Effectiveness Of Psychological Support Research Articles

Psychological Impact of a Prenatal Diagnosis of Congenital Heart Disease on Parents: Is It Time for Tailored Psychological Support?

The prenatal diagnosis of congenital heart disease (CHD) represents, for both parents, a particularly stressful and traumatic life event from a psychological point of view. The present review sought to summarize the findings of the most relevant literature on the psychological impact of prenatal diagnosis of CHD on parents, describing the most common mechanisms employed in order to face this unexpected finding. We also highlight the importance of counseling and the current gaps in the effects of psychological support on this population.

Totally Implantable Venous Access Devices: A Randomized Controlled Trial on the Effect of Psychological Support on Quality of Life and Body Image (BI-PORT).

Background: The presence of totally implantable venous access devices (TIVADs), as any permanent or semipermanent medical devices, has an impact on the quality of life (QoL) of patients. Therefore, the purpose of this trial was to evaluate the efficacy of psychological support for patients undergoing this procedure.Methods: This randomized controlled trial (RCT) aimed to compare the efficacy of a psychological intervention vs. standard care on QoL in patients receiving TIVAD for chemotherapy treatment (ClinicalTrials.gov NCT02075580). The trial was conducted at the Veneto Institute of Oncology IOV-IRCCS (Padua, Italy) between October 2013 and September 2018. Participants were neoplastic adults receiving TIVAD for chemotherapy treatment for any cancer, not undergoing visible demolitive interventions, without psychopathological diagnosis and language understanding. The exclusion criteria were patients without a diagnosis of cancer, with psychopathological diagnosis, or with language misunderstanding.Results: The variation of C30-QL2 and BR32-BI was not statistically different between intervention and control arms in men and women. However, the variation of C30-SF was statistically better in the intervention than control arm in men [mean difference (MD) 22.3, 95% CI 3.5 to 41.0] but not in women (MD −2.7, 95% CI −24.0 to 18.7). The variations of the other secondary outcome measures were not statistically different between intervention and control arms.Conclusion: Psychological support did not show any clear advantages on global QoL and body image perception in patients at 15 days after TIVAD insertion for chemotherapy. In contrast, male patients might benefit from even a very short psychological counseling before or during chemotherapy even if they do not seem to ask for it.

Психологические аспекты в проблемах бесплодия среди населения различных стран.

The problem of infertility in the 21st century has become extremely important for public health in various countries, affecting the birth rate of the population and the number of humanity. Infertility, affecting approximately 8–12% of the world’s population, is associated with factors such as unwillingness to conceive, the age of the female partner, the number of diseases that affect fertility, etc. Questions of the influence of psychological problems, often regarded as the causes of idiopathic infertility, such as stress, depression, sleep disturbances, are of particular interest to researchers. A review of works on the potential impact of stress and depression on reproductive function showed not only a definite relationship, but also the difficulty of determining causal relationships due to the lack of a single assessment tool. P u r p o s e o f t h e s t u d y : to review foreign scientific literature containing information on the role of psychological factors in the formation of reproductive health disorders of the population, including infertility. M a t e r i a l s a n d m e t h o d s : bibliographic, information and analytical methods and the method of comparative analysis were used. R e s u l t s . Mental health issues are often viewed as the causes of female and male infertility. To improve the quality of life of patients with infertility, it is necessary to address the issues of a causal relationship between psychological health and infertility, psychological health when using IVF and ways to solve the problem of psychologically induced infertility. The risk of developing depression and the relationship of a higher degree of anxiety with clinical pregnancy after IVF are shown. Due to the inaccurate data on the relationship between psychological stress and a decrease in male reproductive function, psychological stress is considered in studies as a risk factor for erectile function and ejaculation in men against the background of a high level of stressful life events, compared with women. Findings. Research has proven the effectiveness of psychological support and cognitive-behavioral group therapy in fertility treatment programs, including interventions accompanying IVF. Studies of psychological ways of correcting depression and positive IVF results have shown the importance of programs for influencing the mental state of couples undergoing treatment for infertility reasons.

The effectiveness of psychological support with the use of hepato-immunoprotectors as predictors in drug therapy of tuberculosis

The aim of the study was to evaluate the effectiveness of psychological (adherence to treatment) and accompanying drug therapy depending on the form of pulmonary tuberculosis. The results of complex therapy of 326 patients with various forms of pulmonary tuberculosis are considered. All patients received etiotropic treatment, taking into account the sensitivity of the pathogen to anti-tuberculosis drugs, as well as support therapy, including psychological support and, if indicated, hepatoprotective therapy with Remaxol. When analyzing the dependence of the psychoemotional state of patients on the form of the tuberculous process in the lungs, it was noted that high adherence to therapy was observed in one third of patients in all groups (DTL — 26.1%, ITL — 28.6%, FCTL — 32.8% and ATL — 31.8%, respectively, P>0.05). The results obtained may be associated with a high level of resistance of mycobacterium tuberculosis excreted from pa tients: out of 232 patients with low adherence to treatment (NUP and UUP), 97 (36.2%) showed drug resistance of the pathogen to two or more etiotropic drugs, which, in turn, caused prescription of reserve drugs. Thus, the determination of the level of adherence to treatment is justified and is aimed at correcting the psychological support of patients with pulmonary tuberculosis, which makes it possible to increase the effectiveness of therapy in these patients. The appointment of the latter in a number of patients led to the development of hepatotoxic reactions, which served as the basis for the inclusion in the therapy regimens of the accompaniment of Remaxol (intravenous drip of 400 ml, course No. 5–7). Pronounced hepatoprotective (improved transaminase parameters) and insignificant immunoprotective (positive dynamics of the cytokine profile) effects were noted during treatment. The noted changes in the immunogram can be associated with the proven antioxidant and membrane stabilizing effect of succinic acid, which is part of Remaxol. These changes require further research.

The Experience of Breastfeeding Mothers with LBW in NICU

More than 80% of premature infants are born between 32-37 weeks of age have low birth weight and die due to lack of care, such as breastfeeding which LBW urgently needs. Neonatal Intensive Care Unit (NICU) is the main place to deal with LBW which provides the needed care such as information on LBW care and optimal nutrition by breastfeeding. Scoping review is to describe The Experience of Breastfeeding Mothers with Low Birth Weight in NICU. The method used is consists of 6 stages, namely identifying questions with the PEOS Framework, identifying relevant studies, selecting studies using inclusion and exclusion criteria, conducting critical-appraisals to assess the quality of literature, performing data extraction, PRISMA Flowchart. 12 selected literatures with good quality. Five themes are emerged from the results namely factors affecting breastfeeding, barriers to breastfeeding, impact, and the support that should be given. LBW makes a lack of milk production so that the mother experiences stress, depression, disappointment, anxiety and fatigue. The Lack of support from health workers which still makes mothers confused about proper baby care. So that the success of breastfeeding at LBW on average is less than optimal. There is a need for further research on the effect of psychological support by health workers in the achievement of breastfeeding success in NICU-based LBW

The importance of psychological support for end-stage renal disease dialyzed patients

IntroductionEnd-Stage Renal Disease (ESRD) patients have difficult and challenging lifestyle due to the burden of the disease that, leads to numerous psychological issues. Regardless, healthcare providers usually focus on the somatic side and don’t take care of the psychological dimension.ObjectivesDetermine the effect of psychological support on the wellbeing of patients with ESRD.MethodsA survey sheet including sociodemographic and clinical data were distributed to two different groups. Psychological counseling was given to one of the groups, and wasn’t given to the other one.ResultsPatients not receiving psychological support had higher levels of anxious and depressive symptoms and suicidal ideations compared to the group receiving psychological support that had lower levels of anxious, depressive symptoms and suicidal ideation.ConclusionsESRD patients are at risk of developing all sorts of psychological issues. Which underlines the importance of the psychological support associated to the appropriate somatic care.DisclosureNo significant relationships.

THE EFFICIENCY OF RENDERING PSYCHOLOGICAL ASSISTANCE TO PATIENTS WITH OBLITERATING DESEASES OF LOWER LIMB ARTERIES

Atherosclerosis, being a multifocal disease, has a pain syndrome as the main clinical manifestation. After reconstructive surgery, pain symptoms either decrease or are absent, it is logical to assume that the level of anxiety and depression will decrease to the limits of normal. However, a fairly high percentage of patients with clinical and subclinical manifestations of depression and anxiety were identified. Consequently, pain is not a major factor in high rates of depression and anxiety. We assume that a serious illness that leads to disability and death puts a person in special living conditions. This situation affects the mental state of the patient. Even a technically competent operation does not always bring relief and recovery to the patient. The aim of the study was to study the effectiveness of psychological support for patients with chronic obliterating diseases of the lower limb arteries after surgery (reconstructive surgery). It should be noted that we did not pursue a long – term goal – the patient's awareness of the disease in the context of life, but set a short-term goal according to this time period-improving the emotional state through the patient's internal psychological resources. The study was aimed at implementing a program of psychological support for patients with chronic obliterating diseases of the lower limb arteries after surgery – reducing the level of depression and anxiety in patients in the postoperative period. The sample consisted of 15 patients on the 5th day after surgery. After psychological support, the percentage of patients with clinical and subclinical manifestations of depression and anxiety decreased. This may indicate the effectiveness of the proposed assistance for violations in the emotional sphere.

Psychological assistance to patients after laryngectomy

The study objective is to assess the effectiveness of psychological support to patients with laryngeal cancer after laryngectomy. Materials and methods.This study included 36 male patients aged between 45 and 62 years with morphologically verified stage II–IV (Т3–4N0–2М0) laryngeal cancer treated in the Department of Head and Neck Tumors, N. N. Blokhin National Medical Research Center of Oncology in 2011–2016. Patients were randomized into two groups. Group 1 included 14 patients who received antitumor therapy alone. Group 2 comprised 22 patients who additionally received psychological support. Patients’ mental state was assessed before treatment and 6 months after its completion using the Hospital Anxiety and Depression Scale and Symptom Check List-90 Revised. Two patients from Group 1 and 1 patient from Group 2 were excluded from the study at the first stage. Results. We found that patients in both groups had severe psychopathological symptoms (including depression, interpersonal sensitivity, and severe distress) six month after treatment completion (according to the Symptom Check List-90 Revised). Patients who received psychological support demonstrated higher level of depression than healthy controls, but it was still significantly lower than that in patients who received no psychological assistance. Similar results were obtained by the Hospital Anxiety and Depression Scale: patients who received psychological support had significantly lower level of depression than patients who had no psychological support (8.3 ± 0.9 vs 10.2 ± 0.6 points respectively). Conclusion. Patients with laryngeal cancer who received psychological assistance (including cognitive behavioral psychotherapy) demonstrated significantly lower level of depression 6 months after treatment completion compared to those who received no psychological support.

ORGANIZATION OF PSYCHOLOGICAL SUPPORT OF SERVICE AND COMBAT ACTIVITY OF THE NATIONAL GUARD OF UKRAINE

The article emphasizes that law enforcement activity of the armed state bodies of Ukraine is expressed in the form of combat operations, which mostly consists in performing law enforcement tasks mainly by law enforcement methods through their official activities, and in case of aggravation of the operational situation by military methods. It was found that it is also important for the effectiveness of psychological support to take into account the activity problems in the service and combat activities of the servicemen of the National Guard of Ukraine. Activity problems, in particular, arise due to the inconsistency of the psychological qualities of servicemen with the objective requirements of military service and military specialty.

Family and Child Characteristics Associated with Foster Care Breakdown

Studies examining the experience of children returned from foster care can reveal its causes and the severity of the psychological consequences, as well as the positive effect of psychological support on family functioning. Our research was aimed at the features of children and characteristics of foster families who refuse to continue parenting foster children. The study participants were comprised of families raising a foster child (Group One—182 families), and families who refused to continue parenting and returned the child (Group Two—19 families). The study was conducted using the “standardized interview for parents” and the “list of traumatic experiences of the child.” The results show that the strongest contributor to foster family breakdown was the degree of the child’s traumatic experience before placement (for Group One, 3.9 (1.15); Group Two, 6.1 (1.31), U = 395.0, p < 0.001) and the minimal participation of the family in an intervention program (the total number of program activities the family did not participate in; for Group One, 48.5 (28.27)%, Group Two, 95.5 (2.58)%, U = 67.5, p < 0.001). Our data expand ideas about the functioning of foster families who have taken children with significant traumatic experience and indicate the need to improve the quality of psychological and social support to foster families as an important factor in preventing secondary returns.

Социально-психологический климат в органах государственной власти

The development of the Institute of public service is connected, fi rst of all, with the improvement of its personnel policy, the fi ght against corruption, the introduction of ethical standards and technologies for managing the career of employees. These problems are the most signifi cant limitations of socio-economic and political development of the state and their solution should pay considerable attention to the socio-psychological well-being and climate of the employees of public authorities in order to minimize the negative eff ects of psychological support for their professional activities. In order to determine the specifi cs of the formation of socio-psychological climate in public authorities, whose employees should be focused on solving signifi cant problems of state construction, the authors conducted a study in the Federal service for fi nancial monitoring of the Russian Federation. By applying the test “Pulsar”, the test of the “Integral job satisfaction”, by A.V. Batashevy, the observation method and personal interview by the authors has been partially refuted the hypothesis that the rigid formalization of the activities of public servants, including the regimentation of action, the pressure of the authorities, routine and emphasis on discipline and high level of personal responsibility, is a dominant factor disturbing the socio-psychological climate in state government. The study revealed that socio-psychological climate in the team of a public authority can be described as favorable and unstable. A team of employees — quite a mature group, able to perform a production job, despite the rather widespread phenomenon: “staff turnover”. According to the results of the tests, the authors characterize a modern civil servant as an effective, purposeful, energetic, constantly increasing his level of knowledge, interested in effective work, which is contrary to the image of a public servant who is tired in society.

A psychological intervention to promote acceptance and adherence to non-invasive ventilation in people with chronic obstructive pulmonary disease: study protocol of a randomised controlled trial

BackgroundPeople with chronic obstructive pulmonary disease (COPD) sometimes experience anxiety, depression and comorbid cognitive deficits. Rather than being merely a consequence of symptom-related physical impairments these additional problems may be part of the clinical course of the condition. The relationship between the physical and psychological aspects of the condition is illustrated by the patterns of use of non-invasive ventilation (NIV); NIV is often rejected or used inappropriately, resulting in clinical deterioration and an increase in health care costs.The study aims to analyse the effects of psychological support on the acceptance of, and adherence to, NIV. The primary outcome will be a latent variable related to indices of use of NIV equipment and adherence to treatment regime; while survival rates and psychological variables will constitute the secondary outcomes.MethodsA two-arm randomised controlled trial will be conducted. We aim to recruit 150 COPD patients for whom NIV is indicated. The experimental group will receive a brief course of psychological support that will include counselling, relaxation and mindfulness-based exercises. In some cases, it will also include neuropsychological rehabilitation exercises. Support will be delivered via four to eight meetings at the HD Respiratory Rehabilitation Unit, at home or via telemedicine. Controls will receive standard care and watch educational videos related to the management of their disease.DiscussionThis investigation will gain insight about the role of a psychological intervention as part of a treatment plan during the process of adaptation to NIV in COPD patients.Trial registrationClinicalTrials.gov, ID: NCT02499653. Registered on 14 July 2015.

The Effect of Psychological Support and Mental Training on Anxiety Regulation of Injured Tunisian Athletes

The Effect of Psychological Support and Mental Training on Anxiety Regulation of Injured Tunisian Athletes

Psychological Support, Puberty Suppression, and Psychosocial Functioning in Adolescents with Gender Dysphoria

Puberty suppression by gonadotropin-releasing hormone analogs (GnRHa) is prescribed to relieve the distress associated with pubertal development in adolescents with gender dysphoria (GD) and thereby to provide space for further exploration. However, there are limited longitudinal studies on puberty suppression outcome in GD. Also, studies on the effects of psychological support on its own on GD adolescents' well-being have not been reported. This study aimed to assess GD adolescents' global functioning after psychological support and puberty suppression. Two hundred one GD adolescents were included in this study. In a longitudinal design we evaluated adolescents' global functioning every 6 months from the first visit. All adolescents completed the Utrecht Gender Dysphoria Scale (UGDS), a self-report measure of GD-related discomfort. We used the Children's Global Assessment Scale (CGAS) to assess the psychosocial functioning of adolescents. At baseline, GD adolescents showed poor functioning with a CGAS mean score of 57.7 ± 12.3. GD adolescents' global functioning improved significantly after 6 months of psychological support (CGAS mean score: 60.7 ± 12.5; P < 0.001). Moreover, GD adolescents receiving also puberty suppression had significantly better psychosocial functioning after 12 months of GnRHa (67.4 ± 13.9) compared with when they had received only psychological support (60.9 ± 12.2, P = 0.001). Psychological support and puberty suppression were both associated with an improved global psychosocial functioning in GD adolescents. Both these interventions may be considered effective in the clinical management of psychosocial functioning difficulties in GD adolescents.

Effectiveness of psychological support during the weight loss of university male judo players: A study utilising autogenic training

Effectiveness of psychological support during the weight loss of university male judo players: A study utilising autogenic training

Setting up a patient support service to provide information and psychological care

Visual impairment is associated with a higher than normal risk of depression. This reduces quality of life and can affect a person's ability to make the most of rehabilitation. Most people newly diagnosed blind or visually impaired need information, and want to talk to someone about their fears and concerns. However, few UK eye clinics offer such a service. A review found social work and counselling provision at Moorfields Eye Hospital was limited. In response to this, the Patient Support Service was set up; as well as providing information and psychological care, it ensures integrated working between hospital, primary care and voluntary services. Attention was paid to team cohesion when the service was set up. A launch event, in which all team members were involved, promoted the service to staff and patients. Plans include providing evidence-based research on the effects of psychological support and information, and setting up patient support services and counselling at more clinics.

Psychological support and outcomes for ICU patients

To critically review evidence on the effects of psychological support during intensive care unit (ICU) treatment on adult ICU patients' psychological and physiological outcomes. Evidence from intervention studies on imagery and relaxation has been included, as well. Stress and negative emotions may have both immediate, as well as long-term effects on ICU patients' psychological and physical well-being, and they are linked to delayed physical recovery. DESIGN, METHODS: A narrative critical review methodology was employed. Databases searched included Medline, CINAHL, PubMed, PsychInfo and the Cochrane Library. Experimental, quasi-experimental or pretest-posttest peer-reviewed intervention studies published since 1970 were included. Fourteen studies: seven on nurse led relaxation, three on guided imagery, one on nurse-patient interaction, two on physician-patient interaction and one correlational study on perceived social support were included. The results suggest significant improvements in patients' outcomes: improved vital signs, decrease in pain ratings, anxiety, rate of complications and length of stay, and improved sleep and patient satisfaction. Eight studies employed randomized experimental, four quasi-experimental and two descriptive correlational designs. Two studies explored effects on patients' sleep, and two on procedure-related pain. The literature is limited in exploring the effects of nurse-patient interactions. The amount and quality of psychosocial support in the ICU, as well as imagery and relaxation techniques, are linked to short-term and long-term patients' outcomes. ICU nurses need to engage in psychological support in a systematic way, and to acknowledge the high priority of support interventions.

Psychologists working as members of the intensive care team could reduce the length of stay

Both short and long term outcome of mechanically ventilated patients are dependent on the time spent on ventilator and on the intensive care unit. Health related quality of life of the survival of intensive care has been proved to be related with the physical and psychological effects of the intensive care itself. In our previous multicenter randomized trial we have demonstrated the effect of psychological support delivered at the time of intensive care. The aim of this post hoc analysis is to demonstrate the effect of the psychological support given by an ICU staff psychologist providing continuous care by the same therapist. 36 patients were included in the post hoc analysis, 17 in the control and 19 in the treatment group. The treatment group received daily psychological support based on positive suggestions delivered by the same therapist at least in 50% of the time. The control group received the same ICU care but without the involvement of the psychologist. There were no differences between the two groups in age, sex, SAPSII score and basic medical treatment. RESULTS showed a significant reduction in mechanical ventilation (3.6 days shorter, p < 0.014) and length of stay (4.2 days shorter, p < 0.022) of the treatment group compared to the control. These results suggest the value of a psychologist working as a full member of the ICU team and providing supplementary psychological support of patients.