Understanding the Recovery Process in Psychosis

Conceptualizing recovery in the context of severe and persisting mental health conditions is a complex issue. In recent years, there has been a call to re-focus research from understanding the concept of recovery to improving understanding of the process of recovery. There is a paucity of knowledge about the core processes involved in recovery from psychosis. Objective: The authors aimed to gain insight into possible processes involved in recovery through analyzing data generated from a large qualitative study investigating employment barriers and support needs of people living with psychosis. Research Design and Methods: Participants were 137 individuals drawn from six key stakeholder groups. Data obtained from focus groups (14) and individual interviews (34) were analyzed using thematic analysis. Results: The main recovery processes identified were: learning effective coping strategies; recognizing personal potential; identifying and realizing personal goals; participation in social and occupational roles; positive risk-taking; and reclaiming personal identity. Discussion: The results of this study have implications for treatment as well as the daily support needs of people recovering from psychosis

Calculation of the Effective Stopping Power of Ions Generated by Neutrons in Tissue Constituents

This paper reports the calculation of stopping powers of heavy charged particles generated by neutrons in four-element tissue constituents for particle energies from 0.1 keY to 1.0 MeV. At low projectile energies of less than 30 keV/amu where the nuclear stopping phenomenon is more dominant than the electronic stopping phenomenon, the effective stopping power values are higher than the continuous slowing-down approximation (CSDA) values, from which the deviation is dependent upon the target mass and the energy and mass of the projectiles

Associations of height, leg length, and lung function with cardiovascular risk factors in the Midspan Family Study

<b>Background</b>: Taller people and those with better lung function are at reduced risk of coronary heart disease (CHD). Biological mechanisms for these associations are not well understood, but both measures may be markers for early life exposures. Some studies have shown that leg length, an indicator of pre-pubertal nutritional status, is the component of height most strongly associated with CHD risk. Other studies show that height-CHD associations are greatly attenuated when lung function is controlled for. This study examines (1) the association of height and the components of height (leg length and trunk length) with CHD risk factors and (2) the relative strength of the association of height and forced expiratory volume in one second (FEV1) with risk factors for CHD. <b>Subjects and methods</b>: Cross sectional analysis of data collected at detailed cardiovascular screening examinations of 1040 men and 1298 women aged 30–59 whose parents were screened in 1972–76. Subjects come from 1477 families and are members of the Midspan Family Study. <b>Setting</b>: The towns of Renfrew and Paisley in the West of Scotland. <b>Results</b>: Taller subjects and those with better lung function had more favourable cardiovascular risk factor profiles, associations were strongest in relation to FEV1. Higher FEV1 was associated with lower blood pressure, cholesterol, glucose, fibrinogen, white blood cell count, and body mass index. Similar, but generally weaker, associations were seen with height. These associations were not attenuated in models controlling for parental height. Longer leg length, but not trunk length, was associated with lower systolic and diastolic blood pressure. Longer leg length was also associated with more favourable levels of cholesterol and body mass index than trunk length. <b>Conclusions</b>:These findings provide indirect evidence that measures of lung development and pre-pubertal growth act as biomarkers for childhood exposures that may modify an individual's risk of developing CHD. Genetic influences do not seem to underlie height-CHD associations

Observations of the J = 2→1 transitions of ¹²C¹⁶O and ¹²C¹⁸O towards galactic H II regions

Observations are reported of the J = 2→1 transitions of CO and 12C18O at 230 and 219 GHz respectively from a number of galactic sources. A map of the central 1/2° × 1/2° of the Orion A molecular cloud is presented. The spectra are interpreted to derive molecular densities and abundance ratios in the molecular clouds observed

Sex distribution of offspring-parents obesity: Angel's hypothesis revisited

This study, which is based on two cross sectional surveys' data, aims to establish any effect of parental obesity sex distribution of offspring and to replicate the results that led to the hypothesis that obesity may be associated with sex-linked recessive lethal gene. A representative sample of 4,064 couples living in Renfrew/Paisley, Scotland was surveyed 1972-1976. A total of 2,338 offspring from 1,477 of the couples screened in 1972-1976, living in Paisley, were surveyed in 1996. In this study, males represented 47.7% among the total offspring of the couples screened in 1972-1976. In the first survey there was a higher male proportion of offspring (53%, p < 0.05) from parents who were both obese, yet this was not significant after adjustment for age of parents. Also, there were no other significant differences in sex distribution of offspring according to body mass index, age, or social class of parents. The conditions of the original 1949 study of Angel (1949) (which proposed a sex-linked lethal recessive gene) were simulated by selecting couples with at least one obese daughter. In this subset, (n = 409), obesity in fathers and mothers was associated with 26% of offspring being male compared with 19% of offspring from a non-obese father and obese mother. Finally we conclude that families with an obese father have a higher proportion of male offspring. These results do not support the long-established hypotheses of a sex-linked recessive lethal gene in the etiology of obesity

Investigating the relationship between social support and durable return to work

The aim of the current study was to investigate the relationship between social support and durable return to work (RTW) post occupational injury. A total of 1,179 questionnaires were posted to clients previously receiving vocational rehabilitation services from the Return to Work Assist program in Queensland, Australia. Participants were asked to indicate their current RTW status, in addition to completing questionnaires measuring their relationship with their superior, relationships with colleagues, and social support external to the workplace. The statistical analysis included 110 participants. An ANOVA indicated that participants in the RTW group reported significantly better relationships with their superiors and colleagues than participants in the non-durable RTW group. No significant differences were observed between the RTW, non-durable RTW and no RTW groups on a measure of social support external to the workplace. Although the findings were limited by the low response rate, an evaluation of demographics indicated the respondents were representative of the original target sample. The findings suggested that providing support in the workplace is an important area for intervention and may be a means of increasing durable RTW outcomes.</jats:p

Perspectives on recovery in psychosis

This paper explores the concept of recovery in relation to people living with psychosis. Previous studies have examined recovery from the perspectives of clinicians and people living with psychosis. This article examines perceptions of recovery among multiple stakeholder groups. Research Design and Method: The study used data from a large Australian qualitative study which investigated employment barriers and support needs of people living with psychosis. The sample comprised 137 participants drawn from six key stakeholder groups: people living with psychosis; care-givers; health professionals; employers; employment consultants; and community members. Data gathered during 14 focus groups and 31 individual interviews were imported into NVivo 10 and analyzed using thematic analysis. Results: Five themes were identified in relation to the perceived meaning of recovery in psychosis: symptomatic relief; a contented life; a meaningful life; a contributing life and functional improvement. Conclusions: The findings highlight the diverse perceptions that exist among stakeholders regarding what constitutes recovery in psychosis