Search results for "adaptation"
showing 10 items of 1775 documents
Palliative Cancer Patients’ Experiences of Participating in a Lifestyle Intervention Study While Receiving Chemotherapy
2015
Background Lifestyle interventions have promise in terms of their potential health benefits and as an empowerment tool for cancer patients. Nevertheless, documentation of palliative cancer patients experiences of participating in lifestyle interventions remains poor. Objective The objective of this study was to explore how palliative cancer patients experience participation in a feasibility study focusing on multiple lifestyle interventions (physical, nutritional, smoking cessation, and stress management) while receiving chemotherapy. Methods This was a qualitative design with semistructured interviews of 9 palliative cancer patients 3 to 4 months after inclusion to the lifestyle interventi…
Determinants of health-related quality of life in patients with persistent somatoform pain disorder
2003
Background. Health-related quality of life (HRQOL) has been investigated widely in patients with chronic pain, but no study has focused particularly on the situation of patients with persistent somatoform pain disorder. Aims. To survey the impairments of patients with somatoform pain disorder (ICD-10: F45.4) and to predict pain-related impairments and HRQOL on the basis of coping styles. Method. A consecutively recruited sample of 100 patients (65% female) was examined in a cross-sectional study. Questionnaires were administered to assess pain intensity (visual analogue scale), pain-related disabilities (Pain Disability Index), quality of life (Short-Form Health Survey-36), and ways of copi…
"Come on, Say Something, Dad!": Communication and Coping in Fathers of Diabetic Adolescents
2002
Objective: To investigate fathers’ coping and communication behavior in families with a healthy or a diabetic adolescent. Method: Fathers of diabetic adolescents and healthy adolescents (N 134) were investigated longitudinally with respect to their non-illness-specific coping behavior, their perceptions of family climate, and communicative behavior in solving a joint family task. Data were obtained through questionnaires and content analysis of recordings of verbal communication activity. Results: Based on questionnaire data, few differences were found between diabetic and healthy adolescents’ fathers’ styles of coping with non-illness-specific family problems over time. However, several si…
Impact of pharmaceutical intervention on quality of life and coping strategies in patients with haematological malignancies
2015
Summary Objectives We conducted a prospective study approved by the local ethics committee to determine the impact of a pharmaceutical intervention (PI) on pain, fatigue, quality of life (QoL) and coping strategies in patients with HMs starting chemotherapy sessions. Material and methods Patients received either usual care (UC) + PI (PI group) or UC alone (UC group). They had to complete 2 questionnaires, QLQ-C30 and MAC 21, at 3 different time points: before starting the 1st chemotherapy session (T1), during the intercure (T2) and the day before starting the 2nd chemotherapy session (T3). To determine predictive factors of pain, fatigue, QoL and coping scores at T3, a multivariate ANOVA wa…
Verbal-autonomic response dissociations as traits?
2005
Dissociations between subjective and physiological responses to stress are of central interest in coping research. However, little is known about their stability across situations and time. Two experimental sessions - separated by 1 year - were conducted to examine cross-situational consistency and longterm-stability of HR-derived and SCL-derived dissociation scores. In year 1, a speech stressor, the cold pressor and a video stressor (viewing of the speech video) were applied. In year 2, mental arithmetics, anagrams and a torture video were presented. Thirty-five students participated and HR, SCL and negative affect were recorded. For each stressor, standardized changes in negative affect w…
Effects of structured patient education in adults with atopic dermatitis: Multicenter randomized controlled trial
2016
Background: Atopic dermatitis (AD) is a chronic relapsing skin disease prevalent in 1% to 3% of adults in Western industrialized countries. Objective: We sought to investigate the effectiveness of educational training in an outpatient setting on coping with the disease, quality of life, symptoms, and severity in adults with AD. Methods: In this German prospective, randomized controlled multicenter study, adult patients with moderate-to-severe AD were educated by referring to a comprehensive 12-hour training manual consented by a multiprofessional study group from different centers (Arbeitsgemeinschaft Neurodermitisschulung fur Erwachsene [ARNE]). Patients were randomly allocated to the inte…
Understanding symptoms in RYR1-Related Myopathies: A mixed-methods analysis based on participants' experience
2020
Background: In rare diseases such as ryanodine receptor 1-related myopathies (RYR1-RM), health-related quality of life (HRQoL) measures are critically important so clinicians and researchers can better understand what symptoms are most important to participants, with the ultimate goal of finding tangible solutions for them. Objectives: The main objective of this study was to characterize symptoms in individuals with RYR1-RM to inform future research. A secondary objective of this study was to analyze positive and negative sentiments regarding symptoms and treatment effects post N-acetylcysteine (NAC) administration in individuals with RYR1-RM. Methods: The study used a mixed-methods design …
Family members' lived experiences of everyday life after intensive care treatment of a loved one: a phenomenological hermeneutical study.
2015
Aims and Objectives To illuminate relatives’ experiences of everyday life after a loved one's stay in an intensive care unit. Background Relatives of intensive care patients experience considerable stress that can have a long-lasting effect on their everyday lives. Relatives frequently report anxiety, depression and complicated grief as a result of their experiences in the intensive care unit. Design A qualitative design was chosen. Methods Thirteen relatives were interviewed 3 months to 1 year after the discharge or death of an intensive care unit patient. A phenomenological hermeneutical method was used to explore family members’ lived experiences upon returning home after their loved one…
Emotion regulation strategies moderate the relationship of fatigue with depersonalization and derealization symptoms.
2017
Abstract Background The aim of the present study was to investigate the relationships of common emotion regulation strategies (suppression and reappraisal) to self-reported fatigue and depersonalization/derealization symptoms. Specifically, we tested the moderating effect of suppression and reappraisal on the link of fatigue with depersonalization and derealization symptoms. Opposite effects were expected for both emotion regulation strategies assuming that cognitive reappraisal has an adaptive buffering effect, while suppression intensifies the association of fatigue and depersonalization/derealization experiences. Methods In a representative study (N = 2524) we assessed emotion regulation…
Impaired Health-Related Quality of Life in Inflammatory Bowel Diseases Psychosocial Impact and Coping Styles in a National German Sample
2001
The purpose of this study is to give a detailed survey of the disease-specific and generic quality of life (HRQOL) of adult patients suffering from inflammatory bowel disease (IBD) in Germany.1322 patients suffering from IBD were examined in a cross-sectional study. A questionnaire assessing disease-specific and generic quality of life, coping, and hopelessness was sent to members of the German Crohn/Colitis association.Compared to the general population, the generic HRQOL in IBD patients is significantly reduced. Active coping has a negative influence on patients' generic physical HRQOL during an active phase (beta = -0.31), while this association is not present in the case of patients in …