Levels Of Psychological Health Research Articles

A Study to Assess the Effect of Stress on Mental Balance/ Judgement, Psychological Health and Adjustment Level

BACKGROUND AND AIM: Stress acts as a warning signal generated in the brain by detecting danger in the environment and indicating that action is required immediately. Only when this regulatory mechanism fails to function properly and promptly, stress inflicts abnormal pathological conditions (e.g. anxiety disorders or depression) interfering with healthy well-being. Present study was designed to study the effect of stress on judgment, adjustment and various aspects of psychological health. MATERIALS AND METHOD: The study was done on 90 subjects (medical students) chosen randomly with no gender bias. Baseline parameters of mental balance/ judgment, adjustment level and various parameters of psychological health were recorded during mid-semester when there was no exam pressure. The parameters were again studied one to two week before exams. Parameters were compared from their baseline values. The student’s t-test was used to compare baseline values from during stress values. P value was significant when p<0.05.RESULTS: Students reported significant decrease in judgment level and their adjustment level showed tendency to decrease during stress. Also, there was significant increase to fall into disorders of anxiety and depression. Other aspects of psychological health showed variable response to stress. CONCLUSION: Stress has impact on judgment, adjustment and psychological health.

Assessment of anxiety-depressive disorders and quality of life indicators in elderly women

Objective. To assess anxiety-depressive disorders and indicators of quality of life in elderly women.Materials and methods. The study included 540 women with hormonal disorders in the form of a premenopausal or menopausal syndrome: 270 women, aged 44–54 years (mean age 49.1 ± 2.2), of whom 150 women with ‘–’ and 120 with ‘+’ variant of the biological age and 270 women aged 55–64 years (mean age 57.2 ± 2.4), of which 150 with ‘–‘ and 120 people with ‘+’ version of biological age. All patients, depending on the proposed variant of nutritional support and physical activity, were divided into three groups: the 1st (standard recommendations), the 2nd (standard recommendations, scandinavian walking and daily walks for at least 30 minutes), the 3rd (standard recommendations, scandinavian walking, daily walks for at least 30 minutes and nutritional support). Assessment of the degree of depression was carried out on the basis of the Beck scale. The quality of life was determined by the SF-36 Health Status Survey, a visual analogue scale for assessing the anxiety-depressive syndrome.Results. On the scale of assessing the level of depression, the level of anxiety-depressive syndrome in women, data were obtained on a reliable improvement of this indicator with the use of nutritional support and physical activity. The maximum difference was noted in older persons with ‘–‘ and ‘+’ variant of biological age. On the scale of assessing the level of psychological health in women, we obtained data on improving this indicator with nutritional support and physical activity, but a significant difference was found only in comparison with patients who received neither nutritional support nor physical activity.Conclusion. The use of nutritional support and physical activity in elderly women improves the parameters of quality of life, especially in terms of general health, depression and social functioning.

The JDCS Model and Blue-Collar Bullying: Decent Working Conditions for a Healthy Environment.

Violence in the workplace and its health consequences still represent one of the main obstacles to obtaining decent working conditions. In particular, blue-collar workers run a greater risk of experiencing episodes of violence, also because of a lack of autonomy and fewer social interactions. According to the work environment hypothesis, factors such as high workload, lack of social support and lack of job control represent the antecedents of workplace bullying. Following the job demand-control-support model (JDCS), violence can be the symptom of a high-strain environment. Moreover, it is still unclear if workplace bullying can mediate the effects of work-related stress on workers’ health outcomes. The aim of the present study is to analyse the relationship between the components of the JDCS and the health of the workers considering workplace bullying as a mediating variable. By a cross sectional study design, we tested the following theoretical hypotheses: first, JDCS components (conceptualized as stress) are supposed to significantly predict the level of workers’ health. Second, workplace bullying is supposed to mediate the relationship between the JDCS components and the level of health. The sample consists of 400 blue-collars from three different Italian companies. Work-related stress, health outcomes and workplace bullying were measured by specific self-administered questionnaires and the relationships between the variables of interest were tested through a structural equation model (SEM) analysis. The results showed that while the direct relationship between the components of the JDCS and the level of psychological health is weaker (standardized path coefficients SPC = 0.21), the partial mediation hypothesis shows that workplace bullying mediate the relationship between JDCS components and health outcomes (χ2/df ratio = 2.70; path from stress to workplace bullying SPC = 0.78; path from workplace bullying to general health SPC = 0.51; p = 0.01). The JDCS components (workload, lack of control, lack of support) are useful predictors for workplace bullying. On the other hand, bullying plays a mediating role between the stress experienced and the health consequences. The present study adds new insights into the relationship between violence seen as a form of social behavioural strain and the psychological health of workers. The theoretical and practical implications are discussed. Future research on blue-collars could use longitudinal designs in order to analyse the relationship between social environment, job design and strain reactions.

The relation of abuse to physical and psychological health in adults with developmental disabilities

BackgroundPeople with developmental disabilities are at disproportionately high risk of abuse. Although considerable evidence exists on the health-related consequences of abuse in the general population, little is known about those consequences in people with developmental disabilities. ObjectiveTo examine the relation of abuse with psychological and physical health outcomes in adults with developmental disabilities. MethodsWe used an accessible audio computer-assisted self-interview to collect anonymous data on demographic and disability characteristics, childhood and adult abuse experiences, and physical and psychological health from 350 women and men with developmental disabilities. Abuse experience was reflected by five factor scores consisting of three child abuse factors (childhood sexual abuse, childhood physical abuse, childhood disability-related abuse) and two adult abuse factors (adult sexual abuse, adult mixed abuse). We examined each of four health outcomes (depression, post trraumatic stress disorder, physical health symptoms, secondary health conditions) separately to determine the extent to which childhood and adult abuse experiences uniquely predicted psychological and physical health outcomes above and beyond demographic and disability-related characteristics. ResultsAll five abuse factor scores were significantly related to all four health outcomes. When examined simultaneously, childhood disability-related abuse and adult mixed abuse accounted for unique variance in outcomes. Exploratory analyses revealed no difference in the impact of abuse by gender. ConclusionsIn this study, childhood disability-related abuse and adult mixed abuse significantly predicted lower levels of psychological and physical health in a sample of adults with developmental disabilities. Our findings highlight the importance of addressing abuse and its sequalae in the developmental disabilities community.

Assessment of Women's Psychological Health with Hysterectomy at Maternity Hospitals in Baghdad City

Hysterectomy is one of the most common gynecological surgeries performed worldwide. However, women undergoing this surgery often experience negative emotional reactions. Controversy regarding psychological or psychiatric outcomes following hysterectomy still exists. The purpose of this study was to investigate the risk of postoperative psychiatric disorders in women with hysterectomy. This study was conducted to assess psychological Health of women with Hysterectomy at Maternity Hospitals in Baghdad City. This study was conducted at maternity hospitals in Baghdad city to assess the psychological health of women with hysterectomy. This study was started in January 2018 to January 2019, The data regarding was achieved from the patient's charts that recorded in the Statistical Department in the hospitals, the study consist of (100) women with hysterectomy which were selected according to inclusion criteria Women who had undergone hysterectomy, Postoperative duration for hysterectomies from 6weeks to 6 month, Women in reproductive age only. The data are analyzed through the use of descriptive statistical analysis and inferential statistical analysis procedures were employed for the data analysis. The findings of the study shows moderate levels of psychological health (50%), the highest percentage of women with hysterectomy were suffering from psychological problem.

Exploring Behavioral Heterogeneities of Elementary School Students’ Commute Mode Choices Through the Urban Travel Big Data of Beijing, China

Students' commute mode choices have been recognized as an important factor affecting the physical and psychological health levels of children and urban traffic performance in peak hours. The influential patterns between most of the factors and students' commute mode vary depending on the characteristics of the city. This paper seeks to reveal such patterns specifically for elementary schools students in Beijing, China, as those students' commute behaviors have attracted considerable attention from society. The data from the Beijing School Commute Survey conducted in December 2014 and January 2015 were adopted. To account for the unobserved heterogeneity, a finite mixture multinomial logit (FMMNL) model was developed. Compared with the conventional MNL model, the FMMNL is superior due to the smaller AIC and BIC values. More importantly, the FMMNL model is flexible and able to detect some complicated mode choice behaviors. For example, the results of the FMMNL model indicate that there are two types of students, those who tend to use a car and those who tend to use a bicycle, as their grade increases. Such a heterogeneous pattern is difficult to be detected by conventional models. The finer results produced by the FMMNL model would be the references for policymakers to design more targeted policies. Findings in this paper could be the references to other cities in China and the world.

Family functionality, autonomy and psychosocial welfare in the elderly

Objective: To relate family functionality to autonomy and psychosocial welfare of elderly people living in the Huechuraba commune in Santiago, Chile, during the year 2016. Materials and methods: A descriptive, cross-sectional, correlational study with a purposive sample of 60 elderly volunteers who fulfilled the screening criteria. For data collection, the Family APGAR test, WHOQOL-BREF scale and Functional Assessment of the Elderly (EFAM) were used. For the analysis of the results, descriptive statistics and association tests such as chi-square and Mann-Whitney U test were used. Results: Over 70 % of the participants had very functional families and only 3 % belonged to severely dysfunctional families. Forty-five percent (45 %) of the participants were autonomous but at risk of being dependent and 16.7 % were at risk of being dependent. No relationship between family functionality and physical health was observed; however, there is an association between family functionality, psychological health and interpersonal relationships. Conclusions: There is a relationship between family functionality and level of autonomy, psychological health, interpersonal relationships and environment, because elderly people who belong to families with better internal dynamics enjoy a better quality of life.

ASSESSMENT OF ANTIETY-DEPRESSIVE DISORDERS AND QUALITY OF LIFE IN MEN

Aim.To assess anxiety-depressive disorders and indicators of quality of life in men.Materials and methods.The study included 540 men with hormonal disturbances in the form of an age-related androgen deficiency, 270 men, aged 44-54 years (mean age 51.1±2.3), including 150 with "-" and 120 with "+" variant, biological age and 270 men aged 55-64 years (mean age 59.2±2.4), of which 150 with "-" and 120 with "+" version of biological age. All patients, depending on the proposed variant of nutritional support and physical activity, were divided into three groups: the 1st (standard recommendations), the 2nd (standard recommendations, Scandinavian walking and daily walks for at least 30 minutes), the 3rd (standard recommendations, Scandinavian walking, daily walks for at least 30 minutes and nutritional support). Assessment of the degree of depression was carried out on the basis of the Beck scale. The quality of life was determined by the «SF-36 Health Status Survey», a visual analogue scale for assessing the anxiety-depressive syndrome.Results. On the scale of assessing the level of depression, the level of anxiety-depressive syndrome in men, we obtained data on improving this indicator when using nutritional support. The maximum difference was noted in older persons with the "-" variant of BV, which confirms the fact that nutritional support reduces the degree of depression and the parameters of the anxiety-depressive syndrome. On the scale of assessing the level of psychological health, we obtained data on improving this indicator with nutritional support, but a significant difference was found only in comparison with patients who received neither nutritional support nor physical activity.Conclusion. Nutritional support improves the parameters of quality of life in elderly men, especially in terms of general health, depression and social functioning.

The Positive Power of Perception in Late Life: A Study on Subjective Aging and Health among Ethnic Minorities

The main objective of this empirical study was to investigate subjective aging in late life among ethnic minorities in the United States. Specifically, this study examined age identity, or how old one feels, in relation to psychological well-being (PWB) and functional health. The aims were trifold: (1) To examine whether this population feels younger or older than their age identity; (2) to explore the associations between age, age identity, PWB, and functional health; and (3) to investigate whether the association between age identity and functional health was mediated by psychological well-being. Results indicated the sampled population predominately reported a positive age identity, that is, felt younger than their actual age with higher age related to great discrepancy between felt and actual age. Although, there were no differences in aging identity among specific ethnic backgrounds nor levels of education., gender-related differences were found with men feeling younger than women. Another key finding was that positive age identity predicted higher levels of psychological well-being and functional health. Additionally, age and gender were also predictive of functional health but not of PWB. Lastly, mediation analysis revealed that PWB mediated the association between age identity and functional health, even while controlling for age and gender. These findings contribute to the literature by extending previous research on subjective aging and health to ethnic minorities. Moreover, these results have clinical and research implications for professionals in the field of geriatrics.

Psychological morbidity and general health among family caregivers during end-of-life cancer care: A retrospective census survey

Background: Family carers provide vital support for patients towards end-of-life, but caregiving has considerable impact on carers’ own health. The scale of this problem is unknown, as previous research has involved unrepresentative samples or failed to fully capture caregiving close to death. Aim: To quantify level of psychological morbidity and general health among a census sample of carers of people with cancer at end-of-life, compared to population reference data. Design: National 4-month post-bereavement postal census survey of family carers of people who died from cancer, retrospectively measuring carers’ psychological health (General Health Questionnaire-12) and general health (EuroQoL EQ-Visual Analogue Scale) during the patient’s last 3 months of life. Participants: N = 1504 (28.5%) of all 5271 people who registered the death of a relative from cancer in England during 2 weeks in 2015 compared with data from the Health Survey for England 2014 (N = 6477–6790). Results: Psychological morbidity at clinically significant levels (General Health Questionnaire-12 ⩾4) was substantially higher among carers than the general population (83% vs 15%), with prevalence five to seven times higher across all age groups. Overall, carers’ general health scores were lower than population scores, median 75 (interquartile range, 50–80) versus 80 (interquartile range, 70–90), but differences were more marked at younger ages. Female carers had worse psychological morbidity and general health than male carers. Conclusion: Levels of psychological morbidity among family carers during end-of-life caregiving are far higher than indicated by previous research, indicating a substantial public health problem. Consistent assessment and support for carers to prevent breakdown in caregiving may produce cost savings in long term.

Stigmatized identities, psychological distress, and physical health: Intersections of homelessness and race.

This study of a racially and ethnically diverse group of homeless adults examined the relationship between perceived homelessness stigma and psychological distress, physical health, and avoidance of services. We also explored independent and interactive effects of perceived racial stigma and homelessness stigma on these outcomes for members of racially stigmatized groups. Women (n = 73) and men (n = 65) experiencing homelessness (81 Persons of Color, 57 White) completed survey questions about stigma, mental and physical health, service avoidance, and background characteristics. Homelessness stigma predicted greater psychological distress, poorer physical health, and increased avoidance of services after controlling for gender, race, age, chronic mental illness status, and time homeless. For Persons of Color, perceived racial and homelessness stigma interacted in predicting outcomes: among those reporting low and moderate levels of racial stigma, homelessness stigma predicted psychological distress and poor health, whereas for those reporting high levels of racial stigma, psychological and physical health was poor regardless of the level of homelessness stigma. Additionally, perceived racial stigma from service providers predicted higher levels of service avoidance. Persons of Color also reported higher levels of racial stigma than did White respondents. Glaring racial disparities in homelessness make understanding and addressing the burdens of racism for individuals experiencing homelessness a social justice imperative. Our findings suggest that social stigma and the intersections among stigmatized identities are important for understanding health and health-related behaviors in this vulnerable population.

Study on the Problems and Countermeasures for Status Quo of Psychological Health Education at Advanced Vocational Schools in China

At present, the status of psychological health for the students at advanced vocational schools in China is worrying, while the effect of psychological health education implemented by the schools is always disappointing, the main reasons are that the effective breakthrough hasn't been found, and the fundamental power of psychological development hasn't been grasped. This paper proposes the pattern of psychological health education for advanced vocational schools based on the personality cultivation through the literature review method, investigation method, experimental method and other research methods. Practice the school-running philosophy with harmonious education, and establish specific educational objectives; Give full play to the important role of psychological health education, and explore effective teaching methods of psychological health education; Carry out rich and colorful psychological health education activities, and build the evaluation system of psychological health education activities; Strengthen the construction of campus culture, especially create a good personality education atmosphere by virtue of the network culture construction platform, and fundamentally improve the psychological health level of the students in advanced vocational schools.

Investigation of the Health Significance of 4th Grade Students in Physical Education and Sport Department

The knowledge, vision, understanding and practices of a community about health and disease issues show the socio-economic structure, educational and cultural level of that society. Human health is under the influence of the hazards which are the product of various demographic, economic, social, cultural, psychological, physical, chemical and biological factors. For many years health was defined as the absence of the disease. But in recent years it has been recognized as a concept in which health is included in a physical, emotional and mental well-being. The relationship between health and wellness is obvious. Well being can be defined as reaching the level of physical and psychological health which is provided consciously and willingly. For this reason, health is a progress made towards improved health. We call the health condition in which cure and rehabilitation are needed as negative health; the health condition in which there is no illness and which is balanced as neutral health; health condition which is about health conducts improving life quality as positive health. The main purpose of this study is to expose perceptions of students of Department of Physical Education and Sports 4th grade about “health” concept by the means of metaphors. The participants for this study included 43 students from High school of Physical Education and Sports both located in Adiyaman. To collect the study data, each participant was asked to complete the prompt “health is like … because …” The content analysis technique was used to analyse study data. According to the results, all of the students (100 %) have developed positive metaphors.

Study of psychological health of healthy volunteers by symptom checklist 90 (SCL-90) and eysenck personality questionnaire (EPQ)

Psychological health of Chinese healthy volunteers was investigated to provide a theoretical method for phase I clinical trial management and result analysis. Symptom checklist 90 (SCL-90) and Eysenck Personality Questionnaire (EPQ) were used to assess 200 healthy volunteers and to analyse the level of psychological health of Chinese healthy volunteers. SCL-90 result indicates that the average value of positive factors is 10.32 ± 14.26 by self-assessment of healthy volunteers, somatization factor is 1.13 ± 0.13, compulsive symptom factor is 1.29 ± 0.27, interpersonal sensitivity factor is 1.31 ± 0.21, depression factor is 1.26 ± 0.33, anxiety factor is 1.21 ± 0.21, hostility factor is 1.08 ± 0.26, phobia factor is 1.05 ± 0.18, paranoid factor is 1.12 ± 0.23, psychotic symptom factor is 1.17 ± 0.26. Comparing the norm in China, the score of each factor of healthy volunteers is relatively low with statistically significant difference (P<0.001). EPQ result shows that P score is 4.59 ± 2.33, E score is 13.13 ± 4.32, N score is 6.89 ± 5.26, and L score is 13.21 ± 4.25 for 200 healthy volunteers. Comparing the norm in China, the P and N scores are lower, and the E and L scores are higher, with statistically significant difference (P<0.001).

مستوى الصحة النفسية لدى الطلبة الموهوبين والعاديين من طلبة المدارس في محافظة عجلون وعلاقته ببعض المتغيرات وبالتحصيل الدراسي

مستوى الصحة النفسية لدى الطلبة الموهوبين والعاديين من طلبة المدارس في محافظة عجلون وعلاقته ببعض المتغيرات وبالتحصيل الدراسي

The longitudinal effects of emotion regulation on physical and psychological health: A latent growth analysis exploring the role of cognitive fusion in inflammatory bowel disease

This study thus aims to test differences between patients with inflammatory bowel disease (IBD) regarding IBD symptomatology, cognitive fusion, and psychological and physical health, as well as to explore whether the maladaptive emotion regulation process of cognitive fusion longitudinally impacts on the baseline and evolution of these outcomes over a period of 18months. Participants include 116 IBD patients with a mean age of 36.76 (SD=11.39) of both genders (69.83% females) that completed the self-report measures of interest in three different times, equally spaced 9months apart, over a period of 18months. Latent growth curve models were conducted using structural equationmodelling to estimate the growth trajectory of the variables in study. Inflammatory bowel disease symptomatology and cognitive fusion's levels were negatively associated with psychological health and physical health's baseline levels. Furthermore, IBD symptomatology did not influence the growth of psychological health, while cognitive fusion did (β=.30, p=.007). The same result was found for physical health (β=.26, p=.024). These findings indicate that individuals with higher levels of cognitive fusion present lower levels of psychological health and physical health that tend to further decrease over the time through the effects of this maladaptive emotion regulation process. This study implies that it is of crucial importance to include psychotherapeutic interventions in the health care of patients with IBD. If successful, these interventions could represent decreases in the cost of IBD treatment and in the use of drugs with adverse side effects, in addition to improving patients' mental health and quality of life. Further implications for clinical and research work are discussed. Statement of contribution What is already known on this subject? Research has demonstrated the impact of emotion regulation on both physical and mental health. Nevertheless, the longitudinal effects of the specific emotion regulation process of cognitive fusion on physical and psychological health have never been explored. Additionally, no study has yet examined the causal role of emotion regulation in evolution of physical health in inflammatory bowel disease (IBD). What does this study add? Cognitive fusion longitudinally impacted on IBD patients' physical and mental health. These variables were measured over a period of 18months. Treatment for IBD should include interventions aiming to diminish maladaptive emotion regulation.

Inflammatory bowel disease symptoms and cognitive fusion's impact on psychological health: An 18-month prospective study

Although inflammatory bowel disease (IBD) is known to be associated with lower psychological health, research regarding which specific symptoms may lead to psychological dysfunction in IBD patients is inexistent. Further, the role played by emotion regulation, including the maladaptive process of cognitive fusion, in IBD patients’ psychological functioning is also scarcely explored in this population. The present study aimed at filling these research gaps. Two hundred and sixteen patients diagnosed with IBD filled self-report instruments on an online platform in three times. These waves of assessment occurred at baseline, and 9 and 18 months later. Results revealed that of the 10 measured IBD symptoms, only fatigue, bloody stools and abdominal distension at baseline were negatively associated patients’ level of psychological health at Wave 3. Nevertheless, a hierarchical regression analysis demonstrated that none of these symptoms were significant predictors of psychological health measured 18 months later. When cognitive fusion at baseline was added to the model, it became the only significant predictor of psychological health at Wave 3, with an effect of −0.34 (P &lt; 0.001). These findings suggest that it is not the experience of physical symptomatology that directly leads to lower psychological health in IBD patients, but rather the way patients deal with adverse internal experiences, i.e., the type of emotion regulation involved. This study reveals cognitive fusion as a harmful process for the determination of IBD patients’ psychological functioning. Future studies should thus explore the meditational effect of cognitive fusion in the association between IBD symptomatology and decreased psychological health.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Case control study on the mental health, perceived stress, and coping styles of executives and underground workers in coal enterprise

Objective To carry out a control study on the mental health, perceived stress, and coping styles of executives and underground workers in coal enterprise. Methods Totally 238 executives of state-owned coal enterprise and 240 underground workers were tested by symptom self-assessment scale (SCL-90) , perceived stress scale and simple coping style scale. Then the test results were analyzed. Results according to the SCL-90 results, the total score of coal enterprise executives was (123.670±27.850) and it was lower than that of national norm (t=-3.151, P<0.01) . The total score of underground workers was (138.610±49.720) and it was higher than that of national norm (t=2.882, P<0.01) . The difference between them was significant (t=-4.05, P<0.01) ; the score of perceived stress of enterprise executives (15.70±7.37) was lower than that of underground workers (t=-9.553, P<0.01) ; the scores of positive coping of executives were (2.04±0.43) , and they were significantly higher than those of the underground workers (t= 2.886, P<0.01) ; the scores of negative coping of executives were (1.06±0.49) , and they were significantly lower than those of the underground workers (t=-9.225, P<0.01) . Conclusions Executives of coal enterprise get a better psychological health level than underground workers; the executives are not sensitive to perceived stress; and they use more positive coping styles to deal with difficulties and setbacks. The underground workers are sensitive to perceived stress, and they use more negative coping styles to deal with difficulties and setbacks. Key words: Coal enterprises; Senior executives; Underground workers; Mental health; Perceived stress; Coping style

贪污贿赂犯罪服刑人员的创伤后成长与社会支持对心理健康的影响

目的：探讨贪污贿赂犯罪服刑人员的创伤后成长、社会支持对心理健康的影响。方法：采用方便抽样法选取山东省10所监狱572名贪污贿赂犯罪服刑人员作为研究对象，采用一般资料调查表、创伤后成长评定量表(PTGI)、领悟社会支持量表和SF-36健康问卷的心理健康分量表进行横断面调查。结果：贪污贿赂犯罪服刑人员的平均年龄为47.88 ± 7.88岁，以贪污罪、挪用公款罪和受贿罪为主(76.7%)，平均已服刑时间为3.6 ± 2.29年。贪污贿赂犯罪服刑人员的创伤后成长水平为64.57 ± 14.74分，领悟社会支持总分为68.79 ± 14.63，心理健康总分为63.84 ± 18.03；创伤后成长和社会支持与心理健康均呈正相关；结构方程模型分析表明社会支持和创伤后成长对心理健康均具有直接的显著影响(P < 0.01)，社会支持通过创伤后成长的中介作用间接作用于心理健康。结论：贪污贿赂犯罪服刑人员心理健康水平偏低，存在着中等程度的创伤后成长，监狱管理人员应加强贪污贿赂犯罪服刑人员的社会支持，以促进其创伤后的成长并进而提高其心理健康水平。 Objective: To explore the effects of posttraumatic growth and social support on psychological health of the prisoners with crime of corruption and bribery. Methods: A total of 572 prisoners with crime of corruption and bribery in ten jails of Shan Dong Province were recruited by convenience sampling. A cross-sectional study was conducted in prisoners by means of questionnaires that included demographic scale, Posttraumatic Growth Inventory (PTGI), perceived social support scale and subscale of mental health component summary in SF-36 Health Questionnaire. Results: the average age of prisoners with crime of corruption and bribery was 47.88 ± 7.88 years old. They mainly commit the crime of corruption, bribery and embezzlement and the average time served was 3.6 ± 2.29 years. A total score of posttraumatic growth in prisoners with crime of corruption and bribery was 64.57 ± 14.74, the total score of perceived social support was 68.79 ± 14.63, and the total score of mental health was 63.84 ± 18.03; Posttraumatic growth and social support were positively related with psychological health; Structural equation modeling analysis showed that both posttraumatic growth and social support had direct positively predict mental health (P < 0.01), social support through the intermediary role of posttraumatic growth indirectly effects on mental health. Conclusions: the level of psychological health of prisoners with crime of corruption and bribery was lower. There is a moderate posttraumatic growth of them; The prison staff should give more social support to prisoners with crime of corruption and bribery, facilitate their PTG and then in order to improve their level of psychological health.

LIFE QUALITY, PSYCHOLOGICAL STATE, TREATMENT AND PREVENTION ADHERENCE EVALUATION IN LOCAL POLYCLINIC PATIENTS

Aim . To evaluate life quality (LQ), specifics of psychological state, level of adherence to treatment and prevention in the covered inhabitants of local outpatient primary institution (polyclinic). Material and methods . Totally, 1082 persons participated, age 21-70 y.o. and older, on dispensary coverage at MBHI “Clinical consulting and diagnostic center” of Kemerovo city. In all participants, the following were studied: prevalence of arterial hypertension, diabetes, hypercholesterolemia, smoking, waist circumference increase, developed coronary heart disease, LQ, adherence and anxiety levels. Results . Under the framework of aged-stratified dispanserization in local polyclinic, 272 males and 810 females investigated. Analysis of age-gender groups by the levels of physical, psychological health, reactive and trait anxiety, treatment adherence did not reveal significant differences. However, for all age groups there is a low level common, of physical and psychological health, and high mean levels of anxiety and treatment adherence. High levels of reactive and trait anxiety found in healthy men and women comparing to the diseased. In all patients in dispanserization, regardless of the presence or absence of disease, there is high treatment adherence. Conclusion . There are high levels found, in chronic psychoemotional stress, anxiety and depression, and adherence level is high in all groups of patients. This might witness on positive attitudes of patients to participation in prevention events and consulting, with the aim for risk factors correction, and decrease of cardiovascular diseases development probability, and in those alredy having such diseases, decrease of severity and complications rate. It is necessary to provide with psychological assistance for improvement of psychoemotional state and personal adaptation potential, level of LQ, for all covered by dispensary observation patients in territory polyclinics.