Effects of positive thinking intervention on negative emotions and quality of life in stroke patients:a scoping review

Objective:To analyze domestic and international studies on the effects of positive thought intervention therapy on negative emotions and the quality of life of stroke patients to provide a reference for future related studies.Methods:Using the scoping review method as a guide,computer searches of PubMed,Web of Science,Embase,Cochrane Library,China National Knowledge Infrastructure,Wanfang Database,China Vipers Full Text Database and China Biomedical Literature Database were conducted to collect relevant studies on the application of positive thinking interventions in stroke patients from the establishment to January 2023,and the literature was screened according to the inclusion and exclusion criteria,and the data were extracted and analyzed by two investigators independently.Results:The search yielded 964 publications,and a total of 19 were included.The time of publication,study site,study population,study design,study length,and type of results of the included studies was summarized and analyzed.Conclusions:Positive thinking-based interventions have shown significant changes in negative emotions such as anxiety and depression in stroke patients and can reduce somatic pain,enhance their social integration,and improve their quality of life.However,interventions in the areas of self-compassion,artificial intelligence and the adoption of tailoring need to be further explored.

Cognitive coping strategies, emotional distress and quality of life in mothers of children with ASD and ADHD—A comparative study in a Romanian population sample

The Quality of Life (QoL) represents a dimension of the overall status and of the wellbeing that might be influenced by various factors. Mothers’ emotional and behavioral reactions, when having a child with diagnosis of mental disorder, are different depending on the emotional distress and cognitive coping strategies used. The aim of this study was to assess the cognitive coping strategies, emotional distress and the relationship between them and the quality of life in mothers of children with Autism Spectrum Disorder (ASD) compared to mothers of children with Attention Deficit Hyperactive Disorder (ADHD). Data were collected from 114 mothers of children with diagnosis of ASD or ADHD. Different psychological measurements have been used in order to assess the quality of life (Family Quality of Life Survey) cognitive coping strategies (Cognitive-Emotional Regulation Questionnaire) and emotional distress (Profile of Affective Distress) of the parents. For QOL and emotional distress, we didn’t find significant differences between the two groups. The coping strategies of the mothers of children with ASD that significantly correlated with the overall assessment of the family quality were: positive refocusing, positive reevaluation and catastrophizing. The results suggest that the use of adaptive coping strategies correlates with a higher family quality of life, while for the maladaptive ones, the relationship is reversed.

Influence of standardized nursing intervention combined with mindfulness stress reduction training on the curative effect in patients with acute pancreatitis

BACKGROUND Acute pancreatitis(AP)is a common inflammatory disease of the pancreas with high mortality rates.It is of great significance to take scientific intervention measures for patients with AP in time.AIM To explore the effect of standardized nursing combined with mindfulness stress reduction training on the curative effect,negative emotion,and quality of life in patients with acute pancreatitis.METHODS A total of 80 patients with acute pancreatitis admitted to The First People's Hospital of Jiangxia District Hospital from May 2021 to May 2023 were randomly divided into control group and observation group(n=40).Patients in control group were given the standardized nursing intervention,and the observation group were given standardized nursing plus mindfulness stress reduction training intervention.The time of clinical symptom disappeared or improved,complication occurrence rate,emotional state,and quality of life score of the two groups were observed and compared.RESULTS In comparison with the control group,the bowel sound recovery time,ventosity and abdominal pain improvement time,and venting and cacation time in observation group were shorter,and the total incidence rate of complications was reduced,showing statistically significant difference(P<0.05).The scores of anxiety and depression in observation group were lower than those in control group(P<0.05).Serum levels of tumour necrosis factor alpha,interleukin(IL)-6,IL-1βand IL-8 in observation group were lower than those in control group(P<0.05).The scores of life quality in physiology,psychology,environment and social relations in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).CONCLUSION The application of standardized nursing intervention combined with mindfulness stress reduction training in patients with acute pancreatitis has a definite effect,which can help to ameliorate the clinical symptoms,anxiety and depression of patients,reduce the incidence rate of complications,and improve the prognosis of patients.

The relationship between differentiation of self and satisfaction with life amongst Israeli women: A cross cultural perspective

The current study examined the relationships between satisfaction with life and differentiation of self among Jewish and Arab women living inIsrael. The sample included 268 participants: 114 Jewish women and 154 Arab women. For both ethnic groups, satisfaction with life was negatively correlated with emotional cutoff. Among Arab women, satisfaction with life was found positively associated with I-position, marriage duration and education. The examination of cross-cultural differences yielded several findings: Arab women reported higher levels of emotional reactivity and I-position than Jewish women. No cultural differences were found in the levels of fusion with others, emotional cutoff and satisfaction with life. The current findings show that working women, who are highly differentiated, are satisfied with life to a greater extent than non-working women who are poorly differentiated. In general, the research findings provide support to the universality of the Family Systems Theory, and to the argument that differentiation of self is an important factor which may influence emotional wellbeing in all cultures.

The Role of Life Orientation and Cognitive Regulation on Decreasing Job Stress

The aim of this study is to investigate the relationship between life orientation and cognitive emotion regulation with job stress. On this basis, a sample of 100 employees working in Guilan Education Office was used and research hypotheses were examined by job stress, life orientation and cognitive emotion regulation questionnaires. The results of this study indicate that job stress has a significant relationship with life orientation (-0.32), self-blame (0.25), rumination (-0.36), positive refocusing (0.25), positive refocusing on program (-0.21), positive reappraisal (-0.28), catastrophizing (-0.39) and other blames (-0.25). Furthermore, life orientation and cognitive regulation could explain 22% variances in respondents’ job stress. This finding indicates that more positive life orientation and subsequent decrease of emotion-regulation-related disorders will lead to less job stress.

Music in depression: Neural correlates of emotional experience in remitted depression

AIM: To investigate neural and behavioral correlates of emotional experiences as potential vulnerability markers in remitted depression. METHODS: Fourteen remitted participants with a history of major depression and fourteen closely matched healthy control participants took part in the study. We used two psychiatric interviews(Hamilton Depression Rating Scale, Montgomery-Asberg Depression Rating Scale) and one self-report scale(Beck Depression Inventory) to assess remission. Healthy control participants were interviewed by an experienced psychiatrist to exclude those who showed any current or lifetime psychiatric or neurological disorders. To explore psychosocialand cognitive-interpersonal underpinnings of potential vulnerability markers of depression, early life stress, coping styles and alexithymia were also assessed. We induced pleasant and unpleasant emotional states using congruent combinations of music and human emotional faces to investigate neural and behavioral correlates of emotional experiences; neutral stimuli were used as a control condition. Brain responses were recorded using functional magnetic resonance imaging. Behavioral responses of pleasantness, arousal, joy and fear were measured via button-press inside the resonance imaging scanner. RESULTS: The mean age of the sample was 54.9(± 11.3) years. There were no differences between remitted depressed(RD)(n = 14; 9 females and 5 males) and healthy participants(n = 14; 8 females and 6 males) regarding age, current degree of depression, early life stress, coping styles and alexithymia. On a neural level, RD participants showed reduced activations in the pregenual anterior cingulate cortex(pg ACC) in response to pleasant [parameter estimates:-0.78 vs 0.32; t(26) =-3.41, P < 0.05] and unpleasant [parameter estimates:-0.88 vs 0.56; t(26)=-4.02, P < 0.05] emotional stimuli. Linear regression analysis revealed that pg ACC activity was modulated by early life stress [β =-0.48; R2 = 0.23, F(1,27) = 7.83, P < 0.01] and taskoriented coping style [β = 0.63; R2 = 0.37, F(1,27) = 16.91, P < 0.001]. Trait anxiety modulated hippocampal responses to unpleasant stimuli [β = 0.62; R2= 0.38, F(1,27) = 15.95, P < 0.001]. Interestingly, in their reported experiences of pleasantness, arousal, happiness and fear in response to pleasant, unpleasant and neutral stimuli, RD participants did not differ significantly from healthy control participants. Adding trait anxiety or alexithymia as a covariate did not change the results.CONCLUSION: The present study indicates that, in euthymic individuals, depression history alters neural correlates, but not the subjective dimension of pleasant and unpleasant emotional experiences.

Impact of extended nursing model after multi-disciplinary treatment on young patient with post-stroke

BACKGROUND Stroke has become one of the most serious life-threatening diseases due to its high morbidity,disability,recurrence and mortality rates.AIM To explore the intervention effect of multi-disciplinary treatment(MDT)extended nursing model on negative emotions and quality of life of young patients with post-stroke.METHODS A total of 60 young stroke patients who were hospitalized in the neurology department of our hospital from January 2020 to December 2021 were selected and randomly divided into a control group and an experimental group,with 30 patients in each group.The control group used the conventional care model and the experimental group used the MDT extended nursing model.After the inhospital and 3-mo post-discharge interventions,the differences in negative emotions and quality of life scores between the two groups were evaluated and analyzed at the time of admission,at the time of discharge and after discharge,respectively.RESULTS There are no statistically significant differences in the negative emotions scores between the two groups at admission,while there are statistically significant differences in the negative emotions scores within each group at admission and discharge,at discharge and post-discharge,and at discharge and post-discharge.In addition,the negative emotions scores were all statistically significant at discharge and after discharge when compared between the two groups.There was no statistically significant difference in quality of life scores at the time of admission between the two groups,and the difference between quality of life scores at the time of admission and discharge,at the time of discharge and post-discharge,and at the time of admission and post-discharge for each group of patients was statistically significant.CONCLUSION The MDT extended nursing mode can improve the negative emotion of patients and improve their quality of life.Therefore,it can be applied in future clinical practice and is worthy of promotion.

Clinical value of ankle flexion and extension exercises combined with a psychological intervention in knee osteoarthritis

BACKGROUND Considering the limited effectiveness of clinical interventions for knee osteoarthritis(KOA),it is necessary to continue to explore appropriate and effective treatment strategies to improve the condition of KOA patients.AIM To clarify the influence of ankle flexion and extension exercises combined with a psychological intervention on the psychological status and activities of daily living(ADLs)of patients with KOA.METHODS The research participants were 116 KOA patients admitted to The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine between May 2019 and May 2022,including 54 patients receiving routine treatment,care and psychological intervention(control group)and 62 patients additionally treated with ankle flexion and extension exercises(research group).The two groups were comparatively analyzed in terms of psychological status(Self-rating Anxiety/Depression Scale,SDS/SAS),ADLs,knee joint function(Lysholm Knee Scoring Scale),pain(Visual Analog Scale,VAS),fatigue(Multidimensional Fatigue Inventory,MFI),and quality of life(QoL;Short-Form 36 Item Health Survey,SF-36).RESULTS After evaluation,it was found that the postinterventional SDS,SAS,VAS,and MFI scores in the research group were significantly reduced compared with the baseline(before the intervention)values and those of the control group,while the postinterventional Lysholm,ADL and SF-36 scores were markedly elevated.CONCLUSION Therefore,ankle flexion and extension exercises are highly effective in easing negative psychological status,enhancing ADLs,daily living ability,knee joint function and QoL,and relieving pain and fatigue in KOA patients,thus warranting clinical promotion.

Health-related quality of life and perceived social support among cancer palliative patients in Saudi Arabia

Aim:This study aims to describe health-related quality of life(HRQL),identify factors associated with HRQL physical and mental health domains,and explore the association between perceived social supports and HRQL among cancer palliative patients in Saudi Arabia.Methods:A cross-sectional study is applied.The validated European Organization for Cancer Research and Treatment,the EORTC QLQ-15 palliative care scale and the Multidimensional Scale of Perceived Social Support(MSPSS)have been used.A convenience sample of(N=301)palliative cancer patients was collected from two main regional cancer centers in Riyadh.Data were analyzed using Pearson correlation analysis.Results:Results indicate that overall quality of life showed a significant positive correlation with perceived family and friend support,sub-factors of perceived social support.Regression analysis showed that the overall model experienced 69.0%of the variance for global health statutes with F(4,7)=7.149 P<0.001.Physical functioning,emotional functioning,and family support were found to be significant predictors of global health status.Family and Friend support were found to be significant positive predictors of emotional functioning.Conclusions:The inpatient and outpatient treatment can vary at different stages and in different areas,family and friend support has been highlighted as necessary in this context.Physical and emotional factors have been demonstrated in older age(geriatric)patients as they may have debilitating diseases that can limit their functioning hence support the case for more palliative care.

创造力与大学生生命意义感:积极情绪和创造性自我效能感的作用

为考察创造力与大学生生命意义感之间的关系,以及积极情绪和创造性自我效能感在其中的作用,本研究采用Runco创新观念行为量表、积极情绪量表、创造性自我效能感问卷和生命意义问卷对665名大学生进行了测查。结果显示:(1)创造力、积极情绪、创造性自我效能感和生命意义感之间存在两两正相关关系;(2)积极情绪在创造力与生命意义感之间起部分中介作用;(3)创造性自我效能感调节了创造力影响生命意义感的直接路径,随着创造性自我效能感的提升,创造力对生命意义感的预测作用减弱。本研究在理论上揭示了创造力对生命意义感的作用及其机制,对大学生生命意义教育具有一定实践参考价值。

大学情感治理:出场逻辑、价值表征与实现路径

当前,我国大学的内部治理多偏重于工具理性的治理,却相对忽视了情感的维度。近年来,在社会学研究领域情感转向的影响下,学者们开始对工具理性主导下的技术治理进行深刻反思,并基于中国社会文化的情理特质,提出了情感治理的概念和理论。对大学组织而言,情感治理意味着情感维度在大学内部治理中的回归,其价值在于柔化大学内部刚性的权力结构,重构多元主体间的人际关系,推动大学情感共同体的构建,彰显大学场域的人情温度。在大学内部治理实践中可通过建立情感秩序、加强情感互动、注重情感动员、运用人情规则等多重路径来推进与优化大学情感治理的实施。

多学科团队模式干预对老年帕金森病患者情绪睡眠及生活质量的影响

目的探讨多学科团队模式干预对老年帕金森病患者负性情绪、睡眠障碍及生活质量的影响。方法以86例老年帕金森病患者为研究对象,按入院顺序分为对照组和观察组各43例。两组患者均接受常规诊疗,观察组患者在常规诊疗基础上接受多学科团队模式干预。比较两组患者干预前后汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)、帕金森睡眠量表(PDSS)和帕金森病患者生活质量问卷(PDQ-39)的评分。结果干预后两组患者HAMD评分、HAMA评分、PDQ-39评分均较干预前降低,且观察组低于对照组(P<0.05或0.01);干预后两组患者PDSS评分均较干预前升高,且观察组高于对照组(P<0.05或0.01)。结论对老年帕金森病患者应用多学科团队模式干预可以缓解负性情绪、改善睡眠、提高生活质量。

阶梯式心理干预对骨癌患者疼痛、负性情绪及生活质量的影响

目的 探讨阶梯式心理干预对骨癌患者疼痛、负性情绪及生活质量的影响。方法 将120例骨癌患者按干预方法的不同分为观察组(n=60)和对照组(n=60)。两组患者均接受常规治疗,观察组在对照组的基础上加用阶梯式心理干预。比较两组患者数字分级评分法(NRS)、医院焦虑抑郁量表(HADS)、健康调查简表(SF-36)、匹兹堡睡眠质量指数(PSQI)评分。结果 复查时,观察组患者NRS、PSQI评分均明显低于对照组,差异均有统计学意义(P﹤0.01)。复查时,两组患者HADS-A和HADS-D评分均低于入院时,观察组患者HADS-A和HADS-D评分均低于对照组,差异均有统计学意义(P﹤0.05)。复查时,两组患者生理功能、情感职能、精神健康、社会功能评分均高于本组入院时,观察组患者生理功能、情感职能、精神健康、社会功能评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论 阶梯式心理干预能有效缓解骨癌患者疼痛,改善负性情绪,提高生活质量与睡眠质量。

进化心理学视角下的生命意义感:心理机制、影响因素及作用(综述)

生命意义感问题日渐受到社会大众和多学科领域的关注,进化心理学观点认为生命意义感作为个体对生命存在目的和意义的理解和感知,是人类进化过程中形成的一种心理机制,与适应性选择、响应本能需求、社会互动与群体适应关系密切。研究通过集成当前的进化心理学理论观点和实证研究成果,从认知、情感和动机3个层面对生命意义感发展的影响进行了初步解读,指出三者之间相互交织,共同塑造了个体对生命意义的理解体验、行为决策和社会互动模式,并基于此进一步揭示生命意义感保护身心健康、调节人际关系的现实价值和推动人类进化、促进社会发展的进化价值,为生命意义感研究和实践应用提供新的学科视角。未来研究需要进一步探索内在机制、跨文化比较以及持续关注社会变迁对个体生命意义感的影响。

基于斯金纳强化理论的健康教育联合CICARE沟通对脊髓损伤患者间歇性导尿依从性、负性情绪及生活质量的影响

目的探讨基于斯金纳强化理论的健康教育联合CICARE沟通对脊髓损伤患者间歇性导尿依从性、负性情绪及生活质量的影响。方法采用目的抽样法,选取2021年12月至2022年11月在广西中医药大学附属瑞康医院康复医学科住院的85例脊髓损伤患者作为研究对象,按病区分为观察组43例和对照组42例,对照组接受常规护理,观察组在对照组的基础上给予基于斯金纳强化理论的健康教育联合CICARE沟通干预。在干预1个月后采用间歇性导尿依从性评估量表(ICAS)评估患者的导尿依从性;在干预前和干预1个月后分别采用神经源性膀胱症状评分表(NBSS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)、WHO生活质量测定量表简表(WHOQOL-BREF)评估患者的神经源性膀胱症状、负性情绪(焦虑、抑郁症状)和生活质量。结果观察组患者干预1个月后的ICAS分级明显优于对照组,差异具有统计学意义(P<0.05);干预1个月后,两组患者的SAS评分和SDS评分均降低,且观察组患者SAS评分、SDS评分分别为(38.55±3.10)分、(39.83±3.59)分,明显低于对照组的(50.77±3.75)分、(51.67±4.92)分,差异均有统计学意义(P<0.05);干预1个月后,观察组患者的NBSS总分为(26.44±7.34)分,明显低于对照组的(34.71±12.56)分,差异有统计学意义(P<0.05);干预1个月后,观察组患者的WHOQOL-BREF总分为(51.12±5.89)分,明显高于对照组的(44.98±7.22)分,差异具有统计学意义(P<0.05)。结论基于斯金纳强化理论的健康教育联合CICARE沟通可提高脊髓损伤患者间歇性导尿依从性,改善其负性情绪和神经源性膀胱症状,提高生活质量。

快速康复护理模式对老年慢性鼻窦炎行鼻内镜手术患者的效果

目的探讨老年慢性鼻窦炎行鼻内镜手术患者采用快速康复护理模式的干预效果。方法选取2020年6月—2022年6月厦门大学附属第一医院收治的老年慢性鼻窦炎行鼻内镜手术患者114例,随机数字表法分为研究组与对照组,各57例。对照组与研究组分别采用常规护理干预、快速康复护理模式,对比2组的护理效果。结果干预后,研究组汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分(6.22±1.56)分,汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分(6.77±1.53)分,均低于对照组的(9.64±2.91)分、(10.46±2.78)分(t=7.820、8.779,P<0.05)。研究组术后3 d的口干、耳鸣、流泪及眼胀痛、头痛、鼻塞、鼻部疼痛评分均低于对照组(P<0.05)。研究组生活质量(WHO quality of life-100,WHOQOL-100)评分高于对照组(P<0.05)。研究组匹茨堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分低于对照组(P<0.05)。结论老年慢性鼻窦炎行鼻内镜手术患者采用快速康复护理模式不仅能有效缓解负面情绪,还可以显著减轻其临床症状,提高其生活质量和睡眠质量。此文的研究结果为老年慢性鼻窦炎行鼻内镜手术患者围手术期的护理标准制定提供了借鉴内容。