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6-month CPAP-treatment in a young male patient with severe obstructive sleep apnoea syndrome - a case study from the couple's perspective.

https://arctichealth.org/en/permalink/ahliterature165224
Source
Eur J Cardiovasc Nurs. 2008 Jun;7(2):103-12
Publication Type
Article
Date
Jun-2008
Author
Anders Broström
Peter Johansson
Jan Albers
Jan Wiberg
Eva Svanborg
Bengt Fridlund
Author Affiliation
Department of Medicine and Care, Faculty of Health Sciences, Linköping University, Linköping, Sweden. andbr@imv.liu.se
Source
Eur J Cardiovasc Nurs. 2008 Jun;7(2):103-12
Date
Jun-2008
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adult
Attitude to Health
Continuous Positive Airway Pressure - adverse effects - psychology
Cost of Illness
Fear
Female
Follow-Up Studies
Frustration
Humans
Male
Nursing Methodology Research
Obesity, Morbid - complications
Qualitative Research
Quality of Life - psychology
Questionnaires
Severity of Illness Index
Sleep Apnea, Obstructive - diagnosis - etiology - prevention & control - psychology
Snoring - etiology - psychology
Social Behavior
Spouses - psychology
Stress, Psychological - etiology - psychology
Sweden
Treatment Outcome
Abstract
Obstructive sleep apnoea syndrome (OSAS) is independently associated with an increased risk for hypertension and cardiovascular disease. Continuous positive airway pressure (CPAP) can reduce mortality and morbidity, but low compliance rates are seen.
To explore and describe the experiences of CPAP-treatment in a young male patient with severe OSAS during a 6-month period from the couple's perspective. METHODS AND THE CASE: A single case study with a phenomenographic approach was employed. Diagnostic procedures of OSAS and initiation of treatment with Auto-CPAP, humidifier and a nasal mask were performed during 4 visits. Conceptions were collected at 4 different occasions during the 6-month period (before, and 2 weeks, 3 months, and 6 months after treatment initiation) by means of interviews with a 33-year old male patient and his female partner.
Totally 17 different structural aspects were found to fluctuate during the 6-month period in relation to; influence of stressors, social reactions and adaptation to increase compliance.
An increased knowledge about the influence of stressors, the social reactions, and the adaptation can help healthcare personnel to identify and better understand concerns of other patients and spouses during different time phases of the initial 6-month period of CPAP-treatment.
Notes
Comment In: Eur J Cardiovasc Nurs. 2008 Jun;7(2):89-9018396463
PubMed ID
17291832 View in PubMed
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Absenteeism screening questionnaire (ASQ): a new tool for predicting long-term absenteeism among workers with low back pain.

https://arctichealth.org/en/permalink/ahliterature132639
Source
J Occup Rehabil. 2012 Mar;22(1):27-50
Publication Type
Article
Date
Mar-2012
Author
Manon Truchon
Marie-Ève Schmouth
Denis Côté
Lise Fillion
Michel Rossignol
Marie-José Durand
Author Affiliation
Département des Relations Industrielles, Université Laval, Québec, Canada. manon.truchon@rlt.ulaval.ca
Source
J Occup Rehabil. 2012 Mar;22(1):27-50
Date
Mar-2012
Language
English
Publication Type
Article
Keywords
Absenteeism
Adult
Disability Evaluation
Disabled Persons
Fear - psychology
Female
Forecasting
Humans
Low Back Pain - diagnosis - psychology
Male
Psychometrics - instrumentation
Quebec
Questionnaires
ROC Curve
Reproducibility of Results
Work
Workplace
Abstract
Over the last decades, psychosocial factors were identified by many studies as significant predictive variables in the development of disability related to common low back disorders, which thus contributed to the development of biopsychosocial prevention interventions. Biopsychosocial interventions were supposed to be more effective than usual interventions in improving different outcomes. Unfortunately, most of these interventions show inconclusive results. The use of screening questionnaires was proposed as a solution to improve their efficacy. The aim of this study was to validate a new screening questionnaire to identify workers at risk of being absent from work for more than 182 cumulative days and who are more susceptible to benefit from prevention interventions.
Injured workers receiving income replacement benefits from the Quebec Compensation Board (n = 535) completed a 67-item questionnaire in the sub-acute stage of pain and provided information about work-related events 6 and 12 months later. Reliability and validity of the 67-item questionnaire were determined respectively by test-retest reliability and internal consistency analysis, as well as by construct validity analyses. The Cox regression model and the maximum likelihood method were used to fix a model allowing calculation of a probability of absence of more than 182 days. Criterion validity and discriminative capacity of this model were calculated.
Sub-sections from the 67-item questionnaire were moderately to highly correlated 2 weeks later (r = 0.52-0.80) and showed moderate to good internal consistency (0.70-0.94). Among the 67-item questionnaire, six sub-sections and variables (22 items) were predictive of long-term absence from work: fear-avoidance beliefs related to work, return to work expectations, annual family income before-taxes, last level of education attained, work schedule and work concerns. The area under the ROC curve was 73%.
The significant predictive variables of long-term absence from work were dominated by workplace conditions and individual perceptions about work. In association with individual psychosocial variables, these variables could contribute to identify potentially useful prevention interventions and to reduce the significant costs associated with LBP long-term absenteeism.
PubMed ID
21796374 View in PubMed
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Abstinence fear in methadone maintenance withdrawal: a possible obstacle for getting off methadone.

https://arctichealth.org/en/permalink/ahliterature208577
Source
Subst Use Misuse. 1997 May;32(6):779-92
Publication Type
Article
Date
May-1997
Author
C. Eklund
A J Hiltunen
L. Melin
S. Borg
Author Affiliation
Department of Clinical Psychology, University of Uppsala, Sweden.
Source
Subst Use Misuse. 1997 May;32(6):779-92
Date
May-1997
Language
English
Publication Type
Article
Keywords
Adult
Analysis of Variance
Fear
Female
Heroin Dependence - psychology - rehabilitation
Humans
Male
Methadone - therapeutic use
Psychometrics
Substance Withdrawal Syndrome - psychology
Sweden
Abstract
The present study attempts to shed light on methadone maintenance patients expectations regarding withdrawal symptoms during voluntary methadone detoxification. The study includes two groups of subjects; one group who have tried on their own initiative to terminate their methadone maintenance treatment (Group 1) and one group that contains rehabilitated patients who have not tried to quit using methadone (Group 2). Two main results have emerged. Group 1 has negative expectations beforehand about the intensity of withdrawal which significantly exceed the later, actual experience. Group 2 has negative expectations about the intensity of withdrawal that significantly exceed the negative expectations of Group 1. The clinical implications of these results are discussed.
PubMed ID
9178443 View in PubMed
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Access to the world after myocardial infarction: experiences of the recovery process.

https://arctichealth.org/en/permalink/ahliterature70416
Source
Rehabil Nurs. 2006 Mar-Apr;31(2):63-8; discussion 69
Publication Type
Article
Author
Cathrine Hildingh
Bengt Fridlund
Evy Lidell
Author Affiliation
School of Social and Health Sciences, Halmstad University, Sweden. hildingh@hos.hh.se
Source
Rehabil Nurs. 2006 Mar-Apr;31(2):63-8; discussion 69
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Adaptation, Psychological
Aged
Attitude to Health
Family - psychology
Fear
Female
Health Knowledge, Attitudes, Practice
Humans
Life Change Events
Life Style
Male
Middle Aged
Motivation
Myocardial Infarction - psychology - rehabilitation
Nurse's Role
Nursing Methodology Research
Qualitative Research
Questionnaires
Recovery of Function
Rehabilitation Nursing - organization & administration
Self Care - methods - psychology
Self Efficacy
Social Support
Sweden
Abstract
Myocardial infarction (MI) is a traumatic health event and at the same time a transition of vital importance in human life. The purpose of this study was to elucidate recovery patterns after myocardial infarction with regard to the content of patients' experiences. The study used a descriptive design and a qualitative method. Interviews with 16 men and women were performed, and data were subjected to a thematic content analysis. The recovery process had a pattern of ability, restraints, and reorientation. Through self-help and help from others, the mutual sharing of burdens, and clarifying restraints to recovery, the recovery process progressed toward reorientation. New values and motivation for change, as well as a new balance within the self and relationships were found. The MI had been integrated into life and, through the recovery process, patients' attitudes were better focused, leading to an enhanced quality of life.
PubMed ID
16526524 View in PubMed
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Accidental exposure to electromagnetic fields from the radar of a naval ship: a descriptive study.

https://arctichealth.org/en/permalink/ahliterature256376
Source
Int Marit Health. 2013;64(4):177-82
Publication Type
Article
Date
2013
Author
Bente E Moen
Ole Jacob Møllerløkken
Nils Bull
Gunnhild Oftedal
Kjell Hansson Mild
Author Affiliation
Department of Global Public Health and Primary Care, University of Bergen, Norway; Department of Occupational Medicine, Haukeland University Hospital, Norway. bente.moen@isf.uib.no.
Source
Int Marit Health. 2013;64(4):177-82
Date
2013
Language
English
Publication Type
Article
Keywords
Accidents, Occupational - psychology
Adult
Electromagnetic fields - adverse effects
Fear
Female
Humans
Male
Middle Aged
Military Personnel - psychology
Naval Medicine
Norway
Occupational Exposure - adverse effects
Radar
Ships
Young Adult
Abstract
Part of a crew on a Norwegian naval ship was exposed to the radar waves for approximately 7 min from an American destroyer during an incident at sea in August 2012. Information about the exposure was not given by the navy. This is a description of what happened with the crew on board after this event. 14 persons had been on the ship bridge or outside on the deck during the exposure and the rest of the crew had been inside the ship. 27 persons were examined at a hospital 6-8 months after the event, as they had developeda large number of symptoms from different organ systems. They were very worried about all types of possible adverse health effects due to the incident. All were examined by an occupational physician and anophthalmologist, by an interview, clinical examinations and blood tests at the hospital. The interview of the personnel revealed that they had not experienced any major heating during the episode. Their symptoms developed days or weeks after the radar exposure. They had no objective signs of adverse health effects at the examination related to the incident. Long-term health effect from the exposure is highly unlikely. The development of different symptoms after the incident was probably due to the fear of possible health consequences. Better routines for such incidents at sea should be developed to avoid this type of anxiety.
PubMed ID
24408137 View in PubMed
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Acute myocardial infarction in middle-aged women: narrations from the patients and their partners during rehabilitation.

https://arctichealth.org/en/permalink/ahliterature54063
Source
Intensive Crit Care Nurs. 2000 Aug;16(4):256-65
Publication Type
Article
Date
Aug-2000
Author
M. Svedlund
I. Axelsson
Author Affiliation
Department of Health Sciences, Mid Sweden University, Ostersund. Marianne.Svedlund@hvs.mh.se
Source
Intensive Crit Care Nurs. 2000 Aug;16(4):256-65
Date
Aug-2000
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Adaptation, Psychological
Age Factors
Attitude to Health
Denial (Psychology)
Emotions
Fear
Female
Freedom
Humans
Middle Aged
Myocardial Infarction - psychology - rehabilitation
Nursing Methodology Research
Questionnaires
Research Support, Non-U.S. Gov't
Shame
Spouses - psychology
Stress, Psychological - psychology
Sweden
Women - psychology
Abstract
The purpose of this study was to examine the meaning of lived experiences after an acute myocardial infarction (AMI) and being a partner to an afflicted woman, as it is narrated during rehabilitation. Nine women and their partners narrated their experiences three and twelve months after AMI. The interview texts were transcribed and then interpreted, using a phenomenological-hermeneutic method inspired by the philosophy of Ricoeur. The result showed that their experiences of the illness contained two themes: 'rehabilitation needed' and 'loss of freedom' which contains eight sub-themes; 'adapting to it', 'struggling against it', 'living as normally as possible', 'having insight into how it can be', 'feeling guilty and ashamed about being weak', 'withholding feelings', 'feeling useless', and 'feeling fatigued and losing strength'. After further interpretation, the themes gave a deeper meaning of living with AMI and how it affects women and their partners. The women conceded that they felt distressed and vulnerable but struggled against the fear the illness means. The partner's role appears to be one of trying to adapt to the women's experiences of the illness. That the women withheld their feelings and did not talk about them indicates a lack of communication between the couples. As coronary care nurses often come very close both to the afflicted persons and the relatives they fill an important function in each patient's recovery. The nurses could help and prepare the patients and their relatives to understand better such feelings and reactions as could appear after discharge from hospital.
PubMed ID
10922190 View in PubMed
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Acute posttraumatic stress: nonacceptance of early intervention.

https://arctichealth.org/en/permalink/ahliterature71884
Source
J Clin Psychiatry. 2001;62 Suppl 17:35-40
Publication Type
Article
Date
2001
Author
L. Weisaeth
Author Affiliation
Division of Disaster Psychiatry, Institute of Psychiatry, University of Oslo, Norway. lars.weisath@psykiatri.uio.no
Source
J Clin Psychiatry. 2001;62 Suppl 17:35-40
Date
2001
Language
English
Publication Type
Article
Keywords
Accidents, Occupational - psychology - statistics & numerical data
Acute Disease
Adaptation, Psychological
Anxiety - diagnosis - epidemiology
Cohort Studies
Cooperative Behavior
Cross-Sectional Studies
Dreams - psychology
Explosions - statistics & numerical data
False Negative Reactions
False Positive Reactions
Fear - psychology
Female
Follow-Up Studies
Humans
Life Change Events
Male
Mass Screening - psychology - statistics & numerical data
Norway - epidemiology
Patient Acceptance of Health Care - psychology
Psychiatric Status Rating Scales - statistics & numerical data
Sleep Disorders - diagnosis - epidemiology
Social Isolation - psychology
Startle Reaction - physiology
Stress Disorders, Post-Traumatic - diagnosis - epidemiology - psychology
Abstract
Psychological resistance may be of considerable importance in the posttraumatic stress disorder (PTSD) population, considering that researchers in the field of traumatic stress are frequently unsuccessful in achieving high response rates, that many subjects suffering from PTSD never seek help, and that dropouts from therapy are frequent. This article presents data on the main complaints reported in the acute aftermath of an industrial disaster by 246 employees who had been exposed to the disaster. The dominant concerns were symptomatic complaints related to posttraumatic stress reactions rather than external problems. Sleep disturbance, anxiety/fear responses, and physical symptoms were reported by individuals with complaints in the acute phase as most problematic, while irritability and depressive symptoms appeared very infrequently among the reported main complaints. A high specificity and sensitivity were achieved in predicting later PTSD (as defined by DSM-III criteria) by applying early response variables: thus, there were few false-positives and false-negatives. There was a considerable overlap between the PTSD predictors and the main symptom complaints. From a prevention point of view, this should be advantageous, since it would bring the right people to seek help. However, in a significant proportion of the acutely distressed, the reluctance to seek help was motivated by the very symptoms that predicted PTSD. Even a relatively high rate of subjects agreeing to be screened (82.8%) would have lost 42% of those who qualified for a diagnosis of PTSD, and more than half of the subjects with severe outcomes would not have been included. For primary and secondary prevention, the findings suggest that early screening and outreach should be very active.
PubMed ID
11495094 View in PubMed
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Adolescents' and Young Adults' Lived Experiences Following Venous Thromboembolism: "It will always lie in wait".

https://arctichealth.org/en/permalink/ahliterature282460
Source
Nurs Res. 2016 Nov/Dec;65(6):455-464
Publication Type
Article
Author
Anette Arbjerg Højen
Pia S Dreyer
Deirdre A Lane
Torben Bjerregaard Larsen
Erik Elgaard Sørensen
Source
Nurs Res. 2016 Nov/Dec;65(6):455-464
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adolescent
Adult
Denmark
Fear - psychology
Female
Hermeneutics
Humans
Male
Quality of Life - psychology
Stress, Psychological
Venous Thromboembolism - psychology
Young Adult
Abstract
Long-term, mental well-being of adolescence and young adults diagnosed with venous thromboembolism (VTE) as experienced by the patients has received little attention.
The purpose of this study was to explore the essential meaning of adolescents' and young adults' lived experiences following VTE to gain an in-depth understanding of their long-term, mental well-being.
Semistructured interviews were conducted with 12 Danish patients who were diagnosed with VTE in adolescence or young adulthood. Interviews were analyzed according to a phenomenological hermeneutical approach inspired by the French philosopher Paul Ricœur's theory of interpretation.
Four themes emerged. Participants described an experience of a creeping loss of youth immortality, a perception of being different, to live with a body in a state of alarm, and feel symptom management insecurity.
Mental well-being of adolescents and young adults diagnosed with VTE is negatively impacted in the long term. Fear of VTE recurrence predominates and is an important source of psychological distress. This study highlights the clinical importance of including the long-term, mental well-being in the overall assessment when developing rehabilitation programs for adolescents and young adults diagnosed with VTE.
PubMed ID
27801716 View in PubMed
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Adolescents with inflammatory bowel disease feel ambivalent towards their parents' concern for them.

https://arctichealth.org/en/permalink/ahliterature87529
Source
Scand J Caring Sci. 2007 Dec;21(4):476-81
Publication Type
Article
Date
Dec-2007
Author
Reichenberg Kjell
Lindfred Helene
Saalman Robert
Author Affiliation
The Nordic School of Public Health and The Vårdal Institute, Lund and Göteborg Universities, Göteborg, Sweden. kjell@reichenberg.se
Source
Scand J Caring Sci. 2007 Dec;21(4):476-81
Date
Dec-2007
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adolescent
Adolescent Psychology
Anxiety - etiology - psychology
Attitude to Health
Communication
Conflict (Psychology)
Cooperative Behavior
Fear - psychology
Female
Health Knowledge, Attitudes, Practice
Humans
Inflammatory Bowel Diseases - complications - prevention & control - psychology
Male
Models, Psychological
Nursing Methodology Research
Parent-Child Relations
Parents - psychology
Patient Education as Topic
Self Care - psychology
Self Efficacy
Social Support
Sweden
Trust
Abstract
This is a grounded theory study to identify concepts for describing how adolescents with inflammatory bowel disease (IBD) respond to their parents' concern for them. Ten adolescent boys and seven girls were interviewed. In the analysis four main categories emerged: ambivalence, ability/inability, compliance/resistance and trust/distrust. We found ambivalence to be the most distinctive theme to appear in the way in which these young people described how they felt about their parents' response to their disease. The core category ambivalence was expressed as an oscillation between seeking close contact with one's parents or, sometimes, staving them off, one moment feeling anxiously dependent upon them or turning to them for protection and support and the next, trying to achieve a dialogue with them. The core category comprised three subcategories, ability/inability, compliance/resistance and trust/distrust. The clinical support for young individuals with IBD should include an awareness of the simultaneous existence of conflicting attitudes, reactions and emotions.
PubMed ID
18036010 View in PubMed
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The Adolescent Unresolved Attachment Questionnaire: the assessment of perceptions of parental abdication of caregiving behavior.

https://arctichealth.org/en/permalink/ahliterature196336
Source
J Genet Psychol. 2000 Dec;161(4):493-503
Publication Type
Article
Date
Dec-2000
Author
M. West
S. Rose
S. Spreng
K. Adam
Author Affiliation
Department of Psychiatry, University of Calgary, Alberta, Canada.
Source
J Genet Psychol. 2000 Dec;161(4):493-503
Date
Dec-2000
Language
English
Publication Type
Article
Keywords
Adolescent
Age Factors
Alberta
Analysis of Variance
Anger
Fear
Female
Humans
Male
Object Attachment
Parent-Child Relations
Parenting
Psychological Tests
Questionnaires
Reproducibility of Results
Sex Factors
Abstract
This article reports on the Adolescent Unresolved Attachment Questionnaire (AUAQ), a brief questionnaire that assesses the caregiving experiences of unresolved adolescents (as recipients of caregiving). The AUAQ was developed and validated in a large normative sample (n = 691) and a sample of 133 adolescents in psychiatric treatment. It is a self-report questionnaire consisting of 3 scales with Likert-type responses ranging from strongly disagree to strongly agree. The Aloneness/Failed Protection Scale assesses the adolescent's perception of the care provided by the attachment figure. The Fear Scale taps the fear generated by the adolescent's appraisal of failed attachment figure care. The Anger/Dysregulation Scale assesses negative affective responses to the perceived lack of care from the attachment figure. All scales demonstrated satisfactory internal reliability and agreement between scores for adolescents (n = 91) from the normative sample who completed the AUAQ twice. Adolescents in the clinical sample also completed the Adult Attachment Interview (AAI; C. George, N. Kaplan, & M. Main, 1984/1985/1996); the AUAQ demonstrated high convergent validity with the AAI.
PubMed ID
11117104 View in PubMed
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594 records – page 1 of 60.