scholarly journals Alexithymia and Self-Efficacy With Pain Perception in Women with Migraines: A Cross-sectional Study

2021 ◽  
Vol 6 (4) ◽  
pp. 121-128
Author(s):  
Sholeh Gharibi ◽  
◽  
Abbas Sadeghi ◽  

Background: Pain perception in individuals with migraine is very important and is influenced by various factors. The aim of this study was to investigate the role of alexithymia and self-efficacy with pain perception in women with migraine. Materials & Methods: This cross-sectional study was performed in women with migraine referred to medical centers in Rasht in 2021. Using convenience sampling method, 160 women with migraines participated in the study and answered the demographic information questionnaire, Toronto Alexithymia Scale (TAS-20), General Self-Efficacy Scale (GSE) and McGill Pain Questionnaire (MPQ). Data was analyzed using Pearson correlation coefficient and linear regression model. Results: Of total, 152 women responded to the questionnaire (response rate= 95%). The mean age of study participants was 32.86±8.5 years. Pain perception was negatively associated with selfefficacy (r=-0.28; P=0.001) and positively associated with alexithymia (r= 0.20; P=0.001). The results of linear regression also showed that self-efficacy and Externally-Oriented Thinking (EOT) subscale explained 13% of the variance in pain perception. Conclusion: Self-efficacy and externally-oriented thinking were significant contributors of pain perception in women with migraine. These variables can be considered for adopting coping strategies in patients experiencing migraine pain.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Fentaw Teshome Dagnaw ◽  
Sofonyas Abebaw Tiruneh ◽  
Melkalem Mamuye Azanaw ◽  
Aragaw Tesfaw Desale ◽  
Melaku Tadege Engdaw

Abstract Background Person-centered maternity care is providing care that is respectful and responsive to individual women’s preferences, needs, and values and ensuring that their values guide all clinical decisions during childbirth. Although person-centered health care is one of the factors that increase client satisfaction and increased health service utilization in Ethiopia, little is known about predictors of person-centered maternity care. Therefore, the aim of this study was to identify the determinant factors of person-centered maternity care among mothers who gave birth in selected health facilities in Dessie town, Northeastern, Ethiopia. Methods A community-based cross-sectional study was conducted with a total of 317 study participants at Dessie town selected by a simple random sampling technique. The data was coded and entered Epi-data version 4.4 and analyzed using SPSS version 23. Descriptive statistics was presented using tables and figures. Multivariable linear regression analysis was used to identify factors associated with Person-Centered Maternity Care. Two sides P-value < 0.05 was taken to declare statistically significant. Results Overall, 310 study participants participated with a response rate of 97.8%. In multivariable linear regression, rural residence (β = -4.12; 95% CI: -7.60, -0.67), family average monthly income ≤ 3000 birr (β = -6.20, 95% CI: -9.40, -3.04), night time delivery(β = -2.98, 95%CI: -5.90, -0.06), dead fetus outcome during delivery (β = -12.7; 95% CI: -21.80, -3.50), and 2–7 days health facility length of stay (β = -5.07, 95% CI: -9.20, -0.92) were significantly decreased Person Center Maternity Care score, whereas private health institution delivery (β = 14.13, 95% CI: 7.70, 20.60) is significantly increased Person centered maternity care score. Conclusions This study revealed that most of the factors that affect person-centered maternity care are modifiable factors. Therefore, Primary attention should be given to improve the quality of care through effective communication between clients and providers at each level of the health care delivery system to increase the uptake of high-quality facility-based births.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Sakineh Dadipoor ◽  
Azin Alavi ◽  
Mohtasham Ghaffari ◽  
Ali Safari-Moradabadi

Abstract Background The present research aimed to explore the association of self-efficacy and general health among nurses. Methods This was a descriptive-analytical. A total of 470 nurses were selected through the stratified sampling method. To collect the required data, GSE-10 and GHQ-28 were used. Independent-sample T-test, Pearson correlation coefficient, Chi-squared test, and regression were also used to analyze the obtained data. Results The results reveal a statistically significant correlation between general health and self-efficacy (t=-6.72, p < .001). Among general health parameters, social functioning has significantly predicted self-efficacy. Conclusions As shown in the present findings, an acceptable level of self-efficacy can positively affect all aspects of nurses’ general health.


2021 ◽  
Vol 10 (36) ◽  
pp. 3137-3142
Author(s):  
Manali Deb Barma ◽  
Pradeep Kumar R ◽  
Meignana Arumugham I

BACKGROUND Tobacco addiction has emerged as a major public health issue resulting in enormous disability, disease, and death and also acquired the dimension of an epidemic. More people die as a result of the worldwide tobacco epidemic than from tuberculosis (TB), human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), and malaria combined. India is the second largest consumer of tobacco globally. It is estimated that five million preventable deaths occur every year globally. The trend of consumption of cigarettes is mostly seen among the young adult and adult population. Therefore, this study was done to assess the knowledge, attitude, and pattern of smoking among company and factory employees in Chennai. METHODS A cross sectional study was conducted among 102 automobile company employees in Chennai, where a pre-tested, self-administered questionnaire was used. Descriptive statistics, chi square test, Pearson correlation test were used to analyse the data. RESULTS Majority of the participants belonged to the 25 - 34 years age group. About 72.5 % of the participants believed smoking was harmful to their health. A statistically significant association was observed between education level and knowledge on smoking being harmful to health (P > 0.05). A positive correlation was observed among knowledge and attitude; however, both were negatively related to pattern of tobacco use. CONCLUSIONS Knowledge regarding hazards of smoking was high among the study population. However, attitude was found to be satisfactory. Majority of the study participants consumed 10 or less cigarettes per day. Even with a good knowledge towards ill effects of tobacco, good attitude towards quitting tobacco, practice of tobacco smoking was higher among study participants. This implies, tobacco cessation counseling should be made a priority health intervention. KEY WORDS Addiction, Cigarettes, Tobacco, Nicotine, Smoking


2020 ◽  
Author(s):  
Fan Zhang ◽  
Weihong Zhang ◽  
Jing Liao ◽  
Hui Wang ◽  
Liuyan Huang ◽  
...  

Abstract Background Chronic kidney disease (CKD) places a continuous burden on public health worldwide, partially attributable to a sedentary lifestyle. Exercise self-efficacy has emerged as a priority for improving physical activity. Here we conduct a survey to determine exercise self-efficacy and factors associated with lower exercise self-efficacy in non-dialysis patients with CKD. Methods A single-center cross-sectional study was performed from October 2018 to April 2019 using the Exercise Self-Efficacy Scale (ESES) to assess exercise self-efficacy. In addition to socio-demographic data, Leicester Uremic Symptom Score (LUSS) was used to evaluated symptom burden for non-dialysis CKD patients. Multiple linear regression was carried out to identify factors that were significantly associated with exercise self-efficacy. Results One hundred and thirty-seven patients participated in the current study. The median score on the ESES was 48.89 (interquartile range: 33.31–64.72). A significantly negative correlation with ESES and symptom burden was observed. The results of multiple linear regression showed a significantly positive association between exercise self-efficacy and higher average monthly income, higher level of daily physical activity. Conclusion The study reveals several important variables that can be taken into consideration when dealing with exercise self-efficacy in non-dialysis CKD patients. our findings reinforce the need to educate patients who are elderly, female, underweight, lower-income, physical inactivity, and higher symptom burden to promote their exercise self-efficacy.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Jorge Ivan Gamez-Nava ◽  
Valeria Diaz-Rizo ◽  
Edsaul Emilio Perez-Guerrero ◽  
Jose Francisco Muñoz-Valle ◽  
Ana Miriam Saldaña-Cruz ◽  
...  

Abstract Background To date, the association of serum macrophage migration inhibitory factor (MIF) and serum adipokines with lupus nephritis is controversial. Objective To assess the utility of serum MIF, leptin, adiponectin and resistin levels as markers of proteinuria and renal dysfunction in lupus nephritis. Methods Cross-sectional study including 196 systemic lupus erythematosus (SLE) patients and 52 healthy controls (HCs). Disease activity was assessed by Systemic Lupus Erythematosus Disease Activity Index (SLEDAI). Renal SLE involvement was investigated by renal-SLEDAI. MIF, adiponectin, leptin and resistin levels were quantified by ELISA. We assessed the correlations of quantitative variables by Spearman correlation (rs). Multivariable linear regression adjusted the variables associated with the severity of proteinuria. Results SLE patients had higher MIF (p = 0.02) and adiponectin (p < 0.001) than HCs. Patients with renal SLE involvement (n = 43) had higher adiponectin (19.0 vs 13.3 μg/mL, p = 0.002) and resistin (10.7 vs 8.9 ng/mL, p = 0.01) than patients with non-renal SLE (n = 153). Proteinuria correlated with high adiponectin (rs = 0.19, p < 0.009) and resistin (rs = 0.26, p < 0.001). MIF (rs = 0.27, p = 0.04). Resistin correlated with increased creatinine (rs = 0.18, p = 0.02). High renal-SLEDAI correlated with adiponectin (rs = 0.21, p = 0.004). Multiple linear regression showed that elevated adiponectin (p = 0.02), younger age (p = 0.04) and low MIF (p = 0.02) were associated with the severity of proteinuria. Low MIF and high adiponectin levels interacted to explain the association with the severity of proteinuria (R2 = 0.41). Conclusions High adiponectin combined with low MIF concentrations int+eract to explain the severity of proteinuria in renal SLE. These findings highlight the relevance of adiponectin, resistin and MIF as markers of LN.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045892
Author(s):  
Solomon Feleke ◽  
Gudina Egata ◽  
Firehiwot Mesfin ◽  
Gizachew Yilak ◽  
Abebaw Molla

ObjectiveThe study aimed to assess the prevalence of stunting, wasting, underweight and associated factors in orphaned children under 5 years old.DesignA cross-sectional study.SettingGambella City, Ethiopia.ParticipantsA sample of 419 under 5 orphaned children included in the study. Eligible households with orphans had selected using a systematic random sampling method. The lottery method was used when more than one eligible study participants live in the household. An OR with 95% CI was performed to measure the strength of association between each dependent variable and independent variables. Variables with p<0.05 were declared statistically significant.Primary outcomeThe main outcome of this study was the prevalence of undernutrition among orphaned under 5 and its associated factors.ResultsPrevalence of stunting, wasting and underweight in orphan children under 5 were 12.2%, 37.8% and 21.7%, respectively. The prevalnce of wasting peaks among age group of 36–47 months (42.5%), whereas underweight peaks in 48–59 months (27.7%). Food insecurity, wealth index, family size, vitamin A supplementation, diarrhoea, fever 2 weeks before the survey, children under 5 and parents’ death were associated with undernutrition.ConclusionThe prevalence of stunting, wasting and underweight among orphan children under 5 was significantly high. Multisectoral collaborative efforts towards access to health services, improving income-generating activities, micronutrient supplementation and social support and protection targeting orphan and vulnerable populations have to be built up.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maru Mekie ◽  
Dagne Addisu ◽  
Minale Bezie ◽  
Abenezer Melkie ◽  
Dejen Getaneh ◽  
...  

Abstract Background Preeclampsia has the greatest impact on maternal mortality which complicates nearly a tenth of pregnancies worldwide. It is one of the top five maternal mortality causes and responsible for 16 % of direct maternal death in Ethiopia. Little is known about the level of knowledge and attitude towards preeclampsia in Ethiopia. This study was designed to assess the knowledge and attitude towards preeclampsia and its associated factors in South Gondar, Northwest Ethiopia. Methods A multicenter facility-based cross-sectional study was implemented in four selected hospitals of South Gondar Zone among 423 pregnant women. Multistage random sampling and systematic random sampling techniques were used to select the study sites and the study participants respectively. Data were entered in EpiData version 3.1 while cleaned and analyzed by Statistical Package for Social Sciences (SPSS) version 23. Descriptive and inferential statistics were performed. Adjusted odds ratio with 95 % confidence interval were used to identify the significance of the association between the level of knowledge on preeclampsia and its predictors. Results In this study, 118 (28.8 %), 120 (29.3 %) of the study participants had good knowledge and a positive attitude towards preeclampsia respectively. The likelihood of having good knowledge on preeclampsia was found to be low among women with no education (AOR = 0.22, 95 % CI (0.06, 0.85)), one antenatal care visit (ANC) (AOR = 0.13, 95 % CI (0.03, 0.59)). Whereas, those who booked for ANC in the first trimester (AOR = 6.59, 95 % CI (1.43, 30.33)), gave the last birth at a health facility (AOR = 2.61, 955 CI (1.03, 6.61)), and experienced a complication during previous births (AOR = 3.67, 95 % CI (1.78, 7.57)) were more likely to be knowledgeable on preeclampsia. Conclusions No formal education and not attending four ANC visits were associated with poor knowledge of preeclampsia. While participants who visited health facilities during the first trimester, who gave birth at health facilities, and those who experienced a complication in previous births were more likely to be knowledgeable on preeclampsia. Improving the numbers of ANC visits and encouraging facility delivery are important measures to improve women’s knowledge on preeclampsia. Health education regarding preeclampsia risk factors, symptoms, and complications shall be emphasized.


2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Kessete Ayelgn ◽  
Tadesse Guadu ◽  
Atalay Getachew

Abstract Background Trachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited. Objective To determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia. Method A community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance. Results A total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95% CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3–6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma. Conclusion The current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.


2021 ◽  
pp. 105477382110068
Author(s):  
Luis Angel Cendejas Medina ◽  
Renan Alves Silva ◽  
Magda Milleyde de Sousa Lima ◽  
Lívia Moreira Barros ◽  
Rafael Oliveira Pitta Lopes ◽  
...  

To analyze the correlation between functional health literacy (FHL) and self-efficacy (SE) in people with type 2 Diabetes Mellitus. Cross-sectional study was conducted among September and October 2019, with 196 people with type 2 diabetes. Data were collected using the Functional Literacy in Health instrument (B-TOFHLA) and the Diabetes Management Self-Efficacy Scale for Patients with Type 2 Diabetes Mellitus (DMSES). Bivariate analysis was used to verify the relationship among the constructs. Most diabetics showed an average B-TOFHLA score of 74.75, considered adequate, and self-efficacy of 4.07, high. The association between SE and FHL in the bivariate analysis found no statistical significance ( p > .05), in the same sense as the B-TOFHLA score and the DMSES domains ( p > .05). Constructs were not related to each other in terms of skills arising from judgments and decisions with motivational confidence by the investigated audience.


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