Psychological Consequences

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R Mayou - One of the best experts on this subject based on the ideXlab platform.

  • Psychological Consequences of road traffic accidents in children
    European child & adolescent psychiatry, 1998
    Co-Authors: A Ellis, Gregory Stores, R Mayou
    Abstract:

    Questionnaire information about possible Psychological changes in the months following their accident was obtained for 45 school age children who had attended an Accident and Emergency Department because of their involvement in road traffic accidents. Central nervous system involvement was rare in this group. Short-term Psychological Consequences were common, but even after 4-7 months 33% were considered by their parents to still have a moderate reaction and a further 11% were considered to be severely affected. The children had high levels of post-traumatic stress symptoms, particularly avoidance in over 50%. Travel anxiety was described in 39%, 23% were depressed and 14% highly anxious--features which were considered by parents to have appeared following the accident, often with increasing disturbance over time. Other apparent repercussions were nightmares and other sleep difficulties in 17%, accident related fears, irritability, anger and emotionally regressed behaviour. As head injury was very uncommon in this series, such Psychological Consequences were attributable to non-neurological factors. Parents had become more protective of their children and placed greater restrictions on their travel, causing conflict. Younger children, those who had not fully recovered from their accident injuries, and children who also had a parent involved in the same accident, were most at risk. Greater awareness of these Psychological Consequences of road traffic accidents is required on the part of parents and professionals. Prospective studies are also needed to delineate more precisely those at greatest risk and to assess the effectiveness of treatment approaches.

A Ellis - One of the best experts on this subject based on the ideXlab platform.

  • Psychological Consequences of road traffic accidents in children
    European child & adolescent psychiatry, 1998
    Co-Authors: A Ellis, Gregory Stores, R Mayou
    Abstract:

    Questionnaire information about possible Psychological changes in the months following their accident was obtained for 45 school age children who had attended an Accident and Emergency Department because of their involvement in road traffic accidents. Central nervous system involvement was rare in this group. Short-term Psychological Consequences were common, but even after 4-7 months 33% were considered by their parents to still have a moderate reaction and a further 11% were considered to be severely affected. The children had high levels of post-traumatic stress symptoms, particularly avoidance in over 50%. Travel anxiety was described in 39%, 23% were depressed and 14% highly anxious--features which were considered by parents to have appeared following the accident, often with increasing disturbance over time. Other apparent repercussions were nightmares and other sleep difficulties in 17%, accident related fears, irritability, anger and emotionally regressed behaviour. As head injury was very uncommon in this series, such Psychological Consequences were attributable to non-neurological factors. Parents had become more protective of their children and placed greater restrictions on their travel, causing conflict. Younger children, those who had not fully recovered from their accident injuries, and children who also had a parent involved in the same accident, were most at risk. Greater awareness of these Psychological Consequences of road traffic accidents is required on the part of parents and professionals. Prospective studies are also needed to delineate more precisely those at greatest risk and to assess the effectiveness of treatment approaches.

Trudy De Luise - One of the best experts on this subject based on the ideXlab platform.

  • Psychological Consequences of screening mammography.
    Journal of medical screening, 1994
    Co-Authors: Jill Cockburn, Margaret Staples, Susan F Hurley, Trudy De Luise
    Abstract:

    Objective-To examine the Psychological Consequences at a number of stages in the screening process for women attending a screening mammography programme. Setting- A pilot mammographic screening pro...

  • Development and validation of the PCQ: a questionnaire to measure the Psychological Consequences of screening mammography.
    Social science & medicine (1982), 1992
    Co-Authors: Jill Cockburn, Trudy De Luise, Susan Hurley, Kerrie Clover
    Abstract:

    We have developed a reliable and valid questionnaire to measure the Psychological Consequences of screening mammography. The questionnaire measures the effect of screening on an individual's functioning on emotional, social, and physical life domains. Content validity was ensured by extensive review of the relevant literature, discussion with professionals and interviews with attenders at a pilot Breast X-ray Screening Program in Melbourne, Australia. Discriminant validity was assessed by having expert judges sort items into dimensions which they appeared to be measuring. Acceptable levels of concordance (above 80%) with a priori classifications were found. Concurrent validity was demonstrated by comparison of subscale scores of 53 attenders at the Breast X-ray Program with an independent interview assessment of dysfunction on each of the emotional, social and physical dimensions. There was over 79% agreement between interview scores and questionnaire scores for each dimension. Construct validity was confirmed by showing that subscale scores varied in predicted ways. For women who were recalled for further investigation, scores on each subscale measuring negative Consequences, were higher at the recall clinic than at screening clinic (emotional: t = -7.28; df = 70; P less than 0.001; physical: t = -2.53; df = 70; P = 0.014; social: t = -2.49; df = 70; P = 0.015). The internal consistency of all subscales was found to be acceptable. This questionnaire is potentially useful for assessing the Psychological Consequences of the screening process and should have wide application.

Jill Cockburn - One of the best experts on this subject based on the ideXlab platform.

  • Measuring Psychological Consequences of Screening: Adaptation of the Psychological Consequences Questionnaire into Dutch
    Quality of life research : an international journal of quality of life aspects of treatment care and rehabilitation, 2006
    Co-Authors: Adriana J. Rijnsburger, Jill Cockburn, Marie-louise Essink-bot, E. Van As, H.j. De Koning
    Abstract:

    Objective: To assess the psychometric properties of a Dutch adaptation of an originally Australian instrument measuring the Psychological impact of breast cancer screening. Methods: The three subscales (emotional, physical, social) of the Psychological Consequences Questionnaire (PCQ) underwent formal linguistic and cultural translation. A total of 524 women under intensive surveillance because of increased breast cancer risk were asked to complete the questionnaire at 2 months prior to screening, at the day of the screening visit preceding the screening, and 1–4 weeks after screening. Acceptability, score distribution, internal consistency, scale structure, responsiveness to change and construct validity were analysed. Results: Response rates were high (98–94%) and there were very few missing answers and non-unique answers. All scales had Cronbach’s αs > 0.70. The physical and social subscale showed ceiling effects. The item-own scale correlations were only slightly higher than the corresponding item-other scale correlations. Factor analysis showed that the assumed three separate subscales were replicated in our study. Pre- and post-screening effect sizes for the emotional scale were larger than for the other two scales. All PCQ scales correlated with the scales of two other Psychological measures (p ≤ 0.01). The emotional scale and the total PCQ score were able to differentiate between subgroups varying in affective risk perception (p ≤ 0.01). Conclusion: The Dutch PCQ is useful in measuring Psychological impact among women under intensive surveillance because of high breast cancer risk.

  • Psychological Consequences of screening mammography.
    Journal of medical screening, 1994
    Co-Authors: Jill Cockburn, Margaret Staples, Susan F Hurley, Trudy De Luise
    Abstract:

    Objective-To examine the Psychological Consequences at a number of stages in the screening process for women attending a screening mammography programme. Setting- A pilot mammographic screening pro...

  • Development and validation of the PCQ: a questionnaire to measure the Psychological Consequences of screening mammography.
    Social science & medicine (1982), 1992
    Co-Authors: Jill Cockburn, Trudy De Luise, Susan Hurley, Kerrie Clover
    Abstract:

    We have developed a reliable and valid questionnaire to measure the Psychological Consequences of screening mammography. The questionnaire measures the effect of screening on an individual's functioning on emotional, social, and physical life domains. Content validity was ensured by extensive review of the relevant literature, discussion with professionals and interviews with attenders at a pilot Breast X-ray Screening Program in Melbourne, Australia. Discriminant validity was assessed by having expert judges sort items into dimensions which they appeared to be measuring. Acceptable levels of concordance (above 80%) with a priori classifications were found. Concurrent validity was demonstrated by comparison of subscale scores of 53 attenders at the Breast X-ray Program with an independent interview assessment of dysfunction on each of the emotional, social and physical dimensions. There was over 79% agreement between interview scores and questionnaire scores for each dimension. Construct validity was confirmed by showing that subscale scores varied in predicted ways. For women who were recalled for further investigation, scores on each subscale measuring negative Consequences, were higher at the recall clinic than at screening clinic (emotional: t = -7.28; df = 70; P less than 0.001; physical: t = -2.53; df = 70; P = 0.014; social: t = -2.49; df = 70; P = 0.015). The internal consistency of all subscales was found to be acceptable. This questionnaire is potentially useful for assessing the Psychological Consequences of the screening process and should have wide application.

Gregory Stores - One of the best experts on this subject based on the ideXlab platform.

  • Psychological Consequences of road traffic accidents in children
    European child & adolescent psychiatry, 1998
    Co-Authors: A Ellis, Gregory Stores, R Mayou
    Abstract:

    Questionnaire information about possible Psychological changes in the months following their accident was obtained for 45 school age children who had attended an Accident and Emergency Department because of their involvement in road traffic accidents. Central nervous system involvement was rare in this group. Short-term Psychological Consequences were common, but even after 4-7 months 33% were considered by their parents to still have a moderate reaction and a further 11% were considered to be severely affected. The children had high levels of post-traumatic stress symptoms, particularly avoidance in over 50%. Travel anxiety was described in 39%, 23% were depressed and 14% highly anxious--features which were considered by parents to have appeared following the accident, often with increasing disturbance over time. Other apparent repercussions were nightmares and other sleep difficulties in 17%, accident related fears, irritability, anger and emotionally regressed behaviour. As head injury was very uncommon in this series, such Psychological Consequences were attributable to non-neurological factors. Parents had become more protective of their children and placed greater restrictions on their travel, causing conflict. Younger children, those who had not fully recovered from their accident injuries, and children who also had a parent involved in the same accident, were most at risk. Greater awareness of these Psychological Consequences of road traffic accidents is required on the part of parents and professionals. Prospective studies are also needed to delineate more precisely those at greatest risk and to assess the effectiveness of treatment approaches.