David Jodrey - Independent Researcher (original) (raw)

Papers by David Jodrey

Psychosomatics, 1997

A sample of 437 patients being evaluated for bone marrow transplantation (BMT) complered intervie... more A sample of 437 patients being evaluated for bone marrow transplantation (BMT) complered interviews and questionnaires to assess their psychosocial adjustment. Nearly a third of the patients (3/%) showed some degree ofdepression on the Center for Epidemiologic Studies Depression Scale. Scores on the Profile of Mood States Scale also indicated that these BMT candidates were experiencing a high level ofpsychological distress. This distress was found to be predicted by low scores on the Self-Rated Kama/sky Performance Scale and on scales measuring mastery and dispositional opti• mism. The value ofassessing the levels ofpsychological distress and psychosocial resources ofpatients being evaluated for BMT and/or providing necessary psychiatric interventions are discussed.

Empirically selected instruments for measuring quality-of-life dimensions in culturally diverse populations

Journal of The National Cancer Institute Monographs, 1996

We describe a process for developing and testing the cultural equivalence of quality-of-life (QOL... more We describe a process for developing and testing the cultural equivalence of quality-of-life (QOL) instruments that may be used across culturally diverse populations. QOL instruments dealing with satisfaction with various life domains, psychological distress, and physical health and functioning were reviewed by African-American and Hispanic community advisory boards, translated into Spanish and back-translated to ensure translation adequacy, administered to samples of 100 patients from each of the ethnic minority populations by indigenous nurse interviewers, and examined for psychometric adequacy. Ten QOL measures showed adequate reliability and validity for further use in the assessment of QOL with African-American and Hispanic patients. Three other measures failed to meet the defined standards. A dimension shown to be particularly difficult to address across culturally diverse groups is family functioning. Procedures for achieving cultural equivalence of QOL measures have been shown to be practical and productive. Measures are identified that may be used with some confidence to assess varied dimensions of QOL with culturally diverse groups.

Quality of life of bone marrow transplant long-term survivors

Bone marrow transplantation, 1994

Adult survivors of bone marrow transplantation not in life threatening relapse were surveyed with... more Adult survivors of bone marrow transplantation not in life threatening relapse were surveyed with a mailed questionnaire 6-149 months after transplant. Of 171 eligible patients, 157 were contacted and 135 (86%) responded. Survivors showed a high degree of overall satisfaction with major life domains but were least satisfied with their bodies, level of physical strength and ability to attain sexual satisfaction. Positive and negative affect were higher than general population samples and less tension, fatigue, confusion and depression were displayed than comparison groups. Multiple regression analyses showed that self-esteem and level of current physical functioning made significant contributions to predicting multiple quality-of-life outcomes. Previous graft-versus-host disease was predictive of low satisfaction with life domains. Lack of social support was predictive of anger and Negative Affect. Transplantation at a younger age was related to overall life satisfaction, vigor and P...

Perceived quality of life of deinstitutionalized chronic psychiatric patients in the New York State Community Support System /

Thesis (Ph. D.)--State University of New York at Buffalo, 1989. Includes bibliographical referenc... more Thesis (Ph. D.)--State University of New York at Buffalo, 1989. Includes bibliographical references (leaves 93-99). Photocopy of typescript.

Perceived quality of life of deinstitutionalized chronic psychiatric patients in the New York State Community Support System /

Thesis (Ph. D.)--State University of New York at Buffalo, 1989. Includes bibliographical referenc... more Thesis (Ph. D.)--State University of New York at Buffalo, 1989. Includes bibliographical references (leaves 93-99). Photocopy of typescript.

Empirically selected instruments for measuring quality-of-life dimensions in culturally diverse populations

Journal of the National Cancer Institute. Monographs, 1996

We describe a process for developing and testing the cultural equivalence of quality-of-life (QOL... more We describe a process for developing and testing the cultural equivalence of quality-of-life (QOL) instruments that may be used across culturally diverse populations. QOL instruments dealing with satisfaction with various life domains, psychological distress, and physical health and functioning were reviewed by African-American and Hispanic community advisory boards, translated into Spanish and back-translated to ensure translation adequacy, administered to samples of 100 patients from each of the ethnic minority populations by indigenous nurse interviewers, and examined for psychometric adequacy. Ten QOL measures showed adequate reliability and validity for further use in the assessment of QOL with African-American and Hispanic patients. Three other measures failed to meet the defined standards. A dimension shown to be particularly difficult to address across culturally diverse groups is family functioning. Procedures for achieving cultural equivalence of QOL measures have been sho...

Quality of life and social support of patients being evaluated for bone marrow transplantation

Journal of Clinical Psychology in Medical Settings, 1995

A sample of 437 patients completed self-report measures of quality of life and social support whi... more A sample of 437 patients completed self-report measures of quality of life and social support while they were being evaluated for bone marrow transplantation (BMT) at The Johns Hopkins Oncology Center. Generally, the candidates showed reasonably high levels of quality of life (QOL) on the Satisfaction with Life Domains Scale (SLDS), their present ranking on the Cantril Self-Anchoring Ladder of Life, and their scores on the Bradburn Positive Affect Scale. The level of QOL of these candidates for transplant was significantly related to their level of social support. Both availability and adequacy of social support for these transplant candidates were found to be significantly related to QOL as measured by the SLDS. Availability of social support as measured by patient membership in religious and other organizations was significantly related to Positive Affect but not Negative Affect. The Family APGAR and Relational Support Scales measures of social support were significantly correlated with both Positive and Negative Affect.

Quality of life and social support of patients being evaluated for bone marrow transplantation

Journal of Clinical Psychology in Medical Settings, 1995

A sample of 437 patients completed self-report measures of quality of life and social support whi... more A sample of 437 patients completed self-report measures of quality of life and social support while they were being evaluated for bone marrow transplantation (BMT) at The Johns Hopkins Oncology Center. Generally, the candidates showed reasonably high levels of quality of life (QOL) on the Satisfaction with Life Domains Scale (SLDS), their present ranking on the Cantril Self-Anchoring Ladder of Life, and their scores on the Bradburn Positive Affect Scale. The level of QOL of these candidates for transplant was significantly related to their level of social support. Both availability and adequacy of social support for these transplant candidates were found to be significantly related to QOL as measured by the SLDS. Availability of social support as measured by patient membership in religious and other organizations was significantly related to Positive Affect but not Negative Affect. The Family APGAR and Relational Support Scales measures of social support were significantly correlated with both Positive and Negative Affect.

Community support services and functioning of the seriously mentally ill

Community Mental Health Journal, 1993

A cohort of 729 chronically mentally ill patients receiving community support services (CSS) were... more A cohort of 729 chronically mentally ill patients receiving community support services (CSS) were followed over a nine-month period. Receiving needed community support services was shown to predict change in client functioning as measured by the Global Assessment Scale (GAS) even after the initial values on the GAS, as well as demographic, psychiatric, residential and medication maintenance variables were considered. Adequacy of social support from family, friends and others also contributed to predicting change in global functioning of the CSS patients.

Social support and quality of life of community support clients

Community Mental Health Journal, 1992

Two aspects of social support, availability and adequacy, were assessed for 729 severely mentally... more Two aspects of social support, availability and adequacy, were assessed for 729 severely mentally ill adults enrolled in seven state-supported Community Support Services (CSS) programs as part of repeated questionnaire surveys nine months apart. Perceived quality of life interviews with the clients were also conducted at both times. These interviews included the Bradburn Positive and Negative Affect Scales and the Satisfaction with Life Domains Scale (SLDS). Availability of social support was significantly correlated with postive affect over time, but not with negative affect at either point. Inadequacy of social support was significantly related to negative affect at both assessments. Both availability and adequacy of social support were significantly related to the SLDS at each time. Change in satisfaction with life domains was found to be related to both availability and, to a lesser degree, with adequacy of social support.

OCCUPATIONAL HEALTH IN SURGERY: RISKS EXTEND BEYOND THE OPERATING ROOM

Anz Journal of Surgery, 1995

Surgeons routinely work with potentially infectious materials. The risk of acquiring a disease fr... more Surgeons routinely work with potentially infectious materials. The risk of acquiring a disease from one percutaneous exposure is 0.3-0.4% for human immunodeficiency virus (HIV) 6-30% for hepatitis B virus (HBV) and 2.7-10% for hepatitis C virus (HCV). Rates of blood contacts vary but may reach up to 11.9 per 100 h in the operating room. Residents are at highest risk, and obstetrics and gynaecology surgeons suffered the highest rate of exposures (10%) as a group. Contributing risk factors include trauma or emergency orthopaedic procedures, high patient blood loss, long procedures and holding tissue by hand while suturing. However, across occupations, nurses and other health workers experience greater risks than surgeons regarding potentially infectious exposures. Preventive measures such as the HBV vaccine and protective devices (i.e. self-capping needles, needle-free i.v. systems and improved barrier materials) have reduced the occupational risk of acquiring a blood-borne infection, which allows attention to be given to the psychosocial risks which may be more significant, yet are often overlooked. Doctors are at greater risk of divorce, alcoholism, substance abuse and suicide than are members of comparable professional groups. One study found that general surgeons had the highest rates of suicide of all doctors. According to family surveys, surgeons tend to be oblivious to the effects of work stressors, and may benefit from greater self-awareness; sharing of feelings and responsibilities with colleagues, family and patients; being willing to delegate work to others; setting work limits; and broadening perspectives in their approach to work.

Psychosomatics, 1997

A sample of 437 patients being evaluated for bone marrow transplantation (BMT) complered intervie... more A sample of 437 patients being evaluated for bone marrow transplantation (BMT) complered interviews and questionnaires to assess their psychosocial adjustment. Nearly a third of the patients (3/%) showed some degree ofdepression on the Center for Epidemiologic Studies Depression Scale. Scores on the Profile of Mood States Scale also indicated that these BMT candidates were experiencing a high level ofpsychological distress. This distress was found to be predicted by low scores on the Self-Rated Kama/sky Performance Scale and on scales measuring mastery and dispositional opti• mism. The value ofassessing the levels ofpsychological distress and psychosocial resources ofpatients being evaluated for BMT and/or providing necessary psychiatric interventions are discussed.

Empirically selected instruments for measuring quality-of-life dimensions in culturally diverse populations

Journal of The National Cancer Institute Monographs, 1996

We describe a process for developing and testing the cultural equivalence of quality-of-life (QOL... more We describe a process for developing and testing the cultural equivalence of quality-of-life (QOL) instruments that may be used across culturally diverse populations. QOL instruments dealing with satisfaction with various life domains, psychological distress, and physical health and functioning were reviewed by African-American and Hispanic community advisory boards, translated into Spanish and back-translated to ensure translation adequacy, administered to samples of 100 patients from each of the ethnic minority populations by indigenous nurse interviewers, and examined for psychometric adequacy. Ten QOL measures showed adequate reliability and validity for further use in the assessment of QOL with African-American and Hispanic patients. Three other measures failed to meet the defined standards. A dimension shown to be particularly difficult to address across culturally diverse groups is family functioning. Procedures for achieving cultural equivalence of QOL measures have been shown to be practical and productive. Measures are identified that may be used with some confidence to assess varied dimensions of QOL with culturally diverse groups.

Quality of life of bone marrow transplant long-term survivors

Bone marrow transplantation, 1994

Adult survivors of bone marrow transplantation not in life threatening relapse were surveyed with... more Adult survivors of bone marrow transplantation not in life threatening relapse were surveyed with a mailed questionnaire 6-149 months after transplant. Of 171 eligible patients, 157 were contacted and 135 (86%) responded. Survivors showed a high degree of overall satisfaction with major life domains but were least satisfied with their bodies, level of physical strength and ability to attain sexual satisfaction. Positive and negative affect were higher than general population samples and less tension, fatigue, confusion and depression were displayed than comparison groups. Multiple regression analyses showed that self-esteem and level of current physical functioning made significant contributions to predicting multiple quality-of-life outcomes. Previous graft-versus-host disease was predictive of low satisfaction with life domains. Lack of social support was predictive of anger and Negative Affect. Transplantation at a younger age was related to overall life satisfaction, vigor and P...

Perceived quality of life of deinstitutionalized chronic psychiatric patients in the New York State Community Support System /

Thesis (Ph. D.)--State University of New York at Buffalo, 1989. Includes bibliographical referenc... more Thesis (Ph. D.)--State University of New York at Buffalo, 1989. Includes bibliographical references (leaves 93-99). Photocopy of typescript.

Perceived quality of life of deinstitutionalized chronic psychiatric patients in the New York State Community Support System /

Thesis (Ph. D.)--State University of New York at Buffalo, 1989. Includes bibliographical referenc... more Thesis (Ph. D.)--State University of New York at Buffalo, 1989. Includes bibliographical references (leaves 93-99). Photocopy of typescript.

Empirically selected instruments for measuring quality-of-life dimensions in culturally diverse populations

Journal of the National Cancer Institute. Monographs, 1996

We describe a process for developing and testing the cultural equivalence of quality-of-life (QOL... more We describe a process for developing and testing the cultural equivalence of quality-of-life (QOL) instruments that may be used across culturally diverse populations. QOL instruments dealing with satisfaction with various life domains, psychological distress, and physical health and functioning were reviewed by African-American and Hispanic community advisory boards, translated into Spanish and back-translated to ensure translation adequacy, administered to samples of 100 patients from each of the ethnic minority populations by indigenous nurse interviewers, and examined for psychometric adequacy. Ten QOL measures showed adequate reliability and validity for further use in the assessment of QOL with African-American and Hispanic patients. Three other measures failed to meet the defined standards. A dimension shown to be particularly difficult to address across culturally diverse groups is family functioning. Procedures for achieving cultural equivalence of QOL measures have been sho...

Quality of life and social support of patients being evaluated for bone marrow transplantation

Journal of Clinical Psychology in Medical Settings, 1995

A sample of 437 patients completed self-report measures of quality of life and social support whi... more A sample of 437 patients completed self-report measures of quality of life and social support while they were being evaluated for bone marrow transplantation (BMT) at The Johns Hopkins Oncology Center. Generally, the candidates showed reasonably high levels of quality of life (QOL) on the Satisfaction with Life Domains Scale (SLDS), their present ranking on the Cantril Self-Anchoring Ladder of Life, and their scores on the Bradburn Positive Affect Scale. The level of QOL of these candidates for transplant was significantly related to their level of social support. Both availability and adequacy of social support for these transplant candidates were found to be significantly related to QOL as measured by the SLDS. Availability of social support as measured by patient membership in religious and other organizations was significantly related to Positive Affect but not Negative Affect. The Family APGAR and Relational Support Scales measures of social support were significantly correlated with both Positive and Negative Affect.

Quality of life and social support of patients being evaluated for bone marrow transplantation

Journal of Clinical Psychology in Medical Settings, 1995

A sample of 437 patients completed self-report measures of quality of life and social support whi... more A sample of 437 patients completed self-report measures of quality of life and social support while they were being evaluated for bone marrow transplantation (BMT) at The Johns Hopkins Oncology Center. Generally, the candidates showed reasonably high levels of quality of life (QOL) on the Satisfaction with Life Domains Scale (SLDS), their present ranking on the Cantril Self-Anchoring Ladder of Life, and their scores on the Bradburn Positive Affect Scale. The level of QOL of these candidates for transplant was significantly related to their level of social support. Both availability and adequacy of social support for these transplant candidates were found to be significantly related to QOL as measured by the SLDS. Availability of social support as measured by patient membership in religious and other organizations was significantly related to Positive Affect but not Negative Affect. The Family APGAR and Relational Support Scales measures of social support were significantly correlated with both Positive and Negative Affect.

Community support services and functioning of the seriously mentally ill

Community Mental Health Journal, 1993

A cohort of 729 chronically mentally ill patients receiving community support services (CSS) were... more A cohort of 729 chronically mentally ill patients receiving community support services (CSS) were followed over a nine-month period. Receiving needed community support services was shown to predict change in client functioning as measured by the Global Assessment Scale (GAS) even after the initial values on the GAS, as well as demographic, psychiatric, residential and medication maintenance variables were considered. Adequacy of social support from family, friends and others also contributed to predicting change in global functioning of the CSS patients.

Social support and quality of life of community support clients

Community Mental Health Journal, 1992

Two aspects of social support, availability and adequacy, were assessed for 729 severely mentally... more Two aspects of social support, availability and adequacy, were assessed for 729 severely mentally ill adults enrolled in seven state-supported Community Support Services (CSS) programs as part of repeated questionnaire surveys nine months apart. Perceived quality of life interviews with the clients were also conducted at both times. These interviews included the Bradburn Positive and Negative Affect Scales and the Satisfaction with Life Domains Scale (SLDS). Availability of social support was significantly correlated with postive affect over time, but not with negative affect at either point. Inadequacy of social support was significantly related to negative affect at both assessments. Both availability and adequacy of social support were significantly related to the SLDS at each time. Change in satisfaction with life domains was found to be related to both availability and, to a lesser degree, with adequacy of social support.

OCCUPATIONAL HEALTH IN SURGERY: RISKS EXTEND BEYOND THE OPERATING ROOM

Anz Journal of Surgery, 1995

Surgeons routinely work with potentially infectious materials. The risk of acquiring a disease fr... more Surgeons routinely work with potentially infectious materials. The risk of acquiring a disease from one percutaneous exposure is 0.3-0.4% for human immunodeficiency virus (HIV) 6-30% for hepatitis B virus (HBV) and 2.7-10% for hepatitis C virus (HCV). Rates of blood contacts vary but may reach up to 11.9 per 100 h in the operating room. Residents are at highest risk, and obstetrics and gynaecology surgeons suffered the highest rate of exposures (10%) as a group. Contributing risk factors include trauma or emergency orthopaedic procedures, high patient blood loss, long procedures and holding tissue by hand while suturing. However, across occupations, nurses and other health workers experience greater risks than surgeons regarding potentially infectious exposures. Preventive measures such as the HBV vaccine and protective devices (i.e. self-capping needles, needle-free i.v. systems and improved barrier materials) have reduced the occupational risk of acquiring a blood-borne infection, which allows attention to be given to the psychosocial risks which may be more significant, yet are often overlooked. Doctors are at greater risk of divorce, alcoholism, substance abuse and suicide than are members of comparable professional groups. One study found that general surgeons had the highest rates of suicide of all doctors. According to family surveys, surgeons tend to be oblivious to the effects of work stressors, and may benefit from greater self-awareness; sharing of feelings and responsibilities with colleagues, family and patients; being willing to delegate work to others; setting work limits; and broadening perspectives in their approach to work.