Psychological wellbeing

心理健康
  • 文章类型: Journal Article
    广泛的横断面研究报告说,身体脂肪和肌肉的不满有助于性少数男性的负面心理结果;然而,纵向模型对于准确量化这些关系的强度和方向是必要的。我们使用随机截距交叉滞后面板模型调查了2953名性少数族裔男性的身体脂肪和肌肉不满意与心理生活质量的双向纵向关系。与现有文献一致,我们发现,较高的平均肌力和体脂肪不满意与较高的人之间的平均心理生活质量障碍相关.出乎意料的是,这些结构在人内/纵向没有显著相关.这些发现与现有文献的结论相冲突,即肌肉和身体脂肪的不满始终导致该人群的心理健康较差。在没有人内关系的情况下,重要的人与人之间的关系表明,中介结构(例如,身体理想的内化)可以解释肌肉和身体脂肪不满对心理健康的人与人之间的影响。未来的研究可以准确地估计这些影响,并通过确保单独检查人与人之间的关系来确定可靠的干预目标,而不是混为一谈。
    Extensive cross-sectional research reports that body fat and muscularity dissatisfaction contribute to negative psychological outcomes among sexual minority men; however, longitudinal models are necessary for accurately quantifying the strength and direction of these relationships. We investigated the bidirectional longitudinal relationships of body fat and muscularity dissatisfaction with psychological quality of life among 2953 sexual minority men using random intercept cross-lagged panel models. Consistent with existing literature, we found that higher average muscularity and body fat dissatisfaction were associated with higher average psychological quality of life impairment between-persons. Unexpectedly, these constructs were not significantly associated within-persons/longitudinally. These findings conflict existing literature\'s conclusions that muscularity and body fat dissatisfaction consistently contribute to poorer psychological wellbeing in this population. A significant between-person relationship in the absence of within-person relationships suggests that intermediary constructs (e.g., body ideal internalization) may account for the between-person effects of muscularity and body fat dissatisfaction on psychological wellbeing. Future research can accurately estimate these effects and identify reliable intervention targets by ensuring that within- and between-person relationships are examined separately, rather than being conflated.
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  • 文章类型: Journal Article
    老年人会经历健康和社会挑战,例如孤独,抑郁症,缺乏社会联系。有必要制定计划和方法来解决老年人社会孤立和孤独感日益增加的问题。旨在应对这些挑战的一项举措是“体育记忆”计划。该计划是在英国开发的,并于2019年获得南澳大利亚的许可。该计划目前在六个社区地点交付。
    这项研究的目的是探索参与者对南澳大利亚体育记忆计划的看法。在定性研究的基础上,进行了三个焦点小组,由一位经验丰富的面试官领导。焦点小组发生在六个地点中的三个,包括一个日间休息中心,辅助生活中心和政府社区中心。研究小组对数据进行了主题分析。
    有16名65岁以上的参与者,包括4名女性和12名男性。开发了三个关键主题:“可以自由谈论任何事情,\"\"感觉不被忽略\"和\"一个分享和学习的机会。“集体,参与者反思了他们是如何建立社会关系的,感到安全和包容,并更多地了解彼此。
    体育记忆计划为老年人提供了一个团体计划,让他们聚在一起,发展新的友谊。对于报告社会福利和计划继续参加的参与者来说,将运动作为一种回忆的手段被认为是相关的。他们重视通过该计划进行的学习,该计划通过拥有一位对运动知识渊博的推动者而得到了增强。
    UNASSIGNED: Older people can experience health and social challenges such as loneliness, depression, and lack of social connectedness. There is need for programs and approaches that address the growing incidence of social isolation and loneliness for older people. One initiative that aims to address these challenges is the Sporting Memories program. This program was developed in the United Kingdom and licensed to South Australia in 2019. The program is currently delivered across six community locations.
    UNASSIGNED: The aim of this study was to explore participants perspectives of the Sporting Memories program in South Australia. Underpinned by qualitative research, three focus groups were conducted, led by an experienced interviewer. Focus groups occurred at three of the six locations, including a day respite center, assisted living center and a government community center. The data were analyzed thematically by the research team.
    UNASSIGNED: There were 16 participants over 65 years old, including four women and 12 men. Three key themes were developed: \"free to talk about anything,\" \"not feeling left out\" and \"a chance to share and learn.\" Collectively, participants reflected on how they built social connections, felt safe and included and learnt more about each other.
    UNASSIGNED: The Sporting Memories program provides a group program for older people to come together and develop new friendships. The use of sports as a means of reminiscence was considered relatable for the participants who reported social benefits and plans to keep attending. They valued learning through the program which was enhanced by having a facilitator who was knowledgeable about sport.
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  • 文章类型: Journal Article
    现有文献关注一般生活质量,肝移植(LT)后受者抑郁的程度和影响尚不清楚.因此,我们的目标是评估患病率,危险因素,以及LT后受体相关抑郁的结局。
    搜索了Medline和Embase。单臂分析使用广义线性混合模型进行汇总,并进行logistic回归分析危险因素。对二元结果进行比值比的成对比较荟萃分析。
    在1069篇摘要中,在纳入48篇文章之前,对189篇文章进行了全文审查。5170名受者的合并抑郁率为24.52%(置信区间[CI]:19.46%-30.41%)。与其他地理区域相比,抑郁症在亚洲最为普遍。移植年龄较小(P=.019)和大学教育(P=.051)对抑郁症具有保护作用。然而,接受酒精性肝病移植的患者(比值比:1.14,CI:1.10~1.18,P≤0.001)更有可能抑郁.抑郁症导致死亡率增加(比值比:1.82,CI:1.08-3.07,P=.04),移植物损失(P=0.03),和移植物排斥(P=0.01)。
    LT后抑郁症非常普遍,可能与死亡率增加和移植物结局较差有关。需要更多地强调在高风险接受者中筛查抑郁症。
    UNASSIGNED: With existing literature focusing on general quality of life, the magnitude and impact of depression among recipients after liver transplantation (LT) is unclear. Hence, we aim to evaluate the prevalence, risk factors, and outcomes for recipient-related depression after LT.
    UNASSIGNED: Medline and Embase were searched. Single-arm analysis was pooled using the generalized linear mixed model, and logistic regression was performed to analyze risk factors. Pairwise comparative meta-analysis in odds ratio was conducted for binary outcomes.
    UNASSIGNED: Of 1069 abstracts, 189 articles underwent full-text review before the inclusion of 48 articles. Pooled depression rate among 5170 recipients was 24.52% (confidence interval [CI]: 19.46%-30.41%). Depression was most prevalent in Asia compared with other geographical regions. Younger age at transplantation (P = .019) and university education (P = .051) were protective against depression. However, those transplanted for alcoholic liver disease (odds ratio: 1.14, CI: 1.10-1.18, P ≤ 0.001) were more likely to be depressed. Depression resulted in increased odds of mortality (odds ratio: 1.82, CI: 1.08-3.07, P = .04), graft loss (P = .03), and graft rejection (P = .01).
    UNASSIGNED: Depression is highly prevalent after LT and may be associated with increased mortality and poorer graft outcomes. More emphasis is needed on the screening of depression among higher risk recipients.
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  • 文章类型: Journal Article
    患有痴呆症的老年人的照顾者(痴呆症照顾者)经常经历高角色超负荷(即,对超出可用资源的护理需求感到不知所措),这会损害他们的心理健康。此外,痴呆症护理可能会限制护理人员参与有价值的社交活动。本研究旨在探讨社会参与限制对痴呆症照顾者角色超负荷与心理健康关系的中介作用。从国家护理研究中选择了894名痴呆症护理人员(平均年龄=61.77)。样本主要是女性(64%)和白人(78%)。路径分析显示,社会参与限制部分介导了(1)角色超负荷与心理困扰(间接效应β=.08,p<.001)和(2)角色超负荷与心理健康(间接效应β=-.05,p<.05)之间的关联。需要针对应对策略和医疗娱乐计划的干预措施,以改善痴呆症护理人员的社会参与。
    Caregivers of older adults with dementia (dementia caregivers) often experience high role overload (i.e., feeling overwhelmed by caregiving demands that exceed available resources), which can take a toll on their mental health. Moreover, dementia caregiving can restrict caregivers\' participation in valued social activities. This study aims to examine the mediating effect of social participation restriction on the relationship between role overload and mental health among dementia caregivers. A total of 894 dementia caregivers (mean age = 61.77) were selected from the National Study of Caregiving. The sample was predominantly women (64%) and White (78%). Path analysis shows that social participation restriction partially mediated the associations between (1) role overload and psychological distress (indirect effect β = .08, p < .001) and (2) role overload and psychological wellbeing (indirect effect β = -.05, p < .05). Interventions targeting coping strategies and healthcare-recreation programs are needed to improve social participation among dementia caregivers.
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  • 文章类型: Journal Article
    目的:自闭症患者自杀死亡风险显著高于一般人群。在非自闭症样本中,心理健康已被证明可以缓解抑郁症与自杀念头和行为之间的关系。自我伤害的想法可能为自杀风险提供有用的指标。在这项纵向研究中,我们研究了(a)心理健康在缓解抑郁症状与自我伤害思想之间关系方面的潜在作用,以及(b)自闭症特征对自我伤害思想的贡献。
    方法:参与者是209名自闭症青少年和15至80岁的成年人(Mage=34.20,SD=15.38岁)。
    结果:在基线和2年随访时,35%的参与者报告了最近的自我伤害想法。健康与自闭症特征(r=-.350至-0.404)和抑郁(r=-.480至-0.759)相关。自我伤害的想法与自闭症特征和抑郁症呈正相关(r=0.242至0.659),与幸福感呈负相关(r=-.287至-0.609)。控制自我伤害的基线思维,抑郁症(β=0.254,p=.001)和自闭症特征(β=0.162,p=.007)显着预测了2年随访时的自我伤害想法。
    结论:尽管缺乏对健康会缓和抑郁与自残思想之间关系的假说的支持,相关数据表明,健康与抑郁和自我伤害的想法之间存在显着关联。未来的研究认为心理健康是自闭症患者自我伤害的潜在保护因素。
    OBJECTIVE: Autistic people have a significantly increased risk of death by suicide relative to the general population. In non-autistic samples, psychological wellbeing has been shown to moderate the relationship between depression and suicidal thoughts and behavior. Thoughts of self-harm may provide a useful indicator of suicidal risk. In this longitudinal study we examined (a) the potential role for psychological wellbeing to moderate the relationship between depressive symptoms and thoughts of self-harm and (b) the contribution of autistic traits to thoughts of self-harm.
    METHODS: Participants were 209 autistic adolescents and adults aged 15 to 80 years (Mage = 34.20, SD = 15.38 years).
    RESULTS: At both baseline and 2-year follow-up, 35% of participants reported recent thoughts of self-harm. Wellbeing was associated with autistic traits (r = - .350 to - 0.404) and depression (r = - .480 to - 0.759). Thoughts of self-harm were positively associated with autistic traits and depression (r = .242 to 0.659), and negatively associated with wellbeing (r = - .287 to - 0.609). Controlling for baseline thoughts of self-harm, depression (β = 0.254, p = .001) and autistic traits (β = 0.162, p = .007) significantly predicted thoughts of self-harm at 2-year follow-up.
    CONCLUSIONS: Despite a lack of support for the hypothesis that wellbeing would moderate the relationship between depression and thoughts of self-harm, correlational data demonstrated significant associations between wellbeing and both depression and thoughts of self-harm. Future research considering psychological wellbeing as a potential protective factor for self-harm in autistic people is warranted.
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  • 文章类型: Journal Article
    背景:由于临床实习的复杂性和期望的增加,最后一年的护理专业学生可能会经历更高水平的压力。增强心理准备可能是增强护生向临床领域过渡的潜在策略。
    目的:评估向专业实践课程过渡的心理准备增强和为期10周的临床实习对学生心理健康的影响,弹性,练习准备和信心。
    方法:一种顺序混合方法方法,包括单组评估和描述性定性研究。
    方法:从新加坡一所自治大学招收本科护理专业的最后一年护理专业学生。
    方法:148名最后一年的护理学生参加了单组评估研究。在定性研究中招募了总共24名完成心理准备计划的参与者。
    方法:本研究包括两个阶段。第一阶段包括对混合心理准备计划和临床实习的评估。收集了三波数据,以评估护生的心理健康,弹性,练习准备和信心。在第二阶段,采用个人半结构化在线访谈进行了一项定性研究,以检查学生的心理准备计划和临床实习的经验。
    结果:心理准备计划导致学生焦虑和患者中心评分发生显著变化。心理准备和临床实习的累积效果表明,学生的实践准备和信心得到了显着改善。虽然抑郁症没有显著改善,压力和弹性分数,三波趋势有所改善。学生将这些改进归因于校友的心理准备计划和分享。
    结论:这项研究的发现为心理准备计划的制定奠定了基础。然而,应使用随机对照试验设计的大规模研究来确认这些干预措施的效果.
    BACKGROUND: Final year nursing students may experience higher levels of stress owing to the increasing complexity and expectations from their clinical practicums. Enhancing psychological readiness may be a potential strategy to enhance nursing students\' transition to the clinical area.
    OBJECTIVE: To evaluate the effects of a psychological readiness enhancement for transition to professional practice program and a 10-week clinical practicum on students\' psychological wellbeing, resilience, practice readiness and confidence.
    METHODS: A sequential mixed-methods approach comprising of a single-group evaluation and descriptive qualitative study.
    METHODS: Final year nursing students enrolled in an undergraduate nursing program from one autonomous university in Singapore was recruited.
    METHODS: 148 final year nursing students participated in the single-group evaluation study. A total of 24 participants who completed the psychological readiness program were recruited in the qualitative study.
    METHODS: This study included two phases. Phase I comprised of an evaluation of a blended psychological readiness program and clinical practicum. Data was collected across three waves to assess nursing students\' psychological wellbeing, resilience, practice readiness and confidence. In Phase II, a qualitative study using individual semi-structured online interviews was conducted to examine students\' experiences of the psychological readiness program and clinical practicum.
    RESULTS: The psychological readiness program led to significant changes in students\' anxiety and patient centeredness scores. The accumulated effects of the psychological readiness and clinical practicum showed significant improvements in students\' practice readiness and confidence. Although there were no significant improvements in depression, stress and resilience scores, there were improvements in the trend across three waves. Students attributed these improvements to the psychological readiness program and sharing by the alumni.
    CONCLUSIONS: The findings of this study laid the foundation for the development of psychological readiness programs. However, larger scale studies using randomized controlled trial designs should be used to confirm the effects of these interventions.
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  • 文章类型: Journal Article
    羞愧感与抑郁风险增加有关。对可能缓冲这种影响的保护因素知之甚少,尤其是男性。使用来自澳大利亚男性社区样本的前瞻性数据,我们研究了羞耻与抑郁症状相关的程度,以及心理健康的保护作用,特别是生活中的环境掌握和目标。
    参与者(n=448)来自纵向男性和育儿途径(MAPP)研究。措施是与事件相关的羞耻和羞耻的内疚量表,DASS-21用于抑郁症状和Ryff的心理健康量表用于环境掌握和生活目的。线性回归用于测试同时和1年后的羞耻和抑郁症状之间的关联。以及生活中掌握和目标的调节作用。
    羞耻与并发抑郁症状密切相关(βunadj=.76,p<.001;βadj=.63,p<.001)。与环境控制能力低的男性(β1SD=.46,p<.001;β-1SD=.55,p<.001)和生活目标(β1SD=.48,p<.001;β-1SD=.62,p<.001)相比,这种影响较弱。Shame还预测了先前抑郁症状调整后的抑郁症状(βunadj=.59,p=.001;βadj=.34,p=.004),尽管对环境的掌握或生活目标并没有减轻这些关联。
    我们的研究结果表明,促进男性的心理幸福感可能会在羞耻的背景下产生保护性的近端效应,可能减轻抑郁的严重程度。当前的研究与基于力量的方法来减少男性心理健康问题的呼吁一致。
    UNASSIGNED: Feelings of shame are linked to increased risk for depression. Little is known about protective factors that may buffer this effect, particularly in men. Using prospective data from a community sample of Australian men, we examine the extent to which shame is associated with depressive symptoms, and the protective role of psychological wellbeing, specifically environmental mastery and purpose in life.
    UNASSIGNED: Participants (n = 448) were from the longitudinal Men and Parenting Pathways (MAPP) Study. Measures were the Event Related Shame and Guilt Scale for shame, the DASS-21 for depressive symptoms and Ryff\'s Scales of Psychological Well-Being for environmental mastery and purpose in life. Linear regressions were used to test associations between shame and depressive symptoms concurrently and 1-year later, and the moderating effects of mastery and purpose in life.
    UNASSIGNED: Shame was strongly associated with concurrent depressive symptoms (βunadj = .76, p < .001; βadj = .63, p < .001). This effect was weaker in men with high compared to low environmental mastery (β+1SD = .46, p < .001; β-1SD = .55, p < .001) and purpose in life (β+1SD = .48, p < .001; β-1SD = .62, p < .001). Shame also predicted subsequent depressive symptoms after adjustment for prior depressive symptoms (βunadj = .59, p = .001; βadj = .34, p = .004), although environmental mastery or purpose in life did not moderate these associations.
    UNASSIGNED: Our findings suggest that promoting a sense of psychological wellbeing in men may confer protective proximal effects in the context of shame, potentially attenuating depression severity. The current study aligns with calls for strength-based approaches to reducing mental health problems in men.
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  • 文章类型: Journal Article
    除了典型的育儿挑战,针对特定条件的初步研究表明,不同的经验和支持需求。具有不同可见差异的儿童的父母可能会经历类似的心理社会困难。尽管如此,缺乏大规模的跨条件研究来确定父母痛苦和心理社会适应的风险和保护因素。有一系列明显差异的儿童家长和照顾者完成了一项由标准化结果指标组成的在线调查,研究具体措施,和开放式问题。多元回归模型确定了可能的风险和保护因素,通过开放式问题收集的数据使用内容分析进行分析。研究结果支持先前在小规模的跨条件定性研究中与有明显差异的儿童的父母确定的主题。父母负面影响和压力的风险因素包括父母报告其孩子的明显差异和戏弄。保护因素包括良好的亲子沟通,自我同情,了解孩子的病情和对治疗的满意度。确定的风险和保护因素为该父母群体的经历提供了重要的见解,并指出了心理社会干预的可能途径。
    Alongside typical parenting challenges, initial condition-specific research suggests thadifferent experiences and support needs.t parents of children with different visible differences may experience similar psychosocial difficulties. Despite this, large-scale cross-condition research to identify risk and protective factors for parental distress and psychosocial adjustment has been lacking. Two hundred and nine parents and carers of children with a range of visible differences completed an online survey comprised of standardised outcome measures, study-specific measures, and open-ended questions. Multiple regression modelling identified possible risk and protective factors, and data collected via open-ended questions were analysed using content analysis. Findings support themes previously identified in small-scale cross-condition qualitative research with parents of children with visible differences. Risk factors for parental negative affect and stress included parental reports of the noticeability of their child\'s visible difference and teasing. Protective factors included good parent-child communication, self-compassion, knowledge of their child\'s condition and satisfaction with treatment. The risk and protective factors identified provide important insight into the experiences of this parent population and indicate possible avenues for psychosocial intervention.
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  • 文章类型: Journal Article
    与COVID-19相关的健康危机导致对医疗保健中心的运营和社会组织的需求增加,这往往对医护人员的心理和社会福祉产生负面影响。为了解决这个问题,旨在通过各种参与性战略发展集体能力的干预计划。这项研究试图确定这种干预对变量集体功效的影响,心理健康,通过与对照组进行前测和后测比较,以及医护人员的社会福祉。
    使用非概率评估变量,来自科金博地区三个家庭医疗保健中心(CESFAM)的80名医护人员的目的样本,智利,在健康危机的背景下。干预组由自愿参与者组成,而对照组只完成评价。干预包括6个培训讲习班,重点是改善集体管理,群体协同作用,协作解决问题,交际策略,和整体团队护理。
    分析表明,集体能力干预对集体效能具有积极作用,心理健康,在COVID-19危机期间,参与的医护人员的社会福祉。只有这些变量的特定因素没有受到显著影响。
    这项研究的结果表明,旨在提高集体组织能力的干预措施,除了增加集体功效,在职业逆境的背景下,可以对医护人员的心理和社会福祉产生积极影响。
    UNASSIGNED: The health crisis associated with COVID-19 led to a period of increased demand on the operational and social organization of healthcare centers, which often had a negative impact on the psychological and social wellbeing of healthcare workers. In order to tackle this issue, an intervention plan was designed to develop collective competences through various participatory strategies. This study sought to determine the effect of this intervention on the variables collective efficacy, psychological wellbeing, and social wellbeing in healthcare workers by performing a pretest and posttest comparison with a control group.
    UNASSIGNED: The variables were evaluated using a non-probability, purposive sample of 80 healthcare workers from three Family Healthcare Centers (CESFAM) located in the Coquimbo Region, Chile, within health crisis context. The intervention group was composed of voluntary participants, while the control group only completed the evaluations. The intervention consisted in 6 training workshops focused on improving collective management, group synergy, collaborative problem-solving, communicative strategies, and overall team care.
    UNASSIGNED: The analysis shows that the collective competence intervention had a positive effect on the collective efficacy, psychological wellbeing, and social wellbeing of the participating healthcare workers during the COVID-19 crisis. Only specific factors of these variables did not undergo a significant impact.
    UNASSIGNED: The results of this study suggest that interventions aimed at improving collective organizational competences, apart from increasing collective efficacy, can have a positive impact on healthcare workers\' psychological and social wellbeing in a context of occupational adversity.
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  • 文章类型: Journal Article
    微创美学程序在年轻人中广泛流行。尽管流行,关于这些程序与心理健康之间关系的研究存在很大差距,以及对影响其采用的障碍和动机的探索不足,这项研究旨在解决这些差距。
    这项横断面研究利用了针对沙特大学生作为目标人群的安全在线调查。调查由18个项目的电子问卷组成,包括4个部分(人口统计数据,使用WHO-5幸福感工具对心理疾病史和当前心理健康进行筛查,做整容手术的历史,或愿意在未来做,进行整容手术的障碍和动机),它分布在多个社交媒体平台上。
    共有8443名大学生完成了研究问卷。1096名(13%)学生接受了整容手术。报道最多的手术是激光脱毛(9.1%),填料(5.3%),皮肤促进剂(2.8%),和A型肉毒杆菌毒素注射剂(肉毒杆菌毒素)(2.6%)。排名最高的激励因素是无痛的,没有副作用(10个中的8.8个),其次是自由(10分之8.0)和增强自信心(10分之7.4)。
    接受整容手术的人与未接受整容手术的人之间的总体心理健康评分没有显着差异。
    UNASSIGNED: Minimally invasive aesthetic procedures are widely popular among the youth. Despite their prevalence, there is a significant gap in the research concerning the relationship between these procedures and psychological wellbeing, as well as an insufficient exploration of the barriers and motivators influencing their adoption, this study aims to address these gaps.
    UNASSIGNED: This cross-sectional study has utilized a secure online survey directed at Saudi university students as the target population. The survey was consisting of 18-item electronic questionnaire including of 4 parts (demographical data, history of psychological illness and screening of current psychological wellbeing using WHO-5 well-being tool, history of doing cosmetic procedure, or willingness to do in the future, barriers and motivators to do cosmetic procedures), and it was distributed across multiple social media platforms.
    UNASSIGNED: A total of 8443 college students completed the study questionnaire. Exactly 1096 (13%) of the students underwent a cosmetic procedure. The most reported procedures were laser hair removal (9.1%), filler (5.3%), skin boosters (2.8%), and Botulinum toxin A injections (Botox) (2.6%). The most ranked motivators were being painless, with no side effects (8.8 out of 10), followed by being free (8.0 out of 10) and enhancing self-confidence (7.4 out of 10).
    UNASSIGNED: No significant difference recorded at the overall psychological well-being score between who underwent cosmetic procedures and who did not.
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