Author: Claudia Maggie Davis
Publisher:
ISBN:
Category :
Languages : en
Pages : 135
Get Book Here
Book Description
California ranked within the top percentile among states that had the highest breast cancer mortality rates among African American women. To that end, the purpose of this dissertation was to gain an understanding of the breast cancer survivorship trajectory for African American women. The first arm utilized a qualitative approach to investigate the meaning of survivorship and utilization of resources among (n=155) African American breast cancer survivors (AABCS). Written responses were analyzed using Contemporary Narrative Inquiry (CNI). Results revealed that through their lived experiences, the participants self-identified with the meaning of survivor, exuded resilience and had a strong sense of spirituality. The Meaning of Survivorship model was developed for AABCS. The study findings revealed the important facets of their survivorship experience. The second arm of the study was comprehensive review of empirical studies of contributors to breast cancer disparities, including histopathological grade, hormone receptors, gene mutations, biological markers, age of diagnosis, parity, anthropometric factors, advanced stage at diagnosis, socioeconomic position, chronic stress burden, difference in breast cancer treatment, quality of care, and patient/physician factors. The review provided substantial evidence for development of the Biopsychosocial Model of Breast Cancer Survivorship (BBCS) for African American women. This conceptual explanatory model identified several key biological and psychosocial risk factors that may contribute to a severe disease trajectory. The final arm of the study examined the relationships between several biological predictors, specifically Estrogen (ER), progesterone (PR), triple negative breast cancer (TNBC), BReast CAncer gene (BRCA1/2), Tumor Protein 53 (p53) age less than or equal to 45 at diagnosis, Basal Metabolic Index (BMI), age less than or equal to 30 at first pregnancy, and psychosocial risk factors (socioeconomic position [SEP], chronic stress), that may affect the psychological functioning (anxiety, depression) of African American breast cancer survivors. Using general linear modeling (GLM), a modified model was tested with a sample (n = 155) of AABCS from Northern and Southern California. Results revealed that some biological and psychological risk factors were significant predictors for anxiety and depression among AABCS. Overall, the findings from this dissertation may serve as a benchmark for collaboration of various disciplines to develop interventions that address breast cancer disparities among these women.
Author: Leila A. Ford
Publisher:
ISBN:
Category : African American women
Languages : en
Pages : 482
Get Book Here
Book Description
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309092116
Category : Social Science
Languages : en
Pages : 753
Get Book Here
Book Description
In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.
Author:
Publisher:
ISBN:
Category : African Americans
Languages : en
Pages : 28
Get Book Here
Book Description
Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 1064
Get Book Here
Book Description
Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 2068
Get Book Here
Book Description
Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
Author: Jimmie C. Holland
Publisher: Oxford University Press
ISBN: 0199361487
Category : Medical
Languages : en
Pages : 240
Get Book Here
Book Description
Geriatric Psycho-Oncology is a comprehensive handbook that provides best practice models for the management of psychological, cognitive, and social outcomes of older adults living with cancer and their families. Chapters cover a wide range of topics including screening tools and interventions, psychiatric emergencies and disorders, physical symptom management, communication issues, and issues specific to common cancer sites. A resource section is appended to provide information on national services and programs. This book features contributions from experts designed to help clinicians review, anticipate and respond to emotional issues that often arise in the context of treating older cancer patients. Numerous cross-references and succinct tables and figures make this concise reference easy to use. Geriatric Psycho-Oncology is an ideal resource for helping oncologists and nurses recognize when it may be best to refer patients to their mental health colleagues and for those who are establishing or adding psychosocial components to existing clinics.
Author:
Publisher:
ISBN:
Category : Dissertations, Academic
Languages : en
Pages : 924
Get Book Here
Book Description
Author: L.K. George Hsu
Publisher: Springer Science & Business Media
ISBN: 1489906886
Category : Medical
Languages : en
Pages : 486
Get Book Here
Book Description
This multiauthored textbook is directed to the psychiatric resident and other professionals who are interested in the issues, strategies, and methods of psychiatric research. Although the field of psychiatry has not attained the scientific rigor and clinical sophistication of some of its sister disciplines in the medical arena, considerable progress has been made in the last decade or two, and a full understanding of the types of articles that now appear in such publications as the American Journal of Psychiatry, the Archives of General Psychi atry, and the Journal of the American Academy of Child and Adolescent Psychiatry requires a fair amount of knowledge about research design and strategy. Whereas articles in psychiatric journals 20 years ago dealt mainly with psycho dynamic topics and utilized nonexperimental observations, today their counter parts are concerned mostly with psychobiology, clinical features, diagnosis, and treatment, and employ scientific experimental designs. The trend of applying scientific methodology to research in psychiatry is increasing and undoubtedly will continue to do so in the future.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309121787
Category : Medical
Languages : en
Pages : 488
Get Book Here
Book Description
Depression is a widespread condition affecting approximately 7.5 million parents in the U.S. each year and may be putting at least 15 million children at risk for adverse health outcomes. Based on evidentiary studies, major depression in either parent can interfere with parenting quality and increase the risk of children developing mental, behavioral and social problems. Depression in Parents, Parenting, and Children highlights disparities in the prevalence, identification, treatment, and prevention of parental depression among different sociodemographic populations. It also outlines strategies for effective intervention and identifies the need for a more interdisciplinary approach that takes biological, psychological, behavioral, interpersonal, and social contexts into consideration. A major challenge to the effective management of parental depression is developing a treatment and prevention strategy that can be introduced within a two-generation framework, conducive for parents and their children. Thus far, both the federal and state response to the problem has been fragmented, poorly funded, and lacking proper oversight. This study examines options for widespread implementation of best practices as well as strategies that can be effective in diverse service settings for diverse populations of children and their families. The delivery of adequate screening and successful detection and treatment of a depressive illness and prevention of its effects on parenting and the health of children is a formidable challenge to modern health care systems. This study offers seven solid recommendations designed to increase awareness about and remove barriers to care for both the depressed adult and prevention of effects in the child. The report will be of particular interest to federal health officers, mental and behavioral health providers in diverse parts of health care delivery systems, health policy staff, state legislators, and the general public.
