Diagnosis concealment is associated with psychosocial outcomes in persons with multiple sclerosis

2022 ◽  
pp. 135245852110704
Author(s):  
Anne Kever ◽  
Claire S Riley ◽  
Victoria M Leavitt
Keyword(s):  
Multiple Sclerosis ◽  
Social Support ◽  
Self Efficacy ◽  
Psychosocial Outcomes ◽  
Psychological Support ◽  
Self Report ◽  
Negative Consequences ◽  
Support Strategies ◽  
Psychosocial Consequences ◽  
Lower Social Support

Persons with multiple sclerosis (pwMS) frequently conceal their diagnosis, fearing professional and personal repercussions of disclosing. Associations of concealment behavior and expected consequences of disclosure with psychosocial outcomes were examined in 90 pwMS who completed validated self-report measures of diagnosis concealment, loneliness, social support, and self-efficacy. More frequent concealment was related to worse loneliness ( rp = 0.213, p = 0.045) and lower social support ( rp = −0.211, p = 0.047), controlling for depression. Higher anticipated negative consequences of disclosure were associated with worse loneliness ( rp = 0.263, p = 0.013), lower social support ( rp = −0.338, p < 0.001), and lower self-efficacy ( rp = −0.350, p < 0.001). Findings hold implications for the development of psychological support strategies addressing concealment/disclosure issues and their psychosocial consequences.

scholarly journals Depression Differentially Predicts Quality of Life at levels of Self-Efficacy and Social Support in Cardiovascular Patients

2020 ◽  
Vol 4 (1) ◽  
pp. 01-06
Author(s):  
Shameem Fatima
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Self Efficacy ◽  
Perceived Social Support ◽  
Self Report ◽  
Poor Predictor ◽  
Government Sector ◽  
Cardiovascular Patients ◽  
Negative Predictor

Objective: The objectives of the study were twofold: i) to assess whether depression independently predicts four quality of life (QOL) domains in CVD patients; and ii) whether depression interacts with self-efficacy and perceived social support to predict QOL domains among cardiovascular diseases (CVD) patients. Methods: Participants were 174 CVD patients taken from three major government sector hospitals of Lahore who were assessed on self-report measures of depression, self-efficacy, social support and QOL. Results: It was found that depression was a significant negative predictor of all four QOL domains among CVD patients. Furthermore, results from regression analysis demonstrated that depression significantly interacted with self-efficacy to predict physical and environmental QOL. Additionally, depression interacted with social support to physical and social QOL. Specially, depression was a stronger negative predictor of QOL domains at lower levels of self-efficacy and social support while it was a poor predictor at higher levels of self-efficacy and support. Conclusion: It was concluded that social support and self-efficacy act as buffering factors against devastating effects of depression on QOL among CVD patients.

Empathic abilities and their mediators in Tunisian psychiatry trainees

2020 ◽  
Vol 15 (6) ◽  
pp. 317-330
Author(s):  
Bochra Nourhene Saguem ◽  
Zeineb Bouzaâbia ◽  
Amel Braham ◽  
Selma Ben Nasr
Keyword(s):  
Social Support ◽  
Emotion Regulation ◽  
Perspective Taking ◽  
Self Efficacy ◽  
Empathic Concern ◽  
Self Report ◽  
Reactivity Index ◽  
Professional Activity ◽  
Personal Distress ◽  
Content Type

Purpose The purpose of this paper was to assess empathy dimensions in Tunisian psychiatry trainees and to evaluate their relationship with relevant professional and extra-professional factors. Design/methodology/approach An online questionnaire survey was administered to the psychiatry trainees affiliated in the four faculties of medicine of Tunisia (n = 120). It comprised, in addition to sociodemographic and professional variables, the interpersonal reactivity index, a multidimensional instrument that evaluates perspective taking, empathic concern, personal distress and fantasy. Other self-report measures were used to assess emotion regulation, social support and self-efficacy. Data were analyzed using Statistical Package for Social Sciences. Findings The response rate was 71%. Descriptive statistics showed that personal distress’ scores were lower than the other empathy dimensions’ scores. Perspective taking scores were negatively correlated with emotion regulation difficulties. Personal distress scores were positively correlated with emotion regulation difficulties. Hierarchical regression analysis revealed that being an only child significantly contributed to perspective taking and having an extra-professional activity significantly contributed to less personal distress. Perceived stress, social support and having a master’s degree were significant predictors for empathic concern. Self-efficacy was a significant predictor of perspective taking, with emotion regulation difficulties mediating this relationship. Practical implications Interventions dedicated to improve psychiatry trainees’ empathy should focus not only on clinical practice and medical education but also on emotional support and recovery activities. Originality/value A unique feature of this study is the investigation of the potential impacts of emotion regulation difficulties and perceived self-efficacy on empathic abilities of psychiatry trainees.

scholarly journals Effectiveness of a Postpartum Text Message Program (Essential Coaching for Every Mother) on Maternal Psychosocial Outcomes: Protocol for a Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Justine Dol ◽  
Megan Aston ◽  
Douglas McMillan ◽  
Gail Tomblin Murphy ◽  
Marsha Campbell-Yeo
Keyword(s):  
Social Support ◽  
Randomized Controlled Trial ◽  
Postpartum Depression ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Text Message ◽  
Psychosocial Outcomes ◽  
Control Group ◽  
Depression And Anxiety ◽  
Randomized Controlled

BACKGROUND Women experience changes both physically and psychologically during their transition to motherhood. The postnatal period is a critical time for women to develop maternal self-efficacy. Mobile health interventions may offer a way to reach women during this critical period to offer support and information. Essential Coaching for Every Mother is a text message program that seeks to educate and support women during the first 6 weeks postpartum. OBJECTIVE The primary effectiveness objective is to compare the effectiveness of the Essential Coaching for Every Mother program on maternal psychosocial outcomes (self-efficacy, social support, postpartum depression, and postpartum anxiety) immediately after the intervention and 6 months postpartum, collectively as well as stratified by parity. The primary implementation objective is to evaluate the implementation extent and quality of the Essential Coaching for Every Mother program. METHODS This will be a hybrid type 1 effectiveness-implementation randomized controlled trial. A total of 140 mothers-to-be or new mothers from Nova Scotia will be recruited and randomized to the intervention or control arm, stratified by parity. The intervention arm will receive the Essential Coaching for Every Mother program, which consists of 53 messages sent twice a day for the first 2 weeks and daily for weeks 3 through 6. The control group will receive usual care. Messages are personalized based on the infant’s age and the woman’s self-selected preference for breastfeeding or formula feeding and tailored with the infant’s name and gender. Women can enroll in the program if they are ≥37 weeks pregnant or within 10 days postpartum, with the first message designed to be sent on the second evening after birth. The actual number of messages received will vary based on the timing of enrollment and the infant’s date of birth. Participants will complete questionnaires assessing self-efficacy, social support, and postpartum depression and anxiety at baseline (enrollment after birth) and 6 weeks (postintervention) and 6 months postpartum. Implementation data will be collected throughout the trial, and evaluation feedback will be collected at 6 weeks from women who received the intervention. RESULTS Recruitment for this study started on January 5, 2021, and is currently ongoing, with an anticipated date of recruitment completion of January 2022. CONCLUSIONS This study will assess the effectiveness of a postpartum text message program to improve maternal self-efficacy and social support while decreasing postpartum depression and anxiety. It will also shed light on the implementation effectiveness of the program. CLINICALTRIAL ClinicalTrials.gov NCT04730570; https://clinicaltrials.gov/ct2/show/NCT04730570 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/27138

scholarly journals Relationship among anxiety, depression, social and self-efficacy in night-shift nurses

2021 ◽  
Keyword(s):  
Social Support ◽  
Self Efficacy ◽  
Night Shift ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Emotional Status ◽  
Negative Effects ◽  
Regression Effects ◽  
Lower Social Support ◽  
Anxiety Depression

Night shift disturbs normal circadian rhythm, thus leads to several psychological problems. We aim to investigate the anxiety, depression, social support and self-efficacy of night-shift nurses compared with day-shift nurses and explore the association between emotional status and social support as well as the combined influence of social support and self-efficacy on emotional status. We conducted this quantitative comparative study in a hospital from January 1, 2019 to August 31, 2020, using the Hospital Anxiety and Depression Scale (HADS), Perceived Social Support Scale (PSSS), and General Self-Efficacy Scale (GSES). The HADS-A and HADS-D scores were higher for the night-shift nurses than for the day-shift nurses (7.38 ± 3.228 vs. 5.81 ± 3.180 and 6.79 ± 3.444 vs. 5.43 ± 3.155, respectively, P < 0.01). The family support, friend support, other support and total social support scores were lower for the night-shift nurses than for the day-shift nurses. In both groups, these scores were lower for nurses with suspected anxiety than for those without anxiety (61.16 ± 12.208 vs. 66.35 ± 9.976, P < 0.01) and were lower for nurses with suspected depression than for those without depression (59.91± 11.606 vs. 66.77 ± 10.320, P < 0.01). The item scores, total scores and total mean score for the night-shift nurses were significantly lower than those for the day-shift nurses (P < 0.01). Social support and self-efficacy had noticeable regression effects on nurses’ anxiety and depression, and both variables had significant negative effects on anxiety and depression. This study suggests that night-shift nurses may have higher anxiety and depression than day-shift nurses. Nurses with suspected anxiety and depression nurses may have lower social support than those without anxiety and depression.

scholarly journals Self-control Mediates the Relationship between Psychosocial Strengths and Perceived Severity of COVID-19 among Frontline Healthcare Professionals of Pakistan: A Single Center Experience

2020 ◽  
Vol 36 (COVID19-S4) ◽  
Author(s):  
Muhammad Saleem ◽  
Saima Dastgeer ◽  
Areeha Khan Durrani ◽  
Abubakr Ali Saad ◽  
Zubair Manzoor ◽  
...  
Keyword(s):  
Social Support ◽  
Self Efficacy ◽  
Healthcare Professionals ◽  
Self Control ◽  
Self Report ◽  
Medical Professionals ◽  
Single Center ◽  
Perceived Severity ◽  
Single Center Experience ◽  
The Relationship

Objective: To examine the relationship between psychosocial strengths (resilience, self-efficacy beliefs and social support) and perceived severity of COVID-19 and also to gauge the mediating role of self-control among frontline health care professionals of Pakistan. Methods: A cross-sectional research design was utilized from March to April 2020 from one medical teaching hospital of South Punjab. As it was a single center experience so all the doctors were approached and asked to participate in this research. In total, 284 doctors (out of 300 approx.) completed online survey. The data were collected through online google forms consisting of self-report measures i.e. Brief Resilience Scale, Short General Self Efficacy Scale, Brief Scale for Social Support, Risk Behavior Diagnostic Scale and Brief Self-Control Scale. Results: The results were analyzed by using SmartPLS (3.0), direct effect of psychosocial strengths on perceived severity of COVID-19 and indirect effect of self-control were assessed through path coefficients, t-values and r-square values. The results confirmed that there was significant negative relationship between psychosocial strengths and perceived severity of COVID-19 (β = -0.854, t =14.279) with 72% variance in perceived severity due to psychosocial strengths. Further, the results also suggest that self-control proved significant mediator between psychosocial strengths and perceived severity (β = -0.604, t = 11.004, variance in perceived severity is 74%). Conclusion: In the time of pandemic, medical professionals are working as frontline force and can have several uncertainties regarding the risk associated with outbreak of COVID-19. This study concludes psychosocial strengths can play a significant role in subsiding the risk associated with severity of disease. Whereas, self-control can significantly contribute to buffer the negative influence of COVID-19 among frontline medical professionals. In line with findings of this study, there is a dire need to initiate psychotherapeutic studies for medical professionals to boost up their psychosocial strengths that would make them resilient against COVID-19. doi: https://doi.org/10.12669/pjms.36.COVID19-S4.2662 How to cite this:Saleem M, Dastgeer S, Durrani AK, Saad AA, Manzoor Z, Hussain HN. Self-control Mediates the Relationship between Psychosocial Strengths and Perceived Severity of COVID-19 among Frontline Healthcare Professionals of Pakistan: A Single Center Experience. Pak J Med Sci. 2020;36(COVID19-S4):---------. doi: https://doi.org/10.12669/pjms.36.COVID19-S4.2662 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Social-Emotional Profile of Children with and without Learning Disabilities: The Relationships with Perceived Loneliness, Self-Efficacy and Well-Being

2020 ◽  
Vol 17 (20) ◽  
pp. 7358
Author(s):  
Tali Heiman ◽  
Dorit Olenik-Shemesh
Keyword(s):  
Social Support ◽  
High School Students ◽  
Indirect Effects ◽  
Self Efficacy ◽  
Structural Equation ◽  
Well Being ◽  
Self Report ◽  
Equation Modeling ◽  
Social Emotional ◽  
School Students

The current study examined whether perceived social support mediated the effects of loneliness and self-efficacy on well-being among students with or without a learning disability (LD). Participants included 834 elementary, middle, and high school students from Israel (29.6% students with LDs) who completed self-report questionnaires. The results of structural equation modeling indicate that social support mediates the indirect effects of age, gender, loneliness and self-efficacy on well-being. In addition, the results show differences between groups, as non-LD girls noted a higher self-efficacy and well-being than boys, and well-being had indirect effects in the non-LD group than in the LD group. These results indicate students with LDs have a unique social-emotional profile that affects their well-being. The study highlights the importance of enhancing self-efficacy and reducing loneliness in order to increase social support, thus predicting positive well-being. Effective and practical educational programs are needed for both groups across age and gender.

Type a Behavior, Social Support, Stress, and Physical and Psychological Well-Being among Japanese Women

1998 ◽  
Vol 83 (2) ◽  
pp. 711-717 ◽  
Author(s):  
Katsunori Sumi
Keyword(s):  
Social Support ◽  
College Students ◽  
Type A ◽  
Well Being ◽  
Type A Behavior ◽  
Self Report ◽  
Female College Students ◽  
Psychological Well Being ◽  
Japanese Female ◽  
Lower Social Support

The present study examined the relationships among self-report scores for Type A behavior, social support, and stress, and those for physical and psychological well-being among 152 Japanese female college students. Significant interactions were found between scores for Type A behavior and social support, indicating that individuals who report higher Type A behavior as well as higher social support tended to rate their physical and psychological well-being higher than those who reported higher Type A behavior but lower social support.

Why do they do it? Assessing self-report physical activity behavior and quality of life in individuals with multiple sclerosis

2017 ◽  
Vol 25 (7) ◽  
pp. 964-975 ◽  
Author(s):  
Kimberly S Fasczewski ◽  
Sara M Rothberger ◽  
Diane L Gill
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Multiple Sclerosis ◽  
Self Efficacy ◽  
Physical Activity Behavior ◽  
Self Report ◽  
Physical Activity Interventions ◽  
Activity Behavior

Physical activity has been shown to effectively aid multiple sclerosis symptom management; however, individuals with multiple sclerosis tend to be inactive physically. Developing effective, sustainable, physical activity interventions involves first understanding motivators for physical activity. Open-ended surveys exploring physical activity motivators were collected from 215 individuals with multiple sclerosis. Responses indicate that self-efficacy and internalized motivation derived from physical activity outcomes were motivators for physical activity, and physical activity was cited as increasing overall quality of life. Future physical activity interventions should incorporate methods for building self-efficacy for physical activity and focus on increasing awareness of the long-term physical benefits derived from physical activity.

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