Examination of couples» attachment security in relation to depression and hopelessness in maritally distressed patients facing end - stage cancer and their spouse caregivers: a buffer or facilitator
of psychosocial distress?.
The high rate of comorbid functional impairment reported in this study suggests a high rate of other forms of disability mixed with psychosocial disability although this cross-sectional study can not ascertain directionality and causation (it is likely that those with functional impairment are also at higher risk
of psychosocial distress).
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.
Older adults with cognitive and physical impairments or
psychosocial distress are also at increased risk
of elder abuse.
A number
of other
psychosocial variables appear to be associated with
distress, including self - criticism, dependency, situation appraisals and attachment style, but these have only been explored by one or two studies at most.
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.
Mothers assessed antenatally as having
psychosocial distress showed benefit from the MECSH programme across a number
of areas, including child development, their experience
of being a mother, and small effects in a number
of domains
of the quality
of the environment from a child development perspective; emotional and verbal responsivity, organisation
of the environment and provision
of appropriate play materials.
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
Predicting which people with
psychosocial distress are at risk
of becoming dependent on state benefits: analysis
of routinely available data
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
The project is a
psychosocial intervention that aims to reduce psychological
distress and deteriorated social functioning in both members
of the couple in the months following diagnosis
of early prostate cancer, and if the cancer becomes advanced.
Importantly, the findings
of the present study demonstrate that while brief tele - based
psychosocial interventions are effective at reducing psychological
distress in cancer patients, patient characteristics play an important role in influencing the efficacy
of the intervention.
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.
Chemical Coping was significantly correlated with an increased intake
of pain medication (P ⩽ 0.01), defiance
of medical intake instructions (P ⩽ 0.01), and highly associated with experienced withdrawal symptoms (P ⩽ 0.001), fear (P ⩽ 0.05), hypochondria (P ⩽ 0.01),
psychosocial distress (P ⩽ 0.001), and alexithymia (P ⩽ 0.001).
After attending to the basics
of physical health (A-B-C: Airway, Breathing, Circulation), you can promote
psychosocial recovery by paying attention to the D - E-F (
Distress, Emotional Support, Family).
Negative life events, maternal
distress and child
psychosocial functioning measures were completed by 185 mothers
of children, aged 4 — 12 years.
The purpose
of the present study was to evaluate the potential utility
of using the information that PCPs are likely to have about negative events in their patients» lives as well as their perception
of maternal
distress, to help them identify child
psychosocial problems.
Diabetes management during childhood and adolescence places substantial burdens on the youth and family, necessitating ongoing assessment
of psychosocial status and diabetes
distress during routine diabetes visits (10 — 12).
Findings indicate that, regardless
of age, children
of authoritative parents perform better in school, display fewer conduct problems and show better emotional adjustment than those raised in non-authoritative homes.12 Adolescents with authoritative parents who balance appropriate levels
of supervision, nurturance and democratic decision - making tend to achieve better
psychosocial outcomes.12 Studies reveal that adolescents with authoritative parents are associated with less psychological
distress, higher self - esteem, higher academic achievements, lower levels
of delinquency and less substance use.13 Gray and Steinberg13 found that emotional and behavioural problems tended to be associated with the degree
of behavioural control and supervision or monitoring.
Furthermore, it could be prudent consider the role
of other
psychosocial variables on postpartum depression like social support perception, global psychological
distress of partners, marital satisfaction, etc..
With respect to their response to
psychosocial stressors (e.g. major life events, childhood trauma, and milder daily hassles), which have been shown to contribute to the development and maintenance
of psychosis in retrospective and prospective studies [31, 32, 33], FHx and ASz children aged 11 — 14 years reported greater exposure to negative life events and daily hassles, respectively, compared to TD children, and were more
distressed by these experiences [34].
The measurement
of these indicators and the mitigation
of underlying
distress by adequate
psychosocial interventions should be encouraged.
Use
of information about maternal
distress and negative life events to facilitate identification
of psychosocial problems in children.
Much
of the research examines the grandparents» functioning and suggests that they experience heightened
psychosocial distress.
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).
There were 36 studies were identified which aimed to explore associations, or predictive effects
of,
psychosocial factors on emotional
distress.
A review
of psychosocial predictors
of infertility - related stress was published 3 years ago (Gourounti et al., 2010) collating the findings
of 19 empirical studies that had explored the relationship between
psychosocial factors and a negative emotional outcome measure (
distress, stress, depression, etc.).
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.
Psychosocial predictors
of distress in parents
of children undergoing stem cell or bone marrow transplantation
This review highlights key
psychosocial factors to assist the identification
of patients at high risk
of psychological
distress.
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.
Psychosocial factors that were positively related to
distress include personality traits, coping strategies, social situations and cognitive appraisals
of the situation.
This review highlights several key
psychosocial factors that could be used to assist in the identification
of prospective IVF patients at high risk
of psychological
distress.