Background: Positive emotional health is an important component of overall health, and it is linked to many social and health outcomes among youth. The natural environment is thought to influence emotional health. Psychological and experimental research have each shown links between exposure to nature and both stress reduction and attention restoration. Some population studies have suggested positive effects of green space on various indicators of health. However, there are limited large-scale epidemiological studies assessing this relationship, specifically for populations of young people and in the Canadian context. Objectives: To examine possible effects of natural space on positive emotional health among young adolescent Canadians. Methods: This cross-sectional study was based upon the Canadian 2009/10 Health Behaviour in School-aged Children Survey with linked geographic information system (GIS) data. Following exclusions, the sample included 17 249 (mostly grades 6 to 10) students from 317 schools. Features of the natural environment were extracted using GIS within a 5 km radius circular buffer surrounding each school. Multilevel logistic regression was used to examine the relationship between the presence of natural space and students’ reports of positive emotional health, while controlling for salient covariates and the clustered nature of the data. Results: Over half of Canadian youth reported positive emotional health (58.5% among boys and 51.6% among girls). Relationships between the amount of natural space and positive emotional health were weak and lacked consistency. Compared to the lowest quartile of natural space, the most notable protective effect existed for students who lived in the third quartile (RR: 1.05; 95% CI: 1.00-1.10). The relationship appeared to differ by urban/rural geographic location, suggesting protective effects in small cities. Positive emotional health was, however, more strongly associated with other factors including demographic characteristics, family affluence, and perceptions surrounding neighbourhoods. Conclusion: Exposure to natural space in youth’s immediate living environment may not be a leading determinant of their emotional health. The relationship between natural space and positive emotional health may be context specific, and hence different for Canadian youth compared to adult populations and those studied in other nations. The main contributors to emotional health among youth were personal factors. / Thesis (Master, Community Health & Epidemiology) -- Queen's University, 2011-12-22 06:01:18.593

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第21630号 / 医博第4436号 / 新制||医||1033(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 古川 壽亮, 教授 髙橋 良輔, 教授 妻木 範行 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Enligt Patientdatalagen (SFS 2008:355), 3 kap, 1 § har fastställts att sjuksköterskan är skyldig att föra journal. I varje patientjournal ska upprättas en omvårdnadsplan vilken ska vara utformad enligt omvårdnadsprocessens fem faser: bedömning, diagnos, mål, planering, genomförande och utvärdering. Omvårdnadsdokumentationen har som syfte att beskriva den vård som patienten erhållit genom att den beskriver vilka beslut som tagits, vilka åtgärder som gjorts samt vilka resultat som uppnåtts. Patienter som genomgår allogen stamcellstransplantation (SCT) upplever ofta en hög psykologisk påfrestning och själva transplantationstillfället är i sig komplext med många behandlingsrelaterade biverkningar som påverkar hela den transplanterades tillvaro både fysiskt och psykiskt. Syftet med uppsatsen var att undersöka sjuksköterskans  omvårdnadsdokumentation avseende omvårdnadsprocessen gällande patienters emotionella hälsa (EH) från utskrivningsdatum för SCT och ett år framåt. Totalt granskades 40 patientjournaler på en hematologmottagning, vilket är en mottagning som har ansvar för uppföljning och eftervård av de patienter som genomgått allogen SCT. Av dessa 40 patienter hade 73% minst en journalanteckning dokumenterad av en sjuksköterska som handlade om EH. 81% av det som var dokumenterat handlade om negativa upplevelser. Ingen patient hade upprättad omvårdnadsplan byggd enligt omvårdnadsprocessen gällande sin EH och patientens EH beskrevs i 86% under sökordet välbefinnande. Utifrån dessa resultat är författarens upplevelse att sjuksköterskorna på den här mottagningen i stor utsträckning dokumenterar patienters EH någonstans i omvårdnadsjournalen men att det saknas en planering av patientens EH som följer omvårdnadsprocessen i dess helhet. Med utgångspunkt av detta anser författaren till uppsatsen att alla sjuksköterskor borde ges möjlighet till kontinuerlig utbildning i omvårdnadsdokumentation för att upprätthålla och bättra på sin kunskap. / According to the Patient Act (SFS 2008:355), Chapter 3, § 1 has been determined that the nurse is required to keep records. Each health record shall contain a care plan which will be designed according to nursing process, five phases: assessment, diagnosis, goals, planning, implementation and evaluation. Nursing documentation is intended to describe the given care, what decisions and actions that have been taken and the results achieved. Patients undergoing allogeneic stem cell transplantation (SCT) often experience a high psychological distress and the time of transplantation is in itself complex, with many treatment- related side effects, both physically and mentally. The aim of the study was to investigate the nurse´s nursing documentation on nursing process to patient emotional health (EH) from the discharge date for SCT and one year ahead. 40 patient records were reviewed at a haematological reception, which is the reception which has responsibility for monitoring and follow-up care of patients undergoing allogeneic SCT. 73% of these 40 patients had at least one entry recorded in the journal about EH. 81% of documented records is about negative experiences. No patient had an established care plan, built according to nursing process known their EH and EH patients were described in 86% over the keyword welfare. Based on these results the author´s experience that the nurses at this clinic extensively documenting patients´ EH somewhere in the nursing journal, but that there is no planning of patient EH arising nursing process as a whole. Based on the result in the study, the author´s view is that all nurses should be given the opportunity to get training in nursing documentation in order to maintain and improve their knowledge.

Scant attention has been given to occupational health hazards of Australian veterinarians. This study aimed to identify the major risk factors for occupational injury and disease, emotional health and suicide rates of veterinarians. Qualitative in-depth interviews with 45 veterinarians were carried out which revealed that a significant proportion of veterinarians were both injured, stressed and had incurred zoonotic diseases. Data linkage of the names of registered veterinarians in Western Australia with four Health Department of Western Australia databases was undertaken to provide supportive statistics on the conditions identified as being important in the interviews. The results of this latter analysis were inconclusive. Therefore a self-administered questionnaire was developed, which collected quantitative data on injuries, disease, stress and risk factors from 419 veterinarians. Since the in-depth interviews had identified stress and suicide ideation as being very significant for many of those interviewed, the Kessler 10+ scale for measuring psychological distress was included in the self-administered questionnaire. The data linkage was unable to provide accurate data about numbers of deaths of veterinarians and the records of coroners in Victoria and Western Australia which provided data on 89 veterinarians, were analysed to determine suicide rates. Despite the interviews providing considerable information about rates and risk factors for injuries, disease and stress, no statistical analyses were undertaken because they provided insufficient data for quantitative analyses. / Nevertheless, statistics derived from the morbidity database using data-linkage, will be useful in comparing injuries in any future studies of this type. Data collected from the self-administered questionnaire were subjected to Chi square, and non-parametric tests and logistic regression analyses using multiple imputation for missing values. Age-standardised and age-specific rates (ASR) were calculated for data on suicide in veterinarians derived from coroners' records obtained from Western Australia and Victoria using the Rates Calculator developed by Codde.' The interviews and the survey of 464 veterinarians showed that a significant proportion of veterinarians incurred injuries and zoonotic diseases, and were highly stressed and distressed. The interviews showed that a significant proportion of veterinarians expected to be injured and/or contract zoonotic diseases. It is suggested that this acceptance may, in part, account for the number of injuries that occur. Some of these injuries, especially in mixed animal veterinarians, may be attributable to poor facilities on farms and a lack of competent support in restraint of animals. There needs to be a cultural change with regard to safety if injury is to be reduced. Using the Chi-squared analyses of the survey data, injury was associated with several risk factors including being a practice owner and being in mixed animal practice, being younger and with having taken drugs such as marijuana in the past 12 months. / When all these variables were input into a logistic regression model, several of these risk factors were eliminated providing only three risk factors as predictors of injury. These were: having a back injury; taking drugs in the previous 12 months; and being between 35 and 54 years of age. Having high distress levels was not a predictor for injury. Analyses of responses to the KlOi- scale in the self-administered questionnaire revealed that the proportion of highly distressed respondents was double that of the Western Australian, New South Wales and Australian general populations which supports the findings from the interviews. Logistic regression provided three predictors for distress: being less than 35 years of age, having taken drugs in the past 12 months, and having a back injury, however having other workplace injuries was not a predictor. The findings that the suicide rate in this study was about four times that of the general Australian adult population, should be of major concern and signal that there may be factors specific to the veterinary profession that account for this high rate. This study has shown that there are high levels of psychological distress in veterinarians, especially practitioners, which suggests that veterinary practice may, in itself, be a stressful occupation. However, it may also be that some individuals with a predilection for distress, are being recruited into the veterinary profession. / Better selection techniques for recruiting veterinary students using an aptitude test as well as interviews, could identify those who were unsuited for becoming veterinarians or who required additional mentoring and support upon graduation. This could reduce stress, distress and suicide in the veterinary profession. Overall, 17 recommendations were made directed at improving the quality of data collection to obtain more reliable statistical outcomes, and suggesting ways of reducing injury, distress and zoonotic disease in veterinarians.

Background: The literature on the social relationships of unpartnered women is inconclusive. These different findings suggest that unpartnered women’s relationships may vary across place. This research adds to the literature by focusing on the key relationships of unpartnered, older women living in one place – rural Cape Breton. Methods: Nine interviews were completed with unpartnered women, ages 50-65 living alone in rural Cape Breton. Results: The first theme speaks to the value of positive relationships to the women’s mental and emotional health. The second theme is about obstacles to developing and maintaining positive social relationships. The third key theme centres on the need for change. Conclusions: Older, unpartnered women living alone in rural Cape Breton have numerous positive relationships. However, they also experience various obstacles to these relationships. These findings point to the need to promote positive relationships and reduce the obstacles to these relationships.

Submitted by Mariana de Freitas Pereira Pederro (marianafreitasp@gmail.com) on 2018-10-09T19:15:39Z No. of bitstreams: 1 DISSERTAÇÃO FINAL.pdf: 3480451 bytes, checksum: 01d7a145202d33b424ac981d3ffbd156 (MD5) / Approved for entry into archive by Lucilene Cordeiro da Silva Messias null (lubiblio@bauru.unesp.br) on 2018-10-10T17:15:11Z (GMT) No. of bitstreams: 1 pederro_mfp_me_bauru.pdf: 3480451 bytes, checksum: 01d7a145202d33b424ac981d3ffbd156 (MD5) / Made available in DSpace on 2018-10-10T17:15:11Z (GMT). No. of bitstreams: 1 pederro_mfp_me_bauru.pdf: 3480451 bytes, checksum: 01d7a145202d33b424ac981d3ffbd156 (MD5) Previous issue date: 2018-08-09 / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / A interação mãe-bebê é a mais importante das interações, possibilitando à mãe o oferecimento de afetividade e segurança para um vínculo sadio e promotor do desenvolvimento do seu bebê. Muitos são os fatores que podem comprometer esse vínculo e, entre eles, estão a saúde auditiva do bebê e a saúde emocional materna. O objetivo do presente estudo foi descrever e comparar a interação de mães ouvintes e bebês com suspeita de deficiência auditiva e de mães e bebês ouvintes, associando-a com indicadores emocionais maternos. Participaram 50 díades, sendo 25 mães e bebês com suspeita de deficiência auditiva (G1) e 25 mães e bebês ouvintes (G2). Foram utilizados os instrumentos Sistema de Codificação da Interação Mãe Criança Revisado (CITMI-R), para avaliar a interação mãe-bebê e a Escala de Estresse Percebido (PSS), o Inventário de Ansiedade Traço-Estado (IDATE) e o Inventário de Depressão Beck (BDI), para avaliar a saúde emocional materna. Os dados referentes à saúde emocional desta amostra foram organizados e descritos conforme os crivos e tabelas de apuração e interpretação contidos no manual de cada instrumento. A interação mãe-bebê foi codificada de acordo com o protocolo do CITMI-R, adaptado para este estudo. Os resultados foram comparados utilizando o Teste de Mann Whitney e correlacionados utilizando o Teste de Spearman. Observou-se diferenças estatísticas entre os grupos, sendo que os bebês do G1 apresentaram menos comportamentos positivos e neutros e mais comportamentos não responsivos e a frequência dos comportamentos das mães desse mesmo grupo ocorreram mais nas categorias de comportamentos positivos, neutros e não responsivos. Em relação à saúde emocional, as mães do G1 apresentaram mais indicadores clínicos para depressão, ansiedade estado e traço e, quando relacionados com os comportamentos interativos de seus bebês e seus próprios, houve relação entre a saúde emocional e os comportamentos emitidos pelas díades. Os resultados podem contribuir para o desenvolvimento de intervenções na interação mãe-bebê com suspeita ou deficiência e saúde emocional materna. / The mother-baby interaction is the most important of the interactions, enabling the mother to offer affection and security to a healthy bond and promote the development of her baby. There are many factors that can compromise this bond, and among them are the baby's auditory health and maternal emotional health. The objective of the present study was to describe and compare the interaction of hearing mothers and infants with suspected hearing impairment and of hearing mothers and babies, associating it with maternal emotional indicators. Participants included 50 dyads, 25 mothers and babies with suspected hearing impairment (G1) and 25 mothers and hearing babies (G2). The Revised Mother Child Interaction Coding System (CITMI-R) was used to evaluate the mother-infant interaction and the Perceived Stress Scale (PSS), the Trait-State Anxiety Inventory (IDATE), and the Depression Inventory Beck (BDI), to assess maternal emotional health. The data concerning the emotional health of this sample were organized and described according to the sightings and tables of calculation and interpretation contained in the manual of each instrument. The mother-infant interaction was coded according to the CITMI-R protocol, adapted for this study. The results were compared using the Mann Whitney Test and correlated using the Spearman's Test. Statistical differences were observed between the groups, with G1 infants exhibiting less positive and neutral behaviors and more nonresponsive behaviors, and the frequency of mothers' behaviors in the same group occurred more in the categories of positive, neutral and nonresponsive behaviors. Regarding emotional health, G1 mothers presented more clinical indicators for depression, state anxiety and stroke, and when related to the interactive behaviors of their babies and their own, there was a relationship between emotional health and behaviors emitted by the dyads. The results may contribute to the development of interventions in mother-infant interaction with suspicion or deficiency and maternal emotional health. / 2016/10595-0

Orientador: Olga Maria Piazentin Rolim Rodrigues / Resumo: Atualmente os estudos sobre as alterações de saúde emocional decorrente do pós-parto, desde a epidemiologia, tratamento e seus efeitos sobre mãe e criança vêm sendo foco de pesquisas. As intervenções psicológicas, com foco no período pós-parto, podem ser um meio eficaz de reduzir o risco de desenvolver transtornos mentais mais graves, como uma opção de tratamento eficaz. Este trabalho pretendeu avaliar os efeitos de um programa de intervenção psicoterapêutica e educativa pós-natal, com foco na saúde emocional materna. As ações foram divididas em três estudos: o Estudo1: Saúde emocional de mães de bebês: fatores de risco associados as variáveis sociodemográficas, descritivo; o Estudo 2: Elaboração e implementação de um Programa de Intervenção Terapêutico Educativo para mães de bebês com indicadores clínicos emocionais, um relato de experiencia e o Estudo 3: Efeitos de uma intervenção em grupo considerando os indicadores clínicos emocionais de mães de bebês, sobre os efeitos da intervenção. O Estudo 1 teve como objetivo identificar associações entre as variações emocionais e variáveis sociodemográficas. A amostra foi composta por 353 mulheres aos três meses do pós-parto, que frequentavam atendimento para acompanhamento de desenvolvimento de seus bebês em duas instituições do interior de São Paulo, que responderam aos seguintes instrumentos: Escala de Depressão Pós-Parto de Edimburgo (EDPE), inventário de Ansiedade Traço-Estado (IDATE), o Índice de Stress Parental (PSI) e a Esca... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Currently studies on mood changes resulting from postpartum, since the epidemiology, treatment and its effects on mother and child have been the focus of researches. Psychological interventions, focusing on the postpartum period, can be as effective way to reduce the risk on developing more serious mood disorders, such as an effective treatment option. This work aimed to evaluate the effects of a postnatal psychotherapeutic and educational intervention program, focusing on health maternal emotional. The actions were divided into: Study1: Emotional health on mothers of babies: risk factors associated with sociodemographic variables; Study 2: Elaboration and implementation of an Educational Therapeutic Intervention Program for mothers of babies with clinical emotional health indicators and, Study 3: Effects of a group intervention considering the emotional health indicators on mothers of babies. The Study 1 aimed to identify associations between the health condition with emotional sociodemographic variables. The sample was consisted on 353 women at three months postpartum, who attended attendance to monitor development of their babies in two institutions in the interior of São Paulo, which responded to the following instruments: Edinburgh Postpartum Depression Scale (EDPE), Trait-State Anxiety Inventory (STAI), the Parental Stress Index (PSI) and the Perceived Stress Scale (PSS-10). The results obtained showed that mothers of the first baby were 0.18 times more likely to be at ... (Complete abstract click electronic access below) / Doutor

The objective of this study was to investigate the extent to which risk of gaining weight or body fat is affected by emotional health in women. A secondary objective was to determine the influence of age, baseline weight and body fat, physical activity (PA), energy intake, and changes in PA and energy intake, on the relationship between emotional health and gains in weight and body fat. The study was a prospective cohort investigation over 20 months of 256 healthy, non-obese females (age: 35-45 y, BMI < 30 kg/m2). All subjects were assessed for several variables using objective measurements at baseline and again at 20 months. Emotional health was assessed using the General Well-Being Schedule. Body fat percentage was indexed using the Bod Pod. PA was measured objectively using MTI (CSA) accelerometers, and energy intake was measured using weighed, 7-day food records. The results of the study demonstrated that risk of gains in weight and body fat were no greater in depressed women compared to their counterparts. However, 171 (66.8%) subjects demonstrated less than positive (LTP) emotional health at baseline, and 37.4% of these subjects gained weight during the 20-month study. Conversely, 85 (33.2%) subjects had positive emotional health at baseline, but only 23.5% gained weight over the investigational period. With no variables controlled, women with LTP emotional health had 59% greater risk of weight gain over the study period than women with positive emotional health (RR 1.59, 95% CI = 1.04-2.44). Women with LTP emotional health were at no greater risk of gains in body fat percentage than women with positive emotional health (RR 0.96, 95% CI = 0.70-1.33). After adjusting for each potential confounder individually, risk of gaining weight or body fat did not change. However, after adjusting for all of the potential confounders simultaneously, risk of weight gain was weakened (RR 1.43, 95% CI = 0.93-2.21). These results seem to demonstrate that middle-aged women with LTP emotional health may be at increased risk of gaining weight compared to women with positive emotional health.

Traditional couple counseling research focused on why people end relationships, with research only recently addressing what factors contribute to relationship satisfaction and stability. Yet, throughout this research, minimal attention has been paid to the role of play in couple counseling. The research available on play in couple counseling had varied definitions of couple play and was not based on current couple counseling theory. The research and anecdotal data on couple play proposed a strong relationship between couple play and the factors that predict successful, long-term couple relationships, individual physical health and emotional health. This study applied current couple counseling theory and research to define couple play and the relationship between couple play and couple bonding, physical health and emotional health. The hypotheses of the study were couple play would predict couple bonding; couple play would predict individual physical health; and couple play would predict individual emotional health. The results from a sample of 30 couples demonstrated couple play predicted measures of couple bonding, including relationship satisfaction, communication, conflict resolution, and the couple's view of the relationship. Couple play demonstrated no relationship to individual physical or emotional health. Since couple play was predictive of successful, long-term couple relationship measures, the implications were discussed for using couple play in assessment and intervention in couple counseling and future research.

Yes / Evidence for early intervention and prevention-based approaches for im-proving social and emotional health in young children is robust. However, rates of participation in programmes are low. We explored the dynamics which affect levels of community readiness to address the issues of social and emotional health for preg-nant women, young children (0-4 years) and their mothers.Setting:A deprived inner‐city housing estate in the north of England. The estate falls within the catchment area of a project that has been awarded long-term funding to address social and emotional health during pregnancy and early childhood.Methods:We interviewed key respondents using the Community Readiness Model. This approach applies a mixed methodology, incorporating readiness scores and qualitative data. A mean community readiness score was calculated enabling the placement of the community in one of nine possible stages of readiness. Interview transcripts were analysed using a qualitative framework approach to generate con-textual information to augment the numerical scores.Results:An overall score consistent with vague awareness was achieved, indicating a low level of community readiness for social and emotional health interventions. This score suggests that there will be a low likelihood of participation in programmes that address these issues.Conclusion:Gauging community readiness offers a way of predicting how willing and prepared a community is to address an issue. Modifying implementation plans so that they first address community readiness may improve participation rates. / Better Start Bradford