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O jakości badań psychologicznych

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EN
An increasing number of researchers indicate that communications between doctors and patients significantly affect the process of treatment. The aim of the present study was to investigate the effects of the type of physicians’ communication style on the patient’s motivation to compliance with the medical recommendations following the end of hospitalization. Thirty hospitalized patients took part in the study. They were asked to fill out questionnaires measuring the following groups of variables: doctor – patient communication style, level of positive and negative affect experienced during hospitalization, level of confidence in physicians, the assessment of medical services quality, and level of motivation to compliance with doctors’ recommendations after leaving hospital. Data were analyzed by means of correlation coefficient and regression analysis. The obtained results suggest that the level motivation to compliance with doctors’ recommendations is correlated with two communication styles named as: (1) personal-nonmedical (r = 0,51; p < 0,01) and (2) personal-medical (r = 0,40; p < 0,05). Besides, the results indicated that the motivation to comply with the recommendations is importantly linked to factors such as: trusting doctors (r = 0,50; p < 0,01) and satisfaction with medical services (r = 0,45; p < 0,05). The regression analysis showed that the level of motivation to compliance with doctors’ recommendations after leaving hospital depends on personal-nonmedical style of communication ( = 0,51; t = 3,11; p < 0,01) in 25% (R2 = 0,26; F = 9,66; p < 0,01). The results suggest that patients’ motivation to follow the doctors’ recommendations is the highest when the physician communicates with them in the personal-nonmedical style. The research also demonstrated that physicians need to develop their communication skills, especially their nonmedical aspect.
EN
Background Due to the nature of their work, paramedics face an increased risk of developing a post-traumatic stress disorder. The main goal of this research project was to point out specific correlates of post-traumatic stress. The authors decided to approach that issue from the perspective of emotional-cognitive deficits and resources, such as alexithymia, rumination and coping with stress. Material and Methods The authors conducted 3 independent research projects in the first half of the year 2017 in the Wielkopolskie voivodship, that included paramedics. In each one of them, they estimated post-traumatic stress disorder (PTSD) symptoms using The Impact of Event Scale-Revised (IES-R). Additionally, in the first study the authors used alexthymia scale, Polish verion of Toronto Alexithymia Scale-20 (TAS-20), in the second – rumination questionnaire, in the third – coping with stress measured with Inventory for Measuring Coping with Stress Mini-COPE. Results The analyses demonstrate a relationship between PTSD symptoms and both alexithymia and rumination. There was not any significant relationship between coping strategies and PTSD. The mediation analysis results prove the role of intrusion as a mediator in a relationship between hyperarousal and avoidance. Individuals with PTSD demonstrate high avoidance for situations similar to the original traumatic event because high hyperarousal increases the risk of intrusion. Conclusions More than a half of paramedics demonstrated post-traumatic stress symptoms, which most likely is a prognosis factor for future development of PTSD among them. The emotional-cognitive deficits correlated with traumatic stress symptoms. Resources such as coping strategies were not sufficient enough mechanisms for coping with traumatic stress. Post-traumatic stress disorder may be seen as a dynamic sequence. The nature of paramedics work entails the risk for experiencing complex and/or secondary trauma, which represent the phenomena that should be further examined. Med Pr. 2019;70(1):53–66
PL
Wstęp Ratowników medycznych charakteryzuje podwyższone ryzyko wystąpienia zaburzeń po stresie traumatycznym. Celem zrealizowanego projektu badawczego było wskazanie specyficznych korelatów zespołu stresu pourazowego pojmowanych w kategoriach zasobów i deficytów emocjonalno-poznawczych pod postaciami aleksytymii, ruminacji i strategii radzenia sobie ze stresem w tej grupie zawodowej. Materiał i metody W 3 niezależnych badaniach, przeprowadzonych w pierwszej połowie 2017 r. w województwie wielkopolskim, uczestniczyło 145 ratowników medycznych. W każdym badaniu oszacowano objawy zespołu stresu pourazowego (post-traumatic stress disorder – PTSD) przy pomocy Zrewidowanej skali wpływu zdarzeń (The Impact of Event Scale-Revised – IES-R). Dodatkowo w badaniu pierwszym zmierzono poziom aleksytymii za pomocą skali aleksytymii, czyli spolszczonej wersji skali Toronto Alexithymia Scale-20 (TAS-20), w badaniu drugim – ruminację, wykorzystując Kwestionariusz ruminacji, a w badaniu trzecim – strategie radzenia sobie ze stresem, posługując się Mini-COPE – Inwentarzem do pomiaru radzenia sobie ze stresem (Inventory for Measuring Coping with Stress Mini-COPE). Wyniki Analizy wykazały związki pomiędzy natężeniem stresu potraumatycznego a aleksytymią oraz ruminacjami. Stosowane strategie radzenia sobie generalnie nie wiązały się ze stresem potraumatycznym. Wykonane badanie mediacji wykazało, że intruzjom można przypisać funkcję mediatora relacji łączącej pobudzenie z unikaniem. Cierpiących na PTSD charakteryzuje wysoki poziom unikania sytuacji przypominających zdarzenie traumatyczne, ponieważ wysokie pobudzenie nasila prawdopodobieństwo pojawienia się intruzji. Wnioski Ponad połowa badanych ratowników medycznych deklarowała występowanie objawów stresu pourazowego, co prawdopodobnie jest czynnikiem prognostycznym pojawienia się w dalszej przyszłości klinicznych objawów PTSD u tej grupy zawodowej. Deficyty poznawczo-emocjonalne, aleksytymia i negatywne ruminacje współwystępują z objawami stresu potraumatycznego. Z kolei zasoby strategii radzenia sobie ze stresem są niewystarczającym mechanizmem zaradczym dla stresu traumatycznego. Zespół stresu pourazowego może być ujmowany jako dynamiczna sekwencja. Charakter pracy ratownika medycznego predysponuje go do doświadczania traumy złożonej i/lub wtórnej, które mogłyby być obszarem dalszych badań. Med. Pr. 2019;70(1):53–66
EN
Obesity is one of the major health problems in adolescents. Health-detrimental lifestyle (i.e. lack of physical activity, inappropriate nutrition) as well as maladaptive styles of coping with stress are regarded as belonging among determinants of obesity. The aim of the study was to establish factors mediating between anxiety and diet-related health behaviors. Participants in the study were 113 adolescents with obesity whose body weight was over 97th centile. They were examined using a set of self-report questionnaires to measure anxiety, coping styles and health behaviors. Emotion-focused coping and seeking social contacts (social diversion) were found to act as mediators between adolescents’ trait anxiety and their health behaviors. The findings suggest that to enhance obese adolescents’ health-promoting behaviors appropriate conditions should be ensured that would not only enable them to express their emotions, but also promote their socializing with peers.
PL
Health psychology was founded as a response to social needs for better understanding and regulation of psychological aspects of biological, mental, and social well-being. Despite initial enthusiasm and optimism in its early days, three decades of development yielded results that are disappointing to many scholars in terms of health psychology practical meaning. Thus, in this paper we review several challenges for health psychology. We believe that health psychology might benefit from revival of aims and values that distinguished the discipline at its onset such as bio-psycho-social perspective that has been narrowed to somatic illness in recent days. Second, more integration is needed in theory and terminology to eliminate overlapping concepts labeled with different names. Furthermore, social practice would benefit from greater responsiveness of health psychologists to new technologies. Finally, health psychology is likely to derive benefits from more general well-established perspectives on diffusion of innovation in social practice. We conclude that health psychology as a practice-related scientific discipline is likely to regain its initial momentum once these problems are solved and novel areas of scientific exploration are identified.
EN
A comprehensive understanding of participants’ motives to complete web-based surveys has the potential to improve data quality. In this study we tested the construct validity of a scale developed to measure motivation to participate in webbased surveys. We expected that 7 different motivations observed in our previous study will form a 3-factor structure, as predicted by Self-Determination Theory. This web-based questionnaire study comprised 257 participants completing the Voluntary Participation in Online Studies Scale. Their responses to 21 items underwent a principal component analysis and confi rmatory factor analysis. As we expected, three factors were identifi ed: intrinsic motivation, extrinsic motivation and amotivation. In line with Self-Determination Theory there are three distinct groups of motives among web-surveys participants with amotivation as an understudied motivational state. We discuss the results suggesting which types of motivation might lead to higher quality of data with an emphasis on possible negative effects of amotivation.
EN
Culture has a substantial impact on mechanism of coping with stress and related health outcomes. We proposed a model emphasizing the mediating role of coping resources and competences in the relationship between controllability of demands in professional/educational life and health in the cross-cultural context. The model is based on the transactional model of stress. 595 participants from East Germany, West Germany and Poland completed: Sense of Coherence Scale SOC-9, Self-Esteem Scale, Social Support Scale, Generalized Self-Efficacy Scale, Proactive Coping Inventory, Scale of Demands in Professional Life, Brief Stress Scale, Satisfaction with Life Scale and Mental Health Questionnaire. The results have shown the general cross-cultural validity of the proposed mediational model but also indicated some cultural differences in the determinants of health. Germans had higher self-esteem and social support. Poles had higher selfefficacy and used proactive coping strategies more often. Self-esteem was the strongest predictor of mental health in both nations. We discussed the results within a broad interpretive framework of social transitions.
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