Spirituality in patients with advanced illness: The role of symptom control, resilience and social network

2016 ◽  
Vol 21 (12) ◽  
pp. 2765-2774 ◽  
Author(s):  
Miguel Fombuena ◽  
Laura Galiana ◽  
Pilar Barreto ◽  
Amparo Oliver ◽  
Antonio Pascual ◽  
...  

In this study, we analyzed the relationships among clinical, emotional, social, and spiritual dimensions of patients with advanced illness. It was a cross-sectional study, with a sample of 108 patients in an advanced illness situation attended by palliative care teams. Statistically significant correlations were found between some dimensions of spirituality and poor symptomatic control, resiliency, and social support. In the structural model, three variables predicted spirituality: having physical symptoms as the main source of discomfort, resiliency, and social support. This work highlights the relevance of the relationships among spirituality and other aspects of the patient at the end of life.

2019 ◽  
Vol 9 (5) ◽  
pp. 269-275
Author(s):  
Vivi Silawati ◽  
Afrizal ◽  
Nursyirwan Effendi ◽  
Masrul ◽  
Retno Widowati ◽  
...  

Stress in women, before and during pregnancy, may result in a negative impact on the mother and fetus. In Indonesia, the anxiety rate in primigravida pregnant women when facing labor is higher than multigravida. Every pregnant woman makes an attempt to overcome or manage stress in her pregnancy in order to adapt and cope with stress. To find out the coping ability, pregnant women should find the source of stress prior to labor. This study was conducted to determine the direct and indirect factors affecting the coping ability in primigravida pregnant women. The study used a cross sectional study method through PLS analysis. The study population consisted of primigravida pregnant women, and a sample of 200 of them was taken. The measurement results of Path Coefficients and TStatistics on the influence of variables in the structural model and overall variables showed a positive and significant effect. The T statistic value of all variables was above the critical value (1.96). The results of the PLS test indicated that the empowerment and social support variables, directly and indirectly, influenced the coping abilities. Trust, personality, lifestyle, perceptions, and attitudes had impacts directly on the coping abilities. The percentage of the direct and indirect influence between variables was 97.92%. Empowerment, social support, personality, lifestyle, perceptions, and attitudes variables had an influence on the coping abilities of primigravida pregnant women. A controlled trial study should be done to see the impact of this model on reducing the risks during pregnancy.


2020 ◽  
Author(s):  
Leodoro J. Labrague ◽  
Cherry Ann Ballad

AbstractBackgroundThe lockdown measures imposed by many countries since the onset of the COVID-19 pandemic have been useful in slowing the transmission of the disease; however, there is growing concern regarding their adverse consequences on overall health and well-being, particularly among young people. To date, most studies have focused on the mental health consequences of the lockdown measures, while studies assessing how this disease control measure influences the occurrence of fatigue are largely absent.AimThe aims of this study are two-fold: (a) to examine the levels of lockdown fatigue, and (2) to determine the role of coping behaviours, personal resilience, psychological well-being and perceived health in fatigue associated to the lockdown measure.MethodsThis is an online cross-sectional study involving 243 college students in the Central Philippines during the sixth month of the lockdown measure implemented due to the COVID-19 pandemic. Five standardised scales were used to collect the data.ResultsOverall, college students reported moderate levels of lockdown fatigue, with a mean score of 31.54 (out of 50). Physical exhaustion or tiredness, headaches and body pain, decreased motivation and increased worry were the most pronounced manifestations of fatigue reported. Gender and college year were identified as important predictors of fatigue. Increased personal resilience and coping skills were associated with lower levels of lockdown fatigue.ConclusionCollege students experience moderate levels of fatigue during the mandatory lockdown or home confinement period. Resilient students and those who perceive higher social support experience lower levels of fatigue during the lockdown period compared to students with low resilience and social support. Lockdown fatigue may be addressed by formulating and implementing interventions to enhance personal resilience and social support among college students.


2020 ◽  
Vol 55 (6) ◽  
pp. 397-407
Author(s):  
Madihah Shukri ◽  
Mohd Azman Mustofai ◽  
Md Aris Safree Md Yasin ◽  
Tuan Sharipah Tuan Hadi

Objective The purpose of this study was to determine how burden and quality of life predict anxiety and depressive symptoms among caregivers of hemodialysis patients. Social support was included in the model as a proposed moderator in the above relationships. Methods This cross-sectional study involved 340 caregivers of chronic kidney patients undergoing hemodialysis. The setting was in Terengganu, Malaysia. The caregivers completed the measures of caregiving burden, quality of life, social support, and symptoms of anxiety and depression. Results About 28.8% and 52.4% of caregivers showed clinically moderate levels of anxiety and depressive symptoms, respectively. Furthermore, 35.9% and 3.8% of them showed clinically high levels of anxiety and depressive symptoms, respectively. Analyses showed that general quality of life was a significant predictor of both anxiety and depressive symptoms. Burden and psychological domains of quality of life significantly predicted anxiety. In addition, a lack of social support was a determinant of depressive symptoms. Evidence suggested that social support moderated the burden–anxiety relationship. Specifically, caregivers with low levels of social support showed more elevated levels of anxiety symptoms when their burden was higher. Conclusion There is an urgent need for early detection to initiate prompt treatment in this population. The study provides some important insights into offering comprehensive intervention to help caregivers cope more effectively through the provision of sufficient social support to buffer the effects of caregiving burden and improve mental health.


SAGE Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 215824402091796
Author(s):  
Iva Burešová ◽  
Martin Jelínek ◽  
Jaroslava Dosedlová ◽  
Helena Klimusová

In line with the current psychological approach to health in general, mental health is perceived not only as the absence of psychopathological disorders, but also the presence of well-being. The study contributes to the identification of possible sources affecting mental health in adolescence. This cross-sectional study focuses on the role of personality traits, dispositional optimism, and perceived social support in predicting mental health in adolescence. Mental health was assessed using Mental Health Continuum, personality traits using Big Five Inventory, dispositional optimism using Life Orientation Test—Revised and social support by Close Relationships and Social Support Scale. The research sample consisted of 1,239 respondents aged 12 to 19 years (mean age 15.56 years), 54.3% females and 45.7 % males. Sequential regression analysis revealed that demographic variables and personality characteristics together explained 33.5% of mental health variance, the strongest predictors being extraversion and neuroticism. Including dispositional optimism and perceived social support resulted in a significant increase of the explained variance. All predictors together explained 46.0% of the mental health variance.


2021 ◽  
Author(s):  
Xiaoyan Pang ◽  
Haiyan Dong ◽  
Lei Deng ◽  
Yi Zhang

Abstract BackgroundPatients with ovarian cancer (OC) often suffer from depressive symptoms, but there is little research on coping style such as perceived social support and resilience. The aim of the present study was to explore whether resilience plays a mediating role between perceived social support and depressive symptoms. MethodsA cross-sectional study was performed between August 2018 and March 2019. Perceived social support, resilience, and depressive symptoms were measured with the Multi‐dimensional Scale of Perceived Social Support (MSPSS), the Center for Epidemiologic Studies-Depression (CES-D) scale and the Connor‐Davidson Resilience Scale (CD‐RISC). Hierarchical linear regression analyses were used to assess the mediating role of resilience between these variables. ResultsOf 230 consecutive patients identified, a total of 217 completed questionnaires. After controlling for covariates, perceived social support was negatively correlated with depressive symptoms (β = -0.482, p < 0.01) and explained 22.8% of the variance. In addition, after controlling for covariates and perceived social support, resilience was also negatively associated with depressive symptoms (β = -0.492, p < 0.01) and explained 18.1% of the variance. Bootstrapping test confirmed that the BCa 95% CI for resilience excludes 0 in Table 4 (BCa95% CI: -0.342, -0.143), therefore resilience partially mediated the associations of perceived social support with depressive symptoms. ConclusionsResults revealed that resilience could mediate the association between social support and depressive symptoms, and concluded that it was critical to focus on social support as well as resilience in the management strategy of OC.


2021 ◽  
Vol 26 ◽  
pp. 1-9
Author(s):  
Rodrigo Wiltgen Ferreira ◽  
Marlos Rodrigues Domingues

The study aims to evaluate the association between social support from partners (SSP) and physica activity (PA) levels. A cross-sectional study conducted in 26 gyms (n = 390) from Pelotas, Rio Grande do Sul, Brazil. Methods: PA was measured using questions about frequency/duration of PA performed at the gym and elsewhere and analyzed as numerical and dichotomized (median). SSP was measured using a validated questionnaire and analyzed in quartiles. Respectively, Linear and Poisson regression were used to assess the associations. SSP was associated with PA in both analyses. Persons belonging to the highest SSP quartile performed 66.1 (95%CI: 11.1 - 121.0) more minutes of PA and had 1.37 (95%CI: 1.01 – 1.85) higher probability to perform more than 300 min/week of PA than those from the lowest SSP quartile. SSP was associated with PA, researchers must consider the potential of SSP when targeting PA behavioral changes.


2019 ◽  
Vol 50 (15) ◽  
pp. 2587-2598 ◽  
Author(s):  
Jude Mary Cénat ◽  
Kevin Smith ◽  
Catherine Morse ◽  
Daniel Derivois

AbstractBackgroundIn 2010, an important earthquake devastated Haiti and caused thousands of deaths. In a social context where women are particularly vulnerable, this cross-sectional study examined the associations between sexual assaults experienced by women before the earthquake, the earthquake exposure, the traumatic consequences, and their satisfaction of social support received.MethodsA total of 660 women aged 18 to 86 completed questionnaires assessing exposure to the earthquake, sexual assault victimization, peritraumatic distress, Posttraumatic stress disorder (PTSD), depression, and social support. A moderated moderation model was computed to examine associations between exposure to the earthquake, sexual assault, social support, and traumatic consequences.ResultsResults showed that 31.06% of women were victims of sexual assault before the earthquake. They presented higher prevalence of peritraumatic distress, PTSD, and depression symptoms, compared to non-victims. The moderated-moderation model showed that sexual assault and exposure to the earthquake were positively associated with traumatic consequences (respectively, B = 0.560, p < 0.001; B = 0.196, p < 0.001), while social support was negatively associated with them (B = −0.095, p < 0.05). Results showed a triple interaction: women victim of sexual assault who were satisfied with received social support are less likely to develop traumatic consequences after being exposed to the earthquake(B = −0.141, p < 0.01).ConclusionsBy demonstrating the role of sexual assault in the development of mental health problems after the Haitian earthquake, this study shows the importance for clinicians to investigate interpersonal trauma experienced before or following natural disasters among survivors. Results also indicate the key role of family and communities to help survivors build resilience and coping strategies with their social support.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Alfredo Copertaro ◽  
Massimo Bracci ◽  
Nicola Manzella ◽  
Mariella Barbaresi ◽  
Benedetta Copertaro ◽  
...  

Social support has been supposed to have a positive impact on the function of the immune system. However, the relationship between perceived social support and immune function has not yet been fully investigated. In this cross-sectional study, we investigated the link between perceived social support and lymphocyte subpopulations and cytokines. 232 healthy subjects provided a blood sample and completed the Multidimensional Scale of Perceived Social Support (MSPSS) questionnaire. Lymphocyte immunophenotypes and cytokines were determined. Significantly increased CD8+CD57+ lymphocytes and TNF-αlevels were found in group with low perceived social support. Multivariate linear regression corrected for possible confounders confirmed a significant role of perceived social support in predicting the number of CD8+CD57+ lymphocyte and TNF-αlevels. This study supports the association between perceived social support and immune function. In particular, poor social support may be related to a state of chronic inflammation sustained by CD8+CD57+ lymphocyte expansion and increased TNF-αlevels.


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