Assessment of Social Adjustment by Patient Self-Report

Weissman, Myrna M.; Bothwell, Sallye

doi:10.1001/archpsyc.1976.01770090101010

Cited by 1,671 publications

(1,008 citation statements)

References 14 publications

Supporting

Mentioning

976

Contrasting

Unclassified

Order By: Relevance

“…Clinical characteristics included the following: (1) baseline abstinence based on urine drug and breath alcohol screens; (2) days of substance use (drug/alcohol) in the 90 days preceding baseline assessment (timeline follow-back method); 21 (3) age of onset for first substance use; (4) primary substance of abuse; (5) screening for psychiatric disorders including attention deficit hyperactivity disorder (ADHD), posttraumatic stress disorder (PTSD), major depressive disorder, and anxiety disorders (i.e., panic, social, and generalized anxiety disorders); 22 (6) psychological distress level (Brief Symptom Inventory-18); 23 (7) perception of physical health (EQ5D Quality of Life questionnaire); 24 (8) social functioning; 25 (9) medical service utilization during the prior 90 days (i.e., doctor visits, emergency department visits, and hospital admissions); and (10) cognitive function (i.e., working memory, immediate/delayed memory, logical association of familiar concepts, and spatial recognition) (the MicroCog computerized assessment of cognitive functioning). 26 Internet access was assessed at baseline and categorized as a binary variable, Bno internet access in the past 90 days^and Bany use in the past 90 days.Ô utcome variables included acceptability of web-based TES, abstinence in the last 4 weeks of the study, and treatment retention.…”

Section: Methodsmentioning

confidence: 99%

Recent Internet Use and Associations with Clinical Outcomes among Patients Entering Addiction Treatment Involved in a Web-Delivered Psychosocial Intervention Study

et al. 2016

View full text Add to dashboard Cite

The acceptability and clinical impact of a web-based intervention among patients entering addiction treatment who lack recent internet access are unclear. This secondary analysis of a national multisite treatment study (NIDA Clinical Trials Network-0044) assessed for acceptability and clinical impact of a web-based psychosocial intervention among participants enrolling in community-based, outpatient addiction treatment programs. Participants were randomly assigned to 12 weeks of a web-based therapeutic education system (TES) based on the community reinforcement approach plus contingency management versus treatment as usual (TAU). Demographic and clinical characteristics, and treatment outcomes were compared among participants with recent internet access in the 90 days preceding enrollment (N = 374) and without internet access (N = 133). Primary outcome variables included (1) acceptability of TES (i.e., module completion; acceptability of web-based intervention) and (2) clinical impact (i.e., self-reported abstinence confirmed by urine drug/ breath alcohol tests; retention measured as time to dropout). Internet use was common (74 %) and was more likely among younger (18-49 years old) participants and those who completed high school (p G .001). Participants randomized to TES (n = 255) without baseline internet access rated the acceptability of TES modules significantly higher than those with internet access (t = 2.49, df = 218, p = .01). There was a near significant interaction between treatment, baseline abstinence, and internet access on time to dropout (χ 2 (1) = 3.8089, p = .051). TES was associated with better retention among participants not abstinent at baseline who had internet access (X 2 (1) = 6.69, p = .01). These findings demonstrate high acceptability of this web-based intervention among participants that lacked recent internet access.

show abstract

Section: Methodsmentioning

confidence: 99%

Recent Internet Use and Associations with Clinical Outcomes among Patients Entering Addiction Treatment Involved in a Web-Delivered Psychosocial Intervention Study

et al. 2016

View full text Add to dashboard Cite

show abstract

“…For both groups, exclusion criteria comprised being under 25 or over 65 years of age, being left-handed, non- Weissman and Bothwell, 1976). The SAS-SR is a self-report questionnaire that evaluates daily functioning, and includes questions on social and leisure activities, relationships with the marital partner, children and extended family, and perception of economic status.…”

Section: Methodsmentioning

confidence: 99%

Brain Morphometry and Cognitive Performance in Detoxified Alcohol-Dependents with Preserved Psychosocial Functioning

Chanraud

Martelli

Delain

et al. 2006

Neuropsychopharmacol

368

295

View full text Add to dashboard Cite

The extent of structural brain damage and related cognitive deficits has been little described in alcohol-dependent individuals with preserved social functioning. Thus, we investigated the relationship between regional alterations, executive performance, and drinking history. Volumes of gray and white matter were assessed using magnetic resonance imaging voxel-based morphometry in healthy men and in detoxified alcohol-dependent men with good psychosocial functioning. Their executive performance was assessed using neuropsychological tests. Regression analyses were carried out in the regions in which volume differences were detected. Decreases in gray matter were detected bilaterally in alcohol-dependents in the dorsolateral frontal cortex (up to 20% lower), and to a lesser extent in the temporal cortex, insula, thalamus, and cerebellum. Decreases in white matter volume were widespread, being up to 10% in corpus callosum. The degradation of neuropsychological performance correlated with gray matter volume decreases in the frontal lobe, insula, hippocampus, thalami and cerebellum, and with white matter decrease in the brainstem. An early age at first drinking was associated with decreased gray matter volumes in the cerebellum, brainstem (pons), and frontal regions. Regional alteration in gray and white matter volume was associated with impairment of executive function despite preserved social and somatic functioning in detoxified patients. Besides involving frontal regions, these findings are consistent with a cerebello-thalamo-cortical model of impaired executive functions in alcohol-dependent individuals.

show abstract

“…Mental health–related functioning was assessed with the Medical Outcomes Study 36-Item Short-Form Health Survey summary score (27). Social functioning was measured by the Social Adjustment Scale–Self Report (28), which examines social role performance in six domains. Finally, shame was assessed with the corresponding subscale of the Differential Emotions Scale (29), wherein respondents report the frequency of experiences of shame in their daily lives.…”

Section: Methodsmentioning

confidence: 99%

A Randomized Effectiveness Trial of Interpersonal Psychotherapy for Depressed Women With Sexual Abuse Histories

Talbot¹,

Chaudron²,

Ward³

et al. 2011

Psychiatric Services

View full text Add to dashboard Cite

Objectives Many depressed women seen in community mental health centers (CMHCs) have histories of childhood sexual abuse and are economically disadvantaged. Randomized trials are needed to test the effectiveness of evidence-based interventions in this population and setting. This study compared interpersonal psychotherapy with usual care psychotherapy among women in a CMHC. Methods Among 1,100 women seeking treatment in a CMHC, 230 (21%) had major depression and histories of childhood sexual abuse. Seventy women with major depression and sexual abuse before age 18 were randomly assigned to interpersonal psychotherapy (N=37) or usual care psychotherapy (N=33). Staff clinicians provided all treatments. Participants were assessed at study entry and at ten, 24, and 36 weeks after random assignment. Generalized estimating equations were used to examine change over time. Results Compared with women assigned to usual care, women who received interpersonal psychotherapy had greater reductions in depressive symptoms (Hamilton Rating Scale, p=.05, d=.34; Beck Depression Inventory–II, p=.01, d=.29), posttraumatic stress disorder symptoms (p=.04, d=.76), and shame (p=.002, d=.38). Interpersonal psychotherapy and usual care yielded comparable improvements in social and mental health–related functioning. Conclusions Interpersonal psychotherapy compared favorably to usual care psychotherapy in a CMHC in improving psychiatric symptoms and reducing shame among sexually abused women. However, there is a critical need for continued research to develop more effective treatments for the social and psychiatric sequelae of interpersonal trauma and socioeconomic disadvantage.

show abstract

Assessment of Social Adjustment by Patient Self-Report

Abstract: Westerman, M. A. (2011). Defenses in interpersonal interaction: Using a theory-building case study to develop and validate the theory of interpersonal defense.

Cited by 1,671 publications

References 14 publications

Recent Internet Use and Associations with Clinical Outcomes among Patients Entering Addiction Treatment Involved in a Web-Delivered Psychosocial Intervention Study

Recent Internet Use and Associations with Clinical Outcomes among Patients Entering Addiction Treatment Involved in a Web-Delivered Psychosocial Intervention Study

Brain Morphometry and Cognitive Performance in Detoxified Alcohol-Dependents with Preserved Psychosocial Functioning

A Randomized Effectiveness Trial of Interpersonal Psychotherapy for Depressed Women With Sexual Abuse Histories

Contact Info

Product

Resources

About