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Insight et qualité de vie subjective dans la shizophrénie : rôles des facteurs interpersonnels / Insight and subjective quality of life in schizophrenia : the role of interpersonal factorsTastet, Helene 10 December 2012 (has links)
Dans la partie introductive (Partie A), le Chapitre 1 présente la schizophrénie et la prise en compte encore rare de la qualité de vie subjective dans cette population. La fiabilité de l’appréciation subjective de la qualité de vie a longtemps été critiquée compte tenu des fréquents troubles de l’insight relevés dans cette population. Ce chapitre souligne un paradoxe, où, d’un côté, les politiques d’empowerment encouragent l’intégration du sujet comme acteur de sa prise en charge, alors que, d’un autre côté, les troubles de l’insight peuvent limiter voire empêcher l’engagement thérapeutique.Le Chapitres II et III présentent les conceptualisations classiques de l’insight clinique dans la schizophrénie (définitions, évaluations, modélisations). Parmi les modélisations classiques, les prédicteurs sont essentiellement personnels (ex. ressources cognitives) et cliniques (symptômes). Les travaux ont progressivement intégré des variables modératrices ou médiatrices, n’ayant pas toujours relevé de relation directe entre ces facteurs classiques et l’insight. Cependant, les modélisations tiennent essentiellement compte des capacités propres au sujet, en omettant de relever le processus éminemment interactif en jeu dans l’insight ou dans son évaluation. Le Chapitre IV présente les études ayant porté sur les relations entre insight et certains indicateurs centraux du soin. Ce chapitre permet de situer le débat encore vif autour de la balance potentielle bénéfices/coûts d’une intervention thérapeutique centrée sur l’insight. Là encore, les résultats des études demeurent contradictoires. Ils laissent supposer que les facteurs interpersonnels pourraient apporter des informations cruciales pour préciser les conditions d’une intervention centrée sur l’insight. Le Chapitre V décrit les quelques études internationales sur l’insight ayant inclus des facteurs interpersonnels. Seules les caractéristiques personnelles impliquées dans les relations interpersonnelles (cognition sociale) ont été étudiées comme variables explicatives de l’insight. Les caractéristiques de l’environnement proche impliquées dans les relations interpersonnelles ont été partiellement interrogées afin d’expliquer les relations insight-corrélats cliniques. Plus rares encore sont les études ayant porté sur les variables interpersonnelles expliquant les relations insight et qualité de vie subjective. Le Chapitre VI présente les deux objectifs de cette thèse. Dans le cadre d’une étude transversale, il s’agissait d’explorer la pertinence de l’inclusion de facteurs interpersonnels i) dans les modèles explicatifs de l’insight, et ceci selon le mode auto ou hétéro-évaluatif ; ii) dans l’explication des relations insight et qualité de vie subjective. La Partie B décrit en détail la méthode utilisée, avec la procédure et les différentes analyses réalisées afin d’explorer ces questions. La Partie C présente les caractéristiques de l’échantillon constitué et les résultats significatifs aux différentes analyses conduites, en les resituant face aux recherches internationales. Les facteurs interpersonnels permettent d’améliorer la qualité des modèles classiques de l’insight, quelle que soit la méthode d’évaluation (auto versus hétéro-évaluation). Cependant, les facteurs interpersonnels isolés sont différents pour chacune de ces méthodes. Enfin, les résultats suggèrent que certains facteurs interpersonnels modèrent la relation insight-qualité de vie subjective. La Partie D discute les résultats principaux de cette thèse, en insistant sur les limites de la recherche et les perspectives qu’elles ouvrent en conséquence. Quatre points d’intervention spécifique autour de l’insight sont développés, chacun propre à considérer et intégrer les facteurs interpersonnels comme leviers thérapeutiques. / In the Part A, the Chapter 1 presents schizophrenia and the subjective quality of life, rarely considered in this population. The reliability of subjective quality of life assessment has been frequently criticized because of the frequent lack of insight in schizophrenia. This chapter highlights the following paradox. On one hand, the empowerment policies induce the consideration of the subject as playing an active role with regard to the treatment that they receive, whereas, on the other hand, the lack of insight can limit or prevent therapeutic engagement. Chapters II and III present classical conceptualizations of clinical insight in schizophrenia (definition, assessment, models). Among the classical models, predictors of insight have been mostly investigated in terms of personal (e.g. cognitive resources) and clinical factors (symptoms). These studies have gradually integrated moderating or mediating factors since data about linear relationships between insight and classical factors were inconsistent. However, models are essentially based on the subject abilities, without taking into account the interactional process involved in insight. The Chapter IV presents studies investigating associations between insight and clinical outcomes. This chapter highlights the debate still active on the cost/benefit potential balance of a therapeutic intervention focused on insight. Here again, consensus is lacking. Interpersonal factors might also give crucial information to define more thoroughly the conditions of interventions focused on insight. The Chapter V describes the few international studies dealing with insight and interpersonal factors. Only personal characteristics involved in interpersonal relationships (e.g. social cognition) have been studied as predictors of insight. The close environment characteristics that are involved in interpersonal relationships have been partially questioned in order to explain relationships between insight and clinical outcomes. Very few studies have been focused on interpersonal variables that could explain relationships between insight and subjective quality of life. The Chapter VI presents the two main objectives of this work. Through a cross-sectional study, we explored whether including interpersonal factors i) in explanatory models of insight, ii) in explanation of relationships between insight and subjective quality of life could be relevant. The Part B gives details about the method, the procedure and the different analyses that have been conducted in order to explore these questions. The Part C presents sample characteristics and significant results of analyses. These results are compared to those of international research. Interpersonal factors significantly improved the quality of classical insight models, whatever the assessment method (self-reported versus expert-rated insight). However, depending on the assessment method, distinct interpersonal factors were identified. Finally, results suggest that several interpersonal factors moderate the relationships between insight and subjective quality of life. Finally, the Part D discusses the main results of this work, insisting on the limits of the present research and giving some perspectives for future research. Four points for clinical interventions on insight are developed, each integrating interpersonal factors as therapeutic lever.
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Materialismo e suas influências na qualidade de vida subjetiva dos adolescentes da cidade de João Pessoa/PB.Nascimento, Janine Silva do 25 February 2016 (has links)
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Previous issue date: 2016-02-25 / This dissertation addresses three main issues: materialism, Subjective Quality of Life (SQL) and adolescents. Being the teenagers considered the subjects of this research. In the field of marketing, issues such as these are being extensively studied. Materialism is considered a characteristic of the consumer field in its general aspects, which translates the identification with the possession and acquisition of material goods as a central factor in their lives, a source of happiness and success. It is also considered aspects such as possessiveness, lack of generosity and jealousy. The subjective quality of life is the perception of the individual regarding their own quality of life, treated in this study as well as life satisfaction and subjective well-being. That said the study was meant to examine the influence of materialism on the subjective quality of life of adolescents and thus identify the background of materialism in these individuals; verify their perception of subjective quality of life, as well as its relationship with the levels of materialism. In this sense, hypotheses were elaborated from the theoretical construction, the objectives and the proposed research model. To enable the implementation of empirical research, 705 questionnaires were applied in person in public and private schools in the city of João Pessoa/PB, resulting in 667 valid questionnaires, with adolescents aged from 12 to incomplete 18 years. Therefore, two scales were utilized (materialism and SQL) validated for the target public, the first from Goldberg et al. (2003) Youth Materialism Scala - YMC and the second from Patrick et al. (2002) Youth Quality of Life Instrument - YQOL. Data were analyzed using SPSS software. The results showed in a general way that adolescents from this sample showed intermediate levels of both materialism and SQL. The only antecedent of materialism confirmed by the hypotheses was the influence of the possessions of the pairs. All other antecedents: age, social class, family relationships, self-esteem were rejected. In the same way that it has not been confirmed a direct influence of materialism level with the level of subjective quality of life, the latter treated as resultant in this study. / A presente dissertação aborda três temas principais: materialismo, qualidade de vida subjetiva (QVS) e adolescente. Este último considerado os sujeitos desta pesquisa. No campo do marketing, temas como esses estão sendo bastante estudados. O materialismo é considerado uma característica do campo de consumo em seus aspectos gerais, que traduz a identificação com a posse e aquisições de bens materiais como fator central em suas vidas, motivo de felicidade e sucesso. Também são considerados aspectos como possessividade, falta de generosidade e inveja. A qualidade de vida subjetiva é a percepção do próprio indivíduo com respeito a sua qualidade de vida, tratada neste estudo também como satisfação com a vida e bem-estar subjetivo. Dito isto o trabalho teve como objetivo principal analisar a influência do materialismo na qualidade de vida subjetiva dos adolescentes e assim identificar os antecedentes do materialismo nestes indivíduos; verificar sua percepção de qualidade de vida subjetiva, bem como a relação desta com os níveis de materialismo. Neste sentido, foram elaboradas hipóteses a partir da construção teórica, dos objetivos e do modelo de pesquisa proposto. Para viabilizar a operacionalização da pesquisa empírica, foram aplicados presencialmente em escolas públicas e particulares na cidade de João Pessoa/PB 705 questionários, resultando em 667 válidos, com adolescentes de 12 até 18 anos incompletos. Para tanto foram utilizadas duas escalas (materialismo e QVS) validadas para o público em questão, a primeira de Golberg et al. (2003) Youth Materialism Scala – YMS e a segunda Patrick et al. (2002) Youth Quality of Life Instrument – YQOL. Os dados foram analisando utilizando o software SPSS. Os resultados mostraram de maneira geral que os adolescentes desta amostra apresentaram nível intermediário de materialismo bem como de QVS. O único antecedente do materialismo confirmado pelas hipóteses foi a influência das posses dos pares. Todos os outros antecedentes: faixa etária, classe social, relacionamento com familiares, autoestima foram rejeitadas. Da mesma forma que não foi confirmada uma influência direta do nível de materialismo com o nível de qualidade de vida subjetiva, esta tratada como consequente neste estudo.
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Qualidade de vida subjetiva e satisfação com as condições de consumo: Uma investigação em contextos geográficos nordestinos.Silva Júnior, Severino Domingos da 15 April 2013 (has links)
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Previous issue date: 2013-04-15 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / This study analyses consumer s subjective quality of life according to the suposition that its quality is influenced by the satisfaction of consumption access, its preparation and construction, consume of products, satisfaction with public services, necessary ones or leisure ones, satisfaction with the possession of a product, maintenance and repair, and its discard. The study aims to identify and analyse the subjective quality of life and satisfaction conditioned to people who live in the northeast cities of Brazil. Through this analysis, the conditions of quality in northeastern contexto were measured as well the measurement of consumers satisfaction with their consumption conditions according with the availabilty of products and services offered in their cities. For this, it was realized a research with 500 paricipants from the cities of Teresina (PI), Fortaleza (CE), Natal (RN), João Pessoa (PE) e Recife (PE). It was used a quantitative approach by using a descriptive analysis and an exploratory factorial analysis. The data analysis presented through the participants answers and Pearson s and Spearman s coefficient correlations that the adopted hypotheses probably influence in the subjective quality of life. So the sample presented that the satisfaction with the consumption of products and services tend to influence in consumer s perception according to their quality of life. Howver, it was verified through the data analysis that some cities presented huge differences among them. It was probably due to the sample or due to an item which did not represent a local reality. Thereby, this study presents elementary perspectives of marketing which may contribute to the development of quality of life, as well as with public policies as these concepts can be easily introduced into the society as it is indispensable to the knowledge of population, its importance to understand better a society s functioning, its practices which are developed through their social interactions and which impacts are resulted in the consumer s and society s perceived quality of life. In the end, this work is concluded with the presentation of theoretical and practical implications, as well as its limitations and suggestions of new researches related to this theme. / Este estudo analisa a qualidade de vida subjetiva do consumidor com acordo com a suposição de que a qualidade de vida é influenciada pela satisfação com o acesso ao consumo, preparo e montagem, consumo de produtos e bens, satisfação com serviços: públicos, necessários e de lazer, satisfação com a posse, manutenção e reparo, e com a satisfação com as condições de descarte. O estudo tem o objetivo de identificar a analisar a qualidade de vida subjetiva e a satisfação com as condições de consumo em cidades do Nordeste do Brasil, através dessa analise foi mensurada a qualidade de vida subjetiva, verificando as condições de qualidade de vida no contexto nordestino, bem como mensurando a satisfação com as condições de consumo de acordo com disponibilidade de produtos e serviços oferecidos na localidade do respondente. Para tanto, foi realizada uma pesquisa com 500 participantes das cidades de Teresina (PI), Fortaleza (CE), Natal (RN), João Pessoa (PE) e Recife (PE). Foi adotado como procedimento metodológico uma abordagem quantitativa, sendo realizada a análise descritiva e análise fatorial exploratória. A análise dos dados apresentou, a partir da participações dos respondentes e das correlações do coeficiente paramétrico de Pearson e do não paramétrico de Spearman, que as hipóteses adotadas supostamente influenciam na qualidade de vida subjetiva. Nesse sentido, a amostra levantada apresentou que a satisfação com o consumo de produtos e serviços tende a influenciar na percepção do consumidor quanto à qualidade de vida. Entretanto, verificou-se no decorrer da analise dos dados que algumas cidades apresentaram diferenças significativas entre si, esse fato pode ter ocorrido devido à amostra, bem como o item que se estava sendo mensurado pode não corresponder a uma realidade local. Dessa forma, o estudo apresenta perspectivas elementares de marketing que podem contribuir para o desenvolvimento de qualidade de vida, assim como de políticas públicas, visto que, esses conceitos são rapidamente inseridos na sociedade, sendo, por isso, indispensável o conhecimento por parte da população do significado e aplicação de cada termo, sua importância para entender melhor o funcionamento da sociedade, das práticas desenvolvidas a partir das relações sociais e quais os impactos resultantes na qualidade de vida percebida pelo consumidor e para a sociedade. Por fim, o trabalho é concluído com a apresentação das implicações teóricas e praticas, assim como das limitações e sugestões para pesquisas futuras relacionadas à qualidade de vida subjetiva.
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Ungas vanor online: Mattering, upplevelse av restriktioner under Covid-19-pandemin samt ensamhet och subjektiv livskvalitet / Online habits of young people: Mattering, experience of restrictions during the COVID-19 pandemic, loneliness and subjective quality of lifeKarlsson, Karin, Börjesson, Josefine January 2022 (has links)
Då tidigare forskning har stort fokus på psykopatologi finns intresse att undersöka ungas vanor online i förhållande till psykiskt välbefinnande. I denna enkätbaserade tvärsnittsstudie undersöktes hur ungas vanor online (socialt användande, huvudsaklig aktivitet och tid), mattering, anti-mattering, och upplevelse av restriktioner under Covid-19-pandemin relaterar till ensamhet och subjektiv livskvalitet. Svar från 125st ungdomar mellan 18–25 år analyserades med hjälp av deskriptiv statistik, Spearman’s sambandsanalyser, Multipel regressionsanalys, MANOVA och loglinjär analys. Resultatet gav blandade svar angående tid (<4, 4+ h/dag) där tid inte på egen hand kunde predicera subjektiv livskvalitet, samtidigt visades ett samband mellan att spendera över 4 h/dag aktivt online och lägre subjektiv livskvalitet. Socialt användande var inte relaterat till något av utfallsmåtten. Huvudsaklig aktivitet (‘Gaming’, ‘Sociala medier’, ‘Gaming och sociala medier lika mycket’) uteslöts ur analys på grund av snedvridet urval. Resultaten av denna studie kunde alltså inte fullt ut stödja vikten av unga människors vanor online med avseende på ensamhet och subjektiv livskvalitet. Dock gav resultaten att mattering och anti-mattering tillsammans kan förklara varians i subjektiv livskvalitet och ensamhet. Dessutom erhölls samband mellan upplevelsen av att pandemins restriktioner påverkat hur betydelsefull och betydelselös den unge kände sig med mattering, anti-mattering, subjektiv livskvalitet och ensamhet. Föreliggande studie bidrar till ny kunskap om mattering, anti-mattering, ensamhet och subjektiv livskvalitet hos unga. Detta genom att visa hur viktiga mellanmänskliga upplevelser är i tider av osäkerhet. Studien problematiserar också att ungas vanor online kan behöva operationaliseras på andra vis för att representera kvalitet snarare än kvantitet. / Previous research has a strong focus on psychopathology rather than psychological well-being regarding online habits of young people. This cross-sectional study based on a survey explored how online habits of young people (social usage, main activity and time), mattering, anti-mattering, and experience of restrictions during the COVID-19 pandemic relates to loneliness and subjective quality of life (QoL). Responses from 125 people between the ages of 18–25 were analyzed using descriptive statistics, Spearman's correlation analyzes, multiple regression analysis, MANOVA and loglinear analysis. Results were indecisive regarding time (<4, 4+ h/day). Time on its own could not predict subjective QoL, whereas spending over 4 h/day actively online was associated with lower subjective QoL. Social usage was not related to the outcome measures. Main activity(‘Gaming’, ‘Social media’, ‘Gaming and Social Media equally’) was excluded from analysis due to skewness. Thus, the results of this study could not fully support the importance of young peoples’ habits online regarding loneliness and subjective QoL. However, the results showed that mattering and anti-mattering together could predict subjective QoL and loneliness. In addition, the experience of how restrictions affected how significant and insignificant the participants felt was associated with mattering, anti-mattering, subjective QoL and loneliness. Present study contributes knowledge about mattering, anti-mattering, loneliness and subjective QoL in young people. This by showing how important interpersonal experiences are in times of uncertainty. The study also problematizes that young people's online habits may need to be operationalized in other ways to represent quality rather than quantity.
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The relationship of body image attitudes to personality traits and subjective quality of life / Požiūrio į savo kūną sąsajos su asmenybės savybėmis ir subjektyvia gyvenimo kokybeMiškinytė, Audronė 02 May 2011 (has links)
The literature review of doctoral dissertation discusses body image and body image attitudes, reviews psychological theories of body image attitude development, and discusses possible sources and causes of the development of a thin body ideal and body dissatisfaction. It also reviews the research of other authors concerning the relationship of body dissatisfaction to gender, age and some personality traits. Empirical part of the dissertation is focused on the description of a quantitative study, carried out with 419 respondents. The study results were processed using quantitative methods of data analysis. The study discusses the differences of body image attitudes between men and women, the relationship of body image attitudes to age, occupation, marital status, and personality traits, it also discusses the cultural differences of body image attitudes. / Teorinėje darbo dalyje apibrėžiamas kūno vaizdas ir požiūris į savo kūną, apžvelgiamos psichologinės požiūrio į savo kūną formavimosi teorijos, aptariamos priežastys, skatinančios liekno kūno idealų formavimąsi bei nepasitenkinimą savo kūnu, nepasitenkinimo savo kūnu sąsajos su lytimi, amžiumi bei kai kuriomis asmenybės savybėmis, aptariami kitų autorių atlikti tyrimai. Empirinėje dalyje aprašomas atliktas kiekybinis tyrimas, kuriame dalyvavo 419 studentų. Tyrimo duomenys apdoroti kiekybinės duomenų analizės metodais. Įvertinti vyrų ir moterų požiūrio į savo kūną skirtumai, jo sąsajos su amžiumi, užimtumu, šeimine padėtimi ir asmenybės savybėmis, aptariami kultūriniai požiūrio į savo kūną skirtumai.
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Consequences of brain tumours from the perspective of the patients and of their next of kinEdvardsson, Tanja January 2008 (has links)
A disease has consequences not only for the afflicted person but also for those who interact with him or her. A low-grade glioma is a brain tumour whose regarding its psychosocial implications for adult patients and their next of kin has received little attention in the literature. In the light of this the overall aim of the present thesis was to provide increased knowledge about how patients with low-grade glioma and their next of kin experience and deal with everyday life. The methods of the studies were mainly qualitative. Thirty-nine patients and 28 next of kin were interviewed and all except one next of kin completed a quality of life questionnaire. The onset of low-grade glioma was described from the patients’ perspective as a process, either rapid (up to a few months) or prolonged over several years. This phase of low-grade glioma encompassed repeated visits to physicians and care institutions. The onset of low-grade glioma was accompanied by stress, anxiety and uncertainty in the case of both the patients and those nearest. The symptoms and problems the patients experienced covered a broad range of consequences, physical, psychological and social. The patients presented a wide range of ways to cope with illness-related problems. The next of kin were often deeply involved in the patients’ situation and many of them experienced extremely stressful emotions mainly in the early period of the illness. They had experience of positive encounters in health care but more often they had had a sense both of powerlessness and of being invisible and neglected. Relations and roles changed in ways that mostly were experienced as negative. Enabling strength in everyday life had to do with alleviation of strain and having a positive outlook upon life. By means of the questionnaire Subjective estimation of Quality of Life (SQoL) the patients and those nearest estimated their quality of life as being comparatively high. Only one variable, among the patients the absence of work/meaningful occupation and among the next of kin the absence of own children, being estimated at below 60% of the maximum score.
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Kvalita života lidí s psychotickým onemocněním / Quality of Life of People with Psychotic DisorderAlvado Blanco, Lenka January 2018 (has links)
The diploma thesis deals with the topic of quality of life in people with mental, respectively psychotic, diseases. It is a serious illness that affects all the personality and has a great impact on the quality of life. In the theoretical part is defined the concept of quality of life, its history, different angles of view and methods of measurement. Then you can find a detailed description of psychotic disease and life with it, and it is also more closely devoted to the quality of life of people with mental illness and its measurement. In the empirical part quantitative research is presented, whose aim is to determine which areas of life perceive people with psychotic illness as inferior to those without mental illness. Another aim is to find out whether social workers who work with people with psychotic illness at social housing shelter perceive the quality of life of these patientsin a different way than the patients themselves. The results obtained with the SQUALA subjective quality questionnaire show that these patients feel a lower quality of life in the area of health and close relationships than the general population. Furthermore, the results show that social workers are well aware of the quality of life of their clients with a psychotic illness, where they differ only in the area of...
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Chronic sorrow and quality of life in patients with multiple sclerosisIsaksson, Ann-Kristin January 2007 (has links)
The overall aim of this thesis was to increase our understanding and knowledge of patients’ experiences of living with multiple sclerosis (MS). A mixed-method design was used, including both qualitative and quantitative methods. Thirty-one immunologically treated MS patients were randomly selected and matched with patients without immunological treatment. Matching criteria were gender, impairment, time since diagnosis and age. One patient dropped out and therefore the final sample consisted of 61 patients. All 61 were interviewed (Studies I, III and IV) and completed the 36-item Short Form health survey questionnaire (SF-36), the Subjective estimation of Quality of Life questionnaire (SQoL), the Self-reported Impairment Check-list (SIC) (Study II) and the Montgomery–Asberg Depression Rating Scale questionnaire (MADRS) (Study III). The interviews were subjected to content analysis. Initial symptoms and being diagnosed with MS were described in terms of becoming vulnerable and remaining in that vulnerability long after the diagnosis. Eventually the patients were able to manage this emotional distress and acquired strength in their illness situation (Study I). In the matched analysis, 29 pairs of patients were included after internal drop-out. There were no statistically significant differences between the treatment and control groups. Concerning the total group of 61 patients, the self-reported impairment check-list showed that they had various problems of impairment, most evident in balance and walking. The score on health-related quality of life (SF-36) was reduced, disclosing a negative influence on vitality, physical role and function. However, subjective quality of life (SQoL) was not reduced, showing that the patients estimated their well-being to be quite unaffected (Study II). Thirty-eight of the 61 patients (62%) experienced chronic sorrow (Study III). The group were not depressed in general, only four having mild symptoms of depression, revealing that chronic sorrow is a particular form of emotional distress in MS. Chronic sorrow was experienced in terms of loss of hope, loss of control over the body and loss of integrity and dignity. When the patients could not adequately manage their sorrow and lacked support, they were struggling with their vulnerability. In the successful management of MS, losses and emotional distress are managed in such a way as to enhance personal growth, appreciation and trust in life. The theoretical model of chronic sorrow facilitated the sorting of the empirical data and the linking of these data to theory, showing the usefulness of the model (Study IV).
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Kvalita života mladých nezaměstnaných lidí za pomoci dotazníku WHOQOL - BREF / The quality of life of young unemployed people via WHOQOL - BREF surveyUdatný, Miroslav January 2017 (has links)
The presented diploma thesis in its theoretical part introduces the reader to the issue of the quality of life. This polysemantical term, which can be hardly defined, is based on a wide range of views and applicable approaches. The first chapter deals with the definition and description of basic and related concepts. The second part describes the instruments of social policy, employment policy and its division. The conclusion of the thesis offers an objective and subjective measures of the quality of life, which were applied to the author's examined districts, whose respondents were young unemployed within thirty years of age.
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Föräldraskap och psykologisk flexibilitet : En studie om prediktorer för utbrändhet, lidande och subjektiv livskvalitet hos föräldrar med och utan barn med kroniska tillstånd / Parenting and psychological flexibility : A study on predictors of burnout, psychological distress and subjective quality of life among parents with and without children having chronic conditionsStrandberg, Stephanie January 2022 (has links)
Syfte: Undersöka huruvida föräldrar med och utan barn med kroniska tillstånd skiljer sig åt gällande: psykologisk flexibilitet (generell och föräldraspecifik), utbrändhet, psykologiskt lidande och subjektiv livskvalitet. Samt undersöka om prediktorerna: huruvida föräldrarna har barn med kroniska tillstånd, nivåer av psykologisk flexibilitet (generell och föräldraspecifik), samt nivåer av medveten närvaro och kognitiv defusion förklarar föräldrars utbrändhetssymtom, psykologiska lidande och subjektiva livskvalitet. Metod: Oberoende ttest och Mann-Whitney U test genomfördes i syfte att undersöka medelvärdes skillnader mellan föräldrar till barn med kroniska tillstånd (N=51) och föräldrar till barn utan kroniska tillstånd (N= 28) gällande psykologisk flexibilitet, utbrändhet, psykologiskt lidande och subjektiv livskvalitet. Hierarkiska multipla regressionsanalyser (HRA) (N=79) genomfördes i syfte att undersöka möjliga förklaringar till föräldrars utbrändhetssymtom, psykologiska lidande och livskvalitet. Resultat: Oberoende t-test och Mann- Whitney U-test indikerade enbart signifikanta skillnader mellan föräldrar till barn med kroniska tillstånd och föräldrar till barn utan kroniska tillstånd avseende generell psykologisk flexibilitet, utbrändhet och psykologiskt lidande. Således ingen signifikant skillnad mellan de två föräldragrupperna avseende föräldraspecifik psykologisk flexibilitet och subjektiv livskvalitet. HRA indikerade att generell (inte föräldraspecifik) psykologisk flexibilitet var en signifikant prediktor beträffande föräldrars utbrändhetssymtom, psykologiska lidande och subjektiva livskvalitet. Att ha barn med eller utan kroniska tillstånd predicerade enbart föräldrars utbrändhet. Medveten närvaro och kognitiv defusion predicerade utöver generell psykologisk flexibilitet, föräldrarnas subjektiva livskvalitet. Slutsats: Psykologisk flexibilitet som enhetlig modell för mänskligt fungerande, antas vara användbar i framtida forskning gällande föräldrar till barn med kroniska tillstånd samt till föräldrar över lag som har lägre grad av psykologisk flexibilitet. Mer forskning om specifika psykologiska flexibilitets relaterade processerna behövs, samt studier som inkluderar bakgrundsinformation om föräldrarna såsom kön och ålder. / Objective: Whether parents with or without children having chronic conditions differ in regard to; Psychological flexibility (global and parent-specific), burnout symptoms, psychological distress and subjective quality of life. As well as to investigate whether following predictors; having a child with a chronic conditions or not, levels of psychological flexibility (global and parentspecific) and levels of mindfulness and cognitive defusion explain parents burnout symptoms, psychological distress and subjective quality of life. Method: Independent samples T-tests and Mann-Whitney U-tests were used in order to investigate mean differences between parents to children with chronic conditions (N=51) and parents to children without chronic conditions (N=28) regarding psychological flexibility, burnout symptoms, psychological distress and subjective quality of life. Hierarchical multiple regression analyses (HRA) (N=79) were conducted in order to investige possible explanaitions to parents burnout symptoms, psychological distress and subjective quality of life. Results: Independent samples T-tests and Mann- Whitney U tests indicated sicnificant mean differences regarding global psychological flexibility, burnout and psychological distress. No significant differences were found between the two groups in regard to parent-specific psychological flexibility and subjective quality of life. HRA indicated that global (and not parents-specific) psychological flexibility was a significant predictor in explaining parents burnout symptoms, psychological distress and subjective quality of life. Having a child with or without a chronic condition, only predicted parents burnout symptoms. Mindfulness and cognitive defusion predicted over and beyond global psychological flexibility, parents subjective quality of life. Conclusion: Psychological flexibility as a unified model of human functioning, is presumed to be useful in future research in regard to parents having children with chronic conditions, as well as to parents of children without chronic conditions and parents who has lower level of psychological flexibility. There is a need for further research regarding psychological flexibility related processes and future studies that include background information of parents such as gender and age.
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