scholarly journals Psychological Dimension of HIV/AIDS and Recent Advances in Its Management

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Anurag Agrawal ◽  
Meha Jain ◽  
Shikha Agrawal ◽  
Shweta Singh ◽  
Mamta Yadav

HIV as a chronic illness is manageable but not curable. Psychiatric disorders not only act as risk factors for HIV infection but also result from the diagnosis of HIV infection. The psychiatric disorders range from anxiety, depression to neurocognitive disorders. The diagnosis also means psychological and emotional effects on the patients and the caregivers. This requires that biopsychosocial perspective be employed in managing such patients for better treatment adherence and increased quality of life. There are various psychological interventions available like cognitive behavior therapy, group therapy, mindfulness based therapy etc. Despite wide prevalence of such problems present in India, very few clinicians are aware of these psychological interventions and make them available to the patients.

2013 ◽  
Vol 21 (5) ◽  
pp. 506-507 ◽  
Author(s):  
Ajay Castelino ◽  
Mark Fisher ◽  
Sarah Hoskyns ◽  
Irene Zeng ◽  
Allyson Waite

2021 ◽  
Vol 1 (1) ◽  
pp. 20-23
Author(s):  
Satria Putra Wicaksana

Patient satisfaction with a treatment is an important outcome measure and is associated with increased adherence to that treatment. The role of psychological factors with regard to successful surgical outcomes has been highlighted previously. This is an orthopedic literature for the psychological traits that are relevant to surgical outcomes as well as an overview of options for psychologically optimizing a patient for surgery and ways to address problems encountered in the postoperative period in pandemic or non-pandemic before. A literature review was conducted in the electronic database PubMed using keyword “Psychological”, and “Orthopedic Surgeries”. All type of studies were included for this study, such as controlled trials, systematic reviews, literature reviews, and pilot studies published between 2015 and 2021. Articles which not written in English were excluded from the study. This search resulted in 6 papers. All of the papers disscuss about physicological effect on pre and post-surgical treatment. Satisfaction with surgery was closely associated with physical function and anxiety before surgery. Our analysis provides low levels of evidence supporting the use of psychological interventions, particularly with regard to anxiety and mental components of quality of life. Pre-operative anxiety, depression and low self-efficacy are consistently associated with worse physiological surgical outcomes and quality of life. However, there is currently insufficient evidence to be sure that pre-operative psychological interventions are of benefit, or which interventions are most effective.  


Author(s):  
William S. Breitbart

In addition to the diagnosis and treatment of psychiatric disorders in palliative care settings, pain and other troublesome physical symptoms must also be aggressively treated in efforts aimed at the enhancement of the patient’s quality of life. These symptoms must be assessed by the psycho-oncologist concerned with the assessment and treatment of affective and other syndromes in the terminally ill population. This chapter provides a brief overview of the prevalence, assessment, and management of the commonly encountered, distressing physical symptoms such as pain, insomnia, and nausea among patients with advanced cancer.


Author(s):  
Manuel Mejías-Estévez ◽  
Rocio Dominguez Álvarez ◽  
Ignacio Jauregi Lobera

Psychosomatic medicine (MP) and palliative care are disciplines with history and both are based in the scientific world. Although the psychosomatic diagnosis is exclusionary, it can help palliative care to be more effective. The influence of the psychosomatic in the palliative exists. According to all the bibliography available in the electronic databases, psychosomatic medicine is a biopsychosocial model related to both physical and psychosocial factors, which helps improve the care of patients with advanced cancer in palliative care (improved survival, quality of life, reduces the burden on caregivers). It helps analyze and address psychiatric disorders, as well as in the control of complex symptoms such as life-threatening anxiety, depression or delirium. Therefore, both medical disciplines are related from the beginning and help to the quality of life of terminally ill patients.


2021 ◽  
Vol 1 (1) ◽  
pp. 20-23
Author(s):  
Satria Putra Wicaksana

Patient satisfaction with a treatment is an important outcome measure and isassociated with increased adherence to that treatment. The role of psychologicalfactors with regard to successful surgical outcomes has been highlightedpreviously. This is an orthopedic literature for the psychological traits that arerelevant to surgical outcomes as well as an overview of options for psychologicallyoptimizing a patient for surgery and ways to address problems encountered inthe postoperative period in pandemic or non-pandemic before. A literature reviewwas conducted in the electronic database PubMed using keyword “Psychological”,and “Orthopedic Surgeries”. All type of studies were included for this study, suchas controlled trials, systematic reviews, literature reviews, and pilot studiespublished between 2015 and 2021. Articles which not written in English wereexcluded from the study. This search resulted in 6 papers. All of the papersdisscuss about physicological effect on pre and post-surgical treatment.Satisfaction with surgery was closely associated with physical function andanxiety before surgery. Our analysis provides low levels of evidence supportingthe use of psychological interventions, particularly with regard to anxiety andmental components of quality of life. Pre-operative anxiety, depression and lowself-efficacy are consistently associated with worse physiological surgicaloutcomes and quality of life. However, there is currently insufficient evidence tobe sure that pre-operative psychological interventions are of benefit, or whichinterventions are most effective.


2015 ◽  
Vol 62 (3) ◽  
pp. 249-254
Author(s):  
Constantin Bogdan ◽  
◽  
Laurenţiu Bogdan ◽  

The terminal stages that come prior to the exitus – in incurable diseases, „fin de vie des vieux“ – are characterised, among others, by a number of psychological changes and psychiatric disorders that need to be diagnosed and therapeutically tackled through psycho-therapy and appropriate medication, in order to improve the quality of life. International research in this field and also own observations of the authors of the study on the structure of the entities that can be found and their order frequency are presented in the paper. Among the most frequent are the following: anxiety, depression, delirium, suicidal risk, cognitive disorders that are detailed according to intensity, evolution, therapeutical response. Anxiety occurs as a result of awareness of the proximity of the death. Management of the depression includes antidepressant medication and, especially, supportive psychoterapy. With reference to the suicidal risk, a careful assesment of the risk must be done. Cognitive disorders are more serious and difficult to be influenced therapeutically.


1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Aan Nuraeni ◽  
Ristina Mirwanti ◽  
Anastasia Anna ◽  
Ayu Prawesti ◽  
Etika Emaliyawati

Prevalensi Penyakit Jantung Koroner (PJK) terus mengalami peningkatan setiap tahunnya dan menjadi masalah kesehatan utama di masyarakat saat ini. PJK berdampak terhadap berbagai aspek kehidupan penderitanya baik fisik, psikososial maupun spiritual yang berpengaruh terhadap kualitas hidup pasien. Isu kualitas hidup dan faktor-faktor yang berhubungan didalamnya belum tergambar jelas di Indonesia. Tujuan dari penelitian ini adalah mengidentifikasi faktor yang memengaruhi kualitas hidup pada pasien PJK yang sedang menjalani rawat jalan. Faktor-faktor yang diteliti dalam penelitian ini meliputi jenis kelamin, tingkat penghasilan, revaskularisasi jantung, rehabilitasi jantung, kecemasan, depresi dan kesejahteraan spiritual. Kecemasan diukur dengan Zung Self-rating Anxiety Scale, depresi diukur dengan Beck Depression Inventory II, kesejahteraan spiritual diukur dengan kuesioner Spirituality Index of Well-Beingdan kualitas hidup diukur menggunakan Seattle Angina Questionnaire. Penelitian ini menggunakan rancangan kuantitatif deskriptif dan analitik multivariatedengan regresi logistic. Diteliti pada 100 responden yang diambil secara randomdalam kurun waktu 1 bulan di Poli Jantung. Hasil penelitian menunjukkan faktor yang memengaruhi kualitas hidup pada pasien PJK adalah cemas (p) 0,002; Odd Ratio(OR) 4,736 (95% confidence interval(CI), 1,749 – 12,827); depresi (p) 0,003; OR 5,450 ( 95% CI, 1,794 – 16,562); dan revaskularisasi (p) 0,033; OR 3,232 (95% CI, 1,096 – 9,528). Depresi menjadi faktor yang paling berpengaruh terhadap kualitas hidup pasien PJK. Faktor yang memengaruhi kualitas hidup pada pasien PJK meliputi depresi, cemas dan revaskularisasi. Dari ketiga variabel tersebut depresi merupakan variabel yang paling signifikan berpengaruh, sehingga manajemen untuk mencegah depresi perlu mendapatkan perhatian lebih baik lagi dalam discharge planningataupun rehabilitasi jantung.Kata kunci: Cemas, depresi, faktor yang memengaruhi, kualitas hidup, spiritual.Factors Influenced the Quality of Life among Patients Diagnosed with Coronary Heart Disease AbstractCoronary Heart Disease (CHD) has affected multidimensional aspects of human live nowadays. Yet, quality of life and factors associated with quality of life among people who live with heart disease has not been explored in Indonesia. This study aimed to identify factors influenced the quality of life among people with CHD received outpatient services. Those factors are gender, income, revascularization, cardiac rehabilitation, anxiety, depression and spiritual well-being. Zung Self-rating Anxiety Scale was used to measure anxiety where depression level measured using Beck Depression Inventory II. Spirituality index was used to measure spiritual well-being. The quality of life level was measured using the Seattle Angina Questionnaire. This study used quantitative descriptive with multivariate analysis using logistic regression. 100 respondents were randomly selected from the Cardiac Outpatient Unit. Findings indicated factors influenced the quality of life of CHD patients using a significance of ƿ-value < 0.005 were: anxiety (ƿ=0,002, OR = 4,736, 95% CI, 1,749 – 12,827); depression (ƿ=0,003; OR=5,450, 95% CI, 1,794 – 16,562); and revascularizations (ƿ=0,033; OR=3,232, 95% CI, 1,096 – 9,528). Depression was considered as the most significant factor; therefore, managing depression is a priority in the discharge planning or cardiac rehabilitation programme. Keywords: Anxiety, depression, quality of life, spiritual, well-being.


2020 ◽  
Vol 13 (3) ◽  
pp. 304-310
Author(s):  
Jarosław Woroń

The development of pain is associated with numerous physiological mechanisms. Improper acute pain treatment significantly reduces the quality of life and leads to a number of physiological changes that adversely affect the general condition of the patient. In many cases, inadequate analgesic therapy results in the transition from acute to chronic pain. For this reason, it is extremely important to use drugs that synergistically affect various pain mechanisms. Combined preparations, including the combination of tramadol and dexketoprofen, are very effective. This combination has many advantages, including proven efficacy and tolerability, ensures better treatment adherence and is easy to administer.


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