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1.
J Phys Act Health ; 19(7): 481-489, 2022 Jul 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
2.
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
3.
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
4.
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
5.
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
6.
J Adolesc ; 94(3): 462-476, 2022 Apr.
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
7.
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
8.
ESC Heart Fail ; 9(4): 2378-2387, 2022 Aug.
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
9.
PLoS One ; 17(3): e0265807, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35320294

RESUMO

Lifestyle physical activity following spinal cord injury (SCI) is critical for functional independence, mental wellness, and social participation, yet nearly 50% of individuals with SCI report no regular exercise. The objective of this study was to better understand factors leading to this participation gap by capturing the physical activity perspectives of individuals living with SCI. We completed small group interviews with nine individuals living with SCI across the United States. Iterative thematic analysis systematically revealed meaningful core concepts related to physical activity engagement with SCI. Emergent themes revealed challenges to lifestyle physical activity behavior including gaps in physical activity education, isolation during psychological adjustment, and knowledge limitations in community exercise settings. A secondary theme related to the COVID-19 pandemic emerged, highlighting additional environmental constraints affecting participation. Our findings suggest that most physical activity education is delivered during inpatient rehabilitation and is related to physical function. Lifetime physical activity strategies are achieved through self-education and peer networking. Personal motivators for physical activity include secondary condition prevention, while social and emotional barriers prevent regular adherence. These findings can inform the development and delivery of physical activity programs to maximize physical activity engagement in individuals living with chronic SCI.


Assuntos
Traumatismos da Medula Espinal/reabilitação , Adulto , Idoso , Atitude Frente a Saúde , Ajustamento Emocional , Exercício Físico/fisiologia , Exercício Físico/psicologia , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Traumatismos da Medula Espinal/psicologia , Traumatismos da Medula Espinal/terapia
10.
Artigo em Inglês | MEDLINE | ID: mdl-35206436

RESUMO

This study examines associations between parents' rejection and control, adolescents' self-efficacy in their regulation of negative emotions, and maladjustment. Path analyses were employed to test (a) whether adolescents' dysregulation and self-efficacy regarding anger/sadness regulation mediate the relationship between parental rejection/control and adolescent maladjustment; (b) whether adolescent adjustment mediates the association between parental rejection/control and dysregulation and self-efficacy regarding anger/sadness regulation. Participants included 103 Italian adolescents (Time 1: M age = 15.57; 53% male), their mothers (n = 103), and their fathers (n = 79). Follow up data were assessed one year later (Time 2). At Time 1, adolescent reports of the frequency of mothers' and fathers' rejection and control were examined. At Time 2, adolescent-reports of their beliefs about self-efficacy in regulating anger and sadness, as well as anger and sadness dysregulation, were assessed by two methods: questionnaire and mobile ecological momentary assessment. At Time 2, mothers', fathers', and adolescents' reports of adolescents' aggressive behaviors and depressive problems were also assessed. Maternal rejection was associated with higher one year later aggressive problems, which in turn were associated with higher dysregulation of sadness, and lower self-efficacy in dealing with both anger and sadness. In addition, maternal rejection was associated with higher depressive symptoms one year later, which in turn were associated with lower self-efficacy in dealing with sadness and higher dysregulation of both anger and sadness. Finally, maternal control was associated with higher depressive symptoms, whereas paternal control was associated with lower depressive symptoms.


Assuntos
Comportamento do Adolescente , Regulação Emocional , Adolescente , Comportamento do Adolescente/psicologia , Ajustamento Emocional , Feminino , Humanos , Masculino , Mães/psicologia , Poder Familiar/psicologia , Autoeficácia
11.
Cancer Med ; 11(3): 815-825, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35122411

RESUMO

BACKGROUND: Demoralisation is a clinically significant problem among cancer patients with a prevalence of 13%-18%. It is defined by difficulty in adjusting to a stressor, wherein the person feels trapped in their predicament and experiences helplessness, hopelessness, loss of confidence and loss of meaning in life. Demoralisation has a strong link with the desire for hastened death and suicidal ideation among the medically ill. This study explored whether a group of symptoms could be identified, distinct from depression, but consistent with adjustment difficulties with demoralisation and linked to ideation of death and suicide. METHODS: Exploratory Graph Analysis, a network psychometrics technique, was conducted on a large German study of 1529 cancer patients. Demoralisation was measured with the Demoralisation Scale II and depressive symptoms with the PHQ-9. RESULTS: A network of symptoms, with four stable communities, was identified: 1. Loss of hope and meaning; 2. Non-specific emotionality; 3. Entrapment; 4. Depressive symptoms. The first three communities were clearly distinct from the PHQ-9 depressive symptoms, except for suicidality and fear of failure. Community 1, Loss of hope and meaning, had the strongest association with thoughts of death and suicide. Hopelessness, loss of role in life, tiredness, pointlessness and feeling trapped were the most central symptoms in the network. CONCLUSIONS: Communities 1 to 3 are consistent with poor coping without anhedonia and other classic depression symptoms, but linked to suicidal ideation. For people facing the existential threat of cancer, this may indicate poor psychological adjustment to the stressors of their illness.


Assuntos
Neoplasias , Suicídio , Depressão/epidemiologia , Ajustamento Emocional , Humanos , Neoplasias/epidemiologia , Psicometria , Ideação Suicida
12.
BMC Pregnancy Childbirth ; 22(1): 115, 2022 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-35148718

RESUMO

BACKGROUND: The transition to motherhood is associated with stress because of extensive and rapid changes to which women need to be able to adjust. To help women adjust to postpartum changes, their needs during this period must be identified. Therefore, the present qualitative study explored the needs of women for adjusting to postpartum changes. METHODS: In this study, 29 participants were selected through purposive sampling with maximum variation in Isfahan, Iran. Data was collected through in-depth individual interviews, daily notes, and field notes, and analyzed using conventional qualitative content analysis. RESULTS: Data analysis led to the emergence of 5 main categories: "the need to receive social support," "the need to receive a sense of worth from the husband," "the need to compensate and improve the situation," "the need to create socio-cultural changes," and "the need for training." CONCLUSIONS: According to the results of the study, in order to adjust to the changes in the postpartum period, and in addition to their efforts to compensate and improve the situation, women need to be supported by their husbands, family members and acquaintances, healthcare team, and society in various dimensions. Moreover, they should receive the information they need to turn the challenges of this period into an opportunity for growth.


Assuntos
Ajustamento Emocional , Mães/psicologia , Motivação , Período Pós-Parto/psicologia , Adulto , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Pesquisa Qualitativa , Autoimagem , Apoio Social/psicologia , Cônjuges/psicologia
13.
Porto; s.n; 20220216. il., tab..
Tese em Português | BDENF - Enfermagem | ID: biblio-1380426

RESUMO

O vírus SARS-CoV-2 surgiu em Wuhan no ano 2019, transmitindo-se através de gotículas e/ou contacto com superfícies contaminadas. Os sintomas da infeção pelo vírus (Covid-19) incluem tosse, febre e falta de ar. O tempo entre a exposição e o início dos sintomas varia entre 2-14 dias. Estudos evidenciam a presença de sintomatologia psicopatológica devido a isolamento por infeção. Este estudo foi realizado no âmbito de um projeto major em curso no CINTESIS / ESEP. O presente estudo assumiu uma abordagem quantitativa, não experimental, do tipo descritivo/correlacional. A amostra do estudo contemplou 337 participantes de ambos os sexos, maiores de idade, que estiveram em isolamento por infeção devido ao SARS-CoV-2 e aceitaram colaborar no estudo, selecionados através de amostragem não probabilística acidental. Os dados obtidos foram colhidos através de um questionário que envolveu os seguintes instrumentos: informações sociodemográficas, clínicas e de saúde, o Posttraumatic Stress Disorder Checklist ­ Civilian Version, o Posttraumatic Growth Inventory (PTGI) e o Brief Symptom Inventory (versões portuguesas). Os dados foram colhidos entre janeiro e março de 2021, cumprindo os princípios éticos inerentes à investigação. Os resultados deste estudo permitem constatar que existe evidência da presença de relação entre os sintomas de Stress Pós-Traumático (SPT) e o suporte social, tal como, com a sintomatologia psiquiátrica. O crescimento pós-traumático (CPT) também se relaciona com a sintomatologia psiquiátrica e com o suporte social (r= 0.285/r=0,339). Observamos que os participantes apresentaram valores mais elevados do que os valores médios de referência nas dimensões psicopatológicas, denotando-se um sofrimento clinicamente significativo (valor do IGS de 1,03). Identificamos ainda que o ''índice geral de sintomas'' se correlaciona negativamente com os fatores presentes na PTGI (r=-0,036/r=0,339); quando uma aumenta a outra diminui, isto é, quanto mais sintomatologia psiquiátrica e distúrbio emocional se verificar, menor será o CPT. Também observamos que, quanto maior for o suporte social percebido, tanto de familiares/amigos, como dos serviços de saúde, maior será o CPT. Os resultados obtidos vão ao encontro da literatura consultada. O estudo evidencia a importância de se detetarem precocemente possíveis sintomas psicopatológicos nesta população, de forma a obterem um tratamento atempadamente, prevenindo o impacto negativo a longo prazo, obtendo-se transições saúde-doença saudáveis, pelo que se revela necessário mais pesquisa e desenvolvimento científico nesta área.


The SARS-CoV-2 virus emerged in the city of Wuhan in 2019, transmitting itself through droplets and/or contact with contaminated surfaces. Symptoms of Covid-19 (SARS-CoV-2 infection) include coughing, fever and shortness of breath and the time between exposure and onset of symptoms ranging from 2 to 14 days. Studies show the presence of psychopathological symptoms due to isolation due to infection. This study was carried out as part a umbrella project underway at CINTESIS/ESEP. The present study took a quantitative, non-experimental, descriptive/correlational approach. The study sample included 337 participants of both sexes, of legal age, who were in isolation for infection due to SARS-CoV2 and accepted to collaborate in the study, selected through accidental non-probabilistic sampling. Data were collected through a questionnaire that involved the following instruments: sociodemographic, clinical and health information, the Posttraumatic Stress Disorder Checklist ­ Civilian Version, the Posttraumatic Growth Inventory (PTGI) and the Brief Symptom Inventory (Portuguese versions). Data were collected between January and March 2021, complying with the ethical principles inherent to the investigation. The results of this study allow us to verify that there is evidence of the presence of a relationship between PTSD symptoms and social support (r= 0.285/r=0,339), such as with psychiatric symptoms. Posttraumatic growth is also related to psychiatric symptoms and social support. We observed that the participants had higher values than the mean reference values in the psychopathological dimensions, denoting clinically significant suffering (IGS value of 1.03). We also identified that the 'general index of symptoms' is negatively correlated with the factors present in PTGI(r=-0,036/r=0,339), when one increases the other decreases, that is, the more psychiatric symptoms and emotional disturbances are verified, the less posttraumatic growth will be. We also observed that the greater the perceived social support, both from family members/friends and from health services, the greater the post-traumatic growth. In general, the results obtained are in line with the literature consulted. The study highlights the importance of early detection of possible psychopathological symptoms in this population, in order to obtain timely treatment, preventing the long-term negative impact, in order to obtain healthy health-disease transitions, requiring more research and scientific development in this area


Assuntos
Transtornos de Estresse Pós-Traumáticos , Ajustamento Emocional , Crescimento Psicológico Pós-Traumático , População , SARS-CoV-2 , COVID-19
14.
Clin J Pain ; 38(4): 257-263, 2022 01 31.
Artigo em Inglês | MEDLINE | ID: mdl-35093956

RESUMO

OBJECTIVE: The present study investigated whether illness cognitions mediated the relationship between caregiving demands and positive and negative indicators of adjustment in partners of patients with chronic pain. METHODS: The sample of this cross-sectional study consisted of 151 partners (mean age=61.4 y, SD=13.6 y, 57% male) of patients with chronic pain (eg, back pain). The study was conducted in the Pain Centre of the University Medical Centre Groningen, The Netherlands, during November 2014 to June 2015. Participants completed questionnaires that assessed caregiving demands, illness cognitions, perceived burden, distress, positive affect, and life satisfaction. RESULTS: The results showed that among illness cognitions, acceptance of the illness mediated the association between caregiving demands and burden (b=0.16, 95% confidence interval [CI]: 0.05-0.28) and positive affect (b=-0.21, CI: -0.41 to -0.06). Helplessness mediated the association between caregiving demands and burden (b=0.46, CI: 0.26-0.69) and distress (b=0.35, CI: 0.19-0.53). Perceived benefits did not mediate any of these associations. The findings indicate that partners who experience more demands tend to appraise the consequences of the patients' pain condition more negatively, which in turn is associated with their emotional adjustment. DISCUSSION: The results suggest that illness cognitions play an important role in the psychological adjustment of partners. Enhancing acceptance of the illness and reducing feelings of helplessness could form the basis of interventions aiming at promoting psychological adjustment in partners, especially when it is difficult to reduce the demands.


Assuntos
Cuidadores , Dor Crônica , Adaptação Psicológica , Cuidadores/psicologia , Cognição , Efeitos Psicossociais da Doença , Estudos Transversais , Ajustamento Emocional , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Psicológico/psicologia , Inquéritos e Questionários
15.
Open Heart ; 9(1)2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-35086919

RESUMO

OBJECTIVES: (1) To evaluate the prevalence and hospitalisation rate of COVID-19 infections among patients with dilated cardiomyopathy (DCM) and hypertrophic cardiomyopathy (HCM) in the Royal Brompton and Harefield Hospital Cardiovascular Research Centre (RBHH CRC) Biobank. (2) To evaluate the indirect impact of the pandemic on patients with cardiomyopathy through the Heart Hive COVID-19 study. (3) To assess the impact of the pandemic on national cardiomyopathy-related hospital admissions. METHODS: (1) 1236 patients (703 DCM, 533 HCM) in the RBHH CRC Biobank were assessed for COVID-19 infections and hospitalisations; (2) 207 subjects (131 cardiomyopathy, 76 without heart disease) in the Heart Hive COVID-19 study completed online surveys evaluating physical health, psychological well-being, and behavioural adaptations during the pandemic and (3) 11 447 cardiomyopathy-related hospital admissions across National Health Service (NHS) England were studied from NHS Digital Hospital Episode Statistics over 2019-2020. RESULTS: A comparable proportion of patients with cardiomyopathy in the RBHH CRC Biobank had tested positive for COVID-19 compared with the UK population (1.1% vs 1.6%, p=0.14), but a higher proportion of those infected were hospitalised (53.8% vs 16.5%, p=0.002). In the Heart Hive COVID-19 study, more patients with cardiomyopathy felt their physical health had deteriorated due to the pandemic than subjects without heart disease (32.3% vs 13.2%, p=0.004) despite only 4.6% of the cardiomyopathy cohort reporting COVID-19 symptoms. A 17.9% year-on-year reduction in national cardiomyopathy-related hospital admissions was observed in 2020. CONCLUSION: Patients with cardiomyopathy had similar reported rates of testing positive for COVID-19 to the background population, but those with test-proven infection were hospitalised more frequently. Deterioration in physical health amongst patients could not be explained by COVID-19 symptoms, inferring a significant contribution of the indirect consequences of the pandemic. TRIAL REGISTRATION NUMBER: NCT04468256.


Assuntos
COVID-19 , Cardiomiopatia Dilatada , Cardiomiopatia Hipertrófica , Acesso aos Serviços de Saúde , Hospitalização/estatística & dados numéricos , Saúde Mental , Medicina Estatal/estatística & dados numéricos , COVID-19/epidemiologia , COVID-19/psicologia , COVID-19/terapia , Cardiomiopatia Dilatada/epidemiologia , Cardiomiopatia Dilatada/terapia , Cardiomiopatia Hipertrófica/epidemiologia , Cardiomiopatia Hipertrófica/terapia , Comorbidade , Ajustamento Emocional , Feminino , Acesso aos Serviços de Saúde/estatística & dados numéricos , Acesso aos Serviços de Saúde/tendências , Necessidades e Demandas de Serviços de Saúde , Humanos , Masculino , Saúde Mental/estatística & dados numéricos , Saúde Mental/tendências , Pessoa de Meia-Idade , Prevalência , SARS-CoV-2/isolamento & purificação , Análise de Sobrevida , Reino Unido/epidemiologia
16.
Artigo em Inglês | MEDLINE | ID: mdl-35010800

RESUMO

Pesticides used to control insects, such as pyrethroids, are neurotoxicants, yet adolescent researchers often overlook their potential role in adolescent psychological adjustment. This brief report is guided by bioecological theory and considers the possible independent and interactive effects of environmental pyrethroid pesticide exposure for adolescent depressive symptoms. Self-reported adolescent appraisals of the parent-child relationship and depressive symptoms were obtained from a convenience sample of impoverished, predominantly Latino urban youth (n = 44). Exposure to environmental pyrethroids was obtained from wipe samples using a standardized protocol. Parent-adolescent conflict was higher in households with bifenthrin than those without, and adolescent depressive symptoms were elevated in homes where cypermethrin was detected. In addition, the presence of bifenthrin in the home attenuated the protective effects of parental involvement on adolescent depressive symptoms. The current results suggest that adolescent mental health researchers must consider the synergistic combinations of adolescents' environments' physical and social features. Given the endemic presence of pesticides and their neurotoxic function, pesticide exposure may demand specific attention.


Assuntos
Comportamento do Adolescente , Praguicidas , Adaptação Psicológica , Adolescente , Depressão/epidemiologia , Ajustamento Emocional , Humanos , Relações Pais-Filho , Poder Familiar
17.
J Psychiatr Res ; 146: 179-185, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34995993

RESUMO

Perceiving that one has grown in positive ways following highly stressful experiences (perceived posttraumatic growth; PPTG) is common and sometimes--but not always--related to psychological wellbeing. However, PPTG is typically studied cross-sectionally and well after the stressful experience has passed; how PPTG might relate to wellbeing over time in an unprecedented, ongoing worldwide disaster such as the COVID-19 pandemic remains unknown. Thus, the current study sought to answer whether, in the midst of the pandemic, PPTG relates to subsequent wellbeing, broadly defined. Participants were N = 1544 MTurk workers who completed a five-wave (T1-T5) six-month longitudinal study. Current analyses focused on T2-T5 (ns = 860-712). At each time point, participants completed self-report measures of PPTG and wellbeing (depression, anxiety, stress, positive states of mind, alcohol use, posttraumatic stress). In cross-lagged panel models, PPTG was largely unrelated to subsequent wellbeing. Somewhat more evidence was found that increasing distress led to increases in PPTG, suggesting perceptions of growth may serve as a coping mechanism. PPTG does not appear to benefit adjustment to the COVID-19 pandemic and may simply reflect efforts to manage distress.


Assuntos
COVID-19 , Crescimento Psicológico Pós-Traumático , Ajustamento Emocional , Humanos , Estudos Longitudinais , Pandemias , SARS-CoV-2 , Estresse Psicológico/epidemiologia
18.
Psico USF ; 27(1): 1-15, jan.-mar. 2022. tab
Artigo em Inglês | LILACS, Index Psicologia - Periódicos | ID: biblio-1376045

RESUMO

In Brazil, few studies have investigated the psychological aspects of childhood cancer. The aim of this article was to compare the psychological adjustment of children with cancer from different survival perspectives with that of children without cancer, besides examining potential risk factors. The sample consisted of 179 participants (6-14 years-old) recruited in two Brazilian public hospitals and three schools, and divided in three groups (relapsed, survivors and control). Children answered orally the self-reported Behavior Assessment Scale for Children, the Revised Children's Manifest Anxiety Scale and Piers-Harris' Self-Concept Scale. No differences were found between groups regarding school and clinical maladjustment, personal adjustment, emotional symptoms and self-concept. Findings also showed positive associations between psychological maladjustment and gender, younger age, lower household income, single parenthood and lower levels of parental education. Conclusions indicate that children with cancer adapt well to the disease and do not present more psychological problems than controls (AU).


No Brasil, poucos estudos investigaram os aspectos psicológicos do câncer infantil. O objetivo deste artigo foi comparar o ajustamento psicológico de crianças com câncer com diferentes perspectivas de sobrevivência com o de crianças sem câncer, além de examinar potenciais fatores de risco. A amostra consistiu em 179 participantes (6-14 anos de idade) recrutados em dois hospitais públicos e três escolas brasileiras. As crianças responderam oralmente à Escala de Avaliação Comportamental para Crianças, à Escala de Ansiedade Manifesta para Crianças Revisada e à Escala de Autoconceito Piers-Harris. Não foram constatadas diferenças entre os grupos com relação ao desajustamento clínico e escolar, ajustamento pessoal, sintomas emocionais e autoconceito. Os resultados também mostraram associações positivas entre o desajustamento psicológico e gênero, menor idade, menor renda, famílias monoparentais e menor nível educacional parental. As conclusões indicam que crianças com câncer se adaptam bem à doença e não apresentam mais problemas psicológicos que as do grupo controle (AU).


Na Brasil, pocos estudios han investigado los aspectos psicológicos del cáncer infantil. El objetivo de este artículo fue comparar el ajuste psicológico de niños na cáncer na diferentes perspectivas de supervivencia na el de niños sin cáncer, además de examinar los posibles factores de riesgo. La muestra consistió en 179 participantes (6-14 años de edad) reclutados en dos hospitales públicos y tres escuelas brasileñas. Los niños contestaron oralmente a la Escala de Evaluación del Comportamiento del Niño, la Escala Revisada de Ansiedad Manifiesta en Niños y la Escala de Autoconcepto de Piers-Harris. No se constataron diferencias entre los grupos con respeto al desajuste clínico y escolar, el ajuste personal, los síntomas emocionales y el autoconcepto. Los resultados también mostraron asociaciones positivas entre el desajuste psicológico y el género, la menor edad, la menor renta, las familias monoparentales y el nivel educativo parental más bajo. Las conclusiones señalan que niños con cáncer se adaptan bien a la enfermedad y no presentan más problemas psicológicos que los del grupo de control (AU).


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Recidiva , Adaptação Psicológica , Ajustamento Emocional , Escala de Avaliação Comportamental , Sobreviventes de Câncer , Neoplasias/psicologia
19.
An. psicol ; 38(1): 163-176, ene. 2022. tab
Artigo em Inglês | IBECS | ID: ibc-202878

RESUMO

Métodos y técnicas.- Se usa un enfoque semántico en la estructuración dicomotizada de pares de constructos de identificación personal. Se aporta una técnica original de "Modelización semántica de auto-organización de la personalidad" (MSAOP). Los entrevistados rellenan «las rejillas de repertorio» de J. Kelly. Resultados de la muestra fueron factorizados. Los entrevistados hacen la modelización en imágenes "Yo-real", "Yo-ideal", y también imágenes «de la personalidad autoactualizada» (PAA) y "Noconformista" (NC), usando un conjunto de constructos recogidos del repertorio de rejillas de J. Kelly). La muestra consta de 218 estudiantes de psicología. Resultados y discusión.- Se muestran datos comparativos de constructos autoactualizables (en el aspecto de "Io-ideal") y los modelos SUP y Oil Company. Aunque el SUP es un modelo de referencia de los logros de la personalidad (según A. Maslow et al.), Un no-conformista revela las propiedades de la autoafirmación. En la semántica de la autoorganización mental (MSS) de la personalidad, los encuestados no están completamente enfocados hacia estos estándares. Los resultados del análisis factorial mostraron las peculiaridades de la semántica de la personalidad de los estudiantes MCO en el aspecto de la autoactualización ("yo-ideal"): espontaneidad emocional y, al mismo tiempo, fortaleza y autoconfianza, así como como comunicación y bienestar en la vida (asociado a la inteligencia, e ingenuidad).(AU)


Introduction.The research is focused on studying self-organization of the personality in aspect of subjectness. The technique of modeling of social and role identification of the personality is presented. The research objective -to define semantic constructsself-updatingin modeling of per-sonal identification.Methods and techniques of a research.Semantic approach in structuring dichot-omizing couples of constructs of personal identification is used. Offered original technique "Semantic Modelling of Self-organization of the Person-ality" ("SMSOP"). Respondents fill "Repertoire lattices" of J. Kelly. Results of sample are factorized. Respondents make modeling of in images "I am-real", "I am-ideal" and also images of "The Self-updated Personality" (SUP) and "Nonconformist" (NC), using a set of the linguistic constructs received by means of repertoire lattices of J. Kelly). Sample –students-psychologists, the 218th persons.Results and discussion.Comparative data of constructs self-updating (in as-pect "I am-ideal") and the SUP and Oil Company models showed. Though SUP is a reference model of achievements of the personality (according to A. Maslow, etc.), and the NC discloses properties of self-affirmation, in semantics of mental self-organization (MSO) of the personality, respond-ents aren't focused fully on these standards. Results of the factorial analysis showed features of semantics of MSO of the identity of students in aspect self-updating ("I am-ideal"): emotional spontaneity and, at the same time, strength of mind and self-confidence and also communication and wellbe-ing in life (connected with intellectuality, ingenuity). Conclusions.Semantics self-updating persons reveals for youth in the posi-tions defining possible, achievable aspects of prospect of their life. The SUP and NC models are "perfect" for them.(AU)


Assuntos
Humanos , Adulto , Ciências da Saúde , Personalidade , Desenvolvimento da Personalidade , Psicologia/métodos , Inteligência Emocional , Ajustamento Emocional
20.
J Interpers Violence ; 37(1-2): NP526-NP550, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-32383633

RESUMO

This study examined the phenomenon of sibling violence in Singapore. The underlying mechanisms through which maternal authoritativeness and maladaptive coping influenced psychological adjustment following sibling violence were also investigated. Questionnaires were administered to 287 female and 128 male Singaporean college students between the ages of 18 to 27. Results showed that lifetime and past-year prevalence estimates of sibling violence in college students in Singapore were 89.9% and 62.0%, respectively. Lifetime psychological sibling violence involvement and past-year sibling violence involvement (both physical and psychological) were significantly related to maladaptive coping and overall psychological adjustment; lifetime sibling violence involvement was significantly related to maternal authoritativeness, anxiety, and depression only. Maladaptive coping was found to be a significant mediator between past-year physical and psychological sibling violence involvement and two measures of psychological adjustment, anxiety and depression. Maternal authoritativeness functioned as a moderator only for the relationship between past-year psychological sibling violence exposure and psychological adjustment. At low but not high levels of maternal authoritativeness, past-year psychological violence involvement was significantly related to higher levels of anxiety and depression, and lower levels of self-esteem. These findings show that sibling violence is a pervasive problem in Asian countries as well, such as in Singapore. There is a need to educate both the public and the relevant authorities so that steps can be taken to protect those who have experienced or are at risk of experiencing such violence. Through elucidating the role of maternal authoritativeness and maladaptive coping, the present study also suggests new avenues for interventions to reduce the adverse effects of sibling violence. Limitations and future directions are also discussed.


Assuntos
Ajustamento Emocional , Irmãos , Adaptação Psicológica , Adolescente , Adulto , Ansiedade/epidemiologia , Feminino , Humanos , Masculino , Violência , Adulto Jovem
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