BACKGROUND: Maladaptive fear of movement in individuals with low back pain may be associated with worse clinical outcomes. OBJECTIVE: To explore beliefs about the perceived dangers regarding different spinal postures within the Czech Republic. DESIGN: Exploratory cross-sectional study including physiotherapists and members of the general public. METHODS: Self-reported perceived safety/danger of "straight" and "flexed" spinal postures regarding 1) sitting, 2) lifting of light and 3) heavy object from the floor based on three pairs of photographs was measured using numeric rating scales (0-10, safe to dangerous) without any given context and in the context of low back pain. The sum of differences between the ratings of flexed and straight postures were used to calculate Bending Safety Beliefs Thermometer (BSBThermometer) total score potentially ranging -60‒60 (higher values indicates evaluation of flexed spinal postures as more dangerous in comparison to straight postures). RESULTS: 760 participants were included in the analysis. The mean BSBThermometer total score was 31.1 (SD 16.1) and higher scores were positively associated with being women (b = 14.8, 95% CI [9.9-19.8]); non-medical profession (b = 24.7, 95% CI [15.2-34.2]); age (b = 0.38, 95% CI [0.16-0.6]; and their interactions. There was no significant association with current low back pain status or history of low back pain. CONCLUSIONS: On average, participants evaluated "flexed" spinal postures as significantly more dangerous when compared with "straight" spinal postures, with only subgroups of physiotherapists scoring lower than the general public. Clinically, these beliefs could be targeted by individualized education, exposure-based interventions and public campaigns; however, further research is required.
- MeSH
- dospělí MeSH
- fyzioterapeuti * psychologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- lumbalgie * patofyziologie psychologie MeSH
- postura těla * fyziologie MeSH
- průřezové studie MeSH
- senioři MeSH
- strach psychologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
Cíl: Cílem této studie bylo prozkoumat u těhotných žen míru strachu, deprese, stresu a úzkosti spojených s pandemií, a to v různých trimestrech v období po pandemii, a určit jejich souvislost s psychickou odolností. Metody: Do studie bylo zařazeno celkem 250 žen, z toho 125 těhotných a 125 zdravých kontrol. Ženy byly dále rozděleny do tří skupin podle trimestru těhotenství. K měření deprese, úzkosti, stresu a psychické odolnosti byla použita škála deprese, úzkosti a stresu (DASS-21 – Depression Anxiety Stress Scale 21), škála strachu z epidemie (EDAS – Epidemic Disease Anxiety Scale) a zkrácená škála psychické odolnosti (SPRS – Short Psychological Resilience Scale). Výsledky: Těhotné ženy měly významně vyšší celkové skóre DASS-21 [19 (4–42) ], oproti zdravým kontrolám [11 (1–42) ], p = 0,001. Prevalence deprese, úzkosti a stresu u těhotných byla 23,2 %, 44 % a 20 % oproti 12,8 %, 31,2 % a 9,6 % u zdravých kontrol. Celkové skóre DASS-21 bylo nejvyšší v I. trimestru (21,2 ± 5,8) a III. trimestru (22,8 ± 8,9) a nejnižší v II. trimestru (16,1 ± 6,9). U DASS-21 byla zaznamenána pozitivní korelace s celkovým skóre EDAS a se subškálou vnímání pandemie. Celkové skóre SPRS mělo negativní korelaci s úzkostí, stresem a celkovým skóre DASS-21. Závěr: V období po pandemii byla u těhotných žen zaznamenána vyšší míra deprese, úzkosti, stresu a strachu z pandemie než u netěhotných žen. U těhotných žen byla zjištěna negativní korelace mezi psychickou odolností a depresí, úzkostí či stresem. Tyto závěry svědčí o tom, že pandemie negativně ovlivňuje mentálního zdraví těhotných žen a rovněž ukazují důležitost služeb poskytujících psychickou podporu při ochraně jejich duševního zdraví.
Aims: The aim of this study was to investigate the levels of pandemic-related fear, depression, stress and anxiety in pregnant women in different trimesters after the pandemic and to examine their relationship with psychological resilience. Methods: A total of 250 women were included in the study, including 125 pregnant women and 125 healthy controls. The participants were divided into three groups according to their trimester of pregnancy. The Depression-Anxiety-Stress Scale 21 (DASS-21), the Epidemic Disease Anxiety Scale (EDAS) and the Short Psychological Resilience Scale (SPRS) were used to measure depression, anxiety, stress and psychological resilience. Results: Pregnant women had significantly higher DASS-21 total scores [19 (4–42) ] than healthy controls [11 (1–42) ], P = 0.001. The prevalence of depression, anxiety and stress was 23.2%, 44% and 20% respectively in pregnant women compared to 12.8%, 31.2% and 9.6% in healthy controls. DASS-21 total scores were highest in the 1st (21.2 ± 5.8) and 3rd (22.8 ± 8.9) trimesters and lowest in the 2nd (16.1 ± 6.9) trimesters. The DASS-21 total score was positively correlated with the EDAS total score and the pandemic perception subscale. SPRS total score was negatively correlated with anxiety, stress and DASS-21 total score. Conclusion: Pregnant women experienced higher levels of depression, anxiety, stress, and pandemic anxiety than non-pregnant women in the post-pandemic period. Psychological resilience was negatively associated with depression, anxiety, and stress in pregnant women. These findings indicate that the pandemic negatively affects the mental health of pregnant women and the importance of providing psychological support services to protect their mental health.
- MeSH
- COVID-19 psychologie MeSH
- duševní zdraví MeSH
- lidé MeSH
- pandemie * MeSH
- průzkumy a dotazníky MeSH
- psychická odolnost MeSH
- strach psychologie MeSH
- těhotné ženy * psychologie MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- klinická studie MeSH
- Geografické názvy
- Turecko MeSH
Cíl: Cílem intervenční studie bylo zjistit vliv poslechu reprodukované hudby na hodnocení strachu u pacientů před operací srdce. Metodika: Cílovou populací byli muži s plánovanou operací srdce. Byla provedena intervenční studie (květen prosinec 2022) na lůžkovém oddělení kardiocentra. Soubor pacientů byl náhodně rozdělen do dvou skupin. U intervenční skupiny byla kromě standardní péče před operací realizována intervence poslechem reprodukované hudby (30 min, jedno setkání, výběr z deseti žánrů). U kontrolní skupiny byla realizována standardní péče před operací (edukace o výkonu, medikace) s klidem na lůžku či v křesle. Pacienti hodnotili předoperační strach třemi dotazníky: Surgical Fear Questionnaire, SFQ; Amsterdam Preoperative Anxiety and Information Scale, APAIS, a Visual Analogue Scale for Anxiety, VAS-A. Data byla zpracována Mannovým–Whitneyho a Wilcoxonovým testem, statistickým programem TIBCO STATISTICA 13 na hladině významnosti 5 %. Výsledky: Z šedesáti respondentů bylo před plánovanou operací bypassů 43 mužů. Všichni respondenti se pohybovali podle výsledků skóre dotazníků ve střední míře strachu v obou měřeních. Mezi intervenční a kontrolní skupinou nebyl zjištěn statisticky významný rozdíl v obou měřeních. V rámci intervenční skupiny byly zjištěny statisticky významné rozdíly v úrovni strachu před hudební intervencí a po ní u dvou dotazníků (změna hodnoty u SFQ: 50,9 ± 20,14 na 48,03 ± 19,57, p = 0,004; změna hodnoty u VAS-A: 72,13 ± 27,44 na 71,60 ± 27,57, p = 0,002). Pacienti udávali vyšší úroveň strachu před intervencí než po intervenci. Závěr: Poslech reprodukované hudby může snížit vnímaný předoperační strach u pacientů s plánovanou operací srdce v celkové anestezii. Na základě výsledků lze předpokládat, že pacienti, kteří pociťují strach před operací srdce, mohou z intervence poslechu reprodukované hudby profitovat.
Aim: The aim of the intervention study was to determine the effect of listening to recorded music on the assessment of fear in patients before heart surgery. Methods: The target population were men with planned heart surgery. An intervention study was conducted in (May-December) 2022 in the inpatient department of the cardiocenter. The set of patients was randomly divided into two groups. In the intervention group, in addition to the standard care before the operation, the intervention of listening to recorded music was implemented (30 min, 1 meeting, selection from 10 genres). The control group received standard care before surgery (education about the procedure, medication) with rest in bed or in a chair. Patients assessed preoperative fear with three questionnaires: Surgical Fear Questionnaire, SFQ; Amsterdam Preoperative Anxiety and Information Scale, APAIS, and Visual Analogue Scale for Anxiety, VAS-A. Data were processed by the Mann-Whitney and Wilcoxon test with the statistical program TIBCO STATISTICA 13 at a significance level of 5%. Results: Of the sixty respondents, 43 were men before the planned bypass operation. All respondents ranged according to the results of the questionnaire scores in the medium level of fear in both measurements. No statistical difference was found between the intervention and control groups in both measurements. Within the intervention group, statistically significant differences were found in the level of fear before and after the music intervention in two questionnaires (change in SFQ value: 50.9±20.14 to 48.03±19.57, p = 0.004; change in VAS value-A: 72.13±27.44 to 71.60±27.57, p = 0.002). Conclusion: Listening to recorded music can reduce perceived preoperative fear in patients undergoing planned heart surgery under general anesthesia. Based on the results, it can be assumed that patients who experience fear before heart surgery may benefit from the intervention of listening to recorded music.
- MeSH
- hudba * psychologie MeSH
- kardiochirurgické výkony MeSH
- lidé MeSH
- předoperační péče MeSH
- psychologické testy MeSH
- strach psychologie MeSH
- úzkost psychologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- klinické zkoušky MeSH
- práce podpořená grantem MeSH
PURPOSE: The study aims to provide an updated overview of studies that show the impact of psychotherapeutic interventions on fear of cancer recurrence (FCR), to explore the relationship between FCR and related factors (psychological distress, well-being, anxiety, depression, fear, coping strategies, quality of life), and to identify the most effective therapeutic approaches in managing FCR. METHODS: Three databases were searched between January 2021 and April 2021 using the key words "fear of cancer recurrence - psychotherapy - intervention" following the a priori established PRISMA protocol. RESULTS: Thirteen studies were included in the final review. The database search identified 239 potential papers. After removing duplicates and irrelevant articles by title and language, population, and type of study, 13 articles were assessed for eligibility of the abstract, and 13 full-text articles were reviewed and included in this systematic review. The studies were mainly from the Netherlands (4 out of 13). Positive benefits of therapeutic interventions on FCR were reported. CONCLUSIONS: This research highlights challenges in using therapeutic approaches in dealing with FCR and its management. Therapeutic intervention is an effective means of managing not only FCR but also related factors (distress, well-being, quality of life). However, individual needs and preferences must be taken into consideration whilst choosing a therapeutic approach. Cognitive behavioural therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness-based interventions are the most used approaches with CBT being the most effective, especially in a blended form (i.e. standard CBT combined with other self-help activities). IMPLICATIONS FOR CANCER SURVIVORS: The aim was to provide information about the most effective therapeutic approaches for coping with FCR.
- MeSH
- dospělí MeSH
- kvalita života MeSH
- lidé MeSH
- lokální recidiva nádoru terapie psychologie MeSH
- přežívající onkologičtí pacienti * psychologie MeSH
- strach psychologie MeSH
- terapie přijetí a odevzdání * MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
- systematický přehled MeSH
- Klíčová slova
- strach ze smrti,
- MeSH
- lidé MeSH
- meditace MeSH
- smrt MeSH
- strach * psychologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- populární práce MeSH
Súhrn Pády sú u seniorov príčinou poranení s rôznym stupňom závažnosti. V súčasnosti sa čoraz viac pozornosti venuje i psychologickým následkom pádu, ktoré vedú k obmedzeniu aktivity a sociálnej participácie, zníženiu nezávislosti i kvality života seniora a sú súhrnne označované ako obavy spojené s pádom (FRC). Cieľom štúdie bolo zistiť prevalenciu obáv spojených s pádom pri vykonávaní bežných denných aktivít v skupinách aktívnych seniorov, ktorí žijú vo svojich domácnostiach, predovšetkým z hľadiska pádovej anamnézy. Výskum preukázal, že obavy spojené s pádom sú závažným zdravotným problémom seniorov, ktorí žijú v komunite, a to nielen u tých, ktorí majú pozitívnu pádovú anamnézu, ale i u žien bez skúsenosti s pádom v poslednom roku. Miera FRC v jednotlivých ADL i úroveň celkového skóre strachu z pádu bola štatisticky významne vyššia, a v širšom spektre ADL u seniorov, ktorí spadli v poslednom roku opakovane. Pád je tak významným a zároveň preventabilným rizikovým faktorom FRC.
Falls in the elderly result in injuries of various levels of severity. At present, more attention is devoted to the psychological consequences of the fall, which lead to a reduction in activity and social participation, a reduction in the independence and quality of life, and are collectively referred to as fall-related concerns (FRC). The aim of this study was twofold. First, to study the prevalence of fall-related concern among community dwelling older Czech adults. Second, to describe the impact of fall-related concerns on activities of daily living. The study was designed as a cross-sectional quantitative study that uses the Czech version of the standardized Fall Efficacy Scale-International. The research showed that fall-related concerns are a major health problem among the elderly who live in communities. These concerns are present in the elderly who fell, but also in older women who have not fallen in the last year. The elderly who repeatedly fell in the last year showed a statistically more significant level of concerns associated with the falls in individual activities of daily living, as well as a higher overall score related to falls. A fall is a significant, but at the same time preventable, risk factor for fall-related concerns.
- MeSH
- kvalita života MeSH
- lidé MeSH
- prevalence MeSH
- průřezové studie MeSH
- rizikové faktory MeSH
- senioři nad 80 let psychologie MeSH
- senioři * psychologie MeSH
- strach psychologie MeSH
- úrazy pádem * MeSH
- životní styl MeSH
- zpráva o sobě MeSH
- Check Tag
- lidé MeSH
- senioři nad 80 let psychologie MeSH
- senioři * psychologie MeSH
- Publikační typ
- práce podpořená grantem MeSH
The study investigated antecedents of attitudes towards vaccines against COVID-19 and vaccination behaviour, and sought to identify areas where interventions aimed at increasing vaccination rates would be most effective. A sample of 500 Slovaks (250 women) responded to questions concerning their socio-demographic and personality characteristics, collectivism and individualism, consciousness of future consequences, and emotional responses to both vaccination and the pandemic. The study indicates that helplessness related to the vaccine efficacy evaluation and fear of its potential risks are the strongest antecedents of vaccination behaviour and anti-vaccination attitudes. Jointly with the fear of the COVID-19, they explained over 26% and 33% of variance in behaviour and attitudes, respectively. The results indicate that the efficiency of appeals to solidarity may be limited when fear and helplessness are widespread as they seem to strongly outweigh individuals' outward motivations to get vaccinated.
- MeSH
- COVID-19 * prevence a kontrola MeSH
- lidé MeSH
- postoj MeSH
- SARS-CoV-2 MeSH
- sociální spravedlnost MeSH
- strach psychologie MeSH
- vakcinace psychologie MeSH
- vakcíny proti COVID-19 * MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Although tiny in size and mostly harmless, spiders evoke exceptional fear in a significant part of the population and arachnophobia is one of the most common anxiety disorders with prevalence 2.7-6.1%. Two standard measures have been widely used to reliably assess the emotional and cognitive component of spider fear, the Spider Questionnaire (SPQ) and Spider Phobia Beliefs Questionnaire (SBQ). We aimed to develop and validate their Czech translations, describe distribution of spider fear in the Czech population, and analyse its association with disgust propensity and other sociodemographic characteristics. METHODS: In Phase 1, we developed Czech translations of both questionnaires using a back-translation procedure and then tested their psychometric properties against their English versions in a counterbalanced experimental design using the Mann-Whitney U test and two-sided t-test. In Phase 2, we analysed scores on the Czech SPQ and SBQ on a larger sample. We evaluated the effects of age, gender, level of education, biology background, and association with the assessments of snake fear (i.e. the Snake Questionnaire, SNAQ) and disgust propensity (i.e. the Disgust Scale-Revised, DS-R) using a Spearman correlation, redundancy analysis, and general linear models. RESULTS: We have demonstrated that the Czech SPQ and SBQ are equivalent to their originals and show excellent test-retest reliability (SPQ: 0.93; SBQ: 0.87-0.90). In total, 398 (10.3%) out of 3863 subjects reached the cut-off point for potential spider phobia. In addition, SPQ and SBQ scores were highly correlated (0.73-0.79), significantly more than with the SNAQ (0.21-0.32) or the DS-R (0.36-0.40). Two multivariate statistical methods revealed a significant association between the gender, age, level of education, biology background, or disgust propensity and the SPQ scores. CONCLUSION: The Czech SPQ and SBQ may produce reliable and valid assessments of spider fear, but they must be further psychometrically tested considering the limitation of this study before wider use. We corroborate previous findings that fear of spiders is significantly associated with sociodemographic variables, such as gender, age, or education, as well as with the individual level of disgust propensity.
- MeSH
- fobie * diagnóza psychologie MeSH
- lidé MeSH
- pavouci * MeSH
- průzkumy a dotazníky MeSH
- reprodukovatelnost výsledků MeSH
- strach psychologie MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
BACKGROUND: The impact of the COVID-19 pandemic on European gynaecological cancer patients under active treatment or follow-up has not been documented. We sought to capture the patient perceptions of the COVID-19 implications and the worldwide imposed treatment modifications. METHODS: A patient survey was conducted in 16 European countries, using a new COVID-19-related questionnaire, developed by ENGAGe and the Hospital Anxiety & Depression Scale questionnaire (HADS). The survey was promoted by national patient advocacy groups and charitable organisations. FINDINGS: We collected 1388 forms; 592 online and 796 hard-copy (May, 2020). We excluded 137 due to missing data. Median patients' age was 55 years (range: 18-89), 54.7% had ovarian cancer and 15.5% were preoperative. Even though 73.2% of patients named cancer as a risk factor for COVID-19, only 17.5% were more afraid of COVID-19 than their cancer condition, with advanced age (>70 years) as the only significant risk factor for that. Overall, 71% were concerned about cancer progression if their treatment/follow-up was cancelled/postponed. Most patients (64%) had their care continued as planned, but 72.3% (n = 892) said that they received no information around overall COVID-19 infection rates of patients and staff, testing or measures taken in their treating hospital. Mean HADS Anxiety and Depression Scores were 8.8 (range: 5.3-12) and 8.1 (range: 3.8-13.4), respectively. Multivariate analysis identified high HADS-depression scores, having experienced modifications of care due to the pandemic and concern about not being able to visit their doctor as independent predictors of patients' anxiety. INTERPRETATION: Gynaecological cancer patients expressed significant anxiety about progression of their disease due to modifications of care related to the COVID-19 pandemic and wished to pursue their treatment as planned despite the associated risks. Healthcare professionals should take this into consideration when making decisions that impact patients care in times of crisis and to develop initiatives to improve patients' communication and education.
- MeSH
- COVID-19 epidemiologie prevence a kontrola virologie MeSH
- deprese psychologie MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- nádory ženských pohlavních orgánů psychologie terapie MeSH
- pandemie MeSH
- průzkumy a dotazníky * MeSH
- SARS-CoV-2 izolace a purifikace fyziologie MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- strach psychologie MeSH
- úzkost psychologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
