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Soto-Rubio A, Picazo C, Gil-Juliá B, Andreu-Vaillo Y, Pérez-Marín M, Sinclair S. Patient-reported assessment of compassion in Spanish: a systematic review. Front Med (Lausanne) 2024; 11:1352694. [PMID: 39055694 PMCID: PMC11270590 DOI: 10.3389/fmed.2024.1352694] [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] [Received: 12/23/2023] [Accepted: 06/03/2024] [Indexed: 07/27/2024] Open
Abstract
Aims and objectives This systematic review aims to: (1) explore which tools have been used in Spanish to measure compassion; (2) know which of these tools could be used to assess compassion in healthcare settings from the perspective of patients; (3) evaluate the quality of these patient-reported measures in Spanish contexts; and (4) determine which of these instruments would be best suited to be used in healthcare settings. Background Compassion has been recognized as a fundamental dimension of quality healthcare. Methods Several scientific databases were consulted for relevant records published up to December 16th, 2021. In accordance with PRISMA guidelines, 64 studies were included. Results and conclusions while existing instruments, validated in Spanish, allow for the measurement of self-compassion or compassion to others, there are no valid and reliable measures currently available in Spanish to measure patient-reported compassion. Relevance to clinical practice In order to ensure and promote compassion in the health care context, it is essential to have a valid and reliable tool to measure this construct in a patient-informed way, and this is currently not possible in the Spanish-speaking context because of the lack of such an instrument in Spanish.
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Affiliation(s)
- Ana Soto-Rubio
- Developmental and Education Psychology Department, Faculty of Psychology and Speech Therapy, University of Valencia, Valencia, Spain
| | - Carmen Picazo
- Psychology and Sociology Department, University of Zaragoza, Zaragoza, Spain
| | - Beatriz Gil-Juliá
- Personality, Assessment, and Psychological Treatments Department, Faculty of Psychology and Speech Therapy, University of Valencia, Valencia, Spain
| | - Yolanda Andreu-Vaillo
- Personality, Assessment, and Psychological Treatments Department, Faculty of Psychology and Speech Therapy, University of Valencia, Valencia, Spain
| | - Marian Pérez-Marín
- Personality, Assessment, and Psychological Treatments Department, Faculty of Psychology and Speech Therapy, University of Valencia, Valencia, Spain
| | - Shane Sinclair
- Compassion Research Lab, Faculty of Nursing, University of Calgary, Calgary, AB, Canada
- Division of Palliative Medicine, Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
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Park IT, Oh WO. Evaluation of a child abuse prevention program for unmarried mothers in South Korea: a single-case experimental design. CHILD HEALTH NURSING RESEARCH 2024; 30:187-198. [PMID: 39081184 PMCID: PMC11294898 DOI: 10.4094/chnr.2024.018] [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: 04/24/2024] [Revised: 06/05/2024] [Accepted: 06/16/2024] [Indexed: 08/04/2024] Open
Abstract
PURPOSE The purpose of this study is to apply and evaluate the effectiveness of a child abuse prevention program based on the Nursing Model of Resilience and Coping Skills Training Model for unmarried mothers during pregnancy and puerperium. METHODS This study had a prospective single-case, AB design with four repeated self-questionnaire measures and three observational measures. Seven unmarried mothers were provided with 10 sessions child abuse prevention program through individual visits from 32 to 34 weeks of pregnancy to 6 weeks after childbirth. The questionnaire was composed related to resilience, maternal stress, maternal attitude, parent-child interaction, child abuse potential. The observation was measured by video recording (total 16 times) the interaction of parent-child during feeding and analyzing it by three experts. Data were analyzed by Wilcoxon signed-rank test and Friedman's test. RESULTS Maternal attitude and parent-child interaction were statistically significantly improved after intervention compared to before intervention. However, maternal stress decreased after intervention compared to before intervention, but it was not statistically significant. Also, resilience and child abuse potential were not statistically significant. This program is partially effective in preventing child abuse by promoting parenting attitudes and parent-child interactions. CONCLUSION This study focused on individual resilience and applied systematic intervention as coping skills training to prevent child abuse. This study is meaningful in that interventions were conducted through individual visits to unmarried mothers at high risk of child abuse, and the program was applied, including pregnancy and postpartum periods, to prevent child abuse early.
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Affiliation(s)
- Il Tae Park
- Associate Professor, College of Health and Welfare, Woosong University, Daejeon, Korea
| | - Won-Oak Oh
- Professor, College of Nursing, Korea University, Seoul, Korea
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Kundarti FI, Kiswati, Komalyna INT. Mindfullness based intervention reduce anxiety in labor. GACETA SANITARIA 2024; 38:102359. [PMID: 38330537 DOI: 10.1016/j.gaceta.2024.102359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 11/02/2023] [Indexed: 02/10/2024]
Abstract
OBJECTIVE To determine the effectiveness of mindfulness interventions on anxiety through a systematic review. METHOD Systematic review by searching articles through the PubMed, ProQuest, Science Direct, Wiley Library, Sage Journal, and Cochrane Library databases with publication years January 2012 to January 2022 RESULTS: Eleven articles met the inclusion criteria covering several countries, including Canada 1 article, Egypt 1 article, Taiwan 1 article, Amsterdam 2 articles, Iran 1 article, Austria 1 article, San Francisco 1 article, Germany 1 article, Sweden 1 article, China 1 article, and Spain 1 article. CONCLUSIONS Management of anxiety about childbirth is important for pregnant women. Mindfulness interventions are effective for reducing anxiety about labor and increasing comfort during labor. Mindfulness intervention mechanisms have the potential to reduce anxiety by increasing skills to regulate emotions.
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Affiliation(s)
- Finta Isti Kundarti
- Department of Midwifery, Health Polytechnic Ministry of Health Malang, Malang, Indonesia.
| | - Kiswati
- Department of Midwifery, Health Polytechnic Ministry of Health Malang, Malang, Indonesia
| | - I Nengah Tanu Komalyna
- Department of Nutrition, Health Polytechnic Ministry of Health Malang, Malang, Indonesia
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Monteiro F, Fernandes DV, Pires R, Moreira H, Melo C, Araújo-Pedrosa A. Exploring factors associated with complete mental health of pregnant women during the COVID-19 pandemic. Midwifery 2023; 116:103521. [PMID: 36288676 PMCID: PMC9578971 DOI: 10.1016/j.midw.2022.103521] [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: 06/07/2022] [Revised: 09/06/2022] [Accepted: 10/17/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVE To explore a wide range of factors associated with complete mental health (i.e., positive mental health - the presence of flourishing, and the absence of mental illness - depressive and anxious symptoms) among Portuguese pregnant women, during the COVID-19 pandemic. DESIGN Quantitative cross-sectional study. SETTING Data were collected through an online survey placed on social media websites targeting pregnant Portuguese adult women between October 2020 and April 2021. PARTICIPANTS The sample comprised 207 pregnant women. RESULTS A multivariate logistic regression model showed that higher levels of self-compassion and higher engagement in mindful self-care practices increased the likelihood of reporting complete mental health during pregnancy. CONCLUSIONS Promoting self-compassion and mindful self-care may be particularly important in pregnant women, as these psychological factors appear to contribute to complete mental health during COVID-19 pandemic. IMPLICATIONS FOR PRACTICE The COVID-19 pandemic represented a demanding period for pregnant women. Our findings highlight that targeting the promotion of self-compassion and mindful self-care practices during stressful periods could significantly contribute to their overall mental health.
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Affiliation(s)
- Fabiana Monteiro
- University of Coimbra, Centre for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Rua do Colégio Novo, Coimbra 3000-115, Portugal,Corresponding author
| | - Daniela V. Fernandes
- University of Coimbra, Centre for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Rua do Colégio Novo, Coimbra 3000-115, Portugal
| | - Raquel Pires
- University of Coimbra, Centre for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Rua do Colégio Novo, Coimbra 3000-115, Portugal
| | - Helena Moreira
- University of Coimbra, Centre for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Rua do Colégio Novo, Coimbra 3000-115, Portugal
| | - Claúdia Melo
- University of Coimbra, Centre for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Rua do Colégio Novo, Coimbra 3000-115, Portugal
| | - Anabela Araújo-Pedrosa
- University of Coimbra, Centre for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Rua do Colégio Novo, Coimbra 3000-115, Portugal,Clinical Psychology Service and Department of Gynecology, Obstetrics, Reproduction and Neonatology, Centro Hospitalar e Universitário de Coimbra, Portugal
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Xavier S, Branquinho M, Pires R, Moreira H, Coelho M, Araújo-Pedrosa A. Dysfunctional Attitudes Toward Motherhood and Depressive Symptoms in Portuguese Pregnant Women During COVID-19 Pandemic: the Mediating Roles of Self-Compassion and Mindful Self-Care. Mindfulness (N Y) 2023; 14:418-428. [PMID: 36597485 PMCID: PMC9798940 DOI: 10.1007/s12671-022-02049-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/13/2022] [Indexed: 12/31/2022]
Abstract
Objectives There is evidence that the coronavirus disease 2019 (COVID-19) pandemic had a negative impact on the mental health of pregnant women, such as an increase in the prevalence of depression. Given the negative consequences that depressive symptoms can pose for pregnant women, it is crucial to understand how cognitive processes influence women's depressive symptoms during the COVID-19 pandemic among this specific vulnerable population. The present study aimed to examine the relationship between pregnant women's dysfunctional attitudes toward motherhood and their depressive symptoms, considering the mediating roles of self-compassion and mindful self-care. Method A cross-sectional online survey was conducted in Portugal between October 2020 and April 2021. A sample of 244 pregnant women answered a set of questionnaires to assess dysfunctional attitudes toward motherhood, depressive symptoms, self-compassion, and mindful self-care. Results More dysfunctional attitudes toward motherhood were associated with higher levels of depressive symptoms, and this relation was mediated through self-compassion and mindful self-care. Conclusions These results highlight that self-compassion and mindful self-care are important psychological mechanisms and the importance of considering them in psychological interventions to prevent and/or treat depressive symptoms in pregnant women with dysfunctional attitudes toward motherhood during stressful events such as a pandemic.
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Affiliation(s)
- Sandra Xavier
- grid.8051.c0000 0000 9511 4342Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
| | - Mariana Branquinho
- grid.8051.c0000 0000 9511 4342Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
| | - Raquel Pires
- grid.8051.c0000 0000 9511 4342Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
| | - Helena Moreira
- grid.8051.c0000 0000 9511 4342Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
| | - Maria Coelho
- grid.8051.c0000 0000 9511 4342Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
| | - Anabela Araújo-Pedrosa
- grid.8051.c0000 0000 9511 4342Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
- grid.28911.330000000106861985Clinical Psychology Service & Department of Gynecology, Obstetrics, Reproduction and Neonatology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
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Ney R, Spalteholz H, Kriwy P. Nutzungswahrscheinlichkeit von Gesundheitsprogrammen während der Schwangerschaft. PRÄVENTION UND GESUNDHEITSFÖRDERUNG 2022. [DOI: 10.1007/s11553-022-00995-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Riesco-González FJ, Antúnez-Calvente I, Vázquez-Lara JM, Rodríguez-Díaz L, Palomo-Gómez R, Gómez-Salgado J, García-Iglesias JJ, Parrón-Carreño T, Fernández-Carrasco FJ. Body Image Dissatisfaction as a Risk Factor for Postpartum Depression. Medicina (B Aires) 2022; 58:medicina58060752. [PMID: 35744015 PMCID: PMC9228492 DOI: 10.3390/medicina58060752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Revised: 05/27/2022] [Accepted: 05/29/2022] [Indexed: 11/16/2022] Open
Abstract
Background and Objectives: Pregnancy and postpartum are periods that imply numerous physical and psychological changes that could lead to mental health consequences. The aim of the present study is to identify whether women who had body image dissatisfaction had a higher incidence of postpartum depression 6 months after birth than women who did not have body image dissatisfaction. Materials and Methods: A descriptive cross-sectional study was designed with a sample of 450 women from two hospitals in Andalusia. Quantitative variables were age and scores on the Edinburgh Postnatal Depression Scale (EPDS) and the Body Shape Questionnaire (BSQ) for body image dissatisfaction. The qualitative variables used were marital status, self-perceived health status, diet or physical exercise, type of delivery, and others. Results: Body dissatisfaction was positively correlated with the symptomatology of postpartum depression. Thus, for each point increased in body dissatisfaction, the occurrence of depression also increased. There was a relationship between the study variables, so women who were more dissatisfied with their body image were more frequently depressed. Conclusions: In conclusion, it can be established that postpartum depression seems to be related to the presence of poor body image.
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Affiliation(s)
| | - Irene Antúnez-Calvente
- Department of Obstetrics, Punta de Europa Hospital, 11207 Algeciras, Spain; (F.J.R.-G.); (I.A.-C.); (J.M.V.-L.); (F.J.F.-C.)
| | - Juana María Vázquez-Lara
- Department of Obstetrics, Punta de Europa Hospital, 11207 Algeciras, Spain; (F.J.R.-G.); (I.A.-C.); (J.M.V.-L.); (F.J.F.-C.)
- Nursing and Physiotherapy Department, Faculty of Nursing, University of Cádiz, 11207 Algeciras, Spain
| | | | - Rocío Palomo-Gómez
- Department of Obstetrics, Línea de la Concepción Hospital, 11300 Línea de la Concepción, Spain;
| | - Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain;
- Safety and Health Postgraduate Programme, University of Espíritu Santo, Guayaquil 092301, Ecuador
- Correspondence: ; Tel.: +34-959-219-700
| | - Juan Jesús García-Iglesias
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain;
| | - Tesifón Parrón-Carreño
- Territorial Delegation of Equality, Health and Social Policies, Health Delegation of Almeria, Government of Andalusia, 04003 Almeria, Spain;
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Wang J, Pei Y, Tang J, Chen Q, He C, Zhang Y, Hou H, Zhang X, Wang W. The association between family relationships and depressive symptoms among pregnant women: A network analysis. Front Psychiatry 2022; 13:919508. [PMID: 36072462 PMCID: PMC9441886 DOI: 10.3389/fpsyt.2022.919508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 07/29/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Depression of pregnant women has been a growing concern in recent years, and previous research has found that family relationships are strongly associated with depression. From a network perspective, family relationships and depression can be conceptualized as the result of interactions between individual symptoms. This research approach can elucidate the structure and mechanisms of the relationship between individual symptoms within the two groups. METHODS A total of 990 participants were recruited from the obstetrics outpatient clinic of Maternal and Child Health Hospital in Huai'an through a randomized whole-group sampling. Respondents' depressive symptoms and family relationships were self-reported using questionnaire, and the structure of the family relationship-depressive symptoms network and related centrality indicators were examined for this sample. RESULTS The results of the network analysis suggested that the most influential symptoms in the network of family relationship-depressive symptoms were worry, feeling worthless, equal status with husband and couple relationship. And equal status with husband was the most prominent bridging symptoms in this study. The whole network was robust in both stability and accuracy tests. LIMITATIONS Information was obtained from subjects' self-reports, which may be subject to information bias. As a cross-sectional study, no causal link between family relationships and depressive symptoms can be established. CONCLUSION Worry, feeling worthless, equal status with husband and couple relationship are central symptoms of the family relationship-depressive symptoms network structure in pregnant women. Timely and systematic multilevel interventions targeting the central symptoms may be effective in alleviating the onset of depressive symptoms in women during this period.
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Affiliation(s)
- Jingjing Wang
- School of Public Health, Xuzhou Medical University, Xuzhou, China
| | - Yifei Pei
- School of Public Health, Xuzhou Medical University, Xuzhou, China
| | - Jie Tang
- School of Public Health, Xuzhou Medical University, Xuzhou, China
| | - Qian Chen
- School of Public Health, Xuzhou Medical University, Xuzhou, China
| | - Chenlu He
- School of Public Health, Xuzhou Medical University, Xuzhou, China
| | - Ying Zhang
- School of Public Health, Xuzhou Medical University, Xuzhou, China
| | - Hao Hou
- School of Public Health, Xuzhou Medical University, Xuzhou, China
| | - Xunbao Zhang
- School of Public Health, Xuzhou Medical University, Xuzhou, China
| | - Wei Wang
- School of Public Health, Xuzhou Medical University, Xuzhou, China
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Salvador Zaragozá A, Soto-Rubio A, Lacomba-Trejo L, Valero-Moreno S, Pérez-Marín M. Compassion in Spanish-speaking health care: A systematic review. CURRENT PSYCHOLOGY 2021; 42:6732-6751. [PMID: 34220172 PMCID: PMC8231754 DOI: 10.1007/s12144-021-01994-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/09/2021] [Indexed: 11/25/2022]
Abstract
Altought compassionate care is an important factor in health care, remains an unmet need in patients. The studies have been carried out in Anglo-Saxon countries with cultural environments and health systems that are very different from Spanish-speaking contexts. The aim of this study to understand the conceptual, evaluation and clinical application nuances of compassion and compassionate care in Spanish-speaking health care settings, through a systematic review. A search of the scientific literature was carried out following the PRISMA guidelines in ProQuest Central, PubMed and Web Of Science, resulting in 295 studies, of which 27 were selected, based on the following inclusion criteria: the article studied or analyzed the construct of compassion in healthcare setting and the participants were Spanish speakers or the authors spoke of the construct in Spanish. Two blinded evaluators performed the study selection process using the Covidence tool. The agreement between evaluators was in all cases satisfactory. Different definitions of the construct have been identified, that they generally share: the recognition of suffering and the attempt to alleviate it. There are few studies that focus solely on the analysis of compassion, since other concepts appear that are associated with it, such as empathy and self-compassion. Further research is needed to obtain a better and greater understanding of compassionate care adapted to the perceptions of patients and health professionals in different socio-cultural contexts. In this way, instruments that measure compassionate care can be better developed and adjusted, and interventions aimed at promoting compassion can be properly assessed.
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Affiliation(s)
- Andrea Salvador Zaragozá
- grid.5338.d0000 0001 2173 938XDepartament of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Valencia, Av. Blasco Ibánez, 21, 46010 Valencia, Spain
| | - Ana Soto-Rubio
- grid.5338.d0000 0001 2173 938XDepartament of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Valencia, Av. Blasco Ibánez, 21, 46010 Valencia, Spain
| | - Laura Lacomba-Trejo
- grid.5338.d0000 0001 2173 938XDepartament of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Valencia, Av. Blasco Ibánez, 21, 46010 Valencia, Spain
| | - Selene Valero-Moreno
- grid.5338.d0000 0001 2173 938XDepartament of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Valencia, Av. Blasco Ibánez, 21, 46010 Valencia, Spain
| | - Marian Pérez-Marín
- grid.5338.d0000 0001 2173 938XDepartament of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Valencia, Av. Blasco Ibánez, 21, 46010 Valencia, Spain
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