The health status of construction workers
- Authors: Deacon, Claire Helen
- Date: 2004
- Subjects: Construction industry -- Employees -- Diseases -- South Africa , Construction workers -- Health and hygiene -- South Africa , Construction workers -- Health risk assessment -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:11025 , http://hdl.handle.net/10948/326 , Construction industry -- Employees -- Diseases -- South Africa , Construction workers -- Health and hygiene -- South Africa , Construction workers -- Health risk assessment -- South Africa
- Description: The construction industry is considered to be an extremely dangerous working environment, and therefore the health status of construction workers needs to be considered prior, during and on leaving the industry. Occupational hazards relative to the construction worker are well researched internationally; however few countries undertake routine medical surveillance to identify the health status of the construction worker relative to these hazards. Employers have a higher duty of care to identify workers who could be a risk at work from non-occupationally related conditions such as hypertension and diabetes mellitus. Work could exacerbate these conditions, leading to absenteeism, poor performance and eventually leaving the industry due to ill health. The dissertation explores, inter alia: the risks to which workers are exposed; the legal aspects; relevant literature regarding medical surveillance, and the use of a medical surveillance instrument used to determine the health status of 142 construction workers who consented to participate in the study. The methodological approach used in this study was a quantitative descriptive design, more specifically, using a randomised cross-sectional survey design. The instrument used to determine health status included a full medical, occupational and social history, as well as a physical examination undertaken by Occupational Health Nursing Practitioners (OHNs). Findings indicate that most construction workers believe they are healthy. However only a small percentage of construction workers did not require referral for further investigation and / or treatment.
- Full Text:
- Authors: Deacon, Claire Helen
- Date: 2004
- Subjects: Construction industry -- Employees -- Diseases -- South Africa , Construction workers -- Health and hygiene -- South Africa , Construction workers -- Health risk assessment -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:11025 , http://hdl.handle.net/10948/326 , Construction industry -- Employees -- Diseases -- South Africa , Construction workers -- Health and hygiene -- South Africa , Construction workers -- Health risk assessment -- South Africa
- Description: The construction industry is considered to be an extremely dangerous working environment, and therefore the health status of construction workers needs to be considered prior, during and on leaving the industry. Occupational hazards relative to the construction worker are well researched internationally; however few countries undertake routine medical surveillance to identify the health status of the construction worker relative to these hazards. Employers have a higher duty of care to identify workers who could be a risk at work from non-occupationally related conditions such as hypertension and diabetes mellitus. Work could exacerbate these conditions, leading to absenteeism, poor performance and eventually leaving the industry due to ill health. The dissertation explores, inter alia: the risks to which workers are exposed; the legal aspects; relevant literature regarding medical surveillance, and the use of a medical surveillance instrument used to determine the health status of 142 construction workers who consented to participate in the study. The methodological approach used in this study was a quantitative descriptive design, more specifically, using a randomised cross-sectional survey design. The instrument used to determine health status included a full medical, occupational and social history, as well as a physical examination undertaken by Occupational Health Nursing Practitioners (OHNs). Findings indicate that most construction workers believe they are healthy. However only a small percentage of construction workers did not require referral for further investigation and / or treatment.
- Full Text:
A comparative normative survey of the isokinetic neck strength of senior elite South African rugby players and schoolboy rugby forwards
- Authors: Olivier, Pierre Emile
- Date: 2003
- Subjects: Rugby football -- South Africa -- Physiological aspects , Neck -- Muscles , Muscle strength , Rugby football players -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11026 , http://hdl.handle.net/10948/308 , Rugby football -- South Africa -- Physiological aspects , Neck -- Muscles , Muscle strength , Rugby football players -- South Africa
- Description: The aim of this study was to generate useful isokinetic normative data for various cervical musculature strength, range of motion and ratio variables based on different positional categories in a sample of senior elite South African rugby players. Normative data was generated for the following variables: peak torque, power generated at 0.2 of a second, active and passive range of motion, the ratio of peak torque flexion to peak torque extension (PTF/PTE), the ratio of peak torque lateral flexion left to peak torque lateral flexion right (PTL/PTR), the ratios of peak torque to body weight (PT/BW) and the ratios of peak torque to lean body mass (PT/LBM). Furthermore, the data gathered from the senior elite players was compared to similar data obtained from a sample of schoolboy rugby forwards to detect statistically significant differences (p < .05). A normative survey design was used in which 189 subjects from eight provincial unions participated in a one off evaluation session. The evaluation session comprised of various anthropometrical measurements and an isokinetic cervical musculature assessment. The normative data, displayed in Stanine tables, was generated for four positional categories: the front row (# 1-3), the second row (# 4-5), the back row (# 6-8) and the backline (# 9 -15). The second row positional category performed the best on the peak flexion torque variable (44.04 Nm). The front row positional category achieved the largest average peak extension torque (65.6 Nm). The second row positional category achieved the largest average peak lateral flexion right torque (69.42 Nm). A similar result was observed with the measurement of peak lateral flexion left torque, with the second row positional category achieving the largest average peak lateral flexion left torque (66.31 Nm). The backline positional category achieved the lowest averages on all the abovementioned peak torque variables. The front row positional category performed the best on the flexion power generated at 0.2 of a second variable (160.92 W). The front row positional category again achieved the largest extension power generated at 0.2 of a second average (237.02 W). The second row positional category achieved the largest lateral flexion right power generated at 0.2 of a second average (269.81 W). Similar results were observed with the measurement of lateral flexion left power generated at 0.2 of a second. The second row positional category achieved the largest lateral flexion left power generated at 0.2 of a second average (259.62 W). Again the backline players achieved the smallest power generated at 0.2 of a second averages for all the above-mentioned power variables. The measurement of passive (PROMFE) and active (AROMFE) range of motion for flexion to extension revealed that the second row had the largest average PROMFE (125.44°). The measurement of AROMFE revealed a similar result. The second row again had the largest average AROMFE (108.45°). The measurement of passive (PROMLF) and active (PROMFE) range of motion for lateral flexion left to right revealed smaller and different results to those found for PROMFE and AROMFE. For the variable of PROMLF the backline players had the largest average PROMLF (119.44°). Conversely, the second row had the largest average AROMLF (106.96°). The calculation of the various ratios revealed great variation between the positional categories. This can be attributed to the functional requirements the players have to adhere to, to be successful in their position. Various other statistical calculations were performed to draw the average force distance graphs for the positional categories for the peak torque variables. Furthermore the force distance graphs were assessed to determine the players’ ability to maintain 80% of peak torque. All the senior elite positional categories proved to be significantly (p < .05) older and heavier than the schoolboy forwards. The senior elite forward positional categories were also significantly (p < .05) taller than the schoolboy forward. There however proved to be no significant difference (p > .05) in stature between the backline and schoolboy forwards. All the positional categories proved to have significantly thicker (p < .05) necks, but significantly shorter (p < .05) cervical spines than the schoolboy forwards. The forward positional categories demonstrated to be significantly stronger (p < .05), on all peak torque measures, than the schoolboy forwards. The same was observed between the backline and schoolboy forwards, however no statistically significant difference (p > .05) was observed between the respective sample groups for the measure of peak lateral flexion left torque. For all the measures of power generated at 0.2 of a second, the senior forward positional categories proved to be significantly more powerful (p < .05) than the schoolboy forwards. The senior backline, although significantly more powerful (p < .05) in the flexion movement pattern, proved to be significantly less powerful (p < .05) than the schoolboy forwards in the lateral flexion right movement pattern. No statistically significant differences (p < .05) were found to exist between the senior backline and schoolboy forwards for the extension and lateral flexion left power generated at 0.2 of a second variables. All positional categories proved to have significantly smaller (p < .05) active and passive ranges of motion compared to the schoolboy forwards. Conversely, the senior elite players had significantly larger (p < .05) ratios (PTF/PTE, PTL/PTR, PT/BW and PT/LBM) than the schoolboy forwards. Literature has identified schoolboy rugby as having a much higher incidence of cervical spinal injuries than senior rugby. It can thus be inferred from the above information that the variables of peak torque and power generated at 0.2 of a second play a important role in safeguarding a player from injury on the field of play. Furthermore, calculated ratios show that senior players, especially the forwards, have undergone adaptive changes in cervical musculature strength to meet the requirements of the position they play in, thereby safeguarding themselves from cervical spinal injury. Proper cervical musculature conditioning has been cited in the literature as being an effective but neglected method of preventing cervical spinal injuries. The generation of normative data, concerning cervical musculature performance, can thus be used to prevent the occurrence of cervical injuries and re-injury of the cervical spine by providing a standard of musculature strength for safe participation in rugby, and possibly other collision type sports, and a quantified guide for successful patient rehabilitation respectively.
- Full Text:
- Date Issued: 2003
- Authors: Olivier, Pierre Emile
- Date: 2003
- Subjects: Rugby football -- South Africa -- Physiological aspects , Neck -- Muscles , Muscle strength , Rugby football players -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11026 , http://hdl.handle.net/10948/308 , Rugby football -- South Africa -- Physiological aspects , Neck -- Muscles , Muscle strength , Rugby football players -- South Africa
- Description: The aim of this study was to generate useful isokinetic normative data for various cervical musculature strength, range of motion and ratio variables based on different positional categories in a sample of senior elite South African rugby players. Normative data was generated for the following variables: peak torque, power generated at 0.2 of a second, active and passive range of motion, the ratio of peak torque flexion to peak torque extension (PTF/PTE), the ratio of peak torque lateral flexion left to peak torque lateral flexion right (PTL/PTR), the ratios of peak torque to body weight (PT/BW) and the ratios of peak torque to lean body mass (PT/LBM). Furthermore, the data gathered from the senior elite players was compared to similar data obtained from a sample of schoolboy rugby forwards to detect statistically significant differences (p < .05). A normative survey design was used in which 189 subjects from eight provincial unions participated in a one off evaluation session. The evaluation session comprised of various anthropometrical measurements and an isokinetic cervical musculature assessment. The normative data, displayed in Stanine tables, was generated for four positional categories: the front row (# 1-3), the second row (# 4-5), the back row (# 6-8) and the backline (# 9 -15). The second row positional category performed the best on the peak flexion torque variable (44.04 Nm). The front row positional category achieved the largest average peak extension torque (65.6 Nm). The second row positional category achieved the largest average peak lateral flexion right torque (69.42 Nm). A similar result was observed with the measurement of peak lateral flexion left torque, with the second row positional category achieving the largest average peak lateral flexion left torque (66.31 Nm). The backline positional category achieved the lowest averages on all the abovementioned peak torque variables. The front row positional category performed the best on the flexion power generated at 0.2 of a second variable (160.92 W). The front row positional category again achieved the largest extension power generated at 0.2 of a second average (237.02 W). The second row positional category achieved the largest lateral flexion right power generated at 0.2 of a second average (269.81 W). Similar results were observed with the measurement of lateral flexion left power generated at 0.2 of a second. The second row positional category achieved the largest lateral flexion left power generated at 0.2 of a second average (259.62 W). Again the backline players achieved the smallest power generated at 0.2 of a second averages for all the above-mentioned power variables. The measurement of passive (PROMFE) and active (AROMFE) range of motion for flexion to extension revealed that the second row had the largest average PROMFE (125.44°). The measurement of AROMFE revealed a similar result. The second row again had the largest average AROMFE (108.45°). The measurement of passive (PROMLF) and active (PROMFE) range of motion for lateral flexion left to right revealed smaller and different results to those found for PROMFE and AROMFE. For the variable of PROMLF the backline players had the largest average PROMLF (119.44°). Conversely, the second row had the largest average AROMLF (106.96°). The calculation of the various ratios revealed great variation between the positional categories. This can be attributed to the functional requirements the players have to adhere to, to be successful in their position. Various other statistical calculations were performed to draw the average force distance graphs for the positional categories for the peak torque variables. Furthermore the force distance graphs were assessed to determine the players’ ability to maintain 80% of peak torque. All the senior elite positional categories proved to be significantly (p < .05) older and heavier than the schoolboy forwards. The senior elite forward positional categories were also significantly (p < .05) taller than the schoolboy forward. There however proved to be no significant difference (p > .05) in stature between the backline and schoolboy forwards. All the positional categories proved to have significantly thicker (p < .05) necks, but significantly shorter (p < .05) cervical spines than the schoolboy forwards. The forward positional categories demonstrated to be significantly stronger (p < .05), on all peak torque measures, than the schoolboy forwards. The same was observed between the backline and schoolboy forwards, however no statistically significant difference (p > .05) was observed between the respective sample groups for the measure of peak lateral flexion left torque. For all the measures of power generated at 0.2 of a second, the senior forward positional categories proved to be significantly more powerful (p < .05) than the schoolboy forwards. The senior backline, although significantly more powerful (p < .05) in the flexion movement pattern, proved to be significantly less powerful (p < .05) than the schoolboy forwards in the lateral flexion right movement pattern. No statistically significant differences (p < .05) were found to exist between the senior backline and schoolboy forwards for the extension and lateral flexion left power generated at 0.2 of a second variables. All positional categories proved to have significantly smaller (p < .05) active and passive ranges of motion compared to the schoolboy forwards. Conversely, the senior elite players had significantly larger (p < .05) ratios (PTF/PTE, PTL/PTR, PT/BW and PT/LBM) than the schoolboy forwards. Literature has identified schoolboy rugby as having a much higher incidence of cervical spinal injuries than senior rugby. It can thus be inferred from the above information that the variables of peak torque and power generated at 0.2 of a second play a important role in safeguarding a player from injury on the field of play. Furthermore, calculated ratios show that senior players, especially the forwards, have undergone adaptive changes in cervical musculature strength to meet the requirements of the position they play in, thereby safeguarding themselves from cervical spinal injury. Proper cervical musculature conditioning has been cited in the literature as being an effective but neglected method of preventing cervical spinal injuries. The generation of normative data, concerning cervical musculature performance, can thus be used to prevent the occurrence of cervical injuries and re-injury of the cervical spine by providing a standard of musculature strength for safe participation in rugby, and possibly other collision type sports, and a quantified guide for successful patient rehabilitation respectively.
- Full Text:
- Date Issued: 2003
An epidemiological study of childhood asthma care by general practitioners in the Nelson Mandela Metropole
- Authors: Wickens, Nicolas John
- Date: 2003
- Subjects: Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Language: English
- Type: Thesis , Masters , MTech (Biomedical Technology)
- Identifier: vital:10825 , http://hdl.handle.net/10948/124 , Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Description: The purpose of this study was to measure and evaluate GPs' practices, perceptions, and beliefs with regard to chronic childhood asthma management and to identify GPs' attitudes towards practice guidelines in particular the SACAWG (South African Childhood Asthma Work Group) guideline (Motala et al., 2000). In 2001 a single period cross-sectional survey was conducted among 300 GPs in the Nelson Mandela Metropole (NMM) which comprised the Port Elizabeth, Uitenhage, and Despatch regions. GPs in clinical practice in the NMM were identified from the register of the Health Professions Council (HPC) CD-ROM (2000). The register contains names and professional information on all physicians in South Africa who have completed or in the process of completing requirements to practice medicine. GPs meeting the following criteria were identified: (1) primary self-designated practice specialty of general practice; (2) practice location in Port Elizabeth, Uitenhage, and Despatch areas; and (3) engaged in direct patient care. The HPC register contained listings for 300 GPs that matched the study criteria. Data were collected by means of a structured self-administered questionnaire. Questionnaires with a return envelope were mailed to the GPs' practices. Questionnaires were returned by 89 of the 300 eligible NMM GPs, reflecting a 29,7 % response rate. A 43-item Chronic Childhood Asthma Management questionnaire was developed and validated to assess the delivery of asthma care by GPs in the NMM. Forty-four per cent of the respondents reported performing spirometry on patients with newly diagnosed asthma as part of their initial evaluation. For patients with moderate persistent asthma prescribing of inhaled corticosteroids (ICSs) varied by patient age, with 57,4% of physicians routinely prescribing them for patients < 5 years, compared with 76,5% of physicians prescribing them for patients 5 years. Awareness of the SACAWG guidelines among these GPs was high, with 76,8% reporting that they have heard of the guidelines, and 59,4% reporting having read them. 14,5 per cent of the GPs reported developing written treatment plans for patients with moderate or severe asthma. To achieve the best results with their asthma patients, 68,1% of the physicians reported that patient compliance was imperative, 49,3% reported education as the most important, pharmacotherapy / good products was reported as most important by 29,0% of the group, environmental control was cited by 18,8% of the GPs. Several aspects of the SACAWG guidelines appear to have been incorporated into clinical practice by GPs in the NMM, whereas other recommendations do not appear to have been readily adopted. This information suggests areas for intervention to improve primary care for asthma in the NMM.
- Full Text:
- Date Issued: 2003
- Authors: Wickens, Nicolas John
- Date: 2003
- Subjects: Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Language: English
- Type: Thesis , Masters , MTech (Biomedical Technology)
- Identifier: vital:10825 , http://hdl.handle.net/10948/124 , Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Description: The purpose of this study was to measure and evaluate GPs' practices, perceptions, and beliefs with regard to chronic childhood asthma management and to identify GPs' attitudes towards practice guidelines in particular the SACAWG (South African Childhood Asthma Work Group) guideline (Motala et al., 2000). In 2001 a single period cross-sectional survey was conducted among 300 GPs in the Nelson Mandela Metropole (NMM) which comprised the Port Elizabeth, Uitenhage, and Despatch regions. GPs in clinical practice in the NMM were identified from the register of the Health Professions Council (HPC) CD-ROM (2000). The register contains names and professional information on all physicians in South Africa who have completed or in the process of completing requirements to practice medicine. GPs meeting the following criteria were identified: (1) primary self-designated practice specialty of general practice; (2) practice location in Port Elizabeth, Uitenhage, and Despatch areas; and (3) engaged in direct patient care. The HPC register contained listings for 300 GPs that matched the study criteria. Data were collected by means of a structured self-administered questionnaire. Questionnaires with a return envelope were mailed to the GPs' practices. Questionnaires were returned by 89 of the 300 eligible NMM GPs, reflecting a 29,7 % response rate. A 43-item Chronic Childhood Asthma Management questionnaire was developed and validated to assess the delivery of asthma care by GPs in the NMM. Forty-four per cent of the respondents reported performing spirometry on patients with newly diagnosed asthma as part of their initial evaluation. For patients with moderate persistent asthma prescribing of inhaled corticosteroids (ICSs) varied by patient age, with 57,4% of physicians routinely prescribing them for patients < 5 years, compared with 76,5% of physicians prescribing them for patients 5 years. Awareness of the SACAWG guidelines among these GPs was high, with 76,8% reporting that they have heard of the guidelines, and 59,4% reporting having read them. 14,5 per cent of the GPs reported developing written treatment plans for patients with moderate or severe asthma. To achieve the best results with their asthma patients, 68,1% of the physicians reported that patient compliance was imperative, 49,3% reported education as the most important, pharmacotherapy / good products was reported as most important by 29,0% of the group, environmental control was cited by 18,8% of the GPs. Several aspects of the SACAWG guidelines appear to have been incorporated into clinical practice by GPs in the NMM, whereas other recommendations do not appear to have been readily adopted. This information suggests areas for intervention to improve primary care for asthma in the NMM.
- Full Text:
- Date Issued: 2003
Food choices of tactile defensive children
- Authors: Smith, Anna Magdalena
- Date: 2003
- Subjects: Children -- Nutrition -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:11034 , http://hdl.handle.net/10948/d1020371
- Description: This research explores a different view of the picky or fussy eater. Although occupational therapists and speech therapists are aware that children with sensory defensiveness and specific tactile defensiveness have different eating habits, this has not been described before.
- Full Text:
- Date Issued: 2003
- Authors: Smith, Anna Magdalena
- Date: 2003
- Subjects: Children -- Nutrition -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:11034 , http://hdl.handle.net/10948/d1020371
- Description: This research explores a different view of the picky or fussy eater. Although occupational therapists and speech therapists are aware that children with sensory defensiveness and specific tactile defensiveness have different eating habits, this has not been described before.
- Full Text:
- Date Issued: 2003
Personality traits of patients participating in a group programme at a private psychiatric day clinic
- Authors: Oakes, Elizabeth Jean
- Date: 2003
- Subjects: Personality assessment -- South Africa -- Port Elizabeth , NEO Personality Inventory -- South Africa -- Port Elizabeth , Psychotherapy -- Outcome assessment -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11028 , http://hdl.handle.net/10948/331 , Personality assessment -- South Africa -- Port Elizabeth , NEO Personality Inventory -- South Africa -- Port Elizabeth , Psychotherapy -- Outcome assessment -- South Africa -- Port Elizabeth
- Description: The current trend in psychiatric health care is towards comprehensive primary healthcare for all South Africans. This has been has been achieved by the restructuring of the National Health System (NHS) into national, provincial, district, and community levels, which provide outpatient and inpatient care at primary, secondary, and tertiary care levels. Assessment and treatment in the form of physical and psychosocial interventions form an integral part of psychiatric care. The value of personality assessment and, in particular, the potential for matching patient personality types with effective treatment options, may play a role in facilitating effective health care in the future. An overview of the literature indicates that little research has been done regarding the area of personality traits of psychiatric patients in South Africa. This study aims to explore and describe the personality traits or profile of individuals attending a private psychiatric day care facility in The Nelson Mandela Metropole (i.e., Parkwood Day Clinic). The sample consisted of 196 participants (104 male and 92 female) who attended a group programme from April 2000 to April 2001. As part of the programme, patients were required to com plete a series of pencil-and-paper measures. The questionnaires selected for this study included a biographical questionnaire, which was used to describe the biographical variables of the sample with regard to gender, age and marital status, and The Revised NEO Personality Inventory (NEO PI-R) (Costa & McCrae, 1992a), which was used as a measure of personality. The NEO PI-R is considered a concise measure of the five major domains of personality and some of the more important traits that define each domain. Together, the five domains Neuroticism (N), Extraversion (E), Openness (O), Agreeableness (A) and Conscientiousness (C), and the six facets within each domain, allow for a comprehensive assessment of adult personality. xiv An exploratory, descriptive method was used in the study, and the data was analysed using descriptive and inferential statistics, including correlations, cluster analysis, and multivariate analysis of variance. Key findings include the following: Results from the NEO PI-R domains showed a personality profile of very high scores for N, and average scores for E, O, A, and C. Within the sample, cluster analysis revealed five distinct personality profile clusters. For the biographical variable gender, significant differences were found between males and females on N, with the majority of males scoring in the category of Very High and High, and the majority of females scoring in the Average category. For the variable age, the results indicated significant differences on A, with participants in the young adulthood group scoring significantly lower on A than participants in the middle adulthood group. For marital status, on the domain of O, significant differences were found between the divorced or widowed and the married, with the married scoring in the Low category and the divorced or widowed in the Average category. On the domain of C, significant differences were noted between the singles group and the currently or previously married groups, with the single group tending to score lower on C than both other groups. These findings reveal a need for further research into personality traits and psychiatric samples, as consideration of personality traits based on the profile established, may be useful in matching patients’ characteristics with optimal treatment options.
- Full Text:
- Date Issued: 2003
- Authors: Oakes, Elizabeth Jean
- Date: 2003
- Subjects: Personality assessment -- South Africa -- Port Elizabeth , NEO Personality Inventory -- South Africa -- Port Elizabeth , Psychotherapy -- Outcome assessment -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11028 , http://hdl.handle.net/10948/331 , Personality assessment -- South Africa -- Port Elizabeth , NEO Personality Inventory -- South Africa -- Port Elizabeth , Psychotherapy -- Outcome assessment -- South Africa -- Port Elizabeth
- Description: The current trend in psychiatric health care is towards comprehensive primary healthcare for all South Africans. This has been has been achieved by the restructuring of the National Health System (NHS) into national, provincial, district, and community levels, which provide outpatient and inpatient care at primary, secondary, and tertiary care levels. Assessment and treatment in the form of physical and psychosocial interventions form an integral part of psychiatric care. The value of personality assessment and, in particular, the potential for matching patient personality types with effective treatment options, may play a role in facilitating effective health care in the future. An overview of the literature indicates that little research has been done regarding the area of personality traits of psychiatric patients in South Africa. This study aims to explore and describe the personality traits or profile of individuals attending a private psychiatric day care facility in The Nelson Mandela Metropole (i.e., Parkwood Day Clinic). The sample consisted of 196 participants (104 male and 92 female) who attended a group programme from April 2000 to April 2001. As part of the programme, patients were required to com plete a series of pencil-and-paper measures. The questionnaires selected for this study included a biographical questionnaire, which was used to describe the biographical variables of the sample with regard to gender, age and marital status, and The Revised NEO Personality Inventory (NEO PI-R) (Costa & McCrae, 1992a), which was used as a measure of personality. The NEO PI-R is considered a concise measure of the five major domains of personality and some of the more important traits that define each domain. Together, the five domains Neuroticism (N), Extraversion (E), Openness (O), Agreeableness (A) and Conscientiousness (C), and the six facets within each domain, allow for a comprehensive assessment of adult personality. xiv An exploratory, descriptive method was used in the study, and the data was analysed using descriptive and inferential statistics, including correlations, cluster analysis, and multivariate analysis of variance. Key findings include the following: Results from the NEO PI-R domains showed a personality profile of very high scores for N, and average scores for E, O, A, and C. Within the sample, cluster analysis revealed five distinct personality profile clusters. For the biographical variable gender, significant differences were found between males and females on N, with the majority of males scoring in the category of Very High and High, and the majority of females scoring in the Average category. For the variable age, the results indicated significant differences on A, with participants in the young adulthood group scoring significantly lower on A than participants in the middle adulthood group. For marital status, on the domain of O, significant differences were found between the divorced or widowed and the married, with the married scoring in the Low category and the divorced or widowed in the Average category. On the domain of C, significant differences were noted between the singles group and the currently or previously married groups, with the single group tending to score lower on C than both other groups. These findings reveal a need for further research into personality traits and psychiatric samples, as consideration of personality traits based on the profile established, may be useful in matching patients’ characteristics with optimal treatment options.
- Full Text:
- Date Issued: 2003
The subjective well-being and experience of life roles of white employed married mothers: a multiple case study
- Authors: Evans, Amelia
- Date: 2003
- Subjects: Married women -- Employment -- South Africa -- Psychological aspects , Working mothers -- South Africa -- Psychological aspects , Self-Actualization (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11019 , http://hdl.handle.net/10948/290 , Married women -- Employment -- South Africa -- Psychological aspects , Working mothers -- South Africa -- Psychological aspects , Self-Actualization (Psychology)
- Description: The number of women who choose to combine careers and traditional roles as mothers has been increasing steadily over the last number of years. As a result, the subjective wellbeing of these women has been the focus of many research projects over the last number of years. Subjective well-being has been defined in various ways by different authors. One definition describes subjective well-being as people's evaluations of their lives, which includes happiness, pleasant emotions, life satisfaction, and a relative absence of unpleasant moods and emotions. The current study, which took the form of a multiple case study, attempted to explore and describe White employed married mothers’ subjective experience of their well-being. The study also explored these women's experiences of combining the roles of employee and motherhood. The sample was obtained through the snowballing technique, and both qualitative (in-depth interviews) and quantitative techniques (two questionnaires - the Satisfaction with Life Scale and the Beck Depression Inventory) were utilized. The analysis of the data that was gathered was done by means of thematic and content analyses.
- Full Text:
- Date Issued: 2003
- Authors: Evans, Amelia
- Date: 2003
- Subjects: Married women -- Employment -- South Africa -- Psychological aspects , Working mothers -- South Africa -- Psychological aspects , Self-Actualization (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11019 , http://hdl.handle.net/10948/290 , Married women -- Employment -- South Africa -- Psychological aspects , Working mothers -- South Africa -- Psychological aspects , Self-Actualization (Psychology)
- Description: The number of women who choose to combine careers and traditional roles as mothers has been increasing steadily over the last number of years. As a result, the subjective wellbeing of these women has been the focus of many research projects over the last number of years. Subjective well-being has been defined in various ways by different authors. One definition describes subjective well-being as people's evaluations of their lives, which includes happiness, pleasant emotions, life satisfaction, and a relative absence of unpleasant moods and emotions. The current study, which took the form of a multiple case study, attempted to explore and describe White employed married mothers’ subjective experience of their well-being. The study also explored these women's experiences of combining the roles of employee and motherhood. The sample was obtained through the snowballing technique, and both qualitative (in-depth interviews) and quantitative techniques (two questionnaires - the Satisfaction with Life Scale and the Beck Depression Inventory) were utilized. The analysis of the data that was gathered was done by means of thematic and content analyses.
- Full Text:
- Date Issued: 2003
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