scholarly journals Experimental study of person-centered psychotherapy in somatogenic disorders treatment (A study of chronic gastrointestinal diseases)

This article touches upon the problem of Person-centered psychotherapy in the treatment of specific psycho-emotional problems caused by chronic physical illnesses. The study involved the patients with chronic diseases of gastroenterological spectrum on the exacerbation stage. Total sample size was 144 people: 85 females (59.09%) and 59 males (40.01%) at the age from 24 to 59 y. The average duration of therapy ranged from 15 to 20 hours. A separate group of patients (15 people) were treated with medications prescribed by a psychiatrist in accordance with psychopathological report taking into account the basic diagnosis (anxiolytic, sedative, nootropic, anti-depressants). Methods. At the sample selection and the final stages the MMPI, M. Luscher Colour Test and L. Szondi Test were applied. Before and after each therapeutic session express-diagnostics via SAM- techniques (self-esteem, activity, mood), in form of personal semantic differential was applied. Results and conclusions. The most significant results in terms of clinical features (health, strengthening, stress reduction, reduction of scales’ peaks, indicating the severity of the reactive state, positive dynamics of the lab tests, etc.) have been observed in the group of patients receiving concomitant (psychological, pharmacological and nosology-oriented) therapy. It may be assumed that various psychotherapeutic approaches should be considered as subsidiary, rather than principal, means of chronic illness treatment. Psychological methods proper would be useful for emotional abreaction, switching attention from the dominant physical suffering to the patient's personal resources, as well as self-presentation processes.

2020 ◽  
Vol 1 (1) ◽  
pp. 44
Author(s):  
Sulastri , ◽  
Andi Thahir ◽  
Rohayati ,

Introduction: A person who has low self-esteem sees the environment in a negative way and considers it a threat. Schizophrenias patients with negative symptoms generally show a feeling of inferiority, this condition is a problem because of the cause of other problems, such as social isolation. The purpose of this research was to analyze the effect of giving thought stopping to self-esteem people with schizophrenia. Methods : This research uses quantitative approach the method used was the experimental design of pretest-posttest with control design. The population is the patient who was treated at the Custody. Sampling method in this research is by purposive sampling. Total sample is 90 respondents, divided into two groups, Intervention group 30 and control group 60 respondents. Measurement of data with client's self-esteem observation sheets before and after therapy. Results : The result of bivariate analysis was done using t-test obtained by p-value <0,005.  There is a significant difference in patient self-esteem in the control group and intervention group after thought stopping. Conclusion: These results suggest there is influence of thought stopping with patient self esteem. Sex, length of illness and treatment history are not confounding factors. It is recommended to use thought stopping as one of the actions of nursing, especially on clients with self esteem problems. 


2018 ◽  
pp. 79-82
Author(s):  
Van Minh Pham ◽  
Van Nam Phan ◽  
Thi Thu Nguyen

Objectives: To investigate the clinical characteristics of cataract patients with small pupils and to evaluate the result of cataract surgery on the eye have small pupils by phacotechnique. Subjects and methods: Descriptive study, prospective, uncontrolled interventions. Sample selection. The sample size of 70 patients with 70 eyes of cataracts with small pupils was treated by phaco technique and intraocular lens implant within posterior chamber. Follow up to 3 months. Results: 70 eyes, the percentage of men and women was not different from 54.2% (38 male) compared to 45.8% (32 female). The mean age was 80 ± 8.74, from 58 to 99 years. The disease was mainly found in the age group over 70 years old with over 80% (51.5%). Visual acuity before surgery was very poor under 3m CF (count finger) for 68.6% (48/70). Visual acuity over 1/10 was only a small amount with 2.8% (2 eyes). Pseudoexfoliation was the most common reason complications of mydriasis with 32/70 eyes (45.7%) and 22/70 eyes (31.4%) for age. The preoperative pupilarysizewas mostly small with 63/70 eyes (90.0%), non-dilated pupils (7/70 eyes) (10.0%). Average pupil size was 3.34 mm (2 - 4mm). Iris condition: iris atrophy 20/10 eyes (28.6%), iris synechiae 11/10 (15.7%), irregular iris muscle with 51, 4% and good iris muscle accounted for 48.6%. Grade of cataract: Grade III: 31/70 eyes (44.3%), Grade IV: 32/70 eyes (45.7%), Grade II: 5/70 eyes (7.1%) and V:2/70 eyes (2.9%). Pupil expander technique: OVD injection with 42/70 eyes (60%), using iris hook with 23/70 eyes (32.9%). Pupillary size before and after intervention has changed from 3.7mm to 4.48mm. Conclusions: Iris expander techniques have been shown to have good dilated pupils: 60.0% OVD injection, iris hook was 32.9%, other methods 7.1% One-week visibility of good visual acuity was higher than that of postoperative one day (12.2%) and increased at 1 month and 3 months (20.0%). Very good visual acuity was not available and low vision group was 1.4% after 3 months. Key words: cataract surgery; phacoemusification, small pupil


Author(s):  
Ghaniy Ridha Prima ◽  
Hermanto Siregar ◽  
Ferry Syarifuddin

The purpose of this study is to provide empirical evidence of the effects of the Loan to Value (LTV) policy on the financial performance of property and real estate companies listed on the Indonesia Stock Exchange (IDX). The sample selection uses a purposive sampling method of 42 property and real estate companies that meet the criteria. The research period is divided into 2 namely before the Loan to Value policy (2013-2014) and after the Loan to Value policy (2016-2017) with the Paired Sample t Test analysis technique. The test results show if the current ratio, Return on Asset, Return on Equity and Debt to Asset have significant differences between before and after the LTV policy is applied. While the fast ratio, cash ratio, net profit margin and Debt to Equity did not show a significant difference. Keywords: Financial Performance, Loan to Value, Property and Real Estate, Profitability Ratio, Liquidity Ratio, Solvability Ratio.


Animals ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 548
Author(s):  
Lisa M. Gunter ◽  
Rachel J. Gilchrist ◽  
Emily M. Blade ◽  
Rebecca T. Barber ◽  
Erica N. Feuerbacher ◽  
...  

Social isolation likely contributes to reduced welfare for shelter-living dogs. Several studies have established that time out of the kennel with a person can improve dogs’ behavior and reduce physiological measures of stress. This study assessed the effects of two-and-a-half-hour outings on the urinary cortisol levels and activity of dogs as they awaited adoption at four animal shelters. Dogs’ urine was collected before and after outings for cortisol:creatinine analysis, and accelerometer devices were used to measure dogs’ physical activity. In total, 164 dogs participated in this study, with 793 cortisol values and 3750 activity measures used in the statistical analyses. We found that dogs’ cortisol:creatinine ratios were significantly higher during the afternoon of the intervention but returned to pre-field trip levels the following day. Dogs’ minutes of low activity were significantly reduced, and high activity significantly increased during the outing. Although dogs’ cortisol and activity returned to baseline after the intervention, our findings suggest that short-term outings do not confer the same stress reduction benefits as previously shown with temporary fostering. Nevertheless, it is possible that these types of outing programs are beneficial to adoptions by increasing the visibility of dogs and should be further investigated to elucidate these effects.


2016 ◽  
Vol 5 (1) ◽  
pp. 80-101 ◽  
Author(s):  
Giulia Ranzini ◽  
Christoph Lutz

The emergence of location-based real-time dating (LBRTD) apps such as Tinder has introduced a new way for users to get to know potential partners nearby. The design of the apps represents a departure from “old-school” dating sites as it relies on the affordances of mobile media. This might change the way individuals portray themselves as their authentic or deceptive self. Based on survey data collected via Mechanical Turk and using structural equation modeling, we assess how Tinder users present themselves, exploring at the same time the impact of their personality characteristics, their demographics, and their motives of use. We find that self-esteem is the most important psychological predictor, fostering real self-presentation but decreasing deceptive self-presentation. The motives of use—hooking up/sex, friendship, relationship, traveling, self-validation, and entertainment—also affect the two forms of self-presentation. Demographic characteristics and psychological antecedents influence the motives for using Tinder, with gender differences being especially pronounced. Women use Tinder more for friendship and self-validation, while men use it more for hooking up/sex, traveling, and relationship seeking. We put the findings into context, discuss the limitations of our approach and provide avenues for future research into the topic.


2017 ◽  
Vol 111 (1) ◽  
pp. 20-32 ◽  
Author(s):  
Wei Yuan ◽  
Li-fang Zhang ◽  
Bing Li

Introduction The present research pioneered the effort in assessing adolescents’ coping with visual impairment through adapting the Brief COPE in an eastern context. The first study preliminarily explored the applicability of the Brief COPE to Chinese adolescent students with visual impairments. Based on the results, the Brief COPE was modified and renamed, COPE-Revised. The second study tested the internal psychometric properties and the criterion-related validity of the COPE-Revised. Criterion-related validity was obtained through investigating the correlation between coping and self-esteem. Method The first study involved 176 adolescent students with visual impairments, comprising a survey using the Brief COPE and follow-up interviews. In the second study, another cohort of 170 adolescent students with visual impairments responded to the COPE-Revised together with an inventory assessing self-esteem. Results The COPE-Revised showed adequate psychometric properties. Three higher-order factors, namely self-directed, other-directed, and relinquished-control coping, were identified. The way in which self-esteem was correlated with these three dimensions of coping provided evidence for the criterion-related validity of the COPE-Revised. Discussion The findings indicate that the COPE-Revised has sound psychometric properties among adolescents with visual impairments. Limitations regarding the sample-selection bias and the means of questionnaire survey among visually impaired adolescents are noted. Implications for practitioners This research tailored a coping inventory for educators, counselors, and researchers who are interested in investigating adolescents’ ability to cope with visual impairments. The relationship between coping with visual impairment and self-esteem found in this research has reference significance for educational and counseling services for visually impaired adolescents.


2018 ◽  
Vol 1 (2) ◽  
pp. 1-19
Author(s):  
Gilberta Permata Mahanani ◽  
Fivi Nurwianti

Self-esteem merupakan sebuah proses kognitif akan evaluasi seseorang akan seberapa berharga atau bernilai dirinya sebagai individu. Pendekatan kognitif perilaku merupakan pendekatan yang paling sering digunakan dalam berbagai intervensi terkait permasalahan self-esteem. Fokus dalam intervensi kognitif perilaku adalah mengubah persepsi individu, sehingga diasumsikan dapat sesuai untuk menangani permasalahan self-esteem. Pelaksanaan intervensi dalam kelompok dipilih karena memungkinkan partisipan untuk mengatasi masalah secara bersama-sama sehingga setiap partisipan akan memperoleh dampak positif dari interaksi yang muncul dalam kelompok.Tujuan dari penelitian ini adalah untuk melihat efektivitas pelaksanaan intervensi kognitif-perilaku yang diterapkan dalam kelompok untuk meningkatkan self esteem. Peneliti menggunakan desain penelitian one group before-and-after study dalam tiga sesi intervensi kognitif-perilaku. Partisipan adalah 4 orang mahasiswi yang tinggal di Asrama Universitas X (M= 18.5 tahun) dengan tingkat self-esteem rendah. Pengukuran self-esteem dilakukan pada proses pre, post dan follow-up menggunakan Rosenberg Self-Esteem Scale. Hasil dari penelitian ini adalah 3 dari 4 partisipan mengalami peningkatan self-esteem. Peneliti mengasumsikan bahwa peningkatan self-esteem juga didukung oleh manajemen tugas yang baik dan kemampuan keterampilan sosial.


2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Dyah Restuning Prihati ◽  
Maulidta Karunianingtyas Wirawati

Diabetic ulcer is caused by damage to the skin nerves due to reduced blood flow. Pain and anxiety when wound care begins when dressing and cleaning the wound. Murottal therapy is a distraction technique in the form of al-quran records, decreases stress hormones and provides a feeling of relaxation. The purpose of this study was to reduce the level of pain and anxiety during wound care in patients with DM ulcers after being given murrotal therapy in RSUD K.M.T. Wongsonegoro Semarang. The research method with quasi experimental pre-posttest control group. a sample of 17 people in the intervention group and 15 in the control group. Sample selection with total sampling. The murrottal listening intervention group played for 3 times for 15 minutes. Respondents were conducted pre and posttest with NRS pain measuring instruments and DASS anxiety. The results of the Wilcoxon test in the intervention group obtained p = 0,000, there were differences in the level of pain between before and after murotal therapy and p = 0.002 there was a difference in the level of anxiety between before and after murotal therapy. In the control group obtained p = 0.02, there were differences in the level of pain between before and after murotal therapy and the value of p = 1.00, there was no difference in the level of anxiety between before and after given murotal therapy. Conclusion: Murrotal therapy can reduce the level of pain and anxiety during wound care for DM ulcer patients.


Author(s):  
Sinead Brophy ◽  
Roxanne Cooksey ◽  
Jonathan Kennedy ◽  
Helen Davies

ABSTRACTObjectiveTo examine the impact of mindfulness-based stress reduction (MBSR) for people with ankylosing spondylitis (AS). Methods193 People with AS were invited to take part in an MBSR 8 week course. The data linkage component of this study examined number of visits to the general practitioner before and after the course in participants and non-participants of the course (500 people taking part in a cohort study but not invited to the course). ResultsOf 193 people invited, 43 (22%) consented and took part in the course, GP records were available for 41 (95%) of MBSR participants and 457 (91%) of the 500 comparison group. There was a mean of 7.6 (median 3) visits to the GP in the 12 month period before the course for those undertaking MBSR and 4.6 (median 0) visits in the 12 month period after the course. This compared with 5.5 (median 0) visits (12 months before a random date) and 4.1 (median 0) visits (12 months after a random date) in the comparison group. Using Wilcoxon rank-sum (Mann-Whitney) test showed a significant reduction in GP visits in the MBSR group after the course compared to the comparison group. ConclusionsThose who chose to attend an MBSR course had a higher number of visits to the GP before attending the course, than the comparison group. However, after attending the stress reduction course the number of visits to the GP reduced to levels equivalent to the comparison group. This study suggests that mindfulness based stress reduction could be effective in reducing the number of visits to the GP for people with arthritis who regularly see their GP. The findings from this study suggest a full RCT and cost effectiveness analysis is warranted.


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