This study examines the role of coping style, attributions and emotions in response to challenging behaviour in predicting the helping behaviour of support staff of people with learning disabilities. Thirty-three staff completed questionnaires identifying their attributions of controllability, internality, stability and globality, their emotional response (anger and sympathy) and their likelihood of offering further help in response to challenging behaviour. Staff also completed a short measure of coping style. Coping styles of practical problem solving and wishful thinking and attributions of controllability and internality were independent and significant predictors of effort in helping. The results are discussed in the context of theories of stress and attribution models of helping. Clinical implications for staff training and support are discussed.
We reviewed 34 patients with 65 zone 2 flexor tendon injuries in 39 digits whose outcome had been prospectively studied in an earlier investigation at a mean of 10.6 years after repair. Grip strength was assessed using a Jamar dynamometer. Outcome of grip strength in relation to normal data indicated an excellent or good outcome in 94% of patients, fair in 3% and poor in 3%. Using the grading system recommended by the American Society for Surgery of the Hand, the active range of motion was graded as excellent or good in 75% of digits, fair in 15% and poor in 10%. These results compare favourably with those of the original study with 5/39 of digits showing an improvement from good to excellent. Sixteen of the 34 of patients continued to suffer from cold sensitivity.
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