Tag Archives: Cystic Fibrosis : Part 2

A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Discussion (Part 5)

A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Discussion (Part 5)Interestingly, there was no correlation (r= — .05, p= .38) in the CF group between degree of autonomy and level of physical health as measured by a functional status index. This parallels findings from other studies with groups of CF adults in which physical health and psychologic health, disease severity and sexual health, illness severity and psychologic adjustment, and pulmonary function and coping status have been shown unrelated and it suggests that factors other than disease severity play a key role in determining the overall psychosocial health of adults with CF. What these factors are is unknown, but their identification should be the subject of future research. buy asthma inhalers
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A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Discussion (Part 4)

Differences did emerge on two questions. The first showed that adults with CF considered their families more accepting of changes in life-style and the undertaking of new activities—a difference many would consider entirely healthy. The second showed members of the CF group to be less satisfied with their sexual activities. This difference, however, was due entirely to an increased level of sexual dissatisfaction among unmarried members of the CF group. Coffman et al have also reported single young adults with CF to be less sexually content than members of a healthy comparison group and suggest that impaired selfimage may be responsible. Given our finding that married adults with CF were as sexually satisfied as their married healthy peers, it may be that higher selfimage predisposes both to marriage and to sexual satisfaction. buy flovent inhaler
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A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Discussion (Part 3)

Our study does support suggestions that the activities of adults with CF are appropriate for their age. The adults with CF in this study appeared to have an overall level of functioning on a par with their healthy peers. They had married and gained dependents at the same rates as had members of the comparison group and the occupational status attained by those who had never entered the work force was at least as good as that attained by members of the comparison group. They were also enrolled in college at rates comparable to the healthy adults. Although they had significantly fewer years of education than members of the comparison group, the recruitment of comparison group members from college campuses is apt to have biased the educational attainment of the comparison group upward. buy prednisone
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A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Discussion (Part 2)

A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Discussion (Part 2)Strauss and Wellisch believed this tendency among individual CF patients to rate their health as better than that of other patients was evidence of “minimization,” and they described this as a useful coping strategy for dealing with illness. However, patients are not alone in practicing minimization: 89 percent of the adults with CF who have a significant other participating in our prospective study are described by these significant others as healthier than other adults with CF. Continue reading

A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Discussion (Part 1)

The participants with CF in this study did not seem to differ from those adults at the UCSD CF Center who chose not to participate in the study, nor do the CF participants in our study seem atypical of CF adults elsewhere. With the exception of its higher proportion of male subjects, our sample resembles published descriptions of other samples both socio-demographically and medically. Patient behaviors in our study are also similar to those reported elsewhere. Our findings concerning medication compliance are consistent with two studies involving CF children that have reported 93 and 79 percent of subjects to be in “complete compliance” with the prescribed antibiotic regimen. Our finding that patients report themselves less compliant with CPT corresponds to objective and subjective observations by other researchers. Also, the finding that 16 percent of patients failed to take medications regularly, to exercise, and to perform CPT is similar to the finding of Strauss and Wellisch that 19 percent of their subjects considered themselves “rarely or never willing to cooperate in their own treatment.” Continue reading

A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Results (Part 4)

Additional CF Group Results
With regard to CF-related informational social support, 61 percent of the CF subjects knew at least five other people with CF; 11 percent knew none. Nineteen percent said they saw at least five other CF patients in a social capacity; 54 percent said they did not see any other patients socially. Thirty-eight percent said they had talked with five or more other CF patients specifically about CF; 27 percent had never spoken specifically about CF with another patient. buy asthma inhalers
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A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Results (Part 3)

A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Results (Part 3)Psychosocial Comparison of the CF and the Healthy Group
None of the four psychosocial index scores differed significantly between the two groups (Table 5). When scores for the component questions of the indices were compared, significant differences between the two groups emerged for only two questions: CF subjects reported their families significantly more accepting of the subjects’ “wishes to take on new activities and make changes” in their life-style, and members of the comparison group reported themselves to be significantly more satisfied with their sexual activities. Continue reading

A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Results (Part 2)

Among older CF adults in San Diego, only 22 percent had graduated from college, whereas 63 percent had done so in the Cleveland sample of Fink et al. Such a discrepancy is hard to explain given that the San Diego sample and the NIH sample described by Boyle et al had identical mean years of education. San Diego had the smallest percentage of married subjects but appeared not to differ substantially in this respect from other samples at the lower end of the distribution. Continue reading

A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Results (Part 1)

Comparison of CF Participants with Other Samples of CF Adults
On none of the demographic or health variables available for comparison were there significant differences (p>.05) between the 37 adults from the UCSD CF Center who chose to participate in the study and the 18 who chose not to participate. These variables included proportion of each group that was male, proportion married, mean age, mean percentage of ideal body weight, mean percentage of predicted slow vital capacity, proportion of each group that had been hospitalized in the preceding year, mean number of days hospitalized in the preceding year, and mortality rate one year after recruitment. buy ortho tri-cyclen online
Summaries of published studies describing various sociodemographic and psychosocial variables in adults with CF are shown in Tables 1 and 2. Continue reading

A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Methods (Part 3)

A Comparative Study of the Psychosocial Assets of Adults with Cystic Fibrosis and Their Healthy Peers: Methods (Part 3)Additional CF Group Variables Measured
Subjects with CF were asked about several other variables for which comparisons with healthy people are not possible. The CF-related informational social support was measured by asking how many other CF adults a CF subject knew, socialized with, and talked with about CF. Medication compliance was assessed by asking subjects how often they took all of their prescribed drugs. Response options were in the form of percentages of time (eg, about one fourth of the time or less). Continue reading

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