Social and affective impairments are important recovery after acquired stroke in childhood

Despite a congenital stroke, overall intelligence at school age is generally within the normal range. Language acquisition problems are more prominent when children are younger (<5 years of age) than when they are older. They are present after both right and left lesions, but appear to have different features. They are less apparent than in the child with a developmental language disorder. Acquired aphasia in childhood results in subtle and often persisting deficits. Children with congenital strokes are at risk for behavioral and psychiatric problems. Those with congenital right hemisphere strokes appear to be more difficult infants, but there is no clear side of lesion effect in older children. Children with congenital right hemisphere strokes have more prominent spatial difficulties than their left lesion counterparts. Evaluating both the process and the product highlights this. Increasing the difficulty of the task often brings out deficits in the right lesion group even when they seemingly recovered.     

Social support and recovery from surgery

This study examined the relationship of naturally occurring social support from the spouse with the preoperative anxiety and postoperative recovery of 56 male coronary-bypass patients. Patients were divided into groups based on whether the overall quality of their marital relationship was perceived to be relatively good or bad at the time of surgery and on whether they received relatively high or low spouse support in the hospital (defined in terms of frequency of visits). A fifth group (n = 16), consisting of unmarried patients, enabled additional comparisons. The results indicated that, although groups were essentially equivalent in preoperative physical status, married patients who received higher hospital support took less pain medication and recovered more quickly than their low-support counterparts. In contrast, perceived quality of the marital relationship was a relatively insignificant factor. Speed of recovery for unmarried patients was generally slower than for married, high-support patients and faster than for married, low-support patients.     

Spousal caregiver confidence and recovery from ambulatory activity limitations in stroke survivors.

OBJECTIVE: This study examined whether spousal confidence in care-recipient recovery can predict recovery from activity limitations following stroke and how spousal confidence relates to stroke survivor self-efficacy for recovery. DESIGN: A prospective design was used. Measures were gathered from stroke survivor/spouse dyads at two time points, both postdischarge from the hospital following stroke (N=109). MAIN OUTCOME MEASURES: The dependent variable was recovery from ambulatory activity limitations over 6 weeks, as measured by the Functional Limitations Profile. A single spousal confidence item was tailored to an ambulatory behavior that the stroke survivors could not perform at Time 1. RESULTS: Spousal confidence was correlated with ambulation recovery (r=-0.23, p<.05) and stroke survivor self-efficacy for recovery (r=.25, p<.05). Higher spousal confidence was associated with a better recovery and greater stroke survivor self-efficacy for recovery, but not with initial health status or practical support received. CONCLUSION: The relationship between caregiver confidence, care-recipient self-efficacy for recovery, and recovery outcomes needs further elucidation.     

Social support and recovery from sexual assault: A review

This article reviews empirical studies of social support and sexual assault in order to evaluate the empirical evidence for the role of support in recovery from mental health and physical health consequences of this crime. Evidence is mixed with regard to the effect of social support, with some studies showing no significant effect and others showing positive effects of support on postassault recovery. Negative aspects of social relations (e.g., negative social reactions), while less studied, show consistent and strong negative effects on sexual assault victims. Factors that may modify the relationship of support and sexual assault outcomes are reviewed, including: assault characteristics, specific support provider factors, victim coping and functioning, preassault support network, and other postassault experiences, such as criminal justice system involvement. Limitations of existing research are noted. Suggestions for future research on the relationship of social support and sequelae of sexual assault are provided, with a focus on development of support network interventions for victims.     

Social interaction patterns of geriatric home and community residents

Thirty elderly nursing home residents and ten community residing older adults were observed in group settings. Their behavior was assessed for dependent personal maintenance, independent personal maintenance, and appropriate and inappropriate behaviors. Responses by staff and peers to these behaviors were classified as positive, negative, or ignore. The frequency of occurrence of these behaviors as well as the relationship of resident to peer or staff behaviors were analyzed. Results indicate that community-residing elders' behaviors differ from nursing home residents' in quantity rather than quality of interactions. There was a lower frequency of behaviors in the nursing home residents. Though older adults respond differentially to various behaviors of other nursing home residents, staff responses were consistent regardless of residents' behavior. These results suggest that geriatric home residents' behavior can be characterized as withdrawn rather than dependent.     

Social networks and web minorities

The conception of appropriate models of information retrieval is a crucial step for the actual growth and development of the web. In addition to traditional information retrieval techniques, nowadays search engines have adopted methods for taking into account the social network deriving from the pattern of interconnections. Using different arguments, it has been shown that this is very effective in practice. In this paper we subscribe that point of view, but state also that social networks based ranking schemes operating on the whole web, like Google’s , prevent small communities to become visible on the Web, regardless of the quality of the information. Hence, we strongly advocate the development of new cognitive models of the whole process of information retrieval which are capable of facing this problem. We give a picture of distributed architectures which incorporates topic-based intelligent agents and personal agents for capturing the user’s profile.     

Social anxiety as a basis for friendship selection and socialization in adolescents' social networks

Socially anxious children and adolescents have previously been found to have friends with similarly socially anxious, withdrawn behavioral characteristics. How peers might socialize social anxiety over time has, however, not been thoroughly investigated. We examined this in a sample of 834 youths (339 girls and 495 boys; M=14.29), followed for 3 years. We used the social network analysis software SIENA to analyze the data. The results showed that youths who were socially anxious were less popular and chose fewer friends in the network. They also tended to choose friends who were socially anxious, and over time they influenced each other into becoming more socially anxious--over and above other effects. Finally, girls' social anxiety was more influenced than boys' by their friends' social anxiety levels. The results showed the significance of looking at socially anxious youths' friendships over time and embedded in social networks.     

Patterns of spontaneous recovery in aphasic groups: A study of adult stroke patients

The recovery of 31 aphasic stroke patients in the first three months postonset was investigated. Improvements on eight comprehension, repetition, and expression tasks were documented for four groups. These groups, retrospectively defined on the basis of initial scores on a fluency and a comprehension task, were: Low Fluency/Low Comprehension (LFLC), Low Fluency/High Comprehension (LFHC), High Fluency/Low Comprehension (HFLC), and High Fluency/High Comprehension (HFHC). Examination of each group's recovery revealed (1) equal improvement on nearly all language tasks for the two High Comprehension groups and (2) a more selective improvement largely in comprehension and imitation tasks for the two Low Comprehension groups. Implications of this selective improvement in initially low comprehending aphasics are discussed.     

Social networks in borderline personality disorder

The interpersonal dysfunction that characterizes borderline personality disorder (BPD) has generally been studied using broad global measures, leading to a lack of precision. We report on a novel methodology using social network analysis (SNA) to quantify interactions with others in the patient's social world. We assessed the social networks of 22 clinical patients, diagnosed with either BPD (N = 11) or no personality disorder (No PD; N = 11). The social networks of patients with BPD contained a greater number of former romantic partners, and a greater number of relationships that had been terminated. Mixed model analyses found that the No PD group reported higher levels of positive relationships (e.g., trust, social support) with more central members of their social networks, whereas the BPD group did not discriminate among members of their networks. Results suggest deficits in social cognition for positive relations, but not for negative relations such as interpersonal conflict.     

Social networks: we get by with (and in spite of) a little help from our friends

Studies of social support networks have almost exclusively measured only their positive aspects. In this research, we investigated both the helpful or positive and the upsetting or negative aspects of social networks in a longitudinal study of spouses caring for a husband or wife with Alzheimer's disease, a progressive senile dementia. Measures of helpful and upsetting aspects of the care givers' networks, derived from interviews and daily interaction ratings, were studied for their relations with overall network satisfaction and depression at an initial interview period (n = 68) and at a follow-up period about 10 months later (n = 38). Results from hierarchical multiple regression analyses, in which care givers' age and sex and a measure of the spouses' health status were controlled, showed that the care givers' degree of upset with their networks was strongly associated with lower network satisfaction and increased depression at both time periods. Helpful aspects bore little or no direct relation to either depression or network satisfaction. Helpful aspects of the network did, however, interact with network upset in predicting network satisfaction, and depression (combined probabilities test, p less than .05). Longitudinal predictions of follow-up depression, after age, sex, care givers' health status, and initial depression levels were controlled, showed that changes in upsetting aspects of one's network were predictive of changes in depression over time. We interpreted these results within an attributional framework that emphasizes the salience of upsetting events within a social network.     

Plasma anticholinergic activity and cognitive function in geriatric patients

This study evaluated the putative impact of circulating anticholinergic equivalents on cognitive functional performance in non-demented geropsychiatric inpatients. Standard rating instruments were administered to measure memory functions, concentration and overall functional competency. Anticholinergic plasma activity was assayed, using a radioreceptor technique with tritiated quinuclidinyl benzilate as the active reagent. None of the cognitive tests employed indicated a statistically significant change in the subjects' quantifiable level of cognitive performance. All changes in anticholinergic activities were related to adjustments in psychotherapeutic medications. The possible role of reversal of pseudodementing features is discussed as well as the potential for monitoring anticholinergic activity when treating elderly individuals with more than one centrally active medication having anticholinergic properties.     

Dichotic listening in the recovery of aphasia after stroke

Three different dichotic listening tests were given to a group of aphasic patients at various stages of the recovery process. Results were different for each test and in the course of time fluent aphasics demonstrated a tendency to increase right ear preference while nonfluent aphasics showed an increase of left ear preference in the test of dichotic words. The importance of these findings to the understanding of recovery of function is discussed in terms of the role played by the right hemisphere.     

Prayer as a cause of recovery from illness

This research aimed to examine the developmental trajectory of the beliefs about the power of prayer to aide recovery from illness. One hundred and sixty children and young adults divided in four age groups participated in the study. Participants were interviewed with vignettes presenting two sick individuals who differed in terms of prayers that they received from their friends in order to recover from their illness. The results showed that children and pre-adolescents strongly believe in the power of prayer to recover from illness while only about half of the university students share this belief. Thus, contrary to the framework theory approach, children, adolescents, and young adults did not replace these beliefs (as naive explanations), with the scientific explanations. Instead, they continue to hold these beliefs in parallel to their scientific explanations.     

Social networks and the treatment of schizophrenia

The importance of social network relations to the clinical status of schizophrenic patients is documented. The author notes that recent innovative clinical treatment programs incorporate social network concepts, although not always using such theoretical concepts. The importance of social network concepts in treatment and rehabilitation is noted.     

Neuroprotection and stroke rehabilitation: modulation and enhancement of recovery

Recent advances in research are modifying our view of recovery after nervous system damage. New findings are changing previously held concepts and providing promising avenues for treatment of patients after stroke. This review discusses mechanisms of neuronal injury after brain ischemia and the attempts to study neuroprotection options based on such mechanisms. It also considers measures available at present to improve outcome after stroke and presents new areas of research, particularly stimulation techniques, neurogenesis and trophic factors to enhance recovery. In order to improve outcomes, medications that may be detrimental to recovery should be avoided, while symptomatic therapy of problems such as depression, pain syndromes and spasticity may contribute to better results. Continued surveillance and early treatment of complications associated with acute stroke, along with supportive care remain the mainstay of treatment for stroke patients in the recovery phase. Present research on limiting brain damage and improving recovery and plasticity enhance the prospects for better clinical treatments to improve recovery after stroke.     

Sober social networks: The role of online support groups in recovery from alcohol addiction

In the context of addiction research, positive recovery outcomes are affected by the quality of people's social interactions and perhaps to an even greater extent, by the defining norms of the groups they identify with—that is, using versus recovery groups. Here, we examine the role of online supportive networks in the process of recovery from alcohol addiction. We analyse the relationship between negative and positive aspects of recovery capital (i.e., self‐stigma, and respectively, positive recovery identity and self‐efficacy) as they relate to well‐being outcomes among alcohol users in an online recovery support group. Based on a computerised linguistic analysis of the naturally occurring data extracted from an online recovery support group (i.e., 257 posts made by 237 group members), we found that self‐stigma negatively predicts self‐efficacy and well‐being, and social identification with a recovery identity mediates these relationships. Overall, these findings highlight that positive engagement with supportive recovery networks is central to an effective and sustainable recovery.     

Olfactory adaptation and recovery in man as measured by two psychophysical techniques

Olfactory adaptation and recovery was investigated in man, using two psychophysical procedures: modified category scaling and threshold detection. Both procedures yielded similar qualitative information regarding loss and recovery of olfactory sensitivity as a function of time and concentration of adapting stimuli. However, quantitative differences were observed that could be partially attributed to artifacts inherent in each procedure. Often more than 50% adaptation (and recovery) occurred within the first 2 min with either test procedure. In all experiments the rate of adaptation and recovery was greater at the higher of two adapting concentrations (10 × and 20 × the detection threshold I_t). Recovery occurred more rapidly than adaptation. The usefulness of both techniques is discussed in terms of the overall problem of characterizing the olfactory adaptation and recovery process in man.     

Stigma as a barrier to recovery from mental illness

Advances in neuroscience, technology and research sophistication have greatly increased understanding of mental illnesses and improved the treatment of these disorders. However, there are also important psychosocial aspects of mental illness that play a significant role in recovery from these conditions. One set of these factors involves the prejudice and discrimination, often referred to as 'stigma', faced by people when others learn that they have been diagnosed with, and/or treated for, a mental disorder.     

Social networks and the elderly: Clinical techniques

The authors describe the application of social network analysis to an elderly population living in single occupancy hotel rooms in New York City. They report significant personal networks which may be mobilized to assist these elderly persons. However, a clinical experimental study of clinical social network intervention revealed substantial limitations.This research was supported in part by grants from the Ittleson, New York, and Van Ameringen Foundations and NIMH Center on Aging Grant, No. 1-R01-MH-31745. The authors thank Arlene Adler and Joan Mintz for their assistance.     

Mortality of geriatric and younger patients with schizophrenia in the community

Little is known about the differences in mortality among non-institutionalized geriatric and younger patients with schizophrenia. In this study long-term mortality and suicidal behavior of all the geriatric (age > or = 65 years), middle-age (age 41-64 years), and young (age 15-40 years) subjects with schizophrenia living in a Chinese rural community were compared. A 10 year follow-up investigation among a 1994 cohort (n = 510) of patients with schizophrenia was conducted in Xinjin County, Chengdu, China. Compared with young subjects, geriatric subjects with schizophrenia were more likely to be female, have more previous physical illness, never accepted treatment, and practice religious (p < or = 0.01). There were no significant differences of suicide attempts among the three groups. Young subjects had a higher rate of suicide (1,033.8 per 100,000 person-years), and geriatric subjects had a higher rate of deaths due to other causes (accident and natural causes) (4,314.2 per 100,000 person-years). Standardized mortality ratios for both suicide and deaths due to other causes were highest in young subjects and the lowest in geriatric subjects. Patients with schizophrenia in all age groups had a marked increase in mortality and suicide. Specific intervention strategies for decreasing mortality and suicide should be developed for patients with schizophrenia in different age groups.