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PubMedDate not supplied

Psychological, sexual and cultural issues for patients with a stoma.

Patients undergoing stoma surgery will more readily adapt to their new body image and way of life if they receive professional and voluntary input from the ostomy agencies such as the British Colostomy Association, from the preoperative stage through to rehabilitation and their return to the community. Nursing has moved away from mechanistic, task-oriented care to holistic care and, apart from the physical changes that a stoma will cause, there are other areas to be considered to improve the patient's quality of life after surgery. Patients undergoing stoma surgery experience a profound threat to their sense of physical integrity and self-concept with the change of body image in relation to bodily functions. Sexuality is an integral part of the whole person and is a highly complex phenomenon. Many patients find it difficult to discuss their sexual feelings, especially after a body image change and the nurse should be able to help patients identify and adapt to alterations in sexual self-concept. Cultural background plays an important part in patients' lives, including their beliefs, whether personal or religious, their perceptions of recovery, behaviour and concepts of and attitude towards the disease process. Nurses must combine sound, general information with open, respectful questions to the patient or family and be committed to responding flexibly and constructively. This article describes some of the potential problems that may be faced by patients after stoma surgery and increased knowledge of these areas will allow nurses to improve patient care and satisfaction.

Adaptation, Psychological↗
PubMed1991

[Comparison of patients with rheumatoid arthritis and chronic backache from the aspect of psychological factors].

36 patients with rheumatoid arthritis and 44 patients with chronic low back pain were psychologically tested by the MMPI-201, Self-concept of Invalidism Scale, Impact of Pain on the Patients' Lives Scale, and "Pain Games" Scale. Patients with rheumatoid arthritis show significantly higher values at the depression and hypomania scale, while those with chronic low back pain manifest significantly higher values at the hysteria scale of the MMPI-201. This latter group also manifests significantly higher values at the Self-concept of Invalidism Scale and at the "Pain-Game" Scale.

Adult↗
PubMed2001

Learning to Value Mathematics and Reading: Relations to Mastery and Performance-Oriented Instructional Practices.

Changes in students' achievement values in mathematics and reading were examined in a sample of children and early adolescents. Hierarchical linear modeling techniques were used to account for both classroom- and student-level effects. At the student level, positive changes in students' achievement values were associated positively with self-concept of ability and the previous year's achievement values in both reading and math. Measures of teachers' mastery- and performance-oriented instructional practices were included in the full HLM model. Students experienced decrements in achievement values, after controlling for other student and classroom-level variables, in classrooms where performance-oriented instructional practices were used. In the full model, self-concept of ability was related positively to increases in achievement values, whereas gender was unrelated to changes in achievement values. Copyright 2001 Academic Press.

Journal Article↗
PubMed2001

The Quality and Impact of Relationships between Elementary School Students and Teachers.

The purpose of the present study was to begin to examine, from the expectancy-value framework, several cognitive and motivational variables believed to affect the development of the student/teacher relationship and, in turn, classroom success. Guided by the expectancy-value framework, three student variables are viewed as essential in guiding the success of the student/teacher relationship: (1) their social self-concept beliefs, (2) the value they place on developing a positive relationship with their primary teacher, and (3) their nonverbal communication skills. Eighty-two fourth- and fifth-grade students participated in the study. Variation in the students' perceptions of the quality of their relationship with their primary teacher and their classroom achievement were examined. In general, results suggest students develop schemas, their social self-concept beliefs, about their relationships with teachers that are consistent with their nonverbal communication skills. Furthermore, results suggest that for both positive perceptions of the relationship and academic achievement, valuing the relationship with the primary teacher may compensate for nonverbal difficulties. Copyright 2001 Academic Press.

Journal Article↗
PubMed2006

[Hospitals in Hesse in the view of enlightened travellers].

The "Hohen Hospitäler", hospitals founded by landgrave Philipp dem Grossmütigen during the years 1533-1542, were seen as an expression of greatest caritas in Early Modern times. These protestant institutions for the poor and sick underlings of Hesse were appreciated as charitable shelters by noblemen and commoners. This situation changed dramatically at the end of the 18th century. The first critics were travelling philosophers of the Enlightenment, who visited the "mad houses" of Hesse as well as other oddities. They published their experiences in travel reports. Although the hospitals as integrated institutions still cared for both psychiatric and somatic patients, these authors only concentrated on the mad inmates. The fact that these were kept in "dark and dirty cloistral corridors" was the central point of criticism. This negative situation was confronted by the travellers not only with a demand for more hygiene but also with a call for an academically trained physician. Furthermore, they claimed for dissecting deceased patients in order to explore the nature of madness. A comparison of these travel reports with the first psychiatric publications of the early 19th century discloses a literary discourse. It leads from the reports of travellers with a general interest to specialist literature of early psychiatry. Obviously it had a formative influence on the self-conception of this new medical field, which benefited from the criticism concerning the allegedly inhumane conditions in the old hospitals. Three questions follow from this statement: 1. Which were the images produced or reproduced by the travellers in their reports? 2. Which were the standards against which the critics measured their reports? 3. In how far were the philanthropic aims of the enlightened travellers related to the self-conception of the hospitals and their inmates? Travelling reports are compared with the circumstances in the hospitals. This comparison throws light in the "invention" of the genre psychiatry. Furthermore, it makes clear how ambiguous the charitableness of the travelling philosophers of the Enlightenment was.

Germany↗
PubMed2003

The impact of perceived racism: psychological symptoms among African American boys.

Examined the relations among perceived racism and externalizing symptoms, internalizing symptoms, hopelessness, and self-concept in African American boys (N = 84). The experience of racism is a complex phenomenon that has been found to have negative psychological outcomes in adult studies of African Americans. There has been a gap in the empirical literature regarding the possible associations between perceived racism and children's psychological well-being. This study is an attempt to address that gap. Results demonstrated that experiences of racism were related to self- and parent-reported externalizing symptoms. Personal experiences of racism were related to self-reported internalizing symptoms, lower self-concept, and higher levels of hopelessness. Potential mediators (e.g., trait anger, hostile attribution bias) were analyzed. Additional analyses indicated that trait anger mediated a number of the observed relations between perceived racism and behavioral symptoms. The results of the study suggest that perceived racism is associated with multiple negative correlates for African American boys.

Adolescent↗
PubMed2006

Perceived family reactions and quality of life of adults with epilepsy.

This study examined the perceived family reactions and the quality of life in adults with epilepsy in Harare, Zimbabwe. Perceived family reactions refers to behaviors that occur in response to epilepsy. Roy's Adaptation Model was used to conceptualize quality of life in the physiologic, self-concept, interdependence, and role-function modes. Face-to-face interviews were conducted on a convenience sample of 66 adults ages 18-45 years. A three-part structured interview schedule was used to describe demographic data, quality of life (using a modification of the disease-specific Quality of Life in Epilepsy 89 [QOLIE-89] instrument), and perceived family reactions. Quality of life was not adversely affected in the physiologic, self-concept, and interdependence modes but was affected in the role-function mode. Family reactions were positively correlated with the quality of life (r = .39, p = < .01). The effect of the independent variable, perceived family reactions (R2 = .15345, F = 11.60132, p = <.01), explained 15% of the variance in quality of life. Adults with epilepsy were uncertain about their families' reactions, such as overprotection, but felt accepted and supported by their families. Fear, isolation of the individual, secrecy, and concealment were negative strategies used by families and individuals to manage epilepsy. Roy's Adaptation Model was used to identify family reactions as significant and positively correlated to the quality of life of adults with epilepsy. To enhance the quality of life in adults with epilepsy, nurses need to encourage positive family reactions such as openness, acceptance, and support, while discouraging fear, isolation of the individual, secrecy, concealment, and overprotection.

Adaptation, Psychological↗
PubMed1996

The effects of inclusion on the social functioning of students with learning disabilities.

The purpose of this study was to provide data on the social functioning (i.e., the degree of peer acceptance, self-concept, loneliness, and social alienation) of students in second, third, and fourth grade who participated in an inclusive classroom for an entire year. The social functioning of students identified as learning disabled (LD; n = 16), low achieving (LA; n = 27), and average/high achieving (AHA; n = 21) was assessed at the beginning and end of the school year. The students with LD were less well liked and more frequently rejected than AHA students. Although students' overall self-worth did not differ by achievement group, the students with LD demonstrated significantly lower academic self-concept scores. The students with LD did not differ on ratings of loneliness, and they demonstrated increases in the number of within-class reciprocal friendships from fall to spring. Discussion focuses on the effects of inclusion on the social functioning of students with LD.

Adolescent↗
PubMed2002

Are parents' gender schemas related to their children's gender-related cognitions? A meta-analysis.

Meta-analyses were conducted of 43 articles (with 48 different samples) investigating the relationship between parents' gender schemas and their offspring's gender-related cognitions. The parents' offspring ranged in age from infancy to early adulthood. Offspring measures included gender self-concept, gender attitudes toward others, gender-related interests, and occupational attitudes. Overall, a small but meaningful effect size (r = .16) indicated a significant and positive correlation between parent gender schemas and offspring measures. Specifically, parents with more traditional gender schemas were more likely than parents with more nontraditional schemas to have offspring with gender-typed cognitions about themselves or others. In addition, the magnitudes of observed effect sizes were influenced by particular moderator variables, including type of parent gender schema (gender self-concept vs. gender attitudes toward others), type of offspring gender-related cognitions, parent gender, offspring gender, offspring age, and publication characteristics. The results are cautiously interpreted as suggesting a possible influence of parents on the development of their children's gender-related thinking.

Adult↗
PubMed1995

[Diagnosis of performance anxiety in educational spelling tests: new results of the psychometric properties and validity of a relevant brief scale].

In the present study the psychometric properties and the criterion-related validity of a short scale for measuring students' spelling-specific test anxiety were analyzed. This scale consists of 13 self-rating items which reflect students' worry and emotionality reactions in face of spelling requirements at school. Along with some concurrent criterion variables (such as general self-esteem, academic and spelling-related self-concept, and spelling-related attributions, spelling and mathematics achievement, regressive classroom behavior), data were gathered at the beginning (N = 274) and, nearly 11 months later, at the end (N = 257) of the school year. At both measurement times, principal component analyses correspondingly revealed one common test anxiety factor and led to an overall scale format. This final scale solutions appeared to be sufficiently reliable and stable. Furthermore, their relationships to the various criterion variables largely turned out as theoretically expected. Especially, the spelling-specific test anxiety scores could be best predicted by spelling-specific self-concept and by spelling achievement, respectively. Thus, the findings of the present study could replicate the results of a previous pilot study and provided further support for the construct validity of interpretations based upon the spelling-specific test anxiety scale.

Anxiety↗
PubMed2002

Personality impairment in male pedophiles.

BACKGROUND: Despite the large body of literature on the psychological sequelae of childhood sexual abuse, the literature on the psychopathology of pedophiles is surprisingly underdeveloped. The present article explores the hypothesis that pedophiles evidence deficits in interpersonal functioning (lack of assertiveness and empathy, passive-aggressiveness) and in self-concept, which might contribute to the motivation for pedophilic acts, as well as elevated sociopathy, impulsivity, and propensity for cognitive distortions, which might underlie the inhibitory failure. METHOD: Twenty male heterosexual pedophiles (DSM-IV criteria) recruited from an outpatient clinic for sex offenders were compared with 24 demographically similar, healthy male controls using 3 personality instruments: the Millon Clinical Multiaxial Inventory-II, the Dimensional Assessment of Personality Impairment-Questionnaire, and the Temperament and Character Inventory. RESULTS: The data suggested that pedophiles have impaired interpersonal functioning, specifically, reduced assertiveness and elevated passive-aggressiveness, as well as impaired self-concept. Regarding disinhibitory traits, pedophiles demonstrated elevated sociopathy and propensity for cognitive distortions. CONCLUSION: Our data are consistent with previous reports of pathologic personality traits in pedophiles and lend support to a hypothesis that such pathology is related to both motivation for and failure to inhibit pedophilic behavior. Such information could potentially have important treatment implications.

Adult↗
PubMed1998

Body-image perceptions across sex and age groups.

Weight dissatisfaction, body dissatisfaction, and body-image distortion measures were used with 98 fifth and eighth graders and 57 undergraduate students. Measures included the Piers-Harris Self-concept Scale and the Kids Eating Disorder Survey for the young children, the Interpersonal Behavior Survey, and a seven-item mistaken beliefs scale for the college sample. Body dissatisfaction and Body-image distortion were assessed with a figure-drawing procedure. Significant differences in both weight dissatisfaction and body dissatisfaction were found between males and females in the eighth grade and undergraduate groups. There were no significant sex differences in body-image distortion in the fifth or eighth grades, but significant differences in body-image distortion between men and women were found in the college sample. The direction of body-image distortion for both the 20 men and the 37 women was consistent with their ideal weight. In the college sample, there was a significant correlation between body-image dissatisfaction and self-confidence for the women but not for the men.

Adolescent↗
PubMed1997

Nocturnal enuresis: a review of the efficacy of treatments and practical advice for clinicians.

Nocturnal enuresis (NE) is a common developmental symptom which, in a nonsupportive environment, might have negative effects on the growth of positive self-concept in children. A careful history and physical examination helps to establish a rapport with the child and family and can rule out important organic disease. Constipation might be a contributing factor and should be relieved when present. Treatments are available that can result in either a cure or symptomatic relief for approximately 80% of children older than 7 years. Children with monosymptomatic NE respond best to conditioning alarms or, as second-line therapy, to one of two classes of pharmaceuticals: desmopressin acetate or tricyclic antidepressants. Anticholinergic drugs might have a role in diurnal enuresis, but their role in NE with daytime symptoms is not yet established. Therapies such as hypnosis and dietary restriction have some promise but require additional study and are not recommended at the present time. Combined therapy with desmopressin and conditioning alarms might be helpful for some of the more resistant cases but also needs additional study. The management of NE requires an investment of time but is quite rewarding, because families that have had success are very grateful. Treatment might assist children in developing positive self-concept. The next decade promises new developments in our understanding of NE.

Child↗
PubMed2005

Optimistic social comparisons of older adults low in primary control: a prospective analysis of hospitalization and mortality.

Social comparison can be used strategically to bolster the self-concept. Such use may constitute secondary striving for control, when primary striving through action is unattainable. On the basis of the life span theory of control, the authors hypothesized and found that social comparison judgments would predict physical health outcomes among older adults with low primary control perceptions in the health domain. Only among such respondents, after age, sex, activities of daily living, chronic conditions, and prior hospitalization were adjusted for, did more positive social comparison judgments predict significantly lower odds of hospitalization and death over the next 2--6 years as reported in provincial health records. In later life, optimistic social comparisons may contribute to better health by providing secondary control.

Aged, 80 and over↗