Stress in High-Risk Pregnancies and Coping Methods

Abstract Objectives To evaluate the influence of audio-guided self-hypnosis on claustrophobia in a high-risk cohort undergoing magnetic resonance (MR) imaging. Methods In this prospective observational 2-group study, 55 patients (69% female, mean age 53.6 ± 13.9) used self-hypnosis directly before imaging. Claustrophobia included premature termination, sedation, and coping actions. The claustrophobia questionnaire (CLQ) was completed before self-hypnosis and after MR imaging. Results were compared to a control cohort of 89 patients examined on the same open MR scanner using logistic regression for multivariate analysis. Furthermore, patients were asked about their preferences for future imaging. Results There was significantly fewer claustrophobia in the self-hypnosis group (16%; 9/55), compared with the control group (43%; 38/89; odds ratio .14; p = .001). Self-hypnosis patients also needed less sedation (2% vs 16%; 1/55 vs 14/89; odds ratio .1; p = .008) and non-sedation coping actions (13% vs 28%; 7/55 vs 25/89; odds ratio .3; p = .02). Self-hypnosis did not influence the CLQ results measured before and after MR imaging (p = .79). Self-hypnosis reduced the frequency of claustrophobia in the subgroup of patients above an established CLQ cut-off of .33 from 47% (37/78) to 18% (9/49; p = .002). In the subgroup below the CLQ cut-off of 0.33, there were no significant differences (0% vs 9%, 0/6 vs 1/11; p = 1.0). Most patients (67%; 35/52) preferred self-hypnosis for future MR examinations. Conclusions Self-hypnosis reduced claustrophobia in high-risk patients undergoing imaging in an open MR scanner and might reduce the need for sedation and non-sedation coping actions. Key Points • Forty percent of the patients at high risk for claustrophobia may also experience a claustrophobic event in an open MR scanner. • Self-hypnosis while listening to an audio in the waiting room before the examination may reduce claustrophobic events in over 50% of patients with high risk for claustrophobia. • Self-hypnosis may also reduce the need for sedation and other time-consuming non-sedation coping actions and is preferred by high-risk patients for future examinations.

Download Full-text

ADAPTIVE BEHAVIOR IN SUICIDE IDEATORS AND NON-IDEATORS

Social Behavior and Personality An International Journal ◽

10.2224/sbp.1996.24.4.309 ◽

1996 ◽

Vol 24 (4) ◽

pp. 309-320 ◽

Cited By ~ 5

Author(s):

Jon B. Ellis ◽

Leslie N. Jones

Keyword(s):

College Student ◽

High Risk ◽

Belief Systems ◽

Female College Student ◽

Reasons For Living ◽

Male And Female ◽

Demographic Questionnaire ◽

Main Effect ◽

Reasons For Living Inventory ◽

And Coping

Research has shown that college students have a high risk of engaging in suicidal behaviors. Gaining more information about the belief systems of students and the adaptive reasons for living, lacking in suicide ideators, may provide valuable information about these behaviors and ways to prevent them. This study examined reasons for living in male and female college student suicide ideators and non-ideators in order to identify adaptive reasons for living, lacking in suicide ideators. Mean scores of the Reasons for Living Inventory (RFL) subscales and total score were used. Each subject answered a demographic questionnaire, a suicide questionnaire and the RFL. Analyses of Variance revealed a main effect for ideation status with non-ideators scoring higher than ideators on Survival and Coping Beliefs, Responsibility to Friends, and on the RFL total score. A main effect for sex was found on Fear of Suicide and Responsibility to Family subscales with women scoring higher than men. Women did not describe themselves as suicide ideators more often than did men.

Download Full-text

Examination of care burden and coping methods in caregivers of individuals diagnosed with bipolar disorder

Journal of Psychiatric Nursing ◽

10.14744/phd.2019.42204 ◽

2019 ◽

Author(s):

Elif ayyıldız

Keyword(s):

Bipolar Disorder ◽

Care Burden ◽

Coping Methods ◽

And Coping

Download Full-text

Healthcare worker’s emotions, perceived stressors and coping mechanisms during the COVID-19 pandemic

PLoS ONE ◽

10.1371/journal.pone.0254252 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0254252

Author(s):

Suzanne Rose ◽

Josette Hartnett ◽

Seema Pillai

Keyword(s):

High Risk ◽

Coping Strategies ◽

Disease Outbreaks ◽

Coping Mechanisms ◽

Emotional Reactions ◽

Willingness To Participate ◽

Psychological Burden ◽

Targeted Interventions ◽

Risk Of Exposure ◽

And Coping

Increasing cases, insufficient amount of personal protection equipment, extremely demanding workloads, and lack of adequate therapies to save lives can contribute to a psychological burden directly related to working during disease outbreaks. Healthcare workers (HCWs) are at a high risk of contracting COVID-19 due to its ability to spread efficiently through asymptomatic and symptomatic individuals. There are limited studies assessing the pandemic’s psychological impact on HCWs, specifically those in close proximity to hospitalized patients with COVID-19. Our study explored the emotions, perceived stressors, and coping strategies of front-line HCWs at high risk of exposure to COVID-19 during the first surge at our community-based teaching hospital, the epicenter of COVID-19 in Connecticut. A validated comprehensive questionnaire derived and modified from previous epidemics was used to inquire about staff feelings, factors that caused stress and factors that mitigated stress. Personal coping strategies and factors that can increase staff’s motivation to work during future events of similar nature were also asked. Emotional reactions, coping mechanisms, and stressors varied by healthcare role, while some experiences and reactions were similar among groups. Willingness to participate in a second wave of the pandemic or future outbreaks is strongly driven by adequate personal protective equipment, financial recognition, and recognition from management, similarly reported in previous disease outbreaks. All groups felt a reduction in stress due to a sense of camaraderie and teamwork, as well as when sharing jokes or humor with colleagues. Our HCWs at high risk of exposure experienced significant emotional distress during the first wave of the COVID-19 pandemic. By understanding the needs and experiences of our HCWs at highest risk, we can improve our psychological support using targeted interventions during future waves of this pandemic or similar devastating events.

Download Full-text