Pub Date : 2021-10-29DOI: 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.
{"title":"Attachment Orientations Mediate the Effect of World Assumptions on Posttraumatic Stress in Survivors of Childhood Sexual Abuse","authors":"P. Ferrajão, A. Elklit","doi":"10.1177/10541373211050498","DOIUrl":"https://doi.org/10.1177/10541373211050498","url":null,"abstract":"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.","PeriodicalId":39747,"journal":{"name":"Illness Crisis and Loss","volume":"8 1","pages":"200 - 221"},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88216070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-18DOI: 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.
{"title":"Nurse Burnout in Hospice and Palliative Care: A Scoping Review","authors":"Erica Frechman, P. Wright","doi":"10.1177/10541373211039825","DOIUrl":"https://doi.org/10.1177/10541373211039825","url":null,"abstract":"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.","PeriodicalId":39747,"journal":{"name":"Illness Crisis and Loss","volume":"23 1","pages":"137 - 150"},"PeriodicalIF":0.0,"publicationDate":"2021-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86685403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-13DOI: 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.
{"title":"Resilience in Adolescence, Disability, and Gender","authors":"S. Bizuneh","doi":"10.1177/10541373211040644","DOIUrl":"https://doi.org/10.1177/10541373211040644","url":null,"abstract":"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.","PeriodicalId":39747,"journal":{"name":"Illness Crisis and Loss","volume":"10 1","pages":"120 - 136"},"PeriodicalIF":0.0,"publicationDate":"2021-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80849901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-16DOI: 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).
{"title":"Mental Health Status and Influencing Factors of the Elderly in Ya’an Area After 5 years’ Lushan Earthquake","authors":"Ru Gao, Liuxiu Xu, Rong Yu, Jing-Zhen Bai, Zai-Jiang Zheng, Dong Wang, Jie Fang, Yuhui Li, Bingzhi Zhang","doi":"10.1177/10541373211034017","DOIUrl":"https://doi.org/10.1177/10541373211034017","url":null,"abstract":"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).","PeriodicalId":39747,"journal":{"name":"Illness Crisis and Loss","volume":"422 1","pages":"59 - 72"},"PeriodicalIF":0.0,"publicationDate":"2021-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85754018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-04DOI: 10.1177/10541373211034632
Betül Tanacıoğlu-Aydın, Sibel Akmehmet-Şekerler, Denİz Albayrak-kaymak, A. Zara
The loss of the mother leads to many changes in the family. The loss might have negative effects on the ones that are left behind. However, some family members do not show pathological symptoms; rather, they have healthy functioning despite their sad loss. Guided by the resilience perspective, this study illuminates the case of a Turkish family after the mother dies due to stomach cancer. The whole picture of a family after this loss was examined through using various data sources. Transcribed interviews with family members and teachers of two children in the family were investigated through thematic analysis, and five major themes were identified. Extended family relations and rituals, such as funeral services, meals after the funeral, or visiting the grave of the lost one, were found to be helpful toward positive grief experiences and resilience of the family members in the aftermath of the loss. This study was important in the sense that it gave an in-depth perspective of a Muslim family who lost the maternal parent, which is considered a person's most important attachment figure.
{"title":"The Role of Extended Family Relations and Rituals in Family Resilience Following Loss of Mother to Cancer: A Case Study in Turkey","authors":"Betül Tanacıoğlu-Aydın, Sibel Akmehmet-Şekerler, Denİz Albayrak-kaymak, A. Zara","doi":"10.1177/10541373211034632","DOIUrl":"https://doi.org/10.1177/10541373211034632","url":null,"abstract":"The loss of the mother leads to many changes in the family. The loss might have negative effects on the ones that are left behind. However, some family members do not show pathological symptoms; rather, they have healthy functioning despite their sad loss. Guided by the resilience perspective, this study illuminates the case of a Turkish family after the mother dies due to stomach cancer. The whole picture of a family after this loss was examined through using various data sources. Transcribed interviews with family members and teachers of two children in the family were investigated through thematic analysis, and five major themes were identified. Extended family relations and rituals, such as funeral services, meals after the funeral, or visiting the grave of the lost one, were found to be helpful toward positive grief experiences and resilience of the family members in the aftermath of the loss. This study was important in the sense that it gave an in-depth perspective of a Muslim family who lost the maternal parent, which is considered a person's most important attachment figure.","PeriodicalId":39747,"journal":{"name":"Illness Crisis and Loss","volume":"36 1","pages":"40 - 58"},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77470257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-03DOI: 10.1177/10541373211030491
K. Calderwood, A. Alberton
Analysis of in-depth qualitative interviews with 20 bereaved parents and 11 service providers revealed a more holistic conceptualization of the bereavement process for parents who have lost a child. Holistic “states” included: “helplessness prior to the death,” “fog,” “turmoil,” “transition,” “new beginnings,” and “stability.” Findings showed that loss and restorative processes are characteristic of more than one state, the bereavement narrative starts prior to the death, there is often a downturn after the bereaved parent seemingly is doing better, and the process never ends but may include a continuing bond with the deceased and reoccurring moments of extreme grief. Recommendations for direct practice, program development, and future research are presented.
{"title":"Understanding the Bereavement Process: Voices of Bereaved Parents","authors":"K. Calderwood, A. Alberton","doi":"10.1177/10541373211030491","DOIUrl":"https://doi.org/10.1177/10541373211030491","url":null,"abstract":"Analysis of in-depth qualitative interviews with 20 bereaved parents and 11 service providers revealed a more holistic conceptualization of the bereavement process for parents who have lost a child. Holistic “states” included: “helplessness prior to the death,” “fog,” “turmoil,” “transition,” “new beginnings,” and “stability.” Findings showed that loss and restorative processes are characteristic of more than one state, the bereavement narrative starts prior to the death, there is often a downturn after the bereaved parent seemingly is doing better, and the process never ends but may include a continuing bond with the deceased and reoccurring moments of extreme grief. Recommendations for direct practice, program development, and future research are presented.","PeriodicalId":39747,"journal":{"name":"Illness Crisis and Loss","volume":"75 1","pages":"23 - 39"},"PeriodicalIF":0.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73974893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-20DOI: 10.1177/10541373211013719
James Randall, Lizette Nolte, D. Wellsted
Muscular dystrophy is a terminal muscle-wasting condition, whereby families face continuous challenges as their child’s health deteriorates. This research explored accounts of parenthood following bereavement of their child to muscular dystrophy. Narrative inquiry was used to analyse interviews with four couples. Findings suggest an importance in narrating adversities (waking up to different futures) and positive influence (creating legacies). The research highlighted how humour is often used to support others to witness painful accounts (humour through the struggle). Parents appeared to co-regulate the painfulness of narrating loss (storytelling together). Further research is needed on conjoint narrative interviews and how these may enable participants to address shared loss experiences. Practitioners who support bereaved parents could consider the potential value highlighted in this study of meeting with parents conjointly, which include that, through co-regulatory, collaborative processes, families seemed to be supported to reach narrative cohesion, sensitively and safely, when facing loss and bereavement.
{"title":"Facing Loss and Finding Hope in Narrating Together: Accounts of Parenthood Following the Death of a Child to Muscular Dystrophy","authors":"James Randall, Lizette Nolte, D. Wellsted","doi":"10.1177/10541373211013719","DOIUrl":"https://doi.org/10.1177/10541373211013719","url":null,"abstract":"Muscular dystrophy is a terminal muscle-wasting condition, whereby families face continuous challenges as their child’s health deteriorates. This research explored accounts of parenthood following bereavement of their child to muscular dystrophy. Narrative inquiry was used to analyse interviews with four couples. Findings suggest an importance in narrating adversities (waking up to different futures) and positive influence (creating legacies). The research highlighted how humour is often used to support others to witness painful accounts (humour through the struggle). Parents appeared to co-regulate the painfulness of narrating loss (storytelling together). Further research is needed on conjoint narrative interviews and how these may enable participants to address shared loss experiences. Practitioners who support bereaved parents could consider the potential value highlighted in this study of meeting with parents conjointly, which include that, through co-regulatory, collaborative processes, families seemed to be supported to reach narrative cohesion, sensitively and safely, when facing loss and bereavement.","PeriodicalId":39747,"journal":{"name":"Illness Crisis and Loss","volume":"111 1","pages":"689 - 708"},"PeriodicalIF":0.0,"publicationDate":"2021-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79343758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-24DOI: 10.1177/10541373211020667
Preston A. Long, X. T. Wang
Based on a robust decision phenomenon of loss aversion, people are distinctly more sensitive to losses than to gains. The psychological pain experienced due to a loss is greater than the pleasure experienced due to a gain of the same amount. We argue that physical pain can be viewed as a psychological loss with diminishing sensitivity. Pain thus would be preferred summed rather than distributed. The results from 89 student-participants recruited from a public university in the Midwest US revealed that chronic pain is correlated with reduced subjective life expectancy and increased impulsivity. We found a significant propensity to prefer sharp-and-shorter pain to milder-and-longer pain. The loss-aversion score predicted this propensity in pain management. We developed a new behavioral measure of Band-Aid removal as a predictor for pain duration-intensity tradeoff. The higher the Band-Aid removal time, the higher the preference for higher-duration and lower intensity, and the lower willingness to seek medical attention for pain. The participants also revealed a higher willingness to seek medical help for generalized pain than localized pain to reduce information ambiguity.
{"title":"Embodied Loss and the Psychophysiological Effects of Pain Examined With Traditional and New Behavioral Measures","authors":"Preston A. Long, X. T. Wang","doi":"10.1177/10541373211020667","DOIUrl":"https://doi.org/10.1177/10541373211020667","url":null,"abstract":"Based on a robust decision phenomenon of loss aversion, people are distinctly more sensitive to losses than to gains. The psychological pain experienced due to a loss is greater than the pleasure experienced due to a gain of the same amount. We argue that physical pain can be viewed as a psychological loss with diminishing sensitivity. Pain thus would be preferred summed rather than distributed. The results from 89 student-participants recruited from a public university in the Midwest US revealed that chronic pain is correlated with reduced subjective life expectancy and increased impulsivity. We found a significant propensity to prefer sharp-and-shorter pain to milder-and-longer pain. The loss-aversion score predicted this propensity in pain management. We developed a new behavioral measure of Band-Aid removal as a predictor for pain duration-intensity tradeoff. The higher the Band-Aid removal time, the higher the preference for higher-duration and lower intensity, and the lower willingness to seek medical attention for pain. The participants also revealed a higher willingness to seek medical help for generalized pain than localized pain to reduce information ambiguity.","PeriodicalId":39747,"journal":{"name":"Illness Crisis and Loss","volume":"154 1","pages":"729 - 740"},"PeriodicalIF":0.0,"publicationDate":"2021-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74695355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-19DOI: 10.1177/1054137320952246
C. Adams
Suicide is a major public health concern. In 2015, it was the 10th leading cause of death in the US. The number of suicides increased by 30% in the US from 1999 to 2016, and a greater uptick in suicides is predicted to occur as a result of the COVID-19 crisis, for which the primary public-health strategy is physical distancing and during which alcohol sales have soared. Thus, current strategies for identifying at-risk individuals and preventing suicides, such as relying on self-reported suicidal ideation, are insufficient, especially under conditions of physical distancing, which exacerbate isolation, loneliness, economic stress, and possibly alcohol consumption. New strategies are urgent now and into the future. To that aim, here, a two-sample Mendelian randomization (an instrumental variables technique using public genome-wide association study data as data sources) was performed to determine whether alcohol-associated changes in DNA methylation mediate risk for suicidal behavior. The results suggest that higher alcohol-associated DNA methylation levels at cg18120259 confer a weak causal effect. Replication and triangulation of the results, both experimentally and with designs other than Mendelian randomization, are needed. If the findings replicate, the information might be utilized to raise awareness about the biological links between alcohol and suicide and possibly explored as a biomarker of risk, perhaps especially for early detection of those who may not self-report suicidal intent.
{"title":"A Preliminary Report on Alcohol-Associated DNA Methylation Changes and Suicidal Behavior: Evidence Using Mendelian Randomization","authors":"C. Adams","doi":"10.1177/1054137320952246","DOIUrl":"https://doi.org/10.1177/1054137320952246","url":null,"abstract":"Suicide is a major public health concern. In 2015, it was the 10th leading cause of death in the US. The number of suicides increased by 30% in the US from 1999 to 2016, and a greater uptick in suicides is predicted to occur as a result of the COVID-19 crisis, for which the primary public-health strategy is physical distancing and during which alcohol sales have soared. Thus, current strategies for identifying at-risk individuals and preventing suicides, such as relying on self-reported suicidal ideation, are insufficient, especially under conditions of physical distancing, which exacerbate isolation, loneliness, economic stress, and possibly alcohol consumption. New strategies are urgent now and into the future. To that aim, here, a two-sample Mendelian randomization (an instrumental variables technique using public genome-wide association study data as data sources) was performed to determine whether alcohol-associated changes in DNA methylation mediate risk for suicidal behavior. The results suggest that higher alcohol-associated DNA methylation levels at cg18120259 confer a weak causal effect. Replication and triangulation of the results, both experimentally and with designs other than Mendelian randomization, are needed. If the findings replicate, the information might be utilized to raise awareness about the biological links between alcohol and suicide and possibly explored as a biomarker of risk, perhaps especially for early detection of those who may not self-report suicidal intent.","PeriodicalId":39747,"journal":{"name":"Illness Crisis and Loss","volume":"59 1","pages":"353 - 364"},"PeriodicalIF":0.0,"publicationDate":"2021-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72670888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-18DOI: 10.1177/10541373211000175
K. Jones, A. Methley, G. Boyle, R. García, J. Vseteckova
This systematic review investigated the effectiveness of Acceptance and Commitment Therapy (ACT) for managing grief experienced by bereaved spouses or partners of adults who had received palliative care. Systematic searches were undertaken on seven bibliographic databases and grey literature was also searched. The review was informed by the use of the PICO framework and PRISMA-P guidelines. Initially 30 relevant papers were identified, but only two international studies met the criteria for inclusion. One was a qualitative, doctoral study using Interpretative Phenomenological Analysis; the other, a randomized controlled trial comparing ACT with usual psychosocial support. These studies showed some evidence of benefit for bereaved individuals, particularly by promoting the acceptance of troubling emotions. However, this type of therapy may be more effective in reducing psychological distress rather than grief. Further research is needed into the value of ACT in addressing grief following bereavement.
{"title":"A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy for Managing Grief Experienced by Bereaved Spouses or Partners of Adults Who Had Received Palliative Care","authors":"K. Jones, A. Methley, G. Boyle, R. García, J. Vseteckova","doi":"10.1177/10541373211000175","DOIUrl":"https://doi.org/10.1177/10541373211000175","url":null,"abstract":"This systematic review investigated the effectiveness of Acceptance and Commitment Therapy (ACT) for managing grief experienced by bereaved spouses or partners of adults who had received palliative care. Systematic searches were undertaken on seven bibliographic databases and grey literature was also searched. The review was informed by the use of the PICO framework and PRISMA-P guidelines. Initially 30 relevant papers were identified, but only two international studies met the criteria for inclusion. One was a qualitative, doctoral study using Interpretative Phenomenological Analysis; the other, a randomized controlled trial comparing ACT with usual psychosocial support. These studies showed some evidence of benefit for bereaved individuals, particularly by promoting the acceptance of troubling emotions. However, this type of therapy may be more effective in reducing psychological distress rather than grief. Further research is needed into the value of ACT in addressing grief following bereavement.","PeriodicalId":39747,"journal":{"name":"Illness Crisis and Loss","volume":"194 1","pages":"596 - 613"},"PeriodicalIF":0.0,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74888778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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