Quality of life, sense of coherence and experiences with three different treatments in patients with psychological distress in primary care: a mixed-methods study

Arvidsdotter, Tina; Marklund, Bertil; Taft, Charles; Kylén, Sven

doi:10.1186/s12906-015-0654-z

Cited by 27 publications

(29 citation statements)

References 64 publications

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“…Patients and professionals need to be aware of these signs since they may predispose mental, physical and emotional chaos. The challenge is to recognise and understand the patient's existential resources and hinders and to see the person from a holistic, salutogenic and person‐centred perspective , in order to help patients find a balance between what they can manage and their limits for recovery . When an imbalance exists between the ideal self and the real self , the challenge is to help patients find a balance between what is realistic and possible in order to live a good life.…”

Section: Discussionmentioning

confidence: 99%

Understanding persons with psychological distress in primary health care

Arvidsdotter

Marklund

Kylén³

et al. 2015

Scandinavian Caring Sciences

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194

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The purpose of this study was to gain more knowledge and a deeper understanding of experiences of persons living with psychological distress who seek help in primary care. Psychological distress is a state of emotional suffering associated with stressors and demands that are difficult to cope with in daily life. The lack of effective care for and difficulty in identifying psychological distress is frustrating for patients and health professionals alike. The aim was therefore to gain more knowledge about the experience of living with psychological distress. Twelve persons (nine women and three men) aged 23–51 years were interviewed. Analyses were based on a phenomenological hermeneutic method and indicated that psychological distress may be seen as an imbalance (incongruence) between the self and the ideal self, which slowly breaks down a person's self‐esteem. This imbalance was described in three dimensions: Struggling to cope with everyday life, Feeling inferior to others and Losing one's grip on life. It seems to be associated with a gradual depletion of existential capacities and lead to dissatisfaction, suffering, poor self‐esteem and lack of control. As psychological distress may be a forerunner to mental, physical and emotional exhaustion, there is a need to initiate preventive or early interventions to avoid mental, physical and emotional chaos in such patients. Patients' with psychological distress need to be involved in a person‐centred salutogenic dialogue with health professionals to become aware of and strengthen their own capacities to regain health and well‐being.

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Section: Discussionmentioning

confidence: 99%

Understanding persons with psychological distress in primary health care

Arvidsdotter

Marklund

Kylén³

et al. 2015

Scandinavian Caring Sciences

Self Cite

194

136

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“…Acredita-se que esta relação esteja relacionada a origem da Teoria Salutogênica, que iniciou Europa por Aoran Antonowsky. Considerando os critérios adotados, não houve estudos procedentes do Continente Americano 17,31 .…”

Section: Resultsunclassified

“…Outros estudos mencionam que as práticas de promoção da saúde inseridas no processo de trabalho de equipes da Atenção Primária à Saúde oportunizam novas formas de cuidado, por meio de ações salutogênicas 17,19,35 . Nesse sentido, compreende-se a salutogênese como um processo que capacita pessoas a viverem a vida como elas querem viver, que promove a capacidade de superação, de se recuperar das adversidades, estabelecendo como foco principal a promoção da saúde positiva 36 .…”

Section: Recursos Salutogênicos Para a Promoção Da Saúdeunclassified

A salutogênese na pesquisa em saúde: uma revisão integrativa [The salutogenesis in health research: an integrative review] [La salutogénesis en la investigación en salud: una revisión integrativa]

et al. 2018

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Objetivo: identificar o senso de coerência e os recursos salutogênicos para promover a saúde das pessoas, em produções científicas nacionais e internacionais, no período de 2008 a 2017. Método: revisão integrativa de literatura de abordagem qualitativa, realizada em cinco bases de dados, nos quais se fez uma leitura e análise crítica dos estudos de modo a conhecer os recursos salutogênicos para promover a saúde. Resultados: emergiram 23 artigos apontando que o senso de coerência é um recurso positivo para promover a qualidade de vida das pessoas. Destaca-se, a relevância de incluir o conceito ampliado de saúde e seus determinantes sociais buscando o desenvolvimento de habilidades pessoais, autonomia e empoderamento, como recursos salutogênicos para as pessoas se manterem saudáveis e contribuindo para o seu bem-estar. Conclusão:identificou-se que na maioria dos estudos as pessoas relatam que tem um senso de coerência elevado e buscam manter e melhorar sua saúde focando nos recursos positivos.ABSTRACTObjective: to identify sense of coherence and salutogenic resources to promote people’s health, in national and international scientific productions, from 2008 to 2017. Method: in this qualitative, integrative literature review, five databases were searched and studies were read and critically analyzed so as to discover salutogenic resources to promote health. Results: the 23 articles that emerged indicated that sense of coherence is a positive resource for promoting people’s quality of life. It is important to include the expanded concept of health and its social determinants, with a view to developing personal skills, autonomy and empowerment, as salutogenic resources for people to keep themselves healthy and contribute to their own well-being. Conclusion: it was found that, in most of the studies, people reported that they have a high sense of coherence and seek to maintain and improve their health by focusing on positive resources.RESUMENObjetivo: identificar el sentido de la coherencia y los recursos salutogénicos para promover la salud de las personas, en publicaciones científicas nacionales e internacionales, en el período de 2008 a 2017. Método: revisión integrativa de literatura de enfoque cualitativo, realizada en cinco bases de datos, en las que se hizo una lectura y un análisis crítico de los estudios de modo a conocer los recursos salutogénicos para la promoción de la salud. Resultados: surgieron 23 artículos comprobando que el sentido de coherencia es un recurso positivo para promover la calidad de vida de las personas. Destaca la relevancia de incluir el concepto ampliado de salud y sus determinantes sociales buscando el desarrollo de las habilidades personales, la autonomía y el empoderamiento como recursos salutogénicos para que las personas se mantengan sanas y contribuyendo a su bienestar. Conclusión: se identificó que, en la mayoría de los estudios, las personas relatan que tienen un sentido de coherencia elevado y buscan mantener y mejorar su salud enfocando en los recursos positivos.

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“…Heart problems are a progressive condition that can cause significant deterioration of well-being, so it is essential to help cardiac patients maintain good well-being by influencing its significant predictors. Since personal resources play an important role in the functioning of the patients (Arvidsdotter, Marklund, Taft, & Kylén, 2015;Craner et al, 2017), we decided to investigate the relationship of subjective well-being of Polish cardiac patients with two predictors -meaning in life and self-efficacy -which have a significant impact on cardiac patients' well-being (Joekes, Van Elderen, & Schreurs, 2007;Park, Malone, Suresh, Bliss, & Rosen, 2008).…”

Section: Introductionmentioning

confidence: 99%

Self-efficacy as a mediator of the relationship between meaning in life and subjective well-being in cardiac patients

Krok¹,

Gerymski²

2019

Current Issues in Personality Psychology

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The theoretical framework and empirical data suggest that the relationship between meaning in life and well-being might be mediated by self-efficacy. Based on the cognitive-affective processing system (CAPS), self-concordance model and empirical data, we assume that self-efficacy might also act as a mediator between meaning in life and subjective well-being in cardiac patients. participants and procedure This study was conducted in cardiology units in Poland. Patients who met the inclusion/exclusion criteria were approached by research assistants in the inpatient clinic and outpatient centre in a cardiology unit in Poland. Results of the 176 participants (82 women and 94 men) aged from 45 to 82 years (M = 58.56, SD = 8.25) were included in this study. results Meaning in life and self-efficacy were significantly related to the each other and two dimensions of subjective well-being. Using path analysis we confirmed the direct effects of meaning in life on life satisfaction and positive affect and indirect effects of meaning in life on life satisfaction, positive affect, and negative affect. Self-efficacy was found to be a partial mediator in the relationship between meaning in life with life satisfaction and positive affect. As there was no direct path between meaning in life and negative affect, meaning in life was a full mediator between these factors. conclusions The present study shows the complexity of the relationship between purpose-oriented personality trait and chronic patients' well-being. This finding provides a solid foundation for further investigation of the influence of personality traits on patients' functioning and well-being.

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Quality of life, sense of coherence and experiences with three different treatments in patients with psychological distress in primary care: a mixed-methods study

Cited by 27 publications

References 64 publications

Understanding persons with psychological distress in primary health care

Understanding persons with psychological distress in primary health care

A salutogênese na pesquisa em saúde: uma revisão integrativa [The salutogenesis in health research: an integrative review] [La salutogénesis en la investigación en salud: una revisión integrativa]

Self-efficacy as a mediator of the relationship between meaning in life and subjective well-being in cardiac patients

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