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The Psychoanalytic Quarterly Jan 2016
Review
Topics: Climate Change; Conservation of Natural Resources; Denial, Psychological; Humans; Planets; Psychoanalysis
PubMed: 26784721
DOI: 10.1002/psaq.12064 -
Journal of Stroke and Cerebrovascular... Feb 2022To investigate cerebrovascular event (CVE) denials reported by registered patients to the Australian Stroke Clinical Registry, and to examine the factors associated with...
OBJECTIVES
To investigate cerebrovascular event (CVE) denials reported by registered patients to the Australian Stroke Clinical Registry, and to examine the factors associated with CVE denial.
MATERIAL AND METHODS
CVE denials reported from January 1, 2017 to June 30, 2018 were followed up with hospitals to verify their discharge diagnosis. CVE denials were compared with all non-CVE denial registrants and a 5% random sub-sample of non-CVE deniers according to patient and clinical characteristics, quality of care indicators and health outcomes. Multilevel, multivariable logistic regression models were used. Factors explored were age, sex, stroke severity, type of stroke, treatment in a stroke unit, length of stay and discharge destination. Level was defined as hospital.
RESULTS
Overall, 339/23,830 (<2%) CVE denials were reported during the 18-month period. Hospitals confirmed 117 (61%) of CVE denials as a verified diagnosis of stroke or transient ischaemic attack (TIA). Compared to non-CVE deniers, CVE deniers were younger, had a shorter median length of stay (four days versus one day) and were more likely to be diagnosed with a TIA (64%) compared to the other types of stroke (11% intracerebral haemorrhage; 20% ischaemic; 5% undetermined).
CONCLUSION
Very few patients denied their CVE, with the majority of denials subsequently confirmed as eligible for registry inclusion. Diagnosis of a TIA and shorter length of stay were associated with CVE denial. These findings provide evidence that very few cases are incorrectly entered into a national registry, and highlight the characteristics of those unlikely to accept their clinical diagnosis where further education of diagnosis may be needed.
Topics: Australia; Cerebrovascular Disorders; Denial, Psychological; Female; Humans; Ischemic Attack, Transient; Male; Registries; Retrospective Studies; Stroke
PubMed: 34864608
DOI: 10.1016/j.jstrokecerebrovasdis.2021.106210 -
Lung Cancer (Amsterdam, Netherlands) Apr 2011
Topics: Denial, Psychological; Humans; Lung Neoplasms; Quality of Life
PubMed: 21377573
DOI: 10.1016/j.lungcan.2011.01.026 -
Qualitative Health Research Mar 2000
Topics: Denial, Psychological; Health Services Research; Humans
PubMed: 10788279
DOI: 10.1177/104973200129118291 -
Journal of Clinical Oncology : Official... May 2003
Topics: Communication; Denial, Psychological; Humans; Physician-Patient Relations; Terminal Care; Terminally Ill
PubMed: 12743193
DOI: 10.1200/JCO.2003.01.170 -
Journal of Clinical Oncology : Official... Dec 2000
Topics: Attitude to Death; Communication; Denial, Psychological; Humans; Neoplasms; Physician-Patient Relations
PubMed: 11099331
DOI: 10.1200/JCO.2000.18.23.3998 -
Lancet (London, England) Jun 2022
Topics: Denial, Psychological; Humans
PubMed: 35753332
DOI: 10.1016/S0140-6736(22)01102-3 -
American Annals of the Deaf Dec 1998
Topics: Achievement; Adolescent; Black or African American; Child; Deafness; Denial, Psychological; Humans; White People
PubMed: 9893321
DOI: No ID Found -
Acta Psychiatrica Scandinavica Jul 2005To examine the evidence for the three kinds of aetiological model that dominate the current literature on poor insight in psychosis: clinical models, the... (Review)
Review
OBJECTIVE
To examine the evidence for the three kinds of aetiological model that dominate the current literature on poor insight in psychosis: clinical models, the neuropsychological model, and the psychological denial model.
METHOD
Studies pertaining to one or more of these aetiological models were identified, reviewed and critically evaluated.
RESULTS
There is little support for clinical models, partly because they lack testable hypotheses. Several studies reveal a positive relationship between insight and executive function, which may be related to frontal lobe dysfunction. However, the extent to which this relationship is specific and independent of general cognitive impairment remains unclear. There is tentative evidence to support the psychological denial model. Recent data combining the latter two approaches suggest that multiple factors contribute to poor insight.
CONCLUSION
Integration of different aetiological models is necessary for a fuller understanding of insight in psychosis. Future research should assess multiple aetiological mechanisms in single investigations.
Topics: Attitude to Health; Cognition Disorders; Denial, Psychological; Humans; Neuropsychological Tests; Psychotic Disorders
PubMed: 15952940
DOI: 10.1111/j.1600-0447.2005.00537.x -
PLoS Biology Oct 2018This Editorial introduces a Collection of articles in which the authors explore the challenges and pitfalls of communicating the science of climate change in an...
This Editorial introduces a Collection of articles in which the authors explore the challenges and pitfalls of communicating the science of climate change in an atmosphere where evidence doesn't matter.
Topics: Animals; Aquatic Organisms; Arctic Regions; Climate Change; Communication; Denial, Psychological; Humans
PubMed: 30300346
DOI: 10.1371/journal.pbio.3000033