scholarly journals Resilience in Adolescent Chronic Pain: An Exploration of Coping Mechanisms and Protective Psychological Factors

2020 ◽  
Vol 7 (1) ◽  
pp. 55
Author(s):  
Manuella Widjaja ◽  
Rachel Szwimer ◽  
Richard Hovey

Introduction: Adolescents living with Chronic Pain (CP) are vulnerable to negative outcomes such as disability and impaired quality of life; they often miss schools, are unable to maintain social contacts, have sleep disturbances, and suffer from anxiety and depression. The continuation of avoidance coping behaviour beyond normal healing time had also been shown to result in negative consequences such as Disuse Syndrome—a state associated with physical deconditioning, sick role behaviour, psychosocial withdrawal, as well as negative and catastrophic beliefs.Objective: This study uses an interpretative phenomenological approach to explore individual positive thought processes, adaptation efforts, coping mechanisms, as well as resilience resources (beneficial social situations and solid family ties) that adolescents adopt to minimize the impact of pain and its consequences. The ultimate goal is to liaise with fellow physicians, allied researchers, and policy makers to modify, adapt, and improve current adolescent CP services. This way, we can help patients foster skills that will allow them to adapt positively, regain a balanced social life, and live successfully despite their pain.Results / Findings: Central to all accounts is a sense of interrupted life—phrases with negative connotations such as “couldn’t do” and “had to stop” are repeatedly used to express feelings of loss of control.To regain control over their situation, participants create within themselves a positive internal dialogue: they reconstruct the meaning of normalcy, practice acceptance, make downward social comparisons, and engage in daily positive affirmations. While chronic pain disrupts their career trajectories, the experience of living with pain has instilled in them the pursuit of significance. This pursuit is propelled by the imagery of a full life and seems to be particular to this age group. Ironically, some participants are seen to be grateful for their pain. Living with pain has gifted them with intuitive empathy for the suffering of others, as well as the emotional credibility to help.

Author(s):  
Oleksandr Volodmyrovych Lutskevych ◽  

Urgency of the research. Digital technologies are transforming all spheres of social life, and the financial sphere is no exception. In general, such trends cannot but leave an imprint on approaches to managing the financial risk of digital securities. Target setting. Currently, scientific and methodological support for the formation of a mechanism for managing the financial risks of digital securities is in the early stages of development, while the quality of state regulation and supervision of participants in digital securities directly depends on the effectiveness of the current mechanism for managing such risks. Actual scientific researches and issues analysis. Theoretical and applied aspects of the securities market, features of the impact of financial innovations and financial risk management in the field of securities circulation, are researched by V. Bodrov [1], O. M. Kovaleva [2], I. V. Krasnova [3], N. V. Tkachenko [4], Yu. B. Kolupaeva [5] and others. Uninvestigated parts of general matters defining. The methodology of formation the mechanism for managing the financial risks of digital securities needs more precise research. The research objective. Deepening the scientific understanding of the term "financial risk management mechanism for the circulation of digital securities" will ensure to outline ways of increasing the efficiency of this financial instrument usage. The statement of basic materials. This article analyzes the essence of the term "financial risk management mechanism". The construction of the mechanism has been adapted to the specifics of digital securities risk management. Conclusions. The essence of the mechanism of financial risks management of digital securities circulation is improved due to application of a set of methods for identification, quantitative and qualitative analysis, measures to prevent realization and / or reduction of negative consequences of financial risks of digital securities circulation, ways of control over some events.


Temida ◽  
2011 ◽  
Vol 14 (3) ◽  
pp. 23-36
Author(s):  
Rajko Macura ◽  
Slavoljub Vujovic ◽  
Djuro Mikic

The emergence and spread of Internet communication has led to changes in social relationships, abuse of the Internet and maladaptive behavior. Among the authors who have studied the impact of these changes there is no consensus, and the results of their research are often contradictory. Some authors conclude that Internet communication strengthens networks of its users, while others believe that such communication leads to reduced participation in real social life. In a number of people, excessive use of the Internet adversely affects the mental health and social life and can lead to obsession at the expense of other aspects of life and creating addiction. The greatest risk of negative impacts of online communication is among children and young people. This paper is meant to indicate, the good sides as well as the negative consequences of excessive and non-functional Internet use


2019 ◽  
Vol 9 (4) ◽  
pp. 637-649
Author(s):  
Victoria Stewart ◽  
Matthew Campbell ◽  
Sara S. McMillan ◽  
Amanda J. Wheeler

Purpose The purpose of this paper is to explore the experiences of students and teachers who had participated in a postgraduate work-based praxis course within a Master of mental health practice qualification. Design/methodology/approach This qualitative study used an interpretative phenomenological approach to understand the lived experience of students and course convenors participating in a work-based praxis course. Seven students and two convenors were recruited. Interview and reflective portfolio data were analysed thematically. Findings The main themes identified were the importance of planning, the value of partnerships, the significance of learning in the workplace and how the facilitation of work-based learning differs from coursework. Originality/value Work-based learning within postgraduate coursework qualifications can support higher-level learning, knowledge and skills has received limited attention in the literature. This study supported the value of providing postgraduate students with work-based learning opportunities, resulting in the application of new or advanced skills, within their existing work roles. This study is important, because it provides insights into the student experience of postgraduate work-based learning and the impact of this learning on professional practice.


2018 ◽  
Vol 26 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Jane Townshend ◽  
Alyson Norman

This study seeks to contribute to our understanding of the lived experiences of family members and friends of individuals with traumatic brain injury (TBI). The study employed an interpretative phenomenological approach, enabling family members and friends to identify and reflect upon the factors they themselves considered most significant about the impact of TBI on someone close to them, and how this experience has affected their own lives and their relationship with the TBI survivor. Eleven participants, two males and nine females aged 22–79, were from the United Kingdom. Several strong and interconnected themes emerged from the interviews, clustering into four superordinate themes: “continuity and discontinuity”; “damage, loss, and grief”; “roles and responsibility”; and “coping and not coping.” The study findings identify the importance of support and information provision for family members and friends of those with TBI to help them manage the long-term impact of TBI.


2019 ◽  
Vol 26 (01) ◽  
Author(s):  
Shakeel Ahmad ◽  
Muhammad Nazim ◽  
Rizwan Munir ◽  
Hafiz Muhammad Faiq Ilyas ◽  
Naeem Asghar ◽  
...  

Objectives: To assess the impact of myocardial infarction on quality of life in four year survivors and to determine factors associated with a poor quality of life. Design: Descriptive study. Settings: Faisalabad institute of cardiology Faisalabad. Duration of Study: 1st November 2017 to 30 April 2018. Sample Size: Sample size was 200 as calculated by WHO sample size calculator. Sampling Technique: Non probability consecutive sampling. Subjects: All patients diagnosed with acute myocardial infarction during 2013 and alive at a median of four years. Patients and Methods: 200 patients presenting in outdoor for routine follow up checkup who got MI approximately four years ago in year 2013 were included in the study. Results: 200 patients with an acute myocardial infarction in 2013 and alive and capable of responding to a questionnaire in 2018 were included in the study. Physical functioning was normal in 63%, fair in 25% and disturbed in 12% of patients. Social life functioning was normal in 66%, fair in 26% and disturbed in 8% of patients. No Angina episodes in 61.5%, 1 to 2 angina episodes per month in 25% and more than 3 episodes per month in 13.5% patients. 59% of patients were doing routine jobs, 21.5 % were doing off and on job and 19.5% were not doing any job after MI. Conclusions: this study provides valuable information for the practicing clinicians. Impaired quality of life was reported by patients, unfit for work, those with angina and dyspnea, patients with coexistent lung disease, those with anxiety and sleep disturbances and other co-morbid conditions. Improving quality of life after MI remains a challenge for practicing physicians.


Hand Therapy ◽  
2019 ◽  
Vol 24 (2) ◽  
pp. 55-61 ◽  
Author(s):  
Chhaya V Verma ◽  
Sujata Yardi ◽  
Vinita Puri ◽  
Tanvee Vora

Introduction Advancements in reconstructive surgery for traumatic brachial plexus injury explain the need for better rehabilitation programmes. Therefore, an understanding of an individual patient’s perception through their journey of treatment for a traumatic brachial plexus injury is needed. Methods Thirteen patients with traumatic brachial plexus injury were selected using non-probability purposive sampling. Data were collected in the form of in-depth face-to-face interviews in a clinic setting of a tertiary government hospital using an explorative qualitative method. An interview guide comprising open-ended, nondirective semi structured questions was used and data were analyzed using an interpretative phenomenological approach. Results Eleven subthemes under the overarching theme of patient perception were identified. These subthemes illustrate perception of each individual participants’ journey of treatment for traumatic brachial plexus injury. Conclusion Our study following a qualitative approach throws light on the impact of injury and an adult individual’s perception and may thereby help to develop a more comprehensive and holistic approach towards patient care.


2021 ◽  
Author(s):  
Qian Huang

This study aims to examine how study abroad experiences influence Chinese engineering students’ employability. Employability in this study is defined as capabilities, processes and performances before job search, during job search and after job search. This study aims to explore how study abroad experiences contribute to engineering students’ global competencies; how study abroad experiences influence engineering graduates’ job search process; what the long-term impact of study abroad experience on engineering graduates’ early careers are. This study adopts interpretative phenomenological approach via semi-structured interview. The preliminary findings include: firstly, study abroad experience is a premise for Chinese engineering students for being screened during job search both in China and abroad; secondly, study abroad allows students to discover their real interests which decided their career directions; thirdly, students kept learning and self-reflecting which contribute to their capabilities building; fourthly, study abroad trained engineering students with soft skills. Moreover, recommendation from professors and alumni facilitate the job search. Lastly, personal value and family reason influence graduates’ career decisions in working in China or abroad. Conclusion was drawn that study abroad experiences have positive impact on engineering students’ employability building, job search process and their early careers.


2020 ◽  
Vol 7 (3) ◽  
pp. 430-437
Author(s):  
Yuluan Wang ◽  
Annette Rivard ◽  
Christine Guptill ◽  
Carol Boliek ◽  
Cary Brown

Objectives: Sleep deficiency (SD) is a prevalent problem and has serious negative consequences for physical, cognitive, and psychological well-being. The use of music as a non-pharmacological sleep intervention has been proposed in several studies. A 2014 meta-analysis of 10 randomized trials evaluating the impact of music on sleep concluded that it can decrease sleep onset delay (latency) and sleep disturbances, increases sleep duration, and improves daytime dysfunction.  It appears that, to-date, evidence-based guidelines for the selection and/or production of sleep-promoting music do not exist.  This review addresses that gap and synthesizes available literature towards the goal of developing guidelines grounded in the evidence-based characteristics of sleep conducive music. Design and Results: A narrative review of research papers relevant to the topic identified evidence-based characteristics of sleep-conducive music related to tempo, rhythm, pitch, volume, and duration. Conclusion: This identification and compilation of evidence-based characteristics of sleep-conducive music can underpin future research that targets development and testing of specific music to promote sleep.  


2021 ◽  
Vol 8 (3) ◽  
pp. 287-295
Author(s):  
Katarzyna Huk ◽  
Górak Agata

Changes taking place in the economy generate negative consequences for the environment and society. This is the case of, inter alia, agglomerations. In recent years, the concept of city logistics has been developed, the aim of which is to draw attention to sustainable development in urban agglomerations. There are many studies on the advantages of ecological means of transport, but they do not show the impact on other environmental factors. This is undoubtedly a research gap that needs to be explored. The article presents the idea of city logistics and the impact of private transport on agglomerations. Introducing new, innovative solutions in the field of private transport, such as electric cars and hybrids, does not have a positive impact. The article presents statistics on the number of cars in relation to the ecological ones. Moreover, with the help of the SimaPro program, their environmental and social impact was analyzed. The analysis was enriched by participant observations, consisting of the analysis of the number of means of transport and their use in one of the Polish cities. The aim of the article is to present the impact of passenger transport on the environment and social life. The analysis was carried out on the basis of three countries with similar economic development: the Czech Republic, Poland and Slovakia.


Author(s):  
M.S. DIMUTHU KUMARI ◽  
R.L.S. FERNANDO

Activism is natural in any context. Similarly, in Sri Lanka student activism has been a prolonged issue in the state university system. As many sources mentioned, it has been deeply embedded in the system, thus eradicating activism is impossible. Therefore, we need to find some strategies to break the early development of activism and to weaken the impact. However, the local authorities have simply labeled student activism as a political matter and ignored them for years in Sri Lanka. Past studies have extensively discussed the negative consequences of activism, yet the prevention strategies are rarely spoken. Therefore, this study aims to seek strategies to deal with activism smoothly. Since the art of handling conflicts is subjective, this study employed the phenomenological approach under the qualitative strategy. A sample of administrators and student activists was selected using purposive and snowballing sampling techniques. In-depth interviews were conducted to collect data and they were analyzed thematically. Mediation strategies were revealed from both activists' and administrators’ perspectives. Accordingly, this study revealed that activists expect a fair, respectful, friendly, humanistic, and genuine approach from the administrators' end. Administrators seek more autonomy and democratic governance when dealing with activism and they revealed some unique issues of their side. Two-Way communication, flexibility in mechanisms, humanistic approaches, more participation are the concerns where both parties are well thought out. All the identified strategies will be useful in handling activism smoothly in the future.


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