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1.
Front Public Health ; 12: 1324402, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38711763

RESUMO

Background: Both overindebtedness and unemployment are critical life events that can result in or lead to poor mental health. What is less known is that the two partly interrelated events frequently go along with a feeling of loss or lack of control in life, which could be the main reason why they are associated with poor mental health. This has not been examined in previous research, particularly not in this combination. Methods: This study used and merged two cross-sectional data sets. Data collected in 2019 on 219 overindebted clients of the four official debt advisory centers in the Canton of Zurich were linked with a comparable subsample of 1,997 respondents from the Swiss Health Survey of 2017. The entire study population covered 2,216 adult individuals living in the Canton of Zurich. Results: The prevalence of no or low sense of control, medium to high psychological distress, and moderate to major depression was much higher among the 44 solely unemployed (36/30/12%), the 189 solely overindebted (73/83/53%), and particularly among the 30 unemployed and overindebted (93/97/60%) than among all 1,953 other survey participants (21/13/7%). Unemployment, overindebtedness, and a (resulting) lack or loss of control were all found to be strong risk factors for the two mental health outcomes under study. Associations, or rather negative health effects, were partly but not fully mediated by the sense of control. Overindebtedness much more strongly predicted psychological distress (ß = -0.37) and depression (ß = 0.17) than unemployment (ß = -0.05/0.01). The sense of control turned out to be an independent explanatory factor for poor mental health and even the strongest of all (ß = 0.49/-0.59). Conclusion: Improving a person's control beliefs could be a promising measure for preventing mental health disorders in general and in people who are unemployed and/or overindebted in particular.


Assuntos
Saúde Mental , Desemprego , Humanos , Desemprego/estatística & dados numéricos , Desemprego/psicologia , Suíça/epidemiologia , Feminino , Masculino , Adulto , Estudos Transversais , Pessoa de Meia-Idade , Saúde Mental/estatística & dados numéricos , Inquéritos Epidemiológicos , Angústia Psicológica , Controle Interno-Externo , Prevalência , Inquéritos e Questionários
2.
BMC Public Health ; 24(1): 1354, 2024 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-38769476

RESUMO

BACKGROUND: Patients with multiple sclerosis (MS) experience extensive problems due to fatigue and illness perception. Reducing these problems may improve these patients' quality of life (QoL). Accordingly, the current study is aimed at investigating the mediating role of self-efficacy, locus of control, coping strategy, and outcome expectancy in the relationship between illness perception and fatigue severity in patients with MS. METHODS: In a cross-sectional analytical study, data of 172 MS patients were collected by self-report questionnaires including illness perception questionnaires (IPQ-R), Multiple Sclerosis Self-Efficacy (MSSES) scale, health locus of control (MHLC), coping strategies in MS(CMSS), outcome expectancy, level of physical activity (IPAQ-SF), patient activation measure (PAM-13) and fatigue severity scale (FSS). The data were analyzed using linear and multiple regression analysis in SPSS software version 24 (SPSS Inc., Chicago, IL, USA). RESULTS: The final model explained 62% of the fatigue variance. Illness perception both directly and indirectly (through self-efficacy, physical activity level, internal health locus of control, patient activation, and negative coping strategies) could predict the participants' fatigue severity. Among the mediating variables, internal health locus of control, self-efficacy, and negative coping strategies had the greatest impact, respectively. moreover, outcome expectancy variable did not a mediating role in the aforementioned relationship. CONCLUSIONS: To enhance the well-being of MS patients and to improve the efficiency of treating MS related fatigue, a comprehensive treatment protocol is needed, encompassing psychological factors affecting fatigue severity.


Assuntos
Adaptação Psicológica , Fadiga , Controle Interno-Externo , Esclerose Múltipla , Autoeficácia , Humanos , Estudos Transversais , Masculino , Feminino , Esclerose Múltipla/psicologia , Fadiga/psicologia , Adulto , Pessoa de Meia-Idade , Inquéritos e Questionários , Índice de Gravidade de Doença , Qualidade de Vida/psicologia , Adulto Jovem , Capacidades de Enfrentamento
3.
Health Lit Res Pract ; 8(2): e69-e78, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38713898

RESUMO

BACKGROUND: Research indicates that the effectiveness of coronavirus disease 2019 (COVID-19) physical distancing mandates is influenced by several individual factors, including health literacy; internal health locus of control (IHLOC), the belief that physical distancing can reduce COVID-19 risk; social norms; self-efficacy; and perceptions of the benefits and barriers associated with distancing. However, further investigation is needed to understand the links between these factors and compliance intentions. OBJECTIVE: This study investigates the mechanism linking these factors with the intentions to comply with physical distancing mandates. METHODS: A total of 759 participants (Mean age = 29.13, standard deviation [SD] = 8.33; 68.5% women) were surveyed online from September 2020 to October 2020. Data were analyzed using ANOVA (analysis of variance) and structural equation modeling. KEY RESULTS: Health literacy was associated with more perceived benefits (ß = .175, p = .001), greater self-efficacy (ß = .193, p < .001), and less perceived barriers (ß = -.391, p < .001). IHLOC was significantly associated with greater perceived benefits (ß = .156, p = .007) and self-efficacy (ß = .294, p < .001). Family descriptive norms were significantly associated with fewer perceived barriers (ß = -.276, p < .001), while injunctive norms were associated with more perceived benefits (ß = .202, p = .001) and higher self-efficacy (ß = .299, p < .001). Intentions to adhere to physical distancing mandates were significantly associated with past compliance (ß = .427, p < .001) and perceived barriers (ß = -.205, p < .001) and benefits (ß = .295, p < .001). Post-hoc mediation analyses revealed several small yet significant indirect effects, highlighting the complex pathways shaping adherence intentions. CONCLUSIONS: This study identifies how health literacy, IHLOC, social norms, perceived benefits and barriers, and self-efficacy intricately shape intentions to comply with physical distancing mandates. These findings offer valuable implications for public health policy and interventions. [HLRP: Health Literacy Research and Practice. 2024;8(2):e69-e78.].


PLAIN LANGUAGE SUMMARY: This study examined the factors associated with Omanis' intentions to comply with physical distancing mandates during COVID-19. Results revealed that individuals with higher health literacy perceived fewer barriers and more benefits to physical distancing, making them more willing to comply with mandates. Those who believed their actions could reduce the risk of contracting the virus also reported greater benefits and were more likely to comply.


Assuntos
COVID-19 , Letramento em Saúde , Controle Interno-Externo , Distanciamento Físico , Autoeficácia , Humanos , Letramento em Saúde/estatística & dados numéricos , COVID-19/prevenção & controle , COVID-19/psicologia , COVID-19/epidemiologia , Feminino , Masculino , Adulto , Omã , Intenção , SARS-CoV-2 , Adulto Jovem , Pessoa de Meia-Idade , Inquéritos e Questionários , Normas Sociais
4.
Cancer Epidemiol ; 90: 102577, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38705126

RESUMO

OBJECTIVE: This study aims to explore the multiple mediating roles of illness acceptance and symptom severity between health locus of control and symptom distress in acute leukemia patients. METHODS: From June 2022 to March 2023, a convenience sampling method was used to recruit 208 acute leukemia patients in the inpatient center of a hospital in Hebei. The Chinese versions of Multidimensional Health Locus of Control Scale, Illness Acceptance Scale, and Anderson Symptom Assessment Scale was used in the cross-sectional study. RESULTS: All participants reported the presence of symptom distress. Symptom distress was significantly correlated with chance health locus of control, illness acceptance, and symptom severity (P<0.05). Illness acceptance alone played a mediating role in the relationship between chance health locus of control and symptom distress in acute leukemia patients (ß=0.087, 95%CI 0.030-0.167). The indirect role of chance health locus of control on symptom distress through symptom severity alone was also statistically significant (ß=0.131, 95%CI 0.008-0.252). Furthermore, the multiple mediating role of chance health locus of control and symptom distress through illness acceptance and symptom severity combined was verified (ß=0.027, 95%CI 0.001-0.089). The alternative model is also valid, indicating bidirectional relationships between symptom severity, illness acceptance, and chance health locus of control, collectively influencing symptom distress. CONCLUSION: There is a positive relationship between chance health locus of control and symptom distress; additionally, increasing social psychological interventions for illness acceptance and strengthening the management of core symptoms will help alleviate the impact of health chance locus of control on symptom distress in acute leukemia patients. Longitudinal studies are needed to confirm the causal relationships among the variables explored within the model. IMPACT ON NURSING PRACTICE: It is recommended that healthcare professionals pay attention to the assessment of health locus of control in patients, identify patients with health chance locus of control in a timely manner, take measures to enhance their disease acceptance, and strengthen the management of core symptoms, thereby reducing their level of symptom distress.


Assuntos
Controle Interno-Externo , Humanos , Masculino , Feminino , Estudos Transversais , Adulto , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Leucemia/psicologia , Adulto Jovem , Angústia Psicológica , Inquéritos e Questionários , Idoso , China/epidemiologia
6.
J Am Acad Psychiatry Law ; 52(1): 90-92, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38467445
7.
Front Public Health ; 12: 1321506, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38454993

RESUMO

Background: This study examined national similarities and differences in people's engagement in health preventive behaviors during a public health crisis, as well as investigated the underlying individual-level psychological mechanisms. A conceptual distinction was made between self-focused and other-involved preventive behaviors in response to public health crises. Method: Two cross-sectional surveys were conducted in the United States (N = 888) and China (N = 844) during the early stage of the COVID-19 pandemic. Hayes' PROCESS was utilized to assess national differences in seven preventive behaviors, along with the mediating effects of self-construal and health locus of control. Results: The results showed that American participants reported greater engagement in self-focused preventive behaviors than Chinese, whereas Chinese participants reported greater engagement in other-involved preventive behaviors than Americans. Chinese participants also engaged more in other-involved than self-focused preventive behaviors. Self-construal and health locus of control partially explained the observed differences in engagement in preventive behaviors. Discussion: This study introduces a culture-sensitive approach to provide insights for crafting communication interventions that can enhance the effectiveness of health campaigns in the context of a public health crisis.


Assuntos
Saúde Pública , SARS-CoV-2 , Humanos , Estados Unidos , Estudos Transversais , Pandemias/prevenção & controle , Controle Interno-Externo
8.
Brain Behav ; 14(1): e3368, 2024 01.
Artigo em Inglês | MEDLINE | ID: mdl-38376017

RESUMO

INTRODUCTION: Sense of control is an integral part of well-being. Studies have reported on the connection between loss of control and psychological symptoms. However, loss of sense of control has not yet been studied from the perspective of psychotherapists. METHODS: This study had three research objectives: to find out how psychotherapists define loss of sense of control, whether they consider loss of sense of control to play a role in the start of psychological symptoms, and, if so, in what cases. Lebanese psychotherapists were interviewed and the data were then analyzed using frame analysis. RESULTS: The analysis revealed two definitions for loss of sense of control and conflicting views on whether it plays a role in the onset of disorders. Problems within relationships and stress were the most mentioned examples of loss of sense of control. CONCLUSION: The findings shed light on psychotherapists' diverse opinions and explanations regarding the role of loss of sense of control in the development of psychological symptoms.


Assuntos
Psicoterapeutas , Psicoterapia , Humanos , Controle Interno-Externo
9.
J Women Aging ; 36(3): 256-271, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38401126

RESUMO

The prevailing cultural emphasis on women's attractiveness being tied to youth raises questions about how women perceive their appearance in the second half of life. The current qualitative study addresses this issue by posing two questions: how do women over fifty perceive and describe changes in their appearance? And how do they cope with these changes? Five focus group meetings with 19 Israeli women aged 54-76 were held to examine the issue. The meetings were structured around viewing three film clips starring older characters, encouraging the reporting of attitudes and perceptions in response to the clips. Based on a latent thematic analysis, the findings led to the conceptualization of a five-attitude model in response to physical changes in women's appearance: Grief-over the loss of youth and attractiveness; Resentment-over gendered media representations and cultural norms; Avoidance-distancing from one's aged appearance; Care-maintaining grooming routines; and Acceptance-coming to terms with the changes in appearance. Differences in responses between women were interpreted as reflecting a distinction between internal and external locus of control. Those with an external locus of control internalized the judgmental gaze of others, thus, reporting a greater sense of loss. Those with an internal locus of control were better able to accept themselves and focus on grooming rather than conforming to an imagined ideal. Results suggest that the distinction between understanding women's relationship with their appearance in terms of beauty work or beauty care may depend on the woman's locus of control.


Assuntos
Beleza , Imagem Corporal , Grupos Focais , Pesquisa Qualitativa , Humanos , Feminino , Pessoa de Meia-Idade , Israel , Idoso , Imagem Corporal/psicologia , Controle Interno-Externo , Adaptação Psicológica , Autoimagem , Aparência Física
10.
J Pediatr Nurs ; 76: 38-44, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38359543

RESUMO

PURPOSE: The purpose of this study was to examine the effects of psychological separation and health locus of control on the health care transition readiness of adolescents and young adults (AYAs) with type 1 diabetes. METHODS: Data were collected between December 2020 and October 2021. One hundred twelve AYAs with type 1 diabetes treated at a tertiary hospital and under follow-up observation as well as AYAs with type 1 diabetes nationwide who were part of the type 1 diabetes internet community were enrolled. The Psychological Separation Inventory, the Multidimensional Health Locus of Control scale from C, and the Self-management and Transition to Adulthood with Therapeutics = Rx Questionnaire were used. RESULTS: Multiple regression analysis indicated that age (ß = 0.302, p = .001), hemoglobin A1c (HbA1c) (ß = -0.174, p = .040), conflictual separation (ß = 0.242, p = .005), functional separation (ß = 0.200, p = .045) and attitudinal separation (ß = -0.240 p = .015) were significantly associated with health management transition readiness; these predictors explained 27.6% of health care transition readiness (F = 8.062, p = .000). CONCLUSIONS: AYAs with type 1 diabetes can enhance readiness for health care transition by fostering psychological separation from parents, effectively managing blood glucose levels, and taking into account age-related factors during the preparation process. At this point, it is essential for healthcare professionals to guide parents in recognizing adolescents' psychological independence and facilitating their supportive role through the process of redefining their roles. PRACTICE IMPLICATIONS: Health care providers should promote psychological separation in AYAs. Additionally, taking into account the developmental characteristics of adolescence can facilitate a successful health care transition.


Assuntos
Diabetes Mellitus Tipo 1 , Controle Interno-Externo , Transição para Assistência do Adulto , Humanos , Diabetes Mellitus Tipo 1/psicologia , Diabetes Mellitus Tipo 1/terapia , Adolescente , Masculino , Feminino , Adulto Jovem , Inquéritos e Questionários , Adulto
11.
BMC Psychol ; 12(1): 21, 2024 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-38212869

RESUMO

Pandemic fatigue, the state of weariness, exhaustion, and demotivation to engage in protective behaviors during the coronavirus disease 2019 (COVID-19) pandemic, have been linked with depressive symptoms. However, the mechanism underlying this association remains unclear. Based on the stress process model, the present study examined the indirect effects of pandemic fatigue on depressive symptoms through the indirect roles of sense of control and intolerance of uncertainty. Data were collected from 1,162 Chinese undergraduate and postgraduate students (Mage = 21.61 years old, SD = 2.81, 64.29% women) through electronic questionnaires. The pandemic fatigue scale, the personal mastery scale, the short version of the Intolerance of Uncertainty Scale, and the Depression subscale of the Depression-Anxiety-Stress Scales were employed. Indirect effects were analyzed using structural equation modeling. The results revealed that pandemic fatigue related to COVID-19 was positively associated with depressive symptoms through (a) sense of control; (b) intolerance of uncertainty; and (c) a sequential pathway from sense of control to intolerance of uncertainty. The findings expand the application of the stress process model to the context of COVID-19 and deepen the understanding of pandemic fatigue-depressive symptoms link with considering the indirect roles of sense of control and intolerance of uncertainty. Psychological distress in the context of COVID-19 could be alleviated by the interventions on strengthening sense of control and tolerance of uncertainty and lessening the adverse effects of pandemic fatigue.


Assuntos
COVID-19 , Feminino , Humanos , Masculino , Adulto Jovem , Ansiedade/epidemiologia , COVID-19/epidemiologia , Depressão/epidemiologia , Fadiga/epidemiologia , Controle Interno-Externo , Pandemias , Estudantes , Incerteza
12.
Child Abuse Negl ; 150: 106137, 2024 04.
Artigo em Inglês | MEDLINE | ID: mdl-36907784

RESUMO

BACKGROUND: Bedtime procrastination is a serious threat to youths' sleep quality and physical and mental health. It is affected by various psychological and physiological factors, but few studies focused on the impact and internal mechanism of childhood experience on bedtime procrastination in adulthood from the evolutionary and developmental perspective. OBJECTIVE: This study aims to explore the distal factors of bedtime procrastination among young people, that is, the association between childhood environmental risk (harshness and unpredictability) and bedtime procrastination, as well as the mediating roles of life history (LH) strategy and sense of control. PARTICIPANTS AND SETTING: By convenience sampling, 453 Chinese college students aged 16 to 24 (55.2 % males, Mage = 21.21 years) completed questionnaires regarding demographics, childhood environmental harshness (from neighborhood, school, and family), and unpredictability (parental divorce, household moves, and parental employment changes), LH strategy, sense of control, and bedtime procrastination. METHODS: Structural equation modeling was used to test the hypothesis model. RESULTS: The results showed that childhood environmental harshness and unpredictability were both positively associated with bedtime procrastination. Sense of control had a partial mediating role between harshness and bedtime procrastination (B = 0.02, 95%CI = [0.004, 0.042]), and between unpredictability and bedtime procrastination (B = 0.01, 95%CI = [0.002, 0.031]), respectively. LH strategy and sense of control had a serial mediating role between harshness and bedtime procrastination (B = 0.04, 95%CI = [0.010, 0.074]), and between unpredictability and bedtime procrastination (B = 0.01, 95%CI = [0.003, 0.029]), respectively. CONCLUSIONS: The findings suggest that childhood environmental harshness and unpredictability are potential predictors of youths' bedtime procrastination. Young people can reduce bedtime procrastination problems by slowing LH strategies and improving their sense of control.


Assuntos
Características de História de Vida , Procrastinação , Masculino , Humanos , Adolescente , Feminino , Controle Interno-Externo , Estudantes/psicologia , Instituições Acadêmicas
13.
Arch Womens Ment Health ; 27(1): 127-136, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37851078

RESUMO

Survivors of childhood maltreatment (CM) may experience difficulties in the peripartum period and in adjustment to motherhood. In this study we examined a model wherein CM is associated with maternal self-efficacy and maternal bonding three months postpartum, through mediation of peripartum dissociation and reduced sense of control during childbirth and postpartum-posttraumatic-stress disorder (P-PTSD). Women were recruited in a maternity ward within 48 h of childbirth (T1, N = 440), and contacted three-months postpartum (T2, N = 295). Participants completed self-report questionnaires: peripartum dissociation, sense of control (T1), and CM, P-PTSD, postpartum-depression, maternal self-efficacy and bonding (T2). Obstetrical data were collected from medical files. Structural equation modeling was conducted to test the hypothesized model, controlling for mode of delivery and postpartum-depression. Reported CM included child emotional neglect (CEN; 23.5%), child emotional abuse (CEA; 16.3%), child sexual abuse (CSA; 12.9%) and child physical abuse (CPA; 7.1%). CM was positively associated with peripartum dissociation and P-PTSD (p < .001). Peripartum dissociation was positively associated with P-PTSD (p < .001). P-PTSD was negatively associated with maternal self-efficacy (p < .001) and maternal bonding (p < .001). Association between CM and maternal self-efficacy and bonding was serially mediated by peripartum dissociation and P-PTSD, but not by sense of control. Findings remained significant after controlling for mode of delivery and postpartum-depression. CM is a risk factor for adjustment to motherhood, owing to its effects on peripartum dissociation and P-PTSD. Implementation of a trauma-informed approach in obstetric care and recognition of peripartum dissociative reactions are warranted.


Assuntos
Maus-Tratos Infantis , Depressão Pós-Parto , Transtornos de Estresse Pós-Traumáticos , Adulto , Feminino , Gravidez , Humanos , Criança , Transtornos de Estresse Pós-Traumáticos/etiologia , Período Periparto , Ajustamento Emocional , Controle Interno-Externo , Período Pós-Parto/psicologia , Depressão Pós-Parto/etiologia , Maus-Tratos Infantis/psicologia , Transtornos Dissociativos/complicações , Inquéritos e Questionários
14.
Res Aging ; 46(2): 167-175, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37861368

RESUMO

This study explored whether a sense of control over social life mediated the associations between using remote contact (phone calls, letters/emails, social media) and loneliness for socially isolated older adults. We used path analysis with the 2014 and 2016 Health and Retirement Study datasets (N = 3767). Results showed that more frequent phone calls and letters/emails were associated with lower levels of loneliness through sense of control. However, sense of control did not mediate the association between social media and loneliness. Findings suggest that promoting sense of control over social life by remote contact, particularly phone calls and letters/emails, may be effective in alleviating loneliness for isolated older adults.


Assuntos
Controle Interno-Externo , Solidão , Humanos , Idoso , Aposentadoria
15.
Australas Psychiatry ; 31(6): 746-750, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37990509

RESUMO

BACKGROUND: The purpose of this study was to investigate the relation of self-efficacy and locus of control on nomophobia in medical students. METHODS: This is a cross-sectional study of Indonesian medical students that employs correlational statistical analysis methods. The research instrument included the General Self-Efficacy Scale (GSES), the Internality Powerful-Others Chance (IPC) Levenson Multidimensional Locus of Control Scales, and the Nomophobia Questionnaire (NMP-Q). RESULTS: The majority of the 388 subjects had high self-efficacy, used an internal locus of control, and were moderately nomophobia. The mixed locus of control had the greatest effect on the tendency of severe nomophobia (p < .05, OR=3.02 [CI 1.01-90.8]). CONCLUSION: In general, self-efficacy and external locus of control have a significant influence on the tendency of severe nomophobia with weak relationship strength. For the positive goal, a smartphone balance was required so that the smartphone had no negative impact.


Assuntos
Transtornos Fóbicos , Estudantes de Medicina , Humanos , Estudos Transversais , Controle Interno-Externo , Autoeficácia , Inquéritos e Questionários
16.
BMJ Open ; 13(10): e075277, 2023 10 17.
Artigo em Inglês | MEDLINE | ID: mdl-37848304

RESUMO

INTRODUCTION: Ischaemic heart disease is a significant cause of morbidity and mortality worldwide. Self-management is a way to reduce the risk associated with ischaemic heart disease; however, some individuals may not have the ability or willingness to engage in self-management behaviours. One approach to identify an individual's readiness and capacity to engage in self-management behaviours is to assess their health locus of control. Based on the Individual and Family Self-Management Theory, this review's objectives are to describe: (1) how health locus of control affects the process of engaging in self-management behaviours, (2) impacts of health locus of control on outcomes associated with self-management behaviours and (3) potential contextual variations in the relationship between health locus of control and self-management behaviours. METHODS AND ANALYSIS: The scoping review will be guided by the Joanna Briggs Institute methodological framework. A comprehensive search will encompass seven electronic databases (Ovid Medline, CINAHL, EMBASE, APA PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Scopus) and grey literature sources (ProQuest Dissertations, ClinicalTrials.gov). Collaborative efforts with library experts will inform our search strategies, building on insights from previous reviews centred on self-management and ischaemic heart disease. Two review authors will independently conduct the screening and data extraction processes; discrepancies will be resolved through consensus or discussion with a third review author. The review will include English studies from database inception, focusing on the health locus of control among adults with ischaemic heart disease. Findings will be presented graphically and tabularly, together with a narrative description. ETHICS AND DISSEMINATION: We will collect data from published and grey literature, meaning ethical approval is not necessary. Findings will be published in peer-reviewed journals and presented at academic conferences. REGISTRATION DETAILS: Open Science Framework (https://doi.org/10.17605/OSF.IO/B4A6F).


Assuntos
Isquemia Miocárdica , Autogestão , Adulto , Humanos , Controle Interno-Externo , Revisões Sistemáticas como Assunto , Isquemia Miocárdica/terapia , Projetos de Pesquisa , Literatura de Revisão como Assunto
17.
Eur Psychiatry ; 66(1): e88, 2023 10 18.
Artigo em Inglês | MEDLINE | ID: mdl-37848406

RESUMO

BACKGROUND: Coping strategies, competence, and locus of control (LOC) beliefs are important predictors of mental health (MH). However, research into their complex interactions has produced mixed results. Our study investigated them further in the previously unexplored context of clinical high-risk (CHR) of psychosis. METHODS: We tested six alternative structural equation models in a community sample (N = 523), hypothesizing a mediating role of coping and treating CHR symptoms as (i) an additional mediator or (ii) a specific outcome. Our measurement model included two latent factors of MH: (1) psychopathology (PP), consisting of presence of mental disorders, global and psychosocial functioning, and (2) self-rated health (SRH) status. RESULTS: In the model with the best Akaike Information Criterion and the latent factors as outcome variables, maladaptive coping completely mediated the impact of maladaptive LOC on PP and SRH. Additionally, CHR symptoms partially mediated the effect of maladaptive coping on PP and SRH in the community sample, as long as sex was not entered into the model. In the clinical sample (N = 371), the model did not support a mediation by CHR symptoms, despite significant pathways with both coping and MH outcomes; further, competence beliefs directly impacted SRH. CONCLUSIONS: Coping strategies are an important intervention target for MH promotion, especially in the community. In clinical populations, interventions focusing on coping strategies may improve CHR symptoms, thus potentially supporting better MH, especially SRH. Additionally, due to their mostly cascading effects on MH, improving competence and LOC beliefs may also promote psychological well-being.


Assuntos
Controle Interno-Externo , Transtornos Psicóticos , Humanos , Análise de Classes Latentes , Adaptação Psicológica , Transtornos Psicóticos/psicologia , Saúde Mental
18.
Eur J Oncol Nurs ; 67: 102410, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37804755

RESUMO

PURPOSE: Patients undergoing allogenic hematopoietic stem cell transplantation (allo-HSCT) are required to strictly adhere to immunosuppressive medications to avoid rejection and infective complications. Since medication adherence is among the most important modifiable behaviors to achieve better outcomes, the aims of this study were to measure the baseline and longitudinal trends of medication adherence and investigate the psychological factors associated with medication adherence in allo-HSCT patients. METHODS: This was a single-center, longitudinal study of patients who underwent allo-HSCT to treat hematological malignancies at the University hospital of Florence (Italy). Adherence was measured with the Immunosuppressive Medication Self-Management Scale; psychological factors (i.e., beliefs about medicines and health locus of control) were measured with the Beliefs About Medicines Questionnaire and Multidimensional Health locus of Control Scale. Data were collected 1, 3, 6 and 12 months after discharge. A mixed effects model was performed after adjusting for demographic characteristics. RESULTS: 50 adult patients were included in this study. Adherence to immunosuppressant was optimal and increased significantly 3 months after bone marrow transplantation (B = 0.23, p = 0.041). Patients with lower concerns about immunosuppressive medications were more likely to be adherent (B = 0.02, p = 0.040), while those having beliefs that their disease was due to external factors were less likely to be adherent (B = -0.02, p = 0.026) than their counterparts. CONCLUSIONS: These results underline the importance of psychological factors in affecting adherence to immunosuppressants of allo-HSCT patients. Healthcare providers and researchers should target medication beliefs and reorient locus of control with appropriate interventions, in order to improve adherence.


Assuntos
Transplante de Células-Tronco Hematopoéticas , Adulto , Humanos , Estudos Longitudinais , Controle Interno-Externo , Adesão à Medicação/psicologia , Inquéritos e Questionários , Imunossupressores/uso terapêutico
19.
PLoS One ; 18(9): e0291034, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37683017

RESUMO

BACKGROUND: COVID-19 precipitated a plethora of mental health difficulties, particularly for those with pre-existing mental health concerns such as depression or addictive tendencies. For some, the distress that emanated from the experience of the pandemic prompted excessive engagement in the safety of online interactions on social media. The present study examined whether variation in individuals' sense of control explained the association between depression and addictive social media use. METHOD: A sample of 1322 participants from two Middle Eastern nations provided data collected during the peak of the pandemic from February to May 2021. A combination of convenience and snowball sampling were used to recruit and collect data from college-aged students enrolled at two universities in Egypt and the United Arab Emirates, respectively. This study adopted a cross-sectional design in which participants completed a self-administered survey that consisted of measures that assessed depressive affect, sense of control, and addictive social media use. RESULTS: Depression was significantly and positively associated with addictive SMU. Sense of control was negatively related to both depression and SMU and significantly mediated the association between these two variables (ß = .62, SE = .03, 95%CI .56, .68). CONCLUSION: This study identified a potential protective variable that could be targeted by psychological treatment to ameliorate the potential onset of addictive SMU in individuals with depressive symptoms under conditions of immense psychological distress such as a worldwide pandemic.


Assuntos
COVID-19 , Mídias Sociais , Humanos , Adulto Jovem , COVID-19/epidemiologia , Pandemias , Estudos Transversais , Depressão/epidemiologia , Controle Interno-Externo
20.
Sci Rep ; 13(1): 14410, 2023 09 02.
Artigo em Inglês | MEDLINE | ID: mdl-37660173

RESUMO

Individuals are increasingly required to interact with complex and autonomous technologies, which often has a significant impact on the control they experience over their actions and choices. A better characterization of the factors responsible for modulating the control experience of human operators is therefore a major challenge to improve the quality of human-system interactions. Using a decision-making task performed in interaction with an automated system, we investigated the influence of two key properties of automated systems, their reliability and explicability, on participants' sense of agency (SoA), as well as the perceived acceptability of system choices. The results show an increase in SoA associated with the most explicable system. Importantly, the increase in system explicability influenced participants' ability to regulate the control resources they engaged in the current decision. In particular, we observed that participants' SoA varied with system reliability in the "explained" condition, whereas no variation was observed in the "non-explained" condition. Finally, we found that system reliability had a direct impact on system acceptability, such that the most reliable systems were also considered the most acceptable systems. These results highlight the importance of studying agency in human-computer interaction in order to define more acceptable automation technologies.


Assuntos
Controle Interno-Externo , Registros , Humanos , Reprodutibilidade dos Testes , Automação
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