scholarly journals A-30 The Relationship Between Mood, Cognitive Shift, and Perseverative Responses in Cognitively Impaired Geriatric Patients

2019 ◽  
Vol 34 (6) ◽  
pp. 889-889
Author(s):  
C Osman

Abstract Objective The current study investigated the relationship between age, sex, vocabulary scores, the number of comorbid medical conditions, cognitive shift scores, perseveration scores, dementia severity, and self-reported anxiety. It was hypothesized a) cognitive shift scores, age, and vocabulary would be inversely related to anxiety b) perseveration scores and dementia severity would be positively correlated to mood. Data Selection Utilizing archival data from a private medical clinic, a sample (N = 114) of Euro-American older adults ages 65-89, presenting for neuropsychological evaluations was obtained. Data included scores from the Wisconsin Card Sorting Test -64 computerized version, the Beck Anxiety Inventory, the Geriatric Depression Scale- short form, and the WAIS-IV vocabulary subtest. Data Synthesis This study utilized a multiple regression analysis. The results suggested age, sex, cognitive shift scores, perseveration scores, and dementia severity had no relationship to anxiety. However, vocabulary was moderately positively correlated with anxiety. It is possible that those with greater vocabulary scores were less severely impacted by their dementia and consequently more aware of their symptoms. Conclusions Focus on neuropsychological data alone was insufficient to understand this complex and dynamic relationship. It is recommended that future research focus on the process itself to gain insight into this bidirectional relationship and various confounding factors, which might have influenced anxiety levels, such as sleep quality and dementia type. The results of this study highlight the importance of understanding the dynamic relationship between cognitive decline due to neurodegenerative diseases and anxiety and the impact the diseases may have on one’s emotional well-being.

2021 ◽  
Vol 12 ◽  
Author(s):  
Brandon L. Boring ◽  
Kaitlyn T. Walsh ◽  
Namrata Nanavaty ◽  
Vani A. Mathur

The experience of pain is subjective, yet many people have their pain invalidated or not believed. Pain invalidation is associated with poor mental health, including depression and lower well-being. Qualitative investigations of invalidating experiences identify themes of depression, but also social withdrawal, self-criticism, and lower self-worth, all of which are core components of shame. Despite this, no studies have quantitatively assessed the interrelationship between pain invalidation, shame, and depression. To explore this relationship, participants recounted the frequency of experienced pain invalidation from family, friends, and medical professionals, as well as their feelings of internalized shame and depressive symptoms. As shame has been shown to be a precursor for depression, we further explored the role of shame as a mediator between pain invalidation and depressive symptoms. All sources of pain invalidation were positively associated with shame and depressive symptoms, and shame fully mediated the relationship between each source of pain invalidation and depression. Relative to other sources, pain invalidation from family was most closely tied to shame and depression. Overall, findings indicate that one mechanism by which pain invalidation may facilitate depression is via the experience of shame. Future research may explore shame as a potential upstream precursor to depression in the context of pain. Findings provide more insight into the harmful influence of pain invalidation on mental health and highlight the impact of interpersonal treatment on the experiences of people in pain.


2003 ◽  
Vol 1 (2) ◽  
pp. 143-151 ◽  
Author(s):  
ALICE INMAN ◽  
KENNETH L. KIRSH ◽  
STEVEN D. PASSIK

Objective: Spirituality has been neglected when assessing the well-being of cancer patients. Traditionally, researchers have focused on areas such as physical, social, and emotional functioning. However, there is a potential for spirituality to have a large impact on quality of life in patients with cancer. The current study was conducted to investigate the relationship between spirituality and boredom, constraint, social contact, and depression.Methods: A total of 100 oncology patients completed several assessment instruments, including the Purposelessness, Under-stimulation, and Boredom (PUB) Scale, Functional Assessment of Cancer Therapy Scale–Anemia, Brief Zung Self-Rating Depression Scale (BZSDS), Cancer Behavior Inventory, Systems of Belief Inventory, and Eastern Cooperative Oncology Group Performance Status Scale.Results: The average age of the sample was 62.37 years (SD = 13.43) and was comprised of 60 women (60%) and 40 men (40%). A regression analysis conducted to explore the impact of the variables on quality of life found only the BZSDS (R2Δ = .650, F = 180.392, p < .001) and the PUB Scale (R2Δ = .077, F = 26.885, p < .001) were significant predictors of quality of life. Another set of regression analyses were conducted to explore whether spirituality had a mediating effect on this relationship, but the mediated model was not supported.Significance of results: We conclude that spirituality and boredom are difficult concepts to define, operationalize, and measure, but crucial to our understanding of quality of life in advanced cancer. More research is needed to clarify the nature of the interrelationships between these important concepts.


2021 ◽  
Vol 12 ◽  
Author(s):  
Jianfeng Li ◽  
Luyang Zhou ◽  
Beatrice Van Der Heijden ◽  
Shengxiao Li ◽  
Hong Tao ◽  
...  

This study is aimed to examine the impact of WeChat use intensity on social isolation, loneliness, and well-being during the lockdown period of the COVID-19 pandemic. Drawing on the regulatory loop model of loneliness, the notions of Internet Paradox, the Time Displacement hypothesis and previous literature on WeChat use intensity, we propose that lockdown loneliness (partially) mediates the relationship between lockdown WeChat use intensity and well-being (i.e., lockdown stress and lockdown life satisfaction). Moreover, we assume that lockdown WeChat use intensity moderates the relationship between lockdown social isolation and well-being (i.e., lockdown stress and lockdown life satisfaction) in both a direct and in an indirect way, that is through lockdown loneliness. The results from our Structural Equation Modeling analyses, using a sample of 1,805 Chinese respondents, indicate that all of our research hypotheses are confirmed. From this empirical work, it becomes clear that online social interactions, which are believed by many people to be able to compensate for the lack of offline social interactions during the COVID-19 lockdown period, in fact are endangering their mental health and life satisfaction instead. This article concludes with theoretical and practical implications of our study, followed by its limitations and recommendations for future research.


2021 ◽  
pp. 096372142110536
Author(s):  
Philippe Verduyn ◽  
Nino Gugushvili ◽  
Ethan Kross

Do social networking sites (SNSs) influence well-being? According to the active-passive model of SNS use, the impact of SNSs on well-being depends on how they are used: Using SNSs actively to interact with other users positively affects well-being, whereas passive consumption of SNS content negatively affects well-being. However, emerging evidence suggests that the active-passive distinction is too coarse to fully capture the relationship between SNS use and well-being. Here we describe the extended active-passive model of SNS use, which refines the original model in three ways: It decomposes active use, decomposes passive use, and crosses usage types with user characteristics. We describe recent empirical evidence illustrating the benefits of these three extensions and highlight important future research directions. The extended active-passive model of SNS use provides a nuanced understanding of the relationship between SNS use and well-being by highlighting that active use of SNSs is not always beneficial and passive use is not always detrimental.


2021 ◽  
Vol 12 (1) ◽  
pp. 57-70
Author(s):  
Kate Shostak ◽  
Allyson Hadwin ◽  
Paweena Sukhawathanakul

The COVID-19 pandemic has introduced significant disruptions in the learning environment for many post-secondary students with many shifting entirely to remote online learning, which can compound existing academic challenges. While emerging evidence has suggested that COVID-19 impacts students’ well-being and stress, little is known about how the pandemic has affected students academically. This study investigates how different types of academic challenges mediate the relationship between students’ COVID-19 psychological distress and their academic performance. Participants (n=496) completed an online survey that measured COVID-19 psychological distress, self-reported grade point average (GPA), and academic challenges. Mediational analyses estimating indirect pathways were conducted using structural equation modelling on Mplus. Our results showed that all challenges increased along with COVID-19 distress, but specific challenges had a significant relationship with the expected GPA. We found that out of the five academic challenge areas, metacognitive, motivational, and social and emotional challenges emerged as the salient challenge areas that fully mediated the relationship between COVID-19 distress and GPA. Contrary to our prediction, while more significant COVID-19 distress predicted more social and emotional challenges, these challenges were associated to higher GPA. Future research is invited to help students manage and cope with their academic challenges.


2007 ◽  
Vol 157 (2) ◽  
pp. 133-139 ◽  
Author(s):  
M Kars ◽  
A A van der Klaauw ◽  
C S Onstein ◽  
A M Pereira ◽  
J A Romijn

Objective: Most studies on treatment of microprolactinoma have focused on clinical and biochemical outcome rather than on functional and mental well-being. We evaluated this topic in female patients with microprolactinoma, because other pituitary adenomas are associated with decreased quality of life. Design: We conducted a cross-sectional study. Patients and methods: To assess the impact of treatment for microprolactinoma on subjective well-being, quality of life was investigated in 55 female patients (mean age 45 ± 10 years), treated for microprolactinoma in our center, using four validated, health-related questionnaires: Short-Form-36 (SF-36), Nottingham Health Profile (NHP), Multidimensional Fatigue Inventory (MFI-20), and Hospital Anxiety and Depression Scale (HADS). Patient outcomes were compared with those of 183 female controls with equal age distributions. Results: Anxiety and depression scores were increased when compared with controls for all subscales as measured by HADS, and fatigue for all but one subscale as measured by MFI-20. Patients treated for microprolactinoma had worse scores on social functioning, role limitations due to physical problems (SF-36), energy, emotional reaction, and social isolation (NHP) when compared with control subjects. Important independent predictors of quality of life were reproductive status and anxiety and depression scores according to the HADS. Conclusion: Quality of life is impaired in female patients treated for microprolactinoma, especially due to increased anxiety and depression. These increased anxious and depressive feelings might be due to possible effects of hyperprolactinemia on the central nervous system. Failure to recognize this association may adversely affect patient–doctor relationships.


2017 ◽  
Vol 52 (2) ◽  
pp. 111-123 ◽  
Author(s):  
Nadia Barberis ◽  
Valeria Cernaro ◽  
Sebastiano Costa ◽  
Gaetano Montalto ◽  
Silvia Lucisano ◽  
...  

Previous studies have investigated constructs that facilitate adaptation to chronic disease and improve quality of life and constructs that lead to psychopathological complications. The purpose of this research is to investigate the impact of coping and emotional regulation on the quality of life of patients on dialysis. Three questionnaires were administered to 78 patients on dialysis: Coping Orientations to Problems Experienced, Short Form (36), and Cognitive Emotion Regulation Questionnaire. Regressions analyses indicated that age, Rumination, Positive Refocusing, Avoidance Strategies, Approach to the Problem, and Transcendent Orientation predicted Physical Health. With regard to Mental Health, the predictors were gender, Self-Blame, Acceptance, Rumination, Positive Reappraisal, Catastrophizing, Avoidance Strategies, and Transcendent Orientation. This study confirms the relationship between emotional regulation, coping, and quality of life. The results highlight the need for total care of the patients, including an assessment of both physical state and psychological functioning in order to promote total well-being.


10.28945/4670 ◽  
2020 ◽  
Vol 15 ◽  
pp. 737-758
Author(s):  
Anna Sverdlik ◽  
Nathan C. Hall ◽  
Lynn McAlpine

Aim/Purpose: Research on doctoral students’ well-being suggests that an interplay of social and psychological factors, such as integration into the scholarly community and perceptions of self-worth, shape students’ experiences. The present research examined the role of these factors in the well-being of doctoral students. Background: Imposter syndrome has long been discussed both formally and informally as a prevalent experience of doctoral students. Existing research provides empirical support for the role of perceived belongingness to one’s scholarly community in maladaptive self-perceptions (i.e., imposter syndrome), as well as the role of imposter syndrome in doctoral students’ well-being. However, no studies to date have directly explored the extent to which imposter syndrome mediates the relationship between perceived belongingness and well-being in a single model. Methodology: The present research sought to evaluate perceived belongingness as a predictor of imposter syndrome and how imposter syndrome, in turn, predicts well-being (i.e., depression, stress, and illness symptoms) in doctoral students. Depression, stress, and illness symptoms were identified in the literature as the most prevalent well-being concerns reported by doctoral students and therefore were evaluated as the outcome variables in the present research. In line with previous research, we expected perceived belongingness to negatively predict imposter syndrome, and imposter syndrome, in turn, to positively predict depression, stress, and illness symptoms. Two studies evaluated the proposed model. Data for both studies was collected simultaneously (i.e., one large sample) with 25% of the sample randomly selected for Study 1 (cross-sectional) and the remainder included in Study 2 (longitudinal). In Study 1, we tested this hypothesis with a cross-sectional design and explored whether imposter syndrome was a significant mediator between perceived belongingness and well-being. In Study 2, we aimed to replicate and extend the results of Study 1 with a prospective design to further assess the directionality of the relationship from perceived belongingness to imposter syndrome and, in turn, the role of imposter syndrome in changes in depression, stress, and illness symptoms over a five-month period. Contribution: The present results represent evidence of the process by which doctoral students develop imposter syndrome and some of the consequences of imposter syndrome on doctoral well-being. Additionally, the present study includes a large-scale sample of international doctoral students across the disciplines, thus revealing the prevalence of imposter syndrome in the doctoral experience. Findings: Overall, the results of the present research provided support for our hypotheses. In Study 1, perceived belongingness was found to be a negative predictor of imposter syndrome that, in turn, predicted higher levels of depression, stress, and illness symptoms. Additionally, imposter syndrome was found to significantly mediate the relationship between perceived scholarly belongingness and the three outcome variables assessing psychological well-being. Study 2 further revealed perceived scholarly belongingness to negatively predict imposter syndrome five months later, with imposter syndrome, in turn, predicting increases in depression, stress, and illness symptoms in our doctoral student sample. Recommendations for Practitioners: Several recommendations are made for practitioner based on the present findings: First, by acknowledging the critical role of perceived social belongingness in students’ well-being, faculty and administrators can establish structures to better integrate students into their scholarly communities, and departments can foster a supportive social atmosphere for their doctoral students that emphasizes the quality of interactions and consultation with faculty. Second, information sessions for first-year doctoral students could highlight the prevalence and remedies of feeling like an impostor to normalize these otherwise deleterious feelings of inadequacy. Finally, professional development seminars that are typically taught in graduate programs could incorporate an explicit discussion of well-being topics and the prevalence of imposter syndrome, alongside other pragmatic topics (e.g., publishing protocols), to ensure that students perceive their departmental climate as supportive and, in turn, feel less like an imposter and better psychologically adjusted. Recommendation for Researchers: Researchers should continue exploring the various antecedents and consequences of imposter syndrome, specifically focusing on at-risk students, as well as the role of imposter syndrome in doctoral-level dropout. Impact on Society: Imposter syndrome is a harmful experience that can lead to a variety of life-altering outcomes, such as developing or intensifying a mental illness. Doctoral students, as society’s future researchers and high-skilled professionals, have a great impact on society as a whole, and efforts should be extended into maintaining doctoral students’ well-being in order for them to perform at an optimal level. The present research sheds light on one aspect of the doctoral experience that is detrimental to the well-being of doctoral students, thus informing doctoral students, advisors, and departments of one area where more resources can be allocated in order to facilitate the health, both physical and psychological, of their students. Future Research: Future research should explore additional outcomes to fully understand the impact of perceived belongingness and imposter syndrome on doctoral students. Some such outcomes may include academic performance (e.g., presentation/publication rates), motivation (e.g., perseverance vs. intention to quit), and more general psychological adjustment measures (e.g., satisfaction with life). Such research, in combination with the present findings, can help the understanding of the full impact of imposter syndrome on the academic and personal experiences of doctoral students and can contribute to psychologically healthier and more academically productive experiences for doctoral students as they navigate the myriad challenges of doctoral education.


2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
C Ski ◽  
K McGuigan ◽  
A Hill ◽  
V Coates ◽  
D.R Thompson ◽  
...  

Abstract Background Psychosocial aspects of chronic diseases such as Type 2 diabetes (T2D) and cardiovascular disease (CVD) are increasingly recognised as impacting effective self-management. Until now, little was known regarding the moderating effects of empowerment and depression on the relationship between diabetes-specific distress and mastery. Purpose To evaluate the potential mediating role of diabetes empowerment and depression on the relationship between diabetes-specific distress and mastery. Methods Sample comprised 131 participants diagnosed with T2D, mean [SD] age 62.3 [8.8]; 59.5% male. Mean time since diagnosis was 10.4 years. Assessments included: emotional distress (Problem Areas in Diabetes Scale; PAID); depression and anxiety (Hospital Anxiety and Depression Scale; HADS); mastery (Pearlin Mastery Scale); and empowerment (Diabetes Empowerment Scale – Short Form; DES-SF). Data were examined using SPSS: PROCESS a logistic regression-based path analytical framework for multiple mediator models. Results Regression coefficients for the model identified distress (b=−0.249, t(5,112)=−3.71, p&lt;0.001), empowerment (b=0.280, t(5,112)=3.02, p&lt;0.001) and depression (b=−0.980, t(5,112)=−5.73, p&lt;0.001) were all statistically significant predictors of mastery. The PROCESS model assessed ΔR2 as a result of the interaction between distress and depression, which indicated a significant increase (ΔR2=0.08) in variance explained due to the inclusion of both moderators: F(2,112)=16.88, p&lt;0.001, ΔR2=0.14. Also identified were interaction effect sizes: at low levels of empowerment, increasing depression led to increasing levels of distress predicting overall levels of mastery. This held true at moderate and high levels of empowerment; increasing levels of depression led to increasing distress predicting mastery. Conclusions These findings elucidate the impact of empowerment and depression on the association between distress and mastery in a diabetes cohort. The evidence suggests that the psychosocial interventions likely to have greatest impact on mastery are those that target key moderators such as empowerment and depression. Funding Acknowledgement Type of funding source: None


2021 ◽  
Author(s):  
Yemaya Halbrook ◽  
Aisling Therese O'Donnell ◽  
Rachel M. Msetfi

As social video games are increasing in popularity, it is important to understand how this can impact an individual’s social well-being, particularly during the COVID-19 crisis. We focus here on how the relationship one has with those they play video games with relates to social well-being. We further applied the self-determination theory to determine what role, if any, autonomy, competence, and relatedness play in this relationship. Results indicate that playing with ‘known others’ predicts the highest levels of social well-being when compared to playing with online acquaintances. Further, autonomy, competence, and relatedness all predict high levels of social well-being and mediate the relation between a player’s relationship to other players and social well-being. This suggests that social video gaming is beneficially linked to social well-being, but only when played with others with whom the gamer has a known relationship. Implications and future research are also discussed.


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