Sample records for exile helping distressed



    Abdullah ACEHAN


    The words of exile are used from the first ages. To be exiled must necessarily arise in the need to stay to live outside of the country. The people in exile, the most important problem is the language. Some exiles write up work in the main language. Exile have become only within the boundaries of the Ottoman Empire and the Republic of Turkey. In some countries such as Germany, Hungary, Spain, The Arabian Peninsula, have been exiled. In this study of the events described in exiled, there were ...

  2. Help-seeking behaviours for psychological distress amongst Chinese patients.

    Directory of Open Access Journals (Sweden)

    Kai Sing Sun

    Full Text Available The stepped care model for psychological distress has been promoted in recent years, leading to the enhancing roles of primary care professionals and alternative sources of help. However, most of the research findings come from Western countries. This study investigates help-seeking behaviours of Chinese patients among different types of professional and alternative sources for psychological distress in Hong Kong.A questionnaire survey was conducted with 1626 adult primary care attenders from 13 private and 6 public clinics, 650 (40.0% reported that they had ever experienced psychological distress. Their help-seeking behaviours, demographic background and current distress level (measured by GHQ-12 were analysed.Among the respondents with experience of psychological distress, 48.2% had sought help from professional and/or alternative sources for their distress [10.2% from professionals only, 12.6% from alternative sources only, and 25.4% from both]. Those who had sought help from professionals only were more likely to be less educated and with lower income. In contrast, those using alternative sources only were more likely to be younger, better educated, and have higher income. Allowing multiple responses, psychiatrists (22.3% was reported to be the most popular professional source, followed by primary care physicians (17.5%, clinical psychologists (12.8% and social workers/counsellors (12.0%. Family members/friends (28.6% was the top alternative source, followed by exercise/sports (21.8%, religious/spiritual support (16.9% and self-help websites/books/pamphlets (8.9%.While psychiatrists remain the most popular professional source of help to the Chinese patients in Hong Kong, primary care professionals and alternative sources also play significant roles. Distressed patients who are younger, better educated and have higher income are more likely to use alternative sources only. The outcomes need further research.

  3. Writing History in Exile

    NARCIS (Netherlands)

    de Baets, Antoon; Berger, Stefan


    WRITING HISTORY IN EXILE * Stefan Berger and Antoon De Baets, Reflections on Exile Historiography 11 * Antoon De Baets, Plutarch’s Thesis : the Contribution of Refugee Historians to Historical Writing (1945-2015) 27 * Peter Burke, Silver Lining : on Some Intellectual Benefits of Exile 39 * Ragnar

  4. Political exile and democracy

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    Luis RONIGER


    Full Text Available Political exile is a mechanism of institutional exclusion geared at revoking citizenship rights and removing individuals from full participation in the political and public arenas of a country. Due to its exclusionary character, the literature tends to assume a correlation between authoritarianism and exile, on the one hand, and democracy and asylum, on the other. This work challenges this view and discusses the more complex interactions between exile and democracy. Relying on qualitative case analysis of individual and massive exile and on a quantitative database of presidential exile in the nineteenth and twentieth century, it shows that also democracies generate exile and that also authoritarian countries have provided sites of exile and asylum for those fleeing from their home countries.

  5. Help-Seeking among Male Employees in Japan: Influence of Workplace Climate and Distress. (United States)

    Maekawa, Yumiko; Ramos-Cejudo, Juan; Kanai, Atsuko


    Although using mental health services is an effective way to cope with work-related stressors and diseases, many employees do not utilize these services despite service improvements in recent years. The present study aimed to investigate the interaction effects of workplace climate and distress on help-seeking attitudes, and elucidate the reasons for mental health service underutilization in Japan. A questionnaire was distributed to 650 full-time male Japanese employees. Hierarchical multiple regression analysis was used to investigate interaction effects of workplace climate and distress on help-seeking. Results showed that the association between workplace climate and help-seeking attitudes differed depending on employee distress level. For employees experiencing low levels of distress, openness to seeking treatment increased with a higher evaluation of the mental health services available at the workplace. However, the same did not hold true for employees experiencing high levels of distress. Instead, openness to seeking treatment decreased with perceived risk for career disadvantage for high distress employees. Additionally, negative values for seeking treatment in highly distressed employees decreased only when services were perceived as valuable, and the risk to their career was perceived as low. Overall, these findings indicate that distress distorts the perception of social support, which may lead to underutilization of available services. Assessing employees' distress levels and tailoring adequate interventions could facilitate help-seeking in male employees.

  6. Re-Mapping Exile

    DEFF Research Database (Denmark)

    Bøss, Michael

    Collection of essays. The essays combine historical, cultural, and literary analyses in their treatment of exile in Irish writing. Some are 'structuralist' in seeing exile as a physical state of being, often associated with absence, into which an individual willingly or unwillinly enters. Others ...... are 'poststructuralist', considering the narration of exile as a celebration of transgression, hybridity, and otherness. The essays cover, among others, Butler, D'Arcy McGee, Mulholland, Joyce, Hewitt, Van Morrison, Ní Chuilleanáin, Doyle, and Banville....

  7. Myths of Exile

    DEFF Research Database (Denmark)

    . However, one does not do justice to the topic by restricting it to the exile in Babylon after 587 BCE. In recent years, it has become clear that there are several discrepancies between biblical and extra-biblical sources on invasion and deportation in Palestine in the 1st millennium BCE. Such discrepancy...... confirms that the theme of exile in the Hebrew Bible should not be viewed as an echo of a single traumatic historical event, but rather as a literary motif that is repeatedly reworked by biblical authors. Myths of Exile challenges the traditional understanding of ‘the Exile’ as a monolithic historical...

  8. Cyber-Porn Dependence: Voices of Distress in an Italian Internet Self-Help Community (United States)

    Cavaglion, Gabriel


    This study analyzes narratives of cyber-porn users and defines major patterns of distress as self-reported by contributors to a self-help group in the Internet. It applies narrative analysis methodology to 2000 messages sent by 302 members of an Italian self-help Internet community for cyber-porn dependents ("noallapornodipendenza").…

  9. Exile, exilic consciousness and the poetic imagination in Tanure ...

    African Journals Online (AJOL)

    As a thematic trajectory, exile constitutes a visible presence in the Nigerian poetic afflatus and imagination. This is sometimes not adequately or sufficiently acknowledged. Increasingly, however, exile and exilic consciousness have continued to occupy a contested and contestable site in literature especially Nigerian poetry.

  10. Exile/political migration


    Loyer, Emmanuelle


    Il est difficile de départager les motivations à l'origine des déplacements des personnes. Usuellement, on aime à distinguer une émigration économique qui a vu le jour dans l'Europe industrielle de la fin du XIXème et n'a cessé de grandir et s'universaliser depuis, et une migration politique qualifiée d'exil : le départ dramatique, l'horizon d'attente centré sur la patrie perdue, la sociabilité intense et réactive des exilés signent une expérience singulière. Pour autant, l'exilé du monde con...

  11. Exile and the Creative Imagination

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    Olu Oguibe


    Full Text Available 'Exile and the Creative Imagination' is a personal meditation on the pain and productive potential of exile from one of Nigeria's most internationally renowned artists, poets, and cultural critics. The text explores the genesis and development of the exile theme in Oguibe's poetry and visual art production.

  12. Specific attitudes which predict psychology students' intentions to seek help for psychological distress. (United States)

    Thomas, Susan J; Caputi, Peter; Wilson, Coralie J


    Although many postgraduate psychology programs address students' mental health, there are compelling indications that earlier, undergraduate, interventions may be optimal. We investigated specific attitudes that predict students' intentions to seek treatment for psychological distress to inform targeted interventions. Psychology students (N = 289; mean age = 19.75 years) were surveyed about attitudes and intentions to seek treatment for stress, anxiety, or depression. Less than one quarter of students reported that they would be likely to seek treatment should they develop psychological distress. Attitudes that predicted help-seeking intentions related to recognition of symptoms and the benefits of professional help, and openness to treatment for emotional problems. The current study identified specific attitudes which predict help-seeking intentions in psychology students. These attitudes could be strengthened in undergraduate educational interventions promoting well-being and appropriate treatment uptake among psychology students. © 2013 Wiley Periodicals, Inc.

  13. Language, Identity, and Exile (United States)

    Erdinast-Vulcan, Daphna


    The exilic mode of being, a living on boundary-lines, produces a constant relativization of one's home, one's culture, one's language, and one's self, through the acknowledgement of otherness. It is a homesickness without nostalgia, without the desire to return to the same, to be identical to oneself. The encounter with the other which produces a…

  14. Selfhood and Exile

    DEFF Research Database (Denmark)

    Christensen, Gry Ardal


    Victims of traumatic events such as torture or life threatening assault often turn to a specific set of metaphors when trying to explain what it is like to be in the world afterwards. Spatial descriptions such as displacement, exile, homelessness and alienation occur repeatedly as significant terms...

  15. Altruism in the wild: when affiliative motives to help positive people overtake empathic motives to help the distressed. (United States)

    Hauser, David J; Preston, Stephanie D; Stansfield, R Brent


    Psychological theories of human altruism suggest that helping results from an evolved tendency in caregiving mammals to respond to distress or need with empathy and sympathy. However, theories from biology, economics, and social psychology demonstrate that social animals also evolved to affiliate with and help desirable social partners. These models make different predictions about the affect of those we should prefer to help. Empathic models predict a preference to help sad, distressed targets in need, while social affiliative models predict a preference for happy, positive, successful targets. We compared these predictions in 3 field studies that measured the tendency to help sad, happy, and neutral confederates in a real-world, daily context: holding the door for a stranger in public. People consistently held the door more for happy over sad or neutral targets. To allow empathic motivations to compete more strongly against social affiliative ones, a 4th study examined a more consequential form of aid for hypothetical hospital patients in clear need. These conditions enhanced the preference to help a sad over a happy patient, because sadness made the patient appear sicker and in greater need. However, people still preferred the happy patient when the aid required a direct social interaction, attesting to the strength of social affiliation motives, even for sick patients. Theories of prosocial behavior should place greater emphasis on the role of social affiliation in motivating aid, particularly in everyday interpersonal contexts. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PsycINFO Database Record (c) 2014 APA, all rights reserved.

  16. A systematic review of help-seeking interventions for depression, anxiety and general psychological distress

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    Gulliver Amelia


    Full Text Available Abstract Background Depression and anxiety are treatable disorders, yet many people do not seek professional help. Interventions designed to improve help-seeking attitudes and increase help-seeking intentions and behaviour have been evaluated in recent times. However, there have been no systematic reviews of the efficacy or effectiveness of these interventions in promoting help-seeking. Therefore, this paper reports a systematic review of published randomised controlled trials targeting help-seeking attitudes, intentions or behaviours for depression, anxiety, and general psychological distress. Methods Studies were identified through searches of PubMed, PsycInfo, and the Cochrane database in November 2011. Studies were included if they included a randomised controlled trial of at least one intervention targeting help-seeking for depression or anxiety or general psychological distress, and contained extractable data on help-seeking attitudes or intentions or behaviour. Studies were excluded if they focused on problems or conditions other than the target (e.g., substance use, eating disorder. Results Six published studies of randomised controlled trials investigating eight different interventions for help-seeking were identified. The majority of trials targeted young adults. Mental health literacy content was effective (d = .12 to .53 in improving help-seeking attitudes in the majority of studies at post-intervention, but had no effect on help-seeking behaviour (d = −.01, .02. There was less evidence for other intervention types such as efforts to destigmatise or provide help-seeking source information. Conclusions Mental health literacy interventions are a promising method for promoting positive help-seeking attitudes, but there is no evidence that it leads to help-seeking behaviour. Further research investigating the effects of interventions on attitudes, intentions, and behaviour is required.

  17. A systematic review of help-seeking interventions for depression, anxiety and general psychological distress (United States)


    Background Depression and anxiety are treatable disorders, yet many people do not seek professional help. Interventions designed to improve help-seeking attitudes and increase help-seeking intentions and behaviour have been evaluated in recent times. However, there have been no systematic reviews of the efficacy or effectiveness of these interventions in promoting help-seeking. Therefore, this paper reports a systematic review of published randomised controlled trials targeting help-seeking attitudes, intentions or behaviours for depression, anxiety, and general psychological distress. Methods Studies were identified through searches of PubMed, PsycInfo, and the Cochrane database in November 2011. Studies were included if they included a randomised controlled trial of at least one intervention targeting help-seeking for depression or anxiety or general psychological distress, and contained extractable data on help-seeking attitudes or intentions or behaviour. Studies were excluded if they focused on problems or conditions other than the target (e.g., substance use, eating disorder). Results Six published studies of randomised controlled trials investigating eight different interventions for help-seeking were identified. The majority of trials targeted young adults. Mental health literacy content was effective (d = .12 to .53) in improving help-seeking attitudes in the majority of studies at post-intervention, but had no effect on help-seeking behaviour (d = −.01, .02). There was less evidence for other intervention types such as efforts to destigmatise or provide help-seeking source information. Conclusions Mental health literacy interventions are a promising method for promoting positive help-seeking attitudes, but there is no evidence that it leads to help-seeking behaviour. Further research investigating the effects of interventions on attitudes, intentions, and behaviour is required. PMID:22799879

  18. Using health psychology to help patients: common mental health disorders and psychological distress. (United States)

    Barley, Elizabeth; Lawson, Victoria


    This article provides an overview of how health psychology can be used by nurses to help patients experiencing common mental health problems and psychological distress. Mental health problems are common and are associated with poor outcomes, especially for patients with comorbid physical health conditions. Mental health problems are associated with unhealthy behaviours such as smoking, physical inactivity, overeating and excessive alcohol use, which will result in poorer outcomes for patients. Consideration of a patient's psychological health is therefore important for all nurses providing holistic care. Awareness of the symptoms of psychological distress, good communication skills and simple screening instruments can be used by nurses to assess patients' mental health. The cognitive and behavioural risk factors associated with depression and anxiety are also explored, as an understanding of these can help nurses to provide appropriate care.

  19. Dio Chrysostom in Exile

    DEFF Research Database (Denmark)

    Bekker-Nielsen, Tønnes; Hinge, George


    In the opening chapter of his thirty-sixth oration, Dio Chrysostom tells his listeners how in the course of a journey ‘through the lands of the Scythians to that of the Getae’, he stopped over in the city of Borysthenes (Olbia) ‘in the summer after my exile’ (τὸ θέρος … μετὰ τὴν φυγήν). Dio had b...... been exiled by Domitian, probably in a.d. 83 or 84; since his exile ended after the death of Domitian in September 96, it is generally accepted that his visit to Borysthenes took place in the summer of 97....

  20. Visions in Exile

    DEFF Research Database (Denmark)

    Damgaard, Peter

    by exile, translation, and from 1949, literary and political opposition to the system under construction on the mainland. The period from the early to late 1980s provides a watershed in the inauguration of the ‘counter-system,’ in that it witnessed, on the one hand, an unprecedented internationalisation......The study addresses issues of national identity in contemporary Chinese literature by focusing on the tension between writers currently working either inside or outside the official literary system of the PRC. It searches out the imaginative boundaries to this system by reading the discourses...


    Directory of Open Access Journals (Sweden)

    Matías eSilva Rojas


    Full Text Available This article addresses the experience of exile from an interdisciplinary perspective, philosophy and mainy psychiatry, trying to understand the experiences of both space and time that people who live in exile have. The main purpose is to try to understand the experience of exile by rehearsing a psychopathological perspective to address it, so it can help with the treatment of disorders that come with this experience. The latter without cloistering it to the psychologically insane. Furthermore, the article tries to exploit the experience and reflection of philosophers and thinkers who, being exiled themselves, tried to understand and explain this radical human experience.

  2. Introduction: Exile and Social Transformation

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    Paul Allatson


    Full Text Available This paper serves as an introduction to the special issue of Portal on exile and its potential to effect social change. The critical and creative discussions that follow this introduction respond to a particular set of problems. What factors permit and preclude exilic individual and communal transformation? Is there a need to rethink exilic agency in accord with local times, cultures and places, and to refocus attention on exile communal impacts on a host society? And, in a globalized epoch characterized by mass population movements across geopolitical lines, do states and national desires still have key roles to play in the production of exile? There are no straightforward answers to these questions, but all gesture toward the inadequacy of a single overarching definition or description of exile. Indeed, the process of exile has generated a great deal of debate regarding to whom the term exile applies and when. Furthermore, a number of unresolved issues recur in the extensive literature on the topic: the problematic location of exile and its definitional dependency on a home or homeland; the multivalent struggles to attain and maintain exilic voice, representation, memory, and identity on many fronts (individual, familial, communal, national, transnational; exile’s uneasy relation to modernity, the state, and globalization; and exile’s conceptual competition with other terms, such as diaspora, exodus, refugee and migrant. Intended as a selective reprise of these issues and the ways the contributors to this issue have responded to them, this introduction identifies some of the claims that have been made of exile as a space or mode of social transformation, as well as the possible limits of such claims. This article has been cited in the following: Ravn, Tine. Burmesiske flygtninge i Danmark: personlige narrativer omkring identitet, tilhørsforhold og integration. Unpublished PhD Dissertation, Aalborg Universitet, Denmark, 2009. Smith

  3. Clerical Exile in Late Antiquity

    DEFF Research Database (Denmark)

    Engberg, Jakob


    This volume results from the international research project ‘The Migration of Faith: Clerical Exile in Late Antiquity (325‒c.600)’. The project is a collaboration between the Department of History at the University of Sheffield, the Seminar für Kirchengeschichte at the University of Halle......, and the Department of Culture and Society at Aarhus University. Ten chapters of the volume are revised versions of papers delivered at the XVII International Conference on Patristic Studies held in Oxford in 2015. The three chapters of the first part of the volume discuss the question of “Clerical Exile and Social...... Control”. The second part offers five selected case studies from the 3rd to the 6th centuries. The final part deals with discourses, memories and legacies of clerical exile in late antiquity....

  4. Clerical Exile in Late Antiquity

    DEFF Research Database (Denmark)

    This volume results from the international research project ‘The Migration of Faith: Clerical Exile in Late Antiquity (325‒c.600)’. The project is a collaboration between the Department of History at the University of Sheffield, the Seminar für Kirchengeschichte at the University of Halle......, and the Department of Culture and Society at Aarhus University. Ten chapters of the volume are revised versions of papers delivered at the XVII International Conference on Patristic Studies held in Oxford in 2015. The three chapters of the first part of the volume discuss the question of “Clerical Exile and Social...... Control”. The second part offers five selected case studies from the 3rd to the 6th centuries. The final part deals with discourses, memories and legacies of clerical exile in late antiquity....

  5. A Qualitative Exploration of the Help-Seeking Behaviors of Students Who Experience Psychological Distress Around Assessment at Medical School. (United States)

    Winter, Rachel I; Patel, Rakesh; Norman, Robert I


    Medical students are at high risk of experiencing psychological distress at medical school and developing mental ill-health during professional practice. Despite efforts by faculty to raise awareness about this risk, many students choose to suffer in silence in the face of psychological distress. The aim of this study was to explore drivers that prompted help-seeking behavior and barriers that prevented individuals prioritizing their well-being around the time of high-stakes assessment at medical school. Semi-structured interviews were conducted with fifty-seven students who failed high-stakes assessment at two UK medical schools, exploring their experience of academic difficulty and perceptions about causes. A thematic analysis of twenty transcripts that met inclusion criteria was completed to identify key factors that influenced participants' decisions around seeking help for their psychological distress, and in some cases, mental health problems. Twenty participants who specifically described a deterioration in their mental health around the time of assessment were included in this study. Barriers to seeking help in these instances included: normalization of symptoms or situation; failure to recognize a problem existed; fear of stigmatisation; overt symptoms of mental distress; and misconceptions about the true nature of the medical school, for example beliefs about a punitive response from the school if they failed. Drivers for seeking help appropriately included: building trust with someone in order to confide in them later on, and self-awareness about the need to maintain good mental health. There are various drivers and barriers for students' help seeking behaviors when experiencing psychological distress around the time of assessment, particularly self-awareness about the problem and prioritisation of well-being. Students who fail to recognize their own deteriorating mental health are at risk of academic failure and medical schools need to develop

  6. My Own Best Friend: Homeless Youths' Hesitance to Seek Help and Strategies for Coping Independently after Distressing and Traumatic Experiences. (United States)

    Bender, Kimberly; Begun, Stephanie; Durbahn, Rebecca; Ferguson, Kristin; Schau, Nick


    Although homeless youth face extreme adversities, they are often hesitant to seek help from formal and informal supports. The current study qualitatively explored homeless youths' reasons for coping independently and their strategies for doing so. Youth accessing services (N = 145) in three U.S. cities were interviewed about their rationales for not seeking help from others regarding distressing experiences. Analyses illustrated specific barriers to help seeking that prompted homeless youth to cope on their own by utilizing soothing, avoidant, aggressive, and introspective coping strategies. Implications for outreaching to those least likely to seek help are discussed.

  7. Exile, exilic consciousness and the poetic imagination in Tanure ...

    African Journals Online (AJOL)

    conditioned by the reality of living and working away from home in the United States of America even as the poet himself problematises this reality with his frequent visits home and the construction .... of racism and alienation and sometimes even joy.” (Specht 2006: 50). In commenting on the Indian exilic condition, Salman ...

  8. Exile, exilic consciousness and the poetic imagination in Tanure ...

    African Journals Online (AJOL)

    local milieu. Then, there is the external exile, which represents itself in physical flight from one's homeland ... Within the discursive space and critical practice, which define postcolonial and postmodern studies, the ... therefore, does not matter where one lives because communication and travel have ceased to be difficult and.

  9. Family caregiving in depression: impact on caregivers' daily life, distress, and help seeking

    NARCIS (Netherlands)

    van Wijngaarden, Bob; Schene, Aart H.; Koeter, Maarten W. J.


    BACKGROUND: Attention to caregiving consequences has been mainly restricted to schizophrenia, although studies suggest that relatives of depressed patients also experience considerable distress. These studies, however, were conducted on small samples or with nonvalidated instruments. In our study,

  10. Help-seeking intentions among Asian American and White American students in psychological distress: Application of the health belief model. (United States)

    Kim, Jin E; Zane, Nolan


    Underutilization of needed mental health services continues to be the major mental health disparity affecting Asian Americans (Sue, Cheng, Saad, & Chu, 2012). The goal of this study was to apply a social psychological theoretical framework-the health belief model (Rosenstock, 1966)-to understand potential reasons why Asian Americans underutilize mental health services relative to White Americans. Using a cross-sectional online questionnaire, this study examined how perceived severity of symptoms, perceived susceptibility to mental health problems, perceived benefits of treatment, and perceived barriers to treatment influenced intentions to seek help among a sample of 395 Asian American and 261 White American students experiencing elevated levels of psychological distress. Analyses using structural equation modeling indicated that Asian Americans in distress had relatively lower intentions to seek help compared with White Americans. Perceived benefits partially accounted for differences in help-seeking intentions. Although Asian Americans perceived greater barriers to help seeking than did White Americans, this did not significantly explain racial/ethnic differences in help-seeking intentions. Perceived severity and barriers were related to help-seeking intentions in both groups. Outreach efforts that particularly emphasize the benefits of seeking mental health services may be a particularly promising approach to address underutilization. The findings have implications in help-seeking promotion and outreach. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  11. Austrian natural scientists in exile

    International Nuclear Information System (INIS)

    Broda, E.


    This text was written by E. Broda for the international symposium for exploration of the Austrian exile from 1934 to 1945 (“Internationales Symposiums zur Erforschung des österreichischen Exils von 1934 bis 1945”) in the year 1978. The article is about the specific problems of the Austrian scientific landscape, caused by the political events in the first half of the 20th century. The focus is primarily on the enormous ‘brain drain’, triggered by political repression in the period of Nazi rule (1938 - 1945), the Austro-fascism period (1934 - 1938) and the economic regression, anti-intellectual and anti-Semitic sentiment in the Country since 1918. The article emphasizes the importance of exile organizations, such as the ‘Free Austrian Movement’ or the ‘Association of Austrian Engineers, Chemists and Scientific Workers in Great Britain’ for the reconstruction of a scientific culture in Austria, after the Second World War. (rössner) [de

  12. Psychological Distress and Help Seeking Amongst Higher Education Students: Findings from a Mixed Method Study of Undergraduate Nursing/Midwifery and Teacher Education Students in Ireland (United States)

    Deasy, Christine; Coughlan, Barry; Pironom, Julie; Jourdan, Didier; Mannix-McNamara, Patricia


    Psychological distress as experienced by higher education students is of major concern because of its potential to adversely impact academic performance, retention, mental health and lifestyle. This paper reports a mixed method investigation of student self-reported psychological distress and help-seeking behaviour. The sample comprised all…

  13. Feasibility of a self-help web-based intervention targeting young cancer patients with sexual problems and fertility distress. (United States)

    Wiklander, Maria; Strandquist, Johanna; Obol, Claire Micaux; Eriksson, Lars E; Winterling, Jeanette; Rodriguez-Wallberg, Kenny A; Sjögren Fugl-Meyer, Kerstin; Ahlgren, Johan; Ljungman, Per; Lampic, Claudia; Wettergren, Lena


    The purpose of the study is to evaluate the feasibility of a self-help web-based intervention to alleviate sexual problems and fertility distress in adolescents and young adults with cancer. Twenty-three persons with cancer (19 women and 4 men, age 18-43, 1-5 years post-diagnosis of lymphoma, breast, gynecologic, central nervous system, or testicular cancer) were recruited to test a 2-month web-based program targeting sexual problems or fertility distress. The programs were organized in modules with educational and behavior change content, including texts, illustrations, exercises, and video vignettes. The program also included a discussion forum and an "ask the expert" forum. In addition, the sexuality program offered two telephone consultations. Feasibility (regarding demand, acceptability, preliminary efficacy, and functionality) was evaluated with the website system data, telephone interviews, continuous online evaluations, and study-specific measures. Fifteen participants completed four modules or more. Most of the program features were used and well accepted by these "committed users." The web-based format enabled flexible use by participants with diverse needs. Preliminary efficacy was indicated by self-reported increased knowledge and skill in handling sexual problems and fertility distress. The website was easy to use and functioned well technically. The present study indicated that this web-based intervention was feasible for adolescents and young adults with cancer. The effectiveness of the intervention in decreasing sexual problems and fertility distress will be tested in a population-based randomized controlled trial for adolescents and young adults with cancer. ISRCTN36621459.

  14. [Networks in science: the "JAE" in the exile]. (United States)

    Orovio, Consuelo Naranjo; Puig-Samper, Miguel Angel


    Junta para Ampliación de Estudios created different academic centers and laboratories in Spain. In this way, JAE helped to create an intellectual network. These centers not only blessed interchanges, debates and the modernization of Spanish science and culture, but also contributed to establish a platform that worked as a bridge in the aftermath of the Spanish Civil War. This network made possible for republican scientists and intellectuals, to find new positions abroad, when the time for exile came.

  15. Wittgenstein as Exile: A Philosophical Topography (United States)

    Peters, Michael A.


    Exilic thought is a kind of uprooted thought developed away from "home" under conditions of displacement and uncertainty, often in a different mother tongue, language tradition and culture. Exilic thought is sometimes the self-imposed discipline of the "stranger" who develops his or her identity as an "alien" or immigrant against the conventions…

  16. Constructing a Tibetan Demos in Exile

    DEFF Research Database (Denmark)

    Brox, Trine


    homeland. Two specific instances of the construction of a transnational exile demos are investigated: citizenship and political representation. The Tibetan Government-in-Exile's formalized idea of citizenship builds upon ideals of equal and loyal members who form a single unit bounded by a common cause...

  17. Clerical Exile in Late Antiquity



    This volume results from the international research project ‘The Migration of Faith: Clerical Exile in Late Antiquity (325‒c.600)’. The project is a collaboration between the Department of History at the University of Sheffield, the Seminar für Kirchengeschichte at the University of Halle, and the Department of Culture and Society at Aarhus University. Ten chapters of the volume are revised versions of papers delivered at the XVII International Conference on Patristic Studies held in Oxford i...

  18. Slovak Shakespeare in American Exile

    Directory of Open Access Journals (Sweden)

    Marcinčin Matúš


    Full Text Available Ján Vilikovský’s synthesizing monograph Shakespeare u nás (2014 is a great study; however, it does not include the whole history of translations of Shakespeare’s dramas into the Slovak language. Slovak literary and theatre studies have not reflected this theme in relation to Slovak cultural exile after the year 1945. In the present contribution, the author completes the mentioned monograph by Vilikovský, he adds and deals especially with translations written in exile by Andrej Žarnov and Karol Strmeň. He pays special attention to the fragments of translations of Shakespeare’s dramas found as a manuscript in the inheritance left after the tragic death of their author Karol Strmeň. The author reconstructs the fragments and then analyses and compares them with relevant Slovak and Czech translations of Shakespeare’s works. As a result of this study, it can be concluded that the translations by Strmeň written in a modern, cultivated, although slightly archaic Slovak language would have achieved an important position in the history of Slovak translations of Shakespeare’s drama if they had been published.

  19. Forms of Exile: Contemporary Palestinian Life Writing


    Brown, Sophia


    This thesis is an examination of contemporary exilic Palestinian life writing in English. Attentive to the ongoing nature of Palestinian dispossession since 1948, it focuses on how exile is narrated and the ways in which it informs models of selfhood within a context of conflict and loss. This involves adopting a framework of settler colonialism in order to understand the conflict. Broadly speaking, the thesis conceives of Palestinian life writing as a form of testimony posing an urgent and n...

  20. Holocaust und exil im gymnasialen Deutschunterricht: Ein Blick auf ein deutsches Curriculum (Holocaust and Exile in the German Class in the Gymnasium: A Look at the German Curriculum). (United States)

    Sajak, Clauss Peter


    The processing of Germany's Nazi past with the help of exile and holocaust literature has already been an important component of the teaching of literature in the schools of the Federal Republic of Germany for some time. This article analyzes an exemplary German curriculum for the Baden-Wuerttemberg gymnasium level. (DMK)

  1. Postcolonial Exilic Narration in Femi Ojo-Ade's Exile At Home ...

    African Journals Online (AJOL)

    Exile writings have been concerned with the pain and survival of people who for one reason or the other have left their country of origin. But recent development in literary creativity has gone beyond this façade to explore what could be described as internal exile. Femi Ojo-Ade is a Nigerian poet who has used the resources ...

  2. The exiles as 'translators'. APRA networks exile in Argentina in the thirties

    Directory of Open Access Journals (Sweden)

    Leandro Sessa


    Full Text Available This article reconstructs APRA exile networks in Argentina during the thirties, so as to analyze how the exiles got involved in disputes about what the APRA was, given their interest of strengthening links with sectors of national political environment. This approach will show how the exiles revived Latin American solidarity networks wich came from the previous decade. As part of that effort, they worked as "translators" of the political movement, against other aprismo´s representations circulating in our country

  3. A Decade of Counseling Services in One College of Veterinary Medicine: Veterinary Medical Students' Psychological Distress and Help-Seeking Trends. (United States)

    Drake, Adryanna A S; Hafen, McArthur; Rush, Bonnie R

    Much has been discussed about the high prevalence of psychological distress among veterinary medical students. Studies investigating general samples of veterinary medical students indicate that, on average, depression and anxiety symptoms are present at higher rates than in comparison samples. However, little is known about veterinary medical students who seek counseling. This study intends to expand the literature on veterinary student well-being, as the first to examine a sample of veterinary medical students seeking counseling services. It offers an overview of student distress and help-seeking trends from a decade of counseling services provided in one College of Veterinary Medicine (CVM) in the US. The sample includes data from 279 participants. Results indicate a steady increase in students seeking counseling over the last decade. First-year students sought services at higher rates but second-year students experienced the greatest distress when compared to other cohorts. Students seeking counseling services experienced levels of overall distress, symptoms of anxiety and depression, and social role concerns that were, on average, above cut-off scores. Physical health was significantly associated with student distress, suggesting opportunities for intervention.

  4. Brief Distress Screening in Clinical Practice: Does it Help to Effectively Allocate Psycho-Oncological Support to Female Cancer Inpatients? (United States)

    Hermelink, Kerstin; Höhn, Henrik; Hasmüller, Stephan; Gallwas, Julia; Härtl, Kristin; Würstlein, Rachel; Köhm, Janna


    The usefulness of distress screening in cancer inpatient settings has rarely been investigated. This study evaluated a brief distress screening of inpatients in a breast cancer centre and a gynaecological cancer centre. Hospitalised patients with breast or gynaecological cancers were screened with the Distress Thermometer. Patients who scored above the cut-off, were referred by the medical staff, or self-referred were offered bedside psycho-oncological counselling. Of 125 patients, 68 (54.4%) received an offer of counselling, and 62 patients (49.6%) accepted. Most of the counselling was induced by distress screening. Only 4 (3.2%) patients self-referred to the counselling service. Of the counselled patients, 65.8% stated that they had substantially benefited from psycho-oncological support; only 5.6% of the non-counselled patients indicated that they might have benefited from psycho-oncological support. Almost all patients who will accept and benefit from psycho-oncological counselling can be identified if distress screening is used in conjunction with referrals by physicians and nurses. Distress screening is a worthwhile component in a framework of psycho-oncological support in a cancer inpatient setting. It paves the way to counselling for cancer inpatients who need it and are willing to accept it but hesitate to self-refer to psycho-oncological services.

  5. A guided self-help intervention targeting psychological distress among head and neck cancer and lung cancer patients: motivation to start, experiences and perceived outcomes. (United States)

    Krebber, Anne-Marie H; van Uden-Kraan, Cornelia F; Melissant, Heleen C; Cuijpers, Pim; van Straten, Annemieke; Becker-Commissaris, Annemarie; Leemans, C René; Verdonck-de Leeuw, Irma M


    Recent results of a randomized clinical trial showed that a guided self-help intervention (based on problem-solving therapy) targeting psychological distress among head and neck cancer and lung cancer patients is effective. This study qualitatively explored motivation to start, experiences with and perceived outcomes of this intervention. Data were collected from semi-structured interviews of 16 patients. All interviews were audio-recorded and transcribed verbatim. Data were analyzed individually by two coders and coded into key issues and themes. Patients participated in the intervention for intrinsic (e.g. to help oneself) and for extrinsic reasons (e.g. being asked by a care professional or to help improve health care). Participants indicated positive and negative experiences with the intervention. Several participants appreciated participating as being a pleasant way to work on oneself, while others described participating as too confrontational. Some expressed their disappointment as they felt the intervention had brought them nothing or indicated that they felt worse temporarily, but most participants perceived positive outcomes of the intervention (e.g. feeling less distressed and having learned what matters in life). Cancer patients have various reasons to start a guided self-help intervention. Participants appreciated the guided self-help as intervention to address psychological distress, but there were also concerns. Most participants reported the intervention to be beneficial. The results suggest the need to identify patients who might benefit most from guided self-help targeting psychological distress and that interventions should be further tailored to individual cancer patients' requirements.

  6. Migration and health. A study of Latin American refugees, their exile in Sweden and repatriation. (United States)

    Sundquist, J; Iglesias, E; Isacsson, A


    To analyse and elucidate the migration process in order to identify psycho-social themes which might act as stressors with influence on health. Qualitative in-depth interviews with eleven strategically selected Latin American refugees. Latin American refugees living in Lund, a university town, and those who were repatriated to Santiago, Chile. 11 Latin Americans of whom 4 were repatriated to Chile. The migration process was divided into four courses of events: cultural background and everyday life; organized violence; the exile; the repatriation. "Themes" such as cultural and working identity and high control were extracted from the dialogues as central buffering factors against microbiological or physicochemical disease agents harboured by the individual. During the exile the cultural barrier, social degradation, guilt, social passivity, and ideological alienation cause a changed identity and low control which increase the vulnerability to psychological distress and physical disease.

  7. Cuba's Exiles: Portrait of a Refugee Migration. (United States)

    Pedraza-Bailey, Sylvia


    Argues that to understand the changing social characteristics of Cuban exiles over 20 years of migration, one must understand the changing phases of the Cuban revolution. Explores Egon F. Kunz's theoretical framework for refugee migration in relation to Cuban exodus data. (GC)

  8. Rethinking reproductive "tourism" as reproductive "exile". (United States)

    Inhorn, Marcia C; Patrizio, Pasquale


    Whereas reproductive "tourism" implies leisure travel, reproductive "exile" bespeaks the numerous difficulties and constraints faced by infertile patients who are "forced" to travel globally for assisted reproduction. Given this reality, it is time to rethink the language of "reproductive tourism," replacing it with more accurate and patient-centered terms.

  9. The emotional distress of asylum seekers in Israel and the characteristics of those seeking psychiatric versus medical help. (United States)

    Kiat, Naama; Youngmann, Rafael; Lurie, Ido


    Israel has become a destination for asylum seekers. Asylum seekers often experience emotional distress, but have limited access to health services and rarely use psychiatric services. This study sought to understand and characterize the use of psychiatric versus medical services by asylum seekers in Israel. We compared the emotional distress, stressful life events and previous treatment consultations of 21 psychiatric service users (PSU) and 55 medical service users (MSU) at the Open Clinic of Physicians for Human Rights in Tel-Aviv. Participants completed a socio-demographic questionnaire, the General Health Questionnaire (GHQ-12), the Stressful Life Events Scale and the Health Care Utilization Questionnaire. PSU and MSU did not have significantly different levels of emotional distress. PSU reported significantly more stressful life events during the past year than MSU ( M = 5.81, SD 3.47 vs. M = 3.8, SD 2.35, p Asylum seekers who consulted multiple treatment agencies in the last year were 1.55 times more likely to seek psychiatric treatment than those who had consulted only a few treatment agencies. Emotional distress in asylum seekers appears to be under-diagnosed in the Open Clinic and under-treated by mental health professionals. To better detect this distress, a thorough screening is recommended at assessment. Collaboration with mental health professionals and community and religious leaders consulted in the past is important and can contribute to good health care outcomes in this population.

  10. Giving birth in exile: motherhood as reterritorialization. (United States)

    Pestre, Elise


    This paper explores the effects of exile on the subjectivity of pregnant migrant women through the lens of the processes of deterritorialization and reterritorialization. Having escaped the gaze of the parental superego, the subject's encounter with sexuality becomes possible. However, in addition to the emancipatory aspects of migration, we observe particular somatic-psychical effects on reproductive ability. These "exile" pregnancies are generally experienced as difficult and painful, laying bare a symptomatology that is as much psychical as somatic, and which highlights the cost of a desire for independence. In this context, where perinatal risks must be evaluated and treated through an interdisciplinary approach, a clinical accompaniment proves to be indispensable for the maternity to progress smoothly on foreign soil.

  11. From Exile to Affirmation: The Poetry of Joseph Brodsky

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    David Patterson


    Full Text Available This article examines the relation between the exile of the poet from his homeland and the "exile of the word." The notion of the exile of the word pertains to the poet's problem of re-introducing meaning to the word—an excess of meaning that conveys more than the word can normally convey—through his poetry. Showing how the poet in exile becomes a poet of exile, the article examines what poetry has to do with a larger difficulty of exile and homelessness in human life. Brodsky's poetry, the article argues, addresses this very difficulty. The article concludes that the human capacity to dwell in the world is a capacity to instill the word with meaning, and that this is one important message to come to us through the poetry of Joseph Brodsky.

  12. Dissident Writing: Home and Exile in Frank Chipasula's Whispers in ...

    African Journals Online (AJOL)

    This forced Chipasula in his poetry to engage with Banda's regime even from exile, resisting the tyranny with the terms of a guerrilla fighter hence his work could be called dissident writing. In his nomadic existence as an exile, Chipasula worries less about where he is than about his home country, Malawi. This article uses ...

  13. The voluntary repatriation process of Chilean exiles. (United States)

    Llambias-wolff, J


    "The purpose of this paper is to analyse the main characteristics of the reintegration process of Chilean exiles returning to their country: the voluntary repatriation process of those who left Chile in 1973 when a military coup overthrew the democratically elected government, and who began to return to Chile in 1978, especially after 1990 with the re-establishment of democracy. Data have been obtained from secondary sources (publications, working papers, institutional documents), official publications provided by governmental agencies, and informal interviews with professionals assisting the returned population. The research was undertaken in situ in Santiago, Chile, during May and June 1992." (SUMMARY IN FRE AND SPA) excerpt

  14. Exile as a Means for the Meeting and Construction of Pedagogies: The Exiled Spanish Republican Teachers in Mexico in 1939 (United States)

    Civera, Alicia


    There has been little study of political exile as a means for transferring pedagogic ideas and models, which has been important in Latin America, especially in the case of the Spaniards exiled in Mexico after the defeat of the Second Republic at the end of the 1930s. The Mexican government's sympathy with the Second Republic allowed many teachers…

  15. Mental distress, alcohol use and help-seeking among medical and business students: a cross-sectional comparative study

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    Dahlin Marie


    Full Text Available Abstract Background Stress and distress among medical students are thoroughly studied and presumed to be particularly high, but comparative studies including other student groups are rare. Methods A web-based survey was distributed to 500 medical students and 500 business students. We compared levels of study stress (HESI, burnout (OLBI, alcohol habits (AUDIT and depression (MDI, and analysed their relationship with self-assessed mental health problems by logistic regression, with respect to gender. Results Medical students' response rate was 81.6% and that of business students 69.4%. Business students scored higher on several study stress factors and on disengagement. Depression (OR 0.61, CI95 0.37;0.98 and harmful alcohol use (OR 0.55, CI95 0.37; 0.75 were both less common among medical students. However, harmful alcohol use was highly prevalent among male students in both groups (medical students 28.0%, business students 35.4%, and among female business students (25.0%. Mental health problems in need of treatment were equally common in both groups; 22.1% and 19.3%, respectively, and was associated with female sex (OR 2.01, CI95 1.32;3.04, exhaustion (OR 2.56, CI95 1.60;4.10, lower commitment to studies (OR 1.95, CI95 1.09;3.51 and financial concerns (OR 1.81 CI95 1.18;2.80 Conclusions Medical students may not be more stressed than other high achieving student populations. The more cohesive structure of medical school and a higher awareness of a healthy lifestyle may be beneficial factors.

  16. The Politics of Exile: Ama Ata Aidoo's Our Sister Killjoy

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    Gay Wilentz


    Full Text Available Ama Ata Aidoo's Our Sister Killjoy or Reflections from a Black-Eyed Squint is a relentless attack on the notions of exile as relief from the societal constraints of national development and freedom to live in a cultural environment conducive to creativity. In this personalized prose/poem, Aidoo questions certain prescribed theories of exile (including the reasons for exile—particularly among African men. The novel exposes a rarely heard viewpoint in literature in English—that of the African woman exile. Aidoo's protagonist Sissie, as the "eye" of her people, is a sojourner in the "civilized" world of the colonizers. In this article, I examine Aidoo's challenge to prevailing theories of exile, her questioning of the supposed superiority of European culture for the colonial subject, and her exposé of the politics of exile for African self-exile. Through a combination of prose, poetry, oral voicing and letter writing, Aidoo's Sissie reports back to her home community what she sees in the land of the colonizers and confronts those exiles who have forgotten their duty to their native land.

  17. Networks in science: the JAE in the exile

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    Naranjo Orovio, Consuelo


    Full Text Available Junta para Ampliación de Estudios created different academic centers and laboratories in Spain. In this way, JAE helped to create a intellectual network. These centers not only blessed interchanges, debates and the modernization of Spanish science and culture, but also contributed to establish a platform that worked as a bridge in the aftermath of the Spanish Civil War. This network made possible for republican scientists and intellectuels, to find new positions abroad, when the time for exile came.

    Las relaciones e intercambios académicos con el extranjero, impulsados por los distintos centros y laboratorios creados por Junta para Ampliación de Estudios, dieron lugar al forjamiento de unas redes intelectuales que propiciaron no sólo el intercambio, el debate y la modernización de la ciencia y la cultura españolas deseadas, sino que también generaron unas plataformas que actuaron de puentes en los años siguientes a la Guerra Civil española. Las redes intelectuales ayudaron a que los hombres y mujeres, los científicos y pensadores republicanos, encontraran trabajo en otras latitudes cuando tuvieron que exiliarse.

  18. Sá-Carneiro’s shelter and exile

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    Caio Márcio Poletti Lui Gagliardi


    Full Text Available Paris is a key space in Mário de Sá-Carneiro poetry, not only for most of his poems have been produced there, but as a symbolic reality. This paper aims to reflect on the symbolic role played by Paris in the work of Sá-Carneiro, based on the analysis of the poem “Shelter” (1915, its comparative approach with the poem “Memory”, by other Portuguese poet António Nobre, and the correspondence with his friend and colleague generation Fernando Pessoa. Transfigured by language, Paris is here focused both as an identification and otherness space: at the same time shelter to affects repressed in a lost past and internal exile in a imaginary present. This dream city, lavishly portrayed both in correspondence and in the author´s literature, contrasts with a serious and urgent historical reality. The poet admits, after all, that its Paris is a language space, product of his imagination nostalgia.

  19. Exile after exile El exilio después del exilio

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    Margarita DEL OLMO PINTADO


    Full Text Available The main objective of this article is to the offer to reader an analysis of the narratives of some Argentina exiles in Spain at the end of the 1980s. The narratives were developed in an endeavour to explain to the author the difficult task of reinventing oneself once the life projects that these exiles had believed in and lived for were squashed, broken and sometimes disappeared altogether from the Argentine society.El propósito del artículo es ofrecer al lector un análisis de los relatos que algunos exiliados argentinos en España elaboraron a finales de la década de los 80 del siglo XX para contarme la difícil tarea de reinventarse a sí mismos una vez que los proyectos de vida en los que habían creído y por los que habían vivido fueron aplastados, rotos y, a veces, desaparecidos sin dejar rastro en la sociedad argentina.

  20. The imprint of exile through the plot of the narratives

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    Silvia Dutrénit Bielous


    Full Text Available Exile is a circumstance different from other migrations, although it resembles them in the possible insertion or alienation from the receiving society. It is with no a doubt a forced migration process which is always accompanied by an idea and an imaginary: the disappearrance of the conditions that forced to exile and thus, the return.Although it is not possible to generalize, because there is no one single experience of exile and the subjectivities that compose it are diverse, it undoubtedly produces a sensation of alienation, which can lead to the rejection of the cultural norms of society; it is part of a process of “being in one place, but thinking about another.” However, as exile is prolonged, the experience of adaptation for the different generations involved becomes diversified, communication vessels develop, feelings of inclusion, of adaptation, of attachment with the social and cultural environment that the place of refuge offered.The present text builds on testimonies of Uruguayans exiled in Mexico who have returned to their country. In their narrative, the meanings that relate to the subjective perspective that provoked the “return” to their country of origin as being viable and a palpable event are perceived. In summary, an incursion through the testimonial plot explains to what extent the return is a recovery of the space of identity longed for and the subsequent abandonment of the foreign space, in other words, it adds to the perspective of identity as a dynamic and relational construction.

  1. L'exil irakien à Damas

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    Mohamed Kamel Doraï


    Full Text Available Depuis la chute du régime de Saddam Hussein, le conflit en Irak perdure et des centaines de milliers d'Irakiens ont été contraints de quitter leur pays pour se diriger en grand nombre vers la Syrie. Pour la plupart venus des principales agglomérations irakiennes, et surtout de Bagdad, ils se sont installés dans les faubourgs de la capitale syrienne. Ni la Syrie, ni le Haut Commissariat aux Réfugiés des Nations Unies n'ont ouverts de camps pour accueillir les réfugiés, qui forment aujourd'hui l'une des plus importantes populations de réfugiés urbains à travers le monde. Cet article analyse les modes d'installation des Irakiens à Damas, et le rôle que joue la ville dans les parcours migratoires des exilés.Since the fall of Saddam Hussein regime, the conflict in Iraq is still ongoing and hundreds of thousands of Iraqis have been constrained to leave their country to move in great number towards Syria. The vast majority comes from the main cities in Iraq, and especially from Baghdad, and they settled in the suburbs of the Syrian capital. Neither Syria, nor the United Nations High Commissioner for Refugees have opened camps to accommodate the refugees, who are today one of the most important group of urban refugees throughout the world. This article analyzes the modes of settlement of the Iraqis in Damascus, and the role played by the city in the migratory dynamics of the Iraqi Diaspora.

  2. Exile, Return and Restitution in the Czech Republic

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    Katharine A Vadura


    Full Text Available The exile and return experiences in the Czech lands since 1918 have been various and have had significant implications for the people who live and once lived in that territory. The focus of this paper is on the Sudeten Germans a former minority of the Czech lands. The exile experience of this group has resulted in significant debate as to whether this form of exile as legislated banishment was expulsion or displacement, and whether they should have the right to return. In addition the question of guilt as a mechanism for invoking the forced transfer of a population has also raised the issue of recompense or restitution. Conceptual issues like nationalism, identity, belonging and the right to a homeland have played an important part in the attempts at the development of a stable state and also more recently reconciliation processes between the Czechs and Sudeten Germans.

  3. Relationships Among Financial Distress, Emotional Distress, and Overall Distress in Insured Patients With Cancer. (United States)

    Meeker, Caitlin R; Geynisman, Daniel M; Egleston, Brian L; Hall, Michael J; Mechanic, Karen Y; Bilusic, Marijo; Plimack, Elizabeth R; Martin, Lainie P; von Mehren, Margaret; Lewis, Bianca; Wong, Yu-Ning


    Recent studies have demonstrated increasing rates of financial toxicities and emotional distress related to cancer treatment. This study assessed and characterized the relationships among financial distress, emotional symptoms, and overall distress in patients with cancer. A cross-sectional sample of patients with cancer who visited our outpatient medical oncology and psychiatry clinics completed a pen-and-paper survey. The survey assessed demographics; cost concerns; and financial, emotional, and overall distress. One hundred twenty insured patients completed the survey. Sixty-five percent reported clinically significant overall distress scores, with the same percentage reporting at least one emotional problem (worry, anxiety, depression, etc). Twenty-nine percent scored in the range of high to overwhelming financial distress. By using structural equation modeling, we found that financial distress was associated with overall distress. This association was both direct (accounting for 76% of the effect) and indirect (accounting for 24% of the effect) via mediation by emotional distress. This cohort of patients with cancer reported significant levels of emotional distress, financial distress, and overall distress. These factors were interrelated, with both financial and emotional distress contributing to overall distress. Interventions targeted at alleviating financial distress may help to decrease levels of overall distress. Copyright © 2016 by American Society of Clinical Oncology.

  4. A Gum-Tree Exile: Randolph Bedford in Italy

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    Lucy Jane Sussex


    Full Text Available Randolph Bedford (1868–1941 was an Australian journalist, politician and novelist, a lifelong socialist despite making a small fortune from mining. He was among the ‘brain drain’ of Australians at the turn of last century, who hoped to emulate Melba’s success in England. Many of his contemporaries, such as Henry Lawson, experienced disillusion and poverty, and returned home. Bedford differed in his versatility, and also his profound rejection of the British Empire. He could not sell his novels initially, nor his speculations to British investors, but was able to put his mining experience to use in Italy. There he became one of the first Australians to fall in love with the country. His attraction to Italy was partly aesthetic, its artistic glories, but also because it reinforced his sentimental Australian nationalism. He saw similarities in landscape, and also in climate. He wrote despatches back to the Bulletin called ‘Explorations in Civilization’, which became a book in 1916. The subtitle was ‘An Australian in Exile’, reversing the ‘Exiles We’, of the first settlers, with their nostalgia for Britain. In contrast, Bedford saw nothing good in London and the Empire. He disliked it upon first sight, and his irreverence and socialist sympathies had no place in the conservative British investment milieu. Bedford would sell two novels in Britain, via Henry Lawson (whom he helped in London and his literary agent J. B. Pinker. But he returned home, certain expatriate life was not for him, and devoted his energies to Australia. His real success was in Explorations in Civilization, superb travel-writing, perhaps his best work. It shows his love for his country being reinforced through the perceived similarities between it and Italy, a second homeland for him. He even paid its people his highest compliment: that they were his preferred settlers for Australia.

  5. [Freud in the journals of the German speaking exile]. (United States)

    May, Ulrike


    Freud and psychoanalysis figure frequently in exile journals. This paper documents two letters to the editor written by Alexander Freud who denied that his brother Sigmund had been a zionist, and the recollections of the sculptor Königsberger who had made a bust of Freud in 1920.

  6. Late style as exile: De/colonising the life course. (United States)

    Hartung, Heike


    In the collection of essays On Late Style, Edward Said reflects on the new idiom achieved by great artists in their work near the end of their lives as "late style." Drawing on Adorno's essay on Beethoven's late style, Said also focuses on the aesthetic aspects of lateness. Defining the late works of artists as "a form of exile," however, Said moves beyond Adorno's aesthetic conception of late style. Highlighting the artist's abandonment of communication with the established social order, who achieves a contradictory, alienated relationship with it instead, Said compares artistic lateness with the experience of the subject in exile. Drawing on the analogy provided by Said, this article argues that the relationship between "self" and "other" in the different theoretical contexts of Postcolonial Studies and Age Studies can be usefully combined in the composite concept of "late style as exile." In order to explore how the concept of lateness correlates with that of exile, this contribution turns to theoretical and autobiographical texts by Edward Said. Copyright © 2016 Elsevier Inc. All rights reserved.

  7. Exile and the Diasporic Voice: Bloke Modisane's BBC Radio Plays ...

    African Journals Online (AJOL)

    Modisane is seen as an exilic figure, but also as a member of the black diaspora of artists from Africa and the Caribbean who were based in London during the 1960s in particular. He is also discussed as a key figure of black modernism, with the radio plays allowing him to explore his preoccupations with time, space and ...

  8. Exile, Ethnic, Refugee: The Changing Organizational Identities of Haitian Immigrants. (United States)

    Shiller, Nina G.; And Others


    Considers whether Haitians in the United States are political refugees from their own perspective, using data from a survey of Haitians in New York City. Examines how they have come to define identities for themselves (as exiles, immigrants, and political refugees). Includes a historical overview of Haitian immigration. (KH)

  9. Race and Place in the Adaptation of Mariel Exiles. (United States)

    Skop, Emily H.


    The influx of lower class Cuban emigres during the 1980 Mariel Boatlift complicates the success story image of previous waves of Cuban exiles. Argues that place of incorporation should be a necessary ingredient in illuminating diverse adjustment experiences among immigrants and refugees to the United States. Concludes by discussing the Cuban…

  10. Between Home and Exile: A Reading of the Exilic Experience of the Iraqi Poet Adnan Al-Sayegh (United States)

    Ghena, Hana Khlaif


    This paper aims at exploring the exilic experience of the Iraqi poet, Adnan Al-Sayegh whose involuntarily departure from his homeland, Iraq, in the early 1990s made him suffer a strong sense of estrangement, nostalgia, self-fragmentation and disconnection. The paper is divided into three sections and a conclusion. Section one sheds light on the…

  11. Exiled by Definition:The Salar of Northwest China

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    David SG Goodman


    Full Text Available The reform of state socialism came relatively late to Qinghai Province in the Northwest of the People’s Republic of China. One of Qinghai’s most dynamic groups in the social leadership of reform has been the Salar. The Salar were one of the officially recognized nationalities identified in the People’s Republic of China during the 1950s. A relatively small group of some 100,000 currently live along the upper reaches of the Yellow River, on the borders of Qinghai and Gansu Provinces. The Salar are characterised by their commitment to both Islam and China, and by their belief that they live in permanent exile, though there is considerable uncertainty about their origins. The evidence of recent research in Qinghai suggests the perspective of being Chinese citizens, yet a people in exile, significantly shapes recent Salar social and economic activism.

  12. Mundus Totus Exilium Est: Reflections on the Critic in Exile

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    Robert T. Tally Jr.


    Full Text Available In his reflections on the project of literary criticism, Erich Auerbach cites the wisdom of a twelfth-century monk, who understood that while the ‘tender beginner’ cleaves to nationality, in the well-developed human being, ‘the whole world is a foreign country [mundus totus exilium est].’ What Auerbach means by quoting this is that a critic must work through his or her attachments to native soil, detach oneself from the local prejudices and comforts, and engage with one’s place as a foreigner or exile, who can thereby map such spaces critically without the distortions caused by undue familiarity. The exiles, émigrés, nomads, renegades, and refugees who create our literary maps also call for a criticism attuned to the spatial peculiarities of the conditions of exile. In an era of globalization, in which the project of literature is fundamentally transnational, the critic who can view the entire world as a foreign land is best suited to making sense of these postnational ensembles.

  13. Exile and Migration: Toward a Biblical Theology of Immigration and Displacement


    Bo H. Lim


    The aim of this paper is to provide a better understanding of the biblical phenomenon of exile as it relates to immigrant communities so that church leaders might better appropriate this biblical motif for ministry. After providing an overview of the biblical category of exile and related terminology, I examine Jeremiah 29:1–7, a popular exilic text, through the lenses of various recent methodologies.

  14. Exile and Migration: Toward a Biblical Theology of Immigration and Displacement

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    Bo H. Lim


    Full Text Available The aim of this paper is to provide a better understanding of the biblical phenomenon of exile as it relates to immigrant communities so that church leaders might better appropriate this biblical motif for ministry. After providing an overview of the biblical category of exile and related terminology, I examine Jeremiah 29:1–7, a popular exilic text, through the lenses of various recent methodologies.

  15. Ada Savin, ed. Migration and Exile: Charting New Literary and Artistic Territories.


    Diamantoulis, Anna


    This collection of essays entitled Migration and Exile: Charting New Literary and Artistic Territories and edited by Ada Savin aims to bring together essays whose central concerns, as indeed the title suggests, are migration and exile and whose engagement with these concerns raises questions regarding nation, memory, space and language, all of which are categorised as “the central components of the exiled writers’ and artists’ existence and creation” (2). This collection also prides itself in...

  16. María Zambrano: a woman, a republican and a philosopher in exile

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    Full Text Available The subject of this presentation is an attempt to understand the concept of exile in terms of the works of Spanish philosopher María Zambrano, a woman who left her country after the Spanish civil war and lived the life of an exile. This work focuses on the difficulties encountered by thinkers when they try to reflect on the experience of exile, and it aims to bring Zambrano’s thought on exile closer to her main philosophical concepts.

  17. Kirjaniku maapagu: eksiili rõõmust ja vaevast / Writerly Exile: Anguish, Joy, and Worldliness

    Directory of Open Access Journals (Sweden)

    Tiina Kirss


    Full Text Available This article begins with a consideration of the problematics of exile as viewed in the essays of Tomas Venclova and Edward Said. On the one hand, exile has implications for the creativity of the writer as an individual. On the other, a „worldly“ perspective on literature in Said`s sense insists on keeping in view the global phenomenon of the mass displacement of refugees. The task of the article is to articulate a modest number of theoretical perspectives and concepts identified in research on exile over the past few decades , as well as others that may have become exaggerated, swollen with significance, or unwieldy from overuse. Terminological issues, such as nuances of meaning between the words refugee and expatriate, emigre and exile are considered with critical focus on Said´s useful situation of these concepts. The main sections of the article are devoted respectively to the effect of exile on the language of writing, nostalgia, and connections between exile and narration. It is argued that tension between the „home“ language (or mother tongue and the language spoken in the place of exile can be a productive one, even as it may offer unforeseen alternatives, such as choosing yet a third language for creative work. Nostalgia, a „structure of feeling“, is not a necessary concomitant of exile, and can stand in multiple and complex relation to cultural understandings of loss. As Peter Fritzsche has proposed, nostalgia can also be related as to temporal ruptures , and seen as a disease of modernity. Narration, perceived by some theorists (such as Michael Seidel as endemic to the condition of exile, may not prove to be such an imperative. Such broad statements need qualification, as well as the recognition that the imbrication of storytelling and exilic journeys harks back to ancient texts: Homer`s Odyssey and the cycle of Joseph stories in the Hebrew Bible. The last part of the article examines Julia Kristeva`s paradoxical relation

  18. The role of psychological flexibility in a self-help acceptance and commitment therapy intervention for psychological distress in a randomized controlled trial.

    NARCIS (Netherlands)

    Fledderus, M.; Bohlmeijer, Ernst Thomas; Fox, Gerardus J.A.; Schreurs, Karlein Maria Gertrudis; Spinhoven, Philip


    This study examined the role of psychological flexibility, as a risk factor and as a process of change, in a self-help Acceptance and Commitment Therapy (ACT) intervention for adults with mild to moderate depression and anxiety. Participants were randomized to the self-help programme with e-mail

  19. Exploring individual differences in online and face-to-face help-seeking intentions in case of impending mental health problems: The role of adult attachment, perceived social support, psychological distress and self-stigma

    Directory of Open Access Journals (Sweden)

    Jennifer Apolinário-Hagen


    Full Text Available Background: Even though common mental health problems such as depression are a global burden calling for efficient prevention strategies, still many distressed individuals face hurdles to access public mental healthcare. Thus, computerized Internet-based psychological services have been suggested as viable approach to overcome barriers, such as self-stigma, and to inform the access to professional support on a large scale. However, little research has targeted predictors of online and face-to-face help-seeking intentions. Objective: This study aimed at determining whether associations between attachment insecurity and the willingness to seek online versus face-to-face counselling in case of impending emotional problems are mediated by both perceived social support and psychological distress and moderated by self-stigma. Methods: Data was collected from 301 adults from the German-speaking general population (age: M = 34.42, SD = 11.23; range: 18 - 65 years; 72.1% female through an anonymous online survey. Determinants of seeking help were assessed with the self-report measures Experiences in Close Relationship-Scale, Perceived Stress Questionnaire, ENRICHD-Social Support Inventory and an adapted version of the General Help Seeking Questionnaire (i.e. case vignette. Mediation analyses were performed with the SPSS-macro PROCESS by Hayes. Results: About half of the sample indicated being not aware of online counselling. As expected, insecure attachment was associated with less perceived social support and increased psychological distress. Mediational analyses revealed negative relationships between both attachment avoidance and self-stigma with face-to-face help-seeking intentions. Moreover, the relationship between attachment anxiety and the willingness to seek face-to-face counselling was mediated by social support. In contrast, none of the predictors of online counselling was statistically significant. Conclusions: Overall, this study identified

  20. Exile and Earthly Paradise: Counter-Critique and the Debts of Race ...

    African Journals Online (AJOL)

    ... close scrutiny. For home and exile are as much spatial as they are psychical designators and the etymologies that they carry in their train form part of their mobility. The terms exile and alienation accumulate considerable, if constantly evolving, intellectual capital – and debt – in Nkosi's conception and deployment of them.

  1. The Philosophy of War and Exile : From the Humanity of War to the Inhumanity of Peace

    NARCIS (Netherlands)

    Gertz, Nolen


    Arguing that the suffering of combatants is better understood through philosophy than psychology, as not trauma, but exile, this book investigates the experiences of torturers, UAV operators, cyberwarriors, and veterans to reveal not only the exile at the core of becoming a combatant, but the

  2. The impact of caregiver's role preference on decisional conflicts and psychiatric distresses in decision making to help caregiver's disclosure of terminal disease status. (United States)

    Yoo, Shin Hye; Yun, Young Ho; Kim, Kyoung-Nam; Lee, Jung Lim; Park, Jeanno; Choi, Youn Seon; Lim, Yeun Keun; Kim, Samyong; Jeong, Hyun Sik; Kang, Jung Hun; Oh, Ho-Suk; Park, Ji Chan; Kim, Si-Young; Song, Hong Suk; Lee, Keun Seok; Heo, Dae Seog; Hong, Young Seon


    The objective of this study was to investigate the impact of caregivers' role preference in decision making on conflicts and psychiatric distresses. The responses of 406 caregivers of terminal cancer patients enrolled in a trial determining the efficacy of a decision aid focused on the disclosure of terminal disease status were included in this secondary analysis. The outcomes include the change scores of the Decision Conflict Scale (DCS) and depression and anxiety subscales of the Hospital Anxiety and Depression Scale (HADS) at the 1 and 3 months from baseline. The linear mixed model was employed to discover the impact of caregivers' decisional role preference on the outcomes. Of the 406, 137 (33.7%) showed an active role preference and 269 (66.3%) showed a passive role preference. In the post hoc analysis of the adjusted differences of change scores between passive caregivers who received decision aid (passive-decision aid) and active caregivers with decision aid (active-decision aid), non-significant differences were observed in the DCS. However, at the 3-month, the change scores of the HADS depression subscale increased by 4.43 (effect size, 0.71) and those of the HADS anxiety subscale increased by 4.14 (effect size, 0.61) in the passive-decision aid group than in active-decision aid group, showing moderate to large difference. These findings suggest that information might be ethically recommended in a format that is interactive and tailored to how much an individual wishes to be involved in the decision-making process.

  3. The Vibe of the Exiles: Aliens, Afropsychedelia and Psyculture

    Directory of Open Access Journals (Sweden)

    Graham St John


    Full Text Available This article offers detailed comment on the vibe of the exiles, a socio-sonic aesthetic infused with the sensibility of the exile, of compatriotism in expatriation, a characteristic of psychedelic electronica from Goatrance to psytrance and beyond (i.e. psyculture. The commentary focuses on an emancipatory artifice which sees participants in the psyculture continuum adopt the figure of the alien in transpersonal and utopian projects. Decaled with the cosmic liminality of space exploration, alien encounter and abduction repurposed from science fiction, psychedelic event-culture cultivates posthumanist pretentions resembling Afrofuturist sensibilities that are identified with, appropriated and reassembled by participants. Offering a range of examples, among them Israeli psychedelic artists bent on entering another world, the article explores the interface of psyculture and Afrofuturism. Sharing a theme central to cosmic jazz, funk, rock, dub, electro, hip-hop and techno, from the earliest productions, Israeli and otherwise, Goatrance, assumed an off-world trajectory, and a concomitant celebration of difference, a potent otherness signified by the alien encounter, where contact and abduction become driving narratives for increasingly popular social aesthetics. Exploring the different orbits from which mystics and ecstatics transmit visions of another world, the article, then, focuses on the socio-sonic aesthetics of the dance floor, that orgiastic domain in which a multitude of “freedoms” are performed, mutant utopias propagated, and alien identities danced into being.

  4. Living in exile when disaster strikes at home. (United States)

    Stige, Signe Hjelen; Sveaass, Nora


    As the number of migrants,- forced or voluntary,- increases, there is a growing need to understand how negative events in the country of origin influence those residing abroad. This issue has been actualized by the recent earthquakes in Haiti and Chile. Persons in exile have frequently been exposed to severe human rights violations and other stressors prior to emigration. The present study explored possible associations between ongoing and former stressors and mental health problems among persons living in exile as the Tsunami disaster of 2004 struck their country of origin. The contribution of former exposure and exilerelated difficulties in explaining current mental health problems was explored together with Tsunami related bereavement and social support. Following the Tsunami disaster of 2004 a questionnaire was administered to individuals of Tamil and Acehnese origin residing in Norway. The results suggest an independent contribution of exilerelated difficulties, former exposure and social support in explaining current mental health problems in this group. The study also disclosed methodological challenges involved both in relation to recruiting participants and in isolating the contribution of a particular stressor in populations with high levels of former exposure as well as ongoing stress.

  5. De l'exil à la migration. : À propos de La migration d'Abraham de Philon


    Congourdeau, Marie-Hélène


    National audience; The article deals about the theme of Exile from Philo of Alexandria's treatise "De migratione Abraham". Philo, who knows both the Bible and the greek philosophers, studies, by reading the Genesis, the exile of the soul and the return to one's homeland as a journey toward the inner kingdom: the soul has to transform the exile into an exodus, to pass from exile to migration.; Le thème de l'exil est ici traité à partir du traité de Philon d'Alexandrie "La migration d'Abraham"....

  6. Newborn Respiratory Distress. (United States)

    Hermansen, Christian L; Mahajan, Anand


    Newborn respiratory distress presents a diagnostic and management challenge. Newborns with respiratory distress commonly exhibit tachypnea with a respiratory rate of more than 60 respirations per minute. They may present with grunting, retractions, nasal flaring, and cyanosis. Common causes include transient tachypnea of the newborn, respiratory distress syndrome, meconium aspiration syndrome, pneumonia, sepsis, pneumothorax, persistent pulmonary hypertension of the newborn, and delayed transition. Congenital heart defects, airway malformations, and inborn errors of metabolism are less common etiologies. Clinicians should be familiar with updated neonatal resuscitation guidelines. Initial evaluation includes a detailed history and physical examination. The clinician should monitor vital signs and measure oxygen saturation with pulse oximetry, and blood gas measurement may be considered. Chest radiography is helpful in the diagnosis. Blood cultures, serial complete blood counts, and C-reactive protein measurement are useful for the evaluation of sepsis. Most neonates with respiratory distress can be treated with respiratory support and noninvasive methods. Oxygen can be provided via bag/mask, nasal cannula, oxygen hood, and nasal continuous positive airway pressure. Ventilator support may be used in more severe cases. Surfactant is increasingly used for respiratory distress syndrome. Using the INSURE technique, the newborn is intubated, given surfactant, and quickly extubated to nasal continuous positive airway pressure. Newborns should be screened for critical congenital heart defects via pulse oximetry after 24 hours but before hospital discharge. Neonatology consultation is recommended if the illness exceeds the clinician's expertise and comfort level or when the diagnosis is unclear in a critically ill newborn.

  7. From the Atlantic to the Pacific: Maruja Mallo in Exile

    Directory of Open Access Journals (Sweden)

    Shirley Mangini


    Full Text Available Maruja Mallo's life (1902-1995 and art represent one woman's odyssey from the European vanguards to political commitment during the Spanish Republic (1931-1939 and finally to a unique transcendent art form after her wrenching exile from Spain and her residence in Latin America from 1937 to 1965. In her early career she was a leader among the avant-garde painters when few Spanish women were recognized as creative artists. In Latin America, her work diverged radically from European avant-garde trends and from her ideologically oriented subject matter of the 1930s; Mallo not only reflects the impact of her discovery of the Pacific Ocean and her newfound "zest for life," but also clearly defines a new language that celebrates the female body and female sexuality. This essay traces Mallo's personal and artistic journey from Spain to Latin America and back.

  8. [Mexican families in their homeland and in exile]. (United States)

    Delaunay, D


    "The present study takes advantage of the Mexican and American census simultaneity in Spring 1990 to compare the Mexican populations according to their migratory status. The analysis of their composition by age and by sex is completed by an estimation of the undercount of migrants omitted by these statistics.... The fertility of the Mexican immigrants is compared to that of the country of origin and to that of Mexican Americans so as to specify changes induced by the exile. But one of the most interesting mutations deals with the recomposition of the migrant's family in the U.S.: units of residence gain in complexity by the extended integration of relatives or individuals that do not belong to the nuclear family." (SUMMARY IN ENG AND SPA) excerpt

  9. Johannes Müller, Exile Memories and the Dutch Revolt: The Narrated Diaspora, 1550-1750

    Directory of Open Access Journals (Sweden)

    C.A. (Annemieke Romein


    Full Text Available Johannes Müller, Exile Memories and the Dutch Revolt: The Narrated Diaspora, 1550-1750 (Dissertation Leiden University 2014; Leiden/ Boston: Brill. 2016, 254 pp., ISBN 9789004315914.

  10. The Cervantes Foundation of México and the provincecities schools the exile pegagogical of 1939

    Directory of Open Access Journals (Sweden)

    José Ignacio CRUZ OROZCO


    Full Text Available One of the less known aspects of the republican exile of 1936 is its pedagogical dimension. The Spanish exiled on their hazardous path founded some centers of education, mostly in Mexico. These «exile schools» can be qualified with a territorial criterion. Some of them were located in Mexico city, and others in different provincecities. These last ones were mostly promoted by the Cervantes Foundation, an organization in the orbit of the Negrin sector in the exile. The Foundation promoted Cervantes Schools in the places of Cordoba, Tampico, Veracruz, Jalapa and Tapachula. Nearly all of them were successful, they managed to become consolidated, and some of them still exist at the present time. The article reconstructs, fron some sources mostly unpublished, the trajectory and the main characteristics of these centers and of the foundation that encouraged them.

  11. Portuguese knights-errant in nineteenth-century Paris and Rio: translation as response to exile in global cities

    Directory of Open Access Journals (Sweden)

    Rita Bueno Maia


    Full Text Available This article aims to uncover the role played by a series of picaresque novels translated into Portuguese and published in midnineteenth-century Paris in helping the Portuguese diaspora cope with the challenges of being a migrant in a global city. Through a contextual analysis, it will be argued that these novels were part of vaster cultural projects aimed at establishing solidarity networks among Portuguese exiles in Paris and, at the same time, at preserving multilingualism. By means of a textual analysis of Dom Severino Magriço ou o Dom Quichote portuguez (Paris, Pillet Fils Aîné, 1851, it will be suggested that this particular target text is committed to helping Portuguese migrants in Paris and in Rio de Janeiro. Furthermore, this novel illustrates ways of engaging with multiple Others, mainly through the reading and comparing of national literary canons.

  12. "To Take with You a Little Piece of Chile": Exiles and Art from Home


    Adams, Jacqueline


    Forced migration is one of the most pressing issues of current and recent times. How refugees, one category of forced migrant, manage their condition of being unwillingly in a foreign land is a question that deserves further examination. This paper focuses on the Chilean exile during the Pinochet regime, and examines a dimension of their experience: their engagement with art from their home country. It explores the meanings that such art held for them, and the effects that the exiles attribut...

  13. Narrating psychological distress

    DEFF Research Database (Denmark)

    Zinken, Jörg; Blakemore, Caroline; Zinken, Katarzyna


    Psychological research has emphasized the importance of narrative for a person's sense of self. Building a coherent narrative of past events is one objective of psychotherapy. However, in guided self-help therapy the patient has to develop this narrative autonomously. Identifying patients......' narrative skills in relation to psychological distress could provide useful information about their suitability for self-help. The aim of this study was to explore whether the syntactic integration of clauses into narrative in texts written by prospective psychotherapy patients was related to mild...... to moderate psychological distress. Cross-clausal syntax of texts by 97 people who had contacted a primary care mental health service was analyzed. Severity of symptoms associated with mental health difficulties was assessed by a standardized scale (Clinical Outcomes in Routine Evaluation outcome measure...

  14. Languages of Exile and Diaspora: A De-Colonial Approach to Equatoguinean and Afro-Latin@ Literature


    Figueroa, Yomaira Catherine


    This project undertakes a comparative analysis of literatures written by Afro- Latin@ and Afro-Hispanic diasporic and exilic writers in the post-1960's/post- independence period. Through decolonial analyses this project examines how these texts create new discursive spaces for engaging critical concepts found in Afro-diasporic and exilic global literatures. I propose that these literatures produced in exile and diaspora show how postcolonial literature engages in a (re)telling of history, int...

  15. German-speaking exiles and the writing of Indian art history

    Directory of Open Access Journals (Sweden)

    Devika Singh


    Full Text Available The German and Austrian origins of some of India’s leading art historians from the 1930s to the 1960s is an understudied dimension of art historiography that questions the knowledge hierarchies of the British Empire and the role of foreigners in Indian nation building. The article focuses on three figures who held key positions in the Indian art world (Ernst Cohn-Wiener, Hermann Goetz and Rudolf von Leyden and argues that such German-speaking exiles played a determining role in urgent debates of the time. Participating in the circulation of foreign art and ideas in India, especially in Bombay and Baroda, they significantly impacted on the selective process of the history of art. Far from propagating an esoteric, Hindu-centred perspective on Indian art, as did many Indian nationalist art historians, émigrés championed an inclusive take on art by integrating its Muslim as well as Hindu heritage. In addition they helped launch some of India’s most innovative artists. The article thus opens up broader discussions on art and nationalism, the building of a canon and the appropriation of modernism before and after Indian independence.

  16. Distress intolerance and clinical functioning in persons with schizophrenia (United States)

    Nugent, Katie L.; Chiappelli, Joshua; Rowland, Laura M.; Daughters, Stacey B.; Hong, L. Elliot


    Impaired tolerance to distress may help explain part of the cognitive and functional impairments in schizophrenia. This project investigated distress intolerance in schizophrenia patients (SZ) as compared to controls, and whether distress intolerance represented an independent domain in relationship to symptoms, cognition, and functional capacity. Healthy controls (n=43) and SZ (n=65) completed a psychological distress challenge experiment and their levels of intolerance to distress were estimated. SZ showed increased distress intolerance such that they were significantly more likely to terminate the distress challenge session early compared to controls. Greater distress intolerance was associated with reduced functional capacity and worse cognitive performance in SZ. Mediation analyses suggested that distress intolerance had an independent effect on functional capacity, while some of this effect was mediated by cognitive performance. Our results suggest that distress intolerance is a promising domain for treatment research, and functional capacity may be improved by targeting treatments towards SZ patient’s ability to tolerate distress. PMID:25107316

  17. Political exile and democracy Exilio político y democracia

    Directory of Open Access Journals (Sweden)

    Luis RONIGER


    Full Text Available Political exile is a mechanism of institutional exclusion geared at revoking citizenship rights and removing individuals from full participation in the political and public arenas of a country. Due to its exclusionary character, the literature tends to assume a correlation between authoritarianism and exile, on the one hand, and democracy and asylum, on the other. This work challenges this view and discusses the more complex interactions between exile and democracy. Relying on qualitative case analysis of individual and massive exile and on a quantitative database of presidential exile in the nineteenth and twentieth century, it shows that also democracies generate exile and that also authoritarian countries have provided sites of exile and asylum for those fleeing from their home countries.El exilio es un mecanismo de exclusión institucional destinado a revocar el pleno uso de los derechos de ciudadanía y, más aún, prevenir la participación del exiliado/a en la arena política nacional. Por su carácter excluyente, la literatura tiende a atribuirlo a gobiernos autoritarios, así como se asume que los Estados receptores son países bajo gobiernos democráticos. Este trabajo destaca la existencia de una relación más compleja entre exilio y democracia. Con base en un análisis cualitativo de casos notorios de exilio masivo e individual y un análisis cuantitativo de exilio presidencial a lo largo de dos siglos, el artículo destaca que las democracias también generan exilio y que también los países autoritarios han constituido lugares de residencia y asilo para las personas que han tomado la ruta del exilio de sus países de origen.

  18. Dialectic of Male Desire in James Joyce’s Exiles

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    Saman Zoleikhaei


    Full Text Available The current study aims to investigate James Joyce’s Exiles in light of Jacques Lacan’s theory of desire. Richard Rowan and Robert Hand as the major male characters of the play are involved with intersubjective relationships, the motor force behind which is language and its constitutive lack. Facing lack in the Symbolic order on account of language, they take recourse to desire to find object petit a. Being in a mutual relationship, object petit a fuels desire which makes the subjects establish their identity in accordance with the Other’s desire. What they seek and need is the Other’s desire to give meaning to their otherwise fruitless quest in life. Richard and Robert seek diverse object petit a’s, representative of their goals and ideals in life, to re-fill their lack. Being caught up in the same metonymical deferral of desire, they seek other surrogates throughout the play. This metonymical tendency to seek the Other’s desire paves the ground for the reproduction of desire through fantasy.

  19. Sokolský exil jako přirozený důsledek podstaty sokolství [Sokol exile as a real consequence of the Sokol essence

    Directory of Open Access Journals (Sweden)

    Bohuslav Hodaň


    Full Text Available Letošní rok je jubilejním devadesátým rokem založení Československé republiky. Je to doba, kdy je vhodné vzpomenout událostí, které jsou historicky významné. Patří mezi ně i exilové hnutí, které je spojeno s několika etapami tohoto vývoje. Významnou součástí exilového hnutí byl i sokolský exil, do kterého se zapojilo velké množství členů Sokola. Nebyla to náhoda, ale logické vyústění sokolské "ideologie", logické vyústění filozofie, na jejímž základě sokolská organizace díky Tyršovi vznikla. Práce se vrací k jednotlivým etapám sokolského exilu a ukazuje vzájemnou propojenost sokolství – vlastenectví – brannost – exil. Zdůvodňuje také, proč se zabývá pouze obdobím do roku 1950. [The year 2008 is the year of the ninetieth anniversary of birth of the Czech-Slovak Republic. Since then, our state passed a very complicated and difficult development. In reaction on political events, many individuals, organizations and various movements participated on the birth and development of this state. One of these very important phenomena was the Czech-Slovak exile movement and its representative part, the exile of Sokol. In this movement, thousands of Sokol members participated. The connection of Sokol and the exile was not caused by chance or was not a result of an "ad hoc" solved situation. In all periods it was a logical consequence of content and realization of thoughts of the system, which the Sokol was bearer of. The exile activities, aversion against any non-democratic, anti-humanistic or even totalitarian tendencies were simply automatic and self-evident consequences of the Sokol "ideology" witnessed numerous changes of the political setting and underwent some changes in its own development. So, the ideology and the corresponding education were the basic presumptions of Sokol exile, manifested in the political, humanitarian as well as military sphere. The Sokol exile is not an

  20. DJ Goa Gil: Kalifornian Exile, Dark Yogi and Dreaded Anomaly

    Directory of Open Access Journals (Sweden)

    Graham St John


    Full Text Available Connecting three generations of music enthusiasts, Goa Gil is an imposing figure in the world of psychedelic trance. If the title of his 2007 compilation registers intent, he is a Worldbridger. Bristling with motifs of world sacred sites and appropriated "tribal" icons, with Gil seated cross-legged upon the apex of a Mayan temple, the album's cover artwork confabulates the physical, spiritual and cultural worlds he professes to bridge. Leading world-wide "trance dance rituals" Goa Gil operates under the guise of a "techno-shaman", a "cyber-baba" and a selector/mixer of traditions whose rituals are reputedly timeless and universal. But this intent is performed amid a highly mobile lifestyle spread across diverse psychedelic music cultures, scenes and sensibilities in discrete times and places. From the 1960s Haight-Ashbury psychedelic rock scene, to the psychedelic jam band scene on Anjuna beach, Goa, India, in the 1970s, to the adoption of electronic music in a DJ-led scene in the 1980s, to the birth of "Goa trance" in the 1990s, to his selection, production and performance of dark psychedelic trance in the 1990s/2000s onwards, DJ Goa Gil's life spans a breathtaking panorama of this-worldly psychedelic scenes. Gil is a freak bricoleur, an anomalous figure who evades modest circumscription. A Californian exile and sanctioned Shaivite practitioner with a professional hankering for darkpsy (as a DJ-producer, a hippie broker of the "Cosmic Spirit" and a post-apocalyptic punk, he is a spiritual authority and cultural outlaw touring the planet with an improbable mix of semiotic and sonic baggage. What's more, celebrated as a champion of the "Goa vibe" or derogated as an accomplice to its demise, Gil is a controversial figure who is the embodiment of considerable ambivalence. This article explores this holiest of anomalies in the world of DJing.

  1. Neonatal respiratory distress syndrome (United States)

    Hyaline membrane disease (HMD); Infant respiratory distress syndrome; Respiratory distress syndrome in infants; RDS - infants ... after that. Some infants with severe respiratory distress syndrome will die. This most often occurs between days ...

  2. L'exil ou la logique des rapports Afrique-Europe dans trans ...

    African Journals Online (AJOL)

    La littérature africaine d'expression française a longtemps présenté l'exil et le voyage comme des facteurs qui participent à l'enrichissement de l'individu. Contrairement à cette approche, Rodrigue Norman, dans sa pièce de théâtre Trans'ahéliennes, aborde la question de l'exil sous un angle négatif. Il y dénonce les ...

  3. Exil et réinvention de l’identité chez Edward W. Said

    Directory of Open Access Journals (Sweden)

    Franca Sinopoli


    Full Text Available Cet essai propose une relecture de l'autobiographie de Said, en indiquant ses thèmes principaux (l'exil, l'identité, histoire individuelle et Histoire collective et en suggérant le lien avec d'autres textes de l’auteur, y compris l’Entretien avec Ari Shaviz. This article proposes a reading of Said’s autobiography, stating its main themes (exile, identity, individual story and collective History and suggesting a link with other his texts, including the Interview with Ari Shaviz

  4. Ever Ready to Go: The Multiple Exiles of Leo Szilard (United States)

    Frank, Tibor


    I argue that to understand the life and work of Leo Szilard (1898 1964) we have to understand, first, that he was driven by events to numerous departures, escapes, and exiles, changing his religion, his language, his country of residence, and his scientific disciplines; second, that he was a man haunted by major moral dilemmas throughout his life, burdened by a sincere and grave sense of responsibility for the fate of the world; and third, that he experienced a terrible sense of déjà vu: his excessive sensitivity and constant alertness were products of his experiences as a young student in Budapest in 1919. The mature Szilard in Berlin of 1933, and forever after, was always ready to move. I proceed as follows:After a brief introduction to his family background, youth, and education in Budapest, I discuss the impact of his army service in the Great War and of the tumultous events in Hungary in 1918 1919 on his life and psyche, forcing him to leave Budapest for Berlin in late 1919. He completed his doctoral degree under Max von Laue (1879 1960) at the University of Berlin in 1922 and his Habilitationsschrift in 1925. During the 1920s and early 1930s, he filed a number of patents, several of them jointly with Albert Einstein (1879 1955). He left Berlin in March 1933 for London where he played a leading role in the rescue operations for refugee scientists and scholars from Nazi Germany. He also carried out notable research in nuclear physics in London and Oxford before immigrating to the United States at the end of 1938. He drafted Einstein’s famous letter of August 2, 1939, to President Franklin D. Roosevelt, worked in the Manhattan Project during World War II, initiated a petition to President Harry S. Truman not to use the bomb on Japan, and immediately after the war was a leader in the scientists’ movement that resulted in civilian control of nuclear energy. In 1946 he turned to biology, in which his most significant contribution was to formulate a theory of

  5. David van der Linden, Experiencing Exile: Huguenot Refugees in the Dutch Republic 1680-1700

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    Matthew Glozier


    Full Text Available David van der Linden, Experiencing Exile: Huguenot Refugees in the Dutch Republic 1680-1700 (PhD Universiteit Utrecht 2013; Politics and Culture in Europe, 1650-1750; Farnham: Ashgate, 2015, xx + 289 pp., ISBN 978 14 7242 927 8.

  6. Tibetan Buddhist Nuns in Exile: Creating A Sacred Space to be at ...

    African Journals Online (AJOL)

    This article looks at the activities of the Tibetan Nuns Project in North India and the experience of Tibetan Buddhist nuns at Dolma Ling Nunnery and Institute for Higher Learning and Shugsep Nunnery in the district of Dharamsala. It is argued that although these women are now in exile from Tibet, their home, they were in ...

  7. The Beats as Cultural Others/Exotics in Recent Memoirs by Exile Poets

    DEFF Research Database (Denmark)

    Sørensen, Bent

    Poets who have come to the USA during the 1950s and 60s as expatriates or exiles from central European countries dominated by Communist regimes have often looked to Beat Generation writers as role models and inspirational figures. This is no doubt due to the spirit of individuality, non...

  8. 'It's in my blood': the military habitus of former Zimbabwean soldiers in exile in South Africa

    NARCIS (Netherlands)

    Maringira, G.; Gibson, D.; Richters, A.


    This article examines the habitus of soldiers who either deserted or resigned from the Zimbabwe National Army in the post-2000 crisis in Zimbabwe and now live in exile in Johannesburg, South Africa. It is based on the information provided by forty-four former soldiers who related their life

  9. Exile memories and the Dutch Revolt : the narrated diaspora, 1550 – 1750

    NARCIS (Netherlands)

    Müller, Johannes Martin


    This dissertation examines the memory cultures of Netherlandish migrants who left their homes during the Dutch Revolt (ca. 1568-1648) and the religious persecutions preceding it. It shows how narratives of exile and victimhood were transmitted between generations and cultivated in various social and

  10. Reading the patriarchal narratives (Gen 12 – 50 in the context of the exile

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    S.D. Snyman


    Full Text Available The question addressed in this contribution is how the stories about the patriarchs told in Gen 12-50 would resonate in the time of the exile? It was Gunkel who maintained that the patriarchal narrative should rather not be seen as belonging to the genre of historiography but to that of legend. It seems that this (deliberate? vagueness on historical detail is yet another indicator that the patriarchal narratives were not meant to be historiography in the strict sense of the word, but was compiled for another reason in exilic times. A basic presupposition in this paper following the recent trend in scholarship will be that the Torah was formed during the exile. Texts where the patriarchs resurface in exilic texts from the prophetic literature (Isaiah 41:8, 51:1-3; Jer 33:25-26; Ezek 33:24 are briefly examined before some conclusions are made regarding the promise made to Abraham (Gen 12:1-3, the motif of entering and re-entering the land, living outside the land on foreign soil, the presence of Yahweh outside of the land, covenant, the genealogies in Gen 12-50, and God who acts in hidden ways.

  11. Emojis help young people communicate. (United States)


    'The use of technology to support communication in therapy is an exciting development, particularly the use of mobile device emojis to help young people express, and practitioners to assess, their mental distress'.

  12. Helping Kids Help (United States)

    Heiss, E. Renee


    Educators need to help kids help others so that they can help themselves. Volunteering does not involve competition or grades. This is one area where students don't have to worry about measuring up to the expectations of parents, teachers, and coaches. Students participate in charitable work to add another line to a college transcript or job…

  13. Portuguese knights-errant in nineteenth-century Paris and Rio: translation as response to exile in global cities

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    Rita Bueno Maia


    Full Text Available This article aims to uncover the role played by a series of picaresque novels translated into Portuguese and published in midnineteenth-century Paris in helping the Portuguese diaspora cope with the challenges of being a migrant in a global city. Through a contextual analysis, it will be argued that these novels were part of vaster cultural projects aimed at establishing solidarity networks among Portuguese exiles in Paris and, at the same time, at preserving multilingualism. By means of a textual analysis of Dom Severino Magriço ou o Dom Quichote portuguez (Paris, Pillet Fils Aîné, 1851, it will be suggested that this particular target text is committed to helping Portuguese migrants in Paris and in Rio de Janeiro. Furthermore, this novel illustrates ways of engaging with multiple Others, mainly through the reading and comparing of national literary canons.

  14. The representation of repression, suffering and pain of the Chilean people. Film, exile and politics: the case of the film "Il pleut sur Santiago", by Helvio Soto Soto (1975

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    Marcelo Bonnassiolle


    Full Text Available This article examines the relationship between film and history and the representation of history in films, using for the study the film production of Chileans in exile through an analysis of the particular case of the film Raining on Santiago, filmed in France and Bulgaria and directed by filmmaker Helvio Soto in 1975. The article reports on the double functionality of this film: it represents a historical event and becomes the expression of identity in exile. This film has a political function since it is at the service of a political cause. In addition, the film tried to become a method of documentation, education, information and denouncing of what was happening in Chile. Hence, this production responded to the imagery of the filmmakers and became a historical record and a valuable documentary source that allows us to enter the ideological aspects of the exiled filmmakers and their intention to appeal to rebuild ties between the social and the political ¿crushed by the dictatorship¿ in order to help the reconfiguration of the collective memory of the Chilean left.

  15. Acute Respiratory Distress Syndrome

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    Carmen Sílvia Valente Barbas


    Full Text Available This paper, based on relevant literature articles and the authors' clinical experience, presents a goal-oriented respiratory management for critically ill patients with acute respiratory distress syndrome (ARDS that can help improve clinicians' ability to care for these patients. Early recognition of ARDS modified risk factors and avoidance of aggravating factors during hospital stay such as nonprotective mechanical ventilation, multiple blood products transfusions, positive fluid balance, ventilator-associated pneumonia, and gastric aspiration can help decrease its incidence. An early extensive clinical, laboratory, and imaging evaluation of “at risk patients” allows a correct diagnosis of ARDS, assessment of comorbidities, and calculation of prognostic indices, so that a careful treatment can be planned. Rapid administration of antibiotics and resuscitative measures in case of sepsis and septic shock associated with protective ventilatory strategies and early short-term paralysis associated with differential ventilatory techniques (recruitment maneuvers with adequate positive end-expiratory pressure titration, prone position, and new extracorporeal membrane oxygenation techniques in severe ARDS can help improve its prognosis. Revaluation of ARDS patients on the third day of evolution (Sequential Organ Failure Assessment (SOFA, biomarkers and response to infection therapy allows changes in the initial treatment plans and can help decrease ARDS mortality.

  16. La mémoire au Service de la Résistance Culturelle: L'exil Selon ...

    African Journals Online (AJOL)

    De nos jours où des guerres des formes différentes provoquent tant de migrations aussi bien que des exils, les cultures de ces peuples exilés risquent de disparaître si leurs progénitures ne retiennent pas leur identité culturelle. Cette communication examine le rôle de la mémoire vis-à-vis la résistance culturelle dans le ...

  17. Český exil v Mexiku za druhé světové války


    Jonáková, Martina


    The diploma thesis provides an in depth overview of Czech exile in Mexico during the Second World War. Initially the text describes the political and social situation in Europe and Mexico during the 1930's and 1940's and elucidates the reasons leading to emigration. In the following part the subject matter of exiled Czechs is characterised, especially regarding Czech authors writing in German. The last chapter maps the communities of expat and their activity in aid of the Czechoslovak resista...

  18. Self-Translation and Exile: A Study of the Cases of Ngugi Wa Thiong’o and Ariel Dorfman

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    Maria Alice Gonçalves Antunes


    Full Text Available In this article, we focus on the trajectories of exiled writers who act as self-translators and as “individuals who act purposefully in a social context” (Palumo 2009, 9. We discuss the extent to which exile has paved the way for self-translation and also transformed those exiled writers into individuals who act as self-translators, “ambassadors, agents” (Grutman and Van Bolderen 2014, 325 in the USA, “constantly fighting […] to restore [their] significance” (Brodsky 1994, 5. For the purposes of this study, we focus on the cases of the Kenyan novelist, Ngugi wa Thiong’o and of the Argentine-Chilean-American novelist and playwright, Ariel Dorfman. Both Ngugi and Dorfman have, in different ways, been forced out of their home countries, they have sought exile in the USA, and they have written and translated into (and out of English throughout their lives. Our analysis of these two cases will use an adapted version of John Glad’s multidimensional model of the process of literary creation of exiled writers. By analyzing both these cases through an adapted version of Glad’s model, we hope to contribute to the discussion on self-translation and on exile as a fact that affects this activity directly and in different ways.


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    Rodrigo Xavier


    Full Text Available The current paper offers a reading of the initial Saramago’s Diaries, writ­ten by the Portuguese José Saramago and published between the years of 1993 and 1997, as it rehearses drafting a possible relation between the role of the intellectual, as performed by the writer and the composition of an autobiographical literature. This latter is constituted by means of a unique acquisition and learning of memory, from his exile in the Spanish island of Lanzarote. Edward Said´s writings will guide the discussions on exile pro­posed in this work, as much as Philippe Lejeune´s, whose writings appear in the dialogue between autobiography and memory.

  20. Fugitives in transit. The Spanish Republican exile through Portugal (1936-1950

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    Aurelio Velázquez Hernández


    Full Text Available Despite scant attention from historiography, Portugal played an important role as a way station on the road to exile for many Republicans during and after the Spanish Civil War. The situation in the neighbouring country was not easy for these people, as Antonio Oliveira de Salazar’s regime —officially allied with Franco’s Spain— did not recognize them as political refugees, but as illegal immigrants to be returned to Spain, which would have catastrophic consequences for many of them. Through the analysis of abundant primary sources in archives from Spain, Portugal, Mexico and the United States, we seek to understand the details of this Portuguese stage of the exile. We discover how, despite the official position of the Portuguese authorities, there were certain margins of ambiguity that allowed the departure of several thousand Spaniards to Mexico and other countries. Finally we study the fundamental intervention of international aid agencies like the Unitarian Service Committee.

  1. Les difficultés d'unification des mouvements d'exil politique


    Henn, Anne Saint Sauveur -


    L'analyse du problème de l'unification des mouvements d'exil politique entre 1937 et 1945 en partant de l'exemple de l'Amérique latine nécessite au préalable un triple repérage introductif : conceptuel, politique et chronologique. Nous centrerons notre étude non sur l'ensemble de l'émigration, mais sur l'exil politique, c'est-à-dire les mouvements actifs de résistance au national-socialisme initiés par des personnalités contraintes, du fait de leur appartenance politique, à fuir l'Allemagne h...

  2. Exile and Orphanhood. Fathers and Children in Roberto Bolaño's narrative works

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    Lorenzo Mecozzi


    Full Text Available The article explores the relationship between fathers and children in Roberto Bolaño's narrative works. To do so, it is shown how that relationship, both in Bolaño's novels and short stories, is intrinsically linked to the theme of the exile. Once the connection between exile and orphanhood is shown, the article tries to offer an insight of the relationship fathers-children in Bolaño's works and to focus on some key characters. Therefore, specific novels and short stories are analyzed in depth: in particular the article examines the characters and the narrative strategies of Los Detectives Salvajes, 2666 and two short stories contained in Putas Asesinas.

  3. Andreas Papandreou’s Exile Politics: The First Phase (1968-1970

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    Stan Draenos


    Full Text Available Andreas Papandreou’s exile politics, following his December 1967 release from Averoff Prison, have stereotypically been seen as simply adopting the neo-Marxist ideologies associated with the Third World national liberation movements of the era. In narrating the initial evolution of his views on the “Greek Question” in exile, this study attempts to surface the underlying dynamics responsible for radicalizing his politics in that direction. Those dynamics reflect, on the one hand, the relentless will-to-action informing Papandreou’s political persona and, on the other, the political upheavals, headlined by the protest movement against the US war in Vietnam, in which his politics were enmeshed.

  4. « Mon pays, c’est mes enfants et mes petits-enfants » : exils et transcendance dans Le Bonheur a la queue glissante d’Abla Farhoud

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    Kelly Anne Maddox


    Full Text Available L’identitaire dans ce premier roman de Farhoud est inextricablement liée à l’exil, que ce soit l’exil physique, ou bien, l’exil intérieur. D’une part, l’exil physique se manifeste par la migration, d’abord lorsque le personnage principal, Dounia, quitte son village pour vivre dans celui de son mari, et ensuite lorsqu’elle émigre au Canada. D’autre part, l’exil intérieur provient de la subordination imposée par la culture patriarcale. Nous comptons examiner ces deux formes d’exil, ainsi que les conséquences qui en résultent, telles que la marginalisation, la dépossession linguistique, et le refoulement identitaire. Nous discuterons également des tentatives qu’entreprend Dounia de transcender sa marginalisation en établissant des relations interpersonnelles.

  5. The Architecture of Homelessness: Space, Marginality, and Exile in Modern French and Japanese Literature and Film


    Correia, Jane Ramey


    My dissertation, “The Architecture of Homelessness: Space, Marginality, and Exile in Modern French and Japanese Literature and Film,” explores the literature of marginality in the age of rampant urban growth and development, initially during the Haussmannization of Paris and during Meiji Japan. Both cross-cultural and interdisciplinary, my project compares the liminal aspects of the architecture of two vastly different metropolises, Paris and Tokyo, through representations in lite...

  6. Outcaste or Internal Exile? Ambiguous Bodies in the Making of Modern Japan

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    Timothy D Amos


    Full Text Available Based on more orthodox interpretations of ‘exile’ such as those put forward by Edward Said, many similarities can be drawn between the ideas of exile- particularly the notion of internal exile - and the outcaste that we see in the form of the Dalit in India. In this paper, we will firstly analyse the conceptual linkages between ‘exile’, ‘outcast’, and ‘outcaste’, highlighting both points of interchangeableness and departure for these notions as they relate specifically to the late Tokugawa Japanese ‘outcaste’ groups known as eta and hinin who were officially liberated through the Emancipation Edict promulgated in 1871. Second, after a brief background discussion where we problematize the above notions through the lenses of time and space, we will examine the state/condition of being an outcaste in the late Tokugawa period, and consider how close this situation was to a state of exile. Third, we will examine a specific example of the act of re-inclusion of outcastes into their local community created by the 1871 Emancipation Edict that led to the creation of the ‘former outcaste’ or ‘new citizen’, and analyse to what extent this embodies the process of returning from exile. Lastly, the paper will conclude with a brief discussion of the extent to which a crossover between the terms ‘outcaste’ and ‘exile’ may be applicable in the Japanese context, as well as the positive aspects of attempting such a conceptual reconfiguration for historians and activists working on the Buraku problem.

  7. Traversées de lieux exilés : recoudre les fragments


    Hovanessian , Martine


    Crossing Places of Exile: Sewing the Fragments Back Together Martine Hovanessian Presentation text for Accreditation to Supervise Research 29 Avril 2009 This dissertation, as I explain in the Introduction, was written in the desire to contribute to the opening out of an inner landscape, a landscape tormented in many ways, and which cannot be imagined if one is attempting to produce a straightforward monographic study. What is it about? An adventure similar to "an anthropology of nooks and cra...

  8. The Geography of Jean Rhys: The Impact of National Identity upon the Exiled Female Author

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    Alexandra Philp


    Full Text Available Critical considerations of Jean Rhys’ texts are often intent on geopolitically ‘placing’ the female author. Feeling exiled from her birth country of Dominica and her resident country of England, Rhys felt as if she ‘had no country really now’ (Rhys 1984, 172. National identity seems to have impact upon both public and private practices of Rhys’ authorship. A lack of national identity implies that Rhys is placeless; a concept which is further problematised when considered under Virginia Woolf’s arguments in A Room of One’s Own (1929. If Rhys does not have country, how can she have a private space from which to write? For an exiled female author, private space is an issue pertinent to studies of her authorship. Through the frameworks of A Room of One’s Own and Hélène Cixous’ concept of ‘country in language’, this article demonstrates that Jean Rhys may use her writing practice as an imagined place in which to search for home. For the exiled female author, the textualisation of place and her identity as ‘author’ is an alternative dwelling space.

  9. Exile: Rupture and Continuity in Jean Vanmai's Chan Dang and Fils de Chan Dang

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    Tess Do


    Full Text Available This essay focuses on the work of the New Caledonian-born writer Jean Vanmai. His first two novels, Chan Dang and Fils de Chan Dang, describe the working conditions and exilic existence of the little known Chan Dang, the voluntary workers from Tonkin (North Vietnam who moved to New Caledonia many decades ago. Descended himself from a Chan Dang family, Vanmai wishes to preserve the memory of the Chan DangDang’s past. In writing the story of the Chan Dang, Vanmai sees himself as the guardian of the Chan Dang’s collective memory, a keeper and defender of their common past. The paper argues that Vanmai's depictions of the Chan Dang have two important effects. First, by sharing with other Vietnamese migrants/refugees the life and experiences of the Tonkinese voluntary workers in New Caledonia, Vanmai breaks the silence surrounding colonial exile and exploitation and provides a full account of the Chan Dang’s exile that can be integrated into the contemporary history of Vietnamese migration. Second, by using different narrative resolutions for each of his protagonists, Vanmai stresses the need to fulfil one’s filial duty among the young Vietnamese generations. With this symbolic filial act, Vanmai pays homage to his Vietnamese ancestors and earns himself a honourable title, that of a true dutiful "son of Chan Dang".

  10. The Endless Reading of Interpretation? Said, Auerbach, and the Exilic Will to Criticism

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    Guilan Siassi


    Full Text Available In this paper I consider how Edward Said elaborates his concept of exile—as both a physical displacement and as a hermeneutical situation or mode of critical activity—in a transhistorical dialogue with Erich Auerbach. In his efforts to delineate the interrelation between cultural discourses and historical ‘regimes of knowledge,’ Said shows intellectual exile (which gives rise to secular criticism to be the preliminary step in a concrete act of cultural recuperation: namely the re-appropriation and mobilization of texts, through an exilic will to interpretation and synthesis. Through a close examination of Auerbach’s ‘Philology and Weltliteratur’ and Said’s ‘Secular Criticism’ I compare the writers’ consciousness of their worldly socio-political situations, their humanistic goals, and their readings of cultural history—which they evaluate in the form of literary representations and interpretations of reality. Said locates agency in the exile’s liminal situation, his ‘unhomely’ un-belonging, which affords him a unique perspective and a certain mobility of critical thought. He believes that Auerbach, in his cultural alienation as a Jew exiled to Istanbul during World War II, adopted such a threshold position and could thus exercise precisely this exilic will to criticism as he wrote his magisterial Mimesis. Through a ‘worldly self-situating’ between inside and outside and a refusal of all binding filiations or affiliations that would limit his ability to move freely between the two spaces, the secular critic following the model of Auerbach, can mediate contrapuntally between dominant and minority culture, challenge authority, and indeed, redistribute cultural capital to produce ‘non-coercive knowledge in the interests of human freedom.’ Exilic readings thus become a tool and weapon of resistance, which simultaneously enable a critical recovery of one’s lost world and a reconstitution of the cultural mythos of

  11. Memoria y retorno del exilio republicano catalán (Memory and Return of the Catalan Republican Exile

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    Roser Pujadas Comas d'Argemir


    Full Text Available The end of the Spanish Civil War in 1939 meant that many republicans went into exile fleeing Francoism. In the case of intellectuals and writers from Catalunia, exile constituted the only means of ensuring the continuity of their culture, given the cultural and linguistic repression by the dictatorship. Much later than they had expected, some were able to return but, after so many years, return meant yet another rupture; it meant returning to a country no longer the one so often remembered and yearned for. Such events, as is often the case in turbulent historical periods, generated a need to bear witness to the individual and collective experiences, which in literary terms translated into a considerable volume of testimonial works – which continue to be published – by those who suffered this war and exile. As we shall see, memory becomes a kind of con-suelo – comfort - countering the ruptures with a sense of coherence and continuity. For one who has had to leave their country, the land of their birth becomes part of the past, so that in such cases to make present what is far, to remember, involves not only temporal but also spatial issues. When the exile (if such a thing is possible returns, time inexorably has passed. But what happens with the space re-encountered? In the case of two testimonial texts written by two republicans on their return from exile in Mexico – Al cap de 26 anys (1972 by Avel-lí Artís-Gener and Viatge a l’esperanca (1973, by Artur Bladé Desumvila – we propose to analyse the pattern woven between memory, homeland and return by the experience of exile. We shall see how the return, intended to contrast the idealised country with that in which the exile finds him/herself again, gives rise to a series of reflections about homeland and memory as the foundations of the exile’s identity.

  12. Exile on Penal Servitude in the Russian Empire in the 19th Century: Some Aspects of Applying

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    Aleksandr A. Krymov


    Full Text Available The results of the research of the main features of the execution of criminal penalties in the form of exile on servitude in the Russian Empire in the 19th century are presented in the article. The study was based on the use of narrative, comparative and historically-genetic methods of scientific research. The information base of the research includes acts, analytical and statistical data that concern exile on servitude in the Russian Empire, published in Russian and foreign scientific literature before 1917 and in the modern period. Main positions of the “Exile Statute” from 1882 and the appropriate law enforcement practice were analysed. The cause and consequences of the abolition of exile on servitude as a kind of penalty for criminals in the central provinces of the Russian Empire were determined. The features of the servitude organization, the discharge system of arrived to prison convicts’ classification were analysed. The legal framework and features of the regulation and organization of labour of convicts in the first half of the XIX century in the newly annexed western parts of the Russian Empire were studied. Largely, that exile on servitude in the Russian Empire in the studied period should be regarded as a significant socio-economic phenomenon that has had a great impact on the development of the country. Generally, it concerns the colonization of Siberia, the Far East and Sakhalin Island. Historical experience, gained during the development of the exile on servitude institution in pre-revolutionary Russia is essential and requires its consideration today. It was determined that a significant change of infrastructure, communications and information capabilities improve the relevance of the question of the return to the historical experience of the application of exile on servitude as one of the types of punishment, not related to incarceration.

  13. The Cemetery, the State and the Exiles: A Study of Cementerio Colón, Havana, and Woodlawn Cemetery, Miami

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    Marivic Wyndham


    Full Text Available One of the unsuspected costs of exile is the inability to care for the family tombs for which, especially in Latin American countries, one may feel a sharp personal responsibility. The desecration of such tombs renders the pain of exile sharper still. We examine the ways in which the Cuban State has abandoned responsibility for the care of the tombs of the exiles in the island’s largest cemetery, Cementerio Cristóbal Colón in Havana. Many exiles hope and plan to return to resume life in their former birthland. Perhaps to show their intentions, their cemeteries in the new countries are piecemeal and temporary. Little by little it becomes apparent that their state of exile has passed from medium term to long term to permanence. In Woodlawn Cemetery, Miami, some of the exiles’ dead remain in unworthy graves while the inscriptions on their tombs remind their descendants of the promise of permanent return which they never now will keep.

  14. Psychological Distress in Iranian International Students at an Australian University. (United States)

    Nahidi, Shizar; Blignault, Ilse; Hayen, Andrew; Razee, Husna


    This study investigated psychological distress in Iranian international students at UNSW Australia, and explored the psychosocial factors associated with high levels of distress. A total of 180 Iranian international students pursuing undergraduate and postgraduate degrees during 2012/2013 completed an email questionnaire containing socio-demographic items and five standardized and validated scales. Multivariable logistic regression was used to analyse the predictors of psychological distress. Compared to domestic and international students at two other Australian universities, a significantly smaller proportion of Iranian international students scored as distressed on the Kessler Psychological Distress Scale (K10). Greater levels of psychological distress were associated with being female, poorer physical health, less social support, less religious involvement and spirituality, and negative attitudes towards seeking professional psychological help. Findings from this growing group of international students can help inform culturally competent mental health promotion and service provision in their host countries.

  15. Don Quixote and the Exile: The representation of the Knight Hidalgo in the Plastic of the Aragonese Artist Eleuterio Blasco Ferrer

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    Rubén Pérez Moreno


    Full Text Available In the following article we are going to analyse the artworks of Don Quixote created in the exile by the Aragonese artist Eleuterio Blasco Ferrer (Foz-Calanda, Teruel, 1907-Alcañiz, Teruel, 1993. One of his sculptures, The last breath of Don Quixote, will reach high popularity, becoming a true symbol of the Republican exile.

  16. Forced into exile: the traumatising impact of rural aged care service inaccessibility. (United States)

    Bernoth, Maree A; Dietsch, Elaine; Davies, Carmel


    The shortage of residential aged care places is especially acute in rural areas and this results in many older people who live in these areas being forced to leave their home communities to access care in distant communities. This article reports on one aspect of a larger study that explored family and caring community members' experiences when someone they cared for needed to access residential aged care away from their rural communities. This qualitative research project, informed by phenomenology, was conducted in rural communities of New South Wales (NSW), Australia. Participants were recruited from media coverage of the proposed research. Indepth interviews were conducted, audiotaped and transcribed. Thematic analysis was undertaken by two researchers independently analysing the themes and then cross-checking these to ensure their strength. The 21 interviews conducted revealed that inaccessibility of residential aged care places caused many to experience loss, loneliness and a sense of social disconnectedness. The affected rural older person is exiled from their home community only to return to be buried. There are implications for the family and the rural community who are distanced by kilometres, transport and finances and, more significantly, by the emotional ties that bind families, friends and communities. The participants whose experiences were explored in this article described a sense of being in exile when residential aged care services are inaccessible in their local communities. The sense of exile is felt not only by the person moving away but also by their family, friends and neighbours. For this reason, rural residential aged care service delivery should be based on the identified needs of the older person and those who love and care for them.

  17. Vietnamese Buddhist pagoda in France: “institution-place of memory”. Legitimate power to communicate the memory of exiles

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    Jérôme GIDOIN


    Full Text Available Vietnamese Buddhism took hold and developed in France partly because it was able to obtain a monopoly on funeral rites and mourning rites. Many exiled families see the interest of this and delegate their ancestor worship to the monks. By combining the spiritual, socio-cultural, eschatological and political domains, and despite whatever generation gaps may exist, the pagoda allows families to reconstruct a social and family ethic in a context of social acculturation. It provides a fitting answer to the question inherent to the migratory context: how to find new symbolic resources outside of Vietnam? And it can thus implement a communication strategy that officialises, in the land of exile, the inextricable link between the pagoda and the assumption of responsibility for the memory of exiled ancestors.

  18. Exile and insile: split subject policies and representations in chilean poetry of the seventies

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    Naín Nómez


    Full Text Available This article is an inventory and analysis of Chilean Poetry in the seventies, written in Chileand abroad, emphasizing the "exilio" and "insilio" concept. Apart from focusing on the "exilio-insilio" problem, its development and subsequent integration, this work analyzes the relationships between poets and their enviroment by means of subjective representations in different situations and places (especially urban. The cities of Chile, as well as foreign cities in the countries of exile, acquire repressive connotations, which influence the problems of the divided subject in this poetry.

  19. The idealization of origins among immigrants or exiled: the double function of maintaining identity and acculturation

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    Stéphane Laurens


    Full Text Available In the case of emigrated or exiled individuals, the idealization of origins often becomes more marked in the beginning of the integration of these individuals in the host society. Thus, as they lose their language, their customs, to take those of the society of reception, they elaborate an idealized image of their past. This progressive differentiation between the idealized past and the actual reality facilitates the acculturation in the host society and at the same time allows for the preservation of their specific identity. It is this elaboration of the ideal and its emancipation of the daily realities, which will be approached here.

  20. Objets dans la migration, objets en exil : statuts, usages, devenirs / Panel #2


    Wagener, Albin; Rodier, Claire; Vilela, Eugenia; Galitzine-Loumpet, Alexandra


    A propos des objets, Jean Baudrillard écrit qu’ils constituent des «‘mots de passe’ par excellence» (2004). A la fois communs, participant de la société de consommation, et uniques en ce qu’ils incarnent une expérience du sujet, des tactiques spécifiques d’usage dans les espaces du passage et de l’encampement, les objets sont des acteurs des liens sociaux, articulant récits et discours, participant des habitus et des recompositions en situation de migration, d’exil et de transmission. Paradox...

  1. Helping as a Function of Empathic Responses and Sociopathy. (United States)

    Marks, Edward L.; And Others


    Investigated helping as a function of empathic anxiety (anxiety in response to modeled distress) and individual differences in sociopathic tendencies. Results indicated modeled distress produces increases in anxiety which are positively associated with helping and sociopathic individuals are less likely to help than are nonsociopathic individuals.…

  2. Spectroscopy of neutron rich nuclei using cold neutron induced fission of actinide targets at the ILL: The EXILL campaign

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    Blanc A.


    Full Text Available One way to explore exotic nuclei is to study their structure by performing γ-ray spectroscopy. At the ILL, we exploit a high neutron flux reactor to induce the cold fission of actinide targets. In this process, fission products that cannot be accessed using standard spontaneous fission sources are produced with a yield allowing their detailed study using high resolution γ-ray spectroscopy. This is what was pursued at the ILL with the EXILL (for EXOGAM at the ILL campaign. In the present work, the EXILL setup and performance will be presented.

  3. En/countering the New Language of Exile in Uche Nduka's The Bremen Poems

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    Obododimma Oha


    Full Text Available Many African writers have been very critical of Europe in their works, especially in relation to racism and the experience of colonization. Yet, with the conditions in African countries becoming unfriendly to the careers of these writers, many of them have had to seek refuge in Europe. The New European context of African writing (which means an entry into the space of the Other raises a number of issues about literary style in the exilic/migrant text, especially with regard to the use of literature as a means of recreating the self and articulating the way the self experiences a new cultural space. To what extent does this entry into the space of the Other imply dialogism and transformation? The present paper discusses the stylistic and discourse patterns utilized by the Nigerian poet, Uche Nduka, who has been in self-exile in Germany, in his The Bremen Poems. It analyses the images that are enlisted in the textual politics of re/identification in the poems, especially in the articulation of Europe/Germany as a productive space. It analyses the images that are enlisted in the textual politics of re/identification in the poems, especially in the articulation of Europe/Germany as a productive space.

  4. Exiled Hungarians in Argentina 1948-1968: The Formation of a Community

    Directory of Open Access Journals (Sweden)

    Judith Kesserű Némethy


    Full Text Available This paper presents the cultural activism of a group of Hungarian émigrés who fled their homeland following Soviet occupation at the end of World War II and arrived in Argentina around 1948. It deals with the intellectual activity of these exiles, especially through their cultural and educational institutions. Within five years of their arrival as dispossessed “D.P.’s,” they founded a Hungarian Center (“Centro Húngaro” that housed, among others, a theater group, a free university, a cultural and scientific academy, a weekend school, and scout troops. At the same time, new periodicals appeared, and a substantive number of books banned in Hungary were published. I argue that it is due to the work of these institutions that the community flourished and is vital to date, in spite of its isolation and lack of reinforcement through new emigrant waves, and in spite of its hostile relationship with the government of the People’s Republic of Hungary and of a series of Argentine economic crises that forced many of its members to re-emigrate. I also discuss the impact the exiles had on their descendants, contending that as a result of the strong cultural foundations laid by them during their first twenty years of emigration, third- and fourth-generation Hungarian-Argentines have maintained to this day a strong cultural and ethnic identity, while fully integrating into Argentine society at large.

  5. Fatal Hieroglyph: Mexico for Writers of Exile Malcolm Lowry and William Burroughs

    Directory of Open Access Journals (Sweden)

    María DeGuzmán


    Full Text Available This essay explores the representation of Mexico in the work of British modernist writer of exile Malcolm Lowry and of U.S. Anglo-American post-war, postmodern writer of exile William Burroughs. Lowry’s Under the Volcano (1947 and Burroughs’s trilogy The Soft Machine (1961, The Ticket that Exploded (1962, and The Nova Express (1964 represent Mexico as a land of fatal hieroglyphs, as itself a fatal hieroglyph. Theoretically, a hieroglyph, as a condensation of space and time, is always already fatal — “an anticipation of the end in the beginning” [Jean Baudrillard]. The fatal sign constitutes an attempted exorcism of conventional reality governed by the status quo. For Lowry and Burroughs, Mexico as place and text is the locus of the exorcism of demons, personal and cultural. In turning Mexico into a fatal hieroglyph of doom, both modernist and postmodernist writers draw on a long tradition of stereotyping primitivizations of Mexico. However, in the cases of Lowry and Burroughs, these stereotypical primitivizations also function as alternative modes of knowledge, symbol-making, and anti-narration, deliberate plumbings of the non-linear, irrational, and trans-temporal to deliver a backhanded blow against the European and Gringo colonizer / conqueror in Lowry’s case and the malaise of Anglo-American military-industrial capitalism in Burroughs’s. 

  6. Getting Help (United States)

    ... NIAAA College Materials Supporting Research Special Features CollegeAIM College Administrators Parents & Students Home > Special Features > Getting Help Getting Help Resources from NIAAA Treatment for Alcohol Problems: Finding and Getting Help This guide from ...

  7. Assessment of Distress Associated to Psychopathology in Children and Adolescents

    Directory of Open Access Journals (Sweden)

    Wendy Reich


    Full Text Available The aim of this paper was to study the distress associated to psychopathology in children and adolescents. The sample included 330 children aged 8 to 17 years attending outpatient mental health services of the public network in Barcelona(Spain assessed using a structured diagnostic interview. A substantial part of children brought to treatment suffered distress associated to internalizing and externalizing psychological symptoms. Psychological distress was most frequent among girls and among adolescents, and was more frequently reported by children and adolescents than by their parents. It was also a marker of perception of need of psychological help, and it was significantly related to diagnosis, subthreshold conditions and functional impairment. Individual symptoms of depression, dysthymia, generalized anxiety disorder and oppositional defiant disorder were most associated with psychological distress. Given the potential importance of subjective distress as well as impairment for the identification and definition of psychopathology and planning of treatment, diagnostic assessment should include questions related to distress.

  8. Experience and visions of the Uruguayan exile in Spain Realidades y visiones del exilio uruguayo en España

    Directory of Open Access Journals (Sweden)



    Full Text Available The article focuses on a particular type of migration motivated by political exile; specifically the exile sufferance by an important portion of the Uruguayan population in the mid­1970s to Spain. Two distinct but complementary perspectives are developed: a bibliographical study and a study of the presence of exiles in different geographical and representational spaces. This involves an in-depth study of the testimonies of exiles (both those that remained and those that returned, and an analysis of the documentation of different archives and political and trade union organizations.El presente artículo se centra en un tipo de migración, la emigración forzada por motivaciones políticas o exilio; concretamente el exilio sufrido por una importante porción de la población uruguaya a mediados de la década de 1970 en un espacio concreto: España. Esta lectura se realiza desde dos ópticas diferentes pero complementarias, una es desde la bibliografía y la otra desde la presencia de los exiliados en diferentes espacios geográficos y de representación. Para ello se utilizan informaciones provenientes de una profundización en los testimonios de los exiliados –hoy residentes o retornados– y el análisis de la documentación de diferentes archivos particulares y distintas organizaciones políticas y sindicales.

  9. Disaster Distress Helpline: Wildfires (United States)

    ... natural or human-caused disaster. This toll-free, multilingual, and confidential crisis support service is available to ... risk for emotional distress due to wildfires include: Children and teens . After a wildfire, young people may ...

  10. The career distress scale

    DEFF Research Database (Denmark)

    Creed, Peter; Hood, Michelle; Praskova, Anna


    Career distress is a common and painful outcome of many negative career experiences, such as career indecision, career compromise, and discovering career barriers. However, there are very few scales devised to assess career distress, and the two existing scales identified have psychometric...... weaknesses. The absence of a practical, validated scale to assess this construct restricts research related to career distress and limits practitioners who need to assess and treat it. Using a sample of 226 young adults (mean age 20.5 years), we employed item response theory to assess 12 existing career......, which we combined into a scale labelled the Career Distress Scale, demonstrated excellent psychometric properties, meaning that both researchers and practitioners can use it with confidence, although continued validation is required, including testing its relationship to other nomological net variables...

  11. The Subject and Perception of Exile in the Works of Zoé Valdés. Everyday Nothing and Everyday Everything

    Directory of Open Access Journals (Sweden)

    Verica Savić


    Full Text Available The subject of exile and the political element are two main themes of two related but independent novels by Zoé Valdés: Everyday Nothing and Everyday Everything, in which she reveals her ideology by using techniques specific to contemporary Cuban literature created in exile. In addition to being narrative instead of political and journalistic novels, and despite other common elements, these two works are connected by the subject of exile. Their framework is different, as well as the content, time, and the message, but their ideology is the same. These novels have been chosen for this research paper from Valdés’s large opus because they deal with the same subject from different perspectives – exile as an idea, a vision of possible salvation, the exile from exile – thus allowing us to carry out an in-depth analysis of this eternal topic. There is a profound difference in the experience of exile, as well as in the  approach to this subject. The novels portray Cuban society in two different time frames, with many similarities and differences between them, while also depicting different stages of Valdés personal development as a writer.

  12. Correlates and Predictors of Psychological Distress among Afghan Refugees in San Diego County. (United States)

    Alemi, Qais; James, Sigrid; Siddiq, Hafifa; Montgomery, Susanne


    The psychological effects of war and resulting displacement continue to negatively impact Afghan refugees. The purpose of this study was to investigate factors that are associated with and predict psychological distress symptoms among Afghan refugees. We analyzed data from a diverse sample of 130 Afghan refugees recruited through non-random sampling in the San Diego area. Participants completed self-report questionnaires consisting of a culturally validated measure of psychological distress, the Afghan Symptom Checklist [ ASCL ] alongside standardized measures of acculturation, social support, and perceived stress. In bivariate analyses, older age, older age at migration, female gender, being widowed, having lower education, being unemployed, unable to comfortably pay monthly bills, lower acculturation and social support, and higher levels of perceived stress were associated with psychological distress. However, only few variables - female gender, being widowed, unable to comfortably pay monthly bills, and perceived stress - remained significant in multivariate analysis. The findings from this study contribute to understanding the social determinants of distress that affect Afghans in exile even after long-term resettlement in the US. These reported outcomes support the need for continued research with Afghans, alongside the implementation of culturally relevant psychosocial interventions that emphasize prevention of post-resettlement stressors immediately upon resettlement.

  13. The Exile of Hansen's Disease Patients to Moloka'i: A Diffusion of Innovations Perspective. (United States)

    Pitman Harris, Adrea; Matusitz, Jonathan


    This article analyzes the exile of patients with Hansen's disease (leprosy) to Moloka'i (Hawaii) by applying the diffusion of innovations (DoI) theory. Developed by Rogers, DoI posits that an innovation (i.e., idea, movement, or trend) is initiated within a culture. Then, it is diffused via particular channels across diverse cultures. Instead of evolving independently, innovations diffuse from one culture to another through various forms of contact and communication. In the context of this analysis, the objective is to examine how the diffusion of certain ideas, namely, abolishing the stigma associated with leprosy, could have improved the lives of Hawaiians. An important premise of this article is that the Hawaiian government barely applied the tenets of DoI, which is the reason why many people lost their lives. So, this article seeks to explore what could have been done to improve their situation and what pitfalls should be avoided in the future.

  14. Migration and exile - some implications for mental health in post-apartheid South Africa

    Directory of Open Access Journals (Sweden)

    M C Marchetti-Mercer


    Full Text Available The age of globalisation and the socio-political changes that have taken place in South Africa in the past decade have created powerful contexts within which the issues of belonging and finding a ‘home’ have become very relevant to all South Africans. This article explores the phenomena of migration and exile, which are strongly characterised by an attempt to find a place one can call ‘home’ and where one can belong, and then shows how these experiences can provide a useful framework for understanding a multicultural context such as the one in South Africa. Some of the implications of these phenomena for mental health, specifically the link between schizophrenia and migration, will also be discussed.

  15. Exiles-Migrants and Reconciliation in the Spanish Low Countries after the Peace of Arras (1579

    Directory of Open Access Journals (Sweden)

    Yves Junot


    Full Text Available This article contributes to the assessment of the management of migrants at the end of the 16th century as part of the challenge, by both central and municipal authorities, for ending the civil war in the Spanish Low Countries. In particular, it questions to what extent experiences of exiles, returnees and migrants presented a challenge for families, economic regulation and public order in the French-speaking reconciled provinces (Hainaut, Artois and the Walloon Flanders, in the new framework of the pacification and religious normalization. It focuses on how did the towns, when confronted with various forms of mobility, attempt to apply the practice of reconciliation. On the one hand, the general policy of reconciliation tried to build a post bellum society under the Roman Catholic faith and the King’s sovereignty, not only by excluding those who refused to recant in order to conform to the rules of the pacification, but also by forgiving and reincorporating the migrants who crossed confessional boundaries. Then, it considers how, at their level, the municipal authorities had to take various patterns of migration into account, in particular those that connected most of the towns of the Union of Arras to the Protestant Refuge in England and the Dutch Republic, reducing the importance of the migrants’ religious status in their selection criteria. Finally, theses practices opened a space for discussion and a shy civic toleration between the Catholic aldermen, the ex-Calvinists who had chosen official reconciliation, and the textile workers migrants while still being accommodated and welcomed into the exile Protestant Churches, relegating the debate about personal confessional practices and religion from public space to the family sphere.

  16. Nurse moral distress: A survey identifying predictors and potential interventions. (United States)

    Rathert, Cheryl; May, Douglas R; Chung, Hye Sook


    Ethical dilemmas and conflicts are inherent in today's health care organizations and may lead to moral distress, which is often associated with physical and psychological symptoms. Although the existence of moral distress has been observed by scholars for decades, most of the research has been descriptive and has examined what types of health care conflicts lead to distress. This study tested a comprehensive model, underpinned by Social Cognitive Theory, that examined work environment and intrapersonal variables that may influence moral distress. We surveyed nursing staff employed in a U.S. acute care hospital (response rate=45%; n=290). More than half of the respondents reported they experience ethical dilemmas and conflicts from several times a month to daily, and nearly half reported they experience moral distress at least several times a month. Structural equation modeling analysis simultaneously examined the effects of five independent variables on moral distress and moral voice: (a) frequency of ethical dilemmas and conflicts; (b) moral efficacy; (c) ethics communication; (d) ethical environment; and (e) organizational ethics support. Results revealed significant independent effects of the frequency of ethics issues and organizational ethics support on moral distress. Bootstrapping analysis indicated that voice fully mediated the relationship between moral efficacy and moral distress, and partially mediated the relationship between organizational ethics support and distress. Supplemental analysis revealed that organizational ethics support moderated the moral efficacy-voice-moral distress relationship such that when organizational support was low, moral efficacy was negatively related to moral distress via voice. Although it may be impossible to eliminate all ethical dilemmas and conflicts, leaders and organizations may wish to help improve nurses' moral efficacy, which appears to give rise to voice, and reduced moral distress. Increasing organizational

  17. Adolescent survivors of childhood cancer: are they vulnerable for psychological distress? (United States)

    Gianinazzi, Micol E; Rueegg, Corina S; Wengenroth, Laura; Bergstraesser, Eva; Rischewski, Johannes; Ammann, Roland A; Kuehni, Claudia E; Michel, Gisela


    We aimed to (i) evaluate psychological distress in adolescent survivors of childhood cancer and compare them to siblings and a norm population; (ii) compare the severity of distress of distressed survivors and siblings with that of psychotherapy patients; and (iii) determine risk factors for psychological distress in survivors. We sent a questionnaire to all childhood cancer survivors aged Psychological distress was measured with the Brief Symptom Inventory-18 (BSI-18) assessing somatization, depression, anxiety, and a global severity index (GSI). Participants with a T-score ≥ 57 were defined as distressed. We used logistic regression to determine risk factors. We evaluated the BSI-18 in 407 survivors and 102 siblings. Fifty-two survivors (13%) and 11 siblings (11%) had scores above the distress threshold (T ≥ 57). Distressed survivors scored significantly higher in somatization (p=0.027) and GSI (p=0.016) than distressed siblings, and also scored higher in somatization (p ≤ 0.001) and anxiety (p=0.002) than psychotherapy patients. In the multivariable regression, psychological distress was associated with female sex, self-reported late effects, and low perceived parental support. The majority of survivors did not report psychological distress. However, the severity of distress of distressed survivors exceeded that of distressed siblings and psychotherapy patients. Systematic psychological follow-up can help to identify survivors at risk and support them during the challenging period of adolescence. Copyright © 2013 John Wiley & Sons, Ltd.

  18. Liquidity Risk and Distressed Equity

    DEFF Research Database (Denmark)

    Medhat, Mamdouh

    I show theoretically and empirically that cash holdings can help rationalize the low returns to distressed equity. In my model, levered firms with financing constraints optimally choose their cash holdings to eliminate liquidity risk and optimally default when insolvent. Using data on solvency......, liquidity, and returns for US firms, I find evidence consistent with the model’s predictions: (1) In all solvency levels, the average firm holds enough liquid assets to cover its short-term liabilities; less solvent firms have (2) a higher fraction of their total assets in liquid assets and therefore (3......) lower conditional betas and (4) lower returns; (5) the profits of long-short solvency strategies are highest among firms with low liquidity; and (6) the profits of long-short liquidity strategies are highest among firms with low solvency....

  19. Intra Partum Foetal Distress

    Directory of Open Access Journals (Sweden)

    J Kubheka


    Full Text Available The occurrence of neonatal asphyxia at Baragwanath Hospital is a daily problem. The question was raised as to whether intra partum foetal distress, apgar scoring at birth and the biochemical analysis of blood acid base status from the chorionic arteries can predict any short-term neurological defects.

  20. Search Help (United States)

    Guidance and search help resource listing examples of common queries that can be used in the Google Search Appliance search request, including examples of special characters, or query term seperators that Google Search Appliance recognizes.

  1. Help LEP

    CERN Multimedia

    Carreras,R; Lehmann,P


    première partie: Help LEP ou le tunnel de l'infini- pièce radiophonique intéréssant sur l'origine de la matière deuxième partie: Help LEP débat; suite à cette pièce interview avec 3 physiciens du Cern sur le projet LEP et le but du Cern qui est la recherche fondamentale

  2. Moral distress in emergency nurses. (United States)

    Fernandez-Parsons, Robin; Rodriguez, Lori; Goyal, Deepika


    For nurses, moral distress leads to burnout, attrition, compassion fatigue, and patient avoidance. Using a quantitative, cross-sectional, and descriptive design, we assessed the frequency, intensity, and type of moral distress in 51 emergency nurses in 1 community hospital using a 21-item, self-report, Likert-type questionnaire. Results showed a total mean moral distress level of 3.18, indicative of overall low moral distress. Situations with the highest levels of moral distress were related to the competency of health care providers and following family wishes to continue life support, also known as futile care. Moral distress was the reason given by 6.6% of registered nurses for leaving a previous position, 20% said that they had considered leaving a position but did not, and 13.3% stated that they are currently considering leaving their position because of moral distress. Copyright © 2013 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved.

  3. The neonate in distress

    International Nuclear Information System (INIS)

    Ball, T.I. Jr.


    Respiratory distress is a very common and yet non-specific symptom in neonates and young infants. It may be manifested clinically in many ways, including tachypnea, apnea, periodic respiratory, grunting, retractions, nasal flaring, and cyanosis. In many instances, the chest radiograph is diagnostic or at least suggestive of the diagnosis. This fact is important in determining surgical or medical conditions that require emergency therapy. Even if the chest film is normal, valuable information can be gained. This initial normal radiograph can be used as a baseline film in the face of further developing symptoms which, likewise, may have developing radiographic findings. In any event, the chest radiograph gives the clinician ''direction'' in his or her search for the cause of the patient's respiratory distress

  4. Acute respiratory distress syndrome


    Confalonieri, Marco; Salton, Francesco; Fabiano, Francesco


    Since its first description, the acute respiratory distress syndrome (ARDS) has been acknowledged to be a major clinical problem in respiratory medicine. From July 2015 to July 2016 almost 300 indexed articles were published on ARDS. This review summarises only eight of them as an arbitrary overview of clinical relevance: definition and epidemiology, risk factors, prevention and treatment. A strict application of definition criteria is crucial, but the diverse resource-setting scenarios foste...

  5. Russian Old Believers: genetic consequences of their persecution and exile, as shown by mitochondrial DNA evidence. (United States)

    Rubinstein, Samara; Dulik, Matthew C; Gokcumen, Omer; Zhadanov, Sergey; Osipova, Ludmila; Cocca, Maggie; Mehta, Nishi; Gubina, Marina; Posukh, Olga; Schurr, Theodore G


    In 1653, the Patriarch Nikon modified liturgical practices to bring the Russian Orthodox Church in line with those of the Eastern (Greek) Orthodox Church, from which it had split 200 years earlier. The Old Believers (staroveri) rejected these changes and continued to worship using the earlier practices. These actions resulted in their persecution by the Russian Orthodox Church, which forced them into exile across Siberia. Given their history, we investigate whether populations of Old Believers have diverged genetically from other Slavic populations as a result of their isolation. We also examine whether the three Old Believer populations analyzed in this study are part of a single gene pool (founder population) or are instead derived from heterogeneous sources. As part of this analysis, we survey the mitochondrial DNAs (mtDNAs) of 189 Russian Old Believer individuals from three populations in Siberia and 201 ethnic Russians from different parts of Siberia for phylogenetically informative mutations in the coding and noncoding regions. Our results indicate that the Old Believers have not significantly diverged genetically from other Slavic populations over the 200-300 years of their isolation in Siberia. However, they do show some unique patterns of mtDNA variation relative to other Slavic groups, such as a high frequency of subhaplogroup U4, a surprisingly low frequency of haplogroup H, and low frequencies of the rare East Eurasian subhaplogroup D5.

  6. Fictionalization, conscientization and the trope of exile in Amandla and Third Generation

    Directory of Open Access Journals (Sweden)

    J. Geertsema


    Full Text Available The purpose of this article is to examine Amandla (by Miriam TIali and Third Generation (by Sipho Sepamla as anti-apartheid novels of resistance which are faced by a number of serious contradictions. The article is an attempt to analyse the ways in which these texts seek to cope, on the one hand, with what seems to be a lost cause, a struggle without an end, and on the other hand with their own status as fictional texts which attempt to change precisely that which seems to deny all possibilities of subversion. Both texts attempt to make sense of a reality which is perceived to be so horrifyingly real as to be fictional (in the sense of the fictive, unreal, ethereal. On the one hand the power of the apartheid state is seen to be insurmountable, and on the other hand, that stale has to be subverted and destroyed. The resulting dialectic, posited in the texts, of the state of affairs in reality and the state of affairs that is desired, can only be solved by the use of the trope of exile as an imaginary resolution to a very real contradiction in order to achieve at least some measure of conscientization in the readership.

  7. Emotional distress among adult survivors of childhood cancer. (United States)

    Oancea, S Cristina; Brinkman, Tara M; Ness, Kirsten K; Krull, Kevin R; Smith, Webb A; Srivastava, D Kumar; Robison, Leslie L; Hudson, Melissa M; Gurney, James G


    The purposes of this study were to estimate the prevalence of emotional distress in a large cohort of adult survivors of childhood cancer and to evaluate the interrelationship of risk factors including cancer-related late effects. Adult survivors of childhood cancer (N = 1,863), median age of 32 years at follow-up, completed comprehensive medical evaluations. Clinically relevant emotional distress was assessed using the Brief Symptom Inventory 18 and was defined as T-scores ≥63. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using multivariable logistic regression models to identify risk factors for distress. Path analysis was used to examine associations among identified risk factors. Elevated global distress was reported by 15.1% of survivors. Cancer-related pain was associated with elevated distress (OR 8.72; 95% CI, 5.32-14.31). Survivors who reported moderate learning or memory problems were more likely to have elevated distress than survivors who reported no learning or memory problems (OR 3.27; 95% CI, 2.17-4.93). Path analysis implied that cancer-related pain has a direct effect on distress symptoms and an indirect effect through socioeconomic status and learning or memory problems. Similar results were observed for learning or memory problems. Childhood cancer-related morbidities including pain and learning or memory problems appear to be directly and indirectly associated with elevated distress symptoms decades after treatment. Understanding these associations may help inform intervention targets for survivors of childhood cancer experiencing symptoms of distress. A subset of long-term childhood cancer survivors experience significant emotional distress. Physical and cognitive late effects may contribute to these symptoms.

  8. Impact of ethnicity, violence and acculturation on displaced migrants: psychological distress and psychosomatic complaints among refugees in Sweden. (United States)

    Sundquist, J; Bayard-Burfield, L; Johansson, L M; Johansson, S E


    This study uses data collected in 1996 by the Swedish National Board of Health and Welfare. By means of interviews with 1980 foreign-born immigrants, an attempt was made to determine the impact of a) migration status (country of birth/ethnicity), b) exposure to violence, c) Antonovsky's sense of coherence, d) acculturation status (knowledge of Swedish), e) sense of control over one's life, f) economic difficulties, and g) education, both on psychological distress (using General Health Questionnaire 12) and psychosomatic complaints (daytime fatigue, sleeping difficulties, and headache/migraine). Iranians and Chileans (age-adjusted) were at great risk for psychological distress as compared with Poles, whereas Turks and Kurds exhibited no such risk. When the independent factors were included in the model, the migration status effect decreased to insignificance (with the exception of Iranian men). A low sense of coherence, poor acculturation (men only), poor sense of control, and economic difficulties were strongly associated with the outcomes, generally accounting for a convincing link between migration status and psychological distress. Furthermore, a low sense of coherence, poor acculturation (men only), poor sense of control, and economic difficulties in exile seemed to be stronger risk factors for psychological distress in this group than exposure to violence before migration.

  9. En híbrida mezcolanza: Exile and Cultural Anxiety in Alirio Díaz Guerra’s Lucas Guevara

    Directory of Open Access Journals (Sweden)

    Jeffrey Browitt


    Full Text Available The novel Lucas Guevara, written by the Colombian exile, Alirio Díaz Guerra, was first published in New York in 1914. It is considered to be the earliest novel about Latin American immigration to the United States written in Spanish. This fact alone merits its study. A second edition was published in 2001 along with a critical-biographical introduction, which presents the novel as the precursor of a developing genre of Hispanic immigrant literature centred on the naïve Latin American migrant who arrives in the United States inspired by the opportunities which the metropolis supposedly affords, but who nevertheless suffers a series of misfortunes because of the inability to adapt to the new culture. On the level of overt content, the novel is a lachrymose, stereotypical and conventional denunciation of the supposed evils of an amoral US society and the libertine and materialistic values underpinning it. But on a much deeper level, a picture emerges of Díaz Guerra himself as a displaced, disenchanted intellectual exile who suffers (or has suffered an acute cultural and class anxiety in the transition from a patrician Arcadia to the heart of capitalist, industrial modernity. Through a reading of the narrative voice, and by extension the implied author, we witness his difficult coming to terms with a highly-charged New York society (in comparison to his homeland, not only because of the sexual liberation brought on by secular modernization, but also because of the close proximity of volatile, eroticised bodies on the over-crowded Lower East Side of New York, the scene of the novel and Díaz Guerra’s point of entry into the United States. The novel also provides an occasion to contrast how Díaz Guerra deals with the condition of exile, in contrast to that most emblematic of Latin American political refugees, José Martí.

  10. L’Espagne depuis l’exil, dans le recueil Las nubes (1940 de Luis Cernuda : un non-lieu

    Directory of Open Access Journals (Sweden)

    Elvire Diaz


    Full Text Available Exilé volontairement en Grande-Bretagne en 1938, le poète Luis Cernuda exprime dans son premier recueil d’exil Las nubes [Les nuages], publié en 1940, la douleur du déracinement et son rapport ambivalent à sa terre d’origine qu’il vient de quitter. Bien que considéré comme « un livre sur la guerre et l’exil […], sans doute le plus espagnol des livres de Cernuda », son recueil ne s’appuie que sur très peu d’éléments topographiques concrets. Malgré la récurrence du terme « tierra » au signifié ...

  11. Patterns and directions of exile migration from Iraq in the period 1990-2003: a systemic approach


    Chatelard, Géraldine


    Combining the findings of published sources and of original research, this article attempts to put in relations a series of factors at the macro and meso levels so as to produce an evolving but coherent picture of the directions and stages of Iraqi exile migration, of the settlement patterns of migrants, and of their sociological profile at various stages of the migration process, starting from Iraq. The period covered extends from the 1990-1991 Gulf War until the fall of the Ba'thist regime ...

  12. Treatment of torture survivors - influences of the exile situation on the course of the traumatic process amd therapeutic possibilities. (United States)

    Wenk-Ansohn, Mechthild


    Traumatized refugees often suffer from complex posttraumatic disorders with a high tendency of chronicity. This is due to severe and often repeated traumatization in the course of political persecution on one hand and uprooting and ongoing stress caused by leaving their home country and society and living under an adverse situation in exile on the other hand. This article shows how positive and negative factors going along with migration interfere with the course of the traumatic process and the therapeutic possibilities and how the therapeutic process can be adjusted to the situation.

  13. Migrations and Diasporas. German Writers in Mexican Exile. Egon Erwin Kisch’s and Anna Seghers’ Promotion of Cross-Cultural Understanding

    Directory of Open Access Journals (Sweden)

    Jennifer E. Michaels


    Full Text Available The journalist and popular travel writer, Egon Erwin Kisch, and the well-known novelist and short story writer Anna Seghers were among the many left wing and communist intellectuals for whom Mexico was a haven during the Hitler years. Kisch traveled extensively in Mexico, immersed himself in its history and culture and interpreted Mexico for the other German exiles. On her return from exile Seghers became an important mediator in the GDR of Mexican and South American culture and a strong voice for crosscultural understanding

  14. Bodily Distress Syndrome

    DEFF Research Database (Denmark)

    Budtz-Lilly, Anna; Vestergaard, Mogens; Moth, Grete


    AIM: Medically unexplained or functional symptoms and disorders are common in primary care. Empirical research has proposed specific criteria for a new unifying diagnosis for functional disorders and syndromes: Bodily Distress Syndrome (BDS). This new diagnosis is expected to be integrated...... into the upcoming versions of classification systems. The objective of this study is to estimate the prevalence and describe the characteristics of patients with BDS in primary care. Method: We recruited a cohort of 4870 patients of 18+ years from the Central Denmark Region from December 2008 until December 2009......: We will present data on the prevalence of BDS in a primary care population as well as the characteristics of patients with BDS. Characterization will include age, gender, severity of BDS, self evaluated health, health anxiety and mental health. Conclusion: Results from this study will make precise...

  15. Culture, Context, and the Internalizing Distress of Mexican American Youth (United States)

    Polo, Antonio J.; Lopez, Steven R.


    Latino youth appear to be at higher risk for depression relative to youth from other ethnic groups. This study assessed the relationship between nativity and several forms of internalizing distress among Mexican American middle school students as well as sociocultural factors that may help explain this relationship. Immigrant Mexican American…

  16. Die räumlichen Grenzen der Exil-Inszenierung und die metaphorischen Figurationen des J. A. Comenius in der tschechischen Literatur des 19. Jahrhunderts

    Czech Academy of Sciences Publication Activity Database

    Řezníková, Lenka


    Roč. 50, č. 26 (2012), s. 161-182 ISSN 0231-5955 R&D Projects: GA ČR(CZ) GAP410/11/1201 Institutional support: RVO:67985955 Keywords : Czech literature of the 19th century * literary representation of exile * J. A. Comenius * literature and space Subject RIV: AJ - Letters, Mass-media, Audiovision

  17. Vědecký exil v období komunistického režimu. Emigrace z Československé akademie věd

    Czech Academy of Sciences Publication Activity Database

    Kostlán, Antonín


    Roč. 43, č. 3 (2010), s. 153-181 ISSN 0300-4414 R&D Projects: GA AV ČR IAAX00630801 Institutional research plan: CEZ:AV0Z80630520 Keywords : Czech history * history of sciences * refugees and exile Subject RIV: AB - History

  18. Acute respiratory distress syndrome

    Directory of Open Access Journals (Sweden)

    Marco Confalonieri


    Full Text Available Since its first description, the acute respiratory distress syndrome (ARDS has been acknowledged to be a major clinical problem in respiratory medicine. From July 2015 to July 2016 almost 300 indexed articles were published on ARDS. This review summarises only eight of them as an arbitrary overview of clinical relevance: definition and epidemiology, risk factors, prevention and treatment. A strict application of definition criteria is crucial, but the diverse resource-setting scenarios foster geographic variability and contrasting outcome data. A large international multicentre prospective cohort study including 50 countries across five continents reported that ARDS is underdiagnosed, and there is potential for improvement in its management. Furthermore, epidemiological data from low-income countries suggest that a revision of the current definition of ARDS is needed in order to improve its recognition and global clinical outcome. In addition to the well-known risk-factors for ARDS, exposure to high ozone levels and low vitamin D plasma concentrations were found to be predisposing circumstances. Drug-based preventive strategies remain a major challenge, since two recent trials on aspirin and statins failed to reduce the incidence in at-risk patients. A new disease-modifying therapy is awaited: some recent studies promised to improve the prognosis of ARDS, but mortality and disabling complications are still high in survivors in intensive care.

  19. Adult respiratory distress syndrome

    International Nuclear Information System (INIS)

    Murphy, C.H.; Colvin, R.S.


    Due to improved emergency resuscitation procedures, and with advancing medical technology in the field of critical care, an increasing number of patients survive the acute phase of shock and catastrophic trauma. Patients who previously died of massive sepsis, hypovolemic or hypotensive shock, multiple fractures, aspiration, toxic inhalation, and massive embolism are now surviving long enough to develop previously unsuspected and unrecognized secondary effects. With increasing frequency, clinicians are recognizing the clinical and radiographic manifestations of pathologic changes in the lungs occurring secondary to various types of massive insult. This paper gives a list of diseases that have been shown to precipitate or predispose to diffuse lung damage. Various terms have been used to describe the lung damage and respiratory failure secondary to these conditions. The term adult respiratory distress syndrome (ARDS) is applied to several cases of sudden respiratory failure in patients with previously healthy lungs following various types of trauma or shock. Numerous investigations and experiments have studied the pathologic changes in ARDS, and, while there is still no clear indication of why it develops, there is now some correlation of the sequential pathologic developments with the clinical and radiographic changes

  20. Distress During the Menopause Transition

    Directory of Open Access Journals (Sweden)

    Marcianna Nosek


    Full Text Available In 2010, nearly 400 million women worldwide were of menopause age (45-54. Although many women transition through menopause with ease, some experience distress and a subsequent decrease in quality of life. The purpose of this qualitative study was to examine the experiences of distress in women during the menopause transition. A narrative analysis methodology was used maintaining participants’ complete narratives when possible. In-person interviews of 15 midlife women were digitally audio recorded and transcribed verbatim. Women shared narratives of distress related to menstrual changes, emotional instability, vaginal dryness, and decreased libido affected by their relationships with self, partners, work, and family. Some experiences were presented against a backdrop of the past and influenced by concerns for the future. Detailed stories illuminated the effect that distressful symptoms had on quality of life and captured how intricately woven symptoms were with the women’s interpersonal and social lives.

  1. Social capital and psychological distress. (United States)

    Song, Lijun


    The author proposes a conceptual model to explain the diverse roles of social capital--resources embedded in social networks--in the social production of health. Using a unique national U.S. sample, the author estimated a path analysis model to examine the direct and indirect effects of social capital on psychological distress and its intervening effects on the relationships between other structural antecedents and psychological distress. The results show that social capital is inversely associated with psychological distress, and part of that effect is indirect through subjective social status. Social capital also acts as an intervening mechanism to link seven social factors (age, gender, race-ethnicity, education, occupational prestige, annual family income, and voluntary participation) with psychological distress. This study develops the theory of social capital as network resources and demonstrates the complex functions of social capital as a distinct social determinant of health.

  2. Student distress in clinical workplace learning : differences in social comparison behaviours

    NARCIS (Netherlands)

    Raat, A. N. Janet; Schonrock-Adema, Johanna; van Hell, E. Ally; Kuks, Jan B. M.; Cohen-Schotanus, Janke

    In medical education, student distress is known to hamper learning and professional development. To address this problem, recent studies aimed at helping students cope with stressful situations. Undergraduate students in clinical practice frequently use experiences of surrounding peers to estimate

  3. 47 CFR 80.1111 - Distress alerting. (United States)


    ... Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS) Operating Procedures for Distress and Safety Communications § 80.1111 Distress alerting. (a) The transmission of a distress alert indicates...

  4. Rats demonstrate helping behavior toward a soaked conspecific. (United States)

    Sato, Nobuya; Tan, Ling; Tate, Kazushi; Okada, Maya


    Helping behavior is a prosocial behavior whereby an individual helps another irrespective of disadvantages to him or herself. In the present study, we examined whether rats would help distressed, conspecific rats that had been soaked with water. In Experiment 1, rats quickly learned to liberate a soaked cagemate from the water area by opening the door to allow the trapped rat into a safe area. Additional tests showed that the presentation of a distressed cagemate was necessary to induce rapid door-opening behavior. In addition, it was shown that rats dislike soaking and that rats that had previously experienced a soaking were quicker to learn how to help a cagemate than those that had never been soaked. In Experiment 2, the results indicated that rats did not open the door to a cagemate that was not distressed. In Experiment 3, we tested behavior when rats were forced to choose between opening the door to help a distressed cagemate and opening a different door to obtain a food reward. Irrespective of how they learned to open the door, in most test trials, rats chose to help the cagemate before obtaining a food reward, suggesting that the relative value of helping others is greater than the value of a food reward. These results suggest that rats can behave prosocially and that helper rats may be motivated by empathy-like feelings toward their distressed cagemate.

  5. Post-exilic conflict as “possible” historical background to Psalm 69:10ab

    Directory of Open Access Journals (Sweden)

    Alphonso Groenewald


    Full Text Available As is the case with Psalm 8a, Psalm 69:10a, also commences with the emphatic particle kî. 10a and 10b are syndetically bound together by means of the conjunction “and”. What has already been stated in cola 8ab, is repeated and even expressed in clearer terms in these cola (10ab. The supplicant does not believe that he deserves his present distress. Actually, the distress and insult he is enduring come as a direct result of his devotion to God and God’s service. Even his fasting and mourning contribute to his suffering (11a-12b. What becomes increasingly evident is the fact this inner-group conflict is caused by the temple, or rather the debate about the significance of the temple. The question that does indeed arise, is whether it is possible to situate these statements historically. This article will pursue a possible dating for this conflict that can form a possible background against which the reader of this text could interpret the statements contained in these cola (Ps 69:10ab.

  6. Moral sensitivity and moral distress in Iranian critical care nurses. (United States)

    Borhani, Fariba; Abbaszadeh, Abbas; Mohamadi, Elham; Ghasemi, Erfan; Hoseinabad-Farahani, Mohammad Javad


    Moral sensitivity is the foremost prerequisite to ethical performance; a review of literature shows that nurses are sometimes not sensitive enough for a variety of reasons. Moral distress is a frequent phenomenon in nursing, which may result in paradoxes in care, dealing with patients and rendering high-quality care. This may, in turn, hinder the meeting of care objectives, thus affecting social healthcare standards. The present research was conducted to determine the relationship between moral sensitivity and moral distress of nurses in intensive care units. This study is a descriptive-correlation research. Lutzen's moral sensitivity questionnaire and Corley Moral Distress Questionnaire were used to gather data. Participants and research context: A total of 153 qualified nurses working in the hospitals affiliated to Shahid Beheshti University of Medical Sciences were selected for this study. Subjects were selected by census method. Ethical considerations: After explaining the objectives of the study, all the participants completed and signed the written consent form. To conduct the study, permission was obtained from the selected hospitals. Nurses' average moral sensitivity grade was 68.6 ± 7.8, which shows a moderate level of moral sensitivity. On the other hand, nurses also experienced a moderate level of moral distress (44.8 ± 16.6). Moreover, there was no meaningful statistical relationship between moral sensitivity and moral distress (p = 0.26). Although the nurses' moral sensitivity and moral distress were expected to be high in the intensive care units, it was moderate. This finding is consistent with the results of some studies and contradicts with others. As moral sensitivity is a crucial factor in care, it is suggested that necessary training be provided to develop moral sensitivity in nurses in education and practical environments. Furthermore, removing factors that contribute to moral distress may help decrease it in nurses.

  7. Discrimination and psychological distress: does Whiteness matter for Arab Americans? (United States)

    Abdulrahim, Sawsan; James, Sherman A; Yamout, Rouham; Baker, Wayne


    The white racial category in the U.S. encompasses persons who have Arab ancestry. Arab Americans, however, have always occupied a precarious position in relationship to Whiteness. This study examined differences in reporting racial/ethnic discrimination among Arab Americans. It also investigated whether and how the association between discrimination and psychological distress varies by characteristics that capture an Arab American's proximity to/distance from Whiteness. We used data from the Detroit Arab American Study (2003; n = 1016), which includes measures of discrimination and the Kessler-10 scale of psychological distress. A series of logistic regression models were specified to test the discrimination-psychological distress association, stratified by five measures that capture Whiteness--subjective racial identification, religion, skin color, ethnic centrality, and residence in the ethnic enclave. Discrimination was more frequently reported by Muslim Arab Americans, those who racially identify as non-white, and who live in the ethnic enclave. Conversely, the association between discrimination and psychological distress was stronger for Christian Arab Americans, those who racially identify as white, who have dark skin color, and who live outside the ethnic enclave. Even though Arab Americans who occupy an identity location close to Whiteness are less subjected to discrimination, they are more negatively affected by it. The findings illuminate the complex pathways through which discrimination associates with psychological distress among 'white' immigrants. Further research on discrimination and health among Arab Americans can help unpack the white racial category and deconstruct Whiteness. Copyright © 2012 Elsevier Ltd. All rights reserved.

  8. A framework for understanding moral distress among palliative care clinicians. (United States)

    Rushton, Cynda H; Kaszniak, Alfred W; Halifax, Joan S


    Palliative care clinicians confront suffering as they care for people living with life-limiting conditions. When the degree of suffering becomes unjustified, moral distress can ensue. Promising work from neuroscience and social psychology has yet to be applied to clinical practice. Our objective was to expand a social psychology model focusing on empathy and compassion in response to suffering to include an ethical dimension and to examine how the interrelationships of its proposed components can assist clinicians in understanding their responses to morally distressing situations. In the clinical context, responses to distressing events are thought to include four dimensions: empathy (emotional attunement), perspective taking (cognitive attunement), memory (personal experience), and moral sensitivity (ethical attunement). These dynamically intertwined dimensions create the preconditions for how clinicians respond to a triggering event instigated by an ethical conflict or dilemma. We postulate that if the four dimensions are highly aligned, the intensity and valence of emotional arousal will influence ethical appraisal and discernment by engaging a robust view of the ethical issues, conflicts, and possible solutions and cultivating compassionate action and resilience. In contrast, if they are not, ethical appraisal and discernment will be deficient, creating emotional disregulation and potentially leading to personal and moral distress, self-focused behaviors, unregulated moral outrage, burnout, and secondary stress. The adaptation and expansion of a conceptual framework offers a promising approach to designing interventions that help clinicians mitigate the detrimental consequences of unregulated moral distress and to build the resilience necessary to sustain themselves in clinical service.

  9. Factors associated with diabetes-related distress: implications for diabetes self-management. (United States)

    Wardian, Jana; Sun, Fei


    As 7.8% of the U.S. population is affected by diabetes, health care providers are tasked with providing resources to assist patients toward self-management. Psychosocial issues have an effect on diabetes self-care. Diabetes-related distress is associated with self-management and lower A1C. This cross-sectional study seeks to understand how demographic factors, psychological orientations, support, and diabetes management behaviors predict diabetes-related distress. This study uses data from 267 adults with Type 2 diabetes. The Diabetes Distress Scale (DDS) is a 17-item scale measuring diabetes-related distress including emotional distress, physician-related distress, regimen distress, and interpersonal distress. Hierarchical regression was conducted in four stages. The final model explains 48% of the variance in DDS. Significant factors related to lower DDS were older age, lower body mass index, higher self-efficacy, higher levels of health care provider support, and a healthy diet. Findings of this study help health care providers know where to focus to reduce diabetes-related distress. Health care provider support is significant in reducing DDS. Diabetes education may want to include strategies that increase self-efficacy and assist people with diabetes to obtain a healthy weight through a more healthful diet.


    Directory of Open Access Journals (Sweden)



    Full Text Available A road is a medium that a person uses to move from one destination to another. A good road can provide comfort and safety to users, however, poor maintenance of a road might cause danger to them. Therefore, a road maintenance management system needs to be carried out to ensure the effectiveness as well as the efficiency of road maintenance itself. In this era, there are so many systems created in order to help data storage and analysis. One of the systems is the Geographic Information System (GIS. Other than getting the location of distresses, GIS also can help to classify the severity level of distresses and to correlate the distresses occurring in Universiti Kebangsaan Malaysia (UKM with the slope gradient. Road distress data was collected using GPS applications supported by Supersurv 3 software. The study shows that the GIS method helps to produce a good spatial database. The road gradient factor is related to the level of road damage.

  11. Does self-help increase rates of help seeking for student mental health problems by minimizing stigma as a barrier?


    Levin, Michael; Krafft, Jennifer; Levin, Crissa


    Objective: This study examined whether self-help (books, websites, mobile apps) increases help seeking for mental health problems among college students by minimizing stigma as a barrier. Participants and Methods: A survey was conducted with 200 college students reporting elevated distress from February to April 2017. Results: Intentions to use self-help were low, but a significant portion of students unwilling to see mental health professionals intended to use self-help. Greater self-stigma ...

  12. Migration, distress and cultural identity. (United States)

    Bhugra, Dinesh


    When people migrate from one nation or culture to another they carry their knowledge and expressions of distress with them. On settling down in the new culture, their cultural identity is likely to change and that encourages a degree of belonging; they also attempt to settle down by either assimilation or biculturalism. In this paper, various hypotheses explaining the act of migration and its relationship with mental distress are described. A new hypothesis is proposed suggesting that when sociocentric individuals from sociocentric cultures migrate to egocentric societies they may feel more alienated. In order to assess and manage migrants, the clinicians need to be aware of the pathways into migration.

  13. Moral Distress, Workplace Health, and Intrinsic Harm. (United States)

    Weber, Elijah


    Moral distress is now being recognized as a frequent experience for many health care providers, and there's good evidence that it has a negative impact on the health care work environment. However, contemporary discussions of moral distress have several problems. First, they tend to rely on inadequate characterizations of moral distress. As a result, subsequent investigations regarding the frequency and consequences of moral distress often proceed without a clear understanding of the phenomenon being discussed, and thereby risk substantially misrepresenting the nature, frequency, and possible consequences of moral distress. These discussions also minimize the intrinsically harmful aspects of moral distress. This is a serious omission. Moral distress doesn't just have a negative impact on the health care work environment; it also directly harms the one who experiences it. In this paper, I claim that these problems can be addressed by first clarifying our understanding of moral distress, and then identifying what makes moral distress intrinsically harmful. I begin by identifying three common mistakes that characterizations of moral distress tend to make, and explaining why these mistakes are problematic. Next, I offer an account of moral distress that avoids these mistakes. Then, I defend the claim that moral distress is intrinsically harmful to the subject who experiences it. I conclude by explaining how acknowledging this aspect of moral distress should reshape our discussions about how best to deal with this phenomenon. © 2015 John Wiley & Sons Ltd.

  14. Spiritual distress of military veterans at the end of life. (United States)

    Chang, Bei-Hung; Stein, Nathan R; Skarf, Lara M


    Although combat experiences can have a profound impact on individuals' spirituality, there is a dearth of research in this area. Our recent study indicates that one unique spiritual need of veterans who are at the end of life is to resolve distress caused by combat-related events that conflict with their personal beliefs. This study sought to gain an understanding of chaplains' perspectives on this type of spiritual need, as well as the spiritual care that chaplains provide to help veterans ease this distress. We individually interviewed five chaplains who have provided spiritual care to veterans at the end of life in a Veterans Administration hospital. The interviews were recorded, transcribed, and analyzed based on "grounded theory." Chaplains reported that they frequently encounter veterans at the end of life who are still suffering from thoughts or images of events that occurred during their military career. Although some veterans are hesitant to discuss their experiences, chaplains reported that they have had some success with helping the veterans to open up. Additionally, chaplains reported using both religious (e.g., confessing sins) and nonreligious approaches (e.g., recording military experience) to help veterans to heal. Our pilot study provides some insight into the spiritual distress that many military veterans may be experiencing, as well as methods that a chaplain can employ to help these veterans. Further studies are needed to confirm our findings and to examine the value of integrating the chaplain service into mental health care for veterans.

  15. L’exile comme expérience de la séparation dans le discours littéraire sur l’enfance (Nabokov et Sarraute

    Directory of Open Access Journals (Sweden)

    Daniela CATAU VERES


    Full Text Available Writing exile recreates the experience of separation from the family or his country with sorrow it implies, while commemorating a lost world that thankfully can be retrieved by the memory. The childhood story implements indeed a self-reconstruction process, like a puzzle, which mobilizes different discursive means in the language rituals specific to each writer. Even fragmented, with no precise linearity or devoid of chronology, the childhood story is a means of escape from the prison that is the time especially for the writer in exile in a foreign country, like Nabokov and Sarraute, but also an opportunity to rebuild the original identity after the cultural shock of coming into contact with a foreign culture to the fragile age of childhood. The recovery of this identity is possible through research and the faithful transcription of memory.

  16. Exile and Self-Actualization in Pauline Kaldas’s “He Had Dreamed of Returning” and “Airport”

    Directory of Open Access Journals (Sweden)

    Nisreen M. Sawwa


    Full Text Available Against common pessimistic readings of exile in postcolonial fiction, this article employs the notion of “self-actualization” that argues for people’s desire to accomplish everything they are capable of and their need to realize their potential. Within a comparative context and using identity theory and diaspora studies, the article illustrates how self-actualization keeps the immigrants from experiencing exile in two Arab American short stories by Pauline Kaldas: “Airport” (2009a and “He Had Dreamed of Returning” (2009b. This article shows how the main characters of “Airport” and “He Had Dreamed of Returning,” Samir and Hani respectively, fulfill the American Dream and how Hoda, Samir’s wife, pictures America as the place where she can realize her ambitions. However, Nancy, Hani’s wife, achieves her potential in Egypt rather than America, where she feels needed as a teacher. Thus, Samir and Hani do not get dislocated in America, and Nancy has a sense of belonging in Egypt. Hence, the article utilizes the American Dream and a reverse side of it, and it shows how Samir’s, Hani’s, and Nancy’s self-actualization is a counter to feelings of exile. In other words, the three characters do not experience loss of identity and displacement in the countries they emigrate to. Rather, they fulfill their dreams there and find/create new identities which have been suppressed in their hometowns, which enhances a view of identity as fluid rather than fixed. Briefly put, this article presents the self-actualization of immigrants in new locales as a counter to different levels of dislocation and exile.

  17. Shattered Shangri-la: differences in depressive and anxiety symptoms in students born in Tibet compared to Tibetan students born in exile. (United States)

    Evans, Dabney; Buxton, David C; Borisov, Andrey; Manatunga, Amita K; Ngodup, Dawa; Raison, Charles L


    As a result of ongoing political tensions within Tibetan regions of the People's Republic of China, several thousand Tibetans escape across the Himalayas every year to seek refuge in India and Nepal. Prior studies have found a high prevalence of depressive and anxiety symptoms in these refugees, many of whom are young and have been exposed to significant trauma. However, it is not known whether depressive and anxiety symptoms are more prevalent in these refugees than in ethnic Tibetans born and raised in the relative political and social stability of exile communities in North India and Nepal. We conducted a cross-sectional survey of a convenience sample of 319 students attending school at the Tibetan Children's Villages in Northern India to test the a priori hypothesis that adolescents and young adults who escaped from Tibet to India would demonstrate increased depressive and anxiety symptoms when compared to ethnic Tibetans born and raised in exile. The Hopkins Symptom Checklist-25 (HSCL-25) was used to measure depressive and anxiety symptoms. In addition, demographic information on age, sex, country of birth and frequency of family contact was collected. Students born in Tibet had higher mean HSCL-25 depressive and anxiety symptom scores than did ethnic Tibetans born in exile. Female students demonstrated higher depressive and anxiety scores, as did those with limited contact with immediate family. After adjusting for sex, age and frequency of family contact, being born in Tibet was associated with increased HSCL-25 depressive and anxiety symptom scores (depression: F[2, 316] = 29.96, P < 0.0001; anxiety: F[4, 316] = 43.57, P < 0.0001). The experience of being raised in Tibet and escaping to India appears to be a risk factor for increased depressive and anxiety symptoms when compared to being born and raised within an exile community in India or Nepal.

  18. Maternal postpartum distress and childhood overweight

    DEFF Research Database (Denmark)

    Ajslev, Teresa A; Andersen, Camilla S; Ingstrup, Katja G


    We investigated associations between maternal postpartum distress covering anxiety, depression and stress and childhood overweight.......We investigated associations between maternal postpartum distress covering anxiety, depression and stress and childhood overweight....

  19. Perfectionism, Procrastination, and Psychological Distress (United States)

    Rice, Kenneth G.; Richardson, Clarissa M. E.; Clark, Dustin


    Using a cross-panel design and data from 2 successive cohorts of college students ( N = 357), we examined the stability of maladaptive perfectionism, procrastination, and psychological distress across 3 time points within a college semester. Each construct was substantially stable over time, with procrastination being especially stable. We also…

  20. Why Do Distressed Firms Acquire?

    NARCIS (Netherlands)

    Q. Zhang (Quxian)


    textabstractAcquisitions made by distressed firms in recent years are economically important. This paper explores the rationale behind such acquisitions using a natural experiment. Exploiting a recent tax change which reduces debt restructuring costs for certain creditors and decreases bankruptcy

  1. Translatio studii: The contribution of exiles to the establishment of Sociology and Art History in Britain, 1933-1960

    Directory of Open Access Journals (Sweden)

    Burke, Peter


    Full Text Available This story is a small part of a larger one, the Great Diaspora of central and east European intellectuals in the 1930s, to Britain, USA, France, Latin America etc. Exile may be regarded as a school, a form of adult education, not only for the exiles themselves but also for some of the natives who came to know them. Focussing still more sharply, let us consider the intellectual consequences of the diaspora on an insular culture, with special reference to two relatively new and small disciplines. Both sociology and art history were more highly developed in central Europe in the 1930s than they were in Britain, allowing a few remarkable immigrants to make a contribution quite disproportionate to their numbers. How does one establish a new discipline? In short, what is offered here is a kind of social history or historical sociology of both art history and sociology itself, suggesting that the contribution of the exiles should be regarded not a simple import or transfer of knowledge but rather as a cultural encounter leading to changes on both sides, to a kind of cultural hybridization.Este ensayo es una pequeña parte de una historia más amplia, la gran diáspora de intelectuales del Centro y Este de Europa en los años treinta, hacia Gran Bretaña, EEUU, Francia, América latina, etc. El exilio puede ser observado como una escuela, una forma de educación de adultos, no sólo para los propios exiliados sino también para algunos de los nativos que llegaron a conocerlos. De forma más precisa, consideramos las consecuencias intelectuales de la diáspora en una cultura insular, con mención especial a dos disciplinas relativamente nuevas y pequeñas. La sociología y la historia del arte estaban en los años treinta mucho más desarrolladas en Europa central de lo que lo estaban en las islas Británicas, permitiendo a algunos destacados inmigrantes realizar una desproporcionada contribución si tenemos en cuenta su número. ¿Cómo se establece una

  2. Distress management. Clinical practice guidelines. (United States)


    The evaluation and treatment model expressed in the NCCN Distress Management Guidelines recommends that each new patient be rapidly assessed in the office or clinic waiting room for evidence of distress using a brief screening tool (the Distress Thermometer and Problem List) presented in Figure 1 (see page 369). A score of 5 or greater on the thermometer should trigger further evaluation and referral to a psychosocial service. The choice of which service should be determined by the problem areas specified on the Problem List. Patients with practical and psychosocial problems are referred to social work, emotional or psychological (excessive sadness, worry, nervousness) problems to mental health, and spiritual concerns to pastoral counselors. The primary oncology team members--doctor, nurse, and social worker--are central to making this model work. Team members collect information from the brief screening and problem list and expand it with the clinical evaluation. It is critical for at least one team member to be familiar with the mental health, psychosocial, and pastoral counseling resources available in the institution and the community. A list of the names and phone numbers for these resources should be kept in all oncology clinics and updated frequently. The first step in implementing this model is to establish a multidisciplinary committee in each institution or office responsible for 1) revising and modifying the standards of care to fit the particular clinical care setting and 2) implementing and monitoring the use of these standards. Because each institution has its own culture, standards must be implemented in ways that are compatible with each institution. The second step is to institute professional educational programs to ensure that staff is 1) aware that distress is under-recognized, 2) knowledgeable about the management of distress, and 3) aware of the resources available to treat it. It is important to have access to mental health professionals and

  3. Luis Alcoriza o la mexicanización del exiliado cinematográfico republicano = Luis Alcoriza or the Mexican Nationalization of the Republican Cinematography Exile

    Directory of Open Access Journals (Sweden)

    Jorge Chaumel Fernández


    Full Text Available Luis Alcoriza,  exiliado republicano español en México, desarrolló su carrera como  actor, guionista y director en su patria de adopción dándola algunas de sus mejores películas. En su condición de exiliado dispuso de mayor objetividad para mostrar los cambios de la sociedad mexicana y de sus principales problemas políticos. Figura imprescindible de la evolución del Cine Mexicano  de  la segunda mitad del siglo XX, se configura como uno de los principales ejemplos del  fenómeno de mexicanización de los cineastas exiliados.Luis Alcoriza, Spanish republican exile in Mexico, developed his career as an actor, writer and director in his adopted country giving her some of his best films. In his exile he had before as objective to show the changes in Mexican society and its major political problems. Essential figure in the evolution of Mexican cinema in the second half of the twentieth century stands as one of the prime examples of the phenomenon of mexicanización of exiled filmmakers.

  4. On the Jewish Nature of Medieval Spanish Biblical Translations Linguistic Differences between Medieval and Post-Exilic Spanish Translations of the Bible

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    Schwarzwald, Ora


    Full Text Available A linguistic comparison of medieval Spanish translations of the Hebrew Bible and the Constantinople and Ferrara post exilic Ladino translations reveals systematic lexical and grammatical variations. These differences can be explained by the population groups to which the translations were targeted: Christian for the medieval translations; Jewish (or former converso for the post-exilic ones. The conclusion is that the medieval translations are not Jewish in nature and could therefore not have been a source for the post-exilic versions which were based on oral tradition.

    Una comparación lingüística de las traducciones hispano-medievales de la Biblia hebrea y las postexílicas de Constantinopla y Ferrara revela variaciones sistemáticas léxicas y gramaticales. Esas diferencias pueden explicarse por la audiencia a las que iban dirigidas dichas traducciones: cristiana, en el caso de las medievales; judía (o exconversa en el de las post-exílicas. La autora concluye que las traducciones medievales no son judías, por naturaleza, y en consecuencia, no podrían haber sido una fuente para las versiones post-exílicas que estaban basadas en la tradición oral.

  5. Risk factors for longer term psychological distress in well-functioning fibromyalgia patients: a prospective study into prognostic factors.

    NARCIS (Netherlands)

    Koulil, S. van; Lankveld, W.G.J.M. van; Kraaimaat, F.W.; Riel, P.L.C.M. van; Evers, A.W.M.


    OBJECTIVE: Psychological distress is a key risk factor for long-term complaints in fibromyalgia (FM). Prognostic factors for psychological distress might facilitate an early identification of patients at risk to help prevent long-term dysfunction, especially for the relatively well-functioning

  6. Public hospitals in financial distress: Is privatization a strategic choice? (United States)

    Ramamonjiarivelo, Zo; Weech-Maldonado, Robert; Hearld, Larry; Menachemi, Nir; Epané, Josué Patien; O'Connor, Stephen


    As safety net providers, public hospitals operate in more challenging environments than private hospitals. Such environments put public hospitals at greater risk of financial distress, which may result in privatization and deterioration of the safety net. The purpose of this study was to investigate whether financial distress is associated with privatization among public hospitals. We used panel data merged from the American Hospital Association Annual Survey, Medicare Cost Reports, Area Resource File, and Local Area Unemployment Statistics. Our study population consisted of all U.S. nonfederal acute care public hospitals in 1997 tracked through 2009, resulting in 6,426 hospital-year observations. The dependent variable "privatization" was defined as conversion from public status to either private not-for-profit or private for-profit status. The main independent variable, "financial distress," was based on the Altman Z-score methodology. Control variables included market and organizational factors. Two random-effects logistic regression models with state and year fixed-effects were constructed. The independent and control variables were lagged by 1 year and 2 years for Models 1 and 2, respectively. Public hospitals in financial distress had greater odds of being privatized than public hospitals not in financial distress: (OR = 4.53, p resources and may provide financial relief to government entities from the burden of continuously funding a hospital operating at a loss, which in turn may help keep the hospital open and preserve access to care for the community. Privatizing a financially distressed public hospital may be a better strategic alternative than closure. The Altman Z-score could be used as a managerial tool to monitor hospitals' financial condition and take corrective actions.

  7. Homosexuality: how therapists can help?

    Directory of Open Access Journals (Sweden)

    Mudassir Hassan


    Full Text Available The American Psychiatric Association removed homosexuality from its list of mental disorders in 1974. Before that, for more than a century, homosexuality and bisexuality were assumed to be mental illnesses. Studies have shown that there is no difference between homosexual and heterosexual individuals with regard to psychological functioning. However, an effect of stress related to stigmatisation was observed in the cases of homosexuality. Such kind of stress may increase the risk of suicide attempts, substance abuse, human immunodeficiency virus (HIV/acquired immunodeficiency syndrome (AIDS, and emotional distress. Findings of researches have suggested that there is a need for better education and training of mental health practitioners in this area. Therefore, in the present paper, few cases of homosexuality are discussed in the context of effect of stigmatisation and aspects of intimate relationships in these individuals. Further, the role of psychologists/professionals as therapists in providing their help to homosexual clients has also been presented.

  8. Gendered experiences of conflict and co-operation in heterosexual relations of Somalis in exile in Gothenburg, Sweden. (United States)

    Aden, A S; Dahlgren, L; Tarsitani, G


    Political upheaval and poverty at home has been forcing many Somalis to immigrate. These immigrants do not only leave their physical house, families, relatives, loved ones, friends, but also familiarities, culture, customs, and often they do end up in no man's land being between their own and new home culture. Available reports suggest that there are about 15,000 Somalis in Sweden and their majority came here from late 1989 to 1996. About one third these immigrants live in and around the city of Gothenburg. This paper explores and describes gendered experiences of conflict and co-operation in heterosexual relations of Somalis in exile in Gothenburg, Sweden. A qualitative sociological in-depth interviews with 6 women and 7 men was performed during May 1999 to January 2000. A follow up focus group interviews with 10 people (2 women and 8 men) was also carried on. The results show that both the Somali culture and Muslim religion do not support the children being taught sex education in schools or the names of the sex organs being pronounced other than to be used as metaphors. The girls, unlike their age group males, experience a very painful and terrifying process during childhood in which their self-esteem is downgraded by means of serious degrading traditional active violence such as female genital mutilation and visible virginity control. The narratives tell stories in which Somali women are degraded and expected to obey in situations characterised by their man's arbitrariness. They are subject to a very extensive form of social control, which is especially pronounced on issues regarding sexuality. Their integrity as women is, consequently set aside. When Somali refugees came to Sweden some of them came to adopt much of the modern lifestyle and cultural norm systems, preferable young people and some of the females. Relating to a new culture with its new expectations on the norm obedience also created changes in self-esteem. Exile situation tends to generate

  9. Preoperative psychological distress, coping and quality of life in Chinese patients with newly diagnosed gastric cancer. (United States)

    Hong, Jingfang; Wei, Zengzeng; Wang, Weili


    The purpose of this study was to investigate the prevalence of preoperative psychological distress and its relationship with coping style and quality of life in Chinese patients with newly diagnosed gastric cancer. Being newly diagnosed with cancer can be a source of psychological distress. Understanding the preoperative psychological distress may contribute to the development of appropriate interventions. This is a descriptive correlational survey study. The study was conducted in two teaching hospitals in Anhui province, China. A total of 165 patients with gastric cancer completed a battery of self-report questionnaires including the Distress Thermometer, the revised Chinese version of the Quality of Life Questionnaire-Stomach 22 and the Cancer Coping Modes Questionnaire. The prevalence of clinically significant preoperative psychological distress was 76·97% in this group. Statistically significant correlations were identified between the distress score and stomach pain, eating restrictions and anxiety subscale. Positive associations were found between the distress scores and four subdimensions of coping (avoidance and suppression, resignation, fantasy and catharsis), whereas a negative association was found between the distress scores and one subdimension of coping (Confrontation). There were also significant differences in the quality of life and coping style of patients who had different psychological distress statuses. These findings indicate a relatively high prevalence of preoperative psychological distress among Chinese patients with gastric cancer. Patients with clinically psychological distress were more likely to have poor quality of life and to demonstrate negative coping styles. Nursing professionals need to carefully assess the psychological status of patients with gastric cancer. Tailored interventions can be administered to help these patients appropriately cope with the disease and to enhance their quality of life. © 2015 John Wiley & Sons Ltd.

  10. 47 CFR 80.314 - Distress communications. (United States)


    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Distress communications. 80.314 Section 80.314 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE... § 80.314 Distress communications. (a) The international radiotelephone distress signal consists of the...

  11. The patient dignity inventory: a novel way of measuring dignity-related distress in palliative care. (United States)

    Chochinov, Harvey Max; Hassard, Thomas; McClement, Susan; Hack, Thomas; Kristjanson, Linda J; Harlos, Mike; Sinclair, Shane; Murray, Alison


    Quality palliative care depends on a deep understanding of distress facing patients nearing death. Yet, many aspects of psychosocial, existential and spiritual distress are often overlooked. The aim of this study was to test a novel psychometric--the Patient Dignity Inventory (PDI)--designed to measure various sources of dignity-related distress among patients nearing the end of life. Using standard instrument development techniques, this study examined the face validity, internal consistency, test-retest reliability, factor structure and concurrent validity of the PDI. The 25-items of the PDI derive from a model of dignity in the terminally ill. To establish its basic psychometric properties, the PDI was administered to 253 patients receiving palliative care, along with other measures addressing issues identified within the Dignity Model in the Terminally Ill. Cronbach's coefficient alpha for the PDI was 0.93; the test-retest reliability was r = 0.85. Factor analysis resulted in a five-factor solution; factor labels include Symptom Distress, Existential Distress, Dependency, Peace of Mind, and Social Support, accounting for 58% of the overall variance. Evidence for concurrent validity was reported by way of significant associations between PDI factors and concurrent measures of distress. The PDI is a valid and reliable new instrument, which could assist clinicians to routinely detect end-of-life dignity-related distress. Identifying these sources of distress is a critical step toward understanding human suffering and should help clinicians deliver quality, dignity-conserving end-of-life care.

  12. Psychological distress, perceived stigma, and coping among caregivers of patients with schizophrenia (United States)

    Ong, Hui Chien; Ibrahim, Norhayati; Wahab, Suzaily


    Nowadays, family members are gradually taking on the role of full-time caregivers for patients suffering from schizophrenia. The increasing burden and tasks of caretaking can cause them psychological distress such as depression or anxiety. The aim of this study was to measure the correlation between perceived stigma and coping, and psychological distress as well as determine the predictors of psychological distress among the caregivers. Results showed that 31.5% of the caregivers experienced psychological distress. “Community rejection” was found to be positively associated with psychological distress. In case of coping subscales, psychological distress had a positive correlation with substance use, use of emotional support, behavioral disengagement, venting, and self-blame, while it was negatively correlated with “positive reframing”. Behavioral disengagement was the best predictor of psychological distress among caregivers of patients with schizophrenia, followed by positive reframing, use of emotional support, self-blame, and venting. Health practitioners can use adaptive coping strategies instead of maladaptive for caregivers to help ease their distress and prevent further deterioration of psychological disorders. PMID:27574475

  13. Relationship of age and gender to the prevalence and correlates of psychological distress in later life. (United States)

    Byles, Julie E; Gallienne, Lucy; Blyth, Fiona M; Banks, Emily


    As populations age, psychological distress in late life will become of increasing public health and social importance. This study seeks to bridge the gap in information that exists about psychological distress in late life, by exploring the prevalence of psychological distress among a very large sample of older adults to determine the impact of age and gender, and the modifying effect of these factors on the associations between measures of psychological distress and sociodemographic and comorbid conditions. We analyzed self-reported data from 236,508 men and women in the New South Wales 45 and Up Study, to determine the impact of age and gender, and the modifying effects of these factors on associations between psychological distress and sociodemographic and comorbid conditions. Higher education, married status, and higher income were associated with lower risk of psychological distress. Although overall prevalence of psychological distress is lower at older ages, this increases after age 80, and is particularly associated with physical disabilities. Some older people (such as those requiring help because of disability and those with multiple comorbid health conditions) are at increased risk of psychological distress. These findings have implications for both healthcare providers and policy-makers in identifying and responding to the needs of older people in our aging society.

  14. Influence of irradiation on therapy-associated psychological distress in breast carcinoma patients

    International Nuclear Information System (INIS)

    Mose, Stephan; Budischewski, Kai Michael; Rahn, Angelika Notburga; Zander-Heinz, Anja Christina; Bormeth, Sabine; Boettcher, Heinz Dietrich


    Purpose: To confirm our assumptions regarding factors that apparently cause psychological distress related to adjuvant radiotherapy in breast cancer patients and to evaluate variables that can predict therapy-associated distress. Methods and Materials: Between January 1997 and April 1998, 111 women (33-84 years) with early-stage breast cancer were irradiated (56 Gy) after breast-conserving surgery. Patients were given self-assessment questionnaires on the first and last day of radiotherapy. Statistical analysis was performed using the structural equation model LISREL, variance analysis, and regression analysis. Results: The internal subject-related factors (coping, radiation-related anxiety, physical distress, psychological distress) reciprocally influenced each other, whereas external radiotherapy-specific factors (environmental influence, confidence in the medical staff) were causally related to coping, anxiety, and distress. Fifty-three percent of the women felt distressed because cancer affected the breast; 48% were initially afraid of radiotherapy. For 36%, anxiety was not reduced during treatment. Highly distressed women were identified by the following parameters: ≤58 years; initial anxiety; they were affected by having breast cancer, were negatively affected by environmental factors, and did not find distraction helpful. Conclusion: Despite considerable individual variability in breast cancer patients, it seems possible to identify women who run a high risk of therapy-associated distress. In these patients, psychosocial support is necessary to reduce treatment-related anxiety and to stabilize confidence in the medical staff

  15. Psychological distress, perceived stigma, and coping among caregivers of patients with schizophrenia

    Directory of Open Access Journals (Sweden)

    Ong HC


    Full Text Available Hui Chien Ong,¹ Norhayati Ibrahim,² Suzaily Wahab³ ¹Biomedical Science Programme, ²Health Psychology Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, ³Department of Psychiatry, Faculty of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia Abstract: Nowadays, family members are gradually taking on the role of full-time caregivers for patients suffering from schizophrenia. The increasing burden and tasks of caretaking can cause them psychological distress such as depression or anxiety. The aim of this study was to measure the correlation between perceived stigma and coping, and psychological distress as well as determine the predictors of psychological distress among the caregivers. Results showed that 31.5% of the caregivers experienced psychological distress. “Community rejection” was found to be positively associated with psychological distress. In case of coping subscales, psychological distress had a positive correlation with substance use, use of emotional support, behavioral disengagement, venting, and self-blame, while it was negatively correlated with “positive reframing”. Behavioral disengagement was the best predictor of psychological distress among caregivers of patients with schizophrenia, followed by positive reframing, use of emotional support, self-blame, and venting. Health practitioners can use adaptive coping strategies instead of maladaptive for caregivers to help ease their distress and prevent further deterioration of psychological disorders. Keywords: family caregivers, social stigma, coping skills, psychological stress, schizophrenia

  16. Psychological Distress and Revictimization Risk in Youth Victims of Sexual Abuse. (United States)

    Pittenger, Samantha L; Schreier, Alayna; Meidlinger, Katie; Pogue, Jessica K; Theimer, Kate; Flood, Mary Fran; Hansen, David J


    Psychological distress, including depression and anxiety, has been associated with increased risk for sexual revictimization in youth who have experienced child sexual abuse. The present study utilized assessment information from treatment seeking youth with histories of sexual abuse to explore specific risk indicators for revictimization-risk taking, social problems, maladaptive cognitions, and posttraumatic stress-that may be indicated by self-reported distress. The relationship between initial levels of distress and change in symptoms over a 12-week course of treatment was also explored. Participants were 101 youth referred to a child-focused therapeutic group for victims of sexual abuse, 65 youth referred to an adolescent-focused group, and their non-offending caregivers. Results revealed that when combined into a distress score, depression and anxiety were associated with delinquent behaviors, interpersonal difficulties, maladaptive cognitions, and posttraumatic stress symptoms for child and adolescent group participants at presentation to treatment. Children exhibited improvement on measures of interpersonal difficulties, maladaptive cognitions, and self-reported posttraumatic stress disorder (PTSD) symptoms. Adolescents exhibited less change over time, with significant improvement on self-reported social problems and PTSD only. Higher psychological distress was associated with less improvement in regard to negative expectations of abuse impact for child group participants. The findings suggest that distress indicates the presence of specific revictimization risk indicators, helping to identify targetable symptoms for intervention. Therefore, screening for psychological distress after discovery of sexual abuse may help detect youth at higher risk for revictimization and guide treatment.

  17. Spanish exiles and the dilemma of the Cold War. Prieto, Esplá, Araquistáin and Llopis | Exiliados españoles en la encrucijada de la Guerra Fría. Prieto, Esplá, Araquistáin y Llopis

    Directory of Open Access Journals (Sweden)

    Pedro Luis Angosto Vélez


    Full Text Available Personal attitudes were a determining factor in the position of Spanish Republican exiles regarding the question of restoring democracy in Spain at the beginning of the Cold War. After the Second World War had ended, many exiles came cherish a hope that such a development might be possible with the help of the victorious democracies, particularly the United States and the United Kingdom. They failed, however, to reach agreement as to which tactic to use in order to enlist this help, with some arguing in favour of giving the leading role to the government in exile, while others felt it was preferable to strike an agreement between all Spanish anti-Francoist groups in order to present a united democratic front to the new international institutions which had emerged in the post-war climate. The subtleties of both positions may be examined through a study of influential figures such as Indalecio Prieto, Carlos Esplá, Rodolfo Llopis and Luis Araquistán, of whom we now have a greater knowledge thanks to recent biographies, which form the basis of this work. | Las actitudes personales es un factor determinante de la posición del exilio republicano español ante el problema de la restauración de la democracia en España en la coyuntura del inicio de la Guerra Fría. Finalizada la Segunda Guerra Mundial, en los medios del exilio se generalizó la esperanza de que tal cosa era posible gracias a la ayuda de las democracias vencedoras, en particular de Estados Unidos y el Reino Unido. Sin embargo, no hubo unanimidad sobre la táctica a seguir para recabar esa ayuda, pues mientras unos abogaron por conceder el máximo protagonismo al gobierno en el exilio, otros consideraron más oportuno establecer un acuerdo entre las fuerzas antifranquistas españolas para presentar un frente democrático unido ante las nuevas instituciones internacionales surgidas del conflicto mundial. Ambas posturas presentan matices que pueden ser examinados a partir del talante

  18. Risk factors for longer term psychological distress in well-functioning fibromyalgia patients: a prospective study into prognostic factors. (United States)

    van Koulil, Saskia; van Lankveld, Wim; Kraaimaat, Floris W; van Riel, Piet L C M; Evers, Andrea W M


    Psychological distress is a key risk factor for long-term complaints in fibromyalgia (FM). Prognostic factors for psychological distress might facilitate an early identification of patients at risk to help prevent long-term dysfunction, especially for the relatively well-functioning patients showing little distress who are usually not considered for treatment. This study hence examines potential prognostic factors in this subgroup. Psychological distress, physical functioning, illness cognitions (helplessness, acceptance), pain-avoidance factors (passive pain-coping, fear of pain, hypervigilance), and social factors (social support, social reinforcement) was assessed in 78 low-distress FM patients at baseline and after a mean of 9 months (SD=3.3). Baseline physical functioning did not predict changes in psychological distress, whereas a higher level of hypervigilance, less acceptance, and less perceived social support predicted an increase in psychological distress at follow-up. Illness cognitions, pain-avoidance factors, and social support can be considered as prognostic factors predicting changes in psychological distress in FM. More research is needed to investigate additional factors that could also be implicated (e.g. personality factors, stressful events). Timely assessment of illness cognitions, pain-avoidance factors, and social support may help identify subgroups of relatively well-functioning FM patients at risk of longer term aggravated psychological distress. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.

  19. Help-Negation and Suicidal Ideation: The Role of Depression, Anxiety and Hopelessness (United States)

    Wilson, Coralie J.; Deane, Frank P.


    Help-negation is expressed behaviorally by the refusal or avoidance of available help and cognitively by the inverse relationship between self-reported symptoms of psychological distress and help-seeking intentions. The current study examined the association between suicidal ideation and intentions to seek help from friends, family and…

  20. Anxiety, emotional suppression, and psychological distress before and after breast cancer diagnosis. (United States)

    Iwamitsu, Yumi; Shimoda, Kazutaka; Abe, Hajime; Tani, Tohru; Okawa, Masako; Buck, Ross


    The authors examined the influence of anxiety and emotional suppression on psychological distress in 21 patients with breast cancer and 72 patients with benign breast tumor. The patients with breast cancer who suppressed emotion and had chronically high levels of anxiety felt higher levels of emotional distress both before and after the diagnosis. Such patients need psychological interventions, including encouragement to express and communicate their emotions, immediately after disclosure of the diagnosis to help maintain psychological adjustment in the face of the disease.

  1. Acute respiratory distress after transfusion

    Directory of Open Access Journals (Sweden)

    Michael Jožef Gradišek


    Conclusions: Transfusion-related acute lung injury (TRALI and transfusion-associated circulatory overload (TACO are clinical syndromes with predominant pulmonary injury and respiratory distress. Anaphylactic reaction, hemolytic transfusion reaction and transfusion of contaminated blood products also impair lung function but are less frequent. Transfusion in critically ill and injured patient is an independent risk factor for acute lung injury. It remains to be determined whether transfusion is the cause of increased mortality or only an indicator of disease severity

  2. Incidence of respiratory distress syndrome

    International Nuclear Information System (INIS)

    Ghafoor, T.; Mahmud, S.; Ali, S.; Dogar, S.A.


    Objective: To determine the incidence of respiratory distress syndrome (RDS) in hospital born babies. Subjects and Methods: All live born infants delivered at the hospital and who fulfilled the diagnostic criteria of respiratory distress syndrome (RDS) were included in the study. Results: Ninety-four neonates developed RDS. Out of these, 88 (93.61%) were preterm and 06 (6.38%) were term infants. There was a male preponderance (65.95%). RDS was documented in 1.72% of total live births. 37.28% of preterm and 0.11% of term neonates born at the hospital. The incidence of RDS was 100% at 26 or less weeks of gestation, 57.14% at 32 weeks, and 3.70% at 36 weeks. The mortality with RDS was 41 (43.61%). Conclusion: RDS is the commonest cause of respiratory distress in the newborn, particularly, in preterm infants. It carries a high mortality rate and the incidence is more than that documented in the Western world. (author)

  3. Industry specific financial distress modeling

    Directory of Open Access Journals (Sweden)

    Naz Sayari


    Full Text Available This study investigates uncertainty levels of various industries and tries to determine financial ratios having the greatest information content in determining the set of industry characteristics. It then uses these ratios to develop industry specific financial distress models. First, we employ factor analysis to determine the set of ratios that are most informative in specified industries. Second, we use a method based on the concept of entropy to measure the level of uncertainty in industries and also to single out the ratios that best reflect the uncertainty levels in specific industries. Finally, we conduct a logistic regression analysis and derive industry specific financial distress models which can be used to judge the predictive ability of selected financial ratios for each industry. The results show that financial ratios do indeed echo industry characteristics and that information content of specific ratios varies among different industries. Our findings show diverging impact of industry characteristics on companies; and thus the necessity of constructing industry specific financial distress models.

  4. Respiratory Distress Syndrome and its Complications

    Directory of Open Access Journals (Sweden)

    Eren Kale Cekinmez


    Full Text Available Respiratory distress syndrome in premature babies is one of the most common and most important health problems in newborns. Respiratory distress syndrome of newborn is a syndrome in premature infants caused by developmental insufficiency of surfactant production and structural immaturity in the lungs. Respiratory distress syndrome begins shortly after birth and is manifest by tachypnea, tachycardia, chest wall retractions, expiratory grunting, nasal flaring and cyanosis during breathing efforts. Respiratory distress syndrome or complications caused by respiratory distress syndrome are the most important causes of mortality and morbidity in premature infants. This article briefly reviews respiratory distress syndrome and its complications. [Archives Medical Review Journal 2013; 22(4.000: 615-630

  5. Moral Agency, Moral Imagination, and Moral Community: Antidotes to Moral Distress. (United States)

    Traudt, Terri; Liaschenko, Joan; Peden-McAlpine, Cynthia


    Moral distress has been covered extensively in the nursing literature and increasingly in the literature of other health professions. Cases that cause nurses' moral distress that are mentioned most frequently are those concerned with prolonging the dying process. Given the standard of aggressive treatment that is typical in intensive care units (ICUs), much of the existing moral distress research focuses on the experiences of critical care nurses. However, moral distress does not automatically occur in all end-of-life circumstances, nor does every critical care nurse suffer its damaging effects. What are the practices of these nurses? What specifically do they do to navigate around or through the distressing situations? The nursing literature is lacking an answer to these questions. This article reports a study that used narrative analysis to explore the reported practices of experienced critical care nurses who are skilled at and comfortable working with families and physicians regarding the withdrawal of aggressive treatment. A major finding was that these nurses did not report experiencing the damaging effects of moral distress as described in the nursing literature. The verbal communication and stated practices relevant to this finding are organized under three major themes: (1) moral agency, (2) moral imagination, and (3) moral community. Further, a total of eight subthemes are identified. The practices that constitute these themes and subthemes are further detailed and discussed in this article. Understanding these practices can help mitigate critical care nurses' moral distress. Copyright 2016 The Journal of Clinical Ethics. All rights reserved.

  6. Monitoring mechanisms and financial distress of public listed companies in Malaysia

    Directory of Open Access Journals (Sweden)

    Soheil Kazemian


    Full Text Available This study examines the relationships between financial distress and financial ratio (liquidity, leverage, profitability, firm’s performance, and dividend among public listed companies, using the Altman Z-Score to determine the financial distress levels among public listed companies in Malaysia. Five-year data has been collected (2010 to 2014 from the annual financial statements and from Data Stream of public listed companies in Malaysia. The findings indicate significant relationships between liquidity, leverage, profitability, firm’s performance, and dividend with the financial distress levels among the companies in question. This study also examines the interaction effects of financial ratios and the year after implementation of the Malaysian Code on Corporate Governance (MCCG in 2012 on financial distress levels. The results suggest that only liquidity and firm’s performance have stronger effects on financial distress levels in two years after MCCG implementation. This indicates that after the implementation of the Code, liquidity and firms’ performance ratios had strong and significant effect on financial distress levels. Overall, this study could help investors, creditors as well as external regulators in monitoring companies from being classified as financially distressed companies.

  7. Care givers' depression, anxiety, distress, and somatization as predictors of identical symptoms in cancer patients. (United States)

    Padmaja, Gadiraju; Vanlalhruaii, Chhakchhuak; Rana, Suvashisa; Nandinee, Durgesh; Hariharan, Meena


    The critical condition of the cancer patient and the stringent medical procedures do not often warrant the accessibility of the patient for psychological evaluation. Therefore, the study is conceptualized to assess the psychological problems of caregivers, which in turn have their impact upon cancer patients. The objective of the study was to explore the relationships between depression, anxiety, distress, and somatization in cancer patients and their caregivers along with age, gender, and relationship; and to measure whether these psychological problems of caregivers were predictors of the identical symptoms of the cancer patients. Four-Dimensional Symptom Questionnaire was used to measure depression, anxiety, distress, and somatization of cancer patients and their caregivers. The sample had 200 participants, with 100 patients (male = 47 and female = 53) and 100 caregivers. (male = 36 and female = 64) selected by purposive sampling method. The data were analyzed by using descriptive statistics, product.moment correlations, simple and multiple linear regression analyses. Significant correlations were found between cancer patients' depression and anxiety, and caregivers' depression, anxiety, distress, and somatization; patients' distress and somatization, and caregivers' anxiety and age, respectively. It was also found that anxiety was a significant predictor of distress in patients, and that caregivers' depression, anxiety, distress, and somatization significantly predicted depression and anxiety in cancer patients. The association between depression, anxiety, distress, and somatization of caregivers and patients indicates the need for psychological interventions to manage these problems of caregivers, which would in turn help managing the identical symptoms in patients.

  8. Petrography, mineralogy, and chemistry of calcite-silica deposits at Exile Hill, Nevada, compared with local spring deposits

    International Nuclear Information System (INIS)

    Vaniman, D.T.; Chipera, S.J.; Bish, D.L.


    Chemical, mineralogic, and petrographic analyses of siliceous calcretes from Exile Hill east of Yucca Mountain, Nevada, indicate that pedogenic processes alone account for the formation of the calcretes. These calcretes have been interpreted by some observers as evidence of seismically triggered eruptions of deep water. Such an origin could have important consequences if Yucca Mountain is developed as an unsaturated site for the disposal of high-level nuclear waste. At odds with this hypothesis are the absence of features that should be present at fault-fed springs (e.g., fissure-ridge mounds with microterraces) and the preservation within root casts of delicate pedogenic microfossils, such as calcified filaments and needle-fiber calcites. Mineral-chemical evidence of pedogenic origin is found in heavy-mineral concentrations, reflected in Fe and Sc enrichments. These concentrations, which occur in the most massive of the vein calcretes, require derivation of detritus from a mixture of weathered and eolian materials that occur in the overlying B soil horizons, as opposed to direct incorporation of adjacent unweathered bedrock. Carbonate and silica abundances and accumulation rates are well within the scope of pedogenic processes. Calcium is derived from rainwater or eolian sources, whereas silica is derived in part by dissolution of local volcanic glasses or from dissolution of unstable silica minerals that are abundant in the local tuffs. In contrast with local deposits that are of spring or seep origin, the siliceous calcretes at Yucca Mountain are pedogenic in origin as well as evolution and provide no evidence in support of conjectured spring activity

  9. Petrography, mineralogy, and chemistry of calcite-silica deposits at Exile Hill, Nevada, compared with local spring deposits

    Energy Technology Data Exchange (ETDEWEB)

    Vaniman, D.T.; Chipera, S.J.; Bish, D.L.


    Chemical, mineralogic, and petrographic analyses of siliceous calcretes from Exile Hill east of Yucca Mountain, Nevada, indicate that pedogenic processes alone account for the formation of the calcretes. These calcretes have been interpreted by some observers as evidence of seismically triggered eruptions of deep water. Such an origin could have important consequences if Yucca Mountain is developed as an unsaturated site for the disposal of high-level nuclear waste. At odds with this hypothesis are the absence of features that should be present at fault-fed springs (e.g., fissure-ridge mounds with microterraces) and the preservation within root casts of delicate pedogenic microfossils, such as calcified filaments and needle-fiber calcites. Mineral-chemical evidence of pedogenic origin is found in heavy-mineral concentrations, reflected in Fe and Sc enrichments. These concentrations, which occur in the most massive of the vein calcretes, require derivation of detritus from a mixture of weathered and eolian materials that occur in the overlying B soil horizons, as opposed to direct incorporation of adjacent unweathered bedrock. Carbonate and silica abundances and accumulation rates are well within the scope of pedogenic processes. Calcium is derived from rainwater or eolian sources, whereas silica is derived in part by dissolution of local volcanic glasses or from dissolution of unstable silica minerals that are abundant in the local tuffs. In contrast with local deposits that are of spring or seep origin, the siliceous calcretes at Yucca Mountain are pedogenic in origin as well as evolution and provide no evidence in support of conjectured spring activity.

  10. Introduction: «You think you’ve left behind zombies». Youth Emigration: Adventure or Exile?

    Directory of Open Access Journals (Sweden)

    Carles Feixa


    Full Text Available One of the side-effects of the financial crisis that started in 2008 has been youth emigration abroad, especially to Europe. The cultural narratives around the phenomenon are ambiguous: on one side it is seen as an attractive adventure (promoted by some politicians and businessmen, while on the other it is seen as a forced exile (denounced by social movements and youth organisations. Although this migration process is reminiscent of a previous massive emigration wave —which took place in the 50s and 60s— its character has changed: these are not rural or working class young people with low educational capital but young urban mesocracy often with very high levels of education. Mobility and communication strategies have also changed: the train, the letters and the one-way journeys have been replaced by low-cost flights, Skype and pendular journeys. In any case, this process is inscribed in the dynamics of transnational intra- and extra- European juvenile mobility, and accompanies the «anthropological journey» from the study of the «other» (young people in transit from the Global South to Spain to the study of «us» (our own young people in transit to the global North. The article introduces texts for this edition on Emerging Themes and aims to analyse the youth emigration process as a «total social fact» (Marcel Mauss, setting up a dialogue between the economic, family, political and ideological resources of Spanish society, in the context of the current economic crisis and its aim for social renewal.

  11. Respiratory distress in the newborn. (United States)

    Reuter, Suzanne; Moser, Chuanpit; Baack, Michelle


    Respiratory distress presents as tachypnea, nasal flaring, retractions, and grunting and may progress to respiratory failure if not readily recognized and managed. Causes of respiratory distress vary and may not lie within the lung. A thorough history, physical examination, and radiographic and laboratory findings will aid in the differential diagnosis. Common causes include transient tachypnea of the newborn, neonatal pneumonia, respiratory distress syndrome (RDS), and meconium aspiration syndrome (MAS). Strong evidence reveals an inverse relationship between gestational age and respiratory morbidity. (1)(2)(9)(25)(26) Expert opinion recommends careful consideration about elective delivery without labor at less than 39 weeks’ gestation. Extensive evidence, including randomized control trials, cohort studies, and expert opinion, supports maternal group B streptococcus screening, intrapartum antibiotic prophylaxis, and appropriate followup of high-risk newborns according to guidelines established by the Centers for Disease Control and Prevention. (4)(29)(31)(32)(34) Following these best-practice strategies is effective in preventing neonatal pneumonia and its complications. (31)(32)(34). On the basis of strong evidence, including randomized control trials and Cochrane Reviews, administration of antenatal corticosteroids (5) and postnatal surfactant (6) decrease respiratory morbidity associated with RDS. Trends in perinatal management strategies to prevent MAS have changed. There is strong evidence that amnioinfusion, (49) oropharyngeal and nasopharyngeal suctioning at the perineum, (45) or intubation and endotracheal suctioning of vigorous infants (46)(47) do not decrease MAS or its complications. Some research and expert opinion supports endotracheal suctioning of nonvigorous meconium-stained infants (8) and induction of labor at 41 weeks’ gestation (7) to prevent MAS.

  12. Making punishment palatable: Belief in free will alleviates punitive distress. (United States)

    Clark, Cory J; Baumeister, Roy F; Ditto, Peter H


    Punishing wrongdoers is beneficial for group functioning, but can harm individual well-being. Building on research demonstrating that punitive motives underlie free will beliefs, we propose that free will beliefs help justify punitive impulses, thus alleviating the associated distress. In Study 1, trait-level punitiveness predicted heightened levels of anxiety only for free will skeptics. Study 2 found that higher state-level incarceration rates predicted higher mental health issue rates, only in states with citizens relatively skeptical about free will. In Study 3, participants who punished an unfair partner experienced greater distress than non-punishers, only when their partner did not have free choice. Studies 4 and 5 confirmed experimentally that punitive desires led to greater anxiety only when free will beliefs were undermined by an anti-free will argument. These results suggest that believing in free will permits holding immoral actors morally responsible, thus justifying punishment with diminished negative psychological consequences for punishers. Published by Elsevier Inc.

  13. Respiratory Distress Syndrome and its Complications


    Eren Kale Cekinmez; Hacer Yapicioglu Yildizdas; Ferda Ozlu


    Respiratory distress syndrome in premature babies is one of the most common and most important health problems in newborns. Respiratory distress syndrome of newborn is a syndrome in premature infants caused by developmental insufficiency of surfactant production and structural immaturity in the lungs. Respiratory distress syndrome begins shortly after birth and is manifest by tachypnea, tachycardia, chest wall retractions, expiratory grunting, nasal flaring and cyanosis during breathing effor...

  14. 47 CFR 80.324 - Transmission of distress message by station not itself in distress. (United States)


    ...) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Safety Watch Requirements and Procedures Distress, Alarm, Urgency and Safety Procedures § 80.324 Transmission of distress message by...

  15. Grandparents of children with cancer: a controlled study of distress, support, and barriers to care. (United States)

    Wakefield, Claire E; Drew, Donna; Ellis, Sarah J; Doolan, Emma L; McLoone, Jordana K; Cohn, Richard J


    For families under stress, positive grandparental relationships provide a valued 'safety net'. However, coping with family stressors can place a heavy burden on older individuals who may be experiencing declining health/energy themselves. This mixed-methods study assessed the prevalence of distress in grandparents of children with, and without, cancer, aiming to identify predictors of grandparental distress and quantify their barriers to care. Two hundred twenty-one grandparents [87 cancer group; 134 controls; mean age 65.47 years (SD = 6.97); 33.5% male] completed self-report questionnaires assessing distress, anxiety, depression, anger, 'need for help', support use, and barriers to psychosocial care. A higher proportion of grandparents in the cancer group reported clinically relevant distress (32.9% vs. 12.7%; p Grandparents rarely accessed evidence-based psychosocial support (grandparents of children with cancer were more likely to seek religious/spiritual support. Barriers to help seeking included lack of knowledge and rurality. Grandparents of children with cancer qualitatively described undisclosed feelings of uncertainty and helplessness and provided advice to other grandparents to facilitate their coping. Grandparents of children with cancer were clearly more distressed than controls. Grandparents' capacity to support their families may be limited by their own, untreated, distress. Copyright © 2014 John Wiley & Sons, Ltd.

  16. Social support, marital adjustment, and psychological distress among women with primary infertility in Pakistan. (United States)

    Qadir, Farah; Khalid, Amna; Medhin, Girmay


    This study aimed to identify prevalence rates of psychological distress among Pakistani women seeking help for primary infertility. The associations of social support, marital adjustment, and sociodemographic factors with psychological distress were also examined. A total of 177 women with primary infertility were interviewed from one hospital in Islamabad using a Self-Reporting Questionnaire, the Multidimensional Scale of Perceived Social Support, and the Locke-Wallace Marital Adjustment Test. The data were collected between November 2012 and March 2013. The prevalence of psychological distress was 37.3 percent. The results of the logistic regression suggested that marital adjustment and social support were significantly negatively associated with psychological distress in this sample. These associations were not confounded by any of the demographic variables controlled in the multivariable regression models. The role of perceived social support and adjustment in marriage among women experiencing primary infertility are important factors in understanding their psychological distress. The results of this small-scale effort highlight the need for social and familial awareness to help tackle the psychological distress related to infertility. Future research needs to focus on the way the experience of infertility is conditioned by social structural realities. New ways need to be developed to better take into account the process and nature of the infertility experience.

  17. Financial Distress Comparison Across Three Global Regions

    Directory of Open Access Journals (Sweden)

    Harlan D. Platt


    Full Text Available Globalization has precipitated movement of output and employment between regions. We examine factors related to corporate financial distress across three continents. Using a multidimensional definition of financial distress we test three hypotheses to explain financial distress using historical financial data. A null hypothesis of a single global model was rejected in favor of a fully relaxed model which created individual financial distress models for each region. This result suggests that despite other indications of worldwide convergence, international differences in accounting rules, lending practices, managements skill levels, and legal requirements among others has kept corporate decline from becoming commoditized.

  18. Premenstrual Distress Among Japanese High School Students: Self-Care Strategies and Associated Physical and Psychosocial Factors. (United States)

    Otsuka-Ono, Hiroko; Sato, Iori; Ikeda, Mari; Kamibeppu, Kiyoko


    This study aimed to identify self-care strategies and assess physical and psychosocial factors associated with premenstrual distress among high school students. A cross-sectional survey of 217 adolescent girls aged 15 to 18 years was conducted in October 2009. Most (84.3 percent) had at least one or more symptoms of premenstrual distress. Premenstrual distress interfered with normal school activity in 51.2 percent. Most participants (57.1 percent) did not perform any self-care strategies for premenstrual distress. A hierarchical multiple linear regression analysis was conducted. Comprehension of one's own physical and mental states during premenstrual phases mediated the relationship between neuroticism and premenstrual distress. Activity restrictions due to menstrual distress mediated the relationship between the family's understanding of one's behavior during premenstrual phases and premenstrual distress. Findings suggest that, even if girls have neuroticism, it will be important to teach them to address the comprehension of one's own physical and mental states so that perceptions of both premenstruation and menstruation become more positive. Findings also suggest that the family's understanding was associated with alleviation of premenstrual distress. This study suggests the need for education to help adolescent girls and their families manage premenstrual distress and increase awareness of the benefit of managing its associated symptoms.

  19. The Perceived Helpfulness of Rendering Emotional First Aid via Email (United States)

    Gilat, Itzhak; Reshef, Eyal


    The present research examined the perceived helpfulness of an increasingly widespread mode of psychological assistance, namely, emotional first aid via email. The sample comprised 62 naturally occurring email interactions between distressful clients and trained volunteers operating within the framework of the Israeli Association for Emotional…

  20. The Sevdalinka in Exile, Revisited: Young Bosnian Refugees’ Music-Making in Ljubljana in the 1990s (A Note on Applied Ethnomusicology)


    Kozorog, Miha; Bartulović, Alenka


    Scholars perceived the sevdalinka in exile as an evident expression of refugees’ Bosnian identity. Although this aspect might be important, we think that the identity dimension of the sevdalinka was overemphasised. That is why we point to the appearance of the sevdalinka in Slovenia as a complex process of experiencing uncertainty and trauma of forced migration on the one hand, and youth creativity or a search for expressive freedom on the other. Hence, we aim to move the focus from the refug...


    Directory of Open Access Journals (Sweden)

    M. Amarendra


    Full Text Available BACKGROUND Respiratory distress is a common problem encountered within the first 48-72 hours of life. It is one of the commonest cause of admission to NICU. So, it is very important to know the aetiology and risk factors associated with development of respiratory distress to provide better management. The aim of the study is to study the aetiology of respiratory distress and the risk factors associated with development of respiratory distress in term newborns. MATERIALS AND METHODS Prospective study of 100 term newborns admitted in our NICU with respiratory distress. General information, history and clinical examination findings of mother and newborn were documented. Time of onset of respiratory distress and the severity of the distress were documented. Severity was assessed using Downe’s clinical scoring. X-ray was done at 6 hours in all newborns. Various aetiologies and risk factors associated with respiratory distress were assessed. RESULTS In our study, the most common cause of respiratory distress was transient tachypnoea of newborn seen in 59% cases followed by early onset sepsis 20% cases and meconium aspiration syndrome 17% cases. Majority of newborn had severe distress (42% followed by moderate distress (35% and mild distress (23%. The risk factors associated with development of respiratory distress were low socioeconomic status, more than four per vaginal examinations, meconium-stained liquor, caesarean section, low birth weight and male sex of the baby. CONCLUSION Transient tachypnoea of newborn is the most common cause of respiratory distress in term newborns and the risk factors for development of respiratory distress are low socioeconomic status, more than four per vaginal examinations, meconiumstained liquor, caesarean section, low birth weight and male sex of the baby. Early diagnosis and management of respiratory distress in newborn is needed to decrease the severity of the disease and to reduce the mortality.



    M. Amarendra; Garuda Rama; C. Rohit Kiran; DVRB Raju


    BACKGROUND Respiratory distress is a common problem encountered within the first 48-72 hours of life. It is one of the commonest cause of admission to NICU. So, it is very important to know the aetiology and risk factors associated with development of respiratory distress to provide better management. The aim of the study is to study the aetiology of respiratory distress and the risk factors associated with development of respiratory distress in term newborns. MATERIALS ...

  3. Clinical predictors of psychological distress in patients presenting for evaluation of a spinal disorder. (United States)

    Daubs, Michael D; Hung, Man; Adams, Jacob R; Patel, Alpesh A; Lawrence, Brandon D; Neese, Ashley M; Brodke, Darrel S


    ODI scores (>58), and those taking an antidepressant or another psychotropic medication were likely to have high levels of psychological distress. The predictive clinical factors noted in this study are readily available to most physicians treating spinal disorders and may be helpful in improving their ability to detect patients with psychological distress, counseling them on realistic outcomes, and possibly improve their treatment outcomes. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Risk of psychological distress in partners with functional disability among older Japanese adults. (United States)

    Sone, Toshimasa; Nakaya, Naoki; Tomata, Yasutake; Tsuji, Ichiro


    The present cross-sectional study aimed to evaluate the association of psychological distress with a partner's disability in an older Japanese population, as well as the effect modification of social support on this association. The baseline survey was carried out between 1 December and 15 December 2006, and included 6809 participants from whom we collected data regarding functional disability and psychological distress. We defined functional disability as certification for long-term care insurance in Japan, and psychological distress as a Kessler 6 score of ≥10 out of 24. A multiple logistic regression analysis was used to calculate odds ratios (OR) and 95% confidence intervals (CI) for increased psychological distress according to the categories of functional disability among partners. Stratified analyses were also carried out to investigate whether social support significantly affected the association between a partner's functional disability and psychological distress. The multiple-adjusted OR for psychological distress was 1.48 (95% CI 1.06-2.04) among participants whose partners had functional disabilities (vs those whose partners did not have functional disabilities). In the social support-stratified analysis, a significant association with psychological distress was observed among participants lacking social support for help with their daily housework (OR 2.47, 95% CI 1.23-4.83), but not among those with social support (OR 1.18, 95% CI 0.79-1.72); P for interaction = 0.03). A partner with functional disability conferred a significantly higher risk of psychological distress on older Japanese individuals, and this association was modified by social support. We conclude that social support might buffer psychological distress in this population. Geriatr Gerontol Int 2018; ••: ••-••. © 2018 Japan Geriatrics Society.

  5. Patients' perspectives on the management of emotional distress in primary care settings. (United States)

    Brody, D S; Khaliq, A A; Thompson, T L


    To investigate how important treatment for emotional distress is to primary care patients in general and to primary care patients with depression, and to evaluate the types of mental health interventions they desire. Patient surveys. Five private primary care practices. Patients' desire for treatment of emotional distress and for specific types of mental health interventions were measured, as well as patients' ratings of the impact of emotional distress, the frequency of depressive symptoms, and mental health functioning. Of the 403 patients, 33% felt that it was "somewhat important" and 30% thought it was "extremely important" that their physician tries to help them with their emotional distress. Patient desire for this help was significantly related to a diagnosis of depression (p emotional distress (p patients with presumptive diagnoses of major and minor depression, 84% and 79%, respectively, felt that it was at least somewhat important that they receive this help from their physician. Sixty-one percent of all primary care patients surveyed and 69% of depressed patients desired counseling: 23% of all patients and 33% of depressed patients wanted a medication: and 11% of all patients and 5% of depressed patients desired a referral to a mental health specialist. A majority of these primary care patients and almost all of the depressed patients felt that it was at least somewhat important to receive help from their physician for emotional distress. The desire for this help seems to be related to the severity of the mental health problem. Most of the patients wanted counseling, but relatively few desired a referral to a mental health specialist.

  6. Diabetes distress among type 2 diabetic patients

    African Journals Online (AJOL)


    Background: Diabetes mellitus is being increasingly recognized as a serious global health problem and is frequently associated with co-morbid distress, contributing double burden for the individual and the society. Aim: This study documents the proportion of diabetes distress and factors associated with it. Methods: A ...

  7. Attributional Models of Depression and Marital Distress. (United States)

    Horneffer, Karen J.; Fincham, Frank D.


    Compares attributional models presented in depression and marital literatures by examining simultaneously their prediction of depressive symptoms and marital distress with 150 married couples. Findings show that a model including paths from depressogenic and distress-maintaining marital attributions to both depressive symptoms and marital distress…

  8. Special Populations. Distress Therapy through Leisure. (United States)

    Martin, P. Kelly


    Education for leisure and stress management, combined with carefully planned recreational experiences, are the key components for distress therapy through leisure. The ultimate goal is to design and implement leisure programs, for special populations, which alleviate distress, channel stress into positive avenues, and enhance their quality of…

  9. Diabetes distress among type 2 diabetic patients

    African Journals Online (AJOL)


    with type 2 diabetes. Results: The proportion of diabetes distress among the study population was 48.5%, which includes 22.4% high distress and 26.1% .... All the tests were two tailed and p<0.05 was considered to be statistically significant. RESULTS. Among 165 respondents, 50.9% were female. Their mean age was ...

  10. Racial/ethnic differences in associations between neighborhood socioeconomic status, distress, and smoking among U.S. adults. (United States)

    Karriker-Jaffe, Katherine J; Liu, Huiguo; Johnson, Renee M


    Neighborhood disadvantage may increase smoking by increasing distress, while neighborhood affluence may reduce smoking by increasing positive affect. We examined whether relationships between neighborhood socioeconomic status (SES) and daily smoking operated through distress and positive affect. Simultaneous multivariate path models used pooled cross-sectional data from the 2000 and 2005 National Alcohol Surveys (15,963 respondents; weighted N = 10,753) and the 2000 Decennial Census. Multiple groups analysis assessed differences by gender and race/ethnicity. Covariates included neighborhood immigrant concentration and individual-level demographics. In the full sample, neighborhood disadvantage significantly increased smoking and neighborhood affluence significantly decreased smoking, with no indirect paths through either distress or positive affect. Unique among Hispanics, affluence resulted in decreased smoking indirectly through reduced distress. Relationships between affect and smoking also varied by race/ethnicity, with no significant differences by gender. Interventions targeting neighborhood socioeconomic status and distress may help reduce smoking, particularly for racial/ethnic minorities.

  11. Piracetam for fetal distress in labour. (United States)

    Hofmeyr, G Justus; Kulier, Regina


    Piracetam is thought to promote the metabolism of brain cells when they are hypoxic. It has been used to prevent adverse effects of fetal distress. The objective of this review was to assess the effects of piracetam for suspected fetal distress in labour on method of delivery and perinatal morbidity. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (15 February 2012). Randomised trials of piracetam compared with placebo or no treatment for suspected fetal distress in labour. Both review authors assessed eligibility and trial quality. One study of 96 women was included. Piracetam compared with placebo was associated with a trend to reduced need for caesarean section (risk ratio 0.57, 95% confidence interval 0.32 to 1.03). There were no statistically significant differences between the piracetam and placebo group for neonatal morbidity (measured by neonatal respiratory distress) or Apgar score. There is not enough evidence to evaluate the use of piracetam for fetal distress in labour.

  12. Idioms of distress: alternatives in the expression of psychosocial distress: a case study from South India. (United States)

    Nichter, M


    This paper focuses attention on alternative modes of expressing distress and the need to analyze particular manifestations of distress in relation to personal and cultural meaning complexes as well as the availability and social implications of coexisting idioms of expression. To illustrate this point the case of South Kanarese Havik Brahmin women is presented. These women are described as having a weak social support network and limited opportunities to ventilate feelings and seek counsel outside the household. Alternative means of expressing psychosocial distress resorted to by Havik women are discussed in relation to associated Brahminic values, norms and stereotypes. Somatization is focused upon as an important idiom through which distress is communicated. Idioms of distress more peripheral to the personal or cultural behavioral repertoire of Havik women are considered as adaptive responses in circumstances where other modes of expression fail to communicate distress adequately or provide appropriate coping strategies. The importance of an 'idioms of distress' approach to psychiatric evaluation is noted.

  13. What Is Respiratory Distress Syndrome? (United States)

    ... nasal continuous positive airway pressure (NCPAP) machine. These machines help premature infants breathe better. Oxygen therapy . Surfactant Replacement Therapy Surfactant is a liquid that coats the ...

  14. Insight, distress and coping styles in schizophrenia. (United States)

    Cooke, Michael; Peters, Emmanuelle; Fannon, Dominic; Anilkumar, Anantha P P; Aasen, Ingrid; Kuipers, Elizabeth; Kumari, Veena


    The stigma and negative societal views attached to schizophrenia can make the diagnosis distressing. There is evidence that poor insight into symptoms of the disorder and need for treatment may reflect the use of denial as a coping style. However, the relationships between insight and other coping styles have seldom been investigated. We examined the associations between insight, distress and a number of coping styles in 65 outpatients with schizophrenia (final n=57) in a cross-sectional study. We found that (i) awareness of symptoms and problems correlated with greater distress, (ii) 'preference for positive reinterpretation and growth' coping style correlated with lower distress and with lower symptom awareness (re-labelling), (iii) 'preference for mental disengagement' coping style correlated with greater distress and lower awareness of problems, and (iv) 'social support-seeking' coping style correlated with greater awareness of illness, but not distress. No relationship occurred between the use of 'denial' as a coping style and insight or distress. Our findings demonstrate that awareness of illness and related problems is associated with greater distress in schizophrenia. However, this investigation has not supported a simple psychological denial explanation for this relationship, as complex relationships emerged between different dimensions of insight and coping styles. The negative association between 'positive reinterpretation and growth' and distress suggests that adopting this style may lead to re-labelling symptoms in a less distressing way. Avoidant and isolating styles of coping both appear unhelpful. Psychological interventions should aim to promote more active coping such as discussing a mental health problem with others.

  15. Prevalence of induced ischemia by mental distress. (United States)

    Barbirato, Gustavo Borges; Félix, Renata; de Azevedo, Jader Cunha; Corrêa, Patrícia Lavatori; de Nóbrega, Antônio Claudio Lucas; Coimbra, Alexandro; Volschan, André; Mesquita, Evandro Tinoco; Dohmann, Hans Fernando Rocha; Mesquita, Cláudio Tinoco


    The myocardial radionuclide imaging with mental distress seems to induce ischemia through a particular physiopathology when compared to radionuclide imaging with physical or pharmacological distress. To assess the prevalence of induced myocardial ischemia by mental distress in patients with thoracic pain and radionuclide imaging with normal conventional distress, with 99mTc-Sestamibi. Twenty-two patients were admitted with thoracic pain at emergency or were referred to the nuclear medicine service of our institution, where myocardial radionuclide imaging of distress or rest without ischemic alterations was carried out. The patients were, then, invited to go through an additional phase with mental distress induced by color conflict (Strop Color Test) with the objective of detecting myocardial ischemia. Two cardiologists and nuclear physicians performed the blind analysis of perfusional data and consequent quantification through Summed Difference Score (SDS), punctuating the segments that were altered after mental distress and comparing it to the rest period image. The presence of myocardial ischemia was considered if SDS > or = 3. The prevalence of mental distress-induced myocardial ischemia was 40% (9 positive patients). Among the 22 studied patients, there were no statistical differences with regard to the number of risk factors, mental distress-induced hemodynamic alterations, usage of medications, presented symptoms, presence or absence of coronary disease and variations of ejection fraction and final systolic volume of Gated SPECT. In a selected sample of patients with thoracic pain and normal myocardial radionuclide imaging, the research of myocardial ischemia induced by mental distress through radionuclide imaging may be positive in up to 40% of cases.

  16. Moral Distress, Ethical Environment, and the Embedded Ethicist. (United States)

    Massutta, Donna


    Interest in understanding the experience of moral distress has steadily gained traction in the 30 years since Jameton first described the phenomenon. This curiosity should be of no surprise, since we now have data documenting the incidence across most caregiver roles and healthcare settings, both in the United States and internationally. The data have also amplified healthcare providers' voices who report that the quality of the ethical environment is pivotal to preventing and containing the adverse effects caused by moral distress. Healthcare providers are asking for a moral space where ethics occurs at the bedside, in real time, applied to real cases. They are asking for ethics expertise to be available as part of the care team during their daily work, when treatment goals must be determined and decisions must be made. They are asking for an embedded ethicist who can help cultivate an ethical environment where formal ethics policy is properly applied to practice. This discussion advocates for an embedded ethics resource model that responds to contemporaneous ethics needs as a strategy to mitigate the effects of moral distress. Copyright 2017 The Journal of Clinical Ethics. All rights reserved.

  17. The process leading to help seeking following childhood trauma. (United States)

    Stige, Signe Hjelen; Træen, Bente; Rosenvinge, Jan H


    In this article we explore the process leading to help seeking following childhood trauma among women who were currently in treatment. We interviewed 13 participants from six treatment groups for clients exposed to human-inflicted traumas. Transcripts were analyzed using a hermeneutical-phenomenological approach. Help seeking was initiated after a prolonged period of time (13 to 58 years after first trauma exposure), during which participants relied heavily on a strategy of managing on their own. Self-management contributed to delays in help seeking, but was also an important resource. High levels of distress were reported prior to help seeking, often without help seeking being considered as an option. The participants sought help when encountering situational demands exceeding available resources, resulting in experiences of exhaustion and loss of control. We present a model of the help-seeking process, underlining the importance of respecting and exploring the individual process of seeking help when offering trauma-specific treatment.

  18. Peer support to decrease diabetes-related distress in patients with type 2 diabetes mellitus: design of a randomised controlled trial.

    NARCIS (Netherlands)

    Vries, L. de; Heijden, A.A.W.A. van der; Riet, E. van 't; Baan, C.A.; Kostense, P.J.; Rijken, M.; Rutten, G.E.H.M.; Nijpels, G.


    Background: Many type 2 diabetes mellitus patients face difficulties self-managing their illness, which can lead to high levels of diabetes-related distress. Diabetes distress may be decreased by peer support, as peers understand and have dealt with similar problems, and can help motivate each

  19. Help for the Caregiver (United States)

    ... the caregiver needs it. Education and Information Coping Skills Counseling Family Meetings Home Care Help Hospice Care for the Cancer Patient Caregivers have a very hard job and it's normal to need help. Although ...

  20. War and bereavement: consequences for mental and physical distress.

    Directory of Open Access Journals (Sweden)

    Nexhmedin Morina

    Full Text Available BACKGROUND: Little is known about the long-term impact of the killing of a parent in childhood or adolescence during war on distress and disability in young adulthood. This study assessed current prevalence rates of mental disorders and levels of dysfunction among young adults who had lost their father due to war-related violence in childhood or adolescence. METHODS: 179 bereaved young adults and 175 non-bereaved young adults were interviewed a decade after experiencing the war in Kosovo. Prevalence rates of Major Depressive Episode (MDE, anxiety, and substance use disorders, and current suicide risk were assessed using the Mini-International Neuropsychiatric Interview. The syndrome of Prolonged Grief Disorder (PGD was assessed with the Prolonged Grief Disorder Interview (PG-13. Somatic symptoms were measured with the Patient Health Questionnaire. General health distress was assessed with the General Health Questionnaire. FINDINGS: Bereaved participants were significantly more likely to suffer from either MDE or any anxiety disorder than non-bereaved participants (58.7% vs. 40%. Among bereaved participants, 39.7% met criteria for Post-Traumatic Stress Disorder, 34.6% for PGD, and 22.3% for MDE. Bereaved participants with PGD were more likely to suffer from MDE, any anxiety disorder, or current suicide risk than bereaved participants without PGD. Furthermore, these participants reported significantly greater physical distress than bereaved participants without PGD. CONCLUSION: War-related loss during middle childhood and adolescence presents significant risk for adverse mental health and dysfunction in young adulthood in addition to exposure to other war-related traumatic events. Furthermore, the syndrome of PGD can help to identify those with the greatest degree of distress and dysfunction.

  1. A helping hand

    NARCIS (Netherlands)

    Mirjam de Klerk; Alice de Boer; Sjoerd Kooiker; Inger Plaisier; Peggy Schyns


    Original title: Hulp geboden   The help provided to people with a care need is about to undergo major changes in the Netherlands. People who need help will be expected to rely more on help from members of their network. What are the opportunities for informal carers and volunteers, and where

  2. Student distress in clinical workplace learning: differences in social comparison behaviours. (United States)

    Janet Raat, A N; Schönrock-Adema, Johanna; van Hell, E Ally; Kuks, Jan B M; Cohen-Schotanus, Janke


    In medical education, student distress is known to hamper learning and professional development. To address this problem, recent studies aimed at helping students cope with stressful situations. Undergraduate students in clinical practice frequently use experiences of surrounding peers to estimate their abilities to master such challenging situations. This use of the experiences of others, known as social comparison, may affect student distress both positively and negatively. To find characteristics of a beneficial use of social comparison, we examined differences in comparison behaviours between students expressing low and high levels of distress. The participants in our study, response rate 93% (N = 301/321), were all medical students in their first year in clinical practice. They completed the General Health Questionnaire (GHQ-12) to measure distress, and three separate questionnaires to measure: (1) orientation to comparison, (2) motive for comparison, and (3) interpretation of comparison. Differences were analysed using multivariate analysis of variance. Although all students were oriented towards social comparison, the analyses showed that this orientation was less apparent among low-distress students. Besides, the low-distress students were less inclined to use motives indicative for comparisons with peers perceived as performing worse and were less negative in the interpretations of their comparisons. As social comparison is frequently used among all students, we recommend to make them aware of their comparison behaviours and inform them about the pros and cons of the distinguished aspects of the comparison process.

  3. Different Sources of Dignity-Related Distress in Women Receiving Chemotherapy for Breast Cancer (United States)

    Shahhoseini, Somaye; Borhani, Fariba; Shoorideh, Foroozan Atashzadeh; Kavousi, Amir; Bagheri, Hossein; Almasi-Hashiani, Amir


    Background: Identification of different sources of dignity-related distress experienced by people nearing the end of life may help nurses to provide better care services. This study was conducted to determine sources of dignity-related distress from the perspective of women with breast cancer undergoing chemotherapy. Materials and Methods: In this cross sectional study, the participants comprised 207 women with breast cancer undergoing chemotherapy in chemotherapy clinics in hospitals of Tehran, Iran. The Cronbach’s coefficient alpha for the PDI was 0.76. Validity of PDI by confirmatory factor analysis shows that the comparative Fit Index of this instrument is 0.96 and so it is appropriate for application in different setting. Data were analyzed by Stata version 13. Results: Patients were mostly concerned about the distress caused by disease symptoms (mean; 2.4061, S.D.; 0.96), followed by existential distress (mean; 1.8784, S.D.; 0.75), peace of mind (mean; 1.871, S.D.; 0.77), dependence (mean; 1.8647, S.D.; 0.98), and social support (mean; 1.4097, S.D.; 0.99), respectively, in order of highest scores. Conclusion: Considering that the patients were mostly concerned about the distress caused by disease symptoms, followed by existential distress, peace of mind, dependency, and social support, it seems necessary to take further measures toward addressing these issues. PMID:29172264

  4. A diversified approach for PKU treatment: routine screening yields high incidence of psychiatric distress in phenylketonuria clinics. (United States)

    Burton, Barbara K; Leviton, Lauren; Vespa, Hazel; Coon, Hilary; Longo, Nicola; Lundy, Bridget D; Johnson, Maria; Angelino, Andrew; Hamosh, Ada; Bilder, Deborah


    Individuals with phenylketonuria (PKU) treated early and continuously are reported to have psychiatric and executive function impairments. The feasibility of screening for psychiatric distress and executive function impairment in individuals with PKU was tested in 3 separate clinics in North America. Individuals were offered screening for psychiatric distress using the Pediatric Symptom Checklist, the PSC-Youth Report or the Brief Symptom Inventory and executive function impairment using the Behavior Rating Inventory of Executive Function. Gender, age and blood phenylalanine (Phe) concentrations obtained most recently and during the 2 years prior to screening were assessed. More than 90% of patients with PKU accepted the screening for psychiatric distress during their routine clinic visit. The screening took 15-20 min. 32% of patients screened positive for psychiatric distress and 19% for executive function impairment. More individuals >18 years screened positive for psychiatric distress while a similar number screened positive for executive function impairment across age groups. Lower blood Phe levels correlated with negative screening for psychiatric distress. Patients positive for psychiatric distress had higher (p=0.009) median and most recent blood Phe values (p=0.05). Routine screening for psychiatric distress of patients with phenylketonuria could be easily implemented in current clinic structures. High incidences of positive screens reinforce the need for regular psychiatric assessments of individuals with PKU. Identification and referral to local mental health providers might help to improve the standard of care for individuals with PKU. Copyright © 2012. Published by Elsevier Inc.

  5. The relationship between food frequency and menstrual distress in high school females. (United States)

    Mohamadirizi, Soheila; Kordi, Masoumeh


    Nutrition pattern is one of the important factors predicting menstrual distress, which varies among different cultures and countries. The purpose of this study is to determine the relationship between food frequency and menstrual distress in high school girls from Mashhad. This cross-sectional study was conducted in 2012 using a two-stage sampling method on 407 high school female students from Mashhad who met the inclusion criteria. Subjects completed questionnaires of demographic characteristics, food frequency, and Menstrual Distress Questionnaire (MDQ) during three phases of the menstrual cycle (a week before bleeding, during menstrual bleeding period, and a week after menstruation). The collected data were analyzed by statistical tests such as Pearson correlation coefficient test, independent Student's t-test, and one-way analysis of variance (ANOVA). Results showed that 87.7% of the students were at moderate economic status, 82.2% were exposed to cigarette smoke, 94.8% had mothers without university education, and 9.4% had working mothers. About 71% of the students reported minor pre-menstruation distress, 81% reported minor distress during bleeding, and 39% reported minor post-menstruation distress. In addition, the mean (SD) values for sweet-fatty foods, salty-fatty foods, fast foods, and caffeine were 3.6, 3.3, 1.3, and 10.2 per week, respectively. In addition, Pearson correlation coefficient test showed no significant correlation between total menstruation distress and food frequency (P > 0.05). With regard to the inappropriate food frequency and high intensity of menstrual distress among high school students and as health care and educational efforts for prevention and health promotion in society are among the duties of health workers, the results of this study can help the officials involved in education to emphasize on nutrition and the menstrual health of students.

  6. Life after cancer: how does public stigma increase psychological distress of childhood cancer survivors? (United States)

    Kim, Min Ah; Yi, Jaehee


    Public stigma is a major source of stress for cancer survivors. However, factors that buffer or exacerbate the negative effects of public stigma on psychological distress have not been elucidated. This study examined how perceived public stigma affects psychological distress as mediated by cancer disclosure, internalized reactions to stigma, and social support availability. Cross-sectional study. The study was conducted in South Korea. The study sample was 223 adolescent and young adult survivors of childhood cancer diagnosed before the age of 19 and currently between 15 and 39 years old. Psychological distress was assessed using the Brief Symptom Inventory-18. Structural equation modeling was used with 1000 bootstrap samples. The goodness of model fit was acceptable. Public stigma perceived by cancer survivors influenced psychological distress via cancer disclosure, internalized shame, and social support availability. Higher levels of perceived public stigma predicted higher levels of internalized shame and self-blame and lower levels of social support availability, which subsequently increased psychological distress. Higher levels of perceived public stigma predicted lower levels of disclosure about cancer history and experiences. Cancer disclosure indirectly ameliorated psychological distress by reducing internalized shame. This study offers evidence that cognitive and social factors play important roles in mediating the effects of perceived public stigma on psychological distress in Korean cancer survivors. A greater understanding of factors that influence psychological distress may help psychosocial oncology service providers to identify childhood cancer survivors in need of psychosocial services and provide them with appropriate resources and interventions. Copyright © 2014 Elsevier Ltd. All rights reserved.

  7. Moral distress in Iranian pediatric nurses. (United States)

    Ghasemi, Elham; Negarandeh, Reza; Janani, Leila


    Moral distress is a very common experience in the nursing profession, and it is one of the main reasons for job dissatisfaction, burnout, and quitting among nurses. For instance, morally difficult situations in taking care of child patients who are severely ill may lead to moral distress for nurses. However, most of the studies about moral distress have been conducted on nurses of special wards and adult medical centers with much focus on developed countries. Subsequently, little has been researched on this topic among nurses in other nations such as Iran, and most certainly, there has been hardly any such research involving Iranian pediatric nurses. Aim/objectives: This study was conducted to evaluate moral distress among nurses in selected pediatric hospitals in Tehran, Iran. This cross-sectional study was conducted on eligible nurses who were selected through proportional stratified sampling and who completed demographic characteristics and the pediatric version of Moral Distress Scale-Revised questionnaires. Data were analyzed using descriptive statistics, t test, one-way analysis of variance, and Pearson correlation coefficient. Participants and research context: In total, 195 pediatric nurses working at three selected children's specialized university hospitals in Tehran participated in this study. Ethical considerations: This study was evaluated and approved by the institutional review board of Tehran University of Medical Sciences. The mean and standard deviation of total score of moral distress was 106.41 ± 61.64 within a range of 10-257. Also, the difference between the mean score of moral distress of the group who had not quitted their position and those who have quit in the past was statistically significant (p = 0.043). The situation that was associated with the highest moral distress was "observing medical students performing painful procedures on patients just to gain some skill." Total score of moral distress was significantly higher among male

  8. Student Distress in Clinical Workplace Learning: Differences in Social Comparison Behaviours (United States)

    Raat, A. N. Janet; Schönrock-Adema, Johanna; van Hell, E. Ally; Kuks, Jan B. M.; Cohen-Schotanus, Janke


    In medical education, student distress is known to hamper learning and professional development. To address this problem, recent studies aimed at helping students cope with stressful situations. Undergraduate students in clinical practice frequently use experiences of surrounding peers to estimate their abilities to master such challenging…

  9. The relationship between food frequency and menstrual distress in high school females

    Directory of Open Access Journals (Sweden)

    Soheila Mohamadirizi


    Conclusions: With regard to the inappropriate food frequency and high intensity of menstrual distress among high school students and as health care and educational efforts for prevention and health promotion in society are among the duties of health workers, the results of this study can help the officials involved in education to emphasize on nutrition and the menstrual health of students.

  10. Evaluation of a bibliotherapy manual for reducing psychological distress in people with depression: a randomized controlled trial. (United States)

    Songprakun, Wallapa; McCann, Terence V


    This article reports a study to evaluate the efficacy of a self-help manual in reducing psychological distress in individuals with moderate depression. The prevalence of depression in Thailand is increasing markedly (e.g. from 56-197 per 100,000 population between 1997-2007). We conducted a randomized controlled trial with 54 outpatients with depression in Chiang Mai Province in Thailand. Participants were assigned randomly to an intervention or control group. The intervention group participants were given a self-help manual in addition to standard care and treatment while the control group received standard care and treatment. Psychological distress was measured with the Kessler Psychological Distress Scale. Data were collected between October 2007-April 2008. The findings showed statistically significant differences between both groups in their levels of psychological distress (e.g. tiredness, hopelessness, restlessness). At post-test, the distress scores of the intervention group were lower than those in the control group. Between post-test and 1-month follow-up, distress scores continued to decrease steadily in the intervention group but only decreased slightly in the control group. The findings affirm the benefits of bibliotherapy or self-help therapy in book form in helping to reduce psychological distress in people with moderate depression. The approach is easy to use and can be incorporated as an adjunct to standard care and treatment. Bibliotherapy can be used by community mental health nurses and other clinicians to reduce psychological distress and promote recovery in people with moderate depression. © 2012 Blackwell Publishing Ltd.

  11. The EXILL campaign

    Indian Academy of Sciences (India)


    Aug 9, 2015 ... G De France1 A Blanc2 F Drouet3 M Jentschel2 U Köster2 P Mutti2 J M Régis4 G Simpson3 T Soldner2 O Stezowski5 S Leoni6 W Urban2 7 A Vancrayenest3. Grand Accélérateur National d'Ions Lourds (GANIL), CEA/DSM-CNRS/IN2P3, Bd Henri Becquerel, BP 55027, F-14076 Caen Cedex 5, France ...

  12. The EXILL campaign

    Indian Academy of Sciences (India)

    Abstract. A combination of germanium detectors was installed at the PF1B neutron guide of the ILL to perform prompt spectroscopy of neutron-rich nuclei produced in the neutron-capture induced-fission of 235U and 241Pu. In addition, LaBr3 detectors from the FATIMA Collaboration were installed to complement with the ...

  13. De-colonising Exile

    DEFF Research Database (Denmark)

    Sabih, Joshua

    and its literary and artistic nationalising “outlets” as self- contradictory; a political impossibility. The emergence of new historiographies in Morocco and in the diaspora that have begun challenging the two hitherto dominating nationalist narratives has been “crafted” in literature and cinematography...

  14. Older migrants in exile

    DEFF Research Database (Denmark)

    Nielsen, Dorthe Susanne; Minet, Lisbeth; Zeraiq, Lina


    , Iraq and Somalia. The three themes that emerged from the conditions, meanings and reasons analysis illustrated that the older persons were trapped in various ways -without language, in fragmented families and in an unfamiliar structure. We identified these themes as The importance of the life history...... community in a foreign country. Besides language skills and the need for interpreters, health professionals need to consider issues such as life history, traumas and national belonging when their usual approaches to managing health-related topics have failed....

  15. Exiles no More

    DEFF Research Database (Denmark)

    Bøss, Michael


    The essay argues that the poet and politician Thomas D'Arcy McGee and the novelist Mary Anne Sadlier, who edited McGee's poems after his death, contributed significantly to the acculturation of Irish Catholic immigrants in Canada and the United States.......The essay argues that the poet and politician Thomas D'Arcy McGee and the novelist Mary Anne Sadlier, who edited McGee's poems after his death, contributed significantly to the acculturation of Irish Catholic immigrants in Canada and the United States....

  16. The Young and Exiled

    DEFF Research Database (Denmark)

    Sen, Somdeep; Pace, Michelle


    Since the start of the confl ict in Syria in 2011, Syrian refugee children have withstood violence, uncertainty, fear, trauma and loss. This book follows their journeys by bringing together scholars and practitioners to refl ect on how to make their situation better and to get this knowledge...

  17. Growing Old in Exile

    DEFF Research Database (Denmark)

    Liversage, Anika; Mirdal, Gretty Mizrahi


    Some studies on immigrants and ageing focus on the question of return; others focus on how immigrants, who grow old in their countries of destination, ‘age in place’, including whether they turn to their children or to public host country provisions for care and support. However, the issues...... of return and of ageing in place may both hold significance in individual immigrants’ lives. To investigate the changing expectations of old age throughout the life course, this paper draws on longitudinal interviews with immigrant women from Turkey who live in Denmark. We focus on the function of proximity...... to children. Using two women who were interviewed three times over three decades as case studies, the analysis shows that in the middle of life, the women share expectations of returning to Turkey, but these plans are perpetually postponed. As the women age, they must face their inability to leave...

  18. The EXILL campaign

    Indian Academy of Sciences (India)


    Aug 9, 2015 ... A combination of germanium detectors was installed at the PF1B neutron guide of the ILL to perform prompt spectroscopy of neutron-rich nuclei produced in the neutron-capture induced-fission of 235U and 241Pu. In addition, LaBr3 detectors from the FATIMA Collaboration were installed to complement ...

  19. The EXILL campaign

    Indian Academy of Sciences (India)

    bring just enough energy into the system to produce fission, thus preserving the neutron- richness of the ... 248Cm compared to the thermal neutron-induced fission of 235U and 241Pu (data from. [2]). 468. Pramana – J. .... electrons combined to imaging using the Single Photon Emission Computed Tomogra- phy (SPECT) ...

  20. Mind-Body Skills Training to Improve Distress Tolerance in Medical Students: A Pilot Study. (United States)

    Kraemer, Kristen M; Luberto, Christina M; O'Bryan, Emily M; Mysinger, Erica; Cotton, Sian


    improvements in distress tolerance in the mind-body group but not in the control group. These preliminary findings provide support for the notion that improving distress tolerance through mind-body skills training might serve to protect medical students from becoming functionally impaired by psychological distress. Thus, implementing mind-body skills training into medical school education may help to improve the psychological well-being of medical students. Future studies utilizing more methodologically rigorous designs are warranted.

  1. Peer pressure, psychological distress and the urge to smoke. (United States)

    Tsai, Yi-Wen; Wen, Yu-Wen; Tsai, Chia-Rung; Tsai, Tzu-I


    Psychology and addiction research have found that cigarette smokers react with subjective and automatic responses to stimuli associated with smoking. This study examines the association between the number of cigarettes smokers consume per month and their response to cues derived from peer and psychological distress. We studied 1,220 adult past and current smokers drawn from a national face-to-face interview survey administered in 2004. We defined two types of cues possibly triggering a smoker to have a cigarette: peer cues and psychological cues. We used ordinary least square linear regressions to analyze smoking amount and response to peer and psychological distress cues. We found a positive association between amount smoked and cue response: peer cues (1.06, 95%CI: 0.74-1.38) and psychological cues (0.44, 95%CI = 0.17-0.70). Response to psychological cues was lower among male smokers (-1.62, 95%CI = -2.26-(-)0.98), but response to psychological cues were higher among those who had senior high school level education (0.96, 95%CI = 0.40-1.53) and who began smoking as a response to their moods (1.25, 95%CI = 0.68-1.82). These results suggest that both peer cues and psychological cues increase the possibility of contingent smoking, and should, therefore, be addressed by anti-smoking policies and anti-smoking programs. More specifically, special attention can be paid to help smokers avoid or counter social pressure to smoke and to help smokers resist the use of cigarettes to relieve distress.

  2. Who is Distressed Applying the Diabetes Related Distress Scale in a Diabetes Clinic (United States)


    59 MDW /SGVU SUBJECT: Professional Presentation Approval 7APR 2017 1. Your paper, entitled Who is Distressed? Applying the Diabetes -Related Distress...Scale in A Diabetes Clinic presented at/published to American Diabetes Association 2017 Meeting, San Francisco, CA (National Conference), 9-16 a publication/presentation, a new 59 MOW Form 3039 must be submitted for review and approval.) Using the Diabetes -Related Distress Scale in

  3. Adjustment to Cancer: Anxiety and Distress (PDQ) (United States)

    ... fears about cancer. Cancer patients need different coping skills at different points in time. The coping skills ... emotional, social, or spiritual distress can make it hard to cope with cancer treatment. Almost all patients ...

  4. Psychological distress and intelligence in young men

    DEFF Research Database (Denmark)

    Teasdale, T. W.; Antal, K.


    This study has primarily aimed to investigate first, the prevalence of psychological distress complaints among a population-representative sample of young men, second, whether psychological distress is associated with poorer performance on an intelligence test and third, whether any association...... is a purely linear function. Specifically, we have examined self-reported symptoms of psychological distress, and IQ, among 1869 young men appearing before the Danish Draft Board with a view to assessing suitability for conscription. The assessment included a 25-item questionnaire concerning a broad range...... was 0.15, but the relationship was better described by a model incorporating a negatively accelerating quadratic function and individuals above the 90th percentile on the PHS had a mean IQ of 94. This finding confirms the need to consider any general psychological distress, especially at high levels...

  5. Financial distress prediction and operating leases

    NARCIS (Netherlands)

    Lückerath – Rovers, M.


    This study investigates whether including operating lease commitments in financial distress prediction models would increase the classification accuracy of these models. Classification accuracy measures the percentages of correctly classified companies in either of the two categories (healthy or

  6. Prodromal psychotic symptoms and psychological distress among ...

    African Journals Online (AJOL)

    Objective: This study aimed to investigate the relationship between prodromal psychotic symptoms and psychological distress among Nigerian adolescents. Method: Students (n = 508) were randomly selected from secondary schools in Abeokuta, Nigeria. A socio-demographic questionnaire, the Prodromal ...

  7. Fibromyalgia: When Distress Becomes (Unsympathetic Pain

    Directory of Open Access Journals (Sweden)

    Manuel Martinez-Lavin


    Full Text Available Fibromyalgia is a painful stress-related disorder. A key issue in fibromyalgia research is to investigate how distress could be converted into pain. The sympathetic nervous system is the main element of the stress response system. In animal models, physical trauma, infection, or distressing noise can induce abnormal connections between the sympathetic nervous system and the nociceptive system. Dorsal root ganglia sodium channels facilitate this type of sympathetic pain. Similar mechanisms may operate in fibromyalgia. Signs of sympathetic hyperactivity have been described in this condition. Genetic factors and/or distressful lifestyle may lead to this state of sympathetic hyperactivity. Trauma and infection are recognized fibromyalgia triggers. Women who suffer from fibromyalgia have catecholamine-evoked pain. Sympathetic dysfunction may also explain nonpain-related fibromyalgia symptoms. In conclusion, in fibromyalgia, distress could be converted into pain through forced hyperactivity of the sympathetic component of the stress response system.

  8. Buprenorphine During Pregnancy Reduces Neonate Distress (United States)

    ... who received buprenorphine had milder symptoms of neonatal opioid withdrawal than those born to women who received methadone. ... with less neonatal distress. Buprenorphine, like methadone, reduces opioid craving and alleviates withdrawal symptoms without the safety and health risks related ...

  9. The Self-help Online against Suicidal thoughts (SOS) trial

    DEFF Research Database (Denmark)

    Mühlmann, Charlotte; Madsen, Trine; Hjorthøj, Carsten


    BACKGROUND: Suicidal thoughts are common, causing distress for millions of people all over the world. However, people with suicidal thoughts might not access support due to financial restraints, stigma or a lack of available treatment offers. Self-help programs provided online could overcome...... to the intervention condition (N = 219) or the control condition (N = 219). The intervention condition consists of a 6-week, Internet-based self-help therapy intervention. The format of the intervention is self-help, but the participants can be guided by the trial manager. The control condition consists of a waiting...

  10. Insight, distress and coping styles in schizophrenia


    Cooke, Michael; Peters, Emmanuelle; Fannon, Dominic; Anilkumar, Anantha P.P.; Aasen, Ingrid; Kuipers, Elizabeth; Kumari, Veena


    Background The stigma and negative societal views attached to schizophrenia can make the diagnosis distressing. There is evidence that poor insight into symptoms of the disorder and need for treatment may reflect the use of denial as a coping style. However, the relationships between insight and other coping styles have seldom been investigated. Method We examined the associations between insight, distress and a number of coping styles in 65 outpatients with schizophrenia (final n = 57) in a ...

  11. Secondary distress in violence researchers: a randomised trial of the effectiveness of group debriefings. (United States)

    Grundlingh, Heidi; Knight, Louise; Naker, Dipak; Devries, Karen


    Secondary distress including emotional distress, vicarious trauma (VT) and secondary traumatic stress (STS) due to exposure to primary trauma victims have been described in helping professionals and in violence researchers. To our knowledge, there are few prevalence studies, and no tailored interventions have been tested to reduce secondary distress in violence researchers. The study aims to (1) describe the epidemiology of secondary distress experienced by violence researchers; to (2) assess the effectiveness of group debriefings in mitigating secondary distress; to (3) assess risk and protective factors. We conducted an un-blinded, individually randomised trial with parallel assignment. Eligible participants were 59 Ugandan researchers employed by the Good Schools Study to interview children who experienced violence in a district of Uganda. Fifty-three researchers agreed to participate and were randomly allocated. The intervention group (n = 26) participated in three group debriefings and the control group (n = 27) in three leisure sessions (film viewings). The primary outcome was change in levels of emotional distress (SRQ-20); secondary outcomes were levels of VT and STS at end-line. A paired t-test assessed the difference in mean baseline and end-line emotional distress. Un-paired t-tests compared the change in mean emotional distress (baseline vs. end-line), and compared levels of VT and STS at end-line. Separate logistic regression models tested the association between end-line emotional distress and a-priori risk or protective factors. Baseline and end-line levels of emotional distress were similar in control (p = 0.47) and intervention (p = 0.59) groups. The superiority of group debriefing over leisure activities in lowering levels of emotional distress in the intervention group (n = 26; difference in SRQ-20 = 0.23 [SD = 2.18]) compared to the control group (n = 26; difference in SRQ-20 = 0.23 [SD = 1.63]) could not be detected (p = 1

  12. Maternal hurricane exposure and fetal distress risk. (United States)

    Zahran, Sammy; Snodgrass, Jeffrey G; Peek, Lori; Weiler, Stephan


    Logistic regression and spatial analytic techniques are used to model fetal distress risk as a function of maternal exposure to Hurricane Andrew. First, monthly time series compare the proportion of infants born distressed in hurricane affected and unaffected areas. Second, resident births are analyzed in Miami-Dade and Broward counties, before, during, and after Hurricane Andrew. Third, resident births are analyzed in all Florida locales with 100,000 or more persons, comparing exposed and unexposed gravid females. Fourth, resident births are analyzed along Hurricane Andrew's path from southern Florida to northeast Mississippi. Results show that fetal distress risk increases significantly with maternal exposure to Hurricane Andrew in second and third trimesters, adjusting for known risk factors. Distress risk also correlates with the destructive path of Hurricane Andrew, with higher incidences of fetal distress found in areas of highest exposure intensity. Hurricane exposed African-American mothers were more likely to birth distressed infants. The policy implications of in utero costs of natural disaster exposure are discussed. © 2010 Society for Risk Analysis.

  13. Respiratory distress of the term newborn infant. (United States)

    Edwards, Martin O; Kotecha, Sarah J; Kotecha, Sailesh


    Respiratory distress is recognised as any signs of breathing difficulties in neonates. In the early neonatal period respiratory distress is common, occurring in up to 7% of newborn infants, resulting in significant numbers of term-born infants being admitted to neonatal units. Many risk factors are involved; the increasing number of term infants delivered by elective caesarean section has also increased the incidence. Additionally the risk decreases with each advancing week of gestation. At 37 weeks, the chances are three times greater than at 39-40 weeks gestation. Multiple conditions can present with features of respiratory distress. Common causes in term newborn infants include transient tachypnoea of the newborn, respiratory distress syndrome, pneumonia, meconium aspiration syndrome, persistent pulmonary hypertension of the neonate and pneumothorax. Early recognition of respiratory distress and initiation of appropriate treatment is important to ensure optimal outcomes. This review will discuss these common causes of respiratory distress in term-born infants. Copyright © 2012 Elsevier Ltd. All rights reserved.

  14. Couples with Intimate Partner Violence Seeking Relationship Help: Associations and Implications for Self-Help and Online Interventions. (United States)

    Roddy, McKenzie K; Georgia, Emily J; Doss, Brian D


    In-person conjoint treatments for relationship distress are effective at increasing relationship satisfaction, and newly developed online programs are showing promising results. However, couples reporting even low levels intimate partner violence (IPV) are traditionally excluded from these interventions. To improve the availability of couple-based treatment for couples with IPV, the present study sought to determine whether associations with IPV found in community samples generalized to couples seeking help for their relationship and whether web-based interventions for relationship distressed worked equally well for couples with IPV. In the first aim, in a sample of 2,797 individuals who were seeking online help for their relationship, the levels and correlates of both low-intensity and clinically significant IPV largely matched what is found in community samples. In the second aim, in a sample of 300 couples who were randomly assigned to a web-based intervention or a waitlist control group, low-impact IPV did not moderate the effects of the intervention for relationship distress. Therefore, web-based interventions may be an effective (and easily accessible) intervention for relationship distress for couples with low-intensity IPV. © 2017 Family Process Institute.

  15. Identité hors territoire. Les élites espagnoles exilées en France sous la dictature de Primo de Rivera (1923-1930

    Directory of Open Access Journals (Sweden)

    Elvire Diaz


    Full Text Available Le territoire étant un point d’ancrage de l’identité individuelle et nationale, nous verrons dans ce travail si hors territoire, il peut y avoir préservation de l’identité, individuelle, collective, nationale, débouchant sur une dé-territorialisation, au sens défini par Gilles Deleuze. Notre objet d’étude portera sur le cas d’une micro-société hors territoire, les élites intellectuelles espagnoles exilées en France sous la dictature du Général Miguel Primo de Rivera (1923-1930.Le général Mig...

  16. A Hybrid Analysis Approach to Improve Financial Distress Forecasting: Empirical Evidence from Iran

    Directory of Open Access Journals (Sweden)

    Shakiba Khademolqorani


    Full Text Available Bankruptcy prediction is an important problem facing financial decision support for stakeholders of firms, including auditors, managers, shareholders, debt-holders, and potential investors, as well as academic researchers. Popular discourse on financial distress forecasting focuses on developing the discrete models to improve the prediction. The aim of this paper is to develop a novel hybrid financial distress model based on combining various statistical and machine learning methods. Then multiple attribute decision making method is exploited to choose the optimized model from the implemented ones. Proposed approaches have also been applied in Iranian companies that performed previous models and it can be consolidated with the help of the hybrid approach.

  17. Handi Helps, 1985 (United States)

    Handi Helps, 1985


    The six issues of Handi Helps presented here focus on specific issues of concern to the disabled, parents, and those working with the disabled. The two-page handi help fact sheets focus on the following topics: child sexual abuse prevention, asthma, scoliosis, the role of the occupational therapist, kidnapping, and muscular dystrophy. Each handi…

  18. Help! It's Hair Loss! (United States)

    ... Videos for Educators Search English Español Help! It's Hair Loss! KidsHealth / For Kids / Help! It's Hair Loss! ... is alopecia (say: al-uh-PEE-shuh). The Hair-y Story The hair on your head is ...

  19. Healing war wounds and perfuming exile: the use of vegetal, animal, and mineral products for perfumes, cosmetics, and skin healing among Sahrawi refugees of Western Sahara. (United States)

    Volpato, Gabriele; Kourková, Pavlína; Zelený, Václav


    Over the past decade, there has been growing interest within ethnobiology in the knowledge and practices of migrating people. Within this, scholars have given relatively less attention to displaced people and refugees: to the loss, maintenance, and adaptation of refugees' ethnobiological knowledge, and to its significance for refugees' wellbeing. This study focuses on cosmetics and remedies used to heal skin afflictions that are traditionally used by Sahrawi refugees displaced in South Western Algerian refugee camps. The research methods included a structured survey carried out with 37 refugee households, semi-structured interviews with 77 refugees, 24 retrospective interviews with refugees and other knowledgeable informants, and a voucher specimen collection of the plants and products cited. We recorded the use of 55 plant species, nine animal species, and six mineral products used within the three main use categories discussed in this paper: 1) Remedies for health issues that are typical of the desert environment where the Sahrawi once lived as nomads and now live as refugees (e.g. eye afflictions); 2) Remedies for wounds that are influenced by the Sahrawi's recent history of guerrilla warfare; and 3) Cosmetics and products used for body care, decoration and perfuming (e.g. hair care, teeth cleansing, henna use) and for aromatizing the air inside of tents and which are widely used in everyday life and social practices. We discuss the changes that have occurred in the patterns of use and procurement of these products with exile and sedentarization in refugee camps, and conclude that refugees are not simply passive recipients of national and international aid, but rather struggle to maintain and recover their traditional ethnobiological practices in exile. Finally, we suggest further research into the ethnobiological practices and knowledge of displaced populations.

  20. High level of distress in long-term survivors of thyroid carcinoma: results of rapid screening using the distress thermometer

    NARCIS (Netherlands)

    Roerink, S.H.P.P.; Ridder, M. de; Prins, J.B.; Huijbers, A.; Wilt, H. de; Marres, H.A.; Repping-Wuts, H.W.J.; Stikkelbroeck, N.; Timmers, H.J.L.M.; Hermus, A.R.M.M.; Netea-Maier, R.T.


    CONTEXT: Cancer patients are at increased risk for distress. The Distress Thermometer (DT) and problem list (PL) are short-tools validated and recommended for distress screening in cancer patients. OBJECTIVE: To investigate the level of distress and problems experienced by survivors of

  1. Barriers, facilitators, and survival strategies for GPs seeking treatment for distress: a qualitative study. (United States)

    Spiers, Johanna; Buszewicz, Marta; Chew-Graham, Carolyn A; Gerada, Clare; Kessler, David; Leggett, Nick; Manning, Chris; Taylor, Anna Kathryn; Thornton, Gail; Riley, Ruth


    GPs are under increasing pressure due to a lack of resources, a diminishing workforce, and rising patient demand. As a result, they may feel stressed, burnt out, anxious, or depressed. To establish what might help or hinder GPs experiencing mental distress as they consider seeking help for their symptoms, and to explore potential survival strategies. The authors recruited 47 GP participants via e-mails to doctors attending a specialist service, adverts to local medical committees (LMCs) nationally and in GP publications, social media, and snowballing. Participants self-identified as either currently living with mental distress, returning to work following treatment, off sick or retired early as a result of mental distress, or without experience of mental distress. Interviews were conducted face to face or over the telephone. Transcripts were uploaded to NVivo 11 and analysed using thematic analysis. Barriers and facilitators were related to work, stigma, and symptoms. Specifically, GPs discussed feeling a need to attend work, the stigma surrounding mental ill health, and issues around time, confidentiality, and privacy. Participants also reported difficulties accessing good-quality treatment. GPs also talked about cutting down or varying work content, or asserting boundaries to protect themselves. Systemic changes, such as further information about specialist services designed to help GPs, are needed to support individual GPs and protect the profession from further damage. © British Journal of General Practice 2017.

  2. Racial and Ethnic Minority College Students' Stigma Associated with Seeking Psychological Help: Examining Psychocultural Correlates (United States)

    Cheng, Hsiu-Lan; Kwan, Kwong-Liem Karl; Sevig, Todd


    Many college students underuse professional psychological help for mental health difficulties. The stigma associated with seeking such help appears to be one of the reasons for this underuse. Levels of psychological distress and past use of counseling/psychotherapy have been found to be important correlates of stigma associated with seeking…

  3. Understanding Undergraduate Student Perceptions of Mental Health, Mental Well-Being and Help-Seeking Behaviour (United States)

    Laidlaw, Anita; McLellan, Julie; Ozakinci, Gozde


    Despite relatively high levels of psychological distress, many students in higher education do not seek help for difficulties. This study explored undergraduate student understanding of the concepts of mental health and mental well-being and where undergraduate students would seek help for mental well-being difficulties. Semi-structured interviews…

  4. Religiosity, Spirituality, and Help-Seeking among Filipino Americans: Religious Clergy or Mental Health Professionals? (United States)

    Abe-Kim, Jennifer; Gong, Fang; Takeuchi, David


    Data from structured interviews with 2,285 respondents for the Filipino American Community Epidemiological Survey (FACES) were used to examine help-seeking for emotional distress among Filipino Americans. The influence of religious affiliation, religiosity, and spirituality upon help-seeking from religious clergy and mental health professionals…

  5. Distress in significant others of patients with chronic fatigue syndrome: A systematic review of the literature. (United States)

    Harris, Kamelia; Band, Rebecca J; Cooper, Hazel; Macintyre, Vanessa G; Mejia, Anilena; Wearden, Alison J


    The objective of this study was to systematically review existing empirical research assessing levels and correlates of distress in significant others of patients with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME). Systematic searches in CINAHL, Web of Science and PsycINFO were conducted in August 2014. The search was repeated in January 2015 to check for newly published articles. Studies published in English with quantitative, qualitative, or mixed designs exploring distress, poor subjective health, poor mental health, reduced quality of life and well-being, and symptoms of depression and anxiety in significant others (>18 years) of children and adults with CFS/ME were included. Quality appraisal of included studies was carried out. Quantitative and qualitative studies were summarized separately. Six articles met eligibility criteria. Two quantitative studies with significant others of adult patients, and one quantitative and two mixed-methods studies with significant others of child patients showed moderate to high levels of distress. One qualitative study (adult patients) found minimal evidence of distress and that acceptance of CFS/ME was related to better adjustment. In the quantitative and mixed-methods studies, significant others who attributed some level of responsibility for symptoms to the patient, or who were female, or whose partners had poorer mental health, had higher levels of distress. The small number of studies to date, the contrary evidence from a qualitative study, and the limited data available on levels of distress in significant others of patients with CFS/ME mean that our conclusion that distress levels are elevated is provisional. We recommend that future qualitative studies focus on this particular topic. Further longitudinal studies exploring correlates of distress within the context of a predictive theoretical model would be helpful. Statement of contribution What is already known on this subject? Chronic fatigue syndrome

  6. Relationship of Genetic Variants With Procedural Pain, Anxiety, and Distress in Children. (United States)

    Ersig, Anne L; Schutte, Debra L; Standley, Jennifer; Leslie, Elizabeth; Zimmerman, Bridget; Kleiber, Charmaine; Hanrahan, Kirsten; Murray, Jeffrey C; McCarthy, Ann Marie


    This study used a candidate gene approach to examine genomic variation associated with pain, anxiety, and distress in children undergoing a medical procedure. Children aged 4-10 years having an IV catheter insertion were recruited from three Midwestern children's hospitals. Self-report measures of pain, anxiety, and distress were obtained as well as an observed measure of distress. Samples were collected from children and biological parents for analysis of genomic variation. Genotyped variants had known or suspected association with phenotypes of interest. Analyses included child-only association and family-based transmission disequilibrium tests. Genotype and phenotype data were available from 828 children and 376 family trios. Children were 50% male, had a mean age of 7.2 years, and were 84% White/non-Hispanic. In family-based analysis, one single-nucleotide polymorphism (SNP; rs1143629, interleukin ( IL1B) 1β) was associated with observed child distress at Bonferroni-corrected levels of significance ( p = .00013), while two approached significance for association with high state anxiety (rs6330 Nerve Growth Factor, Beta Subunit, [ NGFB]) and high trait anxiety (rs6265 brain-derived neurotrophic factor [ BDNF]). In the child-only analysis, multiple SNPs showed nominal evidence of relationships with phenotypes of interest. rs6265 BDNF and rs2941026 cholecystokinin B receptor had possible relationships with trait anxiety in child-only and family-based analyses. Exploring genomic variation furthers our understanding of pain, anxiety, and distress and facilitates genomic screening to identify children at high risk of procedural pain, anxiety, and distress. Combined with clinical observations and knowledge, such explorations could help guide tailoring of interventions to limit procedure-related distress and identify genes and pathways of interest for future genotype-phenotype studies.

  7. Analysis of the barriers of mental distress disclosure in medical inpatients in Taiwan. (United States)

    Han, Der-Yan; Lin, Yi-Yin; Liao, Shih-Cheng; Lee, Ming-Been; Thornicroft, Graham; Wu, Chia-Yi


    Disclosure of mental distress to physicians is important for mental illness identification, early referrals and proper treatment to prevent suicide. Little is known about what affects mental health communication in the clinical settings in the Chinese societies. The study aimed to identify the demographic, psychosocial and medical factors related to people with non-disclosure of their mental distress. We interviewed a series of consecutive inpatients from two medical wards of a general hospital in northern Taiwan. We collected depressive symptoms (the Patient Health Questionnaire, PHQ-9), living arrangement, threatening life events, suicide risks (i.e. past self-harm history, lifetime suicide ideas and hopelessness) and recent experience of mental distress disclosure. Furthermore, we explored the reasons of non-disclosure. A total of 230 medical inpatients agreed to participate (53.5% males). The results indicated that only 5.7% actually communicated their mental health concerns, and that 12.3% were willing to talk about their mental health problems. Among the 69 (30%) depressed participants (PHQ-9 score ≥ 10 points), the disclosure rate was low (8.7%) and the wish to talk about mental distress was also low (10.3%). After adjustment, living alone (OR = 7.58, 95% CI =  1.56-36.91) and having stressful life events (OR = 3.68, 95% CI = 1.09-12.46) remained significant in predicting disclosure of mental distress. The 109 participants attributed their refusal of communicating mental distress as medical-related attributes, subjective perceptions or sociocultural factors. Communication of mental distress in medical settings was uncommon due to medical or psychosocial barriers in Taiwan. Skill training to facilitate disclosure in medical education and public campaigns to improve knowledge of depression and enhance help-seeking deserve more attention, particularly under the influence of stigma in the Chinese societies. © The Author(s) 2014.

  8. The relationship between coping style and psychological distress in people with head and neck cancer: A systematic review. (United States)

    Morris, Nicolle; Moghaddam, Nima; Tickle, Anna; Biswas, Sanchia


    Individuals diagnosed with head and neck cancer (HNC) are at elevated risk of psychological distress and reduced quality of life. This review aimed to systematically examine and critically assess the quality of empirical evidence for associations between coping mechanisms and psychological distress among people with HNC. CINAHL, MEDLINE, PsycINFO, EMBASE, and Web of Science were searched. Studies were included if they used reliable and valid measures to investigate the relationship between coping style and psychological distress. Study quality was assessed according to pre-set criteria. Twelve studies (8 cross-sectional and 4 longitudinal designs) involving 1281 patients were reviewed. There was considerable heterogeneity in study samples and coping measures. Moderate-to-large associations between disengagement coping mechanisms (eg, avoidance) and psychological distress were observed. Engagement coping strategies (eg, direct action) were not consistently associated with psychological distress. Several studies observed a significant relationship between coping styles aimed at disengaging and distancing from cancer and increased psychological distress in people with HNC. To understand directionality of these associations and develop understanding of temporal features of the relationship between coping styles and distress, longitudinal designs could be used. This would enable evidence-based recommendations regarding psychological interventions (eg, encouraging helpful coping strategies) for individuals along their HNC care pathway. Copyright © 2017 John Wiley & Sons, Ltd.

  9. Can Reading Help? (United States)

    Crowe, Chris


    Ponders the effect of September 11th on teenagers. Proposes that reading books can help teenagers sort out complicated issues. Recommends young adult novels that offer hope for overcoming tragedy. Lists 50 short story collections worth reading. (PM)

  10. Helping Kids Handle Worry (United States)

    ... About Stress (Video) Anxiety, Fears, and Phobias Childhood Stress How Can I Help My Child Cope With Divorce? Relax & Unwind Center Worry Less in 3 Steps Five Steps for Fighting Stress Worrying About War - for Kids Stress What Stresses ...

  11. Divorce: Helping Children Cope. (United States)

    Cook, Alicia S.; McBride, Jean


    Examines children's reactions to the divorce process and explores ways in which adults can promote growth and adjustment in children of divorce. Suggests ways in which parents, teachers, and counselors can help children. (RC)

  12. Hooked on Helping (United States)

    Longhurst, James; McCord, Joan


    In this article, teens presenting at a symposium on peer-helping programs describe how caring for others fosters personal growth and builds positive group cultures. Their individual thoughts and opinions are expressed.

  13. Helping a Grieving Parent (United States)

    ... not manage his time well — leaving one project unfinished and going on to something else. You might help him plan a schedule, or offer to work with him. Spending time together and focusing on ...

  14. Psychological resilience and long-term distress in Swedish and Icelandic parents' adjustment to childhood cancer. (United States)

    Gudmundsdottir, Eyglo; Schirren, Maria; Boman, Krister K


    Studies of parental reactions to a child's cancer have traditionally been carried out within the framework of psychiatry and psychopathology. We studied the significance of individual resource factors strengthening parents' resilience to long-term cancer-related distress, a focus that has rarely been used. The two-nation Nordic sample included 398 parents; 190 of whom had experienced a child's cancer, and 208 reference parents. We studied the sense of coherence (SOC) using the SOC-13 questionnaire. For assessing distress reactions we used a primarily illness-specific 11-dimensional Parental Psychosocial Distress in Cancer (PPD-C) self-report questionnaire developed for use with parents of childhood cancer patients, and the General Health Questionnaire (GHQ). Resilience was defined as absence of/less severe distress. Low SOC was significantly associated with more severe distress in all dimensions of the PPD-C and GHQ. The protective effect of SOC was indicated by it being most negatively related to general psychiatric symptoms, physical and psychological stress symptoms, anxiety and depression. The influence of SOC varied with parents' gender, showing a stronger modifying influence among mothers. Mothers and fathers also differed in their utilisation of professional psychosocial support when confronted with the child's cancer. Parental resilience to cancer-related distress varies with identifiable strength factors. A strengths-oriented approach helps in understanding parental adjustment to childhood cancer. In order to counteract psychological vulnerability, addressing resilience instead of pathology helps to identify parents at risk and in need of professional support when faced with a child's cancer.

  15. Community perceptions of mental distress in a post-conflict setting: a qualitative study in Burundi. (United States)

    Familiar, Itziar; Sharma, Sonali; Ndayisaba, Herman; Munyentwari, Norbert; Sibomana, Seleus; Bass, Judith K


    There is scant documentation of the mental health characteristics of low-income communities recovering from armed conflict. To prepare for quantitative health surveys and health service planning in Burundi, we implemented a qualitative study to explore concepts related to mental distress and coping among adults. Mental distress was defined as problems related to feelings, thinking, behaviour and physical stress. Using free listing and key informant interviews with a range of community members, we triangulated data to identify salient issues. Thirty-eight free list respondents and 23 key informants were interviewed in 5 rural communities in Burundi using 2 interview guides from the WHO Toolkit for Mental Health Assessment in Humanitarian Settings. Based on these interviews, we identified four locally defined idioms/terms relating to mental distress: ihahamuka (anxiety spectrum illnesses), ukutiyemera (a mix of depression and anxiety-like syndrome), akabonge (depression/grief-like syndrome) and kwamana ubwoba burengeje (anxiety-like syndrome). Mental distress terms were perceived as important problems impacting community development. Affected individuals sought help from several sources within the community, including community leaders and traditional healers. We discuss how local expressions of distress can be used to tailor health research and service integration from the bottom up.

  16. Medical student psychological distress and academic performance. (United States)

    Dendle, Claire; Baulch, Julie; Pellicano, Rebecca; Hay, Margaret; Lichtwark, Irene; Ayoub, Sally; Clarke, David M; Morand, Eric F; Kumar, Arunaz; Leech, Michelle; Horne, Kylie


    The impact of medical student psychological distress on academic performance has not been systematically examined. This study provided an opportunity to closely examine the potential impacts of workplace and study related stress factors on student's psychological distress and their academic performance during their first clinical year. This one-year prospective cohort study was performed at a tertiary hospital based medical school in Melbourne, Australia. Students completed a questionnaire at three time points during the year. The questionnaire included the validated Kessler psychological distress scale (K10) and the General Health Questionnaire-28 (GHQ-28), as well as items about sources of workplace stress. Academic outcome scores were aggregated and correlated with questionnaire results. One hundred and twenty six students participated; 126 (94.7%), 102 (76.7%), and 99 (74.4%) at time points one, two, and three, respectively. 33.1% reported psychological distress at time point one, increasing to 47.4% at time point three. There was no correlation between the K10 scores and academic performance. There was weak negative correlation between the GHQ-28 at time point three and academic performance. Keeping up to date with knowledge, need to do well and fear of negative feedback were the most common workplace stress factors. Poor correlation was noted between psychological distress and academic performance.

  17. Spirituality and distress in palliative care consultation. (United States)

    Hills, Judith; Paice, Judith A; Cameron, Jacqueline R; Shott, Susan


    One's spirituality or religious beliefs and practices may have a profound impact on how the individual copes with the suffering that so often accompanies advanced disease. Several previous studies suggest that negative religious coping can significantly affect health outcomes. The primary aim of this study was to explore the relationship between spirituality, religious coping, and symptoms of distress among a group of inpatients referred to the palliative care consult service. Pilot study. The study was conducted in a large academic medical center with a comprehensive Palliative Care and Home Hospice Program. (1) National Comprehensive Cancer Network Distress Management Assessment Tool; (2) Pargament Brief Religious Coping Scale (Brief RCOPE); (3) Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp); (4) Puchalski's FICA; and (5) Profile of Mood States-Short Form (POMS-SF). The 31 subjects surveyed experienced moderate distress (5.8 +/- 2.7), major physical and psychosocial symptom burden, along with reduced function and significant caregiving needs. The majority (87.2%) perceived themselves to be at least somewhat spiritual, with 77.4% admitting to being at least somewhat religious. Negative religious coping (i.e., statements regarding punishment or abandonment by God) was positively associated with distress, confusion, depression, and negatively associated with physical and emotional well-being, as well as quality of life. Palliative care clinicians should be alert to symptoms of spiritual distress and intervene accordingly. Future research is needed to identify optimal techniques to address negative religious coping.

  18. Distress screening using distress thermometer in head and neck cancer patients undergoing radiotherapy and evaluation of causal factors predicting occurrence of distress

    Directory of Open Access Journals (Sweden)

    Shirley Lewis


    Full Text Available Introduction: Distress is commonly seen in head and neck cancer patients undergoing radiotherapy. Causal factors of distress are multifactorial; which encompasses physical, psychological, spiritual, and existential factors with complex interrelationship among the factors. Materials and Methods: Thirty patients undergoing head and neck radiotherapy were included in the study. Patients were screened for pain scores, distress scores, physical and psychological symptoms, and spiritual and emotional distress. Results: Significant increasing trend seen for pain score, distress score, and total number of symptoms during 2 nd week, 4 th week, and on completion of radiotherapy treatment (all P′s < 0.001 compared to pretreatment. Those who had chemotherapy (CT along with radiation had significantly greater pain score (t = 5.54, P = 0.03 and distress score (t = 3.9, P = 0.05 at 2 weeks into radiotherapy compared to those who did not receive CT. There was significantly higher grade of skin toxicity in those with spiritual distress (Somers′ d = 0.36, P = 0.02 and higher grade of mucositis in those with existential distress (d = 0.34, P = 0.02 at 4 weeks into radiotherapy. Conclusion: Positive correlation between distress score and pain score and occurrence of physical symptoms. Increasing trend seen for pain score, distress score, and total number of symptoms during 2 nd week, 4 th week, and completion of radiotherapy treatment compared to pretreatment. Increase in distress score in those with existential and spiritual distress.

  19. Distress and job satisfaction after robbery assaults: a longitudinal study. (United States)

    Giorgi, G; Leon Perez, J M; Montani, F; Courcy, F; Arcangeli, G


    External/intrusive violence at work can result in psychological distress and can be an important risk to employee health and safety. However, the vast majority of workplace violence studies have employed cross-sectional and correlational research, designed to examine immediate reactions after being assaulted at work. To explore whether exposure to robbery as a traumatic event may contribute to the onset of typical symptoms of psychological distress (anxiety depression, dysphoria and loss of confidence) and job dissatisfaction over time. We collected data by using a two-wave panel design, in which employees working the days of bank robberies, in an Italian bank, filled in a questionnaire between 48h and 1 week after the robbery (T1) and 2 months after the robbery (T2). We performed structural equation models to evaluate the fit of different models to our data. There were 513 participants at T1 (58% women) and 175 (34%) participants at T2 (62% women). There was a simultaneous association in which psychological distress leads to job dissatisfaction both following robbery and 2 months later. Our findings support a synchronous effects model and suggest that interventions after suffering physical assaults, apart from helping employees to recover their health, should consider restoring their trust and confidence in the organization. This study contributes to understanding the dynamic relationships between a robbery at work and its outcomes over time, by addressing several methodological deficiencies in previous longitudinal studies. © The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email:

  20. Do ravens show consolation? Responses to distressed others.

    Directory of Open Access Journals (Sweden)

    Orlaith N Fraser


    Full Text Available Bystander affiliation (post-conflict affiliation from an uninvolved bystander to the conflict victim may represent an expression of empathy in which the bystander consoles the victim to alleviate the victim's distress ("consolation". However, alternative hypotheses for the function of bystander affiliation also exist. Determining whether ravens spontaneously offer consolation to distressed partners may not only help us to understand how animals deal with the costs of aggressive conflict, but may also play an important role in the empathy debate.This study investigates the post-conflict behavior of ravens, applying the predictive framework for the function of bystander affiliation for the first time in a non-ape species. We found weak evidence for reconciliation (post-conflict affiliation between former opponents, but strong evidence for both bystander affiliation and solicited bystander affiliation (post-conflict affiliation from the victim to a bystander. Bystanders involved in both interactions were likely to share a valuable relationship with the victim. Bystander affiliation offered to the victim was more likely to occur after intense conflicts. Renewed aggression was less likely to occur after the victim solicited affiliation from a bystander.Our findings suggest that in ravens, bystanders may console victims with whom they share a valuable relationship, thus alleviating the victims' post-conflict distress. Conversely victims may affiliate with bystanders after a conflict in order to reduce the likelihood of renewed aggression. These results stress the importance of relationship quality in determining the occurrence and function of post-conflict interactions, and show that ravens may be sensitive to the emotions of others.

  1. Social class and gender patterning of insomnia symptoms and psychiatric distress: a 20-year prospective cohort study. (United States)

    Green, Michael J; Espie, Colin A; Benzeval, Michael


    experience distress at age 57. This overall association for gender, but not the interaction with social class, was explained after adjusting for insomnia symptoms. Sensitivity analyses supported these findings. Gender and socioeconomic inequalities in psychiatric distress are strongly associated with inequalities in insomnia symptoms. Treatment of insomnia or measures to promote healthier sleeping may therefore help alleviate inequalities in psychiatric distress.

  2. Psychological Distress in Acute Low Back Pain

    DEFF Research Database (Denmark)

    Shaw, William S; Hartvigsen, Jan; Woiszwillo, Mary J


    OBJECTIVE: To characterize the measurement scales and levels of psychological distress reported among published studies of acute low back pain (LBP) in the scientific literature. DATA SOURCES: Peer-reviewed scientific literature found in 8 citation index search engines (CINAHL, Embase, MANTIS, Psyc......INFO, PubMed, Web of Science, AMED, and Academic Search Premier) for the period from January 1, 1966, to April 30, 2015, in English, Danish, Norwegian, and Swedish languages. STUDY SELECTION: Cross-sectional, case-control, cohort, or randomized controlled trials assessing psychological distress....... CONCLUSIONS: Based on the high consistency across studies using valid measures with a low to moderate risk of bias, there is strong evidence that psychological distress is elevated in acute LBP....

  3. A pavement Moisture Accelerated Distress (MAD) identification system, volume 2 (United States)

    Carpenter, S. H.; Darter, M. I.; Dempsey, B. J.


    A users manual is designed which provides the engineer with a rational method of examining a pavement and determining rehabilitation needs that are related to the causes of the existing distress, particularly moisture related distress. The key elements in this procedure are the MAD Index developed in Volume 1, the Pavement Condition Index (PCI) and the Moisture Distress Index (MDI). Step by step procedures are presented for calculating each parameter. Complete distress identification manuals are included for asphalt surfaced highways and jointed reinforced concrete highways with pictures and descriptions of all major distress types. Descriptions of the role moisture plays in the development of each distress type are included.

  4. Telephone Crisis Support Workers' Psychological Distress and Impairment. (United States)

    Kitchingman, Taneile A; Wilson, Coralie J; Caputi, Peter; Wilson, Ian; Woodward, Alan


    In order to respond to crises with appropriate intervention, crisis workers are required to manage their own needs as well as the needs of those they respond to. A systematic review of the literature was conducted to examine whether telephone crisis support workers experience elevated symptoms of psychological distress and are impaired by elevated symptoms. Studies were identified in April 2015 by searching three databases, conducting a gray literature search, and forward and backward citation chaining. Of 113 identified studies, seven were included in the review. Results suggest that that telephone crisis support workers experience symptoms of vicarious traumatization, stress, burnout, and psychiatric disorders, and that they may not respond optimally to callers when experiencing elevated symptoms of distress. However, definitive conclusions cannot be drawn due to the paucity and methodological limitations of available data. While the most comprehensive search strategy possible was adopted, resource constraints meant that conference abstracts were not searched and authors were not contacted for additional unpublished information. There is an urgent need to identify the impact of telephone crisis support workers' role on their well-being, the determinants of worker well-being in the telephone crisis support context, and the extent to which well-being impacts their performance and caller outcomes. This will help inform strategies to optimize telephone crisis support workers' well-being and their delivery of support to callers.

  5. Distress Management Through Mind-Body Therapies in Oncology. (United States)

    Carlson, Linda E


    Distress is highly prevalent in cancer survivors, from the point of diagnosis through treatment and recovery, with rates higher than 45% reported worldwide. One approach for helping people cope with the inherent stress of cancer is through the use of mind-body therapies (MBTs) such as mediation, yoga, hypnosis, relaxation, and imagery, which harness the power of the mind to affect physical and psychological symptoms. One group of MBTs with a growing body of research evidence to support their efficacy focus on training in mindfulness meditation; these are collectively known as mindfulness-based interventions (MBIs). Research supports the role of MBIs for dealing with common experiences that cause distress around cancer diagnosis, treatment, and survivorship including loss of control, uncertainty about the future, fears of recurrence, and a range of physical and psychological symptoms including depression, anxiety, insomnia, and fatigue. Growing research also supports their cost-effectiveness, and online and mobile adaptations currently being developed and evaluated increase promise for use in a global context. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail:

  6. Psychological distress in survivors of the 2010 Haiti earthquake (United States)

    Guimaro, Melissa Simon; Steinman, Milton; Kernkraut, Ana Merzel; dos Santos, Oscar Fernando Pavão; Lacerda, Shirley Silva


    ABSTRACT Objective: To investigate the presence of depression and anxiety symptoms in survivors of the Haiti earthquake who were assisted by a healthcare team from the Hospital Israelita Albert Einstein, and to evaluate the impact that losing a family member during this catastrophe could have on the development of these symptoms. Methods: Forty survivors of the Haiti earthquake who were assisted by the healthcare team between February and March of 2010 were included in this study. All subjects underwent a semi-structured interview. The group was divided into Group A (individuals who had some death in the family due to the disaster) and Group B (those who did not lose any family member). Results: A total of 55% of the subjects had depression symptoms whereas 40% had anxiety symptoms. The individuals who lost a family member were five times more likely to develop anxiety and depression symptoms than those who did not. Conclusion: Catastrophe victims who lost at least one family member due to the disaster were more likely to develop anxiety and depression symptoms. To these individuals, as well as others showing psychological distress, should be offered early mental health care to help them cope with the great emotional distress inherent in these situations. PMID:23579738

  7. Psychological distress in survivors of the 2010 Haiti earthquake. (United States)

    Guimaro, Melissa Simon; Steinman, Milton; Kernkraut, Ana Merzel; Santos, Oscar Fernando Pavão dos; Lacerda, Shirley Silva


    To investigate the presence of depression and anxiety symptoms in survivors of the Haiti earthquake who were assisted by a healthcare team from the Hospital Israelita Albert Einstein, and to evaluate the impact that losing a family member during this catastrophe could have on the development of these symptoms. Forty survivors of the Haiti earthquake who were assisted by the healthcare team between February and March of 2010 were included in this study. All subjects underwent a semi-structured interview. The group was divided into Group A (individuals who had some death in the family due to the disaster) and Group B (those who did not lose any family member). A total of 55% of the subjects had depression symptoms whereas 40% had anxiety symptoms. The individuals who lost a family member were five times more likely to develop anxiety and depression symptoms than those who did not. Catastrophe victims who lost at least one family member due to the disaster were more likely to develop anxiety and depression symptoms. To these individuals, as well as others showing psychological distress, should be offered early mental health care to help them cope with the great emotional distress inherent in these situations.

  8. Principles of Supportive Psychotherapy for Perinatal Distress. (United States)

    Kleiman, Karen; Wenzel, Amy

    Although interpersonal psychotherapy and cognitive behavioral therapy have demonstrated efficacy in the treatment of perinatal distress, supportive psychotherapy has not been as widely studied by researchers. However, the principles of supportive psychotherapy are essential in the treatment of perinatal distress. The purpose of this article is to show that supportive psychotherapy is a plausible intervention that nurses and other maternity care providers can use with women who experience anxiety and depression in the perinatal period. Copyright © 2017 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

  9. Nurses' responses to initial moral distress in long-term care. (United States)

    Edwards, Marie P; McClement, Susan E; Read, Laurie R


    While researchers have examined the types of ethical issues that arise in long-term care, few studies have explored long-term care nurses' experiences of moral distress and fewer still have examined responses to initial moral distress. Using an interpretive description approach, 15 nurses working in long-term care settings within one city in Canada were interviewed about their responses to experiences of initial moral distress, resources or supports they identified as helpful or potentially helpful in dealing with these situations, and factors that hindered nurses in their responses. Using a thematic analysis process, three major themes were identified from the nurses' experiences: (i) the context of the situation matters; (ii) the value of coming together as a team; and (iii) looking for outside direction. The work of responding to initial moral distress was more fruitful if opportunities existed to discuss conflicts with other team members and if managers supported nurses in moving their concerns forward through meetings or conversations with the team, physician, or family. Access to objective others and opportunities for education about ethics were also identified as important for dealing with value conflicts.

  10. El patronato Cervantes de México y los Colegios de provincias del exilio pedagógico de 1939 The Cervantes Foundation of México and the provincecities schools the exile pegagogical of 1939

    Directory of Open Access Journals (Sweden)

    José Ignacio CRUZ OROZCO


    Full Text Available Uno de los aspectos menos conocidos del exilio republicano de 1936 es su dimensión pedagógica. Los exiliados españoles en su azarosa trayectoria fundaron diversos centros docentes, casi todos ellos en México. Esos «colegios del exilio» pueden ser calificados de acuerdo con un criterio territorial. Unos se ubicaron en México ciudad y otros en diversas ciudades de provincias. Éstos últimos estuvieron promovidos, en su mayoría, por el Patronato Cervantes, entidad en la órbita del sector negrinista del exilio. El Patronato promovió colegios Cervantes en las localidades de Córdoba, Tampico, Veracruz, Tarreón, Jalapa y Tapachula. Casi todos tuvieron éxito, consiguieron consolidarse y varios continúan existiendo en la actualidad. El artículo reconstruye, a partir de diversas fuentes, en gran parte inéditas, la trayectoria y principales características de esos centros y del Patronato que los alentó.One of the less known aspects of the republican exile of 1936 is its pedagogical dimension. The Spanish exiled on their hazardous path founded some centers of education, mostly in Mexico. These «exile schools» can be qualified with a territorial criterion. Some of them were located in Mexico city, and others in different provincecities. These last ones were mostly promoted by the Cervantes Foundation, an organization in the orbit of the Negrin sector in the exile. The Foundation promoted Cervantes Schools in the places of Cordoba, Tampico, Veracruz, Jalapa and Tapachula. Nearly all of them were successful, they managed to become consolidated, and some of them still exist at the present time. The article reconstructs, fron some sources mostly unpublished, the trajectory and the main characteristics of these centers and of the foundation that encouraged them.

  11. Ayudele! [Help Him!]. (United States)

    Spencer, Maria Gutierrez, Comp.; Almance, Sofia, Comp.

    Written in Spanish and English, the booklet briefly discusses what parents can do to help their child learn at school. The booklet briefly notes the importance of getting enough sleep; eating breakfast; praising the child; developing the five senses; visiting the doctor; having a home and garden; talking, listening, and reading to the child;…

  12. Helping You Age Well (United States)

    ... surgery can help. Reproductive: Fibroids, ovarian cysts, and cancer of uterus can occur in women; sexual dysfunction increases for men and women. Skin: Protect your skin from the sun; avoid shingles with new ... cancer checks. NIH Resources This special section has been ...

  13. Help Teens Manage Diabetes (United States)

    ... Grey, dean of the Yale University School of Nursing, developed and tested a program called Coping Skills Training (CST) as a part of routine diabetes ... is to improve diabetic teens' coping and communication skills, healthy ... sugar levels. "Nursing research is about helping people deal with the ...

  14. Help for Mental Illnesses (United States)

    ... that participate with your plan. Mental Health and Addiction Insurance Help : This website from the U.S. Department ... in the Health & Education section. The website is mobile and print-friendly. Printed ... eastern time, M-F Phone: 1-866-615-6464 TTY: 1-301-443- ...

  15. Stretching: Does It Help? (United States)

    Vardiman, Phillip; Carrand, David; Gallagher, Philip M.


    Stretching prior to activity is universally accepted as an important way to improve performance and help prevent injury. Likewise, limited flexibility has been shown to decrease functional ability and predispose a person to injuries. Although this is commonly accepted, appropriate stretching for children and adolescents involved with sports and…

  16. Being 'green' helps profitability?

    International Nuclear Information System (INIS)

    Austin, D.


    Pollution reduction beyond regulatory compliance is gaining momentum among firms, but managers ask if being 'green' helps profitability. Evidence suggests it doesn't hurt, but when we see environmentally attractive firms with sound financial performance, it cannot yet say which is cause and which is effect [it

  17. Profile: parents help themselves. (United States)

    Woods, G E


    A short account is given of a voluntary organization, PACE, formed by parents of young handicapped children in Leeds. PACE provides friendship and help to other parents, arranges the toy library, riding for the disabled and other activities for the children. It also raises money that is needed for special projects.

  18. Helping Them Grow. (United States)

    Kreidler, William J.; And Others


    Three articles present suggestions to help elementary teachers promote student development. The first describes games that encourage a sense of community. The second deals with making parent teacher conferences a positive experience. The third discusses how to give confused children who are involved in custody battles an alternative to acting out.…

  19. Levels of Distress in Women at Risk for Ovarian Cancer

    National Research Council Canada - National Science Library

    Kash, Kathryn M


    The overall goal of this study was to determine the levels of distress in women with a family history of ovarian cancer and to identify the mediating factors between risk of developing ovarian cancer and distress...

  20. A study of personality And psychological distress among delusional ...

    African Journals Online (AJOL)

    These individuals manifested multiple symptoms associated with distress and they experienced personal discomfort and social embarrassment leading to emotional distress. The study highlights the importance of assessing personality characteristics and psychological dysfunction of patients presenting with delusional ...

  1. Psychological distress in patients with morphea and eosinophilic fasciitis.

    NARCIS (Netherlands)

    Kroft, Ilse; Jong, E.M.G.J. de; Evers, A.W.M.


    OBJECTIVE: To examine the level of psychological distress and factors contributing to distress in patients with morphea or eosinophilic fasciitis. DESIGN: Cross-sectional study. SETTING: Dermatology outpatient clinic of a university hospital. PARTICIPANTS: Of 120 patients with morphea or

  2. [Acute respiratory distress syndrome: a review of the Berlin definition]. (United States)

    de Luis Cabezón, N; Sánchez Castro, I; Bengoetxea Uriarte, U X; Rodrigo Casanova, M P; García Peña, J M; Aguilera Celorrio, L


    Acute Respiratory Distress Syndrome (ARDS) is due to many causes. The absence of a universal definition up until now has led to a series of practical problems for a definitive diagnosis. The incidences of ARDS and Acute Lung Injury (ALI) vary widely in the current literature. The American-European Consensus Conference definition has been applied since its publication in 1994 and has helped to improve knowledge about ARDS. However, 18 years later, in 2011, the European Intensive Medicine Society, requested a team of international experts to meet in Berlin to review the ARDS definition. The purpose of the Berlin definition is not to use it as a prognostic tool, but to improve coherence between research and clinical practice. Copyright © 2013 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

  3. Psychosocial Distress And Satisfaction With Surgery Among ...

    African Journals Online (AJOL)

    Objective: The aim of the study was to determine the prevalence and correlates of psychiatric morbidity, psychosocial distress and satisfaction with surgery among mothers of children with cleft lip and cleft palate in Port Harcourt, Nigeria. Methods: The study was a cross sectional study. Twenty four mothers of children with ...

  4. Maternal postpartum distress and childhood overweight.

    Directory of Open Access Journals (Sweden)

    Teresa A Ajslev

    Full Text Available OBJECTIVE: We investigated associations between maternal postpartum distress covering anxiety, depression and stress and childhood overweight. METHODS: We performed a prospective cohort study, including 21,121 mother-child-dyads from the Danish National Birth Cohort (DNBC. Maternal distress was measured 6 months postpartum by 9 items covering anxiety, depression and stress. Outcome was childhood overweight at 7-years-of age. Multiple logistic regression analyses were performed and information on maternal age, socioeconomic status, pre-pregnancy BMI, gestational weight gain, parity, smoking during pregnancy, paternal BMI, birth weight, gestational age at birth, sex, breastfeeding and finally infant weight at 5 and 12 month were included in the analyses. RESULTS: We found, that postpartum distress was not associated with childhood risk of overweight, OR 1.00, 95%CI [0.98-1.02]. Neither was anxiety, depression, or stress exposure, separately. There were no significant differences between the genders. Adjustment for potential confounders did not alter the results. CONCLUSION: Maternal postpartum distress is apparently not an independent risk factor for childhood overweight at 7-years-of-age. However, we can confirm previous findings of perinatal determinants as high maternal pre-pregnancy BMI, and smoking during pregnancy being risk factors for childhood overweight.

  5. Distress classification measures in the banking sector

    Directory of Open Access Journals (Sweden)

    Maria Carapeto


    Full Text Available This paper investigates distress classification measures in the banking sector. The power of ten different accounting measures is tested using media coverage as the benchmark for a sample of 1,175 banks which participated in merger and acquisitions or divestiture deals over the past 22 calendar years. According to the results of the study, a bank should be defined as distressed if the ratio of its non-performing loans to total loans is in the two highest deciles of the industry, using a three-year moving average. This measure is typically favored by practitioners, who maintain that other common measures, e.g., those involving provisions for loan losses, are not as accurate as they express only a managerial forecast. Interestingly, measures that capture capital adequacy too often depict the bank as healthy even if it is de facto distressed, while measures of asset quality, though highly correlated with each other, tend to overestimate the number of distressed banks.

  6. Happiness and Death Distress: Two Separate Factors (United States)

    Abdel-Khalek, Ahmed M.


    The aim of the present study was to explore the relationship between happiness and death distress (death anxiety, death depression, and death obsession) in 275 volunteer Kuwaiti undergraduates. They responded to the Oxford Happiness Inventory, the Death Anxiety Scale, the Arabic Scale of Death Anxiety, the Death Depression Scale-Revised, and the…

  7. Family caregiving in schizophrenia: domains and distress

    NARCIS (Netherlands)

    Schene, A. H.; van Wijngaarden, B.; Koeter, M. W.


    This article focuses on (1) the dimensionality of the caregiving concept; (2) the relation between the identified caregiving dimensions and characteristics of the patient, the caregiver, and their relationship; and (3) the relation between caregiving dimensions and caregiver distress. Findings are

  8. Disordered Eating and Psychological Distress among Adults (United States)

    Patrick, Julie Hicks; Stahl, Sarah T.; Sundaram, Murali


    The majority of our knowledge about eating disorders derives from adolescent and young adult samples; knowledge regarding disordered eating in middle and later adulthood is limited. We examined the associations among known predictors of eating disorders for younger adults in an age-diverse sample and within the context of psychological distress.…

  9. Psychological distress amongst undergraduate students of a ...

    African Journals Online (AJOL)

    Background: Mental health among university students represents an important public health concern and the health of university students has been the subject of increasing focus in recent years. Available evidence suggests that there are significantly more students experiencing high levels of distress compared with the ...

  10. Infertility, psychological distress, and coping strategies among ...

    African Journals Online (AJOL)

    Relatively little is known about infertility and its consequences in Mali, West Africa where the context and culture are different from those of previously studied settings. This study therefore aimed to specifically examine infertility induced psychological distress and coping strategies among women in Mali. A convergent ...

  11. Psychological distress and symptoms among patients attending ...

    African Journals Online (AJOL)

    Background: The study was carried out to investigate the manifestations of psychological distress and symptoms among individuals receiving treatment for sexually transmitted diseases and to compare them with individuals who were not suffering from sexually transmitted diseases. Methods: Patients attending the sexually ...

  12. Assessment of Body perception, Psychological Distress, and ...

    African Journals Online (AJOL)

    Background: Obesity can lead to psychological, social, and medical problems that may negatively affect the quality of life Aim: In our study, we aimed to evaluate the body perception, psychological distress, and subjective quality of life of obese subjects in comparison with normal weighted ones. Methods: A total of 494 ...

  13. Assessment of Body perception, Psychological Distress, and ...

    African Journals Online (AJOL)


    Feb 7, 2018 ... Background: Obesity can lead to psychological, social, and medical problems that may negatively ... mass index (BMI) of ≥18.5–24.9 kg/m² were assigned to the control group; BMI ≥. 30 kg/m² were ... Son: Body perception, psychological distress, quality of life among obese and nonobese subjects. 1303.

  14. Predictors of distress and anxiety during pregnancy

    African Journals Online (AJOL)

    psychobiological changes associated with pregnancy.31. Finally, lower perceived social support was significantly associated with distress and anxiety at trimester 2 and 3. Level of social support has previously been found to be a predictor of anxiety during pregnancy.12 Studies have shown an association of inadequate ...

  15. Psychological Distress and Emotional Expression on Facebook. (United States)

    Bazarova, Natalya N; Choi, Yoon Hyung; Whitlock, Janis; Cosley, Dan; Sosik, Victoria


    Social network sites (SNS) are a novel social environment for college students with psychological distress to connect with their peers, but the nature and effects of these interactions are not well understood. This study reports findings from a Facebook study among 238 college students reporting nonspecific psychological distress using the K-6 scale. Behavioral data included Facebook status updates containing affect words written by participants within the past 60 days and the number of responses (comments and likes) each update received. The updates were also coded for depression symptoms. Self-report data included participants' self-presentational concerns, the affective valence of each post, effects of responses on mood, and satisfaction with the responses to and outcome of each status update. Higher psychological distress was associated with displaying depression language on Facebook, with higher self-presentational concerns, and with less satisfaction with audiences' responses and less overall satisfaction with the outcome of the interaction. These results offer a unique glimpse into the social world of college students with psychological distress through their everyday use of Facebook, and how the interplay of this novel environment and students' mental health impacts their social behaviors and interaction meaning-making on Facebook.

  16. Religion and Psychological Distress in Japan (United States)

    Roemer, Michael K.


    This study introduces data from a new random sample of Japanese adults. Findings show that reporting of distress symptoms are: (1. positively associated with a religious coping index (i.e., beliefs that religion or supernatural beings provide comfort, support or protection), (2. associated in different directions with ownership of different…

  17. Respiratory Development and Respiratory Distress Syndrome. (United States)

    Rubarth, Lori Baas; Quinn, Jenny


    Respiratory development is crucial for all newborn infants. Premature infants may be born at an early stage of development and lack sufficient surfactant production. This results in respiratory distress syndrome. This article reviews the normal fetal development of the lung as well as the disorder that develops because of an early birth.

  18. Young women's psychological distress after a diagnosis of polycystic ovary syndrome or endometriosis. (United States)

    Rowlands, I J; Teede, H; Lucke, J; Dobson, A J; Mishra, G D


    in the year prior to their diagnosis. The association between PCOS and psychological distress was attenuated when adjusting for BMI, but hormonal contraceptive use did not attenuate the risk of distress among the women with PCOS or endometriosis. All data were self-reported and, therefore, the diagnoses of PCOS or endometriosis were not confirmed by a medical practitioner. Health professionals should be aware of the potential psychosocial and healthcare needs among young women with these conditions, particularly women with PCOS who are obese. While hormonal contraceptives may help to regulate the hormonal aspects of these conditions, they do not appear to reduce women's psychological distress. Because psychological distress among the young women in this study remained elevated even after diagnosis, this supports the need for multidisciplinary health care to help women adjust to their diagnosis and treatment regimens and facilitate positive, long-term mental health outcomes. Future research that examines medical and psychosocial sources of distress for young women with PCOS and endometriosis is needed. I.J.R. was supported by an Australian National Health and Medical Research Council Centre for Research Excellence (grant number: APP1000986). G.D.M. is funded by the Australian Research Council Future Fellowship (FT120100812). The Australian Longitudinal Study on Women's Health is funded by the Australian Government Department of Health. H.T. is supported by an Australian National Health and Medical Research Council Practitioner Fellowship. The authors declare that no competing interests exist. N/A. © The Author 2016. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email:

  19. How to help the patient motivate himself? (United States)

    Grimaldi, A


    In order to help a patient with a chronic disease motivate himself, caregivers spontaneously make use of reason with a view to having the patient share the caregivers' point of view, in other words, to some extent, transforming the care recipient into a caregiver. However, it is not unusual for a caregiver suffering from the disease in which he specializes not to treat himself in compliance with the rules he recommends to his patients. Man is a trinity with three instances of the self. In addition to the "rational self" that tends towards the universal, there is also an "animal self" subject to powerful, frequently imperious, primary needs which may be compared to impulsions, compulsions and addictions. Lastly, there is an "identity self", an irreducible singularity, governed by the law of optimizing pleasure or, in any event, avoiding moral distress. The patient has to learn to navigate between objectives oriented by reason, more or less imperious urges and the striving for well-being and avoidance of moral distress. These various instances of the "self" have a distinct relationship with the norm and with time. Psychologists recognize two types of motivation: intrinsic motivation, an activity implemented for itself, and extrinsic motivation, an activity practiced for its secondary beneficial effects. Clearly, caring for oneself derives from an extrinsic motivation. This motivation may be very powerful but is frequently of limited duration. Helping a patient suffering from a chronic disease motivate himself over time thus consists in helping the patient take on board an extrinsic motivation in order for the treatment to become a routine or a source of satisfaction or even pleasure. The physician has to promote the acquisition of self-care skills and a feeling of success in the patient. The physician is also to help the patient negotiate the optimum compromise between his "rational self" and his "identity self" by acting as the advocate of the two parties, while not

  20. The Indirect Costs of Financial Distress in Indonesia


    Wijantini Wijantini


    This paper presents quantitative estimates of the indirect cost of financial distress and its determinants. In order to measure the cost, this study estimates the annualized changes in industry-adjusted operation profit and sales from a year before the onset of distress to the resolution year. Using those approaches, the median of indirect financial distress cost is estimated between three and 11 percent annually. To the extent that the direct cost of financial distress reduces reported opera...

  1. Child Affected by Parental Relationship Distress. (United States)

    Bernet, William; Wamboldt, Marianne Z; Narrow, William E


    A new condition, "child affected by parental relationship distress" (CAPRD), was introduced in the DSM-5. A relational problem, CAPRD is defined in the chapter of the DSM-5 under "Other Conditions That May Be a Focus of Clinical Attention." The purpose of this article is to explain the usefulness of this new terminology. A brief review of the literature establishing that children are affected by parental relationship distress is presented. To elaborate on the clinical presentations of CAPRD, four common scenarios are described in more detail: children may react to parental intimate partner distress; to parental intimate partner violence; to acrimonious divorce; and to unfair disparagement of one parent by another. Reactions of the child may include the onset or exacerbation of psychological symptoms, somatic complaints, an internal loyalty conflict, and, in the extreme, parental alienation, leading to loss of a parent-child relationship. Since the definition of CAPRD in the DSM-5 consists of only one sentence, the authors propose an expanded explanation, clarifying that children may develop behavioral, cognitive, affective, and physical symptoms when they experience varying degrees of parental relationship distress, that is, intimate partner distress and intimate partner violence, which are defined with more specificity and reliability in the DSM-5. CAPRD, like other relational problems, provides a way to define key relationship patterns that appear to lead to or exacerbate adverse mental health outcomes. It deserves the attention of clinicians who work with youth, as well as researchers assessing environmental inputs to common mental health problems. Copyright © 2016 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

  2. Providing care to relatives with mental illness: reactions and distress among primary informal caregivers. (United States)

    Chang, Sherilyn; Zhang, Yunjue; Jeyagurunathan, Anitha; Lau, Ying Wen; Sagayadevan, Vathsala; Chong, Siow Ann; Subramaniam, Mythily


    The responsibility of caring for relatives with mental illness often falls on the family members. It has been reported that the reactions to or consequences of providing care are what rendered the role of a caregiver challenging and hence a source of distress. This present study thus aimed to identify socio-demographic correlates of caregiving experiences using the Caregiver Reaction Assessment (CRA) and to examine the associations between reactions to caregiving and psychological distress. A total of 350 caregivers with relatives seeking outpatient care at a tertiary psychiatric hospital were recruited for this study. Distress among caregivers was assessed using the Patient Health Questionnaire (PHQ-9). The CRA was administered to measure reactions from caregiving in four domains including impact on schedule and health (ISH), impact on finance (IF), lack of family support (LFS) and caregiver esteem (CE). Participants also completed a questionnaire that asked for their socio-demographic information. Multivariable linear regression analysis was first used with domains of CRA as outcome variables and socio-demographic variables as predictors in the models. The next set of multivariable linear regression analysis tested for the association between CRA domains and distress with CRA domain scores as outcome variables and PHQ-9 score as predictor, controlling for socio-demographic variables. Socio-demographic correlates of CRA domains identified were age, education, employment, income and ethnicity. Domain scores of CRA were significantly associated with PHQ-9 score even after controlling for socio-demographic variables. A higher distress score was associated with greater impact felt in the domain of ISH (β = 0.080, P level, and also promoting wider social care support in these domains may help to address caregiver distress.

  3. The contribution of self-esteem and self-concept in psychological distress in women at risk of hereditary breast cancer. (United States)

    den Heijer, Mariska; Seynaeve, Caroline; Vanheusden, Kathleen; Duivenvoorden, Hugo J; Vos, Joël; Bartels, Carina C M; Menke-Pluymers, Marian B E; Tibben, Aad


    Clarification of the role of several aspects of self-concept regarding psychological distress in women at risk of hereditary breast cancer will help to target counselling and psychosocial interventions more appropriately. In this study, we aimed (1) to examine the role of general self-esteem and specific aspects of self-concept (i.e. stigma, vulnerability, and mastery) in psychological distress in women at risk of hereditary breast cancer and (2) to compare the relative importance of these self-concept aspects in psychological distress in women with low versus high self-esteem. General and breast-cancer-specific distress, self-esteem, self-concept, and demographics were assessed in 246 women being at risk of hereditary breast cancer, who opted either for regular breast surveillance or prophylactic surgery. In the total study group, self-esteem was negatively associated with general distress. Furthermore, feeling stigmatized was strongly associated with more breast-cancer-specific distress, and to a lesser degree with general distress. In women with low-self esteem, feelings of stigmatization were strongly associated with higher levels of both breast-cancer-specific and general distress, while a sense of mastery was associated with less general distress. For women with high self-esteem, feelings of both stigmatization and vulnerability were associated with more breast-cancer-specific distress, whereas there were no significant associations with general distress. Psychosocial interventions or support groups for women at risk of hereditary breast cancer should focus on self-esteem and feelings of stigmatization and isolation, and consequently tailor the interventions on specific items for respective women. Copyright © 2010 John Wiley & Sons, Ltd.

  4. Negative Emotions and Behaviors are Markers of Breakup Distress (United States)

    Field, Tiffany; Diego, Miguel; Pelaez, Martha; Deeds, Osvelia; Delgado, Jeanette


    Method: University students who experienced a recent romantic breakup were given several self-report measures and were then divided into high versus low breakup distress groups. Results: The high breakup distress versus the low breakup distress groups had higher scores on negative emotions scales including depression, anxiety and anger and…

  5. Predictors of Psychological Distress among Infertility Clinic Patients. (United States)

    Morrow, Kelly A.; And Others


    Investigated predictors of psychological distress among infertility clinic patients. Analyses indicated that infertile men and women reported greater psychological distress than the general population. Self-blame and avoidance coping significantly predicted psychological distress among men and women. Increased age and childlessness added to…

  6. A review on automated pavement distress detection methods

    NARCIS (Netherlands)

    Coenen, Tom B.J.; Golroo, Amir


    In recent years, extensive research has been conducted on pavement distress detection. A large part of these studies applied automated methods to capture different distresses. In this paper, a literature review on the distresses and related detection methods are presented. This review also includes

  7. 47 CFR 80.1114 - False distress alerts. (United States)


    ... Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS) Operating Procedures for Distress and Safety Communications § 80.1114 False distress alerts. The provisions of §§ 80.334 and 80.335 apply to...

  8. 47 CFR 80.1113 - Transmission of a distress alert. (United States)


    ... Section 80.1113 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS) Operating Procedures for Distress and Safety Communications § 80.1113 Transmission of a distress alert. (a) The...

  9. Maternal psychological distress after preterm birth: Disruptive or adaptive?

    NARCIS (Netherlands)

    Hall, Ruby A.s.; Hoffenkamp, Hannah N.; Braeken, Johan; Tooten, Anneke; Vingerhoets, A.J.J.M.; Van Bakel, Hedwig J.a.


    BACKGROUND: Maternal postpartum distress is often construed as a marker of vulnerability to poor parenting. Less is known, however, about the impact of postpartum distress on parenting an infant born prematurely. The present study investigated whether high distress levels, which are particularly

  10. Predictors of distress and anxiety during pregnancy | Roos | African ...

    African Journals Online (AJOL)

    Objective: There is a high incidence of distressing psychological symptoms including anxiety in pregnancy. Nevertheless, predictors of distress and anxiety during pregnancy have not been well characterized. We determined whether temperament and character, trait anxiety, resilience, and social support predicted distress ...

  11. 47 CFR 80.1115 - Transmission of a distress alert by a station not itself in distress. (United States)


    ... (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS) Operating Procedures for Distress and Safety Communications § 80.1115 Transmission...

  12. The spiritual distress assessment tool: an instrument to assess spiritual distress in hospitalised elderly persons

    Directory of Open Access Journals (Sweden)

    Martin Estelle


    Full Text Available Abstract Background Although spirituality is usually considered a positive resource for coping with illness, spiritual distress may have a negative influence on health outcomes. Tools are needed to identify spiritual distress in clinical practice and subsequently address identified needs. This study describes the first steps in the development of a clinically acceptable instrument to assess spiritual distress in hospitalized elderly patients. Methods A three-step process was used to develop the Spiritual Distress Assessment Tool (SDAT: 1 Conceptualisation by a multidisciplinary group of a model (Spiritual Needs Model to define the different dimensions characterizing a patient's spirituality and their corresponding needs; 2 Operationalisation of the Spiritual Needs Model within geriatric hospital care leading to a set of questions (SDAT investigating needs related to each of the defined dimensions; 3 Qualitative assessment of the instrument's acceptability and face validity in hospital chaplains. Results Four dimensions of spirituality (Meaning, Transcendence, Values, and Psychosocial Identity and their corresponding needs were defined. A formalised assessment procedure to both identify and subsequently score unmet spiritual needs and spiritual distress was developed. Face validity and acceptability in clinical practice were confirmed by chaplains involved in the focus groups. Conclusions The SDAT appears to be a clinically acceptable instrument to assess spiritual distress in elderly hospitalised persons. Studies are ongoing to investigate the psychometric properties of the instrument and to assess its potential to serve as a basis for integrating the spiritual dimension in the patient's plan of care.

  13. Communication, support and psychosocial work environment affecting psychological distress among working women aged 20 to 39 years in Japan. (United States)

    Honda, Ayumi; Date, Yutaka; Abe, Yasuyo; Aoyagi, Kiyoshi; Honda, Sumihisa


    When compared with their older counterparts, younger women are more likely to have depressive symptoms because they more often experience interrupted work history and a heavy childrearing burden. The purposes of the present study were 1) to investigate the possible association of psychosocial work environment with psychological distress and 2) to examine the way by which communication and support in the workplace affect to psychological distress among young women. We studied 198 women aged 20 to 39 yr in a cross-sectional study. The Kessler Scale-10 (K10 Scale) was used to examine psychological distress. In employees who experienced interpersonal conflict, those who had little or no conversations with their supervisor and/or co-workers had a significantly increased risk of psychological distress (OR, 4.2), and those who received little or no support from their supervisor and/or co-workers had a significantly increased risk of psychological distress (OR, 3.8) compared to those who had more frequent communication and received more support. Harmonious communication in the workplace can help prevent psychological distress among employees, which in turn may enable them to be satisfied with their work.

  14. Speech Recognition of Aged Voices in the AAL Context: Detection of Distress Sentences


    Aman , Frédéric; Vacher , Michel; Rossato , Solange; Portet , François


    International audience; By 2050, about a third of the French population will be over 65. In the context of technologies development aiming at helping aged people to live independently at home, the CIRDO project aims at implementing an ASR system into a social inclusion product designed for elderly people in order to detect distress situations. Speech recognition systems present higher word error rate when speech is uttered by elderly speakers compared to when non-aged voice is considered. Two...

  15. Geografía del exilio sefardí en La lozana andaluza / Geography of the Sephardic exile in La lozana andaluza

    Directory of Open Access Journals (Sweden)

    Marisa García Verdugo


    Full Text Available Resumen: Este trabajo trata de los elementos autobiográficos presentes en el Retrato de la Lozana andaluza de Francisco Delicado. Delicado se convirtió al cristianismo y se hizo sacerdote, aun así siguió a los judíos a su exilio en Italia, convivió con ellos en Roma y tras el Saqueo de Roma en 1527, se volvió a encontrar entre los sefarditas en Venecia. Francisco Delicado localiza su historia en los lugares donde habitaron los judíos sefarditas y nos lega un autorretrato cifrado en La lozana andaluza.Summary: This paper deals with the autobiographical elements present in The portrait of the Lusty Andalusian Woman by the Spanish writer Francisco Delicado. Francisco Delicado became a converso and a priest during the time of the expulsion of the Jews from Spain, however he followed the exiled Jews to Italy, lived with them in Rome and left Rome after the Sac of Rome in 1527 to find himself again with the Sephardim in Venice. Francisco Delicado sets his story in the places where there were Spanish Jews and left an encrypted self portrait in his creation of La lozana andaluza.

  16. Entre l’exil et l’asile : l’inter-dit silencieux dans Le Pavillon des miroirs de Sergio Kokis

    Directory of Open Access Journals (Sweden)

    Steven Urquhart


    Full Text Available Lorsqu’on parle du premier roman de Sergio Kokis, Le Pavillon des miroirs, on souligne à juste titre le caractère autobiographique du roman manifeste par le va-et-vient narratif entre le présent du narrateur/peintre au Québec et le souvenir de sa jeunesse au Brésil ainsi que les enjeux de son exil et la nature vive et grotesque des images qui hantent son imagination. Francine Bordeleau résume ce dernier aspect en disant que « les images sont puissantes, l’écriture brûlante, et certains passages, paroxystiques atteignent une sorte de fureur. Kokis n’est pas un tiède » (10. Cependant, on constate également au cours d’une analyse détaillée du roman l’importance de la question du silence et la place considérable qu’il occupe dans la pensée du narrateur.

  17. Foundation helps refurbish buildings

    International Nuclear Information System (INIS)

    Camenzind, B.


    This article looks at the activities of the Swiss 'Climate-Cent' foundation, which is helping support the energetic refurbishment of building envelopes. The conditions which have to be fulfilled to receive grants are explained. Work supported includes the replacement of windows and the insulation of roofs and attics as well as outside walls. Details on the financial support provided and examples of projects supported are given. The source of the finance needed to provide such support - a voluntary levy on petrol - and further support provided in certain Swiss cantons is commented on

  18. Corona helps curb losses

    Energy Technology Data Exchange (ETDEWEB)

    Laasonen, M.; Lahtinen, M.; Lustre, L.


    The greatest power losses in electricity transmission arise through a phenomenon called load losses. Corona losses caused by the surface discharge of electricity also constitute a considerable cost item. IVS, the nationwide network company, is investigating corona- induced losses, and has also commissioned similar research from IVO International, the Technical Research Centre of Finland (VTT) and from Tampere University of Technology. The research work strives to gain more in-depth knowledge on the phenomenon of frosting and its impact on corona losses. The correct prediction of frost helps reduce corona losses, while also cutting costs considerably. (orig.)

  19. Socioeconomic disparities in psychological distress in a nationally representative sample of Japanese adolescents: A time trend study. (United States)

    Kachi, Yuko; Abe, Aya; Ando, Emiko; Kawada, Tomoyuki


    Socioeconomic status as a determinant of mental health problems has received scant attention in Japan, which has long been considered an egalitarian society. This study examined the association between socioeconomic status and psychological distress and its trends over 6 years among Japanese adolescents. We used data from a nationally representative sample of 9491 adolescents aged 12-18 years who participated in three repeated cross-sectional surveys between 2007 and 2013. The K6 scale was used to assess psychological distress. Socioeconomic status indicators included household income, parental education, parental working status and household structure. Psychological distress prevalence decreased significantly from 2007 (10.7%) to 2013 (7.6%). However, the socioeconomic status patterns of psychological distress were consistent through the study period. Adolescents living in both lower (odds ratio = 1.61; 95% confidence interval = [1.27, 2.05]) and higher income households (odds ratio = 1.30; 95% confidence interval = [1.03, 1.62]) were more likely to report psychological distress than their middle-income counterparts. Adolescents with low household income were more likely to feel stress from interpersonal relationships and less likely to have help-seeking behaviors, while those with high household income were more likely to feel stress about school achievement. Psychological distress was also associated with parental poor education and single parenthood. Socioeconomic status disparities in adolescent psychological distress were evident and consistent during the 6-year period. There is a unique U-shaped relationship between household income and psychological distress among adolescents in Japan, unlike those from other countries. However, the underlying mechanisms may differ by income status. Future prevention efforts should consider socioeconomic status as a determinant of adolescent mental health problems.

  20. Technology for helping people

    CERN Multimedia

    Rosaria Marraffino


    The first THE Port hackathon problem-solving workshop was held at CERN from 31 October to 2 November in the framework of the 60th anniversary celebrations. The aim of the event was to develop technological projects that can help to solve the day-to-day needs of people living in areas of the planet that experience conflicts or natural disasters.   Collage of shots from THE Port hackathon. Credit: THE Port association The event was dedicated to humanitarian and social topics inspired by members of non-governmental organisations‬. “There is plenty of room for technology to help in humanitarian fields. That’s why we came up with the idea of bringing people together to work on these topics,” explains Ines Knäpper, Project Manager of THE Port hackathon. “We started six months ago setting up THE Port association.* The success of the event was only possible because of the joint effort of a team of roughly twenty people. They were inspired by the aim...

  1. Secondary Traumatic Stress and Burnout in Child Welfare Workers: A Comparative Analysis of Occupational Distress across Professional Groups (United States)

    Sprang, Ginny; Craig, Carlton; Clark, James


    This study describes predictors of secondary traumatic stress and burnout in a national sample of helping professionals, with a specific focus on the unique responses of child welfare (CW) workers. Specific worker and exposure characteristics are examined as possible predictors of these forms of occupational distress in a sample of 669…

  2. Psychological distress among women with newly diagnosed breast cancer

    DEFF Research Database (Denmark)

    Mertz, Birgitte; Bistrup, Pernille Envold; Johansen, Christoffer


    thermometer' to measure psychological distress and the accompanying 'problem list' to identify related problems. Logistic regression models with 95% confidence intervals were used to estimate the associations between psychological distress, age, social support and domains on the problem list. RESULTS......PURPOSE: Psychological distress is common in the cancer continuum. Our objectives were to determine the prevalence of distress and to investigate the related problems and the characteristics of women with breast cancer who experienced psychological distress at the time of diagnosis. METHODS: We...

  3. Psychological distress: precursor or consequence of dating infidelity? (United States)

    Hall, Julie H; Fincham, Frank D


    Research on infidelity-related distress has focused on victims with little attention to perpetrators. Two studies therefore explore the psychological functioning of individuals who have engaged in dating infidelity. Study 1 showed that, compared to faithful partners, individuals who had engaged in infidelity showed more psychological distress. Study 2 investigated the interrelationships among infidelity, psychological distress, and relationship satisfaction over time. Results suggested that initial levels of psychological distress predicted later infidelity but infidelity did not predict subsequent psychological distress. Findings are interpreted in light of the broader infidelity literature, potential mechanisms are suggested, and avenues for future research are recommended.

  4. Late Financial Distress Process Stages and Financial Ratios

    DEFF Research Database (Denmark)

    Sormunen, Nina; Laitinen, Teija


    according to the date of application for reorganization: the first group of businesses applied for reorganization between 1 and 182 days after the closing of accounts, and the second group between 183 and 365 days after that point. The study findings provide evidence that the financial distress process......The present study adds to our understanding and knowledge of financial distress predictions regarding the usefulness of financial ratios in the late stages of the financial distress process. The study contributes to previous research by generating information concerning: (1) the behavior...... and usefulness of single financial ratios in short-term financial distress prediction when the effect of each different financial distress process stage is considered; (2) the effects of recognition of the financial distress process stage on the financial distress prediction model. The time horizon...

  5. Stressors, resources, and distress among homeless persons: a longitudinal analysis. (United States)

    Wong, Y L; Piliavin, I


    Relations among stressors, resources, and psychological distress were examined using two waves of data obtained from a probability sample of homeless persons (N = 430) residing in a large, demographically diverse county in North California. The focus of research was to examine whether and how social resources and housing resources directly affect distress and mediate the impact of stress factors on depressive symptoms. Path analysis results revealed that levels of psychological distress were responsive to change in objective housing circumstances, with the attainment of domicile status being associated with fewer distress symptoms. Our findings, however, indicated only modest effects of social resources on psychological distress through direct effects and mediating effects of life stressors on distress. Overall, the study suggests that the relationships among stressors, resources, and distress for homeless persons may be understood within the same analytical framework for the general population.

  6. The Indirect Costs of Financial Distress in Indonesia

    Directory of Open Access Journals (Sweden)

    Wijantini Wijantini


    Full Text Available This paper presents quantitative estimates of the indirect cost of financial distress and its determinants. In order to measure the cost, this study estimates the annualized changes in industry-adjusted operation profit and sales from a year before the onset of distress to the resolution year. Using those approaches, the median of indirect financial distress cost is estimated between three and 11 percent annually. To the extent that the direct cost of financial distress reduces reported operating income, the estimated costs are overstated. The simple regressions analysis suggest that the indirect cost of financial distress significantly increases with size, leverage, number of creditors, and poor industry performance, but is not related to degree of bank loan reliance. The findings provide a weak support for the financial distress theory which suggests that conflicts of interest render the costs of financial distress.

  7. Psychological distress of marital and cohabitation breakups. (United States)

    Tavares, Lara Patrício; Aassve, Arnstein


    Using data from a large survey, the British Household Panel Survey (BHPS), this paper explores the extent to which marital and cohabiting unions differ with respect to the short-term effects of union dissolution on mental health. We compare married individuals who divorced or separated with cohabitors whose first union ended and test the hypothesis that married individuals experience larger negative effects. Results show that initial differences are not statistically significant once the presence of children is controlled for, suggesting that the presence of children is a particularly significant source of increased psychological distress in union dissolutions. However, parenthood does not explain serious psychological distress, which appears to be associated with enduring traits (the personality trait neuroticism). Copyright © 2013 Elsevier Inc. All rights reserved.

  8. Psychosocial distress and periodontitis in adolescents

    DEFF Research Database (Denmark)

    Lopez, Rodrigo; Ramírez, Valeria; Marró, Patricio


    for non-psychotic psychosocial disorders than control subjects without periodontitis. Materials and Methods: We used a case control study (n=160) nested in a well-defined adolescent population (n=9,163) and the 28-item Spanish version of the General Health Questionnaire. The inclusion criterion for being...... of psychosocial distress and it is unclear whether this association can be found among younger subjects in which destruction of periodontal tissues as a result of periodontitis are less severe. Purpose: The main aim of this study was to assess whether adolescents with periodontitis presented with higher scores...... a case was clinical attachment level ≥ 3 mm in at least two teeth. Multiple logistic regression analyses were used to assess the association between periodontitis and psychosocial distress. Results: The response rate was high and 94% of the participants answered all the items of the questionnaire...

  9. Personal and family distress in homeless adolescents. (United States)

    Dadds, M R; Braddock, D; Cuers, S; Elliott, A; Kelly, A


    Previous research has indicated that homeless children exhibit high rates of behavioral and emotional problems and come from families characterised by conflict and rejection. Further, some evidence exists to show that family variables may relate to adolescent distress differently for homeless males and females. In this study, 117 homeless adolescents were compared to a sample of non-homeless youths on the self reported incidence of personal and family problems. The homeless children reported the highest incidence of all behavioral and emotional problems, parental marital discord, overprotection, and the lowest levels of parental care and acceptance. Sex effects were not evident in reported levels of personal or family problems. However, substantially more variance in the adolescents level of behavioral and emotional disturbance was predictable from family measures for females than males. Overall, the results point to the importance of incorporating family distress models in the understanding and remediation of adolescent homelessness.

  10. Exploring Sources of Emotional Distress among People Living with Scleroderma: A Focus Group Study.

    Directory of Open Access Journals (Sweden)

    Stephanie T Gumuchian

    Full Text Available Systemic sclerosis, or scleroderma, is a chronic and rare connective tissue disease with negative physical and psychological implications. Sources of emotional distress and the impact they have on the lives of people with scleroderma are not well understood.To gain an in-depth understanding of the emotional experiences and sources of emotional distress for women and men living with scleroderma through focus group discussions.Three semi-structured focus group discussions were conducted (two in English, one in French with a total of 22 people with scleroderma recruited through the Scleroderma Society of Ontario in Hamilton, Ontario and a scleroderma clinic in Montreal, Canada. Interviews were recorded, transcribed, and then coded for emerging themes using thematic inductive analysis.Core themes representing sources of emotional distress were identified, including: (a facing a new reality; (b the daily struggle of living with scleroderma; (c handling work, employment and general financial burden; (d changing family roles; (e social interactions; and (f navigating the health care system. Collectively, these themes refer to the stressful journey of living with scleroderma including the obstacles faced and the emotional experiences beginning prior to receiving a diagnosis and continuing throughout the participants' lives.Scleroderma was portrayed as being an unpredictable and overwhelming disease, resulting in many individuals experiencing multiple sources of emotional distress. Interventions and supportive resources need to be developed to help individuals with scleroderma and people close to them manage and cope with the emotional aspects of the disease.

  11. Neglect and perceived stigmatization impact psychological distress of orphans in Tanzania

    Directory of Open Access Journals (Sweden)

    Katharin Hermenau


    Full Text Available Background: Research has shown that orphans in sub-Saharan Africa are at increased risk for mental health problems. Exposure to maltreatment and HIV/AIDS-related stigmatization are related to orphans’ psychological distress. Yet, researchers stress the need for more research in low-income countries to identify which factors of being an orphan may lead to psychological distress. Objectives: The present study aims to systematically investigate orphans’ experiences of maltreatment and stigmatization to identify factors that relate to their psychological distress. Methods: In total, 89 Tanzanian children who had lost at least one parent were compared to 89 matched non-orphans (mean age: 11 years; 51% boys. We measured exposure to maltreatment and perceived stigmatization as an orphan. Mental health was assessed using the Strengths and Difficulties Questionnaire, the Children's Depression Inventory, the UCLA PTSD Index for Children, and the Reactive–Proactive Questionnaire. Results: Orphans reported significantly more experiences of neglect, but not of abuse. A group comparison revealed more depressive symptoms, posttraumatic stress symptoms, and aggressive behavior among orphans. Neglect, abuse, and stigmatization correlated with orphans’ internalizing and externalizing problems, yet only neglect and stigmatization were related to orphans’ depression severity. Perceived stigmatization moderated the relationship between neglect and depression. Conclusions: Our findings suggest that orphans in Tanzania are at increased risk of experiencing neglect. Maltreatment and perceived stigmatization may play a role in orphans’ psychological distress. Culturally appropriate and evidence-based interventions may help to prevent maltreatment and stigmatization of orphans.

  12. Using a personality inventory to identify risk of distress and burnout among early stage medical students. (United States)

    Bughi, Stephanie A; Lie, Desiree A; Zia, Stephanie K; Rosenthal, Jane


    Distress and burnout are common among medical students and negatively impact students' physical, mental, and emotional health. Personality inventories such as the Myers-Briggs Type Indicator (MBTI), used in medical education, may have a role in identifying burnout risk early. The authors conducted a cross-sectional survey study among 185 1st year medical students with the MBTI, the general well-being schedule (GWB), and Maslach Burnout Inventory-Student Survey (MBI-SS). Descriptive statistics and one-way MANOVAs were used to identify the prevalence and differences in MBTI preferences and distress/burnout risk. Response rate was 185/185 (100%). Distress (GWB) was reported by 84/185 (45.4%). High scores on exhaustion were reported by 118/182 (64.8%), cynicism by 76/182 (41.8%), and decreased professional efficacy by 38/182 (20.9%) for the three dimensions of the MBI-SS. Only 21/182 (11.5%) of respondents had high scores on all three dimensions of burnout. Students with MBTI preferences for extraversion reported greater positive well-being (P burnout are prevalent early in medical training. The significant difference between extraversion and introversion in relation to distress and burnout deserves further study. Use of a personality inventory may help identify students at risk of burnout and allow appropriate early stress management.

  13. Examining behavioural coping strategies as mediators between work-family conflict and psychological distress. (United States)

    Aazami, Sanaz; Shamsuddin, Khadijah; Akmal, Syaqirah


    We examined the mediating role of behavioral coping strategies in the association between work-family conflict and psychological distress. In particular, we examined the two directions of work-family conflict, namely, work interference into family and family interference into work. Furthermore, two coping styles in this study were adaptive and maladaptive coping strategies. This cross-sectional study was conducted among 429 Malaysian working women using self-reported data. The results of mediational analysis in the present study showed that adaptive coping strategy does not significantly mediate the effect of work-family conflict on psychological distress. However, maladaptive coping strategies significantly mediate the effect of work-family conflict on psychological distress. These results show that adaptive coping strategies, which aimed to improve the stressful situation, are not effective in managing stressor such as work-family conflict. We found that experiencing interrole conflict steers employees toward frequent use of maladaptive coping strategies which in turn lead to psychological distress. Interventions targeted at improvement of coping skills which are according to individual's needs and expectation may help working women to balance work and family demands. The important issue is to keep in mind that effective coping strategies are to control the situations not to eliminate work-family conflict.

  14. The Cry for Help

    Directory of Open Access Journals (Sweden)

    Barney G. Glaser, PhD, Hon. PhD


    Full Text Available Classic grounded theory is being chosen as a methodology throughout the world. One result is the cry for help of many individuals with aspects of their getting the research going for their dissertation. The cry is individual, because CGT attracts on the individual level. No department has chosen it for all its candidates as an option. The novice candidate has the task of convincing his supervisor and/or department of his choice. One reason many choose using CGT is that it offers autonomy. By autonomy I mean total freedom to let the participants’ main concern or problem emerge and the conceptual variables emerge that continually resolve the main concern. Most methodologies require that the research problem and its resolving require they be preconceived before research begins. In short, CGT allows a do not know approach to full discovery. Correcting existing research conjecture is not the goal of CGT.

  15. Intensity cut-points for the Respiratory Distress Observation Scale (United States)

    Campbell, Margaret L; Templin, Thomas N


    Background The Respiratory Distress Observation Scale© is an innovative solution to assessment when a dyspnea report cannot be elicited. The Respiratory Distress Observation Scale has acceptable reliability and validity psychometrics. Aim To identify distress-intensity cut-points of the Respiratory Distress Observation Scale. Design Receiver operating characteristic curve analysis was conducted with inpatients stratified by four levels of respiratory distress—none, mild, moderate, or severe. Patients provided three self-report measures of dyspnea: dichotomous (yes/no); a ranking of none, mild, moderate, or severe; and a numerical rating scale. Respiratory distress was assessed using the Respiratory Distress Observation Scale instrument. Setting/participants Participants were 136 adult inpatients, mean age 61.8 years (standard deviation = 13.18 years), 89.7% African American, and 56.6% female, who were recruited from an urban, tertiary care hospital in the Midwest of the United States. Results In all, 47% (n = 64) self-reported dyspnea (yes/no). Ranking was distributed as follows: none = 36, mild = 35, moderate = 40, and severe = 25. Numerical rating scale scores ranged from 0 to 10, mean = 4.99 (standard deviation = 2.9). Respiratory Distress Observation Scale scores ranged from 0 to 7, median (interquartile range) = 2 (1–3). Receiver operating characteristic curve analysis–determined Respiratory Distress Observation Scale score of 0–2 suggests little or no respiratory distress; score ≥3 signified moderate to severe distress. Conclusion A Respiratory Distress Observation Scale score ≥3 signifies a patient’s need for palliation of respiratory distress. An end-point for identifying responsiveness to treatment, in other words, respiratory comfort, is Respiratory Distress Observation Scale <3. Because patients with imminent respiratory failure, as typified by dying patients, were not represented yielding lower than expected Respiratory Distress

  16. Prediction of surface distress using neural networks (United States)

    Hamdi, Hadiwardoyo, Sigit P.; Correia, A. Gomes; Pereira, Paulo; Cortez, Paulo


    Road infrastructures contribute to a healthy economy throughout a sustainable distribution of goods and services. A road network requires appropriately programmed maintenance treatments in order to keep roads assets in good condition, providing maximum safety for road users under a cost-effective approach. Surface Distress is the key element to identify road condition and may be generated by many different factors. In this paper, a new approach is aimed to predict Surface Distress Index (SDI) values following a data-driven approach. Later this model will be accordingly applied by using data obtained from the Integrated Road Management System (IRMS) database. Artificial Neural Networks (ANNs) are used to predict SDI index using input variables related to the surface of distress, i.e., crack area and width, pothole, rutting, patching and depression. The achieved results show that ANN is able to predict SDI with high correlation factor (R2 = 0.996%). Moreover, a sensitivity analysis was applied to the ANN model, revealing the influence of the most relevant input parameters for SDI prediction, namely rutting (59.8%), crack width (29.9%) and crack area (5.0%), patching (3.0%), pothole (1.7%) and depression (0.3%).

  17. Emotional Openness as a Predictor of College Students' Attitudes toward Seeking Psychological Help. (United States)

    Komiya, Noboru; Good, Glenn E.; Sherrod, Nancy B.


    Examines the effects of emotional openness and other potential predictors of attitudes toward seeking psychological help in a sample of college students. Results indicate that gender (male), perception of stigma, discomfort with emotions, and lower psychological distress accounted for 25% of variance in attitudes toward seeking psychological…

  18. The Montessori Model in Puebla, Mexico: How One Nonprofit Is Helping Children (United States)

    Harger, Jeni


    In this article, the author discusses how the JUCONI Foundation in Puebla, Mexico is helping children. (JUCONI is an acronym for "Junto con los Ninos", or "Together with the Children)." This Mexican nongovernmental organization (NGO) has been successfully working with distressed families and children in Puebla since 1989. For…

  19. Helping intentions of undergraduates towards their depressed peers: a cross-sectional study in Sri Lanka. (United States)

    Amarasuriya, Santushi D; Reavley, Nicola J; Rossetto, Alyssia; Jorm, Anthony F


    Despite showing high rates of depression, university students prefer to seek assistance for their depression from informal sources, such as their friends, rather than seeking professional assistance. Therefore, the helping behaviours of those who provide informal help to these students need examination. This study examines the helping intentions of undergraduates in Sri Lanka towards their depressed peers and the correlates of their helping intentions. The undergraduates were presented with a vignette of a hypothetical depressed undergraduate. A total of 4442 undergraduates responded to an open-ended question about how the person in the vignette should be helped if this person was someone they knew well. Their responses were coded in reference to established mental health first aid guidelines. Logistic and linear regression models were used to examine the predictors of their helping intentions. The undergraduates' most common helping intentions were to listen/talk and support their peer. Only around a third considered the need for professional help. The overall quality of their helping intentions was poor, but better among those who recognised the problem as depression and those who had less stigmatising attitudes. There was some evidence that certain helping intentions of the undergraduates which were person-oriented or social network-related were better among females, those in higher years of study and among certain non-medical student groups. Intentions to encourage professional help were better among those who recognised the problem, but poorer among those with personal experiences of this problem and among those who perceived this problem to be a weakness and not a sickness. Although the undergraduates may attempt to support their distressed peers, they may not show appropriate helping actions and may not encourage the use of professional assistance. Hence, they need to be educated on how best to respond to their distressed peers. Those with higher levels of

  20. [Psychological distress in applicants for genetic screening for colorectal cancer]. (United States)

    Fantini, C; Pedinielli, J-L; Manouvrier, S


    Introduction. The development of a DNA based diagnostic test has allowed for the genetic screening of many hereditary diseases. In addition to the identification of the deleterious gene, this screening process has led to the recognition of developing illnesses at high risk. In recent years, a number of genes predisposing to an inherited cancer syndrome have been identified. Our purpose in this study was to determine whether subjects at risk who test for inherited colorectal cancer, are likely to develop a higher level of psychological distress than the norm, taking into consideration the particular history of this familial disease. The demographic and psychosocial aspects of our population was described using: 1) the State Trait Anxiety Inventory (STAI), 2) the Center for Epidemiologic Studies Depression (CES-D), 3) a perceived risk for the gene carrier, 4) subjective perception of personal vulnerability and 5) the role of the medical status (affected or not), which places the subject in either predisposition or predictive testing. Results show that our population had a higher predisposition for depressive disorders (chi2=9,3. p=0.002) and a significantly higher state of anxiety (chi2=9,3. p=0.002), prior to genetic counselling, compared with other populations. We found no evidence in the medical status, nor the perceived risk. However, the assessment of one's own personal vulnerability is related to psychological distress. These results highlight the particular vulnerability of subjects undergoing genetic testing as well as showing the pertinence of proposing psychological help throughout the process of these new specific diagnoses.

  1. Psychological resilience contributes to low emotional distress in cancer patients. (United States)

    Min, Jung-Ah; Yoon, Sujung; Lee, Chang-Uk; Chae, Jeong-Ho; Lee, Chul; Song, Kyo-Young; Kim, Tae-Suk


    Although a considerable number of cancer patients suffer from emotional distress which may have an impact on their quality of life, it still remains poorly understood which psychosocial factors contribute to individual vulnerabilities to emotional distress of cancer patients. Recently, resilience has been suggested as the capacity to cope with adversities like cancer. In this study, we investigated the relationships between resilience and emotional distress in cancer patients. One hundred fifty-two cancer patients who were consecutively hospitalized for their scheduled treatments at the Seoul St. Mary's Hospital were enrolled and completed the Connor-Davidson Resilience Scale and Hospital Anxiety Depression Scale to measure resilience and emotional distress. The relationships between the levels of psychological resilience and emotional distress were evaluated using univariate and multivariate logistic regression analyses. Psychological resilience levels were negatively associated with emotional distress after controlling for relevant covariates. The highest quartile of resilience level was associated with a 90% (adjusted odds ratio [OR] = 0.10, 95% confidence interval [CI] = 0.03-0.34, P cancer patients, resilience was also found to be a significant protective factor for emotional distress (adjusted OR = 0.14, 95% CI = 0.02-0.79, P = 0.02). The present study suggests that psychological resilience may independently contribute to low emotional distress in cancer patients. The relationship between resilience and emotional distress was also significant in the subgroup of metastatic cancer patients. Psychosocial interventions to enhance resilience might provide useful approaches to overcome cancer-related emotional distress.

  2. We Want to Help! (United States)

    Trombino, D. F.


    The D.M.S.O. is the only full-time optical solar observatory in the Sunshine State. Its instruments are made available on a NO CHARGE basis to deserving Central Florida amateur astronomers, undergraduate students at nearby Stetson University and other local colleges. We are privately owned and completely independent of federal funding. Our research is supported through small, individual and corporate donations (mainly equipment) and the voluntary manpower of trained amateur solar observers. The D.M.S.O. is an affiliate of the Museum of Art & Sciences, Daytona Beach, and maintains ties with the Department of Physics and Computer Sciences at Stetson University in DeLand. Daily solar observations are made in while-light, H-alpha and calcium II K-line wavelengths using University grade Day-Star filters in conjunction with a long focus 15cm refractor and two 12 cm refractors. Particular attention is given to the morphology of sunspots, plage, flares, prominence and other features. Our results are reported to the Solar Sections of the B.A.A. (England), A.L.P.O. (U.S.A.) and SONNE, (Germany). Our East coast location enables us to record photospheric and chromospheric activity well in advance of West coast observatories: an obvious advantage. Numerous lakes at our site provides us with exceptional seeing -- at times approaching one arc/sec. Future plans call for high resolution CCD/video solar patrol monitoring, simultaneously in three wavelengths at 15 second intervals. This and other projects, including establishing a web page, will be undertaken in cooperation with the Computer Sciences Institute at Stetson University. We do no have all the answers, but we may have the solution to your problems. We welcome the opportunity to discuss your needs and our future cooperative goals. We need each other and we want to help! Please leave your card and feel free to contact me at the above address. Our E-mail address is, if you prefer.

  3. Predictors of Sexual Distress in Women With Desire and Arousal Difficulties: Distinguishing Between Personal, Partner, and Interpersonal Distress. (United States)

    Hendrickx, Lies; Gijs, Luk; Janssen, Erick; Enzlin, Paul


    Although impaired sexual function is relatively common, not all sexual impairments are associated with distress. To date, most studies on protective and risk factors for sexual distress have asked about distress in a more general manner and have failed to distinguish different dimensions of sexual distress. To examine the association of several intra- and interpersonal factors with personal, perceived partner, and interpersonal distress due to an impairment in sexual functioning in women. This study is a cross-sectional representative population-based survey with a two-level random selection of Flemish women 14 to 80 years old from the Belgian National Register. The data of 520 sexually active heterosexual women with a partner (weighted N) and impairment in sexual desire (n = 291) and/or sexual arousal (n = 273) were used for analysis. Demographic information was obtained, and the five-item Mental Health Inventory, the Marital Adjustment subscale of the Maudsley Marital Questionnaire, and the four-item Dyadic Sexual Communication Questionnaire were used. Presence and severity of sexual impairments and associated sexual distress were assessed using the Sexual Functioning Scale. Severity and number of sexual impairments were predictive of all types of sexual distress. Also, for desire and arousal impairments, lower mental well-being predicted personal distress, and lower relationship satisfaction predicted perceived partner distress. For desire impairments, lower relationship satisfaction and less communication about sexual needs were predictive of interpersonal distress. For impairments in sexual arousal, lower mental well-being and lower relationship satisfaction were predictive of interpersonal distress. Personal, perceived partner, and interpersonal distress due to sexual impairments have different types of predictors. Clinical assessment and treatment could benefit from differentiating between different types of distress and the intra- and interpersonal

  4. It's better to give than to receive: Psychological need satisfaction mediating links between wasta (favouritism) and individuals' psychological distress. (United States)

    Alwerthan, Tarik Abdulkreem; Swanson, Dena Phillips; Rogge, Ronald David


    Wasta (i.e. the distribution of favours among family, friends and tribe; favouritism; nepotism) permeates numerous Middle Eastern cultures, representing a method of strengthening social ties and showing loyalty/generosity, but also representing one of the largest sources of corruption in Middle East. The current study investigated links between wasta and psychological distress in a survey of 1088 educators from Saudi Arabia. Drawing from the self-determination theory (SDT) conceptual framework, Structural Equation Modeling analyses suggested that benefitting from wasta was linked to higher levels of psychological distress and those links were explained in part (i.e. mediated) by lower levels of autonomy, competency and relatedness. In contrast, providing wasta was associated with higher levels of need satisfaction and correspondingly lower levels of distress. Implications are discussed in terms of the SDT, discrimination and helping behaviour literatures. © 2017 International Union of Psychological Science.

  5. Psychological Distress in Norwegian Nurses and Teachers over Nine Years

    Directory of Open Access Journals (Sweden)

    Per Nerdrum


    Full Text Available Psychological distress have been found to be high and influence negatively nurses’ and teachers’ work. In this nine-year project, we present the first longitudinal study comparing psychological distress from 1467 students and young professionals in nursing and teaching. Psychological distress was measured with GHQ 12 at the start and the end of their studies and three and six years after graduation. Both descriptive statistics and estimated models were used to assess psychological distress over time. Psychological distress increased significantly in both groups during education. The reduction of psychological distress was significant among the nurses, and they clearly showed a “healthy worker effect” when coming into clinical work. The teachers had a small and non-significant reduction in the same period and did not show a positive effect after starting pedagogical work.

  6. Perceptions of friendship among youth with distressed friends. (United States)

    Hill, Erin N; Swenson, Lance P


    This cross-sectional study examined the relationship between a friend's level of internalizing distress and the focal child's perceptions of friendship amongst 5th, 8th, and 11th grade youth. Participants completed the Youth Self-Report to assess internalizing distress and measures assessing perceptions of friendship quality, social support, and self-disclosure within reciprocal, same-sex friendship dyads. Results indicated that youth with friends experiencing low levels of internalizing distress reported poorer friendship quality and decreased levels of social support and self-disclosure within the friendship compared to youth with friends experiencing average or high internalizing distress. In a second set of analyses controlling for the focal child's own internalizing symptoms, gender, and age, friend's level of internalizing distress remained a significant, unique predictor of target participants' self-disclosure about their own problems within the friendship. The findings suggest that a mild degree of internalizing distress may enhance, rather than harm, friendships amongst youth.

  7. A health care chaplain's pastoral response to moral distress. (United States)

    Guthrie, Michael


    This article offers health care chaplains a pastoral response to moral distress experienced by health care professionals. The article offers a broad definition, explores its impact on health care professionals, and looks at various interventions to ameliorate its effects. The article goes on to clarify the concept of moral distress by differentiating it from the experience of moral dilemmas, and looking closer at the aspects of initial and reactive distress. After defining moral distress, the article explores two clinical models that create a better context to understand the phenomenon. Finally, the article proposes a pastoral response to moral distress from the integration of the five functions of pastoral care: "healing," "sustaining," "guiding," "reconciling," and "nurturing" based on the work of William Clebsch, Charles Jaekle, and Howard Clinebell. The author then applies the pastoral response to moral distress by illustrating the outcome of a scenario with a critical care nurse.

  8. Resilience and Psychological Distress in Psychology and Medical Students. (United States)

    Bacchi, Stephen; Licinio, Julio


    The authors investigated levels of resilience and psychological distress in medical and psychology students, factors that may affect these levels, the relationship between resilience and psychological distress, and student opinion on causes of stress and possible interventions. A voluntary anonymous online survey was distributed to University of Adelaide medical and psychology students. Medical and psychology students (n = 560; response rate = 24.7%) had similar mean resilience and psychological distress scores, and 47.9% of medical students and 55.1% of psychology students were psychologically distressed. Higher levels of resilience were associated with lower levels of distress (p psychological distress. Further studies are required to determine the efficacy of resilience-based interventions in these groups.

  9. Predictors of Caregiver Distress in the Community Setting Using the Home Care Version of the Resident Assessment Instrument. (United States)

    Pauley, Tim; Chang, Byung Wook; Wojtak, Anne; Seddon, Gayle; Hirdes, John

    The purpose of this study was to identify factors predictive of new onset and improved caregiver distress among informal caregivers providing assistance for clients receiving home care. Home care. The sample included 323,409 clients receiving home care from a Community Care Access Centre between March 2002 and March 2015 for whom data were available from two subsequent Resident Assessment Instrument-Home Care (RAI-HC) assessments. Separate multivariate logistic regression models were created for onset of and improvement in caregiver distress. Variables that increase the odds in onset of caregiver distress included primary caregiver is not satisfied with support received from family and friends; client lives with primary caregiver; 65 years and older; has Alzheimer and other related dementia; has condition or disease that makes cognition, activities of daily living, mood, or behavior patterns unstable; took sedatives in the last 7 days; Method for Assigning Priority Levels (MAPLe) score 4 or more; demonstrates persistent anger; has difficulty using the telephone; is married; requires 20 hr or more of informal help weekly; and Clinical Risk Scale score 4 or more. Variables that increased the odds of improved caregiver distress include client now lives with other persons (as compared with 90 days ago); demonstrates good prospects for recovery; treatment changes in last 30 days; surgical wound; female; one or more hospital visits in last 90 days; greater number of months between RAI-HC assessments; and two or more hours of physical activities in the last 3 days. Variables that decreased the odds of improved caregiver distress (i.e., persistent distress) include MAPLe score 4 or more; persistent anger; difficulty using telephone; Alzheimer, related dementia; requires interpreter; and lives with primary caregiver. Informal caregivers provide essential support for home care clients. Factors predictive of new onset and improved caregiver distress can be used by case

  10. Relationship between Resilience, Psychological Distress and Physical Activity in Cancer Patients: A Cross-Sectional Observation Study.

    Directory of Open Access Journals (Sweden)

    Martin Matzka

    Full Text Available Psychological distress remains a major challenge in cancer care. The complexity of psychological symptoms in cancer patients requires multifaceted symptom management tailored to individual patient characteristics and active patient involvement. We assessed the relationship between resilience, psychological distress and physical activity in cancer patients to elucidate potential moderators of the identified relationships.A cross-sectional observational study to assess the prevalence of symptoms and supportive care needs of oncology patients undergoing chemotherapy, radiotherapy or chemo-radiation therapy in a tertiary oncology service. Resilience was assessed using the 10-item Connor-Davidson Resilience Scale (CD-RISC 10, social support was evaluated using the 12-item Multidimensional Scale of Perceived Social Support (MSPSS and both psychological distress and activity level were measured using corresponding subscales of the Rotterdam Symptom Checklist (RSCL. Socio-demographic and medical data were extracted from patient medical records. Correlation analyses were performed and structural equation modeling was employed to assess the associations between resilience, psychological distress and activity level as well as selected socio-demographic variables.Data from 343 patients were included in the analysis. Our revised model demonstrated an acceptable fit to the data (χ2(163 = 313.76, p = .000, comparative fit index (CFI = .942, Tucker-Lewis index (TLI = .923, root mean square error of approximation (RMSEA = .053, 90% CI [.044.062]. Resilience was negatively associated with psychological distress (β = -.59, and positively associated with activity level (β = .20. The relationship between resilience and psychological distress was moderated by age (β = -0.33 but not social support (β = .10, p = .12.Cancer patients with higher resilience, particularly older patients, experience lower psychological distress. Patients with higher resilience are

  11. Relationship between Resilience, Psychological Distress and Physical Activity in Cancer Patients: A Cross-Sectional Observation Study. (United States)

    Matzka, Martin; Mayer, Hanna; Köck-Hódi, Sabine; Moses-Passini, Christina; Dubey, Catherine; Jahn, Patrick; Schneeweiss, Sonja; Eicher, Manuela


    Psychological distress remains a major challenge in cancer care. The complexity of psychological symptoms in cancer patients requires multifaceted symptom management tailored to individual patient characteristics and active patient involvement. We assessed the relationship between resilience, psychological distress and physical activity in cancer patients to elucidate potential moderators of the identified relationships. A cross-sectional observational study to assess the prevalence of symptoms and supportive care needs of oncology patients undergoing chemotherapy, radiotherapy or chemo-radiation therapy in a tertiary oncology service. Resilience was assessed using the 10-item Connor-Davidson Resilience Scale (CD-RISC 10), social support was evaluated using the 12-item Multidimensional Scale of Perceived Social Support (MSPSS) and both psychological distress and activity level were measured using corresponding subscales of the Rotterdam Symptom Checklist (RSCL). Socio-demographic and medical data were extracted from patient medical records. Correlation analyses were performed and structural equation modeling was employed to assess the associations between resilience, psychological distress and activity level as well as selected socio-demographic variables. Data from 343 patients were included in the analysis. Our revised model demonstrated an acceptable fit to the data (χ2(163) = 313.76, p = .000, comparative fit index (CFI) = .942, Tucker-Lewis index (TLI) = .923, root mean square error of approximation (RMSEA) = .053, 90% CI [.044.062]). Resilience was negatively associated with psychological distress (β = -.59), and positively associated with activity level (β = .20). The relationship between resilience and psychological distress was moderated by age (β = -0.33) but not social support (β = .10, p = .12). Cancer patients with higher resilience, particularly older patients, experience lower psychological distress. Patients with higher resilience are

  12. A longitudinal examination of dyadic distress patterns following a skills intervention for carers of adolescents with anorexia nervosa. (United States)

    Salerno, Laura; Rhind, Charlotte; Hibbs, Rebecca; Micali, Nadia; Schmidt, Ulrike; Gowers, Simon; Macdonald, Pamela; Goddard, Elizabeth; Todd, Gillian; Tchanturia, Kate; Lo Coco, Gianluca; Treasure, Janet


    Family interventions in anorexia nervosa (AN) have been developed to ameliorate maladaptive patterns of patient-carer interaction that can play a role in illness maintenance. The primary aim of this study is to examine the inter-relationship between baseline and post-treatment distress in dyads of carers and patients with AN to examine the interdependence between carers and patients. The secondary aim is to examine whether a carer skills intervention [Experienced Carer Helping Others (ECHO)] impacts on this inter-relationship. Dyads consisting of treatment-seeking adolescents with AN and their primary carer (n = 149; mostly mothers) were randomised to receive a carer skills intervention (ECHO) in addition to treatment as usual (TAU), or TAU alone, as part of a larger clinical trial. Carers and patients completed a standardised measure of psychological distress (The Depression, Anxiety, and Stress Scale) at baseline and 12 months post-treatment. The Actor Partner Interdependence Model was used to examine longitudinal changes in interdependence by treatment group. As expected, post-treatment levels of distress were related to baseline levels in both groups (actor effects). Moreover, carer distress at 12 months was related to patient distress at baseline for the TAU (partner effects), but not for the ECHO group. Finally, carers' distress change was not a significant predictor of patients' body mass index (BMI) change in the two treatment conditions. These findings are limited to predominantly mother-offspring dyads and may not generalise to other relationships. The ECHO intervention which is designed to teach carers skills in illness management and emotion regulation may be an effective addition to TAU for ameliorating interdependence of distress in patients and their primary carers over time.

  13. No improvement in distress and quality of life following psychosocial cancer rehabilitation. A randomised trial

    DEFF Research Database (Denmark)

    Rottmann, Nina; Dalton, Susanne Oksbjerg; Bidstrup, Pernille Envold


    , prostate or colorectal cancer diagnosed within 2 years who had finished primary treatment were randomised to usual care or a 6-day residential course of lectures, discussions and peer groups on issues related to treatment and living with cancer. Changes in self-reported distress (POMS-Sf) and quality...... assessment. Patients in the control group showed greater decreases in total mood disturbance and subscales of the POMS-Sf and showed more improvement in emotional, cognitive and social functioning at both 1 and 6 months and in role functioning at 6 months than the intervention group. A similar pattern......Objective: Rehabilitation programmes are intended to help cancer patients achieve optimal functioning and live independently. We evaluated whether a psychosocial rehabilitation course was effective in relieving cancer patients' distress and improving their well-being. Methods: Patients with breast...

  14. [Art therapy for cancer patients in outpatient care. Psychological distress and coping of the participants]. (United States)

    Götze, Heide; Geue, Kristina; Buttstädt, Marianne; Singer, Susanne; Schwarz, Reinhold


    Various types of art therapy increasingly gain importance in psycho-oncology. The aim of this article is to determine whether art therapy may help decrease psychological distress and increase coping skills in cancer patients. An art therapy course for use in psycho-oncological care for outpatients was developed and implemented in a prospective observation study of the Department of Social Medicine,Leipzig University. Participants' levels of psychological distress (HADS) as well as their coping skills (TSK) were quantitatively evaluated before (t1) and after (t2) the intervention. After completion of the course mean anxiety of the participants(n = 18) had significantly decreased from 11.06 to 9.33 (p Art therapy interventions can make an important contribution to the psychological well-being of cancer patients.

  15. Psychosocial distress and periodontitis in adolescents

    DEFF Research Database (Denmark)

    Lopez, Rodrigo; Ramírez, Valeria; Marró, Patricio


    of psychosocial distress and it is unclear whether this association can be found among younger subjects in which destruction of periodontal tissues as a result of periodontitis are less severe. Purpose: The main aim of this study was to assess whether adolescents with periodontitis presented with higher scores...... for non-psychotic psychosocial disorders than control subjects without periodontitis. Materials and Methods: We used a case control study (n=160) nested in a well-defined adolescent population (n=9,163) and the 28-item Spanish version of the General Health Questionnaire. The inclusion criterion for being...

  16. Acute respiratory distress caused by Neosartorya udagawae

    Directory of Open Access Journals (Sweden)

    John J. Farrell


    Full Text Available We describe the first reported case of acute respiratory distress syndrome (ARDS attributed to Neosartorya udagawae infection. This mold grew rapidly in cultures of multiple respiratory specimens from a previously healthy 43-year-old woman. Neosartorya spp. are a recently recognized cause of invasive disease in immunocompromised patients that can be mistaken for their sexual teleomorph, Aspergillus fumigatus. Because the cultures were sterile, phenotypic identification was not possible. DNA sequencing of ITS, calmodulin and β-tubulin genes supported identification of Neosartorya udagawae. Our case is the first report of ARDS associated with Neosartorya sp. infection and defines a new clinical entity.

  17. Neuroleptic-induced acute respiratory distress syndrome

    Directory of Open Access Journals (Sweden)

    Francisco Garcia Soriano

    Full Text Available CONTEXT: A case of neuroleptic malignant syndrome and acute respiratory distress syndrome is presented and discussed with emphasis on the role of muscle relaxation, creatine kinase, and respiratory function tests. CASE REPORT: A 41-year-old man presented right otalgia and peripheral facial paralysis. A computed tomography scan of the skull showed a hyperdense area, 2 cm in diameter, in the pathway of the anterior intercommunicating cerebral artery. Preoperative examination revealed: pH 7.4, PaCO2 40 torr, PaO2 80 torr (room air, Hb 13.8 g/dl, blood urea nitrogen 3.2 mmol/l, and creatinine 90 mmol/l. The chest x-ray was normal. The patient had not eaten during the 12-hour period prior to anesthesia induction. Intravenous halothane, fentanyl 0.5 mg and droperidol 25 mg were used for anesthesia. After the first six hours, the PaO2 was 65 torr (normal PaCO2 with FiO2 50% (PaO2/FiO2 130, and remained at this level until the end of the operation 4 hours later, maintaining PaCO2 at 35 torr. A thrombosed aneurysm was detected and resected, and the ends of the artery were closed with clips. No vasospasm was present. This case illustrates that neuroleptic drugs can cause neuroleptic malignant syndrome associated with acute respiratory distress syndrome. Neuroleptic malignant syndrome is a disease that is difficult to diagnose. Acute respiratory distress syndrome is another manifestation of neuroleptic malignant syndrome that has not been recognized in previous reports: it may be produced by neuroleptic drugs independent of the manifestation of neuroleptic malignant syndrome. Some considerations regarding the cause and effect relationship between acute respiratory distress syndrome and neuroleptic drugs are discussed. Intensive care unit physicians should consider the possibility that patients receiving neuroleptic drugs could develop respiratory failure in the absence of other factors that might explain the syndrome.

  18. Associations between faith, distress and mental adjustment

    DEFF Research Database (Denmark)

    Johannessen-Henry, Christine Tind


    spiritual well-being, the faith dimension of spiritual well-being and aspects of performed faith are associated with distress and mental adjustment among cancer patients. Methods. In a cross-sectional design, 1043 survivors of various cancers filled in a questionnaire on spiritual well-being (FACIT-Sp-12...... = −0.79, CI −0.92; −0.66) and increased adjustment to cancer (fighting spirit, anxious preoccupation, helplessness-hopelessness). Specific aspects of faith were associated with high confusion-bewilderment and tension-anxiety, but also lower score on vigor-activity, and with higher anxious...

  19. Assessment of Distress Associated to Psychopathology in Children and Adolescents


    Wendy Reich; Lourdes Ezpeleta; Roser Granero


    The aim of this paper was to study the distress associated to psychopathology in children and adolescents. The sample included 330 children aged 8 to 17 years attending outpatient mental health services of the public network in Barcelona(Spain) assessed using a structured diagnostic interview. A substantial part of children brought to treatment suffered distress associated to internalizing and externalizing psychological symptoms. Psychological distress was most frequent among girls and among...

  20. Maternal and Adolescent Distress Tolerance: The Moderating Role of Gender


    Daughters, Stacey B.; Gorka, Stephanie M.; Rutherford, Helena J.V.; Mayes, Linda C.


    Distress tolerance is defined behaviorally as the ability to maintain goal directed behavior while experiencing physical or psychological distress. Distress tolerance is closely related to emotion regulation, and is a clinically relevant construct contributing to psychopathology across adults and adolescents, yet limited research has examined the development of this construct. A number of studies suggest the importance of parenting in the emergence of emotion regulation capacities in childhoo...

  1. Psychopathic traits, victim distress and aggression in children


    van Baardewijk, Y.; Stegge, G.T.M.; Bushman, B.J.; Vermeiren, R.R.J.M.


    Background: The relationship between psychopathic traits and aggression in children may be explained by their reduced sensitivity to signs of distress in others. Emotional cues such as fear and sadness function to make the perpetrator aware of the victim's distress and supposedly inhibit aggression. As children high in psychopathic traits show a reduced sensitivity to others' distress, these important interpersonal signals cannot perform their aggression inhibiting function. The present exper...

  2. Mental distress predicts divorce over 16 years: the HUNT study. (United States)

    Idstad, Mariann; Torvik, Fartein Ask; Borren, Ingrid; Rognmo, Kamilla; Røysamb, Espen; Tambs, Kristian


    The association between mental distress and divorce is well established in the literature. Explanations are commonly classified within two different frameworks; social selection (mentally distressed people are selected out of marriage) and social causation (divorce causes mental distress). Despite a relatively large body of literature on this subject, selection effects are somewhat less studied, and research based on data from both spouses is scarce. The purpose of the present study is to investigate selection effects both at the individual level and the couple level. The current study is based on couple-level data from a Norwegian representative sample including 20,233 couples. Long-term selection effects were tested for by means of Cox proportional hazard models, using mental distress in both partners at baseline as predictors of divorce the next 16 years. Three identical sets of analyses were run. The first included the total sample, whereas the second and third excluded couples who divorced within the first 4 or 8 years after baseline, respectively. An interaction term between mental distress in husband and in wife was specified and tested. Hazard of divorce was significantly higher in couples with one mentally distressed partner than in couples with no mental distress in all analyses. There was also a significant interaction effect showing that the hazard of divorce for couples with two mentally distressed partners was higher than for couples with one mentally distressed partner, but lower than what could be expected from the combined main effects of two mentally distressed partners. Our results suggest that mentally distressed individuals are selected out of marriage. We also found support for a couple-level effect in which spouse similarity in mental distress to a certain degree seems to protect against divorce.

  3. The social context for psychological distress from iatrogenic gynecomastia with suggestions for its management. (United States)

    Wassersug, Richard J; Oliffe, John L


    Gynecomastia (breast development in males) is a side effect of androgen deprivation therapy (ADT) for prostate cancer (PCa). Medical interventions to prevent or treat gynecomastia carry risk of additional detrimental side effects. However, untreated gynecomastia can be physically uncomfortable and psychologically distressing. Shame from gynecomastia can lead patients to stop otherwise beneficial exercise. Our first aim is to explore the social context for gynecomastia and how it is interpreted by men with the condition, as well as by others, both male and female. Subsequently, we use our understanding of why gynecomastia is psychologically distressing to propose psychosocial interventions that could help men accept this side effect of ADT. We draw on academic literature, media accounts, and web-based testimonials from men with gynecomastia, to understand how gynecomastia is perceived by both patients and the medical community. We examine these resources in light of gynecomastia's impact on sex roles, sexuality, and gender identity issues. By exploring what breasts in a male mean to the individual, we produce an understanding of the social context for distress from gynecomastia. From this understanding, we derive hypotheses about who might be most distressed from gynecomastia and strategies for alleviating this distress. The shame and stigma of gynecomastia is linked to the objectification of women. We suggest that men fear that their breasts will marginalize and subordinate them within gender hierarchies. There is little evidence that breasts on a male erotically attract either men or women. Novel options for living with gynecomastia are contrasted with medicalized strategies including mastectomy. Assessment instruments need to be developed to identify patients most likely to experience distress from gynecomastia and seek out medical interventions. Surgical, radiological, or pharmacological interventions may not be universally necessary if greater acceptance of

  4. The relation between diabetes self-efficacy and psychological distress among older adults: do racial and ethnic differences exist? (United States)

    Kim, Giyeon; Shim, Ruth; Ford, Katy L; Baker, Tamara A


    This study examined racial/ethnic differences in the relationship between diabetes self-efficacy and psychological distress among older adults with diabetes mellitus. Adults aged 60 or older with a diagnosis of diabetes mellitus (N = 3,067) were drawn from the 2009 California Health Interview Survey (CHIS). Hierarchical multiple regression analyses were conducted. After controlling for covariates, African Americans and those with higher levels of diabetes self-efficacy tended to have lower levels of psychological distress. Significant interactions were found in the Hispanic/Latino and Asian groups: The effect of diabetes self-efficacy on psychological distress was greater for Hispanics/Latinos and Asians than non-Hispanic Whites. Findings suggest that diabetes self-efficacy is associated with psychological distress among older diabetic patients and that race/ethnicity moderates the relationship between diabetes self-efficacy and psychological distress. Increasing diabetes self-efficacy will help racial/ethnic minority older patients with diabetes to improve psychological well-being at a greater level. © The Author(s) 2014.

  5. The Mediating Role of Resilience on Quality of Life and Cancer Symptom Distress in Adolescent Patients With Cancer. (United States)

    Wu, Wei-Wen; Tsai, Shao-Yu; Liang, Shu-Yuan; Liu, Chieh-Yu; Jou, Shiann-Tarng; Berry, Donna L


    Understanding how cancer symptom distress and resilience contribute to quality of life (QoL) in adolescent cancer and may potentially help these patients achieve better health-related outcomes. The objective of this study was to describe cancer symptom distress, QoL, and resilience in adolescents with cancer and to determine whether resilience is a mediating variable. Forty adolescent cancer patients were recruited, and data were collected via a demographic questionnaire, the Cancer Symptom Distress Scale, the Resilience Scale, and the Minneapolis-Manchester Quality of Life Scale. Pearson's correlation, multiple regressions, and the Sobel test were conducted. Both resilience and cancer symptom distress were regressed against QoL, accounting for 62.1% of observed variation in QoL scores. The bootstrap result estimated the true indirect effect between -.0189 and -.0024, with a 95% confidence interval. Resilience mediates the relationship between cancer symptom distress and QoL. Clinical use of a resilience measure, for example to use in developing and evaluating interventions focused on enhancing resilience, may be practical for nurses. © 2015 by Association of Pediatric Hematology/Oncology Nurses.

  6. Resilience, loneliness, and psychological distress among homeless youth. (United States)

    Perron, Jeff L; Cleverley, Kristin; Kidd, Sean A


    Extant quantitative research on loneliness among homeless youth has grouped loneliness with other elements of psychological distress. The current study seeks to determine if loneliness has a different relationship with resilience than does psychological distress among street youth. Using data from 47 participants, linear regression was conducted. Results indicate that homeless youth experiencing higher psychological distress reported lower resilience scores. However, levels of resilience are not significantly associated with feelings of loneliness when psychological distress was accounted for. This study has implications for how researchers and clinicians conceptualize and address feelings of loneliness among homeless youth. Copyright © 2014 Elsevier Inc. All rights reserved.

  7. Confronting moral distress in Nursing: recognizing nurses as moral agents

    Directory of Open Access Journals (Sweden)

    Franco A. Carnevale


    Full Text Available The concept of moral distress has brought forth a substantively different way of understanding some of the difficulties confronted by nurses in their practice. This concept highlights that nurses' distress can be an indication of nurses' conscientious moral engagement with their professional practice that has confronted practices or an environment that impedes them from acting according to their own ethical standards. Moral distress can be an indicator of problems in nurses' practice environments. This concept is described and related to moral agency in nursing practice. Selected research on moral distress is reviewed, followed by a discussion of recommendations for addressing this problem.

  8. Does early emotional distress predict later child involvement in gambling? (United States)

    Pagani, Linda S; Derevensky, Jeffrey L; Japel, Christa


    Younger people are engaging in gambling, with some showing excessive involvement. Although a consequence of gambling could be anxiety and depression, emotional distress could be a precursor to gambling involvement. This could reflect developmental proneness toward problem behaviour. We assessed whether early emotional distress directly influences later gambling or if it operates through an indirect pathway. Using a prospective longitudinal design, an intentional subsample of children from the 1999 kindergarten cohort of the Montreal Longitudinal Preschool Study (Quebec) from intact families were retraced in 2005 for follow-up in Grade 6. Consenting parents and children were separately interviewed. Key child variables and sources included kindergarten teacher ratings of emotional distress and impulsivity and self-reported parent and child gambling. Higher levels of teacher-rated emotional distress in kindergarten significantly predicted a higher propensity toward later gambling behaviour. Impulsivity, a factor often comorbidly present with emotional distress, completely explained this predictive relation above and beyond potential child- and family-related confounds, including parental gambling. Children with higher levels of emotional distress at kindergarten were more inclined toward child gambling behaviour in Grade 6. The influence of early emotional distress completely vanished when behaviours reflecting impulsivity were considered when predicting later child gambling behaviour. The relation between emotional distress and child gambling involvement in children was thus explained by its comorbidity with early impulsivity. This study does not rule out the possibility that emotional distress could become a correlate or consequence of excessive involvement in gambling activities at a later developmental period.

  9. Distress tolerance in social versus solitary college student drinkers. (United States)

    Williams, Catherine L; Vik, Peter W; Wong, Maria M


    Low distress tolerance has been an inconsistent predictor of alcohol-related consequences in college students, but its relationships to depression and coping motives for alcohol have received stronger support. Research on college students who drink heavily in isolation suggests that this population is more likely to have a greater number and severity of alcohol-related problems, depression, and coping motives. Solitary heavy drinkers were therefore hypothesized to have lower distress tolerance than other drinkers. This study examined differences in self-reported and behavioral distress tolerance across two groups of university students: those who endorsed heavy solitary drinking (20.1%) versus those who endorsed other types of drinking. Students completed a self-report measure (Distress Intolerance Self-Report, or DISR) and behavioral measure of distress tolerance (Paced Auditory Serial Addition Test, or PASAT). Students who reported drinking heavily in isolation differed from other students on the DISR, F(1, 132) = 4.645, p = .033, η(2) = .034, but not on the PASAT, F(1, 132) = 0.056, p = .813. These students also endorsed more coping motives for alcohol. Distress tolerance did not predict drinking consequences directly, yet a mediation model linking distress tolerance to consequences through coping motives supports previous findings of distress tolerance as a distal, indirect predictor of drinking problems. The unique characteristics of solitary binge drinkers and the significance of distress tolerance as an indirect predictor of alcohol-related consequences are discussed. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Moral distress of nursing undergraduates: Myth or reality? (United States)

    Rennó, Heloiza Maria Siqueira; Ramos, Flávia Regina Souza; Brito, Maria José Menezes


    During their education process, nursing undergraduates experience ethical conflicts and dilemmas that can lead to moral distress. Moral distress can deprive the undergraduates of their working potential and may cause physical and mental health problems. We investigated the experiences of the undergraduates in order to identify the existence of moral distress caused by ethical conflict and dilemmas experienced during their nursing education. This study was designed according to the principles of research with human beings and was approved by the Human Research Ethics Committee. A qualitative multiple-case study. Two federal higher education institutions were surveyed, from which 58 undergraduates in nursing participated in the study. The undergraduates were undergoing their professional training. The data were collected through focus groups and were submitted to thematic content analysis, with the resources of the ATLAS TI 7.0 software. Moral distress in undergraduates is a reality and was identified in three axes of analysis: (1) moral distress is experienced by undergraduates in the reality of healthcare services, (2) the teacher as a source of moral distress, and (3) moral distress as a positive experience. The undergraduates in nursing manifest moral distress in different stages of their education, particularly during their professional training. The academic community should reflect and seek solutions for the reality of moral distress in undergraduates. © The Author(s) 2016.

  11. Diagnosis and distress in Navajo healing. (United States)

    Csordas, Thomas J; Storck, Michael J; Strauss, Milton


    In contemporary Navajo society, traditional Navajo ceremonies, Native American Church prayer meetings, and Navajo Christian faith healing are all highly sought-after resources in the everyday pursuit of health and well-being. What is the nature of affliction among patients who turn to such forms of religious healing? Are these patients typically afflicted with psychiatric disorder? In this article we discuss 84 Navajo patients who participated in the Navajo Healing Project during a period in which they consulted one of these forms of healing. We present diagnostic results obtained from the Structured Clinical Interview for DSMIV (SCID) administered to these patients. We then present an ethnographically augmented analysis comparing the research diagnosis obtained via the SCID with a clinical diagnosis, with the diagnosis given by religious healers, and with the understanding of their own distress on the part of patients. These analyses demonstrate how a cultural approach contributes to the basic science and clinical understandings of affliction as well as to discussion of the advantages and limitations of DSM categories as descriptors of distress and disorder.

  12. Tourette Syndrome: Help Stop Bullying (United States)

    ... Submit Button Past Emails Tourette Syndrome: Help Stop Bullying Language: English (US) Español (Spanish) Recommend on Facebook ... you can increase acceptance by helping to stop bullying of children with TS. Bullying doesn’t just ...

  13. Helping your teen with depression (United States)

    Teen depression - helping; Teen depression - talk therapy; Teen depression - medicine ... You, your teen, and your health care provider should discuss what might help your teen the most. The most effective treatments ...

  14. Assessment of work intensification by managers and psychological distressed and non-distressed employees: a multilevel comparison. (United States)

    Bamberger, Simon Grandjean; Larsen, Anelia; Vinding, Anker Lund; Nielsen, Peter; Fonager, Kirsten; Nielsen, René Nesgaard; Ryom, Pia; Omland, Øyvind


    Work intensification is a popular management strategy to increase productivity, but at the possible expense of employee mental stress. This study examines associations between ratings of work intensification and psychological distress, and the level of agreement between compared employee-rated and manager-rated work intensification. Multi-source survey data were collected from 3,064 employees and 573 company managers from the private sector in 2010. Multilevel regression models were used to compare different work intensification ratings across psychological distress strata. Distressed employees rated higher degree of total work intensification compared to non-distressed employees, and on three out of five sub ratings there were an increased prevalence of work intensification in the case group. In general, there was poor agreement between employee and company work intensification rating. Neither manager-rated work intensification nor employee/manager discrepancy in work intensification ratings was associated with psychological distress. Distressed employees had a higher total score of employee/manager agreed work intensification, and a higher prevalence of increased demands of labour productivity. This study demonstrates higher ratings of employee/manager agreed work intensification in distressed employees compared to non-distressed employees, challenging previous findings of reporting bias in distressed employees' assessment of work environment.

  15. Women's intentions of informal and formal help-seeking for mental health problems during the perinatal period: The role of perceived encouragement from the partner. (United States)

    Fonseca, Ana; Canavarro, Maria Cristina


    this study aimed to examine the relationship between women's intentions to seek informal help and to seek professional help and to explore the indirect effects of women's perceived encouragement to seek professional help from their male partner. Moreover, this study aimed to examine if these relationships vary as function of the presence of higher levels of perinatal distress. cross-sectional internet survey. participants were recruited through advertisements published in pamphlets and posted on social media websites (e.g., Facebook) and websites and forums that focused on pregnancy and childbirth. 231 women (pregnant/ had a baby during the last 12 months) completed the survey. participants were questioned about sociodemographic and clinical data and were assessed concerning perinatal distress (Edinburgh Postpartum Depression Scale and Hospital Anxiety and Depression Scale), intentions to seek informal and formal help (General Help-Seeking Questionnaire) and perceived encouragement from the partner to seek professional help. the women reported a significantly higher intention to seek help from their partner than to seek professional help (p < .001). Although women with higher perinatal distress levels presented lower intentions to seek informal help from the male partner (p = .001) and perceived less encouragement from the male partner to seek professional help (p < .001), the presence of perinatal distress did not moderate the relationship between those variables. A significant indirect effect on the relationship between women's intention to seek informal and professional help occurred through the women's perceived encouragement from the male partner to seek professional help. the results of this study highlight the important role of the male partner's encouragement in women's professional help-seeking for mental health problems. awareness campaigns about perinatal distress and about professional treatment benefits may be directed universally to all women in the

  16. Emotional distress in Angolan patients with several types of ...

    African Journals Online (AJOL)

    Background: There is growing evidence that emotional distress expressed in terms of anxiety and depression is very high among tuberculosis (TB) patients. Objectives: This study aims to determine levels of anxiety, depression and emotional distress in patients with several types of TB and to determine the association ...

  17. Psychological distress and mortality in systolic heart failure

    DEFF Research Database (Denmark)

    Pelle, Aline J; Pedersen, Susanne S.; Schiffer, Angélique A


    Depression, anxiety, and type D ("distressed") personality (tendency to experience negative emotions paired with social inhibition) have been associated with poor prognosis in coronary heart disease, but little is known about their role in chronic heart failure. Therefore, we investigated whether...... these indicators of psychological distress are associated with mortality in chronic heart failure....

  18. Intrusive Thoughts: A Primary Variable in Breakup Distress (United States)

    Field, Tiffany; Diego, Miguel; Pelaez, Martha; Deeds, Osvelia; Delgado, Jeannette


    University students who were high versus low on breakup distress scores were given self-report measures to assess their intrusive thoughts about the romantic breakup and their somatic symptoms that followed the breakup as well as their extracurricular activities and social support that might alleviate their breakup distress. In a regression…

  19. Moral Distress: A Qualitative Study of Emergency Nurses. (United States)

    Robinson, Ruthie; Stinson, Cynthia Kellam


    Although many nursing studies have focused on moral distress, very few have looked at moral distress and emergency nurses despite the fact that this group works in stressful, fast-paced environments that often involve situations that can lead to moral distress. The goals of this qualitative study are to determine how emergency nurses define moral distress, describe the experiences of moral distress by emergency nurses and its impact, and identify possible strategies to combat moral distress. This study used a phenomenological qualitative design. A convenience sample was used and included 8 registered nurses from 3 different emergency departments in a midsized urban county in the South Central United States. A structured open-ended interview technique was used. Four major themes were identified: (1) there was no face of the family, (2) asking God for forgiveness, (3) flipping the switch, and (4) it changes who we are. Nurses in this study all reported experiencing moral distress. Sources of moral distress identified included patient advocacy issues, professional behavior of other health care professionals, internal conflicts with what they perceived to be the right thing to do and that which was asked of them, and guilt over their own feelings about patient care. These nurses described effective and ineffective coping mechanisms.

  20. Psychological Distress and Pain Reporting in Australian Coal Miners

    Directory of Open Access Journals (Sweden)

    Kristy N. Carlisle


    Conclusion: The study findings support the existence of widespread musculoskeletal pain among the coal-mining workforce, and this pain is associated with increased psychological distress. Operators (truck drivers and workers reporting poor sleep quality during work periods are most likely to report increased distress, which highlights the importance of supporting the mining workforce for sustained productivity.

  1. Examining Victimization and Psychological Distress in Transgender College Students (United States)

    Effrig, Jessica C.; Bieschke, Kathleen J.; Locke, Benjamin D.


    Treatment-seeking and non-treatment-seeking transgender college students were examined with regard to victimization and psychological distress. Findings showed that transgender college students had elevated rates of distress as compared with college students who identified as men or women. Results indicated that treatment-seeking and non-treatment…

  2. Psychological distress in people with disfigurement from facial palsy (United States)

    Fu, L; Bundy, C; Sadiq, S A


    Aims Psychological distress is well documented in people with facial disfigurement. However, the prevalence of psychological distress in patients with facial palsy has not been studied. This study aims to establish the prevalence of psychological distress and the extent of anxiety and depression in a sample of facial palsy patients from the Northwest of England. Method A total of 103 participants with facial palsy completed a questionnaire pack comprising the Illness Perception Questionnaire-Revised (IPQ-R), a demographic questionnaire, and the Hospital Anxiety and Depression Scale (HADS). The severity of participants' facial palsy was measured by the House–Brackmann scale. Results In all, 32.7 and 31.3% of the sample had significant levels of anxiety and depression, respectively. The mean age of participants was 59, and 35.9% had grade 6 facial palsy. Significant associations were found between participants' perception of consequences, duration, timeline, and the level of distress. No significant associations were found between clinical severity of facial palsy and levels of distress. Females had significantly higher levels of anxiety compared with males. Conclusions There was a significant level of distress in this study group. The levels of psychological distress were higher than the levels found in other outpatient attenders. There were significant associations between participants' illness perceptions and their level of distress. PMID:21720412

  3. Frustrated Fertility: Infertility and Psychological Distress among Women. (United States)

    McQuillan, Julia; Greil, Arthur L.; White, Lynn; Jacob, Mary Casey


    Tests the hypothesis that women who have experienced infertility report higher psychological distress. Examines whether roles or resources condition the effects of infertility or whether its effects are limited to childless women. Infertility combined with involuntary childlessness is associated with significantly greater distress. For women in…

  4. Financial Distress with Family Farm Transfer in Six European Countries

    NARCIS (Netherlands)

    Bommel, van K.H.M.; Veen, van der H.B.; Venema, G.S.


    Many potential young farmers face the difficult choice between farming or a city career. An important criterion in this decision is the financial distress that goes with farming. Using data for the 1990s, the present study compared the financial distress after take-over of family farms by the next

  5. Distress tolerance is linked to unhealthy eating through pain catastrophizing. (United States)

    Emami, Ashley S; Woodcock, Anna; Swanson, Heidi E; Kapphahn, Teresa; Pulvers, Kim


    Low distress tolerance, an important component of emotion regulation, is a risk factor for unhealthy eating. Identifying factors which explain the link between distress tolerance and unhealthy eating can advance the understanding of problematic eating and inform prevention and treatment of obesity and eating disorders. The present study examines pain catastrophizing as a mediator between distress tolerance and unhealthy eating in a nonclinical population, which has received little attention despite being a risk factor for unhealthy eating behaviors. The Distress Tolerance Scale (DTS), Pain Catastrophizing Scale (PCS), and the Dutch Eating Behavior Questionnaire (DEBQ), were administered to 171 college students (62.6% female, 38.6% White, 28.1% Hispanic). There was no evidence of a significant direct effect of distress tolerance on unhealthy eating. However, as hypothesized, there was a significant indirect or mediated effect of pain catastrophizing on the relationship between distress tolerance and unhealthy eating. Individuals low in distress tolerance reported higher pain catastrophizing, and a result, these individuals also reported higher levels of unhealthy eating. These findings introduce pain catastrophizing as an influential variable in the link between distress tolerance and unhealthy eating. Findings suggest that reducing catastrophic thinking about pain may be a worthy target of intervention in reducing unhealthy eating. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. 47 CFR 80.1109 - Distress, urgency, and safety communications. (United States)


    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Distress, urgency, and safety communications. 80.1109 Section 80.1109 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS...

  7. 47 CFR 80.313 - Frequencies for use in distress. (United States)


    ... 80.313 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Safety Watch Requirements and Procedures Distress, Alarm, Urgency and Safety Procedures § 80.313 Frequencies for use in distress. The frequencies specified in the...

  8. Psychological distress among adults admitted to medical and ...

    African Journals Online (AJOL)

    Background: Physical illness is commonly associated with psychological distress that may be a direct effect of the illness or an adjustment in coping with the physical illness or its treatment. Little is known about psychological distress of patients on general wards in developing countries. Objectives: This study aimed to ...

  9. Prospective relationships between workplace sexual harassment and psychological distress. (United States)

    Nielsen, M B; Einarsen, S


    Exposure to workplace sexual harassment (SH) has been associated with impaired mental health, but longitudinal studies confirming the relationship are lacking. To examine gender differences in prospective associations between SH and psychological distress. Baseline questionnaire survey data were collected in 2005 in a representative sample of Norwegian employees. Follow-up data were collected in 2007. SH was measured with the Bergen Sexual Harassment Scale. Psychological distress was measured with the 25 item Hopkins Symptom Checklist (HSCL-25) with cases of psychological distress defined as having a mean score of data. Response rates were 57% in 2005 and 75% in 2007 when the final cohort comprised 1775 respondents. After adjusting for baseline distress and age, exposure to SH at baseline was associated with psychological distress at follow-up among women [odds ratio (OR): 2.03; 95% confidence interval (CI): 1.2-3.39] but not men (OR: 1.32; 95% CI: 0.72-2.43). Baseline distress was significantly related to SH at follow-up among men (OR: 3.03; 95% CI: 1.74-5.26) but not women (OR: 1.15; 95% CI: 0.69-1.92). The study found that SH contributed to subsequent psychological distress among women. Workplace measures against SH would be expected to lead to a reduction in mental disorders. The finding that psychological distress predicts SH among men may indicate either a vulnerability factor or a negative perception mechanism.

  10. 13 CFR 301.3 - Economic distress levels. (United States)


    ... ELIGIBILITY, INVESTMENT RATE AND PROPOSAL AND APPLICATION REQUIREMENTS Economic Distress Criteria § 301.3... subject to one (or more) of the following economic distress criteria: (i) An unemployment rate that is...) percentage point greater than the national average unemployment rate; (ii) Per capita income that is, for the...

  11. Psychopathic traits, victim distress and aggression in children

    NARCIS (Netherlands)

    van Baardewijk, Y.; Stegge, G.T.M.; Bushman, B.J.; Vermeiren, R.R.J.M.


    Background: The relationship between psychopathic traits and aggression in children may be explained by their reduced sensitivity to signs of distress in others. Emotional cues such as fear and sadness function to make the perpetrator aware of the victim's distress and supposedly inhibit aggression.

  12. What is the best measure for assessing diabetes distress?

    DEFF Research Database (Denmark)

    Fenwick, Eva K; Rees, Gwyn; Holmes-Truscott, Elizabeth


    This study used Rasch analysis to examine the psychometric validity of the Diabetes Distress Scale and the Problem Areas in Diabetes scale to assess diabetes distress in 3338 adults with diabetes (1609 completed the Problem Areas in Diabetes scale (n = 675 type 1 diabetes; n = 934 type 2 diabetes...

  13. Assessing Racial Microaggression Distress in a Diverse Sample. (United States)

    Torres-Harding, Susan; Turner, Tasha


    Racial microaggressions are everyday subtle or ambiguous racially related insults, slights, mistreatment, or invalidations. Racial microaggressions are a type of perceived racism that may negatively impact the health and well-being of people of color in the United States. This study examined the reliability and validity of the Racial Microaggression Scale distress subscales, which measure the perceived stressfulness of six types of microaggression experiences in a racially and ethnically diverse sample. These subscales exhibited acceptable to good internal consistency. The distress subscales also evidenced good convergent validity; the distress subscales were positively correlated with additional measures of stressfulness due to experiencing microaggressions or everyday discrimination. When controlling for the frequency of one's exposure to microaggression incidents, some racial/ethnic group differences were found. Asian Americans reported comparatively lower distress and Latinos reporting comparatively higher distress in response to Foreigner, Low-Achieving, Invisibility, and Environmental microaggressions. African Americans reported higher distress than the other groups in response to Environmental microaggressions. Results suggest that the Racial Microaggressions Scale distress subscales may aid health professionals in assessing the distress elicited by different types of microaggressions. In turn, this may facilitate diagnosis and treatment planning in order to provide multiculturally competent care for African American, Latino, and Asian American clients. © The Author(s) 2014.

  14. Emotional distress and strain in relatives of patients with severe ...

    African Journals Online (AJOL)

    The levels of emotional distress and strain were examined in two groups of relatives of psychiatric patients using standard instruments. The dementia group had more GHQ - 30 cases than the schizophrenic group. Even though the schizophrenic relatives had higher distress and strain scores than the dementia relatives, ...


    Liddle, Mitzi-Jane E; Bradley, Ben S; Mcgrath, Andrew


    Empathy is an important competence in our social world, a motivator of prosocial behavior, and thought to develop throughout the second year of life. The current study examined infants' responses to naturalistic peer distress to explore markers of empathy and prosocial behavior in young babies. Seventeen 8-month-old infants participated in a repeated measures design using the "babies-in-groups" paradigm, with maternal presence as the independent variable. Significant differences were found between response types: Gaze was the standard response to infant distress, followed by socially directed behaviors and affect, with self-distress rarely occurring. Maternal presence was not found to impact the nature or frequency of babies' responses to peer distress. During distress episodes, babies looked preferentially at the distressed peer, then other mothers, and least to their own mother. Data revealed that infant responses to peer distress resulted in a successful cessation of that distress episode over one third of the time. Case studies are provided to illustrate the quantitative data. The results provided evidence of empathic concern and prosocial behavior in the first year of life, and provoke a challenge to developmental theories of empathy. © 2015 Michigan Association for Infant Mental Health.

  16. Diabetes distress among type 2 diabetic patients | Islam ...

    African Journals Online (AJOL)

    Background: Diabetes mellitus is being increasingly recognized as a serious global health problem and is frequently associated with co-morbid distress, contributing double burden for the individual and the society. Aim: This study documents the proportion of diabetes distress and factors associated with it. Methods: A ...

  17. Distressed Relationships : Lessons from the Norwegian Banking Crisis

    NARCIS (Netherlands)

    Ongena, S.; Smith, D.C.; Michalsen, D.


    This paper measures the economy-wide impact of bank distress on the loss of relationship benefits. We use the near-collapse of the Norwegian banking system during the period 1988 to 1991 to measure the impact of bank distress announcements on the stock prices of firms maintaining a relationship with

  18. Marital Distress and Mental Health Care Service Utilization (United States)

    Schonbrun, Yael Chatav; Whisman, Mark A.


    Objective: This study was designed to evaluate the association between marital distress and mental health service utilization in a population-based sample of men and women (N = 1,601). Method: The association between marital distress and mental health care service utilization was evaluated for overall mental health service utilization and for…

  19. Prevalence of psychological distress and associated factors in urban ...

    African Journals Online (AJOL)

    Based on assessment with the Kessler Psychological Distress Scale, a measure of psychological distress, 17.1% of the patients (15.5% of men and 19.4% of ... Brief psychological therapies for adult patients with anxiety, depression or mixed common mental health problems treated in hospital outpatient departments are ...

  20. Psychopathic Traits, Victim Distress and Aggression in Children (United States)

    van Baardewijk, Yoast; Stegge, Hedy; Bushman, Brad J.; Vermeiren, Robert


    Background: The relationship between psychopathic traits and aggression in children may be explained by their reduced sensitivity to signs of distress in others. Emotional cues such as fear and sadness function to make the perpetrator aware of the victim's distress and supposedly inhibit aggression. As children high in psychopathic traits show a…

  1. Emotional distress in Angolan patients with several types of ...

    African Journals Online (AJOL)

    among tuberculosis (TB) patients. Objectives: This study aims to determine levels of anxiety, depression and emotional distress in patients with several types of TB and to determine the association between social-demographic and economical factors, clinical variables and anxiety, depression and emotional distress.

  2. Impact of Relational Proximity on Distress from Infidelity

    NARCIS (Netherlands)

    Fisher, Maryanne; Geher, Glenn; Cox, Anthony; Tran, Ulrich S.; Hoben, Ashley; Arrabaca, Andrew; Chaize, Corinna; Dietrich, Robert; Voracek, Martin


    Men are generally more distressed by a partner's sexual infidelity whereas women are generally more distressed by a partner's emotional infidelity. The importance of the identity of the interloper, however, has been neglected. We explored the influence of relational proximity (i.e., the degree of

  3. Enhancing need satisfaction to reduce psychological distress in Syrian refugees. (United States)

    Weinstein, Netta; Khabbaz, Farah; Legate, Nicole


    Becoming a refugee is a potent risk factor for indicators of psychological distress such as depression, generalized stress, and posttraumatic stress disorder (PTSD), though research into this vulnerable population has been scant, with even less work focusing on interventions. The current study applied principles from self-determination theory (SDT; Ryan & Deci, 2000) to develop and test an intervention aimed at increasing need-satisfying experiences in refugees of Syrian civil unrest. Forty-one refugees who fled Syria during the past 24 months and resettled in Jordan participated in the study and were randomly assigned to receive the intervention or a neutral comparison. The 1-week-long intervention alleviated some of the need frustration likely associated with refugee status, a major aim of the intervention, and also lowered refugees' self-reported symptoms of depression and generalized stress as compared to the comparison condition, though it did not reduce symptoms of PTSD. Discussion focuses on how these findings speak to the universal importance of need satisfaction for mental health, and how need-satisfying experiences can help buffer against the profound stress of being a refugee. Avenues for longer-term or more intensive interventions that may target more severe outcomes of refugee experiences, such as PTSD symptoms, are also discussed. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  4. Birth setting, labour experience, and postpartum psychological distress. (United States)

    MacKinnon, Anna L; Yang, Lisa; Feeley, Nancy; Gold, Ian; Hayton, Barbara; Zelkowitz, Phyllis


    although psychosocial risk factors have been identified for postpartum depression (PPD) and perinatal posttraumatic stress disorder (PTSD), the role of labour- and birth-related factors remains unclear. The present investigation explored the impact of birth setting, subjective childbirth experience, and their interplay, on PPD and postpartum PTSD. in this prospective longitudinal cohort study, three groups of women who had vaginal births at a tertiary care hospital, a birthing center, and those transferred from the birthing centre to the tertiary care hospital were compared. Participants were followed twice during pregnancy (12-14 and 32-34 weeks gestation) and twice after childbirth (1-3 and 7-9 weeks postpartum). symptoms of PPD and PTSD did not significantly differ between birth groups; however, measures of subjective childbirth experience and obstetric factors did. Moderation analyses indicated a significant interaction between pain and birth group, such that higher ratings of pain among women who were transferred was associated with greater symptoms of postpartum PTSD. women who are transferred appear to have a unique experience that may put them at greater risk for postpartum psychological distress. It may be beneficial for care providers to help prepare women for pain management and potential unexpected complications, particularly if it is their first childbirth. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Patient cues and symptoms of psychosocial distress: what predicts assessment and treatment of distress by oncology clinicians? (United States)

    Sheldon, Lisa Kennedy; Blonquist, Traci M; Hilaire, Dany M; Hong, Fangxin; Berry, Donna L


    Psychosocial concerns arise after a cancer diagnosis and during treatment requiring oncology clinicians to initiate discussions to identify distress. This study examined patient-clinician communication about psychosocial concerns and predictors of assessment and treatment/referral for distress. Secondary analysis of existing dataset coded to explore patient-clinician communication during ambulatory visits in two comprehensive cancer centers was carried out. Sample included adult patients with various cancers and stages. Dataset included audio-recordings and symptom/QOL reports 4-6 weeks after starting treatment from all distressed patients (n = 66) in parent study and random sample of nondistressed patients (n = 23). Distressed patients had moderate-to-severe depression (Patient Health Questionnaire-9 scores ≥10) and/or poor emotional functioning (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire emotional function scores Medical Interview Aural Rating System. The remaining patients gave 222 cues of psychosocial concerns: 183 from 46 distressed patients and 39 from nine nondistressed patients. Distressed patients were younger, were female, had higher symptom burden, and/or gave more cues. Significantly, more distressed patients had at least one cue/visit. Clinicians initiated 62% of discussions overall with no statistical difference between distressed and nondistressed groups. More explicit cues and more than four cues predicted treatment/referral for distress. Distressed patients were younger, were female, had higher symptom burden, and/or gave more verbal cues. Clinicians responded to explicit and more frequent cues by providing treatment and/or referrals for distress. Further exploration is needed regarding clinician factors related to assessment of psychosocial concerns. Copyright © 2014 John Wiley & Sons, Ltd.

  6. Effects of screening for psychological distress on patient outcomes in cancer : A systematic review

    NARCIS (Netherlands)

    Meijer, Anna; Roseman, Michelle; Delisle, Vanessa C.; Milette, Katherine; Levis, Brooke; Syamchandra, Achyuth; Stefanek, Michael E.; Stewart, Donna E.; de Jonge, Peter; Coyne, James C.; Thombs, Brett D.

    Objective: Several practice guidelines recommend routine screening for psychological distress in cancer care. The objective was to evaluate the effect of screening cancer patients for psychological distress by assessing the (1) effectiveness of interventions to reduce distress among patients

  7. Analysis and evaluation of the moral distress theory. (United States)

    Wilson, Melissa A


    Moral distress is a pervasive problem in nursing resulting in a detriment to patient care, providers, and organizations. Over a decade ago, the moral distress theory (MDT) was proposed and utilized in multiple research studies. This middle range theory explains and predicts the distress that occurs in a nurse because of moral conflict. The research findings born from this theory have been substantial. Since inception of this theory, moral distress has been extensively examined which has further elaborated its understanding. This paper provides an analysis and evaluation of the MDT according to applicable guidelines. Current understanding of the phenomenon indicates that a new theory may be warranted to better predict, treat, and manage moral distress. © 2017 Wiley Periodicals, Inc.


    Directory of Open Access Journals (Sweden)

    Maura Gabriela FELEA


    Full Text Available Negative emotions (distress are recognized as part of the psychological profile of patients diagnosed with advanced stage cancer. However, most patients are not accustomed to verbalize feelings towards their physician, and generally towards family and medical care personnel. The purpose of this paper is to analyze the expression of emotions by patients in advanced stages of cancer, respectively the means by which they get to express emotions. To this respect, we identified the most common types of emotions expressed, or metaphors used by patients to describe their emotions and topics that trigger emotions. Words and phrases most commonly used are in relation to: fear, anxiety, depression, guilt, negligence, concern. They are uttered in order to depict the network created between disclosed emotions and topics on health status, symptoms, adverse effects and therapeutic choice, patient privacy, and social and family issues.

  9. Acute respiratory distress syndrome: evaluation and management. (United States)

    Cortés, I; Peñuelas, O; Esteban, A


    Acute respiratory distress syndrome (ARDS) is a life-threatening condition that affects patients admitted in the Intensive Care Units (ICUs) under mechanical ventilation. ARDS is a process of non-hydrostatic pulmonary edema and hypoxemia associated with a variety of conditions, resulting in a direct (e.g., pneumonia) or indirect (e.g., sepsis) lung injury and is associated with a significant morbidity and mortality. A large body of clinical and basic research has focused in ventilatory strategies and novel pharmacological therapies but, nowadays, treatment is mainly supportive. Mechanical ventilation is the hallmark of the management of these patients. In the last decades, the recognition that mechanical ventilation can contribute to harming the lung has changed the goals of this therapy and has driven research to focus in ventilatory strategies that mitigate lung injury. This review emphasizes clinical aspects in the evaluation and management of ARDS in the ICUs and updates the latest advances in these therapies.

  10. Sharing, liking, commenting, and distressed? The pathway between Facebook interaction and psychological distress. (United States)

    Chen, Wenhong; Lee, Kye-Hyoung


    Studies on the mental health implications of social media have generated mixed results. Drawing on a survey of college students (N=513), this research uses structural equation modeling to assess the relationship between Facebook interaction and psychological distress and two underlying mechanisms: communication overload and self-esteem. It is the first study, to our knowledge, that examines how communication overload mediates the mental health implications of social media. Frequent Facebook interaction is associated with greater distress directly and indirectly via a two-step pathway that increases communication overload and reduces self-esteem. The research sheds light on new directions for understanding psychological well-being in an increasingly mediated social world as users share, like, and comment more and more.

  11. Pathogenesis of Acute Respiratory Distress Syndrome

    Directory of Open Access Journals (Sweden)

    A. M. Golubev


    Full Text Available Acute respiratory distress syndrome (ARDS is a common complication of many diseases. Its polyetiological pattern determines the specific features of lung morphological changes and the clinical course of ARDS. Objective: to analyze the pathogenesis of ARDS in the context of the general pathological processes underlying its development. Material and methods. More than 200 lungs from the people who had died from severe concomitant injury or ARDS-complicated pneumonia were investigated. More than 150 rat experiments simulated various types of lung injury: ventilator-induced lung injury with different ventilation parameters; reperfusion injuries (systemic circulation blockade due to 12-minute vascular fascicle ligation, followed by the recovery of cardiac performance and breathing; microcirculatory disorder (injection of a thromboplastin solution into the jugular vein; blood loss; betaine-pepsin aspiration; and closed chest injury. Different parts of the right and left lungs were histologically examined 1 and 3 hours and 1 and 3 days after initiation of the experiment. Lung pieces were fixed in 10% neutral formalin solution and embedded in paraffin. Histological sections were stained with hematoxylin and eosin and using the van Gieson and Weigert procedures; the Schiff test was used. Results. The influence of aggression factors (trauma, blood loss, aspiration, infection, etc. results in damage to the lung and particularly air-blood barrier structures (endothelium, alveolar epithelium, their basement membrane. In turn the alteration of cellular and extracellular structures is followed by the increased permeability of hemomicrocirculatory bed vessels, leading to the development of non-cardiogenic (interstitial, alveolar pulmonary edema that is a central component in the pathogenesis of ARDS. Conclusion. The diagnosis of the early manifestations of ARDS must account for the nature of an aggression factor, the signs confirming the alteration of the lung

  12. Impact of ethical climate on moral distress revisited: multidimensional view. (United States)

    Atabay, Gülem; Çangarli, Burcu Güneri; Penbek, Şebnem


    Moral distress is a major problem in nursing profession. Researchers identified that the stronger the ethical basis of the organization, the less moral distress is reported. However, different ethical climates may have different impacts on moral distress. Moreover, conceptualization of moral distress and ethical climate as well as their relationship may change according to the cultural context. The main aim of the study is to investigate the relationship between different types of ethical climate as described in Victor and Cullen's framework, and moral distress intensity among nurses in Turkish healthcare settings. An online survey was administrated to collect data. Questionnaires included moral distress and ethical climate scales in addition to demographic questions. Data were collected from registered nurses in Turkey. In all, 201 of 279 nurses completed questionnaires, resulting in a response rate of 72%. Ethical approval was obtained from the university to which the authors were affiliated, after a detailed investigation of the content and data collection method. Factor analyses showed that moral distress had three dimensions, namely, organizational constraints, misinformed and over-treated patients, and lack of time and resources, while ethical climate had four types, namely, rules, well-being of stakeholders, individualism, and organizational interests. Positive correlations were identified between certain types of ethical climate (rules, individualism, or organizational interests) and moral distress intensity. Factor distribution of the scales shows some commonalities with the findings of previous research. However, context-specific dimensions and types were also detected. No particular ethical climate type was found to have a negative correlation with moral distress. Recommendations were made for reducing the negative impact of ethical climate on moral distress. These include solving the nursing-shortage problem, increasing autonomy, and improving physical

  13. Symptom distress in older adults following cancer surgery. (United States)

    Van Cleave, Janet H; Egleston, Brian L; Ercolano, Elizabeth; McCorkle, Ruth


    Symptom distress remains a significant health problem among older adults with cancer following surgery. Understanding factors influencing older adults' symptom distress may lead to early identification and interventions, decreasing morbidity and improving outcomes. We conducted this study to identify factors associated with symptom distress following surgery among 326 community-residing patients 65 years or older with a diagnosis of thoracic, digestive, gynecologic, and genitourinary cancers. This secondary analysis used combined subsets of data from 5 nurse-directed intervention clinical trials targeting patients after surgery at academic cancer centers in northwest and northeastern United States. Symptom distress was assessed by the Symptom Distress Scale at baseline and at 3 and 6 months. A multivariable analysis, using generalized estimating equations, showed that symptom distress was significantly less at 3 and 6 months (3 months: P < .001, 6 months: P = .002) than at baseline while controlling for demographic, biologic, psychological, treatment, and function covariates. Thoracic cancer, comorbidities, worse mental health, and decreased function were, on average, associated with increased symptom distress (all P < .05). Participants 75 years or older reported increased symptom distress over time compared with those aged 65 to 69 years (P < .05). Age, type of cancer, comorbidities, mental health, and function may influence older adults' symptom distress following cancer surgery. Older adults generally experience decreasing symptom distress after thoracic, abdominal, or pelvic cancer surgery. Symptom management over time for those with thoracic cancer, comorbidities, those with worse mental health, those with decreased function, and those 75 years or older may prevent morbidity and improve outcomes of older adults following surgery.

  14. A Randomized Controlled Trial of Coach Contact During a Brief Online Intervention for Distressed Couples. (United States)

    Roddy, McKenzie K; Nowlan, Kathryn M; Doss, Brian D


    The negative impacts of relationship distress on the couple, the family, and the individual are well-known. However, couples are often unable to access effective treatments to combat these effects-including many couples who might be at highest risk for relationship distress. Online self-help interventions decrease the barriers to treatment and provide couples with high quality, research-based programs they can do on their own. Using a combined multiple baseline and randomized design, the present study investigated the effectiveness of the Brief (Brief-OR) program with and without staff support in improving relationship distress and individual functioning. Results indicated the program produced significant gains in several areas of relationship functioning; however, these gains were smaller in magnitude than those observed in Full-OR. Furthermore, effects of Brief-OR were not sustained over follow-up. Comparisons between couples randomized to Brief-OR with and without contact with a staff coach indicated that coach contact significantly reduced program noncompletion and improved program effects. Limitations and future directions are discussed. © 2016 Family Process Institute.

  15. Acute respiratory distress syndrome: clinical recognition and preventive management in chiropractic acute care practice. (United States)

    Mirtz, T A


    To present clinical information relevant to acute respiratory distress syndrome (ARDS) and its appearance in chiropractic acute care practice. The National Library of Medicine MEDLINE database was used, along with the bibliographies of selected articles and textbooks commonly found in chiropractic college libraries and bookstores. Clinical studies from the English literature were selected if they pertained to incidence, clinical relevancy, or the association of ARDS with commonly-seen diagnoses in chiropractic neuromusculoskeletal or orthopedic practice. All relevant studies identified by the search were evaluated based on information pertinent to chiropractic management of acute care patients. ARDS is a pulmonary distress syndrome with a high mortality rate. Recognizable indications for the possible development of ARDS include chest pain, head injury, and thoracic spine pain with or without trauma. Clinical evaluation, radiographic findings, and laboratory findings are presented to assist practitioners in identifying this disease process of multiple etiology. A study of the basic pathophysiologic processes that occur in the formation of ARDS is presented to help practitioners gain clinical appreciation. Strategies for preventing respiratory distress in chiropractic patients are also presented and include use of the postural position and the clinical maxim of "slow, deep breathing despite pain" to lessen incident rates of subjects at risk. Although ARDS may not be prevalent in chiropractic practice, it is important for physicians to be aware of the clinical basics (including its pathophysiology), its medical significance, and the preventive strategies that may be used to minimize its occurrence. This basic understanding will further advance knowledge of this disease complex.

  16. Setting the stage for universal financial distress screening in routine cancer care. (United States)

    Khera, Nandita; Holland, Jimmie C; Griffin, Joan M


    Financial burden from cancer treatment is increasingly being recognized as a threat to optimal access, quality, and outcomes of cancer care for patients. Although research in the area is moving at a fast pace, multiple questions remain unanswered, such as how to practically integrate the assessment and management of financial burden into routine health care delivery for patients with cancer. Although psychological distress screening for patients undergoing cancer treatment now is commonplace, the authors raise the provocative idea of universal screening for financial distress to identify and assist vulnerable groups of patients. Herein, the authors outline the arguments to support screening for financial burden in addition to psychological distress, examining it as an independent patient-reported outcome for all patients with cancer at various time points during their treatment. The authors describe the proximal and downstream impact of such a strategy and reflect on some challenges and potential solutions to help integrate this concept into routine cancer care delivery. Cancer 2017;123:4092-4096. © 2017 American Cancer Society. © 2017 American Cancer Society.

  17. Healing war wounds and perfuming exile: the use of vegetal, animal, and mineral products for perfumes, cosmetics, and skin healing among Sahrawi refugees of Western Sahara

    Directory of Open Access Journals (Sweden)

    Volpato Gabriele


    Full Text Available Abstract Background Over the past decade, there has been growing interest within ethnobiology in the knowledge and practices of migrating people. Within this, scholars have given relatively less attention to displaced people and refugees: to the loss, maintenance, and adaptation of refugees’ ethnobiological knowledge, and to its significance for refugees’ wellbeing. This study focuses on cosmetics and remedies used to heal skin afflictions that are traditionally used by Sahrawi refugees displaced in South Western Algerian refugee camps. Methods The research methods included a structured survey carried out with 37 refugee households, semi-structured interviews with 77 refugees, 24 retrospective interviews with refugees and other knowledgeable informants, and a voucher specimen collection of the plants and products cited. Results We recorded the use of 55 plant species, nine animal species, and six mineral products used within the three main use categories discussed in this paper: 1 Remedies for health issues that are typical of the desert environment where the Sahrawi once lived as nomads and now live as refugees (e.g. eye afflictions; 2 Remedies for wounds that are influenced by the Sahrawi’s recent history of guerrilla warfare; and 3 Cosmetics and products used for body care, decoration and perfuming (e.g. hair care, teeth cleansing, henna use and for aromatizing the air inside of tents and which are widely used in everyday life and social practices. Conclusions We discuss the changes that have occurred in the patterns of use and procurement of these products with exile and sedentarization in refugee camps, and conclude that refugees are not simply passive recipients of national and international aid, but rather struggle to maintain and recover their traditional ethnobiological practices in exile. Finally, we suggest further research into the ethnobiological practices and knowledge of displaced populations. Resumen Sanando las heridas de

  18. Healing war wounds and perfuming exile: the use of vegetal, animal, and mineral products for perfumes, cosmetics, and skin healing among Sahrawi refugees of Western Sahara (United States)


    Background Over the past decade, there has been growing interest within ethnobiology in the knowledge and practices of migrating people. Within this, scholars have given relatively less attention to displaced people and refugees: to the loss, maintenance, and adaptation of refugees’ ethnobiological knowledge, and to its significance for refugees’ wellbeing. This study focuses on cosmetics and remedies used to heal skin afflictions that are traditionally used by Sahrawi refugees displaced in South Western Algerian refugee camps. Methods The research methods included a structured survey carried out with 37 refugee households, semi-structured interviews with 77 refugees, 24 retrospective interviews with refugees and other knowledgeable informants, and a voucher specimen collection of the plants and products cited. Results We recorded the use of 55 plant species, nine animal species, and six mineral products used within the three main use categories discussed in this paper: 1) Remedies for health issues that are typical of the desert environment where the Sahrawi once lived as nomads and now live as refugees (e.g. eye afflictions); 2) Remedies for wounds that are influenced by the Sahrawi’s recent history of guerrilla warfare; and 3) Cosmetics and products used for body care, decoration and perfuming (e.g. hair care, teeth cleansing, henna use) and for aromatizing the air inside of tents and which are widely used in everyday life and social practices. Conclusions We discuss the changes that have occurred in the patterns of use and procurement of these products with exile and sedentarization in refugee camps, and conclude that refugees are not simply passive recipients of national and international aid, but rather struggle to maintain and recover their traditional ethnobiological practices in exile. Finally, we suggest further research into the ethnobiological practices and knowledge of displaced populations. Resumen Sanando las heridas de guerra y perfumando el

  19. Exile, exilic consciousness and the poetic imagination in Tanure ...

    African Journals Online (AJOL)

    Tydskrif vir letterkunde. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 48, No 1 (2011) >. Log in or Register to get access to full text downloads.

  20. Towards a better understanding of caregiver distress in early psychosis: a systematic review of the psychological factors involved. (United States)

    Jansen, Jens Einar; Gleeson, John; Cotton, Sue


    We sought to review empirical studies of psychological factors accounting for distress in caregivers of young people with early psychosis. Following the PRISMA guidelines, we included studies that empirically tested psychological models of caregiver distress in early psychosis by searching the following databases up until March 2014: PsycINFO, EMBASE and Cochrane Central Register of Controlled Trials (CENTRAL). This was followed by additional manual searches of reference lists and relevant journals. The search identified 15 papers describing 13 studies together comprising 1056 caregivers of persons with early psychosis. The mean age of caregivers was 47.2years (SD=9.8), of whom 71.5% were female and 74.4% were parents. Nine different psychological variables were examined in the included studies, which were categorised in the following non-mutually exclusive groups: coping, appraisal/attribution and interpersonal response. There was considerable data to support the link between distress and psychological factors such as avoidant coping, appraisal and emotional over-involvement. However, the possibilities of drawing conclusions were limited by a number of methodological issues, including cross-sectional data, small sample sizes, confounding variables not being accounted for, and a wide variation in outcome measures. The strengths of the review were the systematic approach, the exclusion of non-empirical papers and the rating of methodological quality by two independent raters. Limitations were that we excluded studies published in languages other than English, that data extraction forms were developed for this study and hence not tested for validity, and that there was a potential publication bias in favour of significant findings. A better grasp of the psychological factors accounting for caregiver distress early in the course of illness may help us understand the trajectory of distress. This is an important step in preventing long-term distress in caregivers and

  1. Osteoporosis Treatment: Medications Can Help (United States)

    Osteoporosis treatment: Medications can help Osteoporosis treatment may involve medication along with lifestyle change. Get answers to some of the most common questions about osteoporosis treatment. By ...

  2. Claustrophobia: a proxy for psychological distress in patients with back pain. (United States)

    Kerr, Hui-Ling; Dabke, Harshad V; Collins, Iona E; Grevitt, Michael


    Case-control study. The aim of this study was to assess the levels of psychological distress in patients with back pain who expressed claustrophobia at the time of their magnetic resonance imaging (MRI) scan, compared with sex and age-matched normal controls who did not exhibit claustrophobia. The secondary aim was to document the level of disability and intervention rates in this group. Psychosocial factors influence the outcomes of low back pain treatment with psychological distress being associated with poorer surgical outcomes in patients with low back pain. Up to 14% of patients experience claustrophobia during MRI scans requiring sedation to complete the scan. The effect of claustrophobia on back pain disability and outcomes has not been previously reported. Twenty females and 13 males all requiring MRI scan under sedation for claustrophobia (group 1) were compared with an age and sex-matched cohort that had MRI scan without sedation (group 2). Both groups were drawn from a chronic back clinic. Average age in both groups was 54 years (range, 27 to 79 y). Both groups had standard conservative therapy, together with psychometric evaluation: Zung Depression Index and Modified Somatic Perception Questionnaire. Disability was measured by Oswestry Disability Index. Primary outcome measures were intervention rates (surgery, injections, and physiotherapy sessions) and prevalence of psychological distress. Mean Zung Depression Index in group 1 was significantly higher than in group 2 (59.5 vs. 28.9, PClaustrophobia requiring sedation for MRI scans may be a proxy for psychological distress in these patients and psychometric testing is advised during assessment to help with surgical decision making.

  3. A qualitative study of Filipina immigrants' stress, distress and coping: the impact of their multiple, transnational roles as women. (United States)

    Straiton, Melanie L; Ledesma, Heloise Marie L; Donnelly, Tam T


    Migration is associated with a number of stress factors which can affect mental health. Ethnicity, gender and socioeconomic status can intertwine with and influence the process of migration and mental health. Philippine migration to Europe has increased in recent years and has become more feminised. Knowing more about the factors that influence immigrants' mental health and coping can help aid health care delivery and policy planning. The purpose of this qualitative study was to explore the contextual factors that influence the mental health of Filipinas living in Norway and their coping strategies. Individual in-depth interviews were conducted with fourteen Filipinas 24-49 years, living in Norway. The analysis was informed by the post-colonial feminist perspective in order to examine the process by which gender, ethnicity and socioeconomic status interact with contextual factors in these women's lives and influence their wellbeing. Data analysis revealed that all informants experienced some level of stress or distress. Two main factors: Sense of belonging and Securing a future contributed to the women's level of distress associated with living abroad as an immigrant woman. Distress was heighted by the women's multiple, transnational roles they occupied; roles as workers, breadwinners, daughters, wives and mothers. None of the women had sought professional help for their distress. Religion and informal support from friends and family appear to help these women cope with many of the challenges they face as immigrant women living and working abroad. Filipinas face a number of challenges related to their status as immigrant women and the juggling of their transnational lives. Understanding the context of these women's lives may aid the identification of mental health problems. Although the women show resilience and appear to cope successfully, some may benefit from professional help.

  4. Metaphorical profile of distress in English media discourse

    Directory of Open Access Journals (Sweden)

    Verbytska Anna


    Full Text Available The current research is directed towards the transition of distress studies in the English speaking culture from the prototype towards the conceptual metaphor approach. It enables the enlightenment of mental images, which underlie distress language usage in modern mass communication. The analysis involves identification of conceptual distress metaphors and metonymies within the image-schematic structure. The study includes a cognitive semantic analysis of linguistic units of the distress lexicon retrieved from the GloWbE, BNC, COCA, English newspapers and media platforms. Figurative language reveals conventional beliefs about distress represented in English media discourse, such as strong associations of emotion with darkness and coldness. Metaphorical mappings contain views about the reasons for distress experience which lie in the loss of balance or inner equilibrium, loss of control, and convictions about the reaction characterizing a person as being weak and brittle. The findings of data analysis are summed up in a metaphorical profile of distress (MPD which discloses the behavioural patterns (communicative behaviour, adequacy/inadequacy of behaviour, ability to socialize and physical effects including health issues.

  5. Participant distress in psychiatric research: a systematic review. (United States)

    Jorm, Anthony F; Kelly, Claire M; Morgan, Amy J


    There has been ethical concern that participants in psychiatric research will become distressed and their mental state might worsen. A systematic search was carried out for studies that examined distress following participation in research that involved the assessment of psychiatric state or associated risk factors. There were 46 relevant studies. A minority of participants become distressed immediately after participation, with distress more likely in studies of traumatic experiences. There is limited evidence on longer-term effects, but what there is suggests no adverse impact. Positive reactions to participation show little association with distress and these are more common than negative reactions. Very few studies of distress in research have used control groups to establish causal associations. However, what evidence there is suggests no causal role, including for research on suicidality. Researchers in this area have made a range of suggestions about ethical practice. A minority of participants in psychiatric research become distressed, but there is no evidence of longer-term harm. Nevertheless, researchers need to take account of ethical concerns in designing studies. Future research in the area needs to be carried out with stronger designs involving control groups.

  6. Discourse analytic research on mental distress: a critical overview. (United States)

    Georgaca, Eugenie


    Discourse analytic approaches to mental distress have been developed in the last two decades as part of the broader social constructionist movement in psychology. Aims. The paper reviews existing discourse analytic studies on issues pertaining to mental distress, aiming to identify strengths and gaps in the existing literature as well as to assess their contribution to conceptualizing and managing distress. Discourse analytic and social constructionist studies of different aspects of mental distress, conducted within the field of psychology, were identified and reviewed. The studies reviewed have been organized in four themes: (a) exploring users' accounts and experiences, (b) examining professional accounts and practices, (c) focusing on mental health-related public texts and (d) deconstructing clinical categories. The main function of discourse analytic studies on mental distress has been to highlight the historically contingent and socially constructed character of professional forms of knowledge and practice. More specifically, this research trend has highlighted the discursive resources drawn upon to conceptualize mental distress, the discursive practices through which specific versions of distress are constructed and the discursive effects of these constructions for institutions, subjectivity and social practices.

  7. Correlates of emotional distress in out-of-home youth. (United States)

    Harpin, Scott; Kenyon, Denyelle B; Kools, Susan; Bearinger, Linda H; Ireland, Marjorie


    Adolescents in out-of-home placement have a high prevalence of mental health distress, and their vulnerability to poor mental health outcomes continues during placement. Risk and protective factors may influence mental health outcomes; however, little is known about their relationship to mental health distress in this population. Using data from a population-based survey conducted in schools, mental health distress, along with other risk and protective factors, was evaluated in young people who reported living in out-of-home placements (n = 5,516) and a comparison group (n = 5,500). Multivariate analysis was used to determine the strength of association between risk and protective factors and mental health distress in the youth reporting out-of-home placement. Comparisons of risk and protective factors indicated that out-of-home youth had greater risks (suicidal risk, mental health distress) and fewer protective factors (feeling parents care about them, other adults care, and school connectedness) than those in the comparison group. Multivariate analyses showed significant associations (38% explained variance) between mental health distress and the risk and protective factors, with the exception of other adult connectedness. Findings from this population-based school survey of young people reiterate that youth in out-of-home placements have higher levels of mental health distress and lower levels of protective factors compared to other youth. These results offer insights for those working with out-of-home or precariously housed young people. © 2013 Wiley Periodicals, Inc.

  8. Comparison of the models of financial distress prediction

    Directory of Open Access Journals (Sweden)

    Jiří Omelka


    Full Text Available Prediction of the financial distress is generally supposed as approximation if a business entity is closed on bankruptcy or at least on serious financial problems. Financial distress is defined as such a situation when a company is not able to satisfy its liabilities in any forms, or when its liabilities are higher than its assets. Classification of financial situation of business entities represents a multidisciplinary scientific issue that uses not only the economic theoretical bases but interacts to the statistical, respectively to econometric approaches as well.The first models of financial distress prediction have originated in the sixties of the 20th century. One of the most known is the Altman’s model followed by a range of others which are constructed on more or less conformable bases. In many existing models it is possible to find common elements which could be marked as elementary indicators of potential financial distress of a company. The objective of this article is, based on the comparison of existing models of prediction of financial distress, to define the set of basic indicators of company’s financial distress at conjoined identification of their critical aspects. The sample defined this way will be a background for future research focused on determination of one-dimensional model of financial distress prediction which would subsequently become a basis for construction of multi-dimensional prediction model.

  9. Behavioral Assessment of the Negative Emotion Aspect of Distress Tolerance. (United States)

    Veilleux, Jennifer C; Pollert, Garrett A; Zielinski, Melissa J; Shaver, Jennifer A; Hill, Morgan A


    The current behavioral tasks assessing distress tolerance measure tolerance to frustration and tolerance to physical discomfort, but do not explicitly assess tolerance to negative emotion. We closely evaluated the conceptual distinctions between current behavioral tasks and self-report tasks assessing distress tolerance, and then developed a new behavioral distress tolerance task called the Emotional Image Tolerance (EIT) task. The EIT task retains elements of existing behavioral tasks (e.g., indices of persistence) while augmenting the reliability and content sufficiency of existing measures by including multiple trials, including a variety of negative affect stimuli, and separating overall task persistence from task persistence after onset of distress. In a series of three studies, we found that the EIT correlated with extant behavioral measures of distress tolerance, the computerized mirror-tracing task and a physical cold pressor task. Across all of the studies, we also evaluated whether the EIT correlated with self-report measures of distress tolerance and measures of psychopathology (e.g., depression, anxiety, and binge eating). Implications for the refinement of the distress tolerance construct are discussed.

  10. Rural adolescents' help-seeking intentions for emotional problems: the influence of perceived benefits and stoicism. (United States)

    Rughani, Janaki; Deane, Frank P; Wilson, Coralie J


    This study explores the factors that influence adolescents' help-seeking intentions. Specifically, the study investigates the extent to which perceived benefits of help seeking, stoicism, gender and symptoms of psychological distress are associated with intentions to seek professional help for emotional problems. A cross sectional self-report questionnaire was administered to adolescents recruited from seven high schools in rural towns in the Riverina region of New South Wales. A total of 778 adolescents were recruited. The sample included 373 male and 404 female participants between 13 and 18 years of age. Participants completed an anonymous self-report questionnaire designed to measure help-seeking intentions in the advent that they were to experience emotional problems, psychological distress symptoms, perceived benefits of help seeking and stoicism. In all, 17% of male participants and 29% of female participants reported they would be likely to seek help from doctors if they were to experience emotional problems. In total, 15% of male participants and 23% of female participants reported they would be likely to seek help from other health care professionals. Multiple regression analysis suggested that adolescents are more likely to seek help from professionals if they perceive help seeking as beneficial (t=12.91; P<0.001). Female participants reported that they were more likely to seek help than male participants (t=2.69; P=0.01). Findings suggest that adolescents are reluctant to seek professional help if experiencing emotional problems, because they do not believe professional help seeking is beneficial. Improving adolescents' beliefs about the benefits of professional help seeking might be a key strategy for increasing their use of professional health services to address mental health problems. © 2011 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.

  11. Descriptive figures for differences in parenting and infant night-time distress in the first three months of age. (United States)

    St James-Roberts, Ian; Roberts, Marion; Hovish, Kimberly; Owen, Charlie


    Aim To provide descriptive figures for infant distress and associated parenting at night in normal London home environments during the first three months of age. Most western infants develop long night-time sleep periods by four months of age. However, 30% of infants in many countries sleep for short periods and cry out on waking in the night: the most common type of infant sleep behaviour problem. Preventive interventions may help families and improve services. There is evidence that 'limit-setting' parenting, which is common in western cultures, supports the development of settled infant night-time behaviour. However, a recent review has challenged this and argued that this form of parenting risks distressing infants. This study describes limit-setting parenting as practiced in London, compares it with 'infant-cued' parenting and measures the associated infant distress. Longitudinal infrared video, diary and questionnaire observations comparing a General-Community (n=101) group and subgroups with a Bed-Sharing (n=19) group on measures of infant and parenting behaviours at night. Findings General-Community parents took longer to detect and respond to infant waking and signalling, and to begin feeding, compared with the highly infant-cued care provided by Bed-Sharing parents. The average latency in General-Community parents' responding to infant night-time waking was 3.5 min, during which infants fuss/cried for around 1 min. Compared with Bed-Sharing parenting, General-Community parenting was associated with increased infant distress of around 30 min/night at two weeks, reducing to 12 min/night by three months of age. However, differences in infant distress between General-Community subgroups adopting limit-setting versus infant-cued parenting were not large or statistically significant at any age. The figures provide descriptive evidence about limit-setting parenting which may counter some doubts about this form of parenting and help parents and professionals to

  12. Does Marijuana Help Treat Glaucoma? (United States)

    ... Ophthalmologist Patient Stories Español Eye Health / Tips & Prevention Marijuana Sections Does Marijuana Help Treat Glaucoma? Why Eye ... Don't Recommend Marijuana for Glaucoma Infographic Does Marijuana Help Treat Glaucoma? Leer en Español: La marihuana ...

  13. Measuring Moral Distress Among Critical Care Clinicians: Validation and Psychometric Properties of the Italian Moral Distress Scale-Revised. (United States)

    Lamiani, Giulia; Setti, Ilaria; Barlascini, Luca; Vegni, Elena; Argentero, Piergiorgio


    Moral distress is a common experience among critical care professionals, leading to frustration, withdrawal from patient care, and job abandonment. Most of the studies on moral distress have used the Moral Distress Scale or its revised version (Moral Distress Scale-Revised). However, these scales have never been validated through factor analysis. This article aims to explore the factorial structure of the Moral Distress Scale-Revised and develop a valid and reliable scale through factor analysis. Validation study using a survey design. Eight medical-surgical ICUs in the north of Italy. A total of 184 clinicians (64 physicians, 94 nurses, and 14 residents). The Moral Distress Scale-Revised was translated into Italian and administered along with a measure of depression (Beck Depression Inventory-Second Edition) to establish convergent validity. Exploratory factor analysis was conducted to explore the Moral Distress Scale-Revised factorial structure. Items with low (less than or equal to 0.350) or multiple saturations were removed. The resulting model was tested through confirmatory factor analysis. The Italian Moral Distress Scale-Revised is composed of 14 items referring to four factors: futile care, poor teamwork, deceptive communication, and ethical misconduct. This model accounts for 59% of the total variance and presents a good fit with the data (root mean square error of approximation = 0.06; comparative fit index = 0.95; Tucker-Lewis index = 0.94; weighted root mean square residual = 0.65). The Italian Moral Distress Scale-Revised evinces good reliability (α = 0.81) and moderately correlates with Beck Depression Inventory-Second Edition (r = 0.293; p moral distress total score between physicians and nurses. However, nurses scored higher on futile care than physicians (t = 2.051; p = 0.042), whereas physicians scored higher on deceptive communication than nurses (t = 3.617; p Moral distress was higher for those clinicians considering to give up their position

  14. Moral distress and professional freedom of speech among doctors. (United States)

    Førde, Reidun; Aasland, Olaf Gjerløw


    Previous studies indicate that Norwegian doctors experience distress in their encounter with differing and partly contradictory ideals, such as the obligation to criticise unethical and inappropriate practices. The objective of this study was to investigate the perception of moral distress and professional freedom of speech among Norwegian doctors as of today, as well as identify changes that have occurred since the previous study undertaken in 2004. A total of 1,522 economically active doctors received a questionnaire listing various statements describing the perception of moral distress and professional freedom of speech. The responses were compared to responses to the 2004 study. Altogether 67% of the doctors responded to the questionnaire. The proportion who reported «fairly strong» or «strong» moral distress varied from 24% to 70% among the different statements. On the whole, the «rank and file» hospital doctors reported the highest degree of moral distress. Nevertheless, a decrease in the scores for moral distress could be observed from 2004 to 2010. During the same period, the perception of professional freedom of speech increased slightly. A reduced level of distress associated with ethical conflicts in working life may be due to improved methods for handling distressing situations, or because the consequences of the health services reorganisations are perceived as less threatening now than in 2004, immediately after the introduction of the hospital reform. However, the perceived lower distress level may also be due to professional and ethical resignation. These findings should be followed up by a qualitative study.

  15. Distress and Coping Self-Efficacy in Inpatient Oncology Nurses. (United States)

    Wahlberg, Lara; Nirenberg, Anita; Capezuti, Elizabeth


    To examine distress and coping self-efficacy in inpatient oncology nurses. 
. Cross-sectional survey design.
. Oncology Nursing Society (ONS) chapter meetings and Hunter-Bellevue School of Nursing, both in New York, New York, as well as social media.
. 163 oncology nurses who work with an inpatient adult population.
. Participants were recruited through the ONS New York, New York, area chapter meetings, Hunter College, and ONS Facebook pages. An adapted Nurse Distress Thermometer (NDT) measured distress levels. The Occupational Coping Self-Efficacy Questionnaire for Nurses (OCSE-N) used a Likert-type scale to measure coping self-efficacy. Open-ended questions elicited additional perceptions of nurse respondents. 
. Descriptive statistics summarized sample demographics. A Pearson correlation between distress levels and coping self-efficacy scores was calculated. Low, normal, and high coping scores were compared to mean distress levels. 
. Survey participants showed high levels of distress, with a mean NDT score of 8.06. Those with higher coping self-efficacy scores reported less distress. A moderate, negative correlation was shown, with a statistically significant Pearson coefficient of -0.371. Responses to the open-ended questions revealed common stressors and pointed to solutions that institutions might implement to support nurses.
. Because coping self-efficacy related to lower distress levels in inpatient oncology nurses, institutional-level support for oncology nurses should be provided. 
. Interventions aimed at coping self-efficacy may prepare oncology nurses to cope better with their professional demands. Future research should explore how nurse distress affects patients.

  16. Psychological distress in Ghana: associations with employment and lost productivity. (United States)

    Canavan, Maureen E; Sipsma, Heather L; Adhvaryu, Achyuta; Ofori-Atta, Angela; Jack, Helen; Udry, Christopher; Osei-Akoto, Isaac; Bradley, Elizabeth H


    Mental health disorders account for 13% of the global burden of disease, a burden that low-income countries are generally ill-equipped to handle. Research evaluating the association between mental health and employment in low-income countries, particularly in sub-Saharan Africa, is limited. We address this gap by examining the association between employment and psychological distress. We analyzed data from the Ghana Socioeconomic Panel Survey using logistic regression (N = 5,391 adults). In multivariable analysis, we estimated the association between employment status and psychological distress, adjusted for covariates. We calculated lost productivity from unemployment and from excess absence from work that respondents reported was because of their feelings of psychological distress. Approximately 21% of adults surveyed had moderate or severe psychological distress. Increased psychological distress was associated with increased odds of being unemployed. Men and women with moderate versus mild or no psychological distress had more than twice the odds of being unemployed. The association of severe versus mild or no distress with unemployment differed significantly by sex (P-value for interaction 0.004). Among men, the adjusted OR was 12.4 (95% CI: 7.2, 21.3), whereas the association was much smaller for women (adjusted OR = 3.8, 95% CI: 2.5, 6.0). Extrapolating these figures to the country, the lost productivity associated with moderate or severe distress translates to approximately 7% of the gross domestic product of Ghana. Psychological distress is strongly associated with unemployment in Ghana. The findings underscore the importance of addressing mental health issues, particularly in low-income countries.

  17. Psychological and physical distress of cancer patients during radiotherapy

    International Nuclear Information System (INIS)

    Koenig, A.


    Purpose: patients undergoing radiotherapy have physical and psychological symptoms related to the underlying disease and the treatment. In order to give the best possible support to the patients, more knowledge about the amount and the changing of distress in the course of radiotherapy is of essentially importance. Methods: The distress was measured in a consecutive sample of cancer patients (n=82) undergoing radiotherapy. Each patient was given the EORTC-QLQ-C30, the HADS and a special questionnaire which ascertain radiotherapy-specific items before starting the radiotherapy, at the onset of radiotherapy, in the third week of radiotherapy and 3 weeks after the end of radiotherapy. Results: within the first week of treatment the psychological distress of the patients is increasing; 98.8 % of the patients are 'moderate distressed', 46 % 'severe distressed'. General physical symptoms seem not to be affected by the radiotherapy, there is no changing. The distress caused by the organization of the radiotherapy is decreasing, while therapy-related symptoms are increasing in the course of radiotherapy. Even after the end of the therapy these symptoms keep on causing distress, sometimes in a higher amount than before. A correlation between sex, sort of cancer and curative or palliative treatment and the amount of distress was found. Conclusion: the results stress the importance of adequate emotional support for patients undergoing radiotherapy especially in the first week of treatment and after the treatment. There is a need for the development of a valid radiotherapy - questionnaire in order to be able to measure the distress of these patients. (author)

  18. Maternal psychological distress and child decision-making. (United States)

    Flouri, Eirini; Ioakeimidi, Sofia; Midouhas, Emily; Ploubidis, George B


    There is much research to suggest that maternal psychological distress is associated with many adverse outcomes in children. This study examined, for the first time, if it is related to children's affective decision-making. Using data from 12,080 families of the Millennium Cohort Study, we modelled the effect of trajectories of maternal psychological distress in early-to-middle childhood (3-11 years) on child affective decision-making, measured with a gambling task at age 11. Latent class analysis showed four longitudinal types of maternal psychological distress (chronically high, consistently low, moderate-accelerating and moderate-decelerating). Maternal distress typology predicted decision-making but only in girls. Specifically, compared to girls growing up in families with never-distressed mothers, those exposed to chronically high maternal psychological distress showed more risk-taking, bet more and exhibited poorer risk-adjustment, even after correction for confounding. Most of these effects on girls' decision-making were not robust to additional controls for concurrent internalising and externalising problems, but chronically high maternal psychological distress was associated positively with risk-taking even after this adjustment. Importantly, this association was similar for those who had reached puberty and those who had not. Given the study design, causality cannot be inferred. Therefore, we cannot propose that treating chronic maternal psychological distress will reduce decision-making pathology in young females. Our study suggests that young daughters of chronically distressed mothers tend to be particularly reckless decision-makers. Copyright © 2017. Published by Elsevier B.V.

  19. Exile and Resettlement: Refugee Theory. (United States)

    Kunz, Egon F.


    Analyzes factors affecting refugee outcomes in those areas preceding and succeeding flight. Indicates that, although refugee situations may appear unique, recurring elements offer explanations of the events actually observed and enable the prediction of the course that future events may take. (Author/MK)

  20. The Resolution of Distressed Financial Conglomerates

    Directory of Open Access Journals (Sweden)

    Howell E. Jackson


    Full Text Available One of the most elegant legal innovations to emerge from the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 is the FDIC’s single-point-of-entry (SPOE initiative, whereby regulatory authorities will be in a position to resolve the failure of large financial conglomerates (corporate groups with regulated financial entities as subsidiaries by seizing a top-tier holding company, downstreaming holding-company resources to distressed subsidiaries, wiping out holding-company shareholders while simultaneously imposing additional losses on holding-company creditors, and allowing the government to resolve the entire group without disrupting the business operations of operating subsidiaries (even those operating overseas or risking systemic consequences for the broader economy. Although there is much to admire in the creativity underlying SPOE, the approach’s design also raises a host of novel and challenging questions of implementation. This chapter explores a number of these questions and elaborates upon the following points. First, in contrast to traditional approaches to resolving financial conglomerates, SPOE is premised on the continued support of all material operating subsidiaries, thereby potentially extending the scope of government support and thus posing the possibility of mission creep and expanded moral hazard. Second, SPOE contemplates the automatic downstreaming of resources to operating subsidiaries in distress, but effecting that support is likely to be more difficult than commonly understood. If too much support is positioned in advance, there may be inadequate reserves at the top level to support a single subsidiary that gets into an unexpectedly large amount of trouble. Alternatively, if too many reserves are retained at the holding-company level, commitments of subsidiary support may not be credible (especially to foreign authorities and it may become difficult legally and practically to deploy those resources