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1.
Medicine (Baltimore) ; 100(6): e24141, 2021 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-33578519

RESUMO

BACKGROUND: The global neo-coronary pneumonia epidemic has increased the workload of healthcare institutions in various countries and directly affected the physical and psychological recovery of the vast majority of patients requiring hospitalization in China. We anticipate that post-total knee arthroplasty kinesiophobia may have an impact on patients' postoperative pain scores, knee function, and ability to care for themselves in daily life. The purpose of this study is to conduct a micro-video intervention via WeChat to verify the impact of this method on the rapid recovery of patients with kinesiophobia after total knee arthroplasty during neo-coronary pneumonia. METHODS: Using convenience sampling method, 78 patients with kinesiophobia after artificial total knee arthroplasty who met the exclusion criteria were selected and randomly grouped, with the control group receiving routine off-line instruction and the intervention group receiving micro-video intervention, and the changes in the relevant indexes of the two groups of patients at different time points on postoperative day 1, 3 and 7 were recorded and analyzed. RESULTS: There were no statistical differences in the scores of kinesiophobia, pain, knee flexion mobility (ROM) and ability to take care of daily life between the two groups on the first postoperative day (P > .05). On postoperative day 3 and 7, there were statistical differences in Tampa Scale for kinesiophobia, pain, activities of daily living scale score and ROM between the two groups (P < .01), and the first time of getting out of bed between the two groups (P < .05), and by repeated-measures ANOVA, there were statistically significant time points, groups and interaction effects of the outcome indicators between the 2 groups (P < .01), indicating that the intervention group reconstructed the patients' postoperative kinesiophobiaand hyperactivity. The level of pain awareness facilitates the patient's acquisition of the correct functional exercises to make them change their misbehavior. CONCLUSIONS: WeChat micro-video can reduce the fear of movement score and pain score in patients with kinesiophobia after unilateral total knee arthroplasty, shorten the first time out of bed, and improve their joint mobility and daily living ability. ETHICS: This study has passed the ethical review of the hospital where it was conducted and has been filed, Ethics Approval Number: 20181203-01.


Assuntos
Artroplastia do Joelho/psicologia , Transtornos Fóbicos/psicologia , Pneumonia/epidemiologia , Atividades Cotidianas , Idoso , Artroplastia do Joelho/efeitos adversos , /diagnóstico , Estudos de Casos e Controles , China/epidemiologia , Feminino , Humanos , Articulação do Joelho/fisiopatologia , Articulação do Joelho/cirurgia , Masculino , Pessoa de Meia-Idade , Dor Pós-Operatória/diagnóstico , Dor Pós-Operatória/psicologia , Pneumonia/virologia , Período Pós-Operatório , Estudos Prospectivos , Amplitude de Movimento Articular , Recuperação de Função Fisiológica , Reabilitação/métodos , Reabilitação/psicologia , Comunicação por Videoconferência/instrumentação , Comunicação por Videoconferência/estatística & dados numéricos
3.
Br J Clin Psychol ; 59(4): 565-577, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32955767

RESUMO

OBJECTIVES: Women's greater prevalence of anxiety disorders compared to men is widely assumed to be partly due to gender differences in cognitive and behavioural factors that perpetuate anxiety, such as repetitive negative thinking (RNT) and avoidance. However, past studies assessing this assumption have not controlled for gender differences in baseline symptom severity, the type of stressful life experiences against which RNT and avoidance are measured, or emotional reactivity to these experiences. DESIGN: Using a two-group design, the present study controlled for these confounds by comparing avoidance and RNT in relation to a controlled symptom provocation task in spider phobic men and women with equivalent spider fear severity on the Fear of Spiders Questionnaire. METHODS: Participants engaged in a behavioural approach test (BAT) involving a live spider, during which they were assessed for avoidance (physical proximity to the spider) and subjective distress. Two weeks later, participants reported on their levels of negative affect and RNT experienced during the preceding weeks in relation to the BAT. RESULTS: Women exhibited greater avoidance and reported greater RNT than men, despite reporting comparable distress and negative affect. Gender remained a significant predictor of avoidance when accounting for distress and also remained a significant predictor of RNT when accounting for depressive symptoms and negative affect. CONCLUSIONS: These results provide in vivo evidence that heightened avoidance and RNT may perpetuate anxiety symptoms in women independently of gender differences in symptom severity, daily experiences, or emotional reactivity. PRACTITIONER POINTS: Following symptom provocation, men and women with spider phobia differ in cognitive and behavioural coping responses. Women exhibit greater avoidance and repetitive negative thinking than men, and these differences are not attributable to gender differences in symptom severity or emotional reactivity. These findings provide novel evidence for gender differences in maintaining factors that perpetuate anxiety disorders whilst accounting for confounding factors present in prior research.


Assuntos
Ansiedade/psicologia , Pessimismo/psicologia , Transtornos Fóbicos/psicologia , Pensamento , Adolescente , Adulto , Transtornos de Ansiedade/psicologia , Medo , Feminino , Humanos , Masculino , Percepção Social , Inquéritos e Questionários , Adulto Jovem
4.
Niger J Clin Pract ; 23(8): 1033-1038, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32788477

RESUMO

Background: Inhaler corticosteroids (ICS) are the most commonly used antiinflammatory drugs in the treatment of asthma. Although systemic adverse effects are minimal, patients hesitate to use ICS for a long time because of corticophobia. There is no study evaluating corticophobia via Likert-type appendix among the asthmatic patients. Aim: In this study, it was aimed to evaluate the fears and beliefs about ICS in asthmatic patients. Subjects and Methods: Between December 2017 and January 2018, 150 stable asthmatic patients were included in the study. Demographic data (age, education, smoking history, etc.) and asthma-related data (pulmonary function test, drug use) were recorded. The appendix of TOPICOP study applied to the patients with asthma which was composed of 10 questions (five questions about fear of ICS and five questions about beliefs of ICS). Results: The rate of ICS maintain in stable asthmatic patients was found to be 66.6%. According to the survey results, 68% of the patients believed that ICS may lead to weight gain, 52% believed that ICS may lead to infection, 73% believed that ICS may pass into bloodstream, and 67.3% believed that ICS may damage the lungs. It was also found that 90.7% needed to be informed about ICS and 67.3% wanted to cut the ICS drug as soon as possible. Conclusion: We found that treatment adherence may increase, if physicians allocate more time to asthma patients to inform about ICS beneficial effects at the initiating of ICS treatment and control visits.


Assuntos
Corticosteroides/uso terapêutico , Antiasmáticos/uso terapêutico , Asma/tratamento farmacológico , Medo , Conhecimentos, Atitudes e Prática em Saúde , Adesão à Medicação/psicologia , Transtornos Fóbicos/psicologia , Administração por Inalação , Corticosteroides/efeitos adversos , Adulto , Antiasmáticos/efeitos adversos , Asma/psicologia , Feminino , Humanos , Masculino , Adesão à Medicação/estatística & dados numéricos , Pessoa de Meia-Idade , Transtornos Fóbicos/epidemiologia , Transtornos Fóbicos/etiologia , Inquéritos e Questionários
5.
Top Magn Reson Imaging ; 29(3): 125-130, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32568974

RESUMO

Claustrophobia, other anxiety reactions, excessive motion, and other unanticipated patient events in magnetic resonance imaging (MRI) not only delay or preclude diagnostic-quality imaging but can also negatively affect the patient experience. In addition, by impeding MRI workflow, they may affect the finances of an imaging practice. This review article offers an overview of the various types of patient-related unanticipated events that occur in MRI, along with estimates of their frequency of occurrence as documented in the available literature. In addition, the financial implications of these events are discussed from a microeconomic perspective, primarily from the point of view of a radiology practice or hospital, although associated limitations and other economic viewpoints are also included. Efforts to minimize these unanticipated patient events can potentially improve not only patient satisfaction and comfort but also an imaging practice's operational efficiency and diagnostic capabilities.


Assuntos
Ansiedade/psicologia , Imagem por Ressonância Magnética/psicologia , Transtornos Fóbicos/psicologia , Ansiedade/epidemiologia , Humanos , Imagem por Ressonância Magnética/economia , Imagem por Ressonância Magnética/estatística & dados numéricos , Movimento , Transtornos Fóbicos/epidemiologia , Prevalência , Recusa do Paciente ao Tratamento/psicologia
6.
Medicine (Baltimore) ; 99(24): e20292, 2020 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-32541453

RESUMO

To examine the psychometric properties of a short form TSK-AV in Arabic-speaking patients with chronic low back pain (CLBP).One hundred one CLBP patients recruited from Jordan University Hospital provided demographic information and completed the TSK-AV full version and measures of pain severity and disability. Explorative factor analysis was used to determine whether a generally accepted 2-factor model consisting of fewer TSK items applies to the TSK-AV and exhibits acceptable psychometric properties.A 2-factor model provided an adequate-to-good fit to our data, explaining 46.54% of the variance. Factor 1 (labeled as "activity avoidance") comprised items 1, 2, 7, 9, 14, 15, and 17. Factor 2 was labeled as "somatic focus" and comprised items 3, 6, 11, and 13. The 11-item TSK-AV comprised of the 2 factors (TSK-AV-11) as well as its subscales all remained independent significant (P < .001) predictors of pain disability in Jordanian patients with CLBP after accounting for factors such as age, gender, pain duration, and pain severity.The short, 11-item TSK-AV (TSK-AV-11) appears to be an ideal clinical and research tool for measuring fear of movement/re (injury) in Arabic-speaking patients.


Assuntos
Árabes/psicologia , Dor Lombar/psicologia , Transtornos Fóbicos/psicologia , Psicometria/métodos , Adulto , Árabes/estatística & dados numéricos , Aprendizagem da Esquiva , Doença Crônica , Avaliação da Deficiência , Análise Fatorial , Medo/psicologia , Feminino , Humanos , Jordânia/epidemiologia , Dor Lombar/diagnóstico , Masculino , Pessoa de Meia-Idade , Movimento , Dor Nociceptiva/diagnóstico , Medição da Dor/métodos , Índice de Gravidade de Doença
7.
Infect Dis Poverty ; 9(1): 58, 2020 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-32471513

RESUMO

BACKGROUND: A cluster of pneumonia cases were reported by Wuhan Municipal Health Commission, China in December 2019. A novel coronavirus was eventually identified, and became the COVID-19 epidemic that affected public health and life. We investigated the psychological status and behavior changes of the general public in China from January 30 to February 3, 2020. METHODS: Respondents were recruited via social media (WeChat) and completed an online questionnaire. We used the State-Trait Anxiety Inventory, Self-rating Depression Scale, and Symptom Checklist-90 to evaluate psychological status. We also investigated respondents' behavior changes. Quantitative data were analyzed by t-tests or analysis of variance, and classified data were analyzed with chi-square tests. RESULTS: In total, 608 valid questionnaires were obtained. More respondents had state anxiety than trait anxiety (15.8% vs 4.0%). Depression was found among 27.1% of respondents and 7.7% had psychological abnormalities. About 10.1% of respondents suffered from phobia. Our analysis of the relationship between subgroup characteristics and psychological status showed that age, gender, knowledge about COVID-19, degree of worry about epidemiological infection, and confidence about overcoming the outbreak significantly influenced psychological status. Around 93.3% of respondents avoided going to public places and almost all respondents reduced Spring Festival-related activities. At least 70.9% of respondents chose to take three or more preventive measures to avoid infection. The three most commonly used prevention measures were making fewer trips outside and avoiding contact (98.0%), wearing a mask (83.7%), and hand hygiene (82.4%). CONCLUSIONS: We need to pay more attention to public psychological stress, especially among young people, as they are likely to experience anxiety, depression, and psychological abnormalities. Different psychological interventions could be formulated according to the psychological characteristics of different gender and age groups. The majority of respondents followed specific behaviors required by the authorities, but it will take time to observe the effects of these behaviors on the epidemic.


Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Adolescente , Adulto , Idoso , Betacoronavirus , China/epidemiologia , Infecções por Coronavirus/prevenção & controle , Estudos Transversais , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Transtornos Fóbicos/epidemiologia , Transtornos Fóbicos/psicologia , Pneumonia Viral/prevenção & controle , Inquéritos e Questionários , Adulto Jovem
8.
Ann Agric Environ Med ; 27(1): 56-60, 2020 Mar 17.
Artigo em Inglês | MEDLINE | ID: mdl-32208580

RESUMO

INTRODUCTION: The importance of the problem of reduced motor activity in the prophylaxis and treatment of many diseases has resulted in numerous adaptations of a diagnostic tool, both for the disease and for linguistic and cultural versions. This also applies to cardiovascular diseases. The significance of the problem, and encouraging results of several studies, have led to a wider use of this tool. This also applies to people suffering cardiologically in Poland, where this problem is poorly understood. This was the inspiration to undertake research on the explanation of the reasons for the limitation in the activation of cardiac patients. OBJECTIVE: The aim of the study was to determine the level of kinesiophobia in patients with CAD, and to assess its possible association with physical activity (PA), socio-demographic determinants and morbidity. MATERIAL AND METHODS: The study was cross-sectional and included 217 hospitalized patients with CAD: 94 women and 123 men; aged 67.39 years. PA was assessed using the short version of IPAQ, and kinesiophobia was assessed using TSK Heart in Polish adaptation. TSK HeartIPAQ correlations were found. RESULTS: More than 70% of the patients revealed high levels of kinesiophobia (TSK>37 points). There were no TSK associations with gender, BMI, socio-demographic variables, other conditions and duration of cardiovascular disease. The disease is the main cause of kinesiophobia and regardless of its nature, negatively affects the level of PA. CONCLUSIONS: The quality of life of patients with CAD at various stages and the effectiveness of cardiolog-ical rehabilitation are conditioned by PA.


Assuntos
Doença da Artéria Coronariana/psicologia , Movimento , Transtornos Fóbicos/psicologia , Idoso , Estudos Transversais , Exercício Físico , Medo , Feminino , Humanos , Masculino , Polônia , Qualidade de Vida/psicologia , Inquéritos e Questionários
9.
Sci Rep ; 10(1): 4288, 2020 03 09.
Artigo em Inglês | MEDLINE | ID: mdl-32152429

RESUMO

Great interest exists in maximizing exposure therapy efficacy in anxiety disorders. At the same time, reduced frequency and shortened duration of exposure sessions are required to meet the specific regularities in routine care settings. Extinction has emerged as the key mechanism of exposure treatment in anxiety disorders. Examining exposure treatment processes from the perspective of extinction learning might provide novel insights into variability in exposure treatment duration and outcome. The present study sought to examine the functional link between fear extinction, the ability to accomplish exposure in a predetermined time and exposure therapy outcome in specific phobia. Treatment-seeking individuals (N = 53) with spider phobia underwent a context-dependent fear conditioning paradigm prior to a standardized exposure. Spider-phobic participants who were able to complete exposure within the pre-determined time (i.e., completers) showed a more pronounced short- and long-term exposure therapy benefit. In the fear conditioning task, a more pronounced decline in CS-US contingency ratings during extinction (retrieval) was found in completers relative to non-completers. The failure to further extinguish US expectancy to the CSs in non-completers might offer a potential mechanistic explanation why non-completers have difficulties to accomplish all exposure steps in a fixed time and show less pronounced treatment gains. Our findings bear specific implications for the implementation of exposure treatment to routine care settings.


Assuntos
Transtornos de Ansiedade/terapia , Encéfalo/fisiopatologia , Condicionamento Clássico , Medo/psicologia , Terapia Implosiva/métodos , Transtornos Fóbicos/terapia , Aranhas/fisiologia , Adulto , Animais , Transtornos de Ansiedade/fisiopatologia , Transtornos de Ansiedade/psicologia , Feminino , Humanos , Masculino , Transtornos Fóbicos/fisiopatologia , Transtornos Fóbicos/psicologia , Adulto Jovem
10.
Eur J Oncol Nurs ; 44: 101705, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32006720

RESUMO

PURPOSE: Fear of cancer recurrence (FCR) is a paramount concern among ovarian cancer survivors. Evidence shows that cancer survivors living in regional or rural areas have higher psychological morbidity; however, no known studies have explored how ovarian cancer survivors living in small urban and rural areas cope with FCR. METHODS: In this qualitative descriptive study, a semi-structured questioning process was developed in accordance with Carver et al.'s conceptualization of coping. Focus groups or 1:1 telephone interviews were used to collect data from a convenience sample of ovarian cancer survivors. Participants completed a demographic form and the Fear of Cancer Recurrence Inventory, and clinical information was extracted from hospital charts. RESULTS: The average age of participants (n = 15) was 62.8 years (Range 51-76 years) and the average time since diagnosis was 2.7 years (Range 1-19 years). Most women had elevated levels of FCR. Five themes for coping were expressed by all women: 1) health care provider support; 2) knowing, trusting, and prioritizing self; 3) finding what works; 4) uniqueness and belonging; and 5) redirecting thoughts and actions. One additional theme was expressed by most women (n = 11): 6) preparing for the future. CONCLUSION: Fear of cancer recurrence was a concern for most ovarian cancer survivors who used a variety of ways to cope. Results can be used to guide nurses' discussions with post-treatment ovarian cancer survivors or be used to inform refinement and development of resources to assist ovarian cancer survivors living in small urban and rural settings to cope with FCR.


Assuntos
Sobreviventes de Câncer/psicologia , Medo/psicologia , Recidiva Local de Neoplasia/psicologia , Neoplasias Ovarianas/psicologia , Transtornos Fóbicos/psicologia , Adaptação Psicológica , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Ontário , Pesquisa Qualitativa , População Rural/estatística & dados numéricos , Sobreviventes/psicologia , População Urbana/estatística & dados numéricos
11.
J Fam Pract ; 69(1): 33-36, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32017833

RESUMO

When a patient reports symptoms suggestive of phobia, ask questions designed to clarify thoughts and behaviors. A 4-step exposure therapy plan can also help.


Assuntos
Terapia Implosiva/métodos , Transtornos Fóbicos/diagnóstico , Transtornos Fóbicos/terapia , Gerenciamento Clínico , Humanos , Transtornos Fóbicos/psicologia
12.
Adv Exp Med Biol ; 1191: 291-329, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32002935

RESUMO

Anxiety disorders are an enormous societal burden given their high lifetime prevalence among adult populations worldwide. A variety of anxiety disorders can be successfully treated with psychological treatments such as cognitive behavioral therapy (CBT), mindfulness-based cognitive therapy (MBCT), and acceptance and commitment therapy (ACT), either as stand-alone individual or group treatment or as adjunctive treatment to pharmacotherapy. Furthermore, a growing body of evidence suggests that therapist-guided Internet-delivered CBT (iCBT) and, to some degree, digitalized mindfulness- and acceptance-based interventions may be an efficacious complement to traditional face-to-face therapy. In view of the current advances regarding the integration of traditional and innovative treatment approaches, this chapter provides an overview on the theory and evidence base for different delivery modes of CBT-related interventions for specific phobia, panic disorder, agoraphobia, social anxiety disorder, and generalized anxiety disorder in adults. Finally, implications for clinical practice and research will be derived, and future directions for the psychological treatment of anxiety disorders will be outlined.


Assuntos
Terapia de Aceitação e Compromisso , Transtornos de Ansiedade/psicologia , Transtornos de Ansiedade/terapia , Terapia Cognitivo-Comportamental , Atenção Plena , Humanos , Transtornos Fóbicos/psicologia , Transtornos Fóbicos/terapia , Resultado do Tratamento
13.
Support Care Cancer ; 28(9): 4173-4181, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31900611

RESUMO

PURPOSE: A number of cancer patients experience fear of cancer recurrence (FCR), which affects their psychological adjustment. This study tested the hypothesized model of FCR to predict psychological adjustment in cancer patients undergoing chemotherapy. METHODS: A total of 203 patients, who had been diagnosed with either breast cancer or colorectal cancer and were undergoing chemotherapy, were recruited from two university hospitals in Seoul, Korea. Data were collected using validated questionnaires and were analyzed using SPSS 24.0 and AMOS 25.0 program for structural equation modeling procedures. RESULTS: The fit index of the hypothesized model was appropriate. Symptom distress, contextual factors, FCR, and illness representations had statistically significant direct, indirect, and total effects on psychological adjustment. These variables explained 76% of the total variance of the psychological adjustment in cancer patients undergoing chemotherapy. Fear of cancer recurrence was a mediating factor for the effects of symptom distress, contextual factors, and illness representation on psychological adjustment. CONCLUSIONS: Based on these results, interventions aimed at reducing symptom distress and FCR, and improving social support, optimism, and illness representations, may be useful for the successful psychological adjustment of cancer patients undergoing chemotherapy.


Assuntos
Neoplasias da Mama/psicologia , Neoplasias Colorretais/psicologia , Modelos Psicológicos , Recidiva Local de Neoplasia/psicologia , Adaptação Psicológica , Adulto , Idoso , Idoso de 80 Anos ou mais , Neoplasias da Mama/tratamento farmacológico , Neoplasias Colorretais/tratamento farmacológico , Estudos Transversais , Medo/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos Fóbicos/etiologia , Transtornos Fóbicos/psicologia , República da Coreia , Inquéritos e Questionários
14.
Br J Psychol ; 111(2): 297-321, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31183857

RESUMO

Animal phobias are one of the most prevalent mental disorders. We analysed how fear and disgust, two emotions involved in their onset and maintenance, are elicited by common phobic animals. In an online survey, the subjects rated 25 animal images according to elicited fear and disgust. Additionally, they completed four psychometrics, the Fear Survey Schedule II (FSS), Disgust Scale - Revised (DS-R), Snake Questionnaire (SNAQ), and Spider Questionnaire (SPQ). Based on a redundancy analysis, fear and disgust image ratings could be described by two axes, one reflecting a general negative perception of animals associated with higher FSS and DS-R scores and the second one describing a specific aversion to snakes and spiders associated with higher SNAQ and SPQ scores. The animals can be separated into five distinct clusters: (1) non-slimy invertebrates; (2) snakes; (3) mice, rats, and bats; (4) human endo- and exoparasites (intestinal helminths and louse); and (5) farm/pet animals. However, only snakes, spiders, and parasites evoke intense fear and disgust in the non-clinical population. In conclusion, rating animal images according to fear and disgust can be an alternative and reliable method to standard scales. Moreover, tendencies to overgeneralize irrational fears onto other harmless species from the same category can be used for quick animal phobia detection.


Assuntos
Asco , Medo/psicologia , Transtornos Fóbicos/psicologia , Adulto , Afeto/fisiologia , Animais , Emoções/fisiologia , Feminino , Humanos , Masculino , Psicometria , Autorrelato , Inquéritos e Questionários
15.
Psychooncology ; 29(2): 271-279, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31663187

RESUMO

OBJECTIVE: This longitudinal study mapped distinct trajectories of fear of cancer recurrence (FCR) over 12 months among patients with breast (BC) or colorectal (CRC) cancer, and examined if metacognition, indirectly via attentional bias, intrusive thoughts and avoidance (hallmarks of cognitive attentional syndrome; CAS) predicted FCR trajectory membership. METHODS: Two hundred and seventy BC (n = 163) or CRC (n = 107) patients were assessed at 8-weeks, 3-, 6-, and 12-months postsurgery on a measure of FCR (FCRI-SF). Metacognition (MCQ-30), Intrusive and Avoidant Thoughts (CIES-R) and attentional bias (dot-probe tasks) were assessed at baseline. Latent growth mixture modeling identified FCR trajectories. Fully-adjusted Multinomial Logistic Regression identified whether direct and indirect effects of metacognition through CAS determined FCR trajectory membership. RESULTS: Three distinct FCR trajectories were identified, namely, low-stable (62.4%), high-stable (29.2%), and recovery (8.3%). Negative beliefs about worry, cognitive confidence, and age predicted FCR trajectories (χ2 (6) = 38.31, P<.001). Compared with Low-stable group, Recovery FCR patients held greater Negative beliefs about worry (OR = 1.13, P = .035) and High-stable FCR patients reported poorer Cognitive confidence (OR = 1.12, P = .004). The effect of Negative beliefs about worry was partially mediated by avoidance (ß = .06, 95% CIs 0.03-0.12) and fully mediated by intrusive thoughts (ß = .14, 95% CIs 0.08-0.20). Attentional bias did not predict FCR trajectories. CONCLUSIONS: While most patients experienced low level of FCR, 3 in 10 persistently worried about cancer returning over the first 12-months postsurgery. Modifying metacognitive knowledge to interrupt maladaptive cognitive processing including intrusion and avoidance may be an effective therapeutic intervention for patients at risk of persistent FCR.


Assuntos
Ansiedade/psicologia , Atenção , Neoplasias da Mama/psicologia , Neoplasias Colorretais/psicologia , Metacognição , Recidiva Local de Neoplasia/psicologia , Transtornos Fóbicos/psicologia , Adulto , Idoso , Atenção/fisiologia , Feminino , Humanos , Estudos Longitudinais , Masculino , Metacognição/fisiologia , Pessoa de Meia-Idade
16.
Psychooncology ; 29(2): 430-436, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31713279

RESUMO

OBJECTIVE: Without an agreed-upon set of characteristics that differentiate clinical from nonclinical levels of fear of cancer recurrence (FCR), it is difficult to ensure that FCR severity is appropriately measured, and that those in need of intervention are identified. The objective of this study was to establish expert consensus on the defining features of clinical FCR. METHOD: A three-round Delphi was used to reach consensus on the defining features of clinical FCR. Sixty-five experts in FCR (researchers, psychologists, physicians, nurses, and allied health professionals) were recruited to suggest and rate potential features of clinical FCR. Participants who indicated they could communicate diagnoses within their clinical role were also asked to consider the application of established DSM-5 and proposed ICD-11 diagnostic criteria (Health Anxiety, Illness Anxiety Disorder, Somatic Symptom Disorder) to clinical FCR. RESULTS: Participants' ratings suggested that the following four features are key characteristics of clinical FCR: (a) high levels of preoccupation; (b) high levels of worry; (c) that are persistent; and (d) hypervigilance to bodily symptoms. Of participants whose professional role allowed them to diagnose mental disorders, 84% indicated it would be helpful to diagnose clinical FCR, but the use of established diagnostic criteria related to health anxiety or somatic-related disorders to clinical FCR was not supported. This suggests that participants consider clinical FCR as a presentation that is specific to cancer survivors. CONCLUSION: Clinical FCR was conceptualized as a multidimensional construct. Further research is needed to empirically validate the proposed defining features.


Assuntos
Sobreviventes de Câncer/psicologia , Medo/psicologia , Recidiva Local de Neoplasia/psicologia , Transtornos Fóbicos/psicologia , Adulto , Ansiedade/psicologia , Técnica Delfos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/prevenção & controle
17.
Midwifery ; 82: 102590, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31864080

RESUMO

OBJECTIVE: The primary objective was to estimate the population prevalence of specific phobias (including pregnancy related specific phobias) and associated mental disorders. The secondary objective was to investigate the effectiveness of routinely collected screening tools (depression and anxiety screens, Whooley and GAD-2 respectively) in identifying specific phobias. Specific phobias are the most common anxiety disorder to occur during pregnancy, but studies on prevalence and clinical correlates of specific phobias, including pregnancy related specific phobias are lacking. DESIGN: Cross-sectional survey using a two-phase sampling design stratified according to being positive or negative on the Whooley questions routinely asked by midwives. Approaching all whooley positive women and drawing a random sample of Whooley negative women. Sampling weights were used to account for the bias induced by the stratified sampling. PARTICIPANTS: 545 pregnant women attending their first antenatal appointment. Language interpreters were used where required. SETTING: Inner-city maternity service, London, UK. MEASUREMENTS: The Structured Clinical Interview for DSM-IV Axis I Mental Disorders were administered to assess mental disorders and 544 women responded to the anxiety module on specific phobias. RESULTS: The maternity population prevalence estimate for specific phobias was 8.4% (95%CI: 5.8-12.1%) and for pregnancy related phobias was 1.5% (95%CI: 0.6-3.7%), most of which were needle phobias. The prevalence estimate of tokophobia was 0.032% (95%CI: 0.0044-0.23%). Over half (52.4%) the women with specific phobias had comorbid mental disorders. Routinely administered screening tools (Whooley and GAD-2) were not helpful in identifying phobias. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Phobias in pregnancy are common but pregnancy related phobias are rare, particularly tokophobia. As routinely administered screening tools were not helpful in identifying phobias, other indicators could be considered, such as avoidance of blood tests and requests for caesarean sections.


Assuntos
Transtornos Fóbicos/psicologia , Gestantes/psicologia , Prevalência , Adolescente , Adulto , Criança , Estudos Transversais , Feminino , Humanos , Londres/epidemiologia , Programas de Rastreamento/métodos , Programas de Rastreamento/estatística & dados numéricos , Pessoa de Meia-Idade , Transtornos Fóbicos/epidemiologia , Gravidez , Escalas de Graduação Psiquiátrica , Psicometria/instrumentação , Psicometria/métodos , Inquéritos e Questionários
18.
Psychol Assess ; 32(2): 170-181, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31599611

RESUMO

This study aims to examine the reliability and validity of the French version of the Dominic Interactive screening tool (Valla, 2008) among Indigenous children in Quebec. The Dominic Interactive is a computerized screening tool, which assesses prevalent emotional and behavioral problems in children. Participants in this study were 195 Innu Nation children aged between 8 and 11 years. Statistical analyses were performed on each of the 7 scales of the Dominic Interactive to assess reliability, factor structure, and measurement invariance across boys and girls. Results show satisfactory reliability (ranging from αtet = .83 to .94 and from ω = .84 to .95) for 5 out of the 7 scales scores. Separation Anxiety and Specific Phobias scales failed to show adequate reliability. Confirmatory factor analyses confirm the 1-factor structure for Opposition and Conduct Problems scales (root mean square error of approximation, RMSEA ≤ .05; comparative fit index, CFI ≥ .95). Within an exploratory framework, confirmatory factor analyses also show good fit indices of relaxed models for Inattention/Hyperactivity/Impulsivity, Depression, and Specific phobias, admitting some error correlations. Generalized anxiety had poorer model fits; factor structure is not confirmed for this scale. The Separation anxiety construct appears to be better described by a 2-factor structure than by the postulated 1-factor structure. Measurement invariance between boys and girls was sufficiently supported for most of the scales, except for Specific Phobias. Therefore, results demonstrate promising reliability and validity for scales evaluating behavioral problems and depressive symptoms, but further research is still needed to determine the generalizability of these exploratory results in Indigenous populations. (PsycINFO Database Record (c) 2020 APA, all rights reserved).


Assuntos
Ansiedade de Separação/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno da Conduta/diagnóstico , Transtorno Depressivo/diagnóstico , Povos Indígenas/psicologia , Transtornos Fóbicos/diagnóstico , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/psicologia , Ansiedade de Separação/psicologia , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/diagnóstico , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/psicologia , Criança , Transtorno da Conduta/psicologia , Transtorno Depressivo/psicologia , Análise Fatorial , Feminino , Humanos , Masculino , Programas de Rastreamento , Transtornos Fóbicos/psicologia , Psicometria , Quebeque , Reprodutibilidade dos Testes
19.
J Cosmet Dermatol ; 19(9): 2169-2173, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33439544

RESUMO

BACKGROUND: COVID-19 pandemic has affected the world from every aspect. Individuals are drained from social, financial, and emotional percussion of this pandemic. Psychosocial consequences are far greater than are being perceived. It is anticipated that once the pandemic is over the psycho-emotional turbulence would shake the whole populations of affected countries. AIMS AND OBJECTIVES: To review the psychological consequences of COVID-19 pandemic. METHODS: A literature search was conducted on major databases from January 2020 to April 2020 with the search terms of Covid-19, Corona virus, psychological, depression, anxiety, phobias, obsessive behaviors, paranoia, parental relationship, marital life and maternal and fetal bond. CONCLUSION: Patients with COVID-19 infection are more likely to suffer from a myriad of psychological consequences, and this infection may have profound effect on parenting, relationships, marital life, elderly, and maternal-fetal bond.


Assuntos
/epidemiologia , Pandemias , Estresse Psicológico/epidemiologia , Fatores Etários , Ansiedade/epidemiologia , Ansiedade/etiologia , Ansiedade/psicologia , /transmissão , Depressão/epidemiologia , Depressão/etiologia , Depressão/psicologia , Feminino , Carga Global da Doença , Saúde Global , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Humanos , Transmissão Vertical de Doença Infecciosa , Masculino , Comportamento Materno/psicologia , Relações Materno-Fetais/psicologia , Comportamento Obsessivo/epidemiologia , Comportamento Obsessivo/etiologia , Comportamento Obsessivo/psicologia , Transtornos Paranoides/epidemiologia , Transtornos Paranoides/etiologia , Transtornos Paranoides/psicologia , Poder Familiar/psicologia , Transtornos Fóbicos/epidemiologia , Transtornos Fóbicos/etiologia , Transtornos Fóbicos/psicologia , Gravidez , Fatores de Risco , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia
20.
Educ. med. (Ed. impr.) ; 20(6): 353-359, nov.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-191842

RESUMO

INTRODUCCIÓN: El temor hacia las neurociencias y a la neurología clínica por parte de los estudiantes, mejor conocido como neurofobia, dificulta la relación médico-paciente. La ansiedad creada en los encuentros clínicos obstaculiza el manejo efectivo y la creación de lazos como la empatía. El objetivo de este estudio fue evaluar los niveles de neurofobia y empatía que los estudiantes de medicina demuestran hacia los pacientes en el servicio de neurología. MATERIAL Y MÉTODOS: El diseño de la investigación fue cuantitativo, descriptivo y transeccional, con una muestra de 98 estudiantes del programa de medicina de una universidad privada. Se adaptó un instrumento y se utilizaron 19 ítems con posterioridad al encuentro clínico. RESULTADOS: Se encontró evidencia de neurofobia, siendo esta de mayor grado en mujeres. También se observaron altos niveles de empatía en los alumnos, los hombres presentaron un nivel de empatía significativamente menor. DISCUSIÓN: Los estudiantes presentaron evidente preocupación sobre su capacidad de manejar pacientes con enfermedad neurológica de forma autodirigida. Los resultados sobre empatía fueron más favorables que en otros estudios. Futuros trabajos pudieran adentrarse en el análisis de si estos niveles son sostenibles a largo plazo


INTRODUCTION: Fear of neurosciences and clinical neurology of students, best known as neurophobia, affects the doctor-patient relationship. The anxiety of clinical encounters interferes with effective management and the creation of inter-personal bonding, such as empathy towards patients. The objective of this study was to assess the levels of neurophobia and empathy that medical students show towards patients in the Neurology Department. MATERIAL AND METHODS: A quantitative, descriptive and cross-sectional study was conducted on a sample of 98 students of a private university. A clinical encounter evaluation tool was adapted and 19 items were then used to assess it afterwards. RESULTS: There was evidence of neurophobia, existing in a greater degree in female students. High levels of empathy were observed, although there were significantly lower levels shown by males. DISCUSSION: The students have an obvious concern as regards their ability to manage patients with neurological disease in a self-directed manner. The results regarding empathy were more favourable than previous studies. Future research must analyse these levels further, questioning if these could be preserved in the long-term


Assuntos
Humanos , Masculino , Feminino , Adulto , Empatia , Transtornos Fóbicos/psicologia , Neurologia/educação , Estudantes Pré-Médicos/estatística & dados numéricos , Educação Pré-Médica/métodos , Neurociências/educação , Estudos Transversais
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