Religious and Spiritual Salience, Well-Being, and Psychosocial Functioning Among Psychotherapy Clients: Moderator Effects for Humility

2018 ◽  
Vol 57 (6) ◽  
pp. 2398-2415 ◽  
Author(s):  
David R. Paine ◽  
Steven J. Sandage ◽  
Elizabeth G. Ruffing ◽  
Peter C. Hill
2020 ◽  
Vol 8 (1) ◽  
pp. 147
Author(s):  
Veeraraja B. Sathenahalli ◽  
G. R. Rajashekar Murthy ◽  
Netra Gouda ◽  
Sanjay K. Shivanna

Background: Thalassemia is an autosomal recessive congenital disease caused by the reduced or absent beta globin chain synthesis of hemoglobin tetramer. The degree of imbalance between alpha and non alpha globin chains determines the severity of clinical manifestations. The disabling nature of the disease and chronic therapy affects the normal life causing psychosocial burden. Overall patient’s life, such as education, free-time, physical activities, skills, capabilities, and family adjustment is affected. The effects of which often result in psychological, emotional and social compromise. Health-Related Quality of Life (HRQoL) measurement is a multidimensional concept that focuses on the impact of the disease and its treatment on the well being of an individual.Methods: A descriptive observational hospital based study was conducted over a period of 3 months. Transfusion dependency in thalassemic children aged between 5 years and 18 years was the inclusion criteria. Thalassemic children having debilitating illnesses unrelated to thalassemia were excluded. Quality of life was assessed using Pediatric Quality of Life Inventory (PedsQL™ 4.0)4. The tool assesses the quality of life in five domains: physical functioning (PF: 8 items), psychosocial functioning (sum of emotional, social and school functioning), emotional functioning (EF: 5 items), social functioning (SF: 5 items) and school functioning (SC: 5 items).Results: Total of 125 children were enrolled with a mean age of 9.4±4.6 years (age range 5-18 yrs). According to the PedsQL questionnaire, the quality of life was similarly assessed by both parents and children. The total mean QoL score of the parents was 72.36±11.47 and of the children was 77.63±14.17. Emotional, school and psycho-social function were significantly affected according to both child and parents without statistical significance.Conclusions: Thalassaemia patients and their parents require lifelong psychological support for prevention of mental health issues. By increasing the awareness and knowledge levels of the parents, we can help sick children in developing countries to get the best care locally and to thus improve HRQoL.


2019 ◽  
Vol 24 (4) ◽  
pp. 449-474
Author(s):  
Rafał Lawendowski ◽  
Piotr Bereznowski ◽  
Wiktor K. Wróbel ◽  
Michał Kierzkowski ◽  
Paweł A. Atroszko

Adverse health-related consequences of perfectionistic over-involvement in work are well-documented among professional musicians. The aim of this study was to investigate a recently developed concept of “study addiction” among students of music academies. Study addiction has been defined within the framework of theory and research on work addiction as a potential behavioral addiction. A cross-sectional correlational study was conducted among 132 students of music academies in Poland. The Bergen Study Addiction Scale (BStAS), reflecting seven core addiction symptoms related to studying, was employed together with commonly used measures of personality and well-being. A one-factor solution had an acceptable fit with the data in the sample of music academies’ students. Multiple hierarchical regression analyses showed that study addiction was related to low extraversion and high social anxiety. Study addiction was related to specific aspects of studying (longer learning time, lower academic performance) and to indicators of decreased well-being (impaired general health, decreased quality of life and sleep quality, higher perceived stress). As expected, study addiction was positively related to learning engagement. However, while the latter was associated positively with psychosocial functioning indicators, study addiction was related negatively to these variables. Furthermore, social anxiety was found to be a mediator between emotional stability/extraversion and study addiction. Moderation analyses revealed that social anxiety was related to a lower grade point average (GPA) only for these students who were high on study addiction. Using a cut-off score based on a polythetic approach showed that 16% of students were addicted to studying. The results suggest that among students at music academies, study addiction can be validly measured and that it has similar potential antecedents and consequences to that in the general population of students. Considering the estimate of study addiction prevalence in this group, further systematic studies among musicians are highly warranted.


1998 ◽  
Vol 47 (5) ◽  
pp. 581-593 ◽  
Author(s):  
A.H.M Triemstra ◽  
H.M Van der Ploeg ◽  
C Smit ◽  
E Briët ◽  
H.J Adèr ◽  
...  

2008 ◽  
Vol 105 (1-3) ◽  
pp. 95-104 ◽  
Author(s):  
Eri Nakagami ◽  
Bin Xie ◽  
Maanse Hoe ◽  
John S. Brekke

2017 ◽  
Vol 27 (S1) ◽  
pp. S138-S142 ◽  
Author(s):  
Brynn E. Dechert

AbstractDespite the life-saving capabilities of implantable cardioverter-defibrillators, they may have implications on behavioural and emotional well-being and have been shown to negatively affect patients’ psychosocial functioning. Children and CHD patients with these devices are at higher risk for complications, and therefore may have higher risk of psychosocial dysfunction including depression, anxiety, and a decrease in overall quality of life. In addition, these patients may be restricted from activities, which may also contribute to psychosocial dysfunction. Recommendations published in 2015 support a more liberal approach to athletic participation in this patient population compared with previous guidelines. Approaches to limit psychosocial dysfunction include education, minimisation of shocks, and psychosocial therapy. Psychosocial dysfunction should be assessed at each clinic visit, and information regarding intervention should be provided to patients and their families as needed. Psychosocial dysfunction may be debilitating, and healthcare providers should facilitate and support normal psychosocial function by offering resources as needed.


2019 ◽  
Vol 37 (31_suppl) ◽  
pp. 91-91
Author(s):  
Eliza Myung Park ◽  
Allison Mary Deal ◽  
Laura C. Hanson ◽  
Donald L. Rosenstein ◽  
Laura J. Quillen ◽  
...  

91 Background: Patients with advanced cancer who have minor children face unique challenges when coping with their life-limiting illness and the impact of their illness on their families. The goal of this study was to examine whether psychosocial functioning, treatment preferences, and treatment decisions in advanced cancer differ by parental status. Methods: A cohort of 60 parents with metastatic solid tumors age-matched with 60 non-parents (N = 120) participated in three structured interviews assessing treatment preferences and decisions over six months with complementary medical record review. Participants also completed validated measures of psychosocial functioning. Results: Seventy percent (n = 85) of the sample completed all study assessments. Mean age (45 years, SD 8), mean performance status score (ECOG = 1.2, SD 0.9), median duration of metastatic illness (19 months, range 1-115), gender ratio (66% female), and dropout rates were similar between groups. Parents and non-parents reported similar overall health-related quality of life, but parents were more likely to report poorer emotional well-being (p = 0.006) and more symptoms of depression (p = 0.04) and anxiety (p = 0.04) than non-parents. Parents and non-parents were equally likely to describe life-extension as their primary goal of anti-neoplastic treatment. Parents reported greater willingness to live in pain (48% “very willing” vs 27%, p = 0.007) and accept intubation/ventilation (40% vs 20%, p = 0.01) for life-extension. Compared to non-parents, parents were more likely to report their family members as the most influential factor in their decision-making (44% vs 12%) and less likely to cite their oncologist’s recommendation (25% vs 41%). There were no significant differences between groups for completion of a health care power of attorney or living will. Conclusions: Compared to similarly aged adults with metastatic cancer, parents experience greater psychological distress, are more willing to live in pain for life extension, and place greater importance on family-related factors in their cancer treatment decision-making.


1984 ◽  
Vol 54 (3) ◽  
pp. 737-738 ◽  
Author(s):  
Marc E. Vargo ◽  
F. William Black

The purpose of the present study was to investigate the relationship between death anxiety and psychosocial functioning of medical students. Subjects were 50 first-year students, with instruments including the Death Anxiety Scale and the California Psychological Inventory. Product-moment correlations computed between test scores indicated significant, negative relationships between death anxiety and the California Psychological Inventory measures of Well-being ( r = –.52), Good Impression ( r = –.43), Self-control ( r = –.30), and Tolerance ( r = –.29). These results suggest that increased death anxiety may be associated with somewhat compromised social performance.


2018 ◽  
Vol 159 (9) ◽  
pp. 363-369
Author(s):  
Dóra Antal-Uram ◽  
László Harsányi ◽  
Dóra Perczel-Forintos

Abstract: Inflammatory bowel disease (Crohn’s disease and colitis ulcerosa) is a chronic, long-term condition that causes chronic inflammation in the digestive tract, and shows an increasing incidence and prevalence worldwide. Changes in disease activity over time affect psychological distress which increases the risk of exacerbations. Beside somatic symptoms (such as abdominal pain, diarrhoea and weight loss), psychiatric comorbidity (in particular major depression, anxiety, social phobia) is common in patients with Crohn’s disease. This case study illustrates the management and stabilization of a 21-year-old adult male patient with active Crohn’s disease and with severe psychiatric comorbidity. The patient was diagnosed with avoidant personality disorder and dysruptive mood dysregulation disorder based on the results of psychodiagnostics (SCID-II structured clinical interview, MMPI personality inventory and disease-specific clinical questionnaires such as Beck Depression Inventory, Beck Hopelessness Scale, Social Cognition Questionnaire, Anger Expression Scale, Cognitive Emotion Regulation Questionnaire, Rosenberg Self-Esteem Scale). The main aim of psychotherapy is to increase the adherence to pharmacotherapy, to promote psychosocial functioning, to improve well-being and to enhance adaptive coping strategies. Low-intensity cognitive-behavioural psychotherapy was used which included psychoeducation, motivational interview, behavioural activation, patient diary, cognitive restructuring, problem-solving training, and family consulting. Twenty-five sessions were held weekly in outpatient form and 3 sessions of crisis intervention after the surgery at the hospital. The efficacy of the treatment was measured by self-reported questionnaires at baseline and at two follow-up sessions which corroborated a very significant decrease in the severity of depression, hopelessness, while emotional regulation and self-esteem became more adaptive. The remission of the above-mentioned psychiatric symptoms resulted in the improvement of the pharmacotherapy adherence and the quality of life. Low-intensity psychosocial interventions are proven to be an effective way of delivering evidence-based psychotherapy. Orv Hetil. 2018; 159(9): 363–369.


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