Hasil untuk "Mental healing"

Rosa Elena Huerta Rosales, Juan Carlos Escudero Nolasco, Renato Willy Santivañez Olulo et al.

El objetivo del estudio fue determinar las variables psicológicas y sociodemográficas que predicen la violencia de pareja en universitarios de Lima Metropolitana. El diseño fue empírico, no experimental, de estrategia asociativa predictiva. La muestra estuvo conformada por 555 estudiantes de universidades públicas y privadas. Se usó una ficha de datos sociodemográficos, el Cuestionario de violencia en las relaciones de pareja (Soriano, 2006), la Escala de mitos del amor romántico de Bonilla-Algovia y Rivas-Rivero (2020), la Escala de autoestima de Rosenberg (1965), el Cuestionario de dependencia emocional de Lemos y Londoño (2006) y la Escala del perdón en la relación de pareja de Rosales-Sarabia (2014). A nivel bivariado las variables psicológicas que se asocian con la violencia de pareja son dependencia emocional con un tamaño del efecto mediano, así como el resentimiento, mitos del amor romántico y autoestima con magnitud pequeña. Las variables sociodemográficas que se asocian son estado civil y condición laboral. A nivel multivariado, se utilizó la regresión logística binaria, encontrándose que mayor dependencia emocional y resentimiento, menor perdón genuino y autoestima, el ser separado y trabajar a la vez que estudiar predicen la presencia de violencia de pareja en jóvenes universitarios, constituyéndose como factores de riesgo

Donna Davis, Stephen Alexanian

A study of a community of people with disabilities in a virtual world sheds new light on an important issue of health literacy that has to date remained underreported in the current body of research. Participants revealed a community of individuals who are adults role-playing via child avatars as a coping and recovery mechanism for childhood trauma. One case follows the experience of a woman who role plays an adopted child of a caring adult while another attempts to recreate different ages of herself to unpack past trauma and find therapeutic healing. This phenomenon, as well as both its risks and opportunities, are examined with important considerations for the future of digital mental health support for people who have experienced abuse as children. Researchers, policy makers, and mental health professionals are encouraged to consider the role of social virtual worlds in the future of telemedicine for PTSD therapy.

Charity Mokgaetji Somo

Refugee children displaced by war suffer incredible amounts of physical and psychological trauma during and post-displacement. War is not partial to children, and they are subjected to as much extreme violence as adults. This paper explores the mental health of refugee children following war and was guided by the research question: What are the mental health experiences of refugee children displaced by war situations? A secondary data analysis was conducted on publicly available documentary short films and instructional videos on psychological therapy with refugee children and families. The data were analysed through Qualitative Conventional Content Analysis (QCCA). Three major categories emerged regarding the well-being of refugee children: (1) children are not spared from war trauma, (2) children live in perpetual fear and anxiety, and (3) war-related violence ignites aggressive behaviours in children. To increase positive mental health outcomes, school psychologists need to implement trauma-informed therapy that focuses on decreasing psychosocial reactions to war. Culturally responsive therapy is recommended as it places indigenous ways of being at the centre of the healing process.

Ellen E. Kozelka, Stephanie C. Acquilano, Monirah Al-Abdulmunem et al.

The transition to and acceptance of digital mental health tools has been heralded as a paradigm shift for providing and accessing care. Yet, providers and clients express concerns over privacy, efficacy, and personalization, as well as their ability to assess the thousands of available digital tools. In response to these concerns and calls for support to address them, the authors developed the Technology Specialist program. After a successful feasibility study, the research team launched a pilot study in late 2021 amid continuing COVID-19 protocols, presuming the rapid adoption of technology during the pandemic would facilitate the incorporation of the Technology Specialist. Despite the success of the role, the shifts in care delivery at one community mental health center created and exposed barriers to the implementation and uptake of digital tools. In this paper, the authors describe key access barriers exposed through the implementation of the pilot at the client, provider, and organizational levels. These barriers highlight a shifting digital divide for access to digital mental health among people with serious mental illness. The re-framed method of contextual engagement presented here may help direct research and practice toward collaborative and equitable action strategies for long-term success in community health settings.

Carmel Bond, A. Hui, S. Timmons et al.

Abstract Background Evidence supports the positive influence of compassion on care experiences and health outcomes. However, there is limited understanding regarding how compassion is identified by people with lived experience of mental health care. Aim To explore the views and experiences of compassion from people who have lived experience of mental health. Methods Participants with a self-reported mental health condition and lived experience of mental health (n = 10) were interviewed in a community setting. Characteristics of compassion were identified using an interpretative description approach. Results Study participants identified compassion as comprised three key components; 'the compassionate virtues of the healthcare professional', which informs 'compassionate engagement', creating a 'compassionate relational space and the patient’s felt-sense response'. When all these elements were in place, enhanced recovery and healing was felt to be possible. Without the experience of compassion, mental health could be adversely affected, exacerbating mental health conditions, and leading to detachment from engaging with health services. Conclusions The experience of compassion mobilises hope and promotes recovery. Health care policymakers and organisations must ensure services are structured to provide space and time for compassion to flourish. It is imperative that all staff are provided with training so that compassion can be acquired and developed.

Noshene Ranjbar, M. Erb, O. Mohammad et al.

The prevalence and impact of trauma constitute a public health crisis that is complicated by the cultural heterogeneity of contemporary society and a higher rate of trauma among individuals from minoritized communities. A trauma-informed care approach can facilitate improved treatment of those who have experienced trauma, and trauma-informed care is increasingly viewed as potentially beneficial for all patients. This article outlines general principles of trauma-informed care and ways to enact it. Because the situations in which trauma arises, the ways in which it is conceptualized, and how patients respond to it are influenced by both culture and individual factors, a cultural humility approach is also described and recommended. Psychiatrists can navigate the complex terrain of cultures and social backgrounds in the clinical encounter and can promote healing when treating patients who have experienced trauma by adopting a trauma-informed care approach and an attitude of cultural humility.

Erkang Fu, Yuxin Ren, Xi Li et al.

Rural communities have become a hot topic in academic circles because of their graceful natural environment and great healing potential. However, existing research still lacks attention to the street space in rural communities and rarely considers its integrated visual and soundscape design in terms of their effect on public health. As a result, the healing potential of rural community streets cannot be fully used in design practice. Relevant audiovisual materials were collected from a field investigation in four rural communities in southwestern China. Based on these data, the subjective and objective healing index data of subjects under comprehensive audiovisual conditions were collected and analyzed through laboratory experiments. The results revealed that type of street space affects healing potential, and the artificial–natural enclosed and natural semi-enclosed streets are the street types with the best healing effect. When the total sound pressure level was 55dB(A), the sound combination with birdsong accounting for 70% had a significant positive effect on improving the healing effect of rural community streets. In contrast, the sound combination with birdsong accounting for 50% or less had no significant effect on improving healing. The subjective healing perception of street space in rural communities was significantly positively correlated with aesthetic preferences. There was also a significant correlation between subjective healing perception and physiological index data in the audiovisual combination. This research explored the impact of different types of street space and sound combinations on the healing effect of rural community streets in an integrated audiovisual environment and provided a scientific basis for the healing landscape design of rural community streets in an integrated audiovisual environment. It was expected to provide new ideas for the construction of rural community landscapes, including acoustic landscapes, to promote physical and mental healing.

Gistha Nugraha, Rosatyani Puspita Adiati

Tujuan dari penelitian ini adalah untuk mengetahui apakah kecerdasan emosional memiliki hubungan dengan work-life balance pada karyawan startup. Startup memiliki jam kerja yang fleksibel dan fast paced, sehingga waktu karyawan banyak dihabiskan untuk bekerja. Maka dari itu dibutuhkan kecerdasan emosional untuk dapat menentukan peran sesuai dengan situasi yang dibutuhkan. Meskipun begitu, terdapat penelitian lain yang memiliki hasil berlawanan. Metode yang digunakan adalah metode survei dengan teknik non-probability sampling dengan kriteria partisipan Warga Negara Indonesia, berdomisili di Indonesia, rentang usia 18 – 54 tahun serta bekerja di perusahaan startup. Alat ukur yang digunakan adalah The Assessing Emotions Scale (33 item) dan Work-life Balance Scale (17 item). Data dianalisis menggunakan Uji Korelasi Pearson product-moment. Hasil yang didapat adalah tidak terdapat hubungan yang signifikan antara kecerdasan emosional dengan work-life balance pada karyawan startup.

Imen Mlouki, Nawel Zammit, Rim Ghammem et al.

Abstract Background and Aim The COVID‐19 is a stigmatizing infectious disease even after healing. Until now, no COVID‐19 stigma scale validated in Tunisian Arabic language among the general population is available. Developing such tools is necessary to detect COVID‐19 stigma and reduce it effectively. Indeed, stigmatization of COVID‐19 patients could increase the spread of this disease and its related mental health issues. We aimed at testing the validity of a translated and modified version of the 12‐item HIV stigma scale among Tunisian COVID‐19 patients. Methods A cross‐sectional study was conducted between November and December 2020 among a representative sample of COVID‐19 patients in the governorate of Sousse, Tunisia, after quarantine. The 12‐item HIV stigma scale was translated in Tunisian Arabic and then modified to be adapted to the Tunisian context. The preliminary modified version was administrated to the participants by pretrained medical doctors during phone calls. It consisted on 20 items covering the four stigma dimensions (personalized stigma, disclosure concerns, concerns with public attitudes, and negative self‐image). The psychometric evaluation of this version included internal consistency as well as principal component analysis (PCA). Results The responses of 346 COVID‐19 patients were obtained. Their median age was 40 years (interquartile range: 30‐54.5). Females represented 60.4% of them. The PCA resulted in a three factor solution with 14 items. This 14‐item scale demonstrated good internal consistency with a global Cronbach's α of 0.91 and values of 0.94, 0.93, and 0.98 for social stigma, negative self‐image, and disclosure concerns, respectively. Conclusion This study provides a reliable and valid instrument for stigma measuring among Tunisian COVID‐19 patients. The use of this scale would contribute in reducing the spread of this new infectious disease and its related mental health issues.

V. O’Keefe, M. Cwik, E. Haroz et al.

There are 600 diverse American Indian/Alaska Native communities that represent strong and resilient nations throughout Indian Country. However, a history of genocidal practices, cultural assaults, and continuing oppression contribute to high rates of mental health and substance use disorders. Underresourced mental health care and numerous barriers to services maintain these disparities. Indigenous community mental health workers hold local understandings of history, culture, and traditional views of health and wellness and may reduce barriers to care while promoting tribal health and economic self-determination and sovereignty. The combination of Native community mental health workers alongside a growing workforce of Indigenous mental health professionals may create an ideal system in which tribal communities are empowered to restore balance and overall wellness, aligning with Native worldviews and healing traditions. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Maria Isabel da Conceição Dias Fernandes, Ana Carolina Costa Carino, Camila Sayonara Tavares Gomes et al.

Abstract Objective: To analyze the content of the diagnostic proposition risk of excessive fluid volume in patients undergoing hemodialysis. Method: Content validity study, with 48 judges who assessed the content of the diagnostic proposition risk of excessive fluid volume, using an electronic data collection instrument. The judges’ answers were analyzed through the calculation of the Content Validity Index and the T test. Results: The risk of excessive fluid volume was considered adequate, containing 23 risk factors: increased sodium concentration in the dialysate; missing hemodialysis sessions; insufficient water; low self-efficacy for fluid restriction; deficient knowledge; altered body mass index; excessive intake of fluids, proteins and sodium; lower kt/v index; inadequate removal of fluids in hemodialysis; thirst; xerostomia; older people; comorbidities; renal function decline; decreased urinary volume; inflammatory status; hospitalization; low serum level of albumin and lymphocytes, and high level of phosphorus; and use of antihypertensive drugs. Conclusion: The content of the diagnostic proposition risk of excessive fluid volume was considered adequate by the judges.

Hyun Jin Lee, Yonghoon Son, Songyi Kim et al.

Abstract The aim of this study was to explore and describe the processes of therapeutic effects of the urban forest on middle-aged women by examining their involvement in an urban forest therapy program. The qualitative data used in this study were collected from focus group discussions using semi-structured interviews and analyzed using grounded theory. A core category and four subcategories were created to describe the participants’ psychological changes as a result of the therapy program. “Efforts to recognize self-worth” was chosen as the core category. At first, the participants were unfamiliar with their surroundings when they entered the urban forest with strangers. Gradually, participants’ attitudes toward their external environment shifted to feelings of comfort and calm owing to an increased awareness of the value of the urban forest. After they acquired knowledge of the forest and experienced emotional bonding with each other, their mental attitudes changed; this allowed them to identify with nature and start reflecting about their own lives. They were then able to develop coping abilities that led to self-healing. The findings of the study illustrated the participants’ self-healing processes through interactions with nature, guides, and other group members.

A. Ofori-Atta, J. Attafuah, H. Jack et al.

M. Renelli, J. Fletcher, Kenneth W. Tupper et al.

María del Carmen Suárez-Cotelo, María Jesús Movilla-Fernández, Paula Pita-García et al.

ABSTRACT Objective: Determine the level of knowledge about maternal breastfeeding and analyze to what extent this influences the intention to breastfeed after the introduction of infant feeding at the 6th and 16th weeks and at 6 months postpartum. Method: Prospective descriptive study conducted with pregnant women in Galicia (Spain). By means of a self-filling questionnaire, data were collected on the intention of the woman to feed the newborn and their knowledge about breastfeeding. Pregnant women were also contacted at the 6th and 16th weeks and at 6 months postpartum to know the type of feeding they gave their child. Results: 297 pregnant women participated in the study, of which 90.4% wanted to exclusively breastfeed their baby, however, only 28.2% continued up to 6 months. The level of knowledge about breastfeeding was regular and it was observed that it influences both the intention and the type of feeding of the newborn, thus it is an element to be considered when developing educational strategies aimed at increasing breastfeeding rates. Conclusion: The level of pregnant women’s knowledge about breastfeeding is regular and influences the choice of how to feed their babies and the duration of exclusive breastfeeding. Strategies should be implemented to increase knowledge and improve breastfeeding rates.

Arafat Uddin, Hasna Sumi

Following violence in Arakan State in Myanmar in August 2017, many Rohingya refugees arrived in Bangladesh with tremendous mental trauma. They also arrived with health problems, along with psychosocial distress shaped by their experiences in Myanmar. Mental health conditions and psychosocial problems have made life more precarious than ever to them. To come to another country (Bangladesh) and to adjust here was a major change to their lives. However, people can also be resilient in the face of adversities and some are able to continue and thrive in the context of perspective hardship. In this personal reflection, the first author, Mr. Arafat Uddin, shares his experiences as a community psychosocial volunteer at the makeshift refugee camps in Bangladesh. He describes his own experience as a Rohingya refugee and shares his personal experience of becoming a psychosocial volunteer. He has also reflects on his role as a community psychosocial volunteer, discusses the challenges he faces, describes perceptions of the community around his work, and shares his future expectations. In the last part of this piece, Hasna Sumi, a female Bangladeshi psychologist with UNHCR, describes her experiences in training and supervising community psychosocial volunteers. This personal reflection contains the life history of Arafat Uddin as told to Hasna Akter Sumi, Psychosocial Associate with UNHCR’s Mental Health and Psychosocial Support team in Cox’s Bazar. When the call for papers for this special issue was launched, Sumi had the idea to record a life story from the perspective of a Rohingya refugee. She works closely with a team of Rohingya psychosocial volunteers and asked who among them would volunteer to share their story. Arafat willingly came forward. Sumi and Arafat sat together on 29th April and 2nd May 2019 in camp 4 in Kutupalong Mega Camp. They spoke in the Rohingya language. Arafat told his story while Sumi wrote it down in an English version. The various drafts of this article were discussed with Arafat and he has given his consent to publish this story.

Ignacio Zaragoza-García, Santiago Pérez-García, María de los Ángeles Orellana-Miguel et al.

RESUMEN Objetivo: Evaluar la eficacia de una plataforma formativa en línea de procedimientos en una planta de medicina interna para disminuir los hemocultivos contaminados. Método: Estudio cuasi-experimental con grupos paralelos. La muestra la componen enfermeras de medicina interna de un hospital terciario, con las que se lleva a cabo un programa de formación en línea en relación a la técnica extracción de hemocultivos. Se evalúan conocimientos pre y post intervención sobre la técnica. Además, se estudian los resultados de los hemocultivos 6 meses antes y 3 después de la intervención, analizando los contaminados. Resultados: Participan un total de 48 enfermeras. El conocimiento de la técnica antes de la intervención es homogéneo en ambos grupos, mejorando significativamente con la formación en línea (p=0.0001). El análisis de hemocultivos extraídos previos a la formación muestran niveles de contaminación por encima del estándar internacional, disminuyendo en el grupo intervención hasta el 3% después del programa de aprendizaje. Conclusión: La intervención educativa mediante una plataforma digital se muestra válida para la adquisición de conocimientos y su translación a la práctica clínica.

Carla Monique Lopes Mourão, Ana Fátima Carvalho Fernandes, Deborah Pedrosa Moreira et al.

RESUMO Objetivo: Avaliar os efeitos da entrevista motivacional para mudança de comportamento de suporte social junto a cuidadores de pacientes com câncer de mama em quimioterapia. Método: Estudo quase experimental, realizado com mulheres em quimioterapia para câncer de mama e com os cuidadores das respectivas mulheres entrevistadas. A intervenção foi a Entrevista Motivacional Breve, aplicada aos cuidadores indicados pelas pacientes em quatro sessões individuais, com intervalos semanais e duração de 30 minutos cada. O comportamento de suporte social foi avaliado pelas mulheres antes e depois da intervenção pela Escala de Suporte Social. Resultados: Participaram do estudo 18 mulheres e 18 cuidadores. O suporte social das mulheres se mostrou elevado tanto para a dimensão emocional quanto para a instrumental da Escala de Suporte Social, após intervenção utilizada com os cuidadores pela Entrevista Motivacional Breve. Os achados contribuem para a prática clínica de diversas categorias profissionais, na utilização de estratégias de intervenção de baixo custo para melhoria da qualidade de vida durante e após o tratamento de mulheres com câncer de mama. Conclusão: A intervenção utilizada promoveu de forma positiva a mudança comportamental, melhorando o suporte social prestado pelos cuidadores às pacientes com câncer de mama e em realização de quimioterapia.

Maria Leopoldina de Castro Villas Bôas, Helena Eri Shimizu, Mauro Niskier Sanchez

Abstract OBJECTIVE To create and validate a complexity assessment tool for patients receiving home care from a public health service. METHOD A diagnostic accuracy study, with estimates for the tool's validity and reliability. Measurements of sensitivity and specificity were considered when producing validity estimates. The resulting tool was used for testing. Assessment by a specialized team of home care professionals was used as the gold standard. In the tool's reliability study, the authors used the Kappa statistic. The tool's sensitivity and specificity were analyzed using various cut-off points. RESULTS On the best cut-off point-21-with the gold standard, a sensitivity of 75.5% was obtained, with the limits of confidence interval (95%) at 68.3% and 82.8% and specificity of 53.2%, with the limits of confidence interval (95%) at 43.8% and 62.7%. CONCLUSION The tool presented evidence of validity and reliability, possibly helping in service organization at patient admission, care type change, or support during the creation of care plans.