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Fatigue-management strategies among women with endometriosis in South Africa: a qualitative study 南非子宫内膜异位症妇女的疲劳管理策略:一项定性研究
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-06-08 DOI: 10.1177/00812463211020173
Zamafiso Nombulelo Sibande, R. Roomaney
Fatigue is a common, secondary symptom of endometriosis that has not been qualitatively explored. We conducted individual, face-to-face interviews with 25 women in South Africa about their experiences of endometriosis-related fatigue. Participants were recruited at a public hospital in Cape Town and through several South African endometriosis organizations. Interviews were conducted in English and Afrikaans and ranged from 30 min to 1 hr 16 min in duration. All interviews were audio recorded and transcribed. Interviews were analyzed using thematic analysis. We found that both the experience of fatigue and fatigue-management strategies were highly personalized. Participants reported using a variety of cognitive strategies, such as planning, pacing, and pushing through their fatigue to reduce the levels of fatigue. Participants also employed physical strategies such as rest, dietary changes, using supplements, and exercise. We found that while participants often tried fatigue-management strategies suggested to them by others, they struggled to maintain these strategies even when they were successful. There are currently no interventions aimed at reducing endometriosis-related fatigue. The findings of this study provide insight into the management of fatigue in women with endometriosis and may be used to develop a psychosocial intervention for fatigue among women with the disease.
疲劳是子宫内膜异位症常见的继发症状,尚未定性探讨。我们对南非25名女性进行了面对面的个人访谈,了解她们与子宫内膜异位症相关的疲劳经历。参与者是在开普敦的一家公立医院和几个南非子宫内膜异位症组织招募的。访谈以英语和南非荷兰语进行,时间从30分钟到1小时16分钟不等。所有的采访都有录音和文字记录。访谈采用专题分析进行分析。我们发现疲劳体验和疲劳管理策略都是高度个性化的。参与者报告说,他们使用了各种认知策略,如计划、节奏和克服疲劳来减少疲劳程度。参与者还采用了休息、饮食改变、服用补充剂和锻炼等身体策略。我们发现,虽然参与者经常尝试别人建议的疲劳管理策略,但即使这些策略成功了,他们也很难坚持下去。目前还没有针对减少子宫内膜异位症相关疲劳的干预措施。本研究的发现为子宫内膜异位症女性的疲劳管理提供了见解,并可用于开发患有该疾病的女性疲劳的社会心理干预。
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引用次数: 1
COVID-19, inequality, and the intersection between wealth, race, and gender 新冠肺炎、不平等以及财富、种族和性别之间的交叉
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-06-01 DOI: 10.1177/00812463211015517
Saths Cooper, A. Kramers-Olen
As this special issue goes to press, the COVID-19 pandemic will likely continue to be devastating communities, societies, and economies globally. This pandemic has touched all of humanity, forcing us to acclimate to a strange ‘new normal’ that belies our very nature – relatedness. The pandemic has compelled us to maintain physical distance, to wear masks that indelibly affect our ability to connect and communicate, to forsake rituals and rites of passage that anchor us, and for many of us, to lose loved ones, colleagues, and livelihoods. As with many disease outbreaks, the COVID-19 pandemic has exposed global and national fractures between the rich and the poor, the disadvantaged, and the privileged. It has spotlighted the glaring inequities in access to healthcare and highlighted the dire consequences of insufficiently investing in public health infrastructure and human resources. It has revealed how the responses of those in power and governance have impacted (in some cases positively, and in others, negatively) on the health and livelihoods of citizens globally. Very importantly, it has exposed how historical and systemic inequalities have continued to disadvantage communities and forefronted the risks inherent in the climate crisis. A recent Oxfam report titled ‘The Inequality Virus’ details how the COVID-19 virus has ‘exposed, fed off and increased existing inequalities of wealth, gender and race’ (Oxfam, 2021). While the world’s richest individuals and companies have already witnessed a financial recovery, for the world’s poorest individuals – the majority – economic recovery to pre-pandemic levels could take more than a decade (Oxfam, 2021). For those working in the informal economy, and in caring roles (predominantly women), the economic fallout has been pronounced (United Nations, 2020). Individuals most at risk include older people, people living with disabilities and pre-existing illnesses, as well as those living in poverty (United Nations, 2020). The Statistics South Africa Vulnerability Index (VIndex) uses 2011 census data to describe spatially and statistically the vulnerability status of South Africans to COVID-19 (Statistics South Africa, 2020). At-risk
随着本期特刊的出版,新冠肺炎大流行可能会继续对全球社区、社会和经济造成破坏。这场疫情感动了全人类,迫使我们适应一种奇怪的“新常态”,这种常态掩盖了我们的本性——相关性。新冠疫情迫使我们保持身体距离,戴上口罩,这将永远影响我们的联系和沟通能力,放弃让我们锚定的仪式和成年礼,对我们中的许多人来说,失去亲人、同事和生计。与许多疾病暴发一样,新冠肺炎大流行暴露了全球和国家贫富、弱势和特权之间的裂痕。它突出了在获得医疗保健方面的明显不平等,并强调了对公共卫生基础设施和人力资源投资不足的可怕后果。它揭示了当权者和治理者的反应如何对全球公民的健康和生计产生影响(在某些情况下是积极的,在另一些情况下是消极的)。非常重要的是,它暴露了历史和系统性的不平等如何继续使社区处于不利地位,并突出了气候危机固有的风险。乐施会最近的一份题为“不平等病毒”的报告详细说明了新冠肺炎病毒如何“暴露、助长和加剧了现有的财富、性别和种族不平等”(乐施会,2021)。虽然世界上最富有的个人和公司已经见证了金融复苏,但对于世界上最贫穷的个人——大多数人——来说,经济恢复到疫情前的水平可能需要十多年的时间(乐施会,2021)。对于那些在非正规经济中工作并担任照顾角色的人(主要是女性)来说,经济后果是明显的(联合国,2020年)。风险最大的个人包括老年人、残疾人和已有疾病的人,以及生活在贫困中的人(联合国,2020年)。南非统计局脆弱性指数(VIndex)使用2011年人口普查数据,从空间和统计角度描述南非人对新冠肺炎的脆弱性状况(南非统计局,2020年)。有风险
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引用次数: 2
Critical health response in the time of COVID-19: lessons from the past COVID-19时期的关键卫生应对:过去的经验教训
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-06-01 DOI: 10.1177/00812463211015047
R. Patel, Tanya Monique Graham
This article examines the South African government’s response to COVID-19 by exploring the strong emphasis that has been placed on South Africans taking personal responsibility for good health outcomes. This emphasis is based on the principles of the traditional Health Belief Model which is a commonly used model in global health systems. More recently, there has been a drive towards other health behaviour change models, like the COM-B model and Behaviour Change Wheel (BCW); nonetheless, these remain entrenched within the principles of individual health responsibility. However, the South African experience with the HIV epidemic serves as a backdrop to demonstrate that holding people personally accountable for health behaviour changes has major pitfalls; health risk is never objective and does not take place outside of subjective experience. This article makes the argument that risk-taking health behaviour change in the South African context has to consider community empowerment and capacity building.
这篇文章探讨了南非政府对新冠肺炎的反应,探讨了南非对良好健康结果承担个人责任的强烈重视。这一重点是基于传统的健康信念模型的原则,这是全球卫生系统中常用的模型。最近,人们开始推动其他健康行为改变模型,如COM-B模型和行为改变轮;尽管如此,这些仍然在个人健康责任的原则中根深蒂固。然而,南非在艾滋病毒流行方面的经验表明,追究人们个人对健康行为变化的责任存在重大陷阱;健康风险从来都不是客观的,也不会发生在主观经验之外。本文认为,在南非背景下,冒险健康行为的改变必须考虑社区赋权和能力建设。
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引用次数: 0
Effects of COVID-19 on the economy and mental health of young people in South Africa: opportunities for strengthening social protection programmes by integrating mental health 新冠肺炎对南非青年经济和心理健康的影响:通过整合心理健康加强社会保护方案的机会
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-06-01 DOI: 10.1177/00812463211015348
A. Álvarez-Iglesias, E. Garman, C. Lund
The majority of COVID-19 cases in sub-Saharan Africa are found in South Africa, where one third of young people are not in employment, education or training. As the world continues to fight the COVID-19 virus spread, an increasing volume of studies are analysing and trying to predict the consequences of the pandemic on the economy and on physical and mental health. This article describes the economic and psychological impact of COVID-19 in South Africa’s youth specifically, the efforts made to tackle these issues, and the opportunities to integrate mental health into the country’s social protection measures, such as the Child Support Grant.
撒哈拉以南非洲的大多数COVID-19病例发生在南非,那里三分之一的年轻人既没有就业,也没有接受教育或培训。随着世界继续抗击COVID-19病毒的传播,越来越多的研究正在分析和试图预测大流行对经济和身心健康的影响。本文具体描述了2019冠状病毒病对南非青年的经济和心理影响,为解决这些问题所做的努力,以及将心理健康纳入国家社会保护措施(如儿童抚养补助金)的机会。
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引用次数: 11
COVID-19, psychosocial issues, politics, and public mental health care COVID-19、社会心理问题、政治和公共精神卫生保健
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-06-01 DOI: 10.1177/00812463211015750
A. Pillay, A. Kramers-Olen
The COVID-19 pandemic heralded challenges that were both significant and unfamiliar, placing inordinate burdens on health care systems, economies, and the collective psyche of citizens. The pandemic underscored the tenuous intersections between public mental health care, politics, economics, and psychosocial capital. In South Africa, the inadequacies of the public health system have been laid bare, and the disproportionate privileges of the private health care system exposed. This article critically considers government responses to the COVID-19 pandemic, the psychosocial correlates of lockdown, politics, corruption, and public mental health policy in South Africa.
新冠肺炎大流行预示着重大而陌生的挑战,给医疗保健系统、经济和公民的集体心理带来了过重的负担。这场疫情突显了公共心理健康护理、政治、经济和心理资本之间的脆弱交叉。在南非,公共卫生系统的不足之处暴露无遗,私人卫生保健系统的特权不成比例。本文批判性地考虑了政府对新冠肺炎大流行的反应,封锁、政治、腐败和南非公共心理健康政策的社会心理关联。
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引用次数: 0
The prevalence of common mental disorders and its relationship with mental toughness in professional South African rugby players 南非职业橄榄球运动员常见精神障碍的患病率及其与心理韧性的关系
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-04-27 DOI: 10.1177/00812463211009422
H. Grobler, Kobus du Plooy, P. Kruger, S. Ellis
This study explores the relationship between common mental disorders and mental toughness in professional South African rugby players. A cross-sectional survey design was used by administering a questionnaire and preliminary and bivariate analyses were conducted. The inclusion criteria were professional rugby players who are able to communicate in English. The results indicated that, in general, these players (N = 215) portray significant mental toughness (M = 5.69) on a 7-point scale. Anxiety/depression and distress measured the lowest (M = 1.65) of all the common mental disorders measured in this study. Furthermore, the results indicated a positive relationship between mental toughness and sound sleep (r = .262). Negative relationships were found between mental toughness and all other common mental disorders with the highest relationship being with anxiety/depression positive2 (r = –.423). Other significant relationships were found with anxiety/depression (r = –.401), distress (r = –.259), and common mental disorders problems in general (r = –.220). The results indicated that the management of teams and clinicians need to look at specific aspects, such as alcohol consumption among players, the implications of alcohol use on performance, but also mental wellbeing in general.
本研究探讨南非职业橄榄球运动员常见精神障碍与心理韧性的关系。采用横断面调查设计进行问卷调查,并进行初步和双变量分析。入选标准是能够用英语交流的职业橄榄球运动员。结果表明,总体而言,这些球员(N = 215)在7分制中表现出显著的心理韧性(M = 5.69)。在本研究测量的所有常见精神障碍中,焦虑/抑郁和痛苦的测量值最低(M = 1.65)。此外,结果表明心理韧性与良好睡眠呈正相关(r = .262)。精神韧性与其他常见精神障碍呈负相关,与焦虑/抑郁呈正相关(r = - 0.423)。其他重要的关系还包括焦虑/抑郁(r = - 0.401)、痛苦(r = - 0.259)和常见的精神障碍问题(r = - 0.220)。研究结果表明,球队管理层和临床医生需要关注具体方面,比如球员的饮酒量、饮酒对表现的影响,以及总体上的心理健康。
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引用次数: 1
Motorists’ perceptions of factors that influence payment of speeding fines in Cape Town, South Africa: application of the Theory of Planned Behaviour 南非开普敦驾车者对超速罚款的影响因素的认知:计划行为理论的应用
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-04-26 DOI: 10.1177/00812463211011746
J. Bantjes, S. Plessis, A. Jansen, K. Siebrits, Philip Slabbert
Despite the aggressive enforcement of speed limits, speeding remains the second leading cause of fatalities in vehicle accidents in South Africa. Speeding fines are one mechanism for enforcing speed limits; however, these are only effective deterrents against speeding if fines are enforced. The potential effectiveness of speeding fines to increase safety on South African roads is rendered almost obsolete because so many offenders default on payment. Our aim was to utilise the Theory of Planned Behaviour as a framework to explore motorists’ perceptions of factors that may influence the payment of speeding fines in Cape Town, South Africa. Self-report data were collected from participants who had received fines (n = 268), about their speed fine-paying behaviour, their perceptions of the consequences of non-payment, subjective and social norms, and control beliefs about the ease with which fines can be paid and motorists’ ability to afford fines. Regression analysis showed that motorists who report paying their fines are more likely than those who do not pay to hold beliefs that non-payment will result in serious consequences, affirm injunctive norms supporting the payment of fines, believe that it is easy to pay fines, and are able to afford to pay. This study provides novel insights into the potential of theories of behaviour change to design evidence-based behavioural interventions to encourage motorists to comply with speeding fines and hence to improve road safety in South Africa.
尽管严格执行速度限制,超速仍然是南非交通事故死亡的第二大原因。超速罚款是执行速度限制的一种机制;然而,只有在罚款被强制执行的情况下,这些措施才能有效阻止超速行驶。超速罚款提高南非道路安全的潜在效果几乎已经过时,因为许多违规者拖欠罚款。我们的目的是利用计划行为理论作为框架来探索驾驶者对可能影响南非开普敦超速罚款支付的因素的看法。从收到罚款的参与者(n = 268)中收集自我报告数据,包括他们的速度罚款行为,他们对不付款后果的看法,主观和社会规范,以及对罚款支付难易程度的控制信念和司机负担罚款的能力。回归分析显示,报告缴纳罚款的司机比不缴纳罚款的司机更有可能认为不缴纳罚款会导致严重后果,肯定支持缴纳罚款的禁令规范,认为缴纳罚款很容易,并且有能力支付罚款。这项研究为行为改变理论的潜力提供了新的见解,可以设计基于证据的行为干预措施,以鼓励驾车者遵守超速罚款,从而改善南非的道路安全。
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引用次数: 1
A looming mental health pandemic in the time of COVID-19? Role of fortitude in the interrelationship between loneliness, anxiety, and life satisfaction among young adults 在2019冠状病毒病(COVID-19)时期,一场迫在眉睫的心理健康大流行?刚毅在青年孤独、焦虑和生活满意度之间的相互关系中的作用
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-04-08 DOI: 10.1177/0081246321991030
T. Pretorius, A. Padmanabhanunni
This study investigates loneliness, anxiety, and life satisfaction among a sample of young adults in South Africa during the COVID-19 pandemic, as well as the role of fortitude in the interrelationship between these variables. Fortitude refers to the psychological strength to manage stress and stay well, and it is derived from positive appraisals of self, family, and support from others. Participants included 337 young adults who completed four self-report questionnaires: the UCLA Loneliness Scale, the State-Trait Anxiety Scale, the Satisfaction with Life scale, and the Fortitude Questionnaire. Stepwise regression analysis was performed to determine the direct, indirect, mediating, and moderating role of fortitude on psychological outcomes. The results demonstrated unprecedented levels of anxiety, loneliness, and reduced life satisfaction among the sample. These levels were significantly higher than those encountered in previous studies in other contexts, as well as in studies of similar populations conducted during the COVID-19 pandemic. Women reported higher levels of psychological distress than men. The results confirmed the mediating role of fortitude; however, they also suggested that the predictors (loneliness and anxiety) are the mediated pathways and fortitude is causally antecedent to loneliness and anxiety. These findings suggest a looming mental health crisis among young adults in South Africa and identify potential targets for intervention efforts. A strengths-based approach that focuses on enhancing individuals’ appraisals of coping and support may serve to build fortitude and potentially mitigate adverse mental health outcomes.
本研究调查了2019冠状病毒病大流行期间南非年轻人样本中的孤独、焦虑和生活满意度,以及毅力在这些变量之间相互关系中的作用。刚毅是指管理压力并保持良好状态的心理力量,它来源于对自己、家庭的积极评价和他人的支持。参与者包括337名年轻人,他们完成了四份自我报告问卷:加州大学洛杉矶分校孤独量表、状态-特质焦虑量表、生活满意度量表和毅力问卷。采用逐步回归分析确定刚毅对心理结局的直接、间接、中介和调节作用。结果显示,样本中出现了前所未有的焦虑、孤独和生活满意度下降。这些水平明显高于之前在其他背景下进行的研究,以及在COVID-19大流行期间对类似人群进行的研究。女性报告的心理困扰程度高于男性。结果证实了韧性的中介作用;然而,他们也认为,预测因子(孤独和焦虑)是中介途径,坚韧是孤独和焦虑的因果关系。这些发现表明,在南非的年轻人中,一种迫在眉睫的心理健康危机,并确定了干预努力的潜在目标。以优势为基础的方法侧重于提高个人对应对和支持的评价,可能有助于建立坚韧,并可能减轻不利的心理健康结果。
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引用次数: 17
Frequently asked questions about African psychology: another view 关于非洲心理学的常见问题:另一种观点
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-04-06 DOI: 10.1177/00812463211006407
A. Nwoye
The South African Journal of Psychology, in pages 273–279, of 2017, published a very important and commendable editorial by Kopano Ratele aimed at re-igniting the debate on issues surrounding ‘decades-old confusion about the definition, scope, impetus for, and ultimate aims of an African psychology within South Africa (SA)’. His incisive contribution in response to these issues was submitted under the title: Frequently asked questions about African psychology. In attempting to join this debate, the aim is not to challenge but to complement the fine responses made by Ratele (2017b) to the questions he had raised. Specifically, the aim of this article is to keep this important debate about the state of African psychology alive by showing that there are still some unexplored questions about African psychology that need to be raised and responded to. It is the conviction of the present author that it is through such debates that a better understanding of the meaning and scope, and vision and mission of the nascent academic discipline of African psychology could be achieved.
2017年的《南非心理学杂志》(South African Journal of Psychology)第273-279页刊登了Kopano Ratele的一篇非常重要且值得称赞的社论,旨在重新点燃围绕“南非(SA)非洲心理学的定义、范围、动力和最终目标几十年来的困惑”的辩论。他就这些问题作出了深刻的贡献,提交的题目是:关于非洲心理学的常见问题。在试图加入这场辩论时,目的不是挑战,而是补充Ratele (2017b)对他提出的问题所做的良好回应。具体来说,这篇文章的目的是通过展示非洲心理学仍有一些未被探索的问题需要提出和回应,来保持关于非洲心理学状况的重要辩论。本作者深信,正是通过这样的辩论,才能更好地理解非洲心理学这一新生学科的意义和范围,以及愿景和使命。
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引用次数: 1
Current strategies in the reduction of stigma among caregivers of patients with mental illness: a scoping review 减少精神疾病患者照护者污名的当前策略:范围审查
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-03-25 DOI: 10.1177/00812463211001530
Portia Monnapula-Mazabane, G. B. Babatunde, I. Petersen
Mental healthcare and wellness are a global concern and have increasingly become an essential service and priority from a human rights perspective. However, negative attitudes towards mental health, such as stigmatisation and discrimination from communities and family members, continue to pose challenges for deinstitutionalisation and home care of mentally ill persons. This study aimed to review the literature on the content and implementation methods of stigma reduction interventions for family/community caregivers of patients with mental illness to inform the development of an anti-stigma intervention for such caregivers in low- and middle-income countries like South Africa. A scoping literature review was conducted of English language studies published from 2008 to 2019 in peer-reviewed journals, using established guidelines for the study objectives. Primary interventions targeting caregivers of mental health patients were searched from PsycINFO, ScienceDirect, CINAHL, and Medline. In total, nine full-text articles were extracted for inclusion in the review, indicating a scarcity of literature on anti-stigma interventions aimed at primary caregivers of mental health patients. Interventions varied in terms of educational content, duration, delivery methods, and sample sizes. Intervention delivery was primarily through face-to-face, telephone, and online methods. Anti-stigma interventions for caregivers of patients with mental illness are varied and show positive short-term impacts on mental health stigma reduction among family caregivers. The evolution of health systems is a feasible approach towards integrating learning and trials that are needed to assess long-term impacts.
心理保健和健康是一个全球关注的问题,从人权的角度来看,它日益成为一项基本服务和优先事项。然而,对精神健康的消极态度,例如来自社区和家庭成员的污名化和歧视,继续对精神病患者的去机构化和家庭护理构成挑战。本研究旨在回顾有关精神疾病患者家庭/社区照护者减少耻辱感干预措施的内容和实施方法的文献,为南非等中低收入国家此类照护者制定反耻辱感干预措施提供参考。使用既定的研究目标指南,对2008年至2019年发表在同行评议期刊上的英语语言研究进行了范围界定文献综述。从PsycINFO、ScienceDirect、CINAHL和Medline搜索针对精神健康患者护理人员的主要干预措施。总共有9篇全文文章被提取出来纳入本综述,这表明针对精神健康患者主要照顾者的反污名化干预措施的文献匮乏。干预措施在教育内容、持续时间、交付方式和样本量方面各不相同。干预措施主要通过面对面、电话和在线方式进行。精神疾病患者照护者的反污名干预措施是多种多样的,并且对家庭照护者减少心理健康污名有积极的短期影响。卫生系统的发展是一种可行的方法,可以将评估长期影响所需的学习和试验结合起来。
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引用次数: 6
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South African Journal of Psychology
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