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https://www.readbyqxmd.com/read/29151168/strengthening-validity-in-studies-of-pelvic-floor-disorders-through-qualitative-research-an-example-from-ethiopia
#1
Astrid Blystad, Guri Rortveit, Janne Lillelid Gjerde, Mulu Muleta, Karen Marie Moland
INTRODUCTION AND HYPOTHESIS: This formative qualitative follow-up study addresses validity concerns in the Dabat Incontinence and Prolapse (DABINCOP) study, which aimed to determine the prevalence of pelvic floor disorders in north-west Ethiopia. A pilot study using a questionnaire validated by pelvic exam showed severe underreporting of clinically relevant pelvic organ prolapse (POP). The objective of the follow-up study was to explore the reasons behind the underreporting and to gather information to strengthen the sensitivity and local relevance of the questionnaire to be employed in the main study...
November 18, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/29133493/an-autoethnographic-examination-of-postpartum-depression
#2
Tara Lynn Frankhouser, Nicole L Defenbaugh
PURPOSE: This article examines postpartum depression (PPD) using autoethnography to explore the stigmatization of depression and cultural expectations of motherhood. Because the personal experiences of living with PPD are often absent from primary care literature, this article uses first-person narrative and analysis of intensive mothering to explore the barriers to seeking PPD treatment, the need for increasing physician confidence and comfort using screening tools, and the impact PPD stigma has on patients and their health care...
November 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/29133401/multiple-legionella-pneumophila-effector-virulence-phenotypes-revealed-through-high-throughput-analysis-of-targeted-mutant-libraries
#3
Stephanie R Shames, Luying Liu, James C Havey, Whitman B Schofield, Andrew L Goodman, Craig R Roy
Legionella pneumophila is the causative agent of a severe pneumonia called Legionnaires' disease. A single strain of L. pneumophila encodes a repertoire of over 300 different effector proteins that are delivered into host cells by the Dot/Icm type IV secretion system during infection. The large number of L. pneumophila effectors has been a limiting factor in assessing the importance of individual effectors for virulence. Here, a transposon insertion sequencing technology called INSeq was used to analyze replication of a pool of effector mutants in parallel both in a mouse model of infection and in cultured host cells...
November 13, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/29132364/-i-m-not-strong-enough-i-m-not-good-enough-i-can-t-do-this-i-m-failing-a-qualitative-study-of-low-socioeconomic-status-smokers-experiences-with-accesssing-cessation-support-and-the-role-for-alternative-technology-based-support
#4
Veronica C Boland, Richard P Mattick, Hayden McRobbie, Mohammad Siahpush, Ryan J Courtney
BACKGROUND: The social gradient in smoking rates persist with an overrepresentation of smoking and its associated harms concentrated within lower socioeconomic status (SES) populations. Low-SES smokers are motivated to quit but face multiple barriers when engaging a quit attempt. An understanding of the current treatment service model from the perspectives of treatment-seeking low-SES smokers is needed to inform the design of alternative smoking cessation support services tailored to the needs of low-SES populations...
November 13, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29131716/compassion-focused-therapy-as-an-intervention-for-adult-survivors-of-sexual-abuse
#5
Lisa McLean, Stanley R Steindl, Matthew Bambling
Child sexual abuse can have long-term negative impacts across psychological, physical, and interpersonal domains. Some of the common issues for survivors of sexual abuse include shame and self-blame, attachment-based difficulties, avoidant coping strategies, and reduced capacity for self-compassion. Compassion-focused therapy is a transdiagnostic intervention that specifically responds to these concerns. Compassion-focused therapy was originally developed for clients who experience high levels of shame and self-criticism and aims to strengthen the soothing and affiliative system through the cultivation of compassion...
November 13, 2017: Journal of Child Sexual Abuse
https://www.readbyqxmd.com/read/29126420/healthcare-access-for-refugee-women-with-limited-literacy-layers-of-disadvantage
#6
Annette Floyd, Dikaios Sakellariou
BACKGROUND: Record numbers of people, across the world, are forced to be displaced because of conflict or other violations of their human rights, thus becoming refugees. Often, refugees not only have a higher burden of disease but also compromised access to healthcare, as they face many barriers, such as limited knowledge of the local language. However, there is very limited knowledge on the lived experiences of this population. Moreover, the strategies people might develop in their efforts to access healthcare have not been explored in depth, despite their value in establishing peer- support, community based programs...
November 10, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29124850/the-role-of-shame-in-the-development-and-maintenance-of-psychological-distress-in-adults-with-intellectual-disabilities-a-narrative-review-and-synthesis
#7
REVIEW
Neil E Clapton, Jonathan Williams, Robert S P Jones
BACKGROUND: The role of shame in the development and maintenance of psychological distress in adults with mild-to-moderate intellectual disabilities has been relatively under-researched. This study provides a review of diverse current research that has implicitly or explicitly investigated shame processes in this population in some form. METHODS: A narrative review of the literature was undertaken. An electronic search of four databases identified 17 studies that met the eligibility criteria...
November 10, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/29122033/how-dare-you-not-recognize-the-role-of-my-contempt-insight-from-experimental-psychopathology
#8
Alessandro Grecucci, Jon Frederickson, Remo Job
Gervais & Fessler argue that contempt is an attitude state defined as a lack of respect that potentiates the activation and deactivation of two different clusters of emotions. However, clinical and experimental findings do not support this view. We provide evidence that contempt is not an emotion, nor an attitude, but a reactive defensive mechanism evolved to help individuals avoid shame.
January 2017: Behavioral and Brain Sciences
https://www.readbyqxmd.com/read/29121876/perceived-stigmatization-and-its-impact-on-quality-of-life-results-from-a-large-register-based-study-including-breast-colon-prostate-and-lung-cancer-patients
#9
J Ernst, A Mehnert, A Dietz, B Hornemann, P Esser
BACKGROUND: To date, research on stigmatization among cancer patients and related psychosocial consequences has been scarce and mostly based on small and highly selected samples. We investigated stigmatization and its impact on quality of life among a large sample including four major tumor entities. METHODS: We assessed 858 patients with breast, colon, lung or prostate cancer from two cancer registries. Stigmatization and quality of life (QoL) was assessed with the Social Impact Scale (SIS-D) and the EORTC Quality of Life Questionnaire (European Organization for Research and Treatment of Cancer), respectively...
November 9, 2017: BMC Cancer
https://www.readbyqxmd.com/read/29121527/the-role-of-distress-tolerance-in-the-relationship-between-cognitive-schemas-and-alcohol-problems-among-college-students
#10
Raluca M Simons, Rebecca E Sistad, Jeffrey S Simons, Jamie Hansen
INTRODUCTION: The current study tested the role of distress tolerance in the relationship between three early maladaptive cognitive schemas (Abandonment, Defectiveness/Shame, and Insufficient Self-Control) and alcohol problems among college students (N=364). Previous research suggests that maladaptive cognitive schemas may be a risk factor for alcohol-related problems. However, the mechanism underlying this association is unclear. One's tolerance for emotional distress may play an important role in understanding the nature of this association...
October 27, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/29120260/physiotherapists-encounters-with-obese-patients-exploring-how-embodied-approaches-gain-significance
#11
Karen Synne Groven, Kristin Heggen
BACKGROUND: Obesity is regarded as a modern lifestyle problem, causing illness, stigma, discrimination, and psychological problems. To help patients avoid these problems, physiotherapists increasingly engage in lifestyle programs specialized in weight loss. OBJECTIVE: To explore how physiotherapists' encounters with patients diagnosed as "obese" acquire significance for their development as clinicians. METHOD: The material draws on semi-structured interviews with eight physiotherapists...
November 9, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29112288/a-preliminary-study-of-momentary-naturalistic-indicators-of-binge-eating-episodes-in-adults-with-obesity
#12
Andrea B Goldschmidt, Ross D Crosby, Li Cao, Stephen A Wonderlich, James E Mitchell, Scott G Engel, Carol B Peterson
OBJECTIVES: Binge eating is common in adults with obesity. The Diagnostic and Statistical Manual for Psychiatric Disorders describes five indicators of binge eating (eating more rapidly than usual; eating until uncomfortably full; eating large amounts of food when not physically hungry; eating alone because of embarrassment over how much one is eating; and feeling disgusted with oneself, depressed, or very guilty after overeating), but their validity is unclear. METHOD: We examined preliminary associations between the five indicators and binge versus nonbinge episodes among 50 adults with obesity via ecological momentary assessment...
November 7, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/29108463/td-the-case-of-diogenes-syndrome-deficit-or-denial
#13
Fiona Ashworth, Anita Rose, Barbara A Wilson
Diogenes Syndrome (DS) is characterised by extreme self-neglect, domestic squalor, hoarding, social withdrawal, and lack of concern and shame for the individual's residential situation. This paper describes TD who was unable to identify emotional expressions of disgust and was borderline-impaired for facial recognition associated with perceptual difficulties. Problems interpreting expressions of disgust were interesting as TD was living in squalor, neglecting himself, and lacked concern for his circumstances...
November 6, 2017: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/29102991/beyond-the-diagnosis-a-qualitative-exploration-of-the-experiences-of-persons-with-hepatitis-b-in-the-accra-metropolis-ghana
#14
Charles Ampong Adjei, Florence Naab, Ernestina S Donkor
OBJECTIVE: This study explored the experiences of people with hepatitis B in the Accra metropolis. DESIGN: The study employed qualitative exploratory descriptive design with purposive sampling technique. Data were collected through face-to-face interview and transcribed verbatim. The data were analysed using content analysis. SETTINGS: Participants were recruited from one government and one mission hospital in Ghana. PARTICIPANTS: Fourteen individuals aged between 26 and 45 years with hepatitis B infection were interviewed...
November 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/29101874/schemas-and-modes-in-borderline-personality-disorder-the-mistrustful-shameful-angry-impulsive-and-unhappy-child
#15
Bo Bach, Joan M Farrell
In this study we investigated how early maladaptive schemas and schema modes uniquely characterize Borderline Personality Disorder (BPD) patients versus comparison groups. BPD patients (n = 101) were systematically matched with personality disordered patients without BPD (n = 101) and healthy controls (n = 101). Differences were investigated using one-way ANOVA and multinomial logistic regression analyses. Results indicated that schemas of Mistrust/Abuse and Defectiveness/Shame along with modes of Angry Child, Impulsive Child, and (low) Happy Child uniquely differentiated BPD patients from patients with other personality disorders...
November 1, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29098071/the-use-of-the-clinical-ethnographic-narrative-interview-to-understand-and-support-help-seeking-after-gender-based-violence
#16
Denise M Saint Arnault
Gender-based violence (GBV), characterized by the abduction or rape of women and girls to humiliate, intimidate, and traumatize them and their communities, is a profoundly disturbing tactic in international conflict. Long after armed conflict has ended, survivors continue to experience physical injuries, psychological trauma, and social and cultural stigma. Guilt, shame, and continued interpersonal violence can become a normalized part of daily life, significantly challenging the road to healing and recovery...
September 2017: TPM. Testing, Psychometrics, Methodology in Applied Psychology
https://www.readbyqxmd.com/read/29095126/experiencing-menopause-in-the-uk-the-interrelated-narratives-of-normality-distress-and-transformation
#17
Isabel de Salis, Amanda Owen-Smith, Jenny L Donovan, Debbie A Lawlor
We investigated the experience and perspectives of menopause among 48 UK mothers through qualitative in-depth interviews. Interviews were analyzed thematically then explored using social science theories. Three interdependent narratives emerged: menopause as a normal, biological process, distinct from self and social transitions; menopause as struggle, an "idiom of distress" expressing upset, identity loss, shame, and social upheaval; and menopause as transformative and liberating, arising from biopsychic and relational changes...
November 2, 2017: Journal of Women & Aging
https://www.readbyqxmd.com/read/29094603/psychometric-properties-of-the-eating-disorder-examination-questionnaire-ede-q-a-confirmatory-factor-analysis-and-assessment-of-measurement-invariance-by-sex
#18
Devin Rand-Giovannetti, David C Cicero, Jonathan M Mond, Janet D Latner
The original, theoretically derived factor structure of the Eating Disorder Examination-Questionnaire (EDE-Q) has received limited empirical support and there is no consensus on an appropriate alternative. Moreover, there is a paucity of data on the factor structure of the EDE-Q across sexes. The goals of the current study were to evaluate models of the EDE-Q factor structure and to assess the best-fitting model for differences by sex. Twelve models were compared using confirmatory factor analysis in a sample of 940 undergraduates...
November 1, 2017: Assessment
https://www.readbyqxmd.com/read/29091039/psychosocial-aspects-in-patients-with-chronic-leg-ulcers
#19
Eftychia Platsidaki, Anargyros Kouris, Christos Christodoulou
Chronic leg ulcers persist for > 6 weeks and show no tendency to heal after 3 or more months. They can be distressing to patients, both directly through physical symptoms caused by the disease and indirectly through limitations on work capacity, social activity, and personal hygiene. The quality of life (QoL) of patients with leg ulcers can be impaired by a complex set of aspects. Restrictions in their ability to perform paid employment, handle household duties, and engage in personal hygiene adversely affect patients' QoL...
October 2017: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/29090636/-there-s-no-pill-to-help-you-deal-with-the-guilt-and-shame-contemporary-experiences-of-hiv-in-the-united-kingdom
#20
Liz Walker
The experience of living with HIV, in the global north, has changed significantly over the past 20 years. This is largely the result of effective biomedical methods of treatment and prevention. HIV is now widely considered to be a long-term condition like many others - it has been argued that HIV has been 'normalised'. Drawing on online qualitative survey data, with respondents aged 18-35 years, diagnosed with HIV in the past 5 years, this research explores contemporary subjective experiences of being diagnosed, and living, with HIV in the United Kingdom...
October 1, 2017: Health (London)
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