Academic literature on the topic 'Medical-psychological help'
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Journal articles on the topic "Medical-psychological help"
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Krivonis, T. G. "Medical-psychological help in oncological practice." Medicine Today and Tomorrow 86, no. 1 (2020): 61–68. http://dx.doi.org/10.35339/msz.2020.86.01.08.
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Cancer cause significant shifts in the mental functioning of patients, manifested in psychological reactions and mental disorders. It determines the need for the development and implementation of medicalpsychological measures. Various aspects of medical and psychological care in oncological practice are analyzed. In work with cancer patients use various psychotherapeutic methods, such as short-term psychoanalysis, cognitive-behavioral therapy, relaxation, art-therapy, music therapy, creative visualization. Psychological help in oncology provided in the form of individual counseling, support groups, family psychotherapy, psychological counseling for couples. Based on the general principles of medicalpsychological help in oncology, were developed different support programs depending on the stage of the treatment, specificity of antitumor therapy, and location of the disease. Psychogenic and somatogenic effects of cancer caused the need to add psychopharmacotherapy in treatment. Cancer causes complex, multi-level disorders in the mental health of patients requiring an integrated complex approach in the form of medical-psychological interventions and psychophamiacotherapy. Keywords: medical-psychological help, psychotherapy, oncology, psycho-oncology, psychopharmacotherapy.
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Kharchenko, Yevhen, and Denys Kurytsia. "Psychological Ways of Providing Primary Medical Sanitary Help for People who Use Psychoactive Substances." Problems of Modern Psychology : Collection of research papers of Kamianets-Podilskyi National Ivan Ohiienko University, G.S. Kostiuk Institute of Psychology of the National Academy of Educational Sciences of Ukraine, no. 51 (March 15, 2021): 215–40. http://dx.doi.org/10.32626/2227-6246.2021-51.215-240.
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MS, Radha, Lavanya Subhashini, Immanuel Prabhu, and Baby GK Banubi. "Help Seeking Behaviour of Adolescents at Kolar." JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES 06, no. 2 (2016): 58–60. http://dx.doi.org/10.58739/jcbs/v06i2.5.
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Background: Adolescents are full of energy, have significant drive and new ideas. They are a posi-tive force for the nation and are mostly responsible for its future productivity, provided they undergo over-all development in a healthy manner. Aims: To find the help seeking behaviour of adolescents in an urban high community. Materials and methods: Fifty boys and girls in the age group of 13 to15 years from an urban high school in Kolar were studied. A structured questionnaire was used to assess the help seeking behavior of the adolescents. Results: Among the adolescents reporting with psychological problems, con-cern with their physical height, weight and lack of concentration was more common. Among those identi-fied with behavioural problems, lack of confidence and difficulty in maintaining peer relationship was more frequent. Health problems reported commonly reported were skin and eye problems, acne and general weakness. Boys reported more frequent psychological, medical and behavioral. Those residing in urban are-as and from nuclear families reported more psychological, medical and behavioral problems when com-pared to those from rural area and from joint family. Majority of the adolescent girls approached their mothers for seeking help to their problems. Conclusions: Providing information and education to school going adolescents on their common health problems and providing help as per their help seeking behavior is necessary. Keywords: Help seeking behaviour, adolescent, school children
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STADNIK, Anatoliy, Yuriy MELNYK, Yuriy PROKOPENKO, and Volodymyr VASYSHCHEV. "MEDICAL-PSYCHOLOGICAL HELP AND REHABILITATION OF MILITARY-MEN – UFO PARTICIPANTS." SCIENTIFIC BULLETIN OF FLIGHT ACADEMY. Section: Pedagogical Sciences, no. 5 (March 22, 2019): 488–93. http://dx.doi.org/10.33251/2522-1477-2019-5-488-493.
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Jahanbakhsh, Farzaneh, Farzaneh Raaii, Arezou Mohammadi, Mana Aminaie, and Marjan Shamspour. "Suicide Literacy and Attitudes Toward Seeking Psychological Help among Medical Residents." Archives of Iranian Medicine 27, no. 7 (2024): 385–91. http://dx.doi.org/10.34172/aim.28839.
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Background: This study investigates suicide literacy, help-seeking attitudes, and related factors among medical residents. Methods: The study utilized a cross-sectional design and included all medical residents in Kerman University of Medical Sciences in 2023‒2024. We obtained demographic information, psychiatric history, and administered questionnaires about literacy of suicide (LOSS) and the Attitudes Toward Seeking Professional Psychological Help (ATSPPH-SF). Results: A total of 157 residents with a mean age of 28.97±2.55 years participated. The prevalence of any psychiatric history was 17.83% (95% CI: 12.1‒23.56). Notably, more educated males displayed higher suicidal literacy (95% CI: 0.231‒0.567, P=0.032), while there was no significant difference in help-seeking attitudes between genders (P=0.755). Surgical residents scored lower than non-surgical specialties like pediatrics (mean difference=2.63, 95% CI: 0.23-5.03, P=0.023, effect size d=0.589). Older age positively correlated with help-seeking attitudes (r=0.158, P=0.049). Additionally, marital status, residency level, history of psychiatric illnesses and their types, previous use of psychiatric medications, and history of self-harm or suicide had no significant impact on suicide literacy scores or attitude toward help-seeking. A moderate association (r=0.367) was found between the suicide literacy and help-seeking attitude questionnaire scores. Conclusion: Despite relatively high suicide literacy, medical residents displayed average help-seeking attitudes, positioning them as a high-risk group. Urgent interventions are needed to enhance awareness of the importance of psychological support and to reduce stress and work pressure, indirectly mitigating the risk of suicide in this vulnerable population.
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Husain, Waqar, and Ammarah Riasat. "ATTITUDES TOWARD MENTAL HEALTH AND PSYCHOTHERAPY IN A COLLECTIVISTIC MUSLIM CULTURE: VARIATIONS BY GENDER, AGE, EDUCATION, MARRIAGE, PROFESSION, AND INCOME." Journal of Internal Medicine: Science & Art 3 (September 28, 2022): 28–35. http://dx.doi.org/10.36013/jimsa.v3i1.101.
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Abstract: In some cultures, psychological problems and treatment are mostly not considered as important as medical illnesses. This is generally because of people's attitudes toward mental disorders and psychotherapeutic interventions. The current study involved 2702 Muslims from Pakistan. The study measured attitudes towards mental health through different dimensions. These mainly included attitudes toward mental health, attitudes towards mental disorders, attitudes towards medical illnesses, attitudes towards mentally disturbed, attitudes towards seeking psychological help for self, attitudes towards seeking psychological help for families, attitudes towards seeking psychological help for children, and attitudes towards seeking psychological help for friends. The understudied population had positive attitudes toward mental health and psychotherapy. A significant difference was found between people's attitudes towards medical illnesses and mental disorders. Attitudes based on gender, age, education, marriage, profession, and income were also significantly different. The findings of this study lead mental health practitioners and policymakers to modify their strategies for encouraging more clientele to the existing mental health facilities. 
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Yaremkevych, R. "Psychological help for patients with dermatological disorders and chronic itching." Fundamental and applied researches in practice of leading scientific schools 33, no. 3 (2019): 52–57. http://dx.doi.org/10.33531/farplss.2019.3.11.
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Somatic diseases are the cause of physical and psychological distress, which necessitates the study of factors affecting on adaptation patients to the disease and its treatment.Materials and methods. At medical center “Asklepiy”during 2016-2018 years, observed 134 patients with dermatologicaldisorderswith chronic itching, divided on groups according the level intensity of symptom. A package of psychodiagnostics techniques was used to assess the psychological status of the subjects.Results. Targets of psychological help in psycho-emotional sphere in patients with chronic itching include anxious-depressive symptoms, somatization, hypochondria, decreased mental productivity, insomnia, high levels of aggressiveness, hostility, alexithimia, in behavior patterns – ineffective coping and psychological defense mechanisms, in the psychosocial sphere – problems in interpersonal relations and perception of social support.
 Conclusions. Patients with dermatological pathology with chronic itching require implementing psychological help based on a comprehensive differentiated approach.
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Stynska, Victoriia, and Oksana Tytun. "The Activity of Social and Psychological Rehabilitation Centres for Families in Ivano-Frankivsk Region (Ukraine)." Journal of Vasyl Stefanyk Precarpathian National University 5, no. 1 (2018): 156–61. http://dx.doi.org/10.15330/jpnu.5.1.156-161.
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The article deals with the work of social and psychological services in Ivano-Frankivsk region (Regional Center of social and psychological help in the village Verkhovyna, district Verkhovyna, Municipal social rehabilitation center of mother and child “Mistechko myloserdia sviatogo Mykolaia”, Interregional center of social and psychological rehabilitation of children in the village Medynia, district Galytskyi). The centers aim at implementation of new forms of social support of women, prevention of abandonment and child's social orphanhood, providing social, psychological, pedagogical, medical and legal assistance.
 The centers carry out the activity on principles of human rights protection, humanity, legitimacy, availability, mutual respect and confidentiality.
 It has been found that the centers aim at: social and psychological diagnostics; psychological and pedagogical help, social and medical care; correction-developing work; adaptation to family environment and legal assistance.
 It was concluded that centers of social and psychological rehabilitation of families in Ivano-Frankivsk region due to the wide range of tasks have become special places (schools) of pedagogical, psychological and medical help to the children, young people and families with children in difficult life situations
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Stanovskiy, Bohdan. "Psychological help for patients with cancer." Journal of Education, Health and Sport 52 (January 31, 2024): 242–53. http://dx.doi.org/10.12775/jehs.2024.52.110.
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The article represents the ethical aspects of the activity of oncology specialist, which is an important component of a comprehensive approach to the treatment and care of patients with cancer. It is noted that compliance with the ethical aspects of medical and psychological care for cancer patients requires the knowledge of oncology specialist of a wide range of physical, emotional, psychological and social effects that may arise as a result of the diagnosis and treatment of an oncopathology. The key ethical principles and their characteristics, which the oncology specialists must adhere to, are outlined. There is emphasized the importance of compliance by oncology specialists with ethical principles for the successful treatment and rehabilitation of cancer patients.
 Conclusions. In general, ethical aspects in psycho-oncology are an integral part of professional practice and aim to ensure maximum support, safety and respect for the rights and dignity of each patient. No code of ethics can provide an unequivocal answer to what is right in specific situations, but it serves important functions. It serves as an important basis for decision-making and provides important information to oncologists, their patients and the public about the roles and responsibilities of oncology professionals. In addition, it promotes responsible psychological practice and protection of patients from inappropriate behavior of doctors, and is used as a tool for reflection and improvement of the work of a specialist in the field of oncology.
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Matveeva, Natalya Mikhailovna, and Galina Alekseevna Maksimova. "Integrated approach to providing medical and social help for domestic patients." Medsestra (Nurse), no. 3 (March 1, 2021): 50–57. http://dx.doi.org/10.33920/med-05-2103-06.
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The article reflects an innovative approach to the care of ostomy patients, which includes the interaction of three services: psychological, social and medical. Designed for palliative care and long-term care professionals.
Dissertations / Theses on the topic "Medical-psychological help"
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Rathbone, James Nikolas. "Understanding psychological help-seeking behaviour : the application of the Theory of Planned Behaviour to medical professionals in training." Thesis, University of Leicester, 2014. http://hdl.handle.net/2381/29254.
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Literature Review : A critical review of the literature was made to investigate what influences an individual’s intention to seek psychological help for mental ill health. Nineteen articles were retrieved that met the inclusion criteria. The articles were reviewed, critiqued and synthesised to answer the review question. Four key themes were identified: ; a) mental health services are underutilised and understanding help-seeking intentions and behaviour is of paramount importance for mental health professionals, b) current measures of help-seeking have significant shortcomings and comprehensive, theory driven instruments are needed, c) help-seeking is more likely to be a global concept and does not vary in relation to type of problem, although it may vary with population specific characteristics, and d) instruments used to measure help-seeking intention should be constructed with the development of interventions in mind. Clinical implications and direction for future research are discussed. Research Report : In order to understand psychological help-seeking intention for mental health problems in medical students the Theory of Planned Behaviour (TPB) model was used. Thirty-nine medical students took part in an elicitation study to obtain attitudes, subjective norms, and perceived behavioural control for psychological help-seeking. Eighty medical students took part in the quantitative TPB questionnaire that was developed as part of the methodology. The TPB model was found to significantly predict help-seeking intentions. The limitations of the research are discussed and suggestions for future research presented Critical Appraisal : Finally, an appraisal of the research process as a whole was made with a critique of the research methodology. The author’s reflections on conducting an independent research project are presented and learning points highlighted.
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Aboalshamat, Khalid. "The effect of a self-development coaching program on the psychological health and the academic performance among medical and dental students in Saudi Arabia." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/91305/1/Khalid_Aboalshamat_Thesis.pdf.
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Observational studies have shown that medical and dental students have poor psychological health worldwide; however, few interventional studies have been used to test approaches to help students. This thesis used a randomised control trial study design to evaluate the effect of a self-development coaching program on psychological health and the academic performance among medical and dental students in Saudi Arabia. The outcomes indicated that these medical and dental students in Saudi Arabia experienced high levels of depression, anxiety and stress, and that the self-development coaching program was a promising intervention to improve students' psychological health.
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Dai, Yu-ling, and 戴郁玲. "Psychological factors that affect Truku people’s medical help seeking behaviors." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/y598gv.
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碩士<br>慈濟大學<br>公共衛生學系碩士班<br>102<br>Unlike most people, Truku people rarely seek immediate medical help when feeling discomfort or in pain. In order to explore the psychosocial factors that affect Truku people’s decisions in seeking medical help, I interviewed 22 Truku tribal people living in JIA-WAN Tribe area in Shlin Township in Hualien county. Results of these interviews showed that they were unlikely to seek medical help unless the physical pain had impaired their bodily functions or had interfered with their daily routines. Also, most respondents value their inner feelings greatly, the feeling of warmth form interpersonal relationships in particular. This feeling came form multiple sources and circumstances, such as: the comfort from companionship or care from family members, the intimacy and friendliness from a doctor who is of the same tribe, and a sense of belonging and security form staying in the tribal area. These feeling originated from the emotional involvement that connected tribal people. When there is a chance of cutting off this emotional bonding, respondents were reluctant to seek medical help.
Although the data reported here solely based on from the medical help seeking experiences of Truku people in one tribal area, it reflects their true thoughts regarding decisions to seek medical help. Hence, the findings of this study still have substantial reference value for researchers interested in indigenous peoples’ health or for public health professionals engaged in health promotion in tribal indigenous communities.
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Zondo, Siyabulela Felicia. "Conceptions of illness, help seeking pathways and attitudes towards an integrated health care system : perspectives from psychological counsellors, traditional healers and health care users." Thesis, 2008. http://hdl.handle.net/10413/200.
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Perceptions of health and illness which include the perceived cause and recourse play an
important role in diagnosis and management of illness. Traditional and allopathic
medicines are used simultaneously and sometimes without the knowledge of the health
professional and this has an impact on clinical outcomes. Overlooking patients’
subjective experience, health providers’ biases and prejudice may pose a negative impact
on clinical outcomes. This study explores patients’, traditional healers’ and psychological
counselors’ perception of illness by conducting interviews and administering open-ended
questionnaires. The data is analyzed both qualitatively and quantitatively through the use
of content analysis and non-parametric statistical procedures. The results indicate that
the concept of illness is complex and multidimensional with physical and socio-spiritual
aspects. Effective management requires a joint approach between indigenous and western
health systems. The results further show that traditional healers fully embrace the
integrated health approach while there is some skepticism and uncertainty from
psychological counselors which could be stemming from their training. There is still
work to be done in terms of health planning and policy but also the training of health
professionals.<br>Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2008.
Books on the topic "Medical-psychological help"
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Ditton, Mary J. A psychological/medical method to help people cope with adversity: Nine case studies of self-defining stories. The Edwin Mellen Press, 2014.
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Michelle, Buchman, ed. After the diagnosis: How patients react and how to help them cope. Delmar, 2011.
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S, Carroll Pamela, ed. Using literature to help troubled teenagers cope with societal issues. Greenwood Press, 1999.
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M, Reed Geoffrey, ed. The Breast cancer notebook: The healing power of reflection. American Psychological Association, 2003.
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Connie, Burk, ed. Trauma stewardship: An everyday guide to caring for self while caring for others. Berrett-Koehler Publishers, 2009.
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Appenroth, Max Nicolai, and María do Mar Castro Varela, eds. Trans Health. transcript Verlag, 2022. http://dx.doi.org/10.14361/9783839450826.
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Around the world trans and gender diverse people are marginalized and discriminated against in medical, psychological, and nursing care. This anthology is the first to address the current situation of this population in various global healthcare settings. The perspectives from 11 different countries give insight into the difficult experiences of the trans and gender diverse community when seeking healthcare, and how self-organized community structures can help to overcome barriers to often inaccessible public healthcare systems. The majority of contributions are written from a lived trans and gender diverse perspective.
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1950-, Bernard Michael Edwin, and DiGiuseppe Raymond, eds. Rational-emotive consultation in applied settings. L. Erlbaum Associates, 1994.
Find full textBook chapters on the topic "Medical-psychological help"
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Kandemir, Emre. "Sexual Dysfunction on Diabetes Mellitus." In Current Perspective on Diabetes Mellitus in Clinical Sciences. Nobel Tip Kitabevleri, 2023. http://dx.doi.org/10.69860/nobel.9786053359111.6.
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Sexual dysfunction is a prevalent complication among individuals with diabetes mellitus, affecting both men and women. In men, diabetes can lead to erectile dysfunction due to damage to blood vessels and nerves that regulate blood flow to the penis. Additionally, decreased testosterone levels and psychological factors like stress or depression contribute to this issue. Women with diabetes often experience reduced sexual desire, decreased vaginal lubrication, and difficulty achieving orgasm. Similar to men, nerve damage, hormonal imbalances, and psychological factors play significant roles in sexual dysfunction among diabetic women. Overall, managing diabetes through proper glycemic control, lifestyle modifications, and medical interventions can help mitigate the risk and severity of sexual dysfunction in affected individuals.
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Körükcü, Öznur, and Kamile Kabukcuoğlu. "Health Promotion Among Home-Dwelling Elderly Individuals in Turkey." In Health Promotion in Health Care – Vital Theories and Research. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_22.
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AbstractAlthough the social structure of Turkish society has changed from a broad family order to a nuclear family, family relations still hold an important place, where traditional elements dominate. Still, elderly people are cared for by their family in their home environment. Thus, the role of family members is crucial in taking care of elderly individuals. In Turkey, the responsibility of care is largely on women; the elderly’s wife, daughter, or daughter-in-law most often provides the care. Family members who provide care need support so that they can maintain their physical, psychological and mental health. At this point, Antonovsky’s salutogenic health model represents a positive and holistic approach to support individual’s health and coping. The salutogenic understanding of health emphasizes both physical, psychological, social, spiritual and cultural resources which can be utilized not only to avoid illness, but to promote health.With the rapidly increasing ageing population globally, health expenditures and the need for care are increasing accordingly. This increase reveals the importance of health-promoting practices in elderly care, which are important for the well-being and quality of life of older individuals and their families, as well as cost effectiveness. In Turkey, the emphasis on health-promoting practices is mostly focused in home-care services including examination, treatment, nursing care, medical care, medical equipment and device services, psychological support, physiotherapy, follow-up, rehabilitation services, housework (laundry, shopping, cleaning, food), personal care (dressing, bathroom, and personal hygiene help), 24-h emergency service, transportation, financial advice and training services within the scope of the social state policy for the elderly 65 years and older, whereas medical management of diseases serves elderly over the age of 85. In the Turkish health care system, salutogenesis can be used in principle for two aims: to guide health-promotion interventions in health care practice, and to (re)orient health care practice and research. The salutogenic orientation encompasses all elderly people independently of their position on the ease-/dis-ease continuum. This chapter presents health-promotion practices in the care of elderly home-dwelling people living in Turkey.
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Karplus, Rivka. "People Facing the Question of Euthanasia: Patients, Family and Friends, Healthcare Workers." In Euthanasia: Searching for the Full Story. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-56795-8_5.
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AbstractSince the Oregon Death with Dignity Act was adopted in 1997, an increasing number of people have requested euthanasia, showing that life has become unbearable for them. However, a person who expresses the wish to die by euthanasia is not saying that he/she prefers death to life, but rather that death seems preferable to life under the actual circumstances. In order to respond to a person’s suffering, we need to understand the nature of that suffering, as they experience it. Suffering may be physical, psychological, relational, spiritual, or existential; frequently these different aspects overlap or intermingle, particularly in a serious illness. Euthanasia does not improve life—it ends it by giving death. But when the response involves listening and accepting the person in his/her present situation, it becomes possible to work together with the person to see what can be done to help reduce suffering. We can look for means of relief for the person’s individual, unique suffering, in partnership with the patient and his/her family and friends, using the resources of both medical knowledge and our shared humanity. The willingness to walk on this shared path with the sick person is in itself an affirmation of his/her human dignity.
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Hoffman, Hunter G., Walter J. Meyer, Sydney A. Drever, et al. "Virtual Reality Distraction to Help Control Acute Pain during Medical Procedures." In Virtual Reality for Psychological and Neurocognitive Interventions. Springer New York, 2019. http://dx.doi.org/10.1007/978-1-4939-9482-3_8.
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Brent, Louise, Lina Spirgienė, Niamh O’Regan, and Brid Diggin. "The Nursing Role in Orthogeriatric Comprehensive Geriatric Assessment (CGA)." In Perspectives in Nursing Management and Care for Older Adults. Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-33484-9_6.
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AbstractOlder people with fragility fractures are a diverse group, and their care needs are complex. Although some have comparatively few health problems, many have several interconnected illnesses alongside psychological and social problems, requiring a range of interventions. The primary focus of care is to meet these needs throughout the care pathway and ensure that they receive the same high standard of specialist care within orthopaedic services as they would within a setting specialising in the care of older people. The central philosophy is holistic care with a person-centred approach that brings the various aspects of specialist care together.‘Geriatric syndrome’ is a term often used to refer to common health problems in older adults that do not fit into distinct organ-specific disease categories and that have multifactorial causes. This includes frailty, cognitive impairment, delirium, incontinence, malnutrition, falls, gait disorders, pressure ulcers, sleep disorders, sensory deficits, fatigue and dizziness. These are common in older adults and can have a major impact on quality of life (QoL) and disability.Identifying problems specific to ageing so that interventions can be tailored to meet the needs of patients with fragility fractures needs a detailed and comprehensive assessment that can help clinicians manage these conditions and prevent or delay their complications. This needs to be a collaboration of the whole interdisciplinary team so that the skills of each team member can contribute to building a picture of the patient’s needs. Nursing assessment is a significant part of this whole.A term often used in relation to the assessment of older people with medical needs is comprehensive geriatric assessment (CGA). The aim of this chapter is to explore the nature of comprehensive geriatric assessment (CGA) for the patient with a fragility fracture and discuss how this can be applied to nursing assessment and care.
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Sharpe, Michael, and Simon Wessely. "Psychological treatment in medical practice." In Oxford Textbook of Medicine. Oxford University Press, 2010. http://dx.doi.org/10.1093/med/9780199204854.003.260602.
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Patients have minds as well as bodies, and medical treatment must often address both if it is to be effective. Psychological treatments—these may be divided into general and specialist types. All medical consultations have an important and inescapable psychological effect, hence all physicians are general psychotherapists. All medical consultations have the potential for both psychological help and for harm. Helpful consultations educate the patient, reassure them, and achieve adherence to treatment. Harmful consultations leave the patient confused or with inaccurate ideas about their health, increase anxiety, and make adherence to the physician’s treatment less likely. Being able to deliver a psychologically helpful consultation is therefore a core medical skill....
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Stores, Gregory. "Sleep disorders misinterpreted as other medical or psychological conditions." In Insomnia and other adult sleep problems. Oxford University PressOxford, 2009. http://dx.doi.org/10.1093/oso/9780199560837.003.0012.
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Abstract At several points in this book, it has been mentioned that sleep disorders can mistakenly be thought to be some other type of condition and nothing particularly to do with sleep. This will happen if the person themselves or their relatives or friends giving advice (or professionals whom they consult for help) do not know enough about the many types of sleep disturbance and the various ways in which you can be affected.
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Chen, Julie, Linda Chan, and Weng Chin. "Hong Kong." In The Mental Health of Medical Students. Oxford University PressOxford, 2024. http://dx.doi.org/10.1093/oso/9780192864871.003.0012.
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Abstract This chapter on medical student wellbeing in Hong Kong examines the extent of psychological distress and the mental health status of medical students in Hong Kong. It reviews the prevalence of stress, burnout, depression, and anxiety as well as protective characteristics like grit and resilience. It also discusses help-seeking behaviours among medical students and the barriers and facilitators to seeking psychological support in comparison with other settings. Finally, it shares a case example of a multilevel approach to promoting wellness in the medical school environment that addresses the needs of students in the local context that may also be useful elsewhere.
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Sudakov, Dmitrii Valerievich, Oleg Valerievich Sudakov, Galina Vladimirovna Sych, and Olga Igorevna Gordeeva. "Aspekty psikhologicheskoi pomoshchi studentam v meditsinskom vuze." In Modern educational technologies: psychology and pedagogy. Publishing house Sreda, 2023. http://dx.doi.org/10.31483/r-109495.
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The chapter is devoted to some aspects of psychological assistance to students at a medical university. This topic is currently very relevant for a number of reasons that can lead to the need for psychological support and even help for students: from some aspects of the learning process itself at a medical university, which is quite complex, especially due to the introduction of new State training standards, as well as modernization and optimization processes covering the medical environment and the medical education environment in particular; to the complex processes occurring in society, especially against the background of the pandemic of the new coronavirus infection COVID-19. The purpose of the study was an attempt to analyze the awareness of future doctors about the free psychological help and support existing at the university, as well as to evaluate some aspects of psychological support for medical students. The subjects of the study were 200 students of the Faculty of Medicine of VSMU named after. N.N. Burdenko, divided into 2 groups of 100 people. The 1st group included 100 representatives of the 2nd year of the Faculty of Medicine, while the 2nd group included representatives of the 6th year of the Faculty of Medicine. The authors developed and implemented a specialized questionnaire covering questions of general awareness of specialized psychological services. Then the subjects were asked to carry out a certain gradation of existing services and distribute them using a ranking method, according to importance, in the opinion of the subjects. Then the respondents were asked to answer the question of whether they had resorted to specialized psychological help and support, and also to assess the importance of it among medical students. This study is of great interest to all those involved in the educational process with students, including those at medical universities.
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Boafo-Arthur, Susan, and Ama Boafo-Arthur. "Help Seeking Behaviors of International Students." In Global Perspectives and Local Challenges Surrounding International Student Mobility. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-9746-1.ch014.
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International students' pursuit of education in the United States (US) is mutually beneficial to both international students and the economy of the United States. Students often experience culture shock or transitional stress upon arrival. Despite these challenges, research indicates that international students are not likely to seek professional counseling to manage or resolve their issues. In the event that they seek help they are known to prefer medical instead of psychological help. Authors in this chapter review the influence of stigma and acculturational variables on help seeking behaviors of international students. The authors also discuss implications for international students and institutions of higher education, and conclude with recommendations that may be beneficial to international students, student counseling services, and institutions of higher education in the United States.
Conference papers on the topic "Medical-psychological help"
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Guziak, Mateusz, and Maciej Walkiewicz. "Mental help support for medical students: Insights from the top five universities in Poland." In Proceedings of the International Congress Public Health - Achievements and Challenges. Institute of Public Health of Serbia "Dr Milan Jovanović Batut", 2024. http://dx.doi.org/10.5937/batutphco24151g.
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Background: The literature indicates that medical students in Poland, much like their counterparts globally, face higher levels of stress, anxiety, and depression compared to the general population. Because of stigma and confidentiality concerns, they tend to avoid seeking help, which delays timely and appropriate support. Moreover, the availability of mental health support (MHS) for medical students remains an ongoing issue. Methods and Objectives: The study focused on assessing the availability of Mental Health Services (MHS) at the top five universities in Poland offering MD programs, as per the 2023 Perspektywy University Ranking: Jagiellonian University Medical College (KR), Medical University of Warsaw (WA), Wroclaw Medical University (WR), Medical University of Gdansk (GD), and Medical University of Lodz (LD). Our analysis involved the examination of information pertaining to MHS on the official university websites. Furthermore, during the academic year 2022/2023, a concise, open-ended questionnaire regarding the availability of MHS was dispatched to the Dean's offices of the aforementioned universities. Results: All universities offer free MHS in Polish and English, and WR additionally in German. Most programs provide hybrid support. MHS consists of short-term interventions and is limited to five hours per student in LD, and three visits per student in WR. Other forms of support include well-being programs like coaching, psychoeducation, biofeedback training, stress management training, mindfulness sessions, and yoga. Two universities reported an increased demand for psychological support due to COVID-19. Conclusions: All major medical universities in Poland offer mental health support (MHS); however, the extent of their services varies. To optimize the impact of these programs, it is imperative to institute quality standards and ensure sustainable funding. Further investigation is necessary to assess the effectiveness of the provided MHS. Implementing comprehensive MHS in medical education institutions is crucial for the well-being of future healthcare professionals.
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Zhou, Shiyi, Jiajun Wei, and Zhijuan Zhu. "Improvement Design of Household Medical Nebulizer for Children Based on Ergonomics." In 14th International Conference on Applied Human Factors and Ergonomics (AHFE 2023). AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1003403.
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The purpose of this paper is to study the user needs of household children’s nebulizers from the perspective of Ergonomics, and to provide a basis for the improved design of products, so as to help children carry out nebulization treatment more efficiently and safely. The user research method was used to analyze the pain points and needs of users in the use of children's home nebulizers. Through the literature research, this paper studied the relevant human-machine size and psychological characteristics of children were, and discussed the demand-orientation of children's nebulizer shape, color and material were. Through the above research, this study analyzed the needs of children's nebulizers in terms of the experience of use and man-machine dimensions, and improved the product. The improved design of household children’s nebulizers could not only soothe children's anxiety in the treatment to a certain extent, but also promote children’s healthy growth and help improve the system of children's household medical products.
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Stanojoska, Angelina, and Ice Ilijevski. "Digital Rehabilitation of Incarcerated Women: Possibilities and Future Challenges for North Macedonia." In International Scientific Conference “LIFE IN PRISON: Criminological, Penological, Psychological, Sociological, Legal, Security and Medical Issues”. Institute of Criminological and Sociological Research, Belgrade, Serbia, 2024. https://doi.org/10.47152/prisonlife2024.34.
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In today’s digital world, access to technology and digital literacy is essential for successful reintegration into society, especially for incarcerated individuals. Incarcerated women face significant challenges due to limited access to digital tools and training during their sentences. This digital divide hinders their ability to re-entry, affecting opportunities for employment, communication, and social reintegration. This study aims to assess the digital skills and needs of incarcerated women and design a training program to bridge the digital gap. The goal is to equip them with the necessary digital competencies to help their resocialization, employment possibilities, and overall reintegration. Additionally, the project aims to advocate for the integration of technology in Macedonian prisons. In September 2023, a survey was conducted in the Women’s Ward of KPD Idrizovo as part of the DiCapSIW project. The survey assessed the incarcerated women’ digital skills and their access to technology. Based on the findings, six digital skills training modules were developed, covering areas such as digital literacy, job readiness, and online communication. The survey revealed a significant lack of digital skills among female inmates. Most respondents lacked basic competencies in areas such as job searching and document creation. However, all expressed motivation to participate in digital skills training, recognizing its importance for resocialization and post-release employment.
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Senchenko, Kateryna. "Socio-psychological adaptation of externally displaced Ukrainians in Germany." In Sociology – Social Work and Social Welfare: Regulation of Social Problems. Видавець ФОП Марченко Т.В., 2023. http://dx.doi.org/10.23939/sosrsw2023.194.
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Background: The problem of social and psychological adaptation of externally displaced Ukrainians is extremely urgent today, as millions of citizens were forced to leave Ukraine as a result of the full-scale invasion. Given the differences in language, culture, religion, and administrative structure of the host countries, the problem of adaptation has become extremely acute for many. Without proper support and resources to help them integrate into their new communities, internally displaced persons may deal with a variety of challenges, including isolation, discrimination, and mental health issues such as anxiety, depression, and post-traumatic stress disorder. This can make it difficult for them to rebuild their lives and achieve a sense of security and stability. Purpose: To identify the conditions that influence the successful psychosocial adaptation of externally displaced Ukrainians. Methods: The theoretical method was aimed at studying scientific papers and articles on the topic of social and psychological adaptation. An empirical method was also used, which included the Methodology for Diagnosing Socio-Psychological Adaptation by K. Rogers and R. Diamond and a questionnaire of our own design aimed at studying the difficulties and problems faced by people in the new social environment. Results: In general, most of the respondents have average levels of indicators according to the Rogers and Diamond methodology for diagnosing social and psychological adaptation, but a low level of social adaptation, emotional comfort and striving to dominate was also found in some of the respondents. The analysis of our own questionnaire showed that the process of adaptation of externally displaced Ukrainians is influenced by such factors as language skills, access to medical services, government support, education and employment, and social and cultural environment. Conclusions: The results of the study revealed that although most of the respondents have average adaptation indicators, externally displaced Ukrainians experience a range of problems and need support and additional measures. Keywords: adaptation, social and psychological adaptation, externally displaced Ukrainians, integration, social environment
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"Mental Health Stigma among Medical Students & Residents; University of Jordan & JUH Experience." In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/dwll6480.
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Background: Mental Health includes our emotional, psychological, and social well-being. Mental health problems are seen among healthcare workers, particularly physicians & medical students, who are exposed to a high level of stress at their study & work. Despite the perception of medical students and doctors of the importance of mental health, they have low levels of help seeking for their own psychiatric problems. Fear of exposure to stigmatisation is a crucial contributing barrier to accessing mental health services. Objectives: This study aims to assess stigmatizing attitudes towards mental health and its prevalence among medical students and residents in the University of Jordan and Jordan University Hospital. Method: This is a cross-sectional, questionnaire-based study, where an electronic questionnaire (Google-form) was distributed, and 801 responses were received back. Data then were analysed using the SPSS software. Mental Illness Clinicians' Attitudes (MICA) Scale is used. MICA Scale is a short, self-administered instrument developed to assess attitudes about psychiatry and people with mental illness. Results: The total number of students participated in our survey was 801 medical students. Most of them were females and the mean age was 21.67 ± 2.26. The mean MICA score of the participants was 45.23 ± 9.59. Males had significantly higher MICA scores compared to females (P-value=0.000). Also, students who take medications for mental disease, students who said they would seek professional help if they needed it, students who lived with someone with mental disease, and students who currently have a close friend with mental disorder had significantly lower MICA scores compared to their counterparts (P-value<0.050). Moreover, students who their household income was higher and students who their father educational level was higher had significantly higher MICA score than their counterparts. Conclusion: Higher MICA score indicates more stigmatization attitude for patients with mental disorder. Males had significantly higher MICA scores compared to females. Keywords: Mental Health, Medicine, Medical Students, Residents, Jordan.
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Milićević, Milena. "Prison Study: A Review of Research Gaps and Future Directions." In International Scientific Conference “LIFE IN PRISON: Criminological, Penological, Psychological, Sociological, Legal, Security and Medical Issues”. Institute of Criminological and Sociological Research, Belgrade, Serbia, 2024. https://doi.org/10.47152/prisonlife2024.01.
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Introduction: With numerous studies examining life in prison, identifying research gaps is necessary for mapping focus areas, refining unanswered questions, and avoiding redundant efforts. This process could optimise resources, fosters collaborative approaches, and ultimately lead to more robust and insightful research outcomes. Therefore, this scoping review aimed to identify and address research gaps and future directions within the field of prison studies, specifically focusing on prison climate. Methods: Comprehensive searches were conducted across two databases and a web search engine, with no time restrictions, targeting papers with 'prison climate' in their titles. Both quantitative and qualitative studies were collected. Their limitations and recommendations for future research were analysed using a convergent integrated framework, followed by thematic synthesis. Results: A review of 97 studies identified several critical areas. The studies included diverse samples, but research predominantly focused on Western countries and adult male populations. Various ethical, logistical, and institutional factors frequently influenced sample representativeness, data quality, and measurement reliability. In general, there is an urgent need for longitudinal studies examining prison climate and rehabilitation outcomes. Comparative cross-cultural studies and qualitative explorations of the experiences of both inmates and staff remain underrepresented. Additionally, limited research addresses the relationship between inmate personality profiles and their specific needs within prison programs. Similarly, limited attention was given to how the work environment impacts staff attitudes and behaviours, as well as how these, consequently, shape inmate perceptions of prison climate. The effectiveness of gender-sensitive rehabilitation programs and the role of interventions focused on family, housing, and health in reducing recidivism also require further exploration. Conclusion: Geographic diversity and representation of under-researched groups (e.g., elderly inmates, non-Western populations) remain limited. While quantitative methods dominated, qualitative approaches, context-specific validation, and longitudinal designs emerged as priorities for future research. Additionally, expanding research beyond Western prison populations and adapting measurement tools for diverse inmate and staff groups is recommended. Establishing evidence-based thresholds could help set policies that prevent institutions from falling below safety standards and ensure minimally acceptable conditions regarding overcrowding, violence levels, and staffing ratios. These thresholds can guide resource allocation and intervention design towards positive rehabilitation outcomes, such as increased program participation and improved re-entry support. Finally, engaging individuals with lived experience and other relevant stakeholders in research could further ensure the relevance and applicability of findings.
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Shurykina, S. A., and S. M. Uteva. "Organization of Support for Children with Partial Insufficiency of Predominantly Regulatory Component of Activity in a Center for Psychological, Pedagogical, Medical and Social Assistance: Difficulties and Opportunities." In Proceedings of III Research-to-Practice Conference with International Participation “The Value of Everyone. The Life of a Person with Mental Disorder: Support, Life Arrangements, Social Integration”. Terevinf, 2023. http://dx.doi.org/10.61157/978-5-4212-0676-7-2023-152-158.
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There is an increase in parents' requests for professional help in connection with the behavioral problems of children, which are based on violations of voluntary regulation of activity. The main principles of work on the development of the regulatory component of activity are identified. An algorithm for the work of educational psychologists with children who have difficulties in voluntary regulation is presented. A system of comprehensive methodological support has been created for specialists who organize work with children experiencing difficulties in mastering basic general education programs and social adaptation.
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Liu, Yuqi, and Yunlu Liu. "Scenario innovation of virtual reality in medical education: Possibility Advantages and Barriers." In AHFE 2023 Hawaii Edition. AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1004439.
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The development of digital technology is profoundly transforming the practice of medical education. Virtual simulation is becoming the cornerstone of clinical education and training. With the increasing budget and standardized teaching pressure of universities and related medical institutions, virtual reality is playing a more and more important role on medical simulation teaching. VR can provide cost-effective, repeatable, and standardized clinical training for learners and educators as needed. The future of VR lies in its continuous integration with the curriculum and the technological development that allows the sharing of simulated clinical experience. It can achieve large-scale medical education without time and space limitation, and change the way of future clinical education. Especially in the context of public health crises, virtual medical training systems can greatly alleviate the shortage of professionals in medical institutions, protect medical personnel, and obtain a large number of well-trained medical staff in the short term. As a powerful and highly potential medical education tool, Virtual reality has attracted high attention from top international medical colleges and institutions. This study analyzes the scenario innovation of virtual reality technology in medical education through a combination of theory and case studies, summarizes the possibilities, advantages, and barriers of technology use, and provides reference for the development of related virtual medical education systems.In terms of the possibility of scenario innovation, the following five points can be considered: firstly, virtual reality technology can showcase the functions of medical devices and drug action mechanisms in medical procurement and marketing; Secondly, for doctor-patient communication, education can be provided to medical patients and their families, informing and explaining the patient's condition, surgical operation plan, and the role of "trial operation"; Thirdly, for rehabilitation training, it can help patients receive dual psychological and physiological treatment and rehabilitation guidance; Fourthly, for medical teaching, nursing teaching and clinical training can be conducted; Fifth, for medical science popularization, health knowledge popularization, promotion of healthy lifestyles, emergency rescue training, and disaster response education can be carried out. The advantages of virtual reality technology in medical education innovation mainly include the following three aspects: firstly, for learners, virtual simulation systems equipped with virtual reality technology make learning clinical easier with immersive experience; Secondly, for educators, it can greatly release teachers' time and space; Thirdly, for universities and medical institutions, it is allowed to provide simulated teaching with fewer resources and lower costs. The disadvantages of virtual reality technology in medical education mainly include three aspects: firstly, virtual simulation systems equipped with virtual reality technology are not suitable for all medical education scenarios; Secondly, due to its own technological limitations, the implementation of some teaching activities still requires human support; Thirdly, the system itself which provides a simulated learning approach still cannot replace expert educators.
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Perillo, Pedro Henrique de Ávila, Vinicius Lemos Nascimento, Laís Martins Queiroz, Ianca Leandra Santos, Ana Carla Moreira Miranda, and Débora Sara de Almeida Cardoso. "INTERFERENCE OF BREAST CANCER COMMUNICATION ON TREATMENT ADHERENCE AND THE DOCTOR–PATIENT RELATIONSHIP." In Abstracts from the Brazilian Breast Cancer Symposium - BBCS 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s2026.
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Objectives: Breast cancer is the cancer with the highest incidence in women in Brazil. The revelation of this diagnosis is considered a crucial moment, responsible for uncertainties and even affecting the doctor–patient relationship. Although the communication of bad news is one of the most frequent practices among physicians, difficulties are common. The aim of this study was to evaluate the influence of the communication in the diagnosis of breast cancer and the repercussions on the treatment, using the parameters as suggested by the Centro Avançado de Diagnóstico de Câncer de Mama (CORA/ HC-UFG) in Goiânia-GO. Methodology: This qualitative and integrative study was conducted in the following databases: PubMed, SciELO, and MedLine with six selected articles. The keywords used were “communication,” “diagnosis,” “breast cancer,” “adherence to treatment,” and “doctor–patient relationship.” Based on the results, a comparison was made with the one carried out in the CORA/HC-UFG. Results: Through the analysis of the articles, it was observed that the no tification of the diagnosis of cancer is considered a critical moment and how professionals notify patients directly interferes in the relationship of the patients with the diagnosis itself. Thus, it is up to the professionals to provide psychological and informative support at the time of diagnosis in order to reduce pessimistic feelings and to avoid abandoning the medical–hospital follow-up. In addition, when analyzing the care provided at CORA, it was noted that the adoption of a more humanized and multiprofessional communication, with the help of the psychological team, it was noticed, in agreement with the studies, a better acceptance and treatment adherence. Conclusion: The notification of cancer should be done in the most empathetic way possible, using techniques of psychology and communication, so that the patient receives information about his health situation in a welcoming manner. Furthermore, although the diagnostic communication is a medical act, the presence of a psychologist to support the patient has shown benefits.
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Rodríguez, Derly Judaissy Díaz, Jeffrey Andrés Díaz Rodríguez, Diva Constanza Gil Forero, and María Paula Pineda Díaz. "Wernicke-Korsakoff syndrome and other chronic neurological syndromes related to alcohol abuse: prevention in people without home." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.686.
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Introduction: The homeless population has a high prevalence of alcoholism and consumption of other drugs, which also means that they are at greater risk of developing all complications resulting from alcohol abuse. (MILER et al, 2021). The medical attention for homeless population is a device of the Unified Health System that claims social, health policies and the guarantee of fundamental rights (BRASIL, 2009). Methods: Evaluation of protocols and referral flows for the treatment of patients with ‘mental disorders and due to alcohol use’, of the medical attention for homeless population in the city of Petrópolis (Rio de Janeiro), between April / 2020 and April 2021, data from e-SUS, and literature review. Results: The city of Petrópolis (Rio de Janeiro) registered 259 people without home, 84.8% are men, all people are adults between 20-74 years old, 98% are born Brazilians, 92% reported alcohol consumption, and alcohol with other drugs 61% (cocaine, crack, marijuana, solvent, tobacco). There was 3 patients with diagnose of Wernicke-Korsakoff syndrome: 2 men and 1 woman (aged 60-65 years) in the period from April 2020 - April 2021 (BRAZIL, 2021 The medical attention for homeless population approach to alcoholism includes the CAGE and AUDIT tests, symptomatic treatment and brief psychological interventions. aimed at weaning, and the Clinical Institute Withdrawal Assessment of Alcohol Scale Revised scale to quantify the degree of abstinence. However, the majority of users do not want total cessation, generally they choose to reduce consumption (secondary prevention), and later recovery and reintegration into society, highlighting that self-help groups and social assistance have a prominent role (tertiary prevention) (MARSCHARLL; GREGANTI, 2002; LONGO, et al., 2013). Conclusion: Despite confounding / aggravating factors such as social determinants in health, and the difficulties of the health network, the medical attention for homeless population is fundamental in the secondary and tertiary prevention of neurological diseases due to chronic alcohol consumption; complex cases require complex interventions, that is, individualization, adaptation and flexibility.
Reports on the topic "Medical-psychological help"
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Rudd, Ian. Leveraging Artificial Intelligence and Robotics to Improve Mental Health. Intellectual Archive, 2022. http://dx.doi.org/10.32370/iaj.2710.
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Artificial Intelligence (AI) is one of the oldest fields of computer science used in building structures that look like human beings in terms of thinking, learning, solving problems, and decision making (Jovanovic et al., 2021). AI technologies and techniques have been in application in various aspects to aid in solving problems and performing tasks more reliably, efficiently, and effectively than what would happen without their use. These technologies have also been reshaping the health sector's field, particularly digital tools and medical robotics (Dantas & Nogaroli, 2021). The new reality has been feasible since there has been exponential growth in the patient health data collected globally. The different technological approaches are revolutionizing medical sciences into dataintensive sciences (Dantas & Nogaroli, 2021). Notably, with digitizing medical records supported the increasing cloud storage, the health sector created a vast and potentially immeasurable volume of biomedical data necessary for implementing robotics and AI. Despite the notable use of AI in healthcare sectors such as dermatology and radiology, its use in psychological healthcare has neem models. Considering the increased mortality and morbidity levels among patients with psychiatric illnesses and the debilitating shortage of psychological healthcare workers, there is a vital requirement for AI and robotics to help in identifying high-risk persons and providing measures that avert and treat mental disorders (Lee et al., 2021). This discussion is focused on understanding how AI and robotics could be employed in improving mental health in the human community. The continued success of this technology in other healthcare fields demonstrates that it could also be used in redefining mental sicknesses objectively, identifying them at a prodromal phase, personalizing the treatments, and empowering patients in their care programs.
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Slaughter-Acey, Jaime, Kathryn Behrens, Amy M. Claussen, et al. Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map. Agency for Healthcare Research and Quality (AHRQ), 2023. http://dx.doi.org/10.23970/ahrqepccer264.
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Objective. The purpose was to review available evidence of risk factors associated with maternal morbidity and mortality in the United States during the prenatal and postpartum periods to inform a National Institutes of Health Pathways to Prevention Workshop: Identifying Risks and Interventions to Optimize Postpartum Health, held November 29–December 1, 2022. Data sources. We searched MEDLINE®, CINAHL®, and the Social Sciences Citation Index through November 2022. Review methods. We searched for observational studies examining exposures related to social and structural determinants of health and at least one health or healthcare-related outcome for pregnant and birthing people. We extracted basic study information and grouped studies by social and structural determinants of health domains and maternal outcomes. We prioritized studies according to study design and rigor of analytic approaches to address selection bias based on the ROBINS-E. We summarize all included studies and provide additional descriptions of direction of association between potential risk exposures and outcomes. Results. We identified 8,378 unique references, with 118 included studies reporting social and structural determinants of health associated with maternal health outcomes. Studies covered risk factors broadly, including identity and discrimination, socioeconomic, violence, trauma, psychological stress, structural/institutional, rural/urban, environment, comorbidities, hospital, and healthcare use factors. However, the risk factors we identified represent only a subset of potential social and structural determinants of interest. We found an unexpectedly large volume of research on violence and trauma relative to other potential exposures of interest for pregnant people. Outcome domains included maternal mortality, severe maternal morbidity, hypertensive disorders, gestational diabetes, cardio/metabolic disorders, weathering (the physiological effect of premature aging caused by chronic stressful experiences), depression, other mental health or substance use disorders, and cost/healthcare use outcomes. Depression/other mental health outcomes represented a large proportion of medical outcomes captured. Risk of bias was high, and rarely did studies report the excess risk attributable to a specific exposure. Conclusions. Identifying risk factors pregnant and birthing people face is vitally important. Limited depth and quality of available research within each social and structural determinant of health impeded our ability to outline specific pathways, including risk factor interdependence. While more recently published literature showed a trend toward increased rigor, future research can emphasize techniques that estimate the causal impacts of risk factors. Improved reporting in studies, along with organized and curated catalogues of maternal health exposures and their presumed mechanisms, would make it easier to examine exposures in the future. In the longer term, the field could be advanced by datasets designed to more fully capture the data required to robustly examine racism and other social and structural determinants of health, in combination with their intersections and feedback loops with other biologic/medical risk factors.
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Monitoring Long-Term Cardiovascular Risk from Estrogen Use in Transgender Women - Evidence Update for Clinicians. Patient-Centered Outcomes Research Institute (PCORI), 2002. http://dx.doi.org/10.25302/eu11.2020.2.
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A PCORI-funded study provides new information for primary care clinicians about the need to monitor long-term cardiovascular risks in transgender women receiving hormone therapy. Approximately 1.4 million transgender people live in the United States. Many transgender women pursue medical transition with hormone therapy including estrogen to align their bodies with their female gender identity. Evidence suggests that medical transition confers significant psychological benefits including reduced depression, anxiety, and suicidality and improved quality of life. However, the risks of using estrogen, including cardiovascular risks, are not well understood. Recent evidence on these risks can help inform decisions and improve care for transgender women who are currently using or formerly used estrogen.