apoyo social

Apoyo 社交
  • 文章类型: Journal Article
    背景:帕金森病(PD)影响身体,认知,情感,以及遭受痛苦的人的社会领域。对患者来说,一个好的策略是加入一个协会,使用他们提供的服务。
    目的:本研究的目的是探索帕金森病患者在帕金森病患者中的经历和认知。
    方法:通过目的和理论抽样选择符合纳入标准的PD患者样本。半结构化定性访谈用于收集数据,通过专题现象学分析进行了分析。使用不同的策略,例如研究人员之间的三角测量,以确保方法的严谨性。
    结果:从10名参与者分析的数据导致了两个主题:协会的背景,收集跨学科治疗的重要性以及与其他患者的关系;以及他们如何看待自己的未来,它描述了PD患者的未来前景。
    结论:患者同意加入协会的重要性,感觉是一个群体的一部分,同时受益于接受跨学科团队的治疗。该协会在疾病的演变中起着相关的作用,因为这会影响病人对未来的想象.在与为患者服务的专业人员建立良好的治疗联盟的基础上制定策略,促进赋权,家庭治疗的坚持和连续性,从而改善PD患者的生活质量。
    BACKGROUND: Parkinson\'s disease (PD) affects the physical, cognitive, emotional, and social domains of people who suffer it. A good strategy for patients is to belong to an Association, using the services they offer.
    OBJECTIVE: The aim of this study was to explore the experiences and perceptions of patients with PD in a Parkinson\'s Association.
    METHODS: A sample of participants with PD who met the inclusion criteria was selected through purpose and theoretical sampling. Semi-structured qualitative interviews were used to collect the data, which was analyzed by thematic phenomenological analysis. Different strategies such as triangulation between researchers were used to ensure methodological rigor.
    RESULTS: The data analyzed from 10 participants led to two themes: the context of the Association, where the importance of interdisciplinary treatments and the relationship with other patients is collected; and how they see their future, which describes the future perspectives that patients with PD have.
    CONCLUSIONS: Patients agree on the importance of belonging to the Association, feeling part of a group, while benefiting from receiving therapies from the interdisciplinary team. The Association plays a relevant role in the evolution of the disease, as it influences how patients imagine their future. Developing strategies based on a good therapeutic alliance with professionals at the service of patients promotes the empowerment, adherence and continuity of treatments at home, which results in improving the quality of life of patients with PD.
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  • 文章类型: Journal Article
    目的:正常生活质量是炎症性肠病(IBD)治疗方法的最终目标,包括克罗恩病(CD)和溃疡性结肠炎(UC),在这种情况下,有规律的体力活动(PA)通常是一个嵌合参数,在质量/数量方面没有标准化。该研究旨在分析IBD患者样本中PA伴侣状态与社交网络支持之间的关系。
    方法:对“BE-FIT-IBD”研究进行了事后分析,方法是将PA的数据与伴侣身份的数据进行分层,并支持患者的社交网络(即,亲戚,朋友)在煽动患者进行常规PA时提供。
    结果:在219名患者中,有稳定伴侣的患者更倾向于将IBD再激活/恶化的风险视为进行常规PA的障碍(p<0.0001).单个患者认为PA更多是保护因素(p=0.045)。没有PA支持社交网络的患者保留IBD相关治疗作为PA屏障(p=0.016),PA作为IBD并发症的风险(p=0.01),较不相信PA可以改善IBD的病程(p<0.001)。直肠综合征是IBD相关的障碍,在PA阻止社交网络的患者中表现更多(p<0.0001)。
    结论:这些因素是恢复IBD患者对常规PA依从性的潜在目标。
    BACKGROUND: Normal quality of life is an ultimate target in the therapeutic approach to inflammatory bowel diseases (IBD), encompassing Crohn\'s disease (CD) and ulcerative colitis (UC) in the context of which regular physical activity (PA) is often a chimeric parameter that is not standardized in terms of quality/quantity. The study aimed to profile a sample of IBD patients about the relationship between PA-partner status and social network support.
    METHODS: A post hoc analysis of the \"BE-FIT-IBD\" study was set up by stratifying the data of PA with that of partner status and the support that the patient\'s social network (i.e., relatives, friends) provided in inciting the patient to practice regular PA.
    RESULTS: In the 219 patients included, there was a greater tendency for patients with stable partners to view the risk of reactivation/worsening of IBD as a barrier to conducting regular PA (p<0.0001). Single patients considered PA more as a protective factor (p=0.045). Patients without a PA-supporting social network retained IBD-related treatment as a PA barrier (p=0.016) and PA as a risk for IBD complications (p=0.01), with less confidence that PA could improve the course of IBD (p<0.001). Rectal syndrome was an IBD-related barrier more represented in patients with PA-deterring social network (p<0.0001).
    CONCLUSIONS: These factors are potential targets for recovering the IBD patient\'s adherence to regular PA.
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  • 文章类型: Journal Article
    目的:老年人在当今社会中的作用在支持工作与生活的平衡和幸福方面非常重要。这项研究的目的是分析他们得到的支持的看法和60岁以上照顾孙子女的人的社会心理健康。
    方法:横断面描述性观察研究。60岁以上的人的样本,他们陪同孙子孙女参加了三个健康中心的儿科服务,在2018年的前四个月期间。他们接受了杜克-UNC问卷,通过社会支持和参与照顾孙子女的措施。
    结果:大多数人每周照顾孙子女5到14小时,进行娱乐和维护活动。参与者报告说,照顾者在他们的生活质量和幸福感中的作用存在显着关系;88%的受试者认为社会支持水平很高。每周护理时间的参与与较差的感知支持无关。
    结论:照顾孙辈并与他们一起参加初级保健儿科服务的老年人认为有足够的社会支持水平,不管花了多少小时。
    OBJECTIVE: The role of older people in today\'s society is important in supporting work-life balance and well-being. The aim of the study was to analyze the perception of the support they receive and the psychosocial well-being of people over 60years of age who take care of their grandchildren.
    METHODS: Cross-sectional descriptive observational study. A sample of people over 60years of age, who attended the pediatrics service in three health centers accompanying their grandchildren, during the first four-month period of 2018. They were administered the Duke-UNC questionnaire, with measures of social support and involvement in the care of their grandchildren.
    RESULTS: The majority cared for their grandchildren between 5 and 14hours per week, performing recreational and maintenance activities. The participants reported a significant relationship of the caregiver\'s role in their quality of life and well-being; 88% of the subjects perceived a high level of social support. Involvement in weekly caregiving hours did not correlate with worse perceived support.
    CONCLUSIONS: Older adults who care for their grandchildren and attend the primary care pediatrics service with them perceive an adequate level of social support, regardless of the number of hours spent doing so.
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  • 文章类型: Journal Article
    背景:遭受性侵犯与发生创伤后应激障碍和相关问题(例如滥用酒精)的风险显着增加有关。横断面和纵向证据表明,社会支持可能对创伤后应激症状具有广泛的保护作用,也可能受到创伤后应激症状的侵蚀。然而,关于社会支持和创伤后应激症状的不同方面在性侵犯后的几周和几个月内如何相互影响,人们知之甚少,当创伤后应激(PTS)症状首次出现时。目的:本研究评估了社会支持与PTS之间的日常关系,酒精使用,最近受到攻击的女性幸存者参与了一项基于应用程序的干预措施的临床试验(N=41).方法:参与者在性侵犯的10周内开始完成3周的每日日记。混合效应模型用于检查PTS与四个社会支持结构之间的前一天和当天关系(社会接触,情感支持,社交互动的愉悦,并谈论性侵犯)。结果:结果表明,在整个采样期内,社交互动的较高数量和愉悦度与任何一天的PTS症状较低有关。在一天中经历比典型的社交互动与当天和第二天的典型PTS症状较低相关。在参与者与他人讨论性侵犯的日子里,他们往往有高于通常的PTS症状。结论:研究结果表明,性侵犯后不久增加社交互动的数量和愉悦性可能可以防止创伤后应激症状恶化。试用注册:ClinicalTrials.gov标识符:NCT03703258。
    在N=41名最近性侵犯的痛苦和饮酒女性幸存者中,在攻击后10周内有更多的社交互动和更愉快的社交互动与较低的创伤后应激症状相关。当幸存者一天的社交互动比平均水平更愉快时,第二天他们的创伤后应激症状往往低于平均水平,最近的幸存者在创伤后压力症状高于平常的日子里更有可能谈论性侵犯。干预主义者应该注意,性侵犯后不久增加社交互动的数量和愉悦性可能会防止创伤后应激症状恶化。
    Background: Experiencing sexual assault is associated with a significant increase in risk for developing posttraumatic stress disorder and related concerns (e.g. alcohol misuse). Cross-sectional and longitudinal evidence suggests that social support may be both broadly protective against and eroded by posttraumatic stress symptoms. However, little is known about how different aspects of social support and posttraumatic stress symptoms influence each other in the weeks and months immediately following sexual assault, when posttraumatic stress (PTS) symptoms first emerge.Objective: The present study assessed the day-to-day relationship between social support and PTS in a sample of distressed, alcohol-using, recently-assaulted female survivors participating in a clinical trial of an app-based intervention (N = 41).Method: Participants completed 3 weeks of daily diaries starting within 10 weeks of sexual assault. Mixed-effects models were used to examine prior-day and same-day relationships between PTS and four social support constructs (social contact, emotional support, pleasantness of social interactions, and talking about sexual assault).Results: Results indicate that higher quantity and pleasantness of social interactions over the full sampling period was associated with lower PTS symptoms on any given day. Experiencing better-than-typical social interactions on one day was associated with lower than typical PTS symptoms on that day and the next day. On days when participants discussed their sexual assault with others, they tended to be having higher than usual PTS symptoms.Conclusions: Findings suggest that increasing the quantity and pleasantness of social interactions soon after sexual assault might protect against worsening posttraumatic stress symptoms.Trial registration: ClinicalTrials.gov identifier: NCT03703258.
    In N = 41 distressed and alcohol-using female survivors of recent sexual assault, having a higher quantity of social interactions and more pleasant social interactions within 10 weeks of assault was associated with lower posttraumatic stress symptoms.When survivors’ social interactions were more pleasant than average on one day, their posttraumatic stress symptoms tended to be lower than average the next day, and recent survivors were more likely to talk about sexual assault on days when their posttraumatic stress symptoms were higher than usual.Interventionists should take note that increasing the quantity and pleasantness of social interactions soon after sexual assault might protect against worsening posttraumatic stress symptoms.
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  • 文章类型: Journal Article
    背景:童年虐待深刻影响着社会和情感的发展,增加精神病风险。早期滥用和忽视后,与威胁相关的线索的内隐处理发生了变化,这是心理健康脆弱性的标志。关于早期逆境如何影响对积极社会线索的看法,人们知之甚少,尽管它们在建立和维持社交互动方面发挥了核心作用,并且与更好的心理健康结果相关联。方法:样本包括42名儿童和青少年和32名同龄人(平均年龄13.3岁),年龄相匹配,青春期状态,性别,社会经济地位,种族,和认知能力。一项计算机化的实验任务评估了正面(快乐)和负面(恐惧)面部表情的感知情绪强度。心理健康症状通过自我和父母报告进行测量,感知到的社会支持是自我报告的。结果:虐待和忽视的经历与积极面部线索的感知强度增加有关。横截面事后适度和调解分析,采用建模方法,暴露于虐待的参与者:(i)他们对积极面部线索的反应增加与症状降低有关;(ii)社会支持的存在导致他们对积极面部线索的感知强度增加;(iii)社会支持的存在通过增加积极面部线索的感知强度而导致症状降低。未观察到阴性表达的感知强度的组差异。结论:这些发现为儿童时期虐待经历后如何处理正面面孔提供了新的见解。虐待经历被发现与快乐面孔的感知强度增加有关,这反过来又与更好的心理健康和更高水平的社会支持有关。这表明,在有虐待经历的儿童中,积极情绪的显着性会起到保护性作用。
    儿童虐待对感知积极社会线索的影响,特别是明确的情绪强度评估,与广泛关注其在处理与威胁相关的线索和精神病风险中的作用相比,人们了解较少。在这项研究中,我们发现虐待经历与快乐面孔的感知强度增加有关,这反过来又与更好的心理健康和更高水平的社会支持有关。这些发现表明,在有虐待经历的儿童中,积极情绪的显着性可能会起到保护作用。
    Background: Childhood maltreatment profoundly influences social and emotional development, increasing psychiatric risk. Alterations in the implicit processing of threat-related cues following early abuse and neglect represent a marker of mental health vulnerability. Less is known about how early adversity influences the perception of positive social cues, despite their central role in establishing and maintaining social interactions and their association with better mental health outcomes.Methods: The sample consisted of 42 children and adolescents with substantiated childhood maltreatment experiences and 32 peers (mean age 13.3), matched on age, pubertal status, gender, socioeconomic status, ethnicity, and cognitive ability. A computerised experimental task assessed the perceived emotional intensity of positive (happy) and negative (fearful) facial expressions. Mental health symptoms were measured via self- and parental reports, and perceived social support was self-reported.Results: The experience of abuse and neglect was associated with heightened perceived intensity of positive facial cues. Cross-sectional post-hoc moderation and mediation analyses, employing a model-building approach, revealed that in maltreatment-exposed participants: (i) their increased response to positive facial cues was associated with lower symptoms; (ii) the presence of social support accounted for their heightened perceived intensity of positive facial cues; (iii) the presence of social support putatively contributed to lower symptoms by increasing the perceived intensity of positive facial cues. No group differences in perceived intensity of negative expressions were observed.Conclusions: These findings provide fresh insight into how positive faces are processed following maltreatment experience in childhood. Maltreatment experience was found to be associated with heightened perceived intensity of happy faces, which in turn was associated with better mental health and greater levels of social support. This suggests that heightened saliency of positive emotions acts protectively in children with maltreatment experience.
    The impact of childhood maltreatment on perceiving positive social cues, especially explicit emotional intensity appraisal, is less understood compared to the extensive focus on its role in processing threat-related cues and psychiatric risk.In this study, we found that maltreatment experience was associated with heightened perceived intensity of happy faces, which in turn was associated with better mental health and greater levels of social support.These findings suggest that heightened saliency of positive emotions may act protectively in children with maltreatment experience.
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  • 文章类型: Journal Article
    背景:年轻的成年性少数族裔妇女(SMW)处于性侵犯(SA)的高风险中,创伤后应激障碍(PTSD),社会支持不足。虽然SA和PTSD会导致社会支持从亲密的重要他人减少,SA和PTSD对SMWs社会支持的影响以前尚未评估。目的:本研究调查了过去一年SA和PTSD与来自亲密伴侣的SMW社会支持的关联,家庭,和朋友。假设SA和PTSD与合作伙伴的支持呈负相关,家人和朋友,并且PTSD会减轻成年早期SA对支持的影响。方法:美国青少年SMW(N=235),M=23.93(SD=2.15)岁,主要是女同性恋或双性恋(n=186,79.1%)和怀特(n=176,74.9%)完成了过去一年暴露于SA和非SA创伤的措施,创伤后应激障碍,和亲密伴侣的社会支持,家人和朋友。结果:PTSD与伴侣的社会支持较少相关,(b=-0.06,SE=0.02,p=.010,R2change=.02),家庭,(b=-0.06,SE=0.03,p=.025,R2变化=.02),和朋友,(b=-0.07,SE=0.02,p=.008,R2变化=.02)。PTSD和SA对伴侣的社会支持存在显着交互作用(b=-0.01,SE=0.01,p=.047,R2change=.01)。非SA或SA创伤均与家人或朋友的支持无关。结论:结果强调了最近的SA对患有更严重的PTSD的年轻成年SMW的亲密关系的潜在影响。未来的工作应探索解决PTSD和提高社会支持质量如何帮助SMW从创伤经历中恢复过来,并改善SA对亲密伙伴关系的影响。
    我们研究了过去一年的性和非性侵犯创伤和创伤后应激障碍与性少数群体女性的社会支持之间的关系。较高的PTSD与较低的合作伙伴社会支持有关,家人和朋友。在亲密的伙伴关系中,只有当PTSD症状更严重时,性侵犯才与较少的社会支持相关.
    Background: Young adult sexual minority women (SMW) are at elevated risk for sexual assault (SA), posttraumatic stress disorder (PTSD), and inadequate social support. While SA and PTSD can lead to reductions in social support from close significant others, the impact of SA and PTSD on SMWs\' social support has not previously been assessed.Objective: This study examined the associations of past year SA and PTSD with SMW\'s social support from intimate partners, family, and friends. It was hypothesized that SA and PTSD would be negatively associated with support from partners, family and friends, and that PTSD would moderate the effect of SA on support in early adulthood.Method: Young adult SMW in the United States (N = 235) who were M = 23.93 (SD = 2.15) years old, primarily lesbian or bisexual (n = 186, 79.1%) and White (n = 176, 74.9%) completed measures on past year exposure to SA and non-SA trauma, PTSD, and social support from intimate partners, family and friends.Results: PTSD was associated with less social support from partners, (b = -0.06, SE = 0.02, p = .010, R2change = .02), family, (b = -0.06, SE = 0.03, p = .025, R2change = .02), and friends, (b = -0.07, SE = 0.02, p = .008, R2change = .02). There was a significant interaction between PTSD and SA on social support from partners (b = -0.01, SE = 0.01, p = .047, R2change = .01). Neither non-SA nor SA trauma was associated with support from family or friends.Conclusions: Results underscore the potential impact of recent SA on intimate partnerships for young adult SMW with more severe PTSD. Future work should explore how addressing PTSD and improving social support quality may help SMW recover from traumatic experiences and ameliorate the effects of SA on intimate partnerships.
    We examined the associations of past-year sexual and non-sexual assault trauma and PTSD with sexual minority women’s social support from close significant others.Higher PTSD was associated with lower social support from partners, family and friends.In intimate partnerships, sexual assault was only associated with less social support when PTSD symptoms were more severe.
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  • 文章类型: Journal Article
    孕妇和父母在COVID-19期间经历了更高的心理健康问题和压力。怀孕期间的压力可能对胎儿有害,对亲子关系有害。然而,社会支持被认为是一种保护因素,缓冲压力的不利影响。本研究检查了(1)COVID-19期间的产前应激是否与产后6个月的亲子亲密关系有关,(2)社会支持调节了产前应激对亲子关系的影响。总的来说,181名参与者在怀孕期间和产后6个月完成了问卷调查。进行了分层线性回归分析,以评估社会支持是否减轻了怀孕期间压力对产后6个月父母与婴儿亲密关系的影响。结果表明,产前压力和社会支持对父母在产后6个月时与婴儿亲密感的影响显著(β=.805,p=.029);经历高产前压力和高社会支持的父母报告了更大的父母与婴儿亲密感,与那些报告高压力和低社会支持的人相比。研究结果强调了社会支持在保护亲子关系中的重要性,特别是在高压力的时候,例如在COVID-19大流行期间。
    Pregnant individuals and parents have experienced elevated mental health problems and stress during COVID-19. Stress during pregnancy can be harmful to the fetus and detrimental to the parent-child relationship. However, social support is known to act as a protective factor, buffering against the adverse effects of stress. The present study examined whether (1) prenatal stress during COVID-19 was associated with parent-infant closeness at 6 months postpartum, and (2) social support moderated the effect of prenatal stress on the parent-infant relationship. In total, 181 participants completed questionnaires during pregnancy and at 6 months postpartum. A hierarchical linear regression analysis was conducted to assess whether social support moderated the effect of stress during pregnancy on parent-infant closeness at 6 months postpartum. Results indicated a significant interaction between prenatal stress and social support on parents\' perceptions of closeness with their infants at 6 months postpartum (β = .805, p = .029); parents who experienced high prenatal stress with high social support reported greater parent-infant closeness, compared to those who reported high levels of stress and low social support. Findings underscore the importance of social support in protecting the parent-infant relationship, particularly in times of high stress, such as during the COVID-19 pandemic.
    Individuos y progenitores en estado de embarazo experimentan elevados problemas de salud mental y estrés durante el COVID‐19. El estrés durante el embarazo puede ser dañino para el feto y perjudicial para la relación progenitor‐niño. Sin embargo, es sabido que el apoyo social actúa como un factor de protección, sirviendo como agente amortiguador contra los adversos efectos del estrés. El presente estudio longitudinal examinó si 1) el estrés prenatal durante el COVID‐19 se asociaba con la cercanía madre‐infante a los seis meses después del parto, y 2) el apoyo social moderaba el efecto del estrés prenatal en la relación madre‐infante. Un total de 181 participantes completaron cuestionarios durante el embarazo y a los seis meses después del parto. Un análisis de regresión lineal jerárquico se llevó a cabo para evaluar si el apoyo social moderaba el efecto del estrés durante el embarazo en cuanto a la cercanía progenitor‐infante a los seis meses después del parto. Los resultados indicaron una interacción significativa entre el estrés prenatal y el apoyo social sobre las percepciones que los progenitores tenían de la cercanía con sus infantes a los seis meses después del parto (β = .805, p = .029); los progenitores que experimentaron un alto estrés prenatal con un alto apoyo social reportaron una mayor cercanía progenitor‐infante, comparados con aquellos que reportaron altos niveles de estrés y bajo apoyo social. Los resultados subrayan la importancia del apoyo social para proteger la relación progenitor‐infante, particularmente en épocas de alto estés, tal como durante la pandemia del COVID‐19.
    Les personnes enceintes et les parents font l\'expérience de plus grands problèmes de santé mentale et de plus de stress durant la crise du COVID‐19. Le stress durant la grossesse peut être néfaste pour le foetus et vient au détriment de la relation parent‐enfant. Cependant l\'on sait que le soutien social est un facteur de protection, faisant tampon face aux effets adverses du stress. Cette étude longitudinale a examiné si 1) le stress prénatal durant le COVID‐19 était lié à la proximité mère‐nourrisson à six mois postpartum, et 2) le soutien social a modéré l\'effet du stress prénatale sur la relation mère‐nourrisson. En tout 181 participants ont rempli des questionnaires durant la grossesse et à sic mois postpartum. Une analyse de régression linéaire hiérarchique a été faite pour évaluer si le soutien social a modéré l\'effet du stress durant la grossesse sur la proximité parent‐nourrisson à six mois postpartum. Les résultats ont indiqué une interaction importante entre le stress prénatal et le soutien social sur les perceptions des parents de la proximité avec leurs nourrissons à six mois postpartum (β = ,805, p = ,029); les parents qui ont fait l\'expérience d\'un stress prénatal élevé avec un soutien social élevé ont signalé une plus grande proximité parent‐nourrisson, comparé à ceux ayant signalé des niveaux de stress élevés et un faible soutien social. Les résultats soulignent l\'importance du soutien social dans la protection de la relation parent‐nourrisson, particulièrement en temps de stress élevé, comme durant la pandémie de COVID‐19.
    Soziale Unterstützung federt die Auswirkung von Schwangerschaftsstress auf die Wahrnehmung der Nähe zwischen Eltern und Kind während der COVID‐19‐Pandemie ab Schwangere und Eltern leiden während COVID‐19 unter erhöhten psychischen Problemen und Stress. Stress während der Schwangerschaft kann für den Fötus schädlich sein und die Eltern‐Kind‐Beziehung beeinträchtigen. Es ist jedoch bekannt, dass soziale Unterstützung als Schutzfaktor wirkt und die negativen Auswirkungen von Stress abfedert. In der vorliegenden Längsschnittstudie wurde untersucht, ob 1) pränataler Stress während COVID‐19 sechs Monate nach der Geburt mit der Nähe zwischen Mutter und Kind zusammenhängt und 2) ob soziale Unterstützung den Effekt pränatalen Stresses auf die Mutter‐Kind‐Beziehung moderiert. Insgesamt füllten während der Schwangerschaft und sechs Monate nach der Geburt 181 Teilnehmerinnen Fragebögen aus. Es wurde eine hierarchische lineare Regressionsanalyse durchgeführt, um festzustellen, ob soziale Unterstützung den Effekt von Stress während der Schwangerschaft auf die Nähe zwischen Mutter und Kind sechs Monate nach der Geburt moderiert. Die Ergebnisse zeigten eine signifikante Interaktion zwischen pränatalem Stress und sozialer Unterstützung auf die Wahrnehmung der Eltern von Nähe zu ihren Kindern sechs Monate nach der Geburt (β = .805, p = .029); Eltern, die hohen pränatalen Stress mit hoher sozialer Unterstützung erlebten, berichteten von größerer Eltern‐Kind‐Nähe im Vergleich zu denen, die ein hohes Stressniveau und geringe soziale Unterstützung berichteten. Die Ergebnisse unterstreichen die Bedeutung sozialer Unterstützung für den Schutz der Eltern‐Kind‐Beziehung, insbesondere in Zeiten hohen Stresses, wie z. B. während der COVID‐19‐Pandemie.
    流行期における親子間の親密さの認知に対する妊娠ストレスの影響の社会的支援による緩衝 COVID‐19の流行中、妊娠中の個人と親は、精神衛生上の問題とストレスの高まりを経験している。妊娠中のストレスは胎児に有害であり、親子関係にも悪影響を及ぼす可能性がある。しかし、社会的支援は保護因子として作用し、ストレスの悪影響を緩衝することが知られている。今回の縦断研究では、1)COVID‐19中の出生前ストレスが産後6ヵ月の母子密着度と関連するかどうか、2)社会的支援が出生前ストレスの母子関係への影響を緩和するかどうかを検討した。合計181名の参加者が、妊娠中と産後6ヶ月の時点でアンケートに回答した。社会的支援が妊娠中のストレスが産後6ヶ月の親子関係に及ぼす影響を緩和するかどうかを評価するために、階層的線形回帰分析を行った。その結果、出生前ストレスと社会的支援との間に、産後6ヵ月における両親の乳児との親密さの認識に対する有意な相互作用が示された(β = 0.805、p = 0.029);出生前ストレスが高く社会的支援が高いと報告された両親は、ストレスが高く社会的支援が低いと報告された両親に比べ、乳児との親密さが高いと報告された。特にCOVID‐19パンデミックのような高ストレス時には、親子関係を保護する社会的支援の重要性が強調された。.
    在COVID‐19期间, 孕妇和父母会面临严重的心理健康问题和压力。 孕期压力可能对胎儿有害, 也不利于亲子关系。然而, 社会支持被认为是一种保护因素, 可以缓解压力带来的负面影响。这项纵向研究旨在探究以下两个问题:1)COVID‐19期间孕期压力是否与产后六个月母婴亲密程度存在关联, 2)社会支持是否调节了孕期压力对母婴关系的影响。总共有181名参与者完成了孕期和产后六个月的问卷调查。我们进行了分层线性回归分析, 以评估社会支持是否调节了孕期压力对产后六个月亲子亲密程度的影响。结果显示, 孕期压力和社会支持之间存在显著交互作用, 对父母在孩子六个月时感受到的亲密程度产生影响(β = .805, p = .029);与经历高压力但社会支持较低的父母相比, 经历高压力且拥有高社会支持的父母报告了更高的亲子亲密程度。研究结果强调了社会支持在保护亲子关系方面的重要性, 特别是在高压时期, 例如在COVID‐19大流行期间。.
    دور الدعم الاجتماعي الوقائي في تخفيف أثر ضغوط الحمل على تصورات التقارب بين الوالدين والرضيع أثناء جائحة كوفيد‐19 يعاني الحوامل والآباء من مشاكل صحية نفسية مرتفعة وضغط نفسي خلال فترة انتشار فيروس كورونا. ويمكن أن يكون الإجهاد أثناء الحمل ضاراً بالجنين ويضر بالعلاقة بين الوالدين والطفل. ومع ذلك، من المعروف أن الدعم الاجتماعي يعمل كعامل وقائي، حيث يحمي من الآثار الضارة للتوتر. تناولت الدراسة الطولية الحالية ما إذا كان 1) الإجهاد العصبي والتوتر قبل الولادة أثناء كوفيد‐19 مرتبطاً بالتقارب بين الأم والرضيع بعد ستة أشهر من الولادة، و2) الدعم الاجتماعي يخفف من تأثير الإجهاد العصبي قبل الولادة على العلاقة بين الأم والرضيع. أكملت 181 مشاركة الاستبيانات أثناء الحمل وبعد ستة أشهر من الولادة. وتم إجراء تحليل الانحدار الخطي الهرمي لتقييم ما إذا كان الدعم الاجتماعي يخفف من تأثير الإجهاد أثناء الحمل على التقارب بين الوالدين والرضيع بعد ستة أشهر من الولادة. أشارت النتائج إلى وجود تفاعل كبير بين الإجهاد السابق للولادة والدعم الاجتماعي على تصورات الوالدين حول التقارب مع أطفالهم الرضع بعد ستة أشهر من الولادة p = .029)(β = .805, ؛ وأفاد الآباء الذين عانوا من ضغوط عالية قبل الولادة مع دعم اجتماعي مرتفع عن تقارب أكبر بين الوالدين والرضيع، مقارنة بأولئك الذين أبلغوا عن مستويات عالية من التوتر وانخفاض الدعم الاجتماعي. تؤكد النتائج على أهمية الدعم الاجتماعي في حماية العلاقة بين الوالدين والرضيع، خاصة في أوقات التوتر الشديد، مثل جائحة كوفيد‐19.
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  • 文章类型: Journal Article
    背景:童年逆境的经历与成年后更大的愤怒有关,尤其是男性。士兵和退伍军人报告不良童年经历的发生率更高,他们中的许多人也经历了创伤后应激障碍和愤怒的发生率升高。然而,在经历了童年的逆境后,人们对可能防止愤怒发展的因素知之甚少。目的:本研究旨在评估退伍军人感知社会支持的潜在保护方面。方法:在回归模型中使用北爱尔兰退伍军人健康与福祉研究(N=590,Mage=56)的数据来检查感知的社会支持(家庭,朋友,伴侣;MSPSS)作为不良童年经历(ACEQ-10)和愤怒(DAR-7)之间关联的调节者。该样本包括居住在北爱尔兰的英国武装部队退伍军人。结果:显著的交互效应,使用交互图可视化,被发现在感知的朋友支持与虐待儿童和家庭挑战之间。当男人感受到朋友的高度支持时,虐待儿童或家庭挑战与愤怒之间没有关联。对于那些感受到最大程度的伴侣支持的老兵来说,虐待儿童和愤怒之间没有联系。家庭支持并没有改变虐待儿童之间的积极联系,儿童忽视或家庭挑战和未来的愤怒。结论:这项研究表明,对于小时候经历过逆境的男性,培养支持性和同理心的友谊尤为重要。也许通过诸如Men\'sSheds之类的节目,因为这些友谊可以减轻虐待儿童和家庭挑战对愤怒的负面影响。
    感知到的朋友和伴侣的支持是防止经历虐待儿童或家庭挑战的退伍军人愤怒发展的保护因素。儿童忽视与成人愤怒的联系最强,任何类型的感知支持都不会改变。促进友谊的计划可能对退伍退伍军人特别有益。
    Background: Experience of childhood adversity is associated with greater anger as an adult, particularly in men. Soldiers and veterans report higher incidence of adverse childhood experiences, many of whom also experience elevated rates of PTSD and anger. However, little is known about factors which may protect against the development of anger after experiencing childhood adversity.Objective: This study aims to assess the potential protective aspects of perceived social support in military veterans.Methods: Data from the Northern Ireland Veterans\' Health and Wellbeing Study (N = 590, Mage = 56) was utilised in regression models to examine perceived social support (family, friend, partner; MSPSS) as a moderator of the association between adverse childhood experiences (ACEQ-10) and anger (DAR-7). This sample comprised men who were UK Armed Forces veterans residing in Northern Ireland.Results: Significant interaction effects, visualised using interaction plots, were found between perceived friend support and both child abuse and household challenge. When men perceived high friend support, there was no association between child abuse or household challenge and anger. For veteran men who perceived the maximum amount of partner support, there was no association between child abuse and anger. Family support did not change the positive association between child abuse, child neglect or household challenge and future anger.Conclusions: This study indicates that it is especially important to foster supportive and empathetic friendships for men that have experienced adversity as a child, perhaps through programmes such as Men\'s Sheds, as these friendships may alleviate the negative influences of child abuse and household challenge on anger.
    Perceived friend and partner support were protective factors against the development of anger for veterans that experienced child abuse or household challenge.Child neglect had the strongest association with adult anger, unchanged by any type of perceived support.Programmes which foster friendships may be particularly beneficial for veterans transitioning out of the military.
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  • 文章类型: Journal Article
    背景:尽管虐待儿童(CM)与健康问题和不良的社会心理功能有关,并非所有暴露于CM的个体在以后的生活中都会发展或经历负面后果。这表明一些个体在暴露于CM后表现出韧性。然而,结论受到不同CM亚型和弹性域的不一致发现的限制。目的:制定一个方案,用于进行系统评价和荟萃分析,以量化成年期CM(整体及其亚型)和弹性(全球及其多个领域)之间的关联,并检查这些协会的主持人和调解人。方法:PubMed,PsycINFO,Embase,Scopus,和WebofScience将进行搜索,以确定有关成人(≥18岁)的CM(暴露)和弹性(结果)之间关联的相关研究。数据将由至少两名独立审稿人筛选和提取。纳入研究的方法学质量将通过改良版本的纽卡斯尔-渥太华量表(NOS)进行独立评估。如果认为可行,将使用随机效应模型进行荟萃分析.证据的异质性将用I2统计量来估计,和出版偏见将被评估。潜在调节剂的影响(例如CM的时机和严重程度,年龄,性别,家庭凝聚力,社会经济地位,国家/地区)将使用荟萃回归和亚组分析进行分析,元分析结构方程模型将用于综合间接中介效应。候选主持人和调解员(例如遗传因素,大脑功能,附件样式,人格特质,身体活动,和社会支持)也将进行定性检查。结论:该方案将促进系统评价和荟萃分析,有可能增强我们对早年CM暴露与成年期弹性之间关联的认识。了解CM和韧性之间的关联和潜在机制对于告知具有CM病史的成年人的预防和干预措施以维持健康和改善结果可能很重要。PROSPERO注册:CRD42023394120。
    在本研究方案中,我们建议定量总结现有文献中关于虐待儿童与心理弹性之间的关系,涉及心理健康后果和以后生活中的心理社会功能。这项预先注册的系统审查和荟萃分析将建立程序,以调查儿童虐待的总体分类与其不同的相关亚型之间的关联。以及成人复原力及其不同领域的全球/特征分类。该协议将进一步确定分析方法,以探索和总结成年期儿童虐待与复原力之间关联的效果调节者和调解者。由此产生的合成,这将基于这个协议,可以增强我们对虐待儿童和复原力之间关联强度的理解,并为预防策略和临床干预措施提供信息,以改善成年幸存者的健康和社会心理功能。
    Background: Although child maltreatment (CM) has been linked to health problems and poor psychosocial functioning, not all individuals exposed to CM develop or experience negative consequences later in life. This suggests that some individuals show resilience after being exposed to CM. However, conclusions have been limited by inconsistent findings across different CM subtypes and resilience domains.Objective: To develop a protocol for conducting a systematic review and meta-analysis to quantify associations between CM (overall and its subtypes) and resilience (global and its multiple domains) in adulthood, and to examine moderators and mediators of these associations.Method: PubMed, PsycINFO, Embase, Scopus, and Web of Science will be searched to identify relevant studies on the association between CM (exposure) and resilience (outcome) in adults (≥ 18 years). Data will be screened and extracted by at least two independent reviewers. The methodological quality of the included studies will be independently assessed with a modified version of the Newcastle-Ottawa Scale (NOS). If deemed viable, a meta-analysis will be conducted using a random effects model. Heterogeneity of evidence will be estimated with the I2 statistic, and publication bias will be assessed. The effects of potential moderators (e.g. timing and severity of CM, age, sex, family cohesion, socio-economic status, country/region) will be analysed using meta-regression and subgroup analyses, and meta-analytical structural equation modelling will be employed to synthesise indirect mediation effects. Candidate moderators and mediators (e.g. genetic factors, brain functioning, attachment style, personality traits, physical activity, and social support) will be also examined qualitatively.Conclusions: This protocol will facilitate a systematic review and meta-analysis that has the potential to enhance our knowledge about the association between CM exposure in early life and resilience in adulthood. Understanding associations and underlying mechanisms between CM and resilience is potentially important in informing prevention and interventions to sustain health and improve outcomes among adults with a history of CM.PROSPERO registration: CRD42023394120.
    In this study protocol, we propose to quantitatively summarise the existing literature on the relationship between child maltreatment and resilience with regard to mental health consequences and psychosocial functioning later in life.This preregistered systematic review and meta-analysis will establish the procedures to investigate associations between an overall classification of child maltreatment and its different associated subtypes, and a global/trait classification of resilience and its different domains in adults.This protocol will further determine the analytical approach to explore and summarise effect moderators and mediators of the association between child maltreatment and resilience in adulthood.The resulting synthesis, that will be based on this protocol, could enhance our understanding of the strength of the association between child maltreatment and resilience and inform prevention strategies and clinical interventions to improve health and psychosocial functioning in adult survivors.
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  • 文章类型: Journal Article
    背景:社会支持是理解创伤后应激障碍(PTSD)及其治疗的重要特征。非临床研究已经确定了文化上适当的社会支持的不同概况。尽管如此,很少有研究研究在创伤后应激障碍背景下文化对社会支持的影响。目的:本研究探讨了社会支持与PTSD症状之间关联的文化差异。方法:本研究采用横断面设计。澳大利亚(n=91)和马来西亚(n=91)创伤幸存者完成了一项在线调查,评估PTSD症状和社会支持(显性和隐性社会支持,感知到支持提供者的帮助,对寻求专业帮助的态度)。准实验范式评估了相互(即关系伙伴之间共享支持)和非相互支持(即一个人不断获得支持,而另一个人不断提供支持)对负面情绪和主观痛苦。结果:第一,在澳大利亚组,显性社会支持与PTSD症状呈负相关,而在马来西亚组则没有.第二,对于马来西亚组,而澳大利亚组,家庭支持的感知帮助与PTSD症状呈负相关。第三,与澳大利亚组相比,马来西亚组报告的非相互支持带来的困扰显著更大,而相互支持带来的负面情绪和困扰显著更少.第四,马来西亚小组报告说,他们比澳大利亚小组更愿意承认心理问题以及寻求专业帮助的可能性。结论:随着PTSD社会支持文献的不断发展,考虑到重要的理论和临床意义,文化影响至关重要。
    社会支持是理解创伤后应激障碍(PTSD)的重要特征。虽然非临床研究已经确定了文化上适当的社会支持的不同概况,很少有研究研究创伤后应激障碍背景下文化对社会支持的影响。向他人透露创伤并明确请求援助与澳大利亚组的PTSD症状呈负相关,而马来西亚组则没有。来自家庭的支持与马来西亚组的PTSD症状呈负相关,但与澳大利亚组无关。马来西亚集团报告说,与澳大利亚集团相比,非相互支持的困扰要大得多,相互支持的负面影响和困扰要小得多。随着精神创伤学文献的不断发展,考虑到重要的理论和临床意义,文化对社会支持的影响至关重要。
    Background: Social support is an important feature in understanding posttraumatic stress disorder (PTSD) and its treatment. Non-clinical research has identified distinct profiles of culturally appropriate social support. Despite this, little research has examined cultural influences on social support in the context of PTSD.Objective: This study examined cultural differences in the associations between social support and symptoms of PTSD.Method: The study employed a cross-sectional design. Australian (n = 91) and Malaysian (n = 91) trauma survivors completed an online survey assessing PTSD symptomatology and social support (explicit and implicit social support, perceived helpfulness of support provider, attitudes towards professional help-seeking). A quasi-experimental paradigm assessed the influence of mutual (i.e. the sharing of support between relationship partners) and non-mutual support (i.e. where one person constantly receives support, while the other person constantly provides support) on negative emotion and subjective distress.Results: First, explicit social support was negatively associated with PTSD symptoms for the Australian group but not the Malaysian group. Second, perceived helpfulness of support from family was negatively associated with PTSD symptoms for the Malaysian group but not the Australian group. Third, the Malaysian group reported significantly greater distress for non-mutual support and significantly fewer negative emotions and distress for mutual support than the Australian group. Fourth, the Malaysian group reported that they were significantly more open to acknowledging psychological problems and the possibility of seeking professional help for these problems than the Australian group.Conclusions: As the PTSD social support literature continues to evolve, it is essential that cultural influences are considered given the important theoretical and clinical implications.
    Social support is an important feature in understanding posttraumatic stress disorder (PTSD). While non-clinical research has identified distinct profiles of culturally appropriate social support, little research has examined cultural influences on social support in the context of posttraumatic stress disorder.Disclosing the trauma to others and explicating requesting assistance was negatively associated with PTSD symptoms for the Australian group but not the Malaysian group. Support from family was negatively associated with PTSD symptoms for the Malaysian group but not the Australian group. The Malaysian group reported significantly greater distress for non-mutual support and significantly less negative affect and distress for mutual support than the Australian group.As the psychotraumatology literature continues to evolve, it is essential that cultural influences on social support are considered given the important theoretical and clinical implications.
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