scholarly journals The Meaning and Process of Pain Acceptance. Perceptions of Women Living with Arthritis and Fibromyalgia

2008 ◽  
Vol 13 (3) ◽  
pp. 201-210 ◽  
Author(s):  
Diane L LaChapelle ◽  
Susan Lavoie ◽  
Ainsley Boudreau

BACKGROUND: Within the past 10 years, cognitive-behavioural pain management models have moved beyond the traditional focus on coping strategies and perceived control over pain, to incorporate mindfulness-and acceptance-based approaches. Pain acceptance is the process of giving up the struggle with pain and learning to live life despite pain. Acceptance is associated with lower levels of pain, disability and psychological distress. Relatively little is known, however, about how patients arrive at a state of acceptance without the aid of therapy.OBJECTIVES: To explore personal definitions of acceptance and the factors that facilitate or hinder acceptance.METHODS: Eleven focus groups, involving a total of 45 women with arthritis and fibromyalgia, were conducted.RESULTS: The qualitative analysis revealed that, while the women rejected the word ‘acceptance’, they did agree with the main components of existing research definitions. The women’s responses revealed that acceptance was a process of realizations and acknowledgements, including realizing that the pain was not normal and help was needed, receiving a diagnosis, acknowledging that there was no cure and realizing that they needed to redefine ‘normal’. Diagnosis, social support, educating self and others, and self-care were factors that promoted acceptance. Struggling to retain a prepain identity, negative impacts on relationships, others not accepting their pain and the unspoken message that the pain was ‘all in their head’ were barriers to acceptance.CONCLUSION: The implications of these findings, distinctions between the diagnostic groups and recommendations regarding how health professionals can facilitate the process of acceptance are discussed.

Author(s):  
Valerie M. Brown ◽  
Jennifer (M.I.) Loh ◽  
Nigel V. Marsh

Reception and administrative employees may be particularly vulnerable to patient aggression in mental health services. This study examined whether satisfaction with social support and primary aggression training moderated the effects of perceived aggression on psychological distress and somatic symptoms in a sample of 101 employees. The biophysical model of threat and challenge, the stressor-stress-strain model, and the stress-buffering hypothesis served as theoretical frameworks. Results showed perceived aggression correlated positively with psychological distress, but not with somatic symptoms. Significant interactions were found for social support (buffering effect) and training (interaction effect) for somatic symptoms, but not for psychological distress. It is suggested that, for somatic symptoms, the moderation effects of social support and training on perceived aggression involve similar mechanisms (increased knowledge, self-esteem, perceived control, coping capacity). These findings provide support for the benefits of staff training and the incorporation of knowledge-based components in training programs.


Author(s):  
Van Hong Thi Ha ◽  
Nguyen Bang Nong

Vietnam is one of the countries most heavily affected by climate change. The effects of climate change decrease the country's target of poverty alleviation and sustainable growth. Quang Ninh is a coastal province with vigorous development in industry and tourism and is the province with the leading Provincial Competitiveness Index (PCI) in Vietnam in recent years. However, for many years, Quang Ninh province has suffered negative impacts of climate change. The annual average temperature has been higher than usual, from 22.9 Celcius in 1980 up to 24.9 Celcius in 2019. The number of storms, floods, and tornadoes in the past ten years is more than 93 times, killing more than 87 people, housing damage is 21,231 houses, nearly 16,000 hectares of cultivated land have been affected. Quang Ninh's monetary loss in monetary terms over the past ten years is more than $261 billion US dollar. The article airms to understand livelihood vulnerability to climate change: evidence from Quang Ninh province, Vietnam in the past 10 years (2010-2019). The article based on the Livelihood Vulnerability Index (LVI) developed by Hahn et al. (2009) includes seven main components: household characteristics, livelihood strategy, social network, health, food and financial capital, water resources, natural disasters, and climate change. The research results show that the components of responding well to climate change are not acceptable. The study also shows that there should be different policies, strategists, and reduction components to improve capacity to respond to climate change to ensure sustainable development goals. Keywords: Climate Change, Livelihood Vulnerability, Capital Resources, Sustainable Development, Quang Ninh


Author(s):  
Angèle Flora Mendy

By examining policies of recruiting non-EU/EEA health workers and how ethical considerations are taken into account when employing non-EU/EEA nurses in the United Kingdom, France, and Switzerland, this chapter intends to show that the use of the so-called ‘ethical’ argument to convince national public opinion of the relevance of restrictive recruitment policies is recent (since the 1990s). The analysis highlights the fact that in addition to the institutional legacies, qualification and skills—through the process of their recognition—play an important role in the opening or restriction of the labour market to health professionals from the Global South. The legacy of the past also largely determines the place offered to non-EU/EEA health professionals in the different health systems of host countries.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Atsurou Yamada ◽  
Fujika Katsuki ◽  
Masaki Kondo ◽  
Hanayo Sawada ◽  
Norio Watanabe ◽  
...  

Abstract Background Although caregivers of patients with eating disorders usually experience a heavy caregiving burden, the effects of social support on caregivers of patients with eating disorders are unknown. This study aimed to investigate how social support for mothers who are caregivers of patients with an eating disorder improves the mothers’ mental status and, consequently, the symptoms and status of the patients. Methods Fifty-seven pairs of participants were recruited from four family self-help groups and one university hospital in Japan. Recruitment was conducted from July 2017 to August 2018. Mothers were evaluated for social support using the Japanese version of the Social Provisions Scale-10 item (SPS-10), self-efficacy using the General Self-Efficacy Scale, loneliness using the University of California, Los Angeles Loneliness Scale, listening attitude using the Active Listening Attitude Scale, family functioning using the Family Assessment Device, depression symptoms using the Beck Depression Inventory (Second Edition), and psychological distress using the Kessler Psychological Distress Scale. Patients were evaluated for self-esteem using the Rosenberg Self-Esteem Scale, assertion using the Youth Assertion Scale, and their symptoms using the Eating Disorder Inventory. We divided the mothers and patients into two groups based on the mean score of the SPS-10 of mothers and compared the status of mothers and patients between the high- and low-scoring groups. Results High social support for mothers of patients with eating disorders was significantly associated with lower scores for loneliness and depression of these mothers. We found no significant differences in any patient scores based on mothers’ level of social support. Conclusions For patients with eating disorders, social support for a caregiver cannot be expected to improve their symptoms, but it may help prevent caregiver depression and loneliness.


Polymers ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 1544
Author(s):  
Jet Yin Boey ◽  
Lydia Mohamad ◽  
Yong Sen Khok ◽  
Guan Seng Tay ◽  
Siti Baidurah

Overconsumption of plastic goods and improper handling of petroleum-derived plastic waste have brought a plethora of negative impacts to the environment, ecosystem and human health due to its recalcitrance to degradation. These drawbacks become the main driving force behind finding biopolymers with the degradable properties. With the advancement in biopolymer research, polyhydroxyalkanoate (PHA) and poly(lacyic acid) (PLA) and its composites have been alluded to as a potential alternative to replace the petrochemical counterpart. This review highlights the current synthesis process and application of PHAs and PLA and its composites for food packaging materials and coatings. These biopolymers can be further ameliorated to enhance their applicability and are discussed by including the current commercially available packaging products. Factors influencing biodegradation are outlined in the latter part of this review. The main aim of this review article is to organize the scattered available information on various aspects of PHAs and PLA, and its composites for packaging application purposes. It is evident from a literature survey of about 140 recently published papers from the past 15 years that PLA and PHA show excellent physical properties as potential food packaging materials.


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