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1.
Reprod Biomed Online ; 48(2): 103612, 2024 02.
Artículo en Inglés | MEDLINE | ID: mdl-38199076

RESUMEN

RESEARCH QUESTION: What effects do training programmes based on cognitive behavioural therapy (CBT) and eye movement desensitization and reprocessing (EMDR) techniques applied to infertile women affected psychologically and emotionally by infertility have on post-traumatic stress disorder (PTSD) and psychological development? DESIGN: This randomized controlled study was conducted between May 2021 and August 2022. The study population included 90 infertile women referred to the IVF unit of a hospital in a province in eastern Turkey: 30 in the CBT group, 30 in the EMDR group and 30 in the control group. Data were collected using a personal information form, the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition (VoC) scale, the Infertility Distress Scale (IDS), the Impact of Event Scale-Revised (IES-R) and the Post-traumatic Growth Inventory (PTGI). Women in the experimental groups (CBT and EMDR groups) received the intervention in six sessions over 3 weeks. Pre-tests were administered to both experimental groups and the control group, and post-tests were conducted 3 weeks after the intervention. RESULTS: The mean scores on the SUDS, IDS and IES-R for women in the experimental groups were significantly lower compared with those for women in the control group following the interventions (P < 0.001). The mean scores on the VoC scale and PTGI for women in the experimental groups were significantly higher compared with those for women in the control group following the interventions (P < 0.001). CONCLUSION: The use of CBT and EMDR techniques reduced the negative psychological and emotional effects of infertility among infertile women.


Asunto(s)
Terapia Cognitivo-Conductual , Desensibilización y Reprocesamiento del Movimiento Ocular , Infertilidad Femenina , Compuestos Orgánicos Volátiles , Humanos , Femenino , Desensibilización y Reprocesamiento del Movimiento Ocular/métodos , Infertilidad Femenina/terapia , Movimientos Oculares , Terapia Cognitivo-Conductual/métodos , Resultado del Tratamiento
2.
J Pers ; 92(2): 530-547, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37208805

RESUMEN

INTRODUCTION: Humanistic psychologists have conceptualized a tendency among humans to experience continual open-ended psychological growth. This study aims to measure the rate at which one grows psychologically using a novel growth curve modeling approach that addresses previous limitations. We also examine the effects of nine potential contributors to growth identified from the literature. METHOD: Throughout the freshman year, 556 college students responded six times. Increments of growth were added up to create cumulative growth, which was then fit to a growth curve model to produce an estimate of the growth rate. The growth rate was then regressed on the Time 1 predictors to examine their unique effects. RESULTS: Models fit well. Five predictors significantly predicted the growth rate after controlling for the average of other predictors. When all predictors were entered simultaneously, three predictors (hope, meaning, and personal growth initiative) showed significant unique effects. The growth rate predicted well-being and satisfaction at Time 6. CONCLUSION: We successfully measured the rate of psychological growth and examined its antecedents. Follow-up analyses suggested that the predictors not showing unique effects may indirectly predict growth rates via the proximal role of the three significant predictors, an idea that awaits future corroboration using within-individual designs.


Asunto(s)
Crecimiento Psicológico , Estudiantes , Humanos , Estudios Longitudinales
3.
Neuropsychol Rehabil ; : 1-27, 2024 Jun 13.
Artículo en Inglés | MEDLINE | ID: mdl-38870482

RESUMEN

Acquired Brain Injury (ABI) often results in significant challenges, yet it may also facilitate Post-Traumatic Growth (PTG). This review explores a critical question: "What are the main factors contributing to PTG following ABI, and what potential barriers to its development are perceived by ABI survivors?" Here we aim to systematically uncover these contributors and barriers to PTG through a meta-synthesis, involving a comprehensive review of previously published qualitative research on this topic. A literature search was conducted across PsycINFO, CINAHL, and MEDLINE up to December 2022 to identify studies for inclusion. From an initial pool of 1,946 records, eleven articles were selected for inclusion. Reflexive thematic analysis yielded three analytical themes including "Journey to Self-Rediscovery", "Strength in Connection" and "Overcoming Obstacles". Our findings also revealed facilitators and barriers across multiple levels of scale including personal (e.g., acceptance versus resignation), interpersonal (e.g., positive social ties versus difficulties making social connections), and systemic (e.g., new meaning and purpose versus financial constraints) scales. Our research extends existing knowledge in ABI rehabilitation, providing a more nuanced understanding of the dynamics influencing PTG with implications for clinicians seeking to promote wellbeing following brain injury.

4.
Psychiatr Q ; 95(1): 17-32, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37938492

RESUMEN

Despite increasing recognition that positive psychological changes or posttraumatic growth (PTG) may develop after highly stressful or traumatic events, contemporary population-based data on the epidemiology of PTG in high-risk samples such as U.S. military veterans are lacking. Additionally, in light of emerging evidence suggesting an 8-factor model of posttraumatic stress disorder (PTSD) symptoms, an up-to-date characterization of how these symptom clusters relate to PTG can help inform efforts to help promote PTG. Data were analyzed from the 2019-2020 National Health and Resilience in Veterans Study (NHRVS), which surveyed a nationally representative sample of 3,847 trauma-exposed U.S. veterans. Participants completed assessments of potentially traumatic events, PTSD symptoms, and PTG, as well as a broad range of sociodemographic, military, trauma, health, personality, and psychosocial characteristics. Results revealed that 63.2% of trauma-exposed veterans and 86.4% of veterans who screened positive for PTSD endorsed moderate-or-greater PTG; these prevalences are higher than those reported in an independent U.S. veteran sample in 2011 (50.1% and 72.0%, respectively). An inverted U-shaped association was observed between PTSD symptom severity and PTG levels, with scores of 31 to 51 on the PTSD Checklist for DSM-5 associated with the highest likelihood of PTG. Intrinsic religiosity and internally- and externally-generated intrusive symptoms of PTSD were identified as the strongest correlates of PTG. Results suggest that prevention and treatment efforts to mitigate severe PTSD symptoms, and help promote intrinsic religiosity, and more deliberate and organized rumination about traumatic experiences may help foster PTG in veterans.


Asunto(s)
Crecimiento Psicológico Postraumático , Resiliencia Psicológica , Trastornos por Estrés Postraumático , Veteranos , Humanos , Veteranos/psicología , Trastornos por Estrés Postraumático/psicología , Encuestas y Cuestionarios
5.
Arch Psychiatr Nurs ; 45: 101-112, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-37544684

RESUMEN

INTRODUCTION: Research has shown that application of emotional freedom technique and music ensures psychological growth, increases well-being, and decreases cortisol level. PURPOSE: In the study, it was aimed to determine the effect of EFT and music applied to pregnant women who had experienced prenatal loss on their psychological growth, well-being, and cortisol level. METHODS: The study was conducted as a randomized controlled trial in a city hospital in eastern Türkiye with 159 pregnant women, 53 of whom were in the EFT, 53 in the music group, and 53 in the control group. The study data were collected through Subjective Units of Disturbance Scale (SUDS), Subjective Units of Experience (SUE) Scale, Post Traumatic Growth Inventory (PTGI), and WHO-5 Well-Being Index, and saliva samples were taken for cortisol evaluation. EFT was applied to the women two times every other week; the women in the music group listened to music two times every other week. Throughout the week following the first intervention, the women continued the interventions at home. RESULTS: It was determined that EFT and music significantly decreased the participants' subjective anxiety and salivary cortisol median scores, the lowest anxiety was in the EFT group, and PTGI and WHO-5 Well-Being Index mean scores increased (p < 0.005). Further analyses showed that EFT was more effective in terms of increasing well-being than music (p < 0.001; a > b > c). It was determined that the anxiety levels and salivary cortisol median values of the control group were statistically significantly higher compared to the EFT and music groups (p < 0.001). CONCLUSION: It was found that EFT and music applied to the women who had experienced prenatal loss decreased anxiety, ensured psychological growth, improved well-being, and decreased salivary cortisol level.


Asunto(s)
Musicoterapia , Música , Femenino , Humanos , Embarazo , Mujeres Embarazadas/psicología , Hidrocortisona/análisis , Música/psicología , Ansiedad/psicología , Libertad , Organización Mundial de la Salud , Musicoterapia/métodos
6.
Arch Womens Ment Health ; 24(2): 313-320, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-32705348

RESUMEN

Although maternal postpartum mental health has been extensively studied, rather little is known regarding the factors that may facilitate psychological growth following childbirth. The present study set forth to examine various pre-birth, birth, and post-birth correlates of overall psychological growth and growth domains in postpartum women, assessed within the first months following childbirth. A sample of 428 women completed self-report measures pertaining to psychological growth, mental health, maternal attachment, and childbirth characteristics. We found that the majority of women reported psychological growth following childbirth, with those experiencing stressors in childbirth reporting the highest levels of appreciation for life. In regression analyses, postpartum factors were significantly associated with overall growth and growth domains, taking into account other factors. The more the childbirth was perceived as central to the mothers' identity and the better the maternal attachment was to the child, the higher levels of growth. Growth was also negatively related to endorsement of childbirth PTSD. Background factors, such as maternal age, education, and prior mental health, were associated with specific growth domains, although the association was small and there was no association with overall growth. Post-birth factors are important in ensuing psychological growth in the first months following birth. Attention to opportunities of growth following childbirth is warranted in clinical care, in particular following traumatic childbirth.


Asunto(s)
Trastornos por Estrés Postraumático , Niño , Parto Obstétrico , Femenino , Humanos , Madres , Parto , Periodo Posparto , Embarazo
7.
Fam Process ; 60(4): 1507-1522, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-33278038

RESUMEN

Immigration research has recently investigated positive adaptation outcomes such as psychological growth. This study tested actor and partner effects between fluid mindset and psychological growth, mediated by resilience, in 200 migrant mother-child dyads from Mainland China to Hong Kong. Mothers' fluid mindset had significant actor and partner effects on their own and their children's psychological growth, whereas children's fluid mindset showed an actor effect. For mothers and children, fluid mindset had significant actor indirect effects on psychological growth via resilience. Mothers' fluid mindset had a significant partner indirect effect on children's psychological growth via children's resilience. The findings have implications for enhancing immigrants' psychological growth by strengthening fluid mindset and considering mothers and children as the intervention unit in resilience programs.


En las investigaciones sobre la inmigración se han analizado recientemente los resultados de la adaptación positiva, como el crecimiento psicológico. En este estudio se evaluaron los efectos del actor y la pareja entre la mentalidad flexible y el crecimiento psicológico, mediados por la resiliencia, en 200 díadas madre e hijo de emigrantes de China continental a Hong Kong. La mentalidad flexible de las madres tuvo efectos significativos del actor y la pareja en su propio crecimiento psicológico y el de sus hijos, mientras que la mentalidad flexible de los hijos demostró un efecto del actor. Para las madres y los hijos, la mentalidad flexible tuvo efectos indirectos significativos del actor en el crecimiento psicológico mediante la resiliencia. La mentalidad flexible de las madres tuvo un efecto indirecto de la pareja en el crecimiento psicológico de los hijos mediante la resiliencia de los hijos. Los resultados tienen consecuencias para mejorar el crecimiento psicológico de los inmigrantes mediante el fortalecimiento de la mentalidad flexible y la consideración de las madres y los hijos como unidad de intervención en los programas de resiliencia.


Asunto(s)
Emigrantes e Inmigrantes , Migrantes , China , Femenino , Hong Kong , Humanos , Madres
8.
Curr Issues Personal Psychol ; 11(3): 182-192, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38014387

RESUMEN

BACKGROUND: The sense of threat to health and life in the face of a pandemic, accompanied by difficulties imposed by lockdown, may trigger a serious crisis. Among possible consequences of such a crisis may paradoxically be the phenomenon of psychological growth. The aim of this article is to identify predictors of pandemic-activated psychological growth (PPG). The relationships between extraversion, reflective and ruminative self-consciousness and PPG were the subject of our inquiry. Additionally, a question was posed about the indirect effect of self-consciousness on PPG through anxiety. PARTICIPANTS AND PROCEDURE: The study involved 1206 participants aged 18 to 26 years, who declared that the pandemic situation significantly threatened their important life goals. Procedure: cross-sectional design. Four online short questionnaire-measures were used: the Ten-Item Personality Inventory (TIPI), the Rumination-Reflection Questionnaire (RRQ), the Current Self-disposition Scale (CSS), and the Post-traumatic Growth Inventory (PTGI). RESULTS: Extraversion and reflective self-consciousness were direct predictors of higher PPG, whereas ruminative self-consciousness was directly related to a lower PPG. There was an indirect effect of ruminative self-consciousness on PPG through COVID-19 related anxiety. CONCLUSIONS: Although the results do not confirm the permanence of a growth effect, finding PPG predictors considered as beneficial resources for coping with difficult pandemic circumstances appears to be valuable in the current state of affairs.

9.
J Autism Dev Disord ; 53(9): 3435-3448, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-35781855

RESUMEN

Restricted and repetitive behaviours (RRBs) are observed in many children presenting with characteristics of autism and are frequently the targets of psychological interventions. This study used Interpretative Phenomenological Analysis (IPA) to identify positive and negative interpretations from four young adults who received behavioural interventions in their childhood designed to 'fix' RRBs. Two superordinate themes were identified: (1) Doubt, stigma and being fixed according to others, and (2) Embracing Authenticity. They highlighted juxtaposed positions from exclusion, rejection, criticism, and self-doubt in childhood, to rejecting societal censure and embracing authentic growth in adult life. As adults, though the participants recognised themselves as neurologically different from others, they redefined themselves through a lens of neurodiversity, and therefore as not needing to be fixed.


Asunto(s)
Trastorno del Espectro Autista , Trastorno Autístico , Niño , Adulto Joven , Humanos , Trastorno del Espectro Autista/psicología , Emociones , Estigma Social , Terapia Conductista
10.
Curr Med Res Opin ; 38(6): 1011-1017, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-35481449

RESUMEN

OBJECTIVE: This study aimed to investigate the effects of a psychological growth camp in the treatment of adolescents at risk of Internet addiction in Taiwan. METHODS: We designed a psychological growth camp to treat adolescents at risk of Internet addiction. The CIAS (Chen Internet Addiction Scale) was used to assess the severity of Internet addiction at baseline, immediately after the camp, and at 1-month and 2-month follow-up visits. RESULTS: A total of 16 participants were recruited, including 10 at risk of Internet addiction and 6 without the risk of Internet addiction. The results indicated that the participants not in a 2-parent family had significantly higher CIAS scores than those in a 2-parent family (p = .034). The participants at risk of Internet addiction exhibited significant improvements in total CIAS score at the time immediately after the camp (p = .033) and at 1-month (p = .001) and 2-month (p = .003) follow-up visits. Moreover, the incidence of possible Internet addiction was not significantly decreased immediately after the camp (p = .056) but was significantly decreased at 1- and 2-month follow-up visits (p < .05) compared with the baseline level. Otherwise, no significant improvements in total CIAS score or subscales were observed at the follow-up visits (p > .05) for the participants not at risk of Internet addiction. CONCLUSION: The results indicate that the psychological growth camp without Internet might be effective in treating adolescents with Internet addiction.


Asunto(s)
Conducta Adictiva , Trastorno de Adicción a Internet , Adolescente , Conducta Adictiva/epidemiología , Conducta Adictiva/psicología , Conducta Adictiva/terapia , Humanos , Incidencia , Internet , Proyectos Piloto , Encuestas y Cuestionarios
11.
Dementia (London) ; 20(5): 1814-1831, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-33241693

RESUMEN

BACKGROUND AND OBJECTIVES: Few studies explore both negative and positive perspectives of family members who relinquish home care of a family member with dementia for systemic aged care. RESEARCH DESIGN AND METHODS: This phenomenological study sought the 'lived' experience of relinquishing the role of home carer for a family member with mild to severe dementia to others within care home settings, by seeking to understand the impact of aged care on family members' psychological well-being. Using semi-structured interviews, positive and negative subjective interpretations from 17 families (27 individuals) provided data for analysis, following the protocols of interpretative phenomenological analysis. RESULTS: One superordinate theme, mistrust/integrity, overarched oscillation between mistrust of the aged care system and a struggle for personal integrity in caring for these participants. Two sub-themes emerged: intrinsic trauma and extrinsic trauma. Intrinsic trauma explained feelings of helplessness and guilt, and internally directed responses that triggered a retreat into submission ultimately reducing the participant's role in advocacy. Extrinsic trauma represented externally directed responses such as anger and frustration, where family members became more engaged and watchful and recognised a need for vigilance and advocacy. Paradoxically oscillating between these personal struggles, participants exhibited growth, a third theme that defined assertive/advocacy utilised to nurture hope, gratitude, courage and change. DISCUSSION AND IMPLICATIONS: Family members experienced complex distress as they relinquished home care to others within systemic aged care for a member with dementia. By developing adaptive responses as appropriate, for example, advocating for their family member or accepting compliance with treatment, collaborative care between family and staff created better outcomes for the family member with dementia.


Asunto(s)
Cuidadores/psicología , Demencia , Servicios de Atención de Salud a Domicilio , Anciano , Familia , Culpa , Humanos
12.
Int J Qual Stud Health Well-being ; 16(1): 1986277, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34694959

RESUMEN

PURPOSE: We explore young adults' narrations of life events in association with nonsuicidal self-injury (NSSI) discontinuation, psychological growth, and agency. METHODS: Transcripts from eleven face-to-face interviews with individuals who quantitatively reported injuring themselves in adolescence (2007-2008) but not in young adulthood (2017) were narratively analysed. RESULTS: We found that at starting points, a period preceding an agentic shift in the narrative, participants endured stressful living conditions and mental illness. During this period, participants perceived no point in trying to initiate change because they did not perceive themselves as having the capacity to do so and nor could they adequately utilize any formal or informal support. After a turning point that enabled agency due to gaining a sense of belongingness, liberation, or perspective, participants underwent a process of attaining psychological well-being. However, narrating psychological growth also required momentum points, encompassing the management of and moving on from stressful contexts, along with the recognition of milestones marking improvement relative to the starting points. CONCLUSIONS: NSSI discontinuation was narrated in conjunction with psychological growth when participants also experienced themselves as situated within an agentic context, because agency is understood as necessary to react to and manage current and future life circumstances.


Asunto(s)
Trastornos Mentales , Conducta Autodestructiva , Adolescente , Adulto , Humanos , Narración , Adulto Joven
13.
Burns ; 43(3): 459-470, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-27743734

RESUMEN

Posttraumatic growth after burn is a relatively new area of study with only a small number of studies that have examined this phenomenon. It is important to understand the presentation of posttraumatic growth and coping in burn survivors, how it changes over time and the components which influence growth so that we can understand how to promote posttraumatic growth in burn survivors. The aim of this review was to assess these three parameters. Studies were identified through multiple databases with specific search terms to identify posttraumatic growth after burn. From the 813 articles found, 57 were identified as potentially useful, and 8 as eligible for review; three qualitative, one mixed methods, two quantitative, one discussion paper and part of a review which assessed all psychosocial outcomes. Growth presented as realising personal strength, reprioritising, spirituality, humanity, changed relationships, and compassion and altruism. Styles of coping included feelings of gratefulness and downward comparison, humour and planning. Suddenness of the event, and the severity and location of injury might affect the amount of growth experienced. Overall function, quality of life, social support and optimism, hope and new opportunities are influences on growth after burn, all of which have the potential for improvement through targeted intervention strategies. Further research is indicated in many areas related to growth, intervention and measurement.


Asunto(s)
Adaptación Psicológica , Quemaduras/psicología , Trauma Psicológico/psicología , Calidad de Vida/psicología , Sobrevivientes/psicología , Altruismo , Empatía , Humanos , Apoyo Social
14.
Pediatr Neurol ; 71: 29-34, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-28499675

RESUMEN

PURPOSE: Anterior encephaloceles are rare malformations that are frequently associated with other brain anomalies. This study evaluates the growth and psychological development of children following encephalocele repair. MATERIALS & METHODS: Growth and psychological assessment was done in 24 children with only encephalocele (group I); nine children with encephalocele and hydrocephalus (group II); seven children with encephalocele, hydrocephalus, and secondary malformations (group III); and 40 apparently healthy control subjects. Psychological assessment was done by evaluating intelligence and temperament. RESULTS: Single-stage repair was performed in 38 children, and two underwent multistage repair. Major postoperative complications were noted in three individuals. The follow-up period ranged from 12 to 168 months, and during this time the growth velocity declined significantly among group II and group III patients when compared with control subjects. After adjusting the body mass index for age, our data revealed that group III participants had a significantly (P = 0.02) lower body mass index than the control group. Group III also had poor indices for intelligence quotient (P ≤ 0.01) and temperament (P ≤ 0.01). Female patients had lower temperament indices when compared with unaffected females with regard to approach withdrawal (P ≤ 0.01), mood (P = 0.026), and intensity (P = 0.03). Overall, increased disease severity adversely affected the psychological indices. CONCLUSION: Individuals with anterior encephalocele without associated intracranial defects had excellent postoperative outcomes in terms of growth and psychological developments. Hydrocephalus and agenesis of corpus callosum had the least impact on psychological development. However, the presence of secondary brain defects led to developmental delays. Gender differences in temperament may suggest a need for distinct treatment regimens to assess psychosocial well-being for males and females.


Asunto(s)
Encefalocele/psicología , Encefalocele/cirugía , Adolescente , Índice de Masa Corporal , Estudios de Casos y Controles , Niño , Preescolar , Encefalocele/complicaciones , Encefalocele/fisiopatología , Femenino , Estudios de Seguimiento , Humanos , Hidrocefalia/complicaciones , Hidrocefalia/fisiopatología , Hidrocefalia/psicología , Hidrocefalia/cirugía , Inteligencia , Masculino , Procedimientos Neuroquirúrgicos , Procedimientos de Cirugía Plástica , Índice de Severidad de la Enfermedad , Factores Sexuales , Temperamento , Resultado del Tratamiento
15.
J Aggress Maltreat Trauma ; 25(3): 286-304, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-29503522

RESUMEN

Posttraumatic growth (PTG) is the positive psychological growth that a person might experience after enduring a traumatic event. PTG is a relatively new area of research identified by researchers because it represents a shift in thinking. Rather than focusing on the negative consequences of trauma, it explores the potential for positive outcomes associated with trauma. Although PTG is well documented across different types of traumas, it is unclear how this kind of growth stems from sexual violence, specifically. This review provides an overview of the literature concerning PTG that is associated with sexual violence. Results across the literature indicate that sexual violence is consistently associated with PTG. However, given the inconsistency in research designs, assessment, and operational definitions used to study PTG, many researchers suggest that it might be difficult to determine how and when PTG occurs. This study provides a literature review of the research on PTG in the aftermath of sexual violence. Important implications for future directions and trauma-based therapy are discussed and include the identification of relevant predictors, the importance of context, and how service providers might benefit from a better understanding of PTG.

16.
Dementia (London) ; 15(6): 1666-1684, 2016 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25725002

RESUMEN

Minimal research explores the impact of dementia and a dementia diagnosis on families from the unique vantage of senior health professionals. The participants of this study, eight senior aged care professionals, provided unique interpretative insights into family dynamics and sense-making on the journey with dementia, and their own role in that journey. Both positive and negative perspectives were sought. Data from semi-structured interviews were analysed using Interpretative Phenomenological Analysis (IPA). One superordinate theme, Dementia naiveté; redefined intimacy, overarched Embarrassed shame; Maintaining hope; Redefining a model of intimacy; and Redefined relational intimacy and growth Within these themes, the participants shed light on hurtful embarrassment and shame experienced by families associated with the diagnostic label given to a loved one. This label was perceived to either trigger separation, hurt and immobility through ignorance, or precipitate a frenzy of naive yet hopeful energy for seeking that elusive cure. The participants saw their role as one of enacting a new way of connecting what was with what could be. Thus, they modelled advocacy, integral care and relational intimacy. Validation came in witnessing a redefining of intimacy in many families who were able to embrace that holistic and empathic approach to the shifting presentation of dementia. Psychological well-being was observed to occur when families embraced growthful domains, e.g. acceptance, hope, relational closeness and altruistic concern for other families. Implications for future care models are discussed.


Asunto(s)
Actitud del Personal de Salud , Demencia/psicología , Relaciones Familiares , Esperanza , Vergüenza , Estrés Psicológico , Femenino , Hogares para Ancianos , Humanos , Relaciones Interpersonales , Masculino , Persona de Mediana Edad , Estigma Social
17.
Dementia (London) ; 15(6): 1685-1702, 2016 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25770129

RESUMEN

Minimal research explores the impact of a career in dementia care on senior health professionals. This study sought positive and negative subjective interpretations from seven senior health professionals regarding their experiences in dementia care. Data from semi-structured interviews were analysed using interpretative phenomenological analysis (IPA). One superordinate theme, Honouring stigmatised self, overarched four sub-themes: Systemic stigma, Invalidated, Self-respect and Moral integrity and Growth Stigma was interpreted as systemically entrenched minimisation of aged care and the aged-care workforce, including poor remuneration and training. Participants experienced peer invalidation particularly when attempting to resolve complex professional and moral challenges in dementia care. These often occurred in the context of efforts to individualise care, constrained within a medical model. Paradoxically, external invalidation motivated a search for redefining 'self' and moral integrity. By wisely acknowledging career experience, growthful domains of self-respect, optimism, humility and innovation defined professional practice and personal choices. Implications are discussed.


Asunto(s)
Actitud del Personal de Salud , Competencia Clínica , Demencia , Estigma Social , Femenino , Hogares para Ancianos , Humanos , Masculino , Persona de Mediana Edad , Investigación Cualitativa
18.
Artículo en Inglés | MEDLINE | ID: mdl-26236394

RESUMEN

BACKGROUND: Factors affecting non-suicidal self-injury cessation are poorly understood. The aim of this study was to identify differences between individuals with current and past non-suicidal self-injury (NSSI) in a large probability sample of university students using quantitative and qualitative methods. Predictors of psychological growth related following NSSI cessation were also examined. METHOD: The sample included 836 students who participated in a larger online study of well-being at eight U.S. colleges and who reported current or past history of repeated NSSI. The average age of respondents used in analysis was 21.3 years. They were 78.3 % female and 21.7 % male and were 70.7 % Caucasian, 1.4 % African American/Black, 5.5 % Hispanic, 7.8 % Asian/Asian American and 14.7 % other. Analyses tested differences in demographics, NSSI characteristics (e.g. lifetime frequency, number of NSSI functions, NSSI disclosure), formal help-seeking, psychosocial factors, and mental health and trauma histories. RESULTS: Individuals with current NSSI status were more likely to be female and slightly younger, to report higher NSSI lifetime frequency, more NSSI forms and functions, thinking of themselves as a "self-injurer", and current psychological distress. Individuals with current NSSI status were less likely to report that self-injury interfered with life, that therapy was useful in stopping, perceiving social support, having a sense of meaning in life, access to more emotion regulation strategies, and life satisfaction. Qualitative data suggested that cessation may be attributable to changes in ability to regulate emotion (62.6 %), self-awareness (38.7 %), and important relationships to others (36.0 %). Psychological growth after stopping NSSI was predicted by more severe NSSI (form and perceived NSSI dependence), having talked about NSSI with others and higher numbers of confidantes, perceived life satisfaction, and a history of suicide action. CONCLUSIONS: These findings add to the still nascent body of literature examining processes related to NSSI cessation. Our results point to the importance of help-seeking and social support, as well as psychosocial processes in stopping NSSI.

19.
Univ. psychol ; 13(1): 95-107, ene.-mar. 2014. ilus, tab
Artículo en Español | LILACS | ID: lil-726963

RESUMEN

En el presente estudio se analiza cómo la satisfacción laboral media las relaciones entre el crecimiento psicológico (apertura al cambio, manejo del fracaso y flexibilidad) y el desempeño laboral (extrarrol, intrarrol y cumplimiento de normas), evaluado este último por los jefes. Participaron 731 empleados y sus correspondientes jefes de cinco empresas colombianas de los sectores industrial y de servicios. Los resultados obtenidos a través de Ecuaciones Estructurales (Structural Equation Modeling, SEM) muestran que la satisfacción laboral media parcialmente la relación entre apertura al cambio y desempeño extrarrol (evaluado por el jefe). Se encontró además que la flexibilidad y la apertura al cambio se asocian positiva y directamente con la satisfacción laboral general y que esta, a su vez, predice el desempeño extrarrol y el cumplimiento de normas, evaluados por el jefe.


We analyze the relationship among psychological growth (Openness to Change, Management of failure and Flexibility) and job performance (extrarrol, intrarrol and Compliance), mediated by overall job satisfaction. This study used a sample of 731 employees and their immediate boss of five Colombian companies from the industrial and service sectors. The results using structural equation (SEM) show that job satisfaction partially mediates between openness to change and extrarrol performance (assessed by the immediate boss). Flexibility and openness to change are positively and directly associated with overall job satisfaction and this predicts extrarrol performance and compliance, assessed by the boss.

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