scholarly journals Emotional State and Coping Strategies of Adolescents with Oncohematological Diseases

2018 ◽  
Vol 7 (4) ◽  
pp. 131-149 ◽  
Author(s):  
A.E. Khain ◽  
A.B. Kholmogorova ◽  
V.A. Ababkov

The article presents data on the study of emotional state characteristics and coping strategies of adolescents in the stressful situation of oncohematological diseases treatment. Two equalized by socio-demographic and clinical parameters groups of patients 11-18 were examined. The experimental group consisted of 28 adolescents undergoing treatment with hemopoietic stem cell transplantation (HSCT) (M = 14.25, SD = 2.20, M: 57.1%, F: 42.9%). The control group consisted of 30 adolescents undergoing chemotherapy (M = 13.71, SD = 2.12, M: 53.3%, F: 46.7%). The psychological state of adolescents in the course of treatment by НSCТ, in comparison with the state of adolescents of the control group, which is characterized by a significantly higher level of distress and anxiety. Significant differences in the use of coping strategies with stress in patients of the two groups were obtained. Adolescents of the experimental group use a less extensive repertoire of productive coping strategies, often use such an ineffective strategy as "discharge" These differences may be associated with less availability, as well as an increase in depletion of various coping resources under special treatment conditions by the НSCТ. The results of the study confirmed that НSCТ is objectively and subjectively more stressful, which indicates the need for additional monitoring of both the psychological state and the need for psychological care for patients in this group, the development of specialized programs for psychological support for transplantation.

2020 ◽  
Author(s):  
Maryam Zarei ◽  
Masoomeh Kheirkhah ◽  
Nemam Ali Azadi ◽  
Mahdi Saberi ◽  
Nazanin Esmaeeli

Abstract Background: Today, due to the development of advanced fetal screening techniques, termination for fetal abnormalities has increased, and has caused significant grief for women which can lead to long-term mental disorders. Self-help intervention with web guide may help provide appropriate education and counseling to women. Therefore, this study was conducted to determine the effect of social network education on resilience and coping strategies of women abortion due to fetal malformation.Methods: This clinical trial studied two groups of 100 qualified pregnant women with abnormal fetuses who referred to Tehran Forensic Medicine Center. Randomly assigned into a randomized blocks list as two intervention group and routine group. Sampling was done by random allocation method by Excel software and blinding in the statistical analysis stage and was done as single-blind. The intervention in the experimental group was done as education through mobile social software (Soroush) and for 6 weeks and three times a week. The control group received routine care and after the second test, the content of the network education was also given to them. Resilience and coping strategies were evaluated before, immediately and three months after the intervention using the Persian version of Connor-Davidson Resilience Scale (CD-RISC-2003) and coping strategies (COPE-1989), respectively. Analysis of variance with repeated measures of ANOVA was used for statistical analysis.Results: The mean resilience score in both control and test groups increased significantly (P<0.001) which can indicate the effect of time, but the study of the effect of group over time indicated that in the resilience variable there was a significant difference between the two groups (P<0.001). The simultaneous effect and group on the resilience variable was significant (p<0.001) and the mean variation of resilience score in the intervention group was significantly higher than the control group (p<0.001). The mean score of problem-focused coping strategies in the experimental group increased significantly during 12 weeks (p<0.001) but no significant difference was observed in the control group (p=0.218). Regarding the emotion-focused strategy, a significant decrease was observed in the experimental group (p<0.001) but in the control group there was a significant increase (P=0.001). There was a significant decrease in the avoidance strategy in the experimental group (p<0.001); there was no significant changes in the control group (p=0.066) and the simultaneous effect of group and time in all coping strategies was significant (P<0.001).Conclusion: Social network education leads to enhanced resilience and greater use of problem-focused coping strategies in women after abortion due to fetal malformation and is effective on improving women’s health by reducing emotion-focused and avoidance-focused coping strategies. Low cost and fast access to virtual mobile networks allow women to access educational content after abortion due to fetal malformation.Registration in clinical trial: it is registered in the Thai Clinical Trial Registry (TCTR) under the number TCTR20200519001.CONSORT : This study follows the CONSORT guidelines.


2021 ◽  
Vol 7 (6) ◽  
pp. 89-97
Author(s):  
Bogdana Oniskovets ◽  

The article highlights the results of an empirical study of the psychological components of the emotional state of elderly women with coronary heart disease (CHD), which covered 135 respondents aged 65 to 75 years with coronary heart disease. The aim of the study was to study the psychological components of emotional states of elderly women that can affect the manifestations and course of coronary heart disease, in particular, alexithymia, anxiety, depression, asthenia. It was found that the components of psycho-emotional states of patients with coronary heart disease consist of a set of psychophysiological factors, including: the specifics of emotionally negative states such as anxiety, depression, asthenia, hostility, etc., and the features of the somatic state, themselves manifestations of coronary heart disease and their concomitant changes in the psycho-emotional sphere, in particular the specifics of the traumatic situation for the patient and her personal characteristics. An empirical study found that elderly women with coronary heart disease are characterized by high levels of anxiety, depression, asthenia, mental stress, irritability, suspicion, resentment, neuroticism, secrecy, emotional lability. It is empirically proven that depending on the gender of an individual with coronary heart disease, the psychological components of emotional states differ significantly. It has been studied that women with coronary heart disease have a high level of lability and unstable emotional state. It is established that the emotional state changes rapidly depending on the factors of external and internal stimuli. A labile emotional state is a sign of danger in a person's psychological state, so it can be critical for women with coronary heart disease. Due to the qualitative processing of the obtained results, we found that in the three formed samples - CG, ECG and ECG, the results of the study differed significantly. In the experimental group of men there are no such psycho-emotional phenomena as negativism, irritation, suspicion, resentment and guilt; neuroticism. The results of the control group revealed a high percentage of women at risk. In the experimental group of women, which is the main goal of our study, the outlined phenomena had the highest rate. A number of emotions that contribute to coronary heart disease were identified: dissatisfaction with work, education, life in general; experiencing creative failures, defeats in ambitious desires; insult; frustration caused by the sharp destruction of the usual stereotype of life; constant feeling of inner tension; lack of satisfaction in achieving success; fear; chronic anxiety. From this list of feelings it is clear that they all belong to the register of negative feelings, those that create emotional discomfort. All these feelings are antipodes of feelings that are traditionally considered attributes of a healthy heart, such as: love, courage, courage, joy. The above conditions are special for people with coronary heart disease and have significant differences between male and female groups, and therefore they can be considered as psychophysiological features of elderly women with coronary heart disease. Prospects for further research may be the feasibility of creating a comprehensive program of psychocorrection of emotional states of elderly women with coronary heart disease.


Author(s):  
Laetitia Idier ◽  
Aurélie Untas ◽  
Nicole Rascle ◽  
Michèle Koleck ◽  
Maider Aguirrezabal ◽  
...  

Introduction:Psychological impact of Therapeutic Patient Education (TPE) for dialysis patients is rarely evaluated since the focus of many studies is on medical variables (i.e., adherence).Objectives:The aims of this study were: 1) to estimate the impact of a TPE program on knowledge, depression and anxiety, 2) to examine change in knowledge as a mediator of the effects of a TPE program on mental health.Method:This study was conducted in three hemodialysis units and comprised two groups: an experimental group with education and a control group with routine care. The program was based of 5 educative sessions. Knowledge, depressive and anxious symptoms were assessed with self-reported outcomes measured before and 3 months after the program.Results:The sample comprised 125 patients. Knowledge about vascular access and nutrition (p < 0.01) and depressive symptoms increased in the experimental group (p < 0.01). Analysis of mediation showed that changes in knowledge about vascular access were a significant mediator of the effects of the program on depressive symptoms (F = 4.90;p = 0.01).Discussion:Knowledge acquired during an educational program could lead to an emotional change. Improving knowledge often leads to an awareness of the risks that can modify the psychological state of patients by reminding them of their vulnerability. This study shows that it is required to be attentive to the way of transmitting knowledge. It’s necessary adapting this transmission to the needs of patients and promoting the acquisition of psychosocial competence too.Conclusion:This study shows that knowledge acquired during an educational program can lead to an emotional change in the short term. A long-term follow-up of the population should be interesting to observe these emotional effects.


1996 ◽  
Vol 77 (4) ◽  
pp. 240-249 ◽  
Author(s):  
Yona Leyser ◽  
Antoinette Heinze ◽  
Gaylen Kapperman

Little research is available on families of children with visual impairments. The authors examined stress and coping in a sample of 130 families (experimental group) of visually impaired children who responded to a parent questionnaire and the Family Environment Scale (FES). A control group of 78 parents responded to FES only. Findings revealed that the experimental group experienced various stressors such as future concerns, financial concerns, concerns about services, and concerns about the social acceptance of the child. These families were less involved in intellectual and cultural activities and used less structure and organization than did the controls. In coping, many families used various formal and informal sources of support as well as personal coping strategies. Implications for practitioners and social service providers are discussed.


2021 ◽  
Vol 11 (7) ◽  
pp. 926
Author(s):  
Ángel Rosa-Alcázar ◽  
José Luis Parada-Navas ◽  
María Dolores García-Hernández ◽  
Sergio Martínez-Murillo ◽  
Pablo J. Olivares-Olivares ◽  
...  

Background: The main aim was to examine changes in coping strategies, anxiety and depression in obsessive–compulsive and schizophrenia patients during COVID-19, in addition to controlling the influence of intolerance to uncertainty and experiential avoidance. Method: The first time, the study comprised (15–30 April 2020) 293 patients, 113 of whom were diagnosed with obsessive–compulsive disorder, 61 with schizophrenia and 119 healthy controls, aged 13–77 years (M = 37.89, SD = 12.65). The second time (15–30 November), the study comprised 195 participants (85 obsessive–compulsive patients, 42 schizophrenic patiens and 77 healthy controls participants). The evaluation was carried out through an online survey. Results: The clinical groups worsened over time in cognitive coping, anxiety and depression, while the control group only worsened in depression. Intergroup differences in anxiety, depression and coping strategies were maintained, highlighting the use of some maladaptive strategies (avoidance, spiritual) in clinical groups. Experiential avoidance and tolerance for uncertainty mainly affected coping. Conclusions: The duration of COVID-19 not only produced changes in anxiety and depression in clinical groups but also in coping strategies to face this pandemic and its consequences.


2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Wojciech Krajewski ◽  
Małgorzata Mazur ◽  
Adrian Poterek ◽  
Agata Pastuszak ◽  
Urszula Halska ◽  
...  

Purpose. According to the European Association of Urology bladder cancer is the seventh most commonly diagnosed malignancy in the world’s male population. Despite its high incidence, papers evaluating psychological state in those patients’ group are lacking. The purpose of the study was to evaluate pain management, disease acceptance, and adjustment to cancer in homogenous group of patients diagnosed with nonmuscle-invasive bladder cancer (NMIBC). Methods. Group of 252 male patients who were scheduled for NMIBC treatment were prospectively evaluated. Patients fulfilled Acceptance of Illness Scale (AIS), Mini-Mental Adjustment to Cancer (Mini-MAC) and Coping Strategies (CSQ) questionnaires before treatment introduction. Results. Highest CSQ score was achieved by the coping self-statements subscale (mean=18,37). The catastrophizing subscale score was the lowest (mean=11,24). Place of residence affected results of CSQ statement about pain control. Catastrophizing and coping self-statements strategies were associated with matrimonial status. In the Mini-MAC questionnaire the fighting spirit way of coping had the highest (21,73) and the helplessness-hopelessness subscale had the lowest mean value (13,3). Matrimonial status was strongly associated with anxious preoccupation, fighting spirit, and helplessness – hopelessness way of coping. The mean AIS test score was 28.8. AIS result was influenced by patient’s marital status, yet not by education, place of residence, nor any clinical factor. Conclusions. In the examined group, the level of acceptance of the disease reached values that were slightly higher than the average. It indicated a fairly good adaptation to cancer. Among the methods of coping with cancer, the constructive style is definitely dominant with a high intensity of the fighting spirit strategy. The destructive style of cancer coping reached low values with a low intensity of helplessness/hopelessness strategy. From pain coping strategies, self-statements and praying/hoping were the most commonly chosen ways, whereas catastrophizing was the rarest. Many associations between various questioners’ results were also observed.


Author(s):  
Nikhil Chaudhary ◽  
Dr. Tarun Kumar Sharma

Stress refers to the situation of excess or deficit of one’s resources in certain circumstances. The state of stress is very much common among students, especially college going students who had to deal with numerous stressors in their daily lives. To conquer such stressful situation, counseling and its related intervention programme plays a vital role. Counseling refers to a systematic and professional relationship between a professional (Counselor or Psychologist) and a sufferer (Client) in which several techniques are collectively applied to resolve client’s stressful issues. The aim of this research is to study the level of stress reduction with the help of PMR and Talk therapy among college students. A standardized stress scale namely ‘Perceived Stress Scale’ develop by Sheldon Cohen which is possessing high reliability and validity was conducted on 60 college students. Out of them, 30 students were in control and 30 were in experimental group. Furthermore, it was found that students belonging to experimental group were given a proper counseling programme of 5 sessions including PMR and Talk therapy and this result in significant difference at 0.01 level and ultimately leads to reduced stress level as compared to control group. It was found that there is a there is a positive relationship between PMR & Talk therapy and stress reduction of college students.


Author(s):  
L. Bondarenko

The immune system is central to ensuring the consistency of the body's homeostasis. The state of the body's natural resistance is determined by a set of non-specific protective mechanisms. Lymphocytes and phagocytes are actively involved in maintaining immunity. Lymphocytes recognize the antigens of pathogenic microorganisms, and phagocytes absorb and destroy the pathogens themselves. During the weaning of piglets from sows there is a decrease in the protective forces of their body. During this period, the natural resistance of the piglets is reduced due to the stressful situation caused by changing conditions of confinement, the transition to full feed and lack of sows. The immune system of weaning pigs is relatively weak, so when exposed to environmental and technological stressors, they become susceptible to various diseases. The use of probiotic drugs stimulates the activity of the immune system, prevents stress and immunodeficiency. One of these probiotics is the probiotic of domestic production Protecto-active. It w observed the the influence of the probiotic Protecto-active on the indices of nonspecific resistance of the young pigs organism to the growth. An increase in bactericidal activity of blood serum by 12.10% (P <0.05) and lysozyme activity of blood in the piglets of the experimental group was increased by 3.71% compared to control, which indicates the activation of the body's defenses and the increase in adaptive capacity. An important step in the study of the influence of the probiotic Protekto-active on the state of the immune system is to determine the phagocytic activity of neutrophils, phagocytic index and phagocytic number. In the experimental group of piglets that were fed the probiotic Protecto-active, we found an increase in leukocyte phagocytic activity by 9.0% (P <0.001), a phagocytic index by 51.7% (P<0.001) and a phagocytic number by 24.8% ( P <0.01) compared with the control group. Thus, using a probiotic Protecto-active, all indicators of phagocytosis increase: the number of phagocytes increases, their ability to capture microorganisms and increases their digestive capacity, it increases the bacterial and lysozyme activity of blood serum, which is positively reflected in the immunobiosity. Key words: probiotic, phagocytosis, phagocytic index, phagocytic number, phagocytic activity of leukocytes, cellular immunity, piglets


Author(s):  
Ali Zbidat ◽  
Ekaterini Georgiadou ◽  
Andrea Borho ◽  
Yesim Erim ◽  
Eva Morawa

Background: A high prevalence of mental distress, especially posttraumatic stress disorder, has been widely confirmed among refugees. In order to establish adequate interventions in psychotherapy, however, it must first be examined whether refugees have similar ideas and concepts of stress, trauma, and healing. This study, therefore, aimed to analyze the representations of trauma, self-reported complaints, indications of somatization, and coping strategies among a refugee population. Methods: Semi-structured interviews based on the Cultural Formulation Interview (CFI) of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) were conducted with Syrian refugees who have residence permission in Germany. The interviews were audio-recorded, transcribed, and analyzed according to the qualitative content analysis of Mayring. The foci of interest were determined on the basis of the predefined interview guideline, and inductive subcategories were extracted from the transcripts. Results: Sixteen refugees participated (50% women; mean age: 35.5 years, SD = 11.2; the mean duration of stay in Germany: 23.3 months, SD = 6.6). War experiences were the most frequently reported subjective perceptions of trauma. Frequently reported complaints included sleeping disturbance, cardiovascular symptoms, rumination, and pain. Among half of the participants, we found indications of somatization. We identified the following coping strategies: Activity, cognitive coping, social coping, religious coping, avoidance, and emotional coping. Conclusions: War-related traumatic events are the most common trauma perceptions among Syrian refugees. The self-reported complaints demonstrate somatoform, depressive, and posttraumatic symptoms. Syrian refugees should be screened for somatization, depression, and posttraumatic stress disorder and should receive targeted interventions that consider and support individual coping resources.


2018 ◽  
Vol 8 (7) ◽  
pp. 125
Author(s):  
Ghada Ahmed Hassan ◽  
Hanady Shaaban Ibrahim

Background and objective: Cancer is a serious health problem. Children with cancer are in particular need of support and care due to its complications followed by chemotherapy. These children should be cared for at home by family caregivers, and this places great mental and physical burden on caregivers. Therefore, appropriate and effective nursing interventions are essential in order to decrease burden and improve their coping pattern. The aim of this study was to determine the effect of supportive nursing intervention on the burden of care and coping pattern in caregivers of children with cancer.Methods: Research design: A Quasi-study pre, immediately after, and 1 month after the intervention was used to test the study hypothesis and fulfill the aim of the study. Setting: The study was conducted at outpatient clinic in Specialized Pediatric Hospital at Benha City. Subjects: Sixty caregivers for children with cancer was chosen through convenient sampling method and divided by using table of random numbers into two groups, study and control group. Caregivers of the study group attended seven nursing intervention sessions. Tools: The tools used were (1) An inertviewing questionnaire which include two part; sociodemoghaphic date and medical history for child and thier caregivers (2) Zarit Burden Scale (3) Coping Health Inventory for caregivers parents (CHIP).Results: During the study period, burden decreased in the study group and increased in the control group. Mean burden of care score before, immediately after, and 1 month after the intervention was 42.2, 33.7, and 25.6, respectively, in the study group and 44.2, 46.1, and 48.5, respectively, in the control group. In addition, the mean burden score in the study group significantly decreased in comparison with the control group (p < .001). Also, coping strategies increased in the study group and decreased in the control group. Mean coping pattern score before, immediately after, and 1 month after the intervention was 32.8, 47.5, 53.6, respectively, in the study group and 34.7, 30.7 and 26.2, respectively, in the control group. In addition, the mean coping pattern score in the study group significantly improved in comparison with the control group (p < .001).Conclusions: The supportaive nursing intervention can decrease burden in caregivers of children with cancer and consequently improve their methods of coping.


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