scholarly journals Countertransference towards suicidal patients: a systematic review

2021 ◽  
Author(s):  
Laurent Michaud ◽  
Kyle T. Greenway ◽  
Sylvie Corbeil ◽  
Céline Bourquin ◽  
Stéphane Richard-Devantoy
Keyword(s):  
Systematic Review ◽  
Clinical Judgment ◽  
Healthcare Professionals ◽  
High Quality ◽  
Cross Sectional ◽  
Professional Background ◽  
Quantitative Studies ◽  
Cross Sectional Studies ◽  
Suicidal Patients

AbstractCountertransference towards suicidal patients may blur healthcare professionals’ clinical judgment and lead to suboptimal decision-making. We conducted a systematic review of the quantitative studies on this topic. Following PRISMA guidelines, various databases were searched for studies measuring countertransference in healthcare professionals treating suicidal patients. Two authors independently performed screening and the quality of included studies was formally assessed. Ten studies were identified (3/5/2 of low/intermediate/high quality, respectively). Cross-sectional studies showed evidence for specific and adverse countertransference (e.g., disinterest, anxiety, overwhelming, rejection, helplessness or distress) towards suicidal patients. Furthermore, countertransference was prospectively associated with suicidal behavior and ideation in studies that explored this issue, but the meaning of this association remains to be clarified. Healthcare professionals’ characteristics (e.g. professional background, gender, personality traits) influenced countertransference. Suicidal patients elicit adverse countertransference, which should be addressed in clinical practice and through dedicated training.

scholarly journals The quality of online patient-orientated information in orthopaedic surgery: A systematic review of cross-sectional studies

2015 ◽  
Vol 23 ◽  
pp. S83
Author(s):  
M. Ramsden ◽  
L. Sivakumar ◽  
H. Milligan ◽  
I. Zahid ◽  
P. Addingadoo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Orthopaedic Surgery ◽  
Cross Sectional ◽  
Cross Sectional Studies

scholarly journals Loneliness and Social Isolation During the COVID-19 Pandemic

2021 ◽  
Vol 26 (4) ◽  
pp. 272-284
Author(s):  
Susanne Buecker ◽  
Kai T. Horstmann
Keyword(s):  
Systematic Review ◽  
Social Interactions ◽  
Social Isolation ◽  
Social Relationships ◽  
Empirical Investigation ◽  
Empirical Studies ◽  
Psychological Consequences ◽  
Cross Sectional ◽  
Quantitative Studies

Abstract. The outbreak of the global COVID-19 pandemic has drastically altered people’s lives. Loneliness and social isolation were publicly discussed as possible psychological consequences of the measures taken to slow the virus spread. These public discussions have sparked a surge in empirical studies on loneliness and social isolation. In this study, we first provide a systematic review synthesizing recent literature on the prevalence and correlates of loneliness and social isolation during the early phase of the COVID-19 pandemic ( k = 53 studies). We found that most quantitative studies included in the systematic review were cross-sectional. The few longitudinal studies mainly reported increases in loneliness, especially when the pre-pandemic measurement occasions were months or years before the COVID-19 pandemic. Studies with pre-pandemic measures weeks or days before the pandemic reported relatively stable or even decreasing loneliness trends. Second, we enrich the systematic review with an empirical investigation on daily changes in the perceived quality and quantity of social relationships during the pandemic compared to before the pandemic ( N = 4,823). This empirical investigation showed that, on average, the quality of social relationships was perceived worse during the pandemic than before. This perception got slightly stronger over the first 2 weeks of the pandemic but stagnated thereafter. Regarding the quantity of social relationships, participants reported on average that they had fewer social interactions at the beginning of the study than before the pandemic. This perceived reduction in the quantity of social interactions linearly decreased over time.

scholarly journals Determinants of stress on resident physicians: systematic review and meta-synthesis

2021 ◽  
Vol 9 (12) ◽  
pp. 3665
Author(s):  
Ricky Cik Kohar ◽  
Junita Maja Pertiwi ◽  
Finny Warouw
Keyword(s):  
Systematic Review ◽  
Data Extraction ◽  
Night Shift ◽  
Maslach Burnout Inventory ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Resident Physicians ◽  
Resident Stress ◽  
Cross Sectional Studies

Stress/burnout on resident physicians is common. Various determinants can be related to resident stress. This systematic review was conducted to determine how situational, personal, or professional determinants influence resident stress. We identified an English and Indonesia articles using online database including PubMed, Wiley Online Library, Google Scholar, Garba Rujukan Digital (GARUDA), and manually searching bibliographies of the included studies from January 01, 2001 until April 30, 2021. Three main search terms included are resident physician, determinant, and stress/burnout. Study selection included was peer-reviewed literatures of observational studies that discuss about stress determinants on residents from various year of training and medical specialties. Methodological quality of studies was assessed using Newcastle-Ottawa Scale adopted for cross-sectional studies. Data extraction conducted by 3 authors. All pooled synthesis were summarized based on narrative methods. Fifty-three cross-sectional, 1 prospective, and 1 combination of cross-sectional and longitudinal studies meet our inclusion criteria (n=29.031). Fifty-one percent are male, and the average age of the participants was 29 years old. The most stress/burnout validated tool used are Maslach Burnout Inventory. The average quality of study was moderate for cross-sectional studies. The main identified determinant was situational, the second was personal, and the latter was professional. The most stressor identified was ‘excessive working time per week, includes night shift, on-call, work on day off, and rotation more than 24 hours.’ Stress/burnout on residents closely related mainly to situational, followed by personal, and less by professional determinants. There was needed for an intervention to the educational program from institution in the future for better accomplishment.

Effect of Physical Activity on Quality of Life as Perceived by Endometrial Cancer Survivors: A Systematic Review

2016 ◽  
Vol 26 (9) ◽  
pp. 1727-1740 ◽  
Author(s):  
Oluwole Adeyemi Babatunde ◽  
Swann A. Adams ◽  
Olubunmi Orekoya ◽  
Karen Basen-Engquist ◽  
Susan E. Steck
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Systematic Review ◽  
Endometrial Cancer ◽  
Cancer Survivors ◽  
Intervention Studies ◽  
High Survival ◽  
Cross Sectional ◽  
Cross Sectional Studies

PurposeA combination of the relatively high prevalence among gynecologic cancers, high survival, and the myriads of factors that negatively impact the quality of life (QoL) among endometrial cancer (EC) survivors underscores the potential benefits of meeting guideline physical activity (PA) guidelines of 150 minutes per week among EC survivors. The objective of the present systematic review was to collate and critically evaluate the currently available literature on the effects of PA on QoL among EC survivors.MethodsMedline and Web of Science databases were searched for articles on EC, QoL, and PA. We also inspected bibliographies of relevant publications to identify related articles. Our search criteria yielded 70 studies, 7 of which met the inclusion criteria.ResultsOf the 7 studies examined, 2 of them were intervention studies, whereas 5 were cross-sectional studies. Meeting guideline PA was significantly associated with better QoL score in 4 of the 5 cross-sectional studies.ConclusionsResults from the cross-sectional studies suggest that EC survivors’ inactivity is significantly correlated with poorer QoL. This correlation was worse among obese survivors compared with normal weight survivors. Endometrial cancer survivors may benefit from interventions that incorporate PA. More randomized intervention studies among EC survivors are needed to add to this body of evidence.

scholarly journals Is There Any Association Between Chronic Periodontitis and Anxiety in Adults? A Systematic Review

2021 ◽  
Vol 12 ◽  
Author(s):  
Walessa Alana Bragança Aragão ◽  
de Deiweson Souza-Monteiro ◽  
Deborah Ribeiro Frazão ◽  
Yago Gecy de Sousa Né ◽  
Railson de Oliveira Ferreira ◽  
...  
Keyword(s):  
Systematic Review ◽  
Web Of Science ◽  
Case Control ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Clinical Trial Registration ◽  
Cross Sectional ◽  
Psychosocial Conditions ◽  
Cross Sectional Studies

Periodontitis is a multifactorial disease triggered by dysbiotic biofilms, involving the host's immune response, systemic and behavioral factors, including psychosocial conditions. This systematic review aimed to investigate the possible association between periodontitis and anxiety in adults. Searches were performed in PubMed, Scopus, Web of Science, Lilacs, Cochrane, and OpenGrey databases, without language restrictions, considering studies in adults (P-Participants), with (E-Exposure) and without periodontitis (C- Comparison) in an outcome of association with anxiety (O-outcome). Methodological quality assessment was carried out using the Newcastle-Ottawa protocol for case-control and cross-sectional studies, followed by an analysis of the level of evidence using the GRADE tool. Metanalysis was not performed due to several differences in methods applied by authors in primary studies. Eleven observational studies were selected according to the inclusion criteria from the total of 6,380 studies retrieved from databases. Eight studies demonstrated higher anxiety levels in subjects with periodontitis, among which only one study presented a high risk of bias. The GRADE tool revealed a low level of evidence for the anxiety outcome measured by the State-Trait Anxiety Inventory (STAI), both for case-control and cross-sectional studies. However, since anxiety may affect the quality of life of many subjects, it reinforces the need for further studies that evaluate this association for more extended periods.Clinical Trial Registration:PROSPERO-CRD42020190445.

The effects of Sahaja Yoga meditation on mental health: a systematic review

2018 ◽  
Vol 15 (3) ◽  
Author(s):  
Tom Hendriks
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Controlled Trial ◽  
Well Being ◽  
High Quality ◽  
Cross Sectional ◽  
Randomized Controlled ◽  
Randomized Studies ◽  
Cross Sectional Studies

Abstract Objectives To determine the efficacy of Sahaja Yoga (SY) meditation on mental health among clinical and healthy populations. Methods All publications on SY were eligible. Databases were searched up to November 2017, namely PubMed, MEDLINE (NLM), PsychINFO, and Scopus. An internet search (Google Scholar) was also conducted. The quality of the randomized controlled trails was assessed using the Cochrane Risk Assessment for Bias. The quality of cross-sectional studies, a non-randomized controlled trial and a cohort study was assessed with the Newcastle-Ottawa Quality Assessment Scale. Results We included a total of eleven studies; four randomized controlled trials, one non-randomized controlled trial, five cross-sectional studies, and one prospective cohort study. The studies included a total of 910 participants. Significant findings were reported in relation to the following outcomes: anxiety, depression, stress, subjective well-being, and psychological well-being. Two randomized studies were rated as high quality studies, two randomized studies as low quality studies. The quality of the non-randomized trial, the cross-sectional studies and the cohort study was high. Effect sizes could not be calculated in five studies due to unclear or incomplete reporting. Conclusions After reviewing the articles and taking the quality of the studies into account, it appears that SY may reduce depression and possibly anxiety. In addition, the practice of SY is also associated with increased subjective wellbeing and psychological well-beng. However, due to the limited number of publications, definite conclusions on the effects of SY cannot be made and more high quality randomized studies are needed to justify any firm conclusions on the beneficial effects of SY on mental health.

scholarly journals A Systematic Review of Healthcare Professionals’ Knowledge, Self-Efficacy and Attitudes Towards Working with Autistic People

2021 ◽  
Author(s):  
Kirsten Corden ◽  
Rebecca Brewer ◽  
Eilidh Cage
Keyword(s):  
Health Professionals ◽  
Self Efficacy ◽  
Healthcare Professionals ◽  
Assessment Tool ◽  
Vital Role ◽  
Narrative Synthesis ◽  
Quality Assessment Tool ◽  
Professional Background ◽  
Autistic People

AbstractHealthcare professionals play a vital role in identifying and supporting autistic people. This study systematically reviewed empirical research examining healthcare professionals’ knowledge, self-efficacy and attitudes towards working with autistic people. Thirty-five studies were included. The included studies sampled a range of countries and professional backgrounds. A modified quality assessment tool found the quality of the included studies was moderately good. Narrative synthesis indicated that healthcare professionals report only moderate levels of autism knowledge and self-efficacy, and often lack training. Variation within and between countries and professional background was not explained by demographic factors. The reviewed evidence suggests health professionals’ limited knowledge and self-efficacy in working with autistic people is a challenge to the provision of healthcare for autistic individuals.

scholarly journals Developing an evidence assessment framework and appraising the academic literature on migrant health in Malaysia: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e041379
Author(s):  
Allard Willem de Smalen ◽  
Zhie X Chan ◽  
Claudia Abreu Lopes ◽  
Michaella Vanore ◽  
Tharani Loganathan ◽  
...  
Keyword(s):  
Scoping Review ◽  
Multiple Correspondence Analysis ◽  
Population Data ◽  
Good Health ◽  
Migrant Health ◽  
High Quality ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Academic Literature

BackgroundA large number of international migrants in Malaysia face challenges in obtaining good health, the extent of which is still relatively unknown. This study aims to map the existing academic literature on migrant health in Malaysia and to provide an overview of the topical coverage, quality and level of evidence of these scientific studies.MethodsA scoping review was conducted using six databases, including Econlit, Embase, Global Health, Medline, PsycINFO and Social Policy and Practice. Studies were eligible for inclusion if they were conducted in Malaysia, peer-reviewed, focused on a health dimension according to the Bay Area Regional Health Inequities Initiative (BARHII) framework, and targeted the vulnerable international migrant population. Data were extracted by using the BARHII framework and a newly developed decision tree to identify the type of study design and corresponding level of evidence. Modified Joanna Briggs Institute checklists were used to assess study quality, and a multiple-correspondence analysis (MCA) was conducted to identify associations between different variables.Results67 publications met the selection criteria and were included in the study. The majority (n=41) of studies included foreign workers. Over two-thirds (n=46) focused on disease and injury, and a similar number (n=46) had descriptive designs. The average quality of the papers was low, yet quality differed significantly among them. The MCA showed that high-quality studies were mostly qualitative designs that included refugees and focused on living conditions, while prevalence and analytical cross-sectional studies were mostly of low quality.ConclusionThis study provides an overview of the scientific literature on migrant health in Malaysia published between 1965 and 2019. In general, the quality of these studies is low, and various health dimensions have not been thoroughly researched. Therefore, researchers should address these issues to improve the evidence base to support policy-makers with high-quality evidence for decision-making.

scholarly journals Quality of Life Prior and in the Course of the COVID-19 Pandemic: A Nationwide Cross-Sectional Study with Brazilian Dietitians

2021 ◽  
Vol 18 (5) ◽  
pp. 2712
Author(s):  
Raquel Adjafre da Costa Matos ◽  
Rita de Cassia Coelho de Almeida Akutsu ◽  
Renata Puppin Zandonadi ◽  
Raquel Braz Assunção Botelho
Keyword(s):  
Quality Of Life ◽  
Psychological Health ◽  
Social Relationship ◽  
Healthcare Professionals ◽  
Life Quality ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Chi Squared

Dietitians as healthcare professionals could decrease their quality of life during the SARS-COV-2 pandemic period; therefore, this study aimed to compare Brazilian dietitians’ perceptions of quality of life before and during the pandemic. This nationwide cross-sectional research aimed to evaluate Brazilian dietitians’ quality of life before and in the course of the COVID-19 pandemic, using a previously validated self-administered instrument WHO-QOL-BREF in Brazilian-Portuguese. The questionnaire was composed of 26 items (four domains) to evaluate life quality (physical, psychological, social relationship, and environment). The questionnaire also presented some sociodemographic variables and three questions about the COVID-19 pandemic. It was applied using GoogleForms® platform (Google LLC, Mountain View, CA, USA). For the statistical analysis of data, Paired T-test, Chi-squared test, and Analysis of Variance were used. A total of 1290 Brazilian dietitians replied to the instrument. Comparing quality of life (QoL) before SARS-COV-2 (3.83 ± 0.59) and during the pandemic (3.36 ± 0.66), data was statistically different. Comparing prior and in the course of the COVID-19 pandemic, all variables and domains presented statistical differences (better before the pandemic period). Among Brazilian dietitians, the psychological health domain was the most affected. The Sars-Cov-2 pandemic negatively impacted the QoL of Brazilian dietitians since health professionals face changes in their lives because of work.

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