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Why it is so hard to lose weight? An exploration of patients' and dietitians' perspectives by means of thematic analysis. 为什么减肥这么难?通过专题分析,探讨患者和营养师的观点。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-06-18 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211024406
Magdalena Poraj-Weder, Grażyna Wąsowicz, Aneta Pasternak

The present paper is aimed at understanding the importance of motivation (perceived qualitatively) in ensuring the success of the dietary change process. This study expands on previous research by confronting the perspective of persons dieting to lose weight with the perspective of professionals providing support (dietitians). We interviewed 13 respondents (six patients, seven dietitians) and performed a thematic analysis. The study's results show that understanding motivational mechanisms is a prerequisite for a consistent narrative in the patient-dietitian dyad. The research results could help in developing effective dietary interventions that could facilitate effective and permanent dietary change.

本文旨在了解动机(定性感知)在确保饮食改变过程成功中的重要性。本研究在以往研究的基础上进行了扩展,将节食减肥者的观点与提供支持的专业人士(营养师)的观点进行了对比。我们采访了13名受访者(6名患者,7名营养师),并进行了主题分析。该研究的结果表明,理解动机机制是在患者和营养师之间保持一致叙述的先决条件。研究结果有助于制定有效的饮食干预措施,促进有效和永久的饮食改变。
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引用次数: 6
The first life skills intervention to enhance well-being amongst university students in the Arab world: 'Khotwa' pilot study. 第一次生活技能干预,以提高大学生在阿拉伯世界的福祉:“Khotwa”试点研究。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-06-16 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211016955
Diana Maddah, Youssra Saab, Hani Safadi, Nermine Abi Farraj, Zeinab Hassan, Sophia Turner, Lina Echeverri, Nael H Alami, Tamar Kababian-Khasholian, Pascale Salameh

Although Life Skills programs showed to improve the psychological and physical wellbeing of individuals, little attention has been paid, worldwide and in the Arab countries in specific to implementing life skills intervention for university students. In this study, we tested the effectiveness of a life skills based health promotion intervention KHOTWA (STEP) in enhancing the wellbeing of university students in Lebanon, a country that faces economic and political instability. This is a quasi-experimental study, with pre and post-test, intervention-control design. Each group was formed of 78 participants studying in a private university in Lebanon. Mixed design was used to address the process and outcomes objectives of the intervention. The program was carried online due to COVID-19 pandemic. Significant differences were observed between the intervention and the control groups for life skills, dietary habits and mental health scores at the 3-month follow-up. For the intervention group, a significant increase was observed in the mean score of each of the following Life Skills subscales: self-care (p = 0.001), work and study (p = 0.013), career and education planning (p = 0.011) and looking forward/goal settings (p < 0.001). Students also achieved a healthier eating habit compared to those in the control group by decreasing their consumption of processed food. There was no significant effect in terms of body mass index (p = 0.827). Also, there was a significant change in the mental health status (p = 0.012) only in the intervention group as its mean score decreased after 3 months of the intervention implementation. This intervention enhances the mental health and promotes healthy habits leading consequently to a better quality of life and more productivity amongst university students. Therefore, such interventions should be replicated in other similar context to improve university students' well-being.

尽管生活技能项目能够改善个人的心理和身体健康,但在世界范围内,特别是在阿拉伯国家,很少有人关注对大学生实施生活技能干预。在这项研究中,我们测试了基于生活技能的健康促进干预措施KHOTWA (STEP)在提高黎巴嫩大学生福祉方面的有效性,黎巴嫩是一个面临经济和政治不稳定的国家。这是一项准实验研究,采用测试前后干预控制设计。每组由78名在黎巴嫩一所私立大学学习的参与者组成。混合设计用于解决干预的过程和结果目标。由于新冠肺炎疫情,该项目在网上进行。在3个月的随访中,干预组和对照组在生活技能、饮食习惯和心理健康评分方面存在显著差异。干预组在以下各项生活技能量表的平均得分显著提高:自我照顾(p = 0.001)、工作和学习(p = 0.013)、职业和教育规划(p = 0.011)和展望/目标设定(p = 0.827)。此外,只有干预组的心理健康状况有显著变化(p = 0.012),干预实施3个月后,其平均得分下降。这种干预措施增强了大学生的心理健康,促进了健康的习惯,从而提高了大学生的生活质量和生产力。因此,这些干预措施应该在其他类似的情况下复制,以提高大学生的幸福感。
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引用次数: 7
Does culture moderate the relationship between body dissatisfaction and quality of life? A comparative study of Australian and Malaysian emerging adults. 文化是否调节了身体不满意与生活质量之间的关系?澳大利亚和马来西亚新兴成人的比较研究。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-30 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211018378
Pravina Santhira Shagar, Caroline L Donovan, Jennifer Boddy, Caley Tapp, Neil Harris

Investigating moderating effects of culture between body dissatisfaction (BD) and quality of life (QoL) is paramount, as BD affects psychosocial functioning. Participants include 866 females (18-25) years old from Australia (n = 464) M (20.88) SD (3.38) and Malaysia (n = 402) M (20.63) SD (2.05). Higher levels of BD predicted lower levels of QoL across all four domains. BD had the strongest effect on psychological QoL for both cultures. Culture moderated the relationship between BD and: (i) physical QoL and (ii) environmental QoL. The adverse impact of BD on all domains of QoL, highlights the importance of BD as a public health problem.

研究文化在身体不满(BD)和生活质量(QoL)之间的调节作用是至关重要的,因为BD影响心理社会功能。参与者包括来自澳大利亚(n = 464) M (20.88) SD(3.38)和马来西亚(n = 402) M (20.63) SD(2.05)的866名女性(18-25)。BD水平越高,四个领域的生活质量水平越低。双相障碍对两种文化的心理生活质量影响最大。文化调节了生理障碍与(i)身体生活质量和(ii)环境生活质量之间的关系。BD对生活质量各方面的不利影响,凸显了BD作为一个公共卫生问题的重要性。
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引用次数: 4
Body talk in the digital age: A controlled evaluation of a classroom-based intervention to reduce appearance commentary and improve body image. 数字时代的身体谈话:对减少外貌评论和改善身体形象的课堂干预的对照评估。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-29 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211018920
Beth T Bell, Caitlin Taylor, Danielle L Paddock, Adam Bates, Samuel T Orange
This research evaluates the efficacy of a classroom-based intervention – Body Talk in the Digital Age (BTIDA) – in reducing adolescents’ appearance commentary and improving body image. British adolescents (N = 314; Age Range = 12–14) were cluster randomised to intervention or waiting-list control groups. Measures of appearance commentary, appearance ideal internalisation, self-objectification and body satisfaction were completed at baseline (T1), then one-week (T2) and eight-week (T3) post-intervention. Multi-level modelling showed girls who received BTIDA reported less appearance commentary engagement and thin ideal internalisation at T2 and T3, than the control, supporting the partial efficacy of BTIDA for girls. No intervention effects were found among boys.
本研究评估了以课堂为基础的干预-数字时代的身体谈话(BTIDA) -在减少青少年的外表评论和改善身体形象方面的效果。英国青少年(N = 314;年龄范围= 12-14岁)随机分为干预组或等候组。在基线(T1)、干预后1周(T2)和8周(T3)完成外貌评价、外表理想内化、自我物化和身体满意度的测量。多层次模型显示,与对照组相比,接受BTIDA的女孩在T2和T3时报告的外表评论参与度和理想内化程度较低,支持BTIDA对女孩的部分功效。在男孩中没有发现干预效果。
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引用次数: 4
Psychological distress and attachment styles in emerging adult students attending and not attending a university counselling service. 参加和未参加大学咨询服务的新兴成人学生的心理困扰和依恋方式。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-20 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211016120
Cristina Riva Crugnola, Marta Bottini, Fabio Madeddu, Emanuele Preti, Elena Ierardi

Emerging adulthood is a turning point in the life cycle with regard mental health. To assess psychological distress and attachment styles 688 university students of which 370 requested a counselling support responded to Symptom Checklist 90 Revised and Attachment Style Questionnaire. Counselling attending students (vs counselling non-attending students) have a higher psychological risk profile, with more psychological distress and insecure attachment. A marked percentage of students not attending counselling presents psychological distress. In both groups associations emerged between psychopathological problems and insecure attachment. The importance of communication strategies aimed to those students who, albeit non requesting psychological help, display psychological distress is discussed.

成年期是心理健康生命周期的转折点。为了评估心理困扰和依恋方式,688 名大学生(其中 370 人要求心理咨询支持)回答了症状检查表 90 修订版和依恋方式问卷。参加辅导的学生(与不参加辅导的学生相比)的心理风险较高,心理困扰和依恋不安全感较多。不参加辅导的学生中,有明显比例的人有心理困扰。在这两组学生中,心理病理问题与不安全依恋之间存在关联。本文讨论了针对那些虽然没有要求心理帮助,但却表现出心理困扰的学生采取沟通策略的重要性。
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引用次数: 0
Outpatient satisfaction with primary health care services in Vietnam: Multilevel analysis results from The Vietnam Health Facilities Assessment 2015. 越南初级卫生保健服务的门诊满意度:2015年越南卫生设施评估的多层次分析结果
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-09 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211015117
Bui Thi Tu Quyen, Nguyen Thanh Ha, Hoang Van Minh

Patient satisfaction has implications for resource distribution across primary, secondary, and tertiary care, as well as accessibility of quality services and equity of service delivery. This study assessed outpatient satisfaction with health services and explored the determinants at the individual and contextual levels in Vietnam. Data on 4372 outpatients were extracted from the Vietnam Health Facility Assessment survey 2015. Three levels of logistic regression were applied to examine the association between outpatient satisfaction and three types of explanatory variables. Outpatients satisfied with their community health center or district hospital accounted for relatively high proportions (85% and 73%, respectively). Patients' age, occupation, and individual characteristics were significant predictors of patient satisfaction, whereas provincial level factors were not significantly associated with the dependent variable. When individual-level characteristics were controlled, outpatients who had a longer waiting time for health services were less likely to report being satisfied. Interventions for improving outpatient satisfaction should pay attention to simplifying the health procedure at health facilities to reduce patients' waiting time and increase their examining time.

患者满意度影响着初级、二级和三级医疗保健的资源分配,以及优质服务的可及性和服务提供的公平性。本研究评估了门诊病人对卫生服务的满意度,并探讨了越南个人和环境层面的决定因素。4372名门诊患者的数据来自2015年越南卫生设施评估调查。采用三个层次的逻辑回归来检验门诊满意度与三种解释变量之间的关系。门诊患者对社区卫生中心和区医院的满意度比例较高(分别为85%和73%)。患者的年龄、职业和个体特征是患者满意度的显著预测因子,而省级因素与因变量无显著相关。当控制个体水平特征时,等待医疗服务时间较长的门诊患者不太可能报告满意。提高门诊满意度的干预措施应注重简化卫生机构的卫生程序,以减少患者的等待时间,增加他们的检查时间。
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引用次数: 9
Recognition of anxiety disorder and depression and literacy of first-aid support: A cross-sectional study among undergraduate students in Ha Noi, Viet Nam 2018. 焦虑障碍和抑郁的认知与急救支持的素养:越南河内大学生的横断面研究2018。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-09 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211015116
Nguyen Thai Quynh-Chi, Dang Hoang-Minh, Le Thi Kim-Anh

This study is aimed at exploring undergraduate students' abilities to recognize anxiety disorder and depression symptoms, and their literacy of mental first-aid supports for these problems. Using a mixed-method, cross-sectional design, data were collected from 724 undergraduate students in Hanoi. This used a questionnaire on literacy of anxiety disorder and depression, adapted from the Australian National Survey of Mental Health Literacy and Stigma. The prevalence of the respondents who could identify anxiety disorder and depression symptoms were 25.9% and 42.3%, respectively. Literacy of mental first-aid supports focused on: listening to the person in an understanding way, encouraging the person to be more active, seeking professional help, make appointment with the general doctor.

本研究旨在探讨大学生对焦虑障碍和抑郁症状的认知能力,以及对这些问题的心理急救支持素养。采用混合方法,横断面设计,从河内市724名本科生中收集数据。该研究使用了一份关于焦虑症和抑郁症扫盲的调查问卷,改编自澳大利亚全国心理健康扫盲和耻辱调查。能识别焦虑障碍和抑郁症状的受访者比例分别为25.9%和42.3%。心理急救素养支持的重点是:以理解的方式倾听患者,鼓励患者更加积极主动,寻求专业帮助,预约全科医生。
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引用次数: 3
Maternal mental health and child well-being in Nigeria: A systematic review. 尼日利亚孕产妇心理健康和儿童福祉:系统审查。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-04-29 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211012199
Dung Ezekiel Jidong, Nusrat Husain, Tarela J Ike, Maisha Murshed, Juliet Y Pwajok, Ayesha Roche, Haruna Karick, Zubairu K Dagona, Gloria S Karuri, Christopher Francis, Shadrack B Mwankon, Pam P Nyam

Maternal mental health distress has a disease burden of severe adverse effects for both mother and child. This review identified maternal mental health concerns, their impact on child growth and the current practice of maternal healthcare for both mothers and their children in Nigeria. The Population, phenomenon of Interest and Context (PICo) model was adopted to formulate the review strategy, and five databases were searched for published articles between 1999 and 2019. Databases include Scopus, PubMed, ProQuest, Applied Social Science Index and Abstracts and Web of Science. Boolean operators (AND/OR/NOT) helped to ensure rigorous use of search terms which include 'maternal', 'pre/peri/postnatal', 'mental health', 'mental illness', 'disorders', 'intervention,' 'Nigeria', 'child', 'infant growth', and 'wellbeing'. Thirty-four studies met the inclusion criteria, and extracted data were qualitatively synthesised and analysed thematically. Five themes emerged. These include (i) marital difficulties, (ii) relationship status of the mother, (iii) child's gender, (iv) mode of child delivery and (v) child growth and development. The review showed a significant paucity of literature on the impact of specific maternal mental health problems on child physical growth and cognitive development. We concluded that culturally appropriate and evidence-based psychological interventions for maternal mental health problems would benefit Nigerian indigenous mothers. Therefore, the study recommends randomised controlled trials that are culturally appropriate and cost-effective for distressed mothers with children.

产妇心理健康困扰是一种疾病负担,对母亲和儿童都有严重的不利影响。这次审查确定了产妇心理健康问题、这些问题对儿童成长的影响以及尼日利亚目前为母亲及其子女提供产妇保健的做法。采用人口、兴趣现象和背景(PICo)模型制定综述策略,检索5个数据库,检索1999年至2019年发表的文章。数据库包括Scopus、PubMed、ProQuest、Applied Social Science Index和Abstracts、Web of Science。布尔运算符(AND/OR/NOT)有助于确保严格使用搜索词,包括“产妇”、“产前/产期/产后”、“心理健康”、“精神疾病”、“失调”、“干预”、“尼日利亚”、“儿童”、“婴儿成长”和“健康”。34项研究符合纳入标准,提取的数据进行定性综合和主题分析。出现了五个主题。这些包括(i)婚姻困难,(ii)母亲的关系状况,(iii)儿童的性别,(iv)分娩方式和(v)儿童的成长和发展。审查表明,关于具体的产妇心理健康问题对儿童身体生长和认知发展的影响的文献非常缺乏。我们的结论是,针对产妇心理健康问题的文化上适当和基于证据的心理干预措施将有利于尼日利亚土著母亲。因此,该研究建议对有孩子的痛苦母亲进行随机对照试验,这在文化上是合适的,而且具有成本效益。
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引用次数: 6
Patient experiences with videoconferencing as social contact and in follow-up from oncology nurses in primary health care. 初级卫生保健肿瘤护士对视讯会议作为社会接触的患者经验及随访。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-04-23 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211012208
Bente Nordtug, Hildfrid Vikkelsmo Brataas, Lisbeth Ostgaard Rygg

Patients with various forms of cancer often have unmet psychosocial support needs. By interpretative phenomenological approach, this study aimed to acquire a deeper understanding of home-living patients with cancer's experience and meaning from videoconferencing in oncological nursing follow-up in primary healthcare and contact with networks. Six patients from rural Norway participated. Three themes emerged: (1) From skepticism to videoconferencing-enthusiasm; (2) Oncology nurses ensured tablet mastery and delivered close follow-up; and (3) Oncology nurses helped ensure general social support using videoconferencing. Oncology follow-up care in rural areas using videoconferencing may enhance care availability and provision of psychosocial support meeting patients' needs.

患有各种形式癌症的患者往往有未得到满足的社会心理支持需求。本研究采用解释现象学的方法,透过视讯会议在初级卫生保健肿瘤护理随访及与网络的接触,更深入了解居家癌症患者的体验及意义。来自挪威农村的6名患者参与了研究。出现了三个主题:(1)从怀疑到视频会议的热情;(2)肿瘤科护士掌握片剂,密切随访;(3)肿瘤科护士使用视频会议帮助确保一般社会支持。在农村地区使用视频会议的肿瘤随访护理可以提高护理的可获得性,并提供满足患者需求的社会心理支持。
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引用次数: 3
The potential of transformative video design for improving caregiver's wellbeing. 变革性视频设计在改善护理人员福祉方面的潜力。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-04-16 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211009098
Milica Petrovic, Andrea Gaggioli

The existing interventions for informal caregivers assist with managing health outcomes of the role burden. However, the deeper meaning-making needs of informal caregivers have been generally neglected. This paper reflects on the meaning-making needs of informal caregivers, through the theory of narrative identity, and proposes a new approach - the Transformative Video Design technique delivered via video storytelling. Transformative Video Design assists informal caregivers to re-create a cohesive caregiving story and incorporate it into the narrative identity. The technique is used as a stimulus for triggering the self-re-structure within the narrative identity and facilitating role transformation.

针对非正规护理人员的现有干预措施有助于管理角色负担对健康造成的影响。然而,非正规护理人员更深层次的意义建构需求却普遍受到忽视。本文通过叙事认同理论对非正规护理人员的意义建构需求进行了反思,并提出了一种新的方法--通过讲视频故事提供的变革性视频设计技术。变革性视频设计帮助非正规护理人员重新创造一个有凝聚力的护理故事,并将其纳入叙事身份中。该技术可作为一种激励手段,触发叙事身份中的自我重构,促进角色转变。
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引用次数: 0
期刊
Health Psychology Open
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