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Editorial Acknowledgement 编辑致谢。
IF 7.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-01-09 DOI: 10.1111/bjhp.12708
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引用次数: 0
A randomized controlled trial of the impact of support visits on self-isolation compliance: The Havering winter/spring support trial 随机对照试验:支持访问对遵守自我隔离规定的影响:哈弗林冬春支持试验
IF 7.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-17 DOI: 10.1111/bjhp.12696
Liza Benny, Cameron Smith, Matthew Barnard, Emily Wolstenholme, Mehr Panjwani, Maria Ionescu, Troy Aitken, Jack Davies, Pete Austin, Lee Watson, Richard Amlôt
<div> <section> <h3> Objectives</h3> <p>Limited evidence exists on the policies to increase self-isolation compliance, with no experimental evidence. This trial aimed to evaluate the effect of a home visiting intervention in the London Borough of Havering on compliance with self-isolation guidance, relative to positive COVID-19 cases who received no home visits.</p> </section> <section> <h3> Design</h3> <p>Mixed method evaluation involving a two-arm randomized controlled trial (RCT) with an implementation and process evaluation.</p> </section> <section> <h3> Methods</h3> <p>A total of 3878 cases who tested positive for COVID-19 were randomly allocated with equal probability to receive home visits from Havering outreach team staff (<i>n</i> = 1946) or to a control group (<i>n</i> = 1932) who did not receive home visits. Randomization was implemented through a spreadsheet consisting of random numbers generated online that was used to randomly allocate cases to treatment and control. Check-in calls were conducted by a separate blinded contact tracing team on day six of isolation to measure successful self-isolation compliance. The primary intention-to-treat (ITT) analysis was conducted on 3860 cases as 18 patients were excluded from analysis because of the missing outcome data. For the implementation and process evaluation, qualitative, semi-structured, one-to-one interviews were conducted with trial participants in the treatment arm of the RCT (<i>n</i> = 15) and stakeholders within the London Borough of Havering's Adult Social Care and Health Team (<i>n</i> = 8). Qualitative data was analysed thematically using a framework approach.</p> </section> <section> <h3> Results</h3> <p>Positive cases who were allocated to receive the home visiting intervention (<i>n</i> = 1933) were more likely to report successful self-isolation compared to those allocated to the control group (<i>n</i> = 1927), an effect that was statistically significant (odds ratio 1.204 [95% CI: 1.052, 1.377]; absolute probability difference: 4.1 percentage points [95% CI: 1.2–6.9]). The implementation and process evaluation found that a key driver of compliance was altruistic motivation based on its perceived importance for protecting the community with some participants also reporting the potential of being caught not complying as a driving factor. Participants also reported that the intervention helped them ‘feel supported’, provided them with information about practical and financial support, and clarified their understanding or increased their awareness of self-isolation and COVID
关于提高自我隔离依从性的政策证据有限,也没有实验证据。本试验旨在评估在伦敦哈弗林区进行的家访干预对遵守自我隔离指导的影响,相对于未接受家访的 COVID-19 阳性病例。
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引用次数: 0
Mindfulness-based interventions for body image dissatisfaction among clinical population: A systematic review and meta-analysis 针对临床人群中身体形象不满意的正念干预:系统回顾与荟萃分析
IF 7.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-14 DOI: 10.1111/bjhp.12710
Hrishi Gopan, Eslavath Rajkumar, Aswathy Gopi, John Romate

Purpose

Mindfulness-based interventions (MBIs) are well-validated interventions to enhance the favourable body image of individuals. Despite their wide application, the efficacy of MBIs in reducing body image dissatisfaction (BID) among various clinical populations remains unclear. This study aims to expand the literature on MBIs for BID and identify effective types of MBIs for reducing BID in diverse clinical populations for future research and practice.

Methods

A systematic search for studies published in English on the effectiveness of MBIs for BID among the clinical population was done on APA PsycNet, PubMed, Science Direct, Web of Science and Google Scholar databases in August 2023. Of the 1962 articles initially identified, 17 were found eligible and evaluated based on the JBI checklist.

Results

Random effects meta-analyses on six MBIs revealed their effectiveness in reducing BID among the clinical population (SMD = −.59 and 95% CI = −1.03 to −.15, p = .009), with Acceptance and Commitment Therapy (ACT) (SMD = −1.29, 95% CI = −2.06 to −.52, p = .001) and My Changed Body (MyCB) (SMD = −.24, 95% CI = −.46 to −.01, p = .04) reporting significant effect sizes. Among the patients with breast cancer, MyCB (SMD = −.24, 95% CI = −.46 to −.01, p = .04) showed a significant effect size.

Conclusions

MBIs appear to be promising interventions in reducing BID among the clinical population. However, findings should be considered cautiously due to the possible publication bias, high heterogeneity and fewer available studies.

正念干预(MBIs)是一种经过充分验证的干预方法,可改善个人的身体形象。尽管MBIs应用广泛,但其在不同临床人群中减少身体形象不满意度(BID)的效果仍不明确。本研究旨在扩充有关MBIs治疗体像不满意的文献,并确定MBIs在不同临床人群中减少体像不满意的有效类型,为未来的研究和实践提供参考。
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引用次数: 0
Interrelatedness of women's health-behaviour cognitions: A dyadic study of female family members on carrying heavy loads during pregnancy in Nepal 妇女健康行为认知的相互关联性:对尼泊尔女性家庭成员在怀孕期间搬运重物的双向研究
IF 7.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-13 DOI: 10.1111/bjhp.12709
Vica Marie Jelena Tomberge, Akina Shrestha, Regula Meierhofer, Jennifer Inauen

Objectives

Decisions about reproductive health are often influenced by women's female family members, particularly in low-resource contexts. However, previous research has focused primarily on individual behavioural determinants. We investigated the interrelatedness of female family members' reproductive health behaviour with a dyadic version of an extended health action process approach. We investigated this for carrying heavy loads during pregnancy and postpartum, a risk factor for reproductive health in many low-income countries such as Nepal.

Design

This cross-sectional study included dyads of daughters-in-law and mothers-in-law in rural Nepal (N = 476, nested in 238 dyads).

Methods

Dyads of daughters- and mothers-in-law were surveyed about avoiding carrying heavy loads during pregnancy and postpartum. The effects of a woman's cognitions and her female dyadic partner's cognitions on their intention and behaviour about avoiding carrying loads were estimated using linear mixed models.

Results

The results showed that a mother-in-law's cognitions were related to her daughter-in-law's intentions and vice versa. The mother-in-law's cognitions were also related to the daughter-in-law's behaviour. The mother-in-law's self-efficacy and injunctive norms related to the daughter-in-law's intention and behaviour over and above the daughter-in-law's own self-efficacy and injunctive norms.

Conclusion

Female Nepali family members' cognitions about carrying heavy loads during pregnancy and postpartum are interrelated. Including female family members in interventions to help women manage their reproductive health in low-resource populations seems promising. These novel findings add to the growing body of research indicating the importance of including a dyadic perspective when understanding and changing health behaviour.

有关生殖健康的决定往往受到女性家庭成员的影响,尤其是在资源匮乏的情况下。然而,以往的研究主要侧重于个人行为决定因素。我们采用扩展的健康行动过程方法,对女性家庭成员生殖健康行为的相互关联性进行了研究。在尼泊尔等许多低收入国家,孕期和产后负重是影响生殖健康的一个风险因素。
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引用次数: 0
Attentional bias in psoriasis: The role of processing time and emotional valence 银屑病的注意偏差:处理时间和情绪情感的作用
IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-11 DOI: 10.1111/bjhp.12712
Sarah Etty, David N. George, Antoinette I. M. van Laarhoven, C. Elise Kleyn, Shernaz Walton, Henning Holle

Purpose

The present study explored whether people with psoriasis display an attentional bias towards disease-related threat words and whether this bias occurs relatively early during the phase of stimulus disengagement, or during a later maintained attention phase dominated by controlled strategic processes. We also explored the degree to which attentional bias is dependent on the emotional valence of control words.

Methods

Individuals with psoriasis and matched controls took part in 4 online experiments. Participants completed a spatial cueing paradigm using disease-related threat words and control words as cues, in order to obtain reaction time estimates of attentional bias.

Results

We did not observe evidence for attentional bias when control words were matched with threat words for emotional valence, regardless of whether processing time for the cues was limited (Experiment 1: SOA = 250 ms) or extended (Experiment 2: SOA = 1050 ms). We also did not observe evidence for attentional bias when control words of positive valence were used, but processing time was limited (Experiment 3). An attentional bias was only observed (p = .012, Cohen's d = .37) when sufficient processing time was available and positively-valanced control words were used (Experiment 4).

Conclusion

Rather than showing large and generalized AB effects as predicted by previous accounts, our results tentatively suggest that AB in psoriasis is restricted to situations where participants have ample processing time and threat words are easily distinguishable from control words on the basis of emotional valence. The pattern of results suggests that attentional bias in psoriasis is best characterized as a relatively slow strategic process.

本研究探讨了银屑病患者是否会对疾病相关的威胁词表现出注意偏向,以及这种偏向是在刺激脱离阶段相对较早的时候出现,还是在控制策略过程主导的后期维持注意阶段出现。我们还探究了注意偏向在多大程度上取决于控制词的情绪价值。
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引用次数: 0
Targeting persistent fatigue with tailored versus generic self-management strategies in adolescents and young adults with a fatigue syndrome or rheumatic condition: A randomized crossover trial 针对患有疲劳综合征或风湿病的青少年和年轻成年人的持续性疲劳,采用量身定制的自我管理策略和普通自我管理策略:随机交叉试验
IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-10 DOI: 10.1111/bjhp.12711
Anouk Vroegindeweij, Nico M. Wulffraat, Elise M. Van De Putte, Hanne B. T. De Jong, Desiree A. Lucassen, Joost F. Swart, Sanne L. Nijhof

Objectives

To evaluate the use of two self-management intervention strategies for persistent fatigue in adolescents and young adults with a fatigue syndrome or rheumatic condition.

Design

A randomized crossover trial administering tailored lifestyle advice and generic dietary advice, each 12 weeks, with a four-week washout period between.

Methods

Sixty participants (aged 12–29) were included. Tailoring was achieved through the PROfeel method. Dietary guidelines were conceptualized by the Netherlands Nutrition Centre. Questionnaires were used pre–post-interventions to measure primary outcome ‘fatigue severity’ (Checklist Individual Strength-8) and secondary outcomes ‘self-efficacy’ (Self-Efficacy Scale-28) and ‘quality of life’ (QoL) (Paediatric Quality of Life Inventory 4.0). Feasibility and adherence were self-rated on a scale of 1 to 10 (low to high). Linear mixed modelling was used to assess change over time, compare strategy effectiveness and study the impact of intervention order.

Results

Fatigue severity, self-efficacy and QoL regarding ‘physical’ and ‘emotional’ functioning improved significantly over time (all p < .015). The average improvement of the two QoL subscales was clinically relevant, as was the fatigue improvement in 20 out of 46 participants who completed the trial and 5 dropouts. The interventions were equally effective, and intervention order did not impact the improvement level (prange = .242–.984). The self-management strategies received similar feasibility (M = 6.45, SD = 1.91) and adherence (M = 7.67, SD = 1.67) ratings.

Conclusions

As small to clinically relevant improvements were observed, self-management strategies might be particularly useful to bridge waiting time for guided treatments such as Cognitive Behavioural Therapy.

目的:评估针对患有疲劳综合症或风湿病的青少年和年轻人持续疲劳的两种自我管理干预策略的使用情况。
{"title":"Targeting persistent fatigue with tailored versus generic self-management strategies in adolescents and young adults with a fatigue syndrome or rheumatic condition: A randomized crossover trial","authors":"Anouk Vroegindeweij,&nbsp;Nico M. Wulffraat,&nbsp;Elise M. Van De Putte,&nbsp;Hanne B. T. De Jong,&nbsp;Desiree A. Lucassen,&nbsp;Joost F. Swart,&nbsp;Sanne L. Nijhof","doi":"10.1111/bjhp.12711","DOIUrl":"10.1111/bjhp.12711","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To evaluate the use of two self-management intervention strategies for persistent fatigue in adolescents and young adults with a fatigue syndrome or rheumatic condition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A randomized crossover trial administering tailored lifestyle advice and generic dietary advice, each 12 weeks, with a four-week washout period between.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sixty participants (aged 12–29) were included. Tailoring was achieved through the PROfeel method. Dietary guidelines were conceptualized by the Netherlands Nutrition Centre. Questionnaires were used pre–post-interventions to measure primary outcome ‘fatigue severity’ (Checklist Individual Strength-8) and secondary outcomes ‘self-efficacy’ (Self-Efficacy Scale-28) and ‘quality of life’ (QoL) (Paediatric Quality of Life Inventory 4.0). Feasibility and adherence were self-rated on a scale of 1 to 10 (low to high). Linear mixed modelling was used to assess change over time, compare strategy effectiveness and study the impact of intervention order.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fatigue severity, self-efficacy and QoL regarding ‘physical’ and ‘emotional’ functioning improved significantly over time (all <i>p &lt;</i> .015). The average improvement of the two QoL subscales was clinically relevant, as was the fatigue improvement in 20 out of 46 participants who completed the trial and 5 dropouts. The interventions were equally effective, and intervention order did not impact the improvement level (<i>p</i><sub>range</sub> = .242–.984). The self-management strategies received similar feasibility (<i>M =</i> 6.45, <i>SD</i> = 1.91) and adherence (<i>M</i> = 7.67, <i>SD</i> = 1.67) ratings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>As small to clinically relevant improvements were observed, self-management strategies might be particularly useful to bridge waiting time for guided treatments such as Cognitive Behavioural Therapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"29 3","pages":"516-532"},"PeriodicalIF":3.5,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12711","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138569366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The development and validation of the Worries About Recurrence or Progression Scale (WARPS) 对复发或进展的担忧量表(WARPS)的开发与验证。
IF 7.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-01 DOI: 10.1111/bjhp.12707
Louise Sharpe, Rachel E. Menzies, Bethany Richmond, Jemma Todd, Carolyn MacCann, Joanne Shaw

Objectives

Worry about recurrence or progression is a common concern among people with chronic physical illnesses. Although there are options to measure the fear of cancer recurrence and other illness-specific measures, there is only one transdiagnostic measure of fear of progression, which does not assess the fear of recurrence or relapse.

Design

A multi-phase study outlining the development and validation of a novel transdiagnostic measure of fear of recurrence or progression, the Worries About Recurrence and Progression Scale (WARPS).

Method

From a prior systematic review, we used quotes from people with lived experience to generate 55 items. Next, we piloted the items with 10 people with a range of chronic conditions, leading to a final total of 57 items. We then recruited four groups of people with cardiac disease, rheumatic disease, diabetes and respiratory disease (n = 804). An exploratory factor analysis in a randomly split sample resulted in an 18 item, single factor scale. We then performed confirmatory factor analysis on these 18 items in the remaining sample.

Results

The 18-item WARPS demonstrated good construct validity, internal consistency and test–retest reliability. Specifically, the WARPS was strongly correlated with the Fear of Progression Questionnaire, and with illness-specific fears. Significant, moderate correlations were observed with depression, anxiety, stress, and death anxiety. The WARPS demonstrated the validity and reliability amongst people with four of the most common chronic conditions and the factor structure was invariant across genders.

Conclusion

The WARPS is a valid and reliable tool to measure transdiagnostic worries about recurrence and progression.

目的:担心复发或进展是慢性身体疾病患者普遍关注的问题。虽然有多种方法可以测量对癌症复发的恐惧和其他疾病特异性的测量,但只有一种对进展恐惧的跨诊断测量,它不评估对复发或复发的恐惧。设计:一项多阶段研究概述了对复发或进展恐惧的新型跨诊断测量方法的开发和验证,即复发和进展担忧量表(WARPS)。方法:从之前的系统回顾中,我们引用了有生活经验的人的话来生成55个项目。接下来,我们在10名患有各种慢性疾病的人中试用了这些项目,最终总共有57个项目。然后,我们招募了四组患有心脏病、风湿病、糖尿病和呼吸系统疾病的人(n = 804)。一个探索性的因素分析在一个随机分割的样本导致18项,单因素量表。然后,我们对剩余样本中的这18个项目进行验证性因子分析。结果:18项WARPS量表具有良好的结构效度、内部一致性和重测信度。具体而言,WARPS与恐惧进展问卷和疾病特异性恐惧密切相关。观察到与抑郁、焦虑、压力和死亡焦虑有显著的中度相关性。WARPS在四种最常见的慢性疾病患者中证明了其有效性和可靠性,并且因素结构在性别之间是不变的。结论:WARPS是一种有效、可靠的工具,可用于评估对复发和进展的诊断担忧。
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引用次数: 0
Attitudes and perceptions of cancer patients and healthcare providers towards prehabilitation: A thematic synthesis 癌症患者和保健提供者对康复的态度和看法:专题综合。
IF 7.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-11-20 DOI: 10.1111/bjhp.12705
Chen Shen, Lianqi Gu, Na Li, Rao Wang, Xin Yang, Zhiping Chu

Purpose

Prehabilitation, which is the process of enhancing functional capacity before undergoing surgery or other treatments, has been shown to improve cancer patients' outcomes. Patient and healthcare provider attitudes and perceptions are essential factors in the successful implementation of prehabilitation. The purpose of this systematic review is to synthesize qualitative evidence and explore the barriers and facilitators to prehabilitation implementation.

Methods

From the earliest available date to October 2023, 7 databases (PubMed, Web of Science, Cochrane Library, Embase, CINAHL, PsycINFO, and MEDLINE) were searched for a systematic review. Data were extracted, thematically analysed, and mapped onto the Capability, Opportunity, and Motivation Model of Behaviour (COM-B). The Critical Appraisal Skills Programme (CASP) tool was used to assess the quality of the studies.

Results

A total of 26 studies were included, involving 377 patients, 51 caregivers, and 156 healthcare providers. 16 factors were identified and mapped onto the COM-B model: reflective/automatic motivation, physical/social opportunity, physical/ psychological capability.

Conclusions

Patients and healthcare provides identified a lack of reflective motivation and physical opportunities as the most significant barriers to engagement in prehabilitation. Personalized approaches, social support, and healthcare providers' engagement are key factors for prehabilitation. Future research should focus on developing effective interventions to enhance the uptake and sustainability of prehabilitation.

目的:预康复是在接受手术或其他治疗之前增强功能能力的过程,已被证明可以改善癌症患者的预后。患者和保健提供者的态度和看法是成功实施康复的关键因素。本系统综述的目的是综合定性证据,探讨康复实施的障碍和促进因素。方法:从最早可查日期到2023年10月,检索PubMed、Web of Science、Cochrane Library、Embase、CINAHL、PsycINFO和MEDLINE 7个数据库进行系统评价。数据被提取,主题分析,并映射到行为的能力,机会和动机模型(COM-B)。使用关键评估技能计划(CASP)工具来评估研究的质量。结果:共纳入26项研究,涉及377名患者、51名护理人员和156名医疗保健提供者。16个因素被确定并映射到COM-B模型:反思/自动动机,物理/社会机会,物理/心理能力。结论:患者和医疗保健提供者认为,缺乏反思动机和身体机会是参与康复的最大障碍。个性化方法、社会支持和医疗保健提供者的参与是康复的关键因素。未来的研究应侧重于开发有效的干预措施,以提高康复的吸收和可持续性。
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引用次数: 0
Parents' experiences of receiving their child's diagnosis of congenital heart disease: A systematic review and meta-synthesis of the qualitative literature 父母接受孩子先天性心脏病诊断的经历:定性文献的系统回顾和综合。
IF 7.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-11-15 DOI: 10.1111/bjhp.12703
Shannon Dandy, Anja Wittkowski, Craig D. Murray

Purpose

This systematic review aimed to synthesize qualitative research on parents' psychological experiences following their child's diagnosis of congenital heart disease (CHD).

Methods

A systematic search of six electronic databases (CINAHL, Embase, MEDLINE, PsycINFO, PubMed and Web of Science) was completed, inclusive of all years up to May 2022. Any included articles were synthesized using thematic synthesis and appraised using the Critical Appraisal Skills Programme Qualitative Checklist.

Results

Twenty-six articles were included. Four main themes, and 11 subthemes, emerged from the synthesis. Theme 1 (unpreparedness for the diagnosis) concerned parents' shock, guilt and anger regarding the diagnosis. Theme 2 (the overwhelming reality of CHD) described parental fear about decision-making and the child's prognosis, and the influence of professionals on parents' well-being. Theme 3 (mourning multiple losses) detailed parents' sadness at losing their envisioned pregnancy, birth and parenthood experiences. Theme 4 (redefining hopes to reach an acceptance of CHD) described parents' adjustment to the diagnosis.

Conclusions

Receiving a child's CHD diagnosis was a uniquely challenging situation for parents. The findings provided insight into the emotions parents experienced and how they adjusted to the diagnosis psychologically. As parents' experiences were significantly influenced by their interactions with professionals, clinicians should offer compassion, validation and clear information throughout the diagnosis process.

目的:本系统综述旨在综合定性研究儿童先天性心脏病(CHD)诊断后父母的心理体验。方法:系统检索截至2022年5月的6个电子数据库(CINAHL、Embase、MEDLINE、PsycINFO、PubMed和Web of Science)。所有纳入的文章均采用专题综合法进行综合,并使用《关键评价技能方案定性检查表》进行评价。结果:纳入26篇文献。从综合中产生了四个主要主题和11个次要主题。主题1(对诊断的不准备)涉及父母对诊断的震惊、内疚和愤怒。主题2(冠心病的压倒性现实)描述了父母对决策和孩子预后的恐惧,以及专业人士对父母幸福感的影响。主题3(哀悼多重损失)详细描述了父母在失去预期的怀孕、分娩和为人父母经历时的悲伤。主题4(重新定义希望达成对冠心病的接受)描述了父母对诊断的适应。结论:接受孩子的冠心病诊断对父母来说是一个独特的挑战。这些发现为了解父母的情绪体验以及他们如何在心理上适应诊断提供了见解。由于父母的经历受到他们与专业人员的互动的显著影响,临床医生应该在整个诊断过程中提供同情,验证和明确的信息。
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引用次数: 0
Development, validation, and accuracy of ORCHESTRA emotional exhaustion screening questionnaire among healthcare workers during COVID-19 Pandemic COVID-19大流行期间医护人员情绪耗竭筛查问卷的编制、验证和准确性
IF 7.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-11-13 DOI: 10.1111/bjhp.12706
Rick Kye Gan, Pedro Arcos González, Guillermo Fernandez-Tardon, Alexandre Zerbo, Violeta Claudia Calota, Zuzana Klöslová, Marina Ruxandra Otelea, Eleonóra Fabiánová, Marta-Maria Rodriguez-Suarez, Adonina Tardon

Background

The COVID-19 pandemic has posed unprecedented challenges, particularly for healthcare workers (HCWs). The prolonged struggles exposed the HCWs to a variety of stressors, potentially leading to burnout. Emotional exhaustion is widely recognized as the core component of burnout. This research aims to conceptualize and develop an emotional exhaustion screening questionnaire through literature review, validation, and accuracy testing.

Method

A literature review of questionnaires and extraction of items on emotional exhaustion were performed in June 2022. We proceed with the face validity of the items by experts. The items with good content validity ratio and index were selected and reworded to suit the context of HCWs working during the COVID-19 pandemic. A pilot test of the questionnaire was done in the Central University Hospital of Asturias (HUCA) from October to December 2022 with a sample of 148 HCWs from the ORCHESTRA cohort to determine its reliability, convergent validity, and accuracy.

Results

Our literature review identified 15 validated questionnaires. After exclusion, 32 items were sent for content validation by experts, yielding five final items that proceeded with the pilot test. Resulting in a Cronbach's alpha-coefficient of .83 for the scale and .78 for dichotomous responses, demonstrating good internal consistency and convergent validity. The result of our accuracy test yielded sensitivity (90.6%) and specificity (91.6%) for the OEEQ scale; and sensitivity (88.7%) and specificity (89.5%) for OEEQ dichotomous responses.

Conclusion

This study developed and validated the ORCHESTRA Emotional Exhaustion Questionnaire, demonstrating the questionnaire's clarity, relevance, and comprehensibility in screening emotional exhaustion among HCWs.

背景:COVID-19大流行带来了前所未有的挑战,特别是对卫生保健工作者(HCWs)。长期的斗争使医护人员暴露在各种压力源下,有可能导致精疲力竭。情绪衰竭被广泛认为是职业倦怠的核心组成部分。本研究旨在通过文献回顾、验证和准确性检验,构思并编制一份情绪耗竭筛查问卷。方法:于2022年6月进行问卷调查和情绪衰竭项目提取。我们继续由专家进行项目的表面有效性。选取内容效度比和指标较好的项目进行改写,以适应新冠肺炎大流行期间卫生保健工作者的工作环境。于2022年10月至12月在阿斯图里亚斯中央大学医院(HUCA)对来自ORCHESTRA队列的148名HCWs样本进行了问卷的试点测试,以确定其信度、收敛效度和准确性。结果:我们的文献综述确定了15份有效的问卷。排除后,32个项目被发送给专家进行内容验证,产生5个最终项目,继续进行试点测试。量表的Cronbach α系数为0.83,二分类反应的Cronbach α系数为0.78,显示出良好的内部一致性和收敛效度。准确度测试的结果为OEEQ量表的灵敏度(90.6%)和特异性(91.6%);OEEQ二分类反应的敏感性(88.7%)和特异性(89.5%)。结论:本研究编制并验证了ORCHESTRA情绪耗竭问卷,显示了问卷在筛查医护人员情绪耗竭方面的清晰性、相关性和可理解性。
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British Journal of Health Psychology
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