Spiritual well-being in patients with advanced heart and lung disease

2012 ◽  
Vol 11 (3) ◽  
pp. 205-213 ◽  
Author(s):  
E. Alessandra Strada ◽  
Peter Homel ◽  
Sharon Tennstedt ◽  
J. Andrew Billings ◽  
Russell K. Portenoy
Keyword(s):  
Mental Health ◽  
Lung Disease ◽  
Longitudinal Analysis ◽  
Well Being ◽  
Symptom Distress ◽  
Prospective Longitudinal Study ◽  
Spiritual Well Being ◽  
Mental Health Questionnaire ◽  
Prospective Longitudinal ◽  
Over Time

AbstractObjective:The purpose of this study was to evaluate levels of spiritual well-being over time in populations with advanced congestive heart failure (CHF) or chronic obstructive lung disease (COPD).Method:In a prospective, longitudinal study, patients with CHF or COPD (eachn = 103) were interviewed at baseline and every 3 months for up to 30 months. At each interview, patients completed: the basic faith subscale of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) questionnaire, the Memorial Symptom Assessment Scale (MSAS), the Rand Mental Health Inventory (MHI), the Multidimensional Index of Life Quality (MILQ), the Sickness Impact Profile (SIP), and the Short Portable Mental Health Questionnaire (SPMSQ).Result:The mean age was 65 years, 59% were male, 78% were Caucasian, 50% were married, 29% lived alone, and there was no significant cognitive impairment. Baseline median FACIT-Sp score was 10.0 on a scale of 0–16. FACIT-Sp scores did not change over time and multivariate longitudinal analysis revealed higher scores for black patients and lower scores for those with more symptom distress on the MSAS-Global Distress Index (GDI) (bothp = 0.02). On a separate multivariate longitudinal analysis, MILQ scores were positively associated with the FACIT-Sp and the MHI, and negatively associated with the MSAS-GDI and the SIP (allp-values < 0.001).Significance of results:In advanced CHF and COPD, spiritual well-being remains stable over time, it varies by race and symptom distress, and contributes to quality of life, in combination with symptom distress, mental health and physical functioning.

scholarly journals Commuter e-bike use is associated with increased total physical activity over time

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
B Chabanas ◽  
C Praznoczy ◽  
M Duclos
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Sedentary Behavior ◽  
Multilevel Modeling ◽  
Cardiorespiratory Fitness ◽  
Well Being ◽  
Physical And Mental Health ◽  
Prospective Longitudinal Study ◽  
Prospective Longitudinal ◽  
Over Time

Abstract Background Active commuting such as cycling has been recommended as a practical way to increase population physical activity levels and improve health. Beside positive health effects observed in experimental studies, less is known about how e-bikes can improve public health outcomes in real-life settings. Objectives To describe the patterns over time in physical activity, sedentary behavior, cardiorespiratory fitness and psychophysiological well-being in a population of new commuter e-bike users. Methods This was a population-based prospective longitudinal study in France. 33 new users of e-bike were recruited and measured at 4-time points (T0, T1, T2, T3), from before the effective beginning of the e-bike use (T0) until a mean of 4.6 months of use (T3) (min: 3.2, max: 7). Repeated measures multilevel modeling was used on 4 waves of measurements to assess variations over time of e-bike use, total moderate and vigorous physical activity (MVPA) and total sedentary time (SED-time). Pre-post comparisons between T0 and T3 were performed to detect change in cardiorespiratory fitness, markers of adiposity, self-esteem, quality of life (SF12-v2), and physical activity motivations (EMAPS). Results Adherence to e-bike commuting was high and stable, with a mean of 82% (3%) of weekly use. Multilevel modeling indicated that MVPA followed a significant increasing curvilinear trajectory over time, plateauing after 90 days (+ 21 MET-h/week compared to mean T0 at 33 MET-h/week). No significant change was found in SED-time, averaging a mean of 8.6 hours/day. Greater adherence to using an e-bike was associated with greater increases in MVPA. Several markers of physical and mental health improved. Conclusions New commuter e-bike users undergo a significant increase in MVPA while being already at a high level before e-bike use onset. This increase in MVPA could be meaningful to attenuate detrimental effects of a persistent high sedentary behavior. Key messages MVPA significantly increases among new commuter e-bike users, along with improvements in physical and mental health. High SED-time is persistent, making increase in MVPA in a population with a moderately high initial level still crucial.

Changes in Sabbath-Keeping and Mental Health Over Time: Evaluation Findings From the Sabbath Living Study

2021 ◽  
pp. 009164712110462
Author(s):  
Rae Jean Proeschold-Bell ◽  
Beth Stringfield ◽  
Jia Yao ◽  
Jessica Choi ◽  
David Eagle ◽  
...  
Keyword(s):  
Mental Health ◽  
Well Being ◽  
The United States ◽  
Personal Accomplishment ◽  
Control Group ◽  
Cross Sectional ◽  
Work Related ◽  
Spiritual Well Being ◽  
Over Time ◽  
Sabbath Keeping

Work-related stress is experienced at a high level in the United States. Clergy are particularly likely to over-extend themselves to act on their sacred call. Sabbath-keeping may offer a practice that is beneficial for mental health, yet many Protestant clergy do not keep a regular Sabbath. We examined whether United Methodist clergy who attended informative Sabbath-keeping workshops reported changes in spiritual well-being and mental health post-workshop. Compared to baseline, at 3 and 9 months post-workshop, participants reported an increase in Sabbath-keeping. In adjusted random effects and Poisson models, compared to not changing Sabbath-keeping frequency, increasing Sabbath-keeping was related to only one outcome: greater feelings of personal accomplishment at work. Decreasing Sabbath-keeping was related to worse anxiety symptoms, lower spiritual well-being in ministry scores, and a higher probability of having less than flourishing mental health. For four outcomes, there were no significant associations with changes in Sabbath-keeping over time. Although lacking a control group, this study adds to cross-sectional Sabbath-keeping studies by correlating changes in Sabbath-keeping with changes in mental health outcomes over time.

Age differences in trajectories of depressive, anxiety, and burnout symptoms in a population with a high likelihood of persistent occupational distress

2020 ◽  
pp. 1-12
Author(s):  
Celia F. Hybels ◽  
Dan G. Blazer ◽  
David E. Eagle ◽  
Rae Jean Proeschold-Bell
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Depression Scale ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Personal Accomplishment ◽  
Working Adults ◽  
Spiritual Well Being ◽  
Patient Health ◽  
Over Time

Abstract Objectives: Work in occupations with higher levels of occupational stress can bring mental health costs. Many older adults worldwide are continuing to work past traditional retirement age, raising the question whether older adults experience depression, anxiety, or burnout at the same or greater levels as younger workers, and whether there are differences by age in these levels over time. Design/setting/participants: Longitudinal survey of 1161 currently employed US clergy followed every 6–12 months for up to 66 months. Measurements: Depression was measured with the 8-item Patient Health Questionnaire (PHQ-8). Anxiety was measured using the anxiety component of the Hospital Anxiety and Depression Scale (HADS). Burnout symptoms were assessed using the three components of the Maslach Burnout Inventory: emotional exhaustion (EE), depersonalization (DP), and sense of personal accomplishment (PA). Results: Older participants had lower scores of depression, anxiety, EE, and DP and higher levels of PA over time compared to younger adults. Levels of EE decreased for older working adults, while not significantly changing over time for those younger. DP symptoms decreased over time among those 55 years or older but increased among those 25–54 years. Conclusions: Older working adults may have higher levels of resilience and be able to balance personal life with their occupation as well as may engage in certain behaviors that increase social support and, for clergy, spiritual well-being that may decrease stress in a way that allows these older adults to appear to tolerate working longer without poorer mental health outcomes.

scholarly journals The Effects of Physical Activity on Mental Health During the COVID-19 Pandemic: a Systematic Review

2021 ◽  
Author(s):  
Priscila Marconcin ◽  
André O. Werneck ◽  
Miguel Peralta ◽  
Andreas Ihle ◽  
Élvio Gouveia ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Systematic Review ◽  
Depressive Symptoms ◽  
Mental Health Problems ◽  
Well Being ◽  
Activity Level ◽  
Negative Effects ◽  
Prospective Longitudinal Study ◽  
Prospective Longitudinal

Abstract Introduction: Coronavirus disease-19 (COVID-19) pandemic affected countries worldwide and has changed peoples’ lives. A reduction in physical activity and an increase in mental health problems were observed. Thus, this systematic review aims to examine the association between physical activity and mental health during the COVID-19 pandemic.Methods: In January 2021, a search was applied to PubMed, Scopus, and Web of Science. Eligibility criteria included cross-sectional, prospective, longitudinal study design and studies published in English; outcomes included physical activity and mental health (e.g., depressive symptoms, anxiety, positive and negative effects, well-being). Results: Nineteen studies were included in this review. Overall, the studies suggested that higher physical activity is associated with higher well-being, quality of life as well as lower depressive symptoms, anxiety, and stress, independently of age. There was no consensus for the optimal physical activity level for mitigating negative mental symptoms, neither for the frequency nor for the type of physical activity. Women were more vulnerable to mental health changes and men were more susceptive to physical activity changes. Conclusion: Physical activity seems to be a good and effective choice to mitigate the negative effects of the COVID-19 pandemic on mental health. Public health policies should alert for alternatives to increment physical activity during the stay-at-home orders in many countries.

Factors Associated With a Positive Birth Experience: An Exploration of Swedish Women’s Experiences

2013 ◽  
Vol 3 (3) ◽  
pp. 153-164 ◽  
Author(s):  
Ingegerd Hildingsson ◽  
Margareta Johansson ◽  
Annika Karlström ◽  
Jennifer Fenwick
Keyword(s):  
Well Being ◽  
Northern Region ◽  
Outcome Variable ◽  
Birth Experience ◽  
Future Health ◽  
Midwifery Care ◽  
Prospective Longitudinal Study ◽  
Factors Associated ◽  
Prospective Longitudinal ◽  
Over Time

BACKGROUND: The birth of a baby is a powerful life event that has implications for a woman’s well-being and future health. A positive birth experience promotes a sense of achievement, enhances feeling of self-worth, and facilitates confidence—all of which are important for a healthy adaptation to motherhood and psychological growth. Understanding what constitutes a positive birth experience is critical to providing maternity care that meets childbearing women’s individual needs, preferences, and priorities.OBJECTIVE: To explore the prevalence of Swedish women reporting a very positive birth experience 2 months and 1 year after childbirth and identify factors associated with this experience. In addition, the study aimed to identify whether women’s assessment of their birth experience changed over time.METHOD: A prospective, longitudinal study where the main outcome variable was perceptions of a very positive birth experience. The study was undertaken in a Northern region of Sweden in 2007. Women were recruited at their ultrasound examination in midpregnancy. Data was collected via questionnaires. There were 928 women who responded to questions about their birth experience at 2 months postpartum. Nearly 83% of these women (n= 763) also completed the questionnaire package 1 year after birth. Descriptive statistics were used together with Friedman’s test to detect changes over time. Logistic regression analysis was performed to reveal which factors contributed most to a very positive birth experience.RESULT: More than a third of the women reported a very positive birth experience. Women’s assessment of birth changed over time with 22% of the women becoming more positive and 15% more negative. Important associated factors for a very positive birth experience included positive feelings about the approaching birth as well as feeling in control, using no or only cognitive forms of pain management, and achieving a spontaneous vaginal birth. Furthermore, how women rated their midwifery care was also shown to affect their assessment of their birth experience.CONCLUSION: This study found that women’s birth experiences changed over time and most becoming more positive after 1 year. Factors associated with a very positive birth experience were related to women’s prenatal attitudes, intrapartum procedures, pain relief used, and care received during labor and birth. Respectful individualized midwifery care that remains focused on the woman and keeping birth normal increases positive perceptions of the birth experience.

Relationship Between Symptom Distress and Fatigue Characteristics in Patients with Gastric Cancer During 1 Month after Gastrectomy

2021 ◽  
pp. 105477382110352
Author(s):  
Hui-Ying Yang ◽  
Yun-Hsiang Lee ◽  
Jin-Ming Wu ◽  
I-Rue Lai ◽  
Shiow-Ching Shun
Keyword(s):  
Gastric Cancer ◽  
Longitudinal Study ◽  
Symptom Distress ◽  
Outpatient Clinics ◽  
Prospective Longitudinal Study ◽  
Fatigue Management ◽  
Negative Effect ◽  
Fatigue Characteristics ◽  
Prospective Longitudinal ◽  
Northern Taiwan

This study’s purpose was to describe changes in symptom distress and fatigue characteristics identifying which symptoms significantly impacted fatigue characteristics of patients with Gastric Cancer (GC) within 1 month after gastrectomy. A prospective longitudinal study was conducted. Patients with GC who were scheduled for gastrectomy were recruited from surgical outpatient clinics and surgery wards in northern Taiwan. Data were collected using a set of questionnaires before (T0) and 7 (T1) and 28 days (T2) after gastrectomy. Over all, 86 patients experienced mild levels of fatigue and symptom distress. The changes in worst fatigue and fatigue interference were greatest at T1. Anxiety had a significant negative effect on both worst fatigue and fatigue interference. Dry mouth, pain, and body image had significant deleterious effects on worst fatigue. The co-occurring symptoms affecting fatigue for patients with GC in the acute phase after gastrectomy should be actively assessed to ensure optimal fatigue management.

scholarly journals Exposure to Bullying and General Psychopathology: A Prospective, Longitudinal Study

2021 ◽  
Author(s):  
Jolien Rijlaarsdam ◽  
Charlotte A. M. Cecil ◽  
J. Marieke Buil ◽  
Pol A. C. van Lier ◽  
Edward D. Barker
Keyword(s):  
Longitudinal Study ◽  
Child Psychopathology ◽  
Well Being ◽  
Self Report ◽  
General Factor ◽  
Prospective Longitudinal Study ◽  
General Psychopathology ◽  
Parents And Children ◽  
Prospective Longitudinal ◽  
Internalizing And Externalizing

AbstractAlthough there is mounting evidence that the experience of being bullied associates with both internalizing and externalizing symptoms, it is not known yet whether the identified associations are specific to these symptoms, or shared between them. The primary focus of this study is to assess the prospective associations of bullying exposure with both general and specific (i.e., internalizing, externalizing) factors of psychopathology. This study included data from 6,210 children participating in the Avon Longitudinal Study of Parents and Children (ALSPAC). Child bullying was measured by self-report at ages 8 and 10 years. Child psychopathology symptoms were assessed by parent-interview, using the Development and Well-being Assessment (DAWBA) at ages 7 and 13 years. Bullying exposure significantly associated with the general psychopathology factor in early adolescence. In particular, chronically victimized youth exposed to multiple forms of bullying (i.e., both overt and relational) showed higher levels of general psychopathology. Bullying exposure also associated with both internalizing and externalizing factors from the correlated-factors model. However, the effect estimates for these factors decreased considerably in size and dropped to insignificant for the internalizing factor after extracting the shared variance that belongs to the general factor of psychopathology. Using an integrative longitudinal model, we found that higher levels of general psychopathology at age 7 also associated with bullying exposure at age 8 which, in turn, associated with general psychopathology at age 13 through its two-year continuity. Findings suggest that exposure to bullying is a risk factor for a more general vulnerability to psychopathology.

Presence of a Secondary Caregiver Differentiates Primary Cancer Caregiver Well-being

2021 ◽  
Author(s):  
Maria Thomson ◽  
Maureen Wilson-Genderson ◽  
Laura A Siminoff
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Multilevel Models ◽  
Case Series ◽  
Primary Caregivers ◽  
Well Being ◽  
Physical And Mental Health ◽  
Hematological Cancer ◽  
Cancer Caregiver ◽  
Over Time

Abstract Background Informal caregivers play a fundamental role in the care of hematological cancer patients, but less is known about how secondary caregivers are involved. We assessed the presence or absence of a secondary caregiver, the types of caregiving activities performed by primary and secondary caregivers and examined whether the presence of a secondary caregiver was associated with primary caregiver characteristics and wellbeing over time. Methods A case series of hematological cancer patient-caregiver dyads (n = 171) were recruited from oncology clinics in Virginia and Pennsylvania and followed for 2 years. Multi-level models were developed to examine the associations between presence of a secondary caregiver and the primary caregivers’ well-being. Results Most (64.9%) primary caregivers reported having secondary caregivers. Multilevel models showed primary caregivers without help had higher baseline mental and physical health, but experienced deteriorating physical health overtime, compared to supported primary caregivers. Supported primary caregivers reported improvements in mental health over time that was associated with improvements in physical health. Conclusions Primary caregivers in good physical and mental health at the beginning of their caregiving journey but who have the least assistance from others may be at greatest risk for detrimental physical health effects long term. Attention to the arrangement of caregiving roles (i.e., who provides what care) overtime is needed to ensure that caregivers remain healthy and well supported.

scholarly journals Stem Cell Transplantation Patients and Situational Meaning: A Prospective and Longitudinal View

2019 ◽  
Author(s):  
Jennifer Blosser ◽  
Roy Sabo ◽  
Kathryn Candler ◽  
Karen Mullin ◽  
Amir Toor ◽  
...  
Keyword(s):  
Stem Cell ◽  
Meaning Making ◽  
Illness Perception ◽  
Patient Characteristics ◽  
Cell Transplant ◽  
Prospective Longitudinal Study ◽  
Illness Perception Questionnaire ◽  
Virginia Commonwealth University ◽  
Prospective Longitudinal ◽  
Over Time

ABSTRACTBackgroundThough there is thorough examination of psychosocial issues in SCT, there are few longitudinal studies examining the meaning SCT patients attribute to their treatment.ObjectiveThe object of this study was to examine change in situational appraisal over time, and to explore potential modifiers of that change.MethodsA prospective, longitudinal study of 146 autologous and allogeneic stem cell transplant (SCT) patients at Virginia Commonwealth University (VCU) was conducted to measure situational appraisal over time as per the meaning making model of Park and Folkman (1997) utilizing the Illness Perception Questionnaire-Revised (IPQ-R; Moss-Morris et al., 2002). Participants were administered the instrument prior to transplant, at one, three and six months, and at one-year post-transplant.ResultsChange over time was seen in different diagnoses, donor types, reduced intensity and standard pre-transplant preparative regimens, and between the two major ethnic groups (Caucasian and African American) studied. Many of the patient subgroups had statistically significant findings in measures of illness attribution.ConclusionThe appraisals SCT patients made of their situation in treatment revealed a complex process of appraisal affected by illness, treatment and patient characteristics including disease type, donor type, race, and pre-transplant regimen.

scholarly journals Spiritual Well-Being and Mental Health During the COVID-19 Pandemic in Italy

2021 ◽  
Vol 12 ◽  
Author(s):  
Ilaria Coppola ◽  
Nadia Rania ◽  
Rosa Parisi ◽  
Francesca Lagomarsino
Keyword(s):  
Mental Health ◽  
Family Relationships ◽  
Psychological Health ◽  
Protective Factor ◽  
Well Being ◽  
Great Difficulty ◽  
Coping Resources ◽  
Stress Factors ◽  
Difficult Situation ◽  
Spiritual Well Being

During the COVID-19 pandemic in Italy, people and families experienced a new and sudden situation that forced them to stay in their homes for a long period (February 25- May 26). In this context, many people found themselves in great difficulty, not only because of the fear of contagion or the economic problems deriving from the closure of production activities but also because the virus profoundly changed the way of life in society. The “Social distancing” concept became central in all personal relationships, including close family relationships. In this situation, our paper seeks to understand the role of spirituality and religiosity in reacting to this difficult situation and in particular on the physical and psychological health of the people involved. The data we present here are part of a multidisciplinary research with a quantitative theoretical framework. As the data was collected during the first Italian lockdown, a total of 1,250 adults from all over Italy participated in the on-line questionnaire. Among the main results it emerged that the participants perceived lower levels of spiritual well-being and mental health than the pre-pandemic situation with a significant gender difference; in fact, women perceived lower mental health than men. At the same time, it is evident that spirituality and religious practices are a protective factor connected not only with psychological and mental but also physical health. Finally, it appears evident that the family is a protective factor with respect to mental health, even in a period so full of stress factors, those who did not live alone and especially those who had to take care of small children reported higher perceived mental health and a greater ability to activate coping resources.

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