scholarly journals Disruptive Mood Dysregulation Disorder: symptomatic and syndromic thresholds and diagnostic operationalization

2019 ◽  
Author(s):  
Paola Paganella Laporte ◽  
Alicia Matijasevich ◽  
Tiago N. Munhoz ◽  
Iná S. Santos ◽  
Aluísio J. D. Barros ◽  
...  
Keyword(s):  
Early Adolescents ◽  
Well Being ◽  
Data Driven ◽  
Disruptive Mood Dysregulation Disorder ◽  
Three Stages ◽  
Clinically Significant ◽  
High Level ◽  
The Impact ◽  
Irritable Mood ◽  
Mood Dysregulation

AbstractObjectiveThe aim of this study is to identify the most appropriate threshold for Disruptive Mood Dysregulation Disorder (DMDD) diagnosis and the impact of potential changes in diagnostic rules on prevalence levels in the community.MethodTrained psychologists evaluated 3,562 pre-adolescents/early adolescents from the 2004 Pelotas Birth Cohort with the Development and Well-Being Behavior Assessment (DAWBA). The clinical threshold was assessed in three stages: symptomatic, syndromic and clinical operationalization. The symptomatic threshold identified the response category in each DAWBA item which separates normative misbehavior from a clinical indicator. The syndromic threshold identified the number of irritable mood and outbursts needed to capture pre-adolescents/early adolescents with high symptom levels. Clinical operationalization compared the impact of AND/OR rules for combining irritable mood and outbursts on impairment and levels of psychopathology.ResultsAt the symptomatic threshold, most irritable mood items were normative in their lowest response categories and clinically significant in their highest response categories. For outbursts some indicated a symptom even when present at only a mild level, while others did not indicate symptoms at any level. At the syndromic level, a combination of 2 out of 7 irritable mood and 3 out of 8 outburst indicators accurately captured a cluster of individuals with high level of symptoms. Analysis combining irritable mood and outbursts delineated non-overlapping aspects of DMDD, providing support for the OR rule in clinical operationalization. The best DMDD criteria resulted in a prevalence of 3%.ConclusionResults provide information for initiatives aiming to provide data-driven and clinically oriented operationalized criteria for DMDD.

scholarly journals 407 - The Baycrest Quick-Response Caregiver Tool: The Role for a New Tool for Caregivers of Persons with Dementia

2020 ◽  
Vol 32 (S1) ◽  
pp. 123-123
Author(s):  
Ken Schwartz ◽  
Robert Madan ◽  
Anna Berall ◽  
Marsha Natadira ◽  
Anna Santiago
Keyword(s):  
Family Caregivers ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Well Being ◽  
Moderate Degree ◽  
Quick Response ◽  
Care Providers ◽  
High Level ◽  
Person With Dementia ◽  
The Impact

Background:Responsive behaviours in dementia are associated with poor outcomes for the person with dementia (PWD) and caregiver burnout. Family caregivers need a variety of tools to manage responsive behaviours. The Baycrest Quick-Response Caregiver Tool was developed to provide caregivers with a tool that can be used in real time. In this study, the feasibility, impact, and effectiveness of this new tool were studied in family caregivers and health care providers (HCP) using quantitative and qualitative measures.Methods:Family caregivers were recruited and were asked to complete a pre-survey before being sent the link to the educational tool. One month after the telephone survey, caregivers were sent an online post-survey to gather their feedback on the tool and the impact of the tool on caregiver well -being. Healthcare providers were also recruited and reviewed the tool through an online feedback survey. The feasibility, impact, and effectiveness of the tool were assessed using quantitative and qualitative measures.Results:Caregivers had a moderate degree of and reported a high level of competence - these scores were maintained throughout the study. Caregivers reported that tool positively impacted their compassion towards the person with dementia (PWD), and that their interactions with improved. 100% of HCP who completed the feedback survey would recommend the tool to other HCP and to caregivers of PWD. The caregivers and HCP provided specific suggestions for improvement.Conclusions:The Baycrest Quick-Response Caregiver Tool was found to be feasible and helpful. It provides caregivers and HCP with an additional approach for responsive behaviours.

scholarly journals Organizational conflicts in hospitals and their impact on employee turnover: A case study of Jordan

2021 ◽  
Vol 19 (2) ◽  
pp. 206-216
Author(s):  
Akif Al-Khasawneh ◽  
Bassam Abu Khadar
Keyword(s):  
Employee Turnover ◽  
Well Being ◽  
Private Hospitals ◽  
Institute Of Public Administration ◽  
Work Pressure ◽  
High Level ◽  
Research Facilities ◽  
The Impact ◽  
Organizational Conflicts

The research aims to investigate the most common types of organizational conflicts among employees in private hospitals and discover the impact of organizational conflicts on employee turnover. The research outlined the relationship between the variables to present the idea of organizational conflicts and employee turnover. The hypotheses were tested using a survey data of 340 questionnaires distributed randomly to employees working in four private hospitals in Jordan. Random selection of private hospitals was made among eight hospitals in the northern governorates of Jordan (Irbid, Jerash, Mafraq, and Ajlun), which are considered the largest districts in the country. The collected data were analyzed using the SPSS program, and initial statistical techniques were applied. The results showed that the highest level of impact of organizational conflicts on the internal turnover of employees was related to the conflict between employees and direct supervisors. However, the highest level of the impact of organizational conflicts on the external turnover of employees was related to the conflict between employees and top management. The low-level job conflicts of employees were those with owners and middle management. Thus, to create stability, prevent work pressure, and retain employees, managers of private hospitals necessarily need to provide an appropriate work environment, develop high level of well-being, and decrease the workload. AcknowledgmentsWe would like to thank Al-Balqa Applied University in the Kingdom of Jordan and the Institute of Public Administration in the Kingdom of Saudi Arabia for their kind support and for giving us access to the research facilities.

The Role of Helplessness in the Appraisal of Illness Uncertainty in Women With Fibromyalgia

2020 ◽  
Vol 33 (4) ◽  
pp. 346-352
Author(s):  
Melody D. Reibel ◽  
Marianne H. Hutti
Keyword(s):  
Survey Design ◽  
Well Being ◽  
Subjective Well Being ◽  
Regression Analyses ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Illness Uncertainty ◽  
High Level ◽  
The Impact

Fibromyalgia is a chronic pain disorder characterized by uncertainty in etiology, symptomatology, diagnosis, treatment, and outcome. The high level of illness uncertainty that results from fibromyalgia is a risk factor for maladjustment to illness. A cross-sectional survey design was used to examine the relationships among illness uncertainty, helplessness, and subjective well-being in 138 women with fibromyalgia. Multiple regression analyses were conducted to examine a predictive model for mediation. We found illness uncertainty is negatively associated with subjective well-being and that helplessness strongly influences the impact of illness uncertainty on subjective well-being in women with fibromyalgia.

Irritability, disruptive mood, and ADHD

2018 ◽  
Author(s):  
Melissa Mulraney ◽  
Argyris Stringaris ◽  
Eric Taylor
Keyword(s):  
Future Research ◽  
Children With Adhd ◽  
Disruptive Mood Dysregulation Disorder ◽  
History Of ◽  
Practical Guidance ◽  
The Impact ◽  
Mood Dysregulation

The chapter ‘Irritability, disruptive mood, and ADHD’ provides an overview of what is known about irritability and disruptive mood dysregulation disorder (DMDD) in children with ADHD. It provides practical guidance for the assessment and management of severe irritability in children with ADHD. The chapter begins by discussing the importance of irritability as a construct, the history of DMDD, and how to measure irritability. It then reviews the literature regarding irritability and mood dysregulation in ADHD and discusses reasons for the overlap between irritability and ADHD. The chapter also reviews what is known about the impact of treatments on irritability in children with ADHD before concluding with suggestions for future research.

Disruptive Mood Dysregulation Disorder and its Impact on Rates of Bipolar Disorder among Children and Adolescents

2021 ◽  
Vol 16 (3) ◽  
pp. 154-157
Author(s):  
Waleed A. Alghamdi
Keyword(s):  
Bipolar Disorder ◽  
Children And Adolescents ◽  
Pediatric Bipolar Disorder ◽  
Rapid Rise ◽  
Scientific Databases ◽  
Disruptive Mood Dysregulation Disorder ◽  
Dsm 5 ◽  
The Past ◽  
The Impact ◽  
Mood Dysregulation

Background: In 2013, Disruptive Mood Dysregulation Disorder (DMDD) was introduced in the DSM-5 in part to curb the rapid rise in the rates of bipolar diagnosis among children and adolescents during the decade before the DSM-5 publication. DMDD proved to be a controversial diagnosis for many reasons. Objective: This brief review aims to provide an overview of the DMDD diagnosis and its origins and summarize available data on the impact of the introduction of the DMDD diagnosis on the rates of bipolar disorder among children and adolescents. Methods: Multiple scientific databases were searched using the related terms “DMDD”, “Disruptive Mood Dysregulation”, and “pediatric bipolar disorder” in combination with the terms “diagnosis” and “impact”. The retrieved articles were reviewed carefully. Results: The DMDD diagnosis rates have steadily increased since its introduction. Furthermore, available data show a decrease in the rates of bipolar disorder diagnosis among children and adolescents over the past few years. Conclusion: The very limited available data since 2013 show a decline in the diagnosis of bipolar disorder among children and adolescents. More time and further research are needed to more accurately determine the impact of the DMDD diagnosis on the rates of bipolar disorder in this population.

The Impact of Sport on Young Women’s Attitude to Physical Activity in Adult Life

2000 ◽  
Vol 9 (1) ◽  
pp. 65-86 ◽  
Author(s):  
Eva-Carin Lindgren ◽  
Ulla Tebelius ◽  
Bengt Fridlund
Keyword(s):  
Physical Activity ◽  
Young Women ◽  
Adult Life ◽  
Well Being ◽  
Theoretical Understanding ◽  
Physically Active ◽  
Club Sports ◽  
High Level ◽  
The Impact ◽  
Health And Well Being

Sport participation or regular physical activity is often seen as a factor, which leads to better health and well being. Sport also has a social function, as most of the activities are performed together with other people. However, while club sports in Sweden have a stimulating effect on young men, there is a risk that they do not provide enough scope for young women. In particular, early specialization and a high level of seriousness do not suit all young sportswomen. The purpose of this study was to develop a theoretical understanding of the ways in which sport has influenced young women’s lifestyles in terms of their attitudes to physical activity in adult life. The data were collected using strategic interviews and analyzed using the grounded theory method. Based upon the results, young women’s physically active lifestyles varied depending on how they valued their sport in combination with how they handled their sport. Sport was regarded as having a positive effect on health and well being. This led to the young women studied intending to pursue a physically active lifestyle also in adult life. They enjoyed participating in sport, but not particularly sport with a high level of seriousness or a high level of vigor, which is what characterizes most club sports today.

Hospice Care: Hope and Meaning in Life Mediate Subjective Well-Being of Staff

2020 ◽  
Vol 37 (10) ◽  
pp. 785-790 ◽  
Author(s):  
Shimon Shiri ◽  
Isaiah Wexler ◽  
Anat Marmor ◽  
Zeev Meiner ◽  
Isabella Schwartz ◽  
...  
Keyword(s):  
Work Engagement ◽  
Meaning In Life ◽  
Satisfaction With Life ◽  
Hospice Care ◽  
Care Center ◽  
Well Being ◽  
Subjective Well Being ◽  
Care Workers ◽  
High Level ◽  
The Impact

Objectives: Subjective well-being has been associated with decreased work burnout and elevated work engagement. We investigated the impact of hope and meaning in life on subjective well-being among workers in a hospice care setting. Comparison was made to health-care workers in a rehabilitation unit. Methods: Thirty-five hospice care workers were surveyed and their responses compared with those of 36 rehabilitation workers. Survey instruments measuring hope, meaning in life, work engagement, and satisfaction with life were utilized. Results: Individuals working in a hospice care center have significantly higher levels of work engagement than their counterparts in rehabilitation. For both groups, hope was significantly related to subjective well-being. For hospice care but not rehabilitation workers, meaning in life was also related to subjective well-being. Multivariate analysis showed that hope and meaning in life were independent factors predicting subjective well-being in hospice care workers. Significance of Results: Hospice care workers are highly engaged in their work despite the challenging nature of their work. What characterizes these workers is a level of subjective well-being that is related to both meaning in life and hope. Maintaining a high level of subjective well-being may be an important factor in preventing burnout among those working in hospice care settings.

scholarly journals The Well-Being of Employees in the Conditions of Non-Guaranteed Employment in Industry 4.0

2021 ◽  
Vol 31 (3) ◽  
pp. 321-329
Author(s):  
Olga Koropets ◽  
Marina Chudinovskikh
Keyword(s):  
Industry 4.0 ◽  
Labor Relations ◽  
Well Being ◽  
Legal Aspects ◽  
Professional Status ◽  
Active Population ◽  
The Russian Federation ◽  
High Level ◽  
Term Labour ◽  
The Impact

The article presents the results of a study conducted on the territory of the Russian Federation in 2021. 772 respondents took part in the survey: 378 women and 394 men aged 18 to 69 years, the group of economically active population — employed. The study is interdisciplinary in nature, its purpose is to identify the impact of the legal aspects on the well-being of employees in the conditions of non-guaranteed employment in Industry 4.0. Non-guaranteed forms of employment include work on a basis of the term labour contract and without registration of labor relations. The study allowed us to diagnose a high level of non-guaranteed employment, within the sample only about 70 % work on the terms of an indefinite contract. Respondents with non-guaranteed forms of employment are less satisfied with their income, professional status, and the possibility of obtaining a loan. According to the results of the study, the risks of reducing the level of social security and well-being in conditions of non-guaranteed employment were diagnosed.

scholarly journals Adapting to Crisis: A Binational Study on the Impact of Flexibility on Latent Profiles of Coping with COVID-19

2021 ◽  
Author(s):  
Alla Hemi ◽  
Roxanne Sopp ◽  
Sarah Schäfer ◽  
Tanja Michael ◽  
Einat Levy-Gigi
Keyword(s):  
Well Being ◽  
Population Characteristics ◽  
Psychosocial Stressors ◽  
Depression Symptoms ◽  
Behavioral Strategies ◽  
Binational Study ◽  
High Level ◽  
Regulatory Flexibility ◽  
The Impact

Introduction. The high level of uncertainty brought by the COVID-19 pandemic has affected the general population’s well-being and ability to cope with daily challenges. Studies indicate that flexibility, defined as the ability to employ and adapt a variety of emotional, cognitive, and behavioral strategies in accordance with changing contextual demands, may significantly contribute to coping with long-term stressors such as COVID-19. Objectives. We aimed to investigate which facets of flexibility predict different latent coping profiles in Israel and Germany. Methods. 2330 Israelis and 743 Germans completed online questionnaires measuring cognitive, emotional and trauma-related regulatory flexibility, and cognitive, emotional, and behavioral coping with COVID-19. Results. Analyses revealed three distinct coping profiles in each country (high, medium and low). These profiles differed in both anxiety and depression symptoms with the low coping group experiencing clinically relevant symptoms both in Israel and in Germany. Additionally, cognitive flexibility and trauma-related regulatory flexibility, but not emotion regulatory flexibility, emerged as significant predictors of coping in both countries. Conclusions. Training cognitive and trauma-related regulatory flexibility may help individuals to better cope with psychosocial stressors such as COVID-19. Such trainings could be selectively administered to less flexible subpopulations, as well as adapted to the specific population characteristics.

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