mental health education has not heretofore been systematically assessed. We therefore sought to characterize the distribution of global health training opportunities in U.S. graduate psychiatric education.

Methods—We examined the web pages of all U.S. psychiatry residency training programs, along with search results from a systematic Google query designed to identify global health training opportunities.

Results—Of the 183 accredited U.S. psychiatry residency programs, we identified 17 programs (9.3%) offering 28 global health training opportunities …


Pharmacogenomics In Psychiatry: From Therapeutic Drug Monitoring To Genomic Medicine, Séverine Crettol, Jose De Leon, Christoph Hiemke, Chin B. Eap Mar 2014

Pharmacogenomics In Psychiatry: From Therapeutic Drug Monitoring To Genomic Medicine, Séverine Crettol, Jose De Leon, Christoph Hiemke, Chin B. Eap

Psychiatry Faculty Publications

Psychiatry is increasingly combining new pharmacogenomic findings with therapeutic drug monitoring (TDM) to improve the safety and efficacy of pharmacotherapy. However, a distinction should be made between “nice to know” and “need to know” pharmacogenomic data because many results are statistically significant in meta-analyses but are not clinically relevant due to their low effect sizes. Some examples will illustrate this integration.


An Asymmetry In Shape And Shape Word Interference: Evidence For Core Geometric Knowledge, Joshua E. Edwards, Ty W. Boyer, Bradley R. Sturz Mar 2014

An Asymmetry In Shape And Shape Word Interference: Evidence For Core Geometric Knowledge, Joshua E. Edwards, Ty W. Boyer, Bradley R. Sturz

Psychology: Faculty Presentations (2009-2022)

Nativists have postulated fundamental geometric knowledge that predates linguistic and symbolic thought. Central to these claims is the existence of an isolated cognitive system dedicated to processing geometric information. Testing such hypotheses presents challenges due to difficulties in eliminating the combination of geometric and non-geometric information through language. We present evidence using a modified matching interference paradigm that an incongruent shape word interferes with identifying a shape, but an incongruent shape does not interfere with identifying a shape word. This asymmetry in shape and shape word interference suggests that shape words activate spatial representations of shapes but shapes do not …


Orientation Via Enclosure Geometry By Blind-Folded Adults: Evidence Against View-Based Matching Theories Of Spatial Orientation, Marshall L. Green, Katherine A. Gaskin, Jonathan E. Roberts, Bradley R. Sturz Mar 2014

Orientation Via Enclosure Geometry By Blind-Folded Adults: Evidence Against View-Based Matching Theories Of Spatial Orientation, Marshall L. Green, Katherine A. Gaskin, Jonathan E. Roberts, Bradley R. Sturz

Psychology: Faculty Presentations (2009-2022)

Although spatial orientation via geometric properties of an environment is an ability shared across species, debate remains concerning similarities and differences in the underlying mechanism(s). One theoretical account of spatial orientation suggests that participants match visual memories to current visual perception and navigate to reduce discrepancy between the two. We tested a view-based matching account of spatial orientation by training disoriented and blind-folded human participants to search by touch for a target object hidden in one of four locations marked by distinctive textural cues located in the corners of a rectangular enclosure. Following training, we removed the distinctive textural cues …


The Efficacy Of Mathematics Education, Eric Geimer Feb 2014

The Efficacy Of Mathematics Education, Eric Geimer

The Transdisciplinary STEAM+ Journal

Evidence supports the notion that mathematics education in the United States is inadequate. There is also evidence that mathematics education deficiencies extend internationally. The worldwide mathematics education deficit appears large enough that improving student performance in this educational problem area could yield great economic benefit. To improve the efficacy of mathematics education, education’s root problems must first be understood. Often supposed educational root problems are considered and contrasted against potential deficiencies of mathematics methodologies and curricula that are based on mainstream educational philosophies. The educational philosophies utilized to form early-grade mathematics methodologies and related curricula are judged to be the …


Time Wounds All Heels: Human Nature And The Rationality Of Just Behavior, Timothy Glenn Slattery Feb 2014

Time Wounds All Heels: Human Nature And The Rationality Of Just Behavior, Timothy Glenn Slattery

USF Tampa Graduate Theses and Dissertations

We share our world with many people who ignore the principles of justice and who regularly take advantage of others by breaching trust or breaking agreements. This dissertation is about the irrationality of the actions of these covenant-breakers. A covenant-breaker typically believes that unjust behavior is to his advantage and that only a fool would act in any other way. Would it not be disturbing if this were true?

My central claim will be that adherence to the precepts of justice is a rational strategy for a self-interested actor. I intend to demonstrate that con men and covenant-breakers do not …


Patient Attitudes Towards Physician Nonverbal Behaviors During Consultancy: Result From A Developing Country, Fahad Hanif Khan, Raheela Hanif, Rumina Tabassum, Waris Qidwai Dr, Kashmira Nanji Feb 2014

Patient Attitudes Towards Physician Nonverbal Behaviors During Consultancy: Result From A Developing Country, Fahad Hanif Khan, Raheela Hanif, Rumina Tabassum, Waris Qidwai Dr, Kashmira Nanji

Department of Family Medicine

Background. Nonverbal behaviors have a significant impact on patients during consultations. This study was undertaken to find out the attitudes and preferences of the patients regarding nonverbal communication during consultations with physicians, in a tertiary care hospital.
Methods. A questionnaire based cross-sectional study was carried out at the Aga Khan University Hospital, Karachi, Pakistan, during the months of January to March 2012. All patients (>18 years of age) coming for consultancy in the family medicine clinics were approached; out of 133, 120 agreed to participate. The subjects were asked questions regarding physician’s comforting touch and eye contact and …