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1.
Medicine (Baltimore) ; 98(39): e17287, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574848

RESUMO

Evidence suggests that mental health is associated with multiple factors such as physical activity, sedentary behavior, and physical function in older adults. The present study used latent profile analysis to identify classes of older adults based on their health profile among a representative sample of Korean older adults with hypertension. Differences in mental health between these classes were also examined.Seven hundred and sixty seven participants (mean age = 70.23, SD = 6.08; men 45.6%) were included in the analysis.There were 3 latent classes (class 1: a physically inactive lifestyle with low physical function and body perception; class 2: a physically moderate lifestyle with moderate physical function and low body perception; class 3: a physically active lifestyle with high physical function and body perception). According to class comparisons, older adults in class 3 had significantly lower anxiety/depression levels than classes 1 and 2. Older adults in class 3 had significantly lower stress levels than class 1.It is possible that among older adults, having a positive attitude of one's body shape may also be important for improving anxiety/depression along with having a physically active lifestyle and maintaining physical function.


Assuntos
Imagem Corporal/psicologia , Força da Mão , Hipertensão/psicologia , Postura Sentada , Caminhada , Idoso , Idoso de 80 Anos ou mais , Ansiedade/psicologia , Estudos Transversais , Depressão/psicologia , Exercício/psicologia , Feminino , Humanos , Hipertensão/fisiopatologia , Análise de Classes Latentes , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Inquéritos Nutricionais , Percepção , República da Coreia , Estresse Psicológico/psicologia
2.
Soins Psychiatr ; 40(324): 33-36, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31623805

RESUMO

Transcultural consultations receive unaccompanied minors experiencing psychological distress as a result of their personal history in their country of origin, their harrowing journey until their arrival in France and their vulnerable situation. Presentation of the mental health pathway and identity issues of one of these young unaccompanied foreigners, and asylum seeker.


Assuntos
Criança Abandonada/psicologia , Menores de Idade/psicologia , Transtornos Psicóticos/terapia , Refugiados/psicologia , Estresse Psicológico/psicologia , Adolescente , Criança , Características Culturais , França , Humanos , Psicoterapia
3.
Estud. pesqui. psicol. (Impr.) ; 19(2): 366-386, maio-ago. 2019.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1010050

RESUMO

Este artigo apresenta uma análise dos testemunhos de sobreviventes ao desastre ocorrido em 2011, no Vale do Cuiabá (Petrópolis, RJ), região serrana do Estado do Rio de Janeiro, a partir de uma abordagem psicossocial. Os testemunhos foram coletados sete anos após a tragédia por meio de entrevistas individuais e grupais e mostram que o desastre continua. Dentre os resultados, evidencia-se que as pessoas entrevistadas se percebem como sobreviventes e não como afetados, atingidos ou vítimas; a vivência do abandono permanece com a ausência do Estado; e a precariedade das políticas públicas praticadas fragmentaram as relações comunitárias, gerando comprometimento da comunicação interpessoal. Destaca-se que o desastre permanece enquanto durar o sofrimento social dos envolvidos e que os profissionais que atuam nesse campo necessitam desenvolver uma escuta qualificada.(AU)


This paper presents an analysis of testimonies taken from survivors of 2011 Vale do Cuiabá (Petrópolis, RJ) disaster, located at the highland region of Rio de Janeiro State, based on a psychosocial approach. Testimonies were collected seven years after the tragedy through individual and group interviews. They reveal that the disaster still goes on for those people. Among the results, it is evident that respondents perceived themselves as survivors and not as affected population or victims; the experience of abandonment remains with the absence of State; and the public policies model has shattered communitarian relationship, compromising interpersonal communication. It stands out that the disaster will endure while social suffering from affected people remains, and there is a necessity of developing a more comprehensive and qualified approach for the professionals who take action on disaster situations.(AU)


Este artículo presenta un análisis de los testimonios de los supervivientes del desastre ocurrido en el 2011, en el "Valle del Cuiabá" (Petrópolis, RJ), en la región montañosa del Estado de Rio de Janeiro, a partir de un enfoque psicosocial. Los testimonios fueron recogidos tras siete años de la tragedia por medio de entrevistas individuales y grupales. Para los participantes, el desastre sigue. En los resultados se hace muy evidente que las personas entrevistadas se perciben como supervivientes y no como afectados o víctimas; la vivencia de abandono permanece con la ausencia del Estado; y la precariedad de las políticas públicas implementadas fragmentó las relaciones comunitarias, generando fragilidad en la comunicación interpersonal. Se destaca que el desastre permanece mientras dure el sufrimiento social de los involucrados y que existe necesidad de desarrollo de la escucha cualificada para los profesionales que actúan en los desastres.(AU)


Assuntos
Humanos , Desastres , Psicologia Social , Estresse Psicológico/psicologia , Brasil , Sobreviventes
4.
Rev Med Chil ; 147(3): 314-321, 2019 Mar.
Artigo em Espanhol | MEDLINE | ID: mdl-31344168

RESUMO

BACKGROUND: Weight-based stigmatization is frequent among overweight and obese people. AIM: To determine the association between weight-based stigmatization, psychological stress, cortisol, negative emotions, and eating behavior in a sample of middle-aged women. MATERIAL AND METHODS: Eighty-two women aged 45 ± 8 years, 55% with overweight or obesity, were randomly allocated to watch a video called "Stigma: the human cost of obesity" or a control video about planet earth. The effect of watching either video on calorie consumption, psychological stress and cortisol reactivity was assessed. Cortisol was measured on four salivary samples. Psychological stress and negative emotions were self-reported. RESULTS: Among women who watched the stigmatizing video, there was a direct association between psychological stress and calorie intake, but negative emotions did not mediate this association. Moreover, psychological stress moderated the association between watching the stigmatizing video and the cortisol output (ß = 0.32; p = 0.005). CONCLUSIONS: Women with high psychological stress have a greater intake of calories. After watching the stigmatizing video, a greater psychological stress is associated with greater cortisol output.


Assuntos
Ingestão de Energia , Obesidade/psicologia , Sobrepeso/psicologia , Estigma Social , Estereotipagem , Estresse Psicológico/psicologia , Adulto , Peso Corporal , Comportamento Alimentar/psicologia , Feminino , Humanos , Pessoa de Meia-Idade , Obesidade/metabolismo , Sobrepeso/metabolismo
6.
BMC Public Health ; 19(1): 908, 2019 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-31286909

RESUMO

BACKGROUND: Asylum-seeking children and adolescents (ASCs) who have resettled in Western countries show elevated rates of psychological distress, including Posttraumatic Stress Symptoms (PTSS), depression, and anxiety. Most longitudinal data suggest a relatively stable course of symptoms during the first years in exile. However, no longitudinal examination of the mental health of ASCs, who resettled in Europe in the wake of the 2015-17 European migrant crisis, has been conducted so far. METHODS: A prospective cohort study looked at 98 ASCs who resettled in southern Germany throughout 2015-17. They mainly came from Afghanistan, Syria, Eritrea, and Iraq. Baseline assessments were undertaken 22 months, on average, after resettlement, and follow-up assessments 1 year thereafter. Seventy-two ASCs could be secured for the follow-up. The measures included self-report questionnaires screening for PTSS, depression, anxiety, externalizing behavior, and post-migration factors that were administered in an interview-like setting. Results were analyzed using hierarchical multiple regression analysis. RESULTS: Participating ASCs reported on average eight potentially traumatic experiences and high levels of psychological distress at baseline that had significantly declined at follow-up. At follow-up, rates of clinically significant symptoms ranged from 9.7% (externalizing behavior) to 37.5% (PTSS). There was considerable individual variation in symptom change resulting in multiple mental health trajectories. ASCs whose asylum applications had been rejected presented significantly more symptoms than ASCs whose asylum applications had been accepted between assessments. Baseline psychopathology and asylum status predicted follow-up symptom severity. CONCLUSIONS: In contrast to earlier studies, the symptom severity in this sample of ASCs in Germany ameliorated between assessments. Decisions on the asylum applications of ASCs are thought to contribute to the course of symptoms. Since levels of psychological distress were still high, dissemination and implementation of appropriate treatments for ASCs is crucial.


Assuntos
Ansiedade/epidemiologia , Depressão/epidemiologia , Refugiados/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Estresse Psicológico/epidemiologia , Adolescente , Afeganistão/etnologia , Ansiedade/psicologia , Criança , Depressão/psicologia , Eritreia/etnologia , Feminino , Seguimentos , Alemanha/epidemiologia , Humanos , Iraque/etnologia , Estudos Longitudinais , Masculino , Análise Multivariada , Estudos Prospectivos , Análise de Regressão , Autorrelato , Transtornos de Estresse Pós-Traumáticos/psicologia , Estresse Psicológico/psicologia , Síria/etnologia , Fatores de Tempo
7.
BMC Public Health ; 19(1): 907, 2019 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-31286927

RESUMO

BACKGROUND: Novel interactive and pictorial health education tool named Diabetes Conversation Map (DCM) might be effective for the improvement of diabetes management self-efficacy (DMSE) and diabetes distress (DD) among diabetic patients in lower middle-income setting. This study protocol will assess the effectiveness of DCM as compared to routine care (RC) to improve DMSE, decrease DD and glycated hemoglobin (HbA1c) among patients with type 2 diabetes (T2DM). METHODS: This will be two arms randomized controlled trial, conducted at national institute of diabetes and endocrinology (NIDE) in Karachi, Pakistan. A sample of 120 T2DM patients of age 30-60 years with suboptimal diabetes control will be screened through eligibility criteria and DD screening tool. Patients who fulfill the eligibility criteria and have diabetes distress will be randomized into interventional and control arm. The intervention arm will receive four education sessions (40 min each) using DCM for 4 weeks duration of enrollment. Controlled arm will receive RC. DMSE and DD will be measured using the validated Likert tools at baseline and after 3 months of enrollment. Latest results of HbA1c will be retrieved from the respective medical record files at baseline and 3 months. Change in DMSE, DD scores and HbA1c levels within groups (pre-post) and between the groups after 3 months of enrollment will be compared. Multivariable linear regression will be conducted to adjust for any potential confounders. DISCUSSION: In a study in UK, 70% of the patients with diabetes reported DCM had helped them in controlling their diabetes and recommended this method to teach other patients with diabetes also. In China, a study found that patients with diabetes who received DCM based education had significantly lower DD and significantly higher diabetes empowerment score after six months of the intervention as compared to the traditional counselling. A cross sectional study conducted in Pakistan also demonstrated that teaching based on DCM was useful in improving the knowledge, attitude and practices of patients with T2DM. Besides, no other study has evaluated the effectiveness of these novel tools for DMSE and diabetes distress DD in well-designed, sufficiently powered clinical trials. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03747471 . Date of registration: Nov 20. 2018. Version and Date of Protocol: Version 1, IRB Approval date 28 June 2018.


Assuntos
Diabetes Mellitus Tipo 2/psicologia , Educação de Pacientes como Assunto/métodos , Autoeficácia , Autogestão/psicologia , Estresse Psicológico/psicologia , Adulto , China , Comunicação , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/terapia , Feminino , Hemoglobina A Glicada/análise , Humanos , Masculino , Pessoa de Meia-Idade , Paquistão , Ensaios Clínicos Controlados Aleatórios como Assunto , Estresse Psicológico/sangue
8.
Nurse Educ Today ; 80: 52-58, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31260909

RESUMO

BACKGROUND: Mentoring programs are effective in improving some characteristics related to university adaptation, such as increasing student satisfaction, gaining social skills and effective communication, reducing stress and anxiety, and improving cognitive and psychomotor skills as well as academic performance. OBJECTIVE: The aim of this study was to determine the effect of mentoring program on adjustment to university and ways of coping with stress in nursing students. DESIGN: This quasi-experimental study was carried out using a nonrandomized control group pretest and posttest design. SETTING: The study was conducted at a university school of nursing in Turkey. PARTICIPANTS: Ninety-one first-year undergraduate nursing students were included in the study. METHODS: The 8-week peer mentoring program was conducted with the experimental group. The Adjustment to University Scale (AUS) and The Ways of Coping Inventory (WCI) were measured at preintervention and postintervention. RESULTS: The posttest mean scores of AUS of the experimental group were statistically higher than the control group (p < .05). The posttest mean scores of optimistic and seeking social support approaches of the experimental group were also statistically higher than the control group (p < .05). Mentoring program had an effect on self-confident, optimistic, seeking social support, submissive, and helpless approaches in the experimental group (p < .05). CONCLUSION: Mentoring program had a positive effect on adjustment to university and ways of coping with stress in nursing students. These study results indicate that this program can be used to increase the adjustment to university and ways of coping with stress in nursing students.


Assuntos
Adaptação Psicológica , Tutoria/métodos , Estresse Psicológico/terapia , Estudantes de Enfermagem/psicologia , Adolescente , Bacharelado em Enfermagem/métodos , Feminino , Humanos , Masculino , Apoio Social , Estresse Psicológico/psicologia , Inquéritos e Questionários , Turquia , Universidades/organização & administração , Adulto Jovem
9.
BMC Public Health ; 19(1): 916, 2019 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-31288796

RESUMO

BACKGROUND: Previous research shows that physical activity has a protective effect on mental distress in adults, but the relationship is less researched and seems more ambiguous for adolescents. Studies in this field have typically been cross-sectional by design and based on self-reported physical activity measures, which are known to be vulnerable to response bias. The aim of this study was to investigate the relationship between change in objectively assessed physical activity as measured by accelerometer and change in mental distress among adolescents using longitudinal data from The Tromsø Study: Fit Futures. METHOD: This study was based on data from 676 upper-secondary school students (mean age 16.23 years at baseline, 45.26% boys) from The Tromsø Study: Fit Futures. Physical activity, mental distress and covariates were measured at baseline (T1) and follow-up (T2) 2 years later. Physical activity was objectively measured with an ActiGraph GT3X accelerometer over 7 days. Mental distress was measured with the Hopkins Symptom Checklist-10 (HSCL-10). Change score variables were computed as the difference between T1 and T2 in number of steps, number of minutes of moderate to vigorous physical activity (MVPA) and mental distress between T1 and T2, and analyzed using linear regression analysis. RESULTS: Changes in steps per day were not associated with changes in mental distress in neither the crude, partially, nor fully adjusted model. Neither was changes in minutes of MVPA per day. Interaction effects between change in both steps per day and minutes of MVPA and gender were also not statistically significant, nor was the interaction effects between baseline levels of mental distress and physical activity. CONCLUSION: The results of our study indicate that for adolescents in the sample, change in physical activity is unrelated to change in mental distress over a two-year period.


Assuntos
Exercício/psicologia , Estresse Psicológico/psicologia , Acelerometria , Adolescente , Estudos Transversais , Feminino , Humanos , Masculino , Autorrelato , Estresse Psicológico/epidemiologia
10.
Nat Commun ; 10(1): 2942, 2019 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-31270312

RESUMO

Depression and transient ischaemic attack represent the common psychological and neurological diseases, respectively, and are tightly associated. However, studies of depression-affected ischaemic attack have been limited to epidemiological evidences, and the neural circuits underlying depression-modulated ischaemic injury remain unknown. Here, we find that chronic social defeat stress (CSDS) and chronic footshock stress (CFS) exacerbate CA1 neuron loss and spatial learning/memory impairment after a short transient global ischaemia (TGI) attack in mice. Whole-brain mapping of direct outputs of locus coeruleus (LC)-tyrosine hydroxylase (TH, Th:) positive neurons reveals that LC-CA1 projections are decreased in CSDS or CFS mice. Furthermore, using designer receptors exclusively activated by designer drugs (DREADDs)-based chemogenetic tools, we determine that Th:LC-CA1 circuit is necessary and sufficient for depression-induced aggravated outcomes of TGI. Collectively, we suggest that Th:LC-CA1 pathway plays a crucial role in depression-induced TGI vulnerability and offers a potential intervention for preventing depression-related transient ischaemic attack.


Assuntos
Região CA1 Hipocampal/fisiopatologia , Isquemia/fisiopatologia , Locus Cerúleo/fisiopatologia , Estresse Psicológico/fisiopatologia , Animais , Humanos , Isquemia/complicações , Isquemia/psicologia , Masculino , Memória , Camundongos , Camundongos Endogâmicos C57BL , Neurônios/fisiologia , Aprendizagem Espacial , Estresse Psicológico/complicações , Estresse Psicológico/psicologia
11.
Br J Nurs ; 28(13): 864-867, 2019 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-31303044

RESUMO

Nurses have a public health role, requiring them to promote the health of individuals and communities, and to engage at a political and policy level to improve population health. There is also a professional expectation that nurses will model healthy behaviours and take responsibility for their personal health and wellbeing. However, studies have indicated that undergraduate nurses find the academic and practice elements of their nursing programmes stressful. To manage their stress many use coping behaviours that negatively impact on their health and wellbeing and may influence their ability and willingness to effectively support health promotion in practice. It is widely recognised that environments influence health outcomes and personal health behaviours. This article addresses some of the structural causes of student nurse stress and highlights a recent educational initiative at a UK university that aims to equip student nurses with the practical skills required to engage in health promotion and thereby provide benefits for service users and student nurses alike.


Assuntos
Competência Clínica , Bacharelado em Enfermagem/organização & administração , Promoção da Saúde/organização & administração , Autocuidado/psicologia , Estudantes de Enfermagem/psicologia , Adaptação Psicológica , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estresse Psicológico/psicologia , Reino Unido
12.
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 880-886, jul.-set. 2019.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1005622

RESUMO

Objetivo: Conhecer as manifestações de ansiedade vivenciadas pelos estudantes de enfermagem em uma universidade do extremo sul do país. Método: Pesquisa qualitativa, exploratória e descritiva, com 18 acadêmicos do curso de graduação em enfermagem, sendo excluídos os que não tiveram interesse em participar. A coleta dos dados foi realizada por meio de uma entrevista semiestruturada. Foi utilizada a análise temática. O projeto foi aprovado pelo Comitê de Ética em Pesquisa da Área da Saúde da FURG, sob parecer nº 153/2013. Resultados: Após transcrição e análise das falas emergiram quatro categorias que foram discutidas separadamente. Conclusão: Propõe-se que o docente tenha uma postura motivadora, mobilizadora do conhecimento e centrada no acadêmico, a fim de refletir na assistência do futuro profissional


Objective: To know the manifestations of anxiety experienced by nursing students at a university in the extreme south of the country. Method: Qualitative, exploratory and descriptive research, with 18 undergraduate nursing students, excluding those who did not have an interest in participating. Data collection was performed through a semi-structured interview. Thematic analysis was used. The project was approved by the Research Ethics Committee of the Health Area of FURG, based on opinion 153/2013. Results: After transcription and analysis of the speech emerged four categories that were discussed separately. Conclusion: It is proposed that the teacher has a motivating, knowledge-mobilizing and academic-centered position in order to reflect on the future professional's assistance


Objetivo: Conocer las manifestaciones de ansiedad vivenciadas por los estudiantes de enfermería en una universidad del extremo sur del país. Método: Investigación cualitativa, exploratoria y descriptiva, con 18 académicos del curso de graduación en enfermería, siendo excluidos los que no tuvieron interés en participar. La recolección de los datos se realizó a través de una entrevista semiestructurada. Se utilizó el análisis temático. El proyecto fue aprobado por el Comité de Ética en Investigación del Área de la Salud de la FURG, bajo el parecer 153/2013. Resultados: Después de la transcripción y el análisis de las conversaciones surgieron cuatro categorías que se discutieron por separado. Conclusión: Se propone que el docente tenga una postura motivadora, movilizadora del conocimiento y centradas en el académico a fin de reflejar en la asistencia del futuro profesional


Assuntos
Humanos , Masculino , Feminino , Ansiedade/psicologia , Estresse Psicológico/psicologia , Estudantes de Enfermagem/psicologia , Educação Superior
13.
BMC Public Health ; 19(Suppl 4): 608, 2019 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-31196025

RESUMO

BACKGROUND: 1Little is known of the extent of workplace bullying in Malaysia, despite its growing recognition worldwide as a serious public health issue in the workplace. Workplace bullying is linked to stress-related health issues, as well as socioeconomic consequences which may include absenteeism due to sick days and unemployment. We sought to examine the prevalence of workplace bullying and its association with socioeconomic factors and psychological distress in a large observational study of Malaysian employees. METHODS: This study employed cross-sectional, self-reported survey methodology. We used the 6-item Kessler screening scale (K6) to assess psychological distress (cutoff score ≥ 13, range 0-24, with higher scores indicating greater psychological distress). Participants self-reported their perceptions of whether they had been bullied at work and how frequently this occurred. A multivariate logistic regression was conducted with ever bullying and never bullying as dichotomous categories. RESULTS: There were a total of 5235 participants (62.3% female). Participant ages ranged from 18 to 85, mean ± standard deviation (M ± SD): 33.88 ± 8.83. A total of 2045 (39.1%) participants reported ever being bullied. Of these, 731 (14.0%) reported being subject to at least occasional bullying, while another 194 (3.7%) reported it as a common occurrence. Across all income strata, mean scores for psychological distress were significantly higher for ever bullied employees (M ± SD: 8.69 ± 4.83) compared to those never bullied (M ± SD: 5.75 ± 4.49). Regression analysis indicated significant associations (p < 0.001) between workplace bullying with being female (Adjusted OR (aOR) = 1.27, 95% CI 1.12-1.44), higher individual income levels of between RM4,000 to RM7,999 (aOR =1.24, 95% CI 1.06-1.45) and RM8,000 and above (aOR = 1.31, 95% CI 1.10-1.56), and psychological distress (aOR = 1.15, 95% CI 1.13-1.16). CONCLUSIONS: More than one in three employees reported having experienced workplace bullying, which was found to be specifically associated with being female, drawing a higher income, and greater psychological distress. In general, low individual income was associated with greater psychological distress. However, higher income employees were far more likely to report experiencing workplace bullying. Findings from this study offer relevant insight into the associations between socioeconomic status and psychological distress in workplace bullying.


Assuntos
Bullying/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Classe Social , Estresse Psicológico/epidemiologia , Absenteísmo , Adulto , Bullying/psicologia , Estudos Transversais , Emprego/psicologia , Emprego/estatística & dados numéricos , Feminino , Humanos , Modelos Logísticos , Malásia/epidemiologia , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/psicologia , Prevalência , Autorrelato , Estresse Psicológico/psicologia , Local de Trabalho/psicologia , Adulto Jovem
14.
Eur J Oncol Nurs ; 40: 63-70, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31229208

RESUMO

PURPOSE: Western studies found that sexual quality of life (QoL) among husbands of breast cancer survivors was associated with their stress and coping processes. However, little is known about how breast cancer caregiving might be associated with those husbands' sexual QoL in the Chinese cultural context. Guided by the Stress and Coping model, we examined the psychosocial correlates of sexual QoL among husbands of Chinese breast cancer survivors. METHOD: Husbands of Chinese breast cancer survivors (N = 176) recruited from two hospitals in Weifang, China completed a cross-sectional survey. Their individual characteristics, caregiving-related stressors, cognitive appraisals, coping resources and strategies, and sexual QoL were measured. RESULTS: After controlling for covariates, hierarchical regression results showed that lower caregiving burden (ß = -0.34, p < .001), higher marital satisfaction (ß = 0.20, p < .001), and lower harm/threat appraisals (ß from -0.22 to -0.20, p < .001) were associated with better sexual QoL. Moreover, ambivalence over emotional expression (AEE; inner conflict concerning the desire to express emotions yet failing to do so) was found to moderate between protective buffering and sexual QoL (ß = 0.20, p < .01), such that the negative association between protective buffering and sexual QoL was only significant among those with higher AEE (ß = -0.38, p < .003). CONCLUSIONS: Both the stress and coping variables and their interactions with individual characteristics could be important determinants of those husbands' sexual QoL. Our findings implied that reducing husbands' caregiving burden, increasing their marital satisfaction, helping them reevaluate the negative impact of breast cancer, and reducing barriers for expressing emotions and concerns may increase their sexual well-being.


Assuntos
Neoplasias da Mama/terapia , Sobreviventes de Câncer/psicologia , Qualidade de Vida , Comportamento Sexual , Cônjuges/psicologia , Adaptação Psicológica , Adulto , Neoplasias da Mama/psicologia , Sobreviventes de Câncer/estatística & dados numéricos , Cuidadores/psicologia , Cuidadores/estatística & dados numéricos , China , Estudos Transversais , Feminino , Humanos , Masculino , Casamento/psicologia , Pessoa de Meia-Idade , Cônjuges/estatística & dados numéricos , Estresse Psicológico/psicologia , Inquéritos e Questionários
15.
Women Birth ; 32(5): 404-411, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31202584

RESUMO

OBJECTIVE: The aim of this study was to investigate the relationship between perceived discrimination in perinatal care and birth outcomes of women giving birth to an Aboriginal baby in South Australia using methods designed to respect Aboriginal culture and communities. DESIGN AND SETTING: Population-based study of women giving birth to Aboriginal infants in South Australia, July 2011-June 2013. Women completed a structured questionnaire with an Aboriginal researcher. Study measures include: standardised measure of perceived discrimination in perinatal care; maternal smoking, cannabis use and exposure to stressful events and social health issues; infant birthweight and gestation. PARTICIPANTS: 344 women (mean age 25, range 15-43 years) living in urban, regional and remote areas of South Australia. RESULTS: Half of women (51%) perceived that they had experienced discrimination or unfair treatment by hospitals or health services providing care during pregnancy and soon after childbirth. Women experiencing three or more stressful events or social health issues were more likely to perceive that care was discriminatory or unfair. Aboriginal women who perceived that they had experienced discrimination in perinatal care were more likely to have a baby with a low birthweight (Adj Odds Ratio 1.9, 95% CI 1.0-3.8) or small for gestational age (Adj Odds Ratio 1.9, 95% CI 1.0-3.5), adjusting for parity, smoking and cannabis use. CONCLUSIONS: The study provides evidence of the 'inverse care law'. Aboriginal women most at risk of poor infant health outcomes were the least likely to perceive that they received care well matched to their needs. Building stronger evidence about what works to create cultural safety in perinatal health care is an urgent priority.


Assuntos
Discriminação (Psicologia) , Disparidades em Assistência à Saúde , Mães/psicologia , Grupo com Ancestrais Oceânicos/psicologia , Grupo com Ancestrais Oceânicos/estatística & dados numéricos , Satisfação do Paciente/etnologia , Complicações na Gravidez/psicologia , Qualidade da Assistência à Saúde , Estresse Psicológico/psicologia , Adolescente , Adulto , Feminino , Serviços de Saúde do Indígena , Humanos , Lactente , Recém-Nascido de Baixo Peso , Recém-Nascido , Recém-Nascido Pequeno para a Idade Gestacional , Serviços de Saúde Materna , Período Pós-Parto/psicologia , Gravidez , Fumar , Austrália do Sul , Inquéritos e Questionários , Adulto Jovem
16.
Work ; 63(2): 191-197, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156200

RESUMO

Patients in the medical intensive care unit (MICU) face life-threatening conditions leading to physical and psychological stress, and decreased occupational engagement. Mind-body interventions include techniques based on connecting the mind, body, brain, and behavior to positively influence health. The purpose of this study was to explore the use of mind-body interventions as a tool for use by occupational therapists (OT) to improve health and occupational performance. This was an exploratory case study completed with the patient, "Ann" in a MICU. Ann was a 57-year-old female who was admitted to the MICU for abdominal pain and later diagnosed with septic shock. Two mind-body sessions were completed with Ann and her responses were assessed via multiple variables, including: respiratory rate; blood pressure; heart rate; oxygen saturation; and anxiety. Ann stayed within normal ranges for all variables. This study demonstrates it was feasible to elicit mind-body interventions in this setting, with this patient.


Assuntos
Terapias Mente-Corpo/normas , Terapia Ocupacional/normas , Estudos de Casos e Controles , Colorado , Feminino , Humanos , Unidades de Terapia Intensiva/organização & administração , Unidades de Terapia Intensiva/estatística & dados numéricos , Pessoa de Meia-Idade , Terapias Mente-Corpo/métodos , Terapeutas Ocupacionais/tendências , Terapia Ocupacional/métodos , Estresse Psicológico/psicologia , Estresse Psicológico/terapia
17.
Anticancer Res ; 39(6): 3159-3165, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31177162

RESUMO

BACKGROUND: Patients with sarcoma are particularly vulnerable to psychosocial distress. The aim of this study was to collect preliminary data on the prevalence of psychosocial distress in such patients during follow-up care and identify risk factors associated with higher psycho-oncological stress levels. PATIENTS AND METHODS: The study retrospectively enrolled 202 patients with bone or soft-tissue sarcomas who underwent routine psychosocial distress screening during their follow-up care. All patients were screened using an electronic cancer-specific questionnaire. RESULTS: Females and patients who underwent radiotherapy were more distressed. Psychosocial distress levels were markedly higher in the early postoperative phase, but approximately one-third of patients showed high psychosocial distress levels even more than 2 years postoperatively. CONCLUSION: The results underscore the importance of routine psychosocial distress screenings in patients with sarcoma, which should be performed throughout the follow-up period.


Assuntos
Assistência ao Convalescente/psicologia , Neoplasias Ósseas/terapia , Saúde Mental , Osteossarcoma/terapia , Sarcoma/terapia , Neoplasias de Tecidos Moles/terapia , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Inquéritos e Questionários , Adaptação Psicológica , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Neoplasias Ósseas/diagnóstico , Neoplasias Ósseas/psicologia , Efeitos Psicossociais da Doença , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Osteossarcoma/diagnóstico , Osteossarcoma/psicologia , Valor Preditivo dos Testes , Dados Preliminares , Prevalência , Estudos Retrospectivos , Fatores de Risco , Sarcoma/diagnóstico , Sarcoma/psicologia , Neoplasias de Tecidos Moles/diagnóstico , Neoplasias de Tecidos Moles/psicologia , Estresse Psicológico/diagnóstico , Fatores de Tempo , Adulto Jovem
18.
Psychol Aging ; 34(5): 625-639, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31192626

RESUMO

Domain-specific control beliefs typically buffer the influence stressors have on people's negative affect (affective stressor reactivity). However, little is known about the extent to which individuals' control beliefs vary across stressor types and whether such stressor-related control diversity is adaptive for affective well-being. We thus introduce a control diversity construct (a person-level summary of across-domain control beliefs) and examine how control diversity differs with age and relates to negative affect and affective stressor reactivity. We apply a multilevel model to daily diary data from the National Study of Daily Experiences (NSDE; N = 2,022; mean age = 56 years; 33-84; 57% women). Our findings indicate that above and beyond average control beliefs, people whose control is spread over fewer stressor domains (less control diversity) have lower negative affect and less affective stressor reactivity. Older adults are more likely than younger adults to have their control beliefs concentrated in one domain. Additionally, associations between control diversity and negative affect and affective stressor reactivity were age invariant. Moderation effects indicated that when people with low average control beliefs are faced with stressors, having control beliefs focused on fewer domains rather than spread broadly across many domains is associated with less negative affect. Our findings suggest that control diversity provides unique insights into how control beliefs differ across adulthood and contribute to affective well-being. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Afeto/fisiologia , Envelhecimento/psicologia , Cultura , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Psicológico/psicologia
19.
J Shoulder Elbow Surg ; 28(6S): S146-S153, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31196509

RESUMO

BACKGROUND: The Distress and Risk Assessment Method (DRAM) predicts poor outcomes in spine, hip, and knee surgery. Unlike other areas of orthopedic surgery, DRAM scores are not predictive of lower postoperative patient-reported outcomes after arthroscopic rotator cuff repair (RCR). PURPOSE: As concerns for opioid dependence and abuse grow, the purpose of this study was to analyze the correlation between preoperative DRAM scores, modified Zung scores, and postoperative narcotic use in patients who underwent arthroscopic RCR. MATERIALS AND METHODS: This prospective cohort study identified and enrolled patients >18 years of age with full-thickness rotator cuff tears at a single institution. Patients with prior shoulder surgery, greater than 1-tendon RCR, and preoperative narcotic use were excluded. One-hundred and fifty patients were enrolled, with 114 (76%) completing all preoperative and postoperative questionnaires. Preoperative DRAM scores were collected from every patient. Postoperative narcotic use was evaluated via survey and converted to total morphine equivalents. RESULTS: Increased preoperative DRAM scores predicted higher postoperative morphine equivalent units (P = .002, r = 0.29). When dividing patients into those <17 or ≥17 on the modified Zung score, 44 of 114 (39%) met criteria for "at risk or depressed." This group showed a statistically significant trend toward higher postoperative morphine equivalent unit intake (P = .004). CONCLUSION: Baseline psychological distress (DRAM) can predict narcotic requirements after RCR and serve as a powerful tool to identify patients at risk for increased narcotics requirements postoperatively. In our cohort, 39% of patients showed evidence of baseline depression, which highlights a potential role of the modified Zung score to identify patients in need of preoperative psychological counseling.


Assuntos
Artroscopia/efeitos adversos , Entorpecentes/uso terapêutico , Dor Pós-Operatória/tratamento farmacológico , Lesões do Manguito Rotador/cirurgia , Estresse Psicológico/psicologia , Adulto , Idoso , Artroscopia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dor Pós-Operatória/etiologia , Período Pós-Operatório , Estudos Prospectivos , Medição de Risco/métodos , Lesões do Manguito Rotador/complicações , Dor de Ombro/tratamento farmacológico , Dor de Ombro/etiologia , Inquéritos e Questionários , Resultado do Tratamento , Escala Visual Analógica
20.
Psychopharmacology (Berl) ; 236(5): 1583-1596, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31147734

RESUMO

RATIONALE: Intestinal permeability plays an important role in gut-brain axis communication. Recent studies indicate that intestinal permeability increases in neonate pups during maternal separation (MS). OBJECTIVES: The present study aims to determine whether pharmacological inhibition of myosin light chain kinase (MLCK), which regulates tight junction contraction and controls intestinal permeability, in stressed neonates, protects against the long-term effects of MS. METHODS: Male Wistar rats were exposed to MS (3 h per day from post-natal day (PND)2 to PND14) or left undisturbed and received daily intraperitoneal injection of a MLCK inhibitor (ML-7, 5 mg/kg) or vehicle during the same period. At adulthood, emotional behaviors, corticosterone response to stress, and gut microbiota composition were analyzed. RESULTS: ML-7 restored gut barrier function in MS rats specifically during the neonatal period. Remarkably, ML-7 prevented MS-induced sexual reward-seeking impairment and reversed the alteration of corticosterone response to stress at adulthood. The effects of ML-7 were accompanied by the normalization of the abundance of members of Lachnospiraceae, Clostridiales, Desulfovibrio, Bacteroidales, Enterorhabdus, and Bifidobacterium in the feces of MS rats at adulthood. CONCLUSIONS: Altogether, our work suggests that improvement of intestinal barrier defects during development may alleviate some of the long-term effects of early-life stress and provides new insight on brain-gut axis communication in a context of stress.


Assuntos
Azepinas/farmacologia , Microbioma Gastrointestinal/efeitos dos fármacos , Mucosa Intestinal/efeitos dos fármacos , Mucosa Intestinal/metabolismo , Privação Materna , Naftalenos/farmacologia , Estresse Psicológico/metabolismo , Animais , Animais Recém-Nascidos , Azepinas/uso terapêutico , Corticosterona/metabolismo , Relação Dose-Resposta a Droga , Feminino , Microbioma Gastrointestinal/fisiologia , Masculino , Quinase de Cadeia Leve de Miosina/farmacologia , Quinase de Cadeia Leve de Miosina/uso terapêutico , Naftalenos/uso terapêutico , Gravidez , Ratos , Ratos Wistar , Estresse Psicológico/tratamento farmacológico , Estresse Psicológico/psicologia , Fatores de Tempo
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