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Healthcare professional communication behaviours, skills, barriers, and enablers: Exploring the perspectives of people living with Inflammatory Bowel Disease 医护人员的沟通行为、技巧、障碍和促进因素:探索炎症性肠病患者的观点
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-05-22 DOI: 10.1177/20551029241257782
Rachel L Hawkins, Eleanor Bull
This qualitative study conceptualised effective communication behaviours of healthcare professionals (gastroenterologists, surgeons, nurses, and general practitioners) and explored communication barriers and facilitators from the perspective of adults with Inflammatory Bowel Disease (IBD). Seventeen qualitative interviews were conducted with people living with IBD in the UK or USA ( n = 17) and their spouses ( n = 4). An inductive content analysis was firstly applied to participants’ accounts to define which healthcare professionals’ behaviours and skills were perceived as essential for effective communication. An inductive reflexive thematic analysis elucidated themes of perceived barriers and facilitators experienced when communicating with their IBD healthcare professionals. Thirty-three provider communication behaviours were grouped into nine healthcare professional skills. Five themes encompassed 11 barriers and facilitators: professionals’ knowledge and behaviour, unequal power, patient navigation skills, time constraints and demand, and continuity and collaboration of care. For patients and some spouses, enhancing communication in IBD services means increasing patient, family, and health professional knowledge, encouraging collaborative partnership working, and promoting healthcare professional skills to communicate effectively within the reality of time restraints.
这项定性研究从炎症性肠病(IBD)成人患者的角度,对医护人员(肠胃病专家、外科医生、护士和全科医生)的有效沟通行为进行了概念化,并探讨了沟通障碍和促进因素。我们对英国或美国的 IBD 患者(17 人)及其配偶(4 人)进行了 17 次定性访谈。首先对参与者的叙述进行了归纳内容分析,以确定哪些医护人员的行为和技能被认为是有效沟通的关键。通过归纳式反思主题分析,阐明了在与 IBD 医护人员沟通时所感受到的障碍和促进因素的主题。医疗服务提供者的 33 种沟通行为被归类为 9 种医疗保健专业技能。五个主题涵盖了 11 种障碍和促进因素:专业人员的知识和行为、不平等的权力、患者引导技能、时间限制和需求以及护理的连续性和协作性。对于患者和部分患者配偶来说,加强 IBD 服务中的沟通意味着增加患者、家属和医疗专业人员的知识,鼓励合作性的伙伴工作,以及提高医疗专业人员在时间限制的现实情况下进行有效沟通的技能。
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引用次数: 0
Health anxiety by proxy among parents: Measuring health anxiety for self, child and partner and its associations with family functioning 代理父母的健康焦虑:衡量自己、子女和伴侣的健康焦虑及其与家庭功能的关系
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-05-18 DOI: 10.1177/20551029241251995
Christian Kubb, Heather M Foran
Health-related worries can be either self-directed or occur in close relationships by proxy (e.g., among parents, couples, or pet owners). Our aim was to test the feasibility of assessing health anxiety by proxy in parents and to examine the relationship of health anxiety with family well-being. Health anxiety by proxy was measured between parent-child and parent-partner relationships with adapted versions of the modified Short Health Anxiety Inventory. Parents reported significantly higher levels of health anxiety by proxy regarding their child than for themselves, t (585) = −3.61, p < .001. Exploratory factor analysis showed that each health anxiety questionnaire formed a distinct latent factor. Parenting stress and poorer family functioning had small associations with health anxiety towards one’s self, child, and partner ( r = 0.15 to r = 0.20). Further research is needed to determine clinical relevance and its impact on health behaviors and functioning within the family unit.
与健康有关的焦虑既可以是自我导向的,也可以是在亲密关系中通过代理关系产生的(例如,在父母、夫妻或宠物主人之间)。我们的目的是测试对父母的代理健康焦虑进行评估的可行性,并研究健康焦虑与家庭幸福之间的关系。我们使用改良版的简易健康焦虑量表(Short Health Anxiety Inventory)对亲子关系和父母与伴侣关系中的健康焦虑进行了代理测量。父母对子女的代理健康焦虑水平明显高于自己,t (585) = -3.61,p < .001。探索性因子分析显示,每份健康焦虑问卷都形成了一个独特的潜在因子。养育压力和较差的家庭功能与对自己、孩子和伴侣的健康焦虑有很小的关联(r = 0.15 至 r = 0.20)。还需要进一步的研究来确定其临床相关性及其对健康行为和家庭功能的影响。
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引用次数: 0
Illness intrusiveness, health locus of control, and anxiety symptoms among veterans with congestive heart failure. 患有充血性心力衰竭的退伍军人的疾病侵扰性、健康控制点和焦虑症状。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-05-08 eCollection Date: 2024-01-01 DOI: 10.1177/20551029241250311
Laura Jean Priorello, Consuelo Arbona

Disease severity, illness intrusiveness, and health locus of control (HLC) each contribute to psychosocial wellbeing in patients with congestive heart failure (CHF). To better understand the relationships between these variables regarding anxiety symptoms, we analyzed data from 116 adult male veterans with comorbid CHF and anxiety. Results suggested that illness intrusiveness significantly mediated the relation of CHF severity to anxiety symptom severity, and that the illness intrusiveness domains of physical well-being/diet, work/finances, and other aspects of life (religious/spirituality, community/civic, self-improvement/expression) were also significant mediators of that relationship. The relation of illness intrusiveness to anxiety was not moderated by internal HLC. Findings highlight the importance of assessing and treating various aspects of illness intrusiveness to manage anxiety symptoms in CHF patients.

充血性心力衰竭(CHF)患者的疾病严重程度、疾病侵扰性和健康控制点(HLC)都会影响其社会心理健康。为了更好地了解这些变量与焦虑症状之间的关系,我们分析了 116 名合并有充血性心力衰竭和焦虑症的成年男性退伍军人的数据。结果表明,疾病侵扰性在很大程度上调解了充血性心力衰竭严重程度与焦虑症状严重程度之间的关系,而且身体健康/饮食、工作/经济以及生活的其他方面(宗教/精神、社区/公民、自我改善/表达)等疾病侵扰性领域也在很大程度上调解了这种关系。疾病侵扰性与焦虑的关系不受内部 HLC 的调节。研究结果凸显了评估和治疗疾病侵扰性的各个方面以控制慢性阻塞性肺病患者焦虑症状的重要性。
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引用次数: 0
Alike but not the same: Psychological profiles of COVID-19 vaccine skeptics 相似但不相同:COVID-19 疫苗怀疑论者的心理特征
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-04-26 DOI: 10.1177/20551029241248757
Ursula Voss, Karin Schermelleh-Engel, Leana Hauser, Mira Holzmann, Diana Fichtner, Sonja Seifert, Ansgar Klimke, Sabine Windmann
One of the challenges of the SARS-CoV-2 pandemic was a widespread skepticism about vaccination. To elucidate the underlying mental and emotional predispositions, we examined a sample of 1428 participants using latent profile analysis (LPA) on selected personality trait variables, mental health status, and measures of irrational beliefs. LPA revealed five distinct profiles: two classes of non-skeptics and three of skeptics. The smaller non-skeptic class reported the highest rates of mental health problems, along with high levels of neuroticism, hostility, interpersonal sensitivity, and external locus of control. The larger non-skeptic class was psychologically well-balanced. Conversely, the skeptic groups shared strong distrust of COVID-19 vaccination but differed in emotional and mental profiles, leading to graded differences in endorsing extreme conspiracy beliefs. This suggests that vaccine skepticism is not solely a result of mental illness or emotional instability; rather extreme skepticism manifests as a nuanced, graded phenomenon contingent on personality traits and conspirational beliefs.
SARS-CoV-2 大流行带来的挑战之一是人们对疫苗接种普遍持怀疑态度。为了阐明潜在的心理和情绪倾向,我们对 1428 名参与者进行了抽样调查,对选定的人格特质变量、心理健康状况和非理性信念进行了潜在特征分析(LPA)。LPA 揭示了五种不同的特征:两类非怀疑论者和三类怀疑论者。较小的非怀疑论者群体报告的心理健康问题发生率最高,同时他们的神经质、敌意、人际关系敏感性和外部控制感也较高。而人数较多的非怀疑论者群体则心理平衡。相反,怀疑论者群体对 COVID-19 疫苗接种抱有强烈的不信任感,但在情绪和心理特征方面存在差异,导致他们在认可极端阴谋论信念方面存在分级差异。这表明,疫苗怀疑论并不完全是精神疾病或情绪不稳定的结果;相反,极端怀疑论表现为一种细微的、分级的现象,取决于人格特质和阴谋信念。
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引用次数: 0
Cardiovascular risk, social vigilance, and stress profiles of male law enforcement officers versus civilians 男性执法人员与平民的心血管风险、社会警觉性和压力概况
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-04-04 DOI: 10.1177/20551029241244723
Shannon C White, John M Ruiz, Matthew Allison, Bert N Uchino, Timothy W Smith, Daniel J Taylor, Dusti R Jones, Michael A Russell, Emily B Ansell, Joshua M Smyth
This study examined the cardiovascular disease (CVD) risk profiles of male law enforcement officers (LEOs) and civilians. CVD risk profiles were based on data collected using traditional objective (e.g., resting BP, cholesterol), novel objective (e.g., ambulatory BP) and self-report measures (e.g., EMA social vigilance). A subset of male LEOs ( n = 30, M age = 41.47, SD = 8.03) and male civilians ( n = 120, M age = 40.73, SD = 13.52) from a larger study were included in analyses. Results indicated LEOs had significantly higher body mass index [BMI], 31.17 kg/m2 versus 28.87 kg/m2, and exhibited significantly higher trait and state social vigilance across multiple measures, whereas perceived stress was higher among civilians. Findings highlight the need for future research examining CVD risk associated with occupational health disparities, including attributes of individuals entering certain professions as well as experiential and environmental demands of the work.
本研究调查了男性执法人员(LEOs)和平民的心血管疾病(CVD)风险概况。心血管疾病风险概况是基于使用传统客观测量方法(如静息血压、胆固醇)、新型客观测量方法(如动态血压)和自我报告测量方法(如EMA社会警觉性)收集的数据得出的。分析对象包括一项大型研究中的男性 LEOs 子集(n = 30,M 年龄 = 41.47,SD = 8.03)和男性平民(n = 120,M 年龄 = 40.73,SD = 13.52)。结果表明,LEOs 的体重指数(BMI)明显高于文职人员,分别为 31.17 kg/m2 和 28.87 kg/m2;在多项测量中,LEOs 的特质和状态社会警觉性明显高于文职人员,而文职人员的感知压力则更高。研究结果凸显了今后研究与职业健康差异相关的心血管疾病风险的必要性,包括进入某些职业的个人属性以及工作的经验和环境要求。
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引用次数: 0
The social process of involuntary separation and the search for connection 非自愿分离的社会过程与寻求联系
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-02-09 DOI: 10.1177/20551029231224368
Willow Glasier, Kelly Arbeau, Mihaela Launeanu, Janelle Kwee
Placing a loved one in care does not relieve informal caregivers’ physical and emotional stresses. This study identified the unique psycho-social-spiritual processes of involuntary separation among spouses following long-term care admission. Participants were 17 spouse-caregivers (12 women and 5 men) with a mean age of 84 years who had been involuntarily separated for an average of 20 months. The basic psycho-social-spiritual process of spouse-caregiver involuntary separation was connecting in disconnection, which had three distinct stages: (1) Initial coping, (2) Adjusting to the new situation, and (3) Moving forward. Movement through the three stages was influenced by individuals’ capacity and willingness to reach out for connection and by the abilities of others to extend accurate empathy and practical help. The implications of this study highlight spouse-caregivers’ needs for connection and support not only during the crisis of separation, but in the months and years that follow.
将亲人送入护理机构并不能减轻非正式照顾者的身体和精神压力。本研究确定了配偶在长期护理入院后非自愿分离的独特心理-社会-精神过程。参与研究的 17 名配偶照顾者(12 名女性和 5 名男性)的平均年龄为 84 岁,他们非自愿分居的时间平均为 20 个月。配偶-照顾者非自愿分居的基本心理-社会-精神过程是在断开连接中进行的,分为三个不同的阶段:(1)初步应对;(2)适应新环境;(3)继续前进。这三个阶段的进展受个人寻求联系的能力和意愿以及他人提供准确共情和实际帮助的能力的影响。本研究的意义强调了配偶照顾者不仅在分居危机期间,而且在随后的数月和数年中都需要联系和支持。
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引用次数: 0
Positive psychology interventions for family caregivers coping with cancer: Who will use them? 针对癌症家庭照顾者的积极心理学干预措施:谁会使用它们?
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-25 eCollection Date: 2023-07-01 DOI: 10.1177/20551029231224358
Hoodin F, Gupta V, Mazzoli A, Braun T, Choi Sw

Background: Positive psychology-based (PPB) activities have been under-researched in cancer caregiving.

Objective: This study investigated caregiver: (1) attitudes toward using PPB activities while caregiving; and (2) characteristics associated with these attitudes.

Methods: Secondary analyses of a cross-sectional survey were conducted in a national caregiver sample of hematopoietic cell transplant (HCT) patients. Survey items assessed caregivers' likelihood of engaging in six PPB activities. Hierarchical regression was performed and potential predictors of PPB activity use (e.g., technology familiarity, coping style, caregiving duration) were examined.

Results: Most of the N = 948 respondents were White (78.9%), female (65.5%), married (86.7%), employed (78.4%), and college-educated (79.8%). Caregivers favorably disposed to positive activities were younger and female, provided care for 6-12 months and >40 h/week, and used coping styles involving religion and social support.

Conclusions: Our findings provide guidance for development and testing of PPB activities for cancer caregivers.

背景:基于积极心理学(PPB)的活动在癌症护理中的研究不足:基于积极心理学的(PPB)活动在癌症护理方面的研究不足:本研究调查了护理人员:(1)在护理过程中使用积极心理学活动的态度;(2)与这些态度相关的特征:对造血细胞移植(HCT)患者的全国护理人员样本进行了横断面调查的二次分析。调查项目评估了护理人员参与六项PPB活动的可能性。我们进行了层次回归,并研究了PPB活动使用的潜在预测因素(如技术熟悉程度、应对方式、护理持续时间):在 N = 948 名受访者中,大多数为白人(78.9%)、女性(65.5%)、已婚(86.7%)、有工作(78.4%)且受过大学教育(79.8%)。对积极活动持积极态度的护理人员多为年轻女性,护理时间为 6-12 个月,每周超过 40 小时,采用的应对方式包括宗教和社会支持:我们的研究结果为开发和测试针对癌症护理人员的PPB活动提供了指导。
{"title":"Positive psychology interventions for family caregivers coping with cancer: Who will use them?","authors":"Hoodin F, Gupta V, Mazzoli A, Braun T, Choi Sw","doi":"10.1177/20551029231224358","DOIUrl":"10.1177/20551029231224358","url":null,"abstract":"<p><strong>Background: </strong>Positive psychology-based (PPB) activities have been under-researched in cancer caregiving.</p><p><strong>Objective: </strong>This study investigated caregiver: (1) attitudes toward using PPB activities while caregiving; and (2) characteristics associated with these attitudes.</p><p><strong>Methods: </strong>Secondary analyses of a cross-sectional survey were conducted in a national caregiver sample of hematopoietic cell transplant (HCT) patients. Survey items assessed caregivers' likelihood of engaging in six PPB activities. Hierarchical regression was performed and potential predictors of PPB activity use (e.g., technology familiarity, coping style, caregiving duration) were examined.</p><p><strong>Results: </strong>Most of the <i>N</i> = 948 respondents were White (78.9%), female (65.5%), married (86.7%), employed (78.4%), and college-educated (79.8%). Caregivers favorably disposed to positive activities were younger and female, provided care for 6-12 months and >40 h/week, and used coping styles involving religion and social support.</p><p><strong>Conclusions: </strong>Our findings provide guidance for development and testing of PPB activities for cancer caregivers.</p>","PeriodicalId":55856,"journal":{"name":"Health Psychology Open","volume":"10 2","pages":"20551029231224358"},"PeriodicalIF":2.9,"publicationDate":"2023-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Defining work-focused cognitive behavioural therapy (W-CBT) and whether it is effective at facilitating return to work for people experiencing mental health conditions: A systematic review and narrative synthesis. 定义以工作为中心的认知行为疗法(W-CBT),以及它是否能有效地促进患有精神疾病的人重返工作岗位:一项系统综述和叙述综合。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-11-24 eCollection Date: 2023-07-01 DOI: 10.1177/20551029231217840
Dylan Slater, Anthony Venning, Lynda Matthews, Ross Iles, Paula Redpath

It is unclear what constitutes Work Focused Cognitive Behaviour Therapy (W-CBT). This review sought to define W-CBT and ascertain its effectiveness at facilitating return to work (RTW) for people experiencing mental health conditions. A systematic review and narrative synthesis were undertaken. Five databases were searched (Medline, ProQuest, PsychInfo, Scopus, and Web of Science). English publications with an intervention combining CBT with RTW were selected. Quality checklists from the Joanna Briggs Institute were applied. Searching yielded 16,863 results. 23 moderate-to-high quality studies from 25 articles were included (13 experimentally designed studies, 3 pilots/case studies and 7 reviews). Results indicated W-CBT is effective at facilitating RTW for mild-to-moderate mental health conditions. For a program to be labelled W-CBT it is recommended it is (1) a stand-alone intervention; (2) delivered with an understanding RTW is the goal; and, (3) the CBT components are always framed by matters, subjects and contexts related to work.

目前尚不清楚是什么构成了工作聚焦认知行为疗法(W-CBT)。本综述旨在定义W-CBT,并确定其在促进精神疾病患者重返工作岗位(RTW)方面的有效性。进行了系统的审查和叙述综合。检索了5个数据库(Medline、ProQuest、PsychInfo、Scopus和Web of Science)。选择CBT与RTW联合干预的英文出版物。采用了乔安娜布里格斯研究所的质量检查表。搜索产生了16,863个结果。纳入了来自25篇文章的23项中高质量研究(13项实验设计研究,3项试点/案例研究和7项综述)。结果表明,W-CBT在促进轻至中度心理健康状况的RTW方面是有效的。对于一个被标记为W-CBT的项目,建议它是(1)一个独立的干预;(2)交付时,要明白RTW是目标;(3) CBT的组成部分总是由与工作相关的事项、主题和背景构成。
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引用次数: 0
The impact of the first COVID-19 lockdown on weight management practices in UK adults: A self-regulation perspective. 第一次COVID-19封锁对英国成年人体重管理实践的影响:自我调节的视角
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-11-08 eCollection Date: 2023-07-01 DOI: 10.1177/20551029231214058
Denisa Genes, Fuschia M Sirois, Nicola J Buckland

This study aimed to identify the impact of the first UK COVID-19 lockdown on individuals' weight management attempts (WMA). A self-regulation theoretical framework was used to identify predictors of continuing with a WMA, and weight change during the lockdown. An online retrospective cross-sectional study was conducted after the first UK COVID-19 lockdown. The sample consisted of 166 UK adults (M:31.08, SD:12.15) that were trying to manage their weight before the lockdown started. The survey assessed changes in WMA and practices, and measured perceived stress, flexible/rigid restraint, uncontrolled eating, craving control, and self-compassion. Results showed that 56% of participants reported disruption to their WMA during the lockdown. Participants with lower levels of perceived stress and higher flexible restraint were more likely to continue their WMA. Flexible restraint was a significant predictor of weight change. Interventions that promote flexibility in weight management may be beneficial for at-risk individuals under lockdown conditions.

这项研究旨在确定英国首次COVID-19封锁对个人体重管理尝试(WMA)的影响。使用自我调节理论框架来确定持续WMA的预测因素,以及封锁期间的体重变化。在英国首次封锁COVID-19后,进行了一项在线回顾性横断面研究。样本包括166名英国成年人(男:31.08,SD:12.15),他们在封锁开始前试图控制体重。该调查评估了WMA和实践的变化,并测量了感知压力、灵活/刚性约束、不受控制的饮食、渴望控制和自我同情。结果显示,56%的参与者报告说,在封锁期间,他们的WMA受到了干扰。感知压力水平较低和灵活约束水平较高的参与者更有可能继续他们的WMA。弹性约束是体重变化的显著预测因子。促进体重管理灵活性的干预措施可能对封锁条件下的高危人群有益。
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引用次数: 0
Why the belief in one's equal rights matters: Self-respect, depressive symptoms, and suicidal ideation in Western and non-Western countries. 为什么对平等权利的信仰很重要:西方和非西方国家的自尊、抑郁症状和自杀意念。
IF 1.7 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-21 eCollection Date: 2023-07-01 DOI: 10.1177/20551029231206780
Daniela Renger, Aischa Reinken, Sabrina Krys, Maria Gardani, Sarah E Martiny

The present research investigated the relationship between self-respect (i.e., a person's belief of possessing the same rights as others) and depressive symptoms. Based on earlier longitudinal findings that self-respect fosters assertiveness and that assertiveness negatively predicts depressive symptoms, we tested these relationships in Western and non-Western countries. Additionally, we explored associations with suicidal ideation. Across seven countries (N = 2408) we found that self-respect and depressive symptoms were negatively correlated. In addition, we found evidence for an indirect path via assertiveness as well as negative correlations with suicidal ideation in countries with available measures. Finally, within-manuscript meta-analyses confirmed the main path between self-respect and depressive symptoms across all seven countries. This research presents the first evidence for the negative association between self-respect (feeling equal to others) and depressive symptoms and highlights new directions for linking self and self-regard to mental health.

本研究调查了自尊(即一个人相信拥有与他人相同的权利)与抑郁症状之间的关系。基于早期的纵向研究结果,自尊促进自信,自信对抑郁症状有负面预测,我们在西方和非西方国家测试了这些关系。此外,我们还探讨了与自杀意念的关系。在7个国家(N=2408),我们发现自尊和抑郁症状呈负相关。此外,我们发现有证据表明,在有可用措施的国家,通过自信的间接途径以及与自杀意念的负相关。最后,在手稿中的荟萃分析证实了自尊和抑郁症状之间的主要路径在所有七个国家。这项研究首次证明了自尊(与他人平等的感觉)与抑郁症状之间的负面联系,并强调了将自我和自尊与心理健康联系起来的新方向。
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引用次数: 0
期刊
Health Psychology Open
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