1,720,966 research outputs found

    Cattell's 16 PF and PSY inventory: relationship between personality traits and behavioral responses in patients with acute myocardial infarction.

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    Bonaguidi F, Michelassi C, Trivella MG, Carpeggiani C, Pruneti CA, Cesana G, L'Abbate A Cattell's 16 PF and PSY inventory: relationship between personality traits and behavioral responses in patients with acute myocardial infarction. [Comparative Study, Journal Article, Research Support, Non-U.S. Gov't] Psychol Rep 1996 Apr; 78(2):691-702. The aim of this study was to investigate the relationships between personality and behavioral responses in patients with acute myocardial infarction. In a first step, a new instrument (PSY Inventory) for assessment of six behavioral characteristics (Sense of Responsibility, Energy and Competitiveness, Obsessive Behavior, Anger and Hostility, Stress-related Disturbances, Time Urgency) was developed by using factor analysis on intercorrelations of responses from 524 subjects of the general population. Internal consistency reliability for each of the PSY subscales was estimated by Cronbach alpha coefficients. In a second step, the PSY Inventory was administered with the Cattell 16 PF Questionnaire to 838 patients affected by acute myocardial infarction. Significant correlations although relatively low in magnitude for PSY Inventory subscales and certain scales of the Cattell 16 PF were found. With factor analysis on 22 variables (including the six PSY Inventory subscales and the 16 scales of the Cattell 16 PF), five second-order factors were identified, namely, Extraversion, Neurotic Anxiety, Superego Strength, Pathemia, and Neurotic Hostility. While a Pathemia Factor (characterized by sensitivity, imagination, and self-sufficiency) was factorially independent of scales of the PSY Inventory, Extraversion, Neurotic Anxiety, Superego Strength, and Neurotic Hostility Factors were composed of the PSY Inventory scales and Cattell 16 PF scales combined. These relationships would reflect the concordance of internal constructs for behavioral measures of the PSY Inventory and those of personality traits of the 16 PF Questionnaire in patients with acute myocardial infarction

    Religiosity associated with prolonged survival in liver transplant recipients

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    We tested the hypothesis that religiosity (ie, seeking God's help, having faith in God, trusting in God, and trying to perceive God's will in the disease) is associated with improved survival in patients with end-stage liver disease who have undergone orthotopic liver transplantation. We studied a group of 179 candidates for liver transplantation who responded to a questionnaire on religiosity during the pretransplant psychological evaluation and underwent transplantation between 2004 and 2007. The demographic data, educational level, employment status, clinical data, and results of the questionnaire were compared with the survival of patients during follow-up, regardless of the cause of any deaths. Factorial analysis of responses to the questionnaire revealed 3 main factors: searching for God (active), waiting for God (passive), and fatalism. The consistency of the matrix was very high (consistency index = 0.92). Eighteen patients died during follow-up (median time = 21 months). In multivariate analysis, only the searching for God factor [hazard ratio (HR) = 2.95, 95% confidence interval (CI) = 1.05-8.32, χ(2) = 4.205, P = 0.040] and the posttransplant length of stay in the intensive care unit (HR = 1.05, 95% CI = 1.01-1.08, χ(2) = 8.506, P = 0.035) were independently associated with survival, even after adjustments for the waiting for God factor, fatalism, age, sex, marital status, employment, educational level, viral etiology, Child-Pugh score, serum creatinine level, time from the questionnaire to transplantation, donor age, and intraoperative bleeding. Patients who did not present the searching for God factor were younger than those who did, but they had shorter survival times (P = 0.037) and a 3-fold increased relative risk of dying (HR = 3.01, 95% CI = 1.07-8.45). In conclusion, religiosity is associated with prolonged survival in patients undergoing liver transplantation

    Il percorso del trapianto

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    percorso di valutazione psicologica nel trapianto d'organ

    Personality change as defensive responses of patients evaluated for liver transplant

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    Patients affected by endstage liver disease and awaiting liver transplant suffer very stressful conditions. The aim of this study was to evaluate the person ality and behavioral responses of a group of liver transplant candidates, 95 men (M age 50 yr.) and of a group of 18 normal men (M age 49 yr.). The 16 Personality Factor Questionnaire of Cattell, and the PSY Inventory for Behavioral Assessment were administered to assess personality and behavior. On the 16PF Questionnaire, patients had significantly different mean scores from normal subjects on Scale B- (low mental capacity), G (conformity), N (shrewdness), and Q1- (conservatism). They also showed a somewhat lower but not a statistically significant mean on Scale E (submissiveness). In addition, on the four second-order factors of the 16PF (Anxiety, Control, Pathemia, and Extraversion) patients had a significantly higher mean on Control. With respect to PSY Inventors factors, patients showed impairment in energy, sleep, sexual disturbances, and obsessive behaviors. It appears these patients with endstage liver disease, who were evaluated for liver transplant, showed psychological regressive functioning, i.e., high control and dependency on medical staff, submissiveness, which are interpretable as defensive responses to upcoming transplant

    Serum CEA monitoring in the follow up of colorectal cancer patients with negative preoperative serum CEA

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    Thirty-nine patients with colorectal cancer and normal preoperative levels of carcinoembryonic antigen (CEA) were followed up with serial CEA determinations and with complete clinical and laboratory work-ups for the detection of tumor recurrence, for at least 1 yr after surgery. The same schedule for serum CEA assay and other clinical and laboratory tests was followed, for comparison, in 32 colorectal cancer patients with elevated preoperative serum CEA titers, and in whom surgery had been followed by a return to normal of the CEA values. In the follow-up group with negative preoperative serum CEA values, 66.7% of the patients had normal serum CEA titers, and 60% were free from symptoms of tumor recurrence after 1 yr from surgery. Whereas 28.2% of the patients of this group showed a steady rise of their serum CEA levels after periods ranging from 3-12 months from surgery; this serum CEA elevation preceded in nine of these patients other evidence of tumor recurrence by 3-5 months in the average. The above pattern was superimposable to that observed in the patients with positive preoperative serum CEA, about one third of whom exhibited a steady rise of serum CEA to abnormal values (as an early indicator of tumor recurrence) in the first year after surgery. The present results point out the relevant value of monitoring the serum CEA titers also in the postoperative follow-up of patients with normal preoperative serum CEA, since about one third of these patients may develop steadily rising serum CEA levels as an early indicator of tumor recurrence in the first year after surgical treatment
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