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Nasar S, Shome R, Kabir S, Gnani S, Rao M, Rashid SF. Understanding the impacts of COVID-19 pandemic on mental health and well-being among university students in Dhaka, Bangladesh: A nested mixed-methods study. Heliyon 2024; 10:e27588. [PMID: 38515726 PMCID: PMC10955232 DOI: 10.1016/j.heliyon.2024.e27588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 01/07/2024] [Accepted: 03/04/2024] [Indexed: 03/23/2024] Open
Abstract
Background University students are more at risk of mental illness compared with the general population. Declaration of a global COVID-19 pandemic led the Bangladesh government in March 2020 to implement a national lockdown, home quarantining, social distancing measures, and closure of educational institutions. We aimed to explore the impact of lockdown on the mental health and well-being of university students in Bangladesh. Methods A nested mixed-methods survey design was undertaken using a semi structured questionnaire and in-depth interviews conducted by telephone of 73 university students (mean age of 22 years, range 18 to 26-years-old) attending public and private academic institutions in Dhaka. A questionnaire was developed de-novo and pre-tested. Qualitative, open-ended questions were used to understand experiences regarding students' mental health and well-being, their perceptions of COVID-19, and coping strategies. Results Fifty nine percent of students reported that lockdown had a significant impact on their mental health and well-being. They described difficulties with social isolation and loneliness, motivation, and interpersonal conflict within families. Students' knowledge of COVID-19 were high with television, newspapers, online, and social media were main sources of information; few relied on government reports. Most pressing concerns were timely graduation and employment (83%), not being able to socialize (46%), being stuck at home (37%), and financial difficulties regarding university fees (29%). Additional underlying stressors included financial insecurity of respondents' households and parental health. Coping strategies included watching television or films, online meetings with friends, social media, as well interactions with family. Conclusion As a result of Bangladesh's first national lockdown, university students experienced negative effects on their mental health and well-being. There is an urgent need for greater proactive measures within educational settings, such as mental health literacy programmes and diagnosis management that could mitigate and prevent adverse impacts of future lockdowns.
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Affiliation(s)
- Sameen Nasar
- BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh
| | - Rituja Shome
- BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh
| | - Selima Kabir
- BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh
| | - Shamini Gnani
- Department of Primary Care and Public Health, Imperial College London, London, UK
| | - Mala Rao
- Department of Primary Care and Public Health, Imperial College London, London, UK
| | - Sabina F. Rashid
- BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh
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Garrido-Cumbrera M, Christen L, Marzo-Ortega H, Correa-Fernández J, Sanz-Gomez S, Navarro-Compán V. Fears and hopes of patients with rheumatic and musculoskeletal diseases during the COVID-19 pandemic across Europe. Results from the REUMAVID study (phase 1 and phase 2). Musculoskeletal Care 2023; 21:932-935. [PMID: 36883603 DOI: 10.1002/msc.1750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 02/14/2023] [Accepted: 02/16/2023] [Indexed: 03/09/2023]
Affiliation(s)
- Marco Garrido-Cumbrera
- Health & Territory Research (HTR), Universidad de Sevilla, Seville, Spain
- Spanish Federation of Spondyloarthritis Associations (CEADE), Madrid, Spain
- Axial Spondyloarthritis International Federation (ASIF), London, UK
| | | | - Helena Marzo-Ortega
- NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals Trust, Leeds, UK
- Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK
| | | | - Sergio Sanz-Gomez
- Health & Territory Research (HTR), Universidad de Sevilla, Seville, Spain
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Lyra O, Koullapi K, Kalogeropoulou E. Fears towards disability and their impact on teaching practices in inclusive classrooms: An empirical study with teachers in Greece. Heliyon 2023; 9:e16332. [PMID: 37305505 PMCID: PMC10256903 DOI: 10.1016/j.heliyon.2023.e16332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 05/12/2023] [Accepted: 05/12/2023] [Indexed: 06/13/2023] Open
Abstract
Our research examines Greek special and general education teachers' fears toward disability and their impact on teaching in inclusive classrooms. We interviewed 12 teachers from the region of Attica (Athens) and documented attitudes and beliefs toward disability, with the goal of identifying teachers' personal sources of resistance to inclusion. Medical paradigm of understanding disability and the absence of inclusive school culture are some of the results that revealed teachers' sources of resisting to inclusive changes and the way these affect their teaching. Based on these findings, we discuss a two-pronged process that shifts the existing culture of understanding disability and welcomes diversity in schools.
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Affiliation(s)
- Olga Lyra
- Inclusive Education, School of Education and Social Sciences, Frederick University, Nicosia, Cyprus
| | - Kyriaki Koullapi
- School of Education and Social Sciences, Frederick University, Nicosia, Cyprus
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Lee H, Kong F, Yuasa M, Aung MN, Shirayama Y, Zhao B, Kim M, Nam EW. COVID-19 Phobia among Korean, Chinese, and Japanese students: An international comparative study. Heliyon 2023; 9:e15275. [PMID: 37070080 PMCID: PMC10081880 DOI: 10.1016/j.heliyon.2023.e15275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 03/22/2023] [Accepted: 03/31/2023] [Indexed: 04/19/2023] Open
Abstract
This study aimed to identify the characteristic differences and potential contributing factors of coronavirus disease 2019 (COVID-19) phobia between undergraduate and graduate students in Korea, Japan, and China. We used the online survey tool, we retained 460 responses from Korea, 248 responses from Japan, and 788 responses from China for analysis. We performed the statistical analysis; ANOVA F-test and Multiple linear regression. We visualized the results of these calculations using GraphPad PRISM 9. The mean COVID-19 phobia score was highest in Japan at 50.5 points. Psychological fear was identically prevalent in Japan and China, at an average of 17.3 points. Psychosomatic fear was highest in Japan at 9.2 points. Further, economic fear was highest in Korea at 13 points, whereas social fear was highest in China at 13.1 points. In Korea, COVID-19 phobia scores were significantly higher among women than in men. In Japan, COVID-19 phobia scores were significantly higher in individuals who complied with social distancing mandates. In China, a lack of previous experience with self-administered testing kits was associated with significantly lower phobia scores. Individuals who were avoiding crowded places had significantly higher scores in 3 countries. This implies that the students knew that it was necessary to comply with COVID-19 preventive behaviors to prevent infections. The findings of this study could be used as a reference when establishing an approach strategy to reduce COVID-19 phobia among Chinese, Japanese, and Korean students.
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Affiliation(s)
- Hocheol Lee
- Yonsei Global Health Center, Yonsei University, Wonju, Gangwon-do, Republic of Korea
| | - Fanlei Kong
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China
- NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan, 250012, China
| | - Motoyuki Yuasa
- Department of Global Health Research, Graduate School of Medicine, Juntendo University, Hongo 2-1-1, Bunkyo Ku, Tokyo 113-8421, Japan
| | - Myo Nyein Aung
- Department of Global Health Research, Graduate School of Medicine, Juntendo University, Hongo 2-1-1, Bunkyo Ku, Tokyo 113-8421, Japan
| | - Yoshihisa Shirayama
- Department of Global Health Research, Graduate School of Medicine, Juntendo University, Hongo 2-1-1, Bunkyo Ku, Tokyo 113-8421, Japan
| | - Bo Zhao
- Yonsei Global Health Center, Yonsei University, Wonju, Gangwon-do, Republic of Korea
| | - Mahyeon Kim
- Yonsei Global Health Center, Yonsei University, Wonju, Gangwon-do, Republic of Korea
| | - Eun Woo Nam
- Department of Health Administration, Software Digital Healthcare Convergence College, Yonsei University, Wonju 26493, South Korea
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5
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Nguyen M, Cartwright AF, Upadhyay UD. Fear of procedure and pain in individuals considering abortion: A qualitative study. Patient Educ Couns 2023; 108:107611. [PMID: 36603469 PMCID: PMC10152982 DOI: 10.1016/j.pec.2022.107611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2022] [Revised: 12/14/2022] [Accepted: 12/16/2022] [Indexed: 05/04/2023]
Abstract
OBJECTIVES To explore concerns about procedural abortion and abortion-related pain in a cohort searching for abortion online. METHODS The Google Ads Abortion Access Study was a national longitudinal cohort study that recruited people searching for abortion online. Participants completed a baseline demographic survey and a follow-up survey four weeks later evaluating barriers and facilitators to abortion. This qualitative study utilized thematic analysis to produce a descriptive narrative based on overarching themes about procedural abortion and abortion-related pain. RESULTS There were 57 separate mentions from 45 participants regarding procedural abortion or abortion-related pain. We identified two main themes: 1) concerns about the procedure (with subthemes, fear of procedural abortion, comparison to medication abortion, lack of sedation) and 2) abortion-related pain (with subthemes fear of abortion-related pain, experiences of pain, fear of complications and cost-barriers to pain control). CONCLUSIONS This study highlights the need for improved anticipatory guidance and accessible resources to assuage potential fears and misconceptions regarding abortion. PRACTICE IMPLIACTIONS Abortion resources, particularly online, should provide accurate and unbiased information about abortion methods and pain to help patients feel more prepared. Providers should be aware of potential concerns surrounding procedural abortion and pain when counseling patients presenting for care.
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Affiliation(s)
- May Nguyen
- Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, USA
| | - Alice F Cartwright
- Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Ushma D Upadhyay
- Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, USA; Advancing New Standards in Reproductive Health (ANSIRH), University of California, San Francisco, Oakland, CA, USA.
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Husky MM, Bitfoi A, Chan-Chee C, Carta MG, Goelitz D, Koç C, Lesinskiene S, Mihova Z, Otten R, Shojaei T, Kovess-Masfety V. Self-reported fears and mental health in elementary school children across Europe. Eur Child Adolesc Psychiatry 2022; 31:1909-1919. [PMID: 34125282 DOI: 10.1007/s00787-021-01823-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Accepted: 06/08/2021] [Indexed: 01/26/2023]
Abstract
Fears are common in the general population and particularly among children. The number of fear subtypes (animals, natural environment, situational, blood-injection-injury or other type) has been shown to be associated with psychopathology. Furthermore, there is evidence suggesting that some subtypes may be more often associated with mental disorders than others. The present study uses data from a large cross sectional survey, the School Children Mental Health in Europe (SCMHE) study, conducted in eight European countries on children ages 6 through 13-years-old attending elementary school (n = 9613). Fear subtypes and self-reported mental health were assessed using the Dominic Interactive (DI), a self-administered computerized image-based questionnaire. The findings show that the number of fear subtypes is strongly associated with self-reported internalizing and externalizing problems. In addition, adjusting for the number of subtypes, fear of animals was less likely than other fears to be associated with psychopathology. The findings support the notion that children who report excessive and generalized fear should be targeted for prevention, consistent with research identifying childhood onset generalized specific phobia as a probable precursor to subsequent psychopathology.
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Affiliation(s)
- Mathilde M Husky
- Laboratoire de Psychologie, EA4139, Université de Bordeaux, 3 ter, place de la Victoire, 33076, Bordeaux, France.
| | - Adina Bitfoi
- The Romanian League for Mental Health, Bucharest, Romania
| | | | - Mauro Giovanni Carta
- Centro Di Psichiatria Di Consulenza E Psicosomatica Azienda Ospedaliero, Universitaria Di Cagliari, Cagliari, Italy
| | - Dietmar Goelitz
- Department of Humanities, Social Sciences and Theology, Friedrich-Alexander-University, Erlangen-Nuernberg, Germany
| | - Ceren Koç
- Yeniden Health and Education Society, Istanbul, Turkey
| | - Sigita Lesinskiene
- Clinic of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | | | - Roy Otten
- Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands
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Kassab A, Hachem CE, Raad G, Cordahi C, Richa S. Effects of a multilayered crisis on psychiatric hospitalizations in a university hospital in Lebanon; a retrospective study. Psychiatry Res 2022; 318:114940. [PMID: 36375330 DOI: 10.1016/j.psychres.2022.114940] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 10/24/2022] [Accepted: 10/30/2022] [Indexed: 11/05/2022]
Abstract
Lebanon is struggling with a multilayered crisis following the COVID-19 breakout, the economic crisis, and the Beirut port explosion. The aim of this article is to assess the effect of these crisis on the characteristics of patients hospitalized in psychiatry. This is a retrospective study conducted at the psychiatric ward of Hotel Dieu de France in Beirut between January 2017 and march 2022. The population was divided into three groups according to specific time events indicating the start of a certain crisis. Data regarding patients' demographics, psychiatric history and their present hospitalization was collected. A total of 1655 patient files were included in the study. Overall, the rate of hospitalized women increased following the Beirut port explosion, together with the rate of patients younger than 18 years old. Moreover, during the COVID-19 breakout and the start of the economic crisis, alcohol use decreased, as well as the length of stay in the hospital. In conclusion, in the event of a multilayered crisis children and adolescents, as well as women are the most at risk of being affected in terms of mental health.
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Huang QF, Rolf F, Booker LA, Moore T, Thompson SC. A qualitative study of how COVID-19 impacts on Australians' hopes and dreams. BMC Public Health 2022; 22:367. [PMID: 35189875 PMCID: PMC8860267 DOI: 10.1186/s12889-022-12746-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 02/09/2022] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Although beginning in 2019, it was early in 2020 that the global community began to comprehend the significant impact that a pandemic of a new coronavirus might have on their own lives. This study was undertaken 6-9 months after significant public health restrictions were introduced within Australia and examined the impact of the COVID-19 on individuals' hopes and dreams for their future. METHODS Community members who responded to a survey about COVID-19 were invited to participate in follow up interviews if they reported living with a chronic condition. Participants across Australia who consented were interviewed between August and December in 2020 over telephone or videoconferencing. A specific question was included regarding the impact of COVID-19 on their hopes and dreams for the future. Rapid identification of themes with an audio recordings technique was used to generate themes from the data. RESULTS The 90 participants were predominantly female (77%) and ranged in age from 20 to 81 years with a mean age of 50 years and lived in several Australian states. Following immersive analysis of interviews, the identified common themes impacting people's hopes and dreams revealed: concerns for their own and others' job stability and future work; the impact on travel both for holidays, business and reconnecting with family; reassessing of personal and social values; and the intergenerational impact of such a profound pandemic, with concern for younger people particularly prominent in those concerns. Participants reflected on their loss of future dreams, with possibilities they had planned and worked towards not possible in the short term. CONCLUSIONS The responses provide a window into how people view their future goals and aspirations during a time of global and local instability and highlights the potential future impacts of the COVID-19 pandemic.
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Affiliation(s)
- Quincy F. Huang
- Western Australian Centre for Rural Health, University of Western Australia, PO Box 109, Geraldton, WA 6531 Australia
- School of Nursing and Health Studies, Georgetown University, Washington, DC USA
| | - Floraidh Rolf
- Southern Queensland Rural Health, Faculty of Health and Behavioural Sciences, The University of Queensland, Charleville, Queensland Australia
| | - Lauren A. Booker
- University Department of Rural Health, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria Australia
| | - Taleah Moore
- Western Australian Centre for Rural Health, University of Western Australia, PO Box 109, Geraldton, WA 6531 Australia
| | - Sandra C. Thompson
- Western Australian Centre for Rural Health, University of Western Australia, PO Box 109, Geraldton, WA 6531 Australia
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Spilsbury JC, Dalton JE, Haas BM, Korbin JE. "A rising tide floats all boats": The role of neighborhood collective efficacy in responding to child maltreatment. Child Abuse Negl 2022; 124:105461. [PMID: 34998037 PMCID: PMC8820070 DOI: 10.1016/j.chiabu.2021.105461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Revised: 12/08/2021] [Accepted: 12/20/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Nearly one-quarter of the approximately 400,000 reports to child protective services originating from non-mandated reporters come from neighbors. Understanding factors leading non-mandated reporters to contact authorities is important because if modifiable, they might serve as intervention targets to promote reporting of suspected maltreatment. OBJECTIVE Investigate associations between neighbors' reported responses to scenarios involving children in need, child/teen misbehavior, and suspected maltreatment with individual and neighborhood characteristics, including neighborhood collective efficacy, fear of victimization, and fear of retaliation. HYPOTHESIS Increased collective efficacy would be associated with increased likelihood of neighbors taking action in response to the situation. PARTICIPANTS & SETTING 400 caregivers of minors in Cleveland, OH, USA living in 20 census tracts. METHODS Generalized linear mixed-effects modeling. RESULTS Analyses adjusted for covariates confirmed our primary hypothesis: a 1-unit increase in the collective efficacy measure was associated with a 64% increase in the odds of neighbors taking action compared to doing nothing (odds ratio = 1.64, 95th percentile confidence interval 1.41-1.92). Also, participants with less than a high-school education had 36% greater odds of reporting their neighbors taking action compared to more educated participants. An interaction effect between participants' fear of victimization in their neighborhood, but not fear of retaliation, was also observed: the effect of collective efficacy on the odds of neighbors taking action was substantially greater among residents expressing moderate and high fear of victimization. CONCLUSION Enhancing collective efficacy may be an effective strategy for fostering community response to suspected child maltreatment and other situations of a child in need because it may catalyze a variety of positive responses to these situations.
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Affiliation(s)
- James C Spilsbury
- Case Western Reserve University, Department of Population and Quantitative Health Sciences, 10900 Euclid Avenue, Cleveland, Ohio 44106-4945, USA.
| | - Jarrod E Dalton
- Department of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, 9500 Euclid Ave. (JJN3), Cleveland, OH 44195, USA
| | - Bridget M Haas
- Case Western Reserve University, Department of Anthropology, 11220 Bellflower Rd., Cleveland, OH 44106-7125, USA
| | - Jill E Korbin
- Case Western Reserve University, Department of Anthropology, 11220 Bellflower Rd., Cleveland, OH 44106-7125, USA
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Phan TC, Hoang LB, Tran TK, Pham TTT, Bui AV, Dao HT, Ngo TV, Tran CD. Fear-Related Reasons for Avoiding Sexual Intercourse in Early Pregnancy: A Cross-Sectional Study. Sex Med 2021; 9:100430. [PMID: 34628113 PMCID: PMC8766271 DOI: 10.1016/j.esxm.2021.100430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 07/24/2021] [Accepted: 08/02/2021] [Indexed: 11/26/2022] Open
Abstract
Introduction Several studies have reported women's worry that sexual intercourse may harm the course of pregnancy. This worry might lead to avoidance of sexual intercourse during pregnancy. Aim To assess if fears about harming the pregnancy are associated with avoidance of sexual intercourse during pregnancy. Methods A cross-sectional study was conducted on 250 Vietnamese pregnant women in the first or second trimester who visited our hospital for antenatal care. We explored 5 types of fears including miscarriage/preterm labor, premature rupture of membranes, bleeding, infection, and injury to the fetus. Fears were measured by modified questions from the Reasons For Not Engaging in Sexual Activity During Pregnancy questionnaire. Using the total fear score, pregnant women were categorized into having low, moderate, and high fear. Main Outcome Measure Not having sexual intercourse during the past 4 weeks. Results 72 (28.8%) pregnant women had no sexual intercourse for the past 4 weeks. All types of fear were considered important among pregnant women; the more important fears were infection and injury to the fetus. In multivariable regression analysis, the prevalence of not having sexual intercourse was higher in both women who had moderate (adjusted prevalence ratio = 2.84, 95% CI 1.42–5.67) and high fear (adjusted prevalence ratio = 4.39, 95% CI 2.28–8.44). Conclusion Avoidance of sexual intercourse was common among Vietnamese pregnant women and was associated with the fears about harming the pregnancy. This can be a target in the health education programs for pregnancy couples. Thanh C. Phan, Long B. Hoang, Thanh K. Tran, et al. Fear-Related Reasons for Avoiding Sexual Intercourse in Early Pregnancy: A Cross-Sectional Study. Sex Med 2021;9:100430.
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Affiliation(s)
- Thanh C Phan
- National Hospital of Obstetrics and Gynecology, Hanoi, Vietnam
| | - Long B Hoang
- Institute of Gastroenterology and Hepatology, Hanoi, Vietnam
| | - Thanh K Tran
- Institute of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Trang T T Pham
- Institute of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Anh V Bui
- Institute of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Hoa T Dao
- National Hospital of Obstetrics and Gynecology, Hanoi, Vietnam
| | - Toan V Ngo
- Institute of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam; Department of Planning, Hanoi Medical University Hospital, Hanoi, Vietnam
| | - Cuong D Tran
- National Hospital of Obstetrics and Gynecology, Hanoi, Vietnam; Department of Obstetrics and Gynecology, Hanoi Medical University, Hanoi, Vietnam.
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Roy Chowdhury S, Anantharaman V. Public attitudes towards cardiopulmonary resuscitation training and performance in Singapore. Int J Emerg Med 2021; 14:54. [PMID: 34525945 PMCID: PMC8444401 DOI: 10.1186/s12245-021-00378-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 08/27/2021] [Indexed: 11/15/2022] Open
Abstract
Background Bystander cardiopulmonary resuscitation (CPR) rates remain fairly low through most communities despite multiple interventions through the years. Understanding the attitudes and fears behind CPR training and performance would help target education and training to raise the rates of bystander CPR and consequently survival rates of victims. 7909 participants at a single-day mass CPR training session in Singapore were given survey questionnaires to fill out. 6473 people submitted completed forms upon the conclusion of the training session. Some issues looked at were the overall level of difficulty of CPR, difficulty levels of specific skills, attitudes towards refresher training, attitudes towards performing CPR, and fears when doing so. Results The mean level of difficulty of CPR was rated 3.98 (scale of 1–10), with those with previous CPR training rating it easier. The skills rated most difficult were performing mouth-to-mouth breathing and chest compressions, while the easiest rated was recognizing non-responsiveness. A majority (69.7%) would agree to go for refresher training every 2 years and 88.7% felt everyone should be trained in CPR. 71.6% would perform full CPR for a member of the public in cardiac arrest and only 20.7% would prefer to only do chest compressions. The most cited fear was a low level of confidence, and fears of acquiring infections or aversion to mouth-to-mouth breathing were low. Conclusions The survey results show that most participants in Singapore are keen to perform conventional CPR for a member of the public and can help to target future CPR training accordingly. Supplementary Information The online version contains supplementary material available at 10.1186/s12245-021-00378-1.
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Affiliation(s)
- Susmita Roy Chowdhury
- Department of Emergency Medicine, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
| | - Venkataraman Anantharaman
- Department of Emergency Medicine, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore
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Le Guen M, Schantz C, Régnier-Loilier A, de La Rochebrochard E. Reasons for rejecting hormonal contraception in Western countries: A systematic review. Soc Sci Med 2021; 284:114247. [PMID: 34339927 DOI: 10.1016/j.socscimed.2021.114247] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 07/16/2021] [Accepted: 07/19/2021] [Indexed: 10/20/2022]
Abstract
Over the past decade, women in Western countries have taken to various social media platforms to share their dissatisfactory experiences with hormonal contraception, which may be pills, patches, rings, injectables, implants or hormonal intrauterine devices (IUDs). These online testimonials have been denounced as spreading "hormonophobia", i.e. an excessive fear of hormones based on irrational causes such as an overestimation of health risks associated with their use, that was already aroused by the recurring media controversies over hormonal contraception. In order to move toward a reproductive justice framework, we propose to study the arguments that women and men (as partners of female users) recently put forward against hormonal contraception to see whether they are related to hormonophobia. The aim of this article is to conduct a systematic review of the recent scientific literature in order to construct an evidence-based typology of reasons for rejecting hormonal contraception, in a continuum perspective from complaints to choosing not to use it, cited by women and men in Western countries in a recent time. The published literature was systematically searched using PubMed and the database from the French National Institute for Demographic Studies (Ined). A total of 42 articles were included for full-text analysis. Eight main categories emerged as reasons for rejecting hormonal contraception: problems related to physical side effects; altered mental health; negative impact on sexuality; concerns about future fertility; invocation of nature; concerns about menstruation; fears and anxiety; and the delegitimization of the side effects of hormonal contraceptives. Thus, arguments against hormonal contraception appeared complex and multifactorial. Future research should examine the provider-patient relationship, the gender bias of hormonal contraception and demands for naturalness in order to understand how birth control could better meet the needs and expectations of women and men in Western countries today.
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Affiliation(s)
- Mireille Le Guen
- Centre for Demographic Research, Université catholique de Louvain, Place Montesquieu 1, L2.08.03, B-1348, Louvain-la-Neuve, Belgium; Institut National d'Études Démographiques (Ined), 9 Cours des Humanités, F-93300, Aubervilliers, France.
| | - Clémence Schantz
- Institut National d'Études Démographiques (Ined), 9 Cours des Humanités, F-93300, Aubervilliers, France; Centre Population et Développement (Ceped), Institut de Recherche pour le Développement (IRD) and Université de Paris, Inserm ERL 1244, 45 Rue des Saints-Pères, F-75006, Paris, France.
| | - Arnaud Régnier-Loilier
- Institut National d'Études Démographiques (Ined), 9 Cours des Humanités, F-93300, Aubervilliers, France.
| | - Elise de La Rochebrochard
- Institut National d'Études Démographiques (Ined), 9 Cours des Humanités, F-93300, Aubervilliers, France; Univ. Paris-Saclay, UVSQ, Inserm, CESP, F-94807, Villejuif, France.
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Radchikova NP, Odintsova MA. Assessment of the COVID-19 pandemic situation: Data from two countries with different security measures taken by authorities (Belarus and Russia). Data Brief 2021; 35:106917. [PMID: 33681432 PMCID: PMC7910657 DOI: 10.1016/j.dib.2021.106917] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 02/21/2021] [Accepted: 02/25/2021] [Indexed: 11/10/2022] Open
Abstract
The article presents the data on the evaluation of COVID-19 situation by adult respondents (age from 18 to 76) coming from countries with the common past, language and similar mentality but differing in governmental security measures during pandemic spring outbreak (no precautionary measures in Belarus (N = 267); lockdown and financial support in Russia (N = 397)). The data was collected via online survey platform (Google forms) from 2020.04.11 to 2020.06.04 (during the period of lock-down in Russia). The data contains socio-demographical information (sex, age, country of citizenship), survey answers and the results of standardized psychological tests (to measure dangerous and threatening social world view and hardiness). The survey consists of four blocks: specific impact of the COVID-19 situation on various aspects of respondents’ life; estimation of different fears; estimation of various aspects of COVID-19 situation, and estimation of personal resources. All the items require participants to rate them on a 11-point Likert scale from 0 (totally disagree, absolutely no fear or no impact) to 10 (totally agree, the strongest fear or impact). Descriptive statistics as well as the comparison results are given. The data may be used to investigate the influence of lockdown, social distancing, and isolation on psychological well-being as well as the impact of personal resources in psychological well-being in stressful situations.
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Affiliation(s)
- Nataly P Radchikova
- Faculty of Pre-School Pedagogy and Psychology, Moscow Pedagogical State University, Russia, Scientific and Practical Center for Comprehensive Support of Psychological Research «PsyDATA», Moscow State University of Psychology and Education, Russia
| | - Maria A Odintsova
- Faculty of Distance Learning, Moscow State University of Psychology and Education, Russia
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Sylvén I, Olsson I, Hallböök T, Rydenhag B, Reilly C. 'In the best case seizure-free' - Parental hopes and worries before and satisfaction after their child's epilepsy surgery. Epilepsy Behav 2020; 110:107153. [PMID: 32480305 DOI: 10.1016/j.yebeh.2020.107153] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2020] [Revised: 04/27/2020] [Accepted: 04/28/2020] [Indexed: 01/02/2023]
Abstract
OBJECTIVE The objective of this study was to gain a better understanding of parental hopes and worries before and subsequent experiences two years after their child had undergone epilepsy surgery. METHODS The parents of 107 children and young people who underwent epilepsy surgery at a single center completed surveys focusing on hopes and concerns before surgery and subsequent experiences at two-year follow-up. Responses were analyzed by thematic analysis. RESULTS Before surgery, parental hopes focus on not only seizure freedom or reduction but also potential improvements in child development and emotional-behavioral functioning. Worries before surgery include not only potential injury or loss of skills but also a concern that the surgical procedure would not lead to an improvement in the child's seizures. The vast majority of parents experienced positive aspects at the two-year follow-up including seizure freedom or reduction but also perceived improvements in behavior, development, and sleep. This suggests that for many, expectations for the surgery were met. A small number of parents reported negative effects of surgery including loss of skills, worsening/lack of improvement in seizure frequency, or negative impact on development. SIGNIFICANCE For the majority of parents whose children undergo surgery, expectations are met, and fears are not realized. Knowledge of parental hopes and worries before surgery as well as experiences after the operation is useful for improving pre- and postsurgical counseling.
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Affiliation(s)
- Isabelle Sylvén
- Dept. of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Ingrid Olsson
- Dept. of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Tove Hallböök
- Dept. of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Bertil Rydenhag
- Institute of Nuroscience and Physiology, Sahlgrenska Academy, Gothenburg University, Sweden; Department of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Colin Reilly
- Dept. of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
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15
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Miaskowski C, Paul SM, Snowberg K, Abbott M, Borno H, Chang S, Chen LM, Cohen B, Cooper BA, Hammer MJ, Kenfield SA, Laffan A, Levine JD, Pozzar R, Tsai KK, Van Blarigan EL, Van Loon K. Oncology patients' perceptions of and experiences with COVID-19. Support Care Cancer 2020; 29:1941-1950. [PMID: 32809060 PMCID: PMC7431899 DOI: 10.1007/s00520-020-05684-7] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Accepted: 08/12/2020] [Indexed: 01/12/2023]
Abstract
Purpose No information is available on cancer patients’ knowledge of and experiences with COVID-19. We undertook an evaluation of differences in COVID-19 symptom occurrence rates, COVID-19 testing rates, clinical care activities, knowledge of COVID-19, and use of mitigation procedures between patients who were and were not receiving active cancer treatment. Methods Patients enrolled were > 18 years of age; had a diagnosis of cancer; and were able to complete the emailed study survey online. Results Of the 174 patients who participated, 27.6% (n = 48) were receiving active treatment, 13.6% were unemployed because of COVID-19, 12.2% had been tested for COVID-19, and 0.6% had been hospitalized for COVID-19. Patients who were not on active treatment reported a higher mean number of COVID-19 symptoms (3.1 (± 4.2) versus 1.9 (± 2.6)), and patients who reported a higher number of COVID-19 symptoms were more likely to be tested. Over 55% of the patients were confident that their primary care provider could diagnose COVID-19, and the majority of the patients had high levels of adherence with the use of precautionary measures (e.g., social distancing, use of face coverings). Conclusion The high level of COVID-19 symptoms and the significant overlap of COVID-19 and cancer-related symptoms pose challenges for clinicians who are assessing and triaging oncology patients for COVID-19 testing. For patients on active treatment, clinicians face challenges with how to assess and manage symptoms that, prior to COVID-19, would be ascribed to acute toxicities associated with cancer treatments or persistent symptoms in cancer survivors.
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Affiliation(s)
- Christine Miaskowski
- Department of Physiological Nursing, School of Nursing, University of California, 2 Koret Way - N631Y, San Francisco, CA, 94143-0610, USA. .,School of Medicine, University of California, San Francisco, CA, USA.
| | - Steven M Paul
- Department of Physiological Nursing, School of Nursing, University of California, 2 Koret Way - N631Y, San Francisco, CA, 94143-0610, USA
| | - Karin Snowberg
- Department of Physiological Nursing, School of Nursing, University of California, 2 Koret Way - N631Y, San Francisco, CA, 94143-0610, USA
| | - Maura Abbott
- Columbia University Medical Center, New York, NY, USA
| | - Hala Borno
- School of Medicine, University of California, San Francisco, CA, USA
| | - Susan Chang
- School of Medicine, University of California, San Francisco, CA, USA
| | - Lee May Chen
- School of Medicine, University of California, San Francisco, CA, USA
| | - Bevin Cohen
- Mount Sinai Medical Center, New York, NY, USA
| | - Bruce A Cooper
- Department of Physiological Nursing, School of Nursing, University of California, 2 Koret Way - N631Y, San Francisco, CA, 94143-0610, USA
| | | | - Stacey A Kenfield
- School of Medicine, University of California, San Francisco, CA, USA
| | - Angela Laffan
- School of Medicine, University of California, San Francisco, CA, USA
| | - Jon D Levine
- School of Medicine, University of California, San Francisco, CA, USA
| | | | - Katy K Tsai
- School of Medicine, University of California, San Francisco, CA, USA
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Urooj U, Ansari A, Siraj A, Khan S, Tariq H. Expectations, Fears and Perceptions of doctors during Covid-19 Pandemic. Pak J Med Sci 2020; 36:S37-S42. [PMID: 32582312 PMCID: PMC7306962 DOI: 10.12669/pjms.36.covid19-s4.2643] [Citation(s) in RCA: 66] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 04/14/2020] [Accepted: 04/25/2020] [Indexed: 12/24/2022] Open
Abstract
OBJECTIVES The aim of this study was to explore the expectations and fears faced by doctors during Covid-19 Pandemic. METHODS This is a mixed method exploratory survey. A questionnaire exploring expectations of doctors from administration and seniors as well as their fears while working during pandemic, was developed on Google survey Forms. It included eight closed ended questions and four open ended questions. Data was collected through online Google survey Forms during month of March and April 2020. Doctors were approached through email and WhatsApp group. RESULTS The mean age of participants was 33.58±4.21 years. Female 150(67.5%) and Male 72(32.4%) participated. 29(13.1%) Associate Professor, 34(15.3%) Assistant Professor, 56(25.2%) Senior Residents and 103(46.3%) residents, medical officers and house officers responded to the survey. 134(60.3%) doctors were working in hospitals which were not dealing with Covid-19. Fear included, infecting family members 177(79.7%), rapid spread of disease 140(63%), complications of disease 134(60.3%), becoming a carrier in 64(28.8%) and 62(27.9%) feared missing the diagnosis. More than 80% expected from seniors and administration, of providing PPE, facilitation, continue chain of supply of essential items, ensuring doctor safety, avoiding exposure of all doctors and keeping reserve workforce, limiting routine checkups, avoid panic and 20% had no expectations. CONCLUSION It was concluded that doctors had their fears and perceptions regarding pandemic which need to be addressed while policy making. They fear wellbeing of their families and contacting Covid-19, if not provided proper PPE. Our study provides insight of expectations, fears and perceptions of our frontline which invariably gives insight of the views of healthcare workers.
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Affiliation(s)
- Uzma Urooj
- Uzma Urooj, MBBS, FCPS. Assistant Professor, Department of Gynae/Obs, NUMS, Army Medical College, MH Rawalpindi, Pakistan
| | - Asma Ansari
- Asma Ansari, MBBS, FCPS. Associate Professor, Department of Gynae/Obs, Army Medical College, NUMS, CMH Rawalpindi, Pakistan
| | - Asifa Siraj
- Asifa Siraj Associate Professor, Department of Gynae/Obs, Army Medical College, MH Rawalpindi, Pakistan
| | - Sumaira Khan
- Sumaira Khan Assistant Professor, Department of Gynae/Obs, Army Medical College, MH Rawalpindi, Pakistan
| | - Humaira Tariq
- Humaira Tariq Assistant Professor, Department of Gynae/Obs, Army Medical College, CMH Murree, Pakistan
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17
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von Wrede R, Moskau-Hartmann S, Amarell N, Elger CE, Helmstaedter C. Knowledge, expectations and fears of cannabis use of epilepsy patients at a tertiary epilepsy center. Epilepsy Behav 2019; 99:106458. [PMID: 31419634 DOI: 10.1016/j.yebeh.2019.106458] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 07/17/2019] [Accepted: 07/26/2019] [Indexed: 01/18/2023]
Abstract
INTRODUCTION Medical cannabis is increasingly discussed as an alternative treatment option in neurological diseases, e.g. epilepsy. Supporters and opponents base their propositions mostly on subjective estimates, they confuse cannabis in whole versus extracts and botanical versus synthesized. METHODS Two hundred seventy five patients with any kind of epilepsy (56% female, 44% seizure free, 91% on medication) answered a survey on the knowledge, expectations, fears, and willingness to be treated with medical cannabis. Data were analyzed with regard to patient characteristics and clinical data from patient files. RESULTS Overall, 70.5% of the patients were familiar with the possibility of medical cannabis treatment, 36.7% with its use in epilepsy. A minority of 10.9% gained the information from their physicians. The majority knew about organic compared to synthetic cannabis. The interest in further information is high (71.3%). Regression analysis (explaining 53.8% of the variance) indicated that positive expectations (in the order of relevance) were seizure control, relaxation, mood, and tolerability whereas fears mostly concerned addiction and delirant intoxication. Men showed a greater interest than women. CONCLUSION Many epilepsy patients knew about medical cannabis, were interested in this treatment, and wanted more information. Expectations, however, appear to be based on the connotations of the whole substance cannabis with tetrahydrocannabidiol and its commonly known effects. Unfortunately, patients did not get their information from physicians, but mostly by other sources. In order to avoid prejudices and potentially harmful self-medication, physicians and healthcare providers are called to become familiar with the substance and to inform patients adequately.
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Veenje S, Osinga H, Antonescu I, Bos B, de Vries TW. Focus group parental opinions regarding treatment with topical corticosteroids on children with atopic dermatitis. Allergol Immunopathol (Madr) 2019; 47:166-171. [PMID: 30316560 DOI: 10.1016/j.aller.2018.05.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2018] [Revised: 04/30/2018] [Accepted: 05/10/2018] [Indexed: 11/28/2022]
Abstract
INTRODUCTION AND OBJECTIVES Atopic dermatitis is common among children of 0-5 years old. Treatment consists of emollients and topical corticosteroids. Due to corticophobia, however, adherence to topical corticosteroids is low. Our aim was to find factors that influence opinions about topical corticosteroids among parents of children with atopic dermatitis. METHODS A qualitative focus group study in secondary care with parents of children with atopic dermatitis. Questions concerned opinions, attitude, sources of information, and the use of topical corticosteroids. RESULTS The parents indicated that they lack knowledge about the working mechanism and side effects of topical corticosteroids. Dermatologists and paediatricians emphasise the beneficial effects, whereas other healthcare workers and lay people often express a negative attitude. CONCLUSIONS This study gives a complete overview of factors influencing adherence. Treatment with topical corticosteroids can be improved by better informing parents about the working mechanisms, the use, and how to reduce the dose. Healthcare professionals need to be aware of the consequences of their negative attitude concerning topical corticosteroids.
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Affiliation(s)
- S Veenje
- Department of Paediatrics, Medical Centre Leeuwarden, Leeuwarden, The Netherlands
| | - H Osinga
- Department of Paediatrics, Medical Centre Leeuwarden, Leeuwarden, The Netherlands
| | - I Antonescu
- Department of Paediatrics, Medical Centre Leeuwarden, Leeuwarden, The Netherlands
| | - B Bos
- Department of Paediatrics, Medical Centre Leeuwarden, Leeuwarden, The Netherlands
| | - T W de Vries
- Department of Paediatrics, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.
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Küçükakkaş O, Rezvani A, Yurdakul OV, Tolu S, Kılıçoğlu MS, Aydın T. Fear Assessment in Inflammatory Rheumatic diseases (FAIR) questionnaire: a cross-cultural adaptation and validation to the Turkish language. Clin Rheumatol 2018; 37:3247-3254. [PMID: 30054752 DOI: 10.1007/s10067-018-4239-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Revised: 07/19/2018] [Accepted: 07/23/2018] [Indexed: 02/05/2023]
Abstract
In chronic inflammatory rheumatic diseases (CIRD), it is important to understand patients' fears towards their disease in order to improve patient-physician dialog, to raise the quality of care offered, and to optimize treatment adherence. In this study, we aimed to translate the Fear Assessment in Inflammatory Rheumatic diseases (FAIR) questionnaire into Turkish and evaluate its psychometric properties in patients with CIRD. One hundred fifteen patients filled the provided socio-demographic information form, FAIR-Tr questionnaire, Hospital Anxiety and Depression Scale (HADS), and Beck's Hopelessness Scale (BHS). For the analysis of short-term reliability, 50 patients re-filled the FAIR-Tr questionnaire 1 week later. Internal consistency was evaluated with Cronbach's α coefficient and test-retest reliability was evaluated with intraclass correlation coefficients (ICC). Construct validity analysis was investigated based on the correlation with HADS and BHS. All patients found FAIR-Tr easily understandable and acceptable. FAIR-Tr internal consistency (Cronbach's α = 0.93) and test-retest reliability (ICC = 0.91) were excellent. Psychometric validation was proved upon observing high correlation with HADS (Anxiety, r = 0.77; Depression, r = 0.70) and moderate correlation with BHS (r = 0.65). FAIR-Tr is a questionnaire that has excellent internal consistency and test-retest reliability. The successful correlation with HADS and BHS supported its psychometric validity in terms of evaluating the fear in CIRD cases. We think that FAIR-Tr is a specific scale that can help to evaluate the disease- and treatment-related fears of the Turkish patients with CIRD and may be useful in both routine practice and clinical studies.
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Affiliation(s)
- Okan Küçükakkaş
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmialem Vakıf University, 34093, Istanbul, Turkey.
| | - Aylin Rezvani
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Medipol University, Istanbul, Turkey
| | - Ozan Volkan Yurdakul
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmialem Vakıf University, 34093, Istanbul, Turkey
| | - Sena Tolu
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Medipol University, Istanbul, Turkey
| | - Mehmet Serkan Kılıçoğlu
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmialem Vakıf University, 34093, Istanbul, Turkey
| | - Teoman Aydın
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmialem Vakıf University, 34093, Istanbul, Turkey
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20
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Cowen KJ, Hubbard LJ, Hancock DC. Concerns of nursing students beginning clinical courses: A descriptive study. Nurse Educ Today 2016; 43:64-68. [PMID: 27286947 DOI: 10.1016/j.nedt.2016.05.001] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Revised: 04/18/2016] [Accepted: 05/03/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Students harbor fears related to the clinical environment that influence their participation and learning. Some studies have addressed general anxieties in undergraduate nursing students, but few have asked students to report their fears and concerns prior to entering the clinical environment. Therefore, this study examined the fears and concerns of undergraduate nursing students beginning clinical courses as well as their continued concerns upon completion of the first year of instruction. The study also assessed their confidence in physical assessment skills. METHODS Ninety-six junior nursing students enrolled in a generic baccalaureate nursing program completed a survey, two items of which asked about their fears and concerns related to beginning clinical experiences and their confidence in physical assessment. A follow up survey was completed at the end of the junior year by 72 students. RESULTS Making a mistake, lack of course success, and not knowing how to do something were students' major concerns prior to the start of clinical experiences. Bad experiences with a nurse or instructor, freezing up, and uncomfortable patient/family experiences were also concerns. Not knowing how to do something persisted as a concern at the completion of the first year. Fears about being/feeling left alone in a clinical setting as well as concern about the senior year also emerged on the post survey. Confidence in physical assessment was a mean of 60.46 on a scale of 0-100 at the beginning of clinical instruction and 71.28 at the end of the junior year. CONCLUSIONS Faculty should structure learning activities that decrease anxiety and enhance students' confidence prior to initial clinical experiences. Opportunities might include in-depth orientation to clinical settings and various simulations that allow practice of skills and communication. Awareness of predominant student fears and concerns can also guide staff nurses to provide a welcoming environment and enhance learning.
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Affiliation(s)
- Kay J Cowen
- School of Nursing, University of North Carolina at Greensboro, Greensboro, N.C., P.O. Box 26170, Greensboro, NC 27402-6170, United States.
| | - Lori J Hubbard
- School of Nursing, University of North Carolina at Greensboro, Greensboro, N.C., P.O. Box 26170, Greensboro, NC 27402-6170, United States.
| | - Debbie Croome Hancock
- School of Nursing, University of North Carolina at Greensboro, Greensboro, N.C., P.O. Box 26170, Greensboro, NC 27402-6170, United States.
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Hamilton JB, Best NC, Galbraith KV, Worthy VC, Moore LTCAD. Strategies African-American Cancer Survivors Use to Overcome Fears and Fatalistic Attitudes. J Cancer Educ 2015; 30:629-635. [PMID: 25266472 DOI: 10.1007/s13187-014-0738-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This qualitative study explored strategies African-American cancer survivors use to overcome their fears and fatalistic attitudes toward cancer at the point of diagnosis through completion of treatment. Thirty-one African-American cancer survivors who had completed or nearly completed treatment were recruited through criterion purposeful sampling. In-depth, open-ended interviews were used to collect data. The data were analyzed using thematic analysis. Of the 31 survivors interviewed, 26 reported being fearful of cancer and believed that cancer would result in death. These cancer survivors were particularly fearful of having a cancer had spread, of being isolated, and performing less effectively at work. Strategies used to overcome these fears included increasing their own awareness about cancer, using positive self-talk, and avoiding negative people. The findings suggest that past experiences continue to influence fears and fatalistic perspectives about cancer and that educational resources to inform the public about cancer may be ignored until there is a confirmed diagnosis of cancer. Televised news broadcasts of high-profile personalities who had died from cancer were also anxiety provoking, particularly if the cancer survivor died of a recurrence from cancer. Prevalent sources of information and support for these survivors were family members or close friends they trusted with personal information, perceived as strong, or experienced in the care of other cancer survivors.
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Affiliation(s)
- Jill B Hamilton
- Department of Community-Public Health, School of Nursing, Johns Hopkins University, 525 N. Wolfe Street, Baltimore, MD, 21205, USA.
| | - Nakia C Best
- School of Nursing, University of North Carolina at Chapel Hill, Carrington Hall, CB #7460, Chapel Hill, NC, 27599, USA
| | - Kayoll V Galbraith
- School of Nursing, University of North Carolina at Chapel Hill, Carrington Hall, CB #7460, Chapel Hill, NC, 27599, USA
| | | | - L T C Angelo D Moore
- Center for Nursing Science and Clinical Inquiry, Womack Army Medical Center, U.S. Army, 2817 Reilly Road, Fort Bragg, NC, USA
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