Social functioning as a significant factor in women's help-seeking behaviour during the climacteric period.

In order to identify the psychosocial factors that lead to the demand for medical care related to the menopause, we carried out a case/control study. A case was defined as a woman who sought gynaecological care due to "menopausal complaints" (n = 85) and a control referred to a woman drawn at random from the general population. The cases showed greater psychiatric morbidity and social dissatisfaction, a lower level of diffused social support and a higher frequency of severe life events and the controls showed greater social maladjustment in objective conditions. The multivariate analysis (logistic regression) carried out after adjusting all the relevant variables, indicated that the demand …

The long-term outcome of 2 family intervention strategies in schizophrenia.

The different family-based interventions that have proven to be effective in treating people with schizophrenia present some therapeutic elements in common and differ in certain other respects, although to date, none of the proposed approaches have demonstrated to be clearly superior to each other in reduced relapse and readmission rates. Although the approaches based on relatives group therapies save considerable amounts of time, some data reveal better short-term results when the intervention focuses on the family unit and the participant patient. Objective: The aim of this study was to determine whether the clinical and social benefits observed in the short term would be maintained 5 yea…

Electron Emission of Pt: Experimental Study and Comparison With Models in the Multipactor Energy Range

Experimental data of secondary emission yield (SEY) and electron emission spectra of Pt under electron irradiation for normal incidence and primary energies lower than 1 keV are presented. Several relevant magnitudes, as total SEY, elastic backscattering probability, secondary emission spectrum, and backscattering coefficient, are given for different primary energies. These magnitudes are compared with theoretical or semiempirical formulas commonly used in the related literature.

Violence Against Women from Different Relationship Contexts and Health Care Utilization in Spain

Abstract Background Studies reported an excess of health services utilization among women with violence by an intimate partner (IPV). However, little is known about health utilization by women victims of other forms of interpersonal violence than IPV. This study aimed to determine the effect of violence from different relationship contexts on health care utilization. Methods A cross-sectional study following a multistage cluster sampling scheme was conducted. Women aged 18 to 70 years were randomly selected according to their scheduled health care visit. The number of women invited to participate was 16,419 and 73% accepted. After exclusion, the final sample consisted of 10,815 women. The o…

TRAINING AND DISSEMINATION OF FAMILY INTERVENTION IN SPAIN

A framework to analyse gender bias in epidemiological research

The design and analysis of research may cause systematic gender dependent errors to be produced in results because of gender insensitivity or androcentrism. Gender bias in research could be defined as a systematically erroneous gender dependent approach related to social construct, which incorrectly regards women and men as similar/different. Most gender bias can be found in the context of discovery (development of hypotheses), but it has also been found in the context of justification (methodological process), which must be improved. In fact, one of the main effects of gender bias in research is partial or incorrect knowledge in the results, which are systematically different from the real…

Interpersonal Violence and Women's Psychological Well-Being

The health impact of violence against women by perpetrators other than intimate partners has received little attention. This study aims to analyze the effect of different forms of interpersonal violence on women's health.Adult women (10,815) randomly sampled from primary healthcare services around Spain were included. Women were grouped as follows: (1) no history of violence, (2) history of intimate partner violence only (IPV), (3) history of non-IPV only, and (4) history of both IPV and non-IPV. Lifetime prevalence of violence by IPV, non-IPV, and both was calculated. Adjusted multivariable regression analysis was performed to assess the effects of the different forms of violence on women'…

The link between violence and suicidal behavior among female university students in Spain

Objective: To explore the association between violence and suicidal behavior in female university students. Method: A convenience sample of 540 female students enrolled in the Nursing and Teacher Training Faculties at the University of Valencia was selected. Violence by partners, nonpartners, and both was compared with suicidal thoughts and suicide attempts. An adjusted logistic regression and the Wald Test were performed to explore whether the effect on student's suicidal behavior differed if a partner or others committed violence. Results: 18.1% reported suicidal thoughts in the last month and 2.4% had attempted suicide in the past five years. Suicidal behavior was significantly higher in…

The influence of family expressed emotion on the course of schizophrenia in a sample of Spanish patients. A two-year follow-up study.

A sample of 60 Spanish schizophrenic patients was studied to ascertain the relationship between their relatives' expressed emotion (EE) and relapse at follow-up. The relatives' EE and patients' relapse were operationalised following Leff & Vaughn's criteria. At nine months a significant association was not found between the relatives' EE and relapse, but this association became significant on reclassifying the relatives' EE scores after decreasing to four points the cut-off point for critical comments. At 24 months no association was found between EE and relapse. There was a tendency for patients who interrupted their medication or who did not work to relapse more frequently, particular…

Intimate partner violence in older women in Spain: prevalence, health consequences, and service utilization.

The purpose of this study is to estimate the prevalence of lifetime intimate partner violence (IPV) in older women and to analyze its effect on women"s health and Healthcare Services utilization. Women aged 55 years and over (1,676) randomly sampled from Primary Healthcare Services around Spain were included. Lifetime IPV prevalence, types, and duration were calculated. Descriptive and multivariate procedures using logistic and multiple lineal regression models were used. Of the women studied, 29.4% experienced IPV with an average duration of 21 years. Regardless of the type of IPV experienced, abused women showed significantly poorer health and higher healthcare services utilization compar…

Strategic responses to intimate partner violence against women in Spain: a national study in primary care

Background Research on women99s responses to intimate partner violence (IPV) has largely been limited to women who have been exposed to severe physical violence with scarce generalisation. This study aimed to analyse how Spanish abused women from different backgrounds and with different IPV characteristics respond to violence. Method Women experiencing IPV before the previous year (1469) were selected from a large cross-sectional national survey of adult women recruited during 2006–7 among female patients seeking medical care for whatever reason in primary healthcare services. The outcome variables were women9s responses to IPV and the predictor variables were personal and social resources …

Do all people with schizophrenia receive the same benefit from different family intervention programs?

The study evaluated baseline characteristics that could be used to predict the outcome of family intervention in schizophrenia and focussed on identifying the subgroups of patients who were more likely to respond to one therapeutic modality than another. We conducted a controlled trial in which participants were assigned at random to either a Behavioral Family Intervention Group or a Relatives' Group. Patients in one catchment area, having suffered one psychotic relapse within the previous year and living with their families, were assessed by an independent evaluator at baseline and 12 months later. Some clinical and family factors such as the duration of illness, number of hospital admissi…

Clinical trials with a new atypical antipsychotic (Aripiprazole): gender specific information analysis.

In 1993, the Food and Drug Administration (FDA) published a guideline for the study and evaluation of gender-related differences in clinical trials. However, the extent of the implementation of these recommendations has not been systematically reviewed.To determine the proportion of women in clinical trials of Aripiprazole, a new atypical antipsychotic, and to analyze the resulting information on a gender-specific basis.A systematic review was conducted in Medline to identify randomized trials that compared this new antipsychotic drug with placebo or with typical or atypical antipsychotics in patients diagnosed with schizophrenia. The FDA Guideline was followed for the study and evaluation …

Family interventions in schizophrenia: an analysis of non-adherence.

Montero I, Asencio AP, Ruiz I, Hernandez I. Family interventions in schizophrenia: an analysis of non-adherence. Acta Psychiatr Scand 1999: 100: 136–141. © Munksgaard 1999. Objective: The aim of this study was to identify baseline factors which may make it possible to predict non-adherence to prescribed treatment. Method: A total of 87 schizophrenic patients in a catchment area of Valencia (Spain) were randomly assigned to two family strategies. The characteristics associated with lack of adherence to the programmes were analysed in both the patients and their families. Results: Older patients, those with a higher number of previous hospital admissions, those living in small households and …

Novel multipactor studies in RF satellite payloads: Single-carrier digital modulated signals and ferrite materials

In this work it is reviewed the most novel advances in the multipactor RF breakdown risk assessment devoted to RF satellite microwave passive devices employed in space telecommunication systems. On one side, it is studied the effect of transmitting a single-carrier digital modulated signal in the multipactor RF voltage threshold in a coaxial line. On the other hand, an analysis of the multipactor phenomenon in a parallel-plate waveguide containing a magnetized ferrite slab it is presented.

Long-Term Outcome of Family Therapy in Schizophrenia

Introduction: Cognitive-behavioral family interventions in schizophrenia have proven to be effective in reducing relapse and readmission rates, and also appear to offer other benefits to patients and their families, at least in the short-term. Of particular interest to mental health services is ascertaining how long family interventions should last to maintain their benefits over the course of time. Objective: To determine whether or not the benefits of a family intervention in schizophrenia, conducted in the clinical practice framework, are sustainable over a five-year period. Method: A follow-up over a five-year period with a representative sample of patients and their families who, five …

Analysis of multipactor RF breakdown in a waveguide containing a transversely magnetized ferrite

In this paper, the multipactor RF breakdown in a parallel-plate waveguide partially filled with a ferrite slab magnetized normal to the metallic plates is studied. An external magnetic field is applied along the vertical direction between the plates in order to magnetize the ferrite. Numerical simulations using an in-house 3-D code are carried out to obtain the multipactor RF voltage threshold in this kind of structures. The presented results show that the multipactor RF voltage threshold at certain frequencies becomes considerably lower than for the corresponding classical metallic parallel-plate waveguide with the same vacuum gap