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EN
Background: Lung cancer is one of the most common malignant diseases with high mortality. Patients diagnosed with lung cancer are most likely to exhibited psychiatric symptomatology while they experience poor quality of life. Purpose: To examine the relationship between psychological distress and quality of life (QoL) in lung cancer patients receiving chemotherapy. Methods: A cross sectional study was conducted in which 110 lung cancer patients were recruited to participate. Data was collected with an anonymous self-administrated question-naire consisted by three parts: a sheet concerning demographic information, the scales Missoula Vitas Quality of Life Index-15 and General Health Questionnaires (GHQ)-28. Results: Women accounted for 51.8% of the sample, 27.3% were ≥56 years old and 24.5% were in the age between 35-44. Moreover, 38.2% were high school graduates while 46.4% were married. Age, educational level, and marital status were found to be related to patients’ perceived QoL. QoL was found to be related to psychological variables for GHQ-28. Conclusions: Quality of life can be considered to be a result of disease and treatment, as perceived by the patient and is affected by factors such as injury, anxiety, perceptions and social opportunities. This has a direct effect on patients’ functioning and ability to self-care.
EN
An emerging literature has begun to document the emotional consequences of everyday executive functions on emotional distress. Little is known, however, about whether this relation is mediated by other variables. A multiple mediation model was proposed to integrate core concepts of daily executive dysfunctions with emotional distress in order to increase understanding of their relationship to psychological well-being and emotional regulation. The working hypothesis was that dimensions of well-being and emotional regulation may be a suitable mediator. It was hypothesized that dimensions of well-being and emotional regulation are a possible mediator between the executive dysfunctions and psychological distress. Participants were 122 undergraduate students from university courses in General Education and Social Education at, the Universidad Complutense de Madrid, with a mean age of 21.76. Results indicate that several dimensions of psychological well-being and emotional reappraisal strategies mediate the relationships between daily executive dysfunctions and psychological distress. Implications of these data are discussed.
EN
Minority stress theory explains psychological vulnerability in sexual minorities; however, data is scarce in the Central and Eastern European region. Combining the minority stress model with the Psychological Mediation Framework, we tested a theoretically developed path model. Participants were 1452 (Mage = 24.9 years) Czech sexual-minority individuals (38.7% gay, 27.1% lesbian, 18.7% bisexual women). The model explained 55.5% of the variance of psychological distress in the overall sample, representing a total effect of 9.75% (p < .001) increase in measurement units by the modeled associations. Within the subsamples, the associations were similar between harassment and rejection, stigma awareness, and rejection sensitivity, as well as emotional dysregulation, rumination, and psychological distress. However, internalized homonegativity was a stronger factor of psychological well-being in gay men and lesbian women than in bisexual women. Bisexual women may have experienced less social support and more emotional dysregulation due to more concealment and rejection sensitivity, respectively. While we confirmed that the minority stress model applies to the Czech context and explained well psychological distress in sexual minorities, our data highlights notable differences between bisexual women who reported highest rates of distress compared to gay men and lesbian women.
EN
Background Investigations on workplace bullying in the countries of Eastern Europe are yet not too extensive. The aim of the study has been to identify the most frequent bullying behavior and to explore the associations with psychological distress and post-traumatic stress symptoms in 3 female-dominated occupations in Kaunas, Lithuania. Material and Methods This crosssectional study employed 517 teachers (response rate (RR) = 71.3%), 174 family physicians (RR = 65.7%) and 311 internal medicine department nurses (RR = 69.1%). The twenty-two-item Negative Acts Questionnaire was used for measuring the exposure to bullying behavior, Goldberg 12-item General Health Questionnaire (GHQ-12) – psychological distress, Event Scale-Revised (IES-R) inventory – post-traumatic stress symptoms, Karasek & Theorell Demand-Control questionnaire – psychosocial job characteristics. The International Business Machines Corporation (IBM) SPSS Statistics version 20.0 was used for performing the statistical analysis. Logistic regression was used for assessing the associations among 22 negative acts as continuous variable and mental health outcomes adjusting to age, psychosocial factors at work and everyday life. Results Exposure to workplace bullying behavior on a weekly/daily basis was prevalent among family physicians at the rate of 19%, among nurses – 12.9%, among teachers – 4.1%. Even after adjustment to age, psychosocial job characteristics and threatening life events, the exposure to 22 negative acts as continuous variable was significantly associated with psychological distress and post-traumatic stress symptoms for all 3 occupations. Conclusions Health care sector is particularly affected by workplace bullying. Exposure to bullying behavior was associated with mental health problems for all 3 occupations. Preventive measures are necessary to improve psychosocial work environment conditions in healthcare and educational institutions in Lithuania. Med Pr 2017;68(3):307–314
EN
Objectives The objective of the study has been to assess the associations between psychological distress and exposure to workplace bullying, taking into account possible influence of adverse psychosocial job characteristics and occupational burnout in a sample of Kaunas (Lithuania) teachers. Material and Methods The study sample included 517 teachers from 13 secondary schools and was conducted in 2014. The participants filled in the anonymous questionnaire (response rate 71.3%). Twenty-two-item Negative Acts Questionnaire (H. Hoel and S. Einarsen) was used for measuring the exposure to workplace bullying, Goldberg 12-item General Health Questionnaire (GHQ-12) – psychological distress, Maslach Burnout Inventory (MBI) – occupational burnout, Karasek Demand-Control questionnaire – psychosocial job stressors. The IBM SPSS Statistics version 20.0 was used for performing the statistical analysis. Associations between psychological distress, exposure to workplace bullying, psychosocial job characteristics and occupational burnout were analyzed in the logistic regression and expressed in terms of odds ratios (OR). Statistical significance was determined using the 95% confidence interval (CI) level. Results Workplace bullying was prevalent among Kaunas teachers (occasional – 8.3%, severe – 2.9%). Twenty-five percent of teachers suffered from psychological distress. High emotional exhaustion was found in 25.6% of them, high depersonalization in 10.6% and low personal achievement in 33.7% of cases. Almost a half of respondents (47.4%) reported job strain and 59.6% – low social support at work. Occasional and severe bullying was associated with psychological distress after adjusting to job strain, social support and emotional exhaustion, depersonalization, personal accomplishment (adjusted OR was 3.27, 95% CI: 1.56–6.84 for occasional and 4.98, 95% CI: 1.27–19.62 for severe bullying). Conclusions Occasional and severe bullying were strong predictors for psychological distress. Burnout did not mediate those associations. The effect of job strain and low social support decreased to the insignificant level in the final model. Preventive measures are necessary to improve psychosocial working conditions in secondary education institutions. Int J Occup Med Environ Health 2017;30(4):629–640
EN
ObjectivesMedical students suffer from a considerable level of stress, which can result in the deterioration of their mental health, including depression or suicidal ideation. They are afraid to seek help due to stigmatization and environmental ostracism. The goal of the study is to analyze the psychological support and stress management programs for students supported by medical schools in PolandMaterial and MethodsThe authors sent out e-mails with 9 questions regarding the issue being analyzed to all 19 medical schools in Poland. They obtained answers from 15 such schools, which corresponds to a response rate of 79%. The study was conducted in 2018–2019, before the SARS-CoV-2 pandemic.ResultsDue to the lack of central regulations, support is provided by medical schools individually. Those solutions focus on short-term, temporary therapy. If a longer therapy is needed, students are redirected to external health providers. Moreover, information about the support is not transferred by student-friendly communication channels. Conclusions: Support should be flexible, and it should quickly adapt to the emerging trends and consider students’ feedback. A future model of psychological support could be a center organized as a transfer point between a university problem-solving facility and external health providers, concentrating on short-term activity. Quick support would eliminate potential complications and more serious mental problems.
PL
Niniejszy artykuł zawiera się w nurcie psychologii egzystencjalnej, która każdego człowieka traktuje indywidualnie, jako kogoś wyjątkowego. Można wyróżnić wiele aspektów cierpienia. Ten artykuł odnosi się do badań osób (mężczyzn) konsekrowanych, co jest szczególnie istotne, gdyż w aspekcie psychologiczno-pedagogicznym starano się ukazać, że Bóg jest większy niż cierpienie i większy niż stereotypy, a do życia konsekrowanego, jako Księża diecezjalni czy zakonnicy, są predysponowani ludzie, którzy mają powołanie, bez względu na swoje pochodzenie i wychowanie. Z badań tych wynika, że cierpienie w połączeniu z odniesieniem do wartości religijnych i miłością przyjacielską oraz miłością do Boga wpływa pozytywnie na dojrzałość osoby. Cierpienie uszlachetnia przez miłość, a związek cierpienia z dojrzałością zależy od przyjętego rozumienia dojrzałości, ponieważ cierpienie prowadzi do dojrzałości charakteru lub/i dojrzałości emocjonalnej lub/i dojrzałości osobowości. Poprzez badania empiryczne ukazano doskonalący wpływ cierpienia psychicznego. Ukazano empirycznie, że osoby konsekrowane, które przeżyły wiele cierpień, potrafią być bardzo dojrzałymi ludźmi, rozumieją siebie i innych, są wrażliwe, wybierają wartości zgodne z nauką Kościoła, mają dojrzałą perspektywę wpływu cierpienia na własne życie i głębszą samoświadomość. W wyniku analizy przeprowadzonych badań okazało się, że to, co sprawia, że osoby, które wiele cierpiały, są bardziej dojrzałe od niecierpiących, to skupienie się na Bogu oraz spotkanie w życiu wzoru w przyjacielu. Ten empiryczny fakt doskonale potwierdza związek, że cierpienie, w połączeniu z pozytywną postawą wobec Boga oraz z posiadaniem przyjaciela, uszlachetnia i prowadzi do dojrzałości. Badanie osoby, które cierpiały, pokazały, że cierpienie (połączone z wiarą) powoduje dojrzałość charakteru. Tylko badani cierpiący mają wysoko dojrzały charakter, a o dojrzałości każdej osoby ostatecznie decyduje wiara, zdolność do przebaczania i przyjaźni. Dojrzałość charakteru występuje u tych najbardziej cierpiących, ale równocześnie nie zawsze występuje u nich dojrzałość osobowości i emocjonalna. Artykuł kończy dyskusja, zawierająca pedagogiczne przesłanie, poszerzające wnioski z przeprowadzonych badań o aspekty wychowawcze.
EN
This article is written consistent with a stream of existential psychology that every person treats individually, each as someone special. You can highlight many aspects of suffering. This article refers to the study of people (men) consecrated, which is particularly important, because in terms of psycho-pedagogical approach it is attempted to show that God is greater than the suffering, and bigger than stereotypes, and that to the consecrated life as diocesan priests or monks are predisposed people who have a vocation, regardless of their background and upbringing. The research shows that suffering in combination with a reference to religious values and the friendly love and love of God has a positive effect on the maturity of the person. Suffering ennobles through love and relationship of the suffering to the maturity depends on the accepted understanding of maturity, because suffering leads to maturity of character and/or emotional maturity and/or maturity of personality. Through empirical studies it was revealed the perfecting impact of psychological distress. It was shown empirically that the consecrated persons who have survived much suffering can be very mature people, understanding themselves and others, are very sensitive, select the value in accordance with the teachings of the Church, have a mature perspective of the impact of suffering on their own lives and deeper self- awareness. As a result of the analysis of the research, it turned out, what makes people who were suffering a lot that they are more mature than urgent, is to focus on God, and the meeting in the life pattern friend. This empirical fact confirms the excellent relationship that suffering, combined with a positive attitude towards God, and in combination with the possession of a Friend, refines and leads to maturity. The subjects – people who have suffered showed that the suffering (in conjunction with faith) will cause mature character, at least moderately. Not suffering respondents always have immature character. Maturity character occurs in those who were the most suffering but not always at the same time they have a personality and emotional maturity. The article concludes with a discussion that contains educational message, broadening the conclusions of the study on the educational aspects.
EN
Objectives. This study aimed to assess psychometric properties, such as reliability, construct validity, and cut-off scores, for the Czech version of the Clinical Outcome in Routine Evaluation – General Population (GP-CORE) questionnaire, a tool usable for repeated measurement of psychological distress within routine clinical settings. Participants and setting. Two general populations and one clinical sample were used with N values of 420, 394, and 345, respectively. Hypotheses. One of the competing theoretical factor solutions will demonstrate the best fit. Statistical analysis. To examine the factor structure of the GP-CORE, a confirmatory multidimensional item response theory analysis (graded response model) was employed. Results. The best fitting model was a bifactor solution representing one content domain of overall distress and two item wording domains (positively and negatively worded items). Clinical cut-off scores were determined to be 1.85 (men) and 1.90 (women). Study limitations. The GP-CORE can be used as an unidimensional measure of overall distress, but users have to be aware of the influence of positive vs. negative item wording on the responses.
CS
Cíle. Tato studie si kladla za cíl zhodnotit psychometrické vlastnosti české verze škály Clinical Outcome in Routine Evaluation - General Population (GP-CORE), konkrétně poskytnout informace o reliabilitě, konstruktové validitě a klinickém cut-off skóru. GP-CORE je nástroj využitelný pro opakované měření psychologického stresu. Vzorek a design. Byly využity tři vzorky respondentů, z nichž dva pocházely z obecné (N = 420 a 394) a jeden z klinické populace (N = 345). Hypotézy. Jedno z faktorových řešení bude mít superiorní fit oproti ostatním. Statistické analýzy. K ověření faktorové struktury GP-CORE bylo využito konfirmační multidimenzionální teorie odpovědi na položku (graded response model). Výsledky. Jako finální model byl zvolen bi-faktorový model reprezentující obecný obsahový faktor distresu a dva metodické faktory způsobené pozitivní a negativní formulací položek. Kromě toho, že vykazoval nejlepší fit, byl také dobře teoreticky interpretovatelný. Klinický cut-off skór pro průměrnou hodnotu napříč položkami byl ustanoven na 1,85 pro muže a 1,90 pro ženy. Limity. GP-CORE lze využít jako jednodimenzionální nástroj pro měření obecného psychologického stresu, ale uživatelé by si měli být vědomi také možného vlivu pozitivní či negativní formulace položek na odpovědi respondentů.
EN
Objectives. The aim of study was to test (a) the factorial structure of the BSI-18 instrument, (b) its basic psychometric attributes, (c) effect of gender, age, average monthly household income, and faith in God using representative sample of Czech respondents without declared somatic and psychiatric diagnosis. Subjects and setting. Responses were obtained from a representative sample of 1841 Czech persons (898 males, 943 females), average age 46,53; SD = 17,68, chosen using random quota sampling based on gender, age, and region. Results. Based on Czech representative general population the BSI-18 looks like internally consistent, unidimensional inventory. The factorial structure was not statistically influenced by gender, age, monthly income, and faith in God. The association of age and gender with Global Severity Index was not statistically significant. The effect of monthly income was nonlinear, respondents with highest and lowest income reported higher psychological distress in comparison with the respondents with average income. Likewise, the believers in God recorded a statistically significantly higher degree of distress compared to the unbelievers. Conclusion. The instrument can be used to reliably evaluate the psychological distress in the general population and the findings can also serve as a framework of reference for assessing the severity of distress in clinical trials. Study limitation. The findings are limited to a Czech general representative population sample.
CS
Záměr. Cílem studie bylo testování (a) faktorové struktury BSI-18 nástroje, (b) základních psychometrických vlastností, (c) efektu pohlaví, věku, průměrného měsíčního příjmu a víry v Boha na podkladě odpovědí reprezentativního souboru českých respondentů bez deklarované somatické a psychiatrické diagnózy. Soubor a procedura. Soubor tvořilo 1841 osob (898 mužů, 943 žen), průměrný věk 46,53, SD = 17,68, vybraných náhodným kvótním výběrem na podkladě věku, pohlaví a regionu. Výsledky. Nálezy podpořily u reprezentativního českého obecného souboru existenci interně konzistentního jednodimenzionálního inventáře. Faktorová struktura nebyla statisticky významně ovlivněna pohlavím, věkem, mírou průměrného měsíčního přijmu ani vírou v Boha. Věk ani pohlaví nebyly statisticky významně asociované s indexem Celkové psychické zátěže. Efekt měsíčního příjmu domácnosti nebyl lineární, respondenti s nízkým a vysokým příjmem deklarovali vyšší míru psychické zátěže ve srovnání s osobami s průměrným příjmem. Rovněž jedinci věřící v Boha zažívali vyšší výskyt problémů ve srovnání s nevěřícími jedinci. Závěr. Inventář může být použit k spolehlivému vyhodnocení psychické zátěže u obecné populace. Rovněž ho lze využít jako referenční rámec pro posouzení závažnosti psychologické symptomatologie u klinických souborů. Omezení studie. Zjištění jsou omezena výhradně na český obecný reprezentativní vzorek populace.
PL
Artykuł zawiera się w nurcie psychologii egzystencjalnej, która każdego człowieka traktuje indywidualnie, każdego jako kogoś wyjątkowego. Nawiązuje do pism Viktora Frankla, który na temat sensu cierpienia pisał m.in., że może być ono potrzebne lub niepotrzebne, a przede wszystkim, że nie ma takiej sytuacji życiowej, która byłaby naprawdę bezsensowna, gdyż tragiczną triadę winy, cierpienia i śmierci można przekształcić w coś pozytywnego. Artykuł nawiązuje też do nauczania Kościoła katolickiego na temat doskonalącego znaczenia cierpienia. Kościół podkreśla, że wielkość cierpienia psychicznego jest nie mniejsza od wielkości cierpienia fizycznego, a zdaje się, jakby było ono mniej dostrzegalne przez kogoś drugiego. Cierpienie uszlachetnia przez miłość. Artykuł odwołuje się również do pism A. Maslowa na temat dojrzałości. Człowiek w pełni dojrzały, to człowiek samorealizujący się, jednakże samourzeczywistnienie zdarza się u mniej niż 1% dorosłych ludzi. Cierpienie, wraz z odniesieniem do Boga, może mieć pozytywny wpływ na człowieka i może pozytywnie wpływać na dojrzałość osoby.
EN
This article contains itself in a stream of existential psychology that treats every person individually, each as someone exceptional This Article refers to the writings of Viktor Frankl. He wrote, among others, on the meaning of suffering, that suffering may be necessary or unnecessary, and above all, there is no such situation in human life, that would be really senseless since the tragic triad of guilt, suffering and death can be transformed into something positive. Then, this article refers to the teaching of the Catholic Church on perfecting meaning of suffering. Church emphasizes that size of mental suffering is not smaller than the physical suffering, but seems like a less visible by someone else. Suffering ennobles through love. Then, this article refers to the writings of A. Maslow on maturity. Fully mature man is a self-realizing man, however it occurs in less than 1% of adults. Suffering together with reference to God, can have a positive effect on a human, and can have a positive impact on the maturity of the person.
Diametros
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2012
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issue 32
37-61
PL
Tematem artykułu jest etyczny problem klonowania ludzi. Zaprezentowane zostają w nim najważniejsze argumenty przeciwko klonowaniu obecne w powieści Kazuo Ishiguro Nie opuszczaj mnie. Wśród argumentów moralnych przeciwko klonowaniu ludzi przeanalizowane zostają: argument z instrumentalizacji oraz wewnętrznego życia klonów; z ograniczenia wolności jednostki oraz z jej unieszczęśliwienia; z prawa do posiadania wyjątkowej tożsamości i otwartej przyszłości; ze szkód psychicznych i rozchwiania tożsamości; z naturalnego prawa jednostki do relacji rodzinnych. Na koniec autor przeformułuje argument z mądrości odrazy na argument z mądrości współczucia.
EN
The article considers the ethical aspects of human cloning. It presents the most important arguments against human cloning which can be found in Kazuo Ishiguro’s novel Never Let Me Go. Author of the article examines the issue of human cloning as presented in the arguments from instrumentalisation and the internal life of clones and from limiting the freedom of the individual and making him/her unhappy. Then author considers an argument that appeals to the right of a person to be a unique individual, and an argument that appeals to the idea that a person has the right to an open future. Later, the author tries to analyze other arguments such as: psychological distress and the desintegration of personal identity. The author also considers the argument from the natural right to family relationships, and reformulates argument from the wisdom of repugnance. In her interpretation this argument becomes an argument from the wisdom of compassion.
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