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Bearing Bad News: The Impact of Delivering and Receiving News of Sudden Bereavement 承受坏消息:传递和接收突然丧亲之痛的消息的影响
Q2 Social Sciences Pub Date : 2021-12-06 DOI: 10.1177/10541373211061650
Susan Sweeney
First responders and care professionals are often required to convey the deeply distressing news to relatives of the sudden death of a loved one. Witnessing the extreme anguish and grief of those receiving such news can have a detrimental effect on the bearers, leading to peritraumatic distress and feelings of inadequacy and burnout. For the recipients of such news, how it is delivered will impact on their understanding, acceptance, and processing of the sudden loss and may be a precursor for complicated grief or mental health issues such as anxiety or depression. Through writing about her own experience, the author aims to illustrate how interaction with professionals supported or impacted adversely on her grief and is intended to maintain professionals’ awareness of the impact of their delivery on recipients. Ancillary professionals also have an important role in how they interact with the bereaved and in ameliorating their deep distress.
急救人员和护理专业人员经常被要求向亲人突然死亡的亲属传达令人深感痛苦的消息。看到那些收到这类消息的人的极度痛苦和悲伤,可能会对消息的传递者产生不利影响,导致创伤周围的痛苦和无能和倦怠感。对于这些消息的接受者来说,它的传递方式将影响他们对突然失去亲人的理解、接受和处理,并可能是复杂悲伤或焦虑或抑郁等心理健康问题的前兆。通过写她自己的经历,作者旨在说明与专业人士的互动如何支持或影响她的悲伤,并旨在保持专业人士对他们对接受者的影响的认识。辅助专业人员也有重要的作用,他们如何与亲人互动,并在改善他们深深的痛苦。
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引用次数: 0
From Isolation to Connection: Empathy, Prosocial Behavior, and Posttraumatic Growth After Pregnancy Loss 从孤立到联系:共情、亲社会行为和流产后的创伤后成长
Q2 Social Sciences Pub Date : 2021-12-06 DOI: 10.1177/10541373211063427
A. Freedle, E. Oliveira
The purpose of this study was to explore the relationship between prosocial behaviors, empathy, and positive psychological change in women who have experienced pregnancy loss. Women who had experienced miscarriage or stillbirth (n = 291) were recruited via social media and completed an online survey that assessed their engagement in in-person or online prosocial behavior, empathy, and posttraumatic growth (PTG). Loss context factors and demographics were also collected. The results indicated that women who engage in in-person prosocial behavior, such as volunteering, report higher levels of PTG compared to those who do not volunteer at all or only volunteer online. A weak positive relationship was found between PTG and empathy. Findings suggest that encouraging clients to engage in in-person volunteering may foster their experience of growth. Future research is needed to further explore the timing of the volunteering in relation to PTG as well as empathy and PTG.
摘要本研究旨在探讨流产妇女的亲社会行为、共情与积极心理变化之间的关系。研究人员通过社交媒体招募了经历过流产或死产的女性(n = 291),并完成了一项在线调查,评估她们在面对面或在线亲社会行为、同理心和创伤后成长(PTG)方面的参与度。还收集了损失背景因素和人口统计数据。结果表明,与那些根本不做志愿者或只在网上做志愿者的女性相比,参与亲自亲社会行为(如志愿服务)的女性报告的PTG水平更高。PTG与共情呈弱正相关。研究结果表明,鼓励客户参与面对面的志愿服务可能会促进他们的成长经验。未来的研究需要进一步探讨志愿服务的时间与PTG以及共情和PTG的关系。
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引用次数: 4
“I’m Grateful, but Am I?”: The Exploration of Gratitude as a Complex Experience Among Malaysian Cancer Patients “我很感激,但我是吗?”:马来西亚癌症患者对感恩这一复杂体验的探索
Q2 Social Sciences Pub Date : 2021-11-23 DOI: 10.1177/10541373211054171
N. Hussin, Taufik Mohammad, Shariffah Suraya Syed Jamaludin
Gratitude has gained attention among health researchers for its benefits among chronic illness. However, most of the studies were focusing on the positive effects, neglecting the complex dimensions of gratitude that can contribute to both opportunities and challenges for chronic illness patients. This study aims to understand gratitude among cancer patients in Malaysia from a sociocultural perspective. This includes understanding how cancer patients view gratitude and the impacts of gratitude throughout their cancer-battling journey. This qualitative study involved 35 cancer patients. A thematic analysis was done to analyze the collected data. Among the themes discovered were searching for meaning, meaningful experience, gratitude through the enrichment activities, and gratitude as religious cultural expectations. This study suggests that gratitude is an important experience for chronic illness patients. The ability to understand this experience is vital to support and empower the patients throughout their daily lives.
感恩对慢性疾病的益处引起了健康研究人员的注意。然而,大多数研究都集中在积极的影响上,忽视了感恩的复杂维度,它可以为慢性病患者带来机遇和挑战。本研究旨在从社会文化的角度来理解马来西亚癌症患者的感恩之情。这包括了解癌症患者如何看待感恩,以及感恩在整个抗癌过程中的影响。这项定性研究涉及35名癌症患者。对收集到的数据进行了专题分析。发现的主题包括寻找意义、有意义的体验、通过丰富活动感恩、感恩作为宗教文化期望。本研究表明,感恩是慢性病患者的重要体验。理解这种经历的能力对于在日常生活中支持和赋予患者权力至关重要。
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引用次数: 3
The Loss of a Service Dog Through Death or Retirement: Experiences and Impact on Partners 因死亡或退休而失去服务犬:对伴侣的经历和影响
Q2 Social Sciences Pub Date : 2021-11-18 DOI: 10.1177/10541373211054168
L. Kogan, W. Packman, Jennifer Currin-McCulloch, Cori Bussolari, Phyllis Erdman
This study was designed to better understand how service dog partners experience the loss of their service dog. An anonymous survey was distributed to service dog partners who had lost a dog within the last five years. One-way ANOVAs were used to assess loss differences (retirement vs. death) on scores for Centrality of Events Scale, Warwick-Edinburgh Mental Well-Being Scale, Social Constraints Measure, and Self-Compassion Scale. Linear regression was conducted on the total bereavement score to determine the impact of the above assessment measures. We found higher grief scores for those whose service dog died compared to those whose dog retired. Perceptions of social constraints and feelings related to the centrality of the event were predictors of overall grief for those who lost a dog due to retirement; centrality of event feelings predicted grief level for those experiencing a death. Findings suggest a need for grief support for service dog partners.
这项研究的目的是为了更好地了解服务犬的伴侣是如何经历失去服务犬的。一份匿名调查被分发给了在过去五年内失去一只狗的服务犬伴侣。采用单因素方差分析评估事件中心性量表、沃里克-爱丁堡心理健康量表、社会约束量表和自我同情量表得分的损失差异(退休与死亡)。对总丧亲得分进行线性回归,以确定上述评价措施的影响。我们发现,那些服务犬死亡的人比那些服务犬退休的人悲伤得分更高。对于那些因退休而失去狗的人来说,社会约束的感知和与事件中心相关的感受是整体悲伤程度的预测因素;事件感受的中心性预测了经历死亡的人的悲伤程度。研究结果表明,服务犬伴侣需要悲伤支持。
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引用次数: 4
Widowhood and Mental Health: Social Predictors of Mental Health Disorders Among Widows 丧偶与心理健康:丧偶妇女心理健康障碍的社会预测因素
Q2 Social Sciences Pub Date : 2021-11-13 DOI: 10.1177/10541373211054189
Brown C. Taylor, Jordan Harrold
This study examines the relationship between three common mental health disorders—anxiety, depression, and post-traumatic stress disorder—in the first year of spousal bereavement and a myriad of social factors—including the security of health insurance and the presence of children at home—among those who have been widowed. We analyzed a novel survey of 503 widows who had participated in the Modern Widows’ Club Widows Empowerment Event. We then used logistic regression to investigate the relationship between these variables, discovering nuance between them. Our findings further elucidate the need for health and mental health providers to be attuned to the unique psychosocial needs of widows, especially among the first year of widowhood.
本研究考察了丧偶妇女在丧偶后第一年出现的三种常见心理健康障碍——焦虑、抑郁和创伤后应激障碍——与无数的社会因素——包括医疗保险的保障和家里是否有孩子——之间的关系。我们分析了一项对参加现代寡妇俱乐部寡妇赋权活动的503名寡妇的新调查。然后,我们使用逻辑回归来研究这些变量之间的关系,发现它们之间的细微差别。我们的研究结果进一步阐明了健康和心理健康提供者需要适应寡妇的独特心理社会需求,特别是在守寡的第一年。
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引用次数: 0
Understanding Suicidal Behavior Using a Comprehensive Approach 用综合方法理解自杀行为
Q2 Social Sciences Pub Date : 2021-11-06 DOI: 10.1177/10541373211051058
Ahmadreza Kiani Chelmardi, S. Rashid, M. Dadfar, D. Lester
A comprehensive understanding of how suicidal risk factors interact with one another to increase the frequency of suicide ideation and attempted suicide is critical for improving theoretical models of suicide and prevention efforts. The aim of the present study was to explore the prediction of suicide ideation formation and its transition to suicide attempt through the interactions of the constructs suggested by the IPTS, IMV and 3ST theories, as well as other clinical factors. The core constructs of several theoretical models were assessed using a battery of scales administered to 909 Iranian college students. The results supported Klonsky's 3ST and O’Connor's IMV models and, in addition, the relevance of non-suicidal self-injury, the acquired capacity for self-harm, sexual abuse, and exposure to family self-harm for the transition from suicide ideation to a suicide attempt. Depression and PTSD were background factors rather than risk factors for suicide ideation or suicide attempt. Limitations were that the information provided by students may have been biased due to the stigma surrounding suicide in Iranian culture, and the proportion of female students was high.
全面了解自杀风险因素如何相互作用以增加自杀意念和自杀未遂的频率,对于改进自杀理论模型和预防工作至关重要。本研究旨在探讨IPTS、IMV和3ST理论的构式与其他临床因素的相互作用对自杀意念形成及其向自杀企图转变的预测作用。本研究以909名伊朗大学生为研究对象,使用一组量表来评估几个理论模型的核心建构。研究结果支持了Klonsky的3ST和O’connor的IMV模型,此外,非自杀性自我伤害、获得性自我伤害能力、性虐待和暴露于家庭自我伤害与自杀意念到自杀企图的转变之间的相关性。抑郁症和创伤后应激障碍是自杀意念或自杀企图的背景因素,而不是危险因素。局限性在于,由于伊朗文化中对自杀的耻辱感,学生提供的信息可能存在偏见,而且女学生的比例很高。
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引用次数: 4
Attachment Orientations Mediate the Effect of World Assumptions on Posttraumatic Stress in Survivors of Childhood Sexual Abuse 依恋取向介导世界假设对儿童期性虐待幸存者创伤后应激的影响
Q2 Social Sciences Pub Date : 2021-10-29 DOI: 10.1177/10541373211050498
P. Ferrajão, A. Elklit
Recent research indicates that world assumptions are broad cognitive-affective schemas that affect attachment orientations in close relationships which in turn affect psychological symptoms severity. The present study analyzed if adult attachment mediated the effect of world assumptions (worthiness of the self, benevolence and meaningfulness of the world) on PTSD symptoms (PTS), in survivors of childhood sexual abuse during treatment for PTSD. Sample included 327 individuals who were sexually abused in childhood. Variables were assessed using self-report measures. Structural equation modeling was conducted to examine if the effect of world assumptions at the beginning of psychotherapeutic treatment (T1) on PTS levels 12 months after the beginning of psychotherapeutic treatment (T3) was mediated by both attachment avoidance and attachment anxiety six months after the beginning of treatment (T2). Attachment avoidance fully mediated the effect of both worthiness of the self and benevolence of the world at T1 on PTS at T3 was mediated by both attachment anxiety and attachment avoidance at T2. Findings suggest that world assumptions are broad cognitive-affective schemas about the self and the world that have their actual expression in close relationships which mediate the effect of world assumptions on PTS levels.
最近的研究表明,世界假设是一种广泛的认知情感图式,它影响亲密关系中的依恋取向,进而影响心理症状的严重程度。本研究分析成人依恋是否介导世界假设(自我价值、仁慈和世界意义)对创伤后应激障碍治疗期间儿童期性虐待幸存者PTSD症状(PTS)的影响。样本包括327名童年时遭受过性虐待的人。采用自我报告方法评估变量。采用结构方程模型来检验心理治疗开始(T1)时的世界假设对心理治疗开始(T3)后12个月PTS水平的影响是否由治疗开始(T2)后6个月的依恋回避和依恋焦虑共同介导。在T1阶段,依恋回避完全介导自我价值感和世界仁慈感对T3阶段PTS的影响,而在T2阶段,依恋焦虑和依恋回避同时介导。研究结果表明,世界假设是关于自我和世界的广泛的认知情感图式,它们的实际表达在密切的关系中,介导了世界假设对PTS水平的影响。
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引用次数: 0
Nurse Burnout in Hospice and Palliative Care: A Scoping Review 安宁疗护与缓和疗护的护士倦怠:范围检讨
Q2 Social Sciences Pub Date : 2021-10-18 DOI: 10.1177/10541373211039825
Erica Frechman, P. Wright
Burnout in hospice and palliative care nurses is a growing issue, especially in light of the COVID-19 pandemic. However, few studies have focused specifically on burnout in this population. A scoping review was undertaken to identify what is known about burnout among hospice and palliative care nurses, and to unify disparate findings. Analysis of eight articles revealed three overarching categories: personal factors, organizational/workplace factors, and nursing professional development factors. Each category was then divided into three cross-cutting subcategories: contributory and noncontributory factors, mitigating factors, and workplace issues. Recommendations for individuals include self-care as well as self-awareness of intrinsic characteristics that can predispose one to burnout. Within the workplace, leaders are challenged to support evidence-based practice and ongoing education. Role modeling positive communication skills, effective conflict mitigation, responsiveness, promotion of equity, and workplace commitment also help to create a culture of wellness. Nursing professional development may aid in resilience-building, and promotion of self-efficacy, self-confidence, and assertiveness. Although all identified recommendations were derived from the literature, no interventional studies have been conducted to test the effects of suggested interventions. Future research should include interventional studies as well as qualitative research to capture nuanced experiences of burnout in hospice and palliative care nurses.
临终关怀和姑息治疗护士的职业倦怠是一个日益严重的问题,特别是在2019冠状病毒病大流行的背景下。然而,很少有研究专门关注这一人群的职业倦怠。进行范围审查,以确定什么是已知的倦怠在临终关怀和姑息治疗护士,并统一不同的发现。对八篇文章的分析揭示了三个主要类别:个人因素、组织/工作场所因素和护理专业发展因素。然后,每个类别又分为三个交叉的子类别:促成因素和非促成因素、缓解因素和工作场所问题。对个人的建议包括自我照顾以及对内在特征的自我意识,这些内在特征可能使人容易倦怠。在工作场所,领导者面临着支持循证实践和持续教育的挑战。积极的沟通技巧、有效的冲突缓解、响应能力、促进公平和工作场所承诺也有助于创造一种健康的文化。护理专业发展可能有助于恢复力的建立,并促进自我效能,自信和果断。虽然所有确定的建议都来自文献,但没有进行干预研究来测试建议的干预措施的效果。未来的研究应包括介入性研究和质性研究,以捕捉安宁疗护和缓和疗护护士倦怠的细微体验。
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引用次数: 2
Resilience in Adolescence, Disability, and Gender 青少年、残疾和性别的复原力
Q2 Social Sciences Pub Date : 2021-09-13 DOI: 10.1177/10541373211040644
S. Bizuneh
Introduction: Disabled adolescents are facing the adversity of life like social expectations, academic, and economic demands. Objective: This described deaf and female adolescents’ resilience with their respective counterparts using the Connor–Davidson Resilience Scale (CD-RISC-25). The resilience of disabled and female adolescents was not adequately addressed in the study province, Dangila, Amhara-Ethiopia. Methods: The study was conducted on 160 adolescent (80 deaf [40 female] and 80 hearing [40 female]) students who were selected based on multistage sampling. Quantitative and qualitative data collections were made through the questionnaire as well as interview. The study used mean, standard deviation, independent t-test and ANOA, and simple description for data analysis. Result: The results revealed that hearing adolescent students’ average resilience score was significantly greater than deaf students. It was also shown that female adolescent students’ level of average resilience score was found significantly less than their counterparts. Analysis of variance revealed that there was a significant difference in resilience score among deaf female, deaf male, hearing female, and hearing male adolescent students in which deaf female adolescent students resilience score was the lowest. Conclusion: The difference in resilience between deaf and hearing students signified deaf students’ capability to cope with stressors and academic demands was less than their counterparts, and the resilience of deaf female students was found the lowest among the groups. This calls for health and psychological professional and families to provide adequate support for deaf and female adolescents to develop resilience.
残疾青少年面临着社会期望、学业和经济需求等生活逆境。目的:采用康诺-戴维森心理弹性量表(CD-RISC-25)对聋人青少年和女性青少年的心理弹性进行描述。在埃塞俄比亚阿姆哈拉丹吉拉省的研究中,残疾青少年和女性青少年的复原力没有得到充分的解决。方法:采用多阶段抽样法抽取160名青少年学生(其中聋人80名[女40名],健全人80名[女40名])进行研究。通过问卷调查和访谈进行了定量和定性的数据收集。本研究采用均值、标准差、独立t检验和方差分析,采用简单描述法进行数据分析。结果:听力正常的青少年学生心理弹性平均分显著高于失聪学生。女大学生的心理韧性平均得分水平显著低于男大学生。方差分析显示,聋女、聋男、健全女、健全男青少年心理弹性得分存在显著差异,其中聋女青少年心理弹性得分最低。结论:聋人与正常听力学生的心理弹性差异表明聋人学生应对压力源和学业要求的能力低于正常听力学生,其中聋人女生的心理弹性最低。这就要求保健和心理专业人员以及家庭为聋人青少年和女性青少年提供充分的支持,以培养适应能力。
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引用次数: 0
Mental Health Status and Influencing Factors of the Elderly in Ya’an Area After 5 years’ Lushan Earthquake 芦山地震5年后雅安地区老年人心理健康状况及影响因素
Q2 Social Sciences Pub Date : 2021-08-16 DOI: 10.1177/10541373211034017
Ru Gao, Liuxiu Xu, Rong Yu, Jing-Zhen Bai, Zai-Jiang Zheng, Dong Wang, Jie Fang, Yuhui Li, Bingzhi Zhang
Objective: To understand the mental health status and its influencing factors of the elderly in the disaster area 5 years after the Lushan earthquake. Methods: A total of 2,579 cases of Ya’an residents aged 60 years or above were selected by using cluster sampling method. From January to May 2019, self-compiled questionnaire for basic information of affected residents and 12 General Health Questionnaire were used to assess the mental health status of the elderly. Results: 2,561 (99.3%) valid samples were collected. The positive rate of mental health was 220 (8.6%) cases. The binary logistic regression analysis showed that in the city, no chronic diseases, no body pain, and self-rated health status good in last one month was the protective factor for mental health of the elderly. Age group 60 years and above was the risk factor. Conclusions: Five years after the Lushan earthquake, there is a certain degree of mental health problems in the elderly in the disaster area, and corresponding intervention measures should be formulated. In particular, the researchers should pay more attention to the mental health of the rural elderly who were with low income, young age, and chronic diseases (or pain).
目的:了解芦山地震后5年灾区老年人心理健康状况及其影响因素。方法:采用整群抽样方法抽取雅安市60岁及以上居民2579例。2019年1 - 5月,采用自编受灾居民基本情况问卷和12份一般健康问卷对老年人心理健康状况进行评估。结果:共收集有效样品2561份,占99.3%。心理健康阳性率220例(8.6%)。二元logistic回归分析显示,城市老年人近一个月无慢性病、无身体疼痛、自评健康状况良好是老年人心理健康的保护因素。60岁及以上年龄组是危险因素。结论:芦山地震发生5年后,灾区老年人存在一定程度的心理健康问题,应制定相应的干预措施。研究人员尤其应该关注低收入、年轻、患有慢性疾病(或疼痛)的农村老年人的心理健康状况。
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引用次数: 0
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Illness Crisis and Loss
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