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Stressful Situations (stressful + situation)
Selected AbstractsPsychosocial Adjustment of People with Epilepsy in Hong KongEPILEPSIA, Issue 9 2001Vanessa W. Y. Lau Summary: ,Purpose: In light of the issues associated with the psychosocial adjustment of people with epilepsy that have been widely reported, this study examined these issues within a Chinese cultural context. Methods: Fifty patients with epilepsy completed The Washington Psychosocial Inventory, the Coping Inventory for Stressful Situations, and a questionnaire that assessed their psychosocial difficulties and coping styles. Multiple regression procedure was used to examine the strength of various medical and social factors in predicting the psychosocial adjustment problems of these participants. Results: Social factors, such as self-perception and coping strategies, were more powerful predictors of psychosocial adjustment in people with epilepsy than the medical factors associated with epilepsy. Conclusions: These findings showed that psychosocial maladjustment is a significant issue for people with epilepsy in Hong Kong. The emerging importance of social factors as predictors of psychosocial adjustment in epilepsy, as compared with medical factors, highlights the need for developing tailored counseling therapy and social support groups for people with epilepsy. [source] The Coping Inventory for Stressful Situations: Factorial Structure and Associations With Personality Traits and Psychological Health,JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH, Issue 2 2000Richard Cosway Principal components analyses on the Coping Inventory for Stressful Situations (C1SS; Endler & Parker, 1990a) were carried out for 730 Scottish doctors and farmers. Endler and Parker's three-factor structure was supported both in the male and female subgroups and in the two occupational groups. Intercorrelations of the C1SS factors with personality factors of the NEO-Five Factor Inventory and a self-reported psychological distress scale, the General Health Questionaire-28, provided predictive validity for the C1SS in the transactional model of stress. [source] Psychological features and coping styles in patients with chronic painPSYCHIATRY AND CLINICAL NEUROSCIENCES, Issue 2 2009Jingai Cui ms Aims:, It is said that psychological factors play a crucial role in the development, continuation or amplification of chronic pain. The purpose of the present study was to examine psychological features and coping styles related to chronic pain. Methods:, Sixty-three patients with persistent pain over 3 months (average age of 59.3 years; 22 men and 41 women) were recruited as subjects from December 2005 to March 2007. As for chronic pain, the duration of pain and the intensity of pain, applied using the Visual Analogue Scale, were evaluated in each patient. In addition, their psychological features were examined with the Profile of Mood States (POMS) and their coping styles were examined using the Coping Inventory for Stressful Situations (CISS). Results:, The duration of pain was not significantly correlated with values of the POMS or CISS. The intensity of pain according to the Visual Analogue Scale was significantly correlated with the tension,anxiety, anger,hostility and fatigue scales of the POMS. Also, the intensity of pain showed negative correlations with the avoidance-oriented coping scale of the CISS. Conclusions:, Understanding psychological features and coping styles are critical when we determine the proper treatment for chronic pain. [source] A challenging intervention with maternal anxiety: Babies requiring surgical correction of a congenital anomaly after missed prenatal diagnosisINFANT MENTAL HEALTH JOURNAL, Issue 6 2003Lucia Aite The objective of this study is to assess the impact on maternal anxiety of a short-term intervention in a particularly stressful situation, such as a surgical anomaly diagnosed only at birth after repeated negative prenatal ultrasounds. The patients were 30 mothers of babies requiring surgical correction of a congenital anomaly who were randomly assigned to an intervention (N = 16) or control (N = 14) group. The intervention group received standard care plus short-term intervention that included weekly meetings with the psychologist and weekly team meetings. The control group received only standard care available on the Neonatal Surgery Unit. The main outcome measure was maternal anxiety levels, assessed at birth and on discharge with the Spielberger State,Trait Anxiety Inventory (STAI,S). Statistical comparisons were made, and no significant differences were found at birth in the STAI,S scores of the two groups. At discharge, the intervention group exhibited a much lower STAI,S score than the group without short-term intervention. The authors concluded that psychological counseling for parents of newborn babies has been shown to be helpful. However, the impact of such assistance was shown to be particularly beneficial for parents facing the emotional stress of their children requiring unexpected surgical corrections of congenital anomalies at birth. Therefore, the presence of a psychologist, as part of the standard care of newborns requiring surgical correction, is recommended. ©2003 Michigan Association for Infant Mental Health. [source] Paranoid thinking as a heuristicEARLY INTERVENTION IN PSYCHIATRY, Issue 3 2010Antonio Preti Abstract Paranoid thinking can be viewed as a human heuristic used by individuals to deal with uncertainty during stressful situations. Under stress, individuals are likely to emphasize the threatening value of neutral stimuli and increase the reliance on paranoia-based heuristic to interpreter events and guide their decisions. Paranoid thinking can also be activated by stress arising from the possibility of losing a good opportunity; this may result in an abnormal allocation of attentional resources to social agents. A better understanding of the interplay between cognitive heuristics and emotional processes may help to detect situations in which paranoid thinking is likely to exacerbate and improve intervention for individuals with delusional disorders. [source] Forced swim stress activates rat hippocampal serotonergic neurotransmission involving a corticotropin-releasing hormone receptor-dependent mechanismEUROPEAN JOURNAL OF NEUROSCIENCE, Issue 12 2002Astrid C. E. Linthorst Summary Serotonin is important for adequate coping with stress. Aberrant serotonin function is implicated in the aetiology of major depression and anxiety disorders. Dysregulation of the hypothalamic,pituitary,adrenocortical axis, involving elevated corticotropin-releasing hormone (CRH) activity, also plays a role in these stress-related illnesses. Here we studied the effects of stress on hippocampal serotonin and the role of the CRH system using in vivo microdialysis. First, rats were subjected to a forced swim stress, resulting in a dramatic increase in hippocampal serotonin (1500% of baseline), which was associated with the occurrence of diving behaviour. The diving-associated increase in serotonin depended on activation of CRH receptors, as it was antagonized by intracerebroventricular pretreatment with D -Phe-CRH12,41. Secondly, the effects of intracerebroventricular administration of CRH and urocortin (0.03,1.0 µg) were studied. Both CRH and urocortin caused a dose-dependent rise in hippocampal serotonin (maximally 350% of baseline) and 5-hydroxyindoleacetic acid levels, suggesting the involvement of CRH receptor type 1. Because the effects of urocortin were prolonged, CRH receptor type 2 could play a role in a later phase of the neurotransmitter response. Experiments using adrenalectomized rats showed that CRH-induced serotonin changes were adrenally independent. These data suggest that the raphe-hippocampal serotonin system is able to mount, CRH receptor-dependent, responses to specific stressful situations that surpass the usually observed maximal increases of about 300% of baseline during stress and enhanced vigilance. [source] Analysis of genetic influences on the consistency and variability of the Big Five across different stressful situationsEUROPEAN JOURNAL OF PERSONALITY, Issue 5 2001Gerty Lensvelt-Mulders Several studies have demonstrated that individual differences in personality traits, known as the Big Five, have a genetic component. These personality traits are considered important predictors of everyday behaviour. In addition to personality traits there are also factors in the environment that govern behaviour. This dual influence on behaviour is statistically reflected in a P,×,S interaction. This study examines the genetic and environmental influences on the interactions between a person and his daily life environment for the Big Five. Fifty-seven identical twin pairs and 43 fraternal twin pairs participated in this study. Trait related behaviour was measured in 30 different situations with the aid of an SR inventory. The heritability coefficients for the main effect of P were in the normal range, varying between 0.35 for Agreeableness and 0.53 for Conscientiousness. The heritability coefficients for the P,×,S interactions were moderately high, explaining between 26% and 69% of the total P,×,S variance. The consequences of these results for general and behavioural genetic research on the Big Five will be discussed. Copyright © 2001 John Wiley & Sons, Ltd. [source] Emotional stability of nurses: impact on patient safetyJOURNAL OF ADVANCED NURSING, Issue 10 2009Ching-I Teng Abstract Title.,Emotional stability of nurses: impact on patient safety. Aim., This paper is a report of a study conducted to examine the influence of the emotional stability of nurses on patient safety. Background., Individuals with greater emotional stability are less likely to exhibit strong emotional reactions to stressful situations, and tend to be more proactive and successful in problem-solving. Effectively managing patient safety is a priority concern in countries where nurses face high pressure. A heavy work load leads to burnout (a syndrome associated with negative emotions), reduced job satisfaction and increased turnover. While emotional stability influences job performance in various contexts, its influence on patient safety has not been addressed. Method., A cross-sectional design was adopted. The sample comprised 263 nurses working in two Taiwanese medical centres. The data were collected in 2007,2008, with a response rate of 92·6%. All participants were nursing college graduates aged below 50 years. Participants provided information on both their emotional stability and patient safety. Staffing adequacy, hospital, and years of nursing experience served as control variables. Findings., Hierarchical regression analysis indicated that emotional stability predicted patient safety (, = 0·18, P < 0·01). The addition of emotional stability as a predictor of patient safety increased the associated explained variance (,R2 = 0·03, P < 0·01). Conclusion., It is important for to managers create an organisational climate that promotes the emotional stability of nurses. This could help to improve global patient safety by reducing the frequency of adverse events. [source] Attachment behaviour towards support staff in young people with intellectual disabilities: associations with challenging behaviourJOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 7 2010J. C. De Schipper Abstract Background Attachment research has shown the importance of attachment behaviour for the prevention of dysregulated behaviour due to emotional distress. The support of an attachment figure may be especially important for people with intellectual disability (ID), because they are less adept in dealing with stressful situations on their own. Our purpose was to examine the role of support staff as targets of attachment behaviour for young people with ID by testing the hypothesis that young people who more often engage in attachment interactions with group care staff are less at risk for challenging behaviours. The study design included professional caregivers' report of young persons' attachment behaviour across different relationships to address the relationship-specific nature of attachment behaviour in a group care context. Methods Support staff rated attachment behaviour of 156 young participants with moderate to severe ID who were attending a group care setting. For each participant, we asked two members of the classroom support staff to fill out the Secure Base Safe Haven Observation list. One of them also rated challenging behaviour (Abberant Behavior Checklist). Results Young people who showed more secure attachment behaviour towards professional caregivers were less irritable, less lethargic and less stereotypic in their behaviour, even if we controlled for developmental age and Autism Spectrum Disorders. Two results point in the direction of relationship-specific attachment behaviour: the absence of high consistency in a person's attachment behaviour towards two different caregivers and the independent contribution of each of these relationships to explaining differences in lethargy and stereotypies. A certain preference in attachment behaviour towards specific caregivers was not associated with challenging behaviour. Conclusions Findings suggest that attachment behaviour may be part of young persons' adaptation to the stresses and challenges of group care. Furthermore, adaptation may be determined by the integration of relationships with support staff, because each relationship with a care staff member bears uniquely on challenging behaviour. [source] Urocortin III, A Brain Neuropeptide of the Corticotropin-Releasing Hormone Family: Modulation by Stress and Attenuation of Some Anxiety-Like BehavioursJOURNAL OF NEUROENDOCRINOLOGY, Issue 5 2004M. Venihaki Abstract Following its discovery 20 years ago, corticotropin-releasing hormone (CRH) has been postulated to mediate both hormonal and behavioural responses to stressors. Here, we characterize and describe a behavioural role for the murine gene, UcnIII, which encodes a recently discovered CRH-related neuropeptide, urocortin III. We found that mouse UcnIII is expressed predominantly in regions of the brain known to be involved in stress-related behaviours, and its expression in the hypothalamus increases following restraint. In addition, we found that intracerebroventricular administration of mUcnIII stimulates behaviours that are associated with reduced anxiety, including exploration of an open field and decreased latency to enter the lit compartment of a dark-light chamber, but has no effect on the elevated-plus maze. Finally, we found that mUcnIII does not exert any effects on the hormonal stress response. Based upon our findings, UcnIII may be an endogenous brain neuropeptide that is modulated by stress and stimulates behaviours associated with reduced anxiety. In this capacity, UcnIII may attenuate stress-related behaviours, which may be useful both to help cope with stressful situations as well as to avoid pathology associated with excessive reaction to stressors. [source] The clinical spectrum of freezing of gait in Parkinson's disease,MOVEMENT DISORDERS, Issue S2 2008Yasuyuki Okuma MD Abstract Freezing of gait (FOG) is a common and very disabling symptom in Parkinson's disease (PD). It is usually observed in the advanced stage of the disease, although a mild form can be seen in the early stage. Although some studies have suggested that longer duration of dopaminergic treatment is associated with FOG, the disease progression alone may be responsible for the development of FOG. FOG can be experienced on turning, in narrow spaces, while reaching a destination, and in stressful situations. In PD, FOG is strongly associated with motor fluctuation. FOG is commonly observed in the "off" state and is observed less frequently in the "on" state. Dual tasking (cognitive load) aggravates FOG. Visual or auditory cues often resolve FOG. Analysis of gait revealed that the stepping rhythm suddenly jumps into high frequency (4,5 Hz) in FOG (hastening), and that floor reaction forces are disregulated. Since the hastening phenomenon was also reported in patients with lesions in the striatum and/or the frontal lobe, fronto-basal ganglia projections are considered essential for FOG. Careful observation and gait pattern analysis may lead to a successful management of individual PD patients with FOG. © 2008 Movement Disorder Society [source] Effect of Kava and Valerian on human physiological and psychological responses to mental stress assessed under laboratory conditionsPHYTOTHERAPY RESEARCH, Issue 1 2002M. Cropley Abstract This study investigated whether kava or valerian could moderate the effects of psychological stress induced under laboratory conditions in a group of healthy volunteers. Fifty-four participants performed a standardized colour/word mental stress task on two occasions 1 week apart. Blood pressure (BP), heart rate (HR) and subjective ratings of pressure were assessed at rest and during the mental stress task. Following the first session (time 1,=,T1), individuals took a standard dose of kava (n,=,18), or valerian (n,=,18) for 7 days, while the remainder acted as controls (n,=,18). Differences in BP and HR from resting levels were calculated as reactions to the stress task at both time points. At the second session (time 2,=,T2) there was a significant decrease in systolic BP responsivity in both the kava and valerian groups relative to T1, but there were no significant reductions in diastolic BP. Between T1 and T2, the HR reaction to mental stress was found to decline in the valerian group but not in the kava group. Individuals taking kava or valerian reported less pressure during the task at T2 relative to T1. There were no significant differences in BP, HR or subjective reports of pressure between T1 and T2 in the controls. Behavioural performance on the colour/word task did not change between the groups over the two time points. The results suggest that kava and valerian may be beneficial to health by reducing physiological reactivity during stressful situations. Copyright © 2002 John Wiley & Sons, Ltd. [source] Stress-coping strategies of patients with gender identity disorderPSYCHIATRY AND CLINICAL NEUROSCIENCES, Issue 6 2009Yosuke Matsumoto md Aims:, Previous research has not addressed gender differences in coping strategies among patients with gender identity disorder (GID). Nor has the relationship of coping strategies to other demographic characteristics ever been clarified in GID. In this study, we tried to clarify the relationship between stress-coping strategies and demographic characteristics among patients with GID. Methods:, The coping strategies of 344 patients with GID [227 female-to-male (FTM) and 117 male-to-female (MTF)] were assessed using the Japanese version of the Ways of Coping Questionnaires, Lazarus Stress-coping Inventory. Results:, Comparison of the stress-coping inventory between MTF and FTM GID patients revealed that FTM GID patients were significantly more reliant on positive reappraisal strategies in stressful situations than MTF GID patients (P = 0.007). Conclusions:, The difference in the usage of positive reappraisal strategies between MTF and FTM type GID patients was not explained by other demographic characteristics, and we suppose that the gender difference in GID patients might influence the usage of positive reappraisal strategies. The ratio of FTM GID patients might be higher at our center because MTF GID patients can obtain vaginoplasty easily, whereas phalloplasty surgery for FTM GID patients is performed at only a few centers, including our clinic, in Japan. As a result, more FTM GID patients come to our clinic with a clear intention to undergo sexual rearrangement surgery, which might influence the gender difference in using positive reappraisal. [source] Appraisal, coping, hardiness, and self-perceived health in community-dwelling spouse caregivers of persons with dementiaRESEARCH IN NURSING & HEALTH, Issue 6 2003Mary C. DiBartolo Abstract Although researchers have suggested that hardiness is associated with improved outcomes in stressful situations, findings regarding its moderating effects have been mixed. Relationships among hardiness, appraisal, coping, self-perceived health, and other antecedent variables were examined in a convenience sample of 72 community-dwelling spouse caregivers for persons with dementia. In this descriptive correlational design, participants completed a mailed survey. Regression analyses were used to detect main and moderating effects. Antecedent variables predicted 27% of the variance in caregiver appraisal, 23% of the variance in emotion-focused coping, and 22% of the variance in self-perceived health. In addition to its significant main effects, hardiness functioned as a significant moderator between the set of antecedent variables and caregiver appraisal. More research is needed to support the presence of main and moderating effects of hardiness in dementia caregivers. © 2003 Wiley Periodicals, Inc. Res Nurs Health 26:445,458, 2003 [source] Takotsubo syndrome during induction of general anaesthesiaANAESTHESIA, Issue 5 2007M. Jabaudon Summary A 77-year-old female was admitted in our hospital for uterine prolapse surgery. She developed ventricular tachycardia during induction of general anaesthesia and after initial symptomatic measures, she was transferred to the coronary care unit. Heart failure persisted and electrocardiographic changes mimicking acute myocardial infarction appeared. Coronary angiography was normal and left ventriculography revealed akinesis of the apical region of the left ventricle and apical ballooning during systole, with relative sparing of the base of the heart. Complete recovery of left ventricular function occurred 8 days after the initial onset of symptoms. A diagnosis of Takotsubo syndrome was made on the basis of consistent clinical and laboratory findings, typical echocardiography and angiography findings, and reversible course. This case emphasises the importance of being aware of uncommon causes of cardiac dysfunction in stressful situations, especially during induction of general anaesthesia. [source] Breastfeeding is an essential complement to vaccinationACTA PAEDIATRICA, Issue 8 2009Josè G Dòrea Abstract Aim:, This article explores the role of breastfeeding in different aspects of vaccination in the first 6 months when infants are still developing: (1) pain management; (2) immunomodulation of infants' vaccine responses; (3)metabolism of thimerosal. Methods:, Major databases were searched for studies that addressed outcomes of related issues. Results:, Studies reveal that breastfeeding can: (1) help mothers and infants to cope with the stressful situations that accompany parenteral vaccines; (2) improve response to vaccines in the still maturing immunologic and enterohepatic systems of infants; (3) influence physiologic parameters that can change metabolism of ethylmercury derived from some vaccines. Conclusion: Health promotion that supports vaccinations should also emphasize early initiation and maintenance of exclusive breastfeeding up until 6 months for maximum protection of the infants with a possible beneficial effect on the vaccine response. Paediatric professionals should inform mothers of the proven benefits of breastfeeding and its importance in complementing vaccination and lowering stress and the risk of untoward reactions on susceptible infants. [source] | |||||||||||||||||||||||||