Illness Behavior
Sick Role
Hypochondriasis
Somatoform Disorders
Questionnaires
Parent and adolescent distribution of responsibility for diabetes self-care: links to health outcomes. (1/136)
OBJECTIVE: To examine the relation of adolescent and parent responsibility distribution for diabetes self-care to psychological and physical health. METHODS: We interviewed children (mean age 12 years) annually for 3 years and asked parents to complete a questionnaire. Both reported how diabetes self-care was distributed in the family. Amount of responsibility held by the child only, the parent only, and shared between child and parent was calculated. Psychological distress, competence, and diabetes outcomes were assessed at each wave. RESULTS: In both cross-sectional and longitudinal (lagged) analyses, multilevel modeling showed that shared responsibility was consistently associated with better psychological health, good self-care behavior, and good metabolic control, whereas child and parent responsibility were not. In some cases, links of shared responsibility to health outcomes were stronger among older adolescents. CONCLUSIONS: These findings highlight the importance of shared responsibility for diabetes self-care through early to middle adolescence. (+info)Brief report: quality of life is impaired in pediatric burn survivors with posttraumatic stress disorder. (2/136)
OBJECTIVE: This study assessed health-related quality of life (HRQOL) and posttraumatic stress disorder (PTSD) in pediatric burn survivors and examined associations between PTSD and HRQOL. METHODS: Forty-three burn survivors, ages 7-16 years, were interviewed at an average of 4.4 years after their accident using the Clinician-Administered PTSD Scale for Children and Adolescents and the TNO-AZL Child Quality of Life Questionnaire. RESULTS: Eight children (18.6%) met DSM-IV criteria for current PTSD. While most dimensions of HRQOL were within normal limits, social functioning was impaired. Severity of PTSD was significantly associated with physical, cognitive, and emotional dimensions of HRQOL. Children with PTSD reported an impaired overall HRQOL and limited physical (e.g., more bodily complaints) and emotional functioning (e.g., more feelings of sadness). CONCLUSIONS: This study provides tentative evidence for a considerably high prevalence of PTSD in pediatric burn survivors and for a negative association between PTSD and HRQOL. (+info)Aging exacerbates depressive-like behavior in mice in response to activation of the peripheral innate immune system. (3/136)
Exposure to peripheral infections may be permissive to cognitive and behavioral complications in the elderly. We have reported that peripheral stimulation of the innate immune system with lipopolysaccharide (LPS) causes an exaggerated neuroinflammatory response and prolonged sickness behavior in aged BALB/c mice. Because LPS also causes depressive behavior, the purpose of this study was to determine whether aging is associated with an exacerbated depressive-like response. We confirmed that LPS (0.33 mg/kg intraperitoneal) induced a protracted sickness response in aged mice with reductions in locomotor and feeding activities 24 and 48 h postinjection, when young adults had fully recovered. When submitted to the forced swim test 24 h post-LPS, both young adult and aged mice exhibited an increased duration of immobility. However, when submitted to either the forced swim test or the tail suspension test 72 h post-LPS, an increased duration of immobility was evident only in aged mice. This prolonged depressive-like behavior in aged LPS-treated mice was associated with a more pronounced induction of peripheral and brain indoleamine 2,3-dioxygenase and a markedly higher turnover rate of brain serotonin (as measured by the ratio of 5-hydroxy-indoleacetic acid over 5-hydroxy-tryptamine) compared to young adult mice at 24 post-LPS injection. These results provide the first evidence that age-associated reactivity of the brain cytokine system could play a pathophysiological role in the increased prevalence of depression observed in the elderly. (+info)Insight into neurocognitive dysfunction in schizophrenia. (4/136)
(+info)Medication adherence and quality of life in pediatric inflammatory bowel disease. (5/136)
(+info)Implications of resolving the diagnosis of PKU for parents and children. (6/136)
(+info)Diabetes problem solving by youths with type 1 diabetes and their caregivers: measurement, validation, and longitudinal associations with glycemic control. (7/136)
(+info)Differences in family mealtime interactions between young children with type 1 diabetes and controls: implications for behavioral intervention. (8/136)
(+info)Illness behavior is a term used in the field of medicine and psychology to describe the way an individual perceives, experiences, and responds to symptoms or illness. It encompasses the thoughts, feelings, and behaviors that are associated with being sick or experiencing discomfort. This can include seeking medical attention, adhering to treatment plans, and adjusting one's daily activities to accommodate the illness.
Illness behavior is not simply the presence of physical symptoms, but rather it is the way in which an individual interprets and responds to those symptoms. It can be influenced by a variety of factors, including cultural beliefs about health and illness, previous experiences with illness, personality traits, and mental health status.
It's important to note that illness behavior is not necessarily indicative of malingering or fabricating symptoms. Rather, it reflects the complex interplay between an individual's physical health, psychological factors, and social context. Understanding illness behavior can help healthcare providers better assess and manage their patients' symptoms and improve overall care.
The "Sick Role" is a sociological concept that refers to the social position and expectations associated with being ill or sick. It was first introduced by sociologist Talcott Parsons in his 1951 work, "The Social System." According to Parsons, when an individual assumes the sick role, they are exempt from their normal social responsibilities and obligations. However, they are also expected to seek medical help, comply with medical treatment recommendations, and strive to get better and return to their regular social roles as soon as possible.
The sick role involves several key components:
1. The individual is not responsible for their illness and did not cause it intentionally.
2. They are exempt from normal social obligations and responsibilities, such as work or household duties.
3. They must seek medical help and follow the recommended treatment plan.
4. They should strive to get better and return to their regular social roles as soon as possible.
The sick role serves several functions in society, including:
1. Providing a framework for understanding and responding to illness.
2. Encouraging individuals to seek medical help when they are ill.
3. Allowing individuals to take a break from their normal social obligations while they recover.
4. Helping to maintain social order by ensuring that individuals do not abuse the sick role and return to their regular roles as soon as possible.
Hypochondriasis is a psychological disorder where an individual has an unrealistic and persistent fear or belief that they have one or more serious medical conditions, based on the interpretation of bodily symptoms. These fears or beliefs are not alleviated by appropriate medical evaluation and reassurance. The person may be extremely anxious about their health, repeatedly check their body for signs of illness, and seek medical help frequently. However, it's important to note that this term is no longer used in the current diagnostic manuals like DSM-5 or ICD-10. Instead, similar symptoms are often encompassed under Illness Anxiety Disorder.
Somatoform disorders are a group of psychological disorders characterized by the presence of physical symptoms that cannot be fully explained by a medical condition or substance abuse. These symptoms cause significant distress and impairment in social, occupational, or other important areas of functioning. The individual's belief about the symptoms is not consistent with the medical evaluation and often leads to excessive or repeated medical evaluations.
Examples of somatoform disorders include:
1. Somatization disorder: characterized by multiple physical symptoms that cannot be explained medically, affecting several parts of the body.
2. Conversion disorder: characterized by the presence of one or more neurological symptoms (such as blindness, paralysis, or difficulty swallowing) that cannot be explained medically and appear to have a psychological origin.
3. Pain disorder: characterized by chronic pain that is not fully explained by a medical condition.
4. Hypochondriasis: characterized by an excessive preoccupation with having a serious illness, despite reassurance from medical professionals.
5. Body dysmorphic disorder: characterized by the obsessive idea that some aspect of one's own body part or appearance is severely flawed and warrants exceptional measures to hide or fix it.
It's important to note that these disorders are not caused by intentional deceit or malingering, but rather reflect a genuine belief in the presence of physical symptoms and distress related to them.
Patient acceptance of health care refers to the willingness and ability of a patient to follow and engage in a recommended treatment plan or healthcare regimen. This involves understanding the proposed medical interventions, considering their potential benefits and risks, and making an informed decision to proceed with the recommended course of action.
The factors that influence patient acceptance can include:
1. Patient's understanding of their condition and treatment options
2. Trust in their healthcare provider
3. Personal beliefs and values related to health and illness
4. Cultural, linguistic, or socioeconomic barriers
5. Emotional responses to the diagnosis or proposed treatment
6. Practical considerations, such as cost, time commitment, or potential side effects
Healthcare providers play a crucial role in facilitating patient acceptance by clearly communicating information, addressing concerns and questions, and providing support throughout the decision-making process. Encouraging shared decision-making and tailoring care plans to individual patient needs and preferences can also enhance patient acceptance of health care.
A questionnaire in the medical context is a standardized, systematic, and structured tool used to gather information from individuals regarding their symptoms, medical history, lifestyle, or other health-related factors. It typically consists of a series of written questions that can be either self-administered or administered by an interviewer. Questionnaires are widely used in various areas of healthcare, including clinical research, epidemiological studies, patient care, and health services evaluation to collect data that can inform diagnosis, treatment planning, and population health management. They provide a consistent and organized method for obtaining information from large groups or individual patients, helping to ensure accurate and comprehensive data collection while minimizing bias and variability in the information gathered.
'Animal behavior' refers to the actions or responses of animals to various stimuli, including their interactions with the environment and other individuals. It is the study of the actions of animals, whether they are instinctual, learned, or a combination of both. Animal behavior includes communication, mating, foraging, predator avoidance, and social organization, among other things. The scientific study of animal behavior is called ethology. This field seeks to understand the evolutionary basis for behaviors as well as their physiological and psychological mechanisms.
Feeding behavior refers to the various actions and mechanisms involved in the intake of food and nutrition for the purpose of sustaining life, growth, and health. This complex process encompasses a coordinated series of activities, including:
1. Food selection: The identification, pursuit, and acquisition of appropriate food sources based on sensory cues (smell, taste, appearance) and individual preferences.
2. Preparation: The manipulation and processing of food to make it suitable for consumption, such as chewing, grinding, or chopping.
3. Ingestion: The act of transferring food from the oral cavity into the digestive system through swallowing.
4. Digestion: The mechanical and chemical breakdown of food within the gastrointestinal tract to facilitate nutrient absorption and eliminate waste products.
5. Assimilation: The uptake and utilization of absorbed nutrients by cells and tissues for energy production, growth, repair, and maintenance.
6. Elimination: The removal of undigested material and waste products from the body through defecation.
Feeding behavior is regulated by a complex interplay between neural, hormonal, and psychological factors that help maintain energy balance and ensure adequate nutrient intake. Disruptions in feeding behavior can lead to various medical conditions, such as malnutrition, obesity, eating disorders, and gastrointestinal motility disorders.