Experiences and unmet needs of lesbian, gay and bisexual people with cancer care: a systematic review and meta-synthesis.
Psychooncology. 2018 Feb 20;:
Authors: Lisy K, Peters MDJ, Schofield P, Jefford M
OBJECTIVES: To explore the cancer care experiences and unmet needs of people who identify as a sexual or gender minority.
METHODS: A qualitative systematic review and meta-synthesis was undertaken based on a registered protocol. Following literature searching and study selection, study quality was examined using the Critical Appraisal Skill Programme Checklist. Qualitative data were extracted verbatim from included studies and synthesised using thematic analysis.
RESULTS: Fifteen studies that included lesbian, gay and bisexual (LGB) people living with or beyond cancer were included in the review. Studies including gender minorities were not identified. The majority of study participants were sexual minority women with breast cancer or sexual minority men with prostate cancer. Meta-synthesis of 106 individual findings generated six overarching themes pertaining to sexual orientation disclosure, experiences and fear of homophobia, positive and negative healthcare professional behaviours, heterocentric systems and care, inadequacy of available support groups, and unmet needs for patient-centred care and LGB-specific information. LGB people often reported feelings of anxiety, invisibility, isolation and frustration throughout the cancer care continuum.
CONCLUSIONS: Analysis of the experiences of LGB people with cancer care shows that LGB people face numerous challenges due to their sexual orientation and receive care that does not adequately address their needs. Training and education of healthcare professionals is strongly recommended to address some of these challenges and practice gaps. Culturally appropriate care includes avoiding heterosexual assumptions, use of inclusive language, the provision of tailored information and involving partners in care.
PMID: 29462496 [PubMed - as supplied by publisher]
Understanding the Role of Negative Emotions in Adult Learning and Achievement: A Social Functional Perspective.
Behav Sci (Basel). 2018 Feb 20;8(2):
Authors: Rowe AD, Fitness J
The role of emotions in adult learning and achievement has received increasing attention in recent years. However, much of the emphasis has been on test anxiety, rather than the wider spectrum of negative emotions such as sadness, grief, boredom and anger. This paper reports findings of a qualitative study exploring the experience and functionality of negative emotions at university. Thirty-six academic staff and students from an Australian university were interviewed about emotional responses to a range of learning events. Data analysis was informed by a prototype approach to emotion research. Four categories of discrete negative emotions (anger, sadness, fear, boredom) were considered by teachers and students to be especially salient in learning, with self-conscious emotions (guilt, embarrassment, shame) mentioned by more students than staff. While negative emotions were frequently viewed as detrimental to motivation, performance and learning, they were also construed under some circumstances as beneficial. The findings are discussed in relation to the value of social functional approaches for a better understanding of the diverse roles of negative emotions in learning and achievement.
PMID: 29461487 [PubMed]
"Self" Takes it All in Mental Illness: Examining the Dynamic Role of Health Consciousness, Negative Emotions, and Efficacy in Information Seeking.
Health Commun. 2018 Feb 20;:1-11
Authors: Lee J
Mental illness such as depression, stress, and anxiety disorder is prevalent in our everyday lives. Yet, little is known about how health-related variables operate in the mental illness context. Centering on health consciousness, this study systematically examines how health consciousness affects information seeking and whether negative emotions and efficacy intervene in the relationship in mental illness. The results of the survey (N = 614) suggest that health consciousness relates to fear, anxiety, self-efficacy, and response efficacy but does not relate to information seeking. Interestingly, self-efficacy is the only mediator in the relationship between health consciousness and information seeking on mental illness. Implications are discussed.
PMID: 29461112 [PubMed - as supplied by publisher]
Perceived Racial Discrimination and Pain Intensity/Disability Among Economically Disadvantaged Latinos in a Federally Qualified Health Center: The Role of Anxiety Sensitivity.
J Immigr Minor Health. 2018 Feb 19;:
Authors: Bakhshaie J, Rogers AH, Mayorga NA, Ditre J, Rodríguez-Cano R, Ruiz AC, Viana AG, Garza M, Lemaire C, Ochoa-Perez M, Bogiaizian D, Zvolensky MJ
The present study examined the role of anxiety sensitivity (AS; fear of the negative consequences of anxiety) in the relation between perceived racial discrimination and pain-related problems among Latinos seeking health services at a Federally Qualified Health Center. Participants included 145 adult Latinos (87.80% female, Mage = 38.07 years, SD = 11.98, and 96.2% reported Spanish as their first language). Results indicated that perceived racial discrimination was indirectly related to the pain intensity and pain disability through AS. These effects were evident above and beyond the variance accounted for by gender, age, marital status, educational status, employment status, years living in the United States, and number of axis I diagnoses. Overall, the present findings highlight the merit in focusing further scientific attention on the interplay between perceived racial discrimination and AS to better understand and inform interventions to reduce pain problems among Latinos in primary care.
PMID: 29460134 [PubMed - as supplied by publisher]
Nightmare Themes: An Online Study of Most Recent Nightmares and Childhood Nightmares.
J Clin Sleep Med. 2018 Feb 13;:
Authors: Schredl M, Göritz AS
STUDY OBJECTIVES: Even though the common diagnostic criteria (ICSD-3, DSM-5) acknowledge that nightmares do not only contain anxiety/fear (definition of the ICD-10) but also other emotions such as grief, disgust, and anger, the definition of a nightmare still focuses on threats to survival, security, or physical integrity. However, empirical studies on nightmare content in larger samples are scarce.
METHODS: The current study elicited 1,216 of the most recent nightmares including childhood nightmares of a population-based sample.
RESULTS: The findings show that nightmares encompass a diversity of different topics, being chased, physical aggression, including death/injury of close persons. Infrequent themes like being the aggressor and suicide are of special interest as they might be related to waking-life psychopathology.
CONCLUSIONS: The variety of nightmare topics clearly indicate that current definitions of nightmare content are too narrow. Future studies should look into nightmare content of persons in whom nightmare disorder has been diagnosed.
PMID: 29458691 [PubMed - as supplied by publisher]