scholarly journals Family Burden and Coping among Caregivers of Schizophrenia

2017 ◽  
Vol 4 (4) ◽  
Author(s):  
S. Geetha ◽  
Dr. M. V. Sudhakaran

Schizophrenia is a strict mental disorder affecting about human population. Being chronic and often incapacitating, it extracts tremendous cost from patients, caregivers and society. Caregivers of patients with schizophrenia face stress and emotional hardship and are frequently forced to assume lifelong care-taking roles. Subjective burden refers to the caregivers’ short term and long term reactions to the patient’s symptoms and behaviors, and the care giving task resulting from it. Perceived distress and interpersonal strain are examples. It refers to the extent to which the care giver feels he or she is burdened. This study aims to conducted for analysis the burden and coping among caregivers of schizophrenia. This study conducted with 30 Schizophrenic patients and 30 primary caretakers of the patients, totally 60 samples were studied. The result shows that there is association between burden assessment schedules of caregiver with that of caregivers coping scale. It revealed statistical significance. Low coping score seen in caregiver who had high burden score. Lower burden score seen in caregivers who had high coping level.

1987 ◽  
Vol 1 (3) ◽  
pp. 141-169 ◽  
Author(s):  
Richard S. Lazarus ◽  
Susan Folkman

In this article we examine the fundamental premises of our cognitive‐relational theory of emotion and coping and assess our progress in examining them through 10 years of programmatic empirical research. Our discussion involves the metatheoretical topics of transaction and relationship, process, and emotion as a system. The person‐environment relationship is mediated by two key processess: cognitive appraisal and coping. We evaluate the findings of our research on these processes, their dynamic interplay, their antecedents, and their short‐term and long‐term outcomes. In the final section we highlight major substantive and methodological issues that need to be addressed. These include issues surrounding the theory and measurement of appraisal, functional and dysfunctional coping, causal inference, microanalytic vs macroanalytic research strategies, objective vs subjective approaches and confounding, and the problem of method variance.


2021 ◽  
Vol 9 (06) ◽  
pp. 543-548
Author(s):  
V. K. Kostova ◽  
◽  
A. Aleksiev ◽  

Introduction:- There is a consensus about the short-term efficacy, but not about the long-term effect of the low-frequency impulse magnetic field in early childhood cerebral motor disorders. There is no consensus about the statistical significance of the two-week and six-month dynamics of the kinesiology tests, cranial ultrasound, pathological and primitive reflexes. Objective:- To compare the short-term and long-term effect of the low-frequency impulse magnetic field versus placebo control and compare the statistical significance regarding the two-week and six-month dynamics of the kinesiology tests, cranial ultrasound, pathological and primitive reflexes. Material and Methods:- 29 children (age 8.10 ± 5.98 months) with cerebral motor disorders were followed for 6 months. They were divided into two groups - physiotherapeutic and control. The physiotherapy group (n = 14) received a once-daily low-frequency impulse magnetic field for two weeks at the start of the follow-up. The control group (n = 15) received a once-daily placebo magnetic therapy for two weeks at the start of the follow-up. Kinesiology tests, cranial ultrasound, pathological and primitive reflexes were recorded at the beginning of the follow-up, after two weeks, and after six months. Results:- At the beginning of the follow-up, there was no difference between the two groups regarding all parameters (P>0.05). Both groups showed better results after two weeks versus the start of the follow-up (P<0.05) and after six months versus after two weeks (P<0.05). The physiotherapy group showed better results versus the control group after the second week (P<0.05) and after the sixth month (P<0.05). The two-week and six-month dynamics of the kinesiology tests showed the highest significance (P<0.001), followed by primitive reflexes (P<0.04), followed by pathological reflexes (P<0.05), and finally - the cranial ultrasound (P>0.05), at comparable baseline parameters (P<0.05). Conclusion:- The low-frequency impulse magnetic field showed a significant short-term and long-term therapeutic effect that exceeded the corresponding placebo effects. The statistical significance at the second week and the sixth month of kinesiology tests was the highest, followed by primitive reflexes, and pathological reflexes. The cranial ultrasound did not show significant two-week and six-month dynamics. Despite the relatively stationary morphological changes, verified by cranial ultrasound, the developing nervous system in children aged 8.10 ± 5.98 months showed significant positive dynamics and plasticity for two weeks and six months, verified by kinesiology tests, primitive and pathological reflexes.


Author(s):  
Phuong Le Nguyen ◽  
Mau Dung Nguyen

Vietnam is the second largest coffee producer in the world, mostly from the Central Highlands region where water has been becoming a scarce resource. Since 2014, drought has been strongly affecting Central Highlands&rsquo; agriculture, particularly coffee production. The drought leads to changes in flowering, ripening and thus harvesting times of coffee. Coffee productivity has reduced about 50 percent. Ultimately, coffee quantity and quality is jeopardized which endangers coffee farmers who occupy 90 per cent of population and their livelihoods mainly rely on coffee. Most of coffee farmers have had to develop alternative strategies to respond to the drought. Based on quantitative and qualitative data collected from 50 coffee households in a community in the Central Highlands, this research has indicated that farmers had to find the ways to adapt as well as to cope with drought. The ways of adaptation and coping were diverse, including short, medium and long-term plans. To strengthen the adaptation and coping strategies of farmers with drought in the short term, it is recommended that authorities provide more technical and financial support to farmers. Furthermore, longer term strategies need to focus on land use planning, investment in irrigation schemes, and consolidated afforestation schemes in appropriate areas.


Author(s):  
Ricardo Santiago-Mozos ◽  
Imtiaz A. Khan ◽  
Michael G. Madden

In this paper, the authors identify the strategies that resistant subpopulations of cancer cells undertake to overcome the effect of the anticancer drug Topotecan. For the analyses of cell lineage data encoded from timelapse microscopy, data mining tools are chosen that generate interpretable models of the data, addressing their statistical significance. By interpreting the short-term and long-term cytotoxic effect of Topotecan through these data models, the authors reveal the strategies that resistant subpopulations of cells undertake to maximize their clonal expansion potential. In this context, this paper identifies a pattern of cell death independent of cytotoxic effect. Finally, it is observed that cells exposed to Topotecan have higher movement over time, indicating a putative relationship between cytotoxic effect and cell motility.


1999 ◽  
Vol 5 (4) ◽  
pp. 206-211 ◽  
Author(s):  
Brian G Weinshenker

A database is an organized repository of data. Prospective collection of patient information in a database (`databasing') has been attempted by a few consortia of MS investigators over the past 10 years. This approach promises to facilitate epidemiologic research in MS and investigation of the natural history of the disease and how it might be altered by long-term treatments such as interferon beta. Databasing has some advantages over clinical trials in assessing new therapies, primarily because the focus is on long-term effectiveness in an entire population rather than short-term statistical significance in a highly selected population. The limitations of databasing and strategies to overcome these limitations are addressed.


2009 ◽  
Vol 76 (3) ◽  
pp. 331-339 ◽  
Author(s):  
Marta Terré ◽  
Carolina Tejero ◽  
Alex Bach

Sixty female dairy calves (body weight, BW, 43·2±0·58 kg and age 9·8±0·61 d) were arranged in two groups to compare the short-term and long-term effects of an enhanced-growth feeding programme (EF) with those of a conventional-growth feeding programme (CF). After 1 week of adaptation to a milk replacer (MR), CF calves were fed 4 l/d of MR (25% crude protein, CP; 19·2% ether extract) at 12% dry matter (DM) from days 1 to 27 and 2 l/d at 12% DM from days 28 to 34, and the EF calves were offered the same MR at 18% DM: 4 l/d from days 1 to 6, 6 l/d from days 7 to 13, 7 l/d from days 14 to 20, 6 l/d from days 21 to 27 and 3 l/d from day 28 to weaning at day 34 of the study (50 d of age). Individual calf starter (20·7% CP) intake was recorded daily from the beginning until day 41 of study (57 d of age). Then, calves were placed in groups of six and they received a total mixed ration (TMR) containing 18·5% CP until day 56 d of study (72 d of age). Then, heifers were moved to larger pens and were fed the same TMR in both treatments at each subsequent stage of growth throughout the study. Calves were weighed weekly until day 56 of study and before every pen change (days 94, 149, 200, 387 of study). When heifers were 400 d old and weighed >380 kg, they were moved to a breeding pen where oestruses were checked three times a day. Heifers were inseminated 12 h after the detection of oestrus. One month before calving, heifers were returned to their original farm and milk yield at 305 days in milk was recorded from 28 cows. Starter intake was greater (P<0·001) in CF than in EF calves (0·79 v. 0·29±0·043 kg/d, respectively) during the preweaning period, but TMR consumption was similar in both treatments from days 42 to 56 of study. BW of EF calves was greater (P<0·01) than that of CF calves at weaning (76·4 v. 71·6±1·10 kg, respectively), but BW was not different at day 387 of study (405 d of age) (406·3 v. 401·3±4·05 kg, respectively). There were numerical differences in age at first breeding, fertility at first artificial insemination, age at pregnancy, and milk yield but some of these differences might have reached statistical significance with more replication.


2009 ◽  
Vol 137 (7-8) ◽  
pp. 371-378 ◽  
Author(s):  
Branislav Milovanovic ◽  
Danijela Trifunovic ◽  
Nebojsa Milicevic ◽  
Karin Vasic ◽  
Mirjana Krotin

Introduction. Cardiovascular autonomic modulation is altered in patients with essential hypertension. Objective To evaluate acute and long-term effects of amlodipine on cardiovascular autonomic function and haemodynamic status in patients with mild essential hypertension. Methods. Ninety patients (43 male, mean age 52.12 ?10.7) years with mild hypertension were tested before, 30 minutes after the first 5 mg oral dose of amlodipine and three weeks after monotherapy with amlodipine. A comprehensive study protocol was done including finger blood pressure variability (BPV) and heart rate variability (HRV) beat-to-beat analysis with impedance cardiography, ECG with software short-term HRV and nonlinear analysis, 24-hour Holter ECG monitoring with QT and HRV analysis, 24-hour blood pressure (BP) monitoring with systolic and diastolic BPV analysis, cardiovascular autonomic reflex tests, cold pressure test, mental stress test. The patients were also divided into sympathetic and parasympathetic groups, depending on predominance in short time spectral analysis of sympathovagal balance according to low frequency and high frequency values. Results. We confirmed a significant systolic and diastolic BP reduction, and a reduction of pulse pressure during day, night and early morning hours. The reduction of supraventricular and ventricular ectopic beats during the night was also achieved with therapy, but without statistical significance. The increment of sympathetic activity in early phase of amlodipine therapy was without statistical significance and persistence of sympathetic predominance after a few weeks of therapy detected based on the results of short-term spectral HRV analysis. All time domain parameters of long-term HRV analysis were decreased and low frequency amongst spectral parameters. Amlodipne reduced baroreflex sensitivity after three weeks of therapy, but increased it immediately after the administration of the first dose. Conclusion. The results of the study showed that amlodipine affected autonomic modulation as a shift to sympathetic hyperactivity, but without statistical significance. In the selected group of patients with vagal predominance in sympathovagal balance, amlodipine increased sympathetic and decreases vagal activity. Therefore we conclude that amlodipine mostly exerts impact on autonomic function modulation in patients with vagal predominance in resting state.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Humza Malik ◽  
Kate Flowers

Objective The impact of encouragement on performance has been observed in the setting of exercise, but further research is necessary in running. To compare the improvement in pace experienced by subjects of different backgrounds (from a running team, non-running sports team, or no sports team) as a result of active (verbal encouragement) and passive social facilitation, this study was conducted. Method Eighteen male high school students, age 17.3±0.75 years were recruited for this study, six from each background listed above. Participants were randomly assigned to one of three treatments: external verbal encouragement (EVE), without external verbal encouragement (WEVE), or no presence. Improvement in pace after the introduction of a social facilitator was recorded along with overall consistency in pace. Statistical significance was set at α = 0.10. Results A significant improvement in short-term pace among subjects from a running team was generated by EVE, t(1) = -5.198, p = 0.0605, and no presence generated a significant improvement in short-term pace among subjects from a non-running sports team, t(1) = -5, p = 0.0669. EVE also generated a significant improvement in long-term pace among subjects from a running team, t(1) = -5.069, p = 0.0620. A conclusion on consistency was not reached. Conclusion Verbal encouragement saw to long-term and short-term improvement in pace of subjects selected from a running team, while the lack of presence assisted the short-term performance of subjects selected from non-running sports teams. Results obtained offer potential to impact competitive long-distance running.


2000 ◽  
Vol 2 (2) ◽  
pp. 9-15 ◽  
Author(s):  
Linda Morgante

Abstract Feelings of hopelessness are common in patients with multiple sclerosis (MS), which poses a significant threat to an individual's independence and feelings of competence. Because hope has been shown to play an important role in health and coping during chronic illness, it is critical for the MS provider to understand the elements of hope and recognize when the person with MS is struggling with feelings of hopelessness. The MS nurse is the pivotal player in ensuring that the individual with MS maintains a sense of hope throughout the illness. In addition to providing education, counseling and referrals, the nurse can help the MS patient focus on feelings and ideas, recognize personal reasons for living, and establish both short-term and long-term goals.


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