‘I Was Young, I Wanted to Return to Sport, and Re-Ruptured My ACL’ – Young Female Patients’ Voices on the Experience of Sustaining an ACL Re-Rupture, a Mixed Method Study

Background Despite ACL re-ruptures being common, research on patient experiences after knee trauma has primarily focused on the time after primary ACL reconstruction. Integrating qualitative research and patient experiences can facilitate researchers and clinicians in understanding the burden of an ACL re-rupture. The aim of the study was to explore the experiences of an ACL re-rupture journey in young active females aiming to return to knee-strenuous sports after primary ACL reconstruction. Method A two-stage partially mixed sequential dominant status design was used. Fifteen young (19.1[range 16-23] years old) female who suffered an ACL re-rupture were interviewed. Qualitative content analysis using deductive approach based on Wiese-Bjornstal’s ‘integrated model of psychological response to injury’ was used. Results The results are presented in two timelines 1) from first ACL injury to ACL re-rupture, and 2) from ACL re-rupture to present day, and further stratified according to the domains of the ‘integrated model of psychological response to injury’. Results in the first timeline are summarised into seven categories: Finding hope for the journey; Accepting my ACL injury; I succeeded; What matters now? Who am I?; Where will this end? What is going to happen? In the second timeline, eight categories were identified: Fighting spirit; A helping hand; Working hard; I am a new me; I am destroyed; Loneliness; Painful changes; and, I could have made it to the pro´s. Conclusion Young females who suffered an ACL re-rupture did not express any positive experience following their first ACL injury, however, in contrast, expressed positive experiences and personal growth after going through the ACL re-rupture journey, characterized by a lot of struggling, and ultimately lead to the experience of becoming a new, stronger person.

Literature Review : Gambaran Pengaruh Pemberian Terapi Dzikir Terhadap Penurunan Tingkat Kecemasan Pada Pasien Pre Oprasi

As commonly known, anxiety is an excessive and unclear feeling of worry. This condition in preoperative patients is a psychological response related to feelings of excessive worry which are considered by patients as a threat when performing surgery. One of the ways to reduce the feeling based on spiritual aspect is by applying dhikr. It is also one of the psychotherapy. This literature review aims to describe the effect of giving dhikr therapy on reducing anxiety levels in preoperative patients. The result stated there was a different before and after applying the therapy. The average value of pretest showed 59% and 45% from posttest. Thus, it could be concluded the therapy has significantly effected on reducing anxiety level on preoperative patients with the p value 0,001 (<0,005). Therefore, nurses are suggested to apply the therapy as psychotherapy in reducing the problem. Keywords: Anxiety; dhikr therapy; preoperative AbstrakKecemasan adalah suatu perasaan khawatir yang berlebihan dan tidak jelas. Kecemasan pada pasien pre operasi merupakan respon psikologi yang berhubungan dengan perasaan khawatir berlebih yang dianggap oleh pasien sebagai suatu ancaman ketika dilakukannya tindakan pembedahan. Penurunan tingkat kecemasan pada pasien pre operasi melalui aspek spiritual salah satunya dengan psikoterapi dzikir. Tujuan studi literature review ini untuk menggambarkan pengaruh terapi dzikir terhadap penurunan tingkat kecemasan pada pasien pre operasi. Desain karya tulis ilmiah berupa literature review. Hasil analisis tingkat kecemasan sebelum dan sesudah dilakukan intervensi menunjukkan nilai rata-rata pre test 59% dan post test 45%. Kesimpulannya adalah terapi dzikir berpengaruh dalam menurunkan tingkat kecemasan pada pasien pre operasi dengan nilai ρ value 0,001 (<0,005). Saran bagi pelayanan kesehatan dapat memberikan terapi dzikir sebagai psikoterapi untuk menurunkan tingkat kecemasan pada pasien pre operasi.Kata kunci: Kecemasan; terapi dzikir; pasien pre operasi

Public Stigma of COVID-19 and Its Correlates in the General Population of China

This study aimed to examine the profile of COVID-19-related public stigma and its correlates in the general population of China. A cross-sectional online survey was conducted in China from 7 May to 25 May in 2020. A total of 1212 participants from the general population completed the survey measuring their stigmatizing attitudes towards COVID-19, as well as knowledge and causal attributions of COVID-19. Univariate and multivariate analyses were performed to examine the correlates of COVID-19-related public stigma. A total of 31.8% of participants endorsed stigmatization towards people with COVID-19. Those who were of older age (t = −3.97, p < 0.001), married (F = 3.04, p < 0.05), had a lower level of education (F = 8.11, p < 0.001), and a serious psychological response (F = 3.76, p < 0.05) reported significantly higher scores of public stigma. Dangerousness (B = 0.047, p < 0.001), fear (B = 0.059, p < 0.001), anger (B = 0.038, p < 0.01), and responsibility (B = 0.041, p < 0.001) were positively associated with public stigma. This study shows that public stigma related to COVID-19 is prevalent in the general population of China. Actions against public stigma need to contain the spread of misinformation about COVID-19, alter inappropriate attributions, alleviate unfavorable reactions, and provide psychosocial support for the public.

Initial Psychological Response of Various Population Groups to COVID-19 Pandemic: A Cross Sectional Study

Introduction: The corona virus pandemic has brought with it psychological problems like anxiety, stress, and depression. Research studies are urgently required to generate data that would help formulate strategies to manage the ensuing psychiatric and psychological maladies at societal level. Aims & Objectives: The aim of our study is to better comprehend the initial psychological response of society to COVID-19 outbreak though a survey. Place and duration of study: This cross-sectional study was conducted in King Edward Medical University, Lahore from April 2020 to October 2020. Material & Methods: An online questionnaire comprising of 20 items including the Zung self-rating Anxiety Scale (SAS) was disseminated to three fifty (350) participants. Two hundred and seventy-one (n=271) responses were received. Collected data was entered and analyzed using the SPSS software version 20. Categorical variables were presented as frequencies and percentages. Relationships between categorical variables were tested by Chi square test. Regression analysis was conducted to investigate the effect of various variables on total stress score. A p-value of <0.05 was considered significant. Results: It was revealed that 85.2% of the respondents reported minimal psychological impact, 14.8% had mild to moderate anxiety levels and 0.4% reported marked to severe anxiety. The impact was 2.5 times greater in subjects belonging to lower socioeconomic status (p=0.02). Conclusion: Population belonging to lower socioeconomic class is more vulnerable to be impacted by psychological disturbances due to the pandemic owing to economic losses that are magnified in the population with fragile earning sources.

Exploring the Heterogeneity and Trajectories of Positive Functioning Variables, Emotional Distress, and Post-traumatic Growth During Strict Confinement Due to COVID-19

COVID-19 pandemic-related confinement may be a fruitful opportunity to use individual resources to deal with it or experience psychological functioning changes. This study aimed to analyze the evolution of different psychological variables during the first coronavirus wave to identify the different psychological response clusters, as well as to keep a follow-up on the changes among these clusters. The sample included 459 Spanish residents (77.8% female, Mage = 35.21 years, SDage = 13.00). Participants completed several online self-reported questionnaires to assess positive functioning variables (MLQ, Steger et al. in J Loss Trauma 13(6):511–527, 2006. 10.1080/15325020802173660; GQ-6, McCullough et al. in J Person Soc Psychol 82:112–127, 2002. 10.1037/0022-3514.82.1.112; CD-RISC, Campbell-Sills and Stein in J Traum Stress 20(6):1019–1028, 2007. 10.1002/jts.20271; CLS-H, Chiesi et al. in BMC Psychol 8(1):1–9, 2020. 10.1186/s40359-020-0386-9; SWLS; Diener et al. in J Person Assess, 49(1), 71–75, 1985), emotional distress (PHQ-2, Kroenke et al. in Med Care 41(11):1284–1292, 2003. 10.1097/01.MLR.0000093487.78664.3C; GAD-2, Kroenke et al. in Ann Internal Med 146(5):317–325, 2007. 10.7326/0003-4819-146-5-200703060-00004; PANAS, Watson et al. in J Person Soc Psychol 47:1063–1070, 1988; Perceived Stress, ad hoc), and post-traumatic growth (PTGI-SF; Cann et al. in Anxiety Stress Coping 23(2):127–137, 2010. 10.1080/10615800903094273), four times throughout the 3 months of the confinement. Linear mixed models showed that the scores on positive functioning variables worsened from the beginning of the confinement, while emotional distress and personal strength improved by the end of the state of alarm. Clustering analyses revealed four different patterns of psychological response: “Survival”, “Resurgent”, “Resilient”, and “Thriving” individuals. Four different profiles were identified during mandatory confinement and most participants remained in the same cluster. The “Resilient” cluster gathered the largest number of individuals (30–37%). We conclude that both the heterogeneity of psychological profiles and analysis of positive functioning variables, emotional distress, and post-traumatic growth must be considered to better understand the response to prolonged adverse situations.

The Role of Collectivism–Individualism in Attitudes Toward Compliance and Psychological Responses During the COVID-19 Pandemic

This study examined the role of individual differences in horizontal and vertical individualism and collectivism, trust and worries, and concerns about COVID-19 in predicting the attitudes toward compliance of health advice and psychological responses during the COVID-19 pandemic. Chinese university students (N=384, 324 female) completed measures of individualism and collectivism, trust, attitudes toward compliance, and psychological responses to the pandemic. Results showed that not only vertical collectivist orientation but also horizontal individualist orientation significantly predicted higher willingness to comply, whereas vertical individualist orientation significantly predicted lower willingness to comply. Vertical individualist and vertical collectivist orientations predicted higher psychological response in terms of distress, anxiety, and depression, while horizontal collectivistic orientation significantly predicted less psychological problems. Implications of the effect of individual-level cultural orientations on attitudes toward public health compliance and psychological well-being during global health crises are discussed.

Association of the Psychological Response to the ACL-SPORTS Training Program and Self-reported Function at 2 Years After Anterior Cruciate Ligament Reconstruction

Background: Psychological readiness to return to sport has emerged as an important factor associated with outcomes after anterior cruciate ligament reconstruction (ACLR). Psychological factors are potentially modifiable during the course of rehabilitation, and improving them may lead to better outcomes. Purpose: To determine whether athletes with a positive psychological response after participation in a neuromuscular training and second injury prevention program had better self-reported function and activity outcomes compared with athletes who did not have a meaningful change. Study Design: Cohort study; Level of evidence, 3. Methods: After ACLR and the completion of formal rehabilitation, 66 level I/II athletes completed the following self-reported measures at enrollment (pretraining): the Anterior Cruciate Ligament–Return to Sport after Injury (ACL-RSI) scale, the International Knee Documentation Committee (IKDC) subjective knee form, and the 5 subscales of the Knee injury and Osteoarthritis Outcome Score (KOOS). Participants completed these measures after 10 sessions of agility, plyometric, and progressive strength training and at 1 and 2 years after ACLR. Participants who displayed an increase in the ACL-RSI score from pretraining to posttraining that exceeded the minimal clinically important difference (≥10 points) were defined as having a positive psychological response (responders) to training, and those who did not were defined as nonresponders. A mixed-model analysis of variance was used to determine if group differences in IKDC and KOOS scores existed over the 4 time points (pretraining, posttraining, and the 1- and 2-year follow-ups). Results: The responders reported better self-reported function compared with the nonresponders, regardless of time, on the IKDC form ( P = .001), KOOS–Sport and Recreation ( P = .014), KOOS-Pain ( P = .007), and KOOS-Symptoms ( P = .002) but not on the KOOS–Quality of Life ( P = .078). Overall, 77% of responders and 67% of nonresponders returned to their previous level of sport by 1 year after ACLR ( P = .358), and 82% of responders and 78% of nonresponders returned to their previous level of sport by 2 years after ACLR ( P = .668). Conclusion: Ultimately, 59% of the athletes in this study displayed a meaningful improvement in their psychological outlook over the course of the training program. Responders demonstrated persistently better self-reported function at posttraining and at 1 and 2 years after ACLR, but there were no between-group differences in return-to-sport rates.