Emotional Mental Health Research Articles

Where I'm Livin’ and How I'm Feelin’: Associations among community stress, gender, and mental-emotional health among Black Americans

RationaleStructural racism is a primary avenue for the perpetuation of racial health disparities. For Black Americans, both historically and contemporarily, the neighborhood context serves as one of the most striking examples of structural racism, with stressful neighborhood contexts contributing to the well-documented inequalities in psychological functioning among this population. ObjectiveThus, in this study, we adapted an intersectional-ecological framework to investigate the links between community stress and multiple dimensions of mental-emotional health for Black men and women. MethodsDrawing on cross-sectional data from 842 Black Americans from the Milwaukee area, we tested both objective (Area Deprivation Index; ADI) and subjective (perceived neighborhood disadvantage; PND) indicators of community stress as simultaneous predictors of negative and positive affect and the odds of psychological disorder (depression, anxiety) in multilevel models, examining gender differences in these linkages. ResultsResults showed greater objective community stress was related to lower levels of negative affect for both men and women and lower odds of psychological disorder for women specifically. Greater subjective community stress was related to higher levels of negative affect and lower levels of positive affect for both men and women and to higher odds of psychological disorder for women specifically. ConclusionsFindings highlight the complex intersectional nature of the links between community stress and Black Americans' mental-emotional health. Specifically, findings demonstrate the pernicious psychological effects of perceived community stress and allude to Black Americans', particularly women's, active resistance and resilience to objective disadvantage, potentially through investing in social relationships in their neighborhoods.

TEACHER’S ROLE IN MANAGING THE FIFTH-GRADE STUDENTS’ MENTAL-EMOTIONAL HEALTH AT KEBAREPAN 1 ELEMENTARY SCHOOL

The increasing number of mental health issues in Indonesia and the limited research studied on mental-emotional health issues, in general, are the background of this paper, especially among elementary students. It is to investigate the role and obstacles of elementary school teachers regarding the students’ mental health characteristics and social-emotional conditions. The research implication is that teachers play a crucial role in managing students' mental-emotional health to build positive values and attitudes in order to have good personalities at school. Therefore, teachers need to have the skills to control their own emotions well in order to support them to act in healthy physical and mental activities. The research used a qualitative approach using phenomenological research methods. The research participants included teachers and 44 fifth-grade students of SDN 1 Kebarepan. Data collection used interviews, observations, and documentation. Data analysis techniques included data reduction, data presentation, and conclusion. The results indicate that the teachers have been carrying out their roles in managing students' emotional conditions, even though it doesn’t implement totally yet as the environment lived by students can also provide an impact on their mental-emotional health development.

The Impact of COVID-19 on the Mental-Emotional Wellbeing of Primary Healthcare Professionals: A Descriptive Correlational Study

The present study aimed to examine work environment related factors and frontline primary healthcare professionals’ mental-emotional wellbeing during the COVID-19 pandemic in school communities of Hong Kong. A total of 61 (20%) school health nurses (frontline primary healthcare professionals) participated in a cross-sectional online survey from March to June 2020. Outcomes of mental-emotional health were measured using the Mental Health Continuum-Short Form (14-item scale with three subscales related to emotional, social and psychological wellbeing); the Perceived Stress Scale (10-item scale with two subscales related to perceived helplessness and lack of self-efficacy; and the Coping Orientation to Problems Experienced Inventory (Brief COPE), a 28-item inventory with two subscales related to adaptive and maladaptive strategies. Almost half (42.6%) of participants experienced mental health problems. Those employed in government subsidized schools had signifi- cantly lower scores in mental health wellbeing than those who worked in private schools. Factors relating to increased mental health problems included lack of emotional support, inadequate training relating to infection prevention and control measures, disengagement and self-blame. A variety of factors influencing school health nurses’social, emotional and psychological wellbeing in their work environment during the COVID-19 pandemic were also reported. The mental-emotional wellbeing of school nurses may relate to their subjective feeling of loneliness as participants were the sole frontline primary healthcare professional working in the school community during the COVID-19 pandemic. Study findings provide relevant evidence for management teams to build a culture of psychological and social support into workplace policies and procedures. Continuous staff development and adequate social support are important to promote the mental-emotional wellbeing of primary healthcare professionals in school communities as they play a significant role in safeguarding resources during pandemics.

Positive Relationship Between Physical Activity and Emotional Mental Health In Housewives

The purpose of this study was to determine the relationship between physical activity and emotional mental health in housewives. This research is correlational with a cross-sectional study approach. A total of 35 women with criteria, namely being housewives, aged 20-30 years, living with their husbands, having children at least 2 years old, domiciled in Malang Regency, East Java, Indonesia voluntarily participated as respondents in this study by filling out and signing informed consent. The level of physical activity in this study was measured using the Global Physical Activity Questionnaire (GPAQ) and emotional mental health levels were measured using the Depression, Anxiety, and Stress Scales (DASS42). Measurements of the level of physical activity and the level of emotional mental health were carried out simultaneously. The data analysis technique used the Chi-Square test with a statistical software package for social sciences (SPSS) version 21.0 with a significance level of 5%. The results of the analysis of the average level of physical activity of housewives in the medium category were 45.72% (16 people), the low category was 25.71% (9 people) and the high category was 28.57% (10 people). The average emotional-mental health of housewives in the normal category was 45.72% (16 people), mild 17.14% (6 people), moderate 20.00% (7 people), and heavy 17.14% ( 6 people). The results of the Chi-Square test show that there is a positive relationship between physical activity and emotional-mental health with the Pearson Chi-Square value of 55.222 and p-value=0.000. Based on the results of the study, it was concluded that there was a positive relationship between physical activity and emotional-mental health in housewives.

MENTAL HEALTH EMPOWERING FOR HEALTH CADERS BY USING MOBILE SCREENING TOOLS

Based on the monitoring of the Healthy Family Application in 2015, as many as 15.8% of families had severe mental disorders. In primary health care, one of the activities is to improve the quality of community mental health. In the mental health community program, the main target was society, with activities for socialization and early screening regarding mental health problems. Individuals with mental disorders (ODGJ) could participate in a work activity therapy program. This study aimed to screen for mental-emotional health problems and empower cadres to conduct community screening by using the mobile tool. A cross-sectional design among 13 health cadres of one district health center in South Jakarta Indonesia, and 120 residents aged 15-59 years. Using the SRQ-29 instrument for initial screening and early detection of mental health in the community from October through November 2021. Based on early detection, there were 13% of subjects indicated psychological problems, such as psychotic disorders, PTSD, and combined. The understanding of cadres about screening tools and knowledge were increased after peer education on “Emotional Mental Disorders” topics and training mobile tools. However, continuing education should be scheduled regularly, thus they always keep up-to-date information.

Comparison of Family Function and Mental Emotional Health of Adolescents in a State Junior High School, Modern and Traditional Boarding Schools

Background: Emotional and mental disorders can be experienced by all adolescents in both state junior high schools and in boarding schools. Students live with their parents and relatives at home in the state junior high schools. In contrast, in boarding schools, students must live independently, away from their parents, adapt to different boarding school environments, and are obliged to obey regulations. Objectives: To find out whether there are differences in family functions as well as emotional and mental disorders of adolescents in state junior high schools and modern and traditional boarding schools. Subjects: 433 adolescents aged 12-16 years were categorized into 191 adolescents in state junior high schools, 136 adolescents from modern boarding schools, and 106 adolescents from traditional boarding schools. This study used descriptive analytic designs with multivariate comparative approach methods. Instruments: Using the Family APGAR (Adaptability, Partnership, Growth, Affection, and Resolve) and Strength and Difficulty Questionnaire (SDQ) questionnaires, the total difficulty score was a combination of hyperactivity score, emotional score, behavior score, and peer score. A power score was considered a pro-social (behavior that supports others) score. Results: Function measurement of adolescents’ families in state junior high schools and modern and traditional boarding schools showed a highly functional Family APGAR score, p=0.265 (p>0.05). The adolescent SDQ score in state junior high schools was abnormal in the total score of difficulty and the hyperactivity score classification but borderline on peer score. The adolescent SDQ score in modern boarding schools showed abnormal results in a total difficulty and hyperactivity score, with a borderline peer score. SDQ scores of adolescents in traditional boarding schools were abnormal on the total score of difficulty and borderline on peer score. Conclusion: There was no significant difference in function between adolescents in the state junior high schools and modern and traditional boarding schools. However, there were significant differences between emotional and mental disorders of adolescents in state junior high schools and modern and traditional boarding schools. This mental health concern requires promoting and preventive efforts of a holistic family approach between adolescents, parents, teachers, and family doctors.

MENTAL EMOTIONAL DISORDERS IN INTERSTITIAL CYSTITIS PATIENTS

Abstract: Interstitial cystitis is a chronic pain condition with unclear underlying etiology. Interstitial cystitis has a relation with psychological disorders. There has been an increase in visit patients diagnosed with interstitial cystitis at the urology clinic at Dr. H. Moch. Ansari Saleh Hospital since October 2020. The objectives of this study are to compare mental emotional disorder events in interstitial cystitis patients and control subjects and to determine the relationship between interstitial cystitis and the incidence of mental emotional disorders. included 62 subjects, classified into 2 groups, namely: patients diagnosed with interstitial cystitis based on medical records data at the Urology Clinic, Dr. H. Moch. Ansari Saleh Hospital, and control subjects who had never been diagnosed with interstitial cystitis and had no symptoms and complaints of interstitial cystitis. Both groups completed the Self Reporting Questionnaire SRQ-20 to assess the presence of mental emotional disorders. The incidence of mental emotional disorders in interstitial cystitis patients and controls were compared, and the odds ratios (OR) for the presence of a mental emotional disorder were determined. A total of 32 patients with interstitial cystitis and 30 controls were included in this study. There were 14 interstitial cystitis patients and 4 control subjects who had mental emotional disorders, respectively, and the difference was significant (p = 0.008). Patients with interstitial cystitis were 5 times more at risk of experiencing mental emotional disorders than the control group (OR = 5,056). Patients with interstitial cystitis have a significantly higher risk of experiencing mental emotional disorders compared to those without interstitial cystitis. Screening might be beneficial to assess their mental emotional health. It may be necessary to collaborate with a psychiatrist to treat these patients holistically.Keywords: Interstitial cystitis; Mental emosional disorder

Disability and self-care living strategies among adults living with HIV during the COVID-19 pandemic

BackgroundEvents associated with the COVID-19 pandemic, such as physical distancing, closure of community services, postponement of health appointments, and loss of employment can lead to social isolation, financial uncertainty, and interruption of antiretroviral adherence, resulting in additional health-related challenges (disability) experienced among adults living with chronic illness such as HIV. ‘Living strategies’ is a concept derived from the perspectives of people living with HIV, defined as behaviors, attitudes and beliefs adopted by people living with HIV to help deal with disability associated with HIV and multi-morbidity. Our aim was to describe disability among adults living with HIV and self-care living strategies used during the COVID-19 pandemic.MethodsAdults living with HIV in Toronto, Ontario, Canada, including some with pre-pandemic HIV Disability Questionnaire (HDQ) data, completed a cross-sectional web-based survey between June–August 2020. The survey included the HDQ and questions about self-care living strategy use during the pandemic. We compared disability (HDQ) scores prior to versus during the pandemic using paired t-tests. We reported the proportion of participants who engaged in various living strategies at least ‘a few times a week’ or ‘everyday’ during the pandemic.ResultsOf the 63 respondents, 84% were men, median age 57 years, and 62% lived alone. During the pandemic the greatest disability severity was in the uncertainty [median 30; Interquartile range (IQR): 16, 43] and mental-emotional (25; IQR: 14, 41) domains. Among the 51 participants with pre-pandemic data, HDQ severity scores were significantly greater (worse) during the pandemic (vs prior) in all domains. Greatest change from prior to during the pandemic was in the mental-emotional domain for presence (17.7; p < 0.001), severity (11.4; p < 0.001), and episodic nature (9.3; p < 0.05) of disability. Most participants (> 60%) reported engaging a ‘few times a week’ or ‘everyday’ in self-care strategies associated with maintaining sense of control and adopting positive attitudes and beliefs.ConclusionsPeople living with HIV reported high levels of uncertainty and mental-emotional health challenges during the pandemic. Disability increased across all HDQ dimensions, with the greatest worsening in the mental-emotional health domain. Results provide an understanding of disability and self-care strategy use during the COVID-19 pandemic.

Women Caring for Retired Men: A Continuation of Inequality in the Sport Marriage

Drawing from longitudinal qualitative research on the heteronormative sport marriage that primarily featured interviews with women married to male professional athletes, this article focuses on how women were affected by and managed their retired husbands’ physical and mental–emotional health issues. It explores the women’s continued use of self-management strategies they developed during their husband’s career as they offered increasingly challenging care work to their husbands and examines how long-held expectations about their caregiver role continued to contribute to post-career gender inequality in their marriages. It captures the women’s voices as they discovered that they were not sufficiently prepared for the emerging personal and relational complexities that emerged in retirement.

ANALISIS FAKTOR- FAKTOR YANG MEMPENGARUHI KESEHATAN MENTAL EMOSIONAL MASYARAKAT DI DUKUH GUMUK SARI DAN GERJEN, PUCANGAN, KARTASURA

Background. Mental health or mental emotional health is a condition of someone who continues to grow and maintain harmony in self-control, and free from serious stress. Advances in technology bring changes in people’s lifestyle and change in way of thinking that have consequences in mental health because not everyone can adjust, the result will be to couse tension and a tendency to increase mental health disorders. In Indonesia the number of cases of mental disorderes continues to grow which has an impact on increasing the country’s burden and decreasing human productivity. &#x0D; The Aim of the Study. To determine the factors that influence the mental emotional health of the community. &#x0D; Subject and Method. The subjects were residents of Dukuh Gumuk Sari and Gerjen, Pucangan, Kartasura. This is analytic research with correlation design, statistical test with logistic regression. &#x0D; Results. There is an influence of somatic factors (p value= 0.000 and OR=50,708), socio-cultural factors (p value= 0.004 and OR= 7,054) and psychological factors (p value= 0.058 and OR=3,800) on mental emotional health of the community. &#x0D; Conclusion. Somatic, socio-cultural and psychologic factors together have an influence on the emotional mental health of the community. Somatic factors have the greatest influence on the emotional mental health of respondents.&#x0D; &#x0D; Keywords: emotional mental health, psychological, social culture, somatic &#x0D; &#x0D; Korespondensi: Tunjung S. Yulianti. STIKES PANTI KOSALA SURAKARTA, Jalan Raya Solo - Baki KM. 4 Gedangan, Grogol, Sukoharjo, Jawa Tengah. &#x0D; Email: tejeyulianti@gmail.com.

ANALISIS FAKTOR- FAKTOR YANG MEMPENGARUHI KESEHATAN MENTAL EMOSIONAL MASYARAKAT DI DUKUH GUMUK SARI DAN GERJEN, PUCANGAN, KARTASURA

Background. Mental health or mental emotional health is a condition of someone who continues to grow and maintain harmony in self-control, and free from serious stress. Advances in technology bring changes in people’s lifestyle and change in way of thinking that have consequences in mental health because not everyone can adjust, the result will be to couse tension and a tendency to increase mental health disorders. In Indonesia the number of cases of mental disorderes continues to grow which has an impact on increasing the country’s burden and decreasing human productivity. The Aim of the Study. To determine the factors that influence the mental emotional health of the community. Subject and Method. The subjects were residents of Dukuh Gumuk Sari and Gerjen, Pucangan, Kartasura. This is analytic research with correlation design, statistical test with logistic regression. Results. There is an influence of somatic factors (p value= 0.000 and OR=50,708), socio-cultural factors (p value= 0.004 and OR= 7,054) and psychological factors (p value= 0.058 and OR=3,800) on mental emotional health of the community. Conclusion. Somatic, socio-cultural and psychologic factors together have an influence on the emotional mental health of the community. Somatic factors have the greatest influence on the emotional mental health of respondents. Keywords: emotional mental health, psychological, social culture, somatic Korespondensi: Tunjung S. Yulianti. STIKES PANTI KOSALA SURAKARTA, Jalan Raya Solo - Baki KM. 4 Gedangan, Grogol, Sukoharjo, Jawa Tengah. Email: tejeyulianti@gmail.com.

Characterizing the disability experience among adults living with HIV: a structural equation model using the HIV disability questionnaire (HDQ) within the HIV, health and rehabilitation survey

BackgroundPeople aging with HIV can experience a variety of health challenges associated with HIV and multimorbidity, referred to as ‘disability’. Our aim was to characterize the disability experience and examine relationships between dimensions of disability among adults living with HIV.MethodsWe performed a structural equation modeling analysis with data from the Canadian web-based HIV, Health and Rehabilitation Survey. We measured disability using the HIV Disability Questionnaire (HDQ), a patient-reported outcome (69 items) that measures presence, severity and episodic features of disability across six domains: 1) physical symptoms, 2) cognitive symptoms, 3) mental-emotional health symptoms, 4) difficulties carrying out day-to-day activities, 5) uncertainty and worrying about the future, and 6) challenges to social inclusion. We used HDQ severity domain scores to represent disability dimensions and developed a structural model to assess relationships between disability dimensions using path analysis. We determined overall model fit with a Root Mean Square Error of Approximation (RMSEA) of < 0.05. We classified path coefficients of ≥ 0.2–0.5 as a medium (moderate) effect and > 0.5 a large (strong) effect. We used Mplus software for the analysis.ResultsOf the 941 respondents, most (79%) were men, taking combination antiretroviral medications (90%) and living with two or more simultaneous health conditions (72%). Highest HDQ presence and severity scores were in the uncertainty domain. The measurement model had good overall fit (RMSEA= 0.04). Results from the structural model identified physical symptoms as a strong direct predictor of having difficulties carrying out day-to-day activities (standardized path coefficient: 0.54; p < 0.001) and moderate predictor of having mental-emotional health symptoms (0.24; p < 0.001) and uncertainty (0.36; p < 0.001). Uncertainty was a strong direct predictor of having mental-emotional health symptoms (0.53; p < 0.001) and moderate direct predictor of having challenges to social inclusion (0.38; p < 0.001). The relationship from physical and cognitive symptoms to challenges to social inclusion was mediated by uncertainty, mental-emotional health symptoms, and difficulties carrying out day-to-day activities (total indirect effect from physical: 0.22; from cognitive: 0.18; p < 0.001).ConclusionsUncertainty is a principal dimension of disability experienced by adults with HIV. Findings provide a foundation for clinicians and researchers to conceptualize disability and identifying areas to target interventions.

АКТУАЛІЗАЦІЯ ПОНЯТТЯ «ЖИТТЄЗДАТНІСТЬ ЛЮДИНИ» ЯК КЛЮЧОВОЇ КАТЕГОРІЇ СУЧАСНОЇ ПСИХОЛОГІЇ

The article deals with the consideration of the essence of viability, one of the most relevant psychological category. It is understood as the ability of a person to manage the resources of his / her own health and the socially acceptable way to use for this family, society, culture (according to M. Ungaro); as a systemic quality of a person characterising the organic unity of an individual’s human and sociopsychological abilities to realise the resource potential, using constructive behavioural strategies in difficult life situations and in conditions of socioeconomic deprivation, which ensures that the individual returns to the pre-crisis level of functioning and determines post-crisis personal growth (according to A. Nesterova). The psychological category of vitality has terms related to it, among which are: 1) mental health of a person is a person’s own vitality, life force, which is ensured by the full development and functioning of the mental apparatus; 2) life self-realization is a form of self-organisation in the process of its formation, which determines the intentionality of movement and the ability to interact with the world for the realisation of life choices; 3) sustainability is the result of dynamic equilibrium (balance) between risk factors and protection factors, which are determined by individual human qualities and features of the external environment, and also represent a certain risk; 4) “feeling of connectedness” is characterised by three main points: a) the stimuli of the external and internal environment are clear and understandable; b) a person is able to control the situation, which is formed by these incentives; c) due to the human awareness of the meaning of events, they are perceived as a challenge, requiring acceptance and a decent response, and therefore are not felt as an unbearable burden; 5) adaptation is a targeted systemic reaction of the body to long-term and multiple, intense and extensive environmental effects that lead to disruption of the homeostatic balance; 6) regulation is the state of harmony between internal needs and external requirements, as well as a set of processes that are used to achieve this state; 7) stability phenomenon is the special pattern of the structure of the installation and skills, which allows you to turn your own changes into realistically realised opportunities, such as the basis on which stress effects are processed. The notion of “vitality” has the following unrelated terms: 1) “victimhood” is a set of human properties that contribute to the maladaptive style of response of the subject, which leads to damage to his / her physical or emotional-mental health; 2) “psychological helplessness”, which appears in two main varieties of “learned helplessness” and “personal helplessness”.

QUALITY OF LIFE AND MENTAL EMOTIONAL HEALTH OF ELDERLY PEOPLE

The higher dependence rate of elderly people in Ponorogo can make their quality of life lower.Unfortunately, how the quality of life can influence the mental emotional health is still unknown. The purpose of this research was to identify the influence of the quality of life to mental emotional disorders of older adults. The design of this research was Observational correlational  with cross sectional approach. This research was held at 4 working areas of health facilities in Ponorogo district in East Java from March to May in 2015.This study included 200 elder people as participants and 50 sampling quota in each health facilities. The data collection in this study was assessed with 2 instruments. First instrument was used in this study developed by World Health Organization in Quality of life (WHO QOL-BREF) and second instrument was Self Reporting Questionnaire (SRQ). The Pearson Correlation test was performed in this study (SPSS version 20) . The researchers found out that there was an influence of quality of life (physical health, psychologic, social relationship, and environment) on mental emotional disorders in elder people (p-Value &lt; 0.05).  This result revealed that quality of life in older adults influenced the mental emotional disorders. The improvement actions that can be proposed to decrease the mental emotional disorders of the elderly are the elderly are able to have an easy and quick access to health and general service facilities to support the mental well being of older people.

QUALITY OF LIFE AND MENTAL EMOTIONAL HEALTH OF ELDERLY PEOPLE

QUALITY OF LIFE AND MENTAL EMOTIONAL HEALTH OF ELDERLY PEOPLE

“I’m Not a Traditional Woman”: Tranquilizer Misuse as Self-Medication Among Adult Women

Research consistently finds that men use all types of drugs more frequently and extensively than women. However, the misuse of prescription tranquilizers provides an exception. Recent research has found that women are more likely to misuse tranquilizers than men, yet few efforts have been made to systematically understand why this is the case and whether there are gendered factors that might help explain their misuse. Building on general strain theory and other scholarship concerning the links between psychological strain, mental–emotional health, and illicit drug use, we employed a mixed-methods design to investigate the interrelationships between gender, mental health, and tranquilizer misuse. Using data from the 2010 National Survey of Drug Use and Health, we examined tranquilizer misuse among women using various social, demographic, and health-related characteristics. Following this, we drew on nine in-depth interviews with adult women aged 21 to 69 years who reported a history of misusing tranquilizers. The quantitative data reveal that the odds of tranquilizer misuse are nearly two times higher for each unit increase on the poor mental health scale. Whereas being married increases the risk of misuse, having young children is associated with a decreased risk. Our analysis of the interview data reveals three main themes, related to tranquilizer access, reasons for misuse, and shame related to misuse. The interviews clearly uncover tranquilizer misuse as an attempt by women to manage competing demands between their work and home lives, and more specifically as a means of promoting success in both devotions. We conclude by arguing that women’s misuse of tranquilizers is a gendered behavior in response to gender-specific strains, which in turn reproduces gendering as an institution as well as in individual lives. The implications of these findings for general strain theory are also discussed.

The head start program for women newly diagnosed with breast cancer

We present the beneficial impact that our Head Start Program for women newly diagnosed with breast cancer has on participants at the Ottawa Integrative Cancer Centre. While beginning a new world of conventional cancer treatments, our program provides support and guidance at a crucial time of flux in a woman’s life, and addresses the spiritual, physical and mental emotional health of women of all ages, from generation Y through to our elders, who are dealing with a cancer diagnosis.This 6 week program is comprised of workshops, support group sessions and experiential mind body techniques, and is led by a group of therapists skilled in cancer’s psychological and physiological effects.Our research outcome measures of the program to date will be touched upon.

Agreement Between Community-Dwelling Persons With Stroke and Their Proxy Responders on the Neuro-QoL Instruments

Objective(s): To identify differences in agreement between communitydwelling persons with stroke and their proxy responses on the short-form versions of the Quality of Life in Neurological Disorders (Neuro-QoL) instruments. Design: Cross-sectional observational sub-study of the longitudinal, multisite, multi-condition Neuro-QoL validation study. Setting: In-person interview-guided patient-reported outcomes. Participants: Convenience sample of 86 dyads of community-dwelling persons with stroke and their proxy respondents. Interventions: N/A. Main Outcome Measure(s): Dyads concurrently completed short-forms of 8 or 9 items each for the 13 Neuro-QoL domains using the patient-proxy perspective. Difference scores, intraclass correlation coefficients (ICCs), effect size statistics, and Bland-Altman plots were examined to determine the nature and extent of proxy response bias. Results: We found no differences between patient and proxy scores on the Applied Cognition-General Concerns, Depression, Satisfaction with Social Roles and Activities, Stigma, and Upper Extremity Function (Fine Motor) short forms. Stroke patients rated themselves more favorably on the Applied Cognition-Executive Function, Ability to Participate in Social Roles and Activities, Lower Extremity Function (Mobility), Positive Affect and Well-Being, Anxiety, Fatigue, Emotional and Behavioral Dyscontrol, and Fatigue short-forms. We found no consistent pattern of differences in physical, mental-cognitive, mental-emotional, or social health HRQOL domains. The largest mean patient-proxy difference observed was 3 T-score points on the Lower Extremity Function (Mobility), which represents 0.3 SD on the T-score metric. However, Bland-Alman plots demonstrated substantial variation in difference scores among dyads. Conclusions: Proxy responses on Neuro-QoL short forms can complement or substitute for responses of moderate to high-functioning communitydwelling persons with stroke in the evaluation of post stroke research interventions; however proxy individual proxy responses may vary substantially. Additional validation is needed for other stroke populations.

Abstract IA10: Challenges in addressing cancer health disparities in Native American communities

Abstract IA10: Challenges in addressing cancer health disparities in Native American communities

Psychological Features of Victim Behavior of Minors

The article deals with the psychological characteristics of minors’ victim behavior that led to the differentoffenses. Victimization is understood as a set of properties of the person, specified by the complex of social,psychological and biophysical conditions, conducive to the subject’s maladaptive style of response, resulting indamage to his physical or emotional-mental health. It is proposed victimological classification of the maingroups of crimes committed by minors and its causes. The results of psychological support of colonies’ residentsand victimological circumstances of their victim behavior before their isolation from society were described.