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The time of cancer diagnosis and treatment may be marked by an increase in stressors, which may be associated with poorer psychosocial and physical adaptation and increased sleep difficulty. Prior work has shown that psychosocial interventions that teach stress management skills can improve indicators of psychosocial and physical adaptation in women with breast cancer, mostly in cancer survivors who have completed treatment. The extant literature does not examine the effects of stress management on sleep, or the role that sleep plays in mediating psychosocial and physical adaptation outcomes, among women in the midst of treatment for non-metastatic breast cancer (BCa). Two hundred forty (240) women, recruited post-surgery from oncology practices, were randomly assigned to a 10-week group-based cognitive behavioral stress management intervention (CBSM; n = 120) or 1-day psychoeducation (PE) control (n = 120). The intervention consisted of didactics, CBSM techniques, and relaxation exercises, but did not specifically target sleep or sleep quality (SQ). Women assigned to the PE condition attended a one-day group seminar where they learned some of the material covered in the CBSM intervention, without the therapeutic group environment, role play techniques, and home practice. Participants completed self-report questionnaires at baseline, and at 6- and 12-month follow-ups. After controlling for days since surgery, participants in the CBSM group reported improved SQ, as well as increased positive states of mind, decreased disruption in social recreational functioning, and reduced fatigue-related daytime dysfunction for up to 8 - 12 months after baseline. There were marginally significant improvements in functional well-being and social functioning. CBSM was not associated with improvements in fatigue intensity. Improvements in SQ mediated CBSM-associated improvements in positive states of mind, social disruption, and fatigue-related daytime dysfunction. Thus, the CBSM intervention had beneficial effects on several indicators of functional adaptation that were in part explained by improvements in the quality of sleep. Future work should test the combined effects of stress management and sleep management interventions for women initiating treatment for BCa.

Introduction:Psychosocial intervetions are the actions taken to offer psychosocial support to cancer patients and their relatives for the improvement of their quality of life. They are aimed at meeting patients' mental, emotional, social, and spiritual needs and those of their families.Various previous studies have explored different forms of psychosocial support offered to different groups of cancer patients and their relatives. However, there are few literature reviews about how spirituality is included in psychosocial support among cancer patients. Aims:The aim of this literature review is to explore the spiritual features within psychosocial interventions in cancer care. Method:Two databases were used in this study: CINAHL and PubMed.Thirteen scientific studies involving various psychosocial interventions were included. Content anlysis with three steps' strategy was done. Results:Various spiritual aspects within psychosocial interventions in cancer care were identified, and the most prevalent among them were finding meaning,spirirual coping,spiritual transecendence,connection with others and the Sacred, life completion tasks and preperation for death.Conclusion:Psychosocial spiritual support is an essential element of psychosocial cancer care.There is need for more awareness of how spiritual health is to be addressed in cancer care. / Inledning: Psykosociala interventioner är de återgärder som vidtagits för att erbjuda psykosocialt stöd till cancerpatienter och deras anhöriga för att förbättra deras livskvalitet.De är inriktade på att möta pateinternas mentala,emotionella,sociala och andliga behöv och deras familjers behov.Tidigare studier har undersökt olika former av psykosocialt stöd som erbjuds olika grupper av cancerpatienter och deras anhöriga.Det finns dock få litteraturöversikter om hur andlighet ingår i psykosocialt stöd bland cancerpatienter. Syfte:Syftet med denna litteraturöversikt är att utförska de andliga asoekter inom psykosociala interventioner i cancervård. Metod:Två databaser användes i denna i denna studie: CINAHL och PubMed. Treton vetenskapliga studier med olika psykosociala interventioner inkluderades. Trestegsstrategi innehållanalys gjordes. Resultat:Olika andliga aspekter inom psykosocialt stöd identifierades, och de vanligaste bland dem var meningsskapande, andlig hantering(spiritual coping), andlig transcedens, förbindelser med andra och det Heliga, och föberedelser inför döden. Slutsats:Psykosocialt andligt stöd är en viktig del av psykosocial cancervård. Det finns behöv av mer medvetenhet om hur andlig hälsa hanteras i cancervården.

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Yes / This systematic review identifies and reports the extent and nature of evidence to support the use of Dementia Care Mapping as an intervention in care settings. The review was limited to studies that used Dementia Care Mapping as an intervention and included outcomes involving either care workers and/or people living with dementia. Searches were conducted in PubMed, Web of Knowledge, CINAHL, PsychINFO, EBSCO and Scopus and manually from identified articles reference lists. Studies published up to January 2017 were included. Initial screening of identified papers was based on s read by one author; full-text papers were further evaluated by a second author. The quality of the identified papers was assessed independently by two authors using the Cochrane Risk of Bias Tool. A narrative synthesis of quantitative findings was conducted. We identified 6 papers fulfilling predefined criteria. Studies consist of recent, large scale, good quality trials that had some positive impacts upon care workers’ stress and burnout and benefit people with dementia in terms of agitated behaviours, neuropsychiatric symptoms, falls and quality of life. Available research provides preliminary evidence that Dementia Care Mapping may benefit care workers and people living with dementia in care settings. Future research should build on the successful studies to date and use other outcomes to better understand the benefits of this intervention.

Introduction: An increased incidence of schizophrenia among migrant and ethnic minority groups has been established. Ethnic minorities have poorer access to and outcomes from evidence based psychosocial interventions compared to the majority population. The overall aims of this thesis was to explore culturally adapted psychosocial interventions for migrant and ethnic minority schizophrenia sufferers, and use the results of these investigations to develop culturally adapted cognitive remediation (CR) to meet the needs of South Asian first episode sufferers. Methods: A systematic review and meta-analysis of previous randomised controlled trials (RCTs) investigated the quality, methods and effectiveness of culturally adapted psychosocial interventions for schizophrenia. Interviews, analysed using framework analysis, explored the acceptability, and perceived accessibility, of CR to the target population. CR for first episode psychosis was then adapted to target South Asian sufferers' needs and participants' satisfaction and engagement measured in a feasibility study. Results: The systematic review identified 17 RCTs of culturally adapted psychosocial interventions for schizophrenia. Meta-analysis of culturally adapted Family Intervention (caFI) compared to Treatment As Usual (TAU) showed no reduction in relapse risk. There were non-significant reductions in risk and number of hospitalisations during the intervention and significant shortening of total time in hospital. Meta-analysis of culturally adapted Social Skills Training (caSST), compared to TAU showed improvements in medication and symptom management but no effects when compared to a time-matched psychosocial intervention. Results must be interpreted with caution due to the small number of trials included and limitations in their analyses. Cultural adaptations made to the interventions were similar across trials. This allowed for the development of a measure systematically recording the methods used in culturally adapting interventions. Scale items included: language, therapeutic alliance, teaching style, manual content, family, treatment goals, explanatory models of illness, help seeking behaviour, delivery, stigma, societal context and cultural tenets. Emergent themes from qualitative interviews with ten South Asian first episode schizophrenia sufferers included: help seeking for psychosis, sociocultural influences on help seeking, experience of cognitive deficits, and recommended cultural adaptations to CR. CR was well received by all respondents. Level of acculturation and the influence of family and illness beliefs were associated with distinct pathways to care. A feasibility study of culturally adapted cognitive remediation (caCR) for first episode South Asian psychosis patients resulted in high levels of service user satisfaction, therapeutic alliance and participant retention rates. The majority (87.5%) reported cognitive benefits and a boost in self-esteem. Conclusions: The scale of cultural adaptations for psychosocial interventions for schizophrenia will provide a framework for those developing culturally adapted interventions for migrant or ethnic minority communities and a means to record the degree and type of adaptation. CaCR was acceptable to first episode South Asian psychosis sufferers. A larger trial is required to investigate this intervention's efficacy in terms of cognitive and global functioning.

Psychosocial interventions to cultivate functional motivational beliefs in students are becoming increasingly popular. However, in education it is easy to prematurely place hope in promising, emerging techniques and ideas before they are fully explored through research. This study seeks to add to the body of knowledge examining psychosocial interventions by investigating one of the constructs popularly targeted in these interventions: self-theories of intelligence (STIs). Within this study, STIs are explored within a previously tested model of motivational variables (goal orientations, effort beliefs, interest, causal attributions, and failure response). The addition of metacognition to this model of achievement motivation is also investigated. Because research has suggested that STIs may be domain-specific, this study focused on STIs in the domain of science. Within this study, I used a self-report instrument comprised of seven subscales (each representing one motivational variable) to collect information on the achievement motivation of rural middle school students in the domain of science. Students from three schools in two counties in rural southwest Virginia participated in the study (n = 367). Independent and paired-samples t-tests, confirmatory factor analysis, mediational analyses, and structural equation modeling were used to answer the following four research questions. 1. To what extent are rural middle school students' self-theories of intelligence fixed or malleable in the domain of science? 2. To what extent do rural middle schools students have metacognitive knowledge and skills in the domain of science? 3. Does metacognition mediate the relationship between a malleable belief of intelligence and positive effort beliefs? 4. To what extent does the Blackwell, Trzesniewski, and Dweck (2007) model fit data obtained from rural middle school students in the domain of science? The results showed that the participants expressed a significant malleable view of intelligence, and demonstrated moderate amounts of metacognitive knowledge and skills. Metacognition was shown to be a significant mediator of STIs and effort beliefs. Standardized path coefficients for the achievement motivation model were significant; however, model fit indices revealed that this model may not be an adequate fit for these students' beliefs in the domain of science. / Ph. D.

Yes / Living well with dementia is promoted nationally and internationally (Department of Health, 2009: Global Action Against Dementia, 2013). UK health policy recommends post-diagnostic support to enable people to live well in the community for as long as possible (Department of Health, 2015; NHS England, 2017; Scottish Government, 2017; Welsh Government, 2017). This is important given that a cure for dementia is not imminent. A growing evidence base demonstrates that psychosocial interventions can benefit people with mild to moderate dementia, by improving cognition, performance in valued activities or daily living skills, maintaining quality of life or carer coping. (Clare et al., 2011;2017; Graff et al.,2006,2007; Streater et al.,2016). Occupational therapists offer interventions to people living with mild to moderate dementia and family carers (Swinson et al.,2016;Streater et al.,2016;Yuill and Hollis,2011). The National Institute for Clinical Excellence and Social Care Institute for Excellence (2006) recommended occupational therapists provide skills training for activities of daily living. Also, the Memory Services National Accreditation Programme recommends people with dementia have access to occupational therapy and other psychosocial interventions such as reminiscence, life story work or cognitive stimulation therapy, for the cognitive, emotional, occupational and functional aspects of dementia (Hodge et al.,2016). Such interventions can be delivered by occupational therapists. The focus on the benefits of non-pharmacological interventions provides occupational therapists with an opportunity, to deliver services that improve lives and the experience of dementia (Collier and Pool, 2016). Understanding what may influence uptake of such interventions is important if people with dementia and their carers are to benefit from what occupational therapists can offer. Yet what supports the uptake of such interventions, specifically by people with mild to moderate dementia and their family carers, living in the community is poorly understood and limited research about this topic exists. ‘Uptake’, in this paper, is defined as initial acceptance of an offer, of intervention, support or services, rather than continued engagement or adherence to an intervention over time. / National Institute for Health Research’s Programme Grants for Applied Research Programme (RP-PG 0610-10108)

Yes / National policies and evidence reviews recommend psychosocial interventions (PIs) as an essential support, particularly in the period following dementia diagnosis. However, the availability and uptake of these interventions is comparatively low. One of the reasons for this is that clinicians lack information about what might be provided and the potential benefits of different interventions. This paper identifies and describes psychosocial interventions for community dwelling people following diagnosis of mild to moderate dementia and presents the available evidence to inform practice decisions. A systematic scoping review was employed to map the evidence relating to PIs for this group. This identified 63 relevant studies, testing 69 interventions, which could be grouped into six categories; 20 cognition-oriented interventions; 11 behaviour-oriented; 11 stimulation-oriented; 13 emotion-oriented, 5 social-oriented and 9 multi-modal. There were three targets for outcome measurement of these PIs; the person with dementia, the family carer and the person-carer dyad. Over 154 outcome measures were identified in the studies with outcomes measured across 11 main domains. The lack of a classification framework for PIs means it is difficult to create a meaningful synthesis of the breadth of relevant evidence to guide clinical practice. Possible dimensions of a classification framework are proposed to begin to address this gap.

This dissertation presents an analysis of the models of psychosocial processes structuring UNICEF’s psychosocial intervention after the emergency caused by the floods in Venezuela during 1999, and some of their political and ethical implications. I discuss how UNICEF’s intervention in the shelter of Fuerte Tiuna, in Caracas, provides a context in which discourses and practices construct the disaster as an event of a particular type, affording particular positions to those affected by it, and presenting the intervention as a reparative response that engages in different ways with these constructions. Specific issues explored by this dissertation include how practices and discourses construct the disaster and its impact on persons and communities; the nature of the psychosocial intervention; the subject; and the different forms of expertise involved in the intervention. Further, it examines how the intervention-as-designed is implemented and how the actual contact with the beneficiary population generates changes not only in the implementation itself, but also in the conceptual frameworks displayed by UNICEF. The analysis presents UNICEF’s psychosocial intervention as a practice that is simultaneously material and discursive. The participation of experts, the use of specific resources, the deployment of techniques and their devices, the organisation of time and space within the intervention, can all be considered as supporting certain notions of the disaster, its impact and its solution, which organise the models of the psychosocial. The main issues that appear as relevant for the analysis are related to the way in which the intervention constructs the disaster as a psychosocial problem; the appeal to the notion of trauma to explain the impact on those affected; the disciplinary, ethical and political implications of the different forms of understanding suffering in the Venezuelan contemporary context and how the notions put forward by UNICEF’s intervention engage with the social dynamics in Venezuela, in particular with the processes associated with the social and political polarisation.