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JCO Global Oncology Sep 2021The number of cancer survivors is increasing globally although the status of cancer survivorship care provision and research in developing countries is limited. This... (Review)
Review
PURPOSE
The number of cancer survivors is increasing globally although the status of cancer survivorship care provision and research in developing countries is limited. This study aimed to review published literature and available guidelines and/or recommendations to inform cancer survivorship care in Latin America.
METHODS
Embase, Web of Science, Scopus, PubMed, and SciELO were systematically searched for articles and guidelines and/or recommendations published through December 31, 2020. Our search terms included cancer, survivors, neoplasm, cancer, survivorship, survivor, follow-up studies, and the name of the countries. We categorized the articles by country, year, cancer type(s), language, and domain of cancer survivorship care. We also searched governmental health agencies websites in all Latin American countries.
RESULTS
Our literature review found 664 articles for inclusion. The number of publications increased over time. Brazil had most of the survivorship research (n = 483, 72.7%). The most common topics included surveillance and management of psychosocial effects (n = 237, 35.7%) and physical effects (n = 230, 34.6%). Prevention and surveillance for recurrences and health promotion and disease prevention were each addressed by about 10% (n = 71) of the publications. Although close to half of the publications included more than one cancer, 28.9% (n = 192) focused solely on breast cancer. We found no guidelines and/or recommendations explicitly focusing on Latin America in the reviews of the literature or the national governmental institutions' websites.
CONCLUSION
We found a growing body of cancer survivorship publications, mainly focusing on psychosocial and physical effects, although no cancer survivorship guidance and/or recommendations focused on Latin America were identified. Expanding research across Latin American countries and covering a broader spectrum of cancer survivorship care is needed. Development of guidelines may further promote provision of quality care for this growing population of cancer survivors.
Topics: Cancer Survivors; Humans; Latin America; Neoplasm Recurrence, Local; Survivors; Survivorship
PubMed: 34648386
DOI: 10.1200/GO.21.00223 -
International Journal of Environmental... Jul 2022Previous research has established a strong relationship between family system functioning and child adjustment outcomes. However, within the context of Gaza, an...
Previous research has established a strong relationship between family system functioning and child adjustment outcomes. However, within the context of Gaza, an evaluation of both maternal and paternal factors associated with adolescent psychological adjustment has not yet been thoroughly evaluated. The current study examines how maternal and paternal trauma exposure, emotional security, and mental health are related to parent-reported scores of adolescent psychological adjustment, while controlling for adolescent trauma exposure and security in the family. The sample included N = 68 family units living in the Gaza Strip, with two parents and one adolescent surveyed within each unit (adolescent Mage = 14.03 years). The regression model examining maternal factors was significant overall (F = 7.44, R2 = 42.70%, p < 0.001), with increased maternal depression associated with greater adolescent adjustment difficulties (β = 0.31, p = 0.011) and greater maternal emotional security in the family associated with fewer adolescent adjustment difficulties (β = −0.36, p = 0.004). The regression model examining paternal factors was also significant (F = 4.57, R2 = 31.00%, p < 0.001), with increased paternal trauma exposure associated with greater adolescent adjustment difficulties (β = 0.32, p = 0.012). Understanding family-level factors associated with adolescent adjustment is an important step in conceptualizing the mental health needs of conflict-affected youth within the context of Gaza and more broadly.
Topics: Adolescent; Arabs; Child; Emotional Adjustment; Fathers; Humans; Male; Mental Health; Middle East
PubMed: 35954645
DOI: 10.3390/ijerph19159288 -
The Journal of Genetic Psychology 2024The study investigated whether adults' memories of parental acceptance-rejection in childhood predict their current levels of forgiveness and vengeance as mediated by...
The study investigated whether adults' memories of parental acceptance-rejection in childhood predict their current levels of forgiveness and vengeance as mediated by psychological (mal)adjustment. The data were collected from 252 young adults (Women = 137, Men = 115, Age range = 18 - 22 years; age = 19.42; = 0.99). Measures used were the Adult Parental Acceptance-Rejection Questionnaire (PARQ) short form for fathers and mothers, the Adult Personality Assessment Questionnaire (PAQ) short form for adults, the Heartland Forgiveness Scale (HFS), the Vengeance Scale (VS-10), and the Personal Information Form. Mediation analysis indicated that memories of maternal and paternal rejection predicted vengeance as mediated by psychological maladjustment among both men and women. Further, women's and men's memories of parental (both maternal and paternal) acceptance predicted forgiveness as mediated by psychological adjustment.
Topics: Male; Humans; Female; Young Adult; Adolescent; Adult; Forgiveness; Rejection, Psychology; Parents; Fathers; Emotional Adjustment
PubMed: 38247276
DOI: 10.1080/00221325.2024.2305768 -
Recenti Progressi in Medicina Apr 2020In this pandemic global emergency, self-care and psycho-physical wellbeing's programs for healthcare workers are an absolute priority. Now more than ever, physicians and...
In this pandemic global emergency, self-care and psycho-physical wellbeing's programs for healthcare workers are an absolute priority. Now more than ever, physicians and nurses are facing abnormal burdens of work, stressful clinical and organizational conditions and emotional charges that are challenging their ability to cope and jeopardizing their own lives. By improving nutritional education in medical faculties, implementing healthy lifestyles promotion and burnout prevention projects in the hospitals, we will be able to maintain a good quality of care throughout these trying times and hopefully we will improve the selfcare strategies for health professionals for the next future.
Topics: Burnout, Professional; COVID-19; Emotional Adjustment; Health Personnel; Humans; Life Style; Medical Staff; Nursing Staff; Nutritional Support; Occupational Stress; Self Care; Workload
PubMed: 32319441
DOI: 10.1701/3347.33182 -
Journal of Interpersonal Violence Jan 2023A history of child sexual abuse (CSA) is associated with a variety of psychological issues and conduct disorders in adolescents. However, little is known about the...
A history of child sexual abuse (CSA) is associated with a variety of psychological issues and conduct disorders in adolescents. However, little is known about the association between CSA and its characteristics and murderous behaviors in young adults. The purpose of this study was to examine this relationship and explore the mediating effect of psychological adjustment (PA). A cross-sectional study was conducted with 4034 college students in Anhui Province, China. The participants were invited to complete self-report questionnaires regarding the history of CSA, self-perceived PA and murderous behaviors. PA was evaluated by two of the most important indicators: resilience and emotional release. Mediation analyses were computed via parallel mediation models. Of the participants, 14.1% reported experiencing CSA. After controlling for potential confounders, CSA victimization was robustly and positively associated with murderous ideation (OR: 2.36, 95% CI: 1.77-3.14), murderous plans (OR: 4.02, 95% CI: 2.63-6.12), murderous preparation (OR: 3.87, 95% CI: 2.37-6.31), and murderous attempts (OR: 5.35, 95% CI: 3.11-9.21). CSA victimization that was persistent and of the combined contact or noncontact types greatly increased the risk of murderous behaviors. A dose-response relationship was observed between the duration of experienced CSA and murderous behaviors. Furthermore, the results of the mediation analysis revealed that PA partially mediated the relationship between CSA victimization and murderous behaviors. Therefore, PA protects against the development of murderous behaviors in abused individuals. These findings have important implications for the prevention and intervention of murderous behaviors in adolescents who experienced CSA, highlighting the importance of considering PA as a protective role in this relationship.
Topics: Adolescent; Young Adult; Child; Humans; Child Abuse, Sexual; Cross-Sectional Studies; Emotional Adjustment; Crime Victims; Students; Child Abuse; China; Surveys and Questionnaires
PubMed: 35465755
DOI: 10.1177/08862605221093684 -
Neuropsychological Rehabilitation Aug 2020This study investigated if an Acceptance and Commitment Therapy (ACT) intervention (ACT-Adjust) can facilitate psychological adjustment and reduce psychological... (Randomized Controlled Trial)
Randomized Controlled Trial
This study investigated if an Acceptance and Commitment Therapy (ACT) intervention (ACT-Adjust) can facilitate psychological adjustment and reduce psychological distress following severe traumatic brain injury (TBI). The study design comprised a single centre, two-armed, Phase II pilot randomized controlled trial. Nineteen individuals with severe TBI (PTA ≥7 days) who met a clinical threshold for psychological distress (Depression Anxiety Stress Scales-21; DASS > 9) were randomly allocated to either ACT-Adjust (= 10) or an active control, Befriending Therapy (= 9), in conjunction with a holistic rehabilitation programme. Primary (psychological flexibility, rehabilitation participation) and secondary (depression, anxiety & stress) outcomes were measured at three-time points (pre, post and follow up). Significant decreases were found for DASS-depression (group by time interaction, = 5.35, = .03) and DASS-stress (group by time interaction, = 5.69, = .03) in comparison to the Befriending group, but not for the primary outcome measures. The reduction in stress post-treatment was classed as clinically significant, however interaction differences for stress and depression were not maintained at one month follow up. Preliminary investigations indicate potential for ACT in decreasing psychological distress for individuals with a severe TBI with further sessions required to maintain treatment gains. The pilot results suggest further investigation is warranted in a larger scale clinical trial.
Topics: Acceptance and Commitment Therapy; Adult; Anxiety; Brain Injuries, Traumatic; Depression; Emotional Adjustment; Female; Follow-Up Studies; Humans; Male; Middle Aged; Outcome Assessment, Health Care; Pilot Projects; Psychological Distress; Severity of Illness Index; Stress, Psychological; Young Adult
PubMed: 30789059
DOI: 10.1080/09602011.2019.1583582 -
BMC Palliative Care Dec 2022Since 2016, France is the only country in the World where continuous deep sedation until death (CDSUD) is regulated by law. CDSUD serves as a response to refractory...
The APSY-SED study: protocol of an observational, longitudinal, mixed methods and multicenter study exploring the psychological adjustment of relatives and healthcare providers of patients with cancer with continuous deep sedation until death.
BACKGROUND
Since 2016, France is the only country in the World where continuous deep sedation until death (CDSUD) is regulated by law. CDSUD serves as a response to refractory suffering in palliative situations where the patients' death is expected to occur in the following hours or days. Little is known on the psychological adjustment surrounding a CDSUD procedure for healthcare providers (HCPs) and relatives. Our study aims to gather qualitative and quantitative data on the specific processes behind the psychological adjustment of both relatives and HCPs, after the administration of CDSUD for patients with cancer.
METHODS
The APSY-SED study is a prospective, longitudinal, mixed-methods and multicenter study. Recruitment will involve any French-speaking adult cancer patient for who a CDSUD is discussed, their relatives and HCPs. We plan to include 150 patients, 150 relatives, and 50 HCPs. The evaluation criteria of this research are: 1/ Primary criterion: Psychological adjustment of relatives and HCPs 6 and 13 months after the death of the patient with cancer (psychological adjustment = intensity of anxiety, depression and grief reactions, CDSUD-related distress, job satisfaction, Professional Stress and Professional experience). Secondary criteria: a)occurrence of wish for a CDSUD in patients in palliative phase; b)occurrence of wish for hastened death in patients in palliative phase; c)potential predictors of adjustment assessed after the discussion concerning CDSUD as an option and before the setting of the CDSUD; d) Thematic analysis and narrative account of meaning-making process concerning the grief experience.
DISCUSSION
The APSY-SED study will be the first to investigate the psychological adjustment of HCPs and relatives in the context of a CDSUD procedure implemented according to French law. Gathering data on the grief process for relatives can help understand bereavement after CDSUD, and participate in the elaboration of specific tailored interventions to support HCPs and relatives. Empirical findings on CDSUD among patients with cancer in France could be compared with existing data in other countries and with results related to other medical fields where CDSUD is also conducted.
TRIAL REGISTRATION
This protocol received the National Registration Number: ID-RCB2021-A03042-39 on 14/12/2021.
Topics: Adult; Humans; Emotional Adjustment; Deep Sedation; Prospective Studies; Health Personnel; Neoplasms; Observational Studies as Topic; Multicenter Studies as Topic
PubMed: 36464684
DOI: 10.1186/s12904-022-01106-z -
Australasian Psychiatry : Bulletin of... Dec 2020If the narrative of "coronavirus" has an underlying theme, it may perhaps for some be one of survival, whilst for others, the theme might be suffering. The recurring...
OBJECTIVE
If the narrative of "coronavirus" has an underlying theme, it may perhaps for some be one of survival, whilst for others, the theme might be suffering. The recurring motif of survival has continued throughout history, yet for the first time the sum of all fears has amounted to a run on the bare essentials. This paper seeks to offer an alternative formulation of "panic buying," with references to literature, philosophy, and contemporary neurobiology.
CONCLUSION
The bare essentials disappeared perhaps as part of some self-fulfilling prophecy: the supermarkets became bare because others inadvertently lead us to believe they would become bare. The contagion model of emotional propagation provides a psychological model of how "panic buying" by an individual might lead to the replication of panic in an observer. The Polyvagal Theory further informs us of how the threat posed by the pandemic primes our limbic system to perceive danger, and explains how witnessing others engaging in fight-flight responses might evoke a fearful affect in an observer. In the end, it is perhaps through Nietzsche's study of classical tragedy that we may find some meaning to the pandemic, allowing our collective lived experience to serve as a template for growth.
Topics: Betacoronavirus; COVID-19; Coronavirus Infections; Disaster Victims; Emotional Adjustment; Fear; Humans; Neurobiology; Pandemics; Panic; Pneumonia, Viral; Psychological Theory; Psychology, Social; SARS-CoV-2; Survival
PubMed: 32683892
DOI: 10.1177/1039856220936144 -
School Psychology (Washington, D.C.) May 2020Gratitude is a human strength that is beneficial for psychosocial adjustment and academic adjustment. This study aimed to examine the (a) heterogeneity and gender...
Gratitude is a human strength that is beneficial for psychosocial adjustment and academic adjustment. This study aimed to examine the (a) heterogeneity and gender differences in the developmental trajectories of gratitude to obtain a more nuanced understanding of the development of gratitude in children, and (b) relations between these trajectories and psychosocial adjustment, as well as academic adjustment outcomes among Chinese elementary schoolchildren to elucidate the specific benefits of gratitude for children. A sample of 715 children (45.6% girls; Mage = 8.96 years, SD = 0.76 at Time 1) from 2 Chinese elementary schools completed a packet of measures on 6 occasions across 3 years, using 6-month intervals. Latent Class Growth Modeling revealed 4 heterogeneous developmental trajectory classes of gratitude: High-Increasing, Moderate High-Decreasing, Moderate Low-Increasing, and Low-Stable. Girls were less likely than boys to fall into the Moderate Low-Increasing class or Low-Stable class in reference to the High-Increasing class. Children in the High-Increasing class and Low-Stable class showed the best and the worst psychosocial adjustment and academic adjustment, respectively. The results suggested that gratitude interventions may require adaptations for specific groups, with the Low-Stable class and Moderate High-Decreasing class needing particular attention. Meanwhile, educators aiming to increase elementary schoolchildren's psychosocial adjustment and academic adjustment should consider implementing assessment and intervention programs to promote gratitude early in the school years as well as throughout the elementary school years to prevent trajectories of negative developmental patterns. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Topics: Academic Success; Affect; Child; Child Development; China; Emotional Adjustment; Female; Humans; Longitudinal Studies; Male; Social Adjustment; Social Interaction; Students
PubMed: 32212766
DOI: 10.1037/spq0000358 -
Journal of Traumatic Stress Dec 2020Few reliable predictors of postarrival psychological adjustment have been identified with regard to refugees once they arrive in their host country. We investigated the...
Few reliable predictors of postarrival psychological adjustment have been identified with regard to refugees once they arrive in their host country. We investigated the association between family separation and psychological symptoms in refugees resettled in Australia from 2013 to 2016. Participants were 1,495 adult refugees (M = 38.9 years, SD = 12.7) who participated in the Building a New Life in Australia population-based study across 4 years. Participants were assessed for psychological distress and posttraumatic stress symptoms (PTSS) using the Kessler Psychological Distress Scale (K6) and Posttraumatic Stress Disorder-8 (PTSD-8), respectively. We used latent class growth analysis (LCGA) to identify latent longitudinal trajectories and binary logistic regression to assess the contribution of family predictor variables toward PTSD-8 and K6 symptom trajectory class membership. The LCGA supported a four-class solution for PTSS, categorized as improving PTSS (18.4%), persistently high PTSS (11.5%), resilient PTSS (57.3%), and deteriorating PTSS (12.6%). For the K6, LCGA supported a four-class solution comprising classes categorized as persistently high psychological distress (PD; 7.0%), improving PD (17.3%), resilient PD (61.1%), and deteriorating PD (14.6%). Separation from family members did not independently predict the course of psychological symptoms; however, worry about family and friends contributed to the persistence of high PTSD-8 scores, OR = 1.75, and deteriorating K6 scores, OR = 1.57. The current findings suggest persistently high or worsening psychological symptom trajectories during the postsettlement phase may be marked by worry about family and friends, in addition to older age and female gender, rather than separation alone.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Australia; Emotional Adjustment; Family; Family Separation; Female; Humans; Latent Class Analysis; Longitudinal Studies; Male; Middle Aged; Psychological Distress; Refugees; Stress Disorders, Post-Traumatic; Young Adult
PubMed: 32667086
DOI: 10.1002/jts.22568