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Diez de Los Rios de la Serna C, Lluch-Canut MT, Fernández-Ortega MP. Hereditary Cancer Syndrome Carriers: Feeling Left in the Corner. Semin Oncol Nurs 2024; 40:151624. [PMID: 38575458 DOI: 10.1016/j.soncn.2024.151624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 03/01/2024] [Accepted: 03/01/2024] [Indexed: 04/06/2024]
Abstract
OBJECTIVES There is limited evidence on health promotion interventions in people with hereditary cancer syndromes or on their main sources of support and information. This study aimed to understand these patients' experiences and needs, including their information needs, their views on prevention and mental health, and the support they want from nurses. METHODS This qualitative study included 22 people (8 previvors and 14 survivors) with hereditary breast and ovarian syndrome or Lynch syndrome from 10 European countries. Participants underwent individual semi-structured interviews, which were recorded and transcribed for reflexive thematic analysis. The patient and public involvement panel provided input on study design and thematic analysis. RESULTS Patient experiences were similar regardless of the country and access to testing and screening. Participants reported receiving little information on the importance of health behaviors for cancer risk and expressed their wish to be followed by cancer professionals. They felt compelled to seek support and information from the internet and patient groups. The main themes identified were: (unmet) informational and support needs, seeing life in a different way, and limitations of health care providers. CONCLUSIONS People with hereditary cancer syndromes need professionals to be involved in their long-term management and to provide reliable information. As genomics are increasingly integrated in oncology, the need for professionals to support these populations will increase. IMPLICATIONS FOR NURSING PRACTICE Nurses are crucial for promoting self-management and advocating for patient decision-making; however, they need skills and knowledge to do so. There is a need for nurses to get more involved in understanding hereditary cancer syndromes and an opportunity to take the lead in the care of these people.
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Affiliation(s)
| | - Maria Teresa Lluch-Canut
- PhD Programme, Faculty of Nursing, Bellvitge Campus, University of Barcelona (UB), Barcelona, Spain
| | - Maria Paz Fernández-Ortega
- PhD Programme, Faculty of Nursing, Bellvitge Campus, University of Barcelona (UB), Barcelona, Spain; Institut Català d'Oncologia (ICO) Barcelona, Barcelona, Spain
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Mantas-Jiménez S, Reig-García G, Roqueta-Vall-Llosera M, Camara-Liebana D, Masià-Plana A, Lluch-Canut MT, Juvinya-Canal D. Positive mental health and sense of coherence among emergency medical service professionals. Front Public Health 2024; 12:1344872. [PMID: 38444442 PMCID: PMC10912187 DOI: 10.3389/fpubh.2024.1344872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Accepted: 02/01/2024] [Indexed: 03/07/2024] Open
Abstract
Background Positive mental health (PMH) is a construct used to define and evaluate health from a positive perspective. Healthcare professionals in the emergency ambulance service are more likely to experience mental health disorders than the overall population. The demographic and occupational variables and Sense of Coherence (SOC) can act as predictors of PMH and can serve as protective elements against stress and demanding situations in the work environment. Objective This study aimed to evaluate PMH and its relationship with demographic and occupational variables and determine if SOC is a predictive variable for PMH in health professionals working in the emergency ambulance service. Methods A descriptive, cross-sectional, and correlational study was conducted with a sample of 406 healthcare professionals from the emergency ambulance service in eight health regions of Catalonia, Spain. The following variables were analyzed: Age, biological sex, household members, dependents family members, professional category, type of contract, job satisfaction and sense of collaboration with other institutions. The following assessment instruments were used: Positive Mental Health Questionnaire and Sense of Coherence scale. Results High scores were obtained in Positive Mental Health (PMH). Study participants who reported feeling completely satisfied in their work also showed a significant relationship with all PMH factors: greater satisfaction with their personal life, in their helpful prosocial attitude toward others, in their capability to deal effectively with stress and navigate conflict scenarios, in their ability to solve problems and self-realization, greater empathy and ability to understand the feelings of others, greater ability to establish interpersonal relationships. Comprehensibility, as a dimension of SOC, was identified as a predictor for some factors of PMH: a greater personal satisfaction, self-control, autonomy, interpersonal skills and total PMHQ. More than 43% of positive mental health in health professionals is explained by higher Meaningfulness and Comprehensibility values of the SOC, the absence of dependent family members and having a non-graduate background. Conclusion Healthcare workers in the emergency ambulance service had high PMH. Meaningfulness (ME) and Comprehensibility (C), dimensions of SOC, were identified as model predictors of greater PMH, showing higher scores in most of PMH factors. To enhance SOC as a mental health promotion measure, resilience programs should be implemented to help professionals develop skills to face and overcome adverse situations. Educating in stress management thought networks are key elements to strengthen SOC. Managers in emergency medical services play a key role in transforming healthcare work environments to promote positive outcomes in the mental health of their healthcare workers.
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Affiliation(s)
- Susana Mantas-Jiménez
- Department of Nursing, University of Girona, Girona, Spain
- Research Group Health and Healthcare, University of Girona, Girona, Spain
| | - Glòria Reig-García
- Department of Nursing, University of Girona, Girona, Spain
- Research Group Health and Healthcare, University of Girona, Girona, Spain
| | - Marta Roqueta-Vall-Llosera
- Department of Nursing, University of Girona, Girona, Spain
- Health Gender and Aging Research Group, Girona, Spain
| | - David Camara-Liebana
- Department of Nursing, University of Girona, Girona, Spain
- Department of Psychology, Quality of Life Research Institute, Universitat de Girona, Girona, Spain
| | - Afra Masià-Plana
- Department of Nursing, University of Girona, Girona, Spain
- Research Group Health and Healthcare, University of Girona, Girona, Spain
| | | | - Dolors Juvinya-Canal
- Department of Nursing, University of Girona, Girona, Spain
- Research Group Health and Healthcare, University of Girona, Girona, Spain
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Marcos Anton G, Puig Llobet M, Lluch Canut T, Sanchez Ortega MA, Piazuelo Pont M, Moreno-Arroyo M. mHealth to improve experience, adherence to pharmacological treatment and positive mental health in patients diagnosed with femur fractures: protocol for a quasi-experimental study (Preprint). JMIR Res Protoc 2023; 12:e45856. [PMID: 37115614 PMCID: PMC10182452 DOI: 10.2196/45856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 03/15/2023] [Accepted: 03/16/2023] [Indexed: 03/18/2023] Open
Abstract
BACKGROUND Considering the prognosis of femur fractures worldwide, the ageing of our society, and the problems in adherence to treatment found in these patients, it is believed that mobile health can have a positive impact on the process and quality of care. OBJECTIVE We aim to evaluate the effectiveness of a pharmacological educational nurse intervention with Myplan app with regard to knowledge, adherence to pharmacological treatment, and positive mental health of patients with femur fractures. METHODS A nonrandomized, quasi-experimental study will be carried out with a pretest-posttest control group. It will include 278 older patients diagnosed with femur fractures, with a Glasgow Coma Scale of 15 and access to mobile devices. Patients with psychological pathologies and cognitive impairment or patients treated in isolation will be excluded. Study variables are as follows: sociodemographic variables (AdHoc Form), patient experience (Patient Experience Questionnaire-15), adherence to pharmacological treatment (Morisky-Green questionnaire), and positive mental health (Positive Mental Health questionnaire). The measurements will be taken 24 hours after admission, upon discharge, and 25 days after discharge. RESULTS Enrollment commenced in October 2022. Data collection will be completed in April 2023. CONCLUSIONS The results of this study will offer evidence of the effectiveness of a pharmacological educational nurse intervention by means of a free smartphone app. If its efficacy is demonstrated and the results are acceptable, it could mean an improvement in the care of patients with femur fractures, and this technology could be used to guide other training interventions in patients with other pathologies. TRIAL REGISTRATION ClinicalTrials.gov NCTT05669040; https://clinicaltrials.gov/ct2/show/NCTT05669040. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/45856.
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Affiliation(s)
- Gemma Marcos Anton
- Department of Traumatology, Hospital Clínic de Barcelona, Barcelona, Spain
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain
| | - Montserrat Puig Llobet
- Department of Public Health Nursing, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain
- Department of Mental Health Nursing, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain
- Department of Maternal and Child Health Nursing, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain
| | - Teresa Lluch Canut
- Department of Public Health Nursing, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain
- Department of Mental Health Nursing, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain
- Department of Maternal and Child Health Nursing, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain
| | | | | | - MªCarmen Moreno-Arroyo
- Department of Fundamental Care and Medical-Surgical Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain
- Department of Nursing Research Group (GRIN), Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat (Barcelona), Spain
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Counts CJ, John-Henderson NA. Childhood trauma and college student health: a review of the literature. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-15. [PMID: 36595473 DOI: 10.1080/07448481.2022.2130336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 08/05/2022] [Accepted: 09/05/2022] [Indexed: 06/17/2023]
Abstract
The experience of childhood trauma is known to predict health-relevant outcomes across the lifespan. Previous reviews summarize existing knowledge of the implications of childhood trauma for health in young adults and adults more generally. The current theoretical review aims to integrate the existing literature on the relationship between childhood trauma and health-relevant outcomes specifically in college students, consolidating findings across specific health domains. Further, the following theoretical review highlights the need for more research in this area and discusses how college campuses may use the knowledge in this area of work to develop targeted interventions aimed at improving the health of college students who experienced trauma in childhood.
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Affiliation(s)
- Cory J Counts
- Department of Psychology, Montana State University, Bozeman, Montana, USA
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Almeida CPP, Novo AFMP, Lluch Canut MT, Ferré‐Grau C, Sequeira CADC. COVID-19 infection: Positive mental health, psychological vulnerability and sex: Cross-sectional study. J Nurs Scholarsh 2023; 55:123-130. [PMID: 36239008 PMCID: PMC9874471 DOI: 10.1111/jnu.12826] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 09/15/2022] [Accepted: 09/16/2022] [Indexed: 02/07/2023]
Abstract
Since mid-March 2020, a state of emergency was decreed in Portugal due to the COVID-19 pandemic and, consequently, measures were implemented to protect public health, such as social isolation, which will certainly have a notable impact on the mental health of the population, especially in the most vulnerable groups. Positive Mental Health (PMH) is essential to deal with adversity, in this case with the pandemic, and to live better and with greater satisfaction. We consider it relevant to investigate how PMH was used as a resource to deal with the pandemic, depending on the level of vulnerability and sex. A, cross-sectional study was carried out whose the aim was to evaluate the levels of PMH and psychological vulnerability in people with COVOD-19 infection and analyze the association between PMH and psychological vulnerability among men and women. METHODS The instruments used were a sociodemographic characterization questionnaire, the Positive Mental Health Questionnaire, and the Psychological Vulnerability Scale (PVS), that were sent and filled out online. A quantitative, cross-sectional, descriptive, and correlational study was carried out. RESULTS After analyzing the results, it was found that approximately 50.4% of the respondents (n = 387) had global PMH values that place them in quartile 50. There was also a statistically significant difference between female and male PMH, with women showing greater psychological vulnerability and lower overall PMH. CONCLUSIONS We conclude that the women present a greater psychological vulnerability and a lower level of PMH when compared to men. RELEVANCE TO CLINICAL PRACTICE Considering the study's statistically significant results, when we talk about mental health, we should always consider the sex variable as a vulnerability factor, in a pandemic or non-pandemic phase.
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Affiliation(s)
| | - André Filipe Morais Pinto Novo
- Insituto Politécnico de Bragança, Escola superior de SaúdeBragancaPortugal,Center for Health Technology and Services Research (CINTESIS)
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Tinoco-Camarena JM, Puig-Llobet M, Lluch-Canut MT, Roldan-Merino J, Moreno-Arroyo MC, Moreno-Poyato A, Balaguer-Sancho J, Agüera Z, Sánchez-Ortega MA, Hidalgo-Blanco MÁ. Effectiveness of the Online "Dialogue Circles" Nursing Intervention to Increase Positive Mental Health and Reduce the Burden of Caregivers of Patients with Complex Chronic Conditions. Randomized Clinical Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:644. [PMID: 36612964 PMCID: PMC9819240 DOI: 10.3390/ijerph20010644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 12/20/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
The personal demands involved in caring for a chronically ill person can lead to emotional and physical exhaustion in caregivers. The aim of this study was to evaluate the effectiveness of an online nursing intervention called "dialogue circles" designed to reduce caregiver overload and enhance positive mental health (PMH) in family caregivers. We used a pre-post design. The sample consisted of 86 family caregivers of patients with complex chronic conditions, randomly assigned to the intervention group (n = 43) or the control group (n = 43). All participants completed the Zarit scale and the Positive Mental Health Questionnaire 15 days before starting the intervention and 30 days after its completion. Comparison of the post-test changes revealed statistically significant differences between the two groups in PMH and overload, with the intervention group showing greater positive changes in all dimensions of PMH after the intervention and lower scores on overload. In conclusion, the results suggest that incorporating dialogue circles as an online nursing intervention in the caregivers of patients with complex chronic conditions can enhance PMH and decrease caregiver overload, especially in settings where face-to-face encounters are not possible.
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Affiliation(s)
- Jose Manuel Tinoco-Camarena
- Center of Cornellà Specialists, Consorci Sanitari Integral, 08940 Barcelona, Spain
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
| | - Montserrat Puig-Llobet
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
| | - María Teresa Lluch-Canut
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
| | - Juan Roldan-Merino
- Department of Mental Health, Campus Docent Sant Joan de Déu School of Nursing, University of Barcelona, Sant Boi de Llobregat, 08830 Barcelona, Spain
| | - Mari Carmen Moreno-Arroyo
- Department of Nursing, Fundamental and Medical-Surgical, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain
- Department of Nursing Research Group (GRIN), Bellvitge Biomedical Research Institute (IDIBELL), L’Hospitalet de Llobregat, 08908 Barcelona, Spain
| | - Antonio Moreno-Poyato
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
| | - Judith Balaguer-Sancho
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
- Hospital de la Santa Creu I Sant Pau, 08041 Barcelona, Spain
| | - Zaida Agüera
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
- Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), L’Hospitalet de Llobregat, 08908 Barcelona, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, 28015 Madrid, Spain
| | - Maria Aurelia Sánchez-Ortega
- University School of Nursing and Occupational Therapy of Terrassa (EUIT), Universitat Autònoma de Barcelona, 08221 Terrassa, Spain
| | - Miguel Ángel Hidalgo-Blanco
- Department of Nursing, Fundamental and Medical-Surgical, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain
- Department of Nursing Research Group (GRIN), Bellvitge Biomedical Research Institute (IDIBELL), L’Hospitalet de Llobregat, 08908 Barcelona, Spain
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Liang XR, Dong WH, Bi WD, Li JJ, Weng YQ, Zhang LJ, Guo ZY. Effect of Iron-Erythrocyte Metabolism-Related Indexes on Posttraumatic Growth in Patients on Maintenance Hemodialysis (MHD). Int J Gen Med 2022; 15:8235-8247. [DOI: 10.2147/ijgm.s382210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Accepted: 11/10/2022] [Indexed: 11/23/2022] Open
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Oliveira L, Teixeira A, Duarte I. The Appraisal of Self-Care Agency Scale-Revised (ASAS-R): Reliability and Validity among Portuguese Medical Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191710848. [PMID: 36078563 PMCID: PMC9518396 DOI: 10.3390/ijerph191710848] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 08/24/2022] [Accepted: 08/29/2022] [Indexed: 05/16/2023]
Abstract
Self-care agency plays an important role in an individual's health. Considering the particularities of their education, it can be a protective factor for the mental health of medical students. This study aims to validate the Portuguese version of the Appraisal of Self-care Agency Scale-Revised (ASAS-R) in Portuguese medical students. A cross-sectional, quantitative, and analytical online study was conducted between 23 April 2021, and 15 July 2021. Exploratory factor analysis (EFA) was performed to test the internal structure of the ASAS-R. Correlations with the SHS (Subjective Happiness Scale), SWLS (Satisfaction with Life Scale), and MHI (Mental Health Inventory) were calculated using Pearson's coefficient so as to test convergent validity. Internal consistency was evaluated using inter-item correlation, corrected item-total correlation, and Cronbach's alpha. The total sample included 781 individuals. EFA yielded a 3-factor solution accounting for 53.9% of the explained variance. Pearson's coefficients obtained between the 3 factors of ASAS-R and the total scores of the 3 construct-related scales demonstrated adequate convergent validity. Total Cronbach's alpha value was 0.85, while the Cronbach's alpha of the three factors was 0.81, 0.55, and 0.83, respectively. This study demonstrated that ASAS-R is a valid and reliable instrument for measuring self-care agency among Portuguese medical students.
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Affiliation(s)
- Lídia Oliveira
- Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal
| | - Andreia Teixeira
- Department of Community Medicine, Information and Decision in Health (MEDCIS), Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal
- Center for Health Technology and Services Research (CINTESIS), University of Porto, 4200-319 Porto, Portugal
- ADiT-LAB, Instituto Politécnico de Viana do Castelo, Rua Escola Industrial e Comercial Nun’Álvares, 4900-347 Viana do Castelo, Portugal
| | - Ivone Duarte
- Department of Community Medicine, Information and Decision in Health (MEDCIS), Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal
- Center for Health Technology and Services Research (CINTESIS), University of Porto, 4200-319 Porto, Portugal
- Correspondence:
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Broncano-Bolzoni M, González-Carrasco M, Juvinyà-Canal D, Lluch-Canut MT. The Mental Health of Patients With Psychotic Disorder From a Positive, Multidimensional and Recovery Perspective. Front Psychol 2022; 13:857598. [PMID: 35859819 PMCID: PMC9290860 DOI: 10.3389/fpsyg.2022.857598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 05/16/2022] [Indexed: 11/30/2022] Open
Abstract
Positive mental health (PMH) and mental illness are distinct, yet interrelated, constructs. However, this relationship has yet to be adequately established. We aimed to evaluate the level of PMH and its relationship with sociodemographic and clinical determinants as well as to explore the relationship between PMH and the positive constructs of recovery, subjective wellbeing (SWB), insight and functioning in patients with psychotic disorder. A multicenter, descriptive, cross-sectional and correlational study with a sample of 347 patients with psychotic disorder was conducted. The following assessment instruments were used: Positive Mental Health Questionnaire, Maryland Assessment of Recovery in Serious Mental Illness scale, Insight Scale, Personal Wellbeing Index-Adult version (PWI-A), Overall Life Satisfaction (OLS) and Global Assessment of Functioning scale. The mean global level of PMH was 116.16 (range of 39–156, SD = 19.39). Significant differences were found in PMH in relation to sociodemographic (sex, civil status and employment situation) and clinical variables (family history of mental disorders, number of prescribed antipsychotics, treatment with anxiolytics, treatment with antidepressants and suicide attempts). PMH was significantly and positively correlated with recovery (r = 0.760), SWB (PWI-A: r = 0.728 and OLS: r = 0.602) and functioning (r = 0.243), and negatively with insight (r = −0.335). These results can lead to a major change in mental health care. If actions are taken to increase PMH, then recovery, SWB and functioning will also increase. At the same time, interventions should be carried out to boost insight, since increasing PMH could decrease insight, all resulting in better quality of life for patients with psychotic disorder.
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Affiliation(s)
- Miriam Broncano-Bolzoni
- Institut d'Assistència Sanitària, Girona, Spain
- Department of Nursing, University of Girona, Girona, Spain
| | | | - Dolors Juvinyà-Canal
- Department of Nursing, University of Girona, Girona, Spain
- Research Group Health and Healthcare, University of Girona, Girona, Spain
- *Correspondence: Dolors Juvinyà-Canal
| | - MTeresa Lluch-Canut
- Mental Health Sciences Department, School of Nursing, University of Barcelona, Barcelona, Spain
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Carvalho D, Sequeira C, Querido A, Tomás C, Morgado T, Valentim O, Moutinho L, Gomes J, Laranjeira C. Positive Mental Health Literacy: A Concept Analysis. Front Psychol 2022; 13:877611. [PMID: 35496219 PMCID: PMC9048044 DOI: 10.3389/fpsyg.2022.877611] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Accepted: 03/17/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundThe positive component of Mental Health Literacy (PMeHL) refers to a person’s awareness of how to achieve and maintain good mental health. Although explored recently, the term still lacks a clear definition among healthcare practitioners.AimTo identify the attributes and characteristics of PMeHL, as well as its theoretical and practical applications.MethodsLiterature search (using the Medline and CINAHL databases) and review, covering the last 21 years, followed by concept analysis according to the steps described by Walker and Avant approach.ResultsPositive component of Mental Health Literacy is considered one component of MHL, integrating positive mental health. The concept’s attributes include: (a) competence in problem-solving and self-actualization; (b) personal satisfaction; (c) autonomy; (d) relatedness and interpersonal relationship skills; (e) self-control; and (f) prosocial attitude. Four case scenarios (model, borderline, related and contrary cases) were used to clarify the antecedents (individual factors and social/contextual factors) and consequences (individual sphere; relational/social sphere; contextual/organizational sphere) of PMeHL.ConclusionPositive component of Mental Health Literacy is considered a component of MHL, which deserves attention throughout the lifespan, in different contexts and intervention levels. Considering PMeHL as a multi-faceted and dynamic construct will help understand the mechanisms that improve mental health and promote healthy behaviors. Priority should be given to robust primary research focused on nursing interventions that enhance and sustain PMeHL in people and families.
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Affiliation(s)
- Daniel Carvalho
- School of Health Sciences of Polytechnic of Leiria, Leiria, Portugal
- Hospital Center of Leiria – Hospital de Santo André, Leiria, Portugal
- Centre for Innovative Care and Health Technology, Polytechnic of Leiria, Leiria, Portugal
- Abel Salazar Institute of Biomedical Sciences, University of Porto, Porto, Portugal
| | - Carlos Sequeira
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, Porto, Portugal
- Nursing School of Porto, Porto, Portugal
| | - Ana Querido
- School of Health Sciences of Polytechnic of Leiria, Leiria, Portugal
- Centre for Innovative Care and Health Technology, Polytechnic of Leiria, Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, Porto, Portugal
| | - Catarina Tomás
- School of Health Sciences of Polytechnic of Leiria, Leiria, Portugal
- Centre for Innovative Care and Health Technology, Polytechnic of Leiria, Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, Porto, Portugal
| | - Tânia Morgado
- School of Health Sciences of Polytechnic of Leiria, Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, Porto, Portugal
- Hospital and University Center of Coimbra - Hospital Pediátrico, Coimbra, Portugal
- The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal
| | - Olga Valentim
- School of Health Sciences of Polytechnic of Leiria, Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, Porto, Portugal
- Escola Superior de Saúde Ribeiro Sanches, Lisboa, Portugal
| | - Lídia Moutinho
- School of Health Sciences of Polytechnic of Leiria, Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, Porto, Portugal
- Psychiatric Hospital Center of Lisbon – Hospital Júlio de Matos, Lisboa, Portugal
| | - João Gomes
- School of Health Sciences of Polytechnic of Leiria, Leiria, Portugal
- Hospital Center of Leiria – Hospital de Santo André, Leiria, Portugal
| | - Carlos Laranjeira
- School of Health Sciences of Polytechnic of Leiria, Leiria, Portugal
- Centre for Innovative Care and Health Technology, Polytechnic of Leiria, Leiria, Portugal
- Research in Education and Community Intervention, Piaget Institute, Viseu, Portugal
- *Correspondence: Carlos Laranjeira,
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Sturm N, Krisam J, Szecsenyi J, Bentner M, Frick E, Mächler R, Schalhorn F, Stolz R, Valentini J, Joos S, Straßner C. Spirituality, Self-Care, and Social Activity in the Primary Medical Care of Elderly Patients. DEUTSCHES ARZTEBLATT INTERNATIONAL 2022; 119:124-131. [PMID: 34939916 PMCID: PMC9160422 DOI: 10.3238/arztebl.m2022.0078] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 07/27/2021] [Accepted: 12/02/2021] [Indexed: 01/04/2023]
Abstract
BACKGROUND Self-efficacy is decisive for the quality of life of elderly, multimorbid persons. It may be possible to strengthenpatients' self-efficacy can be strengthened by the targeted reinforcement of individual spirituality, social activity, and self-care.This hypothesis was tested with the aid of a complex intervention. METHODS A non-blinded, exploratory, cluster-randomized, controlled trial was carried out, with primary care practices as therandomization unit (registration number DRKS00015696). The patients included were at least 70 years of age, had at least threechronic diseases, were taking at least three medications, and were participating in a disease management program. In theintervention group, primary care physicians took a spiritual history, and medical assistants advised the patients on the use ofhome remedies (e.g., tea, application of heat/cold) and on regionally available programs for the elderly. The primary endpoint-health-related self-efficacy, measured using the SES6G scale-and further, secondary endpoints were evaluated withmultistep regression analyses. RESULTS Data from 297 patients treated in 24 primary care practices were evaluated. The analysis of the primary endpointindicated no effect (mean difference between study arms 0.30 points, 95% confidence interval [-0.21; 0.81], d = 0.14, p = 0.25).Subgroup analysis revealed the following situation for the secondary endpoint "mental well-being" (SF-12 subscale): patientswho had already been using home remedies before the trial began experienced a marked improvement (a difference of 7.3points on a scale from 0 to 100; d = 0.77, p < 0.001). This was also the case for patients who stated that spirituality played amajor role in their lives (a difference of 6.2 points on a scale from 0 to 100; d = 0.65; p = 0.002). CONCLUSION The main hypothesis concerning health-related self-efficacy was not confirmed. The results of the analysis ofsecondary parameters indicate that some subgroups of patients can benefit from the interventional approach.
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Affiliation(s)
- Noemi Sturm
- Department of General Practice and Health Services Research, University Hospital Heidelberg
| | - Johannes Krisam
- Department of Medical Biometry at the Institute of Medical Biometry and Informatics, University Hospital Heidelberg
| | - Joachim Szecsenyi
- Department of General Practice and Health Services Research, University Hospital Heidelberg
| | - Martina Bentner
- Department of General Practice and Health Services Research, University Hospital Heidelberg
| | - Eckhard Frick
- Professorship of Spiritual Care and Psychosomatic Health, Rechts der Isar Hospital, Technical University of Munich
| | - Ruth Mächler
- Professorship of Spiritual Care and Psychosomatic Health, Rechts der Isar Hospital, Technical University of Munich
| | - Friederike Schalhorn
- Institute for General Practice and Interprofessional Care, University of Tübingen
| | - Regina Stolz
- Institute for General Practice and Interprofessional Care, University of Tübingen
| | - Jan Valentini
- Institute for General Practice and Interprofessional Care, University of Tübingen
| | - Stefanie Joos
- Institute for General Practice and Interprofessional Care, University of Tübingen
| | - Cornelia Straßner
- Department of General Practice and Health Services Research, University Hospital Heidelberg
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12
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Liu I, Huang YJ, Wang LK, Tsai YH, Hsu SL, Chang CJ, Li YH, Hsiao YC, Chen CY, Wann SR. Dual trajectories of loneliness and depression and their baseline correlates over a 14-year follow-up period in older adults: Results from a nationally representative sample in Taiwan. Int J Older People Nurs 2021; 16:e12410. [PMID: 34379889 DOI: 10.1111/opn.12410] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2020] [Revised: 05/30/2021] [Accepted: 07/12/2021] [Indexed: 11/28/2022]
Abstract
AIMS To explore the codevelopment between loneliness and depression in older adults, and to identify its potential baseline individual, family and extrafamilial correlates. BACKGROUND The number of older adults around the world has steadily increased over the last decades. Later life is a particularly vulnerable life stage due to multiple unfavourable conditions, and mental health in this stage appears to become an inescapable issue. Previous research has found the cross-sectional association between loneliness and depression, but their codevelopment has been understudied. Therefore, exploring the codevelopment and its correlates has significant implications for prevention and healthcare professionals. DESIGN A longitudinal follow-up study. METHODS The study used nationally representative data over a 14-year follow-up period from the Taiwan Longitudinal Study on Ageing focused on Taiwanese aged 60 years and above (n = 4049). Group-based trajectory modelling, group-based dual-trajectory modelling and multinomial logistic regression were the primary analytical methods. RESULTS We identified three distinct dual trajectories of loneliness and depression: longitudinal low-frequency lonely depressed (29.3%), longitudinal moderate-frequency lonely depressed (59.4%) and longitudinal high-frequency lonely depressed (11.3%). After considering several demographic and background characteristics, difficulty in physical functioning, number of physical symptoms and diseases, sleep quality and number of child deaths were found to be significantly associated. CONCLUSION Across the three identified dual-trajectory groups, they all showed a stable loneliness frequency pattern over time; however, the moderate-frequency group and high-frequency group both had a trajectory of increasing depression. It seems that depression tends to change over time in a worsening direction, especially for those with a certain frequency of loneliness. Furthermore, differences in individual and family correlates were found across the groups. IMPLICATIONS FOR PRACTICE Interventions focusing on the specific factors may help hinder coexisting loneliness and depression, and have implications for developing health promotion strategies and chronic disease care plans.
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Affiliation(s)
- I Liu
- Department of Family Medicine, Kaohsiung Veterans General Hospital, Pingtung Branch, Pingtung, Taiwan
| | - Yu-Jen Huang
- Department of Family Medicine, Wan Fang Hospital, Taipei Medical University, Taiwan
| | - Liang-Kai Wang
- Department of Family Medicine, Wan Fang Hospital, Taipei Medical University, Taiwan
| | - Yi-Hsuan Tsai
- Department of Family Medicine, Wan Fang Hospital, Taipei Medical University, Taiwan
| | - Sheng-Lun Hsu
- Department of Family Medicine, Wan Fang Hospital, Taipei Medical University, Taiwan
| | - Chun-Jui Chang
- Department of Family Medicine, Wan Fang Hospital, Taipei Medical University, Taiwan
| | - Ying-Hsien Li
- Department of Family Medicine, Wan Fang Hospital, Taipei Medical University, Taiwan
| | - Yi-Chen Hsiao
- Research Center of Big Data and Meta-Analysis, Wan Fang Hospital, Taipei Medical University, Taiwan.,Institute of Health and Welfare Policy, School of Medicine, National Yang-Ming University, Taiwan
| | - Chun-Yuan Chen
- Research Center of Big Data and Meta-Analysis, Wan Fang Hospital, Taipei Medical University, Taiwan.,Biostatistics Center, Wan Fang Hospital, Taipei Medical University, Taiwan.,Research Institute and Centre for Global Child Health, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, Canada
| | - Shue-Ren Wann
- Kaohsiung Veterans General Hospital, Pingtung Branch, Pingtung, Taiwan.,Shu-Zen Junior College of Medicine and Management, Kaohsiung, Taiwan
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13
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Ferré-Bergadà M, Valls A, Raigal-Aran L, Lorca-Cabrera J, Albacar-Riobóo N, Lluch-Canut T, Ferré-Grau C. A method to determine a personalized set of online exercises for improving the positive mental health of a caregiver of a chronically ill patient. BMC Med Inform Decis Mak 2021; 21:74. [PMID: 33632207 PMCID: PMC7905974 DOI: 10.1186/s12911-021-01445-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Accepted: 02/16/2021] [Indexed: 11/23/2022] Open
Abstract
Background Taking care of chronic or long-term patients at home is an arduous task. Non-professional caregivers suffer the consequences of doing so, especially in terms of their mental health. Performing some simple activities through a mobile phone app may improve their mindset and consequently increase their positivity. However, each caregiver may need support in different aspects of positive mental health. In this paper, a method is defined to calculate the utility of a set of activities for a particular caregiver in order to personalize the intervention plan proposed in the app. Methods Based on the caregivers’ answers to a questionnaire, a modular averaging method is used to calculate the personal level of competence in each positive mental health factor. A reward-penalty scoring procedure then assigns an overall impact value to each activity. Finally, the app ranks the activities using this impact value. Results The results of this new personalization method are provided based on a pilot test conducted on 111 caregivers. The results indicate that a conjunctive average is appropriate at the first stage and that reward should be greater than penalty in the second stage. Conclusions The method presented is able to personalize the intervention plan by determining the best order of carrying out the activities for each caregiver, with the aim of avoiding a high level of deterioration in any factor.
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Affiliation(s)
- Maria Ferré-Bergadà
- Dept. Enginyeria Informàtica i Matemàtiques, Universitat Rovira i Virgili, Avda. Països Catalans, 26, 43007, Tarragona, Catalonia, Spain
| | - Aida Valls
- Dept. Enginyeria Informàtica i Matemàtiques, Universitat Rovira i Virgili, Avda. Països Catalans, 26, 43007, Tarragona, Catalonia, Spain.
| | - Laia Raigal-Aran
- Nursing Department, Universitat Rovira i Virgili, Avinguda Catalunya 35, 43002, Tarragona, Catalonia, Spain
| | - Jael Lorca-Cabrera
- Nursing Department, Universitat Rovira i Virgili, Avinguda Catalunya 35, 43002, Tarragona, Catalonia, Spain
| | - Núria Albacar-Riobóo
- Nursing Department, Universitat Rovira i Virgili, Avinguda Catalunya 35, 43002, Tarragona, Catalonia, Spain
| | - Teresa Lluch-Canut
- Nursing Department, Universitat de Barcelona, Carrer de La Feixa Llarga S/N, 08907, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Carme Ferré-Grau
- Nursing Department, Universitat Rovira i Virgili, Avinguda Catalunya 35, 43002, Tarragona, Catalonia, Spain
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