EVALUATION OF PSYCHOLOGICAL SERVICES FOR ANXIETY AND DEPRESSION PROVIDED IN A UNIVERSITY-BASED PRIMARY CARE CLINIC

Primary care clinics are increasingly integrating psychological services into their service programs, however few studies have used a comparison group to demonstrate the effectiveness of these services. This study evaluated the psychological services provided at the Ambulatory Care Clinic (ACC) at the Virginia Commonwealth University Health System (VCUHS) by comparing changes in 147 patients’ PHQ-9 depression scores and GAD-7 anxiety scores over time to the scores of 139 patients at the Hayes E. Willis Health Center, a comparison clinic with demographically similar patients but no integrated psychological services. Assessment data were collected from participants in the ACC at VCUHS during their first or second primary care psychology appointment and during their 3rd-5th appointment. To maximize similarity in baseline levels, participants in the Hayes clinic were matched to participants from the ACC at VCUHS according to their initial levels of depression and anxiety. Participants from the Hayes clinic were then evaluated with follow-up measures of depression and anxiety at approximately the same time interval as their matched counterparts from the ACC at VCUHS. Results indicated that participants from the ACC at VCUHS experienced significantly greater decreases in their depression and anxiety scores compared to participants in the Hayes Clinic. These results remained significant after accounting for participants’ medication for depression and anxiety and participants’ medical diagnoses. The influence of additional mental health services, treatment resistance factors, marital status, employment status, and general demographic variables were also evaluated. This study provided modest preliminary evidence that indicate integration of psychological services is effective. Strengths, limitations, and implications and future directions are discussed

Determining intended evidence relations in natural language arguments

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72555/1/j.1467-8640.1991.tb00386.x.pd

Relationships between CO2 soil degassing and regional/local fault systems in the Kiejo-Mbaka geothermal prospect (Tanzania)

The Kiejo-Mbaka geothermal prospect in the Mbeya region of SW Tanzania was surveyed for geothermal exploration in a recent study co-financed by the Ministry for Foreign Affairs in Iceland and by the Nordic Development Fund (NDF) and implemented by the Tanzania Geothermal Development Company Limited (TGDC). A multidisciplinary approach was adopted, including geological, geochemical and geophysical surveys. The prospect falls within the southern sector of the Rungwe Volcanic Province (RVP), which is situated at the triple junction of the Rukwa, Usangu and Karonga basins of the East Africa Rift System. Recent volcanism is concentrated in the northern sector of the RVP, whereas recent eruptions were sustained by small magma batches derived from deep sources in the prospect area. Local stratigraphy is mainly characterized by Pre-Cambrian rocks of the metamorphic-intrusive complex covered by Pleistocene volcanic products (basalts and ignimbrites) with a thickness never exceeding 200 m. Several fault systems are present, among which the most important ones trend NW-SE and N-S. The main tectonic feature is the NW-SE-trending Mbaka fault, which controls the local emergence of hot waters at Ilwalilo and Kilambo-Kajala (maximum discharge temperature of 64\ub0C), delimits to the W the Mbaka ridge, and is associated with a series of parallel structures extending in the plain. Both the gravimetric and the electromagnetic surveys concur in identifying the existence of a block corresponding to the above mentioned Mbaka ridge and characterized by a pronounced positive Bouguer anomaly and by high resistivity, due to the proximity of basement rocks. At Kiejo, Ikama, and Lufundo there are gas vents emitting CO2-rich gases, which are captured by drilled wells in the first two sites. Since the Kiejo-Mbaka prospect is classified as an extensional domain, in which flow-paths of geothermal fluids are fault-controlled, part of the geochemical survey was addressed to identify and define the relationships between fluid flow and structures at local scale, in selected hydrothermal areas including Kilambo-Kajala, Ilwalilo and Kiejo. Taking into account the regional fault distribution and preliminary results obtained during the field surveys, also others areas were included in the investigation (i.e. Lufundo, Itende and Kikusya). A total of 598 soil CO2 flux and temperature measurements (~1 m depth) were carried out. Total output was estimated and isoflux maps were elaborated for each investigated sector. In general, CO2 fluxes appear to be controlled by NW-SE and N-S trending faults and fractures. The former prevails at Kiejo, Kilambo-Kajala and Ilwalilo, which is not surprising for Kilambo-Kajala and Ilwalilo, since the hot springs are positioned along the Mbaka fault. In contrast, the N-S trend dominates at Lufundo

Some , And Possibly All, Scalar Inferences Are Not Delayed: Evidence For Immediate Pragmatic Enrichment

Scalar inferences are commonly generated when a speaker uses a weaker expression rather than a stronger alternative, e.g., John ate some of the apples implies that he did not eat them all. This article describes a visual-world study investigating how and when perceivers compute these inferences. Participants followed spoken instructions containing the scalar quantifier some directing them to interact with one of several referential targets (e.g., Click on the girl who has some of the balloons). Participants fixated on the target compatible with the implicated meaning of some and avoided a competitor compatible with the literal meaning prior to a disambiguating noun. Further, convergence on the target was as fast for some as for the non-scalar quantifiers none and all. These findings indicate that the scalar inference is computed immediately and is not delayed relative to the literal interpretation of some. It is argued that previous demonstrations that scalar inferences increase processing time are not necessarily due to delays in generating the inference itself, but rather arise because integrating the interpretation of the inference with relevant information in the context may require additional time. With sufficient contextual support, processing delays disappear

Approximating the limit: the interaction between 'almost' and some temporal connectives in Italian

International audienceThis paper focuses on the interpretation of the Italian approximative adverb 'almost' by primarily looking at cases in which it modifies temporal connectives, a domain which, to our knowledge, has been largely unexplored thus far. Consideration of this domain supports the need for a scalar account of the semantics of (close in spirit to Hitzeman's semantic analysis of , in: Canakis et al. (eds) Papers from the 28th regional meeting of the Chicago Linguistic Society, 1992). When paired with suitable analyses of temporal connectives, such an account can provide a simple explanation of the patterns of implication that are observed when modifies locational (e.g. 'when'), directional (e.g. 'until' and 'since'), and event-sequencing temporal connectives (e.g. 'before' and 'after'). A challenging empirical phenomenon that is observed is a contrast between the modification of and by , on the one hand, and the modification of and by the same adverb, on the other. While and behave symmetrically, a puzzling asymmetry is observed between and . To explain the asymmetry, we propose an analysis of and on which the former has the meaning of the temporal comparative 'earlier', while the latter is seen as an atomic predicate denoting temporal succession between events (Del Prete, Nat Lang Semantics 16:157-203, 2008). We show that the same pattern of implication observed for is attested when modifies overt comparatives, and propose a pragmatic analysis of this pattern that uniformly applies to both cases, thus providing new evidence for the claim that is underlyingly a comparative. A major point of this paper is a discussion of the notion of scale which is relevant for the semantics of ; in particular, we show that the notion of Horn (entailment-based) scale is not well-suited for handling modification of temporal connectives, and that a more general notion of scale is required in order to provide a uniform analysis of as a cross-categorial modifier

Neuro-feedback intervention efficacy for treating children with Autism Spectrum Disorder

This study explored practitioners perceptions of a neuro-feedback intervention in treating children with Autism Spectrum Disorder’s (ASD). Informants were a convenience sample of ten South African neuro-feedback practitioners registered with the Health Professions Council of South Africa (HPCSA). The data on their views on neuro-feedback treatment efficacy, with children with ASD, were collected by means of semi-structured in-depth interviews. Thematic analysis of the data suggest practitioners to perceive neuro-feedback treatment to enhance the social, mood, behaviour, academic life, and family functioning of children with ASD. Additionally, the practitioners perceived neuro-feedback treatment to assist in reducing anxiety among children with ASD

Universality of interpersonal psychotherapy (IPT) problem areas in Thai depressed patients

<p>Abstract</p> <p>Background</p> <p>Many studies have shown the efficacy of interpersonal psychotherapy (IPT) on depression; however, there are limited studies concerning the universality of the IPT problem areas in different countries. This study identifies whether the interpersonal problem areas defined in the IPT manual are endorsed by Thai depressed patients.</p> <p>Methods</p> <p>The Thai Hamilton Rating Scale for Depression (Thai HRSD) and Thai Interpersonal Questionnaire were used to assess 90 depressed and 90 non-depressed subjects in King Chulalongkorn Memorial Hospital, during July 2007 - January 2008. The association between interpersonal problem areas/sociodemographic variables and depressive disorder were analyzed by chi-square test. A multivariable analysis was performed by using logistic regression to identify the remaining factors associated with depressive disorder.</p> <p>Results</p> <p>Most of the subjects were young to middle-aged females living in Bangkok and the Central Provinces. All four interpersonal problem areas (grief, interpersonal role disputes, role transitions, and interpersonal deficits) were increased in the depressed subjects as compared to the non-depressed subjects, as were the sociodemographic variables (low education, unemployment, low income, and having a physical illness). Logistic regression showed that all interpersonal problem areas still remained problems associated with depression (grief: adjusted OR = 6.01, 95%CI = 1.93 - 18.69, p < 0.01; interpersonal role disputes: adjusted OR = 6.01, 95%CI = 2.18 - 16.52, p < 0.01; role transitions: adjusted OR = 26.30, 95%CI = 7.84 - 88.25, p < 0.01; and interpersonal deficits: adjusted OR = 2.92, 95%CI = 1.12 - 7.60, p < 0.05).</p> <p>Conclusion</p> <p>All four interpersonal problem areas were applicable to Thai depressed patients.</p

Hubungan Antara Perhatian Orangtua Dan Hasil Belajar Pada Pembelajaran Tematik Integratif Siswa Kelas IV SD Negeri Kembangarum 2 Mranggen Demak

More less the studying result of students in 4th SD Negeri Kembangarum 2 Mranggen that influences some aspects, one of aspects is her parents?óÔé¼Ôäó not careless with them. Parents?óÔé¼Ôäó is constitute the?é?á first educator for children so that her parents?óÔé¼Ôäó has have responsibility to the studying result her children. The problem in this research contents is about Is there any correlation between of parents?óÔé¼Ôäó attention and the study result for thematic integrative learning in 4th SD Negeri Kembangarum 2 Mranggen Demak?. The hypothesis is that there is positive and significant correlation between of parents?óÔé¼Ôäó attention and the study result for thematic integrative learning in 4th SD Negeri Kembangarum 2 Mranggen Demak. The kind of this research is quantitative research. This research use correlation methode and submited the data use questionnaire and test. The colected data are analysed using product moment formula. The finding is that > on significancy level of 0,05. So the?é?á conclusion is there is positive and significant correlation between of parents?óÔé¼Ôäó attention and the study result for thematic integrative learning in 4th SD Negeri Kembangarum 2 Mranggen Demak