The authors reported the findings from a correlational investigation examining the relationship between school counselors' (N = 333) self‐stigma of mental illness, help‐seeking behaviors, burnout, stress, and life satisfaction. The authors used a path analysis to test a hypothesized causal framework that self‐stigma of mental illness contributed to help‐seeking behaviors, which contributed to stress and burnout. The findings showed that the data fit the hypothesized model. The authors discuss the implications of the findings. 相似文献
The 4th interviewee for the Hearing Our Elders series is Mr. Bob Zellner. Mr. Zellner's experience growing up in the segregated South underscores a commitment to stand up to obstacles and societal norms, even when to do so was life threatening. His experiences remind us of a historical time not too long ago that, to hear, one might think could never happen. And yet, witnessing his experience in the context of modern‐day struggles portrayed in the civil rights movement; the 2016 Tennessee denial of service law for lesbian, gay, bisexual, transgender, and queer individuals; and the 2016 Orlando shooting outside a gay nightclub reminds us that the historical events of Mr. Zellner's past are not too distant from the present. The interview captures 6 themes: being nonconforming in the face of punitive measures, living a purposeful life, pushing beyond comfort zones, early experiences as resilience building, self‐evaluation as a cornerstone for commitment, and giving meaning to grief. El señor Zellner creció en una comunidad segregada del sur, y su experiencia subraya su compromiso para enfrentar obstáculos y normas sociales, aunque hacerlo pueda poner en riesgo la vida. Sus vivencias nos recuerdan un periodo histórico no muy lejano que hoy podría parecer inconcebible. Y aun así, contemplar sus experiencias en el contexto de las luchas actuales del movimiento por los derechos civiles (como la ley de 2016 en Tennessee que permitía denegar servicios a personas lesbianas, gais, bisexuales, transexuales y queer; y el tiroteo de 2016 en Orlando en un club gay) nos recuerda que los eventos históricos del pasado del señor Zellner no están tan alejados del presente. La entrevista captura 6 temas: el inconformismo frente a medidas punitivas, vivir la vida con decisión, salir de las zonas de confort, experiencias tempranas como factores de resiliencia, la autoevaluación como cimiento del compromiso, y darle sentido al sufrimiento. 相似文献
Objective: Atypical patterns of cortisol secretion following an acute stressor have been commonly reported in breast cancer survivors. Stressful life events have been associated with blunted acute cortisol levels in other populations. The purpose of this study was to explore the role of stressful life events on cortisol secretion patterns of breast cancer survivors following an acute stressor.
Design: The Trier Social Stress (TSST) was used to elicit a moderate stress response in breast cancer survivors (n = 19) and a control group (n = 17). Saliva samples were collected before, during and after the TSST to provide cortisol concentrations. During recovery, we recorded the frequency and subjective impact of stressful life events in the past year using the Life Experience Survey.
Results: Simple regressions analyses were performed; results suggest no group differences between the total number of stressful life events and their subjective impact. However, the total number of stressful life events as well as their subjective impact correlated negatively with the peak cortisol concentration in breast cancer survivors.
Conclusions: The cumulative effect of stressful life events, positive and negative, may impact the endocrine stress system of breast cancer survivors more so than that of women with no history of cancer. 相似文献
Approximately 10% of Roman Catholic women seriously discern a vocation to religious life during their lifetime. Spiritual discernment is often characterized by prayer and spiritual direction, but also the acquisition of knowledge and information about religious life. No study to date has sought to understand how women seek out and retrieve information about religious life. Therefore, the current study sought to answer the following research question: “what is the information-seeking behavior (ISB) of Catholic women discerning a vocation to religious life?” using Dervin's Sense-Making Methodology. A survey was administered online and yielded responses from 124 participants. Findings indicated that digital and print resources were heavily utilized. However, participants indicated that connecting with a person face-to-face and visiting religious sisters produced a kind of knowledge and information that could not be acquired online, suggesting that their ISB was an integration of digital and print resources and human connection. This study contributes to the literature by intersecting the disciplines of information science and religion to equip practitioners who seek to develop resources for them. The study introduces the concept of limited Internet effectiveness in order to understand the integration of digital versus in-person resources in spiritual religious processes. 相似文献
To better understand the multiple individual factors that contribute to college cheating, we undertook a multivariate analysis of a national sample of 2,503 college students. Our findings indicated that demographic characteristics (e.g., gender, socioeconomic status, and year in college), character qualities (e.g., lack of self-control, others-oriented life purpose), college experience (e.g., academic preparation, extracurricular activities involvement, and working), and student perceptions and attitudes (e.g., attitude toward academic cheating, perception of faculty’s actions against cheating and cheating environment) are all significantly associated with academic cheating. 相似文献
Background and objectives: In the context of highly stressful experiences, violations of beliefs and goals and meaning in life may have a reciprocal relationship over time. More violations may lead to lowered meaning, whereas higher meaning may lead to lowered violations. The present study examines this relationship among congestive heart failure (CHF) patients.Design: A cross-lagged panel design was used.Methods: CHF patients (N?=?142) reported twice, six months apart, on their meaning in life and the extent to which CHF violates their beliefs and goals.Results: Overall, results were consistent with a reciprocal relationship, showing that greater goal violations led to negative subsequent changes in meaning, whereas greater meaning led to favorable subsequent changes in violations of beliefs and goals.Conclusions: Meaning in life and violations may contribute to one another, and therefore, in understanding the adjustment process, it is important to consider their interrelationship. The results are also broadly informative regarding the experience of meaning, showing that disruption of beliefs and goals may undermine meaning. 相似文献
Most reports emphasize that tumors and their treatments affect sexual function. To date, no studies have focused on sexual functioning in patients with brain tumors. Our study’s objective is to describe the sexual sphere of patients with brain tumors and examine the possible differences between patients who reported sexual dysfunctions and those who did not with respect to their psychological and functional status. We tested 46 patients with brain tumors. We used an ad hoc questionnaire to assess patients’ subjective perception of their own sexual sphere. To assess patients’ psychological status, we used the following questionnaires: Hospital Anxiety and Depression Scale; Psychological Distress Inventory; EORTC QLQ-C30; EORTC QLQ-BN20. Fifty-eight percent of patients reported sexual disturbance. Our data showed that a lack of or decrease in sexual desire is the most common sexual problem reported by our patients (56%). Patients with sexual problems reported higher levels of anxiety and depression and a worse self-reported quality of life (QoL) than did those who did not perceive adverse changes in their sexual sphere. In addition, we found that patients with a better performance status (KPS) reported more changes in sexual behaviors than did those who had performance difficulties. Of the patients, 15.2% received information regarding possible changes in the sexual sphere by physicians. Additionally, 10.8 of 15.2% of the patients reported having explicitly requested information from physicians. The study demonstrated a relation between QoL and sexual function. Therefore, it would be important to encourage clinicians to ask questions regarding patients’ sexual issues, thus providing them with an opportunity to expose their difficulties and receive adequate support. 相似文献
Patients with psoriasis may have increased risk of psychological comorbidities. This cross-sectional study aimed at determining associations between sociocultural and socioeconomic factors with the Depression Anxiety Stress Scale (DASS) scores and the Dermatology Life Quality Index (DLQI) scores. Adult patients with psoriasis were recruited from a Dermatology outpatient clinic via convenience sampling. Interviews were conducted regarding socio-demographic factors and willing subjects were requested to complete the DASS and DLQI questionnaires. The Pearson χ2 test, Fisher’s exact test and multivariate logistic regression were used for statistical analysis to determine independent predictors of depression, anxiety, stress and severe impairment of quality of life. Unadjusted analysis revealed that depression was associated with Indian ethnicity (p = .041) and severe impairment of quality of life was associated with Indian ethnicity (p = .032), higher education (p = .013), higher income (p = .042), and employment status (p = .014). Multivariate analysis revealed that Indian ethnicity was a predictor of depression (p = .024). For stress, tertiary level of education (p = .020) was an independent risk factor while a higher monthly income was a protective factor (p = .042). The ethnic Indians and Malays were significantly more likely than the ethnic Chinese to suffer reduced quality of life (p = .001 and p = .006 respectively) and subjects with tertiary education were more likely to have severe impairment of quality of life (p = .002). Our study was unique in determining sociocultural influences on psychological complications of psoriasis in a South East Asian population. This has provided invaluable insight into factors predictive of adverse effects of psoriasis on psychological distress and quality of life in our patient population. Future studies should devise interventions to specifically target at risk groups in the development of strategies to reduce morbidity associated with psoriasis. 相似文献
We set out to investigate the mediating roles of depression, resilience, smoking, and alcohol use, in the relationship between potentially traumatic life events and objective and subjective, physical and mental health in a single study. A face-to-face, population-based survey was conducted in Hong Kong (N = 1147). Information on health conditions and traumatic life events was obtained, and participants completed measures of subjective physical and mental health, depression, and resilience. Smoking and drinking were not significant mediators of the relationship between life events and both objective and subjective health. Depressive symptomatology was found to mediate the relationship between life threatening illness and subjective physical health, the relationship between abuse (physical and sexual) and subjective mental health, and the relationship between the death of a parent/partner and subjective mental health. Resilience was found to mediate the relationships between multiple traumatic life events and subjective physical and mental health. Our results indicate that psychological factors rather than biological are important mediators of the relationship between life events exposure and health. Our findings provide evidence that depressive symptomatology has a mediating role only in the case of specific potentially traumatic life events and that resilience is only a critical factor in the face of exposure to multiple traumatic events, rather than single events. Our results also indicate that behavioural factors, such as smoking and drinking, are not significant mediators of the relationship between life events and health. 相似文献