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ADHERENCE TO TREATMENT ASSESSMENT IN PATIENTS WITH CARDIOVASCULAR DISEASES FROM A CLINICAL AND PSYCHOLOGICAL PERSPECTIVE 从临床和心理角度评价心血管疾病患者治疗依从性
Pub Date : 2020-04-24 DOI: 10.36315/2020inpact004.pdf
M. Iakovleva
Introduction. The behavior of patients with cardiovascular diseases in the course of therapy is of key importance, since their survival and quality of life depend on their lifestyle and adherence to physicians’ recommendations. Adherence to treatment and its assessment is considered to be a medical problem, but numerous studies show that it is multifactorial and it must be considered from an interdisciplinary point of view. Material and Methods. CHD patients of the cardiac rehabilitation department were examined (n=112). Patients’ behavior in the therapy process, their clinical, emotional and social status and psychological characteristics were studied. Supervising doctors and clinical psychologists who followed up the patients made an expert opinion on their level of adherence to treatment and divided them into two groups. At the same time, they filled out a specific questionnaire for each patient, which contained several aspects of patients’ therapeutic behavior, both pharmacological and non-pharmacological. Results. Adherent and non-adherent patients were found to differ in all the aspects included in the questionnaire (p<0,001; p<0,05 for the indicator “alcohol consumption”). The factor analysis of all the questions from the questionnaire identified three major factors that combined various aspects of treatment adherence. Three obtained factors explain 70% of the total dispersion. The 1st one included the following aspects: regularity of cardiological examinations, regularity of blood pressure self-monitoring, intake of prescribed medications regularity; the 2nd, control (and, if necessary, reduction) of weight, following a diet, the level of physical activity; the 3rd, alcohol consumption (frequency and dose) and smoking (smoking cessation/number of cigarettes per day). Based on the three identified factors system, patients can be divided into more specific categories. Conclusion. Nevertheless, it is essential to consider not only the level of adherence to treatment and its aspects, but also the reasons of patients’ behavior: their awareness of the treatment regimen, their consciousness and motives for following the recommendations, the value of health and the subjective disease perception. It is important to take account of the factors that may interfere in adherence to treatment, and patients’ resources for an optimal therapeutic behavior. Therefore, adherence to treatment is based on both clinical and psychological aspects. Its theoretical and practical study should be based on the biopsychosocial approach to the problem and an individual approach to each patient. Acknowledgement. This research was supported by the Russian Foundation for Basic Research (RFBR) (Grant No 18-013-00689 A).
介绍。心血管疾病患者在治疗过程中的行为至关重要,因为他们的生存和生活质量取决于他们的生活方式和对医生建议的依从性。坚持治疗及其评估被认为是一个医学问题,但许多研究表明,这是一个多因素问题,必须从跨学科的角度加以考虑。材料和方法。对心脏康复科的冠心病患者(112例)进行调查。研究患者在治疗过程中的行为、临床、情绪和社会地位以及心理特征。对患者进行随访的主治医生和临床心理学家对患者坚持治疗的程度提出了专家意见,并将患者分为两组。同时,他们为每位患者填写了一份特定的问卷,其中包含了患者治疗行为的几个方面,包括药物和非药物。结果。依从性和非依从性患者在问卷调查的所有方面都存在差异(p< 0.001;“酒精消耗量”指标P < 0.05)。对问卷中所有问题的因素分析确定了三个主要因素,这些因素结合了治疗依从性的各个方面。得到的三个因素解释了总色散的70%。第一项包括以下几个方面:心脏检查的规律性、血压自我监测的规律性、处方药物的服用规律;第二,控制(如有必要,减少)体重,遵循饮食,体育活动水平;第三,饮酒(频率和剂量)和吸烟(戒烟/每天吸烟的数量)。根据三种确定的因素系统,可以将患者分为更具体的类别。结论。然而,不仅要考虑坚持治疗的水平及其方面,而且要考虑患者行为的原因:他们对治疗方案的认识,他们遵循建议的意识和动机,健康的价值和主观疾病感知。重要的是要考虑到可能影响治疗依从性的因素,以及患者的资源,以获得最佳的治疗行为。因此,坚持治疗是基于临床和心理两个方面。其理论和实践研究应基于对问题的生物心理社会学方法和对每个患者的个体方法。确认。本研究由俄罗斯基础研究基金会(RFBR)资助(批准号18-013-00689 A)。
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引用次数: 0
GRANDIOSE AND VULNERABLE NARCISSISM AND SUBJECTIVE WELLBEING – DOES GENDER MATTER? 浮夸、脆弱的自恋和主观幸福感——性别重要吗?
Pub Date : 2020-04-24 DOI: 10.36315/2020inpact048.pdf
Bogusława Lachowska
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引用次数: 0
PSYCHOLOGICAL WILLINGNESS FOR MATERNITY AS A FACTOR CONTRIBUTING TO THE HEALTHY BEHAVIOR OF WOMEN 生育的心理意愿是促进妇女健康行为的一个因素
Pub Date : 2020-04-24 DOI: 10.36315/2020inpact052.pdf
E. Burina, V. A. Moshkivskaya
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引用次数: 0
THE FACTORS SUPPORTING THE SLOVAK TEACHERS’ TURNOVER ACCORDING THE TYPE OF SCHOOL 斯洛伐克教师按学校类型变动的影响因素
Pub Date : 2020-04-24 DOI: 10.36315/2020inpact030.pdf
Monika Magdová, Miroslava Bozogáňová, M. Berinšterová
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引用次数: 2
PERSONAL RESOURCES, DEPRESSIVE SYMPTOMS AND SELF-RATED HEALTH IN HIGH-RISK PROFESSIONS 高危职业的个人资源、抑郁症状和自评健康状况
Pub Date : 2020-04-24 DOI: 10.36315/2020inpact045.pdf
Jana Nezkusilová, M. Chylová, Livia Pestova, Monika Seilerová
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引用次数: 0
SOCIAL NETWORKS IN FRAME OF DIFFERENT GENERATIONS 不同世代的社交网络
Pub Date : 2020-04-24 DOI: 10.36315/2020inpact062.pdf
N. Golubeva, V. Orestova, Vladimir A. Karpuk
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引用次数: 0
CROSSROADS TO MORE POSITIVE ATTITUDES TOWARDS IMMIGRANTS: STUDENTS’ EMPATHIC ABILITIES AND PERCEIVED CLASSROOM CLIMATE 对移民更积极态度的十字路口:学生的移情能力和感知的课堂气氛
Pub Date : 2020-04-24 DOI: 10.36315/2020inpact053.pdf
Manja Veldin, A. Kozina, Ana Mlekuž, T. Perše, M. Vidmar, Urška Štremfel
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引用次数: 0
THE ASSOCIATION BETWEEN INTERNALIZED AND EXTERNALIZED PROBLEM BEHAVIOR AMONG SLOVAK EARLY ADOLESCENTS 斯洛伐克早期青少年内化与外化问题行为的关系
Pub Date : 2020-04-24 DOI: 10.36315/2020inpact011
L. Hricová, M. Bacikova-Sleskova, O. Orosová, L. Abrinková
Background: Current research findings regarding risk behavior have suggested examining the association between externalized problem behavior (EPB) and internalized problem behavior (IPB). This submitted work explores a set of IPB as factors which increase the likelihood of specific EPB. Aim: To assess the impact of IRB such as body dissatisfaction, bulimic symptoms and drive for thinness on EPB such as alcohol use, cigarette smoking and marihuana use. Methods: The sample size consisted of 1180 pupils (50.1% girls; mean age=12.99; SD=.77) from all regions in Slovakia. The children were administered questionnaires to monitor EPB alcohol use, tobacco or electronic cigarette smoking, marihuana use and IRB – dive for thinness, bulimic symptoms (Eating disorder inventory), body dissatisfaction (Children body image scale). Results: Three separate models of logistic regression were performed to assess the impact of IRB factors on the likelihood that respondents would report EPB: (1) alcohol use, (2) cigarette smoking, (3) marihuana use. The models containing interactions of gender and independent variables were significant. Model 1: Being male and bulimic symptoms increased the likelihood of alcohol use. Moreover, the interaction between gender and the drive for thinness indicated that the association between alcohol use and the drive for thinness was significant among girls but not among boys. Model 2: Bulimic symptoms increased the likelihood of cigarette smoking. The interaction between gender and the drive for thinness had the same character as Model 1. Model 3: Being male and the drive for thinness increased the likelihood of marihuana use. The interaction effect of gender and body dissatisfaction on marihuana use has the same character as interactions in Models 1 and 2. Conclusions: IPB increases the likelihood of EPB in early adolescents. The significant interactions suggest that a higher drive for thinness among girls places them in the group of potential alcohol users and cigarettes smokers whereas there is no effect of the drive for thinness on males. The interaction effect of body dissatisfaction and gender is similar in the case of marihuana use. The current results contribute to previous findings and might be beneficial in preventing ERB in early adolescents.
背景:目前关于风险行为的研究结果建议研究外化问题行为(EPB)和内化问题行为(IPB)之间的关系。这项提交的工作探讨了一组IPB作为增加特定EPB可能性的因素。目的:评价身体不满意、贪食症状和追求瘦的欲望等IRB对饮酒、吸烟和大麻使用等EPB的影响。方法:样本量为1180名小学生(女生50.1%;平均年龄= 12.99;SD=.77)。对儿童进行问卷调查,以监测EPB酒精使用、烟草或电子烟使用、大麻使用和IRB - dive的消瘦、暴食症状(饮食失调量表)、身体不满(儿童身体形象量表)。结果:采用三个独立的逻辑回归模型来评估IRB因素对受访者报告EPB可能性的影响:(1)饮酒,(2)吸烟,(3)使用大麻。包含性别和自变量相互作用的模型是显著的。模型1:男性和暴食症状增加了饮酒的可能性。此外,性别与追求瘦的动力之间的相互作用表明,酒精使用与追求瘦的动力之间的关联在女孩中显著,而在男孩中则不显著。模型2:暴食症状增加吸烟的可能性。性别与瘦度驱动的交互作用具有与模型1相同的特征。模型3:男性和对苗条的追求增加了吸食大麻的可能性。性别和身体不满意对大麻使用的交互作用与模型1和模型2中的交互作用具有相同的特征。结论:IPB增加青少年早期发生EPB的可能性。这一重要的相互作用表明,女孩对苗条的更高追求使她们成为潜在的酗酒者和吸烟者,而男性对苗条的追求则没有影响。在大麻使用的情况下,身体不满与性别的交互效应相似。目前的结果有助于先前的研究结果,并可能有助于预防早期青少年的ERB。
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引用次数: 0
PECULIARITIES OF THE PSYCHOLOGICAL TIME IN THE CONTEXT OF GLOBALIZATION. COMPARATIVE STUDY OF RUSSIA AND JAPAN 全球化背景下心理时代的特殊性。俄罗斯与日本的比较研究
Pub Date : 2020-04-24 DOI: 10.36315/2020inpact033
Wada Toshihiro, E. Zabelina, Yulia V. Chestyunina, I. Trushina
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引用次数: 0
ADOLESCENTS’ GENDER IDENTITY AND ATTITUDE TOWARDS PARENTS 青少年性别认同与父母态度
Pub Date : 2020-04-24 DOI: 10.36315/2020inpact057.pdf
Blandína Šramová
The focus of the project is on the adolescents’ perception of the roles of a mother and a father in the family, and specifically on adolescent boys’ attitude towards their fathers and adolescent girls’ attitude towards their mothers. There has been a noticeable shift in interests that used to be primarily associated with a certain gender. For instance, men are increasingly more concerned with the body image, which used to be a predominantly female domain. Moreover, the role of a father has been changing recently, to the point of so-called fatherhood crisis. The role of a father is built around strong social, cultural, and historical constructs of hegemonistic masculinity. Our research based on qualitative design (discourse method) uncovered attitudes of adolescent boys (N=25) towards their fathers, and attitudes of adolescent girls (N=26) towards their mothers. Adolescent boys were shown to have a more problematic relationship with their fathers, and a significantly positive relationship with their mothers. Mothers not only represent an essential part of their lives, but also provide an emotional and mental support. Adolescent girls identified more with their mothers, highlighting mothers’ ability to handle a vast number and diversity of family matters. The key factor in the positive rating of a mother was represented by safe emotional ties between the mother and daughter. However, in cases where these ties were missing, mother was perceived through the lenses of stereotypically female depictions, largely perpetuated by the mass media and agendas of certain political parties. The present study is a part of the project VEGA 1/0191/19.
该项目的重点是青少年对母亲和父亲在家庭中的作用的看法,特别是青春期男孩对其父亲的态度和青春期女孩对其母亲的态度。过去主要与特定性别相关的兴趣已经发生了明显的变化。例如,男性越来越关注身体形象,而这曾经是女性的主导领域。此外,父亲的角色最近也在发生变化,已经到了所谓的“父亲危机”的地步。父亲的角色是建立在强大的社会、文化和历史建构的霸权主义男子气概之上的。我们基于定性设计(话语法)的研究揭示了青春期男孩(N=25)对父亲的态度,青春期女孩(N=26)对母亲的态度。研究显示,青春期男孩与父亲的关系更有问题,而与母亲的关系则明显良好。母亲不仅是他们生活中必不可少的一部分,而且还提供情感和精神上的支持。青春期的女孩更认同她们的母亲,这突出了母亲处理大量和多样化家庭事务的能力。对母亲的正面评价的关键因素是母女之间的安全情感联系。然而,在这些联系缺失的情况下,母亲是通过刻板的女性形象来感知的,这在很大程度上是由大众媒体和某些政党的议程所延续的。本研究是VEGA 1/0191/19项目的一部分。
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Psychological Applications and Trends 2020
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