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https://www.readbyqxmd.com/read/29327140/children-s-experiences-of-congenital-heart-disease-a-systematic-review-of-qualitative-studies
#1
REVIEW
Lauren S H Chong, Dominic A Fitzgerald, Jonathan C Craig, Karine E Manera, Camilla S Hanson, David Celermajer, Julian Ayer, Nadine A Kasparian, Allison Tong
We aimed to describe the experiences of children and adolescents with congenital heart disease (CHD). Electronic databases were searched until August 2016. Qualitative studies of children's perspectives on CHD were included. Data was extracted using thematic synthesis. From 44 studies from 12 countries involving 995 children, we identified 6 themes: disrupting normality (denying the diagnosis, oscillating between sickness and health, destabilizing the family dynamic), powerlessness in deteriorating health (preoccupation with impending mortality, vulnerability to catastrophic complications, exhaustion from medical testing), enduring medical ordeals (traumatized by invasive procedures, disappointed by treatment failure, displaced by transition, valuing empathy and continuity in care, overcoming uncertainty with information), warring with the body (losing stamina, distressing inability to participate in sport, distorted body image, testing the limits), hampering potential and goals (feeling disabled, unfair judgment and exclusion, difficulties with academic achievement, limiting attainment and maintenance of life milestones), and establishing one's own pace (demarcating disease from life, determination to survive, taking limitations in their stride, embracing the positives, finding personal enrichment, relying on social or spiritual support)...
January 11, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29324826/facial-responsiveness-of-psychopaths-to-the-emotional-expressions-of-others
#2
Janina Künecke, Andreas Mokros, Sally Olderbak, Oliver Wilhelm
Psychopathic individuals show selfish, manipulative, and antisocial behavior in addition to emotional detachment and reduced empathy. Their empathic deficits are thought to be associated with a reduced responsiveness to emotional stimuli. Immediate facial muscle responses to the emotional expressions of others reflect the expressive part of emotional responsiveness and are positively related to trait empathy. Empirical evidence for reduced facial muscle responses in adult psychopathic individuals to the emotional expressions of others is rare...
2018: PloS One
https://www.readbyqxmd.com/read/29324393/changing-students-perceptions-of-the-homeless-a-community-service-learning-experience
#3
Janet Gardner, Jan Emory
The homeless are an underserved, local vulnerable population that can benefit from a service learning clinical practicum experience for baccalaureate prepared nursing students. Negative attitudes and disrespect among healthcare workers has been identified by the homeless as a barrier to healthcare. A service learning experience with a vulnerable population has been shown to change nursing students' attitudes and beliefs. A large university in a southern city partnered with a community based organization that provided services to the homeless to educate senior nursing students in a service learning experience...
January 5, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29321532/neural-measures-of-the-role-of-affective-prosody-in-empathy-for-pain
#4
Federica Meconi, Mattia Doro, Arianna Schiano Lomoriello, Giulia Mastrella, Paola Sessa
Emotional communication often needs the integration of affective prosodic and semantic components from speech and the speaker's facial expression. Affective prosody may have a special role by virtue of its dual-nature; pre-verbal on one side and accompanying semantic content on the other. This consideration led us to hypothesize that it could act transversely, encompassing a wide temporal window involving the processing of facial expressions and semantic content expressed by the speaker. This would allow powerful communication in contexts of potential urgency such as witnessing the speaker's physical pain...
January 10, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29320912/fostering-transformation-by-hearing-voices-evaluating-a-6-second-low-fidelity-simulation
#5
Brenda Marshall, Julie Bliss, Benjamin Evans, Oksana Dukhan
BACKGROUND: The stigma of psychosis, with the accompanying symptoms of auditory and visual hallucinations, can affect a nurse's ability to provide safe, effective care. Increasing knowledge of the patient's perspective during auditory hallucinations can increase the nurse's ability to be empathetic and engage in a therapeutic alliance. OBJECTIVE: To evaluate the efficacy of a six-second auditory hallucination simulation to increase empathy in preclinical undergraduate nursing students...
January 1, 2018: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/29318730/mentorship-in-the-health-professions-a-review
#6
REVIEW
Annette Burgess, Christie van Diggele, Craig Mellis
BACKGROUND: The importance of mentorship within health care training is well recognised. It offers a means to further enhance workforce performance and engagement, promote learning opportunities and encourage multidisciplinary collaboration. There are both career and life benefits associated with mentorship, and it is increasingly recognised as a bidirectional process that benefits both mentors and mentees. Recently, mentoring has been considered an essential step in professional and personal development, particularly in the field of health care...
January 10, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29314478/navigating-systems-ideas-for-health-practice-towards-a-common-learning-device
#7
Martin Reynolds, Eric Sarriot, Robert Chad Swanson, Evan Rusoja
Systems thinking and reference to complexity science have gained currency in health sector practice and research. The extent to which such ideas might represent a mere passing fad or might more usefully be mobilized to tackle wicked problems in health systems is a concern underpinning this paper. Developing the usefulness of the systems idea requires appreciating how systems ideas are used essentially as constructs conceptually bounded by practitioners. Systems are used for purposes of understanding and engaging the reality of health issues, with the intent of transforming the reality into one that is more manageable, equitable, and sustainable...
January 4, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29314172/shifting-mindsets-a-realist-synthesis-of-evidence-from-self-management-support-training
#8
REVIEW
Freya Davies, Fiona Wood, Alison Bullock, Carolyn Wallace, Adrian Edwards
CONTEXT: Accompanying the growing expectation of patient self-management is the need to ensure health care professionals (HCPs) have the required attitudes and skills to provide effective self-management support (SMS). Results from existing training interventions for HCPs in SMS have been mixed and the evidence base is weaker for certain settings, including supporting people with progressive neurological conditions (PNCs). We set out to understand how training operates, and to identify barriers and facilitators to training designed to support shifts in attitudes amongst HCPs...
January 4, 2018: Medical Education
https://www.readbyqxmd.com/read/29314029/c-g-jung-and-intuition-from-the-mindscape-of-the-paranormal-to-the-heart-of-psychology
#9
Nathalie Pilard
Intuition is central in the work, practice, and philosophical legacy of C. G. Jung. In this paper, I will first discuss the importance of intuition for Jung in the paradigm usually designated the 'paranormal'. Jung was attracted to intuition as an extra-ordinary gift or function in the traditional sense, and this is considered here in relation to his 1896-1899 Zofingia Lectures and 1902 On the Psychology and Pathology of So-called Occult Phenomena: A Psychiatric Study. A significant development then occurred in 1913, when esotericist intuitions were turned toward psychological use with Jung's Red Book...
February 2018: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/29309320/chinese-anesthesiologists-have-high-burnout-and-low-job-satisfaction-a-cross-sectional-survey
#10
Hange Li, Mingzhang Zuo, Adrian W Gelb, Biao Zhang, Xiaohui Zhao, Dongdong Yao, Di Xia, Yuguang Huang
BACKGROUND: The Chinese health care system must meet the needs of 19% of the world's population. Despite recent economic growth, health care resources are unevenly distributed. This creates the potential for job stress and burnout. We therefore conducted a survey among anesthesiologists in the Beijing-Tianjin-Hebei region focusing on job satisfaction and burnout to determine the incidence and associated factors. METHODS: A large cross-sectional study was performed in the Beijing-Tianjin-Hebei region of China...
January 5, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29309272/examining-affective-motivational-dynamics-and-behavioral-implications-within-the-interpersonal-context-of-pain
#11
Tine Vervoort, Zina Trost
Emotional, motivational, and interpersonal dimensions are considered integral to pain experience but have largely been examined separately. In this focus article, we argue that an integrative theoretical account that acknowledges each of these elements is a critical next step to capture the complexity and nuance of interpersonal pain dynamics and to shape future research. The aim of this focus article is to provide a foundation for such an account by drawing upon established insights from appraisal theory of emotion, influential behavioral models, empathy/interpersonal pain research, and social psychology literature to highlight conceptual relationships, potential mechanisms of action, and avenues of inquiry that have not previously been examined in the context of pain...
October 2017: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29306887/developing-professional-caregivers-empathy-and-emotional-competencies-through-mindfulness-based-stress-reduction-mbsr-results-of-two-proof-of-concept-studies
#12
Martin Lamothe, Pierre McDuff, Yves D Pastore, Michel Duval, Serge Sultan
OBJECTIVES: To assess the feasibility and acceptability of a mindfulness-based stress reduction (MBSR)-based intervention and determine if the intervention is associated with a significant signal on empathy and emotional competencies. DESIGN: Two pre-post proof-of-concept studies. SETTING: Participants were recruited at the University of Montreal's Psychology Department (Study 1) and the CHU Sainte-Justine Department of Hematology-Oncology (Study 2)...
January 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29306268/addressing-overuse-in-emergency-medicine-evidence-of-a-role-for-greater-patient-engagement
#13
REVIEW
Erika H Newton
Overuse of health care refers to tests, treatments, and even health care settings when used in circumstances where they are unlikely to help. Overuse is not only wasteful, it threatens patient safety by exposing patients to a greater chance of harm than benefit. It is a widespread problem and has proved resistant to change. Overuse of diagnostic testing is a particular problem in emergency medicine. Emergency physicians cite fear of missing a diagnosis, fear of law suits, and perceived patient expectations as key contributors...
December 2017: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/29306056/subclinical-maternal-depressive-symptoms-modulate-right-inferior-frontal-response-to-inferring-affective-mental-states-of-adults-but-not-of-infants
#14
Koji Shimada, Ryoko Kasaba, Takashi X Fujisawa, Nobuko Sakakibara, Shinichiro Takiguchi, Akemi Tomoda
BACKGROUND: Being a mother of young children increases the risk of depression characterised by deficits in inferring what a person is feeling, i.e., affective theory of mind (aToM). Despite the adverse consequences for mothers, children, families, and society as a whole, little is known of how the brain functions underlying aToM ability are affected by subclinical maternal depressive symptoms, and act as a risk indicator for major depressive disorders (MDD). METHODS: Thirty healthy mothers with varying levels of depressive symptoms underwent functional magnetic resonance imaging (fMRI) while performing mind-reading tasks based on the emotional expressions of adult eyes and infant faces...
December 26, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29305498/end-of-life-care-in-the-western-world-where-are-we-now-and-how-did-we-get-here
#15
REVIEW
Catherine Guilbeau
OBJECTIVES: Recent movements in end-of-life care emphasise community care for the dying; however, integrating community with medical care continues to be a work in progress. Historically tracing brain hemispheric dominance, Ian McGilchrist believes we are overemphasising functionality, domination and categorisation to the detriment of symbolism, empathy and connectedness with others. The aim of this historical review is to bring McGilchrist's sociobiological narrative into dialogue with the history and most recent trends in end-of-life care...
January 4, 2018: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/29304071/association-between-glutamate-transporter-gene-polymorphisms-and-obsessive-compulsive-disorder-trait-empathy-in-a-korean-population
#16
Hae Won Kim, Jee In Kang, Eun Hee Hwang, Se Joo Kim
Accumulating evidence suggests that the glutamatergic system plays a major role in the pathophysiology of obsessive compulsive disorder (OCD) and empathic processing. Particularly, genetic influence of glutamate transporter gene (SLC1A1) on OCD has been frequently replicated in previous studies, but several studies did not replicate the result. Therefore, we aimed to replicate the associations between the SLC1A1 and OCD in a Korean population. In addition, we investigated the influence of SLC1A1 on trait empathy, impairments in which are characteristic of OCD...
2018: PloS One
https://www.readbyqxmd.com/read/29303006/key-interindividual-determinants-in-mdma-pharmacodynamics
#17
E Papaseit, M Torrens, C Pérez-Mañá, R Muga, M Farré
MDMA, 3,4-methylenedioxymethamphetamine, is a synthetic phenethylamine derivative with structural and pharmacological similarities to both amphetamines and mescaline. MDMA produces characteristic amphetamine-like actions (euphoria, well-being), increases empathy, and induces pro-social effects that seem to motivate its recreational consumption and provide a basis for its potential therapeutic use. Areas covered: The aim of this review is to present the main interindividual determinants in MDMA pharmacodynamics...
January 5, 2018: Expert Opinion on Drug Metabolism & Toxicology
https://www.readbyqxmd.com/read/29301343/the-neonatal-intensive-care-unit-environmental-stressors-and-supports
#18
Kristen G Williams, Kayla T Patel, Julie M Stausmire, Christy Bridges, Mary W Mathis, Jennifer L Barkin
The relationship between maternal mental health and infant development has been established in the literature. The Neonatal Intensive Care Unit (NICU) is a particularly challenging environment for new mothers as several natural processes are disrupted. The objective of this study is to elucidate protective factors and environmental deficits associated with the NICU. The experiences of forty-six (n = 46) mothers of infants admitted to a Level III NICU in the Midwestern United States, who responded to a related open-ended question, were analyzed thematically...
January 3, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29300973/social-cognitive-skills-training-for-psychosis-with-community-based-training-exercises-a-randomized-controlled-trial
#19
William P Horan, Michelle Dolinsky, Junghee Lee, Robert S Kern, Gerhard Hellemann, Catherine A Sugar, Shirley M Glynn, Michael F Green
Impairments in social cognition are key determinants of poor functioning in psychosis and an important new target for treatment development. Initial studies support the feasibility and efficacy of training interventions for social cognition, but have been small and have had substantial methodological limitations. This report describes the largest rigorously controlled study of a social cognitive treatment to date. We evaluated the efficacy of a refined version of the 24-session Social Cognitive Skills Training (SCST) program, and whether adding in vivo training sessions in community settings would enhance generalization to functional improvements...
December 28, 2017: Schizophrenia Bulletin
https://www.readbyqxmd.com/read/29298187/evaluating-differential-effects-of-specific-pain-dismissal-interactions-with-physicians
#20
Amy C Lang, Eva C Igler, Ellen K Defenderfer, Julia Uihlein, Chasity T Brimeyer, W Hobart Davies
OBJECTIVES: Over 40% of adolescents with chronic pain report experiencing pain dismissal, which is a response from another individual that is perceived as diminishing, denying, or disbelieving an individual's report of pain. Pain dismissal by physicians often leaves patients feeling discredited, which may discourage them from seeking and receiving proper treatment for their pain. The purpose of this study was to investigate how the four most commonly reported types of physician pain dismissal differentially affect individuals' reactions...
January 2, 2018: Clinical Journal of Pain
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