The Outcome of Eating Disorders: Relapse, Childbirth, Postnatal Depression, Family Support

Mapping Intimacies ◽

10.5772/intechopen.95452 ◽

2020 ◽

Author(s):

Mariko Makino ◽

Mitsuo Yasushi ◽

Masahiro Hashizume

Keyword(s):

Family Support ◽

Postnatal Depression ◽

Depression Scale ◽

Eating Attitudes ◽

The Family ◽

Long Term Follow Up ◽

Eat 26 ◽

Average Body

This study was aimed to identify eating disorder (ED) relapse, childbirth, postnatal depression,and the family support. Of the ED patients during treatment from 1994 to 2004,55 were pregnant and had ED recovery. Of them, 25 (21 Bulimia Nervosa (BN)and 4 Anorexia Nervosa (AN)) agreed to take part in this study. We interviewed them every 2 wk. both during the pregnancy and after childbirth. We also interviewed family members each month. The Eating Attitudes Test-26 (EAT-26) and Edinburgh Postnatal Depression Scale (EPDS) were helpful for diagnosing the EDs and postnatal depression. As the statistical analysis, We conducted t-test.67%relapsed ED while pregnant and 50%relapsed postnatal. In the non-relapse group, all the subjects had vaginal delivery and their infants were male. 50% of the subjects had postnatal depression. Non-Postnatal depression group had average body- weight infants. With regard to family support, there was no relationship between ED relapse and postnatal depression. We found that the rate of ED relapse and that of suffering from postnatal depression were remarkable in this group, suggesting the necessity for long-term follow-up for the EDs.

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Insufficient communication and anxiety in cancer-bereaved siblings: A nationwide long-term follow-up

Palliative & Supportive Care ◽

10.1017/s1478951515001273 ◽

2015 ◽

Vol 14 (5) ◽

pp. 488-494 ◽

Cited By ~ 16

Author(s):

Alexandra Eilegård Wallin ◽

Gunnar Steineck ◽

Tommy Nyberg ◽

Ulrika Kreicbergs

Keyword(s):

Psychological Health ◽

Healthcare Professionals ◽

Health Anxiety ◽

Hospital Setting ◽

Depression Scale ◽

Anxiety And Depression ◽

Relative Risks ◽

Long Term Follow Up

AbstractObjective:The purpose of this study was to examine siblings’ long-term psychological health in relation to their perception of communication with their family, friends, and healthcare professionals during a brother or sister's last month of life.Method:A nationwide questionnaire study was conducted during 2009 in Sweden of individuals who had lost a brother or sister to cancer within the previous two to nine years. Of the 240 siblings contacted, 174 (73%), participated. The Hospital Anxiety and Depression Scale (HADS) was employed to assess psychological health (anxiety). The data are presented as proportions (%) and relative risks (RR) with a 95% confidence interval (CI95%).Results:Siblings who were not satisfied with the amount they talked about their feelings with others during their brother or sister's last month of life were more likely to report anxiety (15/58, 26%) than those who were satisfied (13/115, 11%; RR = 2.3(1.2–4.5)). The same was true for those who had been unable to talk to their family after bereavement (RR = 2.5(1.3–4.8)). Avoiding healthcare professionals for fear of being in their way increased siblings’ risk of reporting anxiety at follow-up (RR = 2.2(1.1–4.6)), especially avoidance in the hospital setting (RR = 6.7(2.5–18.2)). No such differences were seen when the ill brother or sister was cared for at home.Significance of results:Long-term anxiety in bereaved siblings might be due to insufficient communication. Avoiding healthcare professionals, especially when the brother or sister is cared for at the hospital, may also increase the risk of anxiety.

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The long-term follow-up of women treated for postnatal depression at a specialist day hospital compared to routine primary care

International Journal of Psychiatry in Clinical Practice ◽

10.1080/136515002761580992 ◽

2002 ◽

Vol 6 (4) ◽

pp. 199-203 ◽

Cited By ~ 2

Author(s):

L.M O'Brien ◽

E Boath ◽

R Hodgson ◽

J.L Cox

Keyword(s):

Primary Care ◽

Postnatal Depression ◽

Day Hospital ◽

Long Term Follow Up

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International year of the family 1994 long-term follow-up

Midwifery ◽

10.1016/s0266-6138(96)90039-x ◽

1996 ◽

Vol 12 (1) ◽

pp. 37

Keyword(s):

The Family ◽

Long Term Follow Up

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Long-Term Follow-Up of Disability, Cognitive, and Emotional Impairments after Severe Traumatic Brain Injury

Behavioural Neurology ◽

10.1155/2019/9216931 ◽

2019 ◽

Vol 2019 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Britt-Marie Stålnacke ◽

Britt-Inger Saveman ◽

Maud Stenberg

Keyword(s):

Cognitive Function ◽

Clinical Course ◽

Depression Scale ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Emotional Impairments ◽

Long Term Follow Up ◽

Severe Tbi

Aim. To assess the clinical course of disability, cognitive, and emotional impairments in patients with severe TBI (s-TBI) from 3 months to up to 7 years post trauma.Methods. A prospective cohort study of s-TBI in northern Sweden was conducted. Patients aged 18-65 years with acute Glasgow Coma Scale 3-8 were assessed with the Glasgow Outcome Scale Extended (GOSE), the Hospital Anxiety and Depression Scale (HADS), and the Barrow Neurological Institute Screen for Higher Cerebral Functions (BNIS) at 3 months, 1 year, and 7 years after the injury.Results. The scores on both GOSE and BNIS improved significantly from 3 months (GOSE mean:4.4±2.3, BNIS mean:31.5±7.0) to 1 year (GOSE mean:5.5±2.7,p=0.003, BNIS mean:33.2±6.3,p=0.04), but no significant improvement was found from 1 year to 7 years (GOSE mean:4.7±2.8,p=0.13, BNIS mean:33.5±3.9,p=0.424) after the injury. The BNIS subscale “speech/language” at 1 year was significantly associated with favourable outcomes on the GOSE at 7 years (OR=2.115, CI: 1.004-4.456,p=0.049).Conclusions. These findings indicate that disability and cognition seem to improve over time after s-TBI and appear to be relatively stable from 1 year to 7 years. Since cognitive function on some of the BNIS subscales was associated with outcome on the GOSE, these results indicate that both screening and follow-up of cognitive function could be of importance for the rehabilitation of persons with s-TBI.

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The family nurse practitioner role to incorporate long-term follow-up guidelines for adult childhood cancer survivors into practice

10.24124/2015/bpgub1174 ◽

2015 ◽

Author(s):

Suzanne Liu

Keyword(s):

Cancer Survivors ◽

Childhood Cancer ◽

Nurse Practitioner ◽

Childhood Cancer Survivors ◽

Family Nurse Practitioner ◽

The Family ◽

Long Term Follow Up ◽

Practitioner Role

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Parental separation at birth and depression in adulthood: a long-term follow-up of the Finnish Christmas Seal Home Children

Psychological Medicine ◽

10.1017/s0033291703008407 ◽

2004 ◽

Vol 34 (2) ◽

pp. 357-362 ◽

Cited By ~ 13

Author(s):

J. VEIJOLA ◽

P. MÄKI ◽

M. JOUKAMAA ◽

E. LÄÄRÄ ◽

H. HAKKO ◽

...

Keyword(s):

Temporal Separation ◽

Early Separation ◽

The Family ◽

Long Term Follow Up ◽

Birth Data ◽

Adjusted Rate ◽

Matching Criteria ◽

Adjusted Rate Ratio

Background. Early separation of a child from the mother has been considered a risk factor for later depression. We investigated the association between very early separation and depression in adulthood in a unique dataset.Method. The index cohort consisted of 3020 subjects born in 1945–1965 in Finland, isolated from their family due to tuberculosis in the family and placed in special nurseries, immediately after birth, for an average time of 7 months. Those subjects alive at 1 January, 1971 were identified. For every index subject two reference subjects were chosen, the matching criteria being sex, year of birth and place of birth. Data on depression were obtained from the Finnish Hospital Discharge Register by the end of year 1998.Results. In males, 4·2% of the index subjects and 2·6% (Adjusted Rate Ratio RR 1·7, 95% CI 1·3–2·3) of the reference subjects had been treated in hospital due to a depressive episode. In females the respective figures were 3·9% for index subjects and 3·6% (RR 1·1, 95% CI 0·8–1·5) for reference subjects.Conclusions. The index subjects had an elevated risk for hospital treated depression in adulthood. One explanation may be that the very early temporal separation from the mother at birth may have unfavourable effects on later psychological development. On the other hand, separation from the parents at birth was not found to be strongly associated with severe adulthood depression.

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Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

Behavioral and Brain Sciences ◽

10.1017/s0140525x1800105x ◽

2019 ◽

Vol 42 ◽

Cited By ~ 2

Author(s):

John P. A. Ioannidis

Keyword(s):

Mental Health ◽

Mental Disease ◽

Brain Disorders ◽

Social Stressors ◽

Labor Education ◽

Mental Diseases ◽

Long Term Follow Up ◽

Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

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