Dimensions Of Support Research Articles

Kanserli Çocukların Annelerinin Başa Çıkma Davranışlarının İncelenmesi

It is extremely important to provide psychosocial support to mothers have a primary caregiver role in the children's diagnosis and treatment of cancer. Before providing this support, we planned this study to determine the coping behaviors that mothers used the most and believed to be the most beneficial. Mothers of 23 children aged 0-9 years with different cancer types were included in the study. Coping Health Inventory for Parents (CHIP) was used to evaluate mothers' coping behavior. The most useful behaviors for mothers were determined by calculating the total score of each sub-dimension and the scores per item in these sub-dimensions with the descriptive statistics calculations. The relationships between sub-dimensions were examined with Spearman Correlation analysis. Coping behaviors mothers find most useful, “Telling myself I have many things I should be thankful for” in the dimension of family integration; “Talking with other individuals/parents in my same situation" in the social support dimension; "Reading more about the medical problem which concerns me" in understanding the medical situation. Points per item were calculated as 2.02 for family integration, 1.5 for social support and 2.01 for understanding medical situation. All sub-dimensions show a positive relationship (p<0.05) with each other, the dimensions of maintaining family integration and understanding the medical situation show relationship strongly (p<0.01). Multidisciplinary studies are required for approaches that strengthen family relations and improve mothers' knowledge of medical issues as much as possible. Keywords: Family, Coping, Childhood Cancer

The Role of Perceived Social Support on Quality of Life in People with Cardiovascular Diseases.

Cardiovascular Diseases (CVDs) are one of the major causes of hospitalization and mortality worldwide. Strengthening perceived social support and quality of life can reduce these problems. This study aimed to describe the role of perceived social support on cardiovascular patients' quality of life. This cross-sectional study was conducted from September 2020 to February 2021. We selected 150 cardiovascular patients through convenience sampling. The questionnaires included: the Persian version of the WHOQOL-BREF, Perceived Social Support, and demographic variables. Hierarchical linear regression was used to explore the association between perceived social support and quality of life. Data were analyzed by SPSS version 21.0 software. A P-value less than 0.05 is considered statistically significant. The demographic variables could predict 12.2% of the variance of quality of life in the first step. In the second step, after adjusting control variables and dimensions of social support, the predictability increased to 29% of the variance with the addition of variables. All dimensions of social support, excluding tangible assets support, were significant predictors of quality of life and monthly income status. Self-esteem support (β= 0.387) was the strongest predictor of quality of life in cardiovascular patients. Patients with higher perceived social support have a better quality of life than the other patients. Perceived social support is one of the strategies that can be utilized to improve quality of life and overcome disease in cardiovascular patients.

Effect of Social Support on Multimorbidity and Related Outcomes of Middle-Aged and Older Adults in China

To analyze the current status of social support for middle-aged and older adults with multimorbidity and to explore the correlation between different dimensions of social support and multimorbidity and the related outcomes on the basis of China Health and Retirement Longitudinal Study (CHARLS) 2015 survey data so as to reveal the complex social background of multimorbidity and the impact of social support on multimorbidity. A total of 9168 valid samples, with an average age of 59.60 years, were included in the study. Using the social support-related variables of the respondents, we conducted factor analysis and constructed regression models of common factors of social support and multimorbidity-related outcomes, intending to analyze the impact of common factors of social support on multimorbidity in the middle-aged and older adults. The multimorbidity of middle-aged and older adults in China was related to multiple factors of social support, and the differences were statistically significant. Logistic regression showed that social support in the form of activity/recreational facilities and medical resources was a protective factor of multimorbidity, that family emotional support and economic support had a positive effect on life satisfaction of comorbid patients, and that social support in the form of education, social life and housing conditions was negatively correlated with catastrophic medical expenditure of the comorbid population ( P<0.05). Social support for middle-aged and older adults in China is unevenly distributed. Social support in the form of activity/recreational facilities and medical resources may reduce the risks of multimorbidity among middle-aged and older adults. Good family economic and emotional support can improve the life satisfaction of middle-aged and older adults with multimorbidity. Social support in the form of education, social life and housing conditions may reduce the risk of catastrophic medical expenditure in middle-aged and older adults with multimorbidity.

Revealing the Role of Social Support on Cognitive Deficits in Fibromyalgia Syndrome.

Despite the relevance of cognitive deficits in fibromyalgia syndrome (FMS) and the attempts to elucidate the influence of the disorder symptoms in the cognitive decline reported by patients, no studies have explored the specific role of social support on cognition in FMS. Social support has been shown to be an essential modulator factor on cognitive performance in other diseases. Sixty-four women with FMS and 32 healthy women participated in the study and completed questionnaires pertaining to anxiety, depression, fatigue, insomnia, clinical pain, and social support, along with a neuropsychological battery assessing verbal memory, organization, strategic and planning abilities, self-regulation, processing speed, attention, and cognitive flexibility. Results showed that FMS patients exhibited lower values in all social support dimensions in comparison with healthy individuals, especially in the socializing dimension. Despite the lower social support observed in FMS, all social support dimensions showed a positive impact on verbal memory, organization and planning abilities, strategic planning, self-regulation, processing speed, attention, and cognitive flexibility in these patients. In fact, social support was associated with greater correct responses and processing speed and minor number of errors in all the neuropsychological battery tests. Socializing was the main predictor of organization and planning abilities, strategic planning, and self-regulation. In sum, results suggest that social support may be a key factor in buffering the cognitive decline observed in FMS. Designing psychoeducation programs and intervention programs directed not only to FMS patients but also relatives, health care workers, and the general population might be essential to improve the social support of FMS patients and positively impact on patient's cognitive status.

The Academy of Breastfeeding Medicine27th Annual International MeetingBaltimore, MarylandSeptember 15–18, 2022

The Academy of Breastfeeding Medicine27^th Annual International MeetingBaltimore, MarylandSeptember 15–18, 2022

Community-based participatory design of a psychosocial intervention for migrant women in Ecuador and Panama

There is increasing evidence supporting the effectiveness of scalable mental health and psychosocial support (MHPSS) interventions delivered by non-specialists for improving wellbeing among migrant populations in humanitarian settings. Balancing fidelity in the implementation of evidence-based MHPSS interventions with their fit to the needs and preferences of new populations and contexts remains a challenge when introducing MHPSS interventions in new settings. This paper describes a community-based participatory approach to MHPSS intervention design incorporating processes to promote local adaptability and fit while maintaining standardized elements of existing MHPSS interventions. We conducted a mixed-methods study to design a community-based MHPSS intervention that fit the mental health and psychosocial needs of migrant women in three sites in Ecuador and Panama. Drawing from a set of community-based participatory research methods, we identified the priority mental health and psychosocial needs among migrant women, co-developed intervention mechanisms that aligned with those needs, matched mechanisms to existing psychosocial intervention components, and iteratively piloted and refined the intervention with community stakeholders. The resulting intervention was a five-session, lay facilitator-delivered group intervention titled, Entre Nosotras (‘among/between us’). The intervention combined elements of individual and community problem solving, psychoeducation, stress management, and social support mobilization to address prioritized problems including psychological distress, safety, community connectedness, xenophobia and discrimination, and social support. This research outlines an emphasis on the social dimension of psychosocial support, as well as a process for balancing fit and fidelity in intervention design and implementation.

Dukungan Kader kepada Orang dengan Gangguan Jiwa

Background: People with mental disorders (PwMD) are people who experience disturbances in thoughts, behaviour and feelings that cause suffering and obstacles in carrying out their functions as humans. Cadres or health workers acted as liaison between PwMD and health care facilities to overcome challenges faced by PwMD by providing several types of social supports. The purpose of this study was to describe the support of cadres to PwMD in the working area of Ponjong I Public Health Center. Objective: The purpose of this study was to describe the support of cadres to PwMD in the working area of Ponjong I Public Health Center. Methods: This study used a cross-sectional design with a sample of 177 cadres. The data were analyzed as a percentage of the characteristics and several types of social support namely emotional, informational, instrumental and appraisal support. Results: A total of 177 cadres aged 41-65 years were 59.89%. The total of social support from cadres categorized as good (85.31%), while the percentages according to their dimensions are 50.3% for informational support, 49.2% for appraisal support, 49.7% for emotional support and 47.5% for instrumental support. Conclusions: The social support provided by cadres for PwMD was cat-egorized as good with more prominent dimensions of appraisal and emotional support. Dimensions of social support that still needs to be optimized are providing informational and instrumental supports.

Needs Assessment of Iranian Families with Neonates Hospitalized in the Neonatal Intensive Care Unit

Background: The neonate's birth and subsequent hospitalization cause families to experience various needs. Identifying the family's needs can lead to the provision of qualitative services and the implementation of family-centered development care (FCDC) by nurses. Objectives: This study aimed to assess the needs of Iranian families with neonates in Neonatal Intensive Care Units (NICUs). Methods: This cross-sectional study was conducted in northern Iran in 2018 - 2019 on 360 parents of neonates admitted by convenience sampling method to the neonatal intensive care unit (NICU). Data were collected by demographic questionnaire of parents and neonates and NICU Family Needs Inventory (NFNI) of Ward with five dimensions of proximity, assurance, information, comfort, and support. The data were analyzed using Pearson and Spearman correlation coefficients and a t-test by SPSS23 software. Results: The most important dimensions of family needs were proximity to the infant (93.59%), information (90.53%), assurance (89.18%), comfort (86.70%), and support (80.78%). A comparison of the dimensions of the needs of primiparous, multiparous, and term preterm parents indicated that assurance for multiparous parents (P &lt; 0.001) and comfort for parents with term infants (P &lt; 0.02) were significantly higher than the other dimensions. Conclusions: The study found that proximity to infants is the most important dimension of family needs. Therefore, the relevant authorities should take effective measures to ensure parent-infant proximity.

Social support and food insecurity among older Brazilians in São Paulo

Food insecurity is a growing problem in Brazil, especially among older adults; however, the related sociodemographic factors remain unclear. This study aimed to analyze the relationship between social support dimensions and food insecurity among community-dwelling older adult Brazilians in São Paulo. This cross-sectional study was conducted in three cities in Sao Paulo state, Brazil. The analysis included 598 community-dwelling individuals aged ≥60-years-old, and multiple logistic regression models were used to estimate the associations between the dimensions of social support and food insecurity after adjusting for sociodemographic characteristics. We found that 42.3% of participants were food insecure. In the bivariate analysis, the higher scores in the affective, material, positive social interaction, and informational social support dimensions were statistically associated with the lower odds of food insecurity. In the multiple regression analysis, older adults who had a higher score of positive social interaction were less likely to have food insecurity, whereas the African American ethnicity and those older adults with a total family income ≤2 times of the minimum wage were more likely to have food insecurity. The results indicate that the positive social interaction emerges as an important factor associated with food insecurity among older adults, beyond that of other well-known social factors associated with food insecurity, highlighting the importance of screening for food insecurity and social support in primary care to avoid potential adverse health outcomes among older adults.

Predicting Psychological Well-being in Survivors of Armed Conflict in Colombia

ABSTRACT The assessment and promotion of the psychological well-being in people and communities affected by the armed conflict are pending tasks for the Colombian health system. This study aimed to analyze the extent to which the dimensions of social support and quality of life significantly predict psychological well-being in survivors of the armed conflict in Colombia. For this purpose, a structural equation model describing the links between these variables was developed. A predictive cross-sectional design allowed confirming significant differences between a sample of 272 survivors (Mage = 43.24, SD = 14.25, range 18–85) and other 212 participants not affected by the armed conflict (Mage = 32.42, SD = 12.03, range 18–69). Using a Mann Whitney U test, the results revealed that both samples differed in all the dimensions of quality of life and social support, with the exception of the dimensions Environment and Instrumental. In survivors specifically, psychological well-being positively correlated with both quality of life (r = .40, p. <.01) and social support (r = .30, p. <.01). A binary logistic regression correctly classified 72.4% of the sample of survivors revealing that the model acceptably classifies this population according to their level of well-being. The structural equation model developed showed a good fit GFI y TLI ≥.93, RMSEA ≤.06, CFI e IFI ≥.95. In addition to contributing to the existing knowledge about psychological well-being in survivors, the findings provide guidelines that allow the improvement and reinforcement of public health actions and comprehensive reparation policies.

Social Support Networks of Individuals with Depressive Disorders: A Cross-sectional Survey in Former Psychiatric Inpatients in Germany

Depressive disorders are related to social withdrawal and a loss of social contacts. Moreover, a lack of social integration and social support are risk factors for relapse and rehospitalization. Despite the crucial role of social networks for mental health and social support, knowledge about the structure of social networks or how they promote social support in terms of coping with depressive disorders is scarce. The present study aims to analyze social support in people with depressive disorders using ego-centered social network analysis for formal description. Ninety-seven former psychiatric inpatients participated in the study. Network size and density, a small number of conflicts in the relationships of ego to alters, and the multiplexity of social support dimensions were associated with perceived social support—measured via Social Support Questionnaire (F-Soz-U-K-14). Considering relational ratios which correlated with perceived social support, five types of social support networks were differentiated by means of cluster analysis: (1) no social support, (2) professionally supported birth family, (3) the more the merrier, (4) concentrated support, (5) overchallenged nuclear family. More than each relational characteristic on its own, their co-occurring patterns as network types provide the very structures of social support. This underpins the crucial role of structural approaches and networking skills in social work practice. German Clinical Trials Register (DRKS): DRKS00011561. Trial registration date: 10. March 2017.

Delegation and consultation on operational and tactical issues: Any difference in their potentialities for a healthier psychosocial work environment?

BackgroundDespite the growing number of studies on direct participation labor‐management practices, little is known about the role of their different discretionary degrees (delegation or consultation) and topics in their relationship with the psychosocial work environment by occupational groups.MethodsCross‐sectional study on the relationship between direct participation and work‐related psychosocial risks (using COPSOQ‐ISTAS21 v3) on a representative sample of the salaried and wage‐earning employees in Spain (n = 1807). Prevalence ratios were calculated using adjusted Poisson regression models, controlling for 10 other labor‐management practices, sex, and age, and stratified by occupational group.ResultsThe use of direct participation was either associated consistently with a healthier psychosocial work environment (mostly in manual occupations, which presented twice as many positive associations as nonmanual occupations, and of greater strength, mostly in the control and social support dimensions) or there were no significant associations (mostly among nonmanual occupations and in relation to work pace). More frequent and stronger associations were observed when consultation and delegation were used in combination. If used separately, consultation achieved better results among manual occupations and delegation among nonmanual occupations. Direct participation topics were not important for results in manual occupations whereas results were better on tactical (vs. operational) issues in nonmanual occupations.ConclusionsDirect participation does not change power structure, but it may be a useful intervention at the company level to reduce work‐related psychosocial exposures and associated diseases among workers in manual occupations, and consequently for decreasing occupational exposures and health inequalities.

Delayed Oncology Care Related to the COVID-19 Pandemic: Case Studies

Earn free contact hours: Click here to connect to the evaluation. Certified nurses can claim no more than 1 total ILNA point for this program. Up to 1 ILNA point may be applied to Symptom Management, Palliative Care, Supportive Care OR Psychosocial Dimensions of Care OR Treatment OR Care Continuum. See www.oncc.org for complete details on certification.

Predictors of the Health-Related Quality of Life (HRQOL) in SF-36 in Knee Osteoarthritis Patients: A Multimodal Model With Moderators and Mediators.

PurposeThe study aimed to examine associations between the 36-item short form health survey (SF-36) in clinical and neurophysiological measures to identify its predictors in patients with knee osteoarthritis (KOA) in a rehabilitation program.MethodsWe analyzed data from our cohort study (DEFINE cohort). We analyzed data from our KOA arm, with 107 patients, including clinical assessments, demographic data, pain scales, motor function (Timed Up and Go Test (TUG), 10 meters walk test, and 6-minute walk), balance (BBS), sleepiness (ESS), and Transcranial Magnetic Stimulation (TMS) and Electroencephalography (EEG).ResultsOur results showed 83.19% of patients were female with an average age of 68.6 years and an average number of days of pain was 96 days; around 31.86% were using more than five medications per day. Regarding the multimodal model to explain SF-36, the main variables relevant to the quality of life (QoL) were related to emotional aspects, such as anxiety and depression. Moreover, our study added findings with polymorphism (OPRM1/rs1799971) predicting mental aspects. Cognitive variables were important in predicting the mental health, emotional, and social support dimensions of the SF-36. In the physical domain, pain-related variables predominantly predicted QoL in these relationships. The domain of vitality significantly predicted all dimensions studied, except for mental and general health.ConclusionThe results help in understanding the aspects that contribute to QoL and are discussed considering the general literature on physical rehabilitation and specific to this clinical group. Furthermore, the statistical methods allowed us to explore and effectively understand the dimensions related to QoL.

Predicting social media use intensity in late adolescence: The role of attachment to friends and fear of missing out

The vast majority of research on social media use (SMU) is focused on its negative effects while often disregarding that it can also help adolescents form and maintain a network of social relations and support. This study explores the possibility of predicting SMU intensity based on peer attachment dimensions (Trust, Communication, Alienation) and FoMO on a sample of adolescents (N = 557; Mage = 18.09; SDage = .275). The results show that Trust and Communication (merged in one dimension of Peer support) are positive predictors of SMU and that this effect is partly mediated by FoMO which was also found to be a positive predictor. Alienation was not a significant predictor in the first step of regression analysis, but it became significant upon the addition of FoMO. The indirect effects analysis showed that FoMO suppresses the effect of Alienation on SMU intensity – the stronger FoMO the smaller the effect of Alienation. To sum up, when there is trust and good communication in relationships with friends, but also Fear of missing out, there will be more intensive use of SM. In addition, although being alienated from friends can restrict the use of SM, this effect is diminished if there is Fear of missing out. Taken together, these results point to the role of peer attachment and FoMO in predicting the intensity of SMU which can be viewed not as a negative phenomenon but as a way of acquiring social capital and a means of preserving and maintaining already acquired social capital.

How could hospitality employees survive? The individual costs, career decisions and autonomy support of furlough strategies in a crisis

The hospitality industries are fragile and have very little business in a public crisis such as the Covid-19 pandemic. Under a difficult time, the hospitality organizations still need to keep talent employees who are critical when the business is recovered. Furlough that employers keep talent employees without variable cost, becomes a common choice among hotels. However, the potential impacts of such furlough practices on employees have rarely been investigated. By analyzing the data set from 386 furloughed UK hotel employees, the present study illustrated that the perceived costs of furlough as well as the availability of alternative opportunities resulted in career changes, and that feelings of acknowledged as a dimension of autonomy support weakened the effects of social costs on career change decisions. The findings call for more balanced furlough strategies and extend knowledge about social justice at workplace.

Frailty Risk Prediction Model among Older Adults: A Chinese Nation-Wide Cross-Sectional Study.

Objectives: Numerous studies have been performed on frailty, but rarely do studies explore the integrated impact of socio-demographic, behavioural and social support factors on frailty. This study aims to establish a comprehensive frailty risk prediction model including multiple risk factors. Methods: The 2018 wave of the Chinese Longevity and Health Longitudinal Survey was used. Univariate and multivariate logistic regressions were performed to identify the relationship between frailty and multiple risk factors and establish the frailty risk prediction model. A nomogram was utilized to illustrate the prediction model. The area under the receiver operating characteristic curve (AUC), Hosmer–Lemeshow test and calibration curve were used to appraise the prediction model. Results: Variables from socio-demographic, social support and behavioural dimensions were included in the final frailty risk prediction model. Risk factors include older age, working as professionals and technicians before 60 years old, poor economic condition and poor oral hygiene. Protective factors include eating rice as a staple food, regular exercise, having a spouse as the first person to share thoughts with, doing physical examination once a year and not needing a caregiver when ill. The AUC (0.881), Hosmer–Lemeshow test (p = 0.618), and calibration curve showed that the risk prediction model was valid. Conclusion: Risk factors from socio-demographic, behavioural and social support dimensions had a comprehensive effect on frailty, further supporting that a comprehensive and individualized intervention is necessary to prevent frailty.

Investigation of the relationship between perceived social support and body image in women with breast cancer

BackgroundPatients with breast cancer have more body image disorders than healthy individuals. The present study aimed to determine the relationship between perceived social support and body image in women with breast cancer. This descriptive-analytical study was performed on 192 women with breast cancer undergoing mastectomy or tumor resection with breast preservation referred to Golestan Hospital in Ahvaz from February 2016 to May 2017. Data collection tools included Demographic Information, Perceived Social Support, and Multidimensional Body-Self Relationship Questionnaires (MBSRQ). Data analysis was performed using SPSS 22 and Pearson correlation coefficient and multivariate linear regression. A p value less than 0.05 was considered significant.ResultsThe Pearson correlation test showed a positive and significant relationship between perceived social support from family, friends, and leading people and body image in mastectomy (r 0.81) and tumor resection groups with breast preservation (r 0.78) (p < 0.001).ConclusionThe results showed a direct relationship between perceived social support and body image in women with breast cancer. Accordingly, by educating patients and their families and medical staff about the importance of perceived social support, it is possible to help improve the dimensions of social support in these patients and improve the body image of these patients.

How selves differ within and across cognitive domains: self-prioritisation, self-concept, and psychiatric traits

BackgroundHow we build and maintain representations of ourselves involves both explicit features which are consciously accessible on reflection and implicit processes which are not, such as attentional biases. Understanding relations between different ways of measuring self-cognition both within and across such cognitive domains is important for understanding how selves may differ from one another, and whether self-cognition is best understood as largely uni-dimensional or more multi-dimensional. Further, uncovering this structure should inform research around how self-cognition relates to psychiatric and psychological conditions. This study explores the relations between different constructs of self-cognition and how variability within them relates to psychiatric traits.MethodsOur final dataset includes within-subject (n = 288, general population) measures of explicit self-concept (using both the Self Concept Clarity Scale and Self Concept and Identity Measure), implicit self-prioritisation in a shape-label matching task (for both reaction time and sensitivity) and measurement of traits for five psychiatric conditions (autism, borderline personality disorder, schizophrenia, depression and anxiety). We first test whether self-cognitive measures within and across domains are correlated within individuals. We then test whether these dimensions of self-cognition support a binary distinction between psychiatric conditions that either are or are not characterised in terms of self, or whether they support self-cognition as transdiagnostically predictive of the traits associated with psychiatric conditions. To do this we run a series of planned correlations, regressions, and direct correlation comparison statistics.ResultsResults show that implicit self-prioritisation measures were not correlated with the explicit self-concept measures nor the psychiatric trait measures. In contrast, all the psychiatric traits scores were predicted, to varying degrees, by poorer explicit self-concept quality. Specifically, borderline personality disorder traits were significantly more strongly associated with composite explicit self-concept measures than any of depression, anxiety, or autism traits scores were.ConclusionsOur results suggest that selves can differ considerably, along different cognitive dimensions. Further, our results show that self-cognition may be a promising feature to include in future dimensional characterisations of psychiatric conditions, but care should be taken to choose relevant self-cognitive domains.

The Sustainability and Development Strategy of a Cattle Feed Bank: A Case Study

One of the Indonesian government’s policies to achieve national beef self-sufficiency is the 1000 beef village program. The program was piloted in many cattle-farming centers involving the operation of a feed bank to supply animal feed to tackle the challenge of feed limitation during the dry season. This study evaluates the sustainability status of an ongoing feed bank program and its development strategy based on the current progress of a feed bank used to serve five groups of farmers. Ninety sustainability attributes were derived based on six dimensions. The attributes were compiled from the primary data collected using a questionnaire. Expert opinions from practitioners were also considered in evaluating the attributes. The feed bank’s sustainability status and development strategy were determined using the multi-dimensional scaling method with the rapid appraisal approach. It was found that the overall sustainability status of the feed bank was less sustainable, with an overall score of 49.55. The individual dimensions of (A) policy and government support, (B) raw material, (C) facilities and infrastructure, (D) feed bank management, (D) human resource management, (E) price, production, and (F) distribution systems posed sustainability scores of 48.48, 60.33, 48.57, 47.89, 48.76, and 44.64, respectively. Among the 90 predefined attributes, 21 were identified as highly sensitive through both the root mean square and expert opinion. Those attributes led to five main recommended development strategies: (1) strengthening the institution, (2) intensifying training, (3) increasing human resources (4) partnership developments, and (5) increasing the role of multi-stakeholders.