Psychosocial problems among survivors of Hodgkin's disease.

1986 ◽  
Vol 4 (5) ◽  
pp. 805-814 ◽  
Author(s):  
P Fobair ◽  
R T Hoppe ◽  
J Bloom ◽  
R Cox ◽  
A Varghese ◽  
...  

The psychosocial problems that develop in long-term survivors of Hodgkin's disease were examined in a cross-sectional survey of 403 patients. The average age at treatment was 27 years and at interview was 36 years. The median time since treatment was 9 years. Sixty percent of the patients were treated for stage I or II disease and 40% for stage III or IV. Eighty-two percent of the patients had never relapsed, and 98% were free of disease at the time of interview. The study investigated the type and frequency of problems by means of a self-administered questionnaire using standard survey items to assess disruption in three areas of life: sense of well-being, family relationships, and employment. Results indicate that energy had not returned to patients' satisfaction in 37% of the cases. This was influenced by age, time since therapy, stage of disease, and type of treatment. Patients with self-reported energy loss were more likely to be depressed. Moderately high divorce rates (32%), problems with infertility (18%), and less interest in sexual activity (20%) were reported. Employment patterns favored men returning to work, and number of hours worked was highly correlated with less depression, younger age, and return of energy. Difficulties at work were reported by 42% of the cases. The interaction of treatment, biologic, psychosocial, and functional variables is described.

2020 ◽  
Author(s):  
Mercy Githara ◽  
Anne Obondo ◽  
Albert Tele ◽  
Graham Thornicroft ◽  
Manasi Kumar

Abstract Background Parents of children with intellectual disabilities may develop depressive symptoms and are prone to stigmatization due to stressful challenges encountered when providing care for their children. The study objective was to determine the prevalence of depressive symptoms and stigmatization among parents of children with intellectual disabilities. Method A cross-sectional descriptive study design was used to sample 121 parents of children with intellectual disabilities in four public primary special schools in Nairobi, Kenya Data were collected using a researcher designed socio-demographic questionnaire, Beck Depression Inventory (BDI-II) to screen depressive symptoms and the DISC-12 used to determine stigmatization among parents of children with intellectual disabilities. Descriptive statistics were used to examine the depression scores, discrimination and stigma scores. Independent samples t-test, and one-way analyses of variance (ANOVA) were used to identify group differences at the bivariate level. Generalized linear models were used to identify independent predictors of discrimination and Stigma. Results Of the 121 parents assessed for depression 24% (n=29) of parents met the criterion for being at risk of depression using BDI scores (score of 21 and above). Stigma and discrimination were significantly related to parent’s depressive symptoms, independently of other variables. On multivariate linear regression individual predictors showed that being female (P=<0.001), younger age of between 18-26 (P=<0.003), being divorced/ separated (p=<0.0001), lower education (P=<0.0001) and caregiver burden (P=0.033) were predictors of depression and high levels of stigmatization. Conclusions The risk of depression is high among parents of children with intellectual disabilities. Results of this study suggest that interventions could be developed that have a focus on the health or well- being of parents. Reduction of societal stigma could reduce psychological distress to parents.


2018 ◽  
Vol 8 (1) ◽  
pp. 01-07
Author(s):  
Alfred Eboh

Background: The hawking of wares by children has been a serious issue confronting the Nigerian society. Children hawk in some of the most horrible conditions conceivable, where they face a serious risk of injury, chronic illness, kidnapping, rape or death. Objective: The focus of this study was to assess the perceived effects of street hawking on the well-being of children in Anyigba, Dekina Local Government Area of Kogi State. Methods: The population of this study consists of parents of the street hawkers in Anyigba while cross-sectional survey design was used through the purposive sampling technique to choose the sample size of one hundred and sixty-two (162) respondents. The validated structured questionnaire and In-Depth Interviews (IDIs) served as the instruments for the data collection respectively. The hypotheses were tested using Chi-Square at a predetermined 0.05 level of significance. The quantitative data were analysed with the aid of the SPSS (version 20). Results: The results indicated among others that street hawking had significant social implications and physical consequences on children's moral behaviour as well as health status in the study area. Conclusion: The study, therefore, concluded that the government of Kogi State should carry out an enlightenment campaign through the media and religious institutions on the negative consequences of street hawking are recommended as panacea. Also, the child right act instrument and its implementation should be strengthened in order to curb street hawking in the study area.


1987 ◽  
Vol 116 (3_Suppl) ◽  
pp. S20 ◽  
Author(s):  
J.H. BRÄMSWIG ◽  
E. HEIERMANN ◽  
U. HEIMES ◽  
W. SCHLEGEL ◽  
E. NIESCHLAG ◽  
...  

2020 ◽  
Vol 11 (01) ◽  
Author(s):  
Letticia Ikiomoye Beredugo ◽  
Awoniyi Babafemi Adeyanju ◽  
Maureen Bunadoumene Nkamare ◽  
Binaebi Amabebe

The practice of early marriage for women remains rampant in developing nations around the world today, and it is a major problem contributing to maternal ill health and death in Nigeria. It has consequence on both social and health of not only the girl child but the children born to these young mothers. The aim of the study is to identify the determinant factors and health implications of early marriage on the girl-child in Otuan Community, Bayelsa State, Nigeria. A descriptive study was done using a descriptive cross-sectional survey type of design, One hundred and thirteen (113) respondents were recruited for the study. A self-developed pilot tested questionnaire was used to collect data from the respondents. The instrument was face validated by three experts in the field of Nursing and research; reliability was established using the test retested method and a retest coefficient of 0.82 was arrived at; and data generated were analysed. The study found that; majority of the respondents identified poverty/economic hardship, tradition and culture of the people, area of settlement, peer group and parental neglect as determinant factors that influences early girl-child marriage. The respondents also identified maternal and infant death, sexually transmitted diseases, child disability, prolonged sickness after birth and psychosocial problems as health implication of early girl-child marriage. The study further revealed that the girls had experienced excessive bleeding, anaemia, and prolonged/obstructed labour as complications during pregnancy. The study found that increased educational attainment among girls, risks, change of cultural norms that support early child marriage, and provision of economic opportunities for girls and their families as ways of preventing early girl-child marriage. it is recommended that proper education of girls and parents on the associated risk of early girl-child marriage and formulation of laws and policies to protect adolescent is advocated.


Nursing Open ◽  
2021 ◽  
Author(s):  
Ni’matuzahroh ◽  
Valendriyani Ningrum ◽  
Widayat ◽  
Myrtati Dyah Artaria ◽  
Mein‐Woei Suen

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jerrald Lau ◽  
David Hsien-Yung Tan ◽  
Gretel Jianlin Wong ◽  
Yii-Jen Lew ◽  
Ying-Xian Chua ◽  
...  

Abstract Background Primary care physicians (PCPs) are first points-of-contact between suspected cases and the healthcare system in the current COVID-19 pandemic. This study examines PCPs’ concerns, impact on personal lives and work, and level of pandemic preparedness in the context of COVID-19 in Singapore. We also examine factors and coping strategies that PCPs have used to manage stress during the outbreak. Methods Two hundred and sixteen PCPs actively practicing in either a public or private clinic were cluster sampled via email invitation from three primary care organizations in Singapore from 6th to 29th March 2020. Participants completed a cross-sectional online questionnaire consisting of items on work- and non-work-related concerns, impact on personal and work life, perceived pandemic preparedness, stress-reduction factors, and personal coping strategies related to COVID-19. Results A total of 158 questionnaires were usable for analyses. PCPs perceived themselves to be at high risk of COVID-19 infection (89.9%), and a source of risk (74.7%) and concern (71.5%) to loved ones. PCPs reported acceptance of these risks (91.1%) and the need to care for COVID-19 patients (85.4%). Overall perceived pandemic preparedness was extremely high (75.9 to 89.9%). PCPs prioritized availability of personal protective equipment, strict infection prevention guidelines, accessible information about COVID-19, and well-being of their colleagues and family as the most effective stress management factors. Conclusions PCPs continue to serve willingly on the frontlines of this pandemic despite the high perception of risk to themselves and loved ones. Healthcare organizations should continue to support PCPs by managing both their psychosocial (e.g. stress management) and professional (e.g. pandemic preparedness) needs.


Nursing Open ◽  
2021 ◽  
Author(s):  
Rachel King ◽  
Tony Ryan ◽  
Michaela Senek ◽  
Emily Wood ◽  
Bethany Taylor ◽  
...  

2021 ◽  
Vol 11 (8) ◽  
pp. 106
Author(s):  
Sheikh Saifur Rahman Jony ◽  
Ubydul Haque ◽  
Nathaniel J. Webb ◽  
Emily Spence ◽  
Md. Siddikur Rahman ◽  
...  

COVID-19 has harshly impacted communities globally. This study provides relevant information for creating equitable policy interventions to combat the spread of COVID-19. This study aims to predict the knowledge, attitude, and practice (KAP) of the COVID-19 pandemic at a global level to determine control measures and psychosocial problems. A cross-sectional survey was conducted from July to October 2020 using an online questionnaire. Questionnaires were initially distributed to academicians worldwide. These participants distributed the survey among their social, professional, and personal groups. Responses were collected and analyzed from 67 countries, with a sample size of 3031. Finally, based on the number of respondents, eight countries, including Bangladesh, China, Japan, Malaysia, Mexico, Pakistan, the United States, and Zambia were rigorously analyzed. Specifically, questionnaire responses related to COVID-19 accessibility, behavior, knowledge, opinion, psychological health, and susceptibility were collected and analyzed. As per our analysis, age groups were found to be a primary determinant of behavior, knowledge, opinion, psychological health, and susceptibility scores. Gender was the second most influential determinant for all metrics except information about COVID-19 accessibility, for which education was the second most important determinant. Respondent profession was the third most important metric for all scores. Our findings suggest that greater encouragement from government health authorities and the promotion of health education and policies are essential in the dissemination of COVID-19-awareness and increased control of the spread of COVID-19.


2021 ◽  
Vol 12 (02) ◽  
pp. 290-294
Author(s):  
T.R. Kanmani ◽  
Birudu Raju ◽  
Subhas Konar ◽  
Dhaval Shukla ◽  
Raghavendra Kukkehalli

Abstract Introduction The caregiver’s psychosocial problems are unnoticed in the emergency and trauma care center. Therefore, the study objective was to understand the impact of psychoeducation and psychosocial intervention on traumatic brain injury (TBI) caregivers during hospitalization. Methodology The study adopted a descriptive research design. Sixty-three (n = 63) consented caregivers were recruited by using a cross-sectional survey method. Two separate checklists were used to collect the psychosocial problems in emergency and trauma care as well as to know the satisfaction levels of caregivers after the intervention. R free 3.0.1 software was used to calculate the frequency and percentage. Results The caregiver’s mean age was 39 years (39.46 ± 16.22). The majority of the caregivers were males (45; 71.4%) working as daily wagers (42; 66.7%). Caregivers experienced psychosocial problems, that is, depression, anxiety, stress, unable to handle crisis, grief, lack of coping skills (57; 90.5%), emotional distress (57; 90.5%), financial constraints (45; 71.1%), and need for referral services (45; 71.1%). Tailor-made psychosocial interventions were provided to the caregivers. Conclusion To conclude, there is a greater need to provide psychosocial intervention and train the caregivers to provide care for TBI survivors during hospitalization. There is a need to develop the uniform standard operating procedure for medical and psychiatric social workers in providing psychosocial care in emergency and trauma care setting.


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