Not exact matches
The
psychosocial outcome receiving the most attention from researchers is problem behaviour, with most studies finding perceived negative reactivity in infancy to predict problem behaviour in childhood33, 34 and adolescent.35 Specifically, infants prone to high levels of fear, frustration, and sadness, as well as difficulty recovering from such
distress, were found to be at increased risk
for internalizing and externalizing problem behaviours according to parental and / or teacher report.
BACKGROUND AND PURPOSE: Physiotherapy has an important role in managing patients with non-specific low back pain who experience elevated
psychosocial distress or risk
for chronic disability.
Mothers were eligible to participate if they did not require the use of an interpreter, and reported one or more of the following risk factors
for poor maternal or child outcomes in their responses to routine standardised
psychosocial and domestic violence screening conducted by midwives
for every mother booking in to the local hospital
for confinement: maternal age under 19 years; current probable
distress (assessed as an Edinburgh Depression Scale (EDS) 17 score of 10 or more)(as a lower cut - off score was used than the antenatal validated cut - off score
for depression, the term «
distress» is used rather than «depression»; use of this cut - off to indicate those
distressed approximated the subgroups labelled in other trials as «psychologically vulnerable» or as having «low psychological resources» 14); lack of emotional and practical support; late antenatal care (after 20 weeks gestation); major stressors in the past 12 months; current substance misuse; current or history of mental health problem or disorder; history of abuse in mother's own childhood; and history of domestic violence.
Four a priori analyses were undertaken comparing outcomes
for the hypothesised subgroups using 2 × 2 factorial ANOVA to assess main (intervention vs comparison group) effects and interaction (intervention by subgroup effects
for mothers who were Australian - born vs overseas - born, first - time vs multiparous, had one vs multiple risk factors, and scored EDS ≥ 10 (antenatal
psychosocial distress) vs EDS < 10), while maintaining the power of the whole sample.
A review and recommendations
for optimal outcome measures of anxiety, depression and general
distress in studies evaluating
psychosocial interventions
for English - speaking adults with heterogeneous cancer diagnoses
Radiotherapy is a common treatment
for gynaecological cancer (GC) and has many
distressing side - effects, including diarrhoea, abdominal cramps, bladder dysfunction, menopause, infertility and sexual dysfunction, which impact on
psychosocial functioning and intimate relationships.
There are well - documented associations between posttraumatic stress disorder (PTSD) and intimate relationship problems, including relationship
distress and aggression, 1 and studies demonstrate that the presence of PTSD symptoms in one partner is associated with caregiver burden and psychological
distress in the other partner.2 Although currently available individual psychotherapies
for PTSD produce overall improvements in
psychosocial functioning, these improvements are not specifically found in intimate relationship functioning.3 Moreover, it has been shown that even when patients receive state - of - the - art individual psychotherapy
for the disorder, negative interpersonal relations predict worse treatment outcomes.4, 5
Physicians underestimated substantially the prevalence of intrafamilial violence, maternal
psychosocial distress, and associated behavior problems in children compared with use of a questionnaire
for this purpose.23 The use of a clinic questionnaire identified significantly more mothers with potential risk factors
for poor parenting compared with review of medical records.24 Shorter versions of this questionnaire
for evaluating parental depressive disorders, 25 substance abuse, 26 and parental history of physical abuse as a child27 compared favorably to the original measures in terms of accuracy.
The objective of this study was to examine the objective need as well as the subjective request
for psychosocial support and to investigate the relationship between the need
for psychosocial counselling and psychological
distress, quality of life and optimism.
The two - session psychoeducation intervention was offered to groups of parents of children (mean age 12.3 years, 60.8 % female) who had been screened
for elevated
psychosocial distress.
Physicians may be able to use information about maternal
distress and / or negative life events (NLEs), which is often gathered during routine assessment, as an indication that further assessment
for psychosocial problems is warranted.
The results do not show higher average risk levels
for psychosocial adjustment problems, even though a minority of the cases is at risk
for social impairments (7.7 %), internalizing (23.1 %), externalizing (3.8 %) and total difficulties (11.5 %) and
for distress in the parent — child system (15 %).
The most robust studies are those that used longitudinal designs and controlled
for time 1 levels of
distress or well - being before examining the predictive effect of time 1
psychosocial variables on time 2 psychological adjustment.
Three of these studies reported that none of their
psychosocial variables were significant predictors of subsequent psychological adjustment after existing
distress levels were controlled
for (Newton et al., 1990; Fisher et al., 2008; Verhaak et al., 2010).
The majority of studies exploring marital quality however (Newton et al., 1990; Litt et al., 1992; Fisher et al., 2008; Baor and Soskolne, 2010) reported no significant relationships between this
psychosocial factor and emotional adjustment, even after controlling
for pre-IVF
distress levels.
All other
psychosocial factors were explored by only two studies at most, with the exception of baseline anxiety and / or depression which were either controlled
for or used to predict subsequent
distress by 11 of the 23 studies.
All studies that explored pre-IVF
distress consistently report it to be a significant predictor of post-IVF
distress, usually accounting
for a far higher proportion of the variance in
distress outcomes than any of the
psychosocial factors investigated.
Whilst some
psychosocial variables appear to be consistently associated with
distress for IVF patients, two - thirds of the variables tested to date do not appear to be associated with emotional adjustment.
The remaining seven studies reported significant
psychosocial predictors of emotional adjustment, after having controlled
for pre-existing
distress levels.