The mediating effect of attentional bias of negative information between fatalism and death anxiety in lung neoplasms patients / 中国实用护理杂志

Objective:To explore the mediating effect of attentional bias of negative information between fatalism and death anxiety in lung neoplasms patients.Methods:This study was a cross-sectional study. It was convenient to select 312 lung neoplasms patients treated in the Department of Oncology, First Affiliated Hospital and Second Affiliated Hospital of Air Force Military Medical University the Chinese People′s Liberation Army, from April 2021 to April 2022 as the research subjects. Questionnaires were conducted with Fatalism Scale, Attention to Negative Information Scale, and Templer′s Death Anxiety Scale. Structural equation model were constructed based on self-regulatory executive function models.Results:The total score of fatalism, attentional bias of negative information, and death anxiety of 312 lung neoplasms patients were (61.68 ± 11.92) points, (39.57 ± 5.19) points, and (61.23 ± 9.30) points, respectively. Attentional bias of negative information was significantly positively correlated with fatalism ( r = 0.594, P<0.01). Death anxiety was significantly positively correlated with fatalism and attentional bias of negative information ( r = 0.494, 0.558, both P<0.01). Attentional bias of negative information played a partial mediating role between fatalism and death anxiety, and the mediating effect accounted for 37.7% of the total effect. The value of each fitness index of the mediation effect model was within the acceptable range. Conclusions:Attentional bias of negative information is an intermediary variable between fatalism and death anxiety of lung neoplasms patients. Nursing staff should pay attention to the level of attentional bias of negative information of lung neoplasms patients and carry out targeted nursing interventions from the emotional processing process to reduce the level of death anxiety in patients with lung neoplasms.

Association between cancer fatalism and optimistic attitudes in colorectal cancer patients and the moderating effects / 国际外科学杂志

Objective:To investigate the association between cancer fatalism and optimistic attitudes among colorectal cancer patients, and how the above linkage is moderated by the involvement of patients′ opinions, the family members′ opinions and the physicians′ opinions in treatment decision-making.Methods:A cross-sectional survey was conducted on 64 patients diagnosed with colorectal cancer and awaiting radical colorectal cancer surgery in the Department of General Surgery of Beijing Friendship Hospital Affiliated to Capital Medical University, from January 2021 to December 2021. There were 38 males and 26 females, aged (61.2±13.0) years from 30 to 84 years. Cancer fatalism, optimism attitudes, and the involvement of patients′ opinions, the family members′ opinions and the physicians′ opinions in treatment decision-making were assessed. The patients′ cancer fatalism beliefs were measured by the " Chance" subscale of the Form C of the Multidimensional Health Locus of Control (MHLC-C), optimism attitudes were assessed by the Chinese version of the revised Life Orientation Test (CLOT-R), and the influence of patients′, family members′, and physicians′ opinions in the medical decision-making process was measured by a self-designed single factor scale. Measurement data of normal distribution were expressed as mean±standard deviation ( ± s). Measurement data of skewed distribution were expressed as M( Q1, Q3). Spearman correlation analysis and Chi-square test was used to examine the association between the main outcome variable (patients′ optimistic attitudes) and demographic and clinical characteristics. Interaction was examined by hierarchical linear regression analysis combined with simple slope tests. Results:Cancer fatalism was negatively associated with patients′ optimistic attitudes ( r=-0.35, P<0.01). Optimistic attitude of patients was significantly and negatively correlated with the influence of family members′ opinions on medical decision-making ( r=-0.25, P<0.05). There were significant positive correlations between the influence of patients′ and family members′ opinions ( r=0.50, P<0.01), family members′ and physicians′ opinions ( r=0.67, P<0.01), and physicians′ and patients′ opinions ( r=0.38, P<0.01) in medical decision making. Hierarchical linear regression analysis showed a negative association between cancer fatalism and optimism ( β=-0.32, P=0.01). This association was further moderated by the involvement of family members′ opinions ( β=-0.56, P<0.01) and the involvement of physicians′ opinions ( β=-0.36, P=0.04) in medical decision-making. Simple slope tests revealed that the negative impact of fatalistic attitudes on patients′ optimism attitudes may be potentiated when family members′ opinions have high influence on medical decision-making, while the negative impact may be buffered to some extent when physicians′ opinions have high influence on medical decision-making. Conclusions:Cancer fatalism had a negative effect on patients′ optimism. The high influence of physicians in treatment decision-making buffered the negative effect of cancer fatalism on optimism; the high influence of family members in treatment decision-making potentiated the negative effect of cancer fatalism on optimism. In the process of doctor-patient communication and shared decision-making, for patients with strong fatalistic attitudes, consideration should be given to appropriately increasing direct informational communication between physicians and patients and reducing excessive family intervention in medical decision-making, so as to enhance patients′ autonomy for treatment, promote optimism, and reduce the negative effects of cancer fatalism.

Study on the mediating effect of fatalism in family resilience and self-management of lung neoplasms patients undergoing chemotherapy / 中国实用护理杂志

Objective:To explore the relevance of family resilience, fatalism, and self-management of lung neoplasms patients undergoing chemotherapy, and the mediating effect of fatalism in family resilience and self-management.Methods:The study was a cross-sectional study, and it was convenient to select 376 lung cancer patients who underwent chemotherapy in the Oncology Department of the Second Affiliated Hospital of Air Force Military Medical University from August 2020 to August 2021 as the research subjects. A questionnaire survey was conducted on the patients by using general information questionnaire, Chinese Family Resilience Assessment Scale, Chinese Version of Fatalism Scale, and Cancer Patient Self-management Assessment Scale to establish and test the mediating model of fatalism between family resilience and self-management in lung neoplasms patients undergoing chemotherapy.Results:The total score of family resilience of lung neoplasms patients undergoing chemotherapy was (102.01 ± 33.29) points, the total score of fatalism was (63.99 ± 9.41) points, and the total score of self-management was (87.95 ± 27.65) points. Family resilience was negatively correlated with fatalism ( r=-0.418, P<0.01), positively correlated with self-management ( r=0.476, P<0.01), and fatalism was negatively correlated with self-management ( r=-0.557, P<0.01). Fatalism played a partial mediating role between family resilience and self-management, and the mediating effect accounted for 26.2% of the total effect. The value of each fitness index of the mediation effect model was within the acceptable range Conclusions:Family resilience, fatalism and self-management of lung neoplasms patients undergoing chemotherapy are closely related. Family resilience can not only directly affect self-management, but also indirectly affect self-management through fatalism. In clinical nursing, targeted intervention can be carried out on fatalism, which affects the role of family resilience on self-management, thereby promoting the improvement of self-management level of lung neoplasms patients undergoing chemotherapy.

O fatalismo no cotidiano da pobreza: do individualismo forjado ao horizonte coletivo / Fatalism in poverty's daily life: from a forged individualism to a collective horizon / Fatalismo en la vida cotidiana de la pobreza: del individualismo forjado al horizonte colectivo

O presente trabalho objetiva analisar como o fatalismo se manifesta no cotidiano de sujeitos que vivenciam a condição de pobreza. Foram realizadas 10 entrevistas semiestruturadas com sujeitos atendidos em um Centro de Referência de Assistência Social (CRAS) de um município do estado de Minas Gerais. Apoiando-se, sobretudo, nas elaborações de Ignacio Martín-Baró, refletimos sobre o modo como a predominante resignação fatalista se forja por meio das estruturas desiguais e das ideologias estabelecidas e aprofundadas no cotidiano da pobreza. Os processos de naturalização da realidade social reforçados pelo imediatismo e precariedade da vida cotidiana sufocam os sentimentos de revolta, indignação e coletividade que insurgem, sendo estes, no geral, canalizados pela lógica meritocrática, individualista e religiosa. Torna-se, assim, importante a adoção de uma perspectiva histórica e dialética para compreendermos as possibilidades de ruptura com o fatalismo no âmbito da sociedade brasileira, de modo a superar as mazelas subjetivas e materiais produzidas na e pela ordem social vigente.

This paper aims to analyze how fatalism manifests itself in the daily life of those who live under poverty conditions. Ten semi-structured interviews were conducted with subjects who were attended at a Social Assistance Reference Center (CRAS) at a city in the Brazilian state of Minas Gerais. Based mainly on Ignacio Martín-Baró's elaborations, this study reflects on the way in which the predominant fatalistic resignation is forged through unequal structures and through ideologies established and deepened in poverty's daily life. Social reality's naturalization processes, reinforced by the immediacy and precariousness of everyday life, suppresses feelings of revolt, indignation and collectivity, which, in general, are channeled by a meritocratic, individualistic and religious logic. Thus, it is important to adopt a historical and dialectic perspective to understand the possibilities of breaking off with Brazilian society's fatalism, in order to overcome subjective and material problems produced in and by the current social order.

Este artículo tiene como objetivo analizar cómo se manifiesta el fatalismo en lo cotidiano de las personas que vivencian la condición de pobreza. Se realizaron 10 entrevistas semiestructuradas con sujetos atendidos en un Centro de Referencia de Asistencia Social (CRAS) de una ciudad del estado brasileño de Minas Gerais. Basados principalmente en las elaboraciones de Ignacio Martín-Baró, buscamos reflejar sobre la forma en que si presenta la resignación fatalista predominante mediante las estructuras e ideologías desiguales establecidas y profundizadas en lo cotidiano de la pobreza. Los procesos de naturalización de la realidad social están reforzados por la inmediatez y la precariedad de la vida cotidiana y impeden los sentimientos de revuelta, indignación y colectividad que emergen, en general, siendo canalizados por la lógica meritocrática, individualista y religiosa. Por lo tanto, es importante adoptar una perspectiva histórica y dialéctica para comprender las posibilidades de romper con el fatalismo en el contexto de la sociedad brasileña, buscando superar los problemas subjetivos y materiales producidos por la orden social actual.

Revisión sistemática de la relación entre fatalismo y control glucémico en adultos con diabetes tipo 2 / Systematic review regarding the relationship between fatalism and glycemic control in adults with type 2 diabetes

Introducción: en la actualidad, la diabetes se considera una emergencia mundial debido al aumento de su prevalencia, posibles complicaciones y elevada mortalidad. Algunos factores culturales, como las creencias fatalistas, pueden representar una barrera para su control. Objetivo: revisar la evidencia científica disponible de la relación entre el fatalismo y el control glucémico en adultos con diabetes tipo 2. Metodología: se realizó una búsqueda en EBSCO Academic Search Complete, Science Direct, Web of Science, Pubmed, Springer, Redalyc, Latindex, Mediclatina y Fuente Académica vía EBSCO, delimitada a 10 años (2008-2018). Se utilizaron los descriptores DeCS y MeHS y la búsqueda de los estudios se efectuó en español e inglés. Los estudios se evaluaron para su validez a través de la guía para estudios analíticos transversales del Joanna Briggs Institute Critical Appraisal. Resultados: de 275 resultados que arrojó la búsqueda, se seleccionaron cinco estudios correlacionales-transversales, publicados en inglés en Estados Unidos, Líbano, Turquía e Israel, que incluyeron entre 130 y 615 pacientes con diagnóstico (5-14.4 años) de diabetes tipo 2. La evidencia disponible sugiere que existe una relación entre el fatalismo y el control glucémico. Conclusión: la relación entre el fatalismo y el control glucé-mico en adultos con diabetes tipo 2 es compleja y represen- ta en pacientes fatalistas una barrera para el control de la enfermedad.

Introduction: Diabetes is currently considered a worldwide emergency due to its increased prevalence, possible complications, and high mortality. Some cultural factors, such as fatalistic beliefs, may represent a barrier to diabetes control. Objective: Review scientific evidence avaible on the relationship between fatalism and glycemic control in adults with Type 2 Diabetes. Methods: A search was carried out in EBSCO Academic Search Complete, Science Direct, Web of Science, Pubmed, Springer, Redalyc, Latindex, Mediclatina y Fuente Académica EBSCO, limited to ten years (2008-2018). DeCS and MeHS descriptors were used, the search for studies was in Spanish and English. The studies were evaluated for validity through the Joanna Briggs Institute Critical Assessment guide for cross-sectional analytical studies. Results: The information query delivered 275 results and 5 from these studies were included. These are correlational-cross-sectional studies, published in English, from countries such as The United States of America, Lebanon, and Israel, which studied between 130 and 615 patients with diagnosis of T2D (between 5 and 14.4 years). Available evidence suggests that there is a relationship between fatalism and glycemic control. Conclusion: The relationship between fatalism and glycemic control in adults with Type 2 Diabetes is complex and represents, in more fatalistic patients, a barrier to disease control.

Application of narrative nursing program in patients with cancer fatalism in the early stage of radiotherapy for nasopharyngeal carcinoma / 中国实用护理杂志

Objective:To explore the effect of narrative nursing plan on patients with cancer fatalism at the initial stage of radiotherapy for nasopharyngeal carcinoma.Methods:Convenience sampling was used to select 126 patients with nasopharyngeal carcinoma who were admitted to the Third Ward of Radiotherapy, Affiliated Tumor Hospital of Guangxi Medical University from July 2019 to June 2020 with cancer fatalism at the initial stage of radiotherapy. Among them, 62 cases from July to December 2019 were set as the control group, and 64 cases from January to June 2020 were set as the observation group. Routine nursing intervention and narrative nursing intervention were given respectively, and before the intervention (the second day after admission), after 7 weeks of intervention, the Fatalism Scale and Center for Epidemiologic Studies-Depression scale scores of the two groups were compared.Results:Before the intervention, the cancer fatalism and depression scores of the two groups were at a high level and the difference was not statistically significant ( P>0.05); after the implementation of the narrative nursing intervention program, the cancer fatalism and depression scores of the observation group were (37.23±6.12), (9.42±1.36) points, lower than (47.78±9.14), (15.65±2.03) points of the control group. There was statistical significance ( t values were 7.698, 7.524, P<0.05). Conclusion:In the early stage of radiotherapy, patients with nasopharyngeal carcinoma have a strong concept of cancer fatalism, and narrative nursing intervention can effectively reduce their cancer fatalism and depression.

O fatalismo no trabalho camponês: da submissão às possibilidades de ruptura / El fatalismo en el trabajo campesino: de la sumisión a las posibilidades de ruptura / Fatalism in peasant labor: from submission to the possibilities of rupture

Resumo O artigo tem como objetivo discutir sobre o fatalismo presente no trabalho camponês e suas possibilidades de ruptura. Apoia-se nas contribuições teóricas de Ignacio Martín-Baró e toma como referente empírico os relatos de camponeses da região Centro-Sul do Estado do Paraná. Os relatos foram obtidos através de uma roda de conversa com agricultores agroecologistas e da realização de entrevistas semiestruturadas com cinco famílias produtoras de tabaco. Tomando como exemplo a fumicultura e a diversificação desta produção para a agricultura agroecológica, busca evidenciar as relações de trabalho como fonte do fatalismo no contexto do campesinato, e a recuperação da memória histórica, a organização social e a prática de classe como dimensões presentes em seu processo de ruptura.

Resumen El artículo tiene como objetivo discutir el fatalismo presente en el trabajo campesino y sus posibilidades de ruptura. Se apoya en las contribuciones teóricas de Ignacio Martín-Baró y toma como referente empírico los relatos de campesinos de la región Centro-Sur del Estado del Paraná, Brasil. Los informes fueron obtenidos a través de una rueda de conversación con agricultores agroecologistas y de la realización de entrevistas semiestructuradas con cinco familias productoras de tabaco. Tomando como ejemplo el cultivo de tabaco y la diversificación de esta producción para la agricultura agroecológica, la investigación busca evidenciar las relaciones de trabajo como fuente del fatalismo en el contexto del campesinado, y la recuperación de la memoria histórica, la organización social y la práctica de clase como dimensiones presentes en su proceso de ruptura.

Abstract This article focuses on discussing fatalism in peasant labor and its possibilities of rupture. It is based on the theoretical contributions of Ignacio Martín-Baró and takes as an empirical reference the reports of peasants from the Center-South region of the State of Paraná, Brazil. The reports were obtained through a conversation circle with agroecologist farmers and semi-structured interviews with five tobacco-producing families. Taking tobacco production and the diversification of this production for agroecological agriculture as an example, this work seeks to highlight labor relations as a source of fatalism in the context of the peasantry, and the recovery of historical memory, social organization and class practice as dimensions present in its process of rupture.

Lifestyle, Diet, Self-care, and Diabetes Fatalism of Diabetic Patients with and without Diabetic Foot / 대한지역사회영양학회지

OBJECTIVES: This study was to determine diabetes fatalism of diabetic patients with and without diabetic foot and its association with lifestyle, diet, and self-care. METHODS: The subjects were diabetic patients with (male/female 48/21) and without diabetic foot (male/female 33/26). We administered the questionnaires which were designed to determine diabetes fatalism, lifestyle, diet, and self-care. Diabetes fatalism was determined by Diabetes fatalism scale (DFS), which consisted of total 12 items in three subscales namely, emotional stress, religiou.spiritual coping, and perceived self-efficacy. RESULTS: The patients with diabetic foot had undesirable diets more frequently (1.37 and 0.91 days/week respectively) and their desirable diets (2.74 and 3.61 days/week respectively) and foot care (4.61 and 5.53 days/week respectively) were less frequent than those without diabetic foot (p < 0.05). An item analysis of the 12 DFS items revealed a Chronbach' alpha of 0.614 and 0.869, respectively in diabetic patients with and without diabetic foot. Perceived self-efficacy related DFS of subjects without diabetic foot was positively associated with smoking (r = 0.350, p < 0.01), undesirable diet (r = 0.295, p < 0.05), and drinking (r = 0.257, p < 0.05), while its negative association with exercise (r = -0.224, p < 0.088) and foot care (r = -0.247, p < 0.059) did not reach to statistical significance. CONCLUSIONS: This work was the first study reporting the potential usefulness of DFS, especially perceived self-efficacy related subscale as a predictor of lifestyle, diet and self-care on the Korean diabetic patients, at least those without severe diabetic foot to screen those who should be the first target for diabetes education.

Parsimonia cognitiva y legitimación de las injusticias sociales: la creencia en el mundo justo y el fatalismo latinoamericano / Cognitive parsimony and legitimization of social injustice: the belief in a just world and latin american fatalism

Este trabajo se ocupa de un tema propio de la psicología social: el conocimiento de sentido común. Particularmente, se analizan las distintas creencias que permiten a las personas pensar y sentir que controlan -o no- el medio en que viven centrándose en la creencia en el mundo justo y el fatalismo latinoamericano. Ambas creencias en su origen psicológico se basan en la necesidad de control del medio y en su contenido cumplen la función de legitimar el orden social y mantener el status quo. Se concluye que la complejidad de este tipo de objetos de estudio implica estudios interdisciplinarios que vinculen diferentes niveles de análisis para así poder dar cuenta de cómo se relacionan los mecanismos psicológicos con los procesos históricos-sociales conformando una visión de la realidad para los distintos grupos sociales.

This paper deals with a topic which belongs to social psychology: common sense knowledge. In particular, it analyzes the different beliefs that enable people to think and feel in control -or not- to their environment. This paper makes focus on just world belief and the Latin-American fatalism. Both beliefs are psychological in origin, based on the need for environmental control and their contents serve the function of legitimating social order, supporting the status quo. It is concluded that the complexity of such phenomena involves interdisciplinary studies, which link different levels of analysis in order to explain how psychological mechanisms are related to social historical processes shaping the world views about reality that social groups hold.

Bienestar y trauma en personas adultas desplazadas por la violencia política / Well-being and trauma in adults displaced by political violence

La presente investigación ha estudiado el Bienestar psicológico, Subjetivo y Social, el Fatalismo, y el Trauma y Cogniciones Irracionales Postraumáticas, en personas adultas desplazadas por la violencia sociopolítica, radicadas en la ciudad de Barranquilla, Colombia. Los resultados indican que si bien las personas víctimas del desplazamiento forzado, presentan innegables síntomas de trauma con un matiz psicosocial, también se encuentran en ellos elementos asociados a la Salud Mental.

This study studied Subjective and Objective Psychological Well-being, andFatalism, Trauma and Irrational Posttraumatic Cognitions, in adults displaced by socio-political violence, living in Barranquilla, Colombia. Outcomes suggest that people who have been victims of forced displacement exhibit undeniable symptoms of psychosocial trauma, and that they also have elements associated to Mental Health.