scholarly journals Associations of psychological distress with positive psychological variables and activities of daily living among stroke patients: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Xiaoxi Wang ◽  
Shengjie Shang ◽  
Huazhe Yang ◽  
Hua Ai ◽  
Yin Wang ◽  
...  
Keyword(s):  
Social Support ◽  
Psychological Distress ◽  
Activities Of Daily Living ◽  
Self Efficacy ◽  
Daily Living ◽  
Anxiety Symptoms ◽  
Stroke Survivors ◽  
Stroke Patients ◽  
Psychological Variables ◽  
Negatively Associated

Abstract Background Depression and anxiety result in psychological distress, which can further affect mental status and quality of life in stroke patients. Exploring the associations between positive psychological variables and symptoms of psychological distress following stroke is of great significance for further psychological interventions. Methods A total of 710 stroke patients from the five largest cities in Liaoning Province in China were enrolled into the present study in July 2014. All patients independently completed the questionnaires with respect to psychological distress and positive psychological variables. Depressive and anxiety symptoms were evaluated using Center for Epidemiologic Studies Depression Scale (CES-D) and Self-Rating Anxiety Scale, respectively. Positive psychological variables were evaluated using Perceived Social Support Scale, Adult Hope Scale (AHS), General Perceived Self-Efficacy Scale and Resilience Scale-14 (RS-14). Activities of Daily Living (ADL) was measured using Barthel Index. Factors associated with psychological variables and depressive and anxiety symptoms were identified using t-test, ANOVA, correlation and hierarchical linear regression analysis. Results Depressive and anxiety symptoms were present in 600 of 710 (84.51%) and 537 of 710 (75.63%) stroke patients enrolled, respectively. Social support (β = − 0.111, p < 0.001) and hope (β = − 0.120, p < 0.001) were negatively associated with both depressive and anxiety symptoms. Resilience (β = − 0.179, p < 0.001) was negatively associated with depressive symptoms. Self-efficacy (β = − 0.135, p < 0.001) was negatively associated with anxiety symptoms. Hierarchical regression analyses indicated that ADL accounted for 10.0 and 6.0% of the variance of depressive and anxiety symptoms, respectively. Social support, resilience, self-efficacy and hope as a whole accounted for 7.5 and 5.3% of the variance of depressive and anxiety symptoms. Conclusions The high frequency of depressive and anxiety symptoms among Chinese stroke survivors should receive attentions from all stakeholders. Findings suggested that intervention strategies on ADL, social support, hope, resilience and self-efficacy could be developed to improve psychosocial outcomes for stroke survivors.

Very early social support following mild stroke is associated with emotional and behavioral outcomes three months later

2016 ◽  
Vol 31 (1) ◽  
pp. 135-141 ◽  
Author(s):  
Marie Villain ◽  
Igor Sibon ◽  
Pauline Renou ◽  
Mathilde Poli ◽  
Joel Swendsen
Keyword(s):  
Social Support ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Daily Life ◽  
Depression Symptoms ◽  
Stroke Patients ◽  
Social Contacts ◽  
Mild Stroke ◽  
Ecological Momentary Assessments ◽  
Ecological Momentary

Objective: To investigate whether social contact and support received during hospitalization for acute ischemic stroke predict depression and daily life functioning three months later. Design: Prospective observational study using Ecological Momentary Assessments to evaluate the number of social contacts as well as social support received from family, friends and medical staff within 24 hours following admission for stroke. Patients also monitored depression symptoms and behavior in real-time and in daily life contexts three months later. Setting: A university hospital acute stroke unit. Subjects: Thirty-four mild ischemic stroke patients. Interventions: None. Main measures: One-day Ecological Momentary Assessments immediately following stroke collected information concerning perceived social support, number of social contacts and depression symptoms. Ecological Momentary Assessments was repeated three months later and addressed depression levels as well as activities of daily living, such as working, cooking, shopping and housework. Results: The number of social interactions received at hospitalization did not predict three-month outcomes. However, a better quality of moral support from friends and family immediately after stroke was associated with decreases in later depression levels ( p = 0.041) and increases in activities of daily living ( p = 0.011). Material support from friends and family was associated with increases in activities of daily living ( p = 0.012). No effect was observed for support received from medical staff. Conclusions: Patient perceptions of better support quality, and not quantity, immediately following mild stroke, are associated with better behavioral and emotional outcomes three months later.

The Association of Interpersonal Stress with Psychological Distress in Romania

2006 ◽  
Vol 11 (1) ◽  
pp. 39-49 ◽  
Author(s):  
Delia Bancila ◽  
Maurice B. Mittelmark ◽  
Jørn Hetland
Keyword(s):  
Social Support ◽  
Psychological Distress ◽  
Interpersonal Relationships ◽  
Self Efficacy ◽  
Daily Living ◽  
Structural Equation Models ◽  
Community Sample ◽  
Predictor Variables ◽  
Interpersonal Stress ◽  
Basic Premise

Data from a community sample in Romania are presented on how social support and stress in interpersonal relationships are related to psychological distress (depressive symptoms, anxiety, and loneliness). Other predictor variables in the study were stress from daily living, self-efficacy, age, and gender. An important feature was the inclusion of measures of positive and negative aspects of interpersonal relationships. Many studies emphasize either social support, or interpersonal stress, but rarely both. A random population-based sample of 1000 was drawn from age groups 25-29, 40-44 and 75-79. A study questionnaire was mailed to the sample. The analysis sample size was 581 (63 percent of the 922 persons located). The hypothesized relationships between the stressors, the resources, and psychological distress were examined using structural equation models. All the fit statistics indicated a good fit of the data to the model. The variance in psychological distress explained by the predictor variables was 0.83. There were no statistically significant age differences in the relationship between the predictors and psychological distress. Results confirm the study's basic premise, that social support influences psychological distress levels in a protective way, as does self-efficacy, while interpersonal stress and worries about daily living are significant predictors for elevated psychological distress. The study confirms the importance of including measures of positive and of negative social ties in studies of psychological distress in community samples.

scholarly journals Association between the social support for mothers of patients with eating disorders, maternal mental health, and patient symptomatic severity: A cross-sectional study

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Atsurou Yamada ◽  
Fujika Katsuki ◽  
Masaki Kondo ◽  
Hanayo Sawada ◽  
Norio Watanabe ◽  
...  
Keyword(s):  
Social Support ◽  
Eating Disorders ◽  
Eating Disorder ◽  
Psychological Distress ◽  
Self Efficacy ◽  
Maternal Mental Health ◽  
Self Esteem ◽  
Depression Symptoms ◽  
The Social ◽  
Distress Scale

Abstract Background Although caregivers of patients with eating disorders usually experience a heavy caregiving burden, the effects of social support on caregivers of patients with eating disorders are unknown. This study aimed to investigate how social support for mothers who are caregivers of patients with an eating disorder improves the mothers’ mental status and, consequently, the symptoms and status of the patients. Methods Fifty-seven pairs of participants were recruited from four family self-help groups and one university hospital in Japan. Recruitment was conducted from July 2017 to August 2018. Mothers were evaluated for social support using the Japanese version of the Social Provisions Scale-10 item (SPS-10), self-efficacy using the General Self-Efficacy Scale, loneliness using the University of California, Los Angeles Loneliness Scale, listening attitude using the Active Listening Attitude Scale, family functioning using the Family Assessment Device, depression symptoms using the Beck Depression Inventory (Second Edition), and psychological distress using the Kessler Psychological Distress Scale. Patients were evaluated for self-esteem using the Rosenberg Self-Esteem Scale, assertion using the Youth Assertion Scale, and their symptoms using the Eating Disorder Inventory. We divided the mothers and patients into two groups based on the mean score of the SPS-10 of mothers and compared the status of mothers and patients between the high- and low-scoring groups. Results High social support for mothers of patients with eating disorders was significantly associated with lower scores for loneliness and depression of these mothers. We found no significant differences in any patient scores based on mothers’ level of social support. Conclusions For patients with eating disorders, social support for a caregiver cannot be expected to improve their symptoms, but it may help prevent caregiver depression and loneliness.

scholarly journals Analysis of Medication Adherence and Its Influencing Factors in Patients with Schizophrenia in the Chinese Institutional Environment

2021 ◽  
Vol 18 (9) ◽  
pp. 4746
Author(s):  
Wei Yu ◽  
Jie Tong ◽  
Xirong Sun ◽  
Fazhan Chen ◽  
Jie Zhang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medication Adherence ◽  
Activities Of Daily Living ◽  
Influencing Factors ◽  
Self Efficacy ◽  
Daily Living ◽  
Institutional Environment ◽  
Factors Influencing ◽  
Quality Of Life Scale

Background: Factors related to medication adherence in patients with schizophrenia have always been key to the treatment and rehabilitation of these patients. However, the treatment modes in different countries are not the same, and there is no research on the factors influencing medication adherence under different mental health service modes. Objectives: The purpose of this study was to explore medication adherence and its influencing factors in patients with schizophrenia in the Chinese institutional environment. Methods: We conducted a cross-sectional study of hospitalized persons living with schizophrenia from November 2018 to January 2019. A systematic sampling method was used to select 217 hospitalized persons living with schizophrenia. The Medication Adherence Rating Scale (MARS), Positive and Negative Syndrome Scale (PANSS), General Self-Efficacy Scale (GSES), Schizophrenia Quality of Life Scale (SQLS), and Scale of Social Skills for Psychiatric Inpatients (SSPI) were used to explore medication compliance and its influencing factors in the Chinese institutional environment. Results: The descriptive analysis and ANOVA showed that there were no significant differences in medication adherence when assessed by demographic characteristics such as sex, marital status, and education level (p > 0.05). A correlation analysis showed that there was no significant correlation between medication adherence and mental symptoms (p > 0.05) but that there was a positive correlation with self-efficacy, quality of life, and activities of daily living (p < 0.01). The linear regression analysis showed that self-efficacy, psychosocial factors, symptoms/side effects, and activities of daily living had significant effects on medication adherence (F = 30.210, p < 0.001). Conclusions: Our findings show that the self-efficacy, quality of life, and social function of patients with schizophrenia are important self-factors influencing medication adherence in the Chinese institutional environment.

Increased intramuscular adipose tissue of the quadriceps is related to the decrease of activities of daily living in stroke patients

Nutrition ◽  
2021 ◽  
pp. 111277
Author(s):  
Naoki Akazawa ◽  
Masaki Kishi ◽  
Toshikazu Hino ◽  
Ryota Tsuji ◽  
Kimiyuki Tamura ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Stroke Patients ◽  
Intramuscular Adipose Tissue
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