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Morally Injurious Experiences and Emotions of Health Care Professionals During the COVID-19 Pandemic Before Vaccine Availability.

IMPORTANCE: Moral injury in health care professionals (HPs) has worsened over the course of the COVID-19 pandemic. The trauma and burnout associated with moral injury has profound implications for the mental health of HPs. OBJECTIVE: To explore the potential factors associated with moral injury for HPs who were involved in patient care during the COVID-19 pandemic in 2020, prior to the availability of vaccines. DESIGN, SETTING, AND PARTICIPANTS: In this qualitative study, HPs were actively recruited to participate in a survey via snowball sampling via email and social media in 2 phases of 5

The association between social marginalisation and the injecting of alcohol amongst IDUs in Budapest, Hungary.

BACKGROUND: Alcohol injecting may cause intense irritation, serious vein damage, and additional risks. What little is known about alcohol injecting points to the potential role of social marginalisation. METHODS: Injecting drug users (N=215) were recruited between October 2005 and December 2006 in Budapest, Hungary from non-treatment settings. Multivariate logistic regression models identified correlates of lifetime alcohol injecting. RESULTS: About a quarter (23%) reported ever injecting alcohol-only 3% reported injecting alcohol in the past 30 days. In multivariate analysis, six variables

Relational and instrumental perspectives on compliance with the law among people experiencing homelessness.

OBJECTIVE: We conducted an exploratory study testing procedural justice theory with a novel population. We assessed the extent to which police procedural justice, effectiveness, legitimacy, and perceived risk of sanction predict compliance with the law among people experiencing homelessness. HYPOTHESES: We did not develop formal a priori hypotheses but examined five general research questions. First, are there positive associations between police procedural justice, police legitimacy, and compliance? Second, do procedural justice and legitimacy differentially predict compliance, depending on

Exploring the lived socioeconomic experiences of teen mothers in Rwanda.

Teenage pregnancy is one of the major public health problems worldwide, with the issue more severe in low-and middle-income countries. While poverty is a main risk factor, the negative consequences of teenage pregnancy further perpetuate the cycle of poverty. To support teen mothers, many support programs were created; however, the benefits which reached them were limited. Since social norms vary from community to community, the types of challenges teen mothers face influence the type of support they need. This study explored the firsthand socio-economic experiences of women who underwent teen

Why good placements matter: Pre-placement and placement risk factors associated with mental health disorders in pre-school children in foster care.

Pre-school children placed in local authority care show elevated rates of mental health disorders when compared to the general population. This study investigated risk factors for mental health disorders relating to the period prior to entering care and while in care. A representative sample of 43 children in care aged 0-72 months in an inner London borough underwent comprehensive multidimensional assessments. Presence of emotional, behavioural, attachment and adaptive disorders was ascertained. Exposure to two pre-placement risk factors and six placement risk factors was compared between chil

Psychosocial effects of the Chernobyl nuclear disaster.

The psychological factors surrounding the Chernobyl disaster include the sudden trauma of evacuation, long-term effects of being a refugee, disruption of social networks, illness, separation and its effects on families, children's perception and effects on their development and the threat of a long-term consequence with an endless future. Added to this was the breakdown of the Soviet Union with consequent collapse of health services, increasing poverty and malnutrition. These complexities made necessary new individual and social treatment methods developed in UNESCO Community Centres, within w

Experiences of racial discrimination & relation to violence perpetration and gang involvement among a sample of urban African American men.

OBJECTIVE: To examine racial discrimination and its relation to violence involvement among a sample of urban African American men. METHODS: Participants of this cross-sectional study were African American men (N = 703) between the ages of 18 and 65 years, recruited from four urban community health centers and two hospital-based clinics within an urban center in the Northeast. Multivariate logistic regression models were used to assess the relation of reported racial discrimination to recent perpetration of intimate partner violence (IPV), street violence involvement, and gang involvement. Rac

Treatment of borderline patients: a pragmatic approach.

Outlined in the preceding sections are what one could call the ABCDs of treating borderline patients. A = analytically informed psychotherapy; B = behavior therapy; C = cognitive therapy; and D = drug therapy. Together they add up to "E": eclectic therapy. In this pragmatic approach, the therapist will assess at the outset (1) amenability to exploratory therapy, but also (2) the need for supportive measures, including education, rehabilitation, and expansion of outside interests, (3) indications for behavioral technics (socially alienating habits, handwashing compulsions, phobias), (4) indicat

The prevalence of internalized stigma and its association with HIV viral suppression among fully disclosed adolescents and young adults living with HIV (AYLHIV) receiving HIV care in an HIV clinic in Plateau State, Nigeria.

Internalized stigma, a condition characterized by negative self-stereotyping and social alienation, recently impacted the adolescents and young adults living with HIV (AYLHIV) epidemic curve and treatment adherence. While prior research has focused on the impact of internalized stigma among adults living with HIV, few studies focused on this AYLHIV. The study aims to determine internalized stigma proportion and its relationship to HIV viral suppression in AYLHIV. A cross-sectional study involved 93 fully disclosed AYLHIV receiving HIV care in Faith Alive Foundation in Jos North, Plateau State,…

Same Transition, Different Perspectives: Comparing Dyadic Interviews with Autistic Young Adults and Parents.

INTRODUCTION: The transition to young adulthood can be a turbulent life stage, and this is often magnified for autistic youth. Young adults frequently profess different goals and values than their parents. While there is some indication in autism research about how parents, and to a lesser extent, autistic young adults, feel about this transition, little research leverages dyadic interviews with both populations or has used this method with Black and/or low-income families. METHOD: We conducted four sets of dyadic interviews with autistic young adults and their parents who live together. RES

FATHERHOOD, FAMILY LAW, AND THE CRISIS OF BOYS AND MEN.

Boys and men in all racial and ethnic groups and across most socioeconomic groups are struggling on many fronts, including education, employment, physical and mental health, and social integration. In these areas and more, boys and men are much worse off than they were only a few decades ago. The crisis-which is concentrated among men without college degrees-is rooted in large-scale structural changes to the economy that have decimated jobs for this group and policy choices that emphasize incarceration while doing little to address economic inequality. The decline in male well-being is not jus

Experiences of Indigenous Patients Receiving Dialysis: Systematic Review of Qualitative Studies.

RATIONALE & OBJECTIVE: Indigenous People suffer a high burden of kidney disease. Those receiving maintenance dialysis have worse outcomes compared with similarly treated non-Indigenous patients. We characterized the experiences of Indigenous patients receiving dialysis in British-colonized countries to gain insights into which aspects of kidney care may benefit from improvement. STUDY DESIGN: A systematic review of published qualitative interview studies. SETTING & STUDY POPULATIONS: Indigenous Peoples aged 18 years and over, receiving hemodialysis or peritoneal dialysis in British-colonized

Social relationship challenges perceived by cancer patients and survivors: a qualitative meta-synthesis.

BackgroundA cancer diagnosis can significantly disrupt patients' social lives, leading to strained relationships and increased social isolation. Many encounter uneasy interactions or feel judged by others, amplifying loneliness and a sense of exclusion. While existing research has predominantly focused on clinical outcomes, the social relationship challenges faced by cancer patients have not been fully explored. Consequently, this study aims to synthesize qualitative studies that examine the social relationship experiences of cancer patients and survivors, offering a deeper insight into this i

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… MeSH-matching keywords were used to identify pertinent studies, incorporating terms related to cancer, social relationships, interpersonal relationships, social support, loneliness, social alienation, and rejection. … Studies consistently demonstrate that these behaviors erode autonomy, perpetuate stigmatization, and reinforce feelings of “otherness” and social alienation [ 73 – 65 ]. …

Healing Environments for Cancer Care: Toward a Patient-Centered Design Guideline for Inpatient Settings.

ObjectivesThis study proposes an evidence-based design guideline for oncology inpatient rooms that addresses the physical, emotional, and psychosocial needs of cancer patients.BackgroundCancer inpatients frequently experience long hospital stays with emotional vulnerability and clinical stress. Growing evidence suggests environmental design can shape patient experience, comfort, and recovery. Yet, current literature lacks an integrated framework for the spatial and sensory needs of this population.MethodA systematic literature review was conducted across Web of Science, Scopus, and PubMed. Fro

Снижение стигматизации, укрепление психического здоровья и индивидуальности при множественном склерозе: обзор текущей практики и направлений будущей деятельности.

Стигма - это широко распространенный, хотя и недостаточно изученный, психосоциальный фактор, затрагивающий людей с множественным склерозом. В этом обзоре обобщается литература о воздействии воспринимаемого, внедренного и интернализованного стигматизации на психологическое здоровье и идентичность заболеваний в PwMS. МЕТОДЫ: Был принят всеобъемлющий подход к обзору описательной части с учетом выводов, сделанных в результате проведенных экспертными экспертами количественных и качественных исследований. Базы данных, включая PubMed, PsycINFO и Scopus, искали с помощью таких комбинаций терминов, как

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… These findings illustrate how internalization of the pejorative stigma of social alienation distorts self-perception and shifts from healthy integration to a self-concept characterized by psychological over-identification with the disease and inadequacy. …

The lived experiences of social isolation among cancer patients: a systematic review and meta-synthesis.

BackgroundDespite significant improvements in cancer survival rates, social isolation remains a major threat to patient well-being and reintegration into society. This study systematically reviews and integrates qualitative findings to elucidate the lived experience of social isolation among cancer patients.MethodsA systematic search of PubMed, CINAHL, the Cochrane Library, PsycINFO, Embase, and Web of Science was conducted to identify qualitative studies involving patients with cancer that were published in English or Chinese from database inception to August 2025. The PRISMA guidelines were

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… The experience of social alienation in elderly lung cancer patients: a qualitative study Asian Nurs. Res. 18 3 2024 281 287 10.1016/j.anr.2024.07.007 39089442 Ståhl P. Henoch I. Rydenhag B. Smits A. Ozanne A. … Influence of symptom burden on social alienation in lung cancer patients receiving chemotherapy: the chain mediating effect of perceived social support and positive psychological capital BMC Psychol. 13 1 2025 99 10.1186/s40359-025-02403-x 39905534 PMC11792333 Weinstein N. Hansen H. Nguyen T.V. …

Strategies for promoting exercise adherence within a cancer exercise recovery program: a qualitative case study.

BACKGROUND: Physical activity (PA) plays an important role in physical health and well-being for cancer survivors. However, cancer survivors demonstrate low adherence to cancer PA guidelines. Research is needed to understand how to optimize delivery of cancer PA programs to enhance participation and adherence. In this study, we conducted an instrumental qualitative case study of a clinical cancer exercise recovery program (CERP) demonstrating high adherence (over 90% session completion), with the goal of understanding implementation strategies that patients link to higher program adherence. ME

An Experimental Investigation of Moral Self-Violation and Mental Contamination.

This paper describes the Data Domotopia a 2300 + respondent self-administered web-based survey. It includes 100 + multi-purpose items about home-making and stillness in a moving world. We suppose that home-making can reveal coping strategies and resilience practices to make everyday life work - as home is a central location in people's activity-travel patterns. To describe this phenomenon, the concept of Domotopia is introduced, defining how people arrange, use, and experience their homes to cope with the pathologies of accelerated and liquid modernity (Bauman 2005). While the Data Domotopia i

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

Indications and contraindications of dental implants in medically compromised patients: update.

OBJECTIVES: People with systemic sclerosis (SSc) are vulnerable in COVID-19 and face challenges related to shifting COVID-19 risk and protective restrictions. We evaluated mental health symptom trajectories in people with SSc through March 2022. METHODS: The longitudinal Scleroderma Patient-centred Intervention Network (SPIN) COVID-19 cohort was launched in April 2020 and included participants from the ongoing SPIN Cohort and external enrolees. Analyses included estimated means with 95% CIs for anxiety and depression symptoms pre-COVID-19 for ongoing SPIN Cohort participants and anxiety, depr