Psychosocial Adjustment
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2021 ◽  
Vol 0 ◽  
pp. 1-9
Sabri Togluk ◽  
Döndü Çuhadar

Objectives: This study was carried out in a descriptive manner to determine the effect of death anxiety on psychosocial adjustment in patients with chronic obstructive pulmonary disease (COPD). Materials and Methods: The study was carried out on 150 inpatients and outpatients who were being treated at the thoracic diseases department of a state hospital during January 1– April 20, 2016. Personal information form, death anxiety scale (DAS) and psychosocial adjustment to illness scale-self report (PAIS-SR) were used for data acquisition. The data were analysed through IBM Statistical Package for the Social Sciences 22 software. Results: The DAS score average of the patients was determined as 6.96 ± 3.45, PAIS-SR total score average was determined as 67.54 ± 14.96. A positive and statistically significant relationship was determined between the death anxiety of the patients and their psychosocial adjustments (P < 0.05). Conclusion: It can be concluded as a result of the study that the death anxieties of COPD patients are at a moderate level, that their psychosocial adjustments to the disease are at a bad level and that their psychosocial adjustments to the illness and to life are disrupted with increasing death anxiety. Psychiatry nurses can contribute to increasing the psychosocial adjustment to the illness of the patient by helping the patient and his/her family in adjusting to the changes in their life styles, preventing non-beneficial adjustments, developing the coping skills of the patient and his/her family and accordingly making the necessary planning.

2021 ◽  
Vol 21 (1) ◽  
Petra Warschburger ◽  
Ann-Christin Petersen ◽  
Roman E. von Rezori ◽  
Friederike Buchallik ◽  
Harald Baumeister ◽  

Abstract Background Relatively little is known about protective factors and the emergence and maintenance of positive outcomes in the field of adolescents with chronic conditions. Therefore, the primary aim of the study is to acquire a deeper understanding of the dynamic process of resilience factors, coping strategies and psychosocial adjustment of adolescents living with chronic conditions. Methods/design We plan to consecutively recruit N = 450 adolescents (12–21 years) from three German patient registries for chronic conditions (type 1 diabetes, cystic fibrosis, or juvenile idiopathic arthritis). Based on screening for anxiety and depression, adolescents are assigned to two parallel groups – “inconspicuous” (PHQ-9 and GAD-7 < 7) vs. “conspicuous” (PHQ-9 or GAD-7 ≥ 7) – participating in a prospective online survey at baseline and 12-month follow-up. At two time points (T1, T2), we assess (1) intra- and interpersonal resiliency factors, (2) coping strategies, and (3) health-related quality of life, well-being, satisfaction with life, anxiety and depression. Using a cross-lagged panel design, we will examine the bidirectional longitudinal relations between resiliency factors and coping strategies, psychological adaptation, and psychosocial adjustment. To monitor Covid-19 pandemic effects, participants are also invited to take part in an intermediate online survey. Discussion The study will provide a deeper understanding of adaptive, potentially modifiable processes and will therefore help to develop novel, tailored interventions supporting a positive adaptation in youths with a chronic condition. These strategies should not only support those at risk but also promote the maintenance of a successful adaptation. Trial registration German Clinical Trials Register (DRKS), no. DRKS00025125. Registered on May 17, 2021.

Rachel Jackson ◽  
Müge Ekerim-Akbulut ◽  
Sarah Zanette ◽  
Bilge Selçuk ◽  
Kang Lee

AbstractParenting by lying—a practice whereby parents lie to their children as a means of emotional or behavioral control—is common throughout the world. This study expands upon the existing, albeit limited, research on parenting by lying by exploring the prevalence and long-term associations of this parenting practice in Turkey. Turkish university students (N = 182) retrospectively reported on their experiences of parenting by lying in childhood, their current frequency of lying towards parents, their present level of psychosocial adjustment problems, and their expression of psychopathic traits. The results found that recalling higher levels of parenting by lying in childhood was significantly and positively associated with both increased lying to parents as well as the expression of secondary psychopathic traits in adulthood. The novel findings uncovered in this paper highlight the potential long-term associations that parental lying to children may have on their psychosocial development in adulthood.

2021 ◽  
pp. 216769682110343
Selena Carbajal ◽  
Katharine H. Zeiders ◽  
Antoinette M. Landor

Theories posit that bicultural competence, the ability to negotiate between U.S. mainstream culture and one’s own heritage culture, is an important cultural adaptation skill for Latina/x/o populations’ academic and psychosocial outcomes, in part, because of the ability to hold and resolve competing perspectives within and across contexts. However, more research is needed to identify the associations of distinct dimensions of bicultural competence to academic and psychosocial adjustment. The current study examined the concurrent and short-term, longitudinal association between bicultural competence (i.e., comfort, facility, and advantages) and Latina/x/o college students’ ( N = 54; Mage = 19.94 years, SD = 1.43) academic and psychosocial adjustment. Bicultural comfort and facility, but not bicultural advantages, were concurrently associated with better academic and psychosocial adjustment. The findings highlight the need to help Latina/x/o college students feel positive and able about adapting to both cultures to improve their academic and psychosocial adjustment.

2021 ◽  
Vol 12 ◽  
Hiroki Shinkawa ◽  
Tomonari Irie ◽  
Masanori Tanaka ◽  
Kengo Yokomitsu

In-game purchases, including microtransactions and loot box spending, are the monetization systems of free-to-play online games. Although some studies have suggested that excessive in-game purchases increase the risk of psychosocial maladjustment and mental distress as well as predict future problematic gaming and gambling practices, empirical studies on problematic behavioral patterns related to in-game purchasing among adolescents are lacking. This study sought to explore whether knowing the style of in-game purchases (non-purchase, planned purchase, or unplanned purchase) could be useful when characterizing maladaptive behavior among adolescents from the perspective of psychosocial adjustment and mental distress. A total of 335 junior high school students (aged 12–15 years) participated in the survey and completed a questionnaire assessing daily online gaming usage, in-game purchases, psychosocial adjustment, and mental distress. The results showed that (1) 30.7% of students had previously made in-game purchases, and at least 14.0% had made unplanned in-game purchases; (2) 19.2% of the users who had made unplanned purchases had spent greater than or equal to their actual monthly allowance within the past month, and (3) unplanned purchase gamers exhibited more behavioral problems and peer problems regarding psychosocial adjustment compared to planned purchase gamers, and more overall difficulties compared to non-purchasers. Meanwhile, more hyperactivity/inattention was seen among in-game purchasers compared to non-purchasers, regardless of whether the purchase was planned or unplanned. These findings support that understanding whether adolescents make unplanned in-game purchases could be a useful approach to describing the characteristics of online gamers with maladaptive tendencies.

Giulia Landi ◽  
Aylin Duzen ◽  
Pandora Patterson ◽  
Fiona E. J. McDonald ◽  
Elisabetta Crocetti ◽  

Abstract Purpose Given the large number of adolescents and young adults (AYAs) impacted by parental cancer and the potential for negative psychosocial outcomes in this vulnerable population, this study examined the mediating role of offspring unmet needs with regard to parental cancer and the relation between AYAs psychosocial adjustment and perceived illness unpredictability. Methods A total of 113 AYAs (aged 11–24 years) living with a parent diagnosed with cancer completed a questionnaire assessing illness unpredictability, offspring unmet needs, and psychosocial adjustment (i.e., health-related quality of life and internalizing problems). Results Higher offspring unmet needs were associated with lower health-related quality of life (r = –0.24**) and higher internalizing problems (r = 0.21*). Offspring unmet needs mediated the relation between illness unpredictability and health-related quality of life (standardized indirect effect = –0.100* [–0.183, –0.018]) but not internalizing problems (standardized indirect effect = 0.067 [–0.015, 0.148]). In particular, higher illness unpredictability was related to higher unmet needs (β = 0.351**) which, in turn, predicted lower health-related quality of life (β = –0.286**). Conclusion These findings identify offspring unmet needs and illness unpredictability as implicated in AYAs positive psychosocial adjustment to parental cancer. Given that AYAs are at greater risk of elevated psychosocial difficulties, interventions should target offspring unmet needs and perception of illness unpredictability to mitigate the adverse effects of parental cancer.

Yuko Okado ◽  
Courtney Scaramella ◽  
Ha M. Nguyen ◽  
Benjamin Mendoza ◽  
Tanya Watarastaporn

Public Health ◽  
2021 ◽  
Vol 196 ◽  
pp. 223-228
B. Xie ◽  
S. Alismail ◽  
S. Masood ◽  
X. Lei ◽  
M. Le ◽  

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