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Emotional Care

Jane J Lee, Gary Yu
Latino immigrants in the United States are at elevated risk for HIV infection and delayed HIV diagnosis. Immigration documentation status and its contribution to fears are important barriers to accessing health services including HIV testing. A currently changing political climate within the United States may have increased the complexity of the intersection of documentation status and health care access. This study used an anonymous survey conducted in March and April 2017 in New York City to compare: sociodemographic characteristics, HIV testing behaviors, HIV risk behaviors, and perceptions of fear around HIV testing among documented and undocumented Latino immigrants (N = 301)...
August 14, 2018: AIDS and Behavior
Ajay S Padaki, Manish S Noticewala, William N Levine, Christopher S Ahmad, Michael K Popkin, Charles A Popkin
Background: The risk of depression and the fear of reinjury were documented in recent investigations of patients after anterior cruciate ligament (ACL) ruptures. The extent of psychological trauma accompanying these injuries among young athletes, however, has never been assessed. Hypothesis: Posttraumatic stress disorder (PTSD) symptoms after ACL injury are present among young athletes with high athletic identities. Study Design: Case series; Level of evidence, 4...
July 2018: Orthopaedic Journal of Sports Medicine
Alicia Curtin, Diane C Martins, Donna Schwartz-Barcott
Access to mental health services for older Hispanic adults is limited and often older Hispanic adults must rely on their own resources in dealing with mental health issues. The aim of this study was to understand how older Hispanic immigrants cope mental health issues (e.g. stress, anxiety, and/or depression). A qualitative, descriptive approach was used to interview 17 older Hispanic immigrants from Guatemala, Dominican Republic and Colombia. Interviews were audio recorded, transcribed and translated verbatim by bilingual research assistants...
August 11, 2018: Geriatric Nursing
Elfalet Fekadu, Getachew Yigzaw, Kassahun Alemu Gelaye, Tadesse Awoke Ayele, Tameru Minwuye, Tinsae Geneta, Destaw Fetene Teshome
BACKGROUND: Domestic violence during pregnancy with its many negative fetal and maternal outcomes is a common public health problem all over the world. Nonetheless, the problem is not well investigated and understood in Ethiopia. Hence, this study aimed to assess the prevalence of domestic violence and associated factors among pregnant women attending the University of Gondar Referral Hospital antenatal care (ANC) services. METHODS: A hospital-based cross-sectional study was conducted from March-May 2016...
August 14, 2018: BMC Women's Health
Matt Martin
Physician burnout affects patients and physicians. Recent studies estimate that more than half of all physicians in the United States currently are experiencing burnout. Burnout can include symptoms of emotional exhaustion, depersonalization, cognitive weariness, physical fatigue, and disengagement. It can lead to physical and psychological conditions in physicians and decrease patient safety, quality of care, and satisfaction. The health care work environment appears to be the main contributing factor in the current high rates of physician burnout...
October 2018: FP Essentials
Xue Bai
This study examined ageing parents' care expectations across multiple care domains (financial and material, emotional, personal and informational) towards filial and formal sources and identified intergenerational correlates of care expectation patterns using a proposed care expectation model. Data of 780 eligible ageing parents were drawn from a representative household survey of ageing adults (≥50 years) conducted in 2016-2017. Latent class analysis was used to examine the typological structure underlying ageing parents' care expectations...
August 14, 2018: Health & Social Care in the Community
Andrea K Wittenborn, Ting Liu, Ty A Ridenour, E Megan Lachmar, Erica A Mitchell, Ryan B Seedall
This randomized controlled trial examined the effectiveness of Emotionally Focused Therapy (EFT) for depression and relationship satisfaction versus usual care (i.e., couple therapy other than EFT), and explored mechanisms of change. Mixed model trajectory analyses of 16 couples indicated EFT was associated with greater improvement in relationship satisfaction among men and women. Men receiving EFT reported greater improvements in depressive symptoms compared to usual care. Unified structural equation modeling revealed changes in relationship satisfaction preceded changes in depressive symptoms in one cluster of partners, while changes in depression preceded changes in relationship satisfaction in a second cluster...
August 13, 2018: Journal of Marital and Family Therapy
Erik Landfeldt, Niklas Zethraeus, Peter Lindgren
Costs of informal care account for a significant component of total societal costs for many chronic and disabling illnesses. Yet, costs associated with the provision of informal care is seldom included in economic evaluations of new health technologies, increasing the risk of suboptimal decisions on the allocation of resources from the perspective of society. Our objective was to propose a standardized questionnaire for the measurement, valuation, and estimation of caregiver indirect (productivity) and informal care costs as separate mutually exclusive subsets of total costs in cost-of-illness studies and as an input to economic evaluations from the societal perspective...
August 13, 2018: Applied Health Economics and Health Policy
Samuel E Kolman, Allan M Glanzman, Laura Prosser, David A Spiegel, Keith D Baldwin
Background: It is unknown what role specific tasks associated with personal care, positioning, communication and social interaction, and comfort and emotions play in predicting the overall health and quality of life of individuals with non-ambulatory cerebral palsy (CP). In this study, we prospectively evaluated which of these factors were significant predictors of overall health and quality of life. Methods: Parents and guardians of non-ambulatory children, adolescents and young adults with CP were prospectively recruited from the Cerebral Palsy Clinic of a large pediatric academic hospital...
2018: Iowa Orthopaedic Journal
Amy E Mitchell
Dermatological conditions are common among children. They are a frequent cause of presentation to health care services and a leading contributor to burden of disease. Evidence supports the notion that bidirectional relationships exist between children's physical and psychological health, whereby the child's dermatological condition can impact their psychological health and well-being, while, in the reverse direction, psychological factors (eg, stress) can impact the severity and course of the child's skin disease...
2018: Psychology Research and Behavior Management
Della A Forster, Heather McKay, Mary-Ann Davey, Rhonda Small, Fiona Cullinane, Michelle Newton, Rhonda Powell, Helen L McLachlan
BACKGROUND: It is critical women's voices are heard if there is to be more widespread implementation of midwifery-led continuity models. Publicly-funded homebirth is one such model, yet there has been limited systematic evaluation from the women's perspective. AIM: Examine women's experiences of and views about the two publicly-funded homebirth programs in Victoria, Australia. METHODS: A cross-sectional design was used. All eligible women enrolled in the two pilot homebirth programs in metropolitan Melbourne whose infants were eight weeks of age or more during the evaluation period were invited to participate in a postal survey...
August 10, 2018: Women and Birth: Journal of the Australian College of Midwives
Cecilia Brain, Steven Kymes, Dana B DiBenedetti, Thomas Brevig, Dawn I Velligan
BACKGROUND: Treatment-resistant schizophrenia (TRS) affects about one-third of individuals with schizophrenia. People with TRS do not experience sustained symptom relief and at the same time have the most severe disease-related disability and associated costs among individuals with severe mental disorders. Like caregivers of people with treatment-responsive schizophrenia, caregivers of individuals with TRS experience the disease burden along with their care recipients; however, for those providing care for individuals with TRS, the stress of the burden is unrelenting due to uncontrolled symptoms and a lack of effective treatment options...
August 13, 2018: BMC Psychiatry
Harshida Patel, Marie Berg, Cecily Begley, Maria Schaufelberger
BACKGROUND: Peripartum cardiomyopathy (PPCM), a potentially life-threatening condition in women, can have a profound impact on the family. Although structured support systems are developed, these systems tend to be based on the healthcare providers' perceptions and focus mainly on mothers' care. Fathers' vital role in supporting their partners has been advocated in previous research. However, the impact of PPCM on the male partners of women is less understood. The aim of this study was to explore the experiences of healthcare in fathers whose partner was suffering from peripartum cardiomyopathy...
August 13, 2018: BMC Pregnancy and Childbirth
Ian Kodish
Youth admitted to pediatric hospitals face a variety of emotional challenges throughout their stay. In addition to feeling compromised by their acute medical condition, managing the requirements imposed by hospital care can intensify the potential for behavioral dysregulation. Even meeting basic behavioral expectations often requires children to be highly vulnerable, uncomfortable, and in pain, having to trust a parade of people routinely delivering aversive interventions, all in the context of overwhelmed caregivers...
August 1, 2018: Pediatric Annals
Douglas Russell, Mary Margaret Gleason
A child's experiences during the first 3 years of life can have a profound impact on mental health outcomes later in childhood and across the lifespan. Safe and effective therapies for mental health concerns in early childhood exist, but access to them is limited. Pediatricians have a unique opportunity to identify risk and resilience factors and support healthy emotional, behavioral, and social development during infancy and toddlerhood. This article presents a developmentally focused approach to integrating the growing science of early childhood social-emotional development into primary care practice, providing both empiric and practical rationales...
August 1, 2018: Pediatric Annals
Agnes Moors, Maja Fischer
The paper sketches the historical development from emotion as a mysterious entity and the source of maladaptive behaviour, to emotion as a collection of ingredients and the source of also adaptive behaviour. We argue, however, that the underlying mechanism proposed to take care of this adaptive behaviour is not entirely up for its task. We outline an alternative view that explains so-called emotional behaviour with the same mechanism as non-emotional behaviour, but that is at the same time more likely to produce adaptive behaviour...
August 13, 2018: Cognition & Emotion
Jonathan Bayuo, Frank Agyei Bediako, Gabriel Allotey, Prince Kyei Baffour
AIM: To build a comparative understanding of nurses' experiences with caring for burned patients with the goal of eliciting possible support strategies. BACKGROUND: Considering the stressful nature of burns nursing, there is a need to develop support strategies for burn care nurses. DESIGN: This meta-ethnographic study used Noblit and Hare's approach and followed PRISMA guidelines. DATA SOURCES: The search databases included PsycINFO, EbscoHost, Google Scholar, ScienceDirect, and PubMed from 1990 to 2017...
August 12, 2018: International Journal of Nursing Practice
Joëlle Darwiche, Anne Milek, Jean-Philippe Antonietti, Yvan Vial
BACKGROUND: Pregnancy after infertility is a challenging experience. The first-trimester screening test may add stress. Partner support reduces psychological distress in pregnant women after spontaneous conception. No data are available for women who conceive via assisted reproductive technology. AIM: To assess whether there was a difference between couples who underwent assisted reproductive technology and couples who conceived spontaneously in the support they felt they provided to their partner and whether their perception of support received from their partner reduced their distress...
August 9, 2018: Women and Birth: Journal of the Australian College of Midwives
Pamela Liao, Kathleen Rossini, Roberts Sauls
Lymphedema is a challenging condition that occurs as a complication to many life-limiting medical conditions. It has a number of associated symptoms including pain, functional impairments, and emotional distress. Majority of treatment interventions have been studied and applied outside of the palliative care context. Subcutaneous drainage is a technique that has been used in some case reports for the lower extremity and sacrum with good results. This report describes an adapted technique of subcutaneous drainage for treating upper extremity lymphedema in the palliative setting...
August 13, 2018: American Journal of Hospice & Palliative Care
Jennifer B Martin, Jennifer E Badeaux
Medical care progress has enabled more patients in the intensive care unit to survive critical illnesses and return to daily living. This shift in survival rates has shed new light on the emotional consequences this experience. For patients surviving an ICU stay, posttraumatic stress disorder has been identified in approximately 9% to 27% compared with 7% of the general US population. Practitioners have an important role to play in early identification of patients experiencing signs and symptoms of this disorder...
September 2018: Critical Care Nursing Clinics of North America
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