Coping

应对
  • 文章类型: Journal Article
    这项研究探讨了以色列COVID-19大流行期间残疾儿童母亲的应对经验。对14名母亲进行了半结构化深入访谈。对数据进行了主题分析,以深入了解他们的应对经验。调查结果表明,与COVID相关的限制扰乱了家庭日常生活,给作为主要照顾者的母亲增加了沉重的负担,以及整个家庭系统。分析产生了三种不同类型的应对经验:在危机中幸存下来,控制危机,从危机中成长。三个关键要素区分了这三种类型:对父母角色的大流行意义以及教育和福利系统对儿童日常和COVID-19期间需求的反应的看法;应对不同的大流行挑战;以及COVID-19和母亲应对策略对子女功能和情绪状态的影响,自己,和家庭关系。根据家庭压力和应对模型对结果进行了讨论,重点关注母亲照顾角色和母亲角色之间的紧张关系,这需要专业人士和政策制定者的特别关注。
    This study explored the coping experiences of mothers of children with disabilities during the COVID-19 pandemic in Israel. Semi-structured in-depth interviews were conducted with 14 mothers. The data were thematically analyzed to gain in-depth understanding of their coping experiences. The findings indicated that COVID-related restrictions disrupted the family routine and added a significant burden for the mothers as primary caregivers, and for the family system as a whole. Three distinct types of coping experiences arose from the analysis: surviving the crisis, controlling the crisis, and growing out of the crisis. Three key elements differentiated these three types: the perceptions of the meaning of the pandemic for parental roles and of the response of the education and welfare systems to the children\'s needs - in routine and during COVID-19; coping with the different pandemic challenges; and the implications of both COVID-19 and the mothers\' coping strategies for the functional and emotional status of their children, themselves, and family relations. The results are discussed in light of models of family stress and coping, focusing on the tension between the mothers\' caregiving role and maternal roles as warranting particular attention by professionals and policymakers.
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  • 文章类型: Journal Article
    本文研究了员工如何使用八卦作为应对社会孤立的资源。基于对西欧公司32名卡车司机的定性研究,我们的研究发现,亲密关系中的八卦和遥远关系中的八卦是不同的模式,在应对社会孤立中扮演着不同的角色,还有第三种流言蜚语无益的模式。首先,在工作中与密友闲聊有助于驾驶员通过减少压力和孤独来进行以情绪为中心的应对。第二,与遥远的同事闲聊通过交流涉及组织人员的知识来帮助驾驶员参与以问题为中心的应对。第三,八卦回避发生在遥远的关系中,在那里,司机限制了八卦交流,超出了仪器上有用的信息。总的来说,这些发现表明,司机依靠不同层次的社会网络来应对社会孤立。丰富以往的研究,这项研究表明,八卦代表了以情绪为中心和以问题为中心的应对的重要资源。
    This article examines how employees use gossip as a resource to cope with social isolation. Building on a qualitative study with 32 truck drivers in a Western European company, our research identified gossip in close relationships and gossip in distant relationships as distinct patterns playing a different role in coping with social isolation, and a third pattern in which gossip was not beneficial. First, gossiping with close friends at work helped drivers engage in emotion-focused coping by reducing stress and loneliness. Second, gossiping with distant colleagues helped drivers engage in problem-focused coping by exchanging knowledge involving people in the organization. Third, gossip avoidance occurred in distant relationships, where drivers limited gossip exchanges going beyond instrumentally useful information. Overall, these findings show that drivers relied on different layers of their social network to cope with social isolation. Enriching previous research, this study shows that gossip represents an essential resource for emotion-focused and problem-focused coping.
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  • 文章类型: Journal Article
    移动健康应用程序“压力自闭症伴侣”(SAM)旨在支持患有自闭症的成年人识别和管理日常压力。SAM每天测量四次压力,提供每日和每周的压力概述,并提供个性化的减压建议。这项研究旨在评估SAM在四周内减少感知压力和内化污名的有效性,增强应对自我效能感,生活质量,和自闭症成年人的韧性。
    使用A1-B-A2单例实验设计,评估了使用SAM对成人自闭症患者的影响.阶段包括A1;照常治疗(TAU),B;介绍SAM,最后是A2;使用TAU随访,不使用SAM。每个阶段持续四周,并在每个阶段之前和之后通过问卷调查收集数据。线性混合模型用于数据分析。
    结果显示感知压力水平显著降低,提高应对自我效能感,并改善使用SAM后的感知健康和心理健康。此外,增强弹性,随访后报告内化的病耻感减少。
    总而言之,这项研究强调,SAM是一种有价值的工具,可以帮助自闭症成年人减轻压力和内化的污名,并提高应对自我效能感。心理健康,和韧性。
    UNASSIGNED: The mobile health application \"Stress Autism Mate\" (SAM) was designed to support adults with autism in identifying and managing daily stress. SAM measures stress four times daily, provides a daily and weekly stress overview, and provides personalised stress reduction advice. This study aimed to assess the effectiveness of SAM over four weeks in reducing perceived stress and internalised stigma, and enhancing coping self-efficacy, quality of life, and resilience among adults with autism.
    UNASSIGNED: Using an A1-B-A2 single-case experimental design, the effect of using SAM on adults with autism was assessed. The phases consisted of A1; treatment as usual (TAU), B; introducing SAM, and finally A2; follow-up with TAU and without the use of SAM. Each phase lasted four weeks, and data were collected via questionnaires before and after each phase. Linear mixed models were used for data analysis.
    UNASSIGNED: Results show significant reductions in perceived stress levels, increased coping self-efficacy, and improved perceived health and psychological well-being after using SAM. Furthermore, increased resilience, and decreased internalised stigma were reported after follow-up.
    UNASSIGNED: In conclusion, this study highlights SAM as a valuable tool for empowering adults with autism to reduce stress and internalised stigmaand to improve coping self-efficacy, psychological well-being, and resilience.
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  • 文章类型: Journal Article
    2020年,人类经历了历史上最复杂的情况之一:COVID-19大流行,这引起了重大的社会,经济,和教育后果。然而,国家和人民普遍幸存下来。为什么?韧性和应对能力是人类的基本要素,社区,民族生存。这项研究通过对病例的集体分析,比较了哥伦比亚6名来自不同社会和教育背景的儿童在COVID19大流行期间所经历的情况。对儿童家庭的采访,以及对参与者的观察和来自BASICPh弹性模型的叙述工具(Lahad,2016)用于描述上下文,韧性的促进因素,以及每个案件的所谓应对“渠道”。结果表明,(a)在大流行期间,家庭感知到的困难与儿童感知到的困难不同,(b)主要的应对渠道与促进复原力的因素有重要关系。最后,尽管从目前的研究中还不清楚儿童是否发展了韧性,他们表现出决定他们未来发展的因素。
    In 2020, humanity experienced one of the most complex situations in history: The COVID-19 pandemic, which caused significant social, economic, and educational consequences. Nevertheless, countries and people generally survived. Why? Resilience and the ability to cope are fundamental elements in human, community, and national survival. This study compared the situations experienced by six children from different social and educational backgrounds in Colombia during the COVID 19 pandemic using a collective analysis of cases. Interviews with children\'s families, as well as observations of the participants and a narrative instrument from the BASIC Ph resiliency model (Lahad, 2016) are used to describe the context, the promoting factors of resilience, and the so-called coping \"channels\" of each case. Results showed that (a) the difficulties perceived by families during the pandemic were different from those perceived by the children, and (b) the predominant coping channels had an important relationship with factors that promote resilience. Finally, although it is not clear from the present study whether the children developed resilience, they exhibited factors that determine their future development.
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  • 文章类型: Journal Article
    背景:许多有心理健康问题的人康复并重新建立自己的身份,并在生活中找到希望和意义,不管症状负担。可以通过学习和教育来支持恢复,旨在加强自我管理和应对能力。有生活经验的同龄人提供的这种教育很少见,也很少报道。目的是评估教育干预的感知价值,患者学校(PS),由有生活经验的受雇患者同行在精神病学组织内组织。
    方法:基于对有心理健康问题的人的访谈的定性案例研究(n=8),同行组织者(n=4)和医疗保健专业人员(n=4),并使用了时间表和教育材料等文件。首先,访谈采用归纳常规内容分析进行转录和分析。第二,这些发现被合成为一个计划理论,在逻辑模型中说明。
    结果:PS的感知价值与同伴组织者分享自己经验的意愿有关,一种归属感,与志同道合的新知识分享,实用技能,获得的角色和态度。这些经历赋予了力量,减少污名,并向用户参与者保证,一个人的身份不是由心理健康问题定义的。这种增强的自信为加强自我管理铺平了道路,并为更有效地利用医疗保健服务创造了潜力。
    结论:我们得出结论,由受薪同龄人在精神病学组织内组织,取得了与文献中报告的相同的积极成果,并显示了让同行组织者成为工作人员的一部分的价值。
    这项研究是在学术研究人员和有精神病服务用户体验的人员之间的合作中进行的,从事教育干预研究的重点。研究计划是共同设计的,并且对收集的数据进行了合作分析。具有用户体验的共同研究人员的参与使项目团队可以访问研究网站,为团队提供了对研究背景的见解,并为促进对研究结果的解释提供了理解。
    BACKGROUND: Many people with mental health issues recover and re-establish their identity and find hope and meaning in life, irrespective of symptom burden. Recovery can be supported through learning and education, aiming at strengthening self-management and coping skills. Such education offered by peers with lived experience is rare and scarcely reported. The aim was to assess the perceived value of an educational intervention, called the Patient School (PS), organized within a psychiatry organization by employed patient peers with lived experience.
    METHODS: A qualitative case study based on interviews with people with mental health issues (n = 8), peer-organizers (n = 4) and healthcare professionals (n = 4), and documents such as schedules and educational materials were used. First, the interviews were transcribed and analyzed using inductive conventional content analysis. Second, the findings were synthesized into a programme theory, illustrated in a logic model.
    RESULTS: The perceived value of the PS was related to the willingness of peer-organizers to share their own experiences, a sense of belonging, sharing with like-minded and new knowledge, practical skills, roles and attitudes acquired. These experiences were empowering, decreased stigma and reassured user participants that one\'s identity is not defined by mental health issues. This increased self-confidence paves the way for increased self-management and creates a potential for a more efficient use of healthcare services.
    CONCLUSIONS: We conclude that this PS, organized within a psychiatry organization by salaried peers, achieved the same positive results as those reported in the literature and showed the value of having peer-organizers being part of the staff.
    UNASSIGNED: This research was performed in a partnership between academic researchers and persons with user experience of psychiatric services, engaged in the educational intervention in the focus of the study. The research plan was co-designed, and the analysis of the data collected was performed in collaboration. The participation of the co-researchers with user experience gave the project team access to the study site, provided the team with insights into to study context and contributed with an understanding promoting the interpretation of the findings.
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  • 文章类型: Journal Article
    躯体症状和相关疾病(SSD)的关键诊断标准包括严重的痛苦和过多的时间和精力消耗的想法,感情,以及与躯体症状有关的行为。这种诊断标准在中枢敏感性综合征(CSS)中缺乏,比如纤维肌痛,肠易激综合征,慢性疲劳综合征.这种强烈强调对躯体症状的不安心理处理,这表明SDD的心理灵活性较低。心理灵活性被定义为接近困难或具有挑战性的内部状态(思想,情感,和身体感觉)在非评判性的情况下,正念的方式,并致力于追求自己的价值观。为了阐明心理灵活性在SSD中的潜在意义,我们检查了154名接受SDD专门治疗的人的水平,与来自普通人群的参考组相比,包括597名具有CSS的人和1422名没有SSD或CSS的人(对照)。心理灵活性的平均水平(根据人口统计学协变量调整)对于SSD最低,对于对照组最高(F=154.5,p<0.001,pη2=0.13)。心理灵活性低的人的百分比(低于对照组的平均值<0.8SD)为:SSD74%,CSS42%,控制21%。在SSD中,更高的心理灵活性与更好的心理健康相关(β=0.56,p<0.001),但交互作用分析认为,当躯体症状更严重(β≤0.08,p≥0.10)时,心理灵活性能维持健康.结果表明,较低的心理灵活性是SSD中普遍存在的问题,与较低的心理健康有关。这表明,在筛查中考虑SSD的心理灵活性是值得的,监测,和治疗。
    A key diagnostic criterion of Somatic Symptom and related Disorders (SSD) comprises significant distress and excessive time-and-energy consuming thoughts, feelings, and behavior pertaining to somatic symptoms. This diagnostic criterion is lacking in central sensitivity syndromes (CSS), such as fibromyalgia, irritable bowel syndrome, and chronic fatigue syndrome. This strong emphasis on disturbed psychological processing of somatic symptoms, suggests that psychological flexibility is low in SDD. Psychological flexibility is defined as the ability to approach difficult or challenging internal states (thoughts, emotions, and bodily sensations) in a non-judgmental, mindful way, and being committed to pursue one\'s values. To clarify the potential significance of psychological flexibility in SSD, we examined its levels in 154 people referred to specialized treatment for SDD, as compared to reference groups from the general population encompassing 597 people with CSS and 1422 people without SSD or CSS (controls). Mean levels of psychological flexibility (adjusted for demographic covariates) were lowest for SSD and highest for controls (F = 154.5, p < 0.001, pη2 = 0.13). Percentages of people with low psychological flexibility (<0.8 SD below the mean of controls) were: SSD 74%, CSS 42%, controls 21%. In SSD, higher psychological flexibility was associated with better mental health (β = 0.56, p < 0.001), but interaction analysis rejected that psychological flexibility preserved health when having more severe somatic symptoms (β ≤ 0.08, p ≥ 0.10). The results indicate that lower psychological flexibility is a prevalent problem in SSD that is associated with lower mental health. This suggests that it is worthwhile to take account of psychological flexibility in SSD in screening, monitoring, and therapy.
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  • 文章类型: Journal Article
    这项研究检查了目标调整能力和应对在浪漫夫妇中配偶睡眠效率和关系满意度之间的关联中的作用。
    从2011年6月至2012年12月,在大蒙特利尔地区使用报纸广告招募了113对异性恋夫妇(年龄范围=21-82岁)的社区寿命样本。参与者完成了研究措施(即,目标调整量表,简要匹兹堡睡眠质量指数,关系评估量表,和BriefCope)在两个时间点,相隔1年。
    具有适度的演员-伴侣相互依存模型(SPSS中的混合程序)的结果表明,目标脱离缓解了人们与配偶睡眠不良相关的关系满意度恶化[95%CIB(-1.17,-0.12)],部分原因是演员积极应对的增加[95%CIB(-0.32,-0.02)]和伴侣自责的减少[95%CIB(-0.28,-0.01)]。目标再接触与对自身睡眠不良的关系满意度下降有关[95%CIB(0.59,1.79)],部分原因是演员行为脱离的增加[95%CIB(0.05,0.41)]。
    这些发现表明,未来的研究需要研究目标调整能力和特定于关系的应对策略,作为潜在的干预目标,以在面对睡眠问题时保持人们的关系满意度。
    UNASSIGNED: This study examined the role of goal adjustment capacities and coping in the association between spousal sleep efficiency and relationship satisfaction in romantic couples.
    UNASSIGNED: A community lifespan sample of 113 heterosexual couples (age range = 21-82 years) was recruited using newspaper advertisements in the Greater Montreal Area from June 2011 to December 2012. Participants completed study measures (i.e., Goal Adjustment Scale, Brief Pittsburgh Sleep Quality Index, Relationship Assessment Scale, and the Brief Cope) at two time points, ~1 year apart.
    UNASSIGNED: The results of actor-partner interdependence models with moderation (MIXED procedure in SPSS) reveal that goal disengagement buffered people from worsening relationship satisfaction associated with poor spousal sleep [95% CI B (-1.17, -0.12)], in part via increases in actor active coping [95% CI B (-0.32, -0.02)] and decreases in partner self-blame [95% CI B (-0.28, -0.01)]. Goal reengagement was related to diminished relationship satisfaction in response to poor own sleep [95% CI B (0.59, 1.79)], in part through increases in actor behavioral disengagement [95% CI B (0.05, 0.41)].
    UNASSIGNED: These findings point to a need for future studies to examine goal adjustment capacities and relationship-specific coping strategies as potential targets of intervention to maintain peoples\' relationship satisfaction in the face of sleep problems.
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  • 文章类型: Journal Article
    Eating disorders (ED) and affective disorders (AD) in adolescent population and several investigations have pointed out that specific family dynamics play a major role in the onset, course, and maintenance of both disorders. The aim of this study was to extend the literature of this topic by exploring differences between parents\' personality traits, coping strategies, and expressed emotion comparing groups of adolescents with different mental conditions (anorexia nervosa vs. affective disorder vs. control group) with a case-control study design. A total of 50 mothers and 50 fathers of 50 girls with anorexia nervosa (AN), 40 mothers and 40 fathers of 40 girls with affective disorder (AD), and 50 mothers and 50 fathers of 50 girls with no pathology that conformed the control group (CG) were measured with the Temperament and Character Inventory (TCI), the COPE Inventory, the Family Questionnaire (FQ), and psychopathology variables, anxiety, and depression. Both parents of girls with AN showed a significant difference in personality, coping strategies, and expressed emotion compared to both parents in the CG, while they presented more similarities to parents of girls in the AD group. Identifying personality traits, expressed emotion, coping strategies, and psychopathology of parents and their daughters will allow improvements in the interventions with the adolescents, parents, and families.
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  • 文章类型: Journal Article
    家庭粮食安全,喂养实践,饮食多样性和家庭粮食不安全的应对策略在很大程度上是相互关联的。使用横断面研究方法,涉及乌干达北部科尔区0-36个月大的儿童的162名母亲和护理人员,这项研究调查了家庭粮食安全状况,儿童饮食多样性与家庭应对策略。研究表明,尽管儿童饮食多样性水平较低,但大多数家庭(55%)都有粮食安全(6-23个月大的儿童为68.1%,24-36个月大的儿童为55.3%)。我们发现来自谷物的淀粉食品,根和块茎是儿童喂养中最主要的食物组(82%),由于其他必需食物类别的消费有限,尤其是水果,蔬菜,肉类和乳制品(合计18%)。此外,只有57%的0至6个月大的儿童接受纯母乳喂养,补充食品的引入往往被推迟,并且对6个月以上的人没有很好的计划。结果还表明,采用了广泛的应对策略,但主要的策略是,对不太喜欢的食物的依赖(54.9%),限制膳食部分(35.2%),减少一天的进餐次数(29%),采集野生水果和收获未成熟作物(29.6%)。据观察,家庭粮食安全是儿童饮食多样性的重要决定因素,当家庭遇到粮食不安全时,可能会影响喂养方式和适用于家庭的应对策略范围。此外,营养教育,家庭规模和生计多样性在决定家庭粮食安全状况方面发挥着重要作用,儿童饮食多样性和应对农村家庭粮食不安全问题。总之,解决家庭粮食安全问题,和应对策略可以在改善农村社区儿童喂养方式和饮食多样性方面发挥重要作用。
    Household food security, feeding practices, dietary diversity and coping strategies to household food insecurity are largely interconnected. Using a cross sectional study approach involving 162 mothers and care givers of children 0-36 months of age in Kole district of northern Uganda, this study examined the household food security status, child dietary diversity and household coping strategies. The study revealed that a slight majority of the households (55%) were food secure although with a low level of child dietary diversity experienced (68.1% for children 6-23 months age group and 55.3% for 24-36 months age group). We found that starch-based foods derived from cereals, roots and tubers were the most predominantly used food group in child feeding (82%), with limited consumption of other essential food groups, notably fruits, vegetables, meats and dairy products (18% combined). Additionally, only 57% of children 0 to 6 months old were receiving exclusive breastfeeding, and the introduction of complementary foods is often delayed and not well planned for those above 6 months of age. Results also showed that a wide range of coping strategies are employed however the major ones were, reliance on less preferred food (54.9%), limiting portions of meals (35.2%), reducing number of meals taken in a day (29%), and gathering wild fruits and harvesting immature crops (29.6%). It was observed that household food security is a strong determinant of child dietary diversity, may influence feeding practices and the range of coping strategies applicable to households when they experience food insecurity. Furthermore, nutritional education, household size and livelihood diversity play a significant role in determining household food security status, child dietary diversity and coping with food insecurity within rural households. In conclusion, addressing household food security, and coping strategies can play an important role in improving child feeding practices and dietary diversity in rural communities.
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  • 文章类型: Journal Article
    背景:本调查研究了运动员认为影响其比赛表现的心理因素以及运动员认为最重要的训练策略和重点。
    方法:我们招募了六名参与者(三名女性,三名男性)来自挪威冬季两项联合会的国家U23和青年队,所有人都参与了。我们使用半结构化访谈来收集数据,并使用主题分析来检查我们的发现。
    结果:这些发现集中在心理因素之间的复杂关系上,尤其是自我效能感,焦虑,注意力控制,和性能,冬季两项射击。
    结论:实施冬季两项训练的整体方法需要将身体和心理因素与个性化的心理训练方案相协调。
    BACKGROUND: The present investigation examined what psychological factors athletes perceived to impact their competition performance and what training strategies and focus the athletes considered to be the most important.
    METHODS: We recruited six participants (three females, three males) from the Norwegian Biathlon Federation\'s national U23 and junior teams, and all participated. We used semi-structured interviews to gather the data and used thematic analyses to examine our findings.
    RESULTS: The findings centered around the intricate relationship between psychological factors, particularly self-efficacy, anxiety, attention control, and performance, in biathlon shooting.
    CONCLUSIONS: Implementing a holistic approach to biathlon training entails harmonizing physical and psychological elements with personalized psychological training regimens.
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