Fawzy Fawzy | UCLA David Geffen School of Medicine (original) (raw)
Papers by Fawzy Fawzy
The American Journal of Drug and Alcohol Abuse, 1985
The sociopsychological factors that underlie drinking behavior among 197 young girls, ages 9 thro... more The sociopsychological factors that underlie drinking behavior among 197 young girls, ages 9 through 17, are explored. Three groups-youthful abstainers, former users, and current users-were interviewed, as were their parents. These comparison groups are contrasted on 110 variables. The relative merits of four competing explanations of youthful drinking behavior-deprivation, personal deficiency, hedonistic peer culture, and family pathology-are assessed.
Addictive Behaviors, 1983
Two hundred sixty-two adolescents, ages 13 through 17, and one of the parents of each, interviewe... more Two hundred sixty-two adolescents, ages 13 through 17, and one of the parents of each, interviewed separately, are compared with regard to their use of substances. Youthful subjects in each comparison group are similar in age, sex, ethnicity and socioeconomic status. Results show a variety of relationships between parental use of coffee, cigarettes, beer and wine, hard liquor and marijuana/hashish and adolescent use of such substances. Generally, parental use of these substances is moderately to strongly related to use by their children. The strongest relationships are found for coffee, mother's use of cigarettes, and father's use of hard liquor. All of these relationships are not linear. For example, fathers who are moderate drinkers of hard liquor are more likely to have adolescent children who are substance users. Two theories of intergenerational substance use are discussed.
International Journal of Eating Disorders, 1982
Abstract Childhood and teenage onset obese have been found to respond less favorably than their a... more Abstract Childhood and teenage onset obese have been found to respond less favorably than their adult onset counterparts in treatment for weight reduction. In the present study of adult outpatient response to long term partial fasting, performance among childhood, ...
Journal of Applied Clinical Medical Physics, 2006
... Nader Binesh, 1 Amir Huda, 1,2,a M. Albert Thomas, 1,3 Nathaniel Wyckoff, 1 Mary Bugbee, 1 St... more ... Nader Binesh, 1 Amir Huda, 1,2,a M. Albert Thomas, 1,3 Nathaniel Wyckoff, 1 Mary Bugbee, 1 Steven Han, 4 Natalie Rasgon, 3 Pablo Davanzo, 3 James Sayre, 1 Barry Guze, 3 Paul Martin, 4 ... Taylor-Robinson SD, Oatridge A, Hajnal JV, Burroughs AK, McIntyre N, deSouza NM. ...
Psycho-oncology, 1996
... formats: An analysis of data from two studies. Fawzy, Fawzy I.; Fawzy, Nancy W.;Wheeler, Jenn... more ... formats: An analysis of data from two studies. Fawzy, Fawzy I.; Fawzy, Nancy W.;Wheeler, Jennifer G. Psycho-Oncology, Vol 5(2), Jun 1996, 81-89. doi: 10.1002/(SICI) 1099-1611(199606)5:2<81::AID-PON215>3.0.CO;2-F. Abstract. ...
Journal of applied clinical medical physics / American College of Medical Physics, 2006
Hepatic encephalopathy (HE) is normally diagnosed by neuropsychological (NP) tests, which are not... more Hepatic encephalopathy (HE) is normally diagnosed by neuropsychological (NP) tests, which are not very specific and do not reveal the underlying pathology. Magnetic resonance imaging (MRI) and spectroscopy (MRS) of the brain offer alternative and possibly more specific markers for HE. These methods were applied in conjunction with NP testing in order to determine their usefulness in the identification of HE and to understand the pathogenesis of HE more clearly. MR imaging and spectroscopy examinations, in addition to a battery of 15 NP tests, were administered to investigate 31 patients awaiting liver transplantation and 23 healthy controls. MR image intensities from the globus pallidus region were calculated and normalized to those of the thalamus. Absolute concentrations and ratios with respect to creatine (Cr) of several metabolites were computed from MR spectra. The MR data were correlated with the results of NP tests. The patients showed impairment in NP tests of attention and ...
NIDA research monograph, 1997
Transplantation, 1986
The psychosocial and psychiatric impact of donating bone marrow (BM) has received little study. T... more The psychosocial and psychiatric impact of donating bone marrow (BM) has received little study. This mail questionnaire study of bone marrow donors whose recipient had survived more than one year post-BMT was undertaken to document the psychosocial consequences of donation on "successful" BM donors. Demographic, mood state, self-esteem, current life satisfaction, and donor-recipient relationship characteristics, donor-perceived approval from family members, and donor attitudes about BM donation were studied. A companion study of BM recipients was also performed to provide comparative data on the psychosocial status of donors and recipients. As a group BM donors manifested little emotional distress, high self-esteem, and a high degree of current life satisfaction. Donors reported little change in their relationships with their recipients since the BMT. However the current quality of their relationships with their recipients was highly correlated with several recipient health status and psychosocial variables, suggesting that recipient deterioration might significantly adversely impact donor psychosocial status. From 10% to 20% of donors indicated at least some negative consequences of donating.
Transplantation, 1986
Although there is a small literature on psychosocial and psychiatric aspects of bone marrow trans... more Although there is a small literature on psychosocial and psychiatric aspects of bone marrow transplants (BMT) in adult recipients during the BMT hospitalization phase, adaptation of long-term adult BMT recipient survivors has received little study. This study surveyed the adaptation of BMT recipient survivors over age 17 who were an average of 42 months posttransplant. Study variables included the recipients' current self-reported health status, mood state, social role function, self esteem, life satisfaction, and relationships with their BMT donors and other family members. A companion study of those who donated BMT to the recipients eligible for this study was also performed. The study participants were preponderantly young adults who currently were in an intimate relationship and vocationally active. About 1/4 of the subjects reported ongoing medical problems. Also, 15-25% reported significant emotional distress, low self-esteem, and less-than-optimal life satisfaction. The subjects' current quality of relationship with their donors was highly correlated with many measures of their psychosocial status. The findings indicate that about 75% of BMT recipient long-term survivors are doing well from a psychosocial as well as a medical standpoint, that the recipient-donor relationship may be sensitive to any changes in the recipient's status, and that 15-20% of BMT recipient survivors report a degree of psychological distress that might benefit from specific psychological/psychiatric intervention.
Psychosomatic Medicine, 1983
Psychological problem frequencies of very ill, homebound cancer patients were studied using an in... more Psychological problem frequencies of very ill, homebound cancer patients were studied using an instrument entitled "Psychosocial Problem Categories for Homebound Cancer Patients." This instrument contains thirteen major categories of problems and fifty individual problems. A total of 570 patient records were obtained from two visiting nurse agencies in two different counties. Records were rated by a pair of trained raters, with level of interrater reliability being r = 0.96. Intervention frequencies by visiting health care professionals were also assessed. Percentages are based on at least one mention of problem or intervention. The five most frequent problem categories included: 1) Somatic side effects, 30% of total problems, of which pain involved 13% of total problems, 2) Patient mood disturbance, 15% of total problems, 3) Equipment problems, 8% of total problems, 4) Family relationship impairment, 7% of total problems, and 5) Cognitive impairment, 6% of total problems. The three most frequent interventions included: 1) Instructor/reinforcement to patient/family, 22% of total interventions, 2) No intervention for problem, 17% of total interventions, and 3) Counseling/emotional support, 17% of total interventions. Because the assessment instrument showed high interrater reliabilities for the two demographically dissimilar patient populations, it may be adaptable to heterogeneous populations.
Psycho-Oncology, 1996
... formats: An analysis of data from two studies. Fawzy, Fawzy I.; Fawzy, Nancy W.;Wheeler, Jenn... more ... formats: An analysis of data from two studies. Fawzy, Fawzy I.; Fawzy, Nancy W.;Wheeler, Jennifer G. Psycho-Oncology, Vol 5(2), Jun 1996, 81-89. doi: 10.1002/(SICI) 1099-1611(199606)5:2<81::AID-PON215>3.0.CO;2-F. Abstract. ...
Journal of Psychosocial Oncology, 1989
The relationship between cancer patients&amp;#39; mood disturbance, role conflicts, and s... more The relationship between cancer patients&amp;#39; mood disturbance, role conflicts, and self-care problems and four patient-related variables was evaluated in a large sample of homebound patients. The patients ranged from moderately to gravely ill. A hierarchical multiple regression model was developed to assess the impact of the patients&amp;#39; demographic and medical characteristics, number of family caretakers available, and family problems related
Journal of Psychosocial Oncology, 1983
This article describes an intensive, nine-month continuing education program in psychosocial aspe... more This article describes an intensive, nine-month continuing education program in psychosocial aspects of cancer designed for allied health care professionals that was conducted at the University of California in Los Angeles from 1978 to 1981. Major components of the program included (1) a basic didactic seminar, (2) supervised groups in individual, family, and sexual counseling in oncology settings, and (3) consultation visits by faculty to trainees' clinical settings. Issues discussed include goals of the program, criteria for selecting trainees, key content areas, pedagogic approaches, source materials, and selected program outcomes. The model has been implemented successfully in a variety of community hospitals and medical centers as part of a community-based cancer control program.
Journal of Psychosocial Oncology, 1983
The records kept by home health agencies on 447 homebound married cancer patients were evaluated ... more The records kept by home health agencies on 447 homebound married cancer patients were evaluated to determine the types of psychosocial problems experienced by the families in home care. Results showed that families of older male patients with lung cancer felt more overwhelmed and depressed than other families, and families of younger female patients with cervical cancer were more likely
Journal of Applied Social Psychology, 1987
It is also possible that your web browser is not configured or not able to display style sheets. ... more It is also possible that your web browser is not configured or not able to display style sheets. In this case, although the visual presentation will be degraded, the site should continue to be functional. We recommend using the latest version of Microsoft or Mozilla web browser to ...
General Hospital Psychiatry, 1991
We evaluated the immediate and long-term effects on immune function measures of a 6-week structur... more We evaluated the immediate and long-term effects on immune function measures of a 6-week structure psychiatric group intervention for patients with malignant melanoma. Along with a reduction in levels of psychological distress and greater use of active coping methods, the following immune changes were seen at the 6-month assessment point in the intervention-group patients (n = 35) compared with controls (n = 26): significant increases in the percent of large granular lymphocytes (defined as CD57 with Leu-7) and natural killer (NK) cells (defined as CD16 with Leu-11 and CD56 with NKH1) along with indications of increase in NK cytotoxic activity; and a small decrease in the percent of CD4 (helper/inducer) T cells. At the 6-week follow-up point, the majority of these changes were not yet observable. The results indicate that a short-term psychiatric group intervention in patients with malignant melanoma with a good prognosis was associated with longer-term changes in affective state, coping, and the NK lymphoid cell system. Affective rather than coping measures showed some significant correlations with immune cell changes.
Cancer, 1991
The status of quality of life research in oncology is assessed, and priorities for future researc... more The status of quality of life research in oncology is assessed, and priorities for future research with regard to conceptual and theoretical developments, focus and content of research, research designs and practical strategies for research implementation, and transferring information to clinical practice and medical policy decision-making are identified. There is general agreement that quality of life is a subjective and multidimensional construct, yet comprehensive theoretical models have not been developed and applied fully. We recommend that future research be based on conceptual models that explicate the interrelationships among quality of life domains throughout the stages of cancer care. These models, and the longitudinal research that follows from them, should attend specifically to crossclass and cross-cultural issues to avoid overgeneralization from theory and research that are based largely on the views of the majority culture. We encourage the inclusion of this theory-based quality of life assessment as a standard component of clinical trials. Success in this endeavor will require additional standardization of quality of life measures for use across a range of cancer patient populations, including the development of age-specific norms and instruments designed to assess the entire family system. Cancer 67:839-843,1991.
Archives of General Psychiatry, 2003
The American Journal of Drug and Alcohol Abuse, 1985
The sociopsychological factors that underlie drinking behavior among 197 young girls, ages 9 thro... more The sociopsychological factors that underlie drinking behavior among 197 young girls, ages 9 through 17, are explored. Three groups-youthful abstainers, former users, and current users-were interviewed, as were their parents. These comparison groups are contrasted on 110 variables. The relative merits of four competing explanations of youthful drinking behavior-deprivation, personal deficiency, hedonistic peer culture, and family pathology-are assessed.
Addictive Behaviors, 1983
Two hundred sixty-two adolescents, ages 13 through 17, and one of the parents of each, interviewe... more Two hundred sixty-two adolescents, ages 13 through 17, and one of the parents of each, interviewed separately, are compared with regard to their use of substances. Youthful subjects in each comparison group are similar in age, sex, ethnicity and socioeconomic status. Results show a variety of relationships between parental use of coffee, cigarettes, beer and wine, hard liquor and marijuana/hashish and adolescent use of such substances. Generally, parental use of these substances is moderately to strongly related to use by their children. The strongest relationships are found for coffee, mother's use of cigarettes, and father's use of hard liquor. All of these relationships are not linear. For example, fathers who are moderate drinkers of hard liquor are more likely to have adolescent children who are substance users. Two theories of intergenerational substance use are discussed.
International Journal of Eating Disorders, 1982
Abstract Childhood and teenage onset obese have been found to respond less favorably than their a... more Abstract Childhood and teenage onset obese have been found to respond less favorably than their adult onset counterparts in treatment for weight reduction. In the present study of adult outpatient response to long term partial fasting, performance among childhood, ...
Journal of Applied Clinical Medical Physics, 2006
... Nader Binesh, 1 Amir Huda, 1,2,a M. Albert Thomas, 1,3 Nathaniel Wyckoff, 1 Mary Bugbee, 1 St... more ... Nader Binesh, 1 Amir Huda, 1,2,a M. Albert Thomas, 1,3 Nathaniel Wyckoff, 1 Mary Bugbee, 1 Steven Han, 4 Natalie Rasgon, 3 Pablo Davanzo, 3 James Sayre, 1 Barry Guze, 3 Paul Martin, 4 ... Taylor-Robinson SD, Oatridge A, Hajnal JV, Burroughs AK, McIntyre N, deSouza NM. ...
Psycho-oncology, 1996
... formats: An analysis of data from two studies. Fawzy, Fawzy I.; Fawzy, Nancy W.;Wheeler, Jenn... more ... formats: An analysis of data from two studies. Fawzy, Fawzy I.; Fawzy, Nancy W.;Wheeler, Jennifer G. Psycho-Oncology, Vol 5(2), Jun 1996, 81-89. doi: 10.1002/(SICI) 1099-1611(199606)5:2<81::AID-PON215>3.0.CO;2-F. Abstract. ...
Journal of applied clinical medical physics / American College of Medical Physics, 2006
Hepatic encephalopathy (HE) is normally diagnosed by neuropsychological (NP) tests, which are not... more Hepatic encephalopathy (HE) is normally diagnosed by neuropsychological (NP) tests, which are not very specific and do not reveal the underlying pathology. Magnetic resonance imaging (MRI) and spectroscopy (MRS) of the brain offer alternative and possibly more specific markers for HE. These methods were applied in conjunction with NP testing in order to determine their usefulness in the identification of HE and to understand the pathogenesis of HE more clearly. MR imaging and spectroscopy examinations, in addition to a battery of 15 NP tests, were administered to investigate 31 patients awaiting liver transplantation and 23 healthy controls. MR image intensities from the globus pallidus region were calculated and normalized to those of the thalamus. Absolute concentrations and ratios with respect to creatine (Cr) of several metabolites were computed from MR spectra. The MR data were correlated with the results of NP tests. The patients showed impairment in NP tests of attention and ...
NIDA research monograph, 1997
Transplantation, 1986
The psychosocial and psychiatric impact of donating bone marrow (BM) has received little study. T... more The psychosocial and psychiatric impact of donating bone marrow (BM) has received little study. This mail questionnaire study of bone marrow donors whose recipient had survived more than one year post-BMT was undertaken to document the psychosocial consequences of donation on "successful" BM donors. Demographic, mood state, self-esteem, current life satisfaction, and donor-recipient relationship characteristics, donor-perceived approval from family members, and donor attitudes about BM donation were studied. A companion study of BM recipients was also performed to provide comparative data on the psychosocial status of donors and recipients. As a group BM donors manifested little emotional distress, high self-esteem, and a high degree of current life satisfaction. Donors reported little change in their relationships with their recipients since the BMT. However the current quality of their relationships with their recipients was highly correlated with several recipient health status and psychosocial variables, suggesting that recipient deterioration might significantly adversely impact donor psychosocial status. From 10% to 20% of donors indicated at least some negative consequences of donating.
Transplantation, 1986
Although there is a small literature on psychosocial and psychiatric aspects of bone marrow trans... more Although there is a small literature on psychosocial and psychiatric aspects of bone marrow transplants (BMT) in adult recipients during the BMT hospitalization phase, adaptation of long-term adult BMT recipient survivors has received little study. This study surveyed the adaptation of BMT recipient survivors over age 17 who were an average of 42 months posttransplant. Study variables included the recipients' current self-reported health status, mood state, social role function, self esteem, life satisfaction, and relationships with their BMT donors and other family members. A companion study of those who donated BMT to the recipients eligible for this study was also performed. The study participants were preponderantly young adults who currently were in an intimate relationship and vocationally active. About 1/4 of the subjects reported ongoing medical problems. Also, 15-25% reported significant emotional distress, low self-esteem, and less-than-optimal life satisfaction. The subjects' current quality of relationship with their donors was highly correlated with many measures of their psychosocial status. The findings indicate that about 75% of BMT recipient long-term survivors are doing well from a psychosocial as well as a medical standpoint, that the recipient-donor relationship may be sensitive to any changes in the recipient's status, and that 15-20% of BMT recipient survivors report a degree of psychological distress that might benefit from specific psychological/psychiatric intervention.
Psychosomatic Medicine, 1983
Psychological problem frequencies of very ill, homebound cancer patients were studied using an in... more Psychological problem frequencies of very ill, homebound cancer patients were studied using an instrument entitled "Psychosocial Problem Categories for Homebound Cancer Patients." This instrument contains thirteen major categories of problems and fifty individual problems. A total of 570 patient records were obtained from two visiting nurse agencies in two different counties. Records were rated by a pair of trained raters, with level of interrater reliability being r = 0.96. Intervention frequencies by visiting health care professionals were also assessed. Percentages are based on at least one mention of problem or intervention. The five most frequent problem categories included: 1) Somatic side effects, 30% of total problems, of which pain involved 13% of total problems, 2) Patient mood disturbance, 15% of total problems, 3) Equipment problems, 8% of total problems, 4) Family relationship impairment, 7% of total problems, and 5) Cognitive impairment, 6% of total problems. The three most frequent interventions included: 1) Instructor/reinforcement to patient/family, 22% of total interventions, 2) No intervention for problem, 17% of total interventions, and 3) Counseling/emotional support, 17% of total interventions. Because the assessment instrument showed high interrater reliabilities for the two demographically dissimilar patient populations, it may be adaptable to heterogeneous populations.
Psycho-Oncology, 1996
... formats: An analysis of data from two studies. Fawzy, Fawzy I.; Fawzy, Nancy W.;Wheeler, Jenn... more ... formats: An analysis of data from two studies. Fawzy, Fawzy I.; Fawzy, Nancy W.;Wheeler, Jennifer G. Psycho-Oncology, Vol 5(2), Jun 1996, 81-89. doi: 10.1002/(SICI) 1099-1611(199606)5:2<81::AID-PON215>3.0.CO;2-F. Abstract. ...
Journal of Psychosocial Oncology, 1989
The relationship between cancer patients&amp;#39; mood disturbance, role conflicts, and s... more The relationship between cancer patients&amp;#39; mood disturbance, role conflicts, and self-care problems and four patient-related variables was evaluated in a large sample of homebound patients. The patients ranged from moderately to gravely ill. A hierarchical multiple regression model was developed to assess the impact of the patients&amp;#39; demographic and medical characteristics, number of family caretakers available, and family problems related
Journal of Psychosocial Oncology, 1983
This article describes an intensive, nine-month continuing education program in psychosocial aspe... more This article describes an intensive, nine-month continuing education program in psychosocial aspects of cancer designed for allied health care professionals that was conducted at the University of California in Los Angeles from 1978 to 1981. Major components of the program included (1) a basic didactic seminar, (2) supervised groups in individual, family, and sexual counseling in oncology settings, and (3) consultation visits by faculty to trainees' clinical settings. Issues discussed include goals of the program, criteria for selecting trainees, key content areas, pedagogic approaches, source materials, and selected program outcomes. The model has been implemented successfully in a variety of community hospitals and medical centers as part of a community-based cancer control program.
Journal of Psychosocial Oncology, 1983
The records kept by home health agencies on 447 homebound married cancer patients were evaluated ... more The records kept by home health agencies on 447 homebound married cancer patients were evaluated to determine the types of psychosocial problems experienced by the families in home care. Results showed that families of older male patients with lung cancer felt more overwhelmed and depressed than other families, and families of younger female patients with cervical cancer were more likely
Journal of Applied Social Psychology, 1987
It is also possible that your web browser is not configured or not able to display style sheets. ... more It is also possible that your web browser is not configured or not able to display style sheets. In this case, although the visual presentation will be degraded, the site should continue to be functional. We recommend using the latest version of Microsoft or Mozilla web browser to ...
General Hospital Psychiatry, 1991
We evaluated the immediate and long-term effects on immune function measures of a 6-week structur... more We evaluated the immediate and long-term effects on immune function measures of a 6-week structure psychiatric group intervention for patients with malignant melanoma. Along with a reduction in levels of psychological distress and greater use of active coping methods, the following immune changes were seen at the 6-month assessment point in the intervention-group patients (n = 35) compared with controls (n = 26): significant increases in the percent of large granular lymphocytes (defined as CD57 with Leu-7) and natural killer (NK) cells (defined as CD16 with Leu-11 and CD56 with NKH1) along with indications of increase in NK cytotoxic activity; and a small decrease in the percent of CD4 (helper/inducer) T cells. At the 6-week follow-up point, the majority of these changes were not yet observable. The results indicate that a short-term psychiatric group intervention in patients with malignant melanoma with a good prognosis was associated with longer-term changes in affective state, coping, and the NK lymphoid cell system. Affective rather than coping measures showed some significant correlations with immune cell changes.
Cancer, 1991
The status of quality of life research in oncology is assessed, and priorities for future researc... more The status of quality of life research in oncology is assessed, and priorities for future research with regard to conceptual and theoretical developments, focus and content of research, research designs and practical strategies for research implementation, and transferring information to clinical practice and medical policy decision-making are identified. There is general agreement that quality of life is a subjective and multidimensional construct, yet comprehensive theoretical models have not been developed and applied fully. We recommend that future research be based on conceptual models that explicate the interrelationships among quality of life domains throughout the stages of cancer care. These models, and the longitudinal research that follows from them, should attend specifically to crossclass and cross-cultural issues to avoid overgeneralization from theory and research that are based largely on the views of the majority culture. We encourage the inclusion of this theory-based quality of life assessment as a standard component of clinical trials. Success in this endeavor will require additional standardization of quality of life measures for use across a range of cancer patient populations, including the development of age-specific norms and instruments designed to assess the entire family system. Cancer 67:839-843,1991.
Archives of General Psychiatry, 2003