Psychosocial Problems Research Articles

Psycho-social problems among older people residing in community of Chitwan, Nepal—A cross-sectional study

Background Older people are vulnerable to various psycho-social problems such as depression, anxiety, insomnia, dementia, and loneliness that have profound impact on overall health and their quality of life and higher use of health services. Prevention and treatment of psychological problems in this risk group is critical for improving their quality of life. Objective This study aimed to find out the psycho-social problems among older people residing in community. Methods The study was a cross-sectional study design and 388 older people aged 65 years and above residing in different wards of Bharatpur Metropolitan city were selected using probability simple random sampling technique. Data were collected using interview schedule containing geriatric depression scale-15; Geriatric anxiety scale-10, University of California Loss Angels Loneliness Scale (UCLA-20), Anthens Insomnia Scale and Mini-Cog Test. Obtained data were analyzed in SPSS version 20 for windows. Chi-square test was applied to measure the association between psychosocial problems and selected variables. Result Findings of the study revealed that the mean age (± SD) of respondents was 72.92 (±7.12) years. Almost all (93.6%) older people had full functioning of activity of daily living and two third (66.5%) had other co-morbid conditions. More than two third (67.0%) of older adults had depression, 60.3% had anxiety, 53.6% had moderate to high level loneliness, 47.2% had insomnia, and 33.3% had dementia. Age, functional dependency, sex, co-morbidity, financial dependence, education and occupation were significantly associated with the psychosocial problems among older people. Conclusion and recommendation Psychosocial problems are common among older people residing in community of Chitwan. Hence, there is need to develop and implement health care strategy by local health care planner to prevent, treat and manage the psychosocial problems among this risk groups. Further, health care providers working in geriatric problems or psychosocial health need to conduct regular screening programs for the early diagnosis and treatment of these problems.

Association Between Internet Gaming Disorder and Suicidal Ideation Mediated by Psychosocial Resources and Psychosocial Problems Among Adolescent Internet Gamers in China: Cross-Sectional Study.

Adolescent internet gaming disorder (IGD) was associated with severe harm, including suicidal ideation. While suicidal ideation was predictive of completed suicides, further research is required to clarify the association between IGD and suicidal ideation among adolescents, as well as the mechanisms involved. This study aimed to investigate the understudied association between IGD and suicidal ideation, as well as novel mechanisms associated with it, among Chinese adolescent internet gamers through psychosocial coping resources and psychosocial problems. An anonymous, self-administered, cross-sectional survey was conducted among secondary school students who had played internet games in the past year in Guangzhou and Chengdu, China (from October 2019 to January 2020). In total, 1693 adolescent internet gamers were included in this study; the mean age was 13.48 (SD 0.80) years, and 60% (n=1016) were males. IGD was assessed by the 9-item Internet Gaming Disorder Checklist of the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders [Fifth Edition]), while a single item assessed suicidal ideation: "Have you ever considered committing suicide in the past 12 months?" Univariate and multivariate logistic regression associations were conducted to test the significance and directions of the potential factors for suicidal ideation. The mediation mechanism was examined by structural equation modeling. Among all participants, the prevalence of IGD and suicidal ideation was 16.95% (287/1693) and 43.06% (729/1693), respectively. IGD cases were 2.42 times more likely than non-IGD cases to report suicidal ideation (adjusted odds ratio [OR] 2.42, 95% CI 1.73-3.37). Other significant factors of suicidal ideation included psychosocial coping resources (resilience and social support, both adjusted OR 0.97, 95% CI 0.96-0.98) and psychosocial problems (social anxiety: adjusted OR 1.07, 95% CI 1.05-1.09; loneliness, adjusted OR 1.13, 95% CI 1.10-1.16). The association between IGD and suicidal ideation was partially mediated by 3 indirect paths, including (1) the 2-step path that IGD reduced psychosocial coping resources, which in turn increased suicidal ideation; (2) the 2-step path that IGD increased psychosocial problems, which in turn increased suicidal ideation; and (3) the 3-step path that IGD reduced psychosocial coping resources which then increased psychosocial problems, which in turn increased suicidal ideation, with effect sizes of 10.7% (indirect effect/total effect: 0.016/0.15), 30.0% (0.05/0.15), and 13.3% (0.02/0.15), respectively. The direct path remained statistically significant. IGD and suicidal ideation were alarmingly prevalent. Evidently and importantly, IGD was a significant risk factor for suicidal ideation. The association was partially explained by psychosocial coping resources of resilience and social support and psychosocial problems of social anxiety and loneliness. Longitudinal studies are needed to confirm the findings. Pilot randomized controlled trials are recommended to evaluate the effectiveness of interventions in reducing suicidal ideation by reducing IGD, improving psychosocial coping resources, and reducing psychosocial problems investigated in this study.

Comparison of the Female Sexual Function Index, Beck Depression Inventory, and Patient Satisfaction Scale in Patients Undergoing Total Abdominal Hysterectomy and Single-Port Laparoscopic Hysterectomy for Benign Conditions

Aim: The uterus is widely accepted as a sexual organ, children-making body, secretory organ, youth, charm, or power supply by women. By hysterectomy, psychosocial problems such as fear of losing sexual identity occur, and depression may arise as a result of this. In this study, we investigated the effects of surgery on female sexual function and psychosocial situation according to the methods of Total Abdominal Hysterectomy (TAH) and Single Port Laparoscopic Hysterectomy (SPLH). Method: This prospective surgical study included 60 patients, including 30 SPLH and 30 TAH patients with benign reasons. The demographic data of patients, Female Sexual Function Inventory (FSFI) score, Beck Depression Questionnaire Scale, and Patient Evaluation Measurement (PEM) results were all assessed according to TAH and SPLH methods. Results: In the FSFI questionnaire, significant differences were found between SPLH and TAH groups for all "desire frequency," "desire level," "stimulation frequency," "stimulation level," and "stimulation trust" subquestions (p=0.004, p=0.0001, p=0.003, p=0.011 and p=0.011, respectively). In the Beck depression questionnaire, the TAH score (4.4±3.25) was significantly higher than the SPLH score (2.77±2.97) (p:0.047). TAH had 7.97±3.6 points, and SPLH had 3.73±1.1 points regarding treatment results (p:0.00017). Similarly, TAH had 14±4.4 points, while SPLH had 6.1±1.3 points regarding the functionality of hysterectomy (p

Psychosocial impact of adverse home environment on primary school performance in Cambodia

There is lack of an in-depth understanding of the impact of psychosocial problems at home on learning performance among primary school children in Cambodia. Hereafter, the aim of this study is to gain a better understanding of the psychosocial challenges that primary school children in Cambodia face at home and how those affect their school performance. The semi-structure interviews were conducted with 86 participants in Battambang and Kampong Cham provinces, including students, parents/caregivers, and school officers. The thematic analysis was utilized. The findings show that primary school children who are exposed to family adversity, including domestic violence, family division, and household socio-economic crisis, demonstrate symptoms of psychological distress, impaired social interaction, and poor school performance. Low school performance was often anticipated by the lack of parental involvement and the overall deficient quality of teaching.

CORRELATION BETWEEN PEDIATRIC SYMPTOM CHECKLIST-17 (PSC-17) AND PEDIATRIC QUALITY OF LIFE INVENTORY (PedsQL) IN ELEMENTARY SCHOOL CHILDREN

Background : Identification of psychosocial problems and quality of life of school-aged children should be routinely applied in child developmental health-related practices. The main concerns in measuring the quality of life of children with psychosocial disorders are mainly related to language development, cognitive development and the type of disorder. This has led to the identification of developmental disorders in school-aged children requiring specific tools (PSC-17 score and PedsQL score) designed for pediatric patients. The similarities or differences obtained based on these measurement tools will depend on the precise formulation of the questions as well as the assessment of the situation of the individual being evaluated. Methods : An analytic observational study using a cross-sectional design involve three elementary schools in the Jimbaran area, Badung, Bali. The study was conducted at Udayana University Hospital in July 2022. The scores used in this study were self-reported PedsQL scores and PSC-17 scores obtained based on interviews with children. The correlation between the evaluation results using the PSC-17 and PedsQL questionnaires was evaluated using the Spearman correlation test. Results : Amongst 189 children, median age was 11 years (range 11–13 years). There was a significant correlation between PSC-17 scores and PedsQL scores (r= -0.59; p<0.001). Subgroup analysis on PSC-17 aspect subscales and PedsQL dimensions found significantly varying negative correlations. Conclusion : This study found a moderate negative correlation between PSC-17 scores and PedsQL scores, varying correlations strength between each aspect/dimension of each score. Keywords: children, quality of life, PedsQL, psychosocial, PSC-17.

A Study to Assess the Psychosocial Problem and Lived Experience of Woman Attending the Infertility Clinic at Dr. Vitthalrao Vikhe Patil Pravara Rural Hospital Loni

A Study to Assess the Psychosocial Problem and Lived Experience of Woman Attending the Infertility Clinic at Dr. Vitthalrao Vikhe Patil Pravara Rural Hospital Loni

Psychosocial Adaptation in Lung Cancer Patients: a Literature Review

ABSTRACT Lung cancer is one type of cancer with the highest mortality rate, this is often due to delays in diagnosis and the impact of prognosis which can affect the psychosocial adaptation of lung cancer patients. Analyze psychosocial adaptation problems in lung cancer patients, their impacts, and treatment strategies. Systematic review used the PRISMA protocol and JBI scoring tool to determine eligible articles. Five electronic databases were used (Pubmed; Science Direct and Google Scholar. Inclusion criteria included research on lung cancer published in English in the last ten years (2014-2024). The results showed that 20 articles met the inclusion criteria. The results of the review show several common problems experienced by lung cancer patients, including depression, anxiety, social isolation, stigmatization, mental health problems, and difficulties in adaptation. The impact is a decrease in emotional well-being, a reduction in quality of life, an increase in physical symptoms, and a worsening of the disease prognosis. Several prevention strategies include providing multidisciplinary therapy through supportive and palliative care, improving the quality of psychosocial health services, cognitive behavioral therapy, social support therapy, psycho-education, increasing social support, spiritual treatment, increasing healthy behavior, and using confrontation and stress coping. Psychosocial problems experienced by lung cancer patients are often complex and can include various aspects. Several common issues experienced by lung cancer patients are related to psychosocial problems. The impact of psychosocial problems can worsen the prognosis of lung cancer so several treatment efforts are needed to overcome psychosocial problems in lung cancer patients. Keywords: Adaptation, Lung Cancer, Literature Review, Psychosocial

Psychosocial Problems and Well-Being of Children with Cerebral Palsy in Idoma Cosmology

Psychosocial Problems and Well-Being of Children with Cerebral Palsy in Idoma Cosmology

A Study of Psychological Distress Among Women with Polycystic Ovarian Syndrome in Kashmir

Background: Polycystic Ovarian Syndrome, was previously thought to be an endocrine condition. Research has now demonstrated that polycystic ovarian syndrome affects a patient's quality of life and is a metabolic, hormonal and psychosocial condition. Women's joys are disrupted by PCOS because the stigma attached to hyperandrogenism is strongly felt and may harm women's psychological development. Methods: The aim of the study was to comprehend the psychosocial problems experienced by women in Kashmir and to obtain a thorough understanding of the coping mechanisms employed by women with PCOS. The research design was both qualitative and quantitative in nature. Thematic analysis was used to derive themes from the data. Sampling was purposeful in nature. Results: The study underscores that women with PCOS encounter numerous difficulties encompassing social and psychological aspects. Psychological issues like mood swings, stress, anxiety and sleeping disorders are prevalent among women with PCOS. Furthermore, the research has revealed that menstrual disorders significantly contribute to depression in women. The study also highlights a connection between infertility and psychological problems. Conclusion: In conclusion, the research underscores the multifaceted challenges faced by individuals with PCOS. Therefore, understanding these issues is crucial for developing effective coping mechanisms and improving the quality of life for women dealing with PCOS.

CN86 Review of nursing interventions for the management of psychosocial problems in adults after hematopoietic stem cell transplantation: A systematic review

CN86 Review of nursing interventions for the management of psychosocial problems in adults after hematopoietic stem cell transplantation: A systematic review

Scrolling through adolescence: unveiling the relationship of the use of social networks and its addictive behavior with psychosocial health

BackgroundUnderstanding the relationship of social network use and addictive behaviors with adolescent psychosocial health is crucial in today’s digital age.AimTo verify the associations between social network use, messaging applications, and the addictive behaviors to social network with psychosocial health in Spanish adolescents.MethodsA cross-sectional study was developed with 632 adolescents, aged 12 to 17 years from the Region of Murcia, Spain. The assessment of social network use (Facebook, Twitter, Instagram, Snapchat, and TikTok) involved evaluating the frequency of use of each social network individually using a single-item scale with five response options. WhatsApp use (i.e., a messaging application) was evaluated in the same manner. The Short Social Networks Addiction Scale-6 Symptoms was employed to assess potential addictive behaviors to social network use. The psychosocial health was assessed using the Strengths and Difficulties Questionnaire. Generalized linear regression models were conducted, and predictive probabilities of having psychosocial health problems were calculated.ResultsThe predicted probability of presenting psychosocial health problems in the medium users and high users of social networks was 19.3% (95% confidence interval [CI] 13.0 to 27.7), and 16.2% (95% CI 10.2 to 24.6) higher compared to low users, respectively. High usage of Instagram, TikTok, Snapchat, and Facebook was associated with increased probabilities of psychosocial health problems, with Facebook showing the highest probabilities, at 31.3% (95% CI 14.8 to 54.2) for medium users and 51.9% (95% CI 26.5 to 76.3) for high users. Additionally, adolescents with addictive behaviors to social network use had from 19.0 to 25.2% probabilities of experiencing psychosocial health problems. Finally, the highest probabilities of having psychosocial health problems were identified in adolescents with high addictive behaviors when using social networks (28.9%; 95% CI 19.3 to 40.8%) and the lowest in those with low addictive behaviors (6.8%; 95% CI 3.3 to 13.6%).ConclusionAdolescents who use social networks more frequently and exhibit more addictive behaviors related to their use are more likely to experience psychosocial health problems compared to those who do not. Facebook showed the strongest association, followed by Snapchat, Instagram, and TikTok. Our data also revealed that adolescents exhibit various signs of addictive behaviors to social network use.

A Case of Hereditary Multiple Exostoses: Role of FNAC in diagnosis

Abstract Hereditary Multiple Exostoses (HME) is a rare autosomal dominant bone disease. It is characterized with numerous benign osteochondromas, which grow outward from the metaphyses of long bones. In many cases it is asymptomatic but can lead to considerable number of complications, like pressure symptoms, limb deformities, and can cause psychosocial problems. Malignant transformation is rarely seen. Surgery is the main modality of treatment.This paper aims to highlight the role of FNAC in diagnosis of HME.

The predictors of social exclusion in Afghan immigrants in Türkiye.

Immigrants may experience many psychosocial problems when migrating from a home to a host country, including social isolation. Social exclusion is also important among the problems experienced by immigrants. This study aims to determine the factors affecting Afghan immigrants' perceived social exclusion in Türkiye. Accordingly, a cross-sectional study was conducted on 211 Afghan immigrants (Mage=30.66, SD=9), 24% of whom were females. The socio-demographic information form, social exclusion scale, self-esteem rating scale, and life satisfaction scale were used to collect data in this study. The findings showed that Turkish language proficiency, the length of residence in Türkiye, working status in Türkiye, life satisfaction, and negative self-esteem were predictor factors for social exclusion. Considering the results, suggestions to decision-makers and mental health professionals to reduce the perceived social exclusion of Afghan immigrants are discussed.

Whistleblowing – an extension of working life democracy? The case of Norway

Working life relations are in a continuous state of change. So are the institutions of working life democracy. In Norway, three well-established components of working life democracy have been in place since the 1960s and 1970s, developing along different institutional tracks: collective bargaining at the national level, employee representation on the boards, and employee participation in protection of health and safety in the work environment. From 2007, legal protection of whistleblowing was included in the Working Environment Act (WEA), anchored in specific institutional arrangements. Before the turn of the century, a common assumption was that whistleblowing mainly targets irregular, even criminal, dispositions of the enterprise. After the inclusion in the WEA, data from Norway from the years 2016 to 2022 demonstrate that to a large extent, psycho-social problems have become the object of whistleblowing. However, institutional specificities limit the handling of social interaction problems by the traditional work environment arrangements. Against the background of its separate institutions for the handling of grievances, it is argued that whistleblowing, along with freedom of expression, are parts of a fourth track of democratization. Even though the institutional setup of whistleblowing has been revised twice since 2007, the findings indicate that additional revisions are still desirable.

Dual Jeopardy: Managing Vaginismus in a Female Having a Partner Suffering from Psychotic Disorder

Vaginismus is a complex condition to manage, and in the presence of a partner, management becomes more complex as it involves the engagement of both partners. Besides addressing vaginismus, the management may involve addressing additional issues such as marital disharmony, situational erectile dysfunction in the partner, infertility, mental morbidity, and other associated psychosocial problems. There is a lack of data on the management of vaginismus in a woman with a partner with a psychotic disorder. In this report, we describe a couple in which the female partner had vaginismus that led to a lack of consummation of marriage for six years, and the male partner had schizophrenia. We discuss the challenges faced in the successful management of vaginismus by using an eclectic approach.

Putting person-centred psychosocial diabetes care into practice: two psychosocial care pathways based on outcome preferences of people with diabetes and healthcare professionals

BackgroundDiabetes increases the risk of psychosocial health problems. Person-centred psychosocial care is therefore advocated. However, several barriers to implementation exist, including uncertainty about how to approach psychosocial problems in consultations.ObjectiveWe...

Affective disorders accompanied by cognitive impairment in patients with a cardiological profile: prevalence, multimorbidity, medical and social risk factors

Clinical and medico-social issues of affective pathology combined with cognitive impairment in cardiac patients are a serious problem of modern medicine. This multimorbidity is characterized by higher risks of social maladjustment, disability, concomitant health problems and mortality. Cognitive dysfunctions in affective pathology are of great clinical and social importance, but their initial manifestations in cardiac patients are still insufficiently diagnosed. This leads to missed opportunities for the prevention of cognitive deficits. This review presents epidemiological data, pathological mechanisms, biological and psychosocial problems of multimorbid connections of cardiovascular, affective and cognitive pathology. Full-text articles, fragments of monographs selected by keywords in the databases Scopus, Web of Science, Medline, RSCI, eLibrary.ru, disserCat.ru, Psychiatrist, Sciencedirect were used.

‘I Almost Poisoned Myself’: Understanding the Suicidal Behaviors of Female Survivors of Intimate Partner Violence in Ghana*

ABSTRACT Despite growing evidence of an increased risk of suicidality among female survivors of intimate partner violence (IPV), no scientific research has explored this topic in Ghana, where male-partner violence is not uncommon. Using thematic analysis to analyze and synthesize 30 in-depth interviews with female survivors in the Eastern Region of Ghana, this study explored the suicidal behaviors of women in abusive intimate relationships. The findings showed IPV profoundly affected women, exposing them to complex intersecting economic, physical, and psychosocial health problems. Many saw suicide as a solution to their traumatic experiences. The results suggest the need for policymakers to create violence prevention programs and introduce community-based mental health programs, especially those targeting female survivors of violence.

More Frequent Solitary Alcohol Consumption Is Associated With Poorer Diet Quality, Worse Sleep, Higher Body Mass Index, and More Problematic Alcohol Use.

Solitary drinking is a risky drinking pattern associated with increased substance use and psychosocial problems. However, very little is known regarding the associations between drinking alone and broader health status and behaviors. Accordingly, this study examined the relationship between health metrics and solitary drinking among individuals who currently drink (N = 99, 46.46% female, 88.89% White). U.S. participants between 21 and 40 years old were recruited. Measures included self-reported diet, physical activity, sleep, cannabis use, general and solitary alcohol use, and objective anthropomorphic measures (e.g., body mass index [BMI]) using data from both a baseline appointment and 30 days of daily diary responses. Adjusting for general alcohol use, age, and gender, associations at baseline were assessed through regression analyses, while daily data were analyzed via mixed effects models. Several health measures were associated with solitary drinking. Specifically, solitary drinking was related to consuming fewer servings of fruits and vegetables and greater quantities of alcohol based on daily data. Baseline data showed an association between solitary drinking and higher BMIs, poorer sleep quality, greater sugar consumption, and hazardous drinking. These findings suggest that beyond substance and psychosocial problems associated with solitary drinking, this drinking behavior may be a warning sign for health risks and, subsequently, broader health problems.

THE EFECTIVENESS OF PROVIDING OREM SELF CARE BASED HEALTH EDUCATION ON IMPROVING THE QUALITY OF LIFE OF BREAST CANCER PATIENTS

Introduction: Breast cancer can cause many problems, both psychosocial and physical problems, which can reduce the patient's quality of life. Therefore, an intervention is needed that can improve their quality of life. This study aims to analyze the benefits of the intervention of implementing a self-care orem-based education system to improve the quality of life of breast cancer chemotherapy patients at Graha Amerta Surabaya. Method: This study used a pre-experimental design with a one-group pre-posttest design method on 60 breast cancer patients treated with chemotherapy who were taken using a consecutive sampling technique. The quality of life instrument was measured using the EORTC QLQ-C30 questionnaire. Data were analyzed using the Wilcoxon signed rank statistical test. Results: The results of the study showed that after being given the intervention to implement an educational system based on self-care orem, the results showed that the majority of 39 (65.0%) respondents had a quality of life in the good category and 21 (35.0%) respondents had a quality of life in the sufficient category. The results of the Wilcoxon statistical test analysis on the quality of life of breast cancer patients produced a significance value of 0.000. Conclusion: There is a significant effect of implementing an OREM self-care system education on improving the quality of life of breast cancer chemotherapy patients at Graha Amerta Surabaya. It is hoped that nurses can implement interventions to implement educational systems based on self-care orem for breast cancer patients in hospitals so that patient independence can increase so that the patient's quality of life can be optimal.