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Antisocial behaviour is common among patients with severe mental illness (SMI) requiring hospitalisation.
To determine whether differential treatments and services are provided to patients with SMI who engage in antisocial behaviour.
A random sample of 161 inpatients with SMI were recruited from general adult wards and assessed at baseline and two years later. Information on symptoms, aggressive behaviour, substance misuse, and service use was obtained from patients and clinical files.
Past antisocial behaviours were not associated with type or intensity of treatments and services. Severity of positive symptoms, aggressive behaviour, and illicit drug use were positively associated with the frequency of CMHT contact, but not with the type of CMHT, type of medication, or other treatments and benefits.
While the frequency of meetings with CMHTs increased with the severity of antisocial behaviours, no specific treatments were provided to patients with SMI engaging in antisocial behaviours.
While poor parental bonding has been linked with psychological distress, few studies have assessed bonding with mothers and fathers separately among adolescents and whether there are gender differences in the relationships between bonding and psychological distress. Additionally, low self-esteem has been shown to predict psychological distress, but low self-esteem may develop as a result of poor bonding with parental figures. We explored the relationships between (a) perceived maternal and paternal bonding factors and (b) psychological distress, and examined whether self-esteem mediated these relationships in a non-clinical sample of 337 adolescents (aged 13–17 years, M = 14.17, 50.6% female) in Canberra, Australia. Relative to males, females reported lower levels of self-esteem and higher levels of psychological distress. For females, low self-esteem and perceived maternal or paternal rejection predicted higher levels of psychological distress, whereas low self-esteem predicted psychological distress for males. Implications for future research and further considerations are discussed.
Bilingual children with reduced exposure to one or both languages may have language profiles that are apparently similar to those of children with developmental language disorder (DLD). Children with DLD receive enough input, but have difficulty using this input for acquisition due to processing deficits. The present investigation aims to determine aspects of adjective production that are differentially affected by reduced input (in bilingualism) and reduced intake (in DLD). Adjectives were elicited from Dutch–Russian simultaneous bilinguals with limited exposure to Russian and Russian-speaking monolinguals with and without DLD. An antonym elicitation task was used to assess the size of adjective vocabularies, and a degree task was employed to compare the preferences of the three groups in the use of morphological, lexical, and syntactic degree markers. The results revealed that adjective–noun agreement is affected to the same extent by both reduced input and reduced intake. The size of adjective lexicons is also negatively affected by both, but more so by reduced exposure. However, production of morphological degree markers and learning of semantic paradigms are areas of relative strength in which bilinguals outperform monolingual children with DLD. We suggest that reduced input might be counterbalanced by linguistic and cognitive advantages of bilingualism.
Research suggests that an 8-week mindfulness-based cognitive therapy
(MBCT) course may be effective for generalised anxiety disorder
To compare changes in anxiety levels among participants with GAD randomly
assigned to MBCT, cognitive–behavioural therapy-based psychoeducation and
In total, 182 participants with GAD were recruited (trial registration
number: CUHK_CCT00267) and assigned to the three groups and followed for
5 months after baseline assessment with the two intervention groups
followed for an additional 6 months. Primary outcomes were anxiety and
Linear mixed models demonstrated significant group × time interaction
(F(4,148) = 5.10, P = 0.001) effects
for decreased anxiety for both the intervention groups relative to usual
care. Significant group × time interaction effects were observed for
worry and depressive symptoms and mental health-related quality of life
for the psychoeducation group only.
These results suggest that both of the interventions appear to be
superior to usual care for the reduction of anxiety symptoms.
Production studies show that both Russian-speaking children with specific language impairment (SLI) and bilingual children for whom Russian is a non-dominant language have difficulty distinguishing between the near-synonymous connectives i ‘and’ and a ‘and/but’. I is a preferred connective when reference is maintained, whereas a is normally used for reference shift. We report an eye-tracking experiment comparing connective processing by Russian-speaking monolinguals with typical language development (TLD) with that of Russian–Dutch bilinguals and Russian-speaking monolinguals with SLI (age 5–6). The results demonstrate that the processing profiles of monolinguals with TLD and bilinguals are similar: both groups use connective semantics immediately for predicting further discourse. In contrast, children with SLI do not show sensitivity to these semantic differences. Despite similar production profiles, bilinguals and monolinguals with SLI are clearly different in connective processing. We discuss the implications of these results for the possible causes of the errors in the two populations.
This study aimed to evaluate whether a pre-operative elevated serum alkaline phosphatase level is a potential predictor of post-operative hypocalcaemia after total thyroidectomy.
Data was retrospectively collected from the case notes of patients who had undergone total thyroidectomy. Patients were divided into Graves’ disease and non-Graves’ groups. Pre-operative and post-operative biochemical markers, including serum calcium, alkaline phosphatase and parathyroid hormone levels, were reviewed.
A total of 225 patients met the inclusion criteria. Graves’ disease was the most common indication (n = 134; 59.5 per cent) for thyroidectomy. Post-operative hypocalcaemia developed in 48 patients (21.3 per cent) and raised pre-operative serum alkaline phosphatase was noted in 94 patients (41.8 per cent). Raised pre-operative serum alkaline phosphatase was significantly associated with post-operative hypocalcaemia, particularly in Graves’ disease patients (p< 0.05).
Pre-operative serum alkaline phosphatase measurements help to predict post-thyroidectomy hypocalcaemia, especially in patients who do not develop hypoparathyroidism. Ascertaining the pre-operative serum alkaline phosphatase level in patients undergoing total thyroidectomy may help surgeons to identify at-risk patients.
Differences between monolinguals and bilinguals are often attributed to crosslinguistic influence. This paper compares production of discourse connectives by Dutch–Russian bilinguals (Dutch-dominant), typically-developing Dutch/Russian monolinguals and Russian-speaking children with SLI. If non-target-like production in bilinguals is due to crosslinguistic influence, bilinguals should perform differently from both impaired and unimpaired monolinguals. However, if differences between bilinguals and monolinguals are due to other factors (e.g., input quantity, processing capacities), bilinguals’ language production might be similar to that of children with SLI. The results demonstrate that language dominance determines the direction of crosslinguistic influence. In terms of frequency distributions of Russian connectives across pragmatic contexts, the bilingual group performed differently from both monolingual groups and the differences were compatible with the structural properties of Dutch. However, based on error rates and types bilinguals could not be distinguished from the SLI group, suggesting that factors other than crosslinguistic influence may also be at play.
This paper investigates whether three-year-olds are able to process attributive adjectives (e.g., softpillow) as they hear them and to predict the noun (pillow) on the basis of the adjective meaning (soft). This was investigated in an experiment by means of the Visual World Paradigm. The participants saw two pictures (e.g., a pillow and a book) and heard adjective–noun combinations, where the adjective was either informative (e.g., soft) or uninformative (e.g., new) about the head-noun. The properties described by the target adjectives were not visually apparent. When the adjective was uninformative, the looks at the target increased only upon hearing the noun. When the adjective was informative, however, the looks at the target increased upon hearing the adjective. Three-year-olds were as fast as adult controls in predicting the upcoming noun. We conclude that toddlers process adjective–noun phrases incrementally and can predict the noun based on the prenominal adjective.
The interacting vorticity wave formalism for shear flow instabilities is extended here to the magnetohydrodynamic (MHD) setting, to provide a mechanistic description for stabilising and destabilising shear instabilities by the presence of a background magnetic field. The interpretation relies on local vorticity anomalies inducing a non-local velocity field, resulting in action at a distance. It is shown here that the waves supported by the system are able to propagate vorticity via the Lorentz force, and waves may interact. The existence of instability then rests upon whether the choice of basic state allows for phase locking and constructive interference of the vorticity waves via mutual interaction. To substantiate this claim, we solve the instability problem of two representative basic states, one where a background magnetic field stabilises an unstable flow and the other where the field destabilises a stable flow, and perform relevant analyses to show how this mechanism operates in MHD.
We studied the association between drinking water, agriculture and sporadic human campylobacteriosis in one region of British Columbia (BC), Canada. We compared 2992 cases of campylobacteriosis to 4816 cases of other reportable enteric diseases in 2005–2009 using multivariate regression. Cases were geocoded and assigned drinking water source, rural/urban environment and socioeconomic status (SES) according to the location of their residence using geographical information systems analysis methods. The odds of campylobacteriosis compared to enteric disease controls were higher for individuals serviced by private wells than municipal surface water systems (odds ratio 1·4, 95% confidence interval 1·1–1·8). In rural settings, the odds of campylobacteriosis were higher in November (P = 0·014). The odds of campylobacteriosis were higher in individuals aged ⩾15 years, especially in those with higher SES. In this region of BC, campylobacteriosis risk, compared to other enteric diseases, seems to be mediated by vulnerable drinking water sources and rural factors. Consideration should be given to further support well-water users and to further study the microbiological impact of agriculture on water.
Metabolic syndrome comprises a number of cardiovascular risk factors that increase morbidity and mortality. The increase in incidence of the syndrome among psychiatric patients has been unanimously demonstrated in recent studies and it has become one of the greatest challenges in psychiatric practice. Besides the use of psychotropic drugs, factors such as genetic polymorphisms, inflammation, endocrinopathies and unhealthy lifestyle contribute to the association between metabolic syndrome and a number of psychiatric disorders. In this article, we review the current diagnostic criteria for metabolic syndrome and propose clinically useful guidelines for psychiatrists to identify and monitor patients who may have the syndrome. We also outline the relationship between metabolic syndrome and individual psychiatric disorders, and discuss advances in pharmacological treatment for the syndrome, such as metformin.
• Be familiar with the definition of metabolic syndrome and its parameters of measurement.
• Appreciate how individual psychiatric disorders contribute to metabolic syndrome and vice versa.
• Develop a framework for the prevention, screening and management of metabolic syndrome in psychiatric patients.
Few studies have considered the combined effects of home-related determinants on children's diet. The present study investigated independent associations between sociodemographic and food practice (SFP) characteristics and fruit and vegetable consumption in UK children and the combined effects of SFP on consumption using pattern analysis.
Diet was assessed using 4 d food diaries, SFP were collected using computer-assisted personal interview. Linear regressions were used to test associations; principal component analysis was used to identify patterns of SFP characteristics. Regression of fruit (g/d) and vegetables (g/d) v. component scores of each pattern were performed.
UK National Diet and Nutrition Survey Rolling Programme (2008–2010).
Children aged 1·5–10 years (n 642).
Significant associations were found between fruit and vegetable consumption and household socio-economic status. Pattern 1, which was positively correlated with household structure characteristics, was associated with increased fruit consumption (P < 0·001). Pattern 2, characterised by positive correlations for socio-economic status, fruit availability and organic food purchase, and negatively correlated with household size and the number of children per household, was associated with higher fruit and vegetable consumption (both P < 0·001). Pattern 3, characterised by high frequency of eating out and eating takeaway, was associated with a lower consumption of both fruit (P < 0·012) and vegetables (P < 0·023).
Patterns of SFP determinants may be more informative than individual characteristics in relation to dietary outcomes. Results have public health implications on the healthfulness of meals eaten out of home and in takeaways, as well as the need to reduce diet inequality in larger households with lower socio-economic status.
The aim of this paper is to describe innovations taking place in national nutrition surveys in the UK and the challenges of undertaking innovations in such settings. National nutrition surveys must be representative of the overall population in characteristics such as socio-economic circumstances, age, sex and region. High response rates are critical. Dietary assessment innovations must therefore be suitable for all types of individuals, from the very young to the very old, for variable literacy and/or technical skills, different ethnic backgrounds and life circumstances, such as multiple carers and frequent travel. At the same time, national surveys need details on foods consumed. Current advances in dietary assessment use either technological innovations or simplified methods; neither lend themselves to national surveys. The National Diet and Nutrition Survey (NDNS) rolling programme, and the Diet and Nutrition Survey of Infants and Young Children (DNSIYC), currently use the 4-d estimated diary, a compromise for detail and respondent burden. Collection of food packaging enables identification of specific products. Providing space for location of eating, others eating, the television being on and eating at a table, adds to eating context information. Disaggregation of mixed dishes enables determination of true intakes of meat and fruit and vegetables. Measurement of nutritional status requires blood sampling and processing in DNSIYC clinics throughout the country and mobile units were used to optimise response. Hence, innovations in national surveys can and are being made but must take into account the paramount concerns of detail and response rate.
Blastocystis infection has a worldwide distribution especially among the disadvantaged population and immunocompromised subjects. This study was carried out to determine the prevalence and the association of Blastocystis infection with the socio-economic characteristics among 300 primary schoolchildren, living in rural communities in Lipis and Raub districts of Pahang state, Malaysia. Stool samples were collected and examined for the presence of Blastocystis using direct smear microscopy after in vitro cultivation in Jones' medium. The overall prevalence of Blastocystis infection was found to be as high as 25·7%. The prevalence was significantly higher among children with gastrointestinal symptoms as compared to asymptomatic children (x2=4·246; P=0·039). Univariate and multivariate analyses showed that absence of a piped water supply (OR=3·13; 95% CI=1·78, 5·46; P<0·001) and low levels of mothers’ education (OR=3·41; 95% CI=1·62, 7·18; P<0·01) were the significant predictors of Blastocystis infection. In conclusion, Blastocystis is prevalent among rural children and the important factors that determine the infection were the sources of drinking water and mothers' educational level. Interventions with provision of clean water supply and health education especially to mothers are required.