The Relationship between Psychological Vulnerability,Aging Attitudes and Life Meaning in Elderly Patients with Comorbidities

Background:With the rapid aging of China’s population and the increasing prevalence of comorbidities in the elderly,psychological crises have become more common.This study aims to investigate the present status of psychological vulnerability,aging attitudes,and life meaning in elderly patients with comorbidities.Methods:A total of 685 elderly inpatients and outpatients at Renmin Hospital of Wuhan University between July and December 2022 were selected using the simple random sampling method.Social demographic data were collected,and the Attitudes to aging Questionnaire(AAQ),the Chinese Life Meaning Questionnaire(C-MLQ),and the Psychological Vulnerability Scale(C-PVS)were used for the analysis.A total of 685 questionnaires were received,and 602 valid questionnaires were collected,with an effective rate of 87.88%.Data analysis was performed using SPSS V25.0 and AMOS V24.0.Results:The total scores of psychological vulnerability,aging attitudes,and life meaning were 69.4±12.8,80.2±13.5 and 39.2±8.3,respectively.The psychological vulnerability was significantly negatively correlated with life meaning and aging attitudes(r=-0.351,-0.264;p<0.01).There was a significant positive correlation between aging attitudes and life meaning(r=0.515;p<0.01).Life meaning played a partial mediating role between psychological vulnerability and aging attitudes(β=3.070,p<0.05).Conclusion:This study found that the psychological vulnerability in elderly patients with comorbidities was at the lower level,which was related to the elderly patients’aging attitudes and their current status of life meaning.The level of psychological vulnerability in elderly patients with senile-related comorbidities needs to be further improved.Medical workers should pay attention to the psychological vulnerability of elderly patients and improve the identification of psychological crises of such patients.

Exploring the Interplay between Job Stress,Work Performance,and Attitudes toward Professional Psychological Help among Employees

Objective:This study explores the interplay between job stress,job-related factors,work performance,and attitudes toward seeking professional psychological help among Vietnamese employees.Methods:A total of 374 employees in Vietnam were surveyed using random sampling and an online questionnaire from November 07 to November 28,2023.Demographic data and self-reported from three scales:The New Job Stress Scale(NJSS),Work Performance(WP),and Attitudes Toward Seeking Professional Psychological Help(ATSPPH_SF)were collected.Results:Significant variations were found across several variables,including forms of work,operating hours,education levels,monthly income,numbers of daily working hours,and the presence of a psychological counseling department within the company.Our analysis has highlighted direct relationships between key latent variables.Employees who were more open to seeking professional help tended to report higher levels of job stress.The negative relationship was found between job stress and attitudes toward seeking professional help.Additionally,work effort was positively associated with work quality.Moderation analyses revealed the influence of co-worker support on role expectation conflict and work effort,role expectation conflict and work-life balance,as well as interactions between role expectation conflict and attitudes needed toward seeking professional help.Mediation analyses showed that work effort mediated relationships between openness to seeking professional help,co-worker support,work-life balance,role expectation conflict,and work quality.Attitudes toward seeking professional help also mediated relationships between work-life balance,job stress,and work quality.Conclusion:The study highlights the complex dynamics surrounding job stress,job-related factors,work performance,and attitudes toward seeking professional psychological help among Vietnamese employees.It highlights the importance of addressing help-seeking barriers,promoting work engagement,and fostering healthy work-life balance for employee well-being and productivity.Further research across diverse contexts and interventions is needed.

The Relationship Between Mothers’Psychological Well-Beingand Their Attitudes Towards Their Children

The purpose of this study is to investigate the effect of mothers’psychological well-being on their parental attitudes towards their children.The study was conducted using the general survey model.The study sample consists of 140(N=140)mothers aged between 20 and 41 and above whose children attended preschool education institutions affiliated to Konya Provincial Directorate of National Education.In the study,personal information form was used to determine the mothers’demographic features;Psychological Well-Being Scale was used to measure the mothers’psychological well-being and Family Life and Child Rearing Attitude Scale(Parental Attitude Research Instrument-PARI)was used to determine their attitudes towards their children.The data obtained from the study were analyzed using the AMOS 16 program according to“Structural Equation Modeling”in order to reveal the predictive relationships between psychological well-being and sub-dimensions of the family life and child-rearing attitude scale.The data obtained as a result of the study were discussed in the light of relevant literature.

Schizophrenia knowledge and attitudes toward help-seeking among Japanese fathers and mothers of high school students

The prodromal symptoms of schizophrenia are nonspecific and include social withdrawal, sleeplessness, decreased desire, and loss of concentration. Schizophrenia outcomes might be improved if greater therapeutic effort was focused on people with prodromal symptoms. To hasten help-seeking for schizophrenia, we developed a schizophrenia education program for families of patients. Help-seeking and schizophrenia attitudes and knowledge were analyzed among Japanese parents (666 fathers and 613 mothers) of high school students by using the Social Distance Scale-Japanese version, the Link Devaluation-Discrimination Measure and our own questions on help-seeking and schizophrenia knowledge. Statistical analysis included cross-tabulation, the χ2 test, and multiple regression analysis. Most (97.5%) fathers were aged 40 - 59 years;most (78.3%) mothers were aged 40 - 49 years. There was a significant difference between fathers and mothers in basic knowledge of schizophrenia (P < 0.001);however, fathers and mothers did not significantly differ in their attitudes toward schizophrenia (P > 0.05). When asked what treatment they would seek for a child with sleeplessness or social withdrawal, fathers and mothers significantly differed in seeking help medical care at a department of psychosomatic medicine (P < 0.05) and in seeking help from the nurse at their child’s school (P < 0.001). Fathers and mothers also differed in relation to the decision not to seek help (P < 0.001). Multiple regression analysis revealed that basic knowledge significantly differed between fathers and mothers (P = 0.001). In an analysis of parental response to a child with sleepiness and social withdrawal, multiple regression analysis revealed that fathers and mothers significantly differed in the likelihood of seeking help at a department of psychosomatic medicine and from a school nurse and in the likelihood of not seeking help (P < 0.05, P = 0.001 and P = 0.001, respectively). In conclusion, help-seeking behavior differed between Japanese fathers and mothers. These findings should assist in developing schizophrenia education programs that aim to hasten intervention.

A Study on the Causes of Students'Poor Learning Attitudes and the Social Psychological Countermeasures to Change Them

At this stage,with the continuous improvement of the quality of life and education,students at all levels of education are facing great pressure of learning and competition in life.If these pressures are not relieved orsolved in a timely manner,the lighter they affect daily life and learning,the more serious they cause mental health problems such as depression and anxiety,and even the horrible idea of ending their lives prematurely.Therefore,educators must pay great attention to students'learning status and mental health,and if students are found to have bad learning attitudes,they must promptly understand the causes of their balearning attitudes and,on that basis,develop and implement effective psychologicalguidance and mental health education programs to alleviate students'learning stress and mental health problems.In social psychology,students'behavior is the main influencing factor of learning mental health,behavior and mental health have a close relationship,through student behavior patterns and changes in learning attitudes can understand the psychological characteristics and health status of students.Therefore,many educators analyze the causes of students'poor learning attitudes based on socialpsychology,and develop and implement effective mental health education countermeasures to improve and transform poor learning attitudes.

Effects of Presentation- Assimilation- Discussion (PAD) Class Teaching Model on Learning Attitudes of Nursing Students ——Taking the "Nursing Psychology" Course as an Example

Purpose: to explore and discuss the effects of PAD Class Teaching Model on nursing students who are expected to enter undergraduate schools from junior colleges. Method: Randomly select 112 students from two classes (2016) who are expected to enter undergraduate schools from junior colleges in a medical school in Pingdingshan, and divide them into a control group and an experimental group using a method of cluster randomization. In the teaching process of "Nursing Psychology", the control group and the experimental group respectively adopted the traditional teaching mode and the PAD class teaching mode. After the implementation of one semester, compare the nursing students' learning attitudes change before and after the implementation. Results: The scores of the nursing students in the experimental group at the three latitudes of learning interests, learning habits, and professional cognition were significantly higher than those of the control group, and the differences have statistical significance (P<0.05). Conclusions: PAD class teaching mode helps improve nursing students' learning attitudes.

Attitudes towards prescribing psychiatric medicines: Do the views of psychology and medical students differ?

Concordance has been suggested as a process of the consultation in which prescribing process is based on partnership. The aim of this cross-sectional study was to compare attitudes towards psychiatric medication and concordance in medicine taking between medical and psychology students, as they represent future members of mental health teams. Two hundred and sixteen medical students and 222 psychology students completed the Leeds Attitudes toward Concordance scale (LATCon) and the Beliefs about Medication Questionnaire (BMQ) (both adapted for psychiatric medication). Psychology students saw psychiatric medicines as more harmful and were also most likely to believe that psychiatrists overprescribed these medicines. They also scored higher than medical students on attitudes towards concordance, although this difference remained at the limit of statistical significance.

The Investigation of Relationship between Religious Attitudes and Attachment Styles among Iranian Students

During recent years, A new tendency has appeared among psychologists to pay more attention to the influence of family, cultural and social factors on the human personality and his internal needs. This tendency is in favor of more attention to religion for treatment of mental health, thought and mental disorders. The type of researches: this research is a correlation and post-event (causative) which has done with the purpose of studying the relationship between religious attitudes with attachment styles for the students. So a sample of 60 students of humanitarian sciences majors at the Islamic Azad University of Neyshabour randomly selected classical (according to the results of attachment style inventory, completed by 150 students). The religious attitudes of subjects were tested by Alport religious orientation inventory and their attachment style by Shiver and Hezen’s adult attachment test and were tested according to the results of descriptive and inferential statistics methods. The results of research indicated that for the subjects which have safe attachment style, their religious attitudes are internal. For the subjects which have unsafe attachment style (evidential, ambivalent), their religious attitudes are external. And also the subjects with ambivalent unsafe attachment style have internal religious attitudes in comparison with evidential unsafe attached persons. So, it can be said person’s attachment style is affected by their religious attitudes. As related to the attained results and comparing them with the results of past researches, it can be said that people with internal religious orientation and safe attached persons have confidence in others (especially to themselves) because of some personal characteristics. So, there is no reason for fear or for connivance of what they want and naturally will have an attitude which is needless to show pretension and hypocrisy. As a result, their religious attitude score in internal scale is more than external scale.

Attitudes of hospitalized patients toward wearing patient clothing in Tianjin,China:A cross-sectional survey

Objective:To assess the attitudes of hospitalized patients toward wearing patient clothing and identify the factors those influence their negative attitudes.Methods:A cross-sectional design was employed and a questionnaire survey was conducted.The data were collected from 251 hospitalized patients between July 2015 and August 2015.Results:Around 57.8%of the participants reported that they were unwilling to wear patient clothing.Among them,60.7%knew little to nothing about the function of patient clothing.Some of these patients were unwilling to wear patient clothing because these uniforms had poor comfort(26.2%),fit(34.5%),hygiene(66.2%),and appearance(31.1%),and wearing them was psychologically uncomfortable(43.5%).Conclusions:More than half of the hospitalized patients dislike wearing patient clothing because they were unaware of its functions and were skeptical about its hygiene,comfortability,fit,and appearance.Therefore,these patients must be provided with comfortable,well fitting,hygienic,and aesthetically pleasing clothing.

Awareness and Attitudes Toward In Vitro Fertilization in Patients with Infertility:A Cross-Sectional Study

Objective:To investigate the awareness and attitudes of patients with infertility toward in vitro fertilization(IVF).Methods:A cross-sectional study was conducted in patients with infertility at the Reproductive Medicine Center of Peking University Third Hospital.Data collection was conducted using a questionnaire that consists of patient background information,methods of obtaining relevant IVF information,and patients’awareness of IVF treatment as well as the law and ethics.Results:A total of 198 participants of different backgrounds were enrolled in the study,and IVF information was obtained through different means;however,most of the participants had a lack of awareness and improper attitude toward IVF.The participants had higher estimations of treatment expenses(Pearson λ^(2)=22.132,P<0.05)and time(Pearson λ^(2)=47.992,P<0.05)during the initial consultation,while those with treatment experience expressed fewer concerns about IVF therapy(Pearson λ^(2)=9.467,P<0.05),particularly about the genetic risks of having IVF.Conclusion:Measures should be taken to improve patients’awareness and attitudes toward IVF,and a large-scale and multicenter clinical study should be conducted in the future.

结构性团体心理-运动干预对农村独居老年人的影响

目的探讨结构性团体心理-运动干预对农村独居老年人孤独感、老化态度及生活空间移动性的效果。方法采用抽签法将湖州市织里镇2个村随机分为2个组,在各村采用便利取样法招募独居老年人各32人,对照组接受乡镇卫生中心开展的常规健康管理,干预组在常规基础上进行每周1次,共12周的结构性团体心理-运动干预。采用多维孤独感量表、老化态度问卷、生活空间评估量表测评老年人的孤独感水平、老化态度及生活空间移动性。结果12周干预后,干预组老年人孤独感总分及其各维度得分显著低于本组干预前及对照组干预后,老化态度、生活空间移动性得分显著高于本组干预前及对照组干预后(均P<0.05)。结论结构性团体心理-运动干预能够有效缓解农村独居老年人孤独感和负性老化态度,提高老年人的生活空间移动性。

基于知信行模式的3H护理在慢性阻塞性肺疾病急性加重期患者中的应用

目的探究基于知信行模式的3H护理在慢性阻塞性肺疾病急性加重期(AECOPD)患者中的应用价值。方法选取医院2019至2022年收治的73例AECOPD患者作为研究对象,随机分为观察组(n=37)和对照组(n=36)。对照组采用常规护理方式,观察组采用基于知信行模式的3H护理,比较2组患者心理弹性、生活质量、自护能力、自我效能。结果干预后2组患者心理弹性、生活质量、自护能力、自我效能得分较干预前均有升高(P<0.05),且观察组更高(P<0.05);结论相比于应用常规护理,应用基于知信行模式的3H护理对于AECOPD患者而言,更能提升心理韧性、改善生活质量、提升自护能力、提高自我效能,适合在临床推广使用。

芳香疗法在老年晚期恶性肿瘤患者安宁疗护中的应用及其对心理状态及死亡态度的影响

目的:探讨芳香疗法在老年晚期恶性肿瘤患者安宁疗护中的应用及其对心理状态、疼痛程度及死亡态度的影响。方法:将新乡市中心医院2021年1月—2022年10月符合标准的103例老年晚期恶性肿瘤患者作为研究对象,按照随机数字表法分为对照组(n=51)和观察组(n=52)。对照组给予基础照顾和安宁疗护,观察组在对照组基础上联合芳香疗法干预,干预6周后观察2组患者的心理状态、疼痛程度及死亡态度。结果:干预后,2组患者广泛性焦虑障碍量表(Generalized anxiety disorder scale-7)、抑郁症自我评估量表(Patient Health Questionnaire-9)得分均较干预前降低,且观察组得分较对照组低(P<0.05);干预后,2组患者疼痛数字评分法(Numerical rating scale)评分均较干预前降低,且观察组患者得分低于对照组(P<0.05);干预后,2组患者死亡态度描绘修订表(Death Attitude Profile-Revised)评分中死亡恐惧(Death fear)、死亡逃避(Death escape)、逃离接受(Escape from accept)维度得分均较干预前降低,且观察组患者得分较对照组低(P<0.05);2组DAP-R评分中趋近接受(Approaching acceptance)和自然接受(Naturally accept)维度得分均较干预前高,且观察组得分较对照组高(P<0.05)。结论:芳香疗法应用于老年晚期恶性肿瘤患者的安宁疗护中可以减轻疼痛,改善心理状态和死亡态度。

公众的社会政治态度稳定吗?——基于两份追踪调查的分析

公众对于抽象的政治社会问题的看法在多大程度上稳定和可靠?对这一问题的回答既关乎社会调查方法的可靠性,又关乎民意基础的稳定性。通过对“中国家庭追踪调查”和“大学生态度追踪调查”的分析发现,以问卷调查方式测量的态度确实在集合层次和个体层次均不够稳定,但大学生比普通民众的态度要更稳定。同时,受访者集合层次的态度变化呈现出较为明显的结构性特征,即对具体社会议题的态度比人格—认知及基础价值观相关问题的态度更易变化。对不同变量间做相关分析后发现,在个体层次,权威人格、认知闭合等心理特质、政治立场与个体态度的变化存在相关关系。因此,民众社会态度的不稳定并不能简单归因为测量误差,需要更为系统的研究。未来的研究一方面需要分析态度形成与改变的一般性因素,另一方面需要探讨中国人的社会政治态度改变与特殊的国情、制度及文化之间存在何种关联。

色彩心理学理念的人文关怀服务对精神分裂症住院患者心理弹性、治疗态度及攻击行为的影响

目的:探讨基于色彩心理学理念的人文关怀服务对精神分裂症住院患者心理弹性、治疗态度及攻击行为的影响。方法:采用随机数字表法将108例精神分裂症患者分为观察组(n=54)与对照组(n=54)。对照组采取常规护理,观察组在对照组的基础上给予基于色彩心理学理念的人文关怀服务。对比两组临床精神症状[阳性与阴性症状量表(PANSS)]、心理弹性[心理弹性量表(CD-RISC)]、治疗态度[自知力及治疗态度问卷(ITAQ)]及攻击行为[攻击行为问卷(AQ)]。结果:干预后,相较于对照组,观察组阳性症状、阴性症状、一般精神病理及PANSS总分较低(t=2.942,4.836,2.967,6.085;P<0.05),CD-RISC量表中坚韧、自强、乐观维度评分较高(t=5.468,5.273,3.477;P<0.05),干预后相较于对照组,观察组ITAQ评分较高(t=3.771,P<0.05),身体攻击、言语攻击、间接攻击、愤怒、敌意及AQ总分较低(t=5.358,2.811,3.235,5.273,7.055,10.048;P<0.05)。结论:基于色彩心理学理念的人文关怀服务有利于促进精神分裂症住院患者疾病恢复,提升心理弹性、改善自知力与治疗态度、降低攻击性行为出现的可能性。

老年脑卒中患者老化态度现状及影响因素分析

目的调查老年脑卒中患者老化态度现状并分析其影响因素,为实施针对性干预措施提供参考。方法采用一般资料调查表、老化态度问卷、心理困扰量表、社会网络量表、代际支持量表和怀旧感量表对423例老年脑卒中患者进行调查。结果老年脑卒中患者老化态度得分为(72.22±18.05)分。多元线性逐步回归分析显示,家庭人均月收入、自评健康状况、脑卒中并发症、兴趣爱好、身体锻炼情况、心理困扰、社会网络、代际支持与怀旧感是老年脑卒中患者老化态度的影响因素(均P<0.05),可解释总变异的62.1%。结论老年脑卒中患者老化态度处于中等水平,医护人员应针对影响因素采取有效干预措施,促进患者老化态度积极化。

参与型护理联合心理干预模式对双相情感障碍患者暴力行为、抑郁自杀态度及自我接纳的影响

目的探讨参与型护理联合心理干预模式对双相情感障碍患者暴力行为、抑郁自杀态度及自我接纳的影响。方法回顾性分析2020年7月至2022年12月上海市宝山区精神卫生中心收治的95例双相情感障碍患者的临床资料,根据干预模式分为常规组44例(常规护理)和观察组51例(参与型护理联合心理干预模式)。干预前后比较两组患者的暴力行为[精神病外显攻击行为量表(MOAS)评分]、抑郁自杀态度[汉密尔顿抑郁量表(HAMD)、自杀态度问卷(QSA)]、自我接纳问卷(SAQ)评分、病情恢复情况[简明双相情感障碍量表(BPRS)、精神护理观察量表(NORS)]。结果干预后,观察组患者的MOAS评分为(31.22±4.20)分,明显低于常规组的(42.88±5.69)分,差异有统计学意义(P<0.05);干预后,观察组患者的HAMD评分为(10.48±3.05)分,明显低于常规组的(17.11±4.78)分,QSA评分为(15.84±4.02)分,明显高于常规组的(10.27±3.33)分,差异均有统计学意义(P<0.05);干预后,观察组患者的自我评价、自我接纳评分分别为(28.05±5.37)分、(26.89±5.06)分,明显高于常规组的(20.68±3.92)分、(19.48±3.69)分,差异均有统计学意义(P<0.05);干预后,观察组患者的BPRS评分为(62.06±12.63)分,明显低于常规组的(86.75±20.47)分,NORS评分为(78.22±10.47)分,明显高于常规组的(65.72±8.59)分,差异均有统计学意义(P<0.05)。结论参与型护理联合心理干预模式可减少双相情感障碍患者暴力行为,有效调节患者抑郁自杀态度,且对自我接纳具有积极影响。

ADOPT模式护理干预在前列腺癌根治术后患者中的应用效果

目的探讨前列腺癌根治术后患者采用态度-定义-开放思维-制定计划-实施(ADOPT)模式护理干预的应用效果。方法选取医院2019年4月至2021年7月收治的129例前列腺癌患者根治术后患者作为研究对象,采用随机数表法分为对照组(64例,常规护理)和干预组(65例,常规护理和ADOPT模式护理干预)两组均连续干预至患者出院,比较两组患者干预前、后自我护理能力[自我护理能力量表(ESCA)]、生命质量[前列腺癌生命质量特异模块量表(QLQ-PR25)]、心理状况[焦虑自评量表(SAS)、抑郁自评量表(SDS)],并统计两组尿失禁发生情况。结果干预后,两组ESCA各维度评分低于干预前,且干预组更低(P<0.05);干预后,两组QLQ-PR25各维度评分均高于干预前,且干预组更高(P<0.05);干预后,两组SAS评分、SDS评分低于干预前,且干预组更低(P<0.05);干预组尿失禁发生率低于对照组(P<0.05)。结论ADOPT模式下护理可提高前列腺癌根治术后患者自我护理能力,改善生命质量及心理状况,降低尿失禁发生率。

上海市大学生生命态度调查及影响因素分析

目的调查上海市大学生生命态度及相关影响因素,为加强大学生生命教育提供参考。方法基于分层整群随机抽样法,采用生命意义感量表、自杀意念问卷、亲子亲密度量表和心理弹性量表对912名上海高校大学生进行调查。结果上海高校大学生父子亲密度、母子亲密度、心理弹性得分分别为(2.79±0.85)(3.10±0.43)(2.70±0.94)分;生命意义感和自杀意念得分分别为(4.93±1.03)(1.69±0.72)分。不同年龄、年级、户籍性质组大学生生命意义感和自杀意念得分差异有统计学意义(P<0.01);多元线性回归分析发现,父子亲密度、母子亲密度、心理弹性得分对生命意义感得分存在正向预测效用(β=0.11、0.13、0.49,P<0.05),对自杀意念得分存在负向预测效用(β=-0.14、-0.08、-0.19,P<0.05)。结论年龄较大、高年级、非本地户籍大学生是生命教育的重点关注人群,促进亲密家庭关系和父母协同养育的实现,以及提升个人心理弹性,可能有利于提升大学生的积极生命态度。

药物依赖戒断者心理健康模型建构及运动干预效果研究

研究运用《药物依赖戒断者心理健康问卷》构建结构方程模型,揭示锻炼态度如何调节药物渴求、心理症状与强迫性药物使用的关系,并考察10周有氧运动对药物依赖戒断者心理健康的影响。结果表明,心理症状是引发药物依赖及强迫性行为的重要因素,药物渴求在其中发挥了中介作用,锻炼态度在此中介效应中起到了关键的调节作用。通过运动干预,戒断者的心理症状显著改善,药物渴求及强迫性药物使用大幅减少。多层线性分析进一步显示,运动干预在调节药物渴求和强迫性药物使用方面具有明显效果。研究结论:基于“药物依赖戒断者心理健康问卷”构建的模型在戒断者心理健康研究中展现出较高的应用价值,其中药物渴求在心理症状与强迫性用药行为的关系中发挥中介效应,锻炼态度在该路径后半段起到了调节作用。此外,运动干预对于改善戒断者的心理状态、减少药物渴求及强迫性用药行为具有显著效果,多层线性模型验证了运动干预的调节作用。