Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.187
Filtrar
1.
J Affect Disord ; 320: 57-64, 2023 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-36183815

RESUMO

BACKGROUND: Parents play a critical role in adolescents' psychological adjustment, especially in stress response. Few studies have investigated parental impact on adolescents' psychological adjustment in the pandemic. The longitudinal study examined how parental psychosocial factors at the surging period of the pandemic (T1) in China predicted adolescents' anxiety and depression concurrently and at the remission periods three (T2) and six months (T3) later. METHODS: Middle and high school students and their parents from three schools in Shanghai, China, completed online surveys on March 10, 2020 (T1), June 16, 2020 (T2), and Sep 25, 2020 (T3). Adolescents' anxiety/depression levels were assessed by matching self- and parent-reports at T1, T2, T3, and parents reported their psychological state (emotion and psychopathology), pandemic response (appraisal and coping), and perceived social support (PSS) at T1. RESULTS: Parental positive/negative emotions, anxiety, depression, control-appraisal, forward- and trauma-focus coping style and PSS were all significantly related to their children's anxiety/depression at T1. All factors, except coping style, predicted adolescents' anxiety/depression at T2 and T3, even after controlling for T1 adjustment levels. Parental positive emotion and depression had the strongest impact on adolescents' adjustment. LIMITATIONS: Some participants didn't complete the surveys at later time points, and the participants were only recruited in Shanghai. CONCLUSIONS: The study found that parents' psychosocial factors played a pivotal role on adolescents' psychological adjustment during COVID-19, highlighting the need to provide help to parents who were suffering from potential psychological distress.


Assuntos
COVID-19 , Ajustamento Emocional , Humanos , Adolescente , Criança , Relações Pais-Filho , Estudos Longitudinais , China/epidemiologia , Pais/psicologia
2.
BMC Oral Health ; 22(1): 533, 2022 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-36424616

RESUMO

BACKGROUND: Patients with ocular loss tend to have physical and psychosocial difficulties. Maxillofacial prosthetic specialists involved in the treatment should be trained with competence to manage psychological complications. However, due to the multifactorial origin of the psychosocial distress, designing such training activities can be challenging. This research aimed to construct a conceptual framework illustrating the effects of ocular loss on patients' physical and psychosocial well-being and their coping strategies, to propose the learning content of training sessions. METHODS: A semi-structured interview and a topic guide were employed to explore the perceptions from patients who were receiving their first custom ocular prosthesis, fabricated by maxillofacial prosthodontists. The participants were selected using a purposeful sampling up until data saturation. The data were analyzed using framework analysis. RESULTS: Twelve patients participated in this research. Four main themes emerged from the data analysis: (1) Impact of ocular loss, (2) Factors influencing psychosocial distress, (3) Psychological adjustment, and (4) Expected treatment outcomes. Each theme appeared to have influence on the other, rather than presenting itself independently. Although patients with ocular loss experienced both physical and psychosocial difficulties, psychological distress was greatly influenced by self-perceived disfigurement, etiology, and social status. Therefore, they needed to develop their coping strategies including rehabilitation with ocular prosthesis. CONCLUSION: Various forms of psychological adjustments were necessary in these patients with ocular loss to resume their daily lives. The specialist involved in the treatment should also partake in patients' psychological adjustment and should be competent in psychological management skills, such as supporting patients to meet their expectations.


Assuntos
Adaptação Psicológica , Ajustamento Emocional , Humanos , Aprendizagem , Cultura , Odontólogos
3.
Tokai J Exp Clin Med ; 47(3): 115-124, 2022 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-36073282

RESUMO

OBJECTIVES: The aim of the present study was to longitudinally evaluate job stress and burnout before and after the third wave of in Japan and identify transitional changes in the mental health status of a cohort of employees at a coronavirus disease 2019 (COVID-19)-dedicated hospital. METHODS: The same surveys were conducted in October 2020 and March 2021. 151 subjects who responded to both surveys were included. The Maslach Burnout Inventory-General Survey was used to evaluate burnout. Multiple logistic regression analyses were performed to determine odds ratios for factors associated with burnout using a non-burnout group as a reference. RESULTS: In the cohort, 31.1% of employees showed dropout intention and 13.2% of employees were experiencing burnout in March 2021. Hospital workers were more motivated by a sense of contribution and accomplishment, which could balance increased exhaustion in March 2021. The following factors associated with burnout remained to be solved: self-quarantine, unfavorable patient prognosis, poor communication of information, lack of sleep in comparison to the pre-COVID-19 period, and desire for good communication of information. CONCLUSION: It is important to continuously evaluate the mental health status of employees and to provide targeted prevention and intervention in order to mitigate psychological distress and avoid burnout and resignation.


Assuntos
Esgotamento Profissional , COVID-19 , Estresse Ocupacional , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , COVID-19/epidemiologia , Ajustamento Emocional , Hospitais , Humanos , Japão/epidemiologia , Estresse Ocupacional/epidemiologia , Pandemias
4.
Artigo em Inglês | MEDLINE | ID: mdl-35954645

RESUMO

Previous research has established a strong relationship between family system functioning and child adjustment outcomes. However, within the context of Gaza, an evaluation of both maternal and paternal factors associated with adolescent psychological adjustment has not yet been thoroughly evaluated. The current study examines how maternal and paternal trauma exposure, emotional security, and mental health are related to parent-reported scores of adolescent psychological adjustment, while controlling for adolescent trauma exposure and security in the family. The sample included N = 68 family units living in the Gaza Strip, with two parents and one adolescent surveyed within each unit (adolescent Mage = 14.03 years). The regression model examining maternal factors was significant overall (F = 7.44, R2 = 42.70%, p < 0.001), with increased maternal depression associated with greater adolescent adjustment difficulties (ß = 0.31, p = 0.011) and greater maternal emotional security in the family associated with fewer adolescent adjustment difficulties (ß = -0.36, p = 0.004). The regression model examining paternal factors was also significant (F = 4.57, R2 = 31.00%, p < 0.001), with increased paternal trauma exposure associated with greater adolescent adjustment difficulties (ß = 0.32, p = 0.012). Understanding family-level factors associated with adolescent adjustment is an important step in conceptualizing the mental health needs of conflict-affected youth within the context of Gaza and more broadly.


Assuntos
Ajustamento Emocional , Saúde Mental , Adolescente , Árabes , Criança , Pai/psicologia , Humanos , Masculino , Oriente Médio/epidemiologia
5.
Artigo em Inglês | MEDLINE | ID: mdl-35954901

RESUMO

The present meta-analysis investigated the overall and differential efficacy of digital cognitive-behavioral therapies (CBTs) vs. third-generation CBTs deployed to pregnant women in reducing sub-clinical depression, anxiety, and stress symptoms while fostering sleep quality and quality of life. A PRISMA-guided systematic search was used, including randomized controlled trials (RCTs) evaluating the above-mentioned interventions. Data were pooled using either the mean difference (MD) or standardized MD (SMD). Sub-group analyses were carried out when appropriate. The primary outcomes were depression, anxiety, and stress symptoms, as well as sleep quality and quality of life. The interventions' acceptability was evaluated through the odds ratio (OR) of drop-out rates. Seven RCTs were included, comprising 1873 pregnant women. The results showed the interventions' efficacy in terms of reducing depression symptoms (SMD = -0.36, CI = 0.61, -0.11, k = 9) at the endpoint, although it was not maintained at follow-up during the postpartum period. The interventions' efficacy in terms of reducing anxiety symptoms (SMD = 1.96, CI = -2.72, -1.21, k = 3) at the endpoint was also significant, while having no effect on sleep quality. The interventions were well accepted (OR = 1.68; 95% CI = 0.84, 3.35; k = 7). Although no sound conclusions can be drawn concerning the joint or differential efficacy of the considered interventions, this study was useful in highlighting the need to develop evidence-based digital prevention programs for pregnant women with sub-clinical symptoms.


Assuntos
Terapia Cognitivo-Comportamental , Ajustamento Emocional , Cognição , Terapia Cognitivo-Comportamental/métodos , Depressão/diagnóstico , Depressão/terapia , Feminino , Humanos , Gravidez , Gestantes , Qualidade do Sono
6.
BMC Cardiovasc Disord ; 22(1): 369, 2022 08 10.
Artigo em Inglês | MEDLINE | ID: mdl-35948889

RESUMO

BACKGROUND: Sudden cardiac arrest (SCA) survivorship results in unique issues in return to physical and psychological function. The purpose of the study was to compare recovery across the first year between SCA survivors and other arrhythmia patients who received a first-time implantable cardioverter defibrillator (ICD) for secondary prevention, participating in a social cognitive theory (SCT) intervention. METHODS: 168 (129 males, 39 females) who received an ICD for secondary prevention (SCA N = 65; other arrhythmia N = 103) were randomized to one of two study conditions: SCT intervention (N = 85) or usual care (N = 83). Outcomes were measured at baseline hospital discharge, 1, 3, 6, & 12 months: (1) Physical Function: Patient Concerns Assessment (PCA), SF-36 (PCS); (2) Psychological Adjustment: State Trait Anxiety (STAI), CES-D depression, SF-36 (MCS); (3) Self-Efficacy: Self-Efficacy (SCA-SE), Self-management Behaviors (SMB), Outcome Expectations (OE). Outcomes were compared over 12 months for intervention condition x ICD indication using general estimating equations. RESULTS: Participants were Caucasian (89%), mean age 63.95 ± 12.3 years, EF% 33.95 ± 13.9, BMI 28.19 ± 6.2, and Charlson Index 4.27 ± 2.3. Physical symptoms (PCA) were higher over time for SCA survivors compared to the other arrhythmia group (p = 0.04), ICD shocks were lower in SCA survivors in the SCT intervention (p = 0.01); psychological adjustment (MCS) was significantly lower in SCA survivors in the SCT intervention over 6 months, which improved at 12 months (p = 0.05); outcome expectations (OE) were significantly lower for SCA survivors in the SCT intervention (p = 0.008). CONCLUSIONS: SCA survivors had greater number of physical symptoms, lower levels of mental health and outcome expectations over 12 months despite participation in a SCT intervention. Trial registration Clinicaltrials.gov: NCT04462887.


Assuntos
Desfibriladores Implantáveis , Parada Cardíaca , Idoso , Morte Súbita Cardíaca/etiologia , Morte Súbita Cardíaca/prevenção & controle , Ajustamento Emocional , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Teoria Psicológica , Autoeficácia
7.
MedUNAB ; 25(2): 176-192, 2022/08/01.
Artigo em Espanhol | LILACS | ID: biblio-1395970

RESUMO

Introducción. Los modelos salutogénico y biopsicosocial fomentan la promoción del bienestar. Estudios reconocen que favorece los hábitos de estudio. Ante la pandemia por COVID-19, los cambios llevaron a investigar si el bienestar influye en el afrontamiento, los hábitos de estudio y el uso de las Tecnologías de la Información y la Comunicación (TIC) en estudiantes universitarios durante la pandemia por COVID-19. Metodología. Se realizó una investigación cuantitativa, correlacional y transversal con estudiantes de pregrado de diferentes niveles socioeconómicos, de dos instituciones privadas de Bogotá, Colombia. Los datos se analizaron a través del enfoque de mínimos cuadrados parciales del modelo de ecuaciones estructurales. Resultados. Participaron 212 estudiantes cuyas edades estaban entre 18 y 30 años (M=22.74 y DE= 5.55). Se cumplió el modelo con una Raíz Cuadrada Media Estandarizada de 0.079. Los coeficientes de ruta ß y el estadístico t evidenciaron relaciones positivas y significativas entre el bienestar psicológico y el afrontamiento adecuado (ß=0.50, t=6.75, P=0.000), los hábitos de estudio (ß= 0.49, t=5.49, P=0.000) y el uso de las TIC (ß=0.29, t=2.70, P=0.007), y negativas con el afrontamiento inadecuado (ß=-0.35, t=4.28, P=0.000). También entre el bienestar subjetivo y el afrontamiento inadecuado (ß=-0.23, t=2.76, P=0.006) y los hábitos de estudio (ß=-0.21, t=2.09, P=0.037). Discusión. Se validan hallazgos de otras investigaciones sobre la influencia del bienestar para favorecer la salud mental. Conclusiones. Se evidenciaron relaciones positivas y significativas entre el bienestar y el afrontamiento adecuado, los hábitos de estudio y el uso de las TIC, y negativas con el afrontamiento inadecuado.


Introduction. Salutogenic and biopsychosocial models encourage promoting wellbeing. Studies recognize that they favor study habits. In light of the COVID-19 pandemic, changes led to researching if wellbeing influenced coping, study habits and the use of Information and Communications Technology (ICT) in university students during the COVID-19 pandemic. Methodology. A quantitative, correlational and cross-sectional study was carried out with undergraduate students of different socioeconomic levels from two private institutions in Bogotá, Colombia. The data was analyzed through the partial least squares approach of structural equations modeling. Results. 212 students participated, whose ages were between 18 and 30 (A=22.74 and SD= 5.55). The model yielded a Standardized Root Mean Squared of 0.079. Path coefficient ß and statistical coefficient t demonstrated positive and significant relations between psychological wellbeing and proper coping (ß=0.50, t=6.75, P=0.000), study habits (ß= 0.49, t=5.49, P=0.000) and the use of ICT (ß=0.29, t=2.70, P=0.007), and negative relations to improper coping (ß=-0.35, t=4.28, P=0.000). The same applies to the relationship between subjective wellbeing and improper coping (ß=-0.23, t=2.76, P=0.006) and study habits (ß=-0.21, t=2.09, P=0.037). Discussion. The findings of other research on the influence of wellbeing on favoring mental health were validated. Conclusions. Positive and significant relationships were demonstrated between wellbeing and proper coping, study habits and the use of ICT, and negative relationships were observed with improper coping.


Introdução. Os modelos salutogênico e biopsicossocial estimulam a promoção do bem-estar. Estudos reconhecem que favorece hábitos de estudo. Diante da pandemia da COVID-19, as mudanças levaram a pesquisar se o bem-estar influencia no enfrentamento, nos hábitos de estudo e no uso das Tecnologías da Informação e Comunicação (TIC) em estudantes universitários durante a pandemia da COVID-19. Metodologia. Uma pesquisa quantitativa, correlacional e transversal foi realizada com estudantes de graduação de diferentes níveis socioeconômicos, de duas instituições privadas de Bogotá, Colômbia. Os dados foram analisados por meio da abordagem dos mínimos quadrados parciais do modelo de equações estruturais. Resultados. Participaram 212 alunos com idades entre 18 e 30 anos (M=22.74 e DP= 5.55). O modelo foi preenchido com uma Raiz Quadrada Média Padronizada de 0.079. Os coeficientes de caminho ß e a estatística t mostraram relações positivas e significativas entre bem-estar psicológico e enfrentamento adequado (ß=0.50; t=6.75; P=0.000), hábitos de estudo (ß= 0.49; t=5.49; P=0.000) e o uso de TIC (ß=0.29; t=2.70; P=0.007) e negativo com enfrentamento inadequado (ß=-0.35; t=4.28; P=0.000). Também entre bem-estar subjetivo e enfrentamento inadequado (ß=-0.23; t=2.76; P=0.006) e hábitos de estudo (ß= -0.21; t=2.09; P=0.037). Discussão. Os resultados de outras pesquisas sobre a influencia do bem-estar na promoção da saúde mental são validados. Conclusões. Foram encontradas relações positivas e significativas entre bem-estar e enfrentamento adequado, hábitos de estudo e uso das TICs e relações negativas com enfrentamento inadequado.


Assuntos
Saúde Mental , Adaptação Psicológica , Educação , Ajustamento Emocional , COVID-19
8.
Reprod Biomed Online ; 45(5): 1046-1053, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-35953415

RESUMO

RESEARCH QUESTION: Is there a relationship between disclosure and psychological adjustment in heterosexual-couple families following oocyte donation and sperm donation when the child is 7 years old? DESIGN: This was a cross-sectional study of heterosexual couples with 7- to 8-year-old children conceived with identity-release oocyte donation (n = 83, response rate 56%) or sperm donation (n = 113, response rate 65%). Participants individually completed instruments for the assessment of parents' emotional distress (HADS), parenting stress (SPSQ) and relationship quality (ENRICH), and their child's psychological adjustment (SDQ-Swe) and reported whether they had talked with their child about their donor conception. RESULTS: About half of parents had talked with their child about their donor conception (oocyte donation 61%, sperm donation 58%). Separate analyses for mothers and fathers showed no main effects of disclosure or type of donation on the outcomes, nor were there any interaction effects. Overall, mothers and fathers in oocyte donation and sperm donation families were found to be well adjusted, reporting within-normal range levels of anxiety, depression and parental stress, and a high relationship quality. The children were well adjusted, with low levels of emotional and behavioural problems. CONCLUSIONS: Overall, the present results confirm previous research indicating that early disclosure of the donor conception to children is not associated with negative outcomes for parents or children. Heterosexual couples using oocyte or sperm donation should be informed that disclosure when the child is 7-8 years old is not detrimental to the psychological adjustment of families.


Assuntos
Ajustamento Emocional , Heterossexualidade , Masculino , Animais , Estudos Transversais , Sêmen , Doação de Oócitos/psicologia , Doadores de Tecidos/psicologia , Revelação , Espermatozoides , Oócitos
9.
J Affect Disord ; 314: 249-252, 2022 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-35878835

RESUMO

BACKGROUND: A strong link between childhood maltreatment (CM) and borderline personality features (BPF) has been consistently demonstrated. However, little is known about the role of psychological adjustment (PA) as a mediator of this relationship. The purpose of the study was to explore the mediating role of PA in the CM-BPF linkage in a large sample of early adolescents. METHODS: A total of 5724 students (mean age = 13.5, SD = 1.0) were recruited from three middle schools by using the multistage random cluster sampling method in Anhui Province, China. Participants were required to complete self-report questionnaires regarding CM experience, self-perceived PA and BPF. Mediation analyses were computed via structural equation modelling. RESULTS: CM victimization was positively associated with BPF, and individuals with lower levels of PA were more likely to present with BPF. Mediation analysis showed a significant indirect effect of CM on BPF via PA (effect = 0.047, 95 % CI: 0.035, 0.058). LIMITATION: The cross-sectional design of this study did not allow testing causality. The retrospective investigation of CM history could cause recall bias. CONCLUSIONS: PA partially mediates the relationship between CM and BPF. These findings have important implications for considering PA as a protective factor in this relationship.


Assuntos
Transtorno da Personalidade Borderline , Maus-Tratos Infantis , Adolescente , Transtorno da Personalidade Borderline/psicologia , Criança , Maus-Tratos Infantis/psicologia , Estudos Transversais , Ajustamento Emocional , Humanos , Estudos Retrospectivos
10.
Acta Psychol (Amst) ; 229: 103673, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35907269

RESUMO

Parenting self-efficacy has been tied to myriad child outcomes during middle childhood and adolescence, directly and indirectly through parenting practices. The present study examines contemporaneous associations between parenting self-efficacy, parenting practices, and child outcomes during the preschool years in a community sample of 1455 Danish parents (76.7 % mothers) of 3-5-year-old children (49 % girls). Parents (M = 39.2 years old) completed a survey describing parenting self-efficacy and three facets of parenting practices: inductive reasoning, psychological control, and instrumental reward. Parents also described child adjustment in four domains: prosocial behavior, hyperactivity, conduct problems, and emotional problems. Results revealed direct concurrent associations between parenting self-efficacy and each child outcome, with greater efficacy tied to more prosocial behavior and less hyperactivity, conduct problems, and emotional problems. Parent psychological control mediated associations from parenting self-efficacy to child hyperactivity, conduct problems, and emotional problems. Inductive reasoning mediated associations from parenting self-efficacy to child prosocial behavior. Consistent with previous findings from older children, parental use of psychological control had debilitating consequences for preschool children. Inductive reasoning, in contrast, appeared to promote positive development.


Assuntos
Poder Familiar , Autoeficácia , Adolescente , Adulto , Criança , Comportamento Infantil , Pré-Escolar , Ajustamento Emocional , Feminino , Humanos , Masculino , Relações Pais-Filho
11.
J Phys Act Health ; 19(7): 481-489, 2022 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-35894979

RESUMO

The outbreak of the COVID-19 virus dramatically changed daily life and created many obstacles for adolescents to engage in physical activity (PA). This study tracked rates of self-reported PA and examined its impact on adjustment among adolescents during the first 14 months of the pandemic. Canadian adolescents (N = 1068, 14-18 y, meanage = 16.95 y) reported on their frequency of PA, context of activity, and adjustment across 4 time points (April 2020 to June 2021). In line with our hypothesis, higher average levels of vigorous PA across the pandemic predicted less anxiety and depression and higher self-esteem at our study's end. Vigorous PA also buffered the relationships COVID-19 stress had with anxiety and self-esteem. The results further support recommendations for PA throughout the pandemic and while dealing with lockdown situations.


Assuntos
COVID-19 , Adolescente , Canadá/epidemiologia , Controle de Doenças Transmissíveis , Depressão/epidemiologia , Depressão/psicologia , Ajustamento Emocional , Exercício Físico/psicologia , Humanos , Pandemias/prevenção & controle
12.
Psychol Psychother ; 95(4): 990-1002, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35833498

RESUMO

PURPOSE: Self-compassion is associated with healthy ageing and may be a protection factor of older adults' mental health in face of negative life events and other factors such as insecure attachment. However, fear of self-compassion may constitute an obstacle to promoting self-compassion. The role of self-compassion on the psychological (mal)adjustment of older adults requires further research with robust designs, and fear of self-compassion has not been studied in this population. We will test the moderator and mediator role, respectively, of self-compassion and fear of self-compassion, and we will analyse the longitudinal developmental trajectories of these variables. METHODS: A repeated-measures design with three data collection moments across 6 months, using a sample (180-200 participants) of community residents aged ≥65 years. Data will be collected using traditional (i.e. pencil-and-paper questionnaires) and online (i.e. Google Forms) methods. Path analyses will be conducted to test moderation and mediation models. Latent growth curve analyses will be conducted to study the within-person change and between-person differences in change over time of self-compassion and fear of self-compassion. CONCLUSIONS: We expect that participants with higher self-compassion will show better psychological adjustment, regardless of attachment quality and negative life events. We expect that insecure attachment and more negative life events will increase the participants' fear of self-compassion, which will decrease their psychological adjustment. Additionally, we expect that self-compassion and fear of self-compassion will show stable developmental trajectories during 6 months. Our results will contribute to better understand protection factors of older adults' mental health, which may guide future psychological interventions.


Assuntos
Empatia , Autocompaixão , Humanos , Idoso , Inquéritos e Questionários , Medo/psicologia , Ajustamento Emocional
13.
J Manipulative Physiol Ther ; 45(1): 45-56, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-35753876

RESUMO

OBJECTIVE: The purpose of this study was to identify social and clinical factors associated with levels of functional disability (FD) in older adults with low back pain (LBP) in the city of Manaus, Amazonas, Brazil. METHODS: A cross-sectional study of 557 adults with LBP aged ≥60 years was completed. Sociodemographic and clinical features, pain intensity (Numeric Rating Scale), FD (Roland Morris Disability Questionnaire), physical activity (International Physical Activity Questionnaire-short version), body mass index, educational level, health perception, emotional level, and self-reported diseases were evaluated. Statistical analysis was used to verify the association between quantitative variables and a group; Student t test or Mann-Whitney test, and analysis of variance (normality assumption) or Kruskal-Wallis test (non-parametric), P value of less than .05. RESULTS: There were 81.3% female participants, 54.9% self-reported their race and/or skin color as brown, and 37.8% were sedentary. Pain intensity scores were 6.26 ± 2.19 in female participants and 5.82 ± 1.84 in male participants. Mean FD scores were 11.68 ± 6.08 for female participants and 9.61 ± 5.76 for males participants, although 39.7% of the total group presented with severe disability (score ≥14) and FD was associated with female sex (P = .001), physical activity (P≤ 0.001), body mass index (P≤ .001), emotional level (P < .001), and health perception (P < .001). CONCLUSION: In this group of older adults with LBP, FD was associated with female sex, level of physical activity, body mass index, emotional level, and health perception. Many factors that were identified with FD are modifiable; therefore, interventions, such as nutrition education and re-conceptualization of self-emotional and health perception, may have potential to help in preventing and reducing FD.


Assuntos
Pessoas com Deficiência , Dor Lombar , Idoso , Idoso de 80 Anos ou mais , Índice de Massa Corporal , Brasil , Estudos Transversais , Avaliação da Deficiência , Pessoas com Deficiência/psicologia , Ajustamento Emocional , Exercício Físico , Feminino , Humanos , Dor Lombar/fisiopatologia , Dor Lombar/psicologia , Dor Lombar/terapia , Masculino , Pessoa de Meia-Idade , Fenômenos Fisiológicos da Nutrição , Medição da Dor , Fatores Sexuais , Inquéritos e Questionários
14.
Rev. Costarric. psicol ; 41(1)jun. 2022.
Artigo em Espanhol | LILACS-Express | LILACS, SaludCR | ID: biblio-1387268

RESUMO

Resumen La desregulación emocional es un constructo multidimensional determinado por formas poco adaptativas de responder frente a las emociones. Las personas adultas emergentes (i.e., entre 18 y 25/30 años de edad), particularmente universitarias, son vulnerables a involucrarse en comportamientos riesgosos en contextos emocionales. La Escala de Dificultades en la Regulación Emocional Estado (S-DERS) resulta adecuada para medir dimensiones de desregulación emocional momentánea en esta población; sin embargo, no se conocen estudios confirmatorios de su estructura factorial ni estudios de adaptación al idioma español. El objetivo del presente estudio fue examinar las propiedades psicométricas de la S-DERS. Se evaluaron 178 adultos emergentes universitarios argentinos (18-28 años; 53.9% mujeres; Medad= 22.03; DE ±2.06). Se analizó la estructura y la consistencia interna del modelo original (S-DERS; cuatro factores: aceptación, conciencia, claridad y modulación) y un modelo alternativo (S-DERS-R; 3 factores) sin el factor claridad. Ambos modelos presentaron un ajuste satisfactorio de su estructura factorial y valores aceptables de consistencia interna, a excepción de la subescala claridad. Mayormente, para las subescalas aceptación y modulación y puntajes totales de ambos modelos, se obtuvieron evidencias de validez convergente con dos escalas de desregulación emocional rasgo concurrente con una escala de afecto positivo y negativo y predictiva con una medida de activación emocional. Los resultados muestran propiedades psicométricas adecuadas. S-DERS-R, que prescinde del factor claridad, mejora el ajuste y mantiene valores de consistencia interna aceptables respecto a S-DERS. Se espera que este instrumento sea útil en estudios transversales y longitudinales de la desregulación emocional estado en universitarios.


Abstract: Emotion dysregulation is a multidimensional construct determined by maladaptive ways of responding to emotions. Emerging adults (i.e., aged from 18 to 25/30), particularly college students, are vulnerable to involvement in risky behaviors under emotions. The State Difficulties in Emotion Regulation Scale (S-DERS) became suitable to measure facets of momentary emotion dysregulation in this population; however, there are no confirmatory studies or studies of adaptation to the Spanish language. The aim of this study was to examine psychometric properties of S-DERS. A sample of 178 Argentine emerging college-age adults was evaluated (18-28 years old; 53.9% women; Mage= 22.03; DE ± 2.06). Internal structure and consistency of the original model (i.e., S-DERS; four factors: Nonacceptance, Awareness, Clarity, Modulation) and an alternative model without Clarity (i.e., S-DERS-R; three factors) was analyzed. Both models presented a factor structure with satisfactory fit and acceptable values of internal consistency, with the exception of the Clarity subscale. Mainly to Nonacceptance and Modulation subscales, we observed evidence of convergent validity with two-trait emotion dysregulation scales, concurrent validity with a positive and negative affect scale, and predictive validity with an emotion arousal measure. Results show suitable sychometric properties. The S-DERS-R model (i.e., without Clarity factor) improves the model fit and maintains acceptable internal consistency values with respect to the S-DERS model. This instrument is expected to be useful in cross-sectional and longitudinal studies of state emotion dysregulation in college students.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Análise Fatorial , Ajustamento Emocional , Regulação Emocional , Argentina , Estudantes , Universidades
15.
J Adolesc ; 94(3): 462-476, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35390195

RESUMO

INTRODUCTION: Adolescents with an immigrant background, whether first-generation (born abroad) or second-generation (at least one parent born abroad), face challenges that could compromise their psychological adjustment compared to their third-plus generation peers. Yet, many are developing positively despite the presence of adversity. To understand what contributes to these adolescents' resilience, it can be useful to study the coping strategies they use. METHODS: A total of 1036 Canadian secondary school students participated in this quantitative cross-sectional study (Mage = 12.9; 56% females; 26% first-generation; 34% second generation; 39% third-plus generation). Coping strategies (coping orientation to problems experienced inventory) were assessed and their differentiated associations with self-esteem, anxiety (Screen for Child Anxiety Related Emotional Disorders), and depressive symptoms (Center for Epidemiologic Studies Depression Scale) were analyzed through path analysis and invariance testing. RESULTS: First-generation adolescents reported more acceptance/reinterpretation and substance use than second- and third-plus generation adolescents. First- and second-generation adolescents reported using religion more than third-plus generation adolescents. First-generation adolescents used self-distraction more often than second-generation adolescents, who used it more often than third-plus generation. The use of humor was more prevalent in second-generation adolescents compared with their third-plus generation peers. In addition, some associations between coping strategies and psychological adjustment differed across generations. In first-generation adolescents, behavioral disengagement was significantly associated with fewer anxiety symptoms. The same trend was observed in second-generation adolescents who used self-distraction. These avoidant strategies are generally associated with poor psychological adjustment. CONCLUSIONS: This study adds new knowledge about differences across generations in the coping strategies used by adolescents to deal with stress. Further practical implications are discussed.


Assuntos
Depressão , Ajustamento Emocional , Adaptação Psicológica , Adolescente , Ansiedade/epidemiologia , Ansiedade/psicologia , Canadá/epidemiologia , Criança , Estudos Transversais , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Estresse Psicológico/psicologia
16.
Psychosom Med ; 84(5): 547-559, 2022 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-35412516

RESUMO

OBJECTIVE: Around 30% of people with long-term physical health conditions (LTCs) experience comorbid anxiety and depression. For many, comorbid distress is linked to difficulties adjusting to the challenges of the LTC. The aims of this article are to present a transdiagnostic theoretical model of adjustment to LTCs (TMA-LTC), demonstrate the application of this model in clinical practice, and highlight the distinguishing features of treating LTC-related distress compared with treating primary anxiety and/or depression. METHODS: A systematic review (k = 21) was conducted to collate preexisting evidence-based models of adjustment across LTCs. Models of adjustment for a range of LTCs were extracted and synthesized into a new preliminary TMA-LTC. Two expert consensus meetings were held, where experts rated the relevance and importance of all concepts within the models. RESULTS: The TMA-LTC proposes that acute critical events or ongoing illness stressors can disrupt emotional equilibrium, and that whether a person returns to equilibrium and achieves good psychological adjustment depends on a number of cognitive and behavioral factors, as well as their interpersonal, intrapersonal, environmental, and illness-specific contexts. A case study is presented to demonstrate the clinical application of this model in treating illness-related distress, highlighting how it overcomes roadblocks that may be encountered when working primarily within traditional mental health paradigms. CONCLUSIONS: As an empirically and clinically informed model, TMA-LTC provides a useful guide for assessment, formulation, and treatment in the context of psychological adjustment to LTCs. Future studies are needed to test treatments that have been developed based on TMA-LTC.


Assuntos
Ansiedade , Ajustamento Emocional , Transtornos de Ansiedade , Comorbidade , Humanos , Saúde Mental
17.
J Youth Adolesc ; 51(8): 1511-1535, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35384532

RESUMO

Although acculturation is considered a mutual process, no measure assesses attitudes toward mutual acculturation. Through a novel four-dimensional measurement, this study addresses this research gap by assessing attitudes toward minority and majority acculturation and its relation to psychological adjustment for immigrant-background minority and non-immigrant majority adolescents in public secondary schools in three European countries: in Germany (n = 346, 46% female, Mage = 12.78 years, range 11-16), Greece (n = 439, 56% female, Mage = 12.29 years, range 11-20), and Switzerland (n = 375, 47% female, Mage = 12.67 years, range 11-15). Latent profile analyses led to three distinct acculturation profiles in all three countries: strong and mild mutual integration profiles, where both migrant and majority students are expected to integrate, and a third profile assuming lower responsibility upon the majority. Additionally, those in the strong- and mild-integration profiles reported stronger psychological adjustment than those assuming lower responsibility upon the majority, which held for all students in Switzerland and mostly for those without a migration background in Germany. The findings demonstrate the importance of a mutual acculturation framework for future research. Moreover, as most adolescents fit in with one of the mutual integration patterns, findings stress that no matter their migration background, adolescents favor mutual integration including the expectation on schools to enhance intercultural contact.


Assuntos
Aculturação , Emigrantes e Imigrantes , Adaptação Psicológica , Adolescente , Adulto , Atitude , Criança , Ajustamento Emocional , Feminino , Humanos , Masculino , Adulto Jovem
18.
ESC Heart Fail ; 9(4): 2378-2387, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35439842

RESUMO

AIMS: Implantation of a left ventricular assist device (LVAD) is an established treatment option for patients with advanced heart failure. However, apart from its challenging medical management, it comes with serious psychological implications. Empirical evidence suggests that self-compassion, a self-regulation strategy for countering negative self-directed emotions, might be a promising approach in facilitating psychological adjustment also in LVAD patients. The aims of the present study were to investigate self-compassion as a protective factor for anxiety and depressive symptoms, to test whether taking a decentred perspective mediates these effects, and to explore whether self-compassion predicts the clinically rated functional health status. METHOD AND RESULTS: A sample of N = 45 patients (36 male) with a mean age of 60.5 years (SD = 10.8) from the outpatient department for terminal heart failure at the University Medical Center in Kiel, Germany, participated in the study. Patients completed self-report measures for psychological adjustment (HADS), self-compassion (SCS), and decentring (EQ). Functional health status was determined by the NYHA classification. The more patients were self-compassionate, the less they reported anxiety (r = -0.28) and depressive symptoms (r = -0.34). Decentring mediated both effects. Moreover, self-compassion predicted the functional health status, even when controlling for anxiety (odds ratio [OR] = 0.09) and depressive symptoms (OR = 0.11). CONCLUSIONS: This study provides the first evidence for a significant interrelation between self-compassion and common adverse psychological conditions in LVAD patients. Longitudinal data and the evaluation of interventions to strengthen self-compassion are needed to further validate the beneficial effects of self-compassion in LVAD patients in the future.


Assuntos
Insuficiência Cardíaca , Coração Auxiliar , Ansiedade , Ajustamento Emocional , Insuficiência Cardíaca/etiologia , Insuficiência Cardíaca/terapia , Coração Auxiliar/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Autocompaixão
19.
Pain Res Manag ; 2022: 1066192, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35463626

RESUMO

Objectives: Research has pointed to two profiles of persons with fibromyalgia according to differences in functionality, thus distinguishing between functional and dysfunctional patients. The role of psychological factors underlying such clusters is unclear. This study aims to explore the contribution of pain beliefs and coping on fibromyalgia clustering. Methods: A cluster analysis was performed to classify 238 women with fibromyalgia using the Fibromyalgia Impact Questionnaire and the Beck Depression Inventory as clustering variables. Cluster differences in physical functioning, depression, pain beliefs, coping, and age were then calculated (Student's t-test). Finally, a binary logistic regression was conducted to study the unique contribution of age, beliefs, and coping on cluster classification. Results: Two clusters were revealed. Cluster 1 had a poor adaptation to fibromyalgia regarding physical functioning and depression. They generally embraced less adaptive beliefs (i.e., disability, harm, emotion, and requests) and coping strategies (i.e., guarding, resting, and asking for assistance). Cluster 2 showed a better adaptation to fibromyalgia and adopted more favorable beliefs (i.e., control) and coping strategies (i.e., exercise and task persistence). Cluster differences in age were significant but small. The backward binary logistic regression suggested a final model with six predictors (guarding, task persistence, harm, emotion, solicitude, and age) that explained 31% of the variance of group membership. Discussion. These results suggest that only a subset of psychological variables uniquely and independently contribute to functional/dysfunctional group membership. The results support the need to address psychological components in the management of fibromyalgia and point to a subset of preferred target beliefs and coping strategies.


Assuntos
Fibromialgia , Adaptação Psicológica , Ajustamento Emocional , Feminino , Fibromialgia/psicologia , Humanos , Masculino , Dor , Inquéritos e Questionários
20.
Psicol. conduct ; 30(1): 249-267, abr. 2022. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-204161

RESUMO

En las últimas décadas han aumentado las tasas de depresión y ansiedad en adultos emergentes en comparación con otros grupos de edad. El objetivo del estudio fue examinar la relación entre inteligencia emocional y problemas psicológicos, teniendo en cuenta el rol mediador de los factores emocionales como empatía, autoestima y felicidad. Participaron 399 jóvenes adultos (M= 20,38; DT= 2,46; 76,9% mujeres) que completaron un dosier de evaluación que incluía medidas de inteligencia emocional, empatía, autoestima, felicidad, síntomas emocionales y quejas somáticas. Se estimó un modelo de ecuaciones estructurales (SEM) con análisis de mediación. La inteligencia emocional se asoció positivamente con felicidad, empatía y autoestima y negativamente con ansiedad, depresión, estrés y quejas somáticas. La felicidad fue la variable mediadora más relevante en la relación entre inteligencia emocional y síntomas emocionales. Estos resultados ponen de manifiesto la necesidad de promover el desarrollo de las habilidades emocionales en los adultos emergentes, lo que fomenta un estado de ánimo feliz y una buena salud mental.


In the last decades, the rates of depression and anxiety in emerging adults have increased compared to other age groups. The aim of the study was to examine the relationship between emotional intelligence and psychological problems, considering the mediating role of emotional factors such as empathy, self-esteem and happiness. The participants were 399 young adults (M= 20.38, SD= 2.46, 76.9% women) who completed an assessment dossier that included measures of emotional intelligence, empathy, self-esteem, happiness, emotional symptoms and somatic complaints. A cross-sectional design with self-report data was used and structural equation modeling (SEM) with mediation analysis was performed. Emotional intelligence was positively associated with happiness, empathy and self-esteem, and negatively with anxiety, depression, stress and somatic complaints. Happiness was the most relevant mediator in the relationship between emotional intelligence and emotional symptoms. These results stress the need to promote the development of emotional abilities in emerging adults, which fosters happiness and good mental health.


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Estresse Psicológico/psicologia , Inteligência Emocional , Felicidade , Empatia , Sintomas Psíquicos , Autoimagem , Estudantes , Universidades , Inquéritos e Questionários , Depressão , Ansiedade , Estresse Psicológico/prevenção & controle , Ajustamento Emocional
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...