Family Intervention in Severe Mental Disorder: An Online Intervention Format in Psychosocial Rehabilitation Centers.

The use of new technologies and online interventions with family members of people affected by severe mental disorders (SMD) seems to emerge as a promising complementary strategy to face-to-face care. The article presents a new online intervention format, aimed at relatives of people with SMD. A qualitative methodology sequenced in seven phases has been used. (1) The incorporation of relatives into the programme has allowed the intervention format to be adapted to the needs and opinions of the relatives themselves. (2) All the relatives were completely satisfied with the new online intervention format, and with how useful it had been for them. (1) The attention and support to family members of people with SMD through the Internet is a complementary intervention strategy to face-to-face care. (2) The online format of attention to family members can be incorporated into the usual practice of care services. Supplementary Information: The online version contains supplementary material available at 10.1007/s40737-022-00310-7.

The influence of supervisor supportive behaviors on subordinate job satisfaction: the moderating effect of gender similarity.

This paper analyses the influence that different supervisor supportive behaviors have on subordinate job satisfaction, while considering the gender of individuals involved (supervisor and subordinate). The empirical evidence provided by a sample of 29,833 subordinates from 35 European countries collected by Eurofound through the European Working Condition Survey allows us to assert the following. First, subordinate job satisfaction depends on their perceptions about the supportive behaviors provided by their supervisors in terms of respect, giving recognition for a job well done, coordinating work, helping get the job done, and encouraging the professional development of the subordinate. Second, job satisfaction is affected by supervisor gender, although in the opposite direction as hypothesized, such that when the supervisor is a woman, subordinates report lower job satisfaction. Third, also contrary to our expectations, supervisor-subordinate gender similarity reduces, rather than increases, subordinate job satisfaction. Fourth, gender similarity, as expected, weakens the impact of several supervisor supportive behaviors on this job satisfaction (i.e., giving recognition, coordinating work, helping get the job done, and encouraging development). In terms of practical implications, this work suggests that it is advisable for supervisors to show supportive behaviors toward subordinates. In addition, because demonstrating respect at work is not moderated by gender similarity and seems to be the most impactful supportive behavior for enhancing job satisfaction, supervisors should pay particular attention to the respect of subordinates.

The Mediating Effect of University Teaching Staff’s Psychological Well-being between Emotional Intelligence and Burnout / El efecto mediador del bienestar psicológico y su relación con la inteligencia emocional y el agotamiento emocional en el profesorado universitario

The work carried out by university teachers has evolved in response to the European Higher Education Area (EHEA), requiring that teachers update their professional skills. This requirement and a lack of personal resources to manage it may cause burnout. However, certain personality traits protect teachers from burnout, e.g., emotional intelligence (EI) or psychological well-being (PWB). A sample of university teachers was assembled and the mediating effect of PWB between EI and burnout was analysed in both of its aspects (negative and professional efficacy). The results confirmed the sequential relationship between the dimensions of EI. Emotional regulation has no influence on any of the dimensions of burnout, but it does have an effect on PWB. Additionally, PWB has a direct, negative effect on the negative dimension of burnout and a positive effect on professional efficacy. PWB has a total mediating effect between emotional regulation and the different dimensions of burnout. (AU)

Las tareas realizadas por el profesorado universitaria han evolucionado debido al Espacio Europeo de Educación Superior (EEES), demandando al profesorado la actualización de sus competencias profesionales. Estas demandas y la falta de recursos personales para gestionarlas pueden ocasionar burnout. Sin embargo, existen rasgos de la personalidad que protegen al profesorado del burnout como son la inteligencia emocional (IE) o el bienestar psicológico (BP). En una muestra de docentes universitarios se analiza el efecto mediador del BP en la relación entre la IE y el burnout en su doble vertiente (negativa y eficacia profesional). Se confirma la relación secuencial entre las dimensiones de la IE. La regulación emocional no influye en ninguna de las dimensiones del burnout, pero sí en el BP. El BP influye directa y negativamente en el burnout negativo, pero positivamente en la eficacia profesional. El BP ejerce un efecto de mediación total sobre la relación existente entre la regulación emocional y las dimensiones del burnout. (AU)

The role of HPV on the risk of second primary neoplasia in patients with oropharyngeal carcinoma.

OBJECTIVES: It has been reported that patients with HPV-positive oropharyngeal cancer (OPC) have a lower risk of appearance of second primary neoplasm (SPN) than HPV-negative OPC patients. The aim of our study was to analyze the risk of developing SPN in a large group of patients with OPC according to HPV status in the primary tumor. MATERIALS AND METHODS: We included 412 OPC patients treated at our center from 1991 to 2014 for which the HPV DNA positivity was evaluated by PCR in available tumor specimens. HPV DNA positive samples were further tested for HPV E6∗I mRNA detection and/or p16INK4a immunohistochemistry. We estimated the incidence of SPN in all cancer sites and in cancer sites related to tobacco and alcohol consumption according to the HPV status in the primary tumor. RESULTS: Fifty-one (12.4%) out of 412 OPCs included in the study were HPV-related. Five-year SPN-free survival for HPV-negative versus HPV-positive OPC patients was 57.0% and 89.0% (P<0.001), respectively. Corresponding estimates for 10-year SPN-free survival were 35.2% versus 78.5% (P<0.001). When restricting the analyses to tobacco/alcohol-related SPNs, the corresponding survival rates where 62.0% versus 97.6% (P<0.001) and 42.2% versus 97.6%, (P<0.001), for 5-year and 10-year survival rates, respectively. HPV status and previous toxic habits might allow classifying patients regarding the risk of tobacco/alcohol-related SPNs. CONCLUSION: HPV-related OPC patients have a significant lower risk of SPN development, particularly in those locations related to tobacco use or alcohol consumption.

A Bayesian sensitivity study of risk difference in the meta-analysis of binary outcomes from sparse data.

In most cases, including those of discrete random variables, statistical meta-analysis is carried out using the normal random effect model. The authors argue that normal approximation does not always properly reflect the underlying uncertainty of the original discrete data. Furthermore, in the presence of rare events the results from this approximation can be very poor. This review proposes a Bayesian meta-analysis to address binary outcomes from sparse data and also introduces a simple way to examine the sensitivity of the quantities of interest in the meta-analysis with respect to the structure dependence selected. The findings suggest that for binary outcomes data it is possible to develop a Bayesian procedure, which can be directly applied to sparse data without ad hoc corrections. By choosing a suitable class of linking distributions, the authors found that a Bayesian robustness study can be easily implemented. For illustrative purposes, an example with real data is analyzed using the proposed Bayesian meta-analysis for binomial sparse data.

Stomal recurrence in head and neck cancer patients with temporary tracheostomy.

OBJECTIVE: Stomal recurrence following a temporary tracheostomy in the management of the head and neck squamous cell carcinoma (HNSCC) without laryngectomy is a rare finding. We studied the incidence and prognostic significance of stomal recurrence in patients who had a temporary tracheostomy. METHODS: Data were obtained retrospectively from a database on all patients with a HNSCC tumour diagnosed and treated at our hospital between 1985 and 2012. RESULTS: Of 491 patients who underwent temporary tracheostomy, six presented tumour recurrence in the stomal scar. The risk of stomal recurrence after a temporary tracheostomy was therefore 1.2% (6/491). Only one of the three patients who received salvage treatment achieved disease control. CONCLUSION: Tumour recurrence in the stomal scar after a transitory tracheostomy in patients with head and neck carcinoma has an incidence of around 1% and very poor prognosis.

Elective treatment of the neck for second primary tumors of the head and neck.

The aim of this study was to define the role of elective neck dissection in patients with a second N0 head and neck squamous cell carcinoma (HNSCC). We carried out a retrospective study in 74 patients with a second N0 HNSCC treated with an elective neck dissection. Thirteen patients (17.6%) had occult neck node metastases. The risk of occult neck nodes was low for patients with a second glottic tumor (0%), and for patients with non-glottic T1-T2 tumors who had received previous radiotherapy in the neck (5.3%). Patients with non-glottic locally advanced tumors (T3-T4) and non-glottic T1-T2 tumors who had not received previous radiotherapy in the neck had a risk of occult neck nodes of 28.1 and 33.3%, respectively. Elective neck dissection could be omitted in patients with glottic tumors and in patients with an early tumor (T1-T2) who had received previous radiotherapy in the neck.

Bayesian variable selection in cost-effectiveness analysis.

Linear regression models are often used to represent the cost and effectiveness of medical treatment. The covariates used may include sociodemographic variables, such as age, gender or race; clinical variables, such as initial health status, years of treatment or the existence of concomitant illnesses; and a binary variable indicating the treatment received. However, most studies estimate only one model, which usually includes all the covariates. This procedure ignores the question of uncertainty in model selection. In this paper, we examine four alternative Bayesian variable selection methods that have been proposed. In this analysis, we estimate the inclusion probability of each covariate in the real model conditional on the data. Variable selection can be useful for estimating incremental effectiveness and incremental cost, through Bayesian model averaging, as well as for subgroup analysis.