scholarly journals Treatment Acceptability and Psychosocial Outcomes of a Randomised Controlled Trial of a Cognitive Behavioural Lifestyle Intervention for Overweight and Obese Adolescents

2012 ◽  
Vol 29 (1) ◽  
pp. 36-62 ◽  
Author(s):  
Leah Brennan ◽  
Ray Wilks ◽  
Jeff Walkley ◽  
Steve F. Fraser ◽  
Kate Greenway
Keyword(s):  
Social Support ◽  
Family Functioning ◽  
Psychosocial Functioning ◽  
Treatment Acceptability ◽  
Self Report ◽  
Behavioural Intervention ◽  
Wait List ◽  
Obese Adolescents ◽  
Cognitive Behavioural ◽  
The Impact

This study explores the impact of a cognitive behavioural lifestyle program, theChoose HealthProgram, on psychosocial wellbeing in overweight and obese adolescents. The sample comprised 29 male and 34 female adolescents aged 11.5 to 18.9 years (M= 14.3,SD= 1.9) and classified as overweight (n= 15) or obese (n= 48). Participants were randomly allocated to treatment or wait-list control conditions; participants allocated the wait-list condition were offered treatment after 6 months. Adolescents and parents completed self-report measures of psychopathology, psychosocial and family functioning. Treatment did not have detrimental effects on the psychosocial factors assessed. It resulted in significant improvements in weight control behaviour, impulse regulation, social support from family and parent–adolescent problem communication (p< .05). Similar results were obtained with completer and intention-to-treat analyses. Treatment acceptability was high, with all respondents indicating that they made progress. Combined, results indicate that treatment did not have detrimental effects on psychopathology, psychosocial functioning, or family functioning. Treatment resulted in significant improvements in impulse regulation, social support from family and parent–adolescent communication. Thus, parents and professionals can be assured that a comprehensive, multifaceted, parent-supported, cognitive behavioural intervention for overweight and obese adolescents does not cause psychological harm.

Impact of Perceived Social Support on Mental Health, Quality of Life, and Disability in Post–9/11 U.S. Military Veterans

2020 ◽  
pp. 0095327X2091992
Author(s):  
Eric Proescher ◽  
Darrin M. Aase ◽  
Holly M. Passi ◽  
Justin E. Greenstein ◽  
Christopher Schroth ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Social Support ◽  
Support Group ◽  
Psychosocial Functioning ◽  
Perceived Social Support ◽  
Self Report ◽  
Post Traumatic Stress ◽  
The Impact

This study examined the impact of perceived social support on mental health and psychosocial functioning in combat veterans after military deployment, including veterans with post-traumatic stress disorder (PTSD) and veterans with comorbid PTSD and alcohol use disorder. Veterans ( n = 139; female = 23) completed self-report and clinician-administered measures of social support, mental and physical health, functional impairment, and quality of life. The cohort was divided into high, medium, and low perceived social support based on averages of the total score from the Multidimensional Scale of Perceived Social Support. Relative to the low perceived social support group, the high perceived social support group reported fewer symptoms of PTSD, anxiety, and depression. The high perceived social support group also reported a more diverse and embedded social network, less disability, and better quality of life. Of note, the high and low perceived social support groups did not differ on age, gender, education, race ethnicity, or combat trauma exposure. These findings highlight that perceived social support may play an important role in the treatment of postwar veterans as they transition back to civilian life.

Self-Monitoring in the Treatment of Overweight Adolescents

2011 ◽  
Vol 28 (2) ◽  
pp. 97-109
Author(s):  
Mary Sandilands ◽  
Leah Brennan ◽  
Jeff Walkley ◽  
Steve F. Fraser ◽  
Kate Greenway
Keyword(s):  
Physical Activity ◽  
Behavioural Intervention ◽  
Food Groups ◽  
Self Monitoring ◽  
Obese Adolescents ◽  
Cognitive Behavioural ◽  
Complete Treatment ◽  
Cognitive Behavioural Intervention ◽  
Food And Drink

AbstractThe aim of this study was to explore the relationship between the quantity and quality of self-monitoring and per cent fat loss in overweight and obese adolescents participating in a weight-loss intervention. Participants were 55 (33F) over-weight and obese adolescents taking part in a 20-week cognitive–behavioural intervention aimed at improving eating and physical activity behaviours. Food and physical activity self-monitoring from the first 9 weeks of the intervention was coded using 24 components assessing the quantity (20) and quality (4) of self-monitoring. Those who completed treatment (n= 42) were split into groups: Losers (n= 30) and Gainers (n= 12) of per cent body fat as measured by DXA. Group analyses showed that Losers and Gainers could be differentiated by both quantitative and qualitative measures of self-monitoring. The strongest associations were with the classifications of food and drink items into food groups. The number of days monitored and the average number of items recorded did not differentiate the groups. Quantity and quality measures of self-monitoring completed early in treatment could also differentiate those who completed treatment and those who did not complete treatment (n= 13), and the strongest associations were with the amounts of food and drink items recorded, an association not found with treatment outcome. The results indicate that both quantity and quality of self-monitoring may be important predictors of both treatment completion and outcome. Based on these findings a framework of self-monitoring requirements is offered to reduce homework burden while maximising treatment efficacy.

scholarly journals Assessing the Quality of Life Among Caregivers of Patients With Haematological Cancer

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 104s-104s
Author(s):  
V.S. Mishra ◽  
S. Chandrakala ◽  
D. Saranath
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Chronic Myeloid Leukemia ◽  
Cancer Patients ◽  
Psychosocial Functioning ◽  
Myeloid Leukemia ◽  
Perceived Social Support ◽  
Lymphoblastic Leukemia ◽  
The Impact

Background: Studies have demonstrated poor quality of life (QOL) among cancer caregivers, but few studies have evaluated QOL and related psychosocial functioning among caregivers for people with hematologic cancer patients. The disease and its associated treatment can have overwhelming consequences for patients and their informal caregivers mostly close family members. Aim: The aim of the study was to analyze the impact of cancer diagnosis and its treatment in caregivers´ quality of life (QoL) and to observe the association with perceived social support. To compare the chronic myeloid leukemia patients to other leukemia patients caregiver to find differences and understand which aspects of QoL are more impacted. Methods: The current study is on-going study; sample is composed of caregivers of patients with chronic myeloid leukemia patients and acute myeloid leukemia, acute lymphoblastic leukemia and other patient's caregiver from the Department of Hematology, KEM Hospital, Mumbai India. We are using Caregiver Quality of Life Index-Cancer (CQOLC) for measuring quality of life among caregivers of cancer patients and Multidimensional Scale of Perceived Social Support (MSPSS) for social support. Results: With the small study sample of caregivers of patients mean age 34.78 ± 6.87 with the age range of 27-45 years, 25% of whom were men. Mean QOL score is 78.34 ± 15.53. In regression analysis caregivers education has shown significant t = 5.611, < 0.05. While marital status shown significant value with social support 3.931, 3.872, < 0.01. While CML caregivers had lower scores for the quality of life and less perceived social support. Conclusion: Caregivers of patients with cancer showed increased burden scores and financial issues and less perceived social support. This could be explained by their unique care situation. These caregivers need more attention and additional counseling session for coping with the situation.

A Cognitive Behavioural Intervention for Overweight and Obese Adolescents Illustrated by Four Case Studies

2009 ◽  
Vol 26 (3) ◽  
pp. 190-213 ◽  
Author(s):  
Leah Brennan ◽  
Jeff Walkley ◽  
Sarah Lukeis ◽  
Anica Risteska ◽  
Lisa Archer ◽  
...  
Keyword(s):  
Case Studies ◽  
Health Behaviours ◽  
Cardiovascular Fitness ◽  
Overweight And Obesity ◽  
Dietary Quality ◽  
Behavioural Intervention ◽  
Clinical Tool ◽  
Obese Adolescents ◽  
Psychosocial Wellbeing ◽  
Cognitive Behavioural

AbstractThis article reports four case studies illustrating the implementation of the ChooseHealthProgram, a cognitive behavioural lifestyle intervention for overweight and obese adolescents. Participants were an overweight (12 years) and obese (15 years) female, and an overweight (14 years) and obese (12 years) male. The program was delivered by provisional psychologists with program specific training and supervision. All participants demonstrated improvements in body composition, and maintained or improved dietary quality and psychosocial wellbeing. The program had variable effects on physical activity and minimal effect on cardiovascular fitness for three of the four participants. While parents and adolescents required considerable assistance to develop and monitor long term program goals, these goals were a useful clinical tool to support the adolescent and parent to recognise the improvements they had made. Identification and monitoring of specific, measurable, and realistic behaviour change strategies was particularly important in assisting adolescents and their parents to translate session information into improved health behaviours. Results indicate that an adolescent overweight and obesity treatment program that promotes adolescent responsibility and autonomy, and emphasises the importance of parent support and family change is both effective and highly acceptable to both adolescents and parents.

Community Trial of an Evidence-Based Anxiety Intervention for Children and Adolescents (the FRIENDS Program): A Pilot Study

2005 ◽  
Vol 22 (4) ◽  
pp. 236-248 ◽  
Author(s):  
Lara J. Farrell ◽  
Paula M. Barrett ◽  
Susanne Claassens
Keyword(s):  
Anxiety Disorder ◽  
Pilot Study ◽  
Children And Adolescents ◽  
Diagnostic Interview ◽  
Self Report ◽  
Research Centre ◽  
Behavioural Intervention ◽  
Cognitive Behavioural ◽  
Positive Treatment ◽  
Community Trial

AbstractThe aim of the current pilot study was to examine the effectiveness of the FRIENDS program (a cognitive–behavioural intervention for children and adolescents with anxiety) within a community-based clinic in Brisbane, Australia. A total of 18 children participated in the study and completed the FRIENDS program at Pathways Health and Research Centre, an innovative research-based psychology clinic for children, adolescents and families. All participants either met criteria for an anxiety disorder (N = 11) or were experiencing subclinical symptoms of anxiety (N = 7) before commencing the intervention. Before and following treatment, participants were assessed using a diagnostic interview and completed a number of self-report questionnaires. Results indicated that 73% of the participants who met criteria for an anxiety disorder before the intervention were diagnosis-free following treatment. Positive treatment effects were also found for questionnaire data, indicating that there were significant reductions on self-report levels of anxiety and depression following treatment. The outcome of this research suggests that the FRIENDS program is an effective treatment for children with anxiety, and results from this community trial replicate findings from controlled treatment trials.

scholarly journals Improving the Usefulness of the Multidimensional Pain Inventory

2011 ◽  
Vol 16 (4) ◽  
pp. 239-244 ◽  
Author(s):  
Jeffrey M McKillop ◽  
Warren R Nielson
Keyword(s):  
Social Support ◽  
Goodness Of Fit ◽  
Self Report ◽  
Good Precision ◽  
Sample Mean ◽  
Multidimensional Pain Inventory ◽  
Pain Management Program ◽  
The Stability ◽  
The Impact

BACKGROUND: The Multidimensional Pain Inventory (MPI) is a reliable and valid self-report instrument that measures the impact of pain on an individual’s life, quality of social support and general activity. Criticism of the MPI has focused on this instrument’s internal structure and the stability of its classification taxonomy.OBJECTIVES: To determine whether empirical summary scales could be developed for the MPI based on a large sample of respondents diagnosed with fibromyalgia syndrome. It was hypothesized that summary scales would improve the psychometric quality of the MPI and increase the stability of respondents’ taxonomy profiles across time.METHODS: Respondents completed the MPI on two occasions before their admission to a multidisciplinary pain management program.RESULTS AND CONCLUSIONS: Based on principal components analysis, three summary scales were developed that reflected level of impairment, social support and activity. Summary scales possessed good psychometric qualities and, when cluster analyzed, replicated the MPI taxonomy. Exploratory analyses of the MPI taxonomy revealed that goodness-of-fit values generally became less reliable as respondent profiles approached the overall sample mean. When the relative distance between respondents fit to taxonomy profiles and the distance from the sample mean was considered, profile stability using summary scales was predicted with good precision. These results suggest that summary scales may enhance the usefulness of the MPI, and that the traditional method of determining profile fit within the MPI is not stable and needs to be reconsidered.

Method Matters: Comparing Cancer-Related Adjustment of Siblings to Norms and Well-matched Peers

2020 ◽  
Author(s):  
Saori C Tomatsu ◽  
Caroline Stanley ◽  
Rowena Conroy ◽  
Melissa A Alderfer
Keyword(s):  
Behavioral Problems ◽  
Internalizing Problems ◽  
Psychosocial Functioning ◽  
Externalizing Problems ◽  
Parent Report ◽  
Self Report ◽  
Normal Range ◽  
Children With Cancer ◽  
Standardized Measures ◽  
The Impact

Abstract Objective  The purpose of this study was to better understand conflicting findings in the literature regarding the adjustment of siblings of children with cancer by examining, in a single sample, differences in patterns of results as a function of reporter and comparator used (i.e., population norms, demographically matched classmates). Method  Self- and parent-report standardized measures of depression, anxiety, and behavioral problems were collected for 67 siblings and 67 demographically matched classmates. Comparisons were made to norms and controls. Results  Siblings consistently demonstrated poorer psychosocial functioning than their demographically matched peers across all measures but their scores did not differ from norms. A significantly greater percentage of siblings fell outside the normal range than that expected in the general population for parent-reported total and internalizing problems, but not for externalizing problems or the self-report measures. Conclusions  Findings regarding the psychological adjustment of siblings of children with cancer differ according to the research methods used. It is important to use rigorous methods such as demographically matched peer comparisons when investigating the impact of childhood cancer on siblings.

scholarly journals The impact of workplace bullying in the Zimbabwean nursing environment: is social support a beneficial resource in the bullying–well-being relationship?

2018 ◽  
Vol 49 (1) ◽  
pp. 83-96 ◽  
Author(s):  
Gillian Finchilescu ◽  
Colleen Bernstein ◽  
Davidzo Chihambakwe
Keyword(s):  
Social Support ◽  
Job Satisfaction ◽  
Workplace Bullying ◽  
Well Being ◽  
Public Hospitals ◽  
Self Report ◽  
Propensity To Leave ◽  
High Level ◽  
The Impact ◽  
Mental Well Being

Bullying is an environmental workplace stressor that has severe implications for the bullied individual and the organisation. Nurses within Southern African hospitals face unique challenges, which can foster an environment within which bullying flourishes. In particular within public hospitals, there are shortages of doctors, equipment, and basic resources, and hospitals are grossly understaffed. This study investigated the effect of workplace bullying on nurses’ sense of well-being, their job satisfaction, and propensity to leave. The effectiveness of social support as a moderator of the impact of bullying was considered. A self-report questionnaire was completed by 102 nurses from a public hospital in Zimbabwe. Moderated multiple regression analyses were conducted on each of the outcomes of bullying. Workplace bullying was found to have a significant impact on the outcomes measured. Higher levels of bullying were associated with lowered job satisfaction and greater propensity to leave. Social support within the sample under study did not influence these outcomes, but did influence mental well-being as a moderator. At low and medium levels of experienced bullying, high levels of support promoted higher well-being than low and medium support. But this was not the case when there was a high level of bullying, where there was no difference in mental well-being as a function of the level of social support.

Pediatric-onset multiple sclerosis is associated with reduced parental health–related quality of life and family functioning

2018 ◽  
Vol 25 (12) ◽  
pp. 1661-1672 ◽  
Author(s):  
Julia O’Mahony ◽  
Ruth Ann Marrie ◽  
Audrey Laporte ◽  
Amit Bar-Or ◽  
E Ann Yeh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Family Functioning ◽  
Disease Onset ◽  
Self Report ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Background: Diagnosis of multiple sclerosis (MS) during childhood has the potential to impact the affected child’s self-perception and the health-related quality of life (HRQoL) of the family. Objective: To evaluate the impact of chronic disease, in children ascertained as having MS and their families, when compared to those with monophasic acquired demyelinating syndrome (monoADS). Methods: In a national prospective cohort study of pediatric acquired demyelinating syndromes (ADS), the HRQoL of children and their families was captured using the Pediatric Quality of Life Inventory (PedsQL™) Modules. Results: Participants (58 MS; 178 monoADS) provided cross-sectional HRQoL data a median (interquartile range (IQR)) of 4.1 (2.0–6.0) years after disease onset. The HRQoL of parents of children with MS and their family functioning was lower when compared to that of parents and families of children with monoADS (both p < 0.001); parents of children with MS reported greater emotional dysfunction, worry, worse communication, and lower family functioning irrespective of clinical disease activity. Self-reports of the MS and monoADS participants did not suggest a difference in overall HRQoL or fatigue after adjusting for age of the child at the time of assessment. Conclusion: While children with MS did not self-report lower HRQoL compared to children who experienced monoADS, the diagnosis of MS during childhood was negatively associated with parental HRQoL and family functioning.

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