Impact of depressive symptoms on subjective well-being: the importance of patient-reported outcomes in schizophrenia

Objective: The subjective experience of psychotic patients toward treatment is a key factor in medication adherence, quality of life, and clinical outcome. The aim of this study was to assess the subjective well-being in patients with schizophrenia and to examine its relationship with the presence and severity of depressive symptoms. Methods: A multicenter, cross-sectional study was conducted with clinically stable outpatients diagnosed with schizophrenia. The Subjective Well-Being under Neuroleptic Scale - short version (SWN-K) and the Calgary Depression Scale for Schizophrenia (CDSS) were used to gather information on well-being and the presence and severity of depressive symptoms, respectively. Spearman's rank correlation was used to assess the associations between the SWN-K total score, its five subscales, and the CDSS total score. Discriminative validity was evaluated against that criterion by analysing the area under the curve (AUC). Results: Ninety-seven patients were included in the study. Mean age was 35 years (standard deviation = 10) and 72% were male. Both the total SWN-K scale and its five subscales correlated inversely and significantly with the CDSS total score (P < 0.0001). The highest correlation was observed for the total SWN-K (Spearman's rank order correlation [ rho] = -0.59), being the other correlations: mental functioning (-0.47), social integration (-0.46), emotional regulation (-0.51), physical functioning (-0.48), and self-control (-0.41). A total of 33 patients (34%) were classified as depressed. Total SWN-K showed the highest AUC when discriminating between depressive severity levels (0.84), followed by emotional regulation (0.80), social integration (0.78), physical functioning and self-control (0.77), and mental functioning (0.73). Total SWN-K and its five subscales showed a significant linear trend against CDSS severity levels (P < 0.001). Conclusion: The presence of moderate to severe depressive symptoms was relatively high, and correlated inversely with patients' subjective well-being. Routine assessment of patient-reported measures in patients with schizophrenia might reduce potential discrepancy between patient and physician assessment, increase therapeutic alliance, and improve outcome.

Catches per unit of effort of bigeye tuna: a new analysis with regression trees and simulated annealing

ENGLISH: We analyzed catches per unit of effort (CPUE) from the Japanese longline fishery for bigeye tuna (Thunnus obesus) in the central and eastern Pacific Ocean (EPO) with regression tree methods. Regression trees have not previously been used to estimate time series of abundance indices fronl CPUE data. The "optimally sized" tree had 139 parameters; year, month, latitude, and longitude interacted to affect bigeye CPUE. The trend in tree-based abundance indices for the EPO was similar to trends estimated from a generalized linear model and fronl an empirical model that combines oceanographic data with information on the distribution of fish relative to environmental conditions. The regression tree was more parsimonious and would be easier to implement than the other two nl0dels, but the tree provided no information about the nlechanisms that caused bigeye CPUEs to vary in time and space. Bigeye CPUEs increased sharply during the mid-1980's and were more variable at the northern and southern edges of the fishing grounds. Both of these results can be explained by changes in actual abundance and changes in catchability. Results from a regression tree that was fitted to a subset of the data indicated that, in the EPO, bigeye are about equally catchable with regular and deep longlines. This is not consistent with observations that bigeye are more abundant at depth and indicates that classification by gear type (regular or deep longline) may not provide a good measure of capture depth. Asimulated annealing algorithm was used to summarize the tree-based results by partitioning the fishing grounds into regions where trends in bigeye CPUE were similar. Simulated annealing can be useful for designing spatial strata in future sampling programs. SPANISH: Analizamos la captura por unidad de esfuerzo (CPUE) de la pesquería palangrera japonesa de atún patudo (Thunnus obesus) en el Océano Pacifico oriental (OPO) y central con métodos de árbol de regresión. Hasta ahora no se han usado árboles de regresión para estimar series de tiempo de índices de abundancia a partir de datos de CPUE. EI árbol de "tamaño optimo" tuvo 139 parámetros; ano, mes, latitud, y longitud interactuaron para afectar la CPUE de patudo. La tendencia en los índices de abundancia basados en árboles para el OPO fue similar a las tendencias estimadas con un modelo lineal generalizado y con un modelo empírico que combina datos oceanográficos con información sobre la distribución de los peces en relación con las condiciones ambientales. EI árbol de regresión fue mas parsimonioso y seria mas fácil de utilizar que los dos otros modelos, pero no proporciono información sobre los mecanismos que causaron que las CPUE de patudo valiaran en el tiempo y en el espacio. Las CPUE de patudo aumentaron notablemente a mediados de los anos 80 y fueron mas variables en los extremos norte y sur de la zona de pesca. Estos dos resultados pueden ser explicados por cambios en la abundancia real y cambios en la capturabilidad. Los resultados de un arbal de regresión ajustado a un subconjunto de los datos indican que, en el OPO, el patudo es igualmente capturable con palangres regulares y profundos. Esto no es consistente con observaciones de que el patudo abunda mas a profundidad e indica que clasificación por tipo de arte (palangre regular 0 profundo) podría no ser una buena medida de la profundidad de captura. Se uso un algoritmo de templado simulado para resumir los resultados basados en el árbol clasificando las zonas de pesca en zonas con tendencias similares en la CPUE de patudo. El templado simulado podría ser útil para diseñar estratos espaciales en programas futuros de muestreo. (PDF contains 45 pages.)

Geographical distributions of effort and catches of tunas by purse-seine vessels in the Eastern Pacific Ocean during 1965-1998

ENGLISH: This report presents fine-scale spatial summaries of annual catch and effort information compiled by the IATTC staff. These data summaries are presented in a graphical format, and display only information collected from purse-seine vessels fishing in the eastern Pacific Ocean (EPO) during 1965-1998. Data collected from baitboat and longline vessels fishing in the EPO are not considered in this report. Equivalent data from Japanese longline vessels fishing in the EPO are presented by Uosaki and Bayliff(1999) for 1988-1992 and by' references cited in that publication for 1956-1987. SPANISH: Este informe presenta resúmenes espaciales a escala fina de información sobre captura y esfuerzo anuales compilada por el personal de la CIAT. Se presentan los resúmenes en formato gráfico, e incluyen solamente información tomada de barcos cerqueros pescando en el Océano Pacifico oriental (OPO) durante 1965-1998. No se consideran en el informe datos provenientes de barcos de camada y palangreros que pescan en el OPO. Se presentan datos equivalentes de barcos palangreros japoneses pescando en el OPO en Uosaki y Bayliff (1999) para 1988-1992 yen las referencias citadas en dicha publicación para 1956-1987. (PDF contains 104 pages.)

Religious Coping, Social Support and Subjective Severity as Predictors of Posttraumatic Growth in People Affected by the Earthquake in Chile on 27/2/2010

The aim of this research is to study the impact of religious coping, social support and subjective severity on Posttraumatic Growth (PTG) in people who lost their homes after the earthquake in Chile in 2010 and who now live in transitional shelters. One hundred sixteen adult men and women were evaluated using a subjective severity scale, the Posttraumatic Growth Inventory (PTGI), the Multidimensional Scale of Perceived Social Support (MSPSS) scale of social support and the Brief RCOPE scale of religious coping. The multiple linear regression analysis shows that social support and positive religious coping have an impact on PTG. On using a bootstrap estimate, it was found that positive religious coping fully mediates the relationship between subjective severity and PTG.

Estimating relative abundance from catch and effort data, using neural networks

We develop and test a method to estimate relative abundance from catch and effort data using neural networks. Most stock assessment models use time series of relative abundance as their major source of information on abundance levels. These time series of relative abundance are frequently derived from catch-per-unit-of-effort (CPUE) data, using general linearized models (GLMs). GLMs are used to attempt to remove variation in CPUE that is not related to the abundance of the population. However, GLMs are restricted in the types of relationships between the CPUE and the explanatory variables. An alternative approach is to use structural models based on scientific understanding to develop complex non-linear relationships between CPUE and the explanatory variables. Unfortunately, the scientific understanding required to develop these models may not be available. In contrast to structural models, neural networks uses the data to estimate the structure of the non-linear relationship between CPUE and the explanatory variables. Therefore neural networks may provide a better alternative when the structure of the relationship is uncertain. We use simulated data based on a habitat based-method to test the neural network approach and to compare it to the GLM approach. Cross validation and simulation tests show that the neural network performed better than nominal effort and the GLM approach. However, the improvement over GLMs is not substantial. We applied the neural network model to CPUE data for bigeye tuna (Thunnus obesus) in the Pacific Ocean.

A querela do declínio do simbólico: perspextivas e impasses do pensamento de Slavoj iek

Esse estudo tem por objetivo principal analisar as reflexões do filósofo e psicanalista teórico esloveno Slavoj iek acerca dos impactos subjetivos das transformações normativas ocorridas no Ocidente nos últimos cinqüenta anos. O problema do chamado declínio do Simbólico passou a ser amplamente discutido pela comunidade de psicanalistas lacanianos na qual se insere o filósofo a partir do final da década de 1990, o que constituiu uma inovação em um campo fortemente influenciado pela concepção estruturalista da subjetividade. Situando o autor como pioneiro na utilização de ferramentas conceituais lacanianas para a análise do social, o estudo divide-se em duas partes. Na primeira delas, exponho as bases teóricas do pensamento de iek, contextualizando o seu itinerário intelectual e político, e abordando as suas três linhas fundamentais de investigação: a filosofia política, a discussão sobre o ato ético e a ontologia do sujeito. Assim, o primeiro capítulo retraça o percurso que vai dos primeiros estudos sobre o funcionamento ideológico nos regimes totalitários à abordagem pop filosófica da ideologia na atualidade. Em seguida, apresento a sua redescrição da noção de comunismo à luz da tese dos novos antagonismos do capitalismo tardio. Por fim, trato da perspectiva universalista do filósofo a partir de sua leitura materialista do cristianismo, lançando mão sobretudo dos estudos de Alain Badiou sobre São Paulo. No segundo capítulo, delineamos as coordenadas centrais da concepção de sujeito em iek, cuja originalidade reside na articulação das formulações de Lacan e Hegel. As noções de grande Outro, objeto pequeno a, pulsão de morte e negatividade são tomadas como os pilares nos quais se assenta a descrição do sujeito iekiano. Na segunda parte do estudo, examinamos as teses de iek a respeito das relações entre subjetividade e cultura, com ênfase nos novos impasses que daí decorrem. As inibições que sucedem à injunção de gozar sem entraves, a melancolização do laço social, as metamorfoses da culpa, a vitimologia e a culpabilização do Outro são os tópicos centrais que sobressaem desse recorte. Nessa parte do trabalho, as reflexões de iek são cotejadas com as análises de autores de orientação lacaniana, considerados representativos desse tipo de discussão, como Jean-Pierre Lebrun, Charles Melman, Dany-Robert Dufour e Roland Chemama. Pretende-se com isso enriquecer a discussão, apontando as aproximações e distâncias que o pensamento de iek entretém com os referidos autores. O capítulo final do trabalho é consagrado ao exame crítico da démarche iekiana acerca do declínio do Simbólico. Dois tópicos de seu discurso são analisados, a saber: a) seu posicionamento ambivalente no que tange à crítica do catastrofismo; b) seu esforço de expurgar da noção de ato ético na qual ele quer encontrar saídas para os embaraços engendrados pelo dito declínio do Simbólico qualquer traço de pertencimento à tradição moral judaico-cristã, guardando dessa tradição apenas o exemplo do aspecto formal do ato. Para empreender tal exame, nos servimos, de um lado, do estudo crítico do sociólogo francês Alain Ehrenberg sobre a declinologia noção por ele cunhada para se referir ao conjunto de estudos que enfatizam o atual risco da dissolução dos laços sociais , e de outro lado, nos apoiamos na concepção de ética do filósofo neo-pragmatista Richard Rorty.

Air Quality and Europeans' Subjective Well-being

[EN]Happiness economics deals with self-reported subjective well-being, or life satisfaction, and its relationship to a wide variety of other variables. On the study of these other factors, this line of research has helped demonstrate that higher levels of environmental quality increase people’s subjective well-being. This paper focuses on analyzing the relationship between subjective well-being and air quality. On the one hand, the life satisfaction approach to environmental valuation is cautiously described, and on the other hand, the method is implemented in an empirical analysis that seeks to assess how an increase in the level of air pollution at a regional level affects individual-level subjective well-being in Europe. We use a dataset that merges the third wave of the European Social Survey (ESS) with a dataset that includes regional air pollution (including CO, PM10, NO2, SO2 and Benzene) and other regional variables. We find a robust negative impact for CO, a positive impact for SO2, and no conclusive evidence of any effect on subjective well-being for the remaining three pollutants.

Statistiques de pêche en Lagune Aby (Côte d'Ivoire): évolution de l'effort et des captures de 1979 à 1990

Two kinds of fishing gears insure the exploitation in Aby lagoon: the individual gears are represented essentially by gill nets and collective gears by seines. The number of gill nets varies between 1500 in 1981 and 5600 in 1986. The beach seines, which number varies between 40 and 60, are regularly used. The purse seines (15-30) have been superseded by "syndicat" seines (15) in 1990.

Laços e nós: A comunicação na relação médico- paciente com câncer e dor crônica

É alta a prevalência de dor crônica em pacientes com câncer, que é comprovadamente associada ao sofrimento psicológico acentuado e muitas vezes não é adequadamente diagnosticada e tratada. Estudo que realizamos com 120 pacientes adultos em atendimento ambulatorial na Clínica de Dor do Instituto Nacional de Câncer, no Rio de Janeiro que demonstrou que os pacientes mesmo conhecendo o seu diagnóstico de câncer, não se sentiam informados sobre a doença e a dor oncológica a contento, o que trazia insatisfação com o tratamento recebido e maior exigência com os resultados do mesmo. Nosso estudo revelou, ainda, que o comportamento do profissional durante o atendimento pode ser percebido pelos pacientes como fator tanto de melhora como de piora da dor, sendo o comportamento atencioso do profissional muitas vezes mais valorizado pelos pacientes que a supressão da dor. Estes resultados suscitaram questões relativas à qualidade da interação entre médicos e pacientes, desenvolvidas nesta dissertação. Embora não sejam suficientemente investidas nem na relação médico-paciente, nem na educação e no treinamento profissional, as habilidades de comunicação do médico afetam diretamente o nível de informação e de satisfação do paciente, suas crenças e os resultados do tratamento. Ao longo do tempo a relação médico paciente vem mudando, deixando de ser tão centrada na doença e no médico, para centrar-se mais no doente como um ser integral, o que implica no reconhecimento, pelo médico, de saberes diferentes dos seus e de que o seu saber não constitui uma verdade absoluta a ser acatada pelos demais. Apesar de bem-vindas, estas mudanças trazem uma certa confusão nos papéis a serem desempenhados por médicos e pacientes e dificuldades aos médicos de lidarem com as diferenças, com as queixas subjetivas dos pacientes, com as emoções destes e as suas próprias. Se hoje é esperado que os pacientes sejam participativos, corresponsáveis por seus tratamentos e recuperação e que se deem conta do poder que eles têm, individual e coletivamente, espera-se que os médicos sejam estudiosos, bem informados, experientes, sinceros, empáticos, sensíveis, atenciosos, compassivos, perspicazes, bem treinados, hábeis em compartilhar informações e decisões com os pacientes, compreendendo o que estes querem e o que não querem e ajudando-os a expressar suas crenças, preferências e receios, disponibilizando tempo suficiente para isso. Tantas expectativas terminam por trazer conflitos que só poderão ser resolvidos com a melhoria da comunicação entre médicos e pacientes, num esforço de ambas as partes.

Analyse des rendements des chalutiers ivoiriens. Définition d'un effort de pêche

A comparison between the yields obtained during 1968 and 1969 from the trawlers based at Abidjan harbour was carried out in various fishing areas. Seasonal fluctuations of abundance were first eliminated and then the regression between yield and motor power was calculated. The unit of fishing effort, one hour of fishing for a standard trawler of 400 BHP, was chosen for the fishing statistics of the Ivorian fleet.

Choix d'une unité d'effort de pêche pour les flottilles sardinières sémi-industrielles et artisanales au Sénégal

Different catches per unit of effort available for industrial and artisanal sardinella fisheries of Senegal have been analysed and compared in order to determine whether they are acceptable indices of abundance. Among the four units of fishing effort studied (total number of sets, number of trips, time spent on fishing ground, searching time), the first and the second seem inadequate in the studied fleets. The two other units, particularly the searching time, allow the calculation of catches per unit of effort which best reflect variations in abundance, although they are not completely free of usual deficiencies.

An analysis of migratory salmonid catch effort data, derived from anglers' log books, 1991

1000 log books were issued to anglers of which 236 were returned, those from the rivers Derwent, Kent, Lune and Ribble accounted for the vast majority. The Derwent had the highest catch rate of these rivers: one salmon every 13.89 hours followed by the Lune, Kent and Ribble at 16.39, 18.87 and 35.71 hours, respectively. For sea trout the Lune, Derwent and Ribble had a catch rate of approximately one fish every 10.0 hours (9.8, 10.0 and 10.64 hours),and for the Kent one fish per 16.1 hours fished. Salmon angling visits were, in general,longer than those for sea trout being between 2 and 6 hours as opposed to 2 to 4 hours. On the majority of visits (>80%) no fish were caught and was the same for salmon and sea trout. For salmon the majority of fish were caught on fly, spinner or worm, and the least on prawn. For sea trout fly predominated. The majority of salmon caught were less than 91b in weight and were presumed to be grilse (1 sea winter). The majority of the sea trout caught weighed between 1 and 31b. The pattern of catch, effort, CPUE, abundance and catchability for salmon and sea trout were modelled using the data from the rivers Derwent, Kent and Lune. Flow significantly influenced catch, effort and catchability of salmon which had entered in a particular month. For sea trout flow was not significantly correlated with any of the dependent variables. The catchability coefficient for salmon, determined from the total number of fish, remained relatively constant over the period June to October indicating that CPUE was a reasonable measure of within season abundance. This was not found to be the case for sea trout.

Use of telemetric tracking to examine environmental influences on catch/effort indices. A case study of Atlantic Salmon (Salmo salar L.)in the R. Tywi, S. Wales

A case study of Atlantic Salmon runs into the R. Tyvi (S. Wales) is presented. Radio tracking of over 200 salmon in 1988 and 1989 has demonstrated that flow is an important factor in modifying both run timing and migratory success. Entry of salmon into the river is typically in response to flow events, and periods of low falling flows delay entry and may directly result in reduced runs into the river. Delayed entry may also increase the proportion of the run migrating after the end of both rod and net fishing seasons. The implications of these results for net and rod catch and catch/effort data are discussed, using both statutory reported catch data and data from specific catch/effort studies. Flow is demonstrated to be a dominant factor in determining the within-season distribution of rod catch and catch/effort during low-flow years. Estuarial seine net catch and catch/effort tend to be controlled more by time of return than by flow although low flows may delay runs. Annual reported rod catch is correlated with flow, which controls in season availability, catchability and consequently the amount of fishing effort. Use of catch or catch/effort data should take account of inter-year variations in flow and other environmental factors. Although catch and catch/effort are valuable indicators of fishery performance, they are inadequate to represent changing stock levels.