Predicting which people
with psychosocial distress are at risk of becoming dependent on state benefits: analysis of routinely available data
Finally, the MECSH programme, unlike other trials, identified mothers
with psychosocial distress during pregnancy using a population - based screening tool (EDS) rather than identifying them post hoc using specific research - based measures.1 14 An issue to be faced in widespread implementation is how mothers with lower psychosocial resources can be identified in the population.1 14 The MECSH trial demonstrates that this group can be easily identified and enrolled in effective intervention programmes embedded with comprehensive services at the population level.
Szpakowski said she cautions that the study design may have captured patients
with psychosocial distress in addition to major depressive disorder.
Not exact matches
• A brief, inexpensive US intervention (one prenatal session, in separate gender groups focusing on
psychosocial issues related to becoming first - time parents) was associated
with reduced
distress in some mothers at six weeks postpartum.
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.
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.
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
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).
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.
Because the literature showed that maternal psychological
distress increases
with child sleep and behavioral disturbance, it was hypothesized that mothers» attendance at the program would have a positive effect on their
psychosocial well - being and parenting satisfaction, while mothers who were in the waitlist control group would experience no change in maternal
distress over the waiting period.
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).
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.
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].
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.
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.