scholarly journals CAREGIVER'S STRESS OF PSYCHIATRIC PATIENTS

2016 ◽  
Vol 3 (2) ◽  
pp. 39-43 ◽  
Author(s):  
Kamala Darlami ◽  
Reshmi Ponnose ◽  
Pradap Jose
Keyword(s):  
Health Care ◽  
Coping Strategies ◽  
Psychiatric Disorders ◽  
Psychiatric Patients ◽  
Active Coping ◽  
Medical Sciences ◽  
Term Care ◽  
Passive Coping ◽  
Sociodemographic Variables ◽  
And Coping

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

scholarly journals Health Care Professionals’ Knowledge of Stalking Perpetrators, Victims, Behaviors, and Coping Strategies: A Preliminary Study among Italian Hospitals

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Daniela Acquadro Maran ◽  
Barbara Loera ◽  
Alberto D’Argenio
Keyword(s):  
Health Care ◽  
Coping Strategies ◽  
Health Care Professionals ◽  
Ad Hoc ◽  
Medical Profession ◽  
Large City ◽  
Local Health ◽  
Male Victims ◽  
Physical Consequences ◽  
And Coping

The aim of this study was to investigate health care professionals’ level of in-depth understanding about the various types and characteristics of stalking. In particular, the study examines knowledge on the characteristics of stalkers and their victims, acted behaviors, and coping strategies used to stop the harassment. The data were collected by means of an ad hoc questionnaire. The sample comprised 210 participants working in local health units in Turin, a large city located in the northern part of Italy. The majority were women (160, 76.2%). The participants were aged 20–64 years, and the mean age was 41.63 years (SD = 11.18). The majority of participants were psychologists (99, 47.1%), 31 (14.8%) were nurses, 31 (14.8%) had an unspecified medical profession, 29 (13.8%) were psychiatrists, and 20 (9.5%) were general practitioners. According to the findings, interventions with male victims of stalking, especially when the stalker is a woman, require attention in particular. Underestimating the stalking experience is a risk, so health care professionals in their interventions must explain to the men the emotive and physical consequences of the victimization. Moreover, in suggesting coping strategies, health care professionals must consider the victim’s fear of reporting the incident not only to law enforcement authorities but also to family and friends. The findings showed that health care professionals need a better understanding of the stalking phenomenon. Education courses are a valuable tool to identify characteristics of the phenomenon, validate existing knowledge, and decrease the level of missing information to develop the skills needed to take appropriate action in cases of stalking.

What do patients do before it starts? Coping with mental health problems on a CBT waiting list

2008 ◽  
Vol 1 (1) ◽  
pp. 45-54 ◽  
Author(s):  
Sylvia Helbig ◽  
Jürgen Hoyer
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Coping Strategies ◽  
Waiting Time ◽  
Waiting List ◽  
Care Utilization ◽  
Passive Coping ◽  
Self Help ◽  
Mean Waiting Time ◽  
Wide Range

AbstractData from a patient survey on self-help and coping strategies during waiting time for CBT are reported. Individuals on an outpatient treatment centre waiting list received a short questionnaire assessing problem-related activities carried out in the interval before therapy (mean waiting time 69 days). A total of 306 patients with a wide range of reliably diagnosed mental disorders were assessed. Results showed that the vast majority of patients (~95%) instigated at least one form of coping or self-help activity related to their mental problem. Resource-orientated strategies were most often reported (88%), but ‘seeking information about the problem’ was also highly prevalent. About one third of persons reported additional health-care utilization. Higher rates of symptom distress and depression were associated with additional health-care utilization and with more passive coping strategies such as distraction. Active self-help strategies contributed to poorer depression outcome and were, thus, no indicator of good prognosis. Other coping strategies were not linked to outcome variables. It can be concluded that problem-related processes do start before treatment. A more systematic integration of self-help activities into the case-formulation and more systematic research on the related (motivational) processes are recommended.

RISK PERCEPTION, STRESS AND COPING STRATEGIES IN TWO CATASTROPHE RISK SITUATIONS

2003 ◽  
Vol 31 (1) ◽  
pp. 61-70 ◽  
Author(s):  
Esperanza López-Vázquez ◽  
Maria Luisa Marván
Keyword(s):  
Risk Perception ◽  
Coping Strategies ◽  
Important Variable ◽  
Stress And Coping ◽  
Stress Reactions ◽  
Passive Coping ◽  
Coping Responses ◽  
Catastrophe Risk ◽  
And Coping ◽  
Industrial Risks

This study examined the influence of risk perception on stress reactions and coping strategies in 191 Mexican people who had experienced a catastrophe either natural (SR group) or industrial (IR group), and who are still exposed to the same kind of risks. Results showed that for the IR group and for people who rank industrial risks as the highest priority, from among a list of risks, the stress levels were higher and coping strategies were passive. There were significant correlations between feelings of insecurity and both stress level and passive coping strategies. The results demonstrate that risk perception is an important variable influencing both stress and coping responses in a catastrophe risk situation.

scholarly journals Investigation of the Results of Collaborative Care in the Diagnosis and Treatment of Anxiety and Depressive Disorders in Community Mental Health Center (CMHC), Shahid Beheshti University of Medical Sciences

2020 ◽  
Vol 14 (2) ◽  
Author(s):  
Mojgan Khademi ◽  
Shima Zohrabi ◽  
Alireza Mohtashamalsharieh ◽  
Alireza Zahiroddin
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Psychiatric Disorders ◽  
Community Mental Health Center ◽  
Mental Health Center ◽  
Psychiatric Patients ◽  
Diagnosis And Treatment ◽  
Medical Sciences ◽  
General Physicians ◽  
Time Diagnosis

Background: Community Mental Health centers (CMHCs) have been successful in the on-time diagnosis and treatment of psychiatric disorders worldwide. Objectives: The study aimed to evaluate the efficiency of the Community Mental Health Center (CMHC) affiliated with Shahid Beheshti University of Medical Sciences in the on-time diagnosis and treatment of psychiatric patients who go to the general physicians. Evidence suggests that such a diagnosis and treatment can help reduce the burden of disease on society. Methods: This descriptive cross-sectional study was conducted from January 2014 to September 2016. Fourteen general physicians and case managers in the catchment area of CMHC cooperated with the study. General physicians began to diagnose and treat psychiatric disorders based on therapeutic guides. The descriptive statistics were used for data analysis. Results: One thousand and four hundred and eighty seven patients were diagnosed by the general practitioners, 730 (49.09%) of whom suffered from depression, and 544 (36.58%) suffered from anxiety. As the physicians reported, 15/74% of the total number of visits was related to psychiatric disorders. Based on the telephone follow-ups, 94/34% of the patients reported improvement. Untreated patients were followed up or taken to a psychiatrist. Conclusions: This study demonstrates the importance of on-time diagnosis of psychiatric patients and the provision of specialized services that can decrease the load of prevalent psychiatric disorders if continued.

scholarly journals P–489 Stress scale and coping strategies adopted by Brazilian ART patients during COVID–19 outbreak: attention need for young, women, first IVF attempt and compromised income patients

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
M Chehin ◽  
A R Lorenzon ◽  
H M L Montagnini ◽  
C C Avelar ◽  
J P J Caetano ◽  
...  
Keyword(s):  
Linear Regression ◽  
Coping Strategies ◽  
Emotional Support ◽  
Online Survey ◽  
Active Coping ◽  
Work Activity ◽  
Younger Patients ◽  
Stress Scale ◽  
Positive Reframing ◽  
And Coping

Abstract Study question What are the stress scale and coping strategies of patients who were unable to start/continue an IVF cycle due to COVID–19 interruption on ART treatments? Summary answer Stress scale was associated to specific coping strategies and was higher for women, patients in first IVF treatment, had compromised income and younger than 38yo. What is known already In March 2020, due to the COVID–19 outbreak caused by the SARS-CoV–2 virus, human reproduction societies, have recommended discontinuation of reproductive care, except for the most urgent cases. After few months, the treatments were resumed following proper safety guidelines. Infertility diagnostic and treatments are severe stressors, causing anxiety, depression and general emotional distress. The disruption of treatments and the pandemic uncertain scenario in all life aspects, certainly have a great impact on mental health of ART patients. There is an urge need to assess the level of stress and coping strategies in this population to offer suitable support and care. Study design, size, duration Prospective, Brazilian multicentric study (6 clinics of ART located in São Paulo, Campinas, Belo Horizonte and Brasilia), with the application of an anonymous online survey of stress scale and 14 coping strategies to 1500 patients (male and female) that had their treatments interrupted or unable to start during the months of March, April and May 2020. The online survey was sent during the months of August/September and responses were collected until early October/2020. Participants/materials, setting, methods The stress scale level was assessed using the Perceived Stress Scale protocol (PSS), and coping strategies using the Brief COPE scale protocol. Social-demographic variables (gender, age, city of residence, marital status, time of infertility, previous IVF treatments and financial impact) were included in the survey. Marginal statistical analyses were performed accordingly (t test, Mann-Whitney, Kruskal-Wallis, chi-square test) and a linear regression model was carried out to calculate the effect of COPE strategies on stress scale. Main results and the role of chance Survey’s response rate was 44.4% (n = 666). The majority were women (83.3%), married (93.2%, mean of 9,41±4,76 years), deal with infertility for 2–5 years (51.5%), had done a previous IVF treatment (61.4%, mean of 2,33 treatments) and had a work activity (83.9%). Almost 40% had their income compromised by the pandemic. Mean age was 38.47±4.99 years (≥38 yo = 59%). Stress scale was higher for women (p < 0.0001), patients that were in their first IVF treatment (p = 0.011), had their income compromised (p = 0.001) and were younger than 38yo (p < 0.0001). The most frequent coping strategies (score 5–8) were planning (87.7%), active coping (83%), positive reframing (72.1%) and religion (71.7%). Women used more emotional support, religion, venting (all p < 0.0001) and self-distraction (p = 0.002) as coping strategies than men. Younger patients (<38yo) reported more use of substances (p = 0.002) and self-distraction (p = 0.001) than older patients. Lower income was associated with denial (p = 0.002) and less use of religion (p < 0.0001) and patients that were about to start their 1st treatment used more venting (p < 0.0001) and denial (p = 0.003) than recurrent patients. The linear regression analysis showed that higher stress was associated to planning, religion, self-blame, venting, self-distraction and behavioral disengagement and lower stress scale to active coping, emotional support, positive reframing and acceptance. Limitations, reasons for caution This study was performed in Brazil, one of the most affected countries by the COVID–19 outbreak, which may limit the generalizability of the findings. Another limitation was the impossibility to compare the stress scale and coping strategies findings in this population prior to the pandemic. Wider implications of the findings: Being a woman and have a compromised income were expected stressor factors. Surprisingly, first IVF attempt and younger patients showed higher stress scale and the use of psychological defense mechanisms, such as the use of substances, denial and self-distraction. Continuous emotional support should be offer for all ART patients. Trial registration number Not applicable

scholarly journals Pain coping strategies and their association with quality of life in people with Parkinson’s disease: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0257966
Author(s):  
Tino Prell ◽  
Jenny Doris Liebermann ◽  
Sarah Mendorf ◽  
Thomas Lehmann ◽  
Hannah M. Zipprich
Keyword(s):  
Quality Of Life ◽  
Coping Strategies ◽  
Motor Function ◽  
Active Coping ◽  
Pain Rating ◽  
Pain Coping ◽  
Coping Response ◽  
Cross Sectional ◽  
Passive Coping

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.

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

2021 ◽  
Author(s):  
Liudmila Baiushkina
Keyword(s):  
Social Support ◽  
Coping Strategies ◽  
Neurological Disease ◽  
Clinical Characteristics ◽  
Active Coping ◽  
Personality Profile ◽  
Personal Factors ◽  
Passive Coping ◽  
The Individual ◽  
Anxiety Depression

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.

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