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Rehabilitation of cancer patients.

With the developments in cancer treatment, more and more patients are surviving their disease. However, very little emphasis is being placed to rehabilitate these cancer survivors. Ignorance, social structure, stigma attached in seeking psychological help, and poor communication skills of oncology staff all contribute to poor rehabilitative efforts. The priority of governmental agencies and health efforts to fight rampant communicable diseases, malnutrition, maternal health, and the frequent natural calamities, puts rehabilitation movements in the back seat. Treatment and prevention of disability and its rehabilitation requires comprehensive and multidisciplinary approach. There is an urgent need to promote physical and psychological rehabilitation.

Adaptation, Psychological↗

Occupational hazards in female ballet dancers. Advocate for a forgotten population.

1. Personal, economical, psychological, and physical factors increase a ballet dancer's stress, which can result in a higher risk for injuries. 2. Ballet dancers experience injuries to the foot, ankle, knee, hip, or back. The constant fear of injuries is universal among dancers because injuries can lead to permanent disability and the end of their ballet career. 3. Although early treatment of injuries is critical, there are multiple barriers to receiving treatment. Some of the barriers include misunderstanding from the health care community, cost of treatment, time constraints, fear of unemployment, and dancers' viewing injuries and pain as a way of life. 4. Occupational health nurses are in an excellent position to start programs in this unexplored area of occupational health nursing. Nurses must advocate for this population of workers and help dancers in their battle against injury, pain, disability, and psychological distress.

Accidents, Occupational↗

The interaction between acne vulgaris and the psyche.

Acne is the most common problem that presents to dermatologists. Because it causes visible disfiguring of the face, it produces a great deal of embarrassment, frustration, anger, and depression in patients. In addition, acne is most common in adolescence and young adulthood, a time when patients are least capable of coping with additional stress. As a result, it is virtually impossible to separate acne from psychiatric disturbances. Some patients are severely affected and require more than just acne therapy. Dermatologists need to become more adept at diagnosing and treating causative, concomitant, and resultant psychiatric disturbances in patients with acne. This article is intended to highlight the scope of the problem, identify at-risk patients, and help dermatologists assist patients with both their acne and their psychologic response to it.

Acne Vulgaris↗

Stress, social support and psychological well-being in older men.

Along with an increase in the older population comes a concomitant increase in the number of people for whom issues relating to well-being, for example, stress and social relationships become more salient. In this study, relationships between stress, social support and psychological well-being in men over the age of 65 years were investigated. A convenience sample of 217 men over the age of 65 years, living in a small New Zealand city took part in the study. A questionnaire was used to gather information on stress, social support and psychological well-being, as well as biographical data. Data were analysed quantitatively. Results showed that both the men who were satisfied with the social support they received and those who reported low stress levels experienced higher levels of psychological well-being (p<.001). The number of people available to provide social support was not significantly related to psychological well-being. There were no significant interaction effects between stress, social support variables and psychological well-being, with each variable operating independently in relation to psychological well-being. It appeared that the older the men were the fewer social supports available to them, suggesting the importance of the quality of those supports in maintaining psychological well-being.

Adaptation, Psychological↗

The psychological aspects of vitiligo.

Dermatologists are likely to be confronted with patients who present with a wide range of psychiatric issues and problems. Writers on psychocutaneous medicine have described a variety of conditions that represent the interplay between the psyche and the soma. Vitiligo is one such disease and will be the focus of this article. Specifically, 3 areas will be examined: (1) the psychological impact vitiligo has on patients, (2) how psychological factors contribute to the etiology and course of the illness, and (3) the benefits of offering adjunctive psychological treatment. By exploring these aspects of vitiligo in more detail, I hope to illustrate the profound importance psychological factors play in this disease and the value of incorporating a psychological approach in its treatment.

Adaptation, Psychological↗

Weight and dieting concerns in adolescents, fashion or symptom?

Attitudes toward body weight and dieting and the relations of these attitudes to psychological adjustment were investigated in 497 randomly selected adolescents who were in their senior year in one urban and two suburban midwestern high schools. Most students reported feeling physically healthy. Two thirds of female adolescents were preoccupied with weight and dieting compared with only a small number (approximately 15%) of male adolescents. Black female adolescents were found to be less weight- and diet-conscious than white female adolescents. Increased weight and dieting concerns were associated with greater body and self-image dissatisfaction, with a depressed mood, and greater overall symptomatic distress in both male and female adolescents. The fairly common fear of being overweight and thoughts about dieting experienced by contemporary female adolescents, in part, seem to reflect the greater aesthetic value that contemporary society places on thinness for women. Overall, the findings suggest that preoccupation with weight and/or dieting concerns in either male or female adolescents are likely to indicate psychological problems.

Adaptation, Psychological↗

[Ulcerative colitis and Crohn disease from the psychosomatic viewpoint].

Ulcerative colitis and Crohn's disease in childhood and adolescence are discussed from the psychosomatic point of view. To our up-to-date knowledge the psychic determinant is not a necessary but a promoting factor within the multifactorial aethiology. Premorbid conflict situations are described, which overstrain the physical and psychic endurance of the young patients and thus endanger an adequate adjustment to the illness. Since there have not been any control studies, there is no proof of advantageous effects of psychotherapy on the course of disease in children and adolescents. Up to now there are only a few positive case reports available. Nevertheless, there is no doubt that proper psychological care aids convalescence.

Adaptation, Psychological↗

Psychological aspects of donor insemination.

This survey of the psychological literature on Artificial Insemination by Donor (AID) pays particular attention to the secrecy. Studies of couples beforehand do not arrive at criteria for choosing psychologically suitable couples. Follow-up questionnaires are superficial and cannot inform us which couples and what percentage of couples encounter psychological difficulties. Case reports of couples who encountered difficulties are too few to permit generalization and cannot specify AID's role in generating symptoms. A second look at the data suggests that, although overlooked, the secrecy surrounding AID may create psychological difficulties, a view supported by the findings at our clinic. A plea is made with specific recommendations to create an ambience in which openness is possible, and which will allow in-depth research of the psychological aspects of AID.

Adaptation, Psychological↗

Psychological care in bone marrow transplantation.

This paper continues the series on haematological malignancies which began in the issue of August 2, and is the first of two papers looking at the psychological impact of bone marrow transplantation. It describes the psychological stages of bone marrow transplantation, the stresses and responses, as well as the patient's psychological reaction to isolation therapy.

Adaptation, Psychological↗

Cognitive functioning of young children with Apert's syndrome.

Apert's syndrome is characterized by severe craniosynostosis, midface hypoplasia, symmetric syndactyly of the hands and sometimes feet. Cognitive functioning was evaluated in 11 children between 2.5 and 12.3 years. Four children had a normal IQ, four children had an intellectual ability in the borderline range and three children were mentally retarded. There was a consistent relative deficit in short-term memory and arithmetics. Some recommendations for psychological monitoring are discussed.

Acrocephalosyndactylia↗

Patients' use of denial: coping with the unacceptable.

Nurses working with terminally ill or bereaved clients and their families need to understand the defence mechanism of denial and how it helps people to cope with unacceptable physical and psychological threats.

Adaptation, Psychological↗