Psychological Support Program Research Articles

A Psychological Support Intervention to Help Injured Athletes "Get Back in the Game": Design and Development Study.

BackgroundAfter a serious knee injury, up to half of athletes do not return to competitive sport, despite recovering sufficient physical function. Athletes often desire psychological support for the return to sport, but rehabilitation clinicians feel ill-equipped to deliver adequate support.ObjectiveWe aimed to design and develop an internet-delivered psychological support program for athletes recovering from knee ligament surgery.MethodsOur work for developing and designing the Back in the Game intervention was guided by a blend of theory-, evidence-, and target population–based strategies for developing complex interventions. We systematically searched for qualitative evidence related to athletes’ experiences with, perspectives on, and needs for recovery and return to sport after anterior cruciate ligament (ACL) injury. Two reviewers coded and synthesized the results via thematic meta-synthesis. We systematically searched for randomized controlled trials reporting on psychological support interventions for improving ACL rehabilitation outcomes in athletes. One reviewer extracted the data, including effect estimates; a second reviewer checked the data for accuracy. The results were synthesized descriptively. We conducted feasibility testing in two phases—(1) technical assessment and (2) feasibility and usability testing. For phase 1, we recruited clinicians and people with lived experience of ACL injury. For phase 2, we recruited patients aged between 15 and 30 years who were within 8 weeks of ACL reconstruction surgery. Participants completed a 10-week version of the intervention and semistructured interviews for evaluating acceptability, demand, practicality, and integration. This project was approved by the Swedish Ethical Review Authority (approval number: 2018/45-31).ResultsThe following three analytic themes emerged from the meta-synthesis (studies: n=16; participants: n=164): (1) tools or strategies for supporting rehabilitation progress, (2) barriers and facilitators for the physical readiness to return to sport, and (3) barriers and facilitators for the psychological readiness to return to sport. Coping strategies, relaxation, and goal setting may have a positive effect on rehabilitation outcomes after ACL reconstruction (randomized controlled trials: n=7; participants: n=430). There were no trials of psychological support interventions for improving the return to sport. Eleven people completed phase 1 of feasibility testing (technical assessment) and identified 4 types of software errors, which we fixed. Six participants completed the feasibility and usability testing phase. Their feedback suggested that the intervention was easy to access and addressed the needs of athletes who want to return to sport after ACL reconstruction. We refined the intervention to include more multimedia content and support access to and the use of the intervention features.ConclusionsThe Back in the Game intervention is a 24-week, internet-delivered, self-guided program that comprises 7 modules that complement usual rehabilitation, changes focus as rehabilitation progresses, is easy to access and use, and includes different psychological support strategies.

The Wessex Fit-4-Cancer Surgery Trial (WesFit): a protocol for a factorial-design, pragmatic randomised-controlled trial investigating the effects of a multi-modal prehabilitation programme in patients undergoing elective major intra–cavity cancer surgery

Background: Surgical resection remains the primary curative treatment for intra-cavity cancer. Low physical fitness and psychological factors such as depression are predictive of post–operative morbidity, mortality and length of hospital stay. Prolonged post-operative morbidity is associated with persistently elevated risk of premature death. We aim to investigate whether a structured, responsive exercise training programme, a psychological support programme or combined exercise and psychological support, delivered between treatment decision and major intra-cavity surgery for cancer, can reduce length of hospital stay, compared with standard care. Methods: WesFit is a pragmatic , 2x2 factorial-design, multi-centre, randomised-controlled trial, with planned recruitment of N=1560. Participants will be randomised to one of four groups. Group 1 (control) will receive usual pre-operative care, Group 2 (exercise) patients will undergo 2/3 aerobic, high-intensity interval training sessions per week supervised by personal trainers. Group 3 (psychological support) patients are offered 1 session per week at a local cancer support centre. Group 4 will receive both exercise and psychological support. All patients undergo baseline and pre-operative cardiopulmonary exercise testing, complete self-report questionnaires and will be followed up at 30 days, 12 weeks and 12 months post-operatively. Primary outcome is post-operative length-of-stay. Secondary outcomes include disability-adjusted survival at 1-year postoperatively, post-operative morbidity, and health-related quality of life. Exploratory investigations include objectively measured changes in physical fitness assessed by cardiopulmonary exercise test, disease-free and overall mortality at 1-year postoperatively, longer-term physical activity behaviour change, pre-operative radiological tumour regression, pathological tumour regression, pre and post-operative body composition analysis, health economics analysis and nutritional characterisation and its relationship to post-operative outcome. Conclusions: The WesFit trial will be a randomised controlled study investigating whether a high-intensity exercise training programme +/- psychological intervention results in improvements in clinical and patient reported outcomes in patients undergoing major inter-cavity resection of cancer. ClinicalTrials.gov registration: NCT03509428 (26/04/2018)

The psychological impact on frontline nurses in Spain of caring for people with COVID-19

AimTo understand the perceptions of National Health System nurses who have been working on the frontline of the psychological impact of caring for people with COVID-19 during the first and second waves. MethodsA qualitative study, the design and analysis of which was based on phenomenology. For data collection, a semi-structured interview was administered to a sample of nurses who worked on the frontline in public hospitals in Extremadura and Madrid, Spain. The interviews, which followed a script including various topics, were conducted between May and November 2020 so as to include the experiences of the first and second waves of the pandemic. Sample collection continued until data saturation. The data were analysed following the phenomenological method of Giorgi with the help of the Atlas-Ti software. ResultsTwo main themes emerged from the data analysis that explained the nurses' perceptions: (i) the main psychological repercussions of being frontline carers (anxiety, fear, stress, impotence, frustration, and an increase in obsessions and obsessive behaviours) and (ii) psychological coping strategies (collapse in the face of the situation, dissociative amnesia, leaning on colleagues and working as a team, resigning oneself, perceiving the situation as a war, and being aware of psychological repercussions). DiscussionCaring as the first line causes great psychological repercussions for nurses. It is necessary to implement psychological and emotional support programmes to address the post-traumatic stress that nurses can suffer.

Problematic Smartphone Use: Prevalence and Associated Factors Among Health Sciences Students in Saudi Arabia.

Excessive smartphone use leads to several physical and psychological disorders, particularly among young adults. This study aimed to investigate the prevalence and the associated factors of problematic smartphone use (PSU) among health sciences students in Jeddah, Saudi Arabia. During the 2019 academic year, a cross-sectional analytic study randomly recruited 408 health sciences students (67.5% were females), with a mean age of 20.5 ± 1.42. Data on sociodemographic and health profiles, smartphone usage patterns, and overuse symptoms were collected for each participant. The Smartphone Addiction Scale-Short Version (SAS-SV) and Generalized Anxiety Disorder 7-item (GAD-7) scale were used to assess PSU and anxiety levels. PSU was detected in 66.9% of the study participants. The prevalence is high among both females and males (69.5 and 61.7%, respectively). PSU was found to be associated with more years of use and frequent smartphone upgrading (aOR = 2.11, 95% CI: 1.12, 3.97) and (aOR = 1.69, 95% CI: 1.08, 2.65), respectively (p = 0.021 and 0.021, respectively). Participants with moderate and severe anxiety levels were found to be more likely to have PSU (aOR = 2.22, 95% CI: 1.21, 4.05) and (aOR = 5.97, 95% CI: 2.41, 14.78), respectively. (p = 0.010 and < 0.001, respectively). PSU is an emerging problem among health sciences students in Saudi Arabia with a high prevalence in both genders. Longer years of use, more frequent smartphone upgrades, and higher anxiety levels are associated with PSU among health sciences students. Special health education and psychological support programs are recommended to guide and support future healthcare providers against the consequences of PSU.

Эмпирический подход к изучению копинг-стратегий материнского поведения

The article reflects the results of the implementation of an empirical approach to understanding the problem of maternal behavior. Based on the research results of D.V. Winnicott, M. Mead, Z. Freud, E. Erickson; AND I. Vargi, I.S. Kona, R.V. Ovcharova, G.G. Filippova and many others, both foreign and domestic scientists, and considering parenthood as a bio-social phenomenon that includes a set of value orientations, attitudes, expectations, parental responsibility, feelings and attitudes towards children, as well as a style implemented in communication with a child. family education, we consider motherhood as the most important form of its manifestation (the results of research by A. Meneghetti, F. Horvath; V.I. Brutman, O.R. Voroshnina, V.S. Mukhina, M.S. Radionova, V.A. Ramikh, N.V. Samoukina, G.G. Filippova, etc.). Having generalized the approaches of researchers to the definition of the essence of motherhood, we tend to understand it as a socio-cultural phenomenon, a form of self-realization of a woman, which consists in a woman’s steady need to be a mother, which is manifested in care, love and responsibility towards your child. Turning to the study of the genesis, factors and conditions affecting the formation of motherhood (the works of N.N. Avdeeva, N.I. Gaposhenko, A.I. Zakharova, S.Yu. Meshcheryakova, R.V. Ovcharova, G.G. Filippova, etc.), we are inclined to say that the development of motherhood is a rather long process, carried out practically from the period of early childhood under the influence of both the experience and atmosphere of raising a child in the family of her parents, the specifics of the personal sphere of the expectant mother (for example, the character and the orientation of her attitude towards children, the need for their upbringing, etc.), as well as the whole spectrum of socio-economic processes taking place in a particular society. It is no coincidence that as a particular problem raised by researchers in the field of motherhood is the problem of coping strategies of maternal behavior (works by M.S. Golubeva, E.V. Zinchenko, E.V. Kuftyak, O.Yu. Odintsova, Yu. S. Potapova, etc.). Based on our analysis of the work of scientists, we consider it possible to say that the development and implementation of a special program of psychological and pedagogical support in modern mothers will influence the development and implementation of a special program of psychological and pedagogical support. The development of such a program was the goal of our study.

The Effectiveness of the Post-divorce Psychological Support Program (PDPSP) on Divorced Individual Adjustment Levels: A Pilot Study at Women

The study examines the effect of the Post-divorce Psychological Support Program (PDPSP) on the adjustment levels of divorced individuals. The program developed by the researchers was conducted with a group of 8 divorced women. This research was designed according to a quasi-experimental method with an unequalized control group model. 55 participants were called to pre-interview, and 16 of them were selected according to the eligibility criteria. The group was divided into two randomly, group A was assigned as experimental, and group B was noted as the control group. The 11-week program (PDPSP) was applied to the experimental group, at the end of the time, the Fisher’s Divorce Adjustment Scale was given to the groups again. The study revealed that PDPSP was found to be effective on the individuals' level of adjustment to divorce. Professionals working with divorced individuals can benefit from this program.

RIGIDITY AND CYNICISM AS EMOTIONAL MARKERS OF A PERSON's EXPERIENCE OF A CRITICAL LIFE SITUATION

The article presents an analysis of the emotional markers of experiencing divorce as a critical life situation. The situation of a dissolved marriage changes the rules of a person's life (destroys the habitual way of life; contributes to the uncertainty of the future), changes the emotional sphere, limiting its autonomy. The aim of the research was to study the emotional markers of experiencing a critical life situation of a person in a dissolved marriage. Theoretical and methodological analysis of the critical life situation of the individual was carried out on the basis of the leading psychological positions of stress, frustration, conflict and crisis using methods of categorical generalization, comparison and modeling. To diagnose an emotional marker of experiencing a critical life situation, such as cynicism, the Cook-Medley hostility scale was used; rigidity - a technique for diagnosing self-assessment of mental states (according to G. Aizenk)). The total sample size of the subjects was 130 people aged 25 to 65 years: 1) experimental group - 72 people (women and men who survived a divorce); 2) control group - 58 people (subjects without conditions of a dissolved marriage). A conceptual model of psychological mechanisms of a critical life situation of a person in conditions of a dissolved marriage is highlighted. It is revealed that against the background of general dissatisfaction in the emotional sphere of the individual in the situation of divorce, unproductive emotional markers of experiencing a critical life situation, such as rigidity and cynicism, dominate. The results obtained allowed to determine the directions and content of the program of psychological support of the individual in the conditions of a dissolved marriage, taking into account the emotional markers of experiencing a critical life situation.

Forced Displacement in Libya and its Health, Psychological and Social Dimensions: The Case of the Displaced Tawergha

Exposure to the physiological, social, and psychological situations of those relocated from Tawergha is a relatively new issue in the study of Libyan forced migration. This inquiry aims to learn more about the social, psychological, and health situations of the people who have been displaced from Tawergha. Residents of two large camps that housed the Tawergha refugees were given a questionnaire. There were 435 displaced people in this research. The findings revealed substantial discrepancies between various characteristics (economic challenges, security situation, living in a disease-spreading environment, mingling with people) and the displaced people's health and psychological problems. The variable of attack exposure only affected the displaced's psychological difficulties. Also, at the 0.05 significance level, other factors such as a lack of housing, the absence of a family member, having adequate food, feeling rejected, movement constraints, and loneliness do not affect psychological difficulties and health conditions. In light of these findings, the study recommends implementing social measures to protect Libya's displaced people. In addition to the need for psychological support programs and the activation of social work for professional assistance with displacement issues, there is also a need for professional help with displacement concerns.&#x0D; &#x0D; Received: 19 December 2021 / Accepted: 17 April 2022 / Published: 5 July 2022

Investigating the burden of disease dimensions (time-dependent, developmental, physical, social and emotional) among family caregivers with COVID-19 patients in Iran

BackgroundThe caregivers of patients with covid-19 face constant responsibilities such as providing personal, health, and social care to family, which can be physically, and emotionally exhausting resulting in a considerable stress burden. Therefore, given the importance of the subject, this study aimed to investigate the burden of disease dimensions (time-dependent, developmental, physical, social and emotional) among family caregivers with covid-19 patients in Iran.MethodsThis cross-sectional study was conducted one year after the onset of the Covid-19 outbreak in Iran. Family caregivers of Covid-19 patients discharged from the hospitals in Kerman city, Iran, were chosen by simple randomization (n = 1500). Data were collected utilizing a demographic characteristics inventory created by the researcher as well as the Novak and Guest Caregiver Burden Inventory. Descriptive statistics such as mean and standard deviations, frequency, and percentages and analytical statistics such as Kolmogorov–Smirnov, T-test, ANOVA, and Multivariate Linear Regression were used for data analysis using the 20, SPSS Inc., Chicago, IL Software at the level of P < 0.05.ResultsThe results demonstrated that the mean score of family caregiver burden was 2.61±0.6 and the severity of this burden was in a moderate range. The finding showed a statistical difference was seen between the family caregiver burden mean score of participants in terms of gender, duration of treatment, age and employed status. The multivariable linear regression model showed demographic variables of caregivers included (female, married, employed, elderly, low income and poor education) had a beneficial influence on family caregiver burden.ConclusionThe findings of this study can increase the awareness of health managers, about the level of burden of disease among family caregivers from the covid-19 patients and can help to provide economic, social and psychological support programs for improvement and reducing the burden of disease of caregivers during the covid-19 outbreaks.

Ergenlik Döneminde Zihinsel Engelli Çocuğu Olan Annelerin Deneyimlerinin İncelenmesi

Bu çalışmada ergenlik döneminde zihinsel engelli çocuğa sahip annelerin deneyimlerinin incelenmesi amaçlanmıştır. Ergenlik döneminde zihinsel engelli 15 çocuk annesi çalışmaya dahil edilmiştir. Çocuk ve aile hakkında bilgi almak için “Genel Bilgi Formu” ayrıca annelerin yaşam deneyimleri hakkındaki görüşlerini belirlemek amacıyla “Yarı-Yapılandırılmış Görüşme Formu” kullanılmıştır. Araştırma kapsamında elde edilen veriler MAXQDA 2020 programı kullanılarak analiz edilmiştir.Çalışmamızda, annelerin engelli çocuklarının dünyaya gelmesinden ergenlik sürecine kadarki deneyimleri sırasında yaşadıkları en büyük problemin psikolojik rahatsızlıklar olduğu tespit edilmiştir. Annelerin deneyimlediği bu süreç içerisinde mevcut ve geleceğe dair problemler; bilgilendirme eksikliği, bağımsızlık ve gelecekte çocuklarına kimin bakacağı yönünde endişelerinin olduğu vurgulanmıştır. Bazı anneler tarafından, ergenlik döneminin getirdiği değişikliklerin çocuklarının davranışlarında genellikle farklılık yaratmadığı ifade edilirken, bazı anneler bu değişim sürecine uyum sağlamakta zorlandıklarını belirtmişlerdir. Bununla birlikte devlet desteği, eğitim imkânlarının yetersizliği, nitelikli eğitimci sayısının azlığı da yaşanan problemler olarak ifade edilmiştir. Çalışmada, ergenlik dönemindeki zihinsel engelli çocuk ile ilgili bilgilendirme çalışmalarının yapılması ve annelerin sorunlarının giderilmesine yönelik psikolojik destek programlarının oluşturulması önerilmektedir.

팀스포츠 선수들의 MBTI 성격유형에 따른 스포츠심리기술과 회복탄력성 차이 검증

The purpose of this study was to investigate the difference in sports psychological skill level and resilience according to the MBTI personality type of team sports players, and to provide basic data for developing a sports psychological support program for each personality type. The subjects of this study were 275 registered student athletes of the Korea Sports Association, and self-reported test papers were used. The collected data were subjected to frequency analysis, exploratory factor analysis, reliability verification, T-test, One-way ANOVA, and Scheffe

СТАН ПСИХІЧНОГО ЗДОРОВ’Я МЕДИЧНИХ ПРАЦІВНИКІВ ПІД ЧАС ПАНДЕМІЇ COVID-19 В УКРАЇНІ

Introduction. Health care professionals experience severe occupational and psycho-emotional stress during the COVID-19 pandemic, which put them at high risk of mental disorders. The aim of the study was to examine the mental health of healthcare workers who provided treatment and support to patients with COVID-19. Materials and methods. A set of standardized psycho-diagnostic scales to assess the symptoms of depression (PHQ-9), anxiety (GAD-7), insomnia (ISI) and the impact of traumatic events on psycho-emotional state (IES-R) was used for an online survey of healthcare professionals from all regions of Ukraine during 04/04/2021 to 05/29/2021. A comparative study was conducted comparing two groups of specialists who provided (n = 441) or who did not support (n = 40) patients with COVID-19 on socio-demographic characteristics and indicators of psycho-diagnostic scales. Results. In total 500 staff were invited to take part in this survey. A signifi cant number of health workers in both groups experienced symptoms of mental disorders, indicating the negative impact of the COVID-19 pandemic on their mental health. However, in the group of medical professionals who provided care to patients with COVID-19, there were more pronounced symptoms of depression (p = 0.010), anxiety (p = 0.010), sleep disturbances (p = 0.018) compared with the group of specialists who did not provide direct care to COVID-19 patients. Statistically signifi cant diff erences were also obtained on the IES-R scale: subscales “avoidance” (p = 0.048), “intrusion” (p = 0.021), “hyperarousal” (p = 0.035). Conclusions. Healthcare professionals who care forCOVID-19 patients have a signifi cantly increased risk of mental health problems and require particular attention and the development of special programs of psychological support and psychiatric care

Primary and Secondary Caregivers of People with Dementia (PwD): Differential Patterns and Implications for Psychological Support.

Very little attention has been paid to identifying the differential characteristics of primary and secondary dementia caregivers. The aims of this study were: to determine whether differences exist between primary and secondary caregivers of people with dementia (PwD) and to explore the profile of primary and secondary caregivers reporting symptoms of anxiety and/or depression. The participants were 146 caregivers of PwD, 73 primary caregivers and 73 secondary caregivers. The results revealed different patterns for each type of caregiver. Primary caregivers showed a more negative profile in terms of poorer self-rated health and higher levels of anxiety and depression: 61.6% of primary and 42.5% of secondary caregivers reported symptoms of anxiety, and 24.7% and 11% reported depression, respectively. The frequency of problem behavior, subjective burden, health, and the comorbidity between anxiety and depression were associated with depression and anxiety among primary caregivers, whereas gender (being a woman), subjective burden, health, and the comorbidity between anxiety and depression were associated among secondary caregivers. These findings may help to guide professionals in targeting psychological support programs and customizing the strategies and skills that need to be provided in accordance with the type of caregiver in question: primary or secondary. The practical implications of the findings are discussed.

Correlation between Socio-Psychological Adaptability and Tolerance to Uncertainty among Psychology Students

The problem of correlation between socio-psychological adaptability and tolerance to uncertainty among graduates from psychology faculties of higher institutions has obvious theoretical and practical relevance. The variety of approaches to understanding of the nature and structure of socio-psychological adaptability of personality provides new opportunities for considering this phenomenon as integral psychological construct. The purpose of the study is to develop scientific ideas about the correlation between various aspects of the adaptability of personality among young psychologists and tolerance to uncertainty in situations of interpersonal and professional interaction. The sample consisted of 60 graduate students of psychological and psychological-pedagogical university faculties studying under bachelor's degree programs. The diagnostic complex included tools for studying the cognitive, emotional and behavioral components of socio-psychological adaptability, as well as an individual's general and interpersonal tolerance / intolerance to uncertainty. The quantitative processing of the empirical data obtained using the Spearman correlation coefficient made it possible to detect significant correlation between various components of adaptability and manifestations of tolerance to uncertainty. The scientific novelty of the research lies in the formulation of the author's approach to the structure of the construct of socio-psychological adaptability of the individual and the possibilities of diagnostic and correctional work that open up in this regard. The conducted research has shown the need for the introduction of psychological and pedagogical support programs for students of helping professions in the process of studying at the university, aimed at the development of socio-psychological adaptability of the individual in connection with tolerance to uncertainty. In conditions of increasing social and economic instability, the study of these and other factors affecting the development of professional self-awareness will optimize the process of labor socialization of young professionals.

Building a critical incident peer response team: A full theatre team welfare intervention.

The psychological impact (second victim effect) of in-theatre critical incidents is increasingly recognised. Different styles of psychological support programme have recently been published, including some utilising 'near in time' peer support. Most of these programmes either target their support to individuals, or focus on one vocational group rather than the multidisciplinary team. However, the in-theatre team consists of different craft groups who nonetheless function as a single team and are therefore 'peers'. This paper sets out the design and implementation of a critical incident peer response programme at Waikato Hospital, New Zealand, which provides peer-led group psychological first aid to full theatre teams. The programme is administered by trained representatives from multiple in-theatre craft groups including nurses, midwives, anaesthetic technicians, recovery room nurses, surgeons and anaesthetists. It emphasises team education and peer support, and has a wholly welfare focus. The programme has voluntary participation but mandatory activation triggers so that individuals do not need to seek support actively at a time when they may not recognise the need to do so. The programme is becoming embedded in the Waikato Hospital theatre culture so that participating in psychological support is normalised following a critical event. This framework is shared in the hope that it will assist other hospitals to develop welfare interventions to support full theatre teams.

Features of different severities of reduced working capacity states as an indicator of the self-regulation in students of different courses

IntroductionThe relevance of studying of self-regulation styles of young people who face various difficulties at a stage of vocational training has increased in the situation of a pandemic.ObjectivesThe purpose of our work is to describe the functional states of students at different stages of education, characterized by different degrees of satisfaction with educational and professional activities and different levels of self-regulation, to substantiate programs of psychological support for students during the formation of their professional identity.MethodsThe sample consisted of 153 students enrolled in 1 and 3 courses in Moscow higher educational institutions. They were asked to fill out a package of methods aimed at diagnosing self-regulation styles (Morosanova, 2020), the severity of states of reduced performance (Leonova, Velichkovskaya, 2002).Results Indicators of reduced working capacity among third-year students are statistically significantly higher (p≤0.05) and are in a critical range of severity than among freshmen. Despite a similar level of satisfaction, third-year students demonstrate a whole palette of states of reduced performance, characterized by the experience of monotony of activity with high tension associated with the requirements of the educational situation. The absence of significant differences in the diagnostic indicators of self-regulation obtained in these two groups does not give grounds to assert that the general self-regulation of senior students is higher than that of first-year students.ConclusionsThe data obtained confirm the “painfulness” of the crisis of the “middle” of education and necessarily raise the question of developing a targeted program for mastering the means of conscious self-regulation by students.DisclosureNo significant relationships.

Psychological Support for the Formation of Responsibility in the Structure of Professional Reliability among Students – Novice Specialists of the Ministry of Emergency Situations

The article reveals the actual problem of psychological formation of reliability as a professionally important quality of students - beginning specialists of the Ministry of Emergency Situations of Russia. The authors reveal the content of the concepts of "responsibility" and "professional reliability" as necessary components of the professionally important qualities of an employee of the Ministry of Emergency Situations of Russia. Studies on the problem of reliability and responsibility of law enforcement officers in the works of domestic and foreign scientists are considered in detail. The close connection between the success of the future specialist and his responsibility is revealed. It is noted that a qualitative solution to the problem of psychological support in the formation of responsibility allows for effective personnel management, to carry out the necessary assessment and training activities. The purpose of the study is to evaluate the effectiveness of psychological training, which is part of the psychological support program in the formation of responsibility in the structure of professional reliability of the future specialist of the Ministry of Emergency Situations. The hypothesis of the study is to verify the statement that training, as part of psychological support, can be an effective tool in the formation of professionally important qualities of a novice specialist. The empirical study was attended by 25 senior students of the Institute of Management and Integrated Security of the Academy of GPS of the Ministry of Emergency Situations of Russia. During this study, the methodology "Multidimensional-functional diagnostics of "responsibility" (OTV–70, author V.P. Pryadein) was used, as well as psychological training aimed at the formation of professionally important and personal qualities of a novice specialist.

Internal picture of the disease and medical-psychological support as a component of clinical pediatrics in psychosomatic diseases in children

The aim of the work is to systematize current data on the peculiarities of the internal picture of the disease and the need for medical and psychological support of psychosomatic illnesses in children with different types of responses to the disease. The article is devoted to studying the internal picture of the condition as an integral part of the internal picture of health in pediatric practice. Types of patients' attitudes to the disease are considered. The types of disease responses from the standpoint of medical psychology are given. The typology of psychological response to the disease or personality types (harmonious, indifferent, hyperpathic, hypopathic, labile) in diseases of the gastrointestinal tract in children is described. Peculiarities of non-psychotic mental disorders in young children have been identified. It is noted that the development of differential programs of psychological support, taking into account the typology of psychological response to the disease, will accelerate the process of recovery and rehabilitation of patients. Conclusions. Increasing professional competence in an internal picture of the disease will improve communication links in the chain "health worker - sick child - parents". The timely organization of medical and psychological support at all levels of medical care for psychosomatic diseases in children will help prevent and reduce the incidence of neurotic and neurosis-like mental and behavioral disorders.

Psychosocial Support for People with Ulcerative Colitis and Irritable Bowel Syndrome: A Feasibility Study on Need, Focus and Viability

Ulcerative colitis (UC) and irritable bowel syndrome (IBS) are associated with high somatic symptom burden, reduced quality of life, and increased psychological distress. The subjective burden, the wish of many patients, and the involvement of psychological processes in symptom perception justify the development of psychosocial support services. We aimed to evaluate need, content and feasibility of such an offer. We included patients with both UC and RDS in order to identify disease-specific and trans-diagnostic aspects for psychosocial interventions. We conducted telephone interviews with adult patients with UC or IBS using a standardized interview guide. We used numerical rating scales and open-ended questions to assess burden of and coping with the disease, disease-related expectations and anxiety, satisfaction with care, support and information needs, and preferences regarding support programs. We calculated descriptive metrics for quantitative variables as well as diagnosis-specific group comparisons. The answers to the open questions were summarised and counted in close accordance with the participants' statements. N=35 patients (UC: n = 15; IBS: n=20) participated (age: M=40.80, SD=14.56; 71% female). In both groups, patients showed a medium level of disease burden, with higher rates for IBS. Both groups reported disease-related anxiety, with higher levels in patients with IBS. Disease-related expectations did not differ between groups. Patients with IBS showed low satisfaction with care and felt less informed about their disease than patients with UC. Both groups indicated a high motivation of participating in a psychological support program and named illness-related expectations and illness anxiety as important components of such. The results confirm an increased need for psychosocial support and the relevance of disease-related expectations and anxiety for both diseases. Differences in symptom perception and care satisfaction indicate the importance of disease-specific elements in psychosocial therapy programs. The results demonstrate the high need for psychosocial support of patients with UC and IBS and indicate the feasibility of a psychosocial therapy program.

MO898: Comparison of Quality of Life and Bio-Psychosocial Burden in Family Caregivers Between Dialysis Patients and Kidney Transplant Recipients

Abstract BACKGROUND AND AIMS Chronic kidney disease (CKD) is considered as a high-stress disease for patients, because of severe morbidity, chronicity and its life-long treatment often requiring dedicated family care. Caregivers’ burden is considered a multidimensional bio-psychosocial reaction of great importance both for caregivers’ and CKD patients’ Quality of Life (QoL). Kidney transplantation (KT) has been shown to improve patient's QoL, however the effect of KT on family's burden in comparison with dialysis has not been sufficiently studied. Aim of this cross-sectional, multicentre, observational study was to estimate and compare the QoL and burden between family caregivers of dialysis patients versus KT recipients (KTRs). METHOD We included 138 caregivers of dialysis patients and 33 of KTRs. We assessed caregivers’ QoL with SF-36 questionnaire and bio-psychosocial burden with Zarit Burden Interview scale (ZBI). RESULTS Mean age of caregivers did not differ between the two groups (56y dialysis versus 58y KTRs). The majority of KTRs (57.6%) and dialysis patients’ caregivers (68.1%) were women of whom 73% and 52% were spouses, respectively. Educational level and financial status did not differ between the two groups of caregivers. The results of the SF-36 and ZBI are comparatively presented in the Table 1. Dialysis patients’ caregivers had worse QoL compared with KTRs caregivers. There was a statistically significant difference in general health, bodily pain and social functioning role among KTRs versus dialysis caregivers. Dialysis caregivers showed a significantly higher burden in 3 sub-dimensions of ZBI (personal strain, role strain, relational deprivation) compared with KTRs caregivers. Moreover, the burden of KTRs caregivers found to be inverse correlated with educational level (P = 0.01), while in dialysis caregivers, older age, female gender and low income were directly associated with burden (P &amp;lt; 0.001, P = 0.019 and P = 0.005, respectively). CONCLUSION The caregivers of dialysis patients showed worse QoL and significantly higher burden compared with KTRs caregivers. Further studies of larger size will probably shed light to the potential benefits of ΚΤ in patients’ caregivers and families. Currently, implementation of programs for psychological support in high burdened caregivers of kidney disease patients’ could be of help.