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Depersonalisation

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https://www.readbyqxmd.com/read/27896846/international-study-of-medical-school-learning-environments-and-their-relationship-with-student-well-being-and-empathy
#1
Sean Tackett, Scott Wright, Robert Lubin, Jianing Li, Hui Pan
OBJECTIVE: To assess whether favourable perceptions of the learning environment (LE) were associated with better quality of life, less burnout and more empathy across three undergraduate medical education programmes in Israel, Malaysia and China. METHODS: Cross-sectional surveys were administered at the end of the 2013-2014 academic year at three medical schools: Technion American Medical Students Program (TAMS) in Israel, Perdana University-Royal College of Surgeons in Ireland School of Medicine (PURCSI) in Malaysia and Peking Union Medical College (PUMC) in China...
November 29, 2016: Medical Education
https://www.readbyqxmd.com/read/27846655/-alienation-differential-psychopathology-of-ego-disturbances
#2
M Bodatsch, J Kuhn
Alienation, i. e. disorders of the inner experience of integrity, continuity, and agency, represents a feature of both psychotic and non-psychotic disorders. Thereby, ego disturbances are thought to be specific for schizophrenia. Depersonalisation, in contrast, has been reported in schizophrenia as well as a neurotic, probably distinct syndrome. The differentiation of psychotic vs. non-psychotic alienation is often all but trivial. The present paper provides an overview of the historical roots and the psychopathological conceptualizations of alienation...
November 2016: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/27692469/interventions-to-prevent-and-reduce-physician-burnout-a-systematic-review-and-meta-analysis
#3
Colin P West, Liselotte N Dyrbye, Patricia J Erwin, Tait D Shanafelt
BACKGROUND: Physician burnout has reached epidemic levels, as documented in national studies of both physicians in training and practising physicians. The consequences are negative effects on patient care, professionalism, physicians' own care and safety, and the viability of health-care systems. A more complete understanding than at present of the quality and outcomes of the literature on approaches to prevent and reduce burnout is necessary. METHODS: In this systematic review and meta-analysis, we searched MEDLINE, Embase, PsycINFO, Scopus, Web of Science, and the Education Resources Information Center from inception to Jan 15, 2016, for studies of interventions to prevent and reduce physician burnout, including single-arm pre-post comparison studies...
November 5, 2016: Lancet
https://www.readbyqxmd.com/read/27684304/deliberate-and-spontaneous-sensations-of-disembodiment-capacity-or-flaw
#4
Klaus Kessler, Jason J Braithwaite
INTRODUCTION: Hallucinations that involve shifts in the subjectively experienced location of the self, have been termed "out-of-body experiences" (OBEs). Early psychiatric accounts cast OBEs as a specific instance of depersonalisation and derealisation disorder (DPD-DR). However, during feelings of alienation and lack of body realism in DPD-DR the self is experienced within the physical body. Deliberate forms of "disembodiment" enable humans to imagine another's visuo-spatial perspective taking (VPT), thus, if a strong relationship between deliberate and spontaneous forms of disembodiment could be revealed, then uncontrolled OBEs could be "the other side of the coin" of a uniquely human capacity...
August 10, 2016: Cognitive Neuropsychiatry
https://www.readbyqxmd.com/read/27646600/body-representations-in-schizophrenia-an-alteration-of-body-structural-description-is-common-to-people-with-schizophrenia-while-alterations-of-body-image-worsen-with-passivity-symptoms
#5
Kyran T Graham-Schmidt, Mathew T Martin-Iverson, Nicholas P Holmes, Flavie Waters
INTRODUCTION: Individuals with schizophrenia, particularly those with passivity symptoms, often feel that their actions and thoughts are controlled by an external agent. Recent evidence has elucidated the role of body representations in the aetiology of passivity symptoms, yet one representation - body structural description - has not yet been examined. Additionally, body image has rarely been examined outside of bodily illusions (e.g., rubber hand experiments) and external validation is required...
July 2016: Cognitive Neuropsychiatry
https://www.readbyqxmd.com/read/27595275/the-alice-in-worderland-syndrome
#6
Michael Perdices
The Alice in Wonderland Syndrome (AWS) was first described more than 60 years ago by Lippman. It refers to episodes during which an individual may variously experience (as did Alice during her time in Wonderland) somatic, visuo-perceptual and/or visuo-spatial hallucinations, as well as feelings of depersonalisation, derealisation and distorted sense of time. Although the prevalence of AWS is unknown, indirect evidence from both retrospective and prospective studies suggests that it is a rare disorder. This paper describes the case of Zoe, a right-handed, native English speaker who was age 45 years when she experienced an episode of AWS...
September 5, 2016: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/27559215/-i-m-so-stressed-a-longitudinal-model-of-stress-burnout-and-engagement-among-social-workers-in-child-welfare-settings
#7
Dnika J Travis, Erica Leeanne Lizano, Michàlle E Mor Barak
The well-documented day-to-day and long-term experiences of job stress and burnout among employees in child welfare organisations increasingly raise concerns among leaders, policy makers and scholars. Testing a theory-driven longitudinal model, this study seeks to advance understanding of the differential impact of job stressors (work-family conflict, role conflict and role ambiguity) and burnout (emotional exhaustion and depersonalisation) on employee disengagement (work withdrawal and exit-seeking behaviours)...
June 2016: British Journal of Social Work
https://www.readbyqxmd.com/read/27534989/relationship-between-occupational-stress-and-job-burnout-among-rural-to-urban-migrant-workers-in-dongguan-china-a-cross-sectional-study
#8
Hao Luo, Hui Yang, Xiujuan Xu, Lin Yun, Ruoling Chen, Yuting Chen, Longmei Xu, Jiaxian Liu, Linhua Liu, Hairong Liang, Yali Zhuang, Liecheng Hong, Ling Chen, Jinping Yang, Huanwen Tang
OBJECTIVES: In China, there have been an increasing number of migrant workers from rural to urban areas, and migrant workers have the highest incidence of occupational diseases. However, few studies have examined the impact of occupational stress on job burnout in these migrant workers. This study aimed to investigate the relationship between occupational stress and job burnout among migrant workers. DESIGN: This study used a cross-sectional survey. SETTING: This investigation was conducted in Dongguan city, Guangdong Province, China...
2016: BMJ Open
https://www.readbyqxmd.com/read/27499409/south-african-healthcare-provider-perspectives-on-transitioning-adolescents-into-adult-hiv-care
#9
Tiffany H Kung, Melissa L Wallace, Kathryn L Snyder, Victoria K Robson, Tarub S Mabud, Cathy D Kalombo, Linda-Gail Bekker
BACKGROUND: The first generation of South African (SA) children perinatally infected with HIV is entering adulthood, and there is now a pressing need for systematised transfer of these patients from paediatric to adult care. OBJECTIVES: Previous research has investigated the HIV healthcare transition in North America and Europe, yet none has been conducted in SA. Our study is the first to describe the perspectives of healthcare providers overseeing the transition in resource-limited settings...
August 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/27484420/-kleine-levin-syndrome-more-than-just-periodic-hypersomnia
#10
S Pillen, N L E Vandenbussche, R Fronczek, J van Duijn, G J Lammers, S Overeem
BACKGROUND: Kleine Levin Syndrome (KLS) is a rare disease with periodic hypersomnia as its main feature. Hyperphagia and hypersexuality are also described as classical symptoms, although quite recently it has become clear that the full triad is absent in the majority of patients. CASE DESCRIPTION: A 14-year-old boy developed KLS after a period of flu-like symptoms. Over the course of three years he suffered from seven one-week episodes of extreme hypersomnia (sleeping 18 hours a day), depersonalisation, apathy, anxiety, paranoia, confusion, hallucinations and uninhibited sexual behaviour...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27466978/uncomfortably-numb-new-evidence-for-suppressed-emotional-reactivity-in-response-to-body-threats-in-those-predisposed-to-sub-clinical-dissociative-experiences
#11
Hayley Dewe, Derrick G Watson, Jason J Braithwaite
INTRODUCTION: Depersonalisation and derealisation disorders refer to feelings of detachment and dissociation from one's "self" or surroundings. A reduced sense of self (or "presence") and emotional "numbness" is thought to be mediated by aberrant emotional processing due to biases in self-referent multi-sensory integration. This emotional "numbing" is often accompanied by suppressed autonomic arousal to emotionally salient stimuli. METHODS: 118 participants completed the Cambridge Depersonalisation scale [Sierra, & Berrios, 2000...
July 28, 2016: Cognitive Neuropsychiatry
https://www.readbyqxmd.com/read/27406687/coping-with-interpersonal-mistreatment-the-role-of-emotion-regulation-strategies-and-supervisor-support
#12
Ruhama Goussinsky, Yael Livne
AIM: To examine whether the impact of mistreatment by patients on nurses' burnout can be exacerbated or attenuated depending on emotion-regulation strategies, and to explore the moderating role of supervisor support in the relationship between mistreatment and deep acting. BACKGROUND: Aggression from patients is known to contribute significantly to nurse burnout. To date, the moderating role of emotion regulation strategies in the mistreatment-outcomes relationship has seldom been considered...
July 13, 2016: Journal of Nursing Management
https://www.readbyqxmd.com/read/27363394/-risk-factors-and-burnout-levels-in-primary-care-nurses-a-systematic-review
#13
Jose L Gómez-Urquiza, Carolina S Monsalve-Reyes, Concepción San Luis-Costas, Rafael Fernández-Castillo, Raimundo Aguayo-Estremera, Guillermo A Cañadas-de la Fuente
OBJECTIVE: To determine the risk factors and levels of burnout in Primary Care nurses. METHODS: A systematic review was performed. DATA SOURCES: CINAHL, CUIDEN, LILACS, PubMed, ProQuest, ScienceDirect and Scopus databases were consulted. Search equations were 'burnout AND community health nursing' and 'burnout AND primary care nursing'. The search was performed in October 2015. STUDY SELECTION: The final sample was n=12 studies...
June 27, 2016: Atencion Primaria
https://www.readbyqxmd.com/read/27286527/-attachment-representation-and-emotion-regulation-in-patients-with-burnout-syndrome
#14
Wolfgang Söllner, Johanna Behringer, Stephanie Böhme, Barbara Stein, Iris Reiner, Gottfried Spangler
OBJECTIVE: Burnout describes a syndrome of exhaustion resulting from insufficient coping with work-related distress. We investigated if patients that are being clinically treated for burnout show insecure and unresolved attachment representation more often compared with healthy controls. METHODS: 50 out of 60 consecutive burnout patients participated in the study. Mental representation of attachment was measured by using the Adult Attachment Interview. Additionally, we administered the Self Report Questionnaire to Assess Emotional Experience and Emotion Regulation and several burnout specific questionnaires...
June 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/27271021/job-satisfaction-and-burnout-among-paediatric-nurses
#15
Ozlem Akman, Candan Ozturk, Murat Bektas, Dijle Ayar, Merry A Armstrong
PURPOSE: This study aims to determine factors of job satisfaction and burnout levels of paediatric nurses. METHODS: A total of 165 nurses working in paediatric clinics completed the Minnesota job satisfaction scale and the Maslach burnout scale. FINDINGS: Average scores of the emotional exhaustion and depersonalisation score were low, while personal accomplishment scores were high. A high level of job satisfaction, being married, increased age and a decreased number of assigned patients were significantly associated with a low level of burnout...
June 7, 2016: Journal of Nursing Management
https://www.readbyqxmd.com/read/27240226/-in-process-citation
#16
Chiara Guglielmetti, Silvia Gilardi, Mario Licata, Giuseppe De Luca
BACKGROUND: Aggressive behaviour of patients and their relatives represent a risk factor for healthcare professionals. OBJECTIVES: The study aimed to explore the context of high risk departments (emergency department, psychiatric department) and of low risk departments (midwifery/paediatrics and outpatients clinic): a) the risk of exposure to various forms of aggression (physical, verbal, threats) by patients and their visitors towards healthcare professionals; b) how the healthcare professionals react to such aggressive events; c) the relationship between verbal aggression and healthcare professional burnout, compared to other work-related stressors...
2016: La Medicina del Lavoro
https://www.readbyqxmd.com/read/27189515/the-factors-influencing-burnout-and-job-satisfaction-among-critical-care-nurses-a-study-of-saudi-critical-care-nurses
#17
Jalal Alharbi, Rhonda Wilson, Cindy Woods, Kim Usher
AIM: The aim of the study was to explore the prevalence of burnout and job satisfaction among Saudi national critical care nurses. BACKGROUND: Burnout is caused by a number of factors, including personal, organisational and professional issues. Previous literature reports a strong relationship between burnout and job satisfaction among critical care nurses. Little is known about this phenomenon among Saudi national critical care nurses. METHODS: A convenience sample of 150 Saudi national critical care nurses from three hospitals in Hail, Saudi Arabia were included in a cross-sectional survey...
September 2016: Journal of Nursing Management
https://www.readbyqxmd.com/read/27060687/retracted-exploring-resident-reflections-to-understand-burnout
#18
Abigail Ford Winkel, Holli Jakalow, Laura Benton, Haley Moss, Lauren Mitchell, Nathalie Feldman
Retraction: Winkel, A. F., Jakalow, H., Benton, L., Moss, H., Mitchell, L. and Feldman, N. (2016), Exploring resident reflections to understand burnout. The Clinical Teacher. doi: 10.1111/tct.12513 The above article, published online on 5th April 2016 in Wiley Online Library (wileyonlinelibrary.com), has been retracted by agreement between the authors, the journal Co-Editors, and John Wiley & Sons Ltd. The retraction has been agreed due to a change in the status of the research project's Institutional Review Board approval, leading to permission to use some of the data in this article being revoked...
April 5, 2016: Clinical Teacher
https://www.readbyqxmd.com/read/27046664/dissociation-mediates-the-relationship-between-childhood-maltreatment-and-sub-clinical-psychosis
#19
Charles Lewis Cole, Katherine Newman-Taylor, Fiona Kennedy
Over a third of the population report childhood adversity, and these experiences are associated with an increased risk of clinical and sub-clinical psychosis. The reason why some people go on to develop mental health problems and others do not is a key question for study. It has been hypothesised that dissociative processes mediate the relationship between early adversity and psychosis. The current study assessed whether dissociation, and specifically depersonalisation (one component of dissociation), play a mediating role in the relationship between childhood maltreatment and both hallucination-proneness and delusional ideation...
April 4, 2016: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/27045560/promoting-patient-centred-fundamental-care-in-acute-healthcare-systems
#20
Rebecca Feo, Alison Kitson
Meeting patients' fundamental care needs is essential for optimal safety and recovery and positive experiences within any healthcare setting. There is growing international evidence, however, that these fundamentals are often poorly executed in acute care settings, resulting in patient safety threats, poorer and costly care outcomes, and dehumanising experiences for patients and families. Whilst care standards and policy initiatives are attempting to address these issues, their impact has been limited. This discussion paper explores, through a series of propositions, why fundamental care can be overlooked in sophisticated, high technology acute care settings...
May 2016: International Journal of Nursing Studies
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