Unmet psycho-social needs, coping strategies and psychological distress among people with cancer: Evidence from Pakistan

2021 ◽  
pp. 1-15
Author(s):  
Nida Shahid ◽  
Tamkeen Ashraf Malik ◽  
Akmal Hussain ◽  
Shaf Ahmed
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Data Collection ◽  
Coping Styles ◽  
Psychological Needs ◽  
Social Needs ◽  
Psychosocial Needs ◽  
Maladaptive Coping ◽  
Holistic Treatment ◽  
Psychosocial Support System

Abstract Objective: To explore the unmet psychosocial needs, coping styles and psychological distress among people ith cancer in Pakistan. Methods: A cross-sectional correlational study design was used for data collection. The research was conducted in Shifa International Hospital, Islamabad and Hayatabad Medical Complex, Peshawar with a sample of 182 participants diagnosed with cancer. Only those who consented to participate were approached from May to July, 2017. Supportive Care Needs Survey-Short Form 34 (SCNS-SF34), Mini-Mental Adjustment to Cancer Scale (Mini-Macs) and Hospital Anxiety Depression Scale (HADS) were used for data collection. Results: It was found that all psychosocial needs were unmet among all the participants (100%) who were suffering from cancer illness. Among five sub-domains of psychosocial needs, health information needs (35.61%) and psychological needs (30.7%) emerged to be strikingly unmet. Moreover, anxious preoccupation and hopeless/helplessness were highly endorsed maladaptive coping styles. A statistically significant relationship existed among unmet psycho-social needs, maladaptive coping and psychological distress. Conclusion: This Study outcome pointed towards gaps in delivering quality care services in Pakistani healthcare settings, inadequate attention of health professionals and serious psychological health care neglect of patients fighting with life threatening disease. This negligence may jeopardize patient’s overall health, can raise health care costs and consequently can contribute to elevated psychological distress. Hence, there is a dire need for proper psychological interventions for effective and holistic treatment planning which can improve the whole process of illness and recovery. Keywords: Cancer, Psychosocial support system, Continuous...

scholarly journals Stressors and Coping Strategies During the Outbreak of Coronavirus Disease 2019 Among Hospital Staff: A Case Study in Iran

2021 ◽  
Vol 27 (2) ◽  
pp. 148-163
Author(s):  
Fatemeh Mohammadzadeh ◽  
◽  
Ali Delshad Noghabi ◽  
Javad Bazeli ◽  
Hamidreza Karimi ◽  
...  
Keyword(s):  
Health Care ◽  
Stress Intensity ◽  
Health Care Workers ◽  
Coping Styles ◽  
Hospital Staff ◽  
Maladaptive Coping ◽  
Care Workers ◽  
High Level ◽  
And Coping ◽  
Sports Activities

Aims: The emergence of COVID-19 disease has created significant stress and anxiety for health care workers. This study aimed to investigate the stressors and coping strategies in the staff of Allameh Bohlool Hospital in Gonabad City, Iran, during the outbreak of the COVID-19 disease. Methods & Materials: This cross-sectional study was performed on 252 employees of Allameh Bohlool Hospital in Gonabad from March 2020 to April 2020. Study tools included a brief form of coping styles (Brief-COPE) and a researcher-made questionnaire of stressors due to the emergence of COVID-19 among health care workers. The obtained data were analyzed using linear regression and ordinal regression models at the significance level of 0.05. Findings: About 74.2%, 69.4%, 52.7%, 52.7%, and 99.2% of the hospital staff had moderate to high stress in the domains of internal, family-social, workplace-related, infection control, and government measures, respectively. The degree of using adaptive and maladaptive coping styles used by staff were 52.0% and 23.8% at the moderate to the high level, respectively. Maladaptive coping styles had a positive and significant relationship with stress intensity so that for each unit increase in maladaptive coping score, the odds of experiencing higher levels of stress increased 1.24 to 1.45 times (P<0.001). Also, the odds of experiencing higher levels of stress in those who had sports activities was 24% to 76% lower (P=0.003). Conclusion: The findings of the present study indicated a high level of stress among hospital staff. Also, the use of maladaptive coping styles and sports activities had a significant positive and negative relationship with stress intensity, respectively. Therefore, designing effective interventions focusing on reducing maladaptive coping patterns among hospital staff and encouraging people to engage in sports activities can help manage stress as much as possible due to the outbreak of COVID-19 disease.

Health and Psychosocial Needs of Older Adults Who Are Experiencing Homelessness Following Hospital Discharge

2019 ◽  
Vol 60 (4) ◽  
pp. 715-724 ◽  
Author(s):  
Sarah L Canham ◽  
Karen Custodio ◽  
Celine Mauboules ◽  
Chloe Good ◽  
Harvey Bosma
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Hospital Discharge ◽  
Health Care Providers ◽  
Social Needs ◽  
Care Providers ◽  
Psychosocial Needs ◽  
Structured Interviews ◽  
Common Location ◽  
Housing Options

Abstract Introduction Though hospitals are a common location where older adults experiencing homelessness receive health care, an understanding of the types of supports needed upon hospital discharge is limited. We examined the unique characteristics of older homeless adults and the health and psychosocial supports required upon hospital discharge. Design and Methods Guided by principles of community-based participatory research (CBPR), we conducted 20 in-depth, semi-structured interviews with shelter/housing and health care providers in Metro Vancouver. Results Thematic analyses revealed 6 themes: (a) older people experiencing homelessness have unique vulnerabilities upon hospital discharge; (b) following hospital discharge, general population shelters are inappropriate for older adults; (c) shelter/housing options for older adults who have complex health and social needs are limited; (d) shelter/housing for older adults who require medical stabilization and convalescence after hospital discharge is needed; (e) a range of senior-specific shelter/housing options are needed; and (f) unique community supports are needed for older adults upon hospital discharge. Discussion and Implications As the population of older adults increases across North America, there is a parallel trend in the increased numbers of older adults who are experiencing homelessness. Not only is there often a need for ongoing medical care and respite, but there is a need for both shelter and housing options that can appropriately support individual needs.

scholarly journals Psychological Distress and Coping Strategies among Nurses during the COVID-19 Pandemic: A Cross-Sectional Online Survey

2021 ◽  
Vol 15 (1) ◽  
pp. 262-272
Author(s):  
Eman K. Alnazly ◽  
Anees A. Hjazeen
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Coping Strategies ◽  
Health Care Professionals ◽  
Online Survey ◽  
Coping Styles ◽  
Careful Study ◽  
Cross Sectional ◽  
Care Community ◽  
Fear And Anxiety

Background: The emergence of COVID-19 has a significant impact on nurse’s overall health. The severity and magnitude of the COVID-19 pandemic means it is extremely likely that health-care professionals will experience psychological distress as a result of their direct contact with patients who have contracted the infection. Objectives: This study aimed to evaluate levels of psychological distress among nurses during the COVID-19 pandemic, determine the associated factors, and identify nurses’ coping strategies. Methods: This study is a cross-sectional design. Overall, 130 nurses answered online questionnaires. The questionnaires measured sociodemographic characteristics, Fear of COVID-19 Scale, the Depression, Anxiety, and Stress Scale, and the Brief Coping Inventory. Results: Nurses have a moderate level of fear (mean score: 24.34 ± 13.43) and depression (43.8% of the sample), and severe anxiety (73.8%) and stress (45.4%). Anxiety and fear were positively correlated (r = .675, p < .001). Independent t-tests revealed that female nurses had higher psychological distress and fear than male nurses (p = 0.015 and p = 0.038, respectively). Nurses who cared for patients who had tested positive for coronavirus disease 2019 and those who had a friend or family member who had tested positive had higher fear and psychological distress than their respective counterparts (p < .001 and p = .010, respectively). Working more hours was moderately correlated with fear and anxiety (p = 0.016). Nurses were found to generally adopt maladaptive coping styles. Conclusion: Through careful study of the factors determined through this research to be associated with psychological distress among nurses, the health-care community can better prepare to mitigate nurses’ emotional and psychological toll in future pandemic situations. Working with patients who have tested positive for COVID-2019 causes psychological distress for nurses.

scholarly journals Psychosocial needs of the parents of children with mental disorder

2020 ◽  
Author(s):  
Zahra Zangeneh ◽  
Amir Jalali ◽  
Rostam Jalali ◽  
Hooman Daryoushi
Keyword(s):  
Content Analysis ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Psychological Needs ◽  
Social Needs ◽  
Information Support ◽  
Psychosocial Needs ◽  
Structured Interviews ◽  
Content Analysis Method ◽  
Age Range

Abstract Background In addition to the major problems that a child with mental disorder, the family, and society are faced with, mental disorders in children cause several problems and care pressure on the parents in particular. While the parents suffer the highest damages by their child’ disease, they tend to hide their pains, sufferings, and needs from others. The present study is an attempt to elaborate on psychosocial needs in the parents of children with mental disorder. Methods The study was carried out as a qualitative study using content analysis method. To this end, 21 parents of children with mental disorder at age range 10-18 years took part in the study. The participants were selected through purposeful sampling and after signing an informed letter of consent, deep semi-structured interviews were conducted with them. The interviews were recorded with the consent of the participants and the data was analyzed using conventional content analysis. Results Analysis of the interviews revealed 302 codes, 16 subcategories, seven categories, and two themes. The theme “psychological needs” was comprised of categories the need for assurance, the need for emotional support, and the need for being accepted. The theme “social needs” was comprised of categories the need for social support, the need for welfare, the need for information support, and the need for family support. Conclusion Given the changes in their lives caused the disease of their children, parents of children with mental disorders deal with several needs and challenges. The needs categorized in mental and emotional fields and social and information supports were the main needs.

Care Giver’s Needs in the Process of Cancer Recovery

2012 ◽  
Vol 11 (1) ◽  
pp. 67
Author(s):  
Bino Thomas ◽  
Marie M Nympha
Keyword(s):  
Psychosocial Care ◽  
Psychological Needs ◽  
Cross Sectional Study ◽  
Social Needs ◽  
Spiritual Needs ◽  
Family Needs ◽  
Psychosocial Needs ◽  
Cross Sectional ◽  
Care Givers ◽  
Care Recipients

Goals of work: The aim of the study is to explore the psychosocial needs of persons taking care of family members suffering from cancer. Materials & Methods: An Sixty care-givers participated in the cross sectional study. An interview schedule was used. The care recipients had heterogeneous cancer diagnosis and were hospitalized for at least a month. Main Result: Their Financial needs were the highest followed by informational needs, family needs, personal needs, social needs, psychological needs and spiritual needs. It is in contrast to their studies from the west where psychological need was supreme. Conclusions: The findings pave way for the development of comprehensive psychosocial care programs for the care-givers. Keywords: Cancer-oncology, caregiver

Percutaneous Tracheostomy: A Multidisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 87-98 ◽  
Author(s):  
Vinciya Pandian ◽  
Thai Tran Nguyen ◽  
Marek Mirski ◽  
Nasir Islam Bhatti
Keyword(s):  
Health Care ◽  
Quality Assurance ◽  
Data Collection ◽  
Health Care Professionals ◽  
Multidisciplinary Approach ◽  
Percutaneous Tracheostomy ◽  
Johns Hopkins Hospital ◽  
Prospective Data ◽  
Comprehensive Service ◽  
Over Time

Abstract The techniques of performing a tracheostomy has transformed over time. Percutaneous tracheostomy is gaining popularity over open tracheostomy given its advantages and as a result the number of bedside tracheostomies has increased necessitating the need for a Percutaneous Tracheostomy Program. The Percutaneous Tracheostomy Program at the Johns Hopkins Hospital is a comprehensive service that provides care to patients before, during, and after a tracheostomy with a multidisciplinary approach aimed at decreasing complications. Education is provided to patients, families, and health-care professionals who are involved in the management of a tracheostomy. Ongoing prospective data collection serves as a tool for Quality Assurance.

Investigating the Efficacy and Cost-Effectiveness of a Web-based Self-help Program for People With Adjustment Problems After an Accident (SelFIT): Protocol for a Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Julia Hegy ◽  
Noemi Anja Brog ◽  
Thomas Berger ◽  
Hansjoerg Znoj
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Cost Effectiveness ◽  
Well Being ◽  
User Friendliness ◽  
Adjustment Problems ◽  
Health Care Consumption ◽  
Web Based ◽  
Self Help ◽  
Wide Range

BACKGROUND Accidents and the resulting injuries are one of the world’s biggest health care issues often causing long-term effects on psychological and physical health. With regard to psychological consequences, accidents can cause a wide range of burdens including adjustment problems. Although adjustment problems are among the most frequent mental health problems, there are few specific interventions available. The newly developed program SelFIT aims to remedy this situation by offering a low-threshold web-based self-help intervention for psychological distress after an accident. OBJECTIVE The overall aim is to evaluate the efficacy and cost-effectiveness of the SelFIT program plus care as usual (CAU) compared to only care as usual. Furthermore, the program’s user friendliness, acceptance and adherence are assessed. We expect that the use of SelFIT is associated with a greater reduction in psychological distress, greater improvement in mental and physical well-being, and greater cost-effectiveness compared to CAU. METHODS Adults (n=240) showing adjustment problems due to an accident they experienced between 2 weeks and 2 years before entering the study will be randomized. Participants in the intervention group receive direct access to SelFIT. The control group receives access to the program after 12 weeks. There are 6 measurement points for both groups (baseline as well as after 4, 8, 12, 24 and 36 weeks). The main outcome is a reduction in anxiety, depression and stress symptoms that indicate adjustment problems. Secondary outcomes include well-being, optimism, embitterment, self-esteem, self-efficacy, emotion regulation, pain, costs of health care consumption and productivity loss as well as the program’s adherence, acceptance and user-friendliness. RESULTS Recruitment started in December 2019 and is ongoing. CONCLUSIONS To the best of our knowledge, this is the first study examining a web-based self-help program designed to treat adjustment problems resulting from an accident. If effective, the program could complement the still limited offer of secondary and tertiary psychological prevention after an accident. CLINICALTRIAL ClinicalTrials.gov NCT03785912; https://clinicaltrials.gov/ct2/show/NCT03785912?cond=NCT03785912&draw=2&rank=1

scholarly journals The coping styles to stress of Italian emergency health-care professionals after the first peak of COVID 19 pandemic outbreak

2020 ◽  
Author(s):  
Andrea Fabbri ◽  
Fabio De Iaco ◽  
Giulio Marchesini ◽  
Francesco Rocco Pugliese ◽  
Clemente Giuffrida ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Coping Styles ◽  
Emergency Health Care

Roles of Psychological Distress and Social Support in the Relationship Between Childhood Maltreatment and Perceived Needs for Mental Health Care

2021 ◽  
pp. 088626052110063
Author(s):  
Tingting Gao ◽  
Songli Mei ◽  
Muzi Li ◽  
Carl D’ Arcy ◽  
Xiangfei Meng
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Health Care ◽  
Psychological Distress ◽  
Mental Health Care ◽  
Childhood Maltreatment ◽  
Perceived Needs ◽  
Perceived Need ◽  
History Of ◽  
The Relationship

Childhood maltreatment is a major public health issue worldwide. It increases a range of health-risk behaviors, psychological and physical problems, which are associated with an increased need for mental health services in adulthood. Identification of mediating factors in the relationship between maltreatment and seeking mental health care may help attenuate the negative consequences of childhood maltreatment and promote more appropriate treatment. This study aims to examine whether the relationship between childhood maltreatment and perceived need for mental health care is mediated by psychological distress and/or moderated by social support. Data from the Canadian Community Health Survey-Mental Health 2012 are analyzed. A total of 8,993 participants, who had complete information on childhood maltreatment and diagnoses of mental disorders or psychological distress, are included in this study. Structural equation modeling and the PROCESS macro were used to identify relationships among childhood maltreatment, perceived needs for mental health care, and psychological distress. Hierarchical linear regression was then used to verify the moderated mediation model. We found that psychological distress partially mediated the effect of childhood maltreatment on perceived needs for mental health care in adulthood. Social support played an important role in terms of moderating the relationship between maltreatment and perceived needs for care. For those with a history of childhood maltreatment, those who perceived a low level of social support were more likely to have higher levels of psychological distress and perceived need for mental health care. This is the first study to identify the separate and combined roles of psychological distress and social support in the relationship between childhood maltreatment and perceived need for mental health care. Selective prevention strategies should focus on social support to improve mental health services among people with a history of childhood maltreatment.

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