A sample size equaling 50 + 8m is required to do a multi-linear regression, where m is the number of independent variables chosen. At least 3 independent variables can be analyzed (assuming a moderate effect size) taking males and females separately if an equal number of males and females are chosen (Green, 1991). Thus the sample size is adequate for a multi-linear regression analysis.
Therefore a sample size of 154 stable mentally ill patients is thus both practical and also would be among the highest sample sizes used yet for such a requirement as this study.
3.2.3 Sample selection procedure (Inclusion and exclusion criteria)
Sampling followed a simple random sampling using currency method. Every OP day, every nth (consecutive numbers in
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For patients with disorders, other than psychotic and affective disorders, questions regarding hospitalizations, increase in medication and exacerbation of symptoms in the last 3 months were enquired into. Patients with no such history were also recruited.
In all two hundred thirty five patients were selected. A hundred and seventy patients consented to participate in the study. 10 patients were rejected after screening and six patients withdrew consent midway through the interview.
Fifteen of the original two hundred and thirty five patients were suffering from extreme symptoms like severe disorientation or exhibited hostile behavior or severe disorganized thought process (understood from speech content) or were showed severe motor retardation. Such patients were rejected without screening. This is because such patients could not be even approached for consent. Otherwise, all efforts to invite all patients, selected randomly visiting the outpatient clinic within the time period of the study were undertaken.
3.2.3.1 Inclusion criteria All patients who once suffered from acute psychotic or affective symptoms and were currently stable with a score of less than 45 on the BPRS scale were recruited (Leucht et al., 2005). For patients with disorders, other than psychotic and affective disorders, questions regarding hospitalizations increase in medication and exacerbation of
Each participant met with a psychiatrist for a complete mental health assessment regardless of the hospital conducting one. This assessment sets the baseline for that participant. After the initial psychiatric evaluation each participant filled out a questionnaire that was created by the psychiatrist. Having a psychiatrist create the questionnaire gave the study validity, because the psychiatrist is a professional and expert in the area that was studied. Validity is necessary for good science and research.
The client is a 35 year old African American female who presented as open and anxious during the assessment. In 2011, the client was diagnosed with Bipolar and Anxiety. In 2015, the client was hospitalized for 7 days at Richmond Behavioral Health Authority. The client was admitted due to symptoms of irritability, lost track of time and blacked out. The client was prescribed Seroquel and Topamax.
Provided to each subject was a consent form to review and sign before their participation in this study. The researcher excluded any identifiable information from the data collection measures. Subjects received a number as they signed in for the information session. The researcher used these numbers to link the subjects to their surveys and their clinical assessments. Their numbers coordinated with the attendance form which was in the sole possession of the researcher. Institution
Respect for human dignity includes two rights; the right to self-determination and the right to full disclosure. When conducting a research study these two rights must be maintained to ensure that the participants are not coerced into participation and that they are making the choice of their own free will. Patients must be provided with all the information necessary to make an informed decision and voluntarily participate. No deception or concealed data collection can be done because it will violate the patients’ rights.
The categorisation of mental illness continues today with 2 main publications, the International Classification of Diseases (ICD) created by the World Health Organisation and the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by American Psychiatric Association. This form of categorisation facilities the process of medical treatment of the patient, by standardising the referral process between medical practioners and the diagnostic labels are primarily used as a, “convenient shorthand” among professionals and not for lay use”.
Participants would be trained to use the SRM, then they would be given 14 days of SRMs. The diary was to be returned after the 15th day. Thus, 2 weeks of monitoring would
HYPOTHESIS: The patient had general difficulty completing thought trends. He denied any hallu-cinations or delusions, but his guardedness would indicate possible paranoid ideation with possible unsys-temized persecutory delusional system. He felt there was some type of conspiracy against him to place him at Sweetwater Home Board and Care. He was unable to recognize and appreciate his medical and mental cir-cumstances appropriately and respond to them in an appropriate manner. Judgement was impaired since the patient could not make medical or financial decisions in his best interest. I do not feel that he knows the ex-tent of his medical illnesses or his financial situation. The patient was disoriented to time, person and place.
Review Ethics boards should be considerate of the patient’s they are using to conduct their research by first having them fill out an agreement to participate in the research. This idea is reinforced by a field researcher who had to get the patients to sign permission slips before interviewing them and the research wouldn’t reveal their identity. The field researcher found this was an effective way to make the patients whom the experiment is being conducted on comfortable and willing to participate. It allows the patients to have a say on whether they are willing to have specific research done on them whether related to psychological reasons such as asking questions or to have biological research
National Institute of Mental Health. (1990). Clinical training in serious mental illness (DHHS Publication No. ADM 90-1679). Washington, DC: U.S. Government Printing Office.
Through the course of time, mental illnesses have always been in existence due to varying factors and causes. However, as time has passed, the perceptions and available treatments for mental illnesses have also changed as new technology was developed. By looking at the treatments and perceptions of mental illnesses in the early 20th century, we can learn how to properly treat and diagnose not only mental disorders but also other conditions as well as show us the importance of review boards and controlled clinical trials.
At the time of the assessment the patient reports she denies homicidal ideations and symptoms of psychosis.Patient has a history of command auditory hallucinations but denies any current and states, "Everyone in my family
Of them, a prominent one would be the Structured Interview of Reported Symptoms (SIRS), a test deftly structured to perceive the possibility of malingering. Interviewees are asked a series of questions regarding their supposed symptoms and their responses are then contrasted to the answers gained from actual patients and also individuals who were knowingly malingering. To gauge their truthfulness, SIRS makes mention of a broad array of symptoms that may not be factual for even an extraordinarily abnormal cohort; furthermore, individuals are inquired numerous times questions pertaining to a certain symptoms, to check their constancy. According to Kucharski (2014), there are several clinical indicators that could signal off the potential prevalence of malingering, of them would be, symptoms inconsistent with distress, craving an unnatural amount of attention to one’s symptoms, atypical display of symptoms and odd combinations thereof, indistinct presence of symptoms, lack of symptoms that may be hard to feign and an overall discrepancy in symptoms reported and conduct observed
The patient completed the electronic screening by herself. She has 25 years and the results were negative for suicidal ideation (C-SSRS); positive for depression (CAD-MMD, CAT-DI 58.3); positive for anxiety/mild (CAT-ANX: 42.5); negative for mania/hypomania (CAT-M/HM 40.3), she is not taking any medication and is negative for NIDA assist/alcohol (0). Furthermore, the patient denied hallucinations, delusional ideas are not present, and she is oriented (time, place and person). The results were discussed with the patient and Ms. Kubay, NP. The patient should consider an evaluation pharmacotherapy and psychotherapy. The patient does not have mental health history. She prefers start the process with us and then do the transition to other clinic
Note: No consent was necessary because we reviewed only the patients' records and no patient personal data was taken. This study approved in accord with IRB standards.
All participants will be requested to sign a consent form and the should also submit a list of their allergies. Before the experiment is conducted the study the body mass index of the participants and do a follow up on the medical history(to check for genetic disorders and previous diseases that they have been diagnosed with such as diabetes, heart disease) and their lifestyle(their smoking history ,diet ,physical activity, alcohol consumption).