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Ugeskrift For Laeger Oct 2021Distinguishing thrombotic thrombocytopenic purpura (TTP) from other thrombotic microangiopathies requires measurement of ADAMTS13 enzyme activity, but treatment must... (Review)
Review
Distinguishing thrombotic thrombocytopenic purpura (TTP) from other thrombotic microangiopathies requires measurement of ADAMTS13 enzyme activity, but treatment must often be commenced before results from the ADAMTS13 analysis is available. Scoring systems to facilitate prediction of severe ADAMTS13 deficiency and therefore immediate clinical management have been developed. This combined with advances in treatment and monitoring holds optimism for improvements in late effects and survival in future patients. In this review, we discuss status in diagnosing, managing, and follow-up of patients with TTP.
Topics: ADAMTS13 Protein; Humans; Hyperplasia; Optimism; Protein-Energy Malnutrition; Purpura, Thrombotic Thrombocytopenic
PubMed: 34709162
DOI: No ID Found -
The Journal of Investigative Dermatology Jan 2021
Topics: Dermatology; Humans; Optimism; Periodicals as Topic; Societies, Medical; Uncertainty
PubMed: 33342504
DOI: 10.1016/j.jid.2020.11.003 -
International Journal of Environmental... Nov 2021Over the last 20 years, the effectiveness of positive psychology interventions for the development of the well-being of children and adolescents and the moderation of... (Review)
Review
Over the last 20 years, the effectiveness of positive psychology interventions for the development of the well-being of children and adolescents and the moderation of high levels of anxiety and depression in this population has been largely demonstrated. Emphasis has been placed on the promotion of well-being and prevention of mental health problems in the school context in order to foster, through positive psychology, the cognitive and socio-emotional development of primary and secondary students, e.g., by strengthening positive relationships, positive emotions, character strengths, optimism, and hope. However, little is known about the impact of these interventions on young children. This systematic review aims at examining the effects of positive psychology interventions on the well-being of early childhood children (<6 years old), both in the preschool education context with educators or teachers and also in the family context with parents. Several electronic databases were searched, and the findings systematically reviewed and reported by the PRISMA guidelines. Very few studies met the inclusion criteria (n = 3), highlighting the need for further research in this area. Indeed, all of the selected studies demonstrated the importance of positive psychology interventions with young children to promote positive aspects of development, such as gratitude, positive emotions, life satisfaction, accomplishment, positive relationship, or self-esteem. Limitations in the field are discussed.
Topics: Adolescent; Anxiety; Child; Child, Preschool; Emotions; Humans; Optimism; Psychology, Positive; Self Concept
PubMed: 34831827
DOI: 10.3390/ijerph182212065 -
Pharmaceutical Medicine Mar 2021
Topics: COVID-19; COVID-19 Vaccines; Hospital Mortality; Humans; Optimism
PubMed: 33594604
DOI: 10.1007/s40290-021-00381-0 -
Health Psychology : Official Journal of... Sep 2022To test whether 2 conceptually overlapping constructs, dispositional optimism (generalized positive expectations) and optimistic bias (inaccurately low risk...
OBJECTIVE
To test whether 2 conceptually overlapping constructs, dispositional optimism (generalized positive expectations) and optimistic bias (inaccurately low risk perceptions), may have different implications for smoking treatment engagement.
METHOD
Predominantly Black, low-income Southern Community Cohort study smokers (n = 880) self-reported dispositional optimism and pessimism (Life Orientation Test-Revised subscales: 0 = neutral, 12 = high optimism/pessimism), comparative lung cancer risk (Low/Average/High), and information to calculate objective lung cancer risk (Low/Med/High). Perceived risk was categorized as accurate (perceived = objective), optimistically-biased (perceived < objective), or pessimistically-biased (perceived > objective). One-way ANOVAs tested associations between dispositional optimism/pessimism and perceived risk accuracy. Multivariable logistic regressions tested independent associations of optimism/pessimism and perceived risk accuracy with cessation motivation (Low/High), confidence (Low/High), and precision treatment attitudes (Favorable/Unfavorable), controlling for sociodemographics and nicotine dependence.
RESULTS
Mean dispositional optimism/pessimism scores were 8.41 ( = 2.59) and 5.65 ( = 3.02), respectively. Perceived lung cancer risk was 38% accurate, 27% optimistically-biased, and 35% pessimistically-biased. Accuracy was unrelated to dispositional optimism ((2, 641) = 1.23, = .29), though optimistically-biased (vs. pessimistically-biased) smokers had higher dispositional pessimism ((2, 628) = 3.17, = .043). Dispositional optimism was associated with higher confidence (Adjusted odds ratio [A] = 1.71, 95% CI [1.42, 2.06], < .001) and favorable precision treatment attitudes (A = 1.66, 95% CI [1.37, 2.01], < .001). Optimistically-biased (vs. accurate) risk perception was associated with lower motivation (A = .64, 95% CI [.42, .98], = .041) and less favorable precision treatment attitudes (A = .59, 95% CI [.38, .94], = .029).
CONCLUSIONS
Dispositional optimism and lung cancer risk perception accuracy were unrelated. Dispositional optimism was associated with favorable engagement-related outcomes and optimistically-biased risk perception with unfavorable outcomes, reinforcing the distinctiveness of these constructs and their implications for smoking treatment. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Topics: Cohort Studies; Humans; Lung Neoplasms; Motivation; Optimism; Personality
PubMed: 35901400
DOI: 10.1037/hea0001184 -
The Journal of Medical Humanities Mar 2021Steven Soderbergh's Contagion (2011) positions the vaccine as the end point of the arc of pandemic, marking both the containment of an elusive virus and the...
Steven Soderbergh's Contagion (2011) positions the vaccine as the end point of the arc of pandemic, marking both the containment of an elusive virus and the resumption of a life not fundamentally different from before the disease outbreak. The film reinforces the assumption that a pandemic will awaken all of us to the urgency of vaccination, persuading us to put aside our reservations and anxieties and the idea that compliance is the inevitable outcome of quarantine. This article explores how pro-vaccination cultural products such as Contagion might in fact undermine public health efforts by promoting a false narrative, which simplifies the kind of vaccination campaign necessary for herd immunity to develop. An ethic of sacrifice and selflessness drives the public health messaging of the film but leaves intact certain individualistic tropes and plague narrative scapegoating tendencies, while the framing of the vaccine as "gift" takes it out of the realm of medical science altogether.
Topics: COVID-19; COVID-19 Vaccines; Communicable Disease Control; Humans; Optimism; Population Health; SARS-CoV-2; Vaccination
PubMed: 33587203
DOI: 10.1007/s10912-021-09677-3 -
Health Psychology : Official Journal of... Mar 2022Research on older adults often focuses on mitigating health risks, and less is known about protective factors that contribute to longer, healthier lives. We examine...
OBJECTIVES
Research on older adults often focuses on mitigating health risks, and less is known about protective factors that contribute to longer, healthier lives. We examine longitudinal associations between psychological well-being and mortality among a national sample of older adults and test competing hypotheses about whether the education/mortality association depends on the level of psychological well-being.
METHOD
We use six waves (2006-2016) of the Health and Retirement Study, a national sample of adults over age 50 ( = 21,172), with 14 years of mortality follow-up. Psychological well-being is measured up to three times and includes positive affect, life satisfaction, purpose in life, social support, and optimism. Discrete-time survival models examine (a) the association between time-varying psychological well-being and mortality, and (b) interactions between psychological well-being and education on mortality.
RESULTS
Higher purpose in life, positive affect, optimism, social support, and life satisfaction predicted lower mortality. A 1 increase in most measures of psychological well-being was associated with a 2-4 year increase in life expectancy at age 50. Positive affect and purpose in life moderated the education/mortality association-the inverse association between education and mortality was stronger for those with high psychological well-being.
CONCLUSIONS
We find strong evidence that psychological well-being predicts lower mortality risk and modifies the association between education and mortality. The inverse association between education and mortality becomes stronger at higher levels of purpose in life and positive affect. Therefore, efforts to promote life satisfaction, social support, and optimism may support longer lives without widening education disparities. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Topics: Aged; Educational Status; Humans; Middle Aged; Optimism; Retirement; Social Support
PubMed: 35157480
DOI: 10.1037/hea0001159 -
Frontiers in Psychology 2021Risk perception and consequently engagement in behaviors to avoid illness often do not match actual risk of infection, morbidity, and mortality. Unrealistic optimism...
Risk perception and consequently engagement in behaviors to avoid illness often do not match actual risk of infection, morbidity, and mortality. Unrealistic optimism occurs when individuals falsely believe that their personal outcomes will be more favorable than others' in the same risk category. Natural selection could favor overconfidence if its benefits, such as psychological resilience, outweigh its costs. However, just because optimism biases may have offered fitness advantages in our evolutionary past does not mean that they are always optimal. The current project examined relationships among personal risk for severe COVID-19, risk perceptions, and preventative behaviors. We predicted that those with higher risk of severe COVID-19 would exhibit unrealistic optimism and behave in ways inconsistent with their elevated risk of morbidity and mortality. Clinical risk scores for severe COVID-19 were calculated and compared with COVID-19 threat appraisal, compliance with shelter-in-place orders (March 13-May 22, 2020) and travel restrictions, compliance with public health recommendations, and potential covariates like self-rated knowledge about COVID-19 in a robust dataset including 492 participants from McLennan County, TX, USA. While those with high clinical risk acknowledged their greater likelihood of experiencing severe illness if infected, they actually reported lower perceived likelihood of becoming infected in the first place. While it is possible that those with higher clinical risk scores truly are less likely to become infected, the pattern and significance of these results held after controlling for possible occupational exposure, household size, and other factors related to infection probability. Higher clinical risk also predicted more recent travel within Texas and lower distress during the pandemic (i.e., feeling less stressed, depressed, and helpless). Additional behavioral data suggested that those with higher clinical risk scores did not generally behave differently than those with lower scores during the shelter-in-place order. While unrealistic optimism may provide some short-term psychological benefits, it could be dangerous due to improper assessment of hazardous situations; inferring that optimism bias has evolutionary origins does not mean that unrealistic optimism is "optimal" in every situation. This may be especially true when individuals face novel sources (or scales) of risk, such as a global pandemic.
PubMed: 34149531
DOI: 10.3389/fpsyg.2021.647461 -
Journal of the Royal Society of Medicine Jul 2020
Topics: Humans; Medicine; Optimism; Physicians; State Medicine; United Kingdom
PubMed: 32663434
DOI: 10.1177/0141076820933862 -
Frontiers in Psychology 2021The present review study determines to scrutinize EFL teachers' optimism and commitment and their contribution to students' academic success. Academic optimism, as a new... (Review)
Review
The present review study determines to scrutinize EFL teachers' optimism and commitment and their contribution to students' academic success. Academic optimism, as a new construct, is evolving from the examination of the positive psychology (PP), societal principal, and communal school assets that affect the attainment and success of all learners. In addition, within the past decades, commitment has received a great level of consideration, principally in the domain of structural research. The straightforward perseverance of this review is to extend the concept of academic optimism to individuals, that is, to hypothesize theoretical optimism and approve the efficacy of this paradigm at the instructor level in relation to students' academic success. According to the literature review, the definitions of these constructs, namely teachers' optimism and commitment, and students' academic success, as well as empirical studies in this domain are presented. As a conclusion, this study, to some extent, promotes the educators' mindfulness about their commitment. In this respect, pedagogical implications for teachers, school principals, teacher-trainers, and future researchers are presented, and new guidelines for further research are determined.
PubMed: 34733218
DOI: 10.3389/fpsyg.2021.752759