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Query: UMLS:C0011570 (
depression
)
172,036
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Cystic fibrosis
(CF) patients with viral lower respiratory tract illnesses (LRI) had depressed levels of the third and fourth components of complement, which returned to normal after recovery. There was no clinical evidence of immune complex disease. CF patients with LRI and no virus isolates, CF patients in stable status, and non-CF patients with LRI did not have complement
depression
. It is postulated that antigen-antibody complex activation of complement may occur in CF patients with viral LRI.
...
PMID:Serum complement depression during viral lower respiratory tract illness in cystic fibrosis. 92 18
A contextual framework guided the measurement of specific stressors encountered by parents of children recently diagnosed with
cystic fibrosis
(CF). Three variables were assessed within the context of the parenting role: illness-specific tasks, normal parenting tasks, and strains in family roles. These situation-specific stressors were contrasted with global measures of parenting stress in their ability to predict
depression
. Sixty-four parents (36 mothers, 28 fathers) of infants and toddlers recently diagnosed with CF completed a structured interview and standardized measures in the home. Parents reported elevations in both situation-specific and global parenting stress, and a greater number of depressive symptoms than a norm group. Mothers reported significantly greater strain in managing their caregiving role and higher levels of
depression
than fathers. Controlling for situation-specific parenting stress and marital satisfaction, regression analyses indicated that role strain related to CF was associated with greater
depression
in mothers, but not fathers. Furthermore, stressors measured contextually rather than globally accounted for substantially greater proportions of the variance in
depression
. The findings highlight the need to measure ongoing strains specific to the medical condition, and to assess role-related changes.
...
PMID:Parental response to cystic fibrosis: a contextual analysis of the diagnosis phase. 148 33
The present research was designed to investigate the adjustment of patients with
cystic fibrosis
(CF) and their families as well as the relationship between adjustment and physician perceptions of compliance with CF treatment. Patient and family adjustment was assessed by means of the Personality Inventory for Children as well as measures of marital adjustment,
depression
, and social isolation completed by mothers of CF patients. Results indicated no characteristic pattern of psychopathology or adjustment problems. However, higher levels of perceived compliance with CF treatment were found to be associated with less satisfactory marital relationships and with less frequent maternal social contacts. These findings are discussed in terms of achieving a balance between compliance and psychological adjustment.
...
PMID:Psychosocial factors related to perceived compliance with cystic fibrosis treatment. 155 23
In adolescents with chronic illnesses, the rate of behavioral disorders is 10% to 20% higher than that in their well peers. Rheumatoid arthritis, chronic renal disease,
cystic fibrosis
, cancer, and many other chronic illnesses constitute risk factors for behavioral disorders in adolescents. Because they are now living longer, more productive lives, adolescents with chronic illnesses are more often seen by their primary care physicians with behavioral disorders that can interfere with disease control. Risk-taking behaviors, difficulties with parents, noncompliance,
depression
, and isolation may all be manifestations of behavioral disorders. Parents and siblings may also be at risk for disorder. Particular constellations of family and individual characteristics may be associated with behavior disorder. So that these behaviors may be discovered as early as possible, it is important that the primary care physician conceptualize chronically ill adolescents and their families as "at risk."
...
PMID:Psychiatric aspects of chronic disease in adolescence. 239 21
We previously described a technique for en bloc double-lung transplantation that was initially applied to select patients with
cystic fibrosis
and emphysema. This procedure is quite complex and associated with several limitations, including a substantial incidence of airway ischemia, postoperative myocardial
depression
, and cardiac denervation. To address these problems we have developed a simpler procedure for replacing both lungs. The operation is done through a transverse thoracosternotomy and involves sequential replacement of the two lungs. Positive features include separate bronchial anastomoses to reduce ischemic airway complications, elimination of the need for total cardiopulmonary bypass and a period of ischemic cardiac arrest, improved exposure to reduce intraoperative and postoperative hemorrhage, and maintenance of cardiac innervation. Additionally, the technique can be more easily mastered and widely applied. Details of the procedure and its initial clinical application in 3 patients having emphysema,
cystic fibrosis
, and bronchiolitis obliterans following previous double-lung transplantation, respectively, are described. All 3 patients recovered without complication. Postoperative function was excellent in spite of lung ischemic times ranging up to 91/2 hours.
...
PMID:Improved technique for bilateral lung transplantation: rationale and initial clinical experience. 233 34
Internal consistency of the major diagnostic categories for children was assessed, using the symptom scale scores of the Child Assessment Schedule. Alpha coefficients were calculated for three samples: 116 nonpsychotic psychiatrically disturbed children, 63 children with
cystic fibrosis
, and 177 children from a community based sample. For the psychiatric sample, a high level of internal consistency was demonstrated for all the symptom scales (i.e., attention deficit, conduct, anxiety, and
depression
). For the nonpsychiatric samples, the attention deficit and
depression
scales were reliable, with lower levels of endorsement and more variability observed for the other scales. These results are supportive of the clustering of diagnostic criteria present in DSM-III.
...
PMID:Internal consistency of DSM-III diagnoses using the symptom scales of the Child Assessment Schedule. 238
In a preliminary study, total fatty acids of lipids removed from hair of subjects of either sex with
cystic fibrosis
(n = 17; average age 8.3 years) and controls (n = 24; average age 9.1 years) were analyzed by gas chromatography. In contrast to the blood lipids in
cystic fibrosis
which display various fatty acid changes as a
depression
in 18:2 and increases in 16:0, 16:1, and 18:1, such profiles did not occur with the hair lipids. With the latter, total fatty acids in
cystic fibrosis
showed decrements in 18:1 and in the lesser concentrations of 20:1 and members below C14 as compared to the respective control series.
...
PMID:Total fatty acids of hair lipids in cystic fibrosis. 270 87
Although evidence suggests that adolescents with chronic illness are at a greater risk for psychosocial disability, little is known about the adolescent's perception of the impact of the disease on his or her day-to-day life. Standardized measures of coping strategies, mastery, self-efficacy, social support,
depression
, and a semistructured interview on everyday difficulties were administered to matched groups (sex and age) of 31 adolescents with
cystic fibrosis
, 31 adolescents with diabetes, and 31 healthy controls. No differences were found between control and adolescents with a chronic disease responses on the standardized measures. The semistructured interview, however, revealed that the adolescent's perception of his or her physical health and the reaction of other family members to the illness were important sources of stress. These findings suggest that, in general, adolescents with a chronic illness cope effectively with their disability but that parents and clinicians must be sensitive to the adolescents' feelings and concerns regarding their health and its impact on the family.
...
PMID:Chronic disease and its impact. The adolescent's perspective. 273 7
Used path analysis to test a conceptual model of the relationship among maternal employment status, maternal
depression
, and reported child behavior problems. Ss were 95 mothers of children in 4 conditions:
cystic fibrosis
, diabetes, mental retardation, and well. Regardless of child chronic condition or family SES, mothers not employed outside the home had higher levels of
depression
than employed mothers. Maternal
depression
, in turn, was associated with higher levels of reported child behavior problems. Controlling for SES and maternal
depression
, mental retardation was associated with more child behavior problems, but chronic illness (
cystic fibrosis
and diabetes) was not associated with more behavior problems. The findings underscore the need to examine the adjustment of children with chronic disorders in the context of their mothers' well-being, particularly when mothers are the principal informants regarding child adjustment.
...
PMID:The role of maternal employment and depression in the psychological adjustment of chronically ill, mentally retarded, and well children. 279 97
The lifetime and current prevalence of
depression
and anxiety disorders was determined in 41 children with Crohn's disease, 12 children with ulcerative colitis, and 52 children with
cystic fibrosis
, using the Kiddie-Schedule for Affective Disorders and Schizophrenia interview. The lifetime prevalence of
depression
was 29% in Crohn's disease, 21% in ulcerative colitis, and 11.5% in
cystic fibrosis
. The difference in the prevalence of
depression
between Crohn's disease and
cystic fibrosis
was significant (p less than 0.05). The lifetime and current prevalence of dysthymia was significantly greater in ulcerative colitis than Crohn's disease (p less than 0.01) or
cystic fibrosis
(p less than 0.01). The lifetime prevalence of atypical
depression
was significantly greater in Crohn's disease than
cystic fibrosis
(22% versus 5.8%, p less than 0.05) and was also greater in ulcerative colitis than
cystic fibrosis
(21% versus 5.8%, p = 0.1). There was no difference between the groups in the current prevalence of major depression or atypical
depression
, or in the lifetime or current prevalence of anxiety disorders.
...
PMID:Depression and anxiety in pediatric inflammatory bowel disease and cystic fibrosis. 280 68
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