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"PSYCHOLOGICAL SUPPORT"
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Lives interrupted : psychiatric narratives of struggle and resilience
\"Based on interviews with individuals who struggle with severe psychic distress, contributors to this edited collection critique conventional pharmaceutical and medicalized treatment and argue for the need to create facilitative spaces in which psychosocial and familial supports are offered as adjuncts to therapy\"-- Provided by publisher.
Book
Beyond PTSD
Impulsivity, poor judgment, moodiness, risky behavior. \"You don't understand.\" \"I don't care.\" \"Whatever, bro.\" Engaging and working with teenagers is tough. Typically, we attribute this to the storms of adolescence. But what if some of the particularly problematic behaviors we see in teens -- self-destructive behaviors, academic issues, substance abuse, reluctance to engage in therapy or treatment -- point to unspoken trauma?
Teens nationwide struggle with traumatic stress related to poverty, abuse, neglect, bullying, traumatic loss, and interpersonal or community violence. But youth are also generally reluctant to disclose or discuss experiences of traumatic stress, and adults working with these youth may not immediately perceive the connection between prior trauma and the teen's current risky or concerning behavior. Beyond PTSD: Helping and Healing Teens Exposed to Trauma helps adults recognize and understand traumatized youth, and provides concrete strategies for talking to and engaging the teen, overcoming resistance, and finding the most appropriate evidence-based treatment approach for them.
Nearly twenty contributors pull from their extensive and varied experience working in schools and hospitals to child welfare programs, juvenile justice facilities, pediatric offices, and with families to provide concrete tips to manage the challenges and opportunities of working with trauma-exposed adolescents. Chapters present trauma-informed approaches to youth with aggression, suicide and self-injury, psychosis, and school refusal; youth with physical or developmental disabilities or medical comorbidities, those in juvenile justice or child welfare; teen parents; and LGBTQ youth, among others.
Throughout the text, tables compare different types of trauma therapies and provide information about how treatments might be adapted to fit a specific teen or setting. Readers will also find \"real life\" case vignettes and concrete, specific clinical pearls -- even examples of language to use -- to demonstrate how to work effectively with difficult-to-engage teens with complex symptoms and behaviors.
Written to be practical and accessible for clinicians, social workers, pediatricians, school counselors, and even parents, with the information, context, and strategies they need to help the teen in front of them.
eBook
The rabbit effect : live longer, happier, and healthier with the groundbreaking science of kindness
\"Discover [a] ... new way to look at our health based on the latest ... discoveries in the science of compassion, kindness, and human connection\"--Provided by publisher.
Book
Informal Caregiving in Amyotrophic Lateral Sclerosis (ALS): A High Caregiver Burden and Drastic Consequences on Caregivers’ Lives
Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease that causes progressive autonomy loss and need for care. This does not only affect patients themselves, but also the patients’ informal caregivers (CGs) in their health, personal and professional lives. The big efforts of this multi-center study were not only to evaluate the caregivers’ burden and to identify its predictors, but it also should provide a specific understanding of the needs of ALS patients’ CGs and fill the gap of knowledge on their personal and work lives. Using standardized questionnaires, primary data from patients and their main informal CGs (n = 249) were collected. Patients’ functional status and disease severity were evaluated using the Barthel Index, the revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R) and the King’s Stages for ALS. The caregivers’ burden was recorded by the Zarit Burden Interview (ZBI). Comorbid anxiety and depression of caregivers were assessed by the Hospital Anxiety and Depression Scale. Additionally, the EuroQol Five Dimension Five Level Scale evaluated their health-related quality of life. The caregivers’ burden was high (mean ZBI = 26/88, 0 = no burden, ≥24 = highly burdened) and correlated with patients’ functional status (rp = −0.555, p < 0.001, n = 242). It was influenced by the CGs’ own mental health issues due to caregiving (+11.36, 95% CI [6.84; 15.87], p < 0.001), patients’ wheelchair dependency (+9.30, 95% CI [5.94; 12.66], p < 0.001) and was interrelated with the CGs’ depression (rp = 0.627, p < 0.001, n = 234), anxiety (rp = 0.550, p < 0.001, n = 234), and poorer physical condition (rp = −0.362, p < 0.001, n = 237). Moreover, female CGs showed symptoms of anxiety more often, which also correlated with the patients’ impairment in daily routine (rs = −0.280, p < 0.001, n = 169). As increasing disease severity, along with decreasing autonomy, was the main predictor of caregiver burden and showed to create relevant (negative) implications on CGs’ lives, patient care and supportive therapies should address this issue. Moreover, in order to preserve the mental and physical health of the CGs, new concepts of care have to focus on both, on not only patients but also their CGs and gender-associated specific issues. As caregiving in ALS also significantly influences the socioeconomic status by restrictions in CGs’ work lives and income, and the main reported needs being lack of psychological support and a high bureaucracy, the situation of CGs needs more attention. Apart from their own multi-disciplinary medical and psychological care, more support in care and patient management issues is required.
Journal Article
Once upon a time I lived on Mars : space, exploration and life on earth
When it comes to Mars, the focus is often on how to get there: the rockets, the engines, the fuel. But upon arrival, what will it actually be like? In 2013, Kate Greene moved to Mars. That is, along with five fellow crew members, she embarked on NASA's first HI-SEAS mission, a simulated Martian environment located on the slopes of Mauna Loa in Hawai'i. For four months she lived, worked, and slept in an isolated geodesic dome, conducting a sleep study on her crew mates and gaining incredible insight into human behavior in tight quarters, as well as the nature of boredom, dreams, and isolation that arise amidst the promise of scientific progress and glory. In Once Upon a Time I Lived on Mars, Greene draws on her experience to contemplate humanity's broader impulse to explore. The result is a twined story of space and life, of the standard, able-bodied astronaut and Greene's brother's disability, of the lag time of interplanetary correspondences and the challenges of a long-distance marriage, of freeze-dried egg powder and fresh pineapple, of departure and return. By asking what kind of wisdom humanity might take to Mars and elsewhere in the Universe, Greene has written a remarkable, wide-ranging examination of our time in space right now, as a pre-Mars species, poised on the edge, readying for launch.
BOOK
Рrevention and rehabilitation of health problems of schoolchildren from the zone of military conflict in Ukraine
The purpose of the research is to justify the necessity for rehabilitative medical and psychological support of schoolchildren from the zone of military conflict with psychosomatic disorders, psychological divergences in conditions of post-traumatic stress of different levels. There were surveyed 286 children of school age who suffered as a result of military conflict in the East of Ukraine. Anxiety, the level of stress, psychological, emotional internal health, the intensity of stress-realizing systems (cortisol, adrenaline, norepinephrine, diene conjugates, thiobarbituric acid-active products) and stress-limits of systems (serotonin, methlorinate, recovered glutathione, glutathionoperoxidase, superoxide-midase) were assessed. It is established that in the majority (59.52%) of schoolchildren from the Joint Forces Operation (JFO) zone in both boys and girls an increased level of emotional tension was recorded. It was found that the past stress provokes the activation of stress-regulating systems, the severity of which depends on the intensity of stress. Cortisol, diene conjugates, thiobarbituric acid-active products, reduced glutathione, melatonin play a special role in these processes. Children-migrants have a higher level of certain indices of the stress-realizing system (adrenaline) compared to schoolchildren from the military zone, which confirms the influence of a place of living as an additional stress factor on the child's body. It was found that most of the surveyed children have numerous somatic and psychosomatic complaints, and clinical symptoms are characterized by polymorphism. Among organic and functional disorders, diseases of the digestive, endocrine system, neurotic and non-psychotic disorders of residual-organic genesis dominate. The problem of deteriorating health status of schoolchildren from the zone of military conflict was revealed, a possibility of systematic impact on preservation and strengthening the health of this contingent was justified. The revealed disorders of the psychosomatic health of children from the zone of military conflict require a multidisciplinary approach (consulting and follow-up of specialist-doctors of various profiles) to prevent their progression.
Journal Article
Social support and acute stress symptoms (ASSs) during the COVID-19 outbreak: deciphering the roles of psychological needs and sense of control
Background: A cute stress symptoms (ASSs) are likely to be a common mental health problem in the acute period following the 2019 novel coronavirus pneumonia (COVID-19) outbreak. To address this risk, substantial social support has been provided to relieve ASSs during the COVID-19 outbreak. However, the effectiveness of these support methods for relieving ASSs has not yet been assessed.
Objective: The current study sought to examine the underlying mechanisms by which social support relieves ASSs, among primary and secondary school teachers.
Method: A sample of 751 primary and secondary school teachers was selected to answer self-reported questionnaires regarding ASSs, social support, psychological needs, and the sense of control.
Results: Structural equation modelling revealed that social support had a non-significant direct relationship with ASSs, and a significant indirect relationship with reduced ASSs via the needs for autonomy and relatedness, and via the paths from three types of psychological needs to the sense of control.
Conclusion: These findings suggest that social support can play a relieving role in ASSs when the support satisfies individuals' psychological needs and improves their sense of control. To alleviate ASSs among primary and secondary school teachers, more attention should be paid to satisfying their specific psychological needs and improving their sense of control.
Journal Article
Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontline and Non-Frontline Professionals
Emergency situations have been associated with negative psychological adjustment outcomes in healthcare professionals, although studies on the impact of the Coronavirus Disease 2019 (COVID-19) pandemic amongst Italian health workers are limited. The main aim of this study was to investigate the psychological adjustment of healthcare professionals during the peak of the COVID-19 pandemic, evaluating differences according to working or not with patients affected by COVID-19 and in areas with a more severe spread of this pandemic. Healthcare professionals’ attitudes toward psychological support were analyzed. The levels of anxiety, depression, psychological stress, and professional quality of life (compassion satisfaction, burnout, and compassion fatigue) and attitudes toward psychological support were measured among 627 Italian healthcare workers (mean age = 40.55 years; SD = 11.49; range: 27–72). Significantly higher levels of stress, burnout, secondary trauma, anxiety, and depression were observed among professionals working with COVID-19 patients. Higher levels of stress and burnout and lower levels of compassion satisfaction were detected in professionals working in areas with higher rates of contagion. No interaction effects were found between working (or not) with patients affected by COVID-19 and working (or not) in areas with a more severe diffusion of this pandemic. Finally, in the group of professionals who worked with COVID-19 patients, the percentage of professionals who thought to ask for psychological support was twice that of the group that did not work with COVID-19 patients. The overall findings indicate that the mental health of frontline healthcare workers requires further consideration and that targeted prevention and intervention programs are necessary.
Journal Article
Running Away from the War in Ukraine: The Impact on Mental Health of Internally Displaced Persons (IDPs) and Refugees in Transit in Poland
A growing body of research highlights how communities traumatized by conflict and displacement suffer from long-term mental and psychosocial illnesses. The Russian army’s attack on Ukraine has resulted in an estimated 10 million people being internally or externally displaced from Ukraine, of whom more than 3.8 million have left Ukraine to seek refuge elsewhere in Europe. Soleterre has decided to launch an intervention to provide psychological support to Ukrainian refugees and IDPs, aimed at containing war trauma, assessing the severity of symptoms, and enabling those affected to receive psychological support. The intervention model envisioned the administration of an intake form to provide a rapid collection of qualitative and quantitative information for those arriving in Poland or Lviv from Ukraine. Our results showed how most of the samples reported high or very high levels of anxiety, depression, and sleep disturbances. Moreover, results highlighted how being close to families or being able to keep in touch with them work as a protective factor in enhancing resilience, as well as a support network. These findings underscored the importance of re-thinking our perception of “family” in a broader sense, considering the new facets it can take on in post-conflict situations.
Journal Article
Psychological Support Interventions for Healthcare Providers and Informal Caregivers during the COVID-19 Pandemic: A Systematic Review of the Literature
Background: During the COVID-19 pandemic, healthcare providers and informal caregivers were at an increased risk of adverse mental health effects. This systematic review provides a summary of the available evidence on the content and efficacy of the psychological support interventions in increasing mental health among healthcare providers and informal caregivers during the COVID-19 pandemic. Methods: PubMed, Google Scholar, PsychINFO, and Scopus databases were systematically searched for relevant articles, and the methodological quality of selected articles was assessed using the Quality Assessment Tool for Quantitative Studies. Results: A search of electronic databases identified five reports based on inclusion and exclusion criteria. All psychological support interventions for caregivers were delivered digitally. Despite the large heterogeneity of the selected studies, the findings support the efficacy of mental health interventions in reducing distress and burnout, while promoting self-efficacy and well-being in both healthcare providers and informal caregivers. Conclusion: Since mental health problems are expected to increase during, and as a result of, the COVID-19 pandemic, and digital tools might offer a range of mental health treatments to meet the unique and immediate needs of people, further research is needed to test the cost-effectiveness of digital psychological interventions.
Journal Article