Confinamiento involuntario durante la Pandemia COVID -19: Costos en la salud mental y psicosocial / Involuntary confinement during the COVID -19 Pandemic: Mental and psychosocial health costs

Resumen Objetivo: Identificar costos del confinamiento involuntario por la pandemia COVID -19 en la salud mental y psicosocial. Materiales y Métodos: Se realiza una revisión exploratoria documental del confinamiento involuntario y las afecciones o costes en el ser humano, se realizó una búsqueda en bases de datos bibliográficos y a través de internet en revistas y organismos públicos de cuatro descriptores y sus combinaciones, salud mental, salud psicosocial, costos en la pandemia COVID -19, confinamiento involuntario, entre los años 2019 a 2021. Luego de la localización de 20 estudios se realizó una selección y análisis de la documentación, excluyendo 5 de ellos que no eran relevantes para el objetivo, para el análisis de datos se estructuró la información, en costos en la salud mental identificando afectaciones neurofisiológicas como la confusión en el sistema lucha-huida y la hiperactivación y/o hipoactivación del sistema nervioso y en costos psicosociales ante el confinamiento como la sensación de amenaza anticipada y continua, ansiedad, miedo, tristeza, dolor, depresión, sobre estrés, traumas, vulnerabilidad y cambios culturales. Resultados: La pandemia COVID-19 es inédita, histórica, multinacional y de impacto multidimensional, la falta de mitigación de esta y el tiempo excedido de resistirla ha expuesto al ser humano a continuos estresores que erosionan la seguridad y causan incertidumbre, aunado a ello, durante la pandemia el confinamiento ha traído consigo altos costos en la salud mental de tipo neurológicos y psicosociales tales como el sobre-estrés, síntomas ansioso-depresivos, vulnerabilidad en la integridad personal y social. Conclusiones: Se requiere generar estrategias de bienestar emocional para disminuir el impacto en la salud mental, psíquica y al entramado social a partir de propiciar la recuperación de redes de empatía, benevolencia, compasión, apoyo solidario, colectivizando el dolor y las perdidas, diluyendo el impacto de esta al recuperar la confianza y seguridad en uno mismo, en los otros.

Abstract Objective: To identify the costs of involuntary confinement due to the COVID-19 pandemic in the mental and psychosocial health. Materials and methods: An exploratory documentary review of involuntary confinement and its costs in the human nature was carried out. Four descriptors and their combinations, mental health, health psychosocial, costs in the COVID -19 pandemic, and involuntary confinement were searched in bibliographic databases and online in journals and public organizations from 2019 to 2021. 20 studies were found. After selecting and analyzing the documentation five studies were excluded as they were not relevant. To analyze the data, the information was classified in mental health costs, identifying neurophysiological effects such as confusion in the fight-flight system and hyperactivation and/or hypoactivation of the nervous system, and in psychosocial costs in the face of confinement, such as the feeling of anticipated and continuous threat, anxiety, fear, sadness, pain, depression, over stress, trauma, vulnerability, and cultural changes. Results: The COVID-19 pandemic is unprecedented, historical, multinational and has a multidimensional impact. The lack of mitigation and the time exceeded resisting it has exposed the humans to continuous stressors that undermine confidence and cause uncertainty. In addition, during the pandemic, confinement brought with it high mental health costs of a neurological and psychosocial nature, such as overstress, anxious-depressive symptoms, vulnerability in personal and social integrity. Conclusions: It is necessary to generate emotional well-being strategies to reduce the impact on mental and psychic health and the social fabric by promoting the recovery of networks of empathy, benevolence, compassion, solidarity support, collectivizing pain and losses, thus recovering confidence and security in oneself and in others.

The Effect of Self Reflection Meditation Program on the Job Stress and Psychosocial Health of Government Staffs / 의료커뮤니케이션

BACKGROUND: The government staffs studied in this research has been easily exposed to excessive job stress, which can lead to a variety of psychosocial problems and poor quality of life. In this study, we examined the effect of the self reflection meditation program on the psychosocial health and stress responses of government staffs, to suggest the intervention program improving psychosocial health and quality of life in government staffs.METHODS: In this study, we measured the conditions of 36 local government staffs based on self reflection scale, psychosocial health and stress score before and after implementing the short-term intensive meditation program.RESULTS: The results showed that there were significant increase in social role performance and self confidence(p=.003), general health and vitality(p=.019) and significant decrease in stress(p=.010). This change was prominently showed in administrative officer and depression and anxiety(p=.034) also significantly decreased after program.CONCLUSION: Self reflection meditation program was effective in improving the psychosocial health and physical health of government staffs. Therefore, self reflection meditation program could be proposed as program for stress management and promotion of quality of life in government staff.

Psychosocial Health of Disease-Free Breast Cancer Survivors Compared with Matched Non-cancer Controls / Journal of the Korean Cancer Association, 대한암학회지

PURPOSE: The present study investigated the psychosocial health of disease-free breast cancer survivors who receive health examinations compared to matched non-cancer controls in a community setting. MATERIALS AND METHODS: We used baseline data from the Health Examinee cohort, which is composed of subjects participating in health. The disease-free breast cancer survivors were defined as those who were ≥ 2 years from initial diagnosis of breast cancer who had completed treatment. Females without a history of cancer were randomly selected at 1:4 ratio by 5-year age groups, education, and household income as a comparison group. We analyzed results from the Psychosocial Well-being Index-Short Form (PWI-SF) as a psychosocial health measurement. RESULTS: A total of 347 survivors of breast cancer and 1,388 matched controls were included. Total scores on the PWI-SF were lower in breast cancer survivors than matched non-cancer controls (p=0.006), suggesting a lower level of psychosocial stress in breast cancer survivors. In comparison to the control group, prevalence of drinking, smoking and obesity were lower, while exercising for ≥ 150 min/wk was higher in breast cancer survivors (p < 0.05). These findings suggest that breast cancer survivors have better health behaviors than their noncancer controls. After adjusting for other sociodemographic variables, breast cancer survivors were 36% less likely to be included in the stress group (odds ratio, 0.64; 95% confidence interval, 0.42 to 0.98). CONCLUSION: The disease-free breast cancer survivors resuming daily life demonstrated better psychosocial health status compared to matched non-cancer controls.

Niveles de salud psicológica y laboral en practicantes de Pilates / Levels of Psychological and Occupational Health in Pilates Adherents

Resumen Actualmente, la práctica de Pilates carece de fundamentación científica sólida que establezca beneficios sobre la salud psicológica. El objetivo principal del presente trabajo fue analizar si los participantes que combinan Pilates con otras Actividades Físico-Deportivas (AFD) presentaban puntuaciones más altas en las variables psicosociales y laborales estudiadas que practicantes de Pilates, practicantes de otras AFD diferentes al Pilates y participantes sedentarios. El segundo objetivo fue comprobar si los años de experiencia practicando Pilates, de forma aislada, influían positivamente sobre las variables estudiadas. El cuestionario de autoeficacia (AEG), autoestima (RSE), personalidad situacional (CPS), optimismo (LOT-R), satisfacción laboral (S10/12) y engagement (UWES) fueron completados por 212 participantes con una edad media de 41.83 años (DT = 12.41). Los practicantes de Pilates asistían a centros especializados en la técnica Pilates original. La metodología empleada fue de corte transversal. Las puntuaciones más altas en autoeficacia, estabilidad emocional, autoconcepto, optimismo y satisfacción con las prestaciones recibidas obtenidas por el grupo que combina Pilates con otras AFD no son estadísticamente significativas frente al resto de los grupos. Sin embargo, los minutos semanales de AFD correlacionan significativamente con la autoeficacia, el autoconcepto y la tendencia optimista. Los resultados del segundo objetivo muestran diferencias significativas en las variables autoeficacia y autoconcepto entre los practicantes más expertos de Pilates con respecto a los principiantes. Como conclusión, no se detectan diferencias significativas entre los grupos analizados, pero una práctica continuada y regular de Pilates en el tiempo, superior a 5 años, puede reportar interesantes beneficios psicológicos.

Abstract: Currently, the practice of Pilates lacks a solid scientific foundation that establishes benefits on psychological health. The main objective of the present work was to analyze whether participants who combine Pilates with otherPhysical Sports Activities (PSA) had higher scores in psychosocial and work variables studied than Pilates adherents, devotees of other PSAs other than Pilates and sedentary participants. The second objective was to check whether years of experience practicing Pilates, in isolation, had a positive influence on the variables studied. Two hundred twelve participants completed the self-efficacy questionnaire (GSE), self-esteem (RSE), situational personality (CPS), optimism (LOT-R), job satisfaction (S10/12) and engagement (UWES) questionnaires with an average age of 41.83 years (SD = 12.41). Adherents of Pilates attended centers specialized in original Pilates techniques. The methodology used was cross-sectional. The highest scores on self-efficacy, emotional stability, self-concept, optimism and satisfaction with the benefits received by the group that combines Pilates with other PSAs are not statistically significant compared to the rest of the groups. However, the weekly minutes of PSA correlate significantly with self-efficacy, self-concept and optimistic tendency. The results of the second objective show significant differences in the self-efficacy and self-concept variables among the most expert Pilates adherents with respect to beginners. In conclusion, no significant differences were detected between the analyzed groups, but a continued and regular practice of Pilates over time (more than 5 years), may provide interesting psychological benefits

The Impacts of Nurses' Psycho-social Health and Social Support from Colleagues on Patient Caring Ability / 간호행정학회지

PURPOSE: The purpose of this study was to identify the effect of nurses' psycho-social health and social support from colleagues on patient caring ability. METHODS: A cross-sectional survey design was used and the participants in this study were 422 nurses from 3 general hospitals. Data were collected using a self-administered questionnaire and collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression analysis with the SAS 9.4 program. RESULTS: Total mean score for psychosocial health was 3.15±0.57, for social support from colleagues, 3.43±0.55, and for caring ability, 4.04±0.53. Psychosocial health, social support from colleagues, and married status were identified as significant factors influencing patient caring ability. CONCLUSION: Findings from this study indicate that psychosocial health and social support from colleagues are related to patient caring ability, and thus, to improve nurses' caring ability for patient and for self, it is important to create a work environment that keeps nurses healthy and promotes collaboration with colleagues.

The Impact of Psychosocial Health and Self-nurturance on Graduate Nurse Experience / 간호행정학회지

PURPOSE: The purpose of this study was to identify the effect of Psychosocial health and Self-nurturance on the experience of new graduate nurses. METHODS: A cross-sectional survey design was used. The participants in this study were 149 nurses who had less than 12 months of nursing experience and were working at one of 4 general hospitals. The data were collected by a self-administered questionnaire from Nov. 2012 to Oct. 2014. RESULTS: The total mean score for Psychosocial health was 3.07+/-0.60, Self-nurturance, 3.38+/-0.44, and graduate nurse experience, 2.59+/-0.27. The effect of Psychosocial health and Self-nurturance predicted 23% of variance in graduate nurse experience. CONCLUSION: These results indicate that Psychosocial health and Self-nurturance have a positive relationship to graduate nurse experience. Therefore, further studies including approaches that support Psychosocial health and Self-nurturance are recommended to help in the adaptation of newly graduated nurses to clinical settings.

A articulação da experiência dos usuários nas microculturas dos Centros de Atenção Psicossocial: uma proposta metodológica / The articulation of users’ experience in the microcultures of psychosocial health centers: a methodological proposal

O objetivo primordial do presente artigo é apresentar uma metodologia de avaliação de centros de atenção psicossocial, enfocando seu componente qualitativo e multidimensional, e etapas de progressivo aprofundamento, a partir das perspectivas de usuários, familiares e profissionais. A proposta metodológica apresentada e discutida a seguir foi desenvolvida a partir da pesquisa intitulada “Articulando experiências, produzindo sujeitos e incluindo cidadãos: um estudo sobre as novas formas de cuidado em saúde mental na Bahia e em Sergipe, Brasil”, realizada entre os anos de 2006 e 2009. Na construção do desenho metodológico desse estudo, percebemos que, para avaliar a qualidade de um serviço, é necessário congregar conceitos e técnicas diversos que nos permitam uma abordagem que responda à complexidade da tarefa de nos aproximar da experiência (através de suas expressões e produções de significados) dos atores sociais envolvidos, bem como identifique recursos psicossociais presentes nos CAPS e utilizados pelos usuários para significar sua experiência de sofrimento, articulada por “pontos de virada”

This article’s main objective is to present and discuss a methodology for the evaluation of psychosocial health centers, focused on qualitative and multidimensional elements, and steps towards a progressively deeper understanding, from the perspectives of users, family members and professionals. The present methodological proposal was developed for the research “Articulating experiences, producing subjects and including citizens: a study on the new forms of mental health care in Bahia and Sergipe, Brazil”, realized between 2006 and 2009. While constructing the methodological design, we sensed that, in order to evaluate the quality of a service, it would be necessary to congregate various concepts and techniques to allow us to address the complexity of the task of approaching the involved social agents’ experience (through its expressions and sense productions), as well as identify psychosocial resources available in the CAPS and employed by users to signify their experience of suffering, articulated around “turning points”