scholarly journals Factors Associated with Parent–Adolescent Attachment Relationship Quality: A Longitudinal Study

Adolescents ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 159-174
Author(s):  
Danyka Therriault ◽  
Jean-Pascal Lemelin ◽  
Jean Toupin ◽  
Michèle Déry
Keyword(s):  
Behavior Problems ◽  
Emotional Abuse ◽  
Psychosocial Adaptation ◽  
Important Indicator ◽  
Attachment Relationship ◽  
Factors Associated ◽  
Adolescent Attachment ◽  
History Of ◽  
The Individual

Background: Attachment to parents during adolescence has been identified as an important indicator of psychosocial adaptation. However, the relative importance of the adolescents’ behavior problems and the larger relational context likely to influence the quality of these relationships remains relatively underexplored. The present study aims to identify the factors associated with the quality of parent–adolescent attachment relationships and to establish their relative contributions. This study also tested, as a complementary objective, the invariance of the models according to sex. Method: 706 (46.9% girls) early adolescents participated in the study at time 1 and then again, two years later. The individual (e.g., behavior problems or temperament) and contextual (e.g., parents’ behaviors, history of abuse or environment stability) associated factors were measured at time 1, while the quality of the parent–adolescent attachment relationship was measured at time 2. Results: The results showed that a history of emotional abuse, inconsistent discipline, externalized behavior problems and the adolescent’s age were negatively associated with the global attachment security score, while internalized behavior problems and peer attachment were positively associated. These variables explained 15.7% of variance. The results also demonstrated that these variables were also associated with the specific dimensions of attachment (trust, communication, alienation). Discussion: The study demonstrates the importance of several relational variables in the development of the parent–adolescent attachment relationship.

STRUCTURE OF PSYCHOLOGICAL DISORDERS IN PATIENTS WITH METABOLIC SYNDROME AND NON-ALCOHOLIC FAT LIVER DISEASE

2021 ◽  
Author(s):  
O. L. Moskalenko ◽  
O. V. Smirnova ◽  
E. V. Kasparov ◽  
I. E. Kasparova
Keyword(s):  
Liver Disease ◽  
Fatty Liver Disease ◽  
Treatment Process ◽  
Psychosocial Adaptation ◽  
Psychological Characteristics ◽  
Alcoholic Fatty Liver ◽  
Fat Liver ◽  
The Individual ◽  
Alcoholic Fatty Liver Disease

The article is devoted to the study of the psychological characteristics of the behavior of patients with non-alcoholic fatty liver disease (NAFLD). The manifestations of NAFLD are a powerful frustrating factor for patients, negatively affect the quality of life, hinder psychosocial adaptation and serve as the basis for the formation of chronic stress from the disease, which blocks the actual needs of the individual. Psychological factors are an important component in the clinical assessment of patients in connection with the individualization of the treatment process and secondary psychoprophylaxis, including methods of somato-centered and personality-centered psychotherapy.

scholarly journals Risk factors associated with peripheral neuropathy among diabetic individuals: a case control study

2021 ◽  
Vol 8 (2) ◽  
pp. 768
Author(s):  
Christa Kingston ◽  
Aravindan J. ◽  
Srikumar Walsalam
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Diabetic Neuropathy ◽  
Case Control Study ◽  
Case Control ◽  
Diabetic Patients ◽  
Factors Associated ◽  
History Of ◽  
Control Study

Background: Diabetic neuropathy is one among the most common complication in diabetes mellitus. Diabetic peripheral neuropathy hinders the quality of life causing morbidity and mortality. The purpose of this study was to find the risk factors associated with diabetic neuropathy.Methods: This case control study involved 100 diabetic patients attending the Dohnavur fellowship hospital, Dohnavur from October 2019 to March 2020. Sociodemographic profile and diabetic characteristics of the study group were obtained and analysed. Diagnosis of Diabetic Neuropathy was done by using the diagnostic method proposed by American Diabetic Association.Results: Of the total study population with mean age 59.43 years, 63% had family history of diabetes. Almost 70% had poor diabetic control. Statistically significant relationships were found between neuropathy and duration of diabetes, glycaemic control, history of hypertension, monofilament test and pinprick sensation.Conclusions: In this study, glycemic control, dyslipidemia and hypertension were modifiable risk factors for diabetic neuropathy. Early interventional programs to sensitize diabetics on these factors could improve the quality of life of Diabetic patients. 

Changes in Burnout Among Oncology Physician Assistants Between 2015 and 2019

2021 ◽  
pp. OP.21.00051
Author(s):  
Eric D. Tetzlaff ◽  
Heather M. Hylton ◽  
Karen J. Ruth ◽  
Zachary Hasse ◽  
Michael J. Hall
Keyword(s):  
Maslach Burnout Inventory ◽  
Physician Assistants ◽  
Cross Sectional ◽  
Hours Worked ◽  
Factors Associated ◽  
Patients With Cancer ◽  
Professional Characteristics ◽  
Cross Sectional Design ◽  
The Individual

PURPOSE Burnout has significant implications for the individual provider, the oncology workforce, and the quality of care for patients with cancer. The primary aim of this study was to explore temporal changes in burnout among physician assistants (PAs) in oncology in 2019 compared with 2015. METHODS Oncology PAs were surveyed to assess for burnout using the Maslach Burnout Inventory according to the same cross-sectional design of the study performed in 2015. Comparison between oncology PAs in 2015 and 2019 in the prevalence of burnout and personal and professional characteristics was performed. RESULTS Two hundred thirty-four participants completed the full-length survey. The participants in 2015 and 2019 were similar in age (41.8 v 40.3 years), sex (88.8% v 86.3% female), number of years as a PA in oncology (9.6 v 10), and percentage involved in academic practice (55.2% v 59.2%). There was a significant increase in burnout in 2019 compared with 2015 with 48.7% of PAs reporting at least one symptom of burnout compared with 34.8% (odds ratio for burnout, 2019 v 2015 = 1.92 [95% CI, 1.40 to 2.65], P < 0.001). The odds of burnout remained higher in 2019 compared with 2015 when adjusted for age, sex, relationship status, practice setting, subspecialty, practice type, and hours worked. Factors associated with burnout in both 2015 and 2019 include the percentage of time spent on patient care, collaborative physician relationship, number of hours worked, and satisfaction with compensation. No new factors associated with burnout emerged in 2019 that were not identified in 2015. CONCLUSION The rate of burnout of oncology PAs has significantly increased. Burnout in oncology PAs is multifactorial, and the increase cannot be easily explained. Additional research is needed to better define the drivers of PA burnout.

scholarly journals Risk of Injury in Physically Active Students: Associated Factors and Quality of Life Aspects

2020 ◽  
Vol 17 (7) ◽  
pp. 2564
Author(s):  
Elżbieta Sieńko-Awierianów ◽  
Monika Chudecka
Keyword(s):  
Quality Of Life ◽  
Pain Threshold ◽  
Lower Limbs ◽  
Physical Domain ◽  
Physically Active ◽  
Locomotor System ◽  
Risk Of Injury ◽  
History Of ◽  
The Individual

Background: The aim of this study was to assess the potential factors of hypermobility and pain threshold on the risk of injury in physically active students and to verify which domains of quality of life are rated lower by young people with a history of injuries. Methods: The study included 278 students (138 women and 140 men) who regularly undertake physical activity. Anthropometric measurements, body composition, pain threshold, incidence of hypermobility syndrome, information on the history of injuries to the locomotor system, and the quality of life of the study participants were collected. Results: In the group studied, hypermobility and pain threshold had a statistically significant related on the risk of injury. Participants with a history of injuries had lower scores for an individual’s overall perception of their own health and the physical domain. There were also significant differences in the psychological domain of the quality of life between males and females with a history of injuries. Conclusion: In the studied group, the risk of injuries was related to diagnosed hypermobility and pain threshold measured on the lower limbs. The study also showed that people with a history of injuries had statistically significantly lower scores in the individual general perception of their own health and in the physical domain. Gender had a significant impact on the quality of life of people with injuries.

scholarly journals Associated Factors of Quality of Life in Prison Officers, Brazil

2020 ◽  
Vol 17 (10) ◽  
pp. 3508
Author(s):  
Cristiane S. C. Araújo ◽  
Ruth Minamisava ◽  
Marcos A. Matos ◽  
Camila C. F. Vieira ◽  
Priscila V. O. Vitorino ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Insurance ◽  
Sex Work ◽  
Work Experience ◽  
Private Health Insurance ◽  
Factors Associated ◽  
Female Sex ◽  
History Of ◽  
Female Sex Work

This study analyzed factors associated with the quality of life (QoL) of prison officers (POs) in the Midwest Region of Brazil. POs in five penitentiary units participated in this cross-sectional study. Sociodemographic data were obtained through face to face interview and a World Health Organization Quality of Life abbreviated version (WHOQOL-BREF) questionnaire was applied to assess QoL. Student’s t-test or ANOVA were used for bivariate analysis and multiple linear regression was applied for adjusted analysis. The domains used for outcomes were: physical, psychological, social relations, and the environment. The lowest score among WHOQOL-BREF domains was environment (59.9; 95%CI 58.0–61.5). After adjustment, the factors associated with the physical domain were ‘female sex’ and ‘no history of workplace PO-PO violence’; factors associated with the psychological domain were ‘female sex’, ‘without spouse’, and ‘no history of inmate-PO violence’; factors associated with the social relationships domain were ‘female sex’, ‘work experience in years’, ‘no higher education’, ‘no private health insurance’, and ‘no history of inmate-PO violence’; and factors associated with environment domain were ‘female sex’, ‘work experience in years’, ‘no private health insurance’, and ‘no history of PO-PO violence’. This study showed that female workers and those with a history of violence at work had worse QoL scores. This investigation highlights the importance of prison management in promoting QoL of POs, as well as support and development of strategies to prevent workplace violence.

scholarly journals CULTURAL PARTICIPATION IN THE MAIN COLOMBIAN CITIES, 2008-2015

2019 ◽  
pp. 37-58
Author(s):  
Aaron Espinosa Espinosa ◽  
Luis Palma Martos
Keyword(s):  
Cultural Participation ◽  
Factors Associated ◽  
The Social ◽  
Context Variables ◽  
Individual Variables ◽  
Citizen Monitoring ◽  
Individual Decisions ◽  
The Individual ◽  
New Variables

This paper aims to explain the evolution of the cultural participation in Colombia between 2018 and 2015, and to empirically analyse the factors associated to the decision of participating in cultural activities in the five main cities during this period. In Bogota, Cali, Medellin, Barranquilla and Cartagena, half of the urban population resides. The effects of a set of individual variables, household and context are evaluated, exploring alongside the traditional determinants, a set of new variables such as the kind of education that children receive, the poverty situation and others concerning the habitat, the social capital and macroeconomic ones. Microdata from households from the Quality of Life Survey – from programmes of citizen monitoring- are used, with which a binomial model is estimated. The results highlight the importance of including the context variables so as to widen the knowledge of the individual decisions of participation.

scholarly journals Recognition and Treatment of Tardive Dyskinesia in Individuals with Intellectual Disability

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Robert O. Morton ◽  
Lucas C. Morton ◽  
Rissa Fedora
Keyword(s):  
Quality Of Life ◽  
Intellectual Disability ◽  
Tardive Dyskinesia ◽  
Daily Functioning ◽  
Functional Impairments ◽  
Behavioral Disturbances ◽  
Abnormal Movements ◽  
History Of ◽  
The Individual

Individuals with intellectual disability (ID) commonly suffer from comorbid psychiatric and behavioral disorders that are frequently treated by antipsychotic medications. All individuals exposed to first- and second/third- generation antipsychotics are at risk for developing tardive dyskinesia (TD), characterized by abnormal, involuntary movements of the mouth/tongue/jaw, trunk, and extremities. TD can be highly disruptive for affected individuals and their caregivers, causing embarrassment, isolation, behavioral disturbances, and reduced functioning and quality of life. Information on TD incidence in individuals with ID is limited, but 2 small US studies reported TD prevalence rates of 42-45% in inpatients with ID. The safety and efficacy of vesicular monoamine transporter type 2 (VMAT2) inhibitors approved for treatment of TD in adults have been demonstrated in multiple clinical trials, but they excluded individuals with ID. Clinical characteristics and treatment outcomes of 5 adults (aged 28–63 years) with mild-to-severe ID and TD are presented, illustrating TD symptoms before/after treatment. All individuals had multiple comorbid psychiatric, behavioral, and other medical conditions, history of antipsychotic exposure, and abnormal movements affecting the tongue/mouth/jaw ( n = 5 ), upper extremities ( n = 5 ), lower extremities ( n = 3 ), and trunk ( n = 2 ), resulting in diminished ability to speak ( n = 2 ), ambulate ( n = 3 ), and perform activities of daily living ( n = 3 ). Treatment with valbenazine resulted in meaningful improvements in TD symptoms and improved daily functioning, demeanor, and social/caregiver interactions. Given the high likelihood of antipsychotic exposure in the ID population, it is appropriate to screen for TD at every clinical visit through careful monitoring for abnormal movements and questioning the individual/caregiver regarding abnormal movements or TD-related functional impairments (i.e., speaking, swallowing, eating, ambulating, and social functioning). In this study, 5 individuals with ID and TD received once-daily valbenazine and experienced marked improvement in TD symptoms and daily functioning, resulting in increased quality of life for affected individuals and caregivers.

Factors Associated with the History of Attempted Suicide

Crisis ◽  
2010 ◽  
Vol 31 (1) ◽  
pp. 12-21 ◽  
Author(s):  
A. Hakansson ◽  
L. Bradvik ◽  
F. Schlyter ◽  
M. Berglund
Keyword(s):  
Substance Use ◽  
Logistic Regression ◽  
Criminal Justice ◽  
Family History ◽  
Binge Drinking ◽  
Emotional Abuse ◽  
Psychiatric Symptoms ◽  
Addiction Severity Index ◽  
Factors Associated ◽  
History Of

Background: The present study examines a population of criminal justice clients for suspected substance-related problems. Aims: It aims to identify variables associated with a history of suicide attempt (SA). Method: 6,836 clients were interviewed with the Addiction Severity Index (ASI). Attempters were compared to nonattempters regarding substance use, medical/psychiatric status, family history, and social relationships in a stepwise forward logistic regression. Results: Attempters (21%) were more likely to report binge drinking, intake of illicit drugs, injection of drugs, physical and mental illness, problematic family history, and history of being abused. After logistic regression, SA was independently associated with older age, female gender, binge drinking, delirium tremens, injection, overdose, medical problems, psychiatric symptoms, family history of alcohol or psychiatric problems, and sexual, physical, and emotional abuse. The psychiatric and family/social domains (including being abused) most strongly separated attempters from nonattempters. Conclusions: Family background factors, psychiatric symptoms, severity of substance use, and sexual, physical, and emotional abuse appear to be factors associated with SA among criminal justice clients.

The Psychological Impact of Medical Error on Patients, Family Members, and Health Professionals

2017 ◽  
pp. 171-196
Author(s):  
Mary I. Gouva
Keyword(s):  
Medical Errors ◽  
Medical Error ◽  
Health Professionals ◽  
Psychological Impact ◽  
Psychological Effects ◽  
History Of ◽  
Underlying Causes ◽  
The Individual ◽  
The Impact

The current chapter examines the psychological implications emerging from medical errors. Whilst the psychological effects have studied, nonetheless the consequent impacts and the underlying psychological causes have not been sufficiently analysed and/ or interpreted. The chapter will add to the literate by using a psychodynamic approach in analysing the psychological impact of medical errors and provide interpretations of the underlying causes. The chapter concludes that medical errors lead to a series of implications. For the patient the quality of interactions with health professionals are directly affected and usually have immediate consequences. The impact of these consequences in the patient is mediated by the patient's personality, history of the individual and the psychoanalytic destiny of the patient. For the patient's relatives medical errors create emotional cracks leading to regression and eventual transference of the medical errors as a “bad” object. For health professionals medical errors impact upon the psychological defence mechanisms of the psychic Ego.

Childhood Traumatic Experiences and Coping Strategies: Correlations With Quality of Life

2017 ◽  
Vol 41 (S1) ◽  
pp. S210-S210
Author(s):  
G. Serafini ◽  
C. Conigliaro ◽  
F. Pittaluga ◽  
M. Pompili ◽  
P. Girardi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Coping Strategies ◽  
Emotional Abuse ◽  
Age Of Onset ◽  
Short Form ◽  
Traumatic Experiences ◽  
Cross Sectional ◽  
Childhood Trauma Questionnaire ◽  
History Of

IntroductionIndividuals with a history of childhood traumatic experiences may exert maladaptive coping strategies and impaired adult quality of life.ObjectivesThe present study explored the association between childhood traumatic experiences, coping strategies, and quality of life.AimsWe aimed to evaluate whether childhood traumatic experiences or specific coping strategies may significantly predict quality of life.MethodsThis is a cross-sectional study including 276 patients (19.9% men, 81.1% women; mean age: 48.1 years, SD: 16.9), of which most with major affective disorders, who were recruited at the psychiatric unit of the university of Genoa (Italy). All participants were assessed using the Childhood Trauma Questionnaire (CTQ), Coping Orientation to Problems Experienced (Cope), and Short Form 12 Health Survey version 2 (SF-12).ResultsSubjects with a history of emotional abuse were more likely to have an earlier age of onset of their psychiatric conditions, an earlier age of their first treatment/hospitalization, higher recurrent episodes and days of hospitalization, longer illness duration and non-psychiatric treatments at intake when compared with those who did not present any history of abuse. Based on regression analyses, only positive reinterpretation and growth, focus on and venting of emotions, and substance abuse, but not childhood traumatic experiences, resulted positive predictors of physical quality of life. Moreover, focus on and venting of emotions was able to predict mental quality of life.ConclusionsWhile traumatic experiences did not predict quality of life, specific coping strategies were significant predictors of quality of life. Further studies are requested to test these preliminary results.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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