scholarly journals Vocal activity profile and dysphonia coping strategies in subjects with laryngeal cancer treated with radiotherapy

Revista CEFAC ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 374-381
Author(s):  
Michelle Ferreira Guimarães ◽  
Letícia Osório Cézar de Oliveira ◽  
Elma Heitmann Mares Azevedo

ABSTRACT Purpose: to verify the vocal activity participation and the dysphonia coping strategies of subjects with laryngeal cancer treated with radiotherapy. Methods: a cross-sectional trial involving 17 individuals with laryngeal cancer treated only by radiotherapy with vocal complaints after radiotherapy management. A sociodemographic questionnaire, the Brazilian versions of Voice Activity and Participation Profile and Voice Disability Coping Questionnaire protocols were applied. Results: there was a prevalence of male participants (n=16) and the mean age was 62 years. All were former smokers and 15 were former drinkers. Voice Activity and Participation Profile in mean scores was: overall,141.2, self-perception of vocal problem, 6.2, effect at work, 19.1, effects on daily communication, 60.5, effects on media, 20.1, and effects on their emotional, 36.7. In Voice Disability Coping Questionnaire mean scores were: overall,71.7, focusing on problem, 33, and focusing on emotion, 38.9. Conclusion: the participants had high Voice Activity and Participation Profile scores as compared to the literature scores considered for dysphonic individuals in general, and activity with effects on daily communication was the most affected. Voice Disability Coping Questionnaire demonstrates that these patients adopt dysphonia coping strategies with greater focus on emotion.

2018 ◽  
Vol 7 (2.29) ◽  
pp. 688 ◽  
Author(s):  
Sanil S Hishan ◽  
Heethal Jaiprakash ◽  
Suresh Ramakrishnan ◽  
Jaiprakash Mohanraj ◽  
Jayanthi Shanker ◽  
...  

Prevalence of Stress, anxiety and depression has been identified to be high among university students which may affect their social and professional lives. The study aims at assessing the prevalence of stress, anxiety and depression among university students and analyzes their association with gender, ethnicity and area of upbringing. The study also intends to identify their coping strategies. This was a cross sectional study utilizing validated questionnaires. It was conducted among a total of 143 university students in Johar bahru. The questionnaires used were the socio-demographic questionnaire, DAAS-21 questionnaire and Brief coping strategy Questionnaire. Data was analyzed using SPSS software. Descriptive statistics was used. The mean age of the students under the study was 25.02±8.6 years. Depression was seen in 62.2% of the students and anxiety and stress were seen in 78.3% and 55.9 % students respectively. Depression, anxiety and stress were found more in females than males. Anxiety was more in Malays and depression and stress was more among other ethnic groups. Anxiety and depression were seen more in students with a rural upbringing and stress in students with a urban upbringing. There was no significant association between depression, anxiety, stress and gender, ethnicity and area of upbringing. The mean score for the common coping strategies employed which was acceptance, positive reframing and self distraction were 2.8±0.9, 2.8±1.0, 2.8±1.0 respectively. Prevalence of anxiety was more compared to stress or depression. Students used active coping Strategies to cope with stress.  


2020 ◽  
pp. 1-7 ◽  
Author(s):  
Carolina S. Romero ◽  
Carlos Delgado ◽  
Juan Catalá ◽  
Carolina Ferrer ◽  
Carlos Errando ◽  
...  

Abstract Background The current coronavirus disease (COVID-19) has a great impact worldwide. Healthcare workers play an essential role and are one of the most exposed groups. Information about the psychosocial impact on healthcare workers is limited. Methods 3109 healthcare workers completed a national, internet-based, cross-sectional 45-item survey between 9 and 19 April 2020. The objective is to assess the psychological impact of the COVID-19 pandemic in Spanish healthcare workers. A Psychological Stress and Adaptation at work Score (PSAS) was defined combining four modified versions of validated psychological assessment tests (A) Healthcare Stressful Test, (B) Coping Strategies Inventory, (C) Font-Roja Questionnaire and (D) Trait Meta-Mood Scale. Results The highest psychosocial impact was perceived in Respiratory Medicine, the mean (S.D.) PSAS was 48.3 (13.6) and Geriatrics 47.6 (16.4). Higher distress levels were found in the geographical areas with the highest incidence of COVID-19 (>245.5 cases per 100 000 people), PSAS 46.8 (15.2); p < 0.001. The least stress respondents were asymptomatic workers PSAS, 41.3 (15.4); p < 0.001, as well as those above 60 years old, PSAS, 37.6 (16); p < 0.001. Workers who needed psychological therapy and did not receive it, were more stressed PSAS 52.5 (13.6) than those who did not need it PSAS 39.7 (13.9); p < 0.001. Conclusions The psychological impact in healthcare workers in Spain during COVID-19 emergency has been studied. The stress perceived is parallel to the number of cases per 100 000 people. Psychotherapy could have a major role to mitigate the experimented stress level.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Ali Monfared ◽  
Leila Akhondzadeh ◽  
Robabeh Soleimani ◽  
Saman Maroufizadeh ◽  
Somaye Pouy ◽  
...  

Background: Coronavirus disease 2019 (COVID-19) pandemic can lead to psychological distress among clinicians and medical students due to the possibility of disease transmission and closure of educational centers. Objectives: This study aimed to investigate the extent of psychological distress and coping strategies among clinicians and medical students during the COVID-19 pandemic in Rasht, Iran. Methods: Using the Kessler Psychological Distress scale (K10), this cross-sectional analytical study evaluated psychological distress and coping strategies among 109 clinicians and medical students working in Razi Hospital of Rasht, Iran during the COVID-19 pandemic. The K10 scale has 10 items with a 5-point Likert scale ranging from 0 (never) to 5 (always); the Cronbach’s alpha coefficient was calculated as 0.771. Also, to examine the coping strategies, a 10-item researcher-made checklist was used (CVI = 0.79; CVR = 0.82). The questionnaires were distributed by e-mail from May to June, 2020. After entering the data into SPSS software (version 20), the data were analyzed using appropriate statistical tests. Results: The mean age of the responders was 36.14 years (SD = 10.68). The mean K10 total scores was 12.94 (SD = 7.64). There was a significant negative correlation between age and K10 total scores (r = -0.397, P < 0.001). Single participants had a higher K10 total score compared with married ones (P = 0.003). Furthermore, interns had a higher K10 total score compared with residents (P = 0.012) and faculty members (P < 0.001). Conclusions: Since interns are at a higher risk of psychological distress due to less work experience during the COVID-19 pandemic, continuous monitoring of psychological distress and teaching coping strategies in crisis situations should be included in the training curriculum and educational courses of this group.


2016 ◽  
Vol 19 (5) ◽  
pp. 819-826 ◽  
Author(s):  
Marilza Amaral Henrique de Souza ◽  
Elias Ferreira Porto ◽  
Eduardo Luiz de Souza ◽  
Kathleen Ingrid da Silva

Abstract Introduction: Lifestyle has been widely studied in recent years, especially in the context of longevity and aging well. Objective: The aim of this study was to analyze the lifestyle profile of older elderly persons and the relationship between lifestyle and chronic diseases. Method: A cross-sectional study evaluating 132 older persons aged over 74.6 years, who were resident of the Capão Redondo district of São Paulo, was carried out. The study was conducted in 23 institutions such as churches, community centers, parks, nursing homes and residences. All participants completed two questionnaires, with the first based on lifestyle and the second on socio-economic classification, and also answered some questions about the presence and control of non-communicable chronic diseases (NCDs). Result: the mean age was 78.8(±4.5) years and the respondents had a mean BMI of 25.5(±5.5). Most were women from social classes C and D. A total of 46 were former smokers, seven were smokers, and 82 had NCDs, with heart diseases the most prevalent. The mean lifestyle questionnaire score was 30.2(±3.5). There was no statistical difference in scores between those with NCDs and those that did not suffer from such diseases. The physical activity component had the lowest score, followed by the nutrition component. The prevalence of NCDs was significantly higher for smokers and former smokers than for those who had never smoked. Conclusion: The majority of older persons demonstrated an excellent lifestyle with healthy habits. Even those with a diagnosed NCD had a good lifestyle. Cardiovascular diseases were the most prevalent in this population. The risk of NCD was greater for smokers and former smokers than for those who had never smoked.


2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Naima Ishtiaq ◽  
Nazia Mumtaz ◽  
Ghulam Saqulain

Objectives: To determine the level of stress experienced and coping strategies used by parents of hearing impaired and autistic children. Methods: Using non-probability convenience sampling this cross sectional study recruited n =200 parents of hearing impaired (HI) and 100 parents of autistic children, of either gender, aged 20 to 60 years. Samples were recruited from Special Education Institutes of Islamabad and Rawalpindi, over a period of six months, from October 2018 to March 2019 and conducted at Isra Institute of Rehabilitation Sciences, Islamabad. Basic demographical sheet, Parental Stress Scale and Coping Strategies Inventory were used for data collection. Statistical analysis was done using SPSS 21. Results: In parents of hearing impaired the mean parental stress score was 47.44±12.85 and commonest coping strategy was problem focused engagement (26.03) followed by problem focused dis-engagement (24.25). In the autistic group the mean parental stress score was 48.92+11.22 with problem focused engagement being the most frequently used strategy (27.4) followed by emotion focused strategy. Conclusion: Different level of stress experienced by parents of autistic and hearing impaired children which is statistically significant and they employed different coping strategies. doi: https://doi.org/10.12669/pjms.36.3.1766 How to cite this:Ishtiaq N, Mumtaz N, Saqulain G. Stress and coping strategies for parenting children with hearing impairment and autism. Pak J Med Sci. 2020;36(3):---------. doi: https://doi.org/10.12669/pjms.36.3.1766 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.


Author(s):  
Rafael Tavares Silveira Silva ◽  
Richardson Augusto Rosendo da Silva ◽  
Iellen Dantas Campos Verdes Rodrigues ◽  
Vinicius Lino de Souza Neto ◽  
Bárbara Coeli Oliveira da Silva ◽  
...  

ABSTRACT Objective: to identify the coping strategies of people living with aids to face the disease and analyze them according to sociodemographic, clinical and lifestyle variables. Method: this is a cross-sectional quantitative study. The sample consisted of 331 people living with aids treated at an outpatient clinic at a referral hospital for treatment of aids. The Coping Strategies Inventory was used to collect the data. Results: emotion-focused coping modes were more frequently mentioned. The mean scores of women, workers, religious people, and people who never withdrew from the treatment were higher for all factors. Patients who had a partner, who lived with family members and who received treatment support, had higher mean scores in coping, withdrawal and social support factors. As for leisure and the practice of physical exercises, the emotion-focused modes also predominated. A correlation was identified between treatment time, schooling, family income and the factors of the Coping Strategies Inventory of. Conclusion: the study showed that the most frequent coping modes were those focused on emotion.


2021 ◽  
Vol 131 (1) ◽  
pp. 76-81
Author(s):  
Justyna Kosydar-Bochenek ◽  
Piotr Jerzy Gurowiec ◽  
Krystyna Woźniak ◽  
Wioletta Mędrzycka-Dąbrowska ◽  
Dorota Ozga

Abstract Introduction. Secondary traumatic stress (STS) is a consequence of the indirect experience of trauma. The symptoms of STS are similar to those experienced by people who directly experience traumatic events in the form of posttraumatic stress disorder (PTSD). Aim. The aim of the study was to determine the frequency of the symptoms of PTSD and to establish the role of coping strategies in the development of PTSD symptoms among Polish nurses. The study was conducted before the COVID-19 pandemic. Material and methods. The study was conducted in the Podkarpackie Province (Poland) in clinical hospitals and hospital out-patient clinics. The results of studies conducted among 509 nurses were analyzed. The mean age of the respondents was 35 years, and the mean work seniority was 11 years. The IES-R scale and Mini-COPE were used in the study. Results. At least moderate PTSD symptoms were found in 42.4% of the surveyed nurses. The results showed that maladaptive stress coping strategies played a major role in the development of PTSD symptoms in the group of nurses. Conclusion. Nurses are a professional group exposed to a high risk of traumatic encounters that may result in PTSD/STS, therefore this professional group should be targeted at prophylactic programs and training in dealing with traumatic stress. The COVID pandemic and the related restrictions, organizational chaos, constant fear and a sense of danger are serious traumatizing factors and can seriously contribute to the increase in stress disorders among nurses and other medical professionals.


2018 ◽  
Vol 44 (3) ◽  
pp. 213-219 ◽  
Author(s):  
Manuela Karloh ◽  
Simone Aparecida Vieira Rocha ◽  
Marcia Margaret Menezes Pizzichini ◽  
Francine Cavalli ◽  
Darlan Laurício Matte ◽  
...  

ABSTRACT Objective: To assess COPD Assessment Test (CAT) scores in adults with and without COPD, as well as to compare the CAT scores for nonsmokers, former smokers, and smokers without COPD with those for patients with COPD. Methods: This was a cross-sectional population-based study (the Respira Floripa study). The study included adults ≥ 40 years of age residing in the city of Florianópolis, Brazil. A total of 846 households were surveyed. In addition to completing the Respira Floripa questionnaire and the CAT, participants underwent pulmonary function testing. Results: We analyzed data on 1,057 participants (88.1% of the predicted sample size). A functional diagnosis of COPD was made in 92 participants (8.7%). Of those, 72% were unaware that they had COPD. The mean CAT score was higher in the group of COPD patients than in that of individuals without COPD (10.6 [95% CI: 8.8-12.4] vs. 6.6 [95% CI: 6.1-7.0]; p < 0.01). Individual item scores were significantly higher in the patients with COPD than in the individuals without COPD (p < 0.001), the exception being the scores for the items related to sleep (p = 0.13) and energy (p = 0.08). The mean CAT score was higher in the group of COPD patients than in nonsmokers (5.8 [95% CI: 5.3-6.4]) and former smokers (6.4 [95% CI: 5.6-7.2]; p < 0.05). However, there were no significant differences in the mean CAT score between the group of COPD patients and smokers without COPD (9.5 [95% CI: 8.2-10.8]; p > 0.05), the exception being the mean scores for confidence leaving home (p = 0.02). Conclusions: CAT scores were higher in the group of patients with COPD than in nonsmokers and former smokers without COPD. However, there were no significant differences in CAT scores between COPD patients and smokers without COPD. Smokers with an FEV1/FVC ratio > 0.70 have impaired health status and respiratory symptoms similar to those observed in COPD patients.


2021 ◽  
Vol 24 (1) ◽  
Author(s):  
Lydia Muthoka ◽  
Dorcas Maina ◽  
Samuel Thuo Kimani

Background: Patients on haemodialysis experience various challenges associated with their disease as well as complications related to therapy. Intradialytic events, such as cramping, hypotension and shivering, are major stressors for persons on haemodialysis. In an attempt to cope with stress associated with dialysis, most patients tend to adopt emotion-orientated coping strategies. This study aimed at evaluating the coping strategies used by patients at Kenyatta National Hospital, to deal with stress related to intradialytic events. Methods: A cross-sectional study was conducted among 96 participants undergoing maintenance haemodialysis. They were selected through convenience sampling. Data were collected using a researcher-administered questionnaire for demographic data, a visual analogue scale to assess stress, and the Jaloweic coping scale. Data were analysed using SPSS version 23. Results: The majority (62%) of the participants were male. Muscle cramps (55%), headaches (54%) and hypertension (47%) were the most commonly experienced intradialytic events. The mean level of stress on the Jaloweic scale was 5.1 ± 2.1. The commonly used coping strategies were confrontational (45%), fatalistic (46%) and supportive (48%). The level of stress explained 66% of the variance associated with the use of a coping style (P = 0.01). Conclusions: Intradialytic events were common among our participants and the majority used confrontational, fatalistic and supportive coping strategies. Tailored counselling services are recommended to reinforce effective coping.


2004 ◽  
Vol 20 (4) ◽  
pp. 227-236 ◽  
Author(s):  
Sara Holmberg ◽  
Anders Thelin ◽  
Eva-Lena Stiernström

Summary: The concept of “sense of coherence” (SOC) has been widely recognized since it was first introduced by Antonovsky. The originality and usefulness of the SOC scale and its relation to other psychosocial measures has been the subject of lively debate. The aim of this paper was to test for associations between SOC and work-related psychosocial factors (mainly the Job Demand-Control model), general living conditions, education, and social network factors. Cross-sectional data from a population-based sample of 1782 rural males from nine counties in Sweden were analyzed with a multiple regression technique. The subjects were occupationally active at inclusion and the mean age was 50 years (range 40-60). SOC was assessed with the original 29-item questionnaire. Psychosocial variables and lifestyle factors were assessed using questionnaires and structured interviews. The mean SOC among the subjects was 152.3 (standard deviation, 19.4). A strong negative correlation was found between SOC and job demand, whereas a positive correlation with job control was demonstrated. A positive correlation with general living conditions and with social support was also found. However, there was no correlation to education and occupation. Thus, SOC was shown to be strongly correlated to work-related psychosocial factors and social support, but independent of sociodemographic factors.


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