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1.
Psicol. conduct ; 25(1): 99-109, ene.-abr. 2020. mapas, tab, ilus
Artículo en Inglés | IBECS | ID: ibc-162156

RESUMEN

Youth social withdrawal has raised clinical concerns, and prevention of withdrawal behavior is important yet difficult. While human evaluation of withdrawal behavior can be subjective, technology provides objective measurement for withdrawal behavior. This study aims to examine the association between withdrawal behaviors (home-stay and non-communication) and mental health status (stress, depression and loneliness). The open-access StudentLife dataset, including the location and conversation information derived from the sensor data, stress levels, and pre- and post-questionnaires of depression (PHQ-9) and loneliness (RULS) of 47 college students over 10 weeks was used. Multilevel modeling and functional regression were employed for data analysis. Daily duration of home-stay was negatively associated with daily stress levels, and the interaction effect of daily duration of home-stay and non-communication were positively associated with daily stress levels and changes in PHQ-9 and RULS scores. Smartphone data is useful to provide adjunct information to the professional clinical judgement and early detection on withdrawal behavior


El aislamiento social de los jóvenes ha generado preocupaciones clínicas y prevenir estos comportamientos es importante pero difícil. Aunque la evaluación del aislamiento puede ser subjetiva, la tecnología proporciona medidas objetivas de este comportamiento. El objetivo de este estudio es examinar la asociación entre los comportamientos de aislamiento (permanecer en casa y no comunicarse) y el estado de la salud mental (estrés, depresión y soledad). Se utilizó la base de datos de libre acceso StudentLife, incluyendo información sobre la ubicación y la conversación registrada por un sensor de datos, los niveles de estrés y medidas de autoinforme pre y pos sobre depresión (PHQ-9) y soledad (RULS) de 47 estudiantes universitarios durante 10 semanas. Para el análisis de datos se utilizaron modelos multinivel y la regresión funcional. La duración diaria de la permanencia en casa estaba negativamente asociada con los niveles diarios de estrés y el efecto de interacción de la duración diaria de la permanencia en casa y la falta de comunicación estaban positivamente relacionados con los niveles diarios de estrés y los cambios en las puntuaciones en PHQ-9 y RULS. Los datos del teléfono inteligente son útiles para obtener información complementaria al juicio clínico profesional y para la detección temprana de los comportamientos de aislamiento


Asunto(s)
Humanos , Aislamiento Social/psicología , Soledad/psicología , Depresión/psicología , Psicometría/instrumentación , Estrés Psicológico/psicología , Diagnóstico Precoz , Medios de Comunicación Sociales , Factores de Riesgo , Tecnología de la Información , Comunicación
2.
Recurso de Internet en Inglés, Español, Francés, Portugués, Arabe, Ruso, Chino | LIS - Localizador de Información en Salud | ID: lis-LISBR1.1-47088

RESUMEN

Organização Mundial da Saúde apresenta dicas para enfrentar consequências psicológicas e mentais do novo coronavírus; doença está gerando estresse na população afetada pelo risco de contaminação, incerteza, isolamento social e desemprego entre outros motivos; guia contempla profissionais de saúde, crianças e idosos, líderes de equipes e pessoas em quarentena.


Asunto(s)
Salud Mental/etnología , Pandemias/prevención & control , Brotes de Enfermedades/prevención & control , Coronavirus , Estrés Psicológico/etiología , Estrés Psicológico/prevención & control , Aislamiento Social/psicología
3.
Science ; 367(6482): 1105-1112, 2020 03 06.
Artículo en Inglés | MEDLINE | ID: mdl-32139538

RESUMEN

The mechanism by which psychological stress elicits various physiological responses is unknown. We discovered a central master neural pathway in rats that drives autonomic and behavioral stress responses by connecting the corticolimbic stress circuits to the hypothalamus. Psychosocial stress signals from emotion-related forebrain regions activated a VGLUT1-positive glutamatergic pathway from the dorsal peduncular cortex and dorsal tenia tecta (DP/DTT), an unexplored prefrontal cortical area, to the dorsomedial hypothalamus (DMH), a hypothalamic autonomic center. Genetic ablation and optogenetics revealed that the DP/DTT→DMH pathway drives thermogenic, hyperthermic, and cardiovascular sympathetic responses to psychosocial stress without contributing to basal homeostasis. This pathway also mediates avoidance behavior from psychosocial stressors. Given the variety of stress responses driven by the DP/DTT→DMH pathway, the DP/DTT can be a potential target for treating psychosomatic disorders.


Asunto(s)
Núcleo Hipotalámico Dorsomedial/metabolismo , Conducta Social , Estrés Psicológico/metabolismo , Proteína 1 de Transporte Vesicular de Glutamato/metabolismo , Animales , Emociones/fisiología , Femenino , Ácido Glutámico/metabolismo , Homeostasis , Masculino , Neuronas/metabolismo , Corteza Prefrontal/metabolismo , Prosencéfalo/metabolismo , Trastornos Psicofisiológicos/terapia , Ratas , Ratas Endogámicas LEC , Ratas Wistar , Transducción de Señal
4.
Medicine (Baltimore) ; 99(11): e18831, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32176027

RESUMEN

This study aimed to investigate diabetes distress, happiness, and its associated factors of patients with type 2 diabetes mellitus (T2DM) treated by different therapies, and to analyze the related impact factors. A total of 1512 patients with T2DM were randomly selected from 18 tertiary hospitals in Hunan province from January 2016 to April 2016 who has been treated with oral antidiabetics monotherapy, insulin monotherapy, and combination therapy. Use the general information questionnaire, WHO-5 (the World Health Organization 5 well-being index) and PAID (the problem areas in diabetes scale) to collect the data. There are 846 (55.95%) patients that have serious emotional disorders, and the diabetes related distress in insulin treatment group was higher than that in combination treatment group (P < .05). Happiness of T2DM patients in combination therapy was higher than oral antidiabetic drug monotherapy and insulin monotherapy (P < .05). There was a negative correlation between diabetic suffering and happiness in patients with different treatments (R ranged from -0.335 to -0.436, P < .001). Age and happiness experience could explain 14.8% of the variance. Acute and chronic complications, controlled blood glucose level, lifestyle, therapies, and school education can explain 18.3% variance. Under different therapies, the suffering and happiness of T2DM patients differed from each other. The suffering and happiness of T2DM were related to different therapies, age, complications, glycaemic control, lifestyle, school education, and so on.


Asunto(s)
Diabetes Mellitus Tipo 2/psicología , Felicidad , Estrés Psicológico/etiología , Adulto , Anciano , China , Diabetes Mellitus Tipo 2/complicaciones , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Femenino , Humanos , Hipoglucemiantes/uso terapéutico , Insulina/uso terapéutico , Masculino , Persona de Mediana Edad , Estrés Psicológico/terapia , Encuestas y Cuestionarios
5.
Medicine (Baltimore) ; 99(11): e19016, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32176030

RESUMEN

This study investigated the stress induced by well-functioning hand constraint in forced-use therapy (FUT) for children with unilateral spastic cerebral palsy (CP).Seventeen children with unilateral spastic CP (mean age 5.8 years) received FUT: 4-week unaffected upper limb immobilization with a short-arm Scotchcast and were encouraged to incorporate it to their daily routines and plays. They were evaluated at pretreatment, immediate post-treatment, and 6 months post-treatment. The Korea-Child Behavior Checklist (K-CBCL) was used to assess the stress degree; box and block test (BBT), Erhardt Developmental Prehension Assessment (EDPA), Quality of Upper Extremity Skill Test (QUEST), and Pediatric Motor Activity Log (PMAL), upper limb function; and Pediatric Evaluation of Disability Inventory (PEDI), daily living activities.In the preschoolers, most scores of K-CBCL tended to increase after FUT; however, there was no significant change in all scale findings after FUT. In the school-aged children, most scores of K-CBCL tended to decrease after FUT; however, there was no significant change in all scale findings after FUT. The findings of the BBT, QUEST, PMAL how often and well subscales significantly improved post-treatment (P < .05).The 4-week FUT with well-functioning hand constraint significantly improved the UL function and did not induce emotional and behavioral problems in children with unilateral spastic CP.


Asunto(s)
Brazo , Parálisis Cerebral/terapia , Inmovilización/psicología , Modalidades de Fisioterapia , Estrés Psicológico/etiología , Parálisis Cerebral/psicología , Lista de Verificación , Conducta Infantil/psicología , Preescolar , Femenino , Humanos , Inmovilización/efectos adversos , Masculino , Modalidades de Fisioterapia/efectos adversos , Modalidades de Fisioterapia/psicología
6.
Psychiatr Hung ; 35(2): 223-225, 2020.
Artículo en Húngaro | MEDLINE | ID: mdl-32191224

RESUMEN

No abstract available.


Asunto(s)
Estrés Psicológico , Humanos
7.
East Mediterr Health J ; 26(2): 212-218, 2020 Feb 24.
Artículo en Inglés | MEDLINE | ID: mdl-32141600

RESUMEN

Background: Parenting approach and early childhood experiences are thought to be two important factors in the initiation of substance use. Aims: We aimed to explore the nurse's role in the prevention of childhood addiction. Methods: In this qualitative study we conducted in-depth interviews with young men and women who were either in treatment for their addiction or were active drug users as well as with family members and nurses. The data analysis followed Strauss and Corbin's constant comparison method. Results: The data analysis revealed six categories: traumatic events during childhood, inappropriate parenting approach, Lack of knowledge and a tolerant attitude toward drug use, turning a blind eye on the threat of drug use, nurses' poor experience of drug use prevention, and the lack of a clear definition of the nurse's role in prevention of drug use. Conclusions: Nurses who work with young people and their families have a special opportunity for prevention, early detection and timely intervention for drug dependency.


Asunto(s)
Consumidores de Drogas/psicología , Rol de la Enfermera , Trastornos Relacionados con Sustancias/enfermería , Adolescente , Adulto , Conducta Adictiva/enfermería , Conducta Adictiva/prevención & control , Conducta Adictiva/psicología , Niño , Femenino , Humanos , Acontecimientos que Cambian la Vida , Masculino , Investigación Cualitativa , Estrés Psicológico/psicología , Trastornos Relacionados con Sustancias/prevención & control , Trastornos Relacionados con Sustancias/psicología
8.
JAMA Netw Open ; 3(3): e203976, 2020 03 02.
Artículo en Inglés | MEDLINE | ID: mdl-32202646

RESUMEN

Importance: Health care workers exposed to coronavirus disease 2019 (COVID-19) could be psychologically stressed. Objective: To assess the magnitude of mental health outcomes and associated factors among health care workers treating patients exposed to COVID-19 in China. Design, Settings, and Participants: This cross-sectional, survey-based, region-stratified study collected demographic data and mental health measurements from 1257 health care workers in 34 hospitals from January 29, 2020, to February 3, 2020, in China. Health care workers in hospitals equipped with fever clinics or wards for patients with COVID-19 were eligible. Main Outcomes and Measures: The degree of symptoms of depression, anxiety, insomnia, and distress was assessed by the Chinese versions of the 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder scale, the 7-item Insomnia Severity Index, and the 22-item Impact of Event Scale-Revised, respectively. Multivariable logistic regression analysis was performed to identify factors associated with mental health outcomes. Results: A total of 1257 of 1830 contacted individuals completed the survey, with a participation rate of 68.7%. A total of 813 (64.7%) were aged 26 to 40 years, and 964 (76.7%) were women. Of all participants, 764 (60.8%) were nurses, and 493 (39.2%) were physicians; 760 (60.5%) worked in hospitals in Wuhan, and 522 (41.5%) were frontline health care workers. A considerable proportion of participants reported symptoms of depression (634 [50.4%]), anxiety (560 [44.6%]), insomnia (427 [34.0%]), and distress (899 [71.5%]). Nurses, women, frontline health care workers, and those working in Wuhan, China, reported more severe degrees of all measurements of mental health symptoms than other health care workers (eg, median [IQR] Patient Health Questionnaire scores among physicians vs nurses: 4.0 [1.0-7.0] vs 5.0 [2.0-8.0]; P = .007; median [interquartile range {IQR}] Generalized Anxiety Disorder scale scores among men vs women: 2.0 [0-6.0] vs 4.0 [1.0-7.0]; P < .001; median [IQR] Insomnia Severity Index scores among frontline vs second-line workers: 6.0 [2.0-11.0] vs 4.0 [1.0-8.0]; P < .001; median [IQR] Impact of Event Scale-Revised scores among those in Wuhan vs those in Hubei outside Wuhan and those outside Hubei: 21.0 [8.5-34.5] vs 18.0 [6.0-28.0] in Hubei outside Wuhan and 15.0 [4.0-26.0] outside Hubei; P < .001). Multivariable logistic regression analysis showed participants from outside Hubei province were associated with lower risk of experiencing symptoms of distress compared with those in Wuhan (odds ratio [OR], 0.62; 95% CI, 0.43-0.88; P = .008). Frontline health care workers engaged in direct diagnosis, treatment, and care of patients with COVID-19 were associated with a higher risk of symptoms of depression (OR, 1.52; 95% CI, 1.11-2.09; P = .01), anxiety (OR, 1.57; 95% CI, 1.22-2.02; P < .001), insomnia (OR, 2.97; 95% CI, 1.92-4.60; P < .001), and distress (OR, 1.60; 95% CI, 1.25-2.04; P < .001). Conclusions and Relevance: In this survey of heath care workers in hospitals equipped with fever clinics or wards for patients with COVID-19 in Wuhan and other regions in China, participants reported experiencing psychological burden, especially nurses, women, those in Wuhan, and frontline health care workers directly engaged in the diagnosis, treatment, and care for patients with COVID-19.


Asunto(s)
Ansiedad/etiología , Betacoronavirus , Infecciones por Coronavirus/psicología , Depresión/etiología , Personal de Salud/psicología , Salud Mental , Neumonía Viral/psicología , Trastornos del Inicio y del Mantenimiento del Sueño/etiología , Estrés Psicológico/etiología , Adulto , Trastornos de Ansiedad , China , Estudios Transversales , Femenino , Humanos , Masculino , Pandemias , Encuestas y Cuestionarios
9.
Lancet ; 395(10227): 912-920, 2020 03 14.
Artículo en Inglés | MEDLINE | ID: mdl-32112714

RESUMEN

The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. We did a Review of the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included in this Review. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Neumonía Viral/prevención & control , Cuarentena , Estrés Psicológico , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Financiación Personal , Humanos , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Salud Pública , Cuarentena/economía , Cuarentena/psicología , Condiciones Sociales , Estigma Social , Trastornos por Estrés Postraumático/etiología , Trastornos por Estrés Postraumático/prevención & control
11.
Med Sci Monit ; 26: e923549, 2020 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-32132521

RESUMEN

BACKGROUND Coronavirus disease 2019 (COVID-19), formerly known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and 2019 novel coronavirus (2019-nCoV), was first identified in December 2019 in Wuhan City, China. Structural equation modeling (SEM) is a multivariate analysis method to determine the structural relationship between measured variables. This observational study aimed to use SEM to determine the effects of social support on sleep quality and function of medical staff who treated patients with COVID-19 in January and February 2020 in Wuhan, China. MATERIAL AND METHODS A one-month cross-sectional observational study included 180 medical staff who treated patients with COVID-19 infection. Levels of anxiety, self-efficacy, stress, sleep quality, and social support were measured using the and the Self-Rating Anxiety Scale (SAS), the General Self-Efficacy Scale (GSES), the Stanford Acute Stress Reaction (SASR) questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the Social Support Rate Scale (SSRS), respectively. Pearson's correlation analysis and SEM identified the interactions between these factors. RESULTS Levels of social support for medical staff were significantly associated with self-efficacy and sleep quality and negatively associated with the degree of anxiety and stress. Levels of anxiety were significantly associated with the levels of stress, which negatively impacted self-efficacy and sleep quality. Anxiety, stress, and self-efficacy were mediating variables associated with social support and sleep quality. CONCLUSIONS SEM showed that medical staff in China who were treating patients with COVID-19 infection during January and February 2020 had levels of anxiety, stress, and self-efficacy that were dependent on sleep quality and social support.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus , Cuerpo Médico , Neumonía Viral , Sueño , Apoyo Social , Adulto , Ansiedad , China , Estudios Transversales , Femenino , Humanos , Masculino , Autoeficacia , Estrés Psicológico , Encuestas y Cuestionarios
12.
Enferm. clín. (Ed. impr.) ; 30(1): 23-30, ene.-feb. 2020. tab
Artículo en Español | IBECS | ID: ibc-186280

RESUMEN

Objetivo: Nuestro objetivo es investigar la relación entre calidad de vida, síntomas psicopatológicos y formas de afrontamiento en el personal de enfermería en dos hospitales generales en Grecia. Método: Estudio transversal con 302 profesionales de enfermería de dos hospitales generales en Grecia realizado entre octubre y noviembre de 2015. La recopilación de los datos se realizó mediante tres cuestionarios: el cuestionario calidad de vida, versión breve (BREF) de la Organización Mundial de la Salud; el cuestionario de autoevaluación de Falk para la detección de posibles comorbilidades psiquiátricas, y la escala de formas de afrontamiento de situaciones estresantes. Resultados: De una muestra de 302 enfermeras, cuanto peor era la salud mental y física del personal de enfermería, más se deterioró su calidad de vida en todos los aspectos (físico, psicológico, social y ambiental) (p < 0,001; p = 0,047; p = 0,001). Además, mientras las puntuaciones en las estrategias de afrontamiento «enfoque positivo-reevaluación positiva», «enfoque positivo-solución de problemas» y «enfoque positivo (en general)» van aumentando, la puntuación en la escala general es cada vez menor; en concreto, la salud general de los empleados va mejorando. Conclusión: Las estrategias de afrontamiento, como el enfoque positivo, mejoraron la salud general de los profesionales de enfermería. Por el contrario, su salud mental se deterioró cuando adoptaron las estrategias ilusiones/ensueño y/o escape/evitación. Finalmente, como la salud general va empeorando, su calidad de vida se ve afectada en todas las dimensiones, mientras que la mala salud mental de las enfermeras se asoció con una menor calidad de vida con respecto a las dimensiones física y psicológica


Objective: Our aim was to investigate the relationship of quality of life, psychopathological symptoms and ways of coping of nursing staff in two General Hospitals in Greece. Method: This was a cross-sectional study of 302 nurses in two General Hospitals in Greece between October and November of 2015. Data collection was performed using three questionnaires: the World Health Organisation Quality Of Life BREF; the Falk Self-Reporting Questionnaire for the detection of possible psychiatric comorbidity, and the Ways of Coping Scale for Stressful Situations. Results: From a sample of 302 nurses, the poorer the mental and physical health of the nursing staff, the more their quality of life was impaired in all dimensions (physical, psychological, social and environmental) (P < .001, P = .047, P = .001). Also, while the scores in coping strategies "positive approach-positive reappraisal", "positive approach-problem solving" and "positive approach (overall)" rose, the score in the General Scale dropped; in other words, the employees' general health improved. Conclusion: Coping strategies such as positive approach, improved the nurses' general health. In contrast, their mental health deteriorated when they adopted the wishful thinking/daydream and/or the escape/avoidance strategies. Finally, as their general health worsened, their quality of life was impaired in all dimensions, whereas poor mental health of nurses was associated with lower quality of life in the physical and psychological dimensions


Asunto(s)
Humanos , Psicopatología , Calidad de Vida , Adaptación Psicológica , Personal de Enfermería/estadística & datos numéricos , Estrés Psicológico , Grecia , Estudios Transversales , Encuestas y Cuestionarios , Salud Mental
13.
West Afr J Med ; 37(1): 62-66, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32030714

RESUMEN

BACKGROUND: Acne vulgaris is a chronic inflammatory disease of the pilo-sebaceous unit. It affects teenagers and young adults. Factors which can provoke or aggravate acne include cosmetic agents, medications, and sunlight. Acne has been associated with intense emotional and psychological distress. AIMS: This study aimed to describe predisposing factors, clinical characteristics and the quality of life of students with acne in an undergraduate community. METHODS: This is a cross sectional descriptive study of students of Babcock University, located in the South-Western Nigeria. Data was collected at the residential halls using structured questionnaire which consists of students' demographic data, symptoms, predisposing factors, previous treatment, Cardiff Acne Disability Index; and examination findings to document the presence of acne and clinical characteristics. RESULTS: Acne vulgaris was documented in 391 students (88.5%). Age range of respondents was between 15 and 35, and mean age was 19.51 + 2.25 years. The mean duration of symptoms was 47.46 + 38.27 months. Factors perceived to precipitate acne include food, stress, cleansers and sugary drinks. The mean CADI score for all respondents was 3.27 +3.07 which represents a mild effect on the quality of life. There was no significant difference in the severity of acne in males and females. CONCLUSION: This study documents a high prevalence of acne, although it has only a mild effect on the quality of life of the students. In view of the high percentage of students with acne, it should be penned down for public health intervention to prevent mismanagement, progression and complications.


Asunto(s)
Acné Vulgar/epidemiología , Calidad de Vida/psicología , Estudiantes/estadística & datos numéricos , Acné Vulgar/psicología , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Nigeria/epidemiología , Prevalencia , Índice de Severidad de la Enfermedad , Distribución por Sexo , Estrés Psicológico/epidemiología , Estudiantes/psicología , Encuestas y Cuestionarios , Adulto Joven
14.
Medicine (Baltimore) ; 99(6): e19029, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32028414

RESUMEN

When the 5-fluorouracil, leucovorin, and oxaliplatin (FOLFOX) chemotherapy regimen is used to treat colorectal cancer (CRC), chemotherapy-induced peripheral neuropathy (CIPN) caused by oxaliplatin can substantially affect quality of life (QOL) in the CRC patients. This study compared emotional distress and QOL during FOLFOX in CRC patients with and without CIPN symptoms.This cross-sectional, descriptive, and comparative study recruited 68 CRC patients receiving FOLFOX at a local teaching hospital and at a medical center in southern Taiwan. Self-reported structured questionnaires (oxaliplatin-associated neuropathy questionnaire, profile of mood states short form, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, Core 30, version 3.0) were used for 1-time data collection. The Chi-square test, Fisher exact test, and Mann-Whitney U test were used to analyze data, and a P-value < .05 was considered statistically significant.The CIPN group had 45 (66.2%) patients, and the non-CIPN group had 23 (33.8%) patients. The 5 most common symptoms were coldness-related burning sensation or discomfort in the upper limbs, numbness in the upper limbs, tingling in the upper limbs, impairment of vision, and discomfort in the throat. The CIPN group had more females (P = .013), a more advanced stage of CRC (P = .04) and a higher chemotherapy dosage (P = .006). The 2 groups did not significantly differ in anxiety (P = .065) or depression (P = .135). Compared to the non-CIPN group, the CIPN group had significantly lower functioning (P = .001) and global health status (P < .001) and significantly more symptoms (P < .001).The CIPN group had significantly lower QOL compared to the non-CIPN group. However, the CIPN group did not have lower emotional distress compared to the non-CIPN group. The results of this study demonstrate the need for in-service courses specifically designed to train health professionals in assessing and managing CIPN symptoms to improve QOL in CRC patients receiving FOLFOX.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/efectos adversos , Neoplasias Colorrectales/tratamiento farmacológico , Enfermedades del Sistema Nervioso Periférico/inducido químicamente , Calidad de Vida , Estrés Psicológico/epidemiología , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias Colorrectales/psicología , Estudios Transversales , Femenino , Fluorouracilo/efectos adversos , Fluorouracilo/uso terapéutico , Humanos , Leucovorina/efectos adversos , Leucovorina/uso terapéutico , Masculino , Persona de Mediana Edad , Compuestos Organoplatinos/efectos adversos , Compuestos Organoplatinos/uso terapéutico , Enfermedades del Sistema Nervioso Periférico/psicología , Estrés Psicológico/etiología , Encuestas y Cuestionarios
15.
Adv Exp Med Biol ; 1191: 141-153, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32002927

RESUMEN

Substantial evidence from various studies suggests a preeminent role for early adverse experiences in the development of psychopathology. The most recent studies reviewed here suggest that early life stressors are associated with an increased risk for anxiety disorders in adulthood. Early life stress predisposes individuals to develop a number of psychiatric syndromes, particularly affective disorders, including anxiety disorders, and is therefore a significant health problem.This review examines the emerging literature on the relationship between stress, hypothalamic-pituitary-adrenal (HPA) axis function, and generalized anxiety disorder (GAD), panic disorder, and phobias and the role of early life stress as an important risk factor for HPA axis dysfunction.The most consistent findings in the literature show increased activity of the HPA axis in depression associated with hypercortisolemia and reduced inhibitory feedback. In addition to melancholic depression, a spectrum of other conditions may be associated with increased and prolonged activation of the HPA axis, including panic, GAD, phobias and anxiety. Moreover, HPA axis changes appear to be state-dependent, tending to improve upon resolution of the anxiety syndrome. Interestingly, persistent HPA hyperactivity has been associated with higher rates of relapse. These studies suggest that an evaluation of the HPA axis during treatment may help identify patients who are at a higher risk for relapse. These findings suggest that this dysfunction of the HPA axis is partially attributable to an imbalance between glucocorticoid and mineralocorticoid receptors. Evidence has consistently demonstrated that glucocorticoid receptor function is impaired in anxiety disorders. Moreover, normal basal cortisol levels and hyper-responsiveness of the adrenal cortex during a psychosocial stressor are observed in social phobics. Finally, abnormal HPA axis activity has also been observed in generalized anxiety disordered patients. Early stressful life events may provoke alterations of the stress response and thus of the HPA axis that can endure during adulthood, predisposing individuals to develop psychopathology.


Asunto(s)
Experiencias Adversas de la Infancia , Trastornos de Ansiedad/etiología , Trastornos de Ansiedad/fisiopatología , Ansiedad/etiología , Ansiedad/fisiopatología , Sistema Hipotálamo-Hipofisario/fisiopatología , Sistema Hipófiso-Suprarrenal/fisiopatología , Estrés Psicológico/complicaciones , Ansiedad/psicología , Trastornos de Ansiedad/psicología , Humanos , Estrés Psicológico/psicología
16.
Medicine (Baltimore) ; 99(8): e19298, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32080147

RESUMEN

Patients who commit self-wrist cutting injuries (SWCIs) are a heterogeneous group composed of patients with non-suicidal self-injury (NSSI) and suicide attempt (SA). The purpose of this study was to compare the demographic features and wound characteristics of patients with NSSI and SA.A retrospective review of 300 patients who visited the emergency department (ED) for treatment of SWCIs between January 2011 and December 2015 was performed. Data collected from the electronic medical records included age, sex, the reason for SWCIs, presence of suicidal ideation, concomitant intoxication with alcohol or drugs, past psychiatric history, whether or not the patient received psychiatric counseling at the ED, the principal psychiatric diagnosis, the number and severity of external wounds, and subsequent follow-up at the psychiatric or hand surgery outpatient department (OPD). The patients were divided into the NSSI and SA groups according to the presence of suicidal ideation and other variables were compared between the two groups.There were 138 NSSI patients and 162 SA patients. The NSSI group was younger (33.9 years vs 40.9 years, P < .01), more female-dominant, and more non-compliant with psychiatric treatment than the SA group. Compared with the SA group, fewer NSSI patients had past psychiatric histories (26.1% vs 45.7%, P < .01) and more patients refused psychiatric counseling (30.4% vs 9.9%, P < .01) and follow-up at the psychiatric OPD (8.0% vs 17.3%, P < .01). In contrast, the number (P = .31) and severity (P = .051) of wounds and the rate of follow-up at the hand surgery OPD (P = .43) were not statistically different between the two groups.Although the NSSI and SA groups showed different demographic features and degrees of compliance with psychiatric treatment, wound characteristics were not different between the two groups. Therefore, hand surgeons cannot estimate patients' suicidal intent based on wound characteristics and all patients should be advised to receive psychiatric treatment.


Asunto(s)
Conducta Autodestructiva/psicología , Intento de Suicidio/psicología , Heridas Punzantes/psicología , Traumatismos de la Muñeca/psicología , Adolescente , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Servicio de Urgencia en Hospital , Femenino , Hospitalización/estadística & datos numéricos , Humanos , Relaciones Interpersonales , Masculino , Trastornos Mentales/psicología , Servicios de Salud Mental , Persona de Mediana Edad , Cooperación del Paciente , República de Corea/epidemiología , Estudios Retrospectivos , Conducta Autodestructiva/epidemiología , Distribución por Sexo , Estrés Psicológico/psicología , Intento de Suicidio/estadística & datos numéricos , Negativa del Paciente al Tratamiento/estadística & datos numéricos , Heridas Punzantes/epidemiología , Traumatismos de la Muñeca/epidemiología , Adulto Joven
17.
J Sports Sci ; 38(6): 669-675, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32013766

RESUMEN

Initial research suggests that parental perfectionism is central to the development of athlete perfectionism. However, it is unclear whether perceived or actual parental perfectionism is most important. The present study aimed to address this issue in two ways. First, we re-examined the predictive ability of actual versus perceived parental perfectionism on athlete perfectionism. Second, for the first time, we tested whether perceived parental perfectionism mediated the relationship between actual parental perfectionism and athlete perfectionism. A sample of 150 junior athletes and their parents completed measures of perfectionism (perfectionistic strivings and perfectionistic concerns). Junior athletes completed two measures, one of their own perfectionism and one of perceptions of their parents' perfectionism. Parents completed one measure of their own perfectionism. Regression analyses showed that perceived parental perfectionism predicted athlete perfectionism over and above actual parental perfectionism. Mediation analyses provided support for our proposed model. Overall, the findings suggest that both actual and perceived parental perfectionism are important in the development of perfectionism in junior athletes.


Asunto(s)
Atletas/psicología , Rendimiento Atlético/psicología , Relaciones Padres-Hijo , Padres/psicología , Perfeccionismo , Adolescente , Humanos , Persona de Mediana Edad , Percepción , Estrés Psicológico
18.
Zhongguo Dang Dai Er Ke Za Zhi ; 22(2): 158-163, 2020 Feb.
Artículo en Chino | MEDLINE | ID: mdl-32051084

RESUMEN

OBJECTIVE: To explore the effect of parental training based on the Early Start Denver Model (ESDM) combined with intensive training on the treatment outcome of children with autism spectrum disorder (ASD) and its impact on parenting stress. METHODS: Seventy children aged 2-5 years who were diagnosed with ASD were enrolled in the study. They were divided into an ESDM group and a parental training group by the random number table method (n=35 each). The ESDM group received intensive training based on ESDM. In addition to intensive ESDM-based training, parents of the children in the parental training group received ESDM skills training. Both groups were assessed by Autism Behavior Checklist (ABC), Childhood Autism Rating Scale (CARS), Autism Treatment Evaluation Checklist (ATEC) and Parenting Stress Index-Short Form (PSI-SF) before and after the intervention of 3 months. RESULTS: After 3 months of intervention, the total scores of ABC, CARS and ATEC were both significantly decreased in the two groups (P<0.05). There was no significant difference in the total scores of ABC, CARS and ATEC between the two groups before and after intervention (P>0.05). The change between ABC, CARS and ATEC total scores in the two groups had no significant difference (P>0.05). After 3 months of intervention, the total scores of PSI-SF were both significantly decreased in the two groups (P<0.05). The difficult child sub-scale scores in PSI-SF were significantly decreased in the ESDM group (P<0.05). While three sub-scale scores of parent distress, parent-child dysfunctional interaction and difficult child in PSI-SF were significantly decreased in the parental training group (P<0.05). Before and after intervention of 3 months, no significant difference was found in PSI-SF total scores between the two groups. Compared with the ESDM group, the change between PSI-SF total scores and two sub-scales of PSI-SF (parent distress and difficult child) were significantly bigger in the parental training group (P<0.05). CONCLUSIONS: Both the combination of intensive training and parent training based on ESDM and ESDM intensive training alone can improve the core symptoms of children with ASD aged 2-5 years and relieve the parenting stress, however, the former is more effective in relieving parenting stress.


Asunto(s)
Trastorno del Espectro Autista , Preescolar , Humanos , Relaciones Padres-Hijo , Responsabilidad Parental , Padres , Estrés Psicológico
19.
Braz Oral Res ; 34: e008, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32049109

RESUMEN

This study aimed to investigate the effects of chronic restraint stress (RS) and a high-fat diet (HFD) on the osseointegration of titanium implants in a rat model. After the surgical insertion of titanium implants into the metaphysis of the tibial bone, the rats were randomly divided into four equal groups (n = 8 each): control (CNT), restraint stress (RS), high-fat diet (HFD), and restraint stress plus high fat diet (RS-HFD). CNT: Rats received no further treatment during the 92-day experimental period. RS: Stress was applied to the rats beginning from two days after the implant surgery for one hour per day for the first 30 days, two hours per day for the next 30 days, and three hours per day for the last 30 days. HFD: Rats were fed a HFD for the following 90 days starting two days after surgery. RS-HFD: Rats were fed a HFD and RS was applied to rats for the following 90 days, starting two days after surgery. At the end of the experimental period, the rats were euthanized, and the implants and surrounding bone tissues were removed for histological analysis. Statistical analysis was performed by one way ANOVA and Bonferrroni tests. There were no significant differences in the bone-implant connection levels between the groups (p > 0.05), but in the HFD and RS-HFD groups, the bone filling ratios were found to be lower compared with the controls (p < 0.05) The data analyzed in this study suggest that an HFD with or without chronic RS adversely affected bone tissue in the rats during the 90-day osseointegration period.


Asunto(s)
Prótesis Anclada al Hueso , Dieta Alta en Grasa/psicología , Oseointegración/fisiología , Estrés Psicológico/fisiopatología , Tibia/fisiopatología , Titanio , Alanina Transaminasa/sangre , Animales , Aspartato Aminotransferasas/sangre , Glucemia/análisis , Colesterol/sangre , Implantación Dental Endoósea/métodos , Femenino , Distribución Aleatoria , Ratas Sprague-Dawley , Valores de Referencia , Reproducibilidad de los Resultados , Tibia/patología , Tibia/cirugía , Factores de Tiempo , Triglicéridos/sangre
20.
Pflege ; 33(2): 85-91, 2020 Apr.
Artículo en Alemán | MEDLINE | ID: mdl-32107967

RESUMEN

Patients with psychiatric comorbidities in the acute hospital - a field of tension with interprofessional need for action - results from a pilot study Abstract. Background: Psychiatric comorbidities are frequent in patients hospitalized in an acute care hospital. They often remain undetected or, if diagnosed, neglected. As long as the somatic disease can be properly cared for and treated, this usually remains unproblematic. However, the situation can quickly tip over if psychiatric comorbidities interfere with care and treatment leading to a higher level of care and adverse consequences for patients. Aim: We investigated the need for action for this patient group from the nurses' perspective in a Swiss-German university hospital. Method: In two group discussions, nurses described intense situations, followed by an evaluation of determining factors, insights gained and measures taken to control these situations and prevent them. Results: Nurses experience the described situations as stressful and express a great need for action for themselves and for the interprofessional team. Key points are vigilance in everyday clinical practice, specific knowledge acquisition and an easily accessible local support system. Conclusions: In an acute care hospital, psychiatric comorbidities must be taken into account. However, this requires advanced skills and an organizational, interprofessional approach.


Asunto(s)
Necesidades y Demandas de Servicios de Salud , Trastornos Mentales/epidemiología , Trastornos Mentales/terapia , Personal de Enfermería en Hospital/psicología , Comorbilidad , Hospitales Universitarios , Humanos , Relaciones Interprofesionales , Grupo de Atención al Paciente/organización & administración , Proyectos Piloto , Estrés Psicológico
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