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Relationships between Emotional Well-Being, Patient Activation and Social Support among Adults with Severe Obesity Who Have Undergone Gastric Bypass Surgery  [PDF]
Hege Solberg, Morten Aarflot, Liv Heidi Skotnes, Marit Graue
Open Journal of Nursing (OJN) , 2015, DOI: 10.4236/ojn.2015.57063
Abstract: Objective: To examine the relationship between emotional well-being, patient activation and social support in a cohort of adults with severe obesity who underwent gastric bypass surgery from January to December 2012. Design: Cross-sectional survey. Subjects: Of a total population of 129 people, aged 18 - 68 years, at a local hospital in central Norway, 64 (50%) responding to the questionnaire, 52 (81%) being women. Main Outcome Measures: The World Health Organization—Five Well-Being Index (WHO-5), the 13-item Patient Activation Measure (PAM-13), a 16-item instrument on the frequency and content of social support, and demographic and clinical data. Results: A significant positive association was found between higher level of patient activation and better emotional well-being (P = 0.02) in linear regression analysis. A higher level of family support was significantly associated with better emotional well-being (practical social support from the family (P = 0.04), emotional social support from family (P = 0.01) and from friends (P = 0.005)). Conclusion: Screening tools for emotional well-being should be used systematically in postoperative consultations to recognize those who need a more individually tailored post-surgery follow-up care after gastric bypass surgery. In addition, health care providers in both specialist and primary health care settings should consider assessing the level of social support as part of regular follow-up routines.
Functional Magnetic Resonance Imaging of Different Genders in the Activation of Brain Emotional Centers
L. Podsiad?o,Andrzej Urbanik,J. Kozub,B. Sobiecka
Iranian Journal of Radiology , 2011,
Abstract: Background/Objective: The main aim of this study"nwas to reveal gender differences in the localization"nof brain emotional centers for positive and negative"nstimuli."nPatients and Methods: Forty right-handed young"nvolunteers (age range, 18-36 years), 21 men and 19"nwomen were examined using MR 1.5 T Signa Horizon"n(GEMS). Functional images were acquired using a"nspin-echo echoplanar sequence sensitive to blood"noxygenation level dependent (BOLD) contrast, with"nthe following parameters: TR=3000 ms, TE= 60 ms,"nFOV=2821 cm, matrix 9696,1 NEX. For emotion induction, affectively negative, positive and neutral"npictures were used. Positive and negative cues were"ntaken from the International Affecive Picture System"n(IAPS). There were two runs, in the first run subjects"nsaw only negatively valenced pictures, during the"nsecond run only positive pictures were shown."nResults: For positive stimuli, the greatest differences"nin activation in women compared to men were"ndetected in the right superior temporal gyrus. For"nnegative stimuli, the greatest differences in activation"nin women compared to men were detected in the left"nthalamus. For positive stimuli, the greatest differences"nin activation in men compared to women were"ndetected in the bilateral occipital lobes as well as the"nbilateral fusiform gyrus. For negative stimuli, the"ngreatest differences in activation in men compared to"nwomen were detected in the left insula."nConclusion: There are statistically significant"ndifferences in activation of the emotional centers"nbetween females and males for the positive and"ndenoised, extracted and visualized. Follow-up CT"nexam and/or clinical pictures confirmed or excluded"nthe diagnosis. Based on preliminary results and"nconcluded efficiency limitations additional postprocessing"nbased on curvelets decomposition and"nimproved segmentation of stroke susceptible regions"nhas been designed and performed later on for selected"nexaminations regarded as difficult.
Raisins and additional walking have distinct effects on plasma lipids and inflammatory cytokines
Michael J Puglisi, Ushma Vaishnav, Sudeep Shrestha, Moises Torres-Gonzalez, Richard J Wood, Jeff S Volek, Maria Fernandez
Lipids in Health and Disease , 2008, DOI: 10.1186/1476-511x-7-14
Abstract: Thirty-four men and postmenopausal women were matched for weight and gender and randomly assigned to consume 1 cup raisins/d (RAISIN), increase the amount of steps walked/d (WALK) or a combination of both interventions (RAISINS + WALK). The subjects completed a 2 wk run-in period, followed by a 6 wk intervention. Systolic blood pressure was reduced for all subjects (P = 0.008). Plasma total cholesterol was decreased by 9.4% for all subjects (P < 0.005), which was explained by a 13.7% reduction in plasma LDL cholesterol (LDL-C) (P < 0.001). Plasma triglycerides (TG) concentrations were decreased by 19.5% for WALK (P < 0.05 for group effect). Plasma TNF-α was decreased from 3.5 ng/L to 2.1 ng/L for RAISIN (P < 0.025 for time and group × time effect). All subjects had a reduction in plasma sICAM-1 (P < 0.01).This research shows that simple lifestyle modifications such as adding raisins to the diet or increasing steps walked have distinct beneficial effects on CVD risk.Cardiovascular disease (CVD) is the leading cause of death for both men and women in the United States [1]. Risk factors include elevated LDL cholesterol (LDL-C), triglycerides (TG), and blood pressure, low HDL cholesterol (HDL-C), and insulin resistance [2]. Implementation of effective diet and exercise interventions is necessary to reduce risk for CVD by improving these factors. Diet changes may include greater fruit intake; it has been estimated that increasing fruit intake by 1 serving/d reduces the risk for CVD by 7% [3]. Fruits may decrease the risk for CVD by providing dietary fiber, thus lowering plasma LDL-C [4], improving insulin sensitivity [5], and preventing atherosclerosis via their anti-inflammatory and antioxidant properties [6]. Regular exercise has been reported to aid in the prevention of CVD by decreasing TG and increasing HDL-C [7], increasing insulin sensitivity [8], and reducing oxidative stress [9].The addition of raisins to the diet may decrease CVD risk, as they contain dietary f
Mixed Emotional Experience Is Associated with and Precedes Improvements in Psychological Well-Being  [PDF]
Jonathan M. Adler, Hal E. Hershfield
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0035633
Abstract: Background The relationships between positive and negative emotional experience and physical and psychological well-being have been well-documented. The present study examines the prospective positive relationship between concurrent positive and negative emotional experience and psychological well-being in the context of psychotherapy. Methods 47 adults undergoing psychotherapy completed measures of psychological well-being and wrote private narratives that were coded by trained raters for emotional content. Results The specific concurrent experience of happiness and sadness was associated with improvements in psychological well-being above and beyond the impact of the passage of time, personality traits, or the independent effects of happiness and sadness. Changes in mixed emotional experience preceded improvements in well-being. Conclusions Experiencing happiness alongside sadness in psychotherapy may be a harbinger of improvement in psychological well-being.
Non-specific symptoms as clues to changes in emotional well-being
Andre Matalon, Andy Kotliroff, Gari Blumberg, John Yaphe, Eliezer Kitai
BMC Family Practice , 2011, DOI: 10.1186/1471-2296-12-77
Abstract: Patients who complained of two or more symptoms including headache, dizziness, fatigue or weakness, palpitations and sleep disorders over one year were identified from the medical records of a random sample of 45 primary care physicians. A control group matched for gender and age was selected from the same population. Emotional well-being was assessed using the MOS-SF 36 in both groups.The study group and the control group each contained 110 patients. Completed MOS questionnaires were obtained from 92 patients, 48 patients with somatic symptoms and 44 controls. Sixty percent of the patients with somatic symptoms experienced decreased emotional well being compared to 25% in the control group (p = 0.00005). Symptoms of dizziness, fatigue and sleep disturbances were significantly linked with mental health impairments. Primary care physicians identified only 6 of 29 patients (21%) whose responses revealed functional limitations due to emotional problems as suffering from an emotional disorder and only 6 of 23 patients (26%) with a lack of emotional well being were diagnosed with an emotional disorder.Non-specific somatic symptoms may be clues to changes in emotional well-being. Improved recognition and recording of mental distress among patients who complain of these symptoms may enable better follow up and treatment.Somatic symptoms are the main reason for visits to the family physician in primary-care clinics [1-5]. Often the visit yields no clear etiology or diagnosis that can explain the symptoms and the physician may describe it as "idiopathic," "atypical," "functional," or "non-specific" [3]. A broad study regarding symptoms in primary care [4] revealed that only 16% of the symptoms presented had a clear, organic etiology; for 74% no etiology was established over a three-year follow-up period, and the symptom remained the diagnosis. Frequently symptoms will pass without any treatment, and very often people do not even consider visiting their physician when symptom
The Contributions of Positive and Negative Affect to Emotional Well-Being  [PDF]
Randy Larsen
Psychological Topics , 2009,
Abstract: In this paper, the definitions of subjective well-being have been reviewed with a focus on its emotional core, which we consider to be the ratio of positive to negative affect over time. The reviewed evidence showed that negative emotions tend to be of longer duration than positive and that the NA system produces stronger emotional responses than the PA system. Also, a variety of experimental results show that negative stimuli make unique demands on cognitive resources (particularly perception and attention) compared to positive stimuli. The evidence that the negative affect system produces stronger affective output, per unit input, than the positive affect system, is a phenomenon known as negativity bias. I also went so far as to argue that negativity exceeds positivity by a factor of pi (3.14) and that efforts to speed adaptation to negative events may be more important to overall SWB then efforts to prolong responses to positive events (Larsen and Prizmic, 2008). The fact that negativity is stronger than positivity, combined with the notion of differential adaptation (people adapt faster to good events than to bad events), creates the conditions that drive the hedonic treadmill. However, most people are, to some degree, able to overcome the psychological forces of the hedonic treadmill and maintain at least a modicum of emotional well-being (Biswas-Diener, Vitterso, & Diener, 2005). It is likely that the ability called "emotional intelligence" refers in large part to the capacity to manage negative affect following unpleasant or stressful events (Larsen & Learner, 2006). Moreover, such an ability is likely to be made up of particular behaviors and strategies that each contributes specifically to the management of negative emotions (Larsen & Prizmic, 2004).
Emotional State and Psychological Well-Being of Dermatological Patients
Kainat Zia
Open Access Library Journal (OALib Journal) , 2014, DOI: 10.4236/oalib.1100434
Abstract: The present study aimed to investigate emotional state in terms of depression, anxiety, well-being, body image and social withdrawal in dermatological patients. Additionally it also focuses on investigating the relationship of emotional states and psychological well-being of dermatological patients. Emotional state scale for dermatological patients (ESS-D) by Samina Bukhari 2000 and psychological well-being scale affector-2 by Naheed in Urdu 1997 were used to assess the emotional states and psychological well-being in dermatological patients respectively. A total of 100 patients with chronic skin disease from the areas of Wah Cantt and Islamabad approached. Age limit was from 18 to 40 years. Cross sectional design and purposive convenient sampling was applied. The data were analyzed by applying correlation analysis using Statistical Package for Social Sciences (SPSS 16). The results were statistically significant at 0.01** and 0.05* levels and proved that anxiety, depression and body image were negatively correlated with psychological well-being of dermatological patients while the social withdrawal and well-being shows non-significant results: the correlational values of anxiety and psychological well-being was correlated at -0.301**; depres- sion and psychological well-being was correlated at -0.288**; body image and psychological well- being was correlated at -0.261*; correlation between social withdrawal and psychological well- being was -0.115; and correlation between well-being and psychological well-being was 0.098.
The emotional well-being of the nurse within the multi-skill setting
Heleen French,Emmerentia Du Plessis,Belinda Scrooby
Health SA Gesondheid , 2011, DOI: 10.4102/hsag.v16i1.553
Abstract: The emotional well-being of nurses working in a multi-skill setting may be negatively influenced by their challenging work environment. A qualitative, explorative, descriptive and contextual study was conducted to investigate this phenomenon. The purpose of this study was to explore and describe the experience, as well as perceptions of coping mechanisms, of nurses working in the multi-skill setting, and to formulate recommendations to promote their emotional wellbeing. The population consisted of nurses working in a multi-skill setting (a Level-2 hospital)and included professional nurses, enrolled nurses and nurse assistants. An all-inclusive sample was used. Semi-structured interviews were conducted with three professional nurses,six enrolled nurses and one nurse assistant. These interviews were analysed according to the method described by Creswell (2003:192). The findings indicated that nurses have positive as well as negative experiences of the multi-skill setup. They cope by means of prioritising tasks, faith, self-motivation and mutual support. They also made suggestions for the promotion of their emotional well-being, on personal as well as managerial levels. Recommendations for further research, nurse education and practice were formulated. Recommendations for practice include ‘on-the-spot’ in-service training, appropriate task allocation, clearly defined scope of practice, time for rest and debriefing, strengthened relationships with management, promotion of strengths and creating a support system. Opsomming Die emosionele welstand van verpleegkundiges werksaam in ‘n multivaardigheidsopset kan moontlik negatief be nvloed word deur die uitdagende werksomgewing. ‘n Kwalitatiewe, verkennende, beskrywende en kontekstuele studie is uitgevoer om hierdie verskynsel te ondersoek. Die doel van hierdie studie was om die ervaring van verpleegkundiges, asook hul persepsies van hanteringsmeganismes, in ‘n multi-vaardigheidsopset te verken en beskryf, sowel as om aanbevelings vir die bevordering van hulle emosionele welstand te formuleer. Die populasie het bestaan uit verpleegkundiges werksaam in ‘n multivaardigheidsopset (‘n Vlak-2 hospitaal) en het professionele verpleegkundiges, ingeskrewe verpleegkundiges en verpleegassistente ingesluit. ‘n Alles-insluitende steekproef is gebruik. Semi-gestruktureerde onderhoude is met drie professionele verpleegkundiges, ses ingeskrewe verpleegkundiges en een verpleegassistent gevoer. Hierdie onderhoude is volgens die metode deur Creswell(2003:192) beskryf, geanaliseer. Die bevindinge het getoon dat verpleegkundiges pos
The emotional well-being of the nurse within the multi-skill setting
H French, E du Plessis, B Scrooby
Health SA Gesondheid , 2011,
Abstract: The emotional well-being of nurses working in a multi-skill setting may be negatively influenced by their challenging work environment. A qualitative, explorative, descriptive and contextual study was conducted to investigate this phenomenon. The purpose of this study was to explore and describe the experience, as well as perceptions of coping mechanisms, of nurses working in the multi-skill setting, and to formulate recommendations to promote their emotional wellbeing. The population consisted of nurses working in a multi-skill setting (a Level-2 hospital) and included professional nurses, enrolled nurses and nurse assistants. An all-inclusive sample was used. Semi-structured interviews were conducted with three professional nurses, six enrolled nurses and one nurse assistant. These interviews were analysed according to the method described by Creswell (2003:192). The findings indicated that nurses have positive as well as negative experiences of the multi-skill setup. They cope by means of prioritising tasks, faith, self-motivation and mutual support. They also made suggestions for the promotion of their emotional well-being, on personal as well as managerial levels. Recommendations for further research, nurse education and practice were formulated. Recommendations for practice include ‘on-the-spot’ in-service training, appropriate task allocation, clearly defined scope of practice, time for rest and debriefing, strengthened relationships with management, promotion of strengths and creating a support system. Die emosionele welstand van verpleegkundiges werksaam in ‘n multivaardigheidsopset kan moontlik negatief be nvloed word deur die uitdagende werksomgewing. ‘n Kwalitatiewe, verkennende, beskrywende en kontekstuele studie is uitgevoer om hierdie verskynsel te ondersoek. Die doel van hierdie studie was om die ervaring van verpleegkundiges, asook hul persepsies van hanteringsmeganismes, in ‘n multi-vaardigheidsopset te verken en beskryf, sowel as om aanbevelings vir die bevordering van hulle emosionele welstand te formuleer. Die populasie het bestaan uit verpleegkundiges werksaam in ‘n multivaardigheidsopset (‘n Vlak-2 hospitaal) en het professionele verpleegkundiges, ingeskrewe verpleegkundiges en verpleegassistente ingesluit. ‘n Alles-insluitende steekproef is gebruik. Semi-gestruktureerde onderhoude is met drie professionele verpleegkundiges, ses ingeskrewe verpleegkundiges en een verpleegassistent gevoer. Hierdie onderhoude is volgens die metode deur Creswell (2003:192) beskryf, geanaliseer. Die bevindinge het getoon dat verpleegkundiges positiewe sowel as negatiewe ervaringe van die multivaardigheidsopset het. Hulle gebruik taakprioritisering, geloof, selfmotivering en wedersydse ondersteuning as hanteringsmeganismes. Hulle het ook voorstelle gemaak vir die bevordering van hul emosionele welstand, op persoonlike sowel as bestuursvlak. Aanbevelings vir verdere navorsing, verpleegonderwys en die praktyk is geformuleer. Aanbevelings vir die p
Familiy Quality of Life: Perception of Family Interaction, Parenting Responsibility, Emotional Well-Being and Physical / Materaial Well-Being
Emine ?ZMETE
Journal of International Social Research , 2010,
Abstract: The research was carried out the aim of determining to perpection of individuals related to family quality of life dynamics. Family quality of life dynamics investigates under titles in the research as following: (i) family interaction, (ii) parenting responsibility, (iii) emotional well-being, (iv) physical/material well-being. Importance and satisfaction levels, perceptions of women and men on family quality of life topics have been interpreted according to mean values.Also relationship between to be perceived importance and satisfaction levels by individualsn and variables as gender and age have been explained according to statistical analysis.
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