Psychological intervention based on social cognitive theory: Treating pain, anxiety, and depression in perioperative patients

BACKGROUND Surgery is an effective method for treating certain diseases.Factors such as disease,preoperative fear and tension,surgical stress,postoperative pain,and related complications directly affect the smooth progression and outcome of surgery.Patients may experience a series of psychological and physiological changes during the perioperative period,resulting in anxiety and depression,which may reduce the pain threshold and worsen their prognosis.METHODS We enrolled 200 patients who underwent surgical care at The First People’s Hospital of Lin’an District,Hangzhou between January and December 2023.They were categorized into a routine intervention group(n=103)and a psychological intervention group(n=97),based on the intervention strategies used.Various assessment tools,including the self-rating anxiety scale(SAS),the self-rating depression scale(SDS),and the Connor–Davidson Resilience scale,were used to measure patients’negative states and emotions.The pre-and post-intervention scores for these metrics in the two groups were then analyzed.RESULTS In the psychological intervention group,the SAS and SDS scores(31.56±5.18 and 31.46±4.57,respectively)were significantly reduced compared to the routine intervention group(P<0.05).The visual analog scale pain scores at 12 and 24 hours after intervention(6.85±1.21,4.24±0.72)were notably higher than those in the routine intervention group(P<0.05).The psychological intervention group also demonstrated superior scores in perseverance(36.08±3.29),self-reliance(22.63±2.91),optimism(11.42±1.98),and resilience(70.13±5.37),compared to the routine intervention group(P<0.05).Additionally,the psychological intervention group’s confrontation score(23.16±4.29)was higher(P<0.05).This group also reported lower scores in avoidance(9.28±1.94)and yielding(6.19±1.92)(P<0.05).Lastly,the Short Form 36 Health Survey scores were significantly higher in the psychological intervention group,indicating a better quality of life(P<0.05).CONCLUSION Psychological intervention measures based on SCT can effectively alleviate pain,anxiety,and depression in periop-erative patients.

Psychosocial Group Intervention at a Low-Resource Setting Environment for Women Who Are Diagnosed and Treated for Breast Cancer: A Systematic Review

Africa faces significant challenges in terms of material and personnel resources for oncology interventions. This is particularly evident in South Africa, where resources are divided into high- and low-resource settings. High-resource settings cater to those with financial means to access private oncology facilities. However, many breast cancer patients receive care in South Africa’s low-resource settings, such as public hospital oncology clinics. Unfortunately, these settings have limited service providers and fail to offer comprehensive interventions, resulting in poor outcomes. However, recent research has highlighted the significance of socially supportive relationships in promoting healing and overall individual well-being, and spirituality has been identified as a source of positive outcomes in cancer patients. This systematic review paper explores the feasibility of implementing support group cancer care and interventions that incorporate social support networks available in community settings, and spiritual practices facilitated by traditional healers, and religious/spiritual leaders. These interventions can be provided within low-resource settings to women diagnosed with breast cancer. Inclusive participation of spouses, children, and extended family in the support group cancer care can facilitate healing for the entire system. Focusing on the strengths and resources within communities and incorporating these complementary services, can enhance the well-being and quality of life for Black African women diagnosed with breast cancer, despite low-resource settings. This approach acknowledges the potential of community-based support networks and encourages collaboration between various stakeholders, including community health educators, nurses, lay counselors, and community volunteers, to address the complex needs of these patients.

Effective interventions to improve domain-specific social, emotional, or academic outcomes for twice-exceptional individuals who are gifted with ADHD as a disability

The demand for effective interventions to improve domain-specific academic outcomes for individuals with special needs at either end of the spectrum has existed for some time.Since the earlier contributions to the literature documenting gifted individuals who were simultaneously exhibiting disabilities,there has been some progress in our understanding.We now know that in individuals with both gifts and disabilities,potentially,either or both of the exceptionalities can obscure the effects of the other,which significantly delays the average time to receive a diagnosis.Such delays in diagnosis detrimentally impact the the form of effective interventions without a diagnosis.The purpose of this paper is t quality of life across various domains because there can be no opportunity to receive help in o determine whether effective interventions exist to improve domain-specific(i.e.,social,emotional,or academic)outcomes for people with both gifts and disabilities.A query was performed using evidence databases TRIP and PDQ for“twice-exceptional,”“Giftedness,”“Disability,”and“intervention.”The four most relevant,freely available studies in English were selected for critique.Despite identifying potential threats to validity among the studies,methodological similarities among them were strong enough to confidently conclude that not only do effective interventions exist for the population of gifted with ADHD,but the outcomes of these interventions may also carry over into other domains resulting in indirect effects.

Enhancing adolescent mental health through cognitive and social support:Insights from study on depression in Chinese adolescents

Adolescent depression is a growing global health concern,affecting 14%of adolescents and leading to severe consequences such as academic failure,substance abuse,and suicidal ideation.The study by Yu et al,investigates the cognitive and social factors influencing depression in 795 Chinese adolescents.Findings reveal that negative life events(NLEs)and dysfunctional attitudes are strongly associated with depressive symptoms,while social support moderates the impact of NLEs but not dysfunctional attitudes.The study highlights the need for cognitivebehavioural interventions targeting perfectionism and autonomy,and the importance of strengthening social support systems in schools and communities.Culturally sensitive,holistic approaches to adolescent mental health are crucial for addressing both the internal vulnerabilities and external pressures contributing to depression.Further research is needed to explore the roles of peer and parental support and the long-term effects of these factors across diverse cultural contexts.

Effectiveness of an intervention for reducing social stigma towards mental illness in adolescents

AIM: To evaluate the effectiveness of an intervention for reducing social stigma towards mental illness in adolescents. The effect of gender and knowledge of someone with mental illness was measured. METHODS: Two hundred and eighty secondary school students were evaluated using the Community Attitudes towards Mental Illness(CAMI) questionnaire. The schools were randomized and some received the intervention and others acted as the control group. The programme consisted of providing information via a documentary film and of contact with healthcare staff in order to reduce the social stigma within the school environment. RESULTS: The intervention was effective in reducing the CAMI authoritarianism and social restrictiveness subscales. The intervention showed significant changes in girls in terms of authoritarianism and social restrictiveness, while boys only showed significant changes in authoritarianism. Following the intervention, a significant reduction was found in authoritarianism and social restrictiveness in those who knew someone with mental illness, and only in authoritarianism in those who did not know anyone with mental illness. CONCLUSION: The intervention was effective to reduce social stigma towards people with mental illness, especially in the area of authoritarianism. Some differences were found depending on gender and whether or not the subjects knew someone with mental illness.

Designing a Need Based Social Protection Intervention Package for Children and Adolescents Living with HIV and AIDS in Ghana—An Eclectic Perspective on Desired Social Protection Intervention Package/Framework

Background: Designing a need-based social protection intervention for children comes as comprehensive tool for addressing the overall quality of life of HIV positive children. Not much has been examined on what constitute the desired social protection framework for HIV positive children. Methods: This study was informed by a qualitative descriptive exploratory design approach. The study drew insights from the shared perspectives of 27 participants sampled from positive HIV status disclosed children—10 - 17 years, healthcare workers, Social and Development worker, HIV positive caregivers and parents from 7 ART clinics in rural and urban Brong Ahafo and Ashanti regions of Ghana. Data was collected through interviews and two focus group discussions with study participants. Drawing on the emerged themes from the transcripts, thematic content analysis was used to analyze the data using comparative thematic framework approach. Findings: The eclectic perspectives on the type of social protection policy/intervention preferred demonstrated the need for an interrelated and integrated social protection policy. This should not be designed in isolation towards addressing the child vulnerability. The study found that social protection policies aimed at addressing vulnerability levels of children should consider the dual vulnerability situation within which HIV positive children and adolescents are located. A set of unique specific tailored approach and package reflecting minimum combination social protection package to HIV positive children was considered essential for inclusion. The themes that emerged covered social policy/intervention package inclusive of a disease ending/eradication intervention package, cash transfer for children and their caregivers, free comprehensive health insurance integrating all consultancy and laboratory services charges, direct food supplements supply and nutritional support, research, target specified with evidenced-based monitoring. Counseling support and preferential treatment for children visiting ART for treatment were to be included. Conclusion: Combination social protection intervention packages remain the pathway to yielding maximum dividends on any social intervention that seeks to address the vulnerability levels of HIV positive children in Ghana. This should be designed taking into consideration the preference of the main target beneficiaries (HIV positive children) while accounting for the inclusion of the technical expertise of implementing stakeholders in the policy design from conceptualization to evaluation.

Intervention Effects on the Willingness to Stop Smoking and Social Nicotine Dependence Based on Single-Session Group Therapy with Frequent Use of Role Play Targeting Smokers with Mental Disorders

Objective: We devised a “Smoking-Cessation Motivation Program” as a community welfare service aimed at making short-term improvements in social nicotine dependence and enhancing the willingness to stop smoking among people with mental disorders. Method: The study conducted a controlled trial to empirically examine the effects of the program on the willingness to stop smoking and social nicotine dependence among 26 smokers with mental disorders in the intervention group, who were compared with a control group of 16 individuals. Results: Results demonstrated the program’s effectiveness in reducing social nicotine dependence, and a variance analysis with age as the covariate evidenced a mutual interaction between social nicotine dependence and the willingness to stop smoking, confidence to stop smoking, and resisting the temptation to smoke. Conclusion: Future studies should examine longer-term program results, the impact of program duration, and other factors that influence the program’s effectiveness.

Digital Social and Emotional Literacy Intervention for Vulnerable Children in Brazil:Participants’Experiences

Social emotional literacy(SEL)interventions are widely implemented through schools,with growing evidence for a range of positive child outcomes.Increasingly,such interventions are delivered on online platforms.To date,there is limited evidence about digital SEL interventions in low-and middle-income countries(LMIC).The aim of this study was to explore the perceptions and experiences of children,parents and facilitator of the potential value of addressing SEL via tailored digital intervention.The intervention was designed to help children,in Brazil,to cope during the first COVID-19 pandemic lockdown.The intervention was delivered via a digital platform to groups of three children for 45 min per week for nine.Thirteen children,nine parents and nine facilitators were interviewed following the completion of the intervention.The data was analysed through a codebook thematic approach,which led to three themes:empowerment,participatory aspects of the intervention and digital adaptation.Overall,children’s SEL development was reported to be supported during the COVID-19 pandemic,by the application of new skills outside the sessions.Children reported a number of empowering factors such as being heard and belonging.A range of useful participatory tools were identified including storytelling,games,drawings and videos.Blended SEL interventions involving both face-to-face and web-based facilitation could be developed within a tiered model of universal mental health promotion and targeted prevention.Access to online platforms would increase reach to large numbers of children in LMIC,especially in contexts of disadvantage.

Path Analysis of Rural Social Work Intervention in Precision Poverty Alleviation in Sichuan Province

The targeted poverty alleviation policy isone of the important methods to solve the problemof poverty in China. After the implementation of thetargeted poverty alleviation policy in China, someresults have shown positive. However, due to theshortage of resources and talents for poverty alleviation,there are still some shortcomings in the targeted povertyalleviation work. In the process of targeted povertyalleviation, if we can promote social work to participatein targeted poverty alleviation and use a wider rangeof social forces to provide more professional andtargeted assistance work for the poor, we will achievethe final sprint for the success of targeted povertyalleviation in China and a well-off society. Based onthe actual situation of China’s current targeted povertyalleviation work, this article takes the relationship andcontent of rural social work in Sichuan Province aspart of the targeted poverty alleviation as well as thedifficulties it faces. The analysis focuses on the pathof rural social work in Sichuan Province to targetedpoverty alleviation and aims to provide more referencesuggestions for targeted poverty alleviation in China.

Christian Faith Rush in Rural Areas and Social Work Intervention

To make the public have rational knowledge of the Christian faith rush in rural areas and guide coordinated development of Christianity with the socialist society, we analyzed reasons and complex influence on rural social development from aspects of society and individual and attraction of Christianity by the Literature Analysis Method. In view of its negative effect, we put forward several countermeasures from the perspective of social work intervention, such as improving farmers' overall qualities, promoting effective implementation of social security system, and correcting believers' understanding of Christianity. Finally, we introduced situation of Christian faith in other countries and reference and directive significance to China.

领悟社会支持对突发公共卫生事件中一线人员正念干预效用中的中介效应

目的研究正念干预在突发公共卫生事件中一线人员中的效果,并考察领悟社会支持在正念干预效用中的中介效应。方法选择2021年3月至2022年4月在医院一线工作的200名医务人员为研究对象,按照随机数字表法分为对照组和观察组,每组100名。对照组给予常规心理干预,观察组给予正念干预。干预后比较两组医护人员的正念水平、领悟社会支持能力、睡眠质量和心理情况。分析以上四者之间的相关性,采用中介效应模型分析领悟社会支持在正念干预效用中的中介效应。结果干预后,观察组医护人员的正念水平和领悟社会支持量表评分明显高于对照组(P<0.05),观察组分别为(89.59±8.45)分和(88.48±8.53)分,对照组分别为(71.35±7.47)分和(76.34±7.58)分。观察组医护人员的睡眠质量和焦虑-抑郁-压力量表评分明显低于对照组(P<0.05),分别为(7.35±1.24)分和(16.46±2.29)分,对照组分别为(13.56±2.31)分和(29.48±3.05)分。医护人员的正念水平与领悟社会能力呈正相关,两者分别与焦虑-抑郁-压力和睡眠质量呈负相关。领悟社会支持在正念水平和正念干预效果中发挥中介效应,正念与睡眠质量的总效应值为-0.347,与焦虑之间为-0.439,与抑郁之间为-0.508,与压力之间为-0.395。结论正念干预能可直接或通过领悟社会支持能力间接作用,显著提高突发公共卫生事件中一线人员改善其睡眠质量及负面情绪,具有重要临床应用价值。

乡村幼儿园教师社会情感线上正念干预方案设计及其实施效果

社会情感能力对促进乡村幼儿园教师个体专业成长及儿童社会情感发展的重要性日渐凸显。本研究招募82名乡村幼儿园教师为研究对象,对其中干预组(N=40)实施为期六周的线上正念干预课程,并通过混合研究方法考察干预效果。量化分析结果表明,乡村幼儿园教师社会情感能力和职业倦怠的测试时间与组别交互作用显著。线上正念干预课程显著提高了干预组幼儿园教师社会情感能力,并且职业倦怠水平显著下降。此外,质性研究结果进一步支持了正念干预能够有效促进乡村幼儿园教师自我认知、情绪管理、理解与共情以及负责任地决策等方面的发展。本研究证实基于正念的线上课程是培育乡村幼儿园教师社会情感能力和减缓职业倦怠经济而有效的重要途径。因此可借助“互联网+教育”模式,为乡村幼儿园教师提供线上心理健康培育资源和教练指导;合理设计线上正念干预课程内容及实施过程,以促进其社会情感能力发展。

团体积极心理干预对研究生生命意义感和社会支持的效果

目的:验证积极心理干预提升研究生生命意义感及社会支持的有效性。方法:将59名研究生(年龄22.76±0.97岁)分为干预组(n=44)和对照组(n=15),干预组完成了6次团体积极心理干预,对照组等待实施干预,前测与后测均填写了生命意义感量表(MLQ)和领悟社会支持量表(PSSS)。结果:①干预组在生命意义感、领悟社会支持得分上的变化量均显著高于对照组(t=2.02,2.60;P<0.05);②与前测相比,干预组在干预后生命意义感和领悟社会支持显著提升(t=3.80,3.71;P<0.001)。结论:团体积极心理干预可以有效提升研究生的生命意义感和社会支持。

社会工作助推高校心理危机干预模式探析

社会工作坚持契合需求为解决问题的前提,对特殊群体进行救助和服务,从内探索症结,从外分析影响,令高校心理危机干预工作呈现从细分到整合,从治疗到预防的发展趋势,实现外部、内部的双向成长和转变。文章以融合思维为导向,以社会工作理论和实践方法为依靠,探索“社会工作+心理危机干预”助推高校心理危机干预工作科学发展新模式。

文旅融合背景下历史街区社会韧性测度与业居关联微干预调节——以重庆市磁器口街区为例

文章以文旅融合发展背景下历史街区经济韧性与社会韧性平衡保持为目标,提出“业居关联”的历史街区社会韧性议题研究思路,建构出以态征测度、回归分析、阈值计算为分析步骤,以居民保有率、邻里网络密度、环境滋扰指数和商铺比例、房租价格、访客载荷为表征指标因子的历史街区业居态征定量测度与关联分析方法;以重庆市磁器口历史街区的多期多区多态数据为研究样本,揭示出文旅商业化进程中历史街区社会韧性的3项衰减机理:空间竞价导致本地居民外迁、业态置换导致邻里阻隔、访客超载导致生活滋扰,以及相应业居作用关系下街区社会韧性保持的业居指标阈值。上述方法与指标结论遵循历史街区业居态征交互影响、动态变化的现实逻辑,突破了历史街区韧性研究“评调脱节”的技术瓶颈,有助于将定量评测结论转化为定量调控措施,可为我国历史街区社会韧性研究和文旅融合发展实践提供有益参考。

青少年社交恐惧症状的可控性因素及干预措施研究进展

社交恐惧症状作为社交恐惧症的早期表现,近年来在青少年群体中呈现出显著增长的趋势,这一现象已引起社会的广泛关注。现有研究表明,准确识别与干预社交恐惧症状,能够有效缓解其给青少年带去的负面影响,促进青少年心理健康发展。同时,深入分析国内外青少年社交恐惧症状的现状,探索其影响因素和有效干预策略,不仅是预防和治疗社交恐惧症的关键,也是推进“健康中国行动”道路上亟须解决的重要课题。鉴于此,本研究将通过回顾青少年社交恐惧症状的生理、心理和社交行为表征,从人格、家庭、学校和社交媒体等方面探讨青少年社交恐惧症状的可控性因素及相关干预措施,为青少年心理健康领域的教育工作者提供理论参考。

老年群体数字沉迷的演进逻辑、治理困境与干预策略

数字社会的快速发展可帮助老年群体跨越数字鸿沟、享受数字红利,但是也出现了部分老年群体过度介入网络空间、屏蔽现实的现象,数字沉迷已成为老年群体面临的又一社会性难题,研究如何正确认识并帮助老年群体克服数字沉迷具有重要的现实意义。文章着重探究老年群体数字沉迷的演变阶段,根据当下的数字沉迷治理困境,提出社会沉迷干预策略,以期引导老年群体做出健康的网络行为。

整合与介入:“矛盾不上交”的基层治理逻辑

“矛盾不上交”是中国共产党探索出来并长期推广的基层治理模式,已然成为卓具中国特色的基层治理技术。“矛盾不上交”之所以具有治理效能,在于其具有“整合式治理”和“介入式治理”两种特征。从整合式治理的角度看,基层社会从结构维度实现了主体之间的关系整合、主体之间的能力整合、社会矛盾纠纷调处的制度整合,从机制维度体现了协商治理的运作过程。整合式治理在学理上体现了“复杂性管理”的逻辑。从介入式治理的角度看,当基层群众力量难以解决特定矛盾时,国家力量的介入能够在国家力量与社会力量的协同中实现矛盾的在地化解,这也体现了国家能力的价值。总体来看,“矛盾不上交”与关系维度的国家治理相契合,通过对人与人之间关系以及国家—社会关系的调整构建稳定的秩序,体现了人人有责、人人尽责、人人享有的社会治理共同体的价值意蕴。

失能老人精神健康问题的社会工作干预模式与策略研究——以S市K机构的社工服务为例

随着人口老龄化趋势加剧,长期失能老人的精神健康问题已成为一个全球性的社会关注焦点。以S市K机构的社工服务为例,通过问卷调查和深入访谈的方法进行研究,发现S市K机构采用多种社会工作干预模式和策略,包括个体辅导、家庭支持和社区资源整合等。这些直接和间接的干预模式与策略在提供情感支持、信息传递、资源协调方面发挥了重要作用,能够极为有效地帮助失能老人改善精神健康问题。

涉案未成年人暴力行为问题的社会工作介入路径研究——基于社会键理论

基于社会键理论分析涉案未成年人暴力行为典型案例,认为涉案未成年人暴力犯罪的原因在于家庭依恋关系缺失导致制约不足、奉献与参与不足导致犯罪风险增加,守法信念失效导致自控能力弱三个方面。提出司法社会工作介入思路:(一)修复亲子关系,增强支持力量;(二)提升职业规划能力,增加正向融入;(三)提高法律认知能力,建立合理信念。