Correlation research between stigma, coping style and psychosocial adjustment in young patients with breast cancer / 中国实用护理杂志

Objective To investigate the relationship of stigma, coping style and psychosocial adjustment in young patients with breast cancer after operation, and the mediating effect of different coping style between stigma and psychosocial adjustment. Methods The general information questionnaire, Social Impact Scale (SIS), Medical Coping Style Questionnaire (MCMQ) and psychosocial adjustment questionnaire for breast cancer were used to investigate the stigma, coping style and psychosocial adjustment of 292 young patients with breast cancer after operation in the affiliated hospital of Qingdao University. Results There was a negative correlation between stigma and confrontation coping, psychosocial adjustment(r=-0.687--0.519, all P＜0.01), but a positive correlation with yield coping and avoidance coping (r=0.426-0.500, all P＜0.01).There was a positive correlation between psychosocial adjustment and confrontation coping(r=0.594, P＜0.01), and was a negative correlation between psychosocial adjustment and avoidance copying, yield copying(r=-0.643--0.519, all P＜0.05). The mediating effects of confrontation coping and avoidance coping were 32.86% and 18.81% respectively. Conclusions The stigma and coping style of young patients with breast cancer after operation were closely related to psychosocial adjustment. Nursing staff should guide the patients to adopt positive coping style, reduce the stigma, promote the psychosocial adjustment, and help the patients to return to normal life as soon as possible.

Correlation research between stigma, coping style and psychosocial adjustment in young patients with breast cancer / 中国实用护理杂志

Objective@#To investigate the relationship of stigma, coping style and psychosocial adjustment in young patients with breast cancer after operation, and the mediating effect of different coping style between stigma and psychosocial adjustment.@*Methods@#The general information questionnaire, Social Impact Scale (SIS), Medical Coping Style Questionnaire (MCMQ) and psychosocial adjustment questionnaire for breast cancer were used to investigate the stigma, coping style and psychosocial adjustment of 292 young patients with breast cancer after operation in the affiliated hospital of Qingdao University.@*Results@#There was a negative correlation between stigma and confrontation coping, psychosocial adjustment(r=-0.687--0.519, all P<0.01), but a positive correlation with yield coping and avoidance coping (r=0.426-0.500, all P<0.01).There was a positive correlation between psychosocial adjustment and confrontation coping(r=0.594, P<0.01), and was a negative correlation between psychosocial adjustment and avoidance copying, yield copying(r=-0.643--0.519, all P<0.05). The mediating effects of confrontation coping and avoidance coping were 32.86% and 18.81% respectively.@*Conclusions@#The stigma and coping style of young patients with breast cancer after operation were closely related to psychosocial adjustment. Nursing staff should guide the patients to adopt positive coping style, reduce the stigma, promote the psychosocial adjustment, and help the patients to return to normal life as soon as possible.

Factors Affecting Psychosocial Adjustment in Patients with Surgical Removal of Benign Breast Tumor

PURPOSE: To identify factors influencing psychosocial adjustment in patients with surgical removal of benign breast tumor. METHODS: With a survey design, data were collected using the Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR), Body Image Scale, Physical Discomfort Scale, and Family Support Scale with patients who had had surgical removal of a benign breast tumor from September to November 2017. Data were analysed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. RESULTS: The mean scores for physical discomfort, body image, family support, and psychosocial adjustment were 1.57±0.51, 0.37±0.64, 3.62±0.67, and 4.00±0.45, respectively. Family support, body image, physical discomfort, number of surgical removal of benign breast tumor (twice), and cancer insurance status (yes) were verified as factors influencing psychosocial adjustment. These factors accounted for 57.4% of psychosocial adjustment. CONCLUSION: In this study, family support, body image, and physical discomfort were identified as significant predictors of psychosocial adjustment. Therefore, this study can be used as fundamental data to develop nursing intervention strategies in order to increase psychosocial adjustment in patients with surgical removal of a benign breast tumor.

Ajuste psicosocial en adolescentes víctimas frecuentes y víctimas ocasionales de violencia de pareja / Psychosocial adjustment in occasional and frequent victims of teen dating violence

El objetivo de esta investigación es analizar el ajuste psicosocial en los adolescentes víctimas de violencia de pareja, considerando posibles diferencias en función de la frecuencia de la victimización y del sexo de los adolescentes. Los indicadores del ajuste psicológico y social analizados son el ánimo depresivo, los sentimientos de soledad, el autoconcepto, la satisfacción con la vida y la calidad de la comunicación con el padre y la madre. Participaron 672 adolescentes españoles (325 chicas, 347 chicos), entre 12 y 19 años (M = 14.45; DT = 1.62). Los resultados indicaron que los adolescentes, chicos y chicas, en situación frecuente de victimización presentan menor autoconcepto familiar, más problemas de comunicación con la madre, mayor ánimo depresivo y sentimientos de soledad y menor satisfacción con la vida que los adolescentes cuya victimización es ocasional. Estos resultados muestran la necesidad de diferenciar entre ambos grupos de adolescentes víctimas de la violencia de pareja.

The objective of this research is to analyze the psychosocial adjustment on adolescent victims of dating violence, considering possible differences in terms of the frequency of victimization and sex of adolescents. The analyzed indicators of psychological and social adjustment are depressed mood, feelings of loneliness, self-concept, satisfaction with life and quality of communication with father and mother. 672 Spanish adolescents (325 girls, 347 boys), aged 12 to 19 years (M=14.45, SD=1.62) participated. The results indicated that adolescents, boys and girls, frequently victimized have less family self-concept, more communication problems with the mother, more depressive mood and feelings of loneliness and less satisfaction with life, than adolescents whose victimization is occasional. These results show the need to differentiate between both groups of adolescent victims of dating violence.

O reduzido envolvimento social: implicações para o ajustamento psicossocial de crianças em contexto pré-escolar / Low social engagement: implications for children psychosocial adjustment in the preschool context

O reduzido envolvimento social, aspeto central na definição da solidão social, foi analisado numa amostra de 337 crianças portuguesas (171 rapazes), com idades compreendidas entre os três e os cinco anos. Com base em metodologias de observação, realizadas em contexto de Jardim de infância, verificou-se que níveis reduzidos de envolvimento social estão negativamente associados a baixos níveis de competência social, de resiliência e de um elevado ego-controle. A aceitação pelos pares, o impacto e a preferência social, analisados com base nas medidas sociométricas, encontram-se, também, negativamente associados com os níveis de baixo envolvimento social. Os resultados refletem as dificuldades de ajustamento psicossocial destas crianças e enfatizam o seu potencial risco para o desenvolvimento saudável.

Low social engagement, a central feature of the definition of solitude, was examined in a sample of 337 Portuguese children (171 boys), ages ranging between 3 and 5 years. Based on observation measures, collected in school settings, Low Social Engagement was negatively associated with a broad range of adaptive outcomes, including social competence, ego-resilience as well as higher levels of ego-undercontrol. Negative associations were also found with sociometric measures of peer acceptance, social impact and preference. The results reflect these children's difficulties in the social domain and stress the potential risk factor of social solitude for their healthy development.

Continued circulation of a single genotype of dengue virus serotype 2 in the Philippines

OBJECTIVE@#To obtain descriptive information of behavioral pattern in Chinese school-aged children with cleft lip and palate.@*METHODS@#A total of 93 cleft lip and palate patients between the age of 6-11 year-old and treated at West China Stomatology Hospital were selected. And another 100 unaffected controls, matched for age and gender, were recruited randomly from a common primary school in Chengdu. Chart review of medical records was used to obtain psychosocial checklists. Scores were compared with published norms and controls to evaluate the risk of problems, separately for three diagnostic groups.@*RESULTS@#The patients group had lower scores of social and academic competencies, especially those with facial deformity or speech problem. No difference was found in the aspect of activity competency. All patients showed elevations in behavior problems. But the type of behavior problems varied in different genders.@*CONCLUSIONS@#Chinese school-aged children with cleft lip and palate are at raised risk for social and academic difficulties. Specific pattern of behavior problems displays differently depending on gender of the patient.

Déficit de cognición social en el trastorno bipolar: relevancia y estrategias de rehabilitación / Social cognition deficit in bipolar disorder: relevance and rehabilitation strategies

Introducción: El trastorno afectivo bipolar (TAP) está asociado con un significativo deterioro en el funcionamiento social, laboral y familiar, incluso en períodos de estabilidad clínica, y ello podría explicarse por un déficit de la cognición social. Objetivo: Revisar los principales hallazgos sobre la cognición social de los pacientes bipolares, a través de sus principales dimensiones y a través de las distintas fases de la enfermedad. Método: Búsqueda en la literatura biomédica en Medline, OVID, Proquest y EMBASE, cruzando los términos MeSH cognición social, teoría de la mente, reconocimiento de emociones, empatía y procesamiento emocional con trastorno bipolar, delimitando los resultados a los estudios clínicos con calidad metodológica media/alta, en español o inglés, y publicados en los últimos 20 años en la población infantil y adulta. Resultados: Se seleccionaron 83 artículos que se referían al tema, aunque sólo 16 evalúan específicamente la cognición social en población bipolar. La mayoría de estudios muestran un déficit tanto en las fases de descompensación como en estado de eutimia. Discusión: Desde una perspectiva neurocognitiva se plantean diversas explicaciones a estas alteraciones cognitivas, asociadas con la existencia de sintomatología subsindrómica afectiva. Finalmente, se revisan las estrategias rehabilitadoras que podrían ser de utilidad para revertir este déficit que conlleva importantes repercusiones funcionales...

Introduction: Bipolar disorder (BD) is associated with significant impairment in social, work, and family functioning, even in euthymic state. This could be explained by a social cognition deficit. Objective: To review the findings on social cognition in bipolar patients through its main dimensions, and through the various stages of the illness. Method: We searched the biomedical literature on Medline, OVID, Proquest, and EMBASE for articles matching the MeSH terms “social cognition”, “theory of mind”, “emotion recognition”, “empathy”, and “emotional processing” to “bipolar disorder”, limiting the results to clinical studies with medium/high methodological quality, in Spanish or English and published in the last 20 years, in children and adults. Results: We selected 83 items referring to this topic but only 24 specifically assessed social cognition in bipolar population. Most studies showed a deficit in both the phases of relapse as well as in euthymic state. Discussion: From a neurocognitive perspective a number of explanations arise for this cognitive impairment, associated with the existence of subsyndromal affective symptoms. Finally, we review the rehabilitation strategies that could be useful to reverse this deficit that carries important functional implications...

Relations between Demographic, Clinical, Psychopathological Characteristics and the Ways of Coping for Psychosocial Adjustment in Epileptic Patients / 대한간질학회지

PURPOSE: The purpose of this study is to understand the relations of demographic and clinical characteristics, psychopathology and ways of coping with psychosocial adjustment of epileptic patients. METHODS: The participants were 200 epileptic outpatients. They completed Korean version of Washington Psychosocial Seizure Inventory (K-WPSI), Symptom Check List-90-Revised (SCL-90-R) and The Ways of Coping Checklist (WCC). RESULTS: The results showed that frequency of seizure, education level, socioeconomic level, occupation, all of subscales in SCL-90-R and passive coping styles were significantly related to overall psychosocial functioning of epileptic patients. The global severity index score that indicated present psychopathology of SCL-90-R best explained overall psychosocial functioning. And the frequency of seizure, education level, socioeconomic level, occupation, and somatization were also significant factors. The global severity index score was explained by emotional focused coping, socioeconomic level, frequency of seizure, and problem focused coping. CONCLUSIONS: The results of this study suggested that psychosocial adjustment of epileptic patients showed a significant relations with psychopathology, clinical and socioeconomic factors and the ways of coping.

A Study on the Comparison of Psychosocial Adjustment of Children with Cancer between on and off Treatment / 아동간호학회지

PURPOSE: The purpose of this study was to compare psychosocial adjustment in children aged 4-11 years with cancer between on and off treatment. METHOD: The data was collected from parents of children with cancer through interviews with structured questionnaire at the pediatric outpatient department and inpatient ward of one university hospital located in Seoul. The instrument were the Child Behavior Check List(CBCL) developed by Achenbach(1991) and revised to standardize for Korean children by Oh et al(1997). RESULT: Total behavior problem score for children on treatment was greater than the score off treatment but there was no significant difference. Children on treatment reported higher levels of depression/anxiety, withdrawal, internalizing scores than children off treatment. Social competence score of children off treatment was greater than the score on treatment and the difference of school performance score of children between on and off treatment was not significant. The scores on the withdrawal, somatic complaints, social immaturity, internalizing scales in the cancer group including both on and off treatment was greater than normative findings in the general population. The scores on the school competence of children off treatment were lower than the norms for healthy children. CONCLUSION: Findings from this study support the importance of nursing interventions to facilitate the adjustment of children with cancer both on and off therapy.

The Relationship of Self Efficacy and Social Support to the Psychosocial Adjustment in People with Epilepsy / 간호학회지

The main purpose of this study was to identify the relationship of self efficacy and social support to the psychosocial adjustment in people with epilepsy. Data were collected from October 1 to October 15, 1999 from 101 people with epilepsy who were being treated regularly at one of the university hospitals located in Seoul. The research instruments were a questionnaire to gather demographic and disease-specific data, the Epilepsy Psycho- Social Effects Scale developed by Chaplin et al(1990), the Epilepsy Self Efficacy Scale developed by DiIorio et al(1992a) and translated by Park(1999), the Norbeck Social Support Questionnaire developed by Norbeck et al(1981) and translated by Oh(1985). Data were analyzed using the SPSS program. The results are as follow : 1. Of the 14 psychosocial adjustment areas, 75 of 101 subjects experienced problems in ten or more areas and 28 in all 14 areas. The severity of the psychosocial adjustment problem was moderate or more in six areas. 2. The score for self efficacy was an average of 1103.86 out of a possible 1800, for social support 117.57 for total functional out of a possible 720, and 48.21 for total network out of a possible 264. There were an average of five people on the network. The main network people were parents, brothers and sisters, spouse, friends. 3. Of the 14 psychosocial adjustment areas, six areas correlated with self efficacy and 'problems with taking medication' area had a negative correlation with social support. In conclusion, people with epilepsy have various problems in psychosocial adjustment. Nursing interventions using self efficacy should be developed to improve psychosocial adjustment in people with epilepsy. Also, instruments and interventions for regimen-specific supports which are suitable for epilepsy should be developed.

The Relationship of Self Efficacy and Social Support to the Psychosocial Adjustment in People with Epilepsy / 간호학회지

The main purpose of this study was to identify the relationship of self efficacy and social support to the psychosocial adjustment in people with epilepsy. Data were collected from October 1 to October 15, 1999 from 101 people with epilepsy who were being treated regularly at one of the university hospitals located in Seoul. The research instruments were a questionnaire to gather demographic and disease-specific data, the Epilepsy Psycho- Social Effects Scale developed by Chaplin et al(1990), the Epilepsy Self Efficacy Scale developed by DiIorio et al(1992a) and translated by Park(1999), the Norbeck Social Support Questionnaire developed by Norbeck et al(1981) and translated by Oh(1985). Data were analyzed using the SPSS program. The results are as follow : 1. Of the 14 psychosocial adjustment areas, 75 of 101 subjects experienced problems in ten or more areas and 28 in all 14 areas. The severity of the psychosocial adjustment problem was moderate or more in six areas. 2. The score for self efficacy was an average of 1103.86 out of a possible 1800, for social support 117.57 for total functional out of a possible 720, and 48.21 for total network out of a possible 264. There were an average of five people on the network. The main network people were parents, brothers and sisters, spouse, friends. 3. Of the 14 psychosocial adjustment areas, six areas correlated with self efficacy and 'problems with taking medication' area had a negative correlation with social support. In conclusion, people with epilepsy have various problems in psychosocial adjustment. Nursing interventions using self efficacy should be developed to improve psychosocial adjustment in people with epilepsy. Also, instruments and interventions for regimen-specific supports which are suitable for epilepsy should be developed.

Psychosocial Adjustment after Kidney Transplantation / 간호학회지

The purpose of this phenomenological study was to understand and describe the essence and the structure of lived experience of people with kidney transplantation. Initially, nine individual interviews were conducted to gather data regarding their subjective experiences. And two focus group interviews were utilized to validate or discard the themes that were emerged from the analysis using Colaizzi's method. Among 17 participants, 13 had living related kidney donations, one living unrelated, and the remaining two cadavor donations. About 130 significant statements were extracted and these were clustered into 11 themes. All participants felt anxiety and fear toward the rejection of transplantation and the complication of immunosuppressive drugs. Although they were initially satisfied with their life after kidney transplantation most of them lost a self-confidence and experienced loneliness, depression, and despair. Most of the participants also felt guilty for not being able to accomplish their appropriate roles in the family. They also had financial difficulties and social restrictions. However, they overcame these psychosocial distress by exercising, working and sharing love with others. They also could overcome it by living a religious life and by working to help others with kidney transplantations. Most of them felt gratitude toward the donor and did not have a psychological rejection toward the kidney transplanted. The results of the study might help nurses who work with people with kidney transplantations in establishing and implementing an effective nursing intervention by understanding their lived experience.