scholarly journals The Impact of Spirituality and Spiritually-Oriented Therapeutic Interventions on Schizophrenia Patients

2019 ◽  
Vol 4 (3) ◽  
pp. 309-320
Author(s):  
Özge Erduran-Tekin

Schizophrenia, with its various aspects that are as yet as unexplainable and which causes those suffering from it to move away from relationships and reality, is a severe psychiatric disorder that usually deteriorates thinking and behavior from an early age. A general definition of schizophrenia has been mentioned for the purpose of this study without describing the types of schizophrenia in detail. The main axis of the study is what role spirituality may have in increasing schizophrenic patients’ well-being, which is the last step in the model for their medical treatment. A lack of deterioration in patients’ consciousness and short-term memory is very important in order for them to be able to understand the therapeutic practices; the study discusses spiritual counseling practices that can be studied with schizophrenic patients who have no problems in these areas. The study evaluates the concept of insight in schizophrenia patients from different perspectives and includes spiritual counseling practices that can be done with schizophrenia patients possessing high levels of insight. The study continues by examining which individual spiritual counseling practices are possible for patients with schizophrenia and presents the example of group counseling over spiritual counseling practices for patients with schizophrenia as well as which counseling practices can be done for schizophrenic patients and their families. The main aim of this study is to present to clinicians, psychologists, and psychological counselors working in the field a general review of the literature on studies that have examined the relationship between schizophrenia and spirituality and to give them ideas into how to integrate spiritual counseling practices into the process while working with schizophrenia patients and their relatives.

This chapter looks at the purpose and history of the development of good clinical practice (GCP). The international conference on harmonisation (ICH) GCP is the international quality standard for conducting clinical research to ensure the rights and well-being of patients are protected and the resulting data are valid. The cornerstone of ethics in research stems from the Declaration of Helsinki and the chapter looks at the changes in the Declaration and the impact on clinical trials. The development of the ICH process is described and the E, S, Q and M guidelines are discussed, The efficacy guidelines affect the practical aspects of trials and the efficacy guideline number 6 (E6) is on GCP. The content of the E6 guidelines is reviewed including the responsibilities of ethics committees, investigator and sponsor. Documentation requirements including the Protocol and Investigator Brochure as well as all the other documents are outlined. The guidelines are written to be interpreted and companies and institutions have to document their interpretation using standard operating procedures (SOPs). Although ICH GCP is regarded as the world-wide standard it sits alongside countries' legislation. In Europe CTIMPs have to follow the EU Directives and Regulation. Non pharmaceutical/non interventional healthcare research has no legal requirements to adhere to ICH GCP and is carried out under different research governance frameworks (RGF), however they all have their principles based on ICH GCP. The chapter also discusses the definition of an IMP and the decisions and processes that have to be followed when conducting non CTIMP studies.


2019 ◽  
Vol 45 (1) ◽  
pp. 53-62
Author(s):  
Mitchell L. Yell

In 2017, the Supreme Court ruled on a special education case Endrew F. v. Douglas County School District. In this important case, the High Court addressed the degree of educational benefit necessary for a school district to fulfill the requirements for a free appropriate public education (FAPE) under the Individuals With Disabilities Education Act (IDEA). The ruling was especially meaningful for the field of emotional and behavioral disorders, because the plaintiff in this case, Endrew F., exhibited serious academic difficulties and behavior problems. In this article, I first analyze the IDEA’s definition of FAPE and the importance of addressing students’ behavior problems in their individualized education programs (IEPs) to provide a FAPE. Second, I examine the U.S. Supreme Court’s ruling in the Endrew decision, specifically addressing the impact of the school district’s failure to address a student’s behaviors in his IEP. Third, I discuss the implications of the Endrew ruling for developing and implementing IEPs for students with serious behavior problems. I end by advocating for changes in the upcoming reauthorization of the IDEA to bring the law into conformity with the spirit and letter of this important ruling.


2006 ◽  
Vol 86 (2) ◽  
pp. 181-195 ◽  
Author(s):  
A. Sahlin ◽  
J. D. House

Enhancing the vitamin content of meat and eggs provides an opportunity to increase the levels of key nutrients-especially those deemed to be at marginal or insufficient levels-in the human diet for optimal health and well-being. In general, enhancement efforts have focussed on developing feeding strategies to achieve optimal vitamin levels in meat and eggs. The definition of an optimal strategy is influenced by factors such as: (1) the efficiency of vitamin transfer into the final product, (2) the impact on animal performance or health, (3) the impact on the quality characteristics of the final product and (4) economic considerations. Vitamins are an extremely diverse class of nutrients in terms of their chemical and physical properties. Each vitamin differs with respect to stability during processing, susceptibility to bioconversion within the intestinal tract, digestibility, transport and storage in tissues. It follows that the development of vitamin-enriched meat and eggs will be highly dependent on the interaction of multiple factors. Ultimately, the success of such strategies must be judged against the contributions that the enriched products make to the human diet in terms of vitamin intake and consumer acceptance of the products. Key words: Meat, eggs, vitamin enhancement, bioavailability, dietary reference intakes


2021 ◽  
Author(s):  
Ligiana Pires Corona ◽  
Flavia Cristina Drummond Andrade ◽  
Tiago Silva Alexandre ◽  
Tábatta Renata Pereira Brito ◽  
Daniella Pires Nunes ◽  
...  

Abstract Background Anemia is the most common hematological abnormality among older adults, and it is associated with decreased physical performance. But the role of hemoglobin in the absence of anemia remains unclear. Thus, this study aimed to assess the impact of hemoglobin levels on physical performance in Brazilian older adults without anemia. Methods The study is longitudinal in that it relies on two waves of the Saúde, Bem-Estar e Envelhecimento (SABE; Health, Well-being, and Aging) study: 2010 and 2015–2016. Mixed-effects linear regression was used to determine the effects of the hemoglobin concentrations on the Short Physical Performance Battery-SPPB over time among the 1,020 who had complete data and did not have anemia in 2010. In the follow-up, there were 562 without anemia. Analyses were stratified by sex. Results In analyses adjusted for age, education, grip strength, comorbidities, and body mass index, hemoglobin levels were positively associated with physical performance scores among older women (β = 0.15, p < 0.05) and men (β = 0.18, p < 0.05) without anemia. Conclusion Our study demonstrates that higher hemoglobin levels were associated with better physical performance among older men and women without anemia. This finding is important because, in clinical practice, most health professionals focus on the World Health Organization definition of anemia. Our study suggests the importance of hemoglobin levels among older adults, even those without anemia.


2006 ◽  
Vol 8 (1) ◽  
pp. 131-136 ◽  

The patients' perspective of antipsychotic treatment was largely neglected for a long period. It has only been during the last 10 years, with the development of atypical antipsychotics, that scientific interest in this issue has markedly increased. Numerous studies have shown that the majority of schizophrenic patients are able to fill out a self-rating scale in a meaningful way, and several self-report scales with sufficient internal consistency and good construct validity have been developed. The effects of antipsychotic treatment on psychopathology and on subjective well-being (SW) are not strongly related; the perspectives of the patient and his/her psychiatrist markedly differ. Recent research indicates that SW/quality of life, much more improved by atypical than by typical antipsychotics, has a strong impact on compliance, as well as on the chance of achieving remission. The data strongly suggest that a systematic evaluation of the patient's perspective of antipsychotic treatment is meaningful and necessary to increase compliance, functional outcome, and long-term prognosis.


2021 ◽  
Vol 2 ◽  
Author(s):  
Lori McPherson ◽  
Siladitya Bhattacharya

Endometriosis is a common condition which affects women in a number of ways and impairs their ability to live a full and meaningful life. Evaluative research has traditionally taken its cue from a medical approach which has forced women to choose one area of functioning as their primary concern, and tended to use a narrow definition of treatment success which ignores general well-being. While recent trials have included quality of life (QOL) measures as outcomes, these have not been able to capture the totality of the impact of the disease and its treatment on a woman's capability to do what she might want to do and be who she might want to be. A capability approach might overcome this barrier, but the available tools will need to be refined and validated in women with endometriosis before this can be integrated within everyday clinical and research practice.


2021 ◽  
Vol 33 (1) ◽  
pp. 31-53
Author(s):  
Mohd Zaliridzal Zakaria ◽  
Abdul Rashid Abdul Aziz ◽  
Nurhafizah Mohd Shukor ◽  
Muhammed Fauzi Othman ◽  
Mohd Azhar Abd. Hamid

Academic stress can have a negative effect on a student's cognitive, emotional and behavioural well-being. Furthermore, academic stress could also cause a decline in student’s academic performance. Therefore, it is necessary for the student to be able to cope and relieve stress. Religious coping strategies are one of the effective ways in overcoming academic stress. This study was aimed to explore and understand students' experiences of religious coping methods when facing academic stress. A qualitative method by using interview was used. A total of five respondents from the public universities were involved. The data from interviews were analysed by using thematic analysis from five respondents. This study discovered three specific religious coping behaviour that was employed to cope with academic stress; 1) worship in the heart, 2) worship verbally and, 3) worship by action. It has also identified three themes on the impact of religious coping on 1) cognitive, 2) emotional and 3) behaviour. From this study, it can be concluded that specific religious coping behavior which had been used by the students is helpful for them in coping with academic stress. The knowledge and awareness of the internal and external stressors also can help the students to identify the best solution and coping mechanism to manage the stress. These coping behaviours also help the students to have a better understanding of how religious coping can affect students in terms of cognitive, emotion and behavior.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Line Lund Laursen ◽  
Kathrine Bang Madsen ◽  
Carsten Obel ◽  
Lena Hohwü

Abstract Background Family dissolution has become more common and one third of the child population in most Western countries now experience family dissolution. Studies show that children from dissolved families have lower levels of social well-being than children from intact families, but only few studies have examined the impact on social well-being specifically in the school setting. We investigated the association between family dissolution and children’s social well-being at school, including the possible influence of the child’s age at the time of the family dissolution. Methods We defined a historic cohort study of 219,226 children and adolescents aged 9–16 years and combined demographic registry data of family structure with questionnaire data on social well-being based on the Danish National Well-being Questionnaire completed in 2015. The definition of social well-being was constructed on the children’s perception of sense of belonging in the school setting, in the class and the school community, as well as perceptions on safety, loneliness and bullying. We examined low social well-being according to family dissolution and used multiple logistic regression analyses to adjust for parental educational level, ethnicity and siblings and further stratified for gender and age. Results A total of 5% of the children had a low social well-being at school. Among the 31% who lived in dissolved families, we found more children with a low level of social well-being at school (adjusted OR 1.41, 95% CI 1.36;1.47) than those in intact families; especially among those who at the time of family dissolution were in the preschool age (1.55, 95% CI 1.47;1.64). Conclusion Children from dissolved families had higher odds for low social well-being at school compared with children from intact families, especially those who experienced family dissolution in the preschool age. The school may be an important setting for identifying and providing help and support in children experiencing family dissolution.


1997 ◽  
Vol 170 (5) ◽  
pp. 422-425 ◽  
Author(s):  
M. Franz ◽  
Stefanie Lis ◽  
K. Plüddemann ◽  
B. Gallhofer

BackgroundThe effectiveness of anti-psychotic drugs against positive psychotic symptoms has been demonstrated in many studies, but their effects on quality of life have yet to be clarified. The impact of different neuroleptic therapies on the subjective quality of life of schizophrenic patients is evaluated in a cross-sectional open study.MethodDuring a four-month period a standardised quality of life interview for schizophrenic patients was applied on day 10 after admission; 33 patients on atypical neuroleptics (AAP) were compared with 31 matched patients on conventional neuroleptics (CAP).ResultsThe AAP group had significantly higher scores in general quality of life as well as in different life domains: physical well-being, social life and everyday life. In separate comparisons of the AAP group, patients on clozapine and risperidone were found to have a higher quality of life score than patients on CAP or zotepine.ConclusionsThe pharmacological profile of clozapine and risperidone may provide a basis for explaining the higher subjective quality of life found in this study. The lower quality of life of the CAP group may possibly be related to intrinsic effects of the conventional antipsychotics.


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