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1.
Disabil Rehabil Assist Technol ; : 1-9, 2024 Feb 23.
Article in English | MEDLINE | ID: mdl-38393746

ABSTRACT

Background: Mobility assistive devices (MADs) provide support to older adults to improve their quality of life; however, research shows that as many as 75% of older adults are non-adherent to prescribed MADs. This study investigated the psychosocial factors that predict non-adherence to MADs among older adults.Methods: A sample of Canadian older adult MADs users who resided in a long-term care facility was included. The data was collected using the Psychosocial Impact of Assistive Devices Scale (PIADS), and the Medical Outcomes Study Social Support Survey (mMOS-SS). Data analysis was performed using SPSS 28. Descriptive statistics were used to describe the sample and the study variables. Pearson correlation coefficients were used to evaluate the association between the study variables. Variables that were associated with non-adherence in a univariate analysis were subsequently entered into a multiple regression analysis.Results: The sample comprised 48 residents (26 females and 22 males), with a mean age of 86.8. In the univariate analysis, scores from the three PIADS subscales, namely, Competence, Adaptability, and Self-esteem, and the Social Support scale were significantly correlated with non-adherence (p < 0.05). In the multiple regression analyses, only Self-esteem significantly predicted non-adherence (p < 0.05), and this model explained between 43.5 and 54.3% of the variance in non-adherence.Conclusion: This study revealed that the Self-esteem construct, which includes several concepts related to psychological well-being, was the only significant predictor of non-adherence among the studied sample of older adults. The clinical implications of the findings are subsequently discussed.


Older adults' non-adherence to Mobility Assistive Devices (MADs) is a significant problem in Rehabilitation practice.Self-esteem can explain nearly 50% of the variance in the prediction of non-adherence to MADs among older adults.Evaluating client's Self-esteem is important for clinicians because it helps them determine and predict who will be adherent and who will need further attention.The findings of this research support the use of the Psychosocial Impact of Assistive Devices Scale in clinical practice as a means of building a relationship between the user and a professional.

2.
Cureus ; 16(2): e54383, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38371441

ABSTRACT

Chronic kidney disease is a universal topic gravitating towards various aspects of widespread illness, impacting the overall well-being of human beings. Patients with longstanding renal complaints under dialysis encounter challenges correlated with physical, intuitive, and socio-economic conditions to a greater extent in their daily existence. These portions may include changes in the appearance of a person, restricted physique movements, curbed diet, duration of surgical protocols, travelling time during the period of prevention, financial load, role reversal in the family followed by ruining their livelihood, deprived social rank, difficulty in relational, cordial relationships, and so on. Excluding these details, the sick may be profoundly influenced by sorrow, health anxiety, despair, itching, the impoverished essence of vitality, dysfunction in sexual intimacy, impaired cognition, disturbances in disposition, sleeping fluctuations, frequent panic attacks, delirium, brain-afflicted degeneration disabilities, etcetera. Our analysis focuses on exploring a few unidentified intrinsic factors that distinguish these views over combined elements due to the existing disorder.

3.
Vaccine ; 42(2): 206-212, 2024 Jan 12.
Article in English | MEDLINE | ID: mdl-38065769

ABSTRACT

BACKGROUND: Although the pandemic has ended officially, COVID-19 remains impactful. Booster COVID-19 vaccination is still needed to protect individuals against COVID-19 and the disease's harmful consequences. This study investigated the prevalence of the intention to get booster COVID-19 vaccination after receiving the COVID-19 diagnosis and its associated factors among people reporting prior COVID-19. METHODS: A population-based anonymous telephone survey was conducted in Hong Kong, China from June to August 2022 among Chinese people reporting prior COVID-1 between February and August 2022 and having taken up ≥2 doses of COVID-19 vaccines prior to COVID-19 diagnosis. RESULTS: The prevalence of the intention to get booster vaccination was 59.2 %. Older age (>60 years), being currently married, not employed full-time, and having chronic diseases were positively associated with the intention to get booster vaccination. Adjusted for the background factors, higher levels of the cognitive factors of perceived susceptibility to COVID-19, perceived acquired moderate-to-strong immunity against COVID-19, and perceived adequate knowledge of COVID-19 were positively associated with the intention to get booster vaccination; stronger perceived severity of prior infection despite vaccination was negatively associated with the intention outcome. In contrast, stronger mental distress due to COVID-19, illness concern, and emotional representation were positively associated with the intention. Self-perceived long COVID status was not a significant factor. DISCUSSION: The prevalence of the intention to get booster COVID-19 vaccination was limited, especially among younger people reporting prior COVID-19. Health promotion is still required among people reporting prior COVID-19 and may emphasize the significant cognitive factors positively associated with the intention. Future studies are needed to confirm the findings, clarify the role of emotional factors on booster vaccination, and explore other factors of the intention to get booster vaccination among people reporting prior COVID-19.


Subject(s)
COVID-19 Vaccines , COVID-19 , Intention , Humans , China , Cognition , COVID-19/epidemiology , COVID-19/prevention & control , COVID-19 Testing , COVID-19 Vaccines/administration & dosage , Hong Kong/epidemiology , Post-Acute COVID-19 Syndrome , Immunization, Secondary , Emotions
4.
J Genet Psychol ; 185(2): 91-113, 2024.
Article in English | MEDLINE | ID: mdl-37933515

ABSTRACT

Problematic Use of the Internet (PUI) is characterized as the inability to control one's internet use or as an excessive use of the internet that may result in social, psychological, and emotional difficulties (Fernandes et al., 2019). It is regarded nowadays as an increasingly worrisome public heath issue, especially among youth. This study explored the contexts in which youth PUI occurs and its associations with socio-emotional functioning that may lead to a decrease in one's sense of well-being. We conducted this exploration among 783 middle school students from the US (425 students; 54.27%) and Israel (358 students; 45.73%). The overall age of both samples ranged between 12 and 16 (M = 13.94, SD = 1.59). In the Israeli sample, 49.1% of the students were girls and 50.9% were boys, whereas in the US sample, 48.8% were girls and 51.2% were boys. The study examined the role of depressive mood, loneliness, resilience, self-control, and school engagement in mediating the relationship between PUI and well-being, and how country of origin might moderate these relationships. Results indicate PUI was related to lower well-being only for the US sample. Yet, for both samples, higher loneliness was related to lower well-being, and higher school engagement was related to higher well-being. A moderated mediation analysis revealed the socio-emotional variables were all mediators in these associations, but differently for each country sample. The study results are discussed according to key factors required for developing intervention programs for coping with youth PUI behaviors.


Subject(s)
Adolescent Behavior , Students , Male , Female , Humans , Adolescent , Students/psychology , Schools , Adolescent Behavior/psychology , Loneliness , Internet
5.
Intern Emerg Med ; 19(3): 813-822, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38123905

ABSTRACT

Out-of-hospital cardiac arrest (OHCA) is a major public health concern with low survival rates. First responders (FRs) and public access defibrillation (PAD) programs can significantly improve survival, although barriers to response activation persist. The Emilia Romagna region in Italy has introduced a new system, the DAE RespondER App, to improve the efficiency of FR dispatch in response to OHCA. The study aimed to evaluate the association between different logistic factors, FRs' perceptions, and their decision to accept or decline dispatch to an OHCA scene using the DAE RespondER App. A cross-sectional web survey was conducted, querying 14,518 registered FRs using the DAE RespondER app in Emilia Romagna. The survey explored logistic and cognitive-emotional perceptions towards barriers in responding to OHCAs. Statistical analysis was conducted, with responses adjusted using non-response weights. 4,644 responses were obtained (32.0% response rate). Among these, 1,824 (39.3%) had received at least one dispatch request in the past year. Multivariable logistic regression showed that being male, having previous experience with OHCA situations, and having an automated external defibrillator (AED) available at the moment of the call were associated with a higher probability of accepting the dispatch. Regarding FRs' perceptions, logistic obstacles were associated with mission rejection, while higher scores in cognitive-emotional obstacles were associated with acceptance. The study suggests that both logistical and cognitive-emotional factors are associated with FRs' decision to accept a dispatch. Addressing these barriers and further refining the DAE RespondER App can enhance the effectiveness of PAD programs, potentially improving survival rates for OHCA. The insights from this study can guide the development of interventions to improve FR participation and enhance overall OHCA response systems.


Subject(s)
Out-of-Hospital Cardiac Arrest , Humans , Out-of-Hospital Cardiac Arrest/therapy , Out-of-Hospital Cardiac Arrest/psychology , Male , Female , Cross-Sectional Studies , Middle Aged , Italy , Surveys and Questionnaires , Aged , Emergency Responders/psychology , Emergency Responders/statistics & numerical data , Adult , Emotions
6.
Top Stroke Rehabil ; 30(2): 180-192, 2023 03.
Article in English | MEDLINE | ID: mdl-34877927

ABSTRACT

BACKGROUND: Participation in daily activities is the ultimate goal of stroke rehabilitation. Emotional factors have been considered as contributors to participation, but associations between emotional factors and participation post-stroke have not been fully explored. OBJECTIVE: To investigate the extent to which emotional factors contribute to participation post-stroke. METHODS: 73 participants were included. Three participation outcomes were used as dependent variables in three models: (1) Stroke Impact Scale (SIS) Participation/Role Function, (2) Activity Card Sort (ACS), and (3) Reintegration to Normal Living (RNL). Main independent variables were six emotional factors: SIS Emotion Function (General emotion), Visual Analog Mood Scale energetic and happy subscales, Patient Health Questionnaire-9 (Depression), State-Trait Anxiety Inventory-Trait Anxiety Scale, and Apathy Evaluation Scale. Covariates of stroke severity and social support were included. RESULTS: Model 1 showed stroke severity (ß = -0.300) and depression (ß = -0.268) were significant contributors to SIS Participation/Role Function (R2 = 0.368, p < .05). Model 2 indicated that happiness (ß = 0.284) and apathy (ß = -0.330) significantly contributed to ACS total activity retention (R2 = 0.247, p < .05). Model 3 revealed that anxiety (ß = -0.348), apathy (ß = -0.303), stroke severity (ß = -0.184), and social support (ß = 0.185) were significant contributors to RNL total score (R2 = 0.583, p < .05). CONCLUSIONS: Results suggested that emotional measures of apathy, depression, anxiety, and happiness, but not general emotion, were important contributors to participation post-stroke. These findings suggest that rehabilitation professionals should address individual emotional contributors to facilitate participation post-stroke.


Subject(s)
Stroke Rehabilitation , Stroke , Humans , Emotions , Stroke Rehabilitation/methods , Activities of Daily Living , Anxiety/etiology
7.
Neuromodulation ; 26(1): 3-24, 2023 Jan.
Article in English | MEDLINE | ID: mdl-35088738

ABSTRACT

OBJECTIVES: To date, pain relief in general continues to be the most prominent outcome measurement in daily routine care and clinical research. Nevertheless, the awareness of a shift toward more functional outcomes and/or emotional and cognitive outcomes has been raised. The interplay between bodily functions (such as pain intensity) and emotional or cognitive factors, however, has not yet been fully elucidated. The aim of this study was to systematically review the evidence for associations between bodily functions and cognitive and emotional factors in patients with chronic pain who are treated with neuromodulation. MATERIALS AND METHODS: Four data bases were consulted for this systematic literature review: PubMed, Web of Science, Scopus, and Embase. The Downs and Black Checklist (modified) was used to assess the risk of bias. The study protocol was prospectively registered at the International prospective register of systematic reviews (PROSPERO, CRD42021226803). If two or more studies reported correlation coefficients for a specific association, a meta-analysis based on correlation coefficients was performed for that specific association. RESULTS: The initial data base search identified a total of 1432 studies, of which 19 studies were eventually included in the systematic review. Evidence was found for two associations: 1) a positive correlation between pain intensity and anxiety (r = 0.42; 95% CI, 0.34 to 0.50) and 2) a positive correlation between pain intensity and depression (r = 0.32; 95% CI, 0.10 to 0.51). The association between pain intensity and catastrophizing was not statistically significant (r = 0.23; 95% CI, -0.36 to 0.69). CONCLUSIONS: On the basis of the associations between pain intensity and anxiety/depression, a biopsychosocial approach might be the most suitable in clinical practice to properly address all aspects of the International Classification of Functioning, Disability, and Health framework in patients who are treated with neuromodulation.


Subject(s)
Chronic Pain , Humans , Chronic Pain/therapy , Emotions , Anxiety , Depression/therapy , Cognition
8.
Front Psychol ; 13: 1002562, 2022.
Article in English | MEDLINE | ID: mdl-36186361

ABSTRACT

Learners' willingness to communicate in a foreign language is regarded as a critical issue in educational contexts, so the role of emotional factors in learners' willingness to communicate has drawn the attention of investigators. This review investigated the studies on the relationship between English as a Foreign Language (EFL) learners' grit, foreign language anxiety, and willingness to communicate. This review showed a significant relationship between learners' grit and willingness to communicate. The earlier studies showed that gritty learners with incessant inspiring efforts are more likely to communicate in a foreign language. This review also indicated that lower anxious learners tend to have more willingness to communicate. Earlier studies also indicated that the theories, such as broaden-and-build, positive psychology, dynamic system, affective filter, and attentional control can justify the relationships between these constructs. Moreover, the study has some pedagogical implications and suggestions for teachers, learners, syllabus designers, material developers, teacher educators, policy-makers, and advisors. The ideas can improve their awareness of teachers' willingness to communicate, grit, and foreign language anxiety in educational environments.

9.
Front Psychol ; 13: 848075, 2022.
Article in English | MEDLINE | ID: mdl-35651552

ABSTRACT

Most mass incidents are created by economic or social concerns brought on by fast socioeconomic change and poor local government. The number of mass occurrences in China has significantly increased in recent years, putting the country's steady growth and public behavior decision-making in harm. We examine the factors that influence public behavior decision-making in the following significant factors, contributing to the development of effective prevention and response strategies. The structural equation (SEM) approach is used to analyze the main determinants influencing public behavioral decisions in the aftermath of mass incidents using surveys of a large population. The finding shows that media plays a mediating role in the relationship between mass occurrences and influencing factors impacting public emotion. The direct and indirect effects of public behavior decision-making and its role increasingly social changes as things happen, government credibility, media plays mediating role in public emotional factors. All directly impact public behavior decision-making, while emotional factors have an indirect impact via media intermediaries. The escalation of public behavior decisions is seen as a result of structural transmission and the increase of dynamic as well as other factors.

10.
Más Vita ; 4(1): 165-178, mar. 2022. tab
Article in Spanish | LILACS, LIVECS | ID: biblio-1372282

ABSTRACT

El abordaje de un problema de salud tan importante, frecuente y de no fácil solución como es el pie diabético, mejora cuando se constituye un equipo multidisciplinar, ya que en general son varios los profesionales sanitarios implicados en el diagnóstico y tratamiento de este síndrome, cirujanos, endocrinólogos, infecciosos, ortopedas, podólogos y enfermeros; del entendimiento y colaboración de todos ellos debe surgir la mejor manera de encauzarlo correctamente. Objetivo: Analizar los factores quirúrgicos, emocionales y cuidado integral tras la cirugía del pie diabético. Material y método: Revisión bibliográfica con características de estudio de abordaje cualitativo, descriptivo, transversal. Se revisaron serie de revistas con artículos cuyas variables se situaran en pacientes diagnosticados con diabetes mellitus. Resultados: Mujeres 55 y en hombres 45 años, edad media fue 54 años. Sin embrago, la asociación de la edad con el cumplimiento de las conductas de autocuidado en la muestra de pacientes con DM tipo 2 amputados no fue estadísticamente significativa. Así mismo, estos factores influyen en la adherencia al autocuidado de la diabetes, específicamente con las prácticas relacionadas con el cuidado de los pies, correspondiente con una mayor dificultad en la comprensión de las indicaciones. Conclusiones: Se observa en forma general un cumplimiento inadecuado a las conductas de autocuidado para la prevención del pie diabético en la muestra de pacientes diabéticos amputados a pesar de que, la mayoría de las conductas son de bajo costo y requieren poco esfuerzo, evidenciándose escaso acompañamiento por parte del personal sanitario a esta población(AU)


The approach to a health problem as important, frequent and difficult to solve as the diabetic foot, improves when a multidisciplinary team is constituted, since in general there are several health professionals involved in the diagnosis and treatment of this syndrome. surgeons, endocrinologists, infectious, orthopedists, podiatrists and nurses; from the understanding and collaboration of all of them, the best way to channel it correctly must emerge. Objective: To analyze the surgical, emotional and comprehensive care factors after diabetic foot surgery. Material and Method: Bibliographical review with study characteristics of a quantitative, descriptive, cross-sectional approach. A series of journals with articles whose variables were located in patients diagnosed with diabetes mellitus were reviewed. Results: Women 55 and men 45 years, mean age was 54 years. However, the association of age with compliance with self-care behaviors in the sample of amputated patients with type 2 DM was not statistically significant. Likewise, these factors influence adherence to diabetes self- care, specifically with practices related to foot care, related to greater difficulty in understanding the indications. Conclusions: Inadequate compliance with self-care behaviors for the prevention of diabetic foot is generally observed in the sample of amputated diabetic patients, despite the fact that most of the behaviors are low-cost and require little effort, showing little follow-up. by health personnel to this population(AU)


Subject(s)
Self Care , Diabetic Foot/surgery , Diabetic Foot/complications , Nursing Care , Ulcer , Diabetes Mellitus , Amputation, Surgical
11.
Int J Gynaecol Obstet ; 158(2): 462-468, 2022 Aug.
Article in English | MEDLINE | ID: mdl-34888867

ABSTRACT

OBJECTIVE: To determine the prevalence of second-trimester safe abortion care and to examine its association with emotional factors. METHODS: We conducted a cross-sectional study on second-trimester safe abortion care clients from June 1, 2020 to December 31, 2020 at St. Paul's Hospital Millennium Medical College. Data were collected using an interviewer-administered questionnaire on Open Data Kit and analyzed using STATA release 15. Variables with P value <0.2 on bivariate analysis were entered for multivariable regression analysis. Odds ratio with 95%CI and P value below 0.05 were used to present the significance of study findings. RESULTS: The prevalence of induced second-trimester abortion among safe abortion clients was 64%. Women who had no emotional factors, who had no interpersonal problems, who were married, and who had middle or high incomes were less likely to make a late request for safe abortion care (aOR 0.31, 95% CI 0.15-0.67; aOR 0.55, 95% CI 0.32-0.97; aOR 0.37, 95% CI 0.17-0.77; and aOR 0.51, 95% CI 0.27-0.96, respectively). CONCLUSION: Sixty-four percent of safe abortion-care clients made a late request (second trimester presentation) for safe abortion care. Women who had no emotional factors had a low risk of making such a late request. Likewise, married women who had no interpersonal factors and had middle or high income were at low risk of seeking safe abortion care in the second trimester.


Subject(s)
Abortion, Induced , Cross-Sectional Studies , Ethiopia/epidemiology , Female , Humans , Pregnancy , Pregnancy Trimester, Second , Tertiary Care Centers
12.
Scand J Child Adolesc Psychiatr Psychol ; 10(1): 134-143, 2022 Jan.
Article in English | MEDLINE | ID: mdl-36687261

ABSTRACT

When the Norwegian government closed down schools and kindergartens in response to the increased spread of COVID-19, the use of homeschooling raised concerns about students with school refusal behavior and the school system's ability to address their special needs in these circumstances. Six students referred to the school absenteeism team were interviewed about their circumstances, using an author-developed interview. The results indicate that the students rated homeschooling as very satisfactory. Students with school refusal behavior participated in homeschooling and their attendance continued during the initial reopening of schools.

13.
Zh Nevrol Psikhiatr Im S S Korsakova ; 121(11): 111-118, 2021.
Article in Russian | MEDLINE | ID: mdl-34932296

ABSTRACT

Pain is influenced by multiple emotional and cognitive factors. This paper provides an overview of the most important emotional and cognitive factors affecting pain, which has been confirmed in experimental and clinical studies. Emotional factors that increase pain perception include anxiety, depression, and other negative emotions. Positive emotions lead to a decrease in pain. Cognitive factors such as attention, expectation anxiety, and pain assessment can both increase and decrease pain sensations, depending on their specific focus. It becomes clear that pain is not just a reflection of nociceptive irritation, but also a feeling formed by psychological factors that can be individual in each case.


Subject(s)
Emotions , Pain , Anxiety/etiology , Cognition , Depression/etiology , Humans , Pain/etiology , Pain Perception
14.
Front Psychol ; 12: 754998, 2021.
Article in English | MEDLINE | ID: mdl-34603174

ABSTRACT

The psychological factors of English as a foreign language (EFL) and English as a second language (ESL) teachers have significant roles in any language learning context. Previous studies in the related literature have shown that L2 learners' learning, psychological factors, and emotional factors are closely related to teachers' psychological factors. Mindfulness as one of the psychological attributes of L2 teachers and as a complex and multi-faceted construct influences l2 teachers' professional development. Hence, this study aims to review the notion of mindfulness and its role in L2 teaching as a profession and pave a way for further research, highlighting its indispensable role in teacher-student relationships. To achieve this goal, this study has reviewed the theoretical perspectives of mindfulness, the construct of mindful L2 teaching education, and mindfulness as a closely related concept to teacher wellbeing. Based on the findings, some pedagogical implications for the policymakers, teacher trainers, materials developers, L2 teachers, and learners are provided. Finally, directions for future research are suggested to the interested L2 researchers.

15.
Article in English | MEDLINE | ID: mdl-33540885

ABSTRACT

Socially, economically, politically and emotionally (SEPE) disadvantaged children are shorter than children from affluent background. In view of previous work on the lack of association between nutrition and child growth, we performed a study in urban schoolchildren. We measured 723 children (5.83 to 13.83 years); Kupang, Indonesia; three schools with different social background. We investigated anthropometric data, clinical signs of malnutrition, physical fitness, parental education, and household equipment. Subjective self-confidence was assessed by the MacArthur test. The prevalence of stunting was between 8.5% and 46.8%. Clinical signs of under- or malnutrition were absent even in the most underprivileged children. There was no delay in tooth eruption. Underprivileged children are physically fitter than the wealthy. The correlation between height and state of nutrition (BMI_SDS, skinfold_SDS, MUAC_SDS) ranged between r = 0.69 (p < 0.01) and r = 0.43 (p < 0.01) in private school children, and between r = 0.07 (ns) and r = 0.32 (p < 0.01) in the underprivileged children. Maternal education interacted with height in affluent (r = 0.20, p < 0.01) and in underprivileged children (r = 0.20, p < 0.01). The shortness of SEPE disadvantaged children was not associated with anthropometric and clinical signs of malnutrition, nor with delay in physical development. Stunting is a complex phenomenon and may be considered a synonym of social disadvantage and poor parental education.


Subject(s)
Growth Disorders , Malnutrition , Child , Cross-Sectional Studies , Growth Disorders/epidemiology , Growth Disorders/etiology , Humans , Indonesia/epidemiology , Malnutrition/epidemiology , Nutritional Status , Prevalence
16.
J Evid Based Soc Work (2019) ; 17(6): 749-760, 2020.
Article in English | MEDLINE | ID: mdl-32808579

ABSTRACT

PURPOSE: The purpose of this study is to examine factors that have an effect on the employment status of women with disabilities. METHOD: Logistic regression analysis was conducted to examine the factors affecting the employment of women with disabilities using the Panel Survey of Employment for the Disabled (PSED). FINDINGS: We found that education, possession of qualification, degree of disability, health status, self-efficacy, and self-esteem had a positive effect on the employment status of disabled women. DISCUSSION: This study focuses on analyzing the effects of demographic, human capital, disability and health, and psychological as well as emotional factors on the employment status of disabled women. CONCLUSION: It is necessary to promote possession of qualification and health-related programs targeting unemployed disabled women, which can improve the employment rate of women with disabilities. Besides, programs that improve self-efficacy and self-esteem taking into comprehensive consideration the characteristics of women with disabilities should be developed.


Subject(s)
Disabled Persons/psychology , Disabled Persons/statistics & numerical data , Employment/psychology , Employment/statistics & numerical data , Adult , Age Factors , Female , Health Status , Humans , Marital Status , Middle Aged , Regression Analysis , Republic of Korea , Socioeconomic Factors , Surveys and Questionnaires
17.
Dev Sci ; 23(6): e12964, 2020 11.
Article in English | MEDLINE | ID: mdl-32159906

ABSTRACT

Math anxiety (MA) is a specific feeling of tension generated by the manipulation of numerical stimuli in daily life and academic situations (Richardson & Suinn, 1972). This condition has significant repercussions on the individual's life at personal, social, and economic level. Literature on the topic of MA alleviation, however, is still scarce. This study aims at contributing to this field by addressing MA prevention in school-age children. We have developed two different training methods administered to two groups of fourth graders: (a) MA training focusing on identifying and copying with MA-related feelings (N = 76); and (b) Math strategy training focusing on supplementary exercises to enhance calculation strategies (N = 76). We also carried out a Control training involving a range of activities, such as reading comic strips, describing characters in the story, and combining text and images to obtain an original narrative text (N = 72). We evaluated the differential effects of these training methods on MA, general anxiety, and math achievement before and after the training. Results indicate that MA training contributes to a decrease in MA level, although it does not appear to affect math achievement; Math strategy training, on the other hand, results in far transfer on a reduction of MA level as well as near transfer on the improvement of math achievement. Data are discussed in terms of specific mechanisms underlying each type of training method, and with specific focus on the evaluation of educational and developmental opportunities linked to MA prevention and improvement of math abilities in school-age children.


Subject(s)
Achievement , Anxiety , Child , Emotions , Humans , Mathematics , Schools
18.
Patient Prefer Adherence ; 12: 1261-1271, 2018.
Article in English | MEDLINE | ID: mdl-30050288

ABSTRACT

The concept of patient engagement in health care is gaining more and more attention not only in the scientific literature, but also as a requirement in the everyday practices of health care organizations. In general terms, the growing body of literature devoted to patient engagement is mainly inspired by the sociological and public health perspectives, which have generated various theories and models trying to explain how people become active agents in their health and care management. However, theories focusing on the psychosocial dimensions intervening in the patient engagement experience are still limited. This paper proposes a psychosocial perspective on patient engagement and discusses the Patient Health Engagement model, which is an evidence-based psychological theory built on extensive qualitative narrative research and literature analysis aimed at explaining patient engagement and its development in the patients' perspective. The model has been applied to orient patient and professional educational interventions and has contributed to the generation of the first scientific measure of the psychological experience of patients' engagement in their own care (Patient Health Engagement scale). According to this theory, patient engagement is a developmental process that involves the recovered patients' ability to have a life projectuality and goal directedness - even if living with a disease. The paper will also discuss the theoretical origins of this model and will conduct a critical comparison of the theory with the Transtheoretical Model of Change developed by Prochaska and the five-stage grief theory by Kubler-Ross.

19.
Biomolecules ; 8(2)2018 06 15.
Article in English | MEDLINE | ID: mdl-29914099

ABSTRACT

The primary prevention of cardiovascular (CV) disease depends on the capacity to identify subjects at higher risk long before the occurrence of CV clinical manifestations. Traditional risk factors do not cover fully prediction of individual risk. Moreover, there is an area of gray for patients at intermediate CV risk, which offers wide margins of improvement. These observations highlight the need for new additive tools for a more accurate risk stratification. An increasing number of candidate biomarkers have been identified to predict CV risk and events, although they generally give only a moderate increase when added to currently available predictive scores. The approach utilizing a relative small number of biomarkers in multiple combinations, but only weakly related to each other or unrelated, thus belonging to independent-pathways, and so able to catch the multidimensional characteristic of atherosclerosis, appears promising. We discuss vitamin D and bone turnover biomarkers, hepatitis C virus, and psycho-emotional factors that may reflect alternative pathways over those generally considered for atherosclerosis (e.g., aspects directly related to inflammation and thrombosis). These new biomarkers could facilitate a more accurate assessment of CV risk stratification if incorporated in the current risk assessment algorithms.


Subject(s)
Atherosclerosis/blood , Vitamin D/blood , Atherosclerosis/epidemiology , Biomarkers/blood , Bone Remodeling , Hepatitis C/epidemiology , Humans , Stress, Psychological/epidemiology
20.
Neurosci Biobehav Rev ; 83: 373-380, 2017 Dec.
Article in English | MEDLINE | ID: mdl-29107831

ABSTRACT

Epilepsy is one of the most common neurological disorders in the general population and affects over 50 million people worldwide. Epilepsy is characterized by the presence of spontaneous recurrent seizures as a result of sudden and abnormal electrical activity in specific areas of the cerebral cortex. However, this condition encompasses much more than simply the presence of seizures. Cognitive problems and behavioral impairments are also frequent actors, as well as mood disorders. These must be precisely described in order to develop more successful pharmacological, or even behavioral, treatments. We review some of the fundamental behavioral experimental rodent protocols that have recently been applied to the study of behavioral impairments in epilepsy, particularly in epilepsy modeled by different chemoconvulsants, such as pilocarpine or kainic acid. These experimental protocols are classified into two categories: Tests designed for studying emotional factors, and those designed for studying cognitive impairments and social behavior. Behavioral impairments and adaptations identified by the use of these procedures are described.


Subject(s)
Convulsants/toxicity , Epilepsy/chemically induced , Epilepsy/complications , Mental Disorders/etiology , Animals , Disease Models, Animal , Humans
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