Psychological, Pain, and Disability Factors Influencing the Perception of Improvement/Recovery from Physiotherapy in Patients with Chronic Musculoskeletal Pain: A Cross-Sectional Study.

OBJECTIVES: The aim of this study was to identify the possible relationships between psychological, pain, and disability variables with respect to the perception of change/recovery from physiotherapy in patients with chronic musculoskeletal pain (CMP). METHODS: A cross-sectional observational study was performed with 150 patients. All patients completed a series of self-administered questionnaires and a series of self-reports to quantify the perception of change with respect to the physiotherapy they underwent, the level of disability and pain intensity, the level of fear of movement, the level of catastrophism, the degree of self-efficacy, the level of therapeutic alliance and their adherence to the physiotherapy. RESULTS: The strongest correlations were between the subjective perception of change and the number of sessions, treatment beliefs, self-efficacy, pain intensity, collaboration, and bonding. The linear regression model showed that the number of sessions, treatment beliefs, self-efficacy, compliance, pain intensity, and bonding were predictors of subjective perception of improvement, with 50% of the variance. CONCLUSIONS: Treatment beliefs, therapeutic alliance, degree of self-efficacy, and pain intensity have been shown to be predictors of a subjective perception of improvement in patients with CMP. In turn, multimodal treatments had the greatest positive impact on the subjective perception of improvement.

Perceived discrimination and emotional distress among family caregivers of children with physical disabilities: The mediational role of affiliate stigma and self-efficacy.

The main objective of this research is to examine the consequences of perceived discrimination in family caregivers of people with physical disabilities. Through path analysis, we test the association between caregivers' perceived discrimination and their anxiety and depression and the mediating role that affiliate stigma and self-efficacy may play. We proposed a model that has not been tested previously in the literature on caregivers of people with physical disabilities. The sample includes 186 Spanish fathers (35%) or mothers (65%) raising children with physical disabilities. Descriptive statistics and Pearson's correlation coefficients were calculated and structural equation modeling was used to examine the mediating effect. Results show that caregivers' perceived discrimination is positively associated with their affiliate or internalized stigma that in turn is harmful to their anxiety and depression. However, caregivers' self-efficacy plays a mediating role in the relation between affiliate stigma and caregivers' anxiety and depression. These results may be useful for designing interventions to improve the psychological well-being of the parents of children with physical disabilities. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Psychological Quality of Life in People with Physical Disability: The Effect of Internalized Stigma, Collective Action and Resilience.

PURPOSE: The main objective of this study was to examine the role of social identification, collective action and resilience in reducing the negative consequences of internalized stigma on the psychological quality of life of people with physical disability using path analysis. We propose a model with two paths: the first through social identification and collective action and the second via resilience. METHOD: A total of 288 Spanish people with physical disability aged between 18 and 82 years (46.4% males; mean [SD] of age = 45.1 [12.3] responded to the questionnaire. Data were collected for three months through an online survey. RESULTS: The tested model adequately fit the data. We found that the relationship between internalized stigma and the psychological quality of life of people with physical disability was mediated by resilience. However, neither social identification nor collective action mediated the association between internalized stigma and quality of life among our participants. CONCLUSIONS: The results confirmed the negative association between internalized stigma and quality of life in the population with physical disability. The results show that some interactive processes, such as resilience, may contribute to decreasing the negative effects of internalized stigma. In contrast, no effects of identification with the group or collective action intention were found.

Subtle and blatant perceived discrimination and well-being in lesbians and gay men in Spain: The role of social support / Discriminación percibida sutil y manifiesta y bienestar en personas lesbianas y gais en España: el papel del apoyo social

Background: The situation of lesbians and gay men (LGs) in Spain has improved significantly in recent decades. However, Spanish society still exhibits prejudice and discrimination. The current study pursues three main goals: 1) to analyse the extent to which LGs perceive blatant and subtle discrimination, 2) to explore the relationship between perceived discrimination and LGs’ psychological and subjective well-being, and 3) to analyse the possible mediational role of social support in reducing the negative influence of perceived discrimination on well-being. Method: The sample comprised 237 lesbians and 232 gay men. Results: The results show higher perceived subtle than blatant discrimination, and that subtle discrimination affects LGs’ well-being more negatively than blatant discrimination. Results show that social support helps to alleviate the negative effects of discrimination on well-being. Conclusions: These results are important and may contribute to the design of interventions to improve the well-being of lesbians and gay men (AU)

Antecedentes: la situación de las personas lesbianas y gais (LG) en España ha mejorado mucho en las últimas décadas. Sin embargo, el prejuicio y la discriminación todavía están presentes en la sociedad española. El presente estudio persigue tres objetivos principales: 1) analizar hasta qué punto las personas LG perciben la existencia de discriminación manifiesta y sutil; 2) explorar la relación existente entre la discriminación percibida y el bienestar psicológico y subjetivo de las personas LG; y 3) analizar el papel mediador que el apoyo social puede jugar a la hora de reducir la influencia negativa de la discriminación percibida en el bienestar. Método: la muestra incluía 237 mujeres lesbianas y 232 hombres gais. Resultados: los resultados muestran que la discriminación sutil percibida es mayor que la manifiesta y que además dicha discriminación sutil, comparada con la manifiesta, tiene efectos más negativos en el bienestar de las personas LG. Los resultados muestran que el apoyo social contribuye a aliviar los efectos negativos de la discriminación en el bienestar. Conclusiones: estos resultados son relevantes y pueden contribuir a diseñar intervenciones para mejorar el bienestar de las personas LG (AU)

Subtle and blatant perceived discrimination and well-being in lesbians and gay men in Spain: The role of social support.

BACKGROUND: The situation of lesbians and gay men (LGs) in Spain has improved significantly in recent decades. However, Spanish society still exhibits prejudice and discrimination. The current study pursues three main goals: 1) to analyse the extent to which LGs perceive blatant and subtle discrimination, 2) to explore the relationship between perceived discrimination and LGs’ psychological and subjective well-being, and 3) to analyse the possible mediational role of social support in reducing the negative influence of perceived discrimination on well-being. METHOD: The sample comprised 237 lesbians and 232 gay men. RESULTS: The results show higher perceived subtle than blatant discrimination, and that subtle discrimination affects LGs’ well-being more negatively than blatant discrimination. Results show that social support helps to alleviate the negative effects of discrimination on well-being. CONCLUSIONS: These results are important and may contribute to the design of interventions to improve the well-being of lesbians and gay men.