scholarly journals Clinical characteristics of patients with chronic migraine, depending on their personality profile.

2021 ◽  
Author(s):  
Liudmila Baiushkina

Background:chronic migraine (СM) is a highly disabling neurological disease that is difficult to treat. The success of therapeutic management depends, in part, on psychosocial and personal factors. Aims:we have evaluated the clinical characteristics of patients suffering from СM, depending on the prevailing coping strategy of the individual. Methods:104 people with an established diagnosis of СM were examined, all of them underwent clinical and neurological examination and questionnaire testing. Results:in our group of patients, active behavioral coping strategies (a strategy for solving the problem and seeking social support) prevailed, passive coping was much less common. Patients with active coping strategies had the lowest level of comorbid psychoemotional disorders. Patients with passive coping strategies had a shorter history, the least severity of the effect of migraine, but were comparable in frequency of headaches and time lost due to headaches with patients with active coping strategies. Key words:chronic migraine, coping strategies, comorid disorders, anxiety, depression.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Lenneke Vaandrager ◽  
Inge D. Brouwer ◽  
Maria Koelen

Abstract Background Mothers in low-income countries face many challenges to appropriately feed their children in the first year such as poverty, food insecurity and high workloads. However, even in the lowest income families there are mothers who succeed to feed their children according to the recommendations. In this paper, we explored the coping strategies that facilitate appropriate breastfeeding and complementary feeding practices among rural Rwandan mothers from birth to one year of a child’s life. Methods This qualitative longitudinal study recruited a purposive sample of 17 mothers who followed the infant and young child feeding recommendations (IYCF). They were selected from a larger study of 36 mothers. In-depth interviews were conducted with mothers of the total group (36 mothers) within the first week, at 4th, 6th, 9th and 12th months postpartum. Interviews were audio-recorded, transcribed verbatim and analyzed thematically. Results Coping strategies included improving mothers’ own diet for adequate breastmilk production, prioritizing child feeding over livelihood chores, livelihood diversification and mothers’ anticipatory behaviors such as preparing child’s food in advance. Some of those coping strategies were shifting overtime depending on the development of the children. Personal factors such as breastfeeding self-efficacy, religious beliefs and perceived benefits of breastfeeding were among the facilitating factors. Additionally, social support that mothers received from family members, other mothers in the community, Community Health Workers (CHWs) and health professionals played an important role. Conclusion In challenging contextual conditions, mothers manage to follow the recommended breastfeeding and complementary feeding practices through the interplay of active coping strategies, feeling to be in control and social support. Nutrition promotion interventions that aim to improve IYCF should consider strengthening mothers’ capability in gaining greater control of their IYCF practices and the factors facilitating their appropriate IYCF practices.


2020 ◽  
Author(s):  
Mingyu Si ◽  
Xiaoyou Su ◽  
Yu Jiang ◽  
Wenjun Wang ◽  
Xiao-fen Gu ◽  
...  

Abstract Background Medical care workers experienced unprecedented levels of workload and pressure since the outbreak of COVID-19 started from the end of 2019. Little is known about its exact impact on medical care workers and related factors in China. This study aims to identify the psychological impact of COVID-19 on medical care workers in China.Methods From February 23th to March 5th, 2020, a cross-sectional survey was conducted among 863 medical care workers from 7 provinces in China using standard questionnaires measuring adverse psychological outcomes including Impact of Event Scale-6 (IES-6), Depression, Anxiety and Stress Scale(DASS)and related psychosocial factors like perceived threat, social support and coping strategies. Exploratory Factor analysis was performed to identify the dimensions of perceived threat by study participants. Multivariate regression was used to examine the determinants of adverse psychological outcomes. Results Posttraumatic stress (PTS) were prevalent in this sample of health care professionals, and 40.2% indicated positive screens for significant posttraumatic stress disorder (PTSD) symptoms. The proportion of having mild to extremely severe symptoms of depression, anxiety and stress were 13.6%, 13.9% and 8.6%, respectively. Perceived threat and passive coping strategies were positively correlated to PTS and DASS scores, while perceived social support and active coping strategies were negatively correlated to DASS scores. Nurses were more likely to be anxious than others among medical care workers during the COVID-19 epidemic. Conclusions Adverse psychological symptoms were prevalent among medical care workers in China during the COVID-19 epidemic. Screening for adverse psychological outcomes and developing corresponding preventive measures would be beneficial in decreasing negative psychological outcomes.


PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0257966
Author(s):  
Tino Prell ◽  
Jenny Doris Liebermann ◽  
Sarah Mendorf ◽  
Thomas Lehmann ◽  
Hannah M. Zipprich

Objective To develop multidimensional approaches for pain management, this study aimed to understand how PD patients cope with pain. Design Cross-sectional, cohort study. Setting Monocentric, inpatient, university hospital. Participants 52 patients with Parkinson’s disease (without dementia) analysed. Primary and secondary outcome measures Motor function, nonmotor symptoms, health-related quality of life (QoL), and the Coping Strategies Questionnaire were assessed. Elastic net regularization and multivariate analysis of variance (MANOVA) were used to study the association among coping, clinical parameters, and QoL. Results Most patients cope with pain through active cognitive (coping self-statements) and active behavioral strategies (increasing pain behaviors and increasing activity level). Active coping was associated with lower pain rating. Regarding QoL domains, active coping was associated with better physical functioning and better energy, whereas passive coping was associated with poorer emotional well-being. However, as demonstrated by MANOVA, the impact of coping factors (active and passive) on the Short Form 36 domains was negligible after correction for age, motor function, and depression. Conclusion Passive coping strategies are the most likely coping response of those with depressive symptoms, whereas active coping strategies are the most likely coping response to influence physical function. Although coping is associated with pain rating, the extent that pain coping responses can impact on QoL seems to be low.


2020 ◽  
Author(s):  
Mingyu Si ◽  
Xiaoyou Su ◽  
Yu Jiang ◽  
Wenjun Wang ◽  
Xiao-fen Gu ◽  
...  

Abstract Background Medical care workers experienced unprecedented levels of workload and pressure since the outbreak of COVID-19 started from the end of 2019. Little is known about its exact impact on medical care workers and related factors in China. This study aims to identify the psychological impact of COVID-19 on medical care workers in China.Methods From February 23th to March 5th, 2020, a cross-sectional survey was conducted among 863 medical care workers from 7 provinces in China using standard questionnaires measuring adverse psychological outcomes including Impact of Event Scale-6 (IES-6), Depression, Anxiety and Stress Scale(DASS)and related psychosocial factors like perceived threat, social support and coping strategies. Exploratory Factor analysis was performed to identify the dimensions of perceived threat by study participants. Multivariate regression was used to examine the determinants of adverse psychological outcomes. Results Posttraumatic stress (PTS) were prevalent in this sample of health care professionals, and 40.2% indicated positive screens for significant posttraumatic stress disorder (PTSD) symptoms. The proportion of having mild to extremely severe symptoms of depression, anxiety and stress were 13.6%, 13.9% and 8.6%, respectively. Perceived threat and passive coping strategies were positively correlated to PTS and DASS scores, while perceived social support and active coping strategies were negatively correlated to DASS scores. Nurses were more likely to be anxious than others among medical care workers during the COVID-19 epidemic. Conclusions Adverse psychological symptoms were prevalent among medical care workers in China during the COVID-19 epidemic. Screening for adverse psychological outcomes and developing corresponding preventive measures would be beneficial in decreasing negative psychological outcomes.


2002 ◽  
Vol 30 (2) ◽  
pp. 203-212 ◽  
Author(s):  
Kumi Hirokawa ◽  
Akihiro Yagi ◽  
Yo Miyata

The purpose of the present study was to examine the relationships between personal levels of active and passive coping through physiological and psychological responses during stressful tasks. Participants were 78 Japanese male and female undergraduate students. They were assigned to give 3-minute speeches in Japanese and English. Their ECG and EOG were measured, and their anxiety and nervousness were assessed. Before the experiment, each participant's tendency to use active or passive coping strategies was assessed by a questionnaire. The results showed that passive coping was related to blink rate, anxiety, and nervousness. Active coping was related to nervousness. Based on the median score for passive coping, participants were classified as high (n=37) or low (n=41). The high group had a significantly increased blink rate and anxiety level compared to the low group. Passive coping strategies increased nervousness; however, active coping strategies may have had a moderating effect on nervousness.


2015 ◽  
Vol 30 (6) ◽  
pp. 701-708 ◽  
Author(s):  
A. Gutiérrez-Zotes ◽  
J. Labad ◽  
R. Martín-Santos ◽  
L. García-Esteve ◽  
E. Gelabert ◽  
...  

AbstractBackgroundVariables such as the mother's personality, social support, coping strategies and stressful events have been described as risk factors for postpartum depression. Structural Equation Modelling (SEM) analysis was used to examine whether neuroticism, perceived social support, perceived life events, and coping strategies are associated with postpartum depressive symptoms at the 8th and 32nd weeks.MethodsA total of 1626 pregnant women participated in a longitudinal study. Different evaluations were performed 8 and 32 weeks after delivery. Several measures were used: the Edinburgh Postnatal Depression Scale (EPDS), the Diagnostic Interview for Genetic Studies (DIGS), the Eysenck Personality Questionnaire (EPQ-RS), the St. Paul Ramsey life events scale and the Duke-UNC Functional Social Support Questionnaire. The brief COPE scale was used to measure coping strategies. SEM analysis was conducted for all women and in those women with a clinical diagnosis of postpartum depression.ResultsPassive coping strategies were associated with postpartum depressive symptoms at both visits (8th and 32nd weeks). Neuroticism was associated with more passive coping strategies and less active coping strategies. Neuroticism and life stress were positively correlated, and social support was negatively correlated with life stress and neuroticism.ConclusionsEarly identification of potential risk for symptomatology of depression postpartum should include assessment of neuroticism, life events, social support and coping strategies.


2017 ◽  
Vol 64 (4) ◽  
pp. 296-299
Author(s):  
Liliana Veronica Diaconescu ◽  
◽  
Ion Diaconescu ◽  

Introduction. The aim of the study was to assess the extent to which psychosocial factors (social support and coping strategies) may have a protective role against depression in patients with peripheral arterial disease (PAD). Methods. The design of the study was transversal and included 37 patients with PAD with critical ischemia (32 men, 5 women, mean age = 62.41). They were administered Center for Epidemiologic Studies Depression Scale, Duke-UNC Functional Social Support Questionnaire and COPE inventory. Results. Depressive symptoms were found at 28.6% of the patients. There were low scores of perceived social support at 32.4% of the patients. Depression correlated (p<.001) positively with mental disengagement (r=.791), denial (r=.672), behavioral disengagement (r=.760), restraint (r=.075) and negatively with social support (r= -.879) and positive reinterpretation (r=-.844), active coping (r=-.776), use of emotional support (r=-.624). Discussion. PAD patients experience depression. Is highlighted the buffer role of social support and of active coping strategies in facing a chronic disease. Conclusions. Recognition and evaluation for depression in patients with PAD followed by identifying psychosocial interventions may be useful in improving outcomes of these patients.


2016 ◽  
Vol 30 (1) ◽  
pp. 109-113 ◽  
Author(s):  
Véronique Goussé ◽  
Virginie Czernecki ◽  
Pierre Denis ◽  
Jean-Louis Stilgenbauer ◽  
Emmanuelle Deniau ◽  
...  

2016 ◽  
Vol 3 (2) ◽  
pp. 39-43 ◽  
Author(s):  
Kamala Darlami ◽  
Reshmi Ponnose ◽  
Pradap Jose

INTRODUCTION: Psychiatric disorders are as old as human life. The prevalence of psychiatric disorders and their undesired personal, familial and social effects have increased simultaneously with population growth and urbanity. Limited psychiatric health care services coupled with increased psychiatric disorders led their families to play a critical role in taking care of the patients and they have to be considered as a main source of patients' caregivers. Long term care to psychiatric patients' increases caregivers' burden and decreases their mental health status. This may result in increasing psychiatric stress of caregivers and decreased patient care. MATERIAL AND METHODS: A descriptive research design was adopted to assess the caregiver's stress of psychiatric patients and coping mechanisms in this study. Fifty care givers of the psychiatric patients were selected through purposive sampling technique from inpatient and outpatient units of Universal College of Medical Sciences, Teaching Hospital. Modified and combined version of General Health Questionnaire-12 and Kingston caregiver scale, Cope scale and demographic performa were used to interview the samples. Collected data was analysed using descriptive and inferential statistics. Sociodemographic data was analyzed using frequency and percentage. Level of stress and coping was analyzed by computing frequency, percentage, mean, median, and standard deviation. The association between the caregiver's stress with sociodemographic variables was computed using chi-square test. RESULT: Result related to stress level of respondents revealed that majority of the respondents (86%) were at moderate stress, followed by 14% with severe stress. Study findings showed that caregivers were stressed with care giving, family and financial issues. In relation to coping strategies, 68% of respondent used active coping measures whereas 32% adopted passive coping methods. Majority of the respondents used social support, positive reinterpretation and religious coping strategies to overcome the stress. Caregiver's stress compared with sociodemographic variables showed a significant association between religion, ethnicity, education, marital status, onset of illness, type of illness, type of patient and relation with patient. CONCLUSION: The present study revealed that all of the respondents were under stress and most of them used active coping measures to manage their stress. The study has important implications for service delivery and clinical practice. Health care personnel should be observant of psychological problems of caregivers and if subjective complaints or functional impairment are present, evaluation and therapeutic interventions should be suggested. Information regarding support and practical assistance should also be offered to families of psychiatric patients.Journal of Universal College of Medical Sciences (2015) Vol.03 No.02 Issue 10  Page: 39-43


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