Результаты поиска

[Factors related to suicide attempts in a Tunisian sample of patients with schizophrenia].

INTRODUCTION: The mortality rate in schizophrenia is 4.5 times higher than in the general population. Suicide is one of the main causes of p … e depressive symptoms (n=46, 60%) including depressed mood and hopelessness, stressful life events (bereavement, divorce, separation) (n=35, 46%) and presence of delusions and/or auditory hallucinations (n=25, 32.5%). No differences were found between the two groups regarding the different socio-demographic variables. Significant differences were found with r …

Correlates of adverse childhood events among adults with schizophrenia spectrum disorders.

OBJECTIVE: Multiple studies have found that childhood adversity is related to a range of poor mental health, substance abuse, poor physical health, and poor social functioning outcomes in the general population of adults. However, despite the high rates of childhood adversity in schizophrenia, the clinical correlates of these events have not been systematically evaluated. This study evaluated the relationship between adverse experiences in childhood and functional, clinical, and health outcomes among adults with schizophrenia. METHODS: The authors surveyed 569 adults with schizophrenia regard

Relatives' Experiences of Circulatory Death Following Out-of-Hospital Cardiac Arrest and Their Hypothetical Perspectives on Organ Donation: A Qualitative Study.

AIMS: To explore relatives' experiences of the circulatory death of a family member following out-of-hospital cardiac arrest and to explore their hypothetical perspectives on being asked to decide about organ donation in this situation. This study forms part of a broader initiative undertaken to assess the prerequisites for implementing uncontrolled donation after circulatory death in Sweden with a focus on ethical issues. DESIGN: A qualitative design, using semi-structured interviews with open-ended questions. METHODS: Data were collected in Sweden between March 2024 and September 2024 and

Stillbirth Discourse on Instagram and X (Formerly Twitter): Content Analysis.

BACKGROUND: Stillbirth, the loss of a fetus after the 20th week of pregnancy, affects about 1 in 160 deliveries in the United States and nearly 1 in 70 globally. It profoundly affects parents, often resulting in grief, depression, anxiety, and posttraumatic stress disorder, exacerbated by societal stigma and a lack of public awareness. However, no comprehensive analysis has explored social media discussions of stillbirth. OBJECTIVE: This study aimed to analyze stillbirth-related content on Instagram and X (formerly Twitter) by (1) identifying dominant themes using topic modeling, evaluated us

Optimizing Treatment of Complicated Grief: A Randomized Clinical Trial.

IMPORTANCE: To our knowledge, this is the first placebo-controlled randomized clinical trial to evaluate the efficacy of antidepressant pharmacotherapy, with and without complicated grief psychotherapy, in the treatment of complicated grief. OBJECTIVE: To confirm the efficacy of a targeted complicated grief treatment (CGT), determine whether citalopram (CIT) enhances CGT outcome, and examine CIT efficacy without CGT. DESIGN, SETTING, AND PARTICIPANTS: Included in the study were 395 bereaved adults who met criteria for CG recruited from March 2010 to September 2014 from academic medical cente

Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer

Abstract Purpose Informal caregivers play an important supportive care role for patients with cancer. This may be especially true for pancreatic cancer which is often diagnosed late, has a poor prognosis and is associated with a significant symptom burden. We systematically reviewed the evidence on caregiver burden, unmet needs and quality-of-life of informal caregivers to patients with pancreatic cancer. Method PubMed, Medline, CINAHL and Embase databases were systematically searched on 31 August 2021. Qualitative and quantitative data on informal caregivers’ experiences were extracted and co

Совпадение в полном тексте источника
… The scope of supportive care encompasses helping the patient and their family cope with cancer and its treatment across the illness trajectory and with death and bereavement [ 16 ]. … Guilt was also experienced by bereaved informal caregivers when symptoms were not adequately managed when patients were alive [ 30 ]. …

Compassionate Communication and Advance Care Planning to improve End-of-life Care in Treatment of Haematological Disease 'ACT': Study Protocol for a Cluster-randomized trial.

IntroductionTo support the implementation of advance care planning and serious illness conversations in haematology, a previously developed conversation intervention titled 'Advance Consultations Concerning your Life and Treatment' (ACT) was found feasible. This study aims to investigate the effect of ACT on the quality of end-of-life care in patients with haematological malignancy and their informal caregivers.Methods and analysisThe study is a nationwide 2-arm cluster randomised trial randomising 40 physician-nurse clusters across seven haematological departments in Denmark to provide standa

Опыт женщин в области психосоциальной поддержки после периодических нарушений: качественный анализ содержания.

КОЛИЧЕСТВО: Дородовой уход (АНК) имеет решающее значение для сокращения материнской и неонатальной смертности путем выявления и лечения осложнений во время беременности. В Индонезии политика, предусматривающая, по крайней мере, six Введены посещения АНК (К6) на одну беременность, однако факторы, влияющие на адекватность АНК в рамках этой новой политики, остаются неоцененными. В этом исследовании рассматриваются национальные и субнациональные распространенность надлежащих посещений АНК, а также связанные с ними географические и социально-экономические факторы. МЕТОДЫ: В настоящем перекрестном и

Совпадение в полном тексте источника
… Experiences of obstetric nurses and midwives receiving a perinatal bereavement care training programme: A qualitative study. Frontiers in Medicine. 2023;10:1122472. doi: 10.3389/fmed.2023.1122472. 33. Conroy C, Jain T, Mody SK. … Healthcare professionals’ needs when providing perinatal bereavement care: A qualitative study. J Educ Health Promot. 2024;13:295. doi: 10.4103/jehp.jehp_807_23. 40. Hung H-M, Kuo P-L, Lee CS, et al. …

Quality indicators and patient outcome measures for palliative care in cancer patients: a systematic review.

IntroductionWith the exponential rise in global cancer incidence, the surge in demand for palliative care has outstripped capacity, limiting patients' access to quality and holistic palliative care, especially in low- and middle-income countries. Despite an upturn in research activity, evidence in palliative care remains limited, given its complexity as well as the shortage of standardised quality indicators (QIs) and patient outcome measures (POMs). The objective of this systematic review is to assess the QIs and POMs used to evaluate palliative care service on aggregated and individual level

Совпадение в полном тексте источника
… collaboration between family caregivers and healthcare professionals associated with post-bereavement emotional well-being? … Is pre-bereavement collaboration between family caregivers and healthcare professionals associated with post-bereavement emotional well-being? A population-based survey. Patient Educ Couns. 2023;110:107654. doi: 10.1016/j.pec.2023.107654. 48. De Souza RE, Quispe Mendoza IY, Reis AMM, et al. …

Caregiver's quality of life in advanced cancer: validation of the construct in a real-life setting of early palliative care.

IntroductionEarly palliative care (EPC) improves the quality of life (QoL) of advanced cancer patients and their caregivers. The increasingly widespread use of this care model requires the development of measures supporting its interventions. Although the construct of patient's QoL has been extensively investigated and several QoL measures have been further validated, there is a paucity of data concerning the QoL of the caregiver. In 2018, McDonald and colleagues addressed this issue by interviewing 23 primary caregivers of advanced cancer patients who participated in an EPC randomized clinica

Совпадение в полном тексте источника
… In both cases, the intervention is considered “early” if it is provided within eight weeks of the cancer diagnosis and goes on till the bereavement phase. … The effect of caregiving on bereavement outcome: study protocol for a longitudinal, prospective study. BMC Palliat Care (2015) 14:6. doi: 10.1186/s12904-015-0009-z 25. Webber K, Davies AN, Leach C, Bradley A. …

Carer administration of as-needed subcutaneous medication for breakthrough symptoms in people dying at home: the CARiAD feasibility RCT.

BACKGROUND: Most people who are dying want to be cared for at home, but only half of them achieve this. The likelihood of a home death often … ng package. MAIN OUTCOME MEASURES: Quantitative data were collected at baseline and 6-8 weeks post bereavement and via carer diaries. Interviews with carers and health-care professionals explored attitudes to, experiences of and preferences for giving subcutaneous medication and experience of trial processes. The main outcomes of interest were feasibility, a …

Психиатрические результаты первого two спустя годы после октября 7 - нападения: систематический обзор последствий посттравматического стресса, беспокойства, депрессии и наркомании.

ЦЕЛИ: октябрь 7 :: нападения и последовавшая за ними война создали условия для устойчивой, многоплановой травмы. В настоящем систематическом обзоре обобщаются результаты исследований, проведенных в ходе первого обзора. two годы войны, чтобы прояснить раннее распространение симптомов посттравматического стресса (ПТСС), тревоги, депрессии и связанных с наркоманией последствий среди израильского населения. МЕТОДЫ: ПОСЛЕ ПРИСМА 2020 :: были проведены обыски по ПубМеду, Психиндо, Скопусу и веб-сайту науки с целью выявления исследований, опубликованных в период с октября 7, 2023 и октябрь 7, 2025 (з

Совпадение в полном тексте источника
… vs. non-bereaved adults (loss of close family member or close friend due to Oct 7 attack or subsequent war) | 41.02 | 50.4 | (T1) 1.5 Pre (T2) 1.5 Post (T3) 4.5 Post (T4) 8.5 Post. | Depression Anxiety PTSD | PHQ-2 GAD-2 ITQ | Bereavement following October 7 was associated with persistently higher PTSD … , depression, and anxiety among Israeli civilians. 29.5% (bereaved) and 19.2% (non-bereaved) met ITQ criteria for PTSD; 37.3% and 22.4% met PHQ-2 criteria for depression; 37.3% and 21.5% met GAD-2 criteria for anxiety. | Low Levi-Belz et al. ( 44 ) | Cohort | (T1) 908 (T2) 710 (T3) 614 | Online panel …

Major depression.

Major depression is a common, disabling condition seen frequently in primary care practices. Non-psychiatrist ambulatory providers are increasingly responsible for diagnosing, and primarily managing patients suffering from major depressive disorder (MDD). The goal of this review is to help primary care providers to understand the natural history of MDD, identify practical tools for screening, and a thoughtful approach to management. Clinically challenging topics like co-morbid conditions, treatment resistant depression and pharmacotherapy selection with consideration to side effects and medica

Cancer treatment-related financial toxicity in Japan: a scoping review.

Financial toxicity during cancer survival has been studied mainly in the United States; 47-49% of cancer survivors reported financial hardships and 12-63% reported debt owing to treatment costs. Financial toxicity is influenced by each country's economic status and healthcare system. We aimed to review the evidence on financial toxicity in Japan. A systematic search was performed using PubMed and Ichushi databases. We included English or Japanese peer-reviewed articles that (1) explored the experiences of cancer patients facing financial toxicity due to cancer diagnosis and treatment, (2) were

Совпадение в полном тексте источника
… After bereavement, 28% reported worsening of financial status Prevalence of possible complicated grief and major depressive disorder were 9 and 22%, respectively. | Patient’s sex (male), bereaved family member’s sex (female), patient’s age (younger), relation to the patient (spouse), educational background … Current annual income, annual income during caregiving, and retirement or leave due to caregiving were significantly related to concerns about current financial status. | Not Applicable | Bereaved family member who reported worsening in financial status after bereavement reported a significantly higher …

An exploration of person-centred approach in end-of-life care policies in England and Japan.

BackgroundIncreasing evidence has suggested that a person-centred approach (PCA) is beneficial not only for improving care outcomes but also for mitigating the pressure on public health systems. However, policy implementation gaps have prevented the translation of this complex framework into useful practical, ethical and moral stances for end-of-life care (EOLC). This article aims to explore the meaning and implications of person-centredness in EOLC policy discourses.MethodsBy perceiving policy documents as a medium embodied with socio-political and cultural norms, we analysed how PCA in EOLC

Совпадение в полном тексте источника
… The continuation of support for families and caregivers even after the patient’s death can also be found in the current policy discourses, including bereavement care through care providers and the non-means-tested Bereavement Support Payment. … Respite and bereavement care are also not included in the LTCI and other care systems. According to a survey of bereaved families [ 41 ], nearly half of the respondents felt the burden of care heavily, and about a third felt prolonged bereavement due to lack of sufficient social care services. …

Fulfilling end-of-life dreams: A scoping review of bucket lists in palliative and hospice care.

Abstract Objectives The purpose of this study is to examine the existing literature on end-of-life dream experiences and bucket list fulfillments among terminally ill individuals receiving hospice and/or palliative care. Methods A scoping review registered on Open Science Framework was conducted in accordance with the guidelines for Scoping reviews (PRISMA-ScR). An electronic search of literature was generated from EBSCO databases published until June 2024. Studies were included if they described and evaluated the effects of bucket lists and/or end-of-life wish fulfillment. Results This review

Совпадение в полном тексте источника
… A key limitation in multiple studies is the retrospective nature of data collection, which may have introduced recall bias in the findings, as participants were asked to reflect on past experiences after bereavement (Takaoka et al. 2021 ; Ullrich et al. 2022 ; Yamashita et al. 2017 ). … Future studies could also explore the impact bucket list fulfillment has on surviving family and loved ones’ bereavement outcomes. Findings also suggest that healthcare professionals play a significant role in facilitating wish-fulfillment and end-of-life discussions. …

40th Annual CAPO Conference-Responding to the Human Experience of Cancer and Caring for the Soul: Building on 40 Years of Global Leadership in Psychosocial Oncology.

On behalf of the Canadian Association of Psychosocial Oncology, we are pleased to present the Abstracts from the 2025 Annual Conference, titled "Responding to the Human Experience of Cancer and Caring for the Soul: Building on 40 years of global leadership in psychosocial oncology". The 40th Annual CAPO Conference was held in Toronto from 23 April 2025 to 25 April 2025. In an era marked by the rapid advancement of biologically focused precision medicine, it is imperative to redirect our attention towards the human experience of illness and the soul of medicine. Biomedicine has conceptualized i

Совпадение в полном тексте источника
… Yet tailored bereavement support for caregivers of AYACs is scarce. … Case illustrations will demonstrate the application of MCGT to the grief experiences of bereaved parents and partners of AYACs. 14.3. …

[Prevalence of depressive disorders in children and adolescents attending primary care. A survey with the Aquitaine Sentinelle Network].

UNLABELLED: Since depressive disorders in children and adolescents have not been widely studied in the context of gene-ral medicine, we cond … chiatric history. Personal psychiatric history was related to depression, whereas the occurrence of bereavement made the CES-D score positive but was not significantly associated with fully- blown depression. Finally, we estimated that 70% of diagnoses of depression were not made during the consultation with GP's. CONCLUSION: No particular characteristic of …

End-of-life Care, Comfort Care, and Hospice: Terms and Concepts

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Совпадение в полном тексте источника
… It involves hospice specialists and multidisciplinary teams and includes bereavement care. Diverse opinions exist regarding the timing of death and end-of-life care. … Looking ahead, it is suggested that the management of bereaved families should be more comprehensively integrated into end-of-life care, which should be viewed as an expanded concept of comfort care. …

Person-centred care in oncological home services: a scoping review of patients' and caregivers' experience and needs.

BackgroundCancer became a chronic disease that could be managed at home. Homecare supported person-centred care, which was guided by the Picker Principles defining key elements for care delivery. The study aimed to explore and appraise the dimensions underlying cancer patients' and caregivers' experience and expectations with Home Cancer Care, adopting a person-centerd care framework.MethodsWe carried out a scoping review of the literature using three databases, PubMed, Scopus, and WoS for a total of 703 articles. PRISMA guidelines were followed. 57 articles were included in the review. The ex

Совпадение в полном тексте источника
… There may actually be several different types of effective coping with loss, and also a need of different types of bereavement support Mohammed S, Swami N, Pope A, Rodin G, Hannon B, Nissim R, Hales S, Zimmermann C. 2018 [ 69 ] Canada Qualitative Palliative care Caregivers 61 Taking charge of the home … Patients and family caregivers recognise the treatment as a lifeline and are grateful for it Spelten E, Timmis J, Heald S, Duijts SFA. 2019 [ 79 ] | Australia | Qualitative | Palliative care | Caregiver | | 10 | 4 | | Positive experience Support after death Positive impact on bereavement Efficient …