766 Clinical Outcome Assessment of a Psychosocial Intensive Retreat for Girls with Severe Burns

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S217-S217
Author(s):  
Sarah A Stoycos ◽  
Ashley J Sammons ◽  
Lesia S Cartelli ◽  
Leigh Ann Price
Keyword(s):  
Identity Formation ◽  
Support Groups ◽  
Mental Health Professionals ◽  
Burn Injury ◽  
Psychosocial Care ◽  
Self Esteem ◽  
Psychological Inflexibility ◽  
Program Outcomes ◽  
Negatively Associated ◽  
Pediatric Burns

Abstract Introduction Burn camps and peer support groups are widely utilized for the psychosocial care of pediatric burn survivors, providing community and recreation. However, camps and support groups often do not involve psychological therapy to assist with potential distress. This abstract presents program development outcome assessments for an alternative approach to psychosocial care: a psychosocial intensive retreat for adolescent survivors of pediatric burns, led by trained mental health professionals, with group therapy interspersed with recreation. Methods A 6-day, residential psychosocial intensive was open to adolescent girls with disfiguring burns. Psychological assessments were administered for clinical utility at the start (T0) and end (T1) of the program and were used to guide programming. Assessments included: Posttraumatic Stress Checklist for DSM-5 (PCL), Satisfaction with Appearance Scale (SWAP), Rosenberg Self-Esteem Scale (RSES) and the Acceptance and Action Questionnaire (AAQ) measuring psychological inflexibility. Bivariate correlations and univariate t-tests were used to assess program outcomes. Results Fifteen girls (Mage = 16, SD = 2.04; Mageofburn = 6.64, SD = 5.40) attended. At T0, girls reported subclinical scores (PCL (M = 23.53, SD = 20.20, range 1–65); SWAP (M = 44.93, SD = 11.88); RSES (M = 27.28, SD = 5.76); AAQ (M = 20.71, SD = 9.64) with a subset of 5 reporting clinical distress on PCL. Therapeutic programming was adjusted to primarily focus on typically developing adolescent issues such as communication, boundaries, identity formation, and healthy relationships, with some burns-specific groups (grief and loss, social exposures). Those with clinically significant distress participated in trauma and affect regulation training. AAQ at T0 was negatively associated with RSES (r = -.78, p = .003) and positively associated with PCL scores (r = .82, p < .001). RSES was negatively associated with PCL (r = -.87, p < .001). SWAP was not associated with any measures. From T0 (M = 26.70, SD = 6.07) to T1 (M = 30.18, SD = 5.74) girls reported a significant increase in RSES, t(10) = -3.15, p = .01. As expected given low symptoms reported at T0, no other pre to post changes occurred. TBSA, time since burn and age were not associated with outcome variables. Conclusions Overall, girls suffered burn injury before the age of 7 and current symptom profiles replicated prior literature supporting subthreshold, long-term psychological morbidity for pediatric burns. A brief, 6 day psychosocial intensive may facilitate growth in self-esteem. Use of clinical assessments to inform programming is emphasized. Applicability of Research to Practice Psychosocial intensives that intersperse empirically-supported, assessment-driven therapeutic programming with social connection may be useful in increasing adolescent self-esteem for girls with a history of disfiguring burns.

A Personal Adaptation Group for Burn Injured Hospital Patients

1983 ◽  
Vol 12 (3) ◽  
pp. 237-242 ◽  
Author(s):  
Cal Vanderplate
Keyword(s):  
Mental Health Professionals ◽  
Burn Injury ◽  
Hospital Staff ◽  
Self Esteem ◽  
Emotional Reactions ◽  
Major Theme ◽  
Burn Patients ◽  
Adaptive Coping ◽  
Hospital Patients ◽  
Injured Patients

This article describes the first reported psychotherapeutic group for hospitalized burn patients. The rationale for the group is based upon an adaptive coping model. Issues typically dealt with in groups include feelings toward hospital staff, emotional reactions to treatments, and feelings concerning their burn injury. Body image and resultant self-esteem issues are a major theme. The importance of clinical services for burn injured patients and the involvement of mental health professionals in service delivery is emphasized.

Effect of Parental Modernity on Rejection Sensitivity and Self-Esteem of Adolescents

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Ritu ◽  
Madhu Anand
Keyword(s):  
Social Development ◽  
Rejection Sensitivity ◽  
Self Esteem ◽  
The Self ◽  
Negatively Associated ◽  
Individual Modernity ◽  
The Impact ◽  
The Relationship

Parental Modernity is an important aspect for the psycho-social development of the child. The present study aims to study the effect of parental modernity on rejection sensitivity and self-esteem of adolescents and the relationship between rejection sensitivity and self-esteem. The research is carried out on a sample of 240 parents (including 120 fathers and 120 mothers) and their 120 children. For observing the impact of modernity of parents on their children, Individual Modernity Scale was used and administered on father and mother. Rejection Sensitivity Questionnaire and Self-Esteem Inventory were used to measure the rejection sensitivity and self-esteem of children (age ranges from 14 to 19 years). The results suggest that parental modernity has an effect on the rejection sensitivity and personally perceived self of the self – esteem of adolescents. Furthermore, the rejection sensitivity has been found negatively associated with self-esteem.

scholarly journals 502 Adapting to COVID19: Can Virtual Burn Camp be as Impactful as Last Year’s In-person Camp?

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S98-S98
Author(s):  
Jessica Banks ◽  
Matt Ferdock ◽  
Jennifer Nagle
Keyword(s):  
Burn Injury ◽  
Summer Camp ◽  
Sense Of Self ◽  
Age Groups ◽  
Self Esteem ◽  
Summer Program ◽  
Critical Question ◽  
Camp Counselors ◽  
Positive Effects ◽  
Burn Survivors

Abstract Introduction Skin is not the only casualty following a burn accident. Many children suffer long term, debilitating emotional effects from their burn injury (Abdullah et al. 1994; Kornhaber et al. 2018). Armstrong-James et al. (2018) and Maslow and Lobato (2010) found that summer camps explicitly designed for burn survivor children can positively impact children’s adaptability to stares and comments and improve their sense of self-esteem. Camp Susquehanna has been a summer camp for burn survivors for the past 25+ years. When the COVID19 pandemic closed many businesses, we decided to transition our in-person camp to 100% online. Researchers demonstrated the positive effects of summer camp for burn survivors (Maslow & Lobato, 2010; Bakker et al. 2011). However, the effects of a 100% online camp are not known. Our concern was, are we able to transition and be as impactful as it is face to face at camp? What will the schedule and activities look like in this new format? How will we ensure all children participating will have access to online and the supplies necessary? Methods We opted to select a three-week format with two sessions a day divided into two age groups. We ensured every child had internet access then mailed out a “camp in the box.” It contained all the things needed for each planned activity. The critical question remained, however, will we be as impactful? The current research looks at quantitative and qualitative measures of self-esteem, happiness, and satisfaction following participation in a three-week summer program held in July 2020. We make comparisons to previous years’ results. The authors expected that self-esteem, happiness, and satisfaction levels matched or exceeded last years’ levels. Results We collected data from 42 campers and 22 volunteer camp counselors. Results show that campers were able to receive the support they needed, not only from the staff but also from their peers. Conclusions The delivery method was indeed different this year, but the positive effect on our campers remained the same.

Self-Esteem and Stress as Factors in Abuse of Children

1989 ◽  
Vol 65 (3_suppl2) ◽  
pp. 1259-1265 ◽  
Author(s):  
Karen A. Lawson ◽  
J. Ray Hays
Keyword(s):  
Sex Education ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Self Esteem ◽  
The Self ◽  
Personality Factors ◽  
Life Changes ◽  
Form Analysis ◽  
Significant Difference ◽  
Description Form

A comparison of stress and self-esteem as made between a group of 23 couples in treatment who had abused their children and 23 control couples who were matched for age, race, sex, education, and occupation. Stress was measured by the Recent Life Changes Questionnaire. Self-esteem was measured by a synthesis of 38 items selected by mental health professionals from the Clarke Parent/Child Relations Questionnaire and the Self-description and Mate Description Form. Analysis of variance showed that couples who had abused their children had significantly greater stress than control couples. However, there was no significant difference between the groups on the measure of self-esteem. There was also no interaction effect of stress with self-esteem on abuse. While it seems well established that stress is a major contributor in child abuse, the interaction of stress with personality factors of parents who abuse their children remains uncertain.

scholarly journals Help-seeking Following Termination of Pregnancy after Diagnosis of Fetal Anomaly: Womenʼs Intentions and Experiences 1 to 7 Years after the Event

2018 ◽  
Vol 78 (02) ◽  
pp. 160-166 ◽  
Author(s):  
Franz Hanschmidt ◽  
Rahel Hoffmann ◽  
Johanna Klingner ◽  
Anette Kersting ◽  
Holger Stepan
Keyword(s):  
Psychological Distress ◽  
Support Groups ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Help Seeking ◽  
Emotional Problems ◽  
Self Report ◽  
University Hospital ◽  
Fetal Anomaly ◽  
Current Psychological

Abstract Introduction Diagnosis of fetal anomaly and the difficult circumstances involved in the decision to terminate an affected pregnancy can go along with severe psychological distress. However, little is known about womenʼs help-seeking for emotional problems following an abortion after diagnosis of fetal anomaly. Methods 148 women who had been treated for abortion after diagnosis of fetal anomaly at the University Hospital Leipzig responded to self-report questionnaires 1 to 7 years after the event. Main outcomes were help-seeking intentions and actual help-seeking behavior. Logistic regression was used to explore the associations between participantsʼ sociodemographic characteristics and help-seeking intentions. Results Most women reported that they would seek help from their partner (91.7%), friends/family (82.8%) or the internet (62.2%). With regard to health services, 50.0% of women would seek help from gynecologists and between 43.8 and 47.9% from counseling services and mental health professionals. Intentions to seek help from support groups were lowest (21.7%). Age, income, region, and religion were associated with help-seeking intentions. Among participants with elevated levels of current psychological distress, 23.8% indicated that they had not discussed their emotional problems with a health service ever. Conclusion Gynecologists are among the most preferred health professionals for women to discuss psychological problems in the aftermath of an abortion after diagnosis of fetal anomaly. They should be actively involved in screening, diagnostic assessment, and referral of affected women.

Sexual Minorities and Spirituality

2021 ◽  
pp. 147-164
Author(s):  
Dinesh Bhugra ◽  
Cameron Watson ◽  
Susham Gupta
Keyword(s):  
Identity Formation ◽  
Mental Health Professionals ◽  
Coming Out ◽  
Health Professionals ◽  
Religion And Spirituality ◽  
Religious Attitudes ◽  
Number Of Factors ◽  
Bisexual And Transgender ◽  
The Individual ◽  
Lgbt Individuals

For some lesbian, gay, bisexual, and transgender (LGBT) individuals, organized religion can sometimes be a major source of stress and difficulty in identity formation and acceptance whereas others may find solace in it. Belonging to a religion and following it are different aspects of an individual, and often an important part of the culture they have been brought up in. One of the micro-identities for the individual is religion and associated rites, rituals, and taboos. Multiple micro-identities can play a major role in the smooth functioning of an individual. ‘Coming out’ is a process of self-validation and religious views of the individual and those around them can sometimes create major difficulties. Clinicians need to be cognizant of social and religious attitudes of their patients to their own sexuality and also to specific stages of coming out. It is likely that religion and spirituality can be both obstructive or facilitatory for LGBT individuals depending upon a number of factors including homophobia or transphobia related to strong religious views. Various tenets of religions are described briefly in this chapter and their attitudes to alternate sexuality or sexual variations referred to. An attempt is made to advise clinicians and other mental health professionals on how to engage with LGBT individuals. Spirituality can play a major role in some people’s lives even when they do not follow specific organized religions.

scholarly journals Participating in a support group: experience lived by women with breast cancer

2008 ◽  
Vol 16 (4) ◽  
pp. 733-738 ◽  
Author(s):  
Cleoneide Paulo Oliveira Pinheiro ◽  
Raimunda Magalhães da Silva ◽  
Marli Villela Mamede ◽  
Ana Fátima Carvalho Fernandes
Keyword(s):  
Breast Cancer ◽  
Breast Carcinoma ◽  
Support Groups ◽  
Support Group ◽  
Well Being ◽  
Self Esteem ◽  
Structured Interviews ◽  
The City ◽  
Group Experience ◽  
Differentiated Care

The goal of the study was to understand the meaning of support groups in the life of women with breast cancer. It is a qualitative study with 30 mastectomized women who belonged to six support groups in the city of Fortaleza, Ceará. Data were collected with semi-structured interviews, organized and analyzed based on the interactionism concept. The results characterized the support groups as a mechanism to cope with the situation and to overcome the suffering derived from the diagnosis and treatment of the breast carcinoma. The socialization of the experiences facilitated the search for assistance in the support groups, since sharing the problems with mastectomized women was a way to preserve a high self-esteem, have faith and overcome some difficulties. Participating in the group provided well-being and a differentiated care, since it was considered a way to know, accept and understand the disease and its cure, facilitating the socialization of ideas.

An Exploratory Study of Trolling in Online Video Gaming

2012 ◽  
Vol 2 (4) ◽  
pp. 17-33 ◽  
Author(s):  
Scott Thacker ◽  
Mark D. Griffiths
Keyword(s):  
Video Game ◽  
Exploratory Study ◽  
Online Survey ◽  
Online Gaming ◽  
Self Esteem ◽  
Psychological Research ◽  
Video Gaming ◽  
Online Video ◽  
Negatively Associated ◽  
Study Results

Despite the increased incidence of trolling within online gaming environments, very little psychological research has been conducted beyond the fact that it exists. The main aims of the study were to examine the: (i) frequency of trolling, (ii) type and reasons for trolling, and (iii) the effects trolling may have on self-esteem. Using an online survey, a self-selected sample of 125 gamers participated in the study. Results showed that trolls tended to play longer gaming sessions. Frequent trolls were significantly younger and male. Types of trolling included griefing, sexism/racism, and faking/intentional fallacy. Reasons for trolling included amusement, boredom, and revenge. Witnessing trolling was positively associated with self-esteem, whereas experiencing trolling was negatively associated. Experience of trolling was positively correlated with frequency of trolling. Although the study used a self-selecting sample, the results appear to provide a tentative benchmark into video game trolling and its potential effects on self-esteem.

scholarly journals Detecting alliance ruptures: the effects of the therapist’s experience, attachment, empathy and countertransference management skills

2019 ◽  
Vol 22 (1) ◽  
Author(s):  
Corinne Talbot ◽  
Rose Ostiguy-Pion ◽  
Esther Painchaud ◽  
Claudelle Lafrance ◽  
Jean Descôteaux
Keyword(s):  
Clinical Supervision ◽  
Clinical Experience ◽  
Mental Health Professionals ◽  
Personal Characteristics ◽  
Repair Process ◽  
Attachment Anxiety ◽  
Detection Ability ◽  
Negatively Associated ◽  
Alliance Rupture ◽  
Alliance Ruptures

Accurate alliance rupture detection is a prerequisite to any successful repair process. Despite its importance, however, rupture detection remains a struggle for most therapists. Supporting the existence of a therapist effect on therapy outcomes, rupture detection skills may rely on certain therapists’ personal characteristics. The aim of this study was to verify whether alliance rupture detection performance is related to therapists’ personal characteristics. One hundred and eight undergraduates, trainees and mental health professionals participated in an experimental task assessing their alliance rupture detection ability. Participants also completed attachment, empathy and countertransference management self-reported measures. Participants with clinical experience (trainees and professionals) reported more alliance ruptures, accurate or not, than those with no clinical experience (undergraduates). Trainees reported more accurate ruptures and less inaccurate ones than the two other groups. Attachment anxiety was positively associated with accurate ruptures detection for undergraduates, while this association proved negative for trainees and therapists. Perspective-taking, a cognitive dimension of empathy, was negatively associated with accurate rupture detection, whereas personal distress, an affective dimension of empathy, was negatively associated with accurate ruptures detection for trainees, and positively associated for undergraduates. Self-insight, a component of countertransference management, revealed a negative association with accurate rupture detection for trainees. These findings suggest that therapists vary as to their rupture detection ability and that this ability is related to certain personal characteristics. They also highlight the importance of specific training and clinical supervision for both trainees and experienced therapists in order to improve their detection ability.

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