Shared Responsibility Moderates Relations between Psychological Distress and Self-Care among Adolescents with T1D

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 799-P
Author(s):  
HIBA ABUJARADEH ◽  
VICKI HELGESON ◽  
SUSAN M. COHEN ◽  
SUSAN M. SEREIKA
Keyword(s):  
Psychological Distress ◽  
Self Care ◽  
Shared Responsibility

Study Protocol for Implementation of An Internet-based Acceptance and Commitment Therapy for Promoting Mental Health Among Migrant Live-in Caregivers in Canada (Preprint)

2021 ◽  
Author(s):  
Kenneth Po-Lun Fung ◽  
Mandana Vahabi ◽  
Masoomeh Moosapoor ◽  
Abdolreza Akbarian ◽  
Josephine Pui-Hing Wong
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Focus Groups ◽  
Acceptance And Commitment Therapy ◽  
Psychological Intervention ◽  
Self Care ◽  
Well Being ◽  
Virtual Space ◽  
Commitment Therapy ◽  
Acceptance And Commitment

BACKGROUND Psychological distress, isolation, feeling of powerlessness, and limited social support are realities faced by temporary migrant live–in caregivers in Canada. Furthermore, they experience multiple barriers in accessing mental health services due to their long work hours, limited knowledge about health resources, precarious employment, and immigration status. OBJECTIVE Women Empowerment - Caregiver Acceptance & Resilience E-Learning (WE2CARE) project is a pilot intervention research project that aims to promote mental well being and resiliency of migrant live-in caregivers. The objectives include exploring the effectiveness of this program in: (1) reducing psychological distress (depression, anxiety, and stress); (2) promoting committed actions of self-care; and (3) building mutual support social networks. Further, participants’ satisfaction with the intervention and their perceived barriers and facilitators to practicing the self-care strategies embedded in WE2CARE will be examined. METHODS Thirty-six live- in caregivers residing in Great Toronto Area (GTA) will be recruited and randomly assigned to intervention and waitlist control groups. The intervention group will receive a 6-week web-based psychosocial intervention that will be based on Acceptance and Commitment Therapy (ACT). Standardized self-reported surveys will be administered online pre-, post-, and 6-week post-intervention to assess mental distress (DASS 21), psychological flexibility (AAQ-2), mindfulness (CAMS-R) and Multi-System Model of Resilience (MSMR-I). Two focus groups will be held with a subset of participants to explore their feedback on the utility of the WE2CARE program. RESULTS WE2CARE was funded in January 2019 for a year. The protocol was approved by the research ethics boards of Ryerson University (REB 2019-036) in February 2019, and University of Toronto (RIS37623) in May 2019. Data collection started upon ethics approval and was completed by May 2020. A total of 29 caregivers completed the study and 20 participated in the focus groups. Data analyses are in progress and results will be published in 2021. CONCLUSIONS WE2CARE can be a promising approach in reducing stress, promoting resilience, and providing a virtual space for peer emotional support and collaborative learning among socially isolated and marginalized women. The results of this pilot study will inform the adaptation and utility of online delivery of ACT based psychological intervention in promoting mental health among disadvantaged and vulnerable populations. CLINICALTRIAL None

scholarly journals The relationships among self-care, dispositional mindfulness, and psychological distress in medical students

2015 ◽  
Vol 20 (1) ◽  
pp. 27924 ◽  
Author(s):  
Jessica Slonim ◽  
Mandy Kienhuis ◽  
Mirella Di Benedetto ◽  
John Reece
Keyword(s):  
Psychological Distress ◽  
Medical Students ◽  
Self Care ◽  
Dispositional Mindfulness

scholarly journals Impact of COVID-19 and Partial Lockdown on Access to Care, Self-Management and Psychological Well-being among People with Diabetes: A Cross-sectional Study

2020 ◽  
Author(s):  
Ester Yeoh ◽  
Sooon Guan Tan ◽  
Yingshan Lee ◽  
Ying Yee Low ◽  
Su Chi Lim ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Health Services ◽  
Clinical Care ◽  
Self Care ◽  
Well Being ◽  
Cross Sectional ◽  
Disinhibited Eating ◽  
Health Services Access ◽  
The Impact

Background The impact of lockdown measures can be widespread, affecting both clinical and psychosocial aspects of health. This study aims to assess changes in health services access, diabetes self-care, behavioral and psychological impact of COVID-19 and partial lockdown in Singapore. Methods We conducted a cross-sectional online survey amongst people with diabetes with the Diabetes Health Profile-18 (DHP-18). Hierarchical regression analyses were performed for each DHP-18 subscale (Psychological Distress, Disinhibited Eating and Barriers to Activity) as dependent variables in separate models. Results Among 301 respondents, 45.2% were women, majority were ethnic Chinese (67.1%), aged 40 to 49 years (24.2%), have Type 2 diabetes (68.4%) and on oral medications (42.2%). During the lockdown, nearly all respondents were able to obtain their medications, supplies (94%) and contact their doctors (97%) when needed. Respondents reported less physical activity (38%), checking of blood pressure (29%) and blood glucose (22%). Previous diagnosis of mental health conditions (β=11.44, p= 0.017), diabetes-related comorbidities (β= 3.98, p= 0.001) and Indian ethnicity (β= 7.73, p= 0.018) were significantly associated with higher psychological distress. Comorbidities were associated with higher disinhibited eating (β= 2.71, p= 0.007) while mental health condition was associated with greater barriers to activities (β= 9.63, p= 0.033). Conclusion Health services access were minimally affected but COVID-19 and lockdown had mixed impact on self-care and management behaviors. Greater clinical care and attention should be provided to people with diabetes with greater number of comorbidities and previous mental health disorders during the pandemic and lockdown.

scholarly journals Conventional Rehabilitation Therapy Versus Telerehabilitation in Cardiac Patients: A Comparison of Motivation, Psychological Distress, and Quality of Life

2019 ◽  
Vol 16 (3) ◽  
pp. 512 ◽  
Author(s):  
Helle Spindler ◽  
Kasper Leerskov ◽  
Katrine Joensson ◽  
Gitte Nielsen ◽  
Jan Andreasen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Psychological Distress ◽  
Self Care ◽  
Autonomous Motivation ◽  
Lifestyle Changes ◽  
Cardiac Patients ◽  
Initial Increase ◽  
Care Technology

Telerehabilitation (TR) has gained attention as a promising rehabilitation format. Our study examined how patients responded to TR and whether it provided adequate support for their lifestyle changes and self-care efforts when compared to conventional rehabilitation (CR). Cardiac patients (n = 136) were randomly assigned to a TR or CR group. The TR group was provided with relevant health care technology for a period of three months, and both groups filled in questionnaires on their motivation for lifestyle changes and self-care psychological distress, and quality of life at 0, 3, 6, and 12 months. Patients in both groups were found to be equally motivated for lifestyle changes and self-care (p < 0.05) and they experienced similar levels of psychological distress and quality of life. TR is comparable to conventional rehabilitation in motivating patients, preventing psychological distress and improving quality of life. Although we observed an initial increase in autonomous motivation in the telerehabilitation group, this positive difference in motivation does not last over time. As such, neither rehabilitation format seems able to ensure long-term motivation. Therefore, TR may serve as a viable replacement for conventional rehabilitation when considered relevant. Further research is needed to enhance long-term motivation, and maybe telerehabilitation can help to achieve this.

scholarly journals Examining the associations between self-care practices and psychological distress among nursing students during the COVID-19 pandemic

2021 ◽  
pp. 104864
Author(s):  
K.R. Brouwer ◽  
L.A. Walmsley ◽  
E.M. Parrish ◽  
A.K. McCubbin ◽  
C.E.C. Braido ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Nursing Students ◽  
Self Care ◽  
Care Practices

scholarly journals Distress and Type 2 Diabetes Self-Care: Putting the Pieces Together

2020 ◽  
Author(s):  
Claire J Hoogendoorn ◽  
Clyde B Schechter ◽  
Maria M Llabre ◽  
Elizabeth A Walker ◽  
Jeffrey S Gonzalez
Keyword(s):  
Psychological Distress ◽  
Medication Adherence ◽  
Latent Variable ◽  
Self Care ◽  
Well Being ◽  
Diabetes Distress ◽  
Equation Modeling ◽  
Depression Symptoms ◽  
General Psychological Distress ◽  
Shared Variance

Abstract Background Conflicting research emphasizes depression, diabetes distress, or well-being in relation to diabetes self-care and risk for poor health outcomes. Purpose The purpose of this study was to test whether a latent variable for general psychological distress derived from shared variance of depression symptoms, diabetes distress, and well-being predicts a latent variable of diabetes self-care and to examine evidence for unique effects once shared effects are adjusted for. Methods Adults with suboptimally controlled diabetes were recruited from the South Bronx, NY, for a telephonic diabetes self-management support trial. Baseline diabetes self-care, medication adherence, depression symptoms, diabetes distress, and well-being were measured by validated self-report. Structural equation modeling specified a latent variable for general psychological distress derived from shared variance of depression symptoms, diabetes distress, and well-being. Diabetes self-care was a latent variable indicated by diet, glucose self-monitoring, and medication adherence. Results Participants (N = 627, 65% female) were predominantly ethnic minority (70% Hispanic; 45% Black) and 77% reported household income &lt;$20K/year. Mean (standard deviation) age = 56 (12) years; A1c = 9.1% (1.9%); body mass index = 32 (8) kg/m2. The latent variable for psychological distress was a robust predictor of poorer diabetes self-care (coefficient = −0.59 [confidence interval = −0.71, −0.46], p &lt; .001) with good model fit. Unique paths from depression symptoms, diabetes distress, and well-being (all ps &gt; .99) to self-care were not observed. Conclusions In this population of disadvantaged adults with suboptimally controlled diabetes, general psychological distress was strongly associated with poorer diabetes self-care and fully accounted for the effects of depression, diabetes distress, and positive well-being. This suggests that general distress may underlie previously reported associations between these constructs and diabetes self-care.

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