Stigmatisierung von erwerbstätigen Patienten mit Brust-, Darm-, Prostata- und Lungenkrebs

2017 ◽  
Vol 67 (07) ◽  
pp. 304-311 ◽  
Author(s):  
Jochen Ernst ◽  
Anja Mehnert ◽  
Sabine Taubenheim ◽  
Anke Rentsch ◽  
Beate Hornemann ◽  
...  
Keyword(s):  
Social Impact ◽  
Impact Scale

Zusammenfassung Hintergrund Die Stigmatisierung von Patienten mit Krebs kann weitreichende Folgen haben, sowohl für den einzelnen Betroffenen als auch für die Gesellschaft. Quantitative Untersuchungen zur Stigmatisierung von erwerbstätigen Patienten mit Krebs liegen bisher kaum vor. Ziel der vorliegenden Studie ist die Untersuchung der wahrgenommenen Stigmatisierung von Patienten mit Krebs in Abhängigkeit vom Erwerbsstatus sowie die Beeinflussung wahrgenommener Stigmatisierung durch soziodemografische, krankheits- und berufsbezogene Prädiktoren. Methoden Im Rahmen einer bizentrischen Studie wurden 858 Patienten mit Brust-, Darm-, Lungen oder Prostatakrebs quantitativ befragt, von denen n=305 erwerbstätig waren und in die Auswertung eingingen (Altersdurchschnitt 55 Jahre, 43% weiblich, 47% Brustkrebs). Als Vergleichsgruppe wird aus unserem Datensatz ein gematchtes Sample nicht-Erwerbstätiger (n=213) herangezogen. Neben Fragen zu arbeits- und gesundheitsbezogenen Aspekten wurde Stigmatisierung mit dem SIS-D erfasst (Social Impact Scale). Die Daten werden uni- und multivariat ausgewertet. Ergebnisse Erwerbstätige, v. a. Patienten mit Prostatakrebs und Brustkrebs, sind in nahezu allen Dimensionen weniger stigmatisiert (p<0,01) als nicht-Erwerbstätige, mit Effektstärken zwischen d=0,35–0,97. Den stärksten Einfluss auf die wahrgenommene Stigmatisierung hat das Merkmal geringe Unterstützung durch den Arbeitgeber, weitere Prädiktoren sind ein schlechter Gesundheitszustand, geringe psychische Arbeitsfähigkeit und Diagnose Brustkrebs (R2 des finalen Modells=0,35). Schlussfolgerung Die Erwerbstätigkeit von Patienten mit Krebs steht im Zusammenhang mit geringerer wahrgenommener Stigmatisierung. Berufsbezogene Stigmatisierung ist v. a. vom Arbeitsumfeld bzw. der unterstützenden Einstellung des Arbeitgebers abhängig.

scholarly journals A Study on the Use of Social Networks by Turkish and German University Students in the Globalization Process

2018 ◽  
Vol 6 (11a) ◽  
pp. 88
Author(s):  
Nurhayat Çelebi ◽  
Gülenaz Selçuk ◽  
Huriye Sevinç Peker
Keyword(s):  
Social Networks ◽  
University Students ◽  
Social Networking ◽  
Social Environment ◽  
Social Impact ◽  
Communication Technologies ◽  
The Other ◽  
Impact Scale ◽  
The Social ◽  
Significant Difference

Today's rapidly evolving technology is expanding the use of innovative communication technologies and their usage areas. to traditional communication technologies today; smartphones, laptop computers, handheld computers, and tablets are also added. Wireless communication technology removes time and space limits, allowing people to communicate both voiced and visual whenever and wherever they wish. Every day, millions of people communicate with each other through social networking networks and share their experience day by day with other network users. The social networks that people often use are also affecting interpersonal relationships. The purpose of this research is to determine the aims of Turkish and German university students to use social networks and how effective social influence is in interpersonal communication. A total of 338 students, 236 Turkish students studying at Karabük University and 102 German students studying at Kassel University in Germany, participated in the research in the academic year of 2016-2017. As a data collection tool, a 10-item questionnaire developed by Özdayı (2010) and a 13-item, “social impact scale” were used. 4 items of the questionnaire used in the study were arranged in the form of "yes-no" and the other items were arranged by the participants to point to the box opposite to the statement they found appropriate. Each participant can mark a few of the options suitable for him / her. Secondly, the "social impact scale" is 5-Likert type. In the face of each article (5) from its fully appropriate expression, (1) Not suitable at all, a gradation to the statement was made. Percentages, mean and t test for binary comparison were used as statistical analysis in the study. According to research findings; all students have smartphones and they use whatsapp, facebook and youtube most from social networks. By students, social media is used to look at mails, homework, study, follow current events, read news, communicate with friends, make new friends, get informed about activities, share videos and photos and have fun. Also by students travel, shopping, technology and cinema blogs are the most preferred. In the survey, in the social dimension of social networks; there was no significant difference between the groups regarding "communication, self-expression, staying out of the group, becoming popular, joining groups, getting social environment, getting status in social environment and sharing". On the other hand, social networking has become an important means of communication and interaction among people today. For this reason, academicians should encourage students who are interested in new technology and communication applications to support the achievement of up-to-date information within the context of lifelong learning, and to conduct research for their own development in the teaching-learning process.

scholarly journals Other- versus Self-Referenced Social Impacts of Events: Validating a New Scale

2020 ◽  
Vol 12 (24) ◽  
pp. 10281
Author(s):  
Marijke Taks ◽  
Daichi Oshimi ◽  
Nola Agha
Keyword(s):  
Social Impact ◽  
Past Research ◽  
Social Impacts ◽  
Publicly Funded ◽  
Impact Scale ◽  
Projection Bias ◽  
Sport Events ◽  
Paralympic Games

Publicly funded sport events are partially justified based on positive social impacts. Past research generally measured social impact for a generic and global “other” with claims such as “Events create new friendships in the community”. These other-referenced (OR) social impacts are generally higher pre-event than post-event and are inflated for both methodological and theoretical reasons. In the pre-event period of the Tokyo 2020 Olympic and Paralympic Games, we empirically tested OR items compared to self-referenced (SR) items, such as “Because of the event, I create new friends in the community” and allowed projection bias to vary between scales. Results of the experiment between an OR-Social Impact Scale (OR-SIS) and a similar SR-SIS confirmed OR-measures to be significantly higher than SR-measures. While artificially inflated OR scores may be useful for event organizers and politicians to gain support for hosting, estimates based on circumscribed self (SR) are a methodologically appropriate measurement of social impact.

scholarly journals Effect of metronidazole combined with autolytic debridement for the management of malignant wound malodor

2019 ◽  
Vol 48 (4) ◽  
pp. 030006051988974
Author(s):  
Li Peng ◽  
Yi Dai
Keyword(s):  
Outpatient Clinic ◽  
Social Impact ◽  
Treatment Initiation ◽  
Silver Sulfadiazine ◽  
Control Group ◽  
Observation Group ◽  
Impact Scale ◽  
The Social ◽  
Before And After ◽  
Dressing Change

Objective To explore the effect of metronidazole combined with autolytic debridement for the management of malignant wound malodor. Methods Patients with malignant wounds who underwent dressing change at a wound outpatient clinic from September 2016 to February 2019 were randomized to an observation group (36 patients) or a control group (37 patients). The observation group was treated with metronidazole combined with debridement gel while the control group received wet dressing therapy combined with silver sulfadiazine. Malodor control was compared between the two groups from treatment initiation to days 3 and 12 after dressing change, and the social impact scale was used to compare stigma caused by malodor between the groups before and after treatment. Results The observation group had significantly superior malodor control on days 3 and 12 after dressing change compared with the control group. There was no difference in stigma between the two groups before treatment, but stigma in the observation group was significantly lower than that in the control group after treatment. Conclusion Metronidazole combined with autolytic debridement can effectively reduce the malodor of cancerous wounds while controlling infection, and alleviate patient stigma caused by malodor.

The correlation between stigma and adjustment in patients with a permanent colostomy in the Midlands of China

WCET Journal ◽  
2019 ◽  
pp. 33-39
Author(s):  
Fang-fang Xu ◽  
Wei-hua Yu ◽  
Mei Yu ◽  
Sheng-qin Wang ◽  
Gui-hua Zhou
Keyword(s):  
Psychosocial Adjustment ◽  
Health Professionals ◽  
Social Impact ◽  
Negative Impact ◽  
Permanent Colostomy ◽  
Sociodemographic Data ◽  
Impact Scale ◽  
Significant Negative Impact ◽  
Grade 3 ◽  
Stoma Care

Objective: To investigate the correlation between stigma and ostomy adjustment in patients with a permanent colostomy. Methods: A total of 118 patients (male 81/female 37 with an average age 57.4±15.0) from six grade 3 hospitals of the Midlands of China with a permanent colostomy were recruited. Participants responded to a questionnaire to obtain sociodemographic data, Social Impact Scale (SIS) scores to ascertain stigma level and Ostomy Adjustment Inventory (OAI-20) scores to identify the level of psychosocial adjustment. Results: The patients’ average SIS score was (60.7±10.4). The QAI-20 total score was (41.3±10.8). The SIS total score and SIS subscores were negatively related to the total score and subscore of QAI-20 (r=-0.222~-0.537, all P<0.01). Multiple regression analysis revealed the level of self-stoma care performed, the degree of communication with medical staff, financial insecurity and social rejection when added into the regression equation had a significant negative impact on OAI-20. Conclusion: In comparison to the average SIS score, the SIS score in this study sample is higher than midpoint, indicating stigma is closely related to ostomy adjustment. It is suggested that health professionals need to pay more attention to patients’ expressed feelings of stigma to improve their ability to adjust to living with a colostomy.

scholarly journals Assessing the Transitional Impact and Mental Health Consequences of the COVID-19 Pandemic Onset

2021 ◽  
Vol 11 ◽  
Author(s):  
Eamin Z. Heanoy ◽  
Liangzi Shi ◽  
Norman R. Brown
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Social Impact ◽  
Early Stage ◽  
Demographic Information ◽  
Health Consequences ◽  
Psychological Change ◽  
Stress Scale ◽  
Impact Scale

In this article, we report the results of a survey of North American adults (n = 1,215) conducted between March 24 and 30, 2020 at the onset of the COVID-19 pandemic. Respondents completed the COVID-TIS (Transitional Impact Scale-Pandemic version) and the 21-item Depression, Anxiety, and Stress Scale (DASS), indicated their level of COVID-infection concern for themselves and close others, and provided demographic information. The results indicated: (a) during its early stage, the pandemic produced only moderate levels of material and psychological change; (b) the pandemic produced mild to moderate levels of psychological distress; (c) respondents who lost their jobs as a result of the pandemic experienced more change and more psychological distress than those who did not, and (d) younger respondents and less well-educated ones experienced more psychological distress than older respondents. Unexpectedly, (e) respondents indicated that they were more concerned that friends and family members would become infected with COVID-19 than that they would be. We conclude by speculating that these results are driven less by the immediate changes brought about by the pandemic and more by uncertainty concerning its long-term economic and social impact.

scholarly journals Evaluation of the psychometrics of the Social Impact Scale: a measure of stigmatization

2007 ◽  
Vol 30 (3) ◽  
pp. 235-238 ◽  
Author(s):  
Ay-Woan Pan ◽  
LyInn Chung ◽  
Betsy L. Fife ◽  
Ping-Chuan Hsiung
Keyword(s):  
Social Impact ◽  
Impact Scale ◽  
The Social

Warum gerade ich? – Subjektive Krankheitsursachen und Zusammenhänge zu sozialen Faktoren und wahrgenommener Stigmatisierung bei Brust-, Prostata-, Darm- und Lungenkrebspatienten

2019 ◽  
Vol 70 (01) ◽  
pp. 22-31 ◽  
Author(s):  
Julia Roick ◽  
Peter Esser ◽  
Beate Hornemann ◽  
Anja Mehnert ◽  
Jochen Ernst
Keyword(s):  
Social Impact ◽  
Psychosoziale Faktoren ◽  
Impact Scale

Zusammenfassung Hintergrund Subjektive Krankheitsursachen gehen vielfach mit Selbstbeschuldigung und Schamgefühlen einher. Diese psychosozialen Belastungen können durch mögliche Stigmatisierungserfahrungen verstärkt werden. Die vorliegende Studie untersucht Annahmen zu subjektiven Krankheitsursachen von Krebspatienten und prüft Zusammenhänge mit sozialen Faktoren und dem Grad erlebter Stigmatisierung. Methoden Im Rahmen einer bizentrischen Studie wurden 858 Patienten mit Brust-, Darm-, Lungen oder Prostatakrebs quantitativ befragt, von denen 815 in die Berechnungen eingingen. Subjektive Krankheitsursachen wurden durch ein Fragenset aus 17 Items mit den wichtigsten Ursachen von Krebserkrankungen erhoben und Stigmatisierung anhand der SIS-D (Social Impact Scale) erfasst. Die Daten werden uni- und multivariat ausgewertet. Ergebnisse Das Durchschnittsalter liegt bei 60 Jahren, 54% sind männlich. Die Mehrheit der Patienten (95%) führt multiple Krankheitsursachen an. Umwelt wird von allen Entitäten als der wichtigste Einflussfaktor bewertet (M=3,0). Schuld/Strafe Gottes und Ansteckung wird am wenigsten Einfluss beigemessen (M=1,1). Ursachen, die auf den Lebensstil zurückzuführen sind, korrelieren nicht höher mit stigmatisierenden Aussagen als externe Ursachenannahmen (r=0,07–0,38). Patienten mit höherem Einkommen sehen weniger psychosoziale Faktoren (Beta=− 0,051 bis −0,086), Rauchen (Beta=− 0,087) und Schuld/Strafe Gottes (Beta=− 0,023) als Ursache ihrer Erkrankung. Je niedriger die Bildung, desto mehr Einfluss wird der Ansteckung (Beta=− 0,019) als Ursache beigemessen. Schlussfolgerung Tatsächliche Krebsursachen und -risiken werden nur teilweise als solche eingeschätzt (z. B. Ernährung), während andere unterschätzt werden (z. B. Alkohol). Zukünftige Interventionen zur Aufklärung über Krebsursachen sollten v. a. Patienten mit niedriger Bildung fokussieren.

Psychological distress and negative appraisals in survivors of severe acute respiratory syndrome (SARS)

2004 ◽  
Vol 34 (7) ◽  
pp. 1187-1195 ◽  
Author(s):  
S. K. W. CHENG ◽  
C. W. WONG ◽  
J. TSANG ◽  
K. C. WONG
Keyword(s):  
Hong Kong ◽  
Psychological Distress ◽  
Depressive Symptoms ◽  
Severe Acute Respiratory Syndrome ◽  
Social Impact ◽  
Adult Survivors ◽  
Impact Scale ◽  
Physical Impact ◽  
The Impact ◽  
Negative Appraisals

Background. Severe acute respiratory syndrome (SARS) is a novel disease. The authors have limited knowledge of its impact on mental health. The present study aimed to examine the level and extent of psychological distress of SARS survivors following 1-month recovery, to explore patients' negative appraisals of the impact of SARS, and to evaluate the associations between psychological distress and negative appraisals.Method. The Beck Anxiety Inventory, the Beck Depression Inventory, and a newly developed measure, the SARS Impact Scale (SIS), were mailed to 453 Hong Kong Chinese SARS survivors discharged from hospital for 4 weeks or more.Results. A total of 425 patients received the questionnaires and 180 (mean age 36·9 years; 120 women) gave valid replies. The response rate was 42·4%. The participants also represented 13·6% of all adult survivors in Hong Kong. About 35% of respondents reported ‘moderate to severe’ or ‘severe’ ranges of anxiety and/or depressive symptoms. It was found that those working as healthcare workers or having family members killed by SARS were more prone to develop subsequent high levels of distress. Factor analyses extracted three meaningful factors of the SIS, namely ‘survival threat’, ‘physical impact’, and ‘social impact’. Negative appraisals at the acute phase and 1-month recovery significantly accounted for substantial portions of variances for anxiety and depressive symptoms, after the effects of other psychosocial variables were controlled.Conclusions. Psychological distress of SARS survivors at 1-month recovery is real and significant. Negative appraisals may play a pivotal role in the development of psychological distress for SARS survivors, at least in the short term.

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