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المصدر: Journal of Religion and Health. 53:604-613
مصطلحات موضوعية: Male, Religion and Psychology, medicine.medical_specialty, Adolescent, Urban Population, media_common.quotation_subject, Context (language use), Article, Midwestern United States, Interviews as Topic, Surveys and Questionnaires, Intervention (counseling), Spirituality, medicine, Humans, Qualitative Research, General Nursing, media_common, Asthma, Physician-Patient Relations, Public health, Religion and Medicine, Religious studies, Patient Preference, General Medicine, medicine.disease, Prayer, Religion, Adolescent Behavior, Female, Thematic analysis, Psychology, Qualitative research, Clinical psychology
الوصف: This qualitative study examined the preferences of urban adolescents with asthma for including religious/spiritual (R/S) inquiry in a variety of hypothetical clinical encounters. Twenty-one urban adolescents (M age = 15.6 years, 52 % female, 81 % African American) with asthma participated in a semi-structured interview. Interviews were transcribed and underwent a thematic analysis. R/S preferences were contextual rather than personal, driven by: (1) acuity of the hypothetical clinical context; (2) nature of the patient–provider relationship; and (3) level of R/S intervention/inquiry. Most adolescents welcomed prayer if near death, but did not see the relevance of R/S in a routine office visit.
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المؤلفون: Hedy S. Wald, Jamie S. Padmore, Sian Cotton, Aviad Haramati, Peggy A. Weissinger
المصدر: Medical Teacher. 39:671-672
مصطلحات موضوعية: Medical education, 020205 medical informatics, media_common.quotation_subject, MEDLINE, Empathy, 02 engineering and technology, General Medicine, Burnout, Education, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, Costs and Cost Analysis, 0202 electrical engineering, electronic engineering, information engineering, Humans, 030212 general & internal medicine, Psychology, media_common
الوصف: Dear SirWe thank Drs. van Venrooij and Barnhoorn for their thoughtful comments. Certainly, we agree that the first step to addressing the issue of medical student burnout is to “acknowledge the pro...
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المؤلفون: Sian Cotton, Jerren C. Weekes, Meghan E. McGrady
المصدر: Journal of the National Medical Association. 103:392-399
مصطلحات موضوعية: Male, medicine.medical_specialty, Adolescent, Urban Population, Substance-Related Disorders, Population, Black People, Logistic regression, Insurance Coverage, Risk Factors, Surveys and Questionnaires, Humans, Medicine, Longitudinal Studies, education, Asthma, education.field_of_study, Chi-Square Distribution, biology, business.industry, General Medicine, Odds ratio, biology.organism_classification, medicine.disease, Surgery, Substance abuse, Logistic Models, ROC Curve, El Niño, Female, Cannabis, business, Negroid, Demography
الوصف: The physical and psychological consequences of asthma, a chronic respiratory disease disproportionately affecting black urban adolescents, may be amplified by substance use, yet studies have not assessed rates or predictors of substance use in this at-risk population. Therefore, this study examined rates of substance use and mental health/ asthma-related predictors of use among 110 black urban adolescents with asthma. Participants completed study questionnaires at baseline and 11 to 14 months post baseline. The mean age of the sample was 15.8 (SD +/- 1.85), 66 (60%) were female, and 82 (74%) of the participants had intermittent/mild persistent asthma. At follow-up, 37 (34%) participants endorsed using at least 1 substance in the past 30 days, including cannabis (n = 18 [16%]), cigarettes (n = 13 [12%]), and/or alcohol (n = 23 [21%]). The substance use variables were dichotomized for analyses (1 = use, 0 = nonuse). Logistic regression results indicated that older age (odds ratio [OR], 1.83; p.05) was significantly associated with cigarette use and had a marginally significant (p = .06) association with cannabis use at follow-up. Increased anxiety symptoms were significantly associated with alcohol use (OR, 1.12; p.05) and cannabis use (OR, 0.90; p.05) at follow-up. Targeting adolescents earlier, those with anxiety difficulties, and those who report early substance initiation may improve prevention/intervention efforts for substance use reduction in this population. Asthma-related factors were not significantly associated with substance use. Future studies should assess the relationship between other asthma-related variables, as well as social and community factors, and substance use among black adolescents with asthma.
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المؤلفون: Michael S. Yi, Christina M. Luberto, Sian Cotton, Joel Tsevat
المصدر: Journal of Asthma. 48:531-538
مصطلحات موضوعية: Complementary Therapies, Male, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Clinical variables, Adolescent, Urban Population, Culture, Alternative medicine, Patient characteristics, Logistic regression, Risk Assessment, Severity of Illness Index, Sex Factors, Predictive Value of Tests, Surveys and Questionnaires, Ethnicity, medicine, Humans, Immunology and Allergy, Longitudinal Studies, Ohio, Asthma, Modalities, Symptom management, business.industry, Racial Groups, Age Factors, Patient Acceptance of Health Care, medicine.disease, Logistic Models, Treatment Outcome, Adolescent Behavior, Family medicine, Multivariate Analysis, Pediatrics, Perinatology and Child Health, Female, Patient Participation, business, Attitude to Health, Follow-Up Studies
الوصف: Up to 80% of adolescents with asthma have used complementary and alternative medicine (CAM) for symptom management. However, little is known about patient characteristics associated with CAM factors other than use. Previous studies recommend provider-patient discussion of CAM use, although few adolescents with asthma disclose their CAM use to their providers. To inform clinical interactions, this study examined prevalence and predictors of CAM use, consideration of use, disclosure of use, and perceived efficacy of use, in urban adolescents with asthma.Adolescents with asthma (N = 151) recruited from a children's hospital completed questionnaires addressing demographic and clinical variables and 10 CAM modalities. Response frequencies to four questions assessing CAM use, consideration of use, disclosure, and perceived efficacy were calculated for each modality. Multivariable logistic regression analyses examined characteristics associated with responses to each question for the two most commonly used CAM modalities.Participants' mean age was 15.8 (SD = 1.8), 60% were female and 85% were African-American. Seventy-one percent reported using CAM for symptom management in the past month. Relaxation (64%) and prayer (61%) were the most frequently reported modalities and were perceived to be the most efficacious. Adolescents most commonly reported considering using relaxation (85%) and prayer (80%) for future symptom management. Participants were most likely to disclose their use of yoga (59%) and diet (57%), and least likely to disclose prayer (33%) and guided imagery (36%) to providers. In multivariable analyses, older adolescents (OR = 1.27, p.05) and African-Americans (OR = 2.76, p.05) were more likely to use relaxation. Adolescents with more frequent asthma symptoms (OR = 0.98, p.05) were more likely to use prayer. African-Americans were more likely to report using prayer (OR = 3.47, p.05) and consider using prayer (OR = 7.98, p.01) in the future for symptom management.Many urban adolescents used and would consider using CAM, specifically relaxation and prayer, for asthma symptom management. African-Americans, older adolescents, and those with more frequent symptoms were more likely to use and/or consider using CAM. Providers caring for urban adolescents with asthma should discuss CAM with patients, particularly those identified as likely to use CAM. Future studies should examine relationships between CAM use and health outcomes.
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المؤلفون: Michael S. Yi, Susan L. Rosenthal, Sian Cotton, Yvonne Humenay Roberts, Meghan E. McGrady, Maria T. Britto
المصدر: Journal of Clinical Psychology in Medical Settings. 17:349-356
مصطلحات موضوعية: Male, medicine.medical_specialty, Adolescent, Urban Population, genetic structures, Comorbidity, Severity of Illness Index, Article, Midwestern United States, Illness perceptions, immune system diseases, Surveys and Questionnaires, Severity of illness, Humans, Medicine, Longitudinal Studies, Child, Psychiatry, Asthma, Psychiatric Status Rating Scales, business.industry, Extramural, Asthma symptoms, medicine.disease, Anxiety Disorders, respiratory tract diseases, Clinical Psychology, Health psychology, Anxiety, Female, medicine.symptom, business, Attitude to Health, psychological phenomena and processes, Clinical psychology
الوصف: Twenty to 40% of adolescents with asthma experience significant symptoms of anxiety. This study examined the mediational role of illness perceptions in the relationship between anxiety and asthma symptoms in adolescents. One hundred fifty-one urban adolescents (ages 11-18) with asthma completed measures of illness perceptions, and anxiety and asthma symptoms. Using the Baron and Kenny approach and Sobel tests, we examined whether illness perceptions mediated the anxiety-asthma symptom relationship. Three illness perceptions significantly mediated the relationship between anxiety and asthma symptoms, z = 1.97-2.13, p < .05; adjusted R(2) = 0.42-0.51, p < .05. Greater anxiety symptoms were associated with perceptions that asthma negatively impacted one's life and emotions and was difficult to control. These negative illness perceptions were, in turn, related to greater asthma symptoms. Illness perceptions helped explain the anxiety-asthma symptoms link in adolescents. Results suggest that targeting illness perceptions in adolescents with asthma and anxiety may help reduce asthma symptoms.
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المؤلفون: Jerren C. Weekes, Michael S. Yi, Meghan E. McGrady, Kenneth I. Pargament, Susan L. Rosenthal, Joel Tsevat, Sian Cotton, Yvonne Humenay Roberts, Paul A. Succop
المصدر: Journal of Religion and Health. 51:118-131
مصطلحات موضوعية: Male, Religion and Psychology, medicine.medical_specialty, Adolescent, Urban Population, media_common.quotation_subject, Ethnic group, Article, Interviews as Topic, Religiosity, Surveys and Questionnaires, Spirituality, medicine, Humans, General Nursing, Asthma, media_common, Medical setting, Public health, Religious studies, Mean age, General Medicine, medicine.disease, United States, Prayer, Female, Psychology, Attitude to Health, Clinical psychology
الوصف: Predictors of multiple dimensions of spirituality/religiosity (S/R) and adolescents' preferences for having S/R (e.g., prayer) addressed in hypothetical medical settings were assessed in a sample of urban adolescents with asthma. Of the 151 adolescents (mean age = 15.8, 60% female, 85% African-American), 81% said that they were religious and spiritual, 58% attended religious services in the past month, and 49% prayed daily. In multivariable models, African-American race/ethnicity and having a religious preference were associated with higher levels of S/R (R (2) = 0.07-0.25, P .05). Adolescents' preferences for including S/R in the medical setting increased with the severity of the clinical situation (P .05).
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المؤلفون: John M. Salsman, Cassie R. Campbell, Amy H. Peterman, Eboni C. Winford, Joel Tsevat, Sian Cotton, Richard P. McQuellon, Charlie L. Reeve
المصدر: Psychological assessment. 26(1)
مصطلحات موضوعية: Adult, Male, Psychometrics, Sense of Coherence, Test validity, Article, Developmental psychology, Surveys and Questionnaires, Outcome Assessment, Health Care, Humans, Spirituality, Meaning (existential), Aged, Discriminant validity, Construct validity, Middle Aged, Mental health, Psychiatry and Mental health, Clinical Psychology, Scale (social sciences), Well-being, Chronic Disease, Female, Psychology, Factor Analysis, Statistical, Social psychology
الوصف: The Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp; Peterman, Fitchett, Brady, Hernandez, & Cella, 2002) has become a widely used measure of spirituality; however, there remain questions about its specific factor structure and the validity of scores from its separate scales. Specifically, it remains unclear whether the Meaning and Peace scales denote distinct factors. The present study addresses previous limitations by examining the extent to which the Meaning and Peace scales relate differentially to a variety of physical and mental health variables across 4 sets of data from adults with a number of chronic health conditions. Although a model with separate but correlated factors fit the data better, discriminant validity analyses indicated limited differences in the pattern of associations each scale showed with a wide array of commonly used health and quality-of-life measures. In total, the results suggest that people may distinguish between the concepts of Meaning and Peace, but the observed relations with health outcomes are primarily due to variance shared between the 2 factors. Additional research is needed to better understand the separate and joint role of Meaning and Peace in the quality of life of people with chronic illness.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8fa5c3d2481b9fada9cd17a33ed73582
https://pubmed.ncbi.nlm.nih.gov/24188147 -
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المؤلفون: Joel Tsevat, P. Neal Ritchey, Sian Cotton, Anthony C. Leonard, Ian Kudel, Magdalena Szaflarski
المصدر: Journal of religion and health. 51(4)
مصطلحات موضوعية: Coping (psychology), medicine.medical_specialty, Concept Formation, Human immunodeficiency virus (HIV), Multidimensional assessment, HIV Infections, Empirical Research, medicine.disease_cause, Article, Empirical research, Surveys and Questionnaires, Spirituality, medicine, Humans, In patient, General Nursing, Public health, Religious studies, General Medicine, Models, Theoretical, United States, Religion, Conceptual framework, Quality of Life, Psychology, Factor Analysis, Statistical, Social psychology
الوصف: A decade ago, an expert panel developed a framework for measuring spirituality/religion in health research (Brief Multidimensional Measure of Religiousness/Spirituality), but empirical testing of this framework has been limited. The purpose of this study was to determine whether responses to items across multiple measures assessing spirituality/religion by 450 patients with HIV replicate this model. We hypothesized a six-factor model underlying a collective of 56 items, but results of confirmatory factor analyses suggested eight dimensions: Meaning/Peace, Tangible Connection to the Divine, Positive Religious Coping, Love/Appreciation, Negative Religious Coping, Positive Congregational Support, Negative Congregational Support, and Cultural Practices. This study corroborates parts of the factor structure underlying the Brief Multidimensional Measure of Religiousness/Spirituality and some recent refinements of the original framework.
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المؤلفون: Paul A. Succop, Michael S. Yi, Joel Tsevat, Meghan E. McGrady, Maria T. Britto, Sian Cotton, Yvonne Humenay Roberts
مصطلحات موضوعية: Complementary Therapies, Male, medicine.medical_specialty, Multivariate analysis, Imagery, Psychotherapy, Adolescent, media_common.quotation_subject, Health Status, Psychology, Adolescent, Relaxation Therapy, Logistic regression, Article, Quality of life, Internal medicine, Surveys and Questionnaires, medicine, Immunology and Allergy, Humans, Meditation, Social Behavior, Statistic, media_common, Relaxation (psychology), business.industry, Mind-Body Therapies, Yoga, Gastroenterology, Odds ratio, Inflammatory Bowel Diseases, Confidence interval, Logistic Models, Multivariate Analysis, Physical therapy, Quality of Life, Female, business
الوصف: Background: Mind–body complementary and alternative medicine (CAM) modalities (e.g., relaxation or meditation) for symptom management have not been well studied in adolescents with inflammatory bowel disease (IBD). The purposes of this study were to: 1) determine the prevalence of 5 types of mind–body CAM use, and consideration of use for symptom management; 2) assess characteristics associated with regular mind–body CAM use; and 3) examine whether regular and/or considered mind–body CAM use are associated with health-related quality of life (HRQOL). Methods: Sixty-seven adolescents with IBD ages 12–19 recruited from a children's hospital completed a questionnaire on CAM use and the Pediatric Quality of Life Inventory. Logistic regression models were estimated for regular and considered CAM use. Results: Participants mean (SD) age was 15.5 (2.1) years; 37 (55%) were female; 53 (79%) were white; and 20 (30%) had moderate disease severity. Adolescents used prayer (62%), relaxation (40%), and imagery (21%) once/day to once/week for symptom management. In multivariate analyses, females were more likely to use relaxation (odds ratio [OR] = 4.38, 95% confidence interval [CI] = 1.25–15.29, c statistic = 0.73). Younger adolescents were more likely to regularly use (OR = 0.63, 95% CI = 0.42–0.95, c statistic = 0.72) or consider using (OR = 0.77, 95% CI = 0.59–1.00, c statistic = 0.64) meditation. Adolescents with more severe disease (OR = 4.17, 95% CI = 1.07–16.29, c statistic = 0.83) were more willing to consider using relaxation in the future. Adolescents with worse HRQOL were more willing to consider using prayer and meditation for future symptom management (P < 0.05). Conclusions: Many adolescents with IBD either currently use or would consider using mind–body CAM for symptom management. (Inflamm Bowel Dis 2010)
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e19fb0c0d33a03e2bdf597a8db36fd0a
https://europepmc.org/articles/PMC2821958/ -
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المؤلفون: Joseph M. Mrus, Judith Feinberg, Joel Tsevat, Anthony C. Leonard, Sian Cotton, Magdalena Szaflarski, Susan N. Sherman
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Longitudinal study, media_common.quotation_subject, Health Status, Human immunodeficiency virus (HIV), Self-concept, HIV Infections, medicine.disease_cause, Article, Cohort Studies, Interviews as Topic, Social support, Optimism, Quality of life, Surveys and Questionnaires, Medicine, Humans, Spirituality, Longitudinal Studies, Psychiatry, media_common, business.industry, Public Health, Environmental and Occupational Health, Social Support, Middle Aged, Viral Load, Self Concept, Religion, Infectious Diseases, Family medicine, HIV-1, Quality of Life, Female, sense organs, business, Viral load, Cohort study
الوصف: The objective of this study was to assess in patients with HIV perceptions of life pre-HIV versus post-HIV diagnosis and examine whether such perceptions change over time. We conducted interviews and chart reviews of 347 outpatients with HIV from three cities in 2002-2004. In two interviews 12-18 months apart, patients compared their life now with their life before HIV was diagnosed. Independent variables included demographic and clinical characteristics; HIV-specific health status, symptoms, and concerns; spirituality/religion; social support; self-perception; and optimism. The patients' mean (standard deviation [SD]) age was 44.8 (8.3) years; half were minorities; and 269 (78%) were taking antiretroviral therapy. Comparing life at time 1 versus before diagnosis, 109 (31%) patients said their life was better at time 1, 98 (28%) said it was worse, and the rest said it was about the same or did not know. By time 2, approximately one fifth of the patients changed their answers to indicate life improvement and one sixth changed them to indicate life deterioration. In multivariable analysis, change in perception for the better between time 1 and time 2 (versus prediagnosis) was positively associated with time 1 positive religious coping scores, whereas change in perception for the worse was associated with study site, heterosexual orientation, a detectable viral load, shorter duration of HIV, lower spirituality scores, and lower positive religious coping scores. We conclude that many patients with HIV feel that their life is better than it was before their diagnosis, although results of such comparisons often change over time.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4bd9e23de39fcdd072c83fd3c09eaea3
https://europepmc.org/articles/PMC2832655/
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