Personal Devaluation Research Articles

Gender-Based Violence and Sexism among Young Couples

This study aims to characterise the prevalence of violence in intimate relationships among young university students and the internalisation of ambivalent sexism. The method used was a quantitative, descriptive study of Primary Education and Early Childhood Education groups in Andalusia, Spain. The final sample consisted of 848 participants. As a data collection tool, we used the VIREPA questionnaire and the Ambivalent Sexism Inventory. The results show that the most frequent forms of violence in young couples’ relationships are emotional, followed by physical and sexual violence, and emotional violence, followed by physical and psychological violence, with sexual aggression being slightly lower. Concerning the variable sex, although the averages are very close, women have higher averages in terms of emotional, physical, and psychological abuse; personal devaluation; and sexual abuse, while men have higher averages in terms of social and economic control. In addition, low levels of sexism were found to be ambivalent in the sample, with the results being highly differentiated by gender, with men having higher arithmetic means than women. This led us to design educational strategies that avoid inequalities between men and women and that contribute to the eradication of sexism and, consequently, the perpetration of violence.

Understanding of Depressive Symptomatology across Major Depressive Disorder and Bipolar Disorder: A Network Analysis.

Background and Objectives: Depressive symptoms are prominent in both major depressive disorder (MDD) and bipolar disorder (BD). However, comparative research on the network structure of depressive symptoms in these two diagnostic groups has been limited. This study aims to compare the network structure of depressive symptoms in MDD and BD, providing a deeper understanding of the depressive symptomatology of each disorder. Materials and Methods: The Zung Self-Rating Depressive Scale, a 20-item questionnaire, was administered to assess the depressive symptoms in individuals with MDD (n = 322) and BD (n = 516). A network analysis was conducted using exploratory graph analysis (EGA), and the network structure was analyzed using regularized partial correlation models. To validate the dimensionality of the Zung SDS, principal component analysis (PCA) was adopted. Centrality measures of the depressive symptoms within each group were assessed, followed by a network comparison test between the two groups. Results: In both diagnostic groups, the network analysis revealed four distinct categories, aligning closely with the PCA results. "Depressed affect" emerged as the most central symptom in both MDD and BD. Furthermore, non-core symptoms, "Personal devaluation" in MDD and "Confusion" in BD, displayed strong centrality. The network comparison test did not reveal significant differences in the network structure between MDD and BD. Conclusions: The absence of significant differences in the network structures between MDD and BD suggests that the underlying mechanisms of depressive symptoms may be similar across these disorders. The identified central symptoms, including "Depressed affect", in both disorders and the distinct non-core symptoms in each highlight the complexity of the depressive symptomatology. Future research should focus on validating these symptoms as therapeutic targets and incorporate various methodologies, including non-metric dimension reduction techniques or canonical analysis.

Environmental Factors Impacting Wellness in the Trauma Provider.

The purpose of this review is to evaluate the recent literature on environmental factors impacting wellness for the acute care surgeon. This includes factors influencing physical, mental, and emotional well-being. Recent studies have identified challenges to surgeon wellness including increased incidence of sleep deprivation, musculoskeletal pain and injuries, pregnancy complications, moral injury, posttraumatic stress disorder (PTSD), and burnout. Qualitative studies have characterized the surgeon's emotional response to occupational stress, adverse events, and surgical complications. Further descriptive studies offer interventions to prevent moral injury after adverse events and to improve surgeon work environment. Acute care surgeons are at increased risk of sleep deprivation, musculoskeletal pain and injury, pregnancy complications, moral injury, PTSD, and burnout. Surgeons experience feelings of isolation and personal devaluation after adverse events or complications, and this may lead to practice limitation and progression to PTSD and/or burnout. Interventions to provide mentorship, peer support, and education may help surgeons recover after adverse events. Further study is necessary to evaluate institution-driven interventional opportunities to improve surgeon well-being and to foster an inclusive and supportive environment.

Are smoking cessation behaviours among daily smokers associated with a perceived public stigma of smokers? Cross-sectional analyses of Norwegian data 2011–2013

AbstractIntroductionPerceived stigma may be an unintended consequence of tobacco denormalization policies among remaining smokers. Little is known about the role of perceived stigmatization in cessation behaviours.AimsTo test if perceived public smoker stigma is associated with recent attempts to cease smoking and future cessation plans among adult daily smokers.MethodsUsing merged data from the biennial national survey Norwegian Monitor 2011 and 2013 (N daily smokers = 1,029), we performed multinomial and ordinal regression analyses to study the impact of perceived public stigma (measured as social devaluation and personal devaluation) on recent quit attempts, short-term intention to quit and long-term intention to quit, controlling for confounders. One additional analysis was performed to investigate the relationship between stigma and intention to quit on quit attempts.ResultsA significant association between perceived social devaluation and recent quit attempts was found (OR 1.76). Perceived stigma was not associated with future quit plans. Personal devaluation was not associated with any cessation outcome. The role of perceived social devaluation on quit attempts was mainly found among smokers with intentions to quit.ConclusionThese findings indicate that stigma measured as social devaluation of smokers is associated with recent quit attempts, but not with future quit plans.

Drug Trafficking and Youth Mortality in Brazil: An Expression of Human Rights’ Violations

This paper aims to analyze the intersectional problematic that surrounds the vio-lations of adolescents’ human rights that happen in Brazil nowadays. It focuses, more specifically, on the involvement of these youths with drug trafficking, and on the relations between their participation in crime and the rising mortality rates amidst young age groups. A large part of Brazil’s children and teenagers grow up in contexts of social vulnerability, lack of opportunities, difficult access to economical assets, and personal devaluation. This situation often pushes young individuals into involvement with drug trafficking or armed robbery, since crime represents, in their context, a possibility for economic and social ascendance. In parallel, the criminal policy adopted by the Brazilian State, synthesized in the expression “war on drugs” and manifested in the promulgation of Law 11.343/06, focuses on repressive police actions, and favors imprisonment, while doing nothing to attack the social causes of the problem. The result is the mass incarceration of young and economically disfavored individuals as well as, not infrequently, their deaths during police approaches, characterizing a situation where these adoles-cents are both perpetuators and victims of violence.

Desesperanza en jóvenes: un análisis por sexo

Despair generates personal devaluation, which can lead to states of greaterdepression. The aim was to describe experiences of despair in a sample of 224 Mexican youths of both genders aged 26 on average. A questionnaire of nine reagents validated by expert judges was used. The results show that women have experienced it more frequently. Lack of hope in participants is evidenced in the following areas: academic, occupational, economic, emotional, personal, accident / illness. With regard to the causes, women attribute it to internal factors whilemen to external factors. The results reveal that livingin despair increases the risk of losing stability and health in general.

Internalized Stigma in People Living With Chronic Pain

Although persistent pain occurs in a sociocultural context, the influence of personal devaluation and invalidation is often neglected. As such, the present study sought to consider whether individuals' experience, perception, or anticipation of negative social reactions to their pain may become internalized and affect the self. To examine this issue, 92 adults with chronic pain responded to a questionnaire exploring the presence of internalized stigma and its association with a range of psychological consequences. As predicted, a large percentage of people with chronic pain (38%) endorsed the experience of internalized stigma. The results showed that internalized stigma has a negative relationship with self-esteem and pain self-efficacy, after controlling for depression. Internalized stigma was also associated with cognitive functioning in relation to pain, in terms of a greater tendency to catastrophize about pain and a reduced sense of personal control over pain. Overall, this study presents a new finding regarding the application of internalized stigma to a chronic pain population. It offers a means of extending our understanding of chronic pain's psychosocial domain. Implications are discussed in terms of the potential to inform clinical treatment and resiliency into the future. PerspectiveThis article presents a novel finding regarding the presence of internalized stigma among people living with chronic pain. Internalized stigma is strongly associated with indicators of patient outcome. It presents an area for future work with the aim to improve our understanding and treatment of people living with pain.

Patterns of depressive symptoms in epilepsy

The purpose of this study was to determine the nature and extent of depressive symptoms among patients with epilepsy. Ninety patients were investigated over a three-month period: 42 were suffering from generalized epilepsy, 29 from focal epilepsy and 19 from undetermined epilepsy. All completed the Zung self-rating scale for assessment of the depressive symptoms. Sixty-seven patients felt stigmatized because of epilepsy (67%): 73.6% in the undetermined epilepsy group, 55.1% in the focal epilepsy group and 88% in the generalized epilepsy group. Moreover, among the 90 epileptic patients studied, symptoms of irritability, indecisiveness, personal devaluation and emptiness showed a constant increasing trend for their presence from the undetermined epilepsy group through the generalized epilepsy group to the focal epilepsy group. These findings indicate that although the focal epilepsy patients felt less stigmatized, they did not differ greatly in terms of depressive symptoms, in relation to the undetermined epilepsy and generalized epilepsy patients.

Condition of depressive symptoms among Japanese dental students

The Zung Self-Rating Depression Scale (SDS) is generally used to screen for the presence of depression. The purpose of this study was to investigate scores on the SDS, Japanese version, in undergraduates at Tsurumi University School of Dental Medicine in Yokohama, Japan. A total of 2,197 dental students completed the SDS from 2006 through 2008. The investigation took place each year over a 3-week period from June to July. When investigating, the Institutional Review Board at Tsurumi University approved the study. Students could voluntarily agree or decline to participate in the study, and all responses were provided anonymously. SDS scores by sex, class year, and change over time were analyzed. The mean SDS score ranged from 43.7 ± 8.5 to 44.8 ± 9.0 between 2006 and 2008. Women were significantly more depressed than men in 2007 and 2008. The SDS scores of the same students were high continuously for 2 years. "Diurnal variation," "personal devaluation," and "confusion" had the highest scores of the 20 individual items of the SDS. Of the participating students, 31.4-37.2% were classified as being moderately to severely depressed. Logistic regression analysis was used to compute the odds ratio for SDS scores of ≤47 versus ≥48. The item "suicidal rumination" had the highest chance of being associated with depressive symptoms in all 3 years. Although this research was limited to a single department of dentistry, it appears that dental students experience various levels of depression. Providing mental healthcare options to these students may be helpful.

Shame and guilt: A hundred years of apples and oranges

An original model of shame- and guilt-related emotions is proposed and the model's theoretical background discussed. Shame is conceptualized as an affect (i.e., basic emotion), elicited by personal devaluation and evolved by social selection. Guilt is conceptualized as a cognitively assessed condition. In response to awareness of one's own condition of guilt, one may feel a number of affects or no affect. The phrase feeling guilty is a non-specific reference to feeling as one typically feels when in the condition of guilt [Ortony, A. (1987). Is guilt an emotion? Cognition and emotion, 1, 283–298]. Thus, shame as a construct represents a single affect, while feelings of guilt represent multiple affective–cognitive hybrids, which may be associated with the condition of guilt. In terms of levels of categorization [Rosch, E. (1978). Principles of categorization. In E. Rosch & B. B. Lloyd (Eds.), Cognition and categorization (pp. 27–48). Hillsdale, NJ: Erlbaum], shame, as an affect, is a basic level category with subordinates such as embarrassment and humiliation; in contrast, the multiple feelings of guilt constitute multiple subordinate affective–cognitive hybrids—subordinate to a number of basic level affects. This model integrates a great deal of existing data, suggests a large number of hypotheses, and implies the need for a profile approach to the assessment of guilt. By conceptualizing shame as an affect, and making the distinction between guilt as a state and the multiple affective–cognitive hybrids of guilt, much of the confusion and imprecision in past theory and research may be clarified.

Patient initiatives in psychiatric care concerning shame in the discussion in co‐operative team meetings

The aim of this paper is to describe patients' experiences of shame and the way in which this experience is discussed in co-operative team meetings in acute psychiatric care. As an experience, shame is described as a painful and ugly feeling, which results in personal devaluation, isolation and a feeling of inferiority compared to others. This paper is based on 11 videotaped episodes of co-operative team meetings in two psychiatric units. The study approach was narrative. Shame was found to be the core narrative. The narrative of shame was laid out as an experience, and shame caused difficulties in the patients' daily lives and finally led to feelings of difference and loneliness. When the psychiatric patients and significant others tried to speak about the experience of shame with the professionals, the professionals either did not respond or changed the topic of discussion by asking questions about the patient's daily life and rationalizing the experience of shame. The participants did not share a common objective in the co-operative team meetings. Further research is needed to find new ways of co-operative team discussion and to develop the co-operative team meetings towards a patient-orientated model.

Depression measured by the Zung Depression Status Inventory is very rare in a Finnish population aged 85 years and over.

The purpose of this study was to obtain information about the prevalence of depressive symptoms in a representative sample of elderly subjects aged 85 years and over. The study was carried out as a population-based interview study in the City of Vantaa in Finland. The Zung Depression Status Inventory (DSI) was used to evaluate various depressive symptoms in this study population. The DSI scores range from 20 to 80; the higher the score, the more severe the disturbance. In subjects interviewed (n = 467, 362 women, 105 men), the prevalence estimates of depression with cutoff scores used in earlier studies (40 and 48) were very low: 5.2% and 1.1%. Also, the mean DSI score (SD) was very low, 27.9 (6.4). The scores tended to decrease with age, although the differences were not statistically significant. The DSI means were 28.0 (6.1) for women and 27.3 (7.2) for men (p = .0349). Women had a greater risk of being classified as depressed on the DSI (odds ratio: 1.60, 95% confidence interval: 1.00-2.57, p = .049). Feelings of emptiness, personal devaluation, and depressive mood were the most common depressive symptoms. In conclusion, the present population-based study shows that subjective experience of depression is very rare in Finnish people aged 85+. Our results suggest that optimistic mood might give some protection against death.

Psychological considerations affecting rehabilitation after amputation.

About half of the patients who undergo an amputation later require some form of psychological help. Patient needs vary with age, and they can be considered in 3 groups; children, adults and the aged. Children are profoundly influenced by parental reactions. Adult adjustment is more satisfactory when their personal devaluation is seen as a lost asset rather than if seen in comparative terms, while the elderly are dependent on the continuing support of their families. Patients derive a great deal of support from other patients in group situations. This Is of value before and immediately after surgery, In situations requiring the fitting of a limb, and through group discussions. Also, there is often a significant interaction between patients and those concerned with their management.