Negative Psychological Changes Research Articles

Perceptions of interpreters working for refugee clients of the psychological effects of their work

This study aims at presenting a picture of the perceptions of the interpreters working for refugees in legal and public healthcare settings in Türkiye with a focus on the psychological effects of their work. Taking this objective as a departure point, questionnaires and semi-structured interviews were conducted to investigate the causes of psychological challenges, reactions to these challenges, coping strategies, and negative and positive psychological changes that interpreters went through in the course of their work. Interviews were analyzed following a thematic analysis procedure, complemented with the analysis of the questionnaire results. The findings revealed that the interpreters came under a degree of psychological strain, including psychological stress, in the course of their work. The reasons included trauma-related stories of refugees, service providers’ lack of awareness of the interpreters’ work specifications, unfavorable working conditions, and racism against refugees in the workplace. The interpreters were also found to show certain reactions to psychological challenges, including feeling sad, crying, and sleep problems among others. Findings also revealed that the interpreters employed a few strategies to cope with these challenges such as socializing with friends, and that the interpreting work with refugees led to mostly positive psychological changes on the interpreters. The changes involved gaining self-confidence and feeling stronger than before. The findings, pinpointing the needs for support structures for interpreters working for refugees in Türkiye, will feed into the overall discussions on the psychological dimensions of interpreting for refugee clients.

Hope, optimism, and pessimism as predictors of positive and negative psychological changes related to the COVID-19 pandemic in Slovak adults.

Positive and negative changes in outlook represent psychological changes that are the results of the cognitive processing of stressful and traumatic events by an individual. The objectives of the study were (1) to determine the level of occurrence and types of positive and negative changes in connection with the COVID-19 pandemic among adults in Slovakia and (2) to study the role of personality factors such as hope (dispositional and perceived) and life orientation (optimism and pessimism) in the prediction of positive and negative changes in adults during the fourth pandemic wave. A Short Form of the Changes in Outlook Questionnaire (CiOQ-S), the Dispositional Hope Scale (DHS), the Perceived Hope Scale (PHS), and the Life Orientation Test (LOT-R) were administered. The research sample consisted of 102 participants, whose ages ranged from 20 to 65 years (Mage = 38.90, SD = 14.28). The research design was quantitative, exploratory, and confirmatory. In total, 95% of participants reported positive changes related to COVID-19. Concurrently, up to 70% of these participants also reported negative changes from the impact of the pandemic. Only 25% of participants reported positive changes without noticing any negative perception of the consequences of the pandemic. Overall, 68% of participants reported negative changes related to COVID-19. Only 29% of participants reported negative changes without noticing any positive perception of the consequences of the pandemic. In total, up to 86% of participants agreed with experienced psychological changes (positive or negative) as a result of the COVID-19 pandemic. The high prevalence of positive changes along with the relatively high prevalence of negative changes related to the COVID-19 pandemic outline the question of whether reported positive changes represent real or illusory growth. Optimism and pessimism were found to be significant independent predictors of positive changes related to the COVID-19 pandemic. Hope was identified as a significant independent predictor of negative changes related to the COVID-19 pandemic.

The effect of Crocus sativus L. (saffron) herbal tea on happiness in postmenopausal women: a randomized controlled trial

BackgroundEvidence suggests that menopause can be associated with a variety of negative psychological changes such as depression and anxiety, and improving the mental health status of women during menopause is one of the important priorities and challenges of the health system. The aim of this study was to determine the effect of saffron (Crocus sativus L., Iridaceae) herbal tea on happiness in postmenopausal women.MethodsIn this randomized clinical trial which was conducted in 2021, 72 postmenopausal women were enrolled and divided into intervention and control groups. The randomization blocks method was used for random allocation, and the Oxford Happiness Questionnaire was utilized to measure the scores. The intervention included the use of 30 mg of dried stigmas of the saffron plant, which was boiled once (in the morning, in 300 ml of boiling water for 10–15 min) and consumed with white rock candy as one cup of saffron tea daily. To compare the trend of changes and after removing the effect of other variables, generalized estimating equation (GEE) was used.ResultsThere was no significant difference between the intervention and control groups in any of the quantitative and qualitative characteristics (p > 0.05). The results of paired samples t-test showed that the happiness mean score in the intervention group increased significantly (p < 0.001) from 42.93 ± 8.54 to 61.58 ± 8.24, while in the control group, there was no significant difference between the happiness mean score at the beginning and end of the study (p = 0.861). Also, after applying the treatment program in the intervention group, there was a significant difference between the two groups in terms of the happiness mean scores (p < 0.001).ConclusionSaffron herbal tea had a positive effect on reducing depression and increasing the happiness score; thus, it is recommended that it should be used as a complementary treatment in consultation with the treating physician.Trial registrationThe present study was registered with the code of IRCT20210403050818N1 (Registration date: 09/04/2021) in the Iranian Registry of Clinical Trials. It was also approved by the Ethics Committee of Larestan University of Medical Sciences (Approval ID: IR.LARUMS.REC.1399.017).

PSYCHOLOGICAL COMPLICATIONS AND THE POTENTIAL TRIGGER EFFECT OF COVID INFECTION AND "LONG-COVID"

The main point of this article is to search, analyze and compare the newest available data about the psychological effects of the COVID-19 pandemic. We look at the problem both like the solo question of viral infection that damages some parts of the human body and accidentally pushes negative psychological changes and like the factor, which creates a grate socio-economic disturbance. We make sure to choose the most recent reviews with high quality and design by analyzing medical and social factors in different groups. The results help us to understand two main problems of the COVID-19 pandemic - psychological damage to vulnerable groups of people, especially women and children, and also the severe impact of the virus itself, especially in a patient with hard clinical forms of SARS..

Factors Predicting Post-Traumatic Positive and Negative Psychological Changes Experienced by Nurses during a Pandemic COVID-19: A Cross-Sectional Study.

It is common knowledge that COVID-19 affects physiopathological changes in all systems of the human body. On the other hand, events related to the COVID-19 pandemic also have a significant impact on the social and mental sphere of human functioning. The aim of this study is to determine the relationship between selected sociodemographic variables and selected subjective cognitive resources, and the positive and negative perception of the consequences of the COVID-19 pandemic in a group of nurses working in Poland. The computer-assisted web interviewing method was conducted between 1 and 15 May 2020. Participants were requested to complete the following questionnaires: The Changes in Outlook Questionnaire (CIOQ), The Impact Event Scale-Revised (IES-R), The Multidimensional Scale of Perceived Social Support (MSPSS), The Safety Experience Questionnaire (SEQ), and The Meaning in Life Questionnaire (MLQ). Three-hundred and twenty fivenurses working all over Poland participated in the study. Their mean age was 39.18 ± 11.16 years. A higher average level was noted among the surveyed nurses in the Positive Change subscale (18.56 ± 4.04). In a multivariate model, taking into account both sociodemographic and cognitive variables, the level of perceived traumatic stress, the level of social support, a sense of security, reflection on safety and a sense of meaning and meaning in life were independent predictors of a positive perception of the consequences of the COVID-19 pandemic. Those variables explained as much as 37% of the dependent variable, and the nature of the relationship was positive. While we are still a long way from understanding the full range of the long-term impact of the COVID-19 pandemic on mental health and psychosocial well-being, it is possible that in this challenging context there are many individual resources available to perceive the effects of the current pandemic positively. Therefore, they should be strengthened through the development and implementation of intervention programs to improve the mental state of nurses.

Prevalence, Magnitude, and Methods of Weight Cutting Used by World Class Powerlifters.

Kwan, K and Helms, E. Prevalence, magnitude, and methods of weight cutting used by world class powerlifters. J Strength Cond Res 36(4): 998-1002, 2022-Powerlifters compete in the squat, bench press, and deadlift, with winners determined by the highest 3-lift total in each weight class. As a weight class-based sport, athletes often compete in classes lower than their habitual weight, using various strategies to make weight. This study's purpose was to examine weight cutting prevalence, magnitude, and methods among 42 male and 22 female powerlifters (25 ± 8 years old; 4 ± 2.2 years of competitive experience) competing at the 2018 International Powerlifting Federation classic world championship. The lifters, 83% of whom cut weight losing an average 2.9 ± 4.3% of body mass, completed a previously validated weight cutting questionnaire. The most frequently used weight cutting methods were gradual dieting (42.18%, 31.25%), fluid restriction after fluid loading (32.8%, 34.4%), restricting fluid ingestion without fluid loading (23.4%, 9.4%), fasting (15.6%, 18.7%), increased activity (9.4%, 24.4%), laxatives (9.4%, 18.7%), sauna (7.8%, 6.3%), diuretics (7.8%, 6.3%), skipping meals (4.7%, 21.9%), and wearing rubber suits (1.6%, 2.6%). Most lifters experienced negative changes in psychological state, with only 9% reporting never experiencing any negative effect on psychological state across the 5 states measured. Lifters reported experiencing fatigue (15.6%, 45.3%), anger (3.2%, 26.6%), feelings of isolation (4.7%, 12.5%), and anxiety (14.1%, 35.95%), and 11 of the 12 lifters who reported a perceived decrement in training performance performed weight cutting. Both weight cutting methods and negative psychological changes experienced were reported as always, sometimes. Therefore, it is vital to provide specific recommendations based on scientific research to improve the efficacy and safety of making weight while minimizing performance decrements.

Emotion Regulation Mediates Posttraumatic Growth and Cluster B Personality Traits After Childhood Trauma.

Cluster B personality disorder traits and positive psychological change, known as posttraumatic growth (PTG), are both possible outcomes following childhood trauma. However, existing research has not yet explored whether emotion regulation difficulties can simultaneously explain these negative and positive changes. A sample of childhood trauma survivors (N = 223) provided responses to an online survey, with findings assessed using structural equation modeling techniques. Emotion regulation difficulties were found to mediate between childhood trauma severity and cluster B traits (ab cs = -.05), and between childhood trauma severity and PTG (abcs = .13), with small to medium indirect effects. The final model accounted for more variance in cluster B traits (56%) than PTG (10%). Emotion regulation is therefore a key mediator of positive and negative psychological changes and should be the focus of intervention efforts among childhood trauma survivors.

The menopausal transition in Mongolia.

The purpose of this cross-sectional pilot study was to develop a preliminary understanding of how menopause is experienced by Mongolian women. Our goals were to collect symptoms associated with the end of menstruation and to understand the language used and meaning of menopause in everyday life. We carried out interviews using a semistructured questionnaire with open-ended questions (n = 17). In the capital city of Ulaanbaatar, we carried out two focus groups of five women each in a community center and an artisan factory, along with five separate interviews in a second community center and a coffee shop. We also administered the questionnaire by phone to two women residing in rural villages. The most common symptoms associated with the end of menstruation were hot flashes (71%), anger (47%), and stress (29%). Other symptoms included shortness of breath, fatigue, crying, and badairakh (tingling) on the face. Women used the words tsevershilt and tsevershikh to describe cleansing. Menstruation was thought to rid the body of "bad" blood, so with menopause the body has been "cleaned." Conversely, some women attributed a decline in health, including varicose veins, diabetes, and negative psychological changes, to the retention of "bad" blood after menopause. The topic of menopause is not taboo, and the prevalence and experience of hot flashes is similar to experiences described across the world. However, there are specific words and concepts, such as tsevershikh and tsevershilt, that are uniquely applied to the menopausal transition in Mongolia.

General practitioner trainees\u2019 career perspectives after COVID-19: a qualitative study in China

BackgroundThe coronavirus disease 2019 (COVID-19) has been a worldwide public health emergency that has put great pressure on medical workers and the medical system. General Practitioners (GPs) played an important role in controlling the epidemic, and GP trainees also took an active part in this approach. This study was to explore Chinese GP trainees’ career perspectives after COVID-19.MethodsWe conducted a qualitative research study which included 12 GP trainees from three teaching hospitals in China. Semi-structured telephone interviews were conducted. Grounded theory and thematic analysis were used to code the data and identify categories and factors.ResultsEleven participants chose to continue a GP career after COVID-19, and nearly half of the participants strengthened their determination to dedicate themselves to this career. Only one participant decided to change the career choice because of interest in another specialty. Four main themes influencing GP trainees’ perceptions of career development after COVID-19 emerged from the interviews: changes of GPs’ work content in COVID-19, challenges of being a GP, psychological changes of the career, how to provide better primary care. Although some negative psychological changes existed, most of participants were inspired by role models and medical colleagues. They had more in-depth understanding of GPs’ role and responsibility during COVID-19, and exhibited intensions for self-improvement in career development, especially in public health education and self-protection in preventing infectious diseases. In addition, the wide use of telemedicine provided a new work way for GP trainees. However, challenges, such as increased workloads, low income, lack of resources in primary medical institutions, and distrust of GPs are faced by trainees during the outbreak.ConclusionsOverall, no substantial changes were seen in the career choice of GP trainees after COVID-19 outbreak. However, they were inspired and had an in-depth understanding about the GP’s work and responsibility during an epidemic. Owing to the challenges faced by the GPs, measures are needed to improve the GP education and work environment in the training phase.

Nurses’ psychological changes and coping strategies during home isolation for the 2019 novel coronavirus in China: A qualitative study

To explore the psychological changes of nurses during home isolation, the factors that related with these changes, and coping strategies in home isolation during the epidemic of COVID-19 in China. A qualitative study based on grounded theory. Individual semi-structured telephone interviews were conducted from January 2020-February 2020 with 10 nurses who were isolated at home sharing the experiences of the epidemic of COVID-19. All interviews were audio recorded, transcribed, and analysed using constant comparative data analysis. Analyses of the collected data reveal that the psychological changes of nurses during home isolation reflect a complex, dynamic, and gradually adaptive process that was affected by many factors. Nurses had many negative emotional reactions in the early stages of isolation and positive emotions gradually increased during home isolation. After release from home isolation, they become more confident and calm after. Six categories of coping strategies were identified, including reasoned cognition; autosuggestion; develop healthy protective behaviours; shifting attention; social support; and the power of a role model. The study provides a better understanding of the psychological changes and the coping strategies used among nurses isolated at home. It is necessary to pay more attention to negative emotions in the early stages of home isolation to help nurses adjust quickly. The coping strategies used by nurses are likely to help those in home isolation reduce negative psychological changes and experience more optimal self-adjustment. This study explored the psychological changes and coping strategies of home isolation among nurses, providing useful advice for psychologists to develop psychological crisis interventions to help individuals reduce negative psychological and have more actively coping strategies when faced sudden stressful infectious diseases.

Post-traumatic positive and negative psychological changes experienced by child and adolescent earthquake survivors in remote rural western China: a cross-sectional study six years after the Yushu earthquake

ABSTRACT Background: Yushu, Qinghai province is located in remote Tibetan plateau in Western China, struck by a disastrous earthquake in 2010. The study aimed to find out the positive and negative psychological changes and related risk factors of children and adolescents who had experienced Yushu earthquake, 6 years after it occurred. Methods: A cross-sectional research was adopted in the capital of Yushu Autonomous Prefecture in August 2016. The short form of the Changes in Outlook Questionnaire (CiOQ-S) was used, which is a 10-item self-report instrument consists of two subscales. A total of 591 valid questionnaires completed by local junior students were finally included in our study. Results: The mean scores of the positive and negative psychological changes were 19.28 and 13.08, respectively. The factors associated with positive psychological changes included high level of education, male gender, and uninjured in the earthquake. The factors associated with negative psychological changes included living in a pasture instead of downtown, injured during the earthquake, and not receiving psychological counselling. Conclusions: The current analysis tries to investigate the long-term psychological effects of earthquakes among children and adolescents, which aims to improve the psychological health status for child and adolescent survivors of similar events.

The Relationship between "Self-Care Ability" and Psychological Changes among Hemodialysis Patients.

Aim:The study investigates and analyzes the relationship among the concepts of demoralization, posttraumatic growth, and self-care ability in patients undergoing hemodialysis.Methods:The cross-sectional descriptive correlational study was conducted in 2017 on 150 hemodialysis patients selected through census in Buali Hospital, Ardabil, Iran. Demoralization scale, the posttraumatic growth inventory, and self-care questionnaire were used for cross-sectional data collection. Data were analyzed using descriptive statistics, Pearson and Spearman correlation coefficient.Results:The mean and standard deviation of demoralization, posttraumatic growth, and self-care were 36.25 ± 18.84, 63.17 ± 17.71, and 33.89 ± 6.40, respectively. Self-care ability was positively associated with posttraumatic growth (r = 0.287) and negatively related to demoralization (r = −0.168). Self-care ability was also found to be desirable in 84.7% of the patients.Conclusions:Hemodialysis patients can experience both positive and negative psychological changes. Self-care ability is associated with reductions in negative psychological problems and increases in positive psychological changes. Health-care providers can, therefore, help hemodialysis patients to improve their psychological conditions by making plans for improving self-care abilities.

Measuring posttraumatic growth and depreciation after spinal cord injury: A Rasch analysis.

Individuals with spinal cord injury (SCI) may experience both positive (posttraumatic growth, PTG) and negative (posttraumatic depreciation, PTD) psychological changes following the injury. PTG and PTD were assessed using the 10-item short form of the Posttraumatic Growth Inventory (PTGI-SF) and 10 matched negatively worded items for PTD (selected from the PTGI-42) within the Swiss Spinal Cord Injury Cohort Study (SwiSCI). This item selection is henceforth called PTG/D-SF. The objective of this study was to test the metric properties of the PTG/D-SF to determine the best strategy to derive reliable sum scores and to test the validity of several different structural conceptualizations. Using cross-sectional data (N = 278), a series of unidimensional and multidimensional Rasch analyses of the PTG/D-SF (N = 20) were performed. Rasch analyses were conducted separately for the items or by domains to investigate dimensionality, monotonicity, item and model fit, and local item dependency of the instrument. The separate PTG and PTD items or their domains can be summated to form a unidimensional scale. Aggregation into domains improved the score distribution and increased the scope of the instruments. The reliability of the sum score for PTG was good (Person Separation: 0.81); the one for PTD was admissible (Person Separation: 0.77). PTG and PTD should be understood as distinct constructs rather than two ends of a continuum. Findings support the use of a PTG total score and to some degree the PTD total score. Future work could adapt the PTD items to improve the performance of the scale. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Measuring psychological change after trauma: Psychometric properties of a new bi-directional scale.

The current scientific measures of posttraumatic changes in the wake of major stressors have mostly been unidirectional. This study is an attempt to develop a scale that will capture the continuum of positive to negative psychological changes after trauma. Forty-five statements were presented to a veteran sample (N = 4,053) with the request to report for each item their experiences of negative, positive, or no posttraumatic changes as a result of their deployment to Afghanistan. Principal component analysis brought out 4 dimensions; 26 nonoverlapping items that had correlations above .40 were selected for the final version of the scale. The 4 dimensions were given the following designations: Self-Confidence, Interpersonal Involvement, Awareness, and Social Adaptability. Most veterans reported positive changes (36.8-80.8%) whereas a minority reported negative changes (4.5-22.0%). The total scale score correlated negatively with measures of depression, anxiety, sleep disorders, and posttraumatic stress symptoms. The posttraumatic change scale (PTCS) demonstrated acceptable psychometric properties and captured the range from negative to positive posttraumatic changes after major stress. Contrary to several previous studies, positive posttraumatic change, as measured by the PTCS, was not associated with increased symptoms of psychopathology. This underscores the heterogeneity of psychological responses to traumatic events. (PsycINFO Database Record

Fault classification with discriminant analysis during sit-to-stand movement assisted by a nursing care robot

Abstract Many nursing care robots have been developed to assist patients with sit-to-stand (STS) movement. However, little research has focused on user’s negative psychological changes during STS movement when assisted by a robot. STS movement accompanied with a negative psychological change is defined as a fault. The main purpose of this study was to propose a method of conveying faults to a nursing care robot through the vertical ground reaction force (vGRF). Experiments on STS movement were executed five times with ten healthy subjects under four conditions: two self-performed STSs with seat heights of 43 and 62 cm, and two robot-assisted STSs with a seat height of 43 cm and end-effector speeds of 2 and 5 s. Subjects answered a questionnaire on how they felt under the four experimental conditions. Time series data on the vGRF were measured with a Wii Balance Board (WBB). A classifier was designed according to the data on the STS smoothness in the frequency domain. The results showed that the proposed classifier had a high probability of discriminating fault classes from others. Furthermore, faults were found to result in larger standard deviations of the peak values of smoothness. The center of mass trajectories of the human body under the same experimental conditions were used to crosscheck the experimental results. Then, the angles and angular velocities of the trunk and ankle were utilized to discuss the synchrony of the body segments. Other works on more advanced signal analysis and superior fault classification approaches were also discussed. It was concluded that faults in the assistance of nursing care robots can be detected from the STS smoothness by measuring the vGRF.

Knowledge, attitude and practices related to menstruation among adolescent girls in Chennai

Background: Adolescence in girls is a special period which signifies the transition from girlhood to womanhood. Lack of good hygienic practices has increased the vulnerability to reproductive tract infections. Due to societal attitude, girls also associate a variety of negative physical and psychological changes on their body with menstruation. The objective of this study was to assess the knowledge, practices and attitude related to menstruation. Methods: This cross-sectional study was carried out among 500 school going adolescent girls. A pre-tested questionnaire was administered to the study population after obtaining written consent. Results: In our study 69% of the girls attained menarche at 11 to 13 years; 40 % of the girls knew about menstruation before menarche with mother being the informant in 47.7% of the subjects. Most of the girls felt scared on first menstruation (59%). All the girls in the study practised one restriction or the other. Conclusions: The study has highlighted the needs of the adolescents to have accurate and adequate information about menstruation and its appropriate management. Immense efforts are needed to curb myths about menstruation among the adolescent school going girls.

Posttraumatic growth and demoralization after cancer: The effects of patients' meaning-making.

It is common for patients to experience positive and negative psychological changes (e.g., posttraumatic growth or demoralization) after being diagnosed with cancer. Although demoralization and posttraumatic growth are both related to meaning-making, little attention has been paid to the associations among these concepts. The current study investigated the relationship between demoralization, posttraumatic growth, and meaning-making (focusing on sense-making and benefit-finding during the experience of illness) in cancer patients. Some 200 cancer patients (with lung cancer, lymphoma, or leukemia) at the MacKay Memorial Hospital in New Taipei completed the Demoralization Scale-Mandarin Version (DS-MV), the Chinese Posttraumatic Growth Inventory (CPTGI), and a self-designed questionnaire for assessing sense-making and benefit-finding. Demoralization was negatively correlated with posttraumatic growth, sense-making, benefit-finding, and time-since-diagnosis. Multiple regression analysis showed that meaning-making had different effects on demoralization and posttraumatic growth. The interactions of sense-making with either benefit-finding or time-since-diagnosis significantly predicted demoralization. Individuals with relatively higher sense-making and benefit-finding or shorter time-since-diagnosis experienced less demoralization. The suffering of cancer may turn on the psychological process of demoralization, posttraumatic growth, and meaning-making in patients. Cancer patients who evidenced higher posttraumatic growth experienced less demoralization. Trying to identify positive changes in the experience of cancer may be a powerful way to increase posttraumatic growth. As time goes by, patients experienced less demoralization. Facilitating sense-making can have similar effects. Cancer patients with less benefit-finding experience higher demoralization, but sense-making buffers this effect.

Personal growth in UK and Croatian women following childbirth: A preliminary study

Objective: The aim of this study was to examine growth in UK and Croatian women following childbirth and to identify correlates of personal growth after birth, specifically focusing on sociodemographic, obstetric and coping variables. Background: Childbirth is a significant and challenging life event for many women with the potential for both positive and negative psychological changes. Research is increasingly exploring growth in different cultures. No studies have explored growth in Croatian women following childbirth. Methods: UK (N = 193) and Croatian (N = 160) women who had given birth within the last two years completed online questionnaires measuring growth, depression, posttraumatic stress symptoms and coping strategies. Results: Approximately 44% and 35% of UK and Croatian women, respectively, reported a moderate level of growth after childbirth. Hierarchical multiple regression analyses showed that younger women in both countries reported more growth. In the UK sample, coping strategies were related to higher growth. In the Croatian sample, higher posttraumatic stress symptoms and the avoidant coping strategy of denial were associated with higher levels of growth. Conclusion: This study suggests that many women report positive changes as a result of their birth experience. Further research is needed to explore how cultural elements are manifested in the experience of growth.

Post-traumatic psychological changes among survivors of the Lushan earthquake living in the most affected areas

The primary objective of our study was to investigate both the negative and positive psychological changes following the Lushan earthquake, and to explore the factors associated with psychological changes. Multi-stage random sampling was used to select respondents from Lushan County, Sichuan Province, China. A simplified Chinese version of the short form of Changes in Outlook Questionnaire (CiOQ-S) was used to assess psychological changes in earthquake survivors. Descriptive statistics, t-tests, ANOVA and stepwise linear regression analysis were used for data analysis. A total of 4972 respondents were investigated in the cross-sectional study. The mean scores of the positive and negative psychological changes were 26.61 and 8.12, respectively. The factors associated with positive psychological changes included ethnic minority, high level of education, high household income, not injured in the earthquake, not trapped during the earthquake, and having experienced the Wenchuan earthquake. The factors associated with negative psychological changes included female gender, ethnic minority, low household income, history of diseases, injured during the earthquake, and trapped during the earthquake. The current analysis helps expand our knowledge of the negative and positive psychological changes that may occur following an earthquake experience.

Task Difficulty and Life Changes Among Stroke Family Caregivers: Relationship to Depressive Symptoms

ObjectivesTo investigate differences in stroke caregiver task difficulty and life changes based on level of caregiver depressive symptoms, and to estimate probabilities among task difficulty and life change items. DesignDescriptive analysis of baseline data from an ongoing stroke caregiver intervention trial. SettingHospitals and rehabilitation facilities. ParticipantsCaregivers (N=242; 78.6% women; 47.7% spouses; 71.8% white; mean age, 54.2±12.1y) caring for stroke survivors within 8 weeks of discharge to home. InterventionsNot applicable. Main Outcome MeasuresBaseline measures for task difficulty (Oberst Caregiving Burden Scale) and life changes (Bakas Caregiving Outcomes Scale) were compared based on level of depressive symptoms (Patient Health Questionnaire-9 [PHQ-9] scores <5 means no depressive symptoms; n=126; PHQ-9 scores ≥5 means mild to severe depressive symptoms, n=116). Mean scores were analyzed using general linear modeling, with item analyses using logistic regression and the Benjamini-Hochberg method to control type I error inflation. ResultsCaregivers with mild to severe depressive symptoms have greater difficulty with tasks and worse life changes than those with no depressive symptoms (P<.001). Odds ratios were highest for the task of arranging care while away and for negative life changes (eg, addressing self-esteem, coping with stress, physical health). ConclusionsFindings underscore the importance of depressive symptom screening for stroke caregivers during or shortly after discharge. Assisting caregivers with depressive symptoms to arrange for respite care and addressing negative physical and psychological changes may be priority areas for future interventions.