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Theorizing Post-Incarceration Transition Crisis and Readiness Through Veteran Identity Work 通过退伍军人身份认同工作理论化监禁后过渡危机和准备
Q2 Social Sciences Pub Date : 2023-11-07 DOI: 10.1177/10541373231209508
Steven L. Arxer, James P. LePage, Jason Flake, April M. Crawford, Dina Hooshyar, Haekyung Jeon-Slaughter, Michel A. Philippe
Interest in adjustment issues Veterans face following incarceration has grown rapidly in response to the prevalence of stress-related disorders as well as the physical, social, and occupational challenges when reintegrating into communities. While reintegration may be a positive event that includes the reunification of family, friends, and a return to civilian life, transition can also involve a wide range of difficulties and crises impacting readjustment. Veteran reintegration has been understood as a complex process influenced by different levels, such as at the individual, interactional, and socio-cultural level. This article takes a Veteran standpoint to explore how Veterans’ lived experiences are a basis to understand their transition readiness. Specifically, identity work clarifies the empirical self-constructions of Veterans’ standpoint and their everyday strategies used for post-incarceration transition efficacy.
对退伍军人在监禁后面临的适应问题的兴趣迅速增长,以应对与压力相关的疾病的流行,以及在重新融入社区时面临的身体、社会和职业挑战。虽然重新融入社会可能是一个积极的事件,包括家庭、朋友团聚和恢复平民生活,但过渡也可能涉及影响重新调整的各种各样的困难和危机。退伍军人重返社会被认为是一个复杂的过程,受到个人、相互作用和社会文化等不同层面的影响。本文从退伍军人的角度出发,探讨退伍军人的生活经历如何成为了解他们是否做好了过渡准备的基础。具体而言,身份研究阐明了退伍军人立场的实证自我建构及其用于服刑后过渡效能的日常策略。
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引用次数: 0
Seeking Comfort and Demanding Agency—An Autoethnographic Exploration of a Patient and Partner Experience 寻求舒适和要求代理——病人和伴侣经验的自我民族志探索
Q2 Social Sciences Pub Date : 2023-11-04 DOI: 10.1177/10541373231210370
Jenny Aimers, Peter Walker
This article applies an autoethnographic approach to the journey a patient and their partner undertook as they negotiated a medical adverse event. The resultant cascade of conditions lasted almost 4 years and resulted in the eventual death of the patient. The narrative is told from the dual perspectives of both the patient and their partner, providing a valuable resource for the practice of patient and family-centered care. This article illuminates the patient's experience of comfort across a continuum of healthcare settings and how both the patient and their partner were able to enact agency despite challenging institutional barriers, to become partners in their healthcare journey.
这篇文章应用了一个自我民族志方法的旅程,病人和他们的合作伙伴承担,因为他们谈判的医疗不良事件。由此产生的一连串疾病持续了近4年,最终导致患者死亡。叙述是从病人和他们的伴侣的双重视角来讲述的,为病人和家庭为中心的护理实践提供了宝贵的资源。本文阐明了患者在连续的医疗保健环境中的舒适体验,以及患者和他们的伴侣如何能够制定机构,尽管存在具有挑战性的制度障碍,成为他们医疗保健旅程中的合作伙伴。
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引用次数: 0
Network Analysis of Posttraumatic Growth Dimensions: A Cross-Sectional Study in People Who Experienced the Death of a Loved One from COVID-19 in 16 Latin American Countries 创伤后成长维度的网络分析:对16个拉丁美洲国家因COVID-19经历亲人死亡的人的横断面研究
Q2 Social Sciences Pub Date : 2023-10-26 DOI: 10.1177/10541373231208934
Tomás Caycho-Rodríguez, Jonatan Baños-Chaparro, José Ventura-León, Lindsey W. Vilca, Carlos Carbajal-León, Pablo D. Valencia, Daniel E. Yupanqui-Lorenzo, Rubí Paredes-Angeles, Walter L. Arias Gallegos, Mario Reyes-Bossio, Mariel Delgado-Campusano, Miguel Gallegos, Claudio Rojas-Jara, Roberto Polanco-Carrasco, Mauricio Cervigni, Pablo Martino, Marlon Elías Lobos-Rivera, Rodrigo Moreta-Herrera, Diego Alejandro Palacios Segura, Antonio Samaniego-Pinho, Andrés Buschiazzo Figares, Diana Ximena Puerta-Cortés, Andrés Camargo, Julio Torales, J. Arkangel Monge Blanco, Pedronel González, Vanessa Smith-Castro, Olimpia Petzold-Rodriguez, Ibraín Enrique Corrales-Reyes, Raymundo Calderón, Wendy Yamilet Matute Rivera, Daniela Ferrufino-Borja, Agueda Muñoz-del-Carpio-Toia, Jorge Palacios, Carmen Burgos-Videla, Ana María Eduviges Florez León, Ibeth Vergara, Diego Vega, Marion K. Schulmeyer, Nicol A. Barria-Asenjo, Hassell Tatiana Urrutia Rios, Arelly Esther Lira Lira, Jesús Ayala-Colqui
The present study aimed to apply a network analysis model to provide an exploratory empirical conceptualization of dynamic networks of posttraumatic growth (PTG) symptoms in 7,434 people who experienced the death of a loved one from COVID-19 in 16 Latin American countries. The Post-Traumatic Growth Inventory: Short Form of Eight Items was used. A non-regularized network with partial correlation coefficients was estimated through the ggmModSelect algorithm. The network architecture was analyzed for each country through its local properties and global properties. The results indicated that the networks differed significantly between countries. The core dimensions in the networks were relating to others, personal strength, and life value and opportunities, which were more related dimensions that reinforce the emergence of PTG in all countries. The findings may be useful to motivate researchers and mental health professionals to consider the importance of the individual dimensions of PTG in groups of people who experienced the death of a loved one from COVID-19 in 16 Latin American countries, as well as their interrelationships.
本研究旨在应用网络分析模型,对16个拉丁美洲国家7,434名因COVID-19而失去亲人的人的创伤后成长(PTG)症状的动态网络进行探索性实证概念化。使用创伤后成长量表:简短的八项量表。通过ggmModSelect算法估计具有偏相关系数的非正则化网络。通过其本地属性和全球属性分析了每个国家的网络架构。结果表明,不同国家之间的网络存在显著差异。网络中的核心维度是与他人、个人力量、人生价值和机会相关,这些维度在所有国家都加强了PTG的出现。这些发现可能有助于激励研究人员和心理健康专业人员考虑在16个拉丁美洲国家经历了COVID-19亲人死亡的人群中,PTG个体维度的重要性,以及他们之间的相互关系。
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引用次数: 0
The Qualitative DIGNISPACE Study: The Co-Design of a Life Review, Meaning-Making and Legacy Leaving Digital Intervention for Young People with Life-Limiting Conditions 定性DIGNISPACE研究:生命回顾、意义创造和遗产留下数字干预对生命受限年轻人的共同设计
Q2 Social Sciences Pub Date : 2023-10-08 DOI: 10.1177/10541373231202842
Alison M. Rodriguez, Allan Kellehear, Vitaveska Lanfranchi, Wilfred McSherry, Michael Tatterton, Lucy Watts MBE, Nahel Yaziji, Joanna Smith
Background: Young people with life-limiting conditions have unmet psycho-spiritual needs. Dignity Therapy is a psycho-therapeutic end-of-life intervention that addresses life review, meaning making and legacy leaving. Studies of Dignity Therapy including young people are limited. Aim: To co-design a digital Dignity Therapy-based intervention for young people with life-limiting conditions (DIGNISPACE). Design: A qualitative study including focus groups (n=5) with hospice-based healthcare professionals (n=23), semi-structured interviews with young people with life-limiting conditions (n=13) and family carers (n=12). Data were analyzed using framework analysis. Results: Three main themes were derived; intervention purpose, amendments to the Dignity Therapy question protocol and content for a digital application. Findings influenced the development of DIGNISPACE and a model of dignity in young people with life-limiting conditions. Conclusions: DIGNISPACE addresses the psycho-spiritual needs of young people with life-limiting conditions, including tenets of the model of dignity in young people with life-limiting conditions in its content and delivery.
背景:有生命限制条件的年轻人有未满足的心理-精神需求。尊严治疗是一种心理治疗临终干预,解决生活回顾,意义创造和遗产留下。包括年轻人在内的尊严治疗研究是有限的。目的:共同设计一种基于数字尊严治疗的干预措施,用于患有生命限制疾病的年轻人(DIGNISPACE)。设计:一项定性研究,包括焦点小组(n=5)与基于临终关怀的医疗保健专业人员(n=23),半结构化访谈与生命受限的年轻人(n=13)和家庭照顾者(n=12)。数据采用框架分析法进行分析。结果:得出三个主要主题;干预目的,尊严治疗问题协议修正案和数字应用程序的内容。研究结果影响了DIGNISPACE的发展,并影响了有生命限制条件的年轻人的尊严模式。结论:DIGNISPACE解决了生命受限青少年的心理-精神需求,包括其内容和实施方式中对生命受限青少年尊严模式的原则。
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引用次数: 0
The Loss of a Spouse Following an Oncological Disease: A Scoping Review 肿瘤疾病后丧偶:范围综述
Q2 Social Sciences Pub Date : 2023-09-27 DOI: 10.1177/10541373231202471
Livia Sani, Yasmine Chemrouk, Rozenn Le Berre, Delphine Peyrat-Apicella, Marie-Frédérique Bacqué
Objective: Death from cancer is one of the most frequent worldwide and the spouse is the person most at risk of potentially developing psychological consequences. The following study aims to offer a scoping review of studies on people who have lost their spouses to cancer and treatments that could be recommended to prevent psychological consequences. Methods: The Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines were used to report the findings of this review. Results: In total, 136 titles and 52 abstracts were selected. Of these 52 articles, 8 articles met all recommendations and inclusion criteria. Conclusions: Although cancer remains a leading cause of death worldwide, the issue of bereaved spouses following cancer remains understudied. Several notions and hypotheses were endorsed, such as possible resistance to and difficulties in conducting research on this kind of loss and with caregivers, the role of illness and postmortality in the scientific landscape.
目的:癌症是世界上最常见的死亡之一,而配偶是最有可能产生心理后果的人。下面的研究旨在对那些因癌症失去配偶的人的研究以及可以推荐的预防心理后果的治疗方法进行范围审查。方法:采用系统评价和荟萃分析指南的首选报告项目来报告本综述的发现。结果:共筛选出题目136篇,摘要52篇。在这52篇文章中,有8篇文章符合所有推荐和纳入标准。结论:尽管癌症仍然是世界范围内死亡的主要原因,但癌症后丧失配偶的问题仍未得到充分研究。有几个概念和假设得到了认可,例如对这种损失和与照顾者进行研究可能存在的阻力和困难,疾病和死亡后在科学领域的作用。
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引用次数: 0
Understanding and Addressing Mental Health Disparities and Stigma in Serious Illness and Palliative Care 理解和解决严重疾病和姑息治疗中的心理健康差异和耻辱
Q2 Social Sciences Pub Date : 2023-09-24 DOI: 10.1177/10541373231201952
James Gerhart, Laura Bouchard Oswald, Laurie McLouth, Lindsey Gibb, Laura Perry, Ashley Eaton England, Timothy Sannes, Delaney Schoenbine, Katherine Ramos, Jared Greenberg, Sean O’Mahony, Stacie Levine, Aliza Baron, Michael Hoerger
Patients receiving palliative care experience stigma associated with their illness, personal identity, and healthcare utilization. These stigmas can occur at any stage of the disease process. Varying stigmas combine to cause palliative care patients to feel misunderstood, contribute to treatment barriers, and further negative stereotypes held by clinicians. Stigma surrounding palliative care patients stems from complex intersections of varied access to resources, familial and physical environment, socioeconomic status, mental health and disorders, and identity characteristics. This article examines the relationship between the stigmatization of mental health and palliative care through three pathways: stigma and barriers existing within healthcare, the tendency of this stigma to undermine social support, and patient deferral of treatment-seeking in response to stigma. Recommendations to address and diminish stigmatization are presented, including advocacy, increased research and assessment, and contextual and intersectional awareness. Clinicians are also encouraged to turn to their colleagues for peer support and team-based care.
接受姑息治疗的患者经历与他们的疾病、个人身份和医疗保健利用相关的耻辱。这些柱头可以发生在疾病进程的任何阶段。各种各样的耻辱感加在一起,导致姑息治疗患者感到被误解,造成治疗障碍,并进一步由临床医生持有负面刻板印象。围绕姑息治疗患者的耻辱感源于各种资源获取途径、家庭和自然环境、社会经济地位、精神健康和障碍以及身份特征的复杂交集。本文通过三个途径探讨了心理健康的污名化与姑息治疗之间的关系:医疗保健中存在的污名化和障碍,这种污名化破坏社会支持的趋势,以及患者因污名化而推迟寻求治疗。提出了解决和减少污名化的建议,包括宣传、加强研究和评估,以及背景和交叉认识。临床医生也被鼓励向他们的同事寻求同伴支持和团队护理。
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引用次数: 0
Post-Traumatic Growth and Self-Compassion Level in Hemodialysis Patients 血透患者创伤后成长与自我同情水平
Q2 Social Sciences Pub Date : 2023-09-24 DOI: 10.1177/10541373231203362
Rabia Arpacı, Derya Tanriverdi
The hemodialysis process can lead to positive psychological changes in patients as they cope with physical and psychosocial stress factors. Understanding post-traumatic growth and factors that may be associated is essential to increasing the likelihood of achieving positive changes in hemodialysis patients. The aim of this study was to investigate the correlation between post-traumatic growth and self-compassion levels in hemodialysis patients. The study was conducted with 83 hemodialysis patients. Data were collected using “Demographic and Clinical Characteristics Form,” “Post-Traumatic Growth Inventory,” “Self-Compassion Scale.” Post-traumatic growth levels of hemodialysis patients were found to be moderate. The self-compassion levels of hemodialysis patients were found to be high. A statistically significant difference was found between gender, educational status, economic status, and self-compassion mean scores ( p < .05). However, no statistically significant correlation was found between post-traumatic growth and self-compassion ( p > .05). Further research is needed to explore the potential correlation between self-compassion and post-traumatic growth in hemodialysis patients.
血液透析过程可以导致患者积极的心理变化,因为他们应对身体和社会心理压力因素。了解创伤后生长及其相关因素对于提高血液透析患者实现积极改变的可能性至关重要。本研究旨在探讨血液透析患者创伤后成长与自我同情水平的关系。研究对象为83名血液透析患者。数据采用“人口学与临床特征表”、“创伤后成长量表”、“自我同情量表”收集。血液透析患者的创伤后生长水平是中等的。血液透析患者的自我同情水平较高。性别、教育程度、经济状况和自我同情平均得分之间存在统计学显著差异(p <. 05)。然而,创伤后成长与自我同情之间没有统计学上的显著相关(p >. 05)。自我同情与血液透析患者创伤后成长之间的潜在相关性有待进一步研究。
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引用次数: 0
“Holding Families in Uncertainty”: A Framework Analysis of the Role and Impact of Children's Hospices in the Provision of Perinatal Palliative Care “不确定的家庭”:儿童临终关怀在提供围产期姑息治疗中的作用和影响的框架分析
Q2 Social Sciences Pub Date : 2023-09-16 DOI: 10.1177/10541373231202473
Michael J Tatterton, Megan J Fisher, Helen Storton, Zoë P McShane, Charlotte Walker
There is growing international evidence of the benefits of early perinatal palliative care for babies and their families. Despite this, inconsistency remains in ways care is provided by services including fetal medicine, maternity and neonatal services, and children's hospices. The aim of this study was to answer the question “ What are the benefits and barriers to family-centered perinatal advance care planning from the perspective of professionals involved in the care of neonates and infants with life-limiting conditions?” Three focus groups comprising hospice practitioners were held across the UK. A lack of awareness of the role of hospices was described as the biggest barrier to referral to hospice services. Practitioners unanimously described having a physical presence alongside teams, as being the biggest contributor to improved multiagency working, facilitated through joint working and education provision. Early referral to hospice services, in parallel with curative services led to better outcomes and experiences of families, according to participants.
越来越多的国际证据表明,早期围产期姑息治疗对婴儿及其家庭有益。尽管如此,包括胎儿医学、产妇和新生儿服务以及儿童临终关怀医院在内的服务机构提供护理的方式仍然不一致。本研究旨在回答以下问题:“从参与新生儿和生命受限婴儿护理的专业人员的角度来看,以家庭为中心的围产期提前护理计划的好处和障碍是什么?”三个焦点小组包括临终关怀从业人员在英国举行。缺乏对临终关怀的作用的认识被描述为转介到临终关怀服务的最大障碍。从业者一致认为,与团队一起实际存在是改进多机构工作的最大贡献者,通过联合工作和教育提供促进了这一点。根据参与者的说法,早期转介到安宁疗护服务,同时提供治疗服务,可以带来更好的结果和家庭体验。
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引用次数: 0
A Quantitative Study on Mental Health, Sleep Quality, and Quality of Life among Family Members of Patients With First-Episode Cancer 首发癌症患者家属心理健康、睡眠质量和生活质量的定量研究
Q2 Social Sciences Pub Date : 2023-09-12 DOI: 10.1177/10541373231201465
Tomohiro Uchida, Keiichi Jingu, Akari Uno, Kang Lin, Liu Fengxia, Wang Shijie, Li Jingge, Kohei Akawaza, Hatsumi Yoshii
This study investigated mental health, sleep quality, and quality of life among family members of patients with first-episode cancer. A survey was conducted with 39 family members of patients with cancer, using the Hospital Anxiety and Depression Scale (HADS), Pittsburgh Sleep Quality Index (PSQI), and Caregiver Quality of Life Index-Cancer (CQOLC). HADS scores indicated that 17 participants (43.6%) had adjustment and/or major depressive disorders. PSQI scores showed that 16 participants (42.1%) had sleep disturbances. However, CQOLC scores were higher than those in previous studies on families of patients with various stages of cancer. Although families of patients with first-episode cancer may not experience difficulties in their lives, their mental and physical conditions may be impaired. Healthcare providers should focus on the impact on the mental health and sleep needs of patients’ families caused by dealing with a loved one with cancer and offer support.
本研究调查了首发癌症患者家属的心理健康、睡眠质量和生活质量。采用医院焦虑和抑郁量表(HADS)、匹兹堡睡眠质量指数(PSQI)和护理者生活质量指数-癌症(CQOLC)对39名癌症患者的家庭成员进行了调查。HADS评分显示17名参与者(43.6%)有调整和/或重度抑郁障碍。PSQI评分显示,16名参与者(42.1%)有睡眠障碍。然而,CQOLC得分高于以往对不同阶段癌症患者家庭的研究。虽然首发癌症患者的家属在生活中可能不会遇到困难,但他们的精神和身体状况可能会受到损害。医疗服务提供者应关注因与癌症患者打交道而对患者家属的心理健康和睡眠需求造成的影响,并提供支持。
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引用次数: 0
The Influence of Family Communication on Experienced Relief and Burden at the End of Life—An Explorative Analysis of Qualitative Data of Parent–Adult Child Dyads 家庭沟通对临终体验解脱与负担的影响——亲子-成人-子女双亲子定性数据的探索性分析
Q2 Social Sciences Pub Date : 2023-09-11 DOI: 10.1177/10541373231195448
Hanna A. A. Roewer, Stephanie Stiel, Franziska A. Herbst
Interview data from the Dy@EoL project reveal changes in parent–adult child communication in end-of-life situations (Gawinski et al., 2021). The present study investigated the presence of commonly known facilitating and inhibiting factors for relieving communication in interviews of dyads comprised of: (a) terminally ill adult children and their parents and (b) terminally ill parents and their adult children. Additionally, the research examined the extent to which participants experienced the dyadic communication as burdensome or relieving, and compared the experiences of dyad partners. Study participants were interviewed as part of the Dy@EoL project, using semistructured interviews. The interviews of 9 dyads and 14 dyads were analyzed using qualitative content analysis in MAXQDA. Both dyad partners took part. All facilitating factors and some inhibiting factors, as identified in the literature, were evident in the interviews. Some dyads reported the presence of facilitating factors prior to the end-of-life situation, while others began to employ them (or employed them more intensively) in the end-of-life situation. Dyads showed similar experiences of burden and relief, through communication. Both parties should be offered psychosocial support, even when a burden is reported on only one side.
Dy@EoL项目的访谈数据揭示了临终情况下父母-成人-子女沟通的变化(Gawinski et al., 2021)。本研究调查了由(a)绝症成年子女及其父母和(b)绝症父母及其成年子女组成的二人组访谈中,常见的促进和抑制沟通的因素是否存在。此外,该研究还调查了参与者在多大程度上认为二元交流是负担还是缓解,并比较了二元伴侣的经历。作为Dy@EoL项目的一部分,研究参与者接受了半结构化访谈。采用MAXQDA的定性内容分析对9对和14对的访谈进行分析。两对搭档都参加了。所有在文献中发现的促进因素和一些抑制因素在访谈中都很明显。一些二人组在生命结束前报告了促进因素的存在,而另一些则在生命结束时开始使用它们(或更密集地使用它们)。通过交流,夫妻表现出了相似的负担和解脱的经历。即使只有一方报告有负担,也应向双方提供心理社会支持。
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引用次数: 0
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Illness Crisis and Loss
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