Stress and Burnout in Neurology

2020 ◽  
pp. 4-35
Author(s):  
Marsha W. Snyder

Stress and burnout are epidemic in medicine in general and neurology in particular. This has resulted in a healthcare crisis because burned-out physicians are subject to multiple adverse personal outcomes and are more likely to make mistakes in their work. The seeds of this crisis are found in the earliest stages of medical education and acculturation. Resilience is produced by a set of cognitive skills that can be taught and nurtured, building on a strengths-based rather than a deficit-based approach. Positive health and well-being is built on positive affect, engagement, positive relationships, meaning, and accomplishment (PERMA for short) according to the formulation of Martin Seligman, the father of positive psychology. PERMA and positive psychology form the framework for combating stress and burnout in neurology.

2017 ◽  
Author(s):  
Gabriel Marais ◽  
Rebecca Shankland ◽  
Pascale Haag ◽  
Robin Fiault ◽  
Bridget Juniper

In France, little data are available on mental health and well-being in academia, and nothing has been published about PhD students. From studies abroad, we know that doing a PhD is a difficult experience resulting in high attrition rates with significant financial and human costs. Here we focused on PhD students in biology at university Lyon 1. A first study aimed at measuring the mental health and well-being of PhD students using several generalist and PhD-specific tools. Our results on 136 participants showed that a large fraction of the PhD students experience abnormal levels of stress, depression and anxiety, and their mean well-being score is significantly lower than that of a British reference sample. French PhD student well-being is specifically affected by career uncertainty, perceived lack of progress in the PhD and perceived lack of competence, which points towards possible cultural differences of experiencing a PhD in France and the UK. In a second study, we carried out a positive psychology intervention. Comparing the scores of the test and control groups showed a clear effect of the intervention on reducing anxiety. We discuss our results and the possible future steps to improve French PhD students’ well-being.


Author(s):  
Melissa R. Marselle ◽  
Sarah J. Lindley ◽  
Penny A. Cook ◽  
Aletta Bonn

Abstract Purpose of review Biodiversity underpins urban ecosystem functions that are essential for human health and well-being. Understanding how biodiversity relates to human health is a developing frontier for science, policy and practice. This article describes the beneficial, as well as harmful, aspects of biodiversity to human health in urban environments. Recent findings Recent research shows that contact with biodiversity of natural environments within towns and cities can be both positive and negative to human physical, mental and social health and well-being. For example, while viruses or pollen can be seriously harmful to human health, biodiverse ecosystems can promote positive health and well-being. On balance, these influences are positive. As biodiversity is declining at an unprecedented rate, research suggests that its loss could threaten the quality of life of all humans. Summary A key research gap is to understand—and evidence—the specific causal pathways through which biodiversity affects human health. A mechanistic understanding of pathways linking biodiversity to human health can facilitate the application of nature-based solutions in public health and influence policy. Research integration as well as cross-sector urban policy and planning development should harness opportunities to better identify linkages between biodiversity, climate and human health. Given its importance for human health, urban biodiversity conservation should be considered as public health investment.


2010 ◽  
Vol 31 (8) ◽  
pp. 1065-1080 ◽  
Author(s):  
Thomas A. LaVeist ◽  
Tia L. Zeno ◽  
Ruth G. Fesahazion

This article explores the effects of being raised by married parents during childhood on health and well-being in adolescence and young adulthood in a longitudinal sample of African Americans. This study aims to address the following three questions: Does childhood with married patients lead to better health and well-being during adolescence? Does childhood with married patients lead to better health and well-being in young adulthood? Do the health effects of childhood with married patients differ for male and female? The authors found modest direct effects of childhood exposure to marriage on health for females. Having at least some childhood marriage exposure was also associated with several positive health behaviors. There is modest evidence that marriage bestows health benefits for children and that these benefits endure into young adulthood.


2017 ◽  
Vol 2 (4) ◽  
pp. 200-214 ◽  
Author(s):  
Albert Lee ◽  
Robin Man-biu Cheung

Purpose The purpose of this paper is to analyze how professional cultures in schools and school systems could improve the well-being of students, with a particular emphasis on teacher-health partnerships, which would not naturally occur without a specific intentional intervention. Implemented with a whole-school approach, the Health Promoting School (HPS) is one of the most effective intentional interventions to achieve improvements in both the health and educational outcomes of students through the engagement of key stakeholders in education and health to create a healthy physical/psycho-social environment. This paper emphasizes collaboration and the building of professional cultures in schools that share collective responsibility for the whole student. Design/methodology/approach Student outcomes in schools should include both academic and health and well-being outcomes that promote positive pathways throughout adulthood. This paper connects HPS research with policy analysis drawing on Hong Kong’s unique context as being at the top of the PISA rankings and striving toward a positive health culture and well-being in its schools. Findings Evidence has been gathered extensively about what schools actually do in health promotion using the HPS framework. The HPS framework has served to assist schools and authorities to concentrate on the gaps and affirm best practices. This paper also reports how teachers have created a professional and collegial community with health partners to address outbreaks of infectious diseases in schools and obesity in students. Practical implications The concept of HPS can serve as an ecological model to promote the positive health and well-being of students, fostering their personal growth and development, and as an alternate model for school improvement. Social implications This paper has highlighted that structured school health programs such as HPS could have positive effects on educational outcomes, while also changing professional cultures and communities in schools with an emphasis on students’ physical health, emotional health, social health, or spiritual health. The Assessment Program for Affective and Social Outcomes is used as a tool by schools in Hong Kong, reflecting the affective and social developments of the students in the school under review as a whole, and how they relate to the school. It resembles the core areas of action competencies, and school social environment; the two key areas of HPS. Originality/value Hong Kong is often analyzed from an educational rankings perspective. However, it offers broader lessons on educational change, as it has in recent years emphasized dual goals in student outcomes and professional communities – the importance of whole student health and well-being as a both a precursor and key component to the educational outcomes schools seek. Globally, very few schools are able to implement HPS in its entirety. Continuing development of HPS in Hong Kong would add value to international literature in terms of which types of data would influence adoption of HPS in which types of school and policy contexts.


Author(s):  
Douglas L. Kelley ◽  
Bianca M. Wolf ◽  
Shelby E. Broberg

Research on forgiveness and its health-related effects has steadily increased since the late 20th century. Most of the forgiveness-health literature demonstrates that forgiveness indirectly influences health through a variety of psychosocial affective factors. Common distinctions in this research are reflected in studies focused on reduction of negative affect and, thus, negative health effects, and studies focused on preventative and health-promoting implications of forgiveness (e.g., increased positive affect). While a lack of clarity exists regarding health implications stemming from reductions in unforgiveness (as distinct from increases in forgiving responses), current research supports the notion that forgiveness, as opposed to unforgiveness, affects psychological, physical, and relational health in overridingly beneficial ways. More specifically, forgiveness, and/or the moderation of unforgiveness, is associated with the exhibition of positive affect (e.g., sympathy, empathy, and optimism), improved self-esteem, higher life satisfaction, and better mental health ratings. Physical health effects of forgiveness include enhanced bioregulation in response to transgression stressors, as well as better self-rated health status and the exhibition of positive health behaviors. Limitations in the current literature most commonly relate to disparate definitional, methodological, and interpretative issues typical of transdisciplinary forgiveness and health research. Current trends and future directions for forgiveness-health research include consideration of additional variables thought to be associated with forgiveness processes, including religiosity, empathy, and social support. Additionally, research that focuses on communicative and relational aspects of health and well-being is warranted. Suggestions for research opportunities in forgiveness-health research framed by a communicative lens are offered.


Environments ◽  
2019 ◽  
Vol 6 (4) ◽  
pp. 43 ◽  
Author(s):  
Taff ◽  
Benfield ◽  
Miller ◽  
D'Antonio ◽  
Schwartz

Parks and protected areas are recognized for the important ecosystem services, or benefits, they provide society. One emerging but understudied component is the cultural ecosystem services that parks and protected areas provide. These cultural ecosystem services include a variety of benefits, such as cultural heritage, spiritual value, recreation opportunities, and human health and well-being. However, many of these services can only be provided if people visit these parks and protected areas through tourism opportunities. However, with this tourism use comes a variety of inevitable resource impacts. This current research connects potential impacts from tourism in parks and protected areas to the health and well-being aspect of cultural ecosystem services. We used an MTurk sample to record affective responses across a range of resource conditions. Results demonstrate that as tourism-related ecological impacts increased, positive affect decreased. Decreases in positive affect were more severe for park and protected area scenes featuring informal and/or undesignated social trails when compared to scenes with increasing levels of trampling/vegetation loss. Collectively, the results show that managing tourism in parks and protected areas in a manner that reduces impact is essential to providing beneficial cultural ecosystem services related to human health and well-being.


2014 ◽  
Vol 10 (3) ◽  
pp. 557-570 ◽  
Author(s):  
Nadia Brittany Maiolino ◽  
Nicholas A. Kuiper

In this study we investigated how individual differences and personality constructs taken from the positive psychology and humor domains of psychology may play an important role in psychological well-being. Participants completed measures assessing trait gratitude, savoring, and humor styles; along with several positive and negative indicators of psychological well-being (e.g., life satisfaction, positive affect, depression, and anxiety). We first examined the degree of empirical and conceptual overlap among the personality constructs from these two domains. Here, we found that higher levels of gratitude and savoring were associated with higher levels of self-enhancing and affiliative humor, whereas higher levels of aggressive and self-defeating humor were primarily associated with lower levels of gratitude. Subsequent regression analyses indicated that the positive psychology construct of gratitude was predictive of several different indices of positive and negative well-being, whereas savoring was most predictive of greater positive affect. In addition, these regression analyses also revealed that the humor styles of self-enhancing and self-defeating humor provided a significant increase in the prediction of several positive and negative indices of well-being, above and beyond the effects attributable to the positive psychology constructs alone. These findings were then discussed in terms of developing a broader and more integrated theoretical approach to the understanding of psychological well-being.


2020 ◽  
pp. 140349482090140
Author(s):  
Charlotta Nilsen ◽  
Ross Andel ◽  
Neda Agahi ◽  
Johan Fritzell ◽  
Ingemar Kåreholt

Aims: Leisure activity helps people engage with life, and it promotes health and well-being as we age. This study investigated whether individuals with active jobs (high psychological demands, high control) in mid-life were more active during leisure time in old age compared with those with less active jobs. Methods: Two individually linked Swedish surveys were used ( N=776) with 23 years of follow-up. Data were analysed with logistic regression. Results: Having an active job in mid-life was associated with greater engagement in intellectual/cultural, social and physical activity in old age, even when leisure activity in mid-life was taken into account. Conclusions: The results suggest that active jobs in mid-life may be replaced by active leisure during retirement. Active job conditions may promote engagement in society in old age, which in turn may have positive health consequences.


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