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1.
Einstein (Sao Paulo) ; 19: eAO5622, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34495085

RESUMO

OBJECTIVE: To analyze the prevalence of leprosy cases using as parameters the number of diagnosed cases, age group, sex, clinical form of the disease, degree of physical disability, affected nerves, and therapeutic methods. METHODS: This was a descriptive study. Data were collected in the Information System for Notifiable Diseases (Sistema de Informações de Agravos de Notificação) from 2014 to 2017 in the state of Mato Grosso (MT), Brazil. RESULTS: In the studied period, 11,388 cases were notified in the state, with a higher prevalence in the year 2017. Most cases were diagnosed in individuals older than 15 years with a slight predominance of men. During diagnosis, there was prevalence of zero degree of physical disability and among individuals with affected nerves, mostly had less than five nerves affected. CONCLUSION: Analyzing the prevalence and epidemiological profile of leprosy cases in the state of Mato Grosso (MT) turns to be essential for coping with the disease, as it helps in its management and treatment, with an emphasis on multidisciplinary approach for the recovery of existing cases and prevention of new cases, especially at hyperendemic states.


Assuntos
Surdez , Hanseníase , Adaptação Psicológica , Brasil/epidemiologia , Humanos , Hanseníase/epidemiologia , Masculino , Prevalência
2.
Artigo em Inglês | MEDLINE | ID: mdl-34501933

RESUMO

Sport has been heavily impacted by the pandemic for over a year with restrictions and closures of facilities. The main aims of this study are to identify motivation and barriers for an international group of Master weightlifters (ages 35 and up) and analyze age and gender differences in pandemic-related changes to physical activities. A sample of 1051 older athletes, 523 women and 528 men, aged from 35 to 88 years, from Australia, Canada, Europe, and the USA provided responses to an online survey conducted in June 2021. A confirmatory factor analysis was performed to examine age, gender, and regional differences about motivation, barriers, and pandemic impact on sport and physical activities. Participants showed enthusiasm for the opportunity to compete despite health challenges with increasing age but faced barriers due to access to training facilities and qualified coaches even before the pandemic. The oldest athletes had the greatest reduction in physical activities during the pandemic. Weightlifters had the opportunity to compete in virtual competitions and 44% would like to see some of these continued in the future, especially women. These findings highlight the benefits of competitive sports and may provide future directions in strength sports for organizations, sports clubs, and coaches.


Assuntos
COVID-19 , Pandemias , Adaptação Psicológica , Adulto , Atletas , Exercício Físico , Feminino , Humanos , Masculino , Motivação , SARS-CoV-2 , Levantamento de Peso
3.
Front Public Health ; 9: 660536, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34504824

RESUMO

Introduction: Older adults have the poorest coronavirus (COVID-19) prognosis with the highest risk of death due to complications, making their COVID-19 experiences particularly important. Guided by the stress-appraisal-coping theoretical model, we sought to understand COVID-related perceptions and behaviors of older adults residing in the United States. Materials and Methods: We used convenience sampling to recruit persons with the following inclusion criteria: Aged ≥ 65 years, English fluency, and U.S. residency. Semi structured in-depth interviews were conducted remotely and audio recorded between April 25, 2020 and May 7, 2020. Interviews were professionally transcribed with a final study sample of 43. A low-inference qualitative descriptive design was used to provide a situated understanding of participants' life experiences using their naturalistic expressions. Results: The mean age of participants was 72.4 ± 6.7. Slightly over half were female (55.8%), 90.6% were White, and 18.6% lived alone. The largest percentages of participants resided in a rural area (27.9%) or small city (25.6%). We identified four themes, including (1) risk perception, (2) financial impact, (3) coping, and (4) emotions. Most participants were aware of their greater risk for poor COVID-19 outcomes but many did not believe in their increased risk. Financial circumstances because of the pandemic varied with largely no financial impacts, while others reported negative impacts and a few reported positive impacts. Coping was problem- and emotion-focused. Problem-focused coping included precautionary efforts and emotion-focused coping included creating daily structure, pursuing new and/or creative activities, connecting with others in new ways, and minimizing news media exposure. Overall, emotional health was negatively affected by the pandemic although some participants reported positive emotional experiences. Conclusions: Perceiving themselves as high risk for COVID-19 complications, older adults used precautionary measures to protect themselves from contracting the virus. The precautionary measures included social isolation, which can negatively affect mental health. Older adults will need to be resourceful and draw on existing resources to cope, such as engaging in creative activities and new strategies to connect with others. Our findings underscore the importance of the preservation of mental health during extended periods of isolation by taking advantage of low-to-no-cost existing resources.


Assuntos
COVID-19 , Adaptação Psicológica , Idoso , Emoções , Feminino , Humanos , Percepção , SARS-CoV-2 , Estados Unidos/epidemiologia
4.
Sci Rep ; 11(1): 17452, 2021 08 31.
Artigo em Inglês | MEDLINE | ID: mdl-34465808

RESUMO

Here we attempted to define the relationship between: EEG activity, personality and coping during lockdown. We were in a unique situation since the COVID-19 outbreak interrupted our independent longitudinal study. We already collected a significant amount of data before lockdown. During lockdown, a subgroup of participants willingly continued their engagement in the study. These circumstances provided us with an opportunity to examine the relationship between personality/cognition and brain rhythms in individuals who continued their engagement during lockdown compared to control data collected well before pandemic. The testing consisted of a one-time assessment of personality dimensions and two sessions of EEG recording and deductive reasoning task. Participants were divided into groups based on the time they completed the second session: before or during the COVID-19 outbreak 'Pre-pandemic Controls' and 'Pandemics', respectively. The Pandemics were characterized by a higher extraversion and stronger connectivity, compared to Pre-pandemic Controls. Furthermore, the Pandemics improved their cognitive performance under long-term stress as compared to the Pre-Pandemic Controls matched for personality traits to the Pandemics. The Pandemics were also characterized by increased EEG connectivity during lockdown. We posit that stronger EEG connectivity and higher extraversion could act as a defense mechanism against stress-related deterioration of cognitive functions.


Assuntos
Encéfalo/fisiologia , COVID-19/prevenção & controle , COVID-19/psicologia , Extroversão Psicológica , Adaptação Psicológica , Adulto , Eletroencefalografia , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Neuroticismo , Distanciamento Físico , Inquéritos e Questionários , Adulto Jovem
5.
Bull Menninger Clin ; 85(3): 254-270, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34468214

RESUMO

Sleep problems among frontline medical staff during the COVID-19 epidemic require attention. A total of 249 frontline medical staff who were recruited to support Wuhan completed this cross-sectional study. A web-based questionnaire about insomnia, depression, anxiety, and fatigue was used to assess mental health status. The prevalence of sleep disorders among frontline medical staff was 50.6%. More time spent in Wuhan and a history of insomnia, depression, anxiety, and fatigue were associated with a higher risk of insomnia. People who stayed in Wuhan for a long time with a history of insomnia, depression, anxiety, and fatigue symptoms might be at high risk of insomnia.


Assuntos
Adaptação Psicológica , COVID-19/psicologia , Corpo Clínico Hospitalar/psicologia , Transtornos Mentais/epidemiologia , Transtornos do Sono-Vigília/epidemiologia , Adulto , China , Comorbidade , Estudos Transversais , Feminino , Humanos , Masculino , Corpo Clínico Hospitalar/estatística & dados numéricos , Transtornos Mentais/psicologia , SARS-CoV-2 , Transtornos do Sono-Vigília/psicologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Inquéritos e Questionários , Fatores de Tempo
6.
BMC Geriatr ; 21(1): 483, 2021 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-34488636

RESUMO

BACKGROUND: An increasing number of older people in Germany receive care at home from family members, particularly from spouses. Family care has been associated not only with subjective burden but also with negative effects on caregivers' health. A heterogeneous group, caregivers are confronted with individual situational demands and use different available coping strategies. To date, little is known about the relationship between burden and coping by spousal caregivers, particularly in the context of geriatric patients without dementia. OBJECTIVES: The aim of this study is to explore the burden and coping strategies of caregiving spouses of geriatric patients without dementia and with a hospitalization within the last year. To help explore this population, a typology is presented that has been based on reported perceptions of home care burden and individual coping strategies. Furthermore, a case study is presented for each type of spousal caregiver. METHODS: The study used a concurrent mixed method design with a sample of nine spousal caregivers (mean age: 78.9 years). Four women and five men were recruited in an acute hospital setting during the TIGER study. Quantitative data were collected using a self-questionnaire and qualitative data were gathered through nine problem-centered interviews with spousal caregivers. The latter were subsequently analyzed utilizing the structured content analysis method. The data were then summarized to nine individual cases. Finally, the results were clustered using the empirically grounded construction of types and typologies. Each type of spousal caregiver is presented by a case study. RESULTS: Three types of caregiving spouses were identified: "The Caring Partner", "The Worried Manager" and "The Desperate Overburdened". These types differ primarily in the level of subjective burden and caregiving stress, the coping strategies, the motivation for caregiving, and expressed emotions. CONCLUSIONS: The development of this new typology of caregiving spouses could help health care professionals better understand caregiving arrangements and thus provide more targeted advice. TRIAL REGISTRATION: The TIGER study was registered with clinicaltrials.gov: NCT03513159 . Registered on April 17, 2018.


Assuntos
Demência , Cônjuges , Adaptação Psicológica , Idoso , Ansiedade , Cuidadores , Feminino , Humanos , Masculino
7.
Z Kinder Jugendpsychiatr Psychother ; 49(5): 361-376, 2021 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-34503361

RESUMO

Psychodynamic conflicts: Development of a questionnaire for the assessment by patients and their therapists Abstract. The OPD-CA conflict questionnaire represents a means of recording modes of coping with unconscious conflicts according to the Operationalized Psychodynamic Diagnostics (OPD-CA) for patients and their therapists. To select the items for the conflict questionnaire, we combined the expert ratings and psychometric quality criteria using a sample of 427 adolescents (53.6 % patients) and 44 therapists. The short version contains 28 items, which include 7 intrapsychic conflicts and their active and passive coping modes (total ICC = .855; p < .001). We found expected differences between healthy and clinically abnormal adolescents with a higher level of conflicts among outpatients. A comparison of the therapist's version with two different methods (assessment according to the sheet in OPD-CA and the conflict questionnaire) produced consistent assessments of the same patient both in the expert assessment (total ICC = .861; p < .001) and from the point of view of 52 participants in two OPD-KJ training courses (total ICC = .825; p < .001).


Assuntos
Adaptação Psicológica , Conflito Psicológico , Adolescente , Humanos , Psicometria , Inquéritos e Questionários
8.
Rev Assoc Med Bras (1992) ; 67(3): 349-352, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34468595

RESUMO

Stress and burnout can result in errors, reduction in patient safety, and decreased productivity. They can cause absenteeism, depression, destructive behavior, alcohol, drug abuse, and even suicide. Several factors lead to professional stress, many of which are out of one's control, thus making intervention impossible. Physicians often neglect their health and ignore stress and burnout. They often deny the existence of stress as a way of adapting to it, which is an ineffective method of coping with this problem that can lead to negative coping strategies. For managing stress and burnout, it is paramount to recognize situations/conditions that may trigger them, identify their signs, and invest in well-being strategies. In this article, well-being promotion is addressed with a focus on strategies that can be used at the individual level. Topics such as stress management and resilience should be valued in medical training and profession. As long as they form a part of the "hidden curriculum", well-being will continue to be undervalued, when in fact it should be seen as fundamental to the health of professionals and patients.


Assuntos
Esgotamento Profissional , Estresse Ocupacional , Médicos , Adaptação Psicológica , Esgotamento Psicológico , Humanos , Estresse Psicológico
9.
Nurs Open ; 8(3): 1157-1167, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34482657

RESUMO

AIM: To investigate the effect of a supportive program on coping strategies and stress in women with breast cancer. DESIGN: A randomized, two-armed, controlled trial. METHODS: Sixty women were randomly allocated to intervention group (N = 30) and control group (N = 30). The interventions were held in six sessions, weekly from August 2018-March 2019 It was consisting of education regarding breast cancer; progressive muscle relaxation; stress management; emotional coping; and problem-solving strategies. RESULTS: At baseline, there was no difference between the two groups regarding the mean score of coping strategies and stress. Supportive program group participants experienced a significantly higher increase on their problem-oriented coping strategies score in comparison with the control group. At the same time, scores in emotion-oriented coping strategies and stress decreased significantly in the intervention group compared with the control group. Result of this study can be used to develop relevant interventions targeting coping strategies to reduce stress among women with breast cancer.


Assuntos
Neoplasias da Mama , Adaptação Psicológica , Treinamento Autógeno , Neoplasias da Mama/terapia , Feminino , Humanos , Resolução de Problemas , Estresse Psicológico
10.
Front Public Health ; 9: 704577, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34490186

RESUMO

Objectives: To compare COVID-19-induced stress and coping in families with and without children diagnosed with developmental disorders or chronic conditions. Methods: In this mixed-method design study, an online survey collected information on parental stress levels before and during COVID-19, sources of stress, and coping strategies using open-ended questions. Qualitative answers were categorized thematically. Multiple linear regression models were built for the association between changes in stress levels (during-before COVID-19) and sources of stress for parents of children of both groups. Results: Answers of 1,827 parents were analyzed; of these, 186 (9.75%) had children with diagnosed problems. Changes in stress levels during vs. before COVID-19 were associated with the age of the parent, changes in working conditions, a total number of stressors, and distance learning of children. Stronger associations were found for parents of children with diagnoses. For example, for distance learning, the standardized beta (ß) was 0.68 (95% confidence interval 0.37; 1.00) for parents of children without problems and ß = 0.73 (0.43; 1.03) for those with problematic children. Conclusions: Parents of children with developmental disorders need specific attention in a pandemic.


Assuntos
COVID-19 , Pandemias , Adaptação Psicológica , Criança , Deficiências do Desenvolvimento/epidemiologia , Humanos , SARS-CoV-2
11.
Ann Palliat Med ; 10(8): 9215-9222, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34488407

RESUMO

BACKGROUND: The incidence of inflammatory bowel disease (IBD) increases annually, and IBD patients may experience various psychological symptoms. People with higher levels of psychological resilience tend to cope with negative events in a positive way. So here we explored the correlation of mindfulness level, psychological resilience, and general well-being in patients with inflammatory bowel disease (IBD), and the mediating effect of psychological resilience on mindfulness level and happiness in IBD. METHODS: Five Facet Mindfulness Questionnaire (FFMQ), Connor-Davidson Resilience Scale (CD-RICS), and General Well-Being Schedule (GWB) were used for investigation among the randomly selected IBD patients. Pearson correlation analysis and the structural equation model by Amos 24.0 were applied to explore the relationship between mindfulness level, psychological resilience, and general well-being. The mediating effect of psychological resilience was detected by bootstrap method. RESULTS: A total of 159 of the 184 distributed questionnaires were recovered (recovery rate 73.3%), and 135 of them were used for subsequent investigations. In IBD patients, the score of mindfulness level, psychological resilience, and general well-being were (119.95±8.64), (58.37±19.32), and (73.59±13.88), respectively. Both male and female score were lower than ordinary model (52.7% and 42.9%, respectively). Pearson results displayed that mindfulness level (r=0.312-0.390, P<0.01) and overall well-being (r=0.490-0.590, P<0.01) were positively related to psychological resilience and its 3 dimensions, respectively. Similarly, mindfulness level was positively correlated with overall well-being (r=0.391, P<0.01). Mediating effect of psychological resilience between mindfulness level and overall well-being was 0.232 (P=0.001). The 95% confidence interval (95% CI) of psychological resilience as mediating effect (59.3% of total) was (0.138 to 0.332). CONCLUSIONS: We concluded that psychological resilience in IBD patients has a partially mediating effect between mindfulness level and overall well-being.


Assuntos
Doenças Inflamatórias Intestinais , Atenção Plena , Resiliência Psicológica , Adaptação Psicológica , Feminino , Humanos , Masculino , Inquéritos e Questionários
12.
An. psicol ; 37(2): 233-242, mayo-sept. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-202547

RESUMO

The study of happiness and well-being is receiving increased attention in different fields. Recent research into well-being has focused on delving deeper into the individual's conception about the experience of well-being. McMahan and Estes (2011a) created a scale that assesses lay conceptions of well-being based on four dimensions: the experience of pleasure, avoidance of negative experience, self-development and contribution to others. The goal of this study was to adapt this scale, the Beliefs about Well-Being Scale (BWBS), to the Spanish population. The sample consisted of 1,024 participants from the general population ranging in age interval from 17 to 87 years old. The confirmatory factorial analysis results in a structure of four dimensions, similar to the original scale, although in the adaptation of the scale the items decrease from 16 to 12. The results of the reliability analysis reveal indexes similar to those of the original scale. These results confirm the validity of Beliefs about Well-Being Scale with general population in a cultural context different from the original study. This will allow cross-cultural studies to analyze the influence of culture in the perception of well-being


El estudio de la felicidad y el bienestar está recibiendo cada vez más atención en diferentes campos. Las investigaciones recientes sobre el bienestar se han centrado en profundizar en la concepción del individuo sobre la experiencia del bienestar. McMahan y Estes (2011a) crearon una escala que evalúa las concepciones legas del bienestar en base a cuatro dimensiones: la experiencia de placer, la evitación de la experiencia negativa, el autodesarrollo y la contribución a los demás. El objetivo de este estudio fue adaptar esta escala, Beliefs about Well-Being Scale (BWBS), a la población española. La muestra estuvo formada por 1.024 participantes de la población general con un intervalo de edad entre 17 y 87 años. El análisis factorial confirmatorio da como resultado una estructura de cuatro dimensiones, similar a la escala original, aunque en la adaptación de la escala los ítems disminuyen de 16 a 12. Los resultados del análisis de fiabilidad revelan índices similares a los de la escala original. Estos resultados confirman la validez de la Escala de Creencias sobre el Bienestar con población general en un contexto cultural diferente al del estudio original. Esto permitirá realizar estudios transculturales para analizar la influencia de la cultura en la percepción del bienestar


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Satisfação Pessoal , Cultura , Adaptação Psicológica , Inquéritos e Questionários/normas , Felicidade , Comparação Transcultural , Filosofia , Testes Psicológicos/normas , Fatores Socioeconômicos , Análise Fatorial , Prazer , Espanha
13.
An. psicol ; 37(2): 276-286, mayo-sept. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-202551

RESUMO

The research objective was to establish relationships of association, interdependence and structural prediction between the variables of test anxiety, self-regulation and stress coping strategies. The theoretical framework of reference was the Competence for Studying, Learning and Performing under Stress (CSLPS) model. Participating were 142 students who were preparing for professional examinations to attain a post as public school teacher (primary education), enrolled at academies in Almería (Spain) for this purpose. Previously validated questionnaires were administered for data collection. The study design was linear ex post-facto, with bivariate, inferential analyses of association (ANOVAs and MANOVAs) and of structural prediction. Results showed a negative relationship between test anxiety self-regulation, especially in students with high emotionality, and a negative impact on decision making. Positive relationships were found between test anxiety and strategies for coping with stress. Finally, a positive predictive relationship was verified between self-regulation and coping strategies, while associative and inferential analyses highlighted the role of goals as determining factors in strategies used for coping with stress, especially strategies that focuson problem solving. Results are discussed and implications for improving these processes in professional examination candidates are established


El objetivo de la investigación fue establecer relaciones de asociación, interdependencia y predicción estructural entre las variables ansiedad evaluativa, authorregulación y estrategias de afrontamiento del estrés. El marco teórico de referencia fue el modelo de la competencia de Studying, Learning, and Performing under Stress (SLPS). Participaron 142 estudiantes, que se estaban preparando en academias de Almería (España) para obtener plaza como maestros en centros públicos. Para la recogida de datos se administraron cuestionarios escritos previamente validados. El diseño fue ex post-facto lineal, con análisis de asociación bivariada, inferenciales (ANOVAs y MANOVAs) y de predicción estructural. Los resultados mostraron una relación negativa entre la ansiedad evaluativa y la autorregulación, especialmente en los estudiantes con alta emocionalidad, con un impacto negativo para la toma de decisiones. También se encontraron relaciones positivas entre la ansiedad evaluativa y las estrategias de afrontamiento del estrés. Por último, se constató la relación de predicción positiva entre la autorregulación y las estrategias de afrontamiento, a la vez que los análisis asociativos e inferenciales destacaron el papel de las metas como determinantes de las estrategias usadas para afrontar el estrés, especialmente, las referidas a la focalización en la resolución de problemas. Se discuten los resultados y se establecen implicaciones para las mejoras de estos procesos en los estudiantes opositores


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Ansiedade de Desempenho/psicologia , Autocontrole/psicologia , Adaptação Psicológica , Professores Escolares/psicologia , Estresse Psicológico/psicologia , Escala de Ansiedade Frente a Teste , Inquéritos e Questionários , Valores de Referência , Aprendizagem
14.
Epilepsy Behav ; 122: 108224, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34352665

RESUMO

OBJECTIVES: To gain a better understanding of parental support needs by assessing parental individual psychological factors as mediating factors between child behavior difficulties and parental perceived stress and family impact of severe childhood epilepsy. METHODS: One-hundred and sixty two parents of children with severe epilepsy were enrolled in the survey during the hospitalization of their child at the Danish Epilepsy Center. Questionnaires targeted the impact on the family, coping style responses, sense of control, and the level of parental perceived stress. RESULTS: Serial mediation models demonstrated a mediating effect of self-control and emotional coping (EMCOP) response between child behavioral difficulties and both parental stress (F(4, 127) = 56.371, p < 0.001, R2 = 0.64) and family impact (F(3, 134) = 32.202, p < 0.001, R2 = 0.42). Low level of control was associated with a higher level of EMCOP response, and a high EMCOP response was associated with greater perceived stress and family impact. Social support ceased to be a protective factor for parental stress in the presence of decreased self-control and higher levels of EMCOP response. CONCLUSION: Individual caregiver psychological factors influence the degree to which sequelae of epilepsy impact family life and perceived stress in parents. Coping interventions should direct awareness toward the life-control aspect, coping response styles, and illness-specific factors to ensure that appropriate support is provided. Maintaining parental resources is essential, and the parents' capacities to handle the child's behavioral difficulties should be considered.


Assuntos
Epilepsia , Autocontrole , Adaptação Psicológica , Cuidadores , Criança , Comportamento Infantil , Humanos , Análise de Mediação , Pais , Estresse Psicológico/etiologia
15.
Artigo em Inglês | MEDLINE | ID: mdl-34444193

RESUMO

Medical training is intensive and predisposes students to psychological distress and burnout. Unaddressed burnout in medical training may persist in the internship phase and impact the quality of patient care. While some associations have been established, the link between some individual factors and training characteristics with distress and burnout in medical training remained unclear. In this study, we aim to examine the prevalence of psychological distress and burnout, and its association with gender, training phase, funding status, cumulative grade points average (CGPA), and coping strategies among medical students. The study applied a multicenter cross-sectional study design and convenience sampling on medical students from two medical schools from Malaysia and India. We used a self-reporting instrument that includes demographic details, the 12-item General Health Questionnaire (GHQ), the Copenhagen Burnout Inventory (CBI), and the Brief Coping Orientation to Problems Experienced (Brief COPE). A total of 748 medical students participated in the study. The prevalence of psychological distress, personal-related, work-related, and patient-related burnout were 33.0%, 56.1%, 35.0%, and 26.2%, respectively. Being male, clinical year, self-funded, and having a CGPA of more than 3.50 predicted psychological distress and burnout with mixed results. Maladaptive coping mechanisms consistently predicted the risk of psychological distress and burnout by more than two times. The findings indicate that primary and secondary mental health interventions have a role in medical training. A systematic intervention should incorporate coping skills training alongside institutional-targeted intervention.


Assuntos
Esgotamento Profissional , Angústia Psicológica , Estudantes de Medicina , Adaptação Psicológica , Esgotamento Profissional/epidemiologia , Esgotamento Psicológico/epidemiologia , Estudos Transversais , Humanos , Masculino , Prevalência , Estresse Psicológico/epidemiologia , Inquéritos e Questionários
16.
BMJ Open ; 11(8): e049041, 2021 08 17.
Artigo em Inglês | MEDLINE | ID: mdl-34404710

RESUMO

BACKGROUND: Multiple sclerosis (MS) is estimated to affect 2.8 million people worldwide, with increasing prevalence in all world regions (Walton et al). While there is no cure for MS, medication and lifestyle modifications can slow disease progression and enhance patients' quality of life. The biopsychosocial model of health recognises important interactions among biological, psychological and social factors in illness, including those relating to illness management, which contribute to the experience of those diagnosed with MS. OBJECTIVE: This qualitative, idiographic study aimed to explore the lived experiences of patients in the United Arab Emirates (UAE) diagnosed with S. METHODS: Semistructured interviews were conducted with a purposive sample of eight patients with MS ranging in age from 25 to 56 years. All participants were residing in the UAE at the time of data collection. Interpretative phenomenological analysis was used to analyse the data. RESULTS: Three superordinate themes were identified from patients' candid accounts of their lives with MS, highlighting issues of illness management, acceptance and gratitude, and adaptive coping. These themes broadly illustrate biological, psychological and social aspects of patients' MS experiences. CONCLUSION: The study emphasised the importance of adopting the biopsychosocial model to treat and manage MS. Additionally, it highlights the need for routine assessment and early, multidimensional approach with multidisciplinary team efforts to improve patients' quality of life.


Assuntos
Esclerose Múltipla , Adaptação Psicológica , Adulto , Humanos , Estilo de Vida , Pessoa de Meia-Idade , Pesquisa Qualitativa , Qualidade de Vida
17.
Psychiatr Pol ; 55(3): 511-523, 2021 Jun 30.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-34460878

RESUMO

OBJECTIVES: Assessment of mental state of patients with T1DM - the level of anxiety, stress and general mental health in the stressful conditions of an epidemic. Moreover, it was checked whether the stress response to the epidemic in the T1DM group differed from that in the control group. This is the first study to address these questions in the type 1 diabetes population in Poland. METHODS: An e-mail was sent to all T1DM patients under the care of a diabetes clinic with information about the possibility of online consultation with a psychologist / psychiatrist, with a set of psychological tests attached. The study included 49 patients with T1DM who responded within the first month and agreed to participate in the study. 38 people from the control group were randomly recruited. Each person completed a set of psychological tools. RESULTS: In both groups, the level of stress was higher than typical for the general population in the situation without stressor. T1DM patients who have been ill for over 10 years more often cope with stress through a task-oriented approach. Patients who have been ill for less than 10 years use avoidance strategies. In the first phase of the epidemic,women with T1DM used avoidance strategies. Patients with diabetes and mental disorders react more anxiously and thus require special care in coping with diabetes. CONCLUSIONS: In a situation of stress such as a epidemic, patients suffering from T1DM require optimization of treatment and cooperation of specialists in the field of diabetes and psychology / psychiatry.


Assuntos
Ansiedade/psicologia , COVID-19/psicologia , Diabetes Mellitus Tipo 1/psicologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Adaptação Psicológica , Adulto , Ansiedade/epidemiologia , COVID-19/epidemiologia , Estudos de Casos e Controles , Diabetes Mellitus Tipo 1/epidemiologia , Feminino , Humanos , Masculino , Saúde Mental/estatística & dados numéricos , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
18.
BMJ Open ; 11(8): e049829, 2021 08 04.
Artigo em Inglês | MEDLINE | ID: mdl-34348954

RESUMO

OBJECTIVES: As awareness of bipolar disorder (BD) increases and the world experiences a rapid ageing of the population, the number of people living with BD in later life is expected to rise substantially. There is no current evidence base for the effectiveness of psychological interventions for older adults with BD. This focus group study explored a number of topics to inform the development and delivery of a recovery-focused therapy (RfT) for older adults with BD. DESIGN: A qualitative focus group study. SETTING: Three focus groups were conducted at a university in the North West of England. PARTICIPANTS: Eight people took part in the focus groups; six older adults with BD, one carer and one friend. RESULTS: Participant's responses clustered into six themes: (1) health-related and age-related changes in later life, (2) the experience of BD in later life, (3) managing and coping with BD in later life, (4) recovery in later life, (5) seeking helping in the future and (6) adapting RfT for older people. CONCLUSIONS: Participants reported a range of health-related and age-related changes and strategies to manage their BD. Participants held mixed views about using the term 'recovery' in later life. Participants were in agreement that certain adaptations were needed for delivering RfT for older adults, based on their experience of living with BD in later life. The data collected as part of the focus groups have led to a number of recommendations for delivering RfT for older adults with BD in a randomised controlled trial (Clinical Trial Registration: ISRCTN13875321).


Assuntos
Transtorno Bipolar , Adaptação Psicológica , Idoso , Transtorno Bipolar/terapia , Cuidadores , Grupos Focais , Humanos , Pesquisa Qualitativa
19.
Rev Bras Enferm ; 74(5): e20190628, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34406305

RESUMO

OBJECTIVES: to identify the current state of knowledge on compassion fatigue in the work context of healthcare professionals; and how coping strategies are established in this scenario. METHOD: a scoping review with search applied to the databases: MEDLINE, LILACS, CINAHL, Scopus. Temporal limit: 2009 to 2019. The data was analyzed and synthesized in narrative form. RESULTS: thirty articles were selected, synthesized into two categories: a) Health work and compassion fatigue: conceptual analysis, context, and manifestations; b) Coping strategies for compassion fatigue. CONCLUSIONS: this study presented: a descriptive and general panorama about compassion fatigue in healthcare professionals, identifying a greater consolidation of the concept between 2015 and 2018; and some coping strategies. The association between health and spirituality is highlighted as one of the strategies in this scenario, enabling new research to be conducted in view of the importance of the theme in life, health work.


Assuntos
Esgotamento Profissional , Fadiga por Compaixão , Adaptação Psicológica , Empatia , Pessoal de Saúde , Humanos , Local de Trabalho
20.
Rev Esc Enferm USP ; 55: e03763, 2021.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34346968

RESUMO

OBJECTIVE: To understand the meanings and perspectives attributed by men to the period lived in the Covid-19 pandemic. METHOD: Qualitative study structured on the concepts of phenomenology, based on Heidegger's ontic interpretation, carried out with 400 men residing in Brazil. Data was produced through a form made available online. The responses were processed in the NVIVO12 software and analyzed according to the Discourse of the Collective Subject. RESULTS: Two units of analytical meanings revealed in discourse-synthesis emerged. These units were supported by central ideas and ordered in five subunits that represent the collectivity of the investigated phenomenon. The units are: Being and being-in-the-world in the context of the pandemic - experiencing its possibilities and The vigor of the past and the present are presented as possibilities for a new future in the face of the pandemic. CONCLUSION: The meanings and perspectives revealed a being-there in the context of the pandemic based on themselves, with changes in the routine and feelings and willingness to new possibilities and transformations, which generated psychosocial impact and coping and care strategies in the period of the pandemic. As implications, it is necessary to have a new understanding of the man-being, as they demonstrate the need for care, and for a care that goes beyond physical health.


Assuntos
COVID-19 , Pandemias , Adaptação Psicológica , Brasil , Humanos , Masculino , SARS-CoV-2
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