South African Journal of Psychiatry - Volume 10, Issue 4, 2004
Volume 10, Issue 4, 2004
Source: South African Journal of Psychiatry 10, pp 104 –108 (2004)More Less
A direct referral system for referring persons who perpetrate a crime while suffering from a mental illness has evolved between the office of the Director of Public Prosecution (DPP) in the Free State, and the Free State Psychiatric Complex (FSPC) over the years. The efficiency and impact of this direct referral system have never been quantified. This study found that this alternative system is uncomplicated, functions quite effectively with a minimum of inappropriate referrals, and contributes greatly towards decreasing the workload of the judicial as well as the psychiatric system.
Source: South African Journal of Psychiatry 10, pp 109 –118 (2004)More Less
<I>Objectives.</I> To investigate the psychosocial aspects of rheumatoid arthritis (RA) and to determine the predictors of RA health outcome in a low socio-economic group of clinic-based adult RA patients. <br><I>Design.</I> This was a cross-sectional study. Clinic-based adult RA patients were subjected to a series of selfadministered questionnaires to assess their experience of the disease. Coping, social support, causal attribution, cognitive illness representation, pain and functional status were assessed. Joint status, which indicated the degree of severity of joint inflammation for each RA patient, was assessed by a rheumatologist. <br><I>Subjects.</I> The sample consisted of 186 RA patients with a mean age of 49.51 years and a mean duration of RA of 10.80 years. <br><I>Outcome measures.</I> Health status measures defined by pain and functional status, and joint status. <br><I>Results.</I> Psychological factors, especially coping, were more significant predictors of self-report of pain and functional status than socio-demographic factors. Both socio-demographic factors and psychological factors (especially coping) were found to be significant predictors of swollen and tender joint status. <br><I>Conclusion and recommendations.</I> As a psychological factor, coping emerged as a consistent predictor of both self-report of pain and functional status, and swollen and tender joint status. It is recommended that to enhance the quality of life of RA patients and improve their health status, the impact of psychosocial factors such as the way in which patients cope with their disease status, must be considered. Further, it is recommended that health professionals collaborate not only in attempting to refine the theoretical conceptualisation of RA, but also in devising holistic and multidisciplinary care for individuals afflicted with the disease.
Self-testing in psychiatry.
Review Manual for Massachusetts General Hospital Handbook of General Hospital Psychiatry, 5th ed. Theodore A. Stern : book reviewAuthor Soraya SeedatSource: South African Journal of Psychiatry 10 (2004)More Less
Neuropsychiatry and behavioural psychology.
Neuropsychiatry and Behavioural Neurology Explained. Alex J. Mitchell : book reviewAuthor Lize WeichSource: South African Journal of Psychiatry 10 (2004)More Less