ABSTRACT
The COVID-19 pandemic put the Italian health system under great stress. The sudden reorganization of work practices and the emotional impact of the large number of the victims had many consequences on the well-being of the healthcare professionals (HCPs) involved in managing the crisis. In the available literature, most studies have focused on the risk aspects while only few studies also take into account protective factors. For this reason, it was decided to conduct, within psycho-sociological perspective, a qualitative study with the aim to explore in depth the protective and risk factors as experienced by HCPs who worked in the Italian healthcare system during the COVID-19 outbreak. A total of 19 semi-structured interviews were conducted with HCPs-9 nurses and 10 physicians (7M and 12F) with an average age of 43 (SD = 13.4)-selected using snowball sampling. Considering three different levels of analysis the results highlight the protective and risk factors: personal history level (intrinsic/ethical motivation and flexible role versus extrinsic motivation and static role), interpersonal level (perception of supportive relationships with colleagues, patients, and family versus bad relationships), and organizational level (good leadership and sustainable work purpose versus absence of support from management and undefined or confused tasks).
Subject(s)
COVID-19/psychology , Health Personnel/psychology , Pandemics , Adult , Delivery of Health Care , Humans , Interviews as Topic , Italy/epidemiology , Leadership , Motivation , Risk Factors , Social SupportABSTRACT
This case study aims to determine the efficacy of a program based on drama therapy, theater of the oppressed, and psychodrama to reduce psychological malaise (post-traumatic stress disorder [PTSD], depression, anxiety) and sexist stereotypes, and improve self-esteem, quality of life, life purpose, and communication skills in women victims of intimate partner violence. A pretest and a posttest were administered to a single group using psychometric instruments; in addition, an evaluation of the process was done using participatory observation. Findings show a statistically significant reduction of depression and increase in life purpose. Qualitative analyses suggest development of personal and social competencies and the elaboration of trauma.
Subject(s)
Intimate Partner Violence , Psychodrama , Stress Disorders, Post-Traumatic , Female , Humans , Quality of Life , Stress Disorders, Post-Traumatic/therapyABSTRACT
Se evaluó si el conflicto y la facilitación entre trabajo y familia moderan la relación entre tensión laboral y salud psicológica, y si los niveles de conflicto y facilitación varían según el sexo. Se realizó un estudio transversal con 302 profesores de universidades públicas y privadas de Bogotá, quienes respondieron cuestionarios que evaluaban tensión laboral, conflicto y facilitación trabajo-familia y familia-trabajo, ansiedad, depresión, síntomas psicosomáticos, adaptación social y burnout. Los resultados indicaron que el conflicto trabajo-familia modera la relación entre tensión laboral y burnout, mientras que el conflicto familia-trabajo modera la relación entre tensión laboral y depresión. En ambos casos, reportes más altos de tensión laboral y conflicto estuvieron vinculados con mayores experiencias de malestar.
The study evaluated whether conflict and facilitation between work and family moderate the relationship between job strain and psychological health, and whether the levels of conflict and facilitation vary depending on sex. A cross-sectional study was carried out with 302 professors from public and private universities in Bogotá, who answered questionnaires evaluating job strain, work-family and family-work facilitation as well as conflict, anxiety, depression, psychosomatic symptoms, social adaptation and burnout. Results indicated that the work-family conflict moderates the relation between job strain and burnout, while the family-work conflict moderates the relationship between job strain and depression. In both cases, higher reports of job strain and conflict were linked to greater experiences of dissatisfaction.
Avaliou-se se o conflito e a facilitação entre trabalho e família moderam a relação entre tensão laboral e saúde psicológica, e se os níveis de conflito e facilitação variam segundo o sexo. Realizou-se um estudo transversal com 302 professores de universidades públicas e particulares de Bogotá, os quais responderam a questionários que avaliavam tensão laboral, conflito e facilitação trabalho-família e família-trabalho, ansiedade, depressão, sintomas psicossomáticos, adaptação social e burnout. Os resultados indicaram que o conflito trabalho-família modera a relação entre tensão laboral e burnout, enquanto o conflito família-trabalho modera a relação entre tensão laboral e depressão. Em ambos os casos, relatos mais altos de tensão laboral e conflito estiveram vinculados com maiores experiências de mal-estar.
ABSTRACT
Objetivo: Establecer la relación entre la percepción de las relaciones familiares y el malestar psicológico en adolescentes embarazadas. Material y métodos: El malestar psicológico se evaluó aplicando el Cuestionario General de Salud de Goldberg a 213 adolescentes embarazadas primigestas, con 17 años de edad o menos. El criterio para "caso probable" de malestar psicológico fue a partir de un puntaje de 8 o más. La percepción de las relaciones familiares se evaluó con un cuestionario que exploró cuatro aspectos: dinámica familiar, relación entre los padres, relación con la madre y con el padre. Resultados: En los casos con malestar psicológico, se observó una asociación de dependencia con la percepción de las relaciones familiares: dinámica familiar de mala a regular (p < 0.001); relación disarmónica entre los padres (p = 0.006); relación regular con la madre (p = 0.018); y, relación con el padre de mala a muy mala (p = 0.008). Para los no casos, la dependencia se estableció en: dinámica familiar de buena a excelente (p < 0.001) y la relación con el padre de buena a muy buena (p = 0.018). Conclusiones: La percepción de la dinámica familiar, la relación entre los padres, y las relaciones afectivas con la madre y el padre, se asociaron directamente con la presencia de malestar psicológico.
Objective: To establish the relationship between family relationship's perception and the psychological malaise in pregnant teenagers. Material and methods: Psychological malaise was evaluated using Goldberg's general health questionnaire on 213, seventeen-year-old or younger first pregnancy teenagers, basing the criteria on a score of 8 or more for a "probable case" of psychological malaise. The notion about the family's relationship was evaluated by a questionnaire that measured four aspects: family dynamics, the relationship between the parents and the relationship with the mother and with the father. Results: There were statistically significant differences when the Chi Square Test was used on the proposed comparisons. When there was a psychological malaise, we noticed a dependency when the family's relationship ranged from average to negative (a .000); when the relationship between parents was not harmonious (a .006); the relationship with the mother was average (a 0.018); and the relationship with the father, from negative to extremely negative (a 0.008). For the no cases, dependency was established as a: familiar dynamics ranging from good to excellent (a .000) and the relationship with the father, from good to very good (a .018). Conclusions: The family's dynamics perception, the relationship between the parents and the sentimental relationship with mother and father is associated with a psychological malaise. If the familiar dynamics is perceived with a range from bad to average, then the perception of relation with the father and the mother was perceived to range from very bad to average, contrasting with the perception from good to excellent, then the perception of the relationship with both ranges from good to very good.
