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Risk, Protective Factors, and Supportive Interventions in Chronic Airway Obstruction
CPT Peter S. Jensen, MC, USA
Arch Gen Psychiatry. 1983;40(11):1203-1207.
Abstract
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Fifty-nine patients with chronic airway obstruction completed the Schedule of Recent Experiences and Social Assets Scale (SAS) to measure life stress and social supports. Patients with highest stress and lowest SAS scores (the high-risk group) were randomly assigned to a pulmonary rehabilitation group, self-help support group, or waiting-list control group. Patients with lower stress and/or higher SAS scores (the lowrisk group) served as controls. Six months later, a records review showed that high-risk control patients were hospitalized more often than low-risk control patients and for more days than high-risk patients in rehabilitation and self-help support groups. Discriminant analysis determined that SAS and life stress scores predicted subsequent hospitalization, but age, sex, previous hospitalizations, and severity of illness did not. Measurements of stress and social supports can help identify high-risk patients. In turn, professionals might assist these patients by increasing their supports.
Author Affiliations
From the Department of Psychiatry, Letterman Army Medical Center, Presidio of San Francisco. Dr Jensen is now with the Department of Psychiatry and Neurology, Dwight David Eisenhower Medical Center, Fort Gordon, Ga.
Dr Jensen received the Residents' Annual Award and the Maj Gen Kenyon Joyce Award for this research.
Footnotes
Accepted for publication Jan 11, 1983.
Presented at the Annual Meeting of the Northern California Psychiatric Society, Monterey, Calif, April 17-19, 1983.
The opinions or assertions contained herein are the private views of the author and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.
Reprint requests to Technical Publications Editor, Letterman Army Medical Center, Presidio of San Francisco, CA 94129.
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