Fear Of Loss Research Articles

The Impact of Long COVID on Employment and Well-Being: A Qualitative Study of Patient Perspectives.

Exploring the experiences of Long COVID patients who face challenges with employment may inform improvements in how healthcare systems can provide holistic care for this patient population. Understand perspectives about the impact of Long COVID on employment and well-being among patients seeking healthcare for Long COVID. Qualitative study involving one-on-one interviews. Eligible participants were 18years of age or older, spoke English, self-reported as doing well in daily life before having COVID-19, and reported that COVID-19 was still having a significant impact on their life three or more months following an acute infection. Participants were recruited from a post-COVID recovery clinic at an academic medical center. Interviews were conducted from August to September 2022. Among all participants (N = 21), most described that they were not able to work at a capacity equivalent to their norm pre-COVID-19. For those who continued working after their COVID-19 infection, the effort and energy required for work left little capacity to participate in other life activities and made it difficult to attend recommended healthcare appointments. Participants reported financial impacts of changes in employment including loss of income and changes in insurance, which were compounded by high healthcare costs. Changes in employment resulted in emotional repercussions including feelings of loss of self-identity and fear of judgement at work. Participants discussed issues surrounding access to strategies to address challenges posed by the impact of Long COVID on employment, including strategies learned from healthcare providers to cope with Long COVID symptoms at work and efforts to seek disability benefits or workplace accommodations. Patients with Long COVID may face significant challenges due to changes in their ability to work. Healthcare providers can support these patients by connecting them to financial assistance resources, facilitating appropriate mental health treatment, and expediting workplace accommodation requests.

Value propositions of artificial intelligence in retailing

ABSTRACT Numerous companies are increasingly employing artificial intelligence (AI) to generate accurate predictions, increase efficiency and automate tactical decision-making processes. However, misguided AI initiatives can end up destroying customer value, for example, through customers experiencing a loss of control or fear of their privacy. To develop guidelines for retailers and better understand value creation in this context, this study examines how retailers leverage AI in creating customer value propositions (CVPs). This conceptual paper discusses and synthesises customer value creation and the use of AI in retailing. Ten case examples are used to illustrate how retailers with different CVPs leverage AI. This analysis provides a basis for discussing the implications of AI for retailers’ value creation. Retail managers will benefit from a structured understanding of different AI strategies and their links to CVPs.

Dampak Perang terhadap Kemanusiaan dan Ketahanan Pangan dalam Film Grave of the Fireflies (1988)

This study uses the Japanese animated film "Grave of the Fireflies" (1988) as a case study to analyze the impact of war on humanity and food security. The film "Grave of the Fireflies" is important to observe from a humanitarian and food security perspective because it depicts in depth the tragic experiences of civil society during the war period, as well as highlighting the challenges faced by civil society in meeting basic needs such as the food crisis during the war. This article aims to conduct a descriptive analysis of the impact of war on humanity and food security in the film "Grave of the Fireflies". In this research, data was collected through two main sources. First, analyze the film by watching and observing the film and taking dialogue excerpts that are relevant to the research. Second, the analysis uses research data based on the Scopus database with the keywords "World War II", "Humanity", and "Food Security". Data collected from 446 journals from the Scopus database was analyzed using the Nvivo 14 plus application. The research results show that in the film "Grave of the Fireflies" there is a humanitarian impact of war, namely, the misery of civilians, loss of homes, and jobs, and deep fear. Meanwhile, the impact on food security is that countries tend to experience food crises during war. The impact of the war on food supplies was minimal and food became scarce due to limited access during the war. This causes malnutrition and even death.

Open-field exploration immediately before the retention test impairs retrieval and spaced fear extinction of contextual fear memory

According to the behavioral tagging theory, various stages of fear memory, such as contextual fear conditioning, memory retrieval, and fear extinction, can be facilitated by the exploration of a novel open field (OF). A critical time window of efficacy exists for this process. Novel exploration closely adjacent to weak learning may interfere with the setting of the learning tag, leading to a negative effect. In this mouse study, we consistently showed that exposure to a novel or familiar OF immediately prior to the retention test impaired the retrieval of long-term contextual fear memory. However, OF exposure had no effect on the retrieval of recent or remote cued fear memory or short-term contextual fear memory or the reconsolidation of contextual fear memory. In addition, OF exposure impaired spaced but not massed extinction of contextual fear memory. These results suggest that interfering stimulus may result in the transient forgetting of fear memory; however, temporary loss of fear may lead to retention failure of fear extinction. The results of this study are an important complement to the behavioral tagging theory and may provide new guidance for the treatment of post-traumatic stress disorder.

‘I was having an anxiety attack and they pepper sprayed me': police apprehension in mental health contexts in Australia

ABSTRACT Police attendance in mental health contexts is often traumatic for the person in crisis, their family and first responders. Existing literature on police involvement in mental health responses tends to focus on police perspectives. Scholarship exploring lived experience perspectives is limited, yet is crucial for informing programmes, policies and reforms. We present findings from one of the first projects co-produced with people with lived experiences of being apprehended by police under mental health legislation. Interviews were conducted with twenty participants who had experience(s) of police apprehension across Australia. Findings highlight the social disadvantage experienced by participants prior to being apprehended and that use of force (such as tasering, pepper spraying and restraining in locked police vans) was common and over-used. Our study identified that police apprehension has lasting and wide-ranging impacts, leading to loss of employment, trauma, property damage, negative self-perceptions, discrimination, and fear of future police responses. Some participants were also apprehended by police while experiencing family violence and were misidentified as perpetrators. We argue police use of force mirrors the use of force within mental health services, with participants not experiencing a clear separation between police and mental health responses. The article shares participants’ ideas for change, including response models based on human rights, police non-attendance and peer-led initiatives. Our findings suggest the need for investment in alternatives to police responses and further research involving lived experience perspectives to inform out understanding of mental health crisis responses.

Breaking the Silence: Exploring Peritraumatic Distress and Negative Emotions in Male and Female Physical Domestic Violence Victims.

Domestic violence is a widespread problem affecting individuals, families, and communities worldwide. Peritraumatic distress is associated with post-traumatic stress disorder and other mental health problems among victims, but research on men's experiences is limited. We analyzed data from 48 physical domestic violence victims (16 males and 32 females) to compare their levels of peritraumatic distress and negative emotions, and to examine the types of aggressors they faced. We used descriptives to summarize sample characteristics and Peritraumatic Distress Inventory scores and used statistical tests such as Mann-Whitney U, Shapiro-Wilk, Levene's test, contingency tables, and chi-square to investigate differences and associations between variables. Female victims of domestic violence had significantly higher scores on the Peritraumatic Distress Inventory than male victims and experienced significantly higher levels of negative emotions than male victims, including impotence/inability to react, sadness, anger/frustration, loss of control, fear, guilt, and shame. Husbands and domestic partners were the most frequent aggressors against female victims, while wives and ex-wives were the most frequent aggressors against male victims. In addition, partners were found to be the most frequent type of aggressor in the sample. Descriptive statistics, box plots, and scatter plots were used to provide a clear picture of the sample characteristics. Female victims of domestic violence reported higher levels of peritraumatic distress and negative emotions compared to men victims. Partners were the most frequent type of aggressor in the sample.

Totalitarianism in Yoko Ogawa's The Memory Police

This study discusses about totalitarianism in Yoko Ogawa’s The Memory Police. There are four question to be answered in this research: the depiction of totalitarianism in the novel, the cause and effects of totalitarianism in the novel, and the characters’ resistance to totalitarianism in the novel. The objective of the study is to find the reflection of totalitarianism on islanders, the depicted cause of totalitarianism, the depicted effects of totalitarianism, and the characters’ resistance to totalitarianism. In analyzing the problem, the writer applies a descriptive qualitative method with sociological approach. The analysis shows the forms of totalitarianism found are terror, absolute control, surveillance, and monopolizing information. The effects of totalitarianism found are loss of trust, intolerance, loss of identity, fear and anxiety, loneliness and isolation, emptiness, trauma and depression. Most of the people calmly accept the reality of the loss of memories, but some fight back. The characters’ resistance to totalitarianism found are forming groups, escaping, and making a hiding place. The writer concludes that the Memory Police as a totalitarian government body uses their repressive power to impose forgetfulness and create an oppressive atmosphere. Because of their repressive power, there are many negative effects on the islanders.

Median arcuate ligament syndrome: When to consider the diagnosis and management options.

Median arcuate ligament syndrome (MALS) occurs due to extrinsic compression of the coeliac plexus, leading to postprandial and exercise-induced epigastric pain, nausea, vomiting, food fear and weight loss. Diagnosis can be challenging as up to 25% of the population have radiological compression. However, only 1% of the population have corresponding symptoms. The duration between the onset of symptoms and diagnosis of MALS can extend up to years. Primary care physicians are commonly the first people to encounter patients with MALS and play a vital role in its assessment, diagnosis and management and the coordination of subspecialty care. The aim of this article is to provide general practitioners with a review of the current literature, summarise a diagnostic pathway and propose a treatment algorithm for MALS. MALS is a rare cause of debilitating abdominal pain with no single 'rule in test'. It often affects young patients and leads to significant morbidity and poor quality of life. Increased awareness of MALS in the primary care setting allows for earlier consideration and investigation as part of the diagnostic work-up for patients with symptoms of abdominal pain not attributable to more common conditions.

ZNF142 mutation causes sex-dependent neurologic disorder

BackgroundSex-specific predilection in neurological diseases caused by mutations in autosomal genes is a phenomenon whose molecular basis is poorly understood. We studied females of consanguineous Bedouin kindred presenting with severe...

Heteronormative biases and distinctive experiences with prostate cancer among men who have sex with men: a qualitative focus group study

BackgroundMen who have sex with men (MSM) face many challenges and biases in healthcare. Within urology there is a need to better understand how prostate cancer impacts MSM given the unique ways in which side effects that accompany treatment may affect this population. The goal of this study is to explore the experience of MSM with prostate cancer to advance the existing literature in this area and inform implementation and delivery of clinical practice and policy guidelines.MethodsFour focus groups were conducted with a semi-structured interview guide. Using a phenomenological qualitative approach consistent with grounded theory [1] and naturalistic inquiry principles we sought to better understand the direct experiences of MSM with prostate cancer. Audio transcriptions were thematically analyzed to identify themes that impact MSM throughout their prostate cancer journey. An iterative, team-wide classification process was used to identify, organize, and group common codes into higher-order categories and themes.ResultsPatient’s choice of provider and their interactions with the healthcare system were strongly impacted by their sexual identities. Participants commented on navigating the heteronormative healthcare environment and the impact of assumptions they encountered. MSM experienced the sexual side effects of prostate cancer treatment in unique ways. Issues with erectile dysfunction and ejaculatory dysfunction had significant impacts on patient’s sexual experience, with some describing being forced to explore new modes of sexual expression. Anejaculation was a theme that was distressing for many participants. The emotional impact of a prostate cancer diagnosis was significant in the men interviewed. Common themes included loss of identity and fear for future relationships.ConclusionsMSM have unique concerns after prostate cancer treatment that differ from men who don’t identify as MSM. It is critical that providers familiarize themselves with the concerns of this patient population regarding prostate cancer treatment. An important step toward reducing heteronormative bias in prostate cancer care is to better understand the goals, identity, and sexual practices of MSM and to provide informed anticipatory guidance.

The Role of Sports Psychology in Managing Concussion Recovery and Return to Play

Objective: This study explores the role of sports psychology in managing concussion recovery and facilitating athletes’ readiness to return to play. Methods and Materials: A qualitative research design was utilized, involving semi-structured online interviews with athletes who had experienced concussions, sports psychologists, and medical professionals. 36 Participants were recruited through purposeful sampling, and data collection continued until theoretical saturation was achieved. The interviews were transcribed and analyzed using NVivo software through an inductive thematic approach, allowing for the emergence of key themes. Reflexivity and researcher triangulation were employed to ensure the rigor and reliability of the findings. Findings: Four main themes emerged: psychological interventions, mental barriers and facilitators in return to play, the role of support systems, and the long-term psychological impact of concussions. Psychological interventions, such as cognitive-behavioral techniques and mindfulness practices, were effective in reducing anxiety and enhancing resilience. Fear of re-injury and performance anxiety were significant barriers, while confidence restoration and motivation levels facilitated recovery. Social support from family, teammates, and coaches played a crucial role in alleviating psychological distress. The long-term impact included identity crises, chronic symptoms, and ongoing mental health concerns, emphasizing the need for holistic support. Conclusion: The findings underscore the importance of integrating psychological interventions in concussion recovery. Addressing fear, anxiety, and identity loss, while enhancing confidence and social support, is crucial for a successful return to play. This study highlights the necessity for comprehensive recovery protocols that consider both physical and psychological readiness. Practitioners should prioritize individualized psychological assessments and foster supportive environments to improve recovery outcomes.

AN INTEGRATIVE LITERATURE REVIEW ON SPIRITUAL NEEDS FROM THE PERSPECTIVE OF OLDER ADULTS LIVING WITH DEMENTIA

Abstract Spirituality is a part of successful aging, promoting better sleep, well-being, and cognitive function. Persons living with dementia (PLWD) are reported to have greater needs related to their spirituality (spiritual needs) compared to persons without dementia; however, support for spiritual needs is minimally present or absent in dementia care. Unmet spiritual needs may lead to depression, anxiety, and greater physical pain; thus, addressing the spiritual needs of PLWD is essential to support well-being and inform personalized care. Our integrative literature review explored characteristics of spiritual needs of PLWD and how to support them. ATLA Religion, CINAHL, PsychInfo, PubMed, and SocIndex were searched between 2000 and 2022, resulting in five original research articles meeting inclusion criteria focusing on spiritual needs of PLWD, including PLWDs’ perspectives. Most studies (n=4) were qualitative design, conducted worldwide in various settings, and included mild to moderate stage dementia. Components of spiritual needs covered the importance of connection and meaning for a sense of peace to support their identity and values. Connection to elements of spirituality included religion, meaningful relationships, nature, art, and self. Meaning was connected to past sources and experiences, supported by spiritual and religious activities. A sense of peace is supported through meaningful activities and religious rituals to help them rely on their faith through fear and memory loss. Support for spiritual needs may facilitate meaningful engagement for PLWD, leading to a sense of peace. Healthcare providers may utilize complementary, low-cost holistic care to promote personhood, values, and well-being among PLWD.

AGING AND THE LIVED EXPERIENCES OF TRANSGENDER AND GENDER NONCONFORMING OLDER ADULTS

Abstract Adults identifying as transgender and gender non-conforming (T/GNC) in the United States may experience adversity, victimization, and discrimination across the life span (McDowell, et al., 2019). T/GNC older adults have higher rates of poverty, homelessness, social isolation, depression, and violence compared to older adults in the general population and compared with lesbian, gay, and bisexual (LGB) older adults (Sloan & Benson, 2022). This descriptive phenomenological study utilized a purposive and snowball sampling strategy and sought to increase understanding of this diverse group. Twenty participants aged 50 and older were interviewed. Themes included fear and/or actual loss of relationships after “coming out” as transgender; concerns and complexity of healthcare and anticipated changes in healthcare if faced with needing long-term care; navigating gendered space; living as their authentic self; “passing” as cisgender; finding acceptance within the LGB community; desire but struggles to have intimate relationships; conflict between internal and external sense of self; and histories of depression, and suicidality. Protective factors included having an internal source of strength; support within the T/GNC community; being in committed relationships; and receiving support from others. Age at time of transitioning, sex assigned at birth, and identifying as GNB but not transgender influenced lived experiences. McDowell, M.J., Hughto, J.M.W., & Resiner, S.L. (2019). Risk and protective factors for mental health morbidity in a community sample of female-to- male trans-masculine adults. BMC Psychiatry, 19(16), 1-12. https://doi.org/10.1186/s12888-018-2008-0 Sloan, S., & Benson, J. J. (2022). Toward a conceptual model for successful transgender aging. Qualitative Social Work, 21(2), 455-471. https://doi.org/10.1177/1473325021994666

Mesenteric Ischemia.

Mesenteric ischemia occurs when perfusion of the visceral organs fails to meet normal metabolic requirements and subsequently results in abdominal symptoms such as diffuse postprandial pain, peritonitis, food fear, and weight loss. While generally divided into acute and chronic manifestations, mesenteric ischemia is commonly misdiagnosed at initial presentation due to the significant overlap with symptoms of other abdominal pathologies. Prompt recognition and diagnosis, mesenteric revascularization, and critical care management remain the mainstay of treatment in these patients for optimal outcomes. This review will highlight acute versus chronic mesenteric ischemia, their etiology, diagnostic criteria, treatment options, and will emphasize the joint role of the gastrointestinal and vascular surgeon in the timely management of this condition to prevent devastating outcomes.

Quality of Life in Adults with Chronic Cough: A Mixed Methods Study Informing the Development of a Quantitative Patient Preference Study.

This study aimed to describe quality of life for patients with chronic cough (CC) and identify meaningful attributes that affect patient treatment preferences to inform the design of a quantitative preference study. Eligible patients (≥ 18 years) with a CC (> 8 weeks) participated in qualitative interviews with two defined steps. Step one: concept elicitation and bidding games were used to collect descriptions of patient experiences with CC and identify important CC-related attributes. Step two: attributes were confirmed using concept elicitation and bidding games and prioritized using structured card sort activities. Purposive sampling ensured diversity of patient experiences. Qualitative content analysis was used to analyze participant narratives, and descriptive statistics were used to summarize card sort results. This study follows a fully mixed concurrent dominant status design, with qualitative (dominant) and quantitative components. A total of 20 participants were interviewed with a mean age of 61.4 years (range 24-79 years). Coughing episodes, described as intense consecutive coughs that made catching breath difficult, were important to most participants (n = 17). Participants emphasized the emotional impact of episodes including feelings of uncertainty, loss of control, self-consciousness, and fear. Severity of CC was most often judged by frequency (n = 11) and intensity (n = 12) of cough. Daily, physical, or social activities were impacted for most participants. Impact on sleep (n = 14) included waking during the night, difficulty falling asleep, and daytime fatigue. Medication-related taste disturbances were an important consideration for what participants were willing to accept in exchange for cough relief. This study emphasizes the importance of coughing episodes for adults with CC and provides initial evidence that taste alterations are an important component of patient treatment decisions for CC.

Exploring protective psychological factors of healthcare professionals during COVID-19 in Singapore: A qualitative study

This qualitative study aimed to explore the psychological impact of the Coronavirus 2019 (COVID-19) pandemic on frontline healthcare professionals (HCPs) both in primary care and hospital emergency departments in Singapore, to understand (1) the experience of HCPs during the outbreak, the new challenges faced on the job, how they were affected psycho-socially, (2) the support received, and (3) the protective factors of psychological distress. Purposive sampling was used to identify frontline HCPs, and those in managerial positions leading clinical teams. Semi-structured in-depth interviews were conducted with 39 participants from June to November 2020 via a video-conferencing platform, audio-recorded and transcribed verbatim. Thematic analysis using an inductive approach was conducted to elicit themes. We identified themes related to (i) the psychological impact they experienced, and (ii) the protective factors during this challenging period. In terms of psychological impact, work-related stressors such as physical burnout, loss of control and fear of infecting family were common themes. HCPs also experienced increased stress at home due to distancing measures they adhered to in order to protect their family. Themes related to psychological protective factors were also identified, such as resilience, team spirit, social support from peers, family and the public, and psychological readiness for the pandemic.

Rebuilding a Reproductive Future Informed by Disability and Reproductive Justice.

Rebuilding a Reproductive Future Informed by Disability and Reproductive Justice.

Patient Attitudes Regarding Health Care Clinician Communication in Adolescents with Cystic Fibrosis.

The quality of health care clinician (HCC) communication varies, yet few studies evaluate ways to improve communication among adolescents with cystic fibrosis (CF). We sought to characterize the attitudes of adolescents and young adults (AYA) with CF about HCC communication and describe the components important for high-quality communication. AYA with CF aged 12-20 years from a single large pediatric CF care center participated in a brief survey and semi-structured individual and group virtual interviews that were recorded, transcribed, coded and analyzed with a combined deductive and inducive approach. Discrepancies were resolved by consensus. Among the 39 survey respondents, most were white (77%), male (51%), and averaged 15.51 years (range 12 - 20 years). Many (40%) perceived their health status as "neutral" and over half (61%) were "very satisfied" with HCC communication. Overall, among the 17 interviews (averaged 53.6 minutes, range 31.5-74 min), participants reported a desire to be actively engaged in discussions about their health and included in the decision-making process with HCC to support adolescent autonomy and cultivate trust. Some factors detract (loss of control and fear of diagnosis), and others strengthen (transition to adult care and external motivators) adolescent autonomy. Some factors detract (perceived lack of interdisciplinary communication, statements of non-compliance, and being compared to others) and others strengthen (inherent trust and familiarity over time) the cultivation of trust. The development of adolescent autonomy and the cultivation and maintenance of trust between the patient and HCC are two essential components of quality communication that should inform future communication-focused interventions.

İntihar Davranışında Bulunan Bireylerin Güven ve Güç Kaynakları

This study was produced from the data obtained as a result of interviews with people who applied to Elazig Fırat University Hospital and their relatives as a result of suicidal behavior between August 1 and October 31, 2021. In the related research, which was planned qualitatively and used purposive sampling technique, 31 cases were reached and a total of 55 people were interviewed, 21 of whom were suicide attempters. In this study, the effects of these factors on suicidal behavior are evaluated by making use of research data on the power sources that people have, the methods of coping with problems, the networks they are involved in and the bonds they establish based on confidence. According to research data; "loss of trust and fear, attachment behavior disorders, chronic diseases, responsibility for care, challenging characteristics of transitional periods, addiction, unresolved family problems, histories of neglect and abuse, economic problems, and beliefs that the request for help will not be met or will be used against them" these are the main problems that limit social life and help resources of people who commit suicidal behavior. Hiding or denying the need for help for various reasons, lack of equipment to cope with crisis situations and lack of a supportive environment complicates the problems, complicates the solution and increases the risk of suicide by deepening the feelings of hopelessness and loneliness. It is thought that this study, which reveals the need for medical and public health social work practices in the intervention processes related to suicide, will contribute to the planning of preventive services related to suicide and the assessment of suicide risk. Keywords: Suicide, Suicidal Behavior, Attachment Behavior, Coping Methods, Medical Social Work, Public Health Social Work Jel Codes: I0, I31, J12, J17, Z0

Impact of COVID-19 stress on the psychological health of sexual & gender minority individuals: A systematic review.

The differential effect of the Covid-19 pandemic on the mental health of the population around the globe is well documented. Social isolation, loss of job, financial crisis, and fear of infection due to the pandemic have widely affected people across countries, and the sexual and gender minority (SGM) group is no exception. However, the additional stressors like stigma, discrimination, rejection, non-acceptance, and violence associated with diverse sexual orientation complicated the situation for the SGM group in the context of the Covid-19 pandemic. The present study conducted a systematic review of research (n = 16) investigating the impact of Covid-19 stress on the psychological health of SGM individuals. The review had two objectives: (a) to explore the effect of the stress associated with the pandemic on the psychological health of the SGM individuals; and (b) to identify potential stressors associated with the Covid-19 pandemic affecting the mental health of SGM individuals. Studies were selected following a PRISMA protocol and several inclusion criteria. The review provided new insights into the mental health issues of the SGM individual in the Covid-19 context. The outcome of the review focused on five aspects: (a) depression and anxiety symptoms related to Covid-19 symptoms; (b) perceived social support and Covid-19 stress; (c) family support and psychological distress related to Covid-19; (d) Covid-19 stress and disordered eating, and (e) problem drinking and substance abuse associated with Covid-19 stress. The present review indicated a negative association between Covid-19 stress and psychological distress among sexual and gender minority individuals. The findings have important implications for psychologists and social workers working with this population and policymakers around the globe.