Non-directive counselling in a general practice

Many patients in general medical practice are not ill in the physical sense, but bring their unhappiness to the surgery. An experiment is described in which a counsellor was attached to a general practice in north London, to help to deal with problems of this kind.     

Examining Family Communication Patterns and Seeking Social Support Direct and Indirect Effects Through Ability and Motivation

Seeking social support remains a relatively understudied aspect of supportive communication. By integrating the literatures on family communication patterns (FCPs) and supportive communication, this study examines dispositional factors that influence support seeking in particular situations. Specifically, communicative ability and motivation to seek support were theorized to mediate the relationship between FCPs and recalled strategies of support seeking. Results from a sample (N = 352) of undergraduate students not only demonstrate that people's FCPs impart different levels of communicative ability and motivation to seek support, but also indirectly influence people's strategies of support seeking. Ability and motivation also directly influence support seeking, and several of these effects are moderated by participants' sex.     

Social networks and partner stress as predictors of adherence to medication, rehabilitation attendance, and quality of life following acute coronary syndrome.

OBJECTIVE: This study examined whether social network size and partner stress predicted medication adherence, cardiac rehabilitation attendance, and quality of life 12 months following hospitalization for an acute coronary syndrome (ACS). DESIGN: ACS patients (N = 193, M age = 60.6 years, SD = 11.4 years, 23% female) were recruited shortly following admission to 4 local hospitals. A prospective design was employed with follow-up data collected 12 months following hospital admission. MAIN OUTCOME MEASURES: Data were gathered on social network size and partner stress. The main outcomes assessed at 12 months were medication adherence, cardiac rehabilitation attendance, and quality of life (Short Form 36). RESULTS: Partner stress predicted medication nonadherence, odds ratio: 2.89, (95% CI = 1.21, 6.95). ACS patients with large social networks were more likely to attend rehabilitation, odds ratio: 3.42, (95% CI = 1.42, 8.25). Analyses were adjusted for age, gender, clinical risk scores, readmission/recurrence, and negative affectivity. Both partner stress and smaller social network size were associated with poorer quality of life. CONCLUSION: Social network size and partner stress may partly exert their influence on coronary heart disease morbidity and mortality through recovery behaviors and maintenance of quality of life.