<p dir="ltr">Coronavirus disease 2019 (COVID-19) is a serious public health threat, and lung cancer patients are at high risk of poor outcomes from COVID-19 relative to the general population. Little is known about lung cancer patients’ beliefs and emotions regarding COVID-19 and COVID-19 protective behaviors (i.e., mask wearing, social distancing, hand hygiene). Prior research has found that Health Belief Model (HBM) variables (i.e., perceived risk of acquiring the illness, perceived illness severity, perceived benefits of and barriers to the preventive health behavior) and worry are predictive of engagement in preventive health behaviors. Drawing upon the HBM and theories of the role of emotion in decision-making, the current study examined psychological correlates of lung cancer patients’ engagement in COVID-19 protective behaviors. Lung cancer patients (<i>N</i> = 191) were recruited from Indiana University Simon Comprehensive Cancer Center to participate in a one-time survey from August 2021 through May 2022. Descriptive statistics were used to characterize COVID-19 protective behaviors. Multiple hierarchical regression models were used to examine associations between HBM constructs and engagement in COVID-19 protective behaviors. Higher-order regression models were then used to examine whether worry about COVID-19 was associated with COVID-19 protective behaviors above and beyond the effects of HBM variables. In general, the present sample showed high rates of engagement in all COVID-19 protective behaviors. Fewer perceived barriers to mask wearing were associated with greater mask wearing, and greater worry about COVID-19 was associated with greater mask wearing above and beyond the effects of HBM variables. Greater perceived severity of COVID-19 was associated with more social distancing, and higher levels of worry about COVID-19 were associated with more social distancing above and beyond the effects of HBM variables. HBM constructs (i.e., perceived risk of COVID-19, perceived severity of COVID-19) and worry about COVID-19 were unrelated to hand hygiene. Most findings are in line with theories on the central role of emotion in health-related decision-making and warrant replication in longitudinal research. Results point to several potential intervention targets, including worry about COVID-19, perceived severity of COVID-19, and perceived barriers to mask wearing, to improve COVID-19 protective behaviors in lung cancer patients..<br></p>

Bakgrund: Många personer lever med hälsoångest men få vet egentligen vad det innebär för individen själv och individens familj. Hälsoångest som kännetecknas av en stark oro av att ha eller drabbas av sjukdom är relativt nytt även inom sjukvården, varpå personalen behöver få ökad förståelse för personer som lever med hälsoångest. Syfte: Syftet med studien var att belysa erfarenheter hos personer som lever med hälsoångest. Metod: Studien är skriven som en allmän litteraturstudie med induktiv ansats där 12 kvantitativa och två kvalitativa vetenskapliga artiklar inkluderades för att beskriva det aktuella kunskapsläget. Resultatartiklarna analyserades systematiskt och resulterade i fyra kategorier. Resultat: Fyra kategorier framkom ur resultatet: Tidigare trauma, Oro, Informationssökande och Samsjuklighet. I de flesta studierna framkom att livshändelser såväl tidigare som senare i livet påverkade graden av hälsoångest. Oro kring hälsa, psykiatrisk och somatisk samsjuklighet samt informationssökande efter symtom på internet hade stor påverkan på hälsoångest. Konklusion: Hälsoångest är vanligt förekommande bland personer i samhället och utbildning och personcentrerad vård är två sätt att angripa tillståndet på. Vidare saknas kvalitativ forskning inom området vilket hade ökat förståelsen för tillståndet ytterligare. / Background: Many people live with health anxiety, but few know what it means for the individual himself/herself and for their family. Health anxiety, which is characterized by a concern about having or suffering from an illness, is relatively new even in healthcare, and the staff needs to increase understanding of people with health anxiety. Aim: The aim was to shed light on the experiences of people living with health anxiety. Method: The study was written as a general literature study with an inductive approach with 12 quantitative and two qualitative scientific articles to describe the current state of knowledge. The resulting articles were systematically analyzed and resulted in four categories. Results: Four categories emerged from the results: Previous trauma, Worry, Information seeking and Comorbidity. In most of the studies, life events influenced the degree of health anxiety. Concerns about health, psychiatric and somatic comorbidity and searching for information on symptoms on the internet also had a major impact on health anxiety. Conclusion: Health anxiety is common among people in society, and education and person-centered care are two ways to treat the condition. Furthermore, there is a lack of qualitative research, which would have further increased the understanding of the condition.

Pathologische Sorgen sind ungenau definiert. Für die Behandlungsplanung bleiben wichtige Fragen offen: Welche Merkmale sind für die Unterscheidung zwischen behandlungsbedürftigen und nicht behandlungsbedürftigen Sorgen relevant? Welche Art von Sorgen muss wie behandelt werden? Und: Welche Art von Sorgen gilt es eher zu akzeptieren? Wir machen praxisnahe Vorschläge dafür, wie Sorgen mittels einer einfachen Heuristik auch vom Patienten selbst als «pathologisch» identifiziert werden können. Im Sinne eines therapeutischen Arbeitsmodells ergeben sich differentielle Bearbeitungsstrategien, je nachdem, ob es sich um wichtige oder weniger wichtige, auf lösbare oder unlösbare Probleme bezogene sowie angemessene oder überzogene Sorgen handelt. Das vorgestellte Arbeitsblatt zu den Sorgen soll vor allem die wahrgenommene Kontrolle des Patienten stärken und die Psychoedukation zur Generalisierten Angststörung erleichtern. / Pathological worries have not yet been clearly defined. As a consequence, practically relevant questions remain open: Which characteristics distinguish worries relevant for treatment from those which are not? What kind of worries has to be treated in which way? And: What kind of worries is rather to be accepted? We propose a simple rationale which helps the therapist and the patient to identify pathological worries. According to this working model, different treatment strategies result depending on whether worries are central or not, whether they relate to a problem which can be solved or not, and whether they seem proportionate or exaggerated. The presented worksheet is meant to strengthen the perceived control of the patient and to help facilitate psychoeducation for generalised anxiety disorder. / Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.

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The diploma thesis tries to outline the daseinsanalysis as such, so that the readers can be better understood. I describe the basic terms that are necessary for daseinsanalysis and without which it would not be understandable to a wider audience. In the first chapters I deal with the history of daseinsanalysis, where the reader is also acquainted with the names associated with this discipline. Then I describe the development in Czech republic and its principles. As the daseinsanalysis is linked to psychology, I do not forget this aspect and the connection with psychotherapy. I devote my phenomenology to the chapter itself, as it is essential for the daseinanalysis to be deepened. I am writing about the principles, development and essence of this philosophical discipline. In the following chapters, I then deal with the interpretation of the time that has been and still is the essence and basic pillar of daseinsanalysis. I describe it from the point of view of Heidegger and also from the philosophical point of view. I also explain concepts such as temporality and succession for better orientation in time. In my work I also distinguish cyclic and linear time and familiarize them with it and its essence. The following chapters are devoted to Martin Heidegger himself. I try to interpret his attitudes, philosophy...

Depression is common in people with coronary heart disease (CHD) and is associated with worse physical outcomes. The nature of the causal association between CHD and depression, and the mechanism underpinning the association of depression with worse physical outcomes, remains unclear. Perseverative negative thinking may contribute to the development of depression in people with CHD. The aim of this thesis was to investigate the prospective association of perseverative negative thinking with depression, anxiety and worse physical outcomes in people with CHD, and to explore factors that may mediate this association. First, a systematic review identified 30 studies, of which the majority found an association between measures of perseverative negative thinking and subsequent depression, anxiety or emotional distress in people with long term conditions. Studies that controlled for covariates showed more mixed results, though the majority (15 / 25) still supported a significant association, with effects being small in magnitude. Findings were limited mainly to the association of rumination and/or catastrophizing with subsequent depression, and study quality was limited. Next, in an observational prospective cohort study 169 inpatients and outpatients with recent acute coronary syndrome (ACS) completed self-report assessments of rumination (Ruminative Responses Scale brooding subscale), worry (Penn State Worry Questionnaire), depression (Patient Health Questionnaire-8), anxiety (Beck Anxiety Inventory), and health-related quality of life (EuroQol-5D health-related quality of life, Seattle Angina Questionnaire) after hospitalisation, and at 2 month and 6 month follow-up. Additionally, assessments of potential mechanistic factors (social support, problem solving, instrumental behaviours and negative cognitive biases) were made. Baseline brooding was a significant independent predictor of depression at 6 months after controlling for the effects of important confounding variables, accounting for 2% of the variance. Findings suggested that the association of brooding with depression may be explained by deficits in problem solving ability. Rumination and problem solving may provide useful targets for the development of evidence-based interventions to improve depression among people with CHD, although the findings presented here fall short of proving a causal relationship. Future trials could be used to investigate the causal nature of the association of rumination and problem solving with depression in people with ACS.

Die vorliegende Arbeit beschäftigt sich mit der Diagnostik unerwünschter Gedanken sowie der Spezifität von Gedankenunterdrückung bei phobischen Patienten. Zwei Fragebogenverfahren zum Thema Sorgen sowie ein Instrument zur Erfassung von Strategien im Umgang mit intrusiven Gedanken wurden bezüglich der Gütekriterien der deutschen Übersetzung in einer klinischen Stichprobe evaluiert. Dabei handelt es sich um den Worry Domains Questionnaire (WDQ), der Sorgeninhalte erhebt, den Penn State Worry Questionnaire (PSWQ), der die Intensität von Sorgen erfasst, und den Thought Control Questionnaire (TCQ) zur Erfassung der Gedankenkontrollstrategien. Die Verfahren wurden bei 440 Psychotherapie-Patienten zu drei Meßzeitpunkten eingesetzt. Hinsichtlich der inneren Konsistenz und der Retest-Reliabilität ergeben sich für alle Instrumente zufriedenstellende bis gute Kennwerte. Die Validität ist nur für den PSWQ als gut zu bezeichnen. Beim WDQ zeigen sich Probleme hinsichtlich der Trennung von Sorgen und sozialer Ängstlichkeit, während der TCQ wohl eher Aspekte allgemeiner Psychopathologie als spezifische Strategien erfasst. Eine zweite Studie befasste sich mit intentionaler Gedankenunterdrückung. Die paradoxen Effekte dieser Bemühungen wurden wiederholt mit psychischen Störungen, vor allem mit Angststörungen, in Verbindung gebracht. Dabei ist ein wichtiges Thema, ob die Gedankenkontrollfähigkeit nur für störungsspezifische Inhalte oder generell beeinträchtigt ist. Die vorliegende Studie verglich Patienten mit Agoraphobie und Patienten mit Sozialphobie mit einer gesunden Kontrollgruppe. Alle Personen mussten Gedanken an ein neutrales Kontrollthema sowie zwei störungsspezifische Themen unterdrücken. Es zeigte sich ein störungsspezifischer Effekt bei den Agoraphobikern. Sozialphobiker scheinen hingegen ein generelles Defizit ihrer mentalen Kontrolle aufzuweisen. Zusätzlich erwies sich soziale Ängstlickeit innerhalb einer Reihe psychopathologischer Variablen als stärkster Prädikator für Schwierigkeiten bei der Gedankenunterdrückung. Ingesamt weisen einige Ergebnisse dieser Arbeit darauf hin, dass Gedankenunterdrückung ein wichtiges Merkmal der Sozialphobie sein könnte. / The work conducted aimed at evaluating instruments investigating unwanted thoughts as well as determining the specifity of thought suppression in phobia. German translations of two questionnaires measuring worry as well as an instrument, measuring strategies used in dealing with unwanted thoughts, were evaluated in a clinical sample. We used the Worry Domains Questionnaire (WDQ), measuring contents of worry, the Penn State Worry Questionnaire (PSWQ), measuring the intensity of worry, and the Thought Control Questionnaire (TCQ), investigating strategies in thought control. The instruments were administered at three points in a sample of 440 patients receiving psychological treatment. Concerning internal consistency and retest-reliability all questionnaires showed acceptable to good results. Validity is only good concerning PSWQ. WDQ has problems in differentiating worry and social anxiety, where as TCQ seems to measure general psychopathology more than specific strategies. The second study investigated intended thought suppression. Its paradoxical effects have been linked to psychological disorders, namely anxiety disorders. One important issue is if thought suppression is impaired only for thoughts related to the disorder or if the ability for mental control is generally impaired in anxiety patients. This study compared groups of agoraphobics and social phobics with healthy controls. All subjects had to suppress a neutral topic and two topics related to the central fear of the two disorders. We found a rather specific deficit in thought suppression for the agoraphobics. Social phobics seem to be characterized by a general impairment of mental control. In addition, among several psychopathological variables, social anxiety proved to be the strongest predictor for problems with thought suppression. Taken together, there are several indicators that thought suppression may be an important feature of social phobia.

Tyrimo tikslas - ištirti vidurinės mokyklos abiturientų baimės ir pažangumo ypatumus bei sąryšį. Buvo ištirta 111 moksleivių. Darbe naudota metodika - „Diferencijuotas mokyklos baimės aprašas“ - (DBA) - (Diferentielle Leistungsangast Inventar (DAI), (Rost D. H., Schermer F. J. 1997), leidžiantis nustatyti abiturientų baimę provokuojančių veiksnių, baimės apraiškos formų bei baimės įveikos ir įtvirtinimo būdų lygius. Ji panaudota du kartus – vieną kartą likus mėnesiui iki egzaminų buvo naudojamas ilgasis variantas, o kitas trumpasis pakartotinis variantas – prasidėjus pirmiesiem įskaitų laikymam. Tyrimo rezultatai parodė, kad abiturientų įvairių baimės rodiklių išreikštumas pirmojo bei pakartotinio tyrimo metu skiriasi, o taip pat šie rodikliai skiriasi priklausomai nuo lyties, bet fiziologinės baimės apraiškos pakartojus tyrimą išlieka nepakitusios. Humanitarinį ir realinį mokymosi profilį pasirinkę abiturientai įvairių baimės rodiklių išreikštumu nesiskiria. Tik pakartotinio testavimo rezultatai rodo, kad į humanitarinius mokslus linkę abiturientai labiau nei linkę į realinius kontroliuoja baimę. Be to, pakartotinio testavimo rezultatai rodo, kad abiturientai, pasirinkę didesnį valstybinių egzaminų skaičių, mažiau linkę į išorinį ir vidinį baimės įtvirtinimą nei abiturientai, pasirinkę mažesnį egzaminų skaičių. / The aim of this research is to assess the connection between fears of school – leavers and academic achievement peculiarity. 111 school-leavers participated in this research. These method were used for investigation – Discriminating Fear of School Inventory (DBA) - (Diferentielle Leistungsangast Inventar (DAI), (Rost D. H., Schermer F. J. 1997), which lets to assess factors provoking fear of school- leavers, fear‘s expressions, coping ways with fear and levels of fear fix. School – leavers were assessed two times. The results indicated that fear index are different at testing first and second time. These indexes are different to men and women, but at first and second time of testing the physiological expresses of fear are the same. The index of fear are the same in school leavers with humanitarian and real profiler (first time testing), but humanitarians can control fear more effectively than real profiler schoolchildren (second time testing). One more thing – school- leavers who have chosen more exams were more prone to fix fear than school- leavers who have chosen less exams.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

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