1
|
Chirico A, Palombi T, Alivernini F, Lucidi F, Merluzzi TV. Emotional Distress Symptoms, Coping Efficacy, and Social Support: A Network Analysis of Distress and Resources in Persons With Cancer. Ann Behav Med 2024:kaae025. [PMID: 38865355 DOI: 10.1093/abm/kaae025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2024] Open
Abstract
BACKGROUND The study's main aim was to analyze the structure and configuration of distress symptoms and resource factors. PURPOSE Common methods of assessing distress symptoms in cancer patients (i) do not capture the configuration of individual distress symptoms and (ii) do not take into account resource factors (e.g., social support, coping, caring health professionals). Network analysis focuses on the configuration and relationships among symptoms that can result in tailored interventions for distress. Network analysis was used to derive a symptom-level view of distress and resource factors. METHODS Nine hundred and ninety-two cancer patients (mixed diagnoses) completed an abridged Distress Screening Schedule that included 24 items describing symptoms related to distress (depression, anxiety) and resource factors (social support, coping, caring health professionals). RESULTS In network analysis, the centrality strength index (CSI) is the degree to which an item is connected to all other items, thus constituting an important focal point in the network. A depression symptom had the highest CSI value: felt lonely/isolated (CSI = 1.30). In addition, resource factors related to coping efficacy (CSI = 1.20), actively seeking support (CSI = 1.10), perceiving one's doctor as caring (CSI = 1.10), and receiving social support (CSI = 1.10) also all had very high CSI scores. CONCLUSIONS AND IMPLICATIONS These results emphasize the integral importance of the social symptoms of loneliness/isolation in distress. Thus, distress symptoms (loneliness) and resource factors (coping efficacy, seeking social support, and perceiving medical professionals as caring) should be integral aspects of distress management and incorporated into assessment tools and interventions to reduce distress.
Collapse
Affiliation(s)
- Andrea Chirico
- Department of Developmental and Social Psychology, Sapienza, University of Rome, Rome, Italy
| | - Tommaso Palombi
- Department of Developmental and Social Psychology, Sapienza, University of Rome, Rome, Italy
| | - Fabio Alivernini
- Department of Developmental and Social Psychology, Sapienza, University of Rome, Rome, Italy
| | - Fabio Lucidi
- Department of Developmental and Social Psychology, Sapienza, University of Rome, Rome, Italy
| | - Thomas V Merluzzi
- Department of Psychology, University of Notre Dame, South Bend, Indiana, USA
| |
Collapse
|
2
|
Queiroga BN, Ravanelli TB, Braga LVM, Alexandre M, Mendonça RGMD, Meves R. Cross-cultural Validation of the Health Mindset Scale for Brazil. Rev Bras Ortop 2024; 59:e213-e219. [PMID: 38606118 PMCID: PMC11006518 DOI: 10.1055/s-0044-1779329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 06/26/2023] [Indexed: 04/13/2024] Open
Abstract
Objective To cross-culturally validate the Health Mindset Scale for Brazil, as well as adapt the terms and questionnaires for adequate understanding of Brazilians, using factor analysis as an instrument to validate its reliability. Methods Cross-cultural validation of the Health Mindset Scale into Brazilian Portuguese using the Beaton method, Cronbach's alpha calculation and factor analysis Results The sample consisted of 215 patients aged between 18 and 87 years (M = 41.98; SD = 15.72), with a mean age between 31 and 50 years (42.0%), and female (52 .6%), a marginally significant difference (p < 0.10) between men and women was observed for item 3. In this item, men's mean (M = 5.48; SD = 0.99) was higher than the average for women (M = 5.10; SD = 1.22), with a small effect size for the difference (d = 0.26). Pearson's r correlation coefficient was examined between the mean score and age (r = -0.21; p = 0.002), the result of which indicated a weak, negative and significant linear relationship. The older the age, the lower the average score on the Health Mindset Scale. Conclusion The version of the health-focused mindset scale for Brazilian Portuguese was introduced and cross-culturally validated, demonstrating good reliability with a Cronbach's alpha of 0.786. Consequently, it constitutes a new instrument for clinical practice and can be correlated with established scales in the literature.
Collapse
Affiliation(s)
- Brunno Nóbrega Queiroga
- Departamento de Ortopedia e Traumatologia, “Pavilhão Fernandinho Simonsen”, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
| | - Thiago Batista Ravanelli
- Departamento de Ortopedia e Traumatologia, “Pavilhão Fernandinho Simonsen”, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
| | - Lucas Vendas Maluf Braga
- Departamento de Ortopedia e Traumatologia, “Pavilhão Fernandinho Simonsen”, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
| | - Murilo Alexandre
- Departamento de Ortopedia e Traumatologia, “Pavilhão Fernandinho Simonsen”, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
| | - Rodrigo Góes Medea de Mendonça
- Departamento de Ortopedia e Traumatologia, “Pavilhão Fernandinho Simonsen”, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
| | - Robert Meves
- Departamento de Ortopedia e Traumatologia, “Pavilhão Fernandinho Simonsen”, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
| |
Collapse
|
3
|
Mueller C, Adams M, Abrajano C, Yousefi R, Dalusag KS, Hui T, Su W, Fuchs J, Chiu B. A standardized treatment protocol for pilonidal disease can influence the health mindset of adolescents. Langenbecks Arch Surg 2024; 409:93. [PMID: 38467936 DOI: 10.1007/s00423-024-03282-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2023] [Accepted: 03/06/2024] [Indexed: 03/13/2024]
Abstract
PURPOSE Pilonidal disease (PD) significantly impacts patients' quality of life and requires regular maintenance behaviors to achieve cure. Health mindset is a psychological construct which can influence health behaviors and outcomes, with a growth mindset being associated with better outcomes than a fixed. We propose that participation in a standardized treatment protocol can affect the health mindset for adolescents with pilonidal disease. METHODS PD patients' demographics, recurrence, and comorbidities were prospectively collected from 2019 to 2022. We assessed patients' mindset score at initial presentation using the validated Three-Item Mindset Scale (1-6) then reassessed during follow-up. t-test was used to compare baseline and follow-up mindset scores and stratified by recurrence or comorbidities. p ≤ 0.05 was considered significant. RESULTS A total of 207 PD patients (108 males, 99 females) with mean age 18.2 ± 3.7 years were followed for 351 ± 327 days. Mean baseline mindset score (4.76 ± 1.27) was significantly lower than mean follow-up mindset score (5.03 ± 1.18, p = 0.049). Baseline mindset score was significantly lower among patients with PD recurrence (4.00 ± 0.66) compared to those without recurrence (4.8 ± 1.29, p = 0.05). Among patients with PD recurrence, mean baseline mindset score (4.00 ± 0.66) was significantly lower than mean follow-up mindset score (5.27 ± 0.93, p = 0.0038). Patient comorbidity did not affect the baseline or follow-up mindset score. CONCLUSIONS Participation in a standardized treatment protocol is associated with the development of a stronger growth mindset over time for patients with PD. Furthermore, a growth mindset was linked to lower recurrence rate than a fixed mindset. Further investigations into how treatment approaches can work in concert with health mindset are proposed.
Collapse
Affiliation(s)
- Claudia Mueller
- Department of Surgery, Stanford University, 453 Quarry Road, Stanford, Palo Alto, CA, 94304, USA
| | - Madeline Adams
- Department of Surgery, Stanford University, 453 Quarry Road, Stanford, Palo Alto, CA, 94304, USA
| | - Claire Abrajano
- Department of Surgery, Stanford University, 453 Quarry Road, Stanford, Palo Alto, CA, 94304, USA
| | - Razie Yousefi
- Department of Biochemistry and Molecular Biology, University of Texas Medical Branch, Galveston, TX, USA
| | - Kyla Santos Dalusag
- Department of Surgery, Stanford University, 453 Quarry Road, Stanford, Palo Alto, CA, 94304, USA
| | - Thomas Hui
- Department of Surgery, Stanford University, 453 Quarry Road, Stanford, Palo Alto, CA, 94304, USA
| | - Wendy Su
- Department of Surgery, Stanford University, 453 Quarry Road, Stanford, Palo Alto, CA, 94304, USA
| | - Julie Fuchs
- Department of Surgery, Stanford University, 453 Quarry Road, Stanford, Palo Alto, CA, 94304, USA
| | - Bill Chiu
- Department of Surgery, Stanford University, 453 Quarry Road, Stanford, Palo Alto, CA, 94304, USA.
| |
Collapse
|
4
|
Pawar AS, Thorsteinsdottir B, Whitman S, Pine K, Lee A, Espinoza Suarez NR, Organick Lee P, Thota A, Lorenz E, Beck A, Albright R, Feely M, Williams A, Behnken E, Boehmer KR. Decisional Regret Surrounding Dialysis Initiation: A Comparative Analysis. Kidney Med 2024; 6:100785. [PMID: 38435065 PMCID: PMC10907211 DOI: 10.1016/j.xkme.2023.100785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 10/20/2023] [Accepted: 11/19/2023] [Indexed: 03/05/2024] Open
Abstract
Rationale & Objective Dialysis comes with a substantial treatment burden, so patients must select care plans that align with their preferences. We aimed to deepen the understanding of decisional regret with dialysis choices. Study Design This study had a mixed-methods explanatory sequential design. Setting & Participants All patients from a single academic medical center prescribed maintenance in-center hemodialysis or presenting for home hemodialysis or peritoneal dialysis check-up during 3 weeks were approached for survey. A total of 78 patients agreed to participate. Patients with the highest (15 patients) and lowest decisional regret (20 patients) were invited to semistructured interviews. Predictors Decisional regret scale and illness intrusiveness scale were used in this study. Analytical Approach Quantitatively, we examined correlations between the decision regret scale and illness intrusiveness scale and sorted patients into the highest and lowest decision regret scale quartiles for further interviews; then, we compared patient characteristics between those that consented to interview in high and low decisional regret. Qualitatively, we used an adapted grounded theory approach to examine differences between interviewed patients with high and low decisional regret. Results Of patients invited to participate in the interviews, 21 patients (8 high regret, 13 low regret) agreed. We observed that patients with high decisional regret displayed resignation toward dialysis, disruption of their sense of self and social roles, and self-blame, whereas patients with low decisional regret demonstrated positivity, integration of dialysis into their identity, and self-compassion. Limitations Patients with the highest levels of decisional regret may have already withdrawn from dialysis. Patients could complete interviews in any location (eg, home, dialysis unit, and clinical office), which may have influenced patient disclosure. Conclusions Although all patients experienced disruption after dialysis initiation, patients' approach to adversity differs between patients experiencing high versus low regret. This study identifies emotional responses to dialysis that may be modifiable through patient-support interventions.
Collapse
Affiliation(s)
- Aditya S. Pawar
- Beth Israel Deaconess Medical Center, Boston, MA
- Community Internal Medicine, Mayo Clinic, Rochester, MN
| | - Bjorg Thorsteinsdottir
- Community Internal Medicine, Mayo Clinic, Rochester, MN
- Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN
| | - Sam Whitman
- College of Health Solutions, Arizona State University, Phoenix, AZ
| | - Katherine Pine
- Human and Social Dimensions of Science and Technology, Arizona State University, Phoenix, AZ
| | - Alexander Lee
- Health Services Research, Mayo Clinic, Rochester, MN
| | - Nataly R. Espinoza Suarez
- Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN
- VITAM Research Center on Sustainable Health, Québec Integrated University Health and Social Services Center (CIUSSS de la Capitale-Nationale), Québec, Canada
| | - Paige Organick Lee
- Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN
| | - Anjali Thota
- Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN
| | | | | | | | | | - Amy Williams
- Nephrology and Hypertension, Mayo Clinic, Rochester, MN
| | - Emma Behnken
- Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN
| | - Kasey R. Boehmer
- Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN
| |
Collapse
|
5
|
Parsamanesh P, Vysochyn M. A Psychological Exploration of the Power of Our Mindset and Its Influence on Physiological Health. Cureus 2024; 16:e52505. [PMID: 38371054 PMCID: PMC10874242 DOI: 10.7759/cureus.52505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/17/2024] [Indexed: 02/20/2024] Open
Abstract
The brain is the control center for our bodies and determines our emotions, thoughts, and actions. From a psychological perspective, the mind can assist humans in manifesting a more remarkable life for themselves or hinder their abilities and result in unfulfilled potential. Considering the power of the mind, it is interesting to study the psychology of the mind and its direct influence on our physiological health. In medical terms, this effect is known as the placebo effect, where the mind and body connect on a stronger level and can assist in the betterment of an individual's physiological health. On the contrary, the mind can also assist in deteriorating one's physiological health by believing the medical intervention will cause them harm, known as the nocebo effect. Therefore, the mind holds much power when studying how deeply it is connected to and can influence one's physiological health. A comprehensive literature review was conducted using the Medical Subject Headings (MeSH) terms "Mindset," "Influence," and "Health" on the PubMed database. The initial search generated 115 results and was narrowed by assessing each article and applying specific inclusion and exclusion criteria. As a result, nine articles were carefully selected for this review.
Collapse
|
6
|
Rosenberg L. Correlations Between Mindset and Participation in Everyday Activities Among Healthy Adolescents. Am J Occup Ther 2023; 77:7706205080. [PMID: 37943368 DOI: 10.5014/ajot.2023.050297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2023] Open
Abstract
IMPORTANCE Mindsets are personal beliefs that one's abilities and personality traits can be improved and modified through education and effort. It is known that mindsets contribute to behavior and achievements; however, research on mindsets in the context of participation is still lacking. OBJECTIVE To assess the correlations between mindsets and dimensions of participation among healthy adolescents and to explore the unique contribution of mindsets to the total explained variance of adolescents' participation diversity, frequency, independence, enjoyment, and satisfaction. DESIGN Cross-sectional. SETTING Community in Israel. PARTICIPANTS Healthy adolescents (N = 115; 63 females, 52 males) ages 11 to 16 yr (M age = 13.77, SD = 1.22) and their parents. OUTCOMES AND MEASURES The Mindset and Perseverance Questionnaire was used to assess mindsets regarding intelligence, emotions and behavior, and perseverance. The Adolescence Participation Questionnaire was used to assess participation in daily activities. RESULTS Mindset regarding emotions, behavior, and perseverance was positively and moderately associated with all participation measures aside from diversity. Mindset regarding intelligence was not associated with participation. The regression analysis indicates that the explanatory variables had a significant modest contribution of 6% to 13% to the total explained variance in adolescents' participation frequency, independence, and enjoyment. Of note, mindset regarding perseverance was found to be the main predictor. CONCLUSIONS AND RELEVANCE Mindsets and participation are correlated. Beliefs regarding perseverance and effort contribute significantly to various dimensions of adolescents' participation. Occupational therapy practitioners may find growth mindset theory capable of enriching interventions aimed at promoting adolescents' optimal participation. What This Article Adds: This is the first study to assess adolescents' mindset in the context of their participation. The findings demonstrate the significant contribution of mindsets regarding perseverance, effort, emotions, and behavior to participation in everyday activities among healthy adolescents. The findings can be incorporated into interventions aimed at promoting adolescents' optimal participation.
Collapse
Affiliation(s)
- Limor Rosenberg
- Limor Rosenberg, OT, PhD, is Senior Teacher, Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv, Israel;
| |
Collapse
|
7
|
Parental Health Mindset Is Related to Preoperative Perceptions of Chest Wall Anomalies. J Surg Res 2023; 284:318-321. [PMID: 36641946 DOI: 10.1016/j.jss.2022.11.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 11/15/2022] [Accepted: 11/20/2022] [Indexed: 01/14/2023]
Abstract
INTRODUCTION Mindsets of health have been linked to different outcomes for patients with both surgical and medical conditions. A "growth" mindset, in which health is defined as malleable and subject to improvement, is associated with improved attitudes and outcomes when compared to a "fixed" mindset, in which health is defined as unchangeable. In pediatric surgery, parental growth mindsets of health have been correlated with better postoperative outcomes, including lower scores of anxiety and pain perceptions, for children. This was particularly notable in a study of postoperative outcomes for patients with pectus excavatum. In our current study, we extend our investigations to explore how health mindsets are associated with perceptions of chest wall anomalies before correction is undertaken. METHODS Seventy-six patients (71 males, mean age 14 y, and 43 excavatum) and 18 parents were surveyed during a routine chest wall clinic visit. Demographic and clinical information as well as the Health Mindset Scale and Pectus Excavatum Evaluation Questionnaire were administered and collected pretreatment. RESULTS Parental mindsets of health were significantly correlated with parent assessments of their children's chest pain, physical activity, and concerns about the life-time effect of the condition. A parental growth mindset was linked to lower scores of chest pain, higher ratings of activity, and lower overall level of concern. Furthermore, parental health mindsets also significantly correlated with children's own perceptions of their chest pain, physical activity, shortness of breath, and fatigue. Growth mindset also was linked to more positive ratings. CONCLUSIONS Parental growth mindset was associated with more positive assessments of children's symptoms and limitations due to pectus deformities than fixed mindsets. Health mindset has been linked to patient perceptions of, and outcomes for, diabetes, renal disease, allergies, scoliosis, and obesity. Further study into parental and patient mindset correlation may help elucidate factors for bracing compliance, and perhaps to better prepare children and parents for corrective surgical procedures.
Collapse
|
8
|
Caruso A, Grolnick W, Mueller C, Kaczynski K, Chang CYH, Lebel A. Health Mindsets in Pediatric Chronic Headache. J Pediatr Psychol 2021; 47:391-402. [PMID: 34877604 DOI: 10.1093/jpepsy/jsab115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Revised: 10/12/2021] [Accepted: 10/12/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE Given how frequently youth with chronic headache and migraine experience setbacks in treatment, identifying factors that promote coping and resilience is critical. Mindsets have gained attention as predictors of behavior and targets of intervention across contexts, including health. Health mindsets may help to explain how children with chronic pain interpret and respond to treatment. This study evaluated whether growth health mindsets might relate to adaptive outcomes in patients with chronic pediatric headache. METHODS Participants were 88 children and adolescents (ages 10-17 years) with headache or migraine contacted following an appointment at a pediatric headache clinic, and their parent. Patients rated their beliefs about health as more fixed versus growth-oriented. They were presented with vignettes depicting hypothetical treatment setbacks and instructed to reflect upon real-life setbacks. Patients completed questionnaires about their cognitive appraisals of setbacks, coping, quality of life, life satisfaction, and functional impairment. RESULTS The higher children rated their growth health mindsets, the less likely they were to appraise setbacks as threatening and endorse quality-of-life problems. Children with higher growth mindsets reported higher life satisfaction and lower functional disability. There was also an indirect relation between children's mindsets and coping through cognitive appraisals of setbacks as a threat, but not challenge. CONCLUSION This research extends the health mindsets literature by contributing preliminary evidence of health mindsets as tied to adaptive outcomes in youth with chronic headache. These findings may be of interest to clinicians and parents, as health mindsets may offer an avenue by which resilience is promoted and maladaptive appraisals are minimized.
Collapse
Affiliation(s)
- Alessandra Caruso
- Department of Psychology, Clark University, USA.,Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, USA
| | | | - Claudia Mueller
- Department of Surgery, Stanford University School of Medicine, USA
| | - Karen Kaczynski
- Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, USA.,Department of Psychiatry, Harvard Medical School, USA
| | - Cindy Yu-Hsing Chang
- Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, USA
| | - Alyssa Lebel
- Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, USA.,Department of Neurology, Harvard Medical School, USA
| |
Collapse
|