Browsing by Subject "Relatives"

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    Psychological treatment for family members of children with cancer: A systematic review and meta‐analysis
    (Wiley, 2019-03-18) Sánchez‐Egea, Rocío; Rubio‐Aparicio, María; Sánchez‐Meca, Julio; Rosa‐Alcázar, Ana Isabel; Personalidad, Evaluación y Tratamiento Psicológicos
    Objective: This meta‐analytical study examined the effects of psychological treat- ments applied to family members of children and adolescents with cancer, as well as the characteristics of the studies that can be associated with their effects. Methods: Four databases were searched between January 1980 and January 2017; the references of the located studies were reviewed, and emails were sent to experts in this topic. Forty articles fulfilled the selection criteria. The standardized mean pretest‐posttest (or pretest–follow‐up) change was used as the effect‐size index for the treatment and control groups. Results: The 40 articles included 40 treatment groups and 21 control groups. When treatment and control pretest‐posttest mean effects were compared, psychological interventions revealed positive, statistically significant results for anxiety (dadj = 0.339) and problem‐solving skills (dadj = 0.385) and, to a lesser extent, for posttraumatic stress (dadj = 0.224). No statistically significant differences were found for mood (dadj = 0.147), acute stress (dadj = −0.010), coping skills (dadj = 0.123), social support (dadj = 0.245), or quality of life (dadj = 0.538). Conclusions: Positive effects of mild to moderate magnitude were found in the posttests for some outcome measures. Behavioral interventions seem to be the most promising. Interventions achieved the best results when they were long in duration and low in intensity and when they were applied to family members with young chil- dren who were undergoing medical treatment. At follow‐up, the intervention benefits were diminished. The application of psychological interventions is recommended to mitigate the negative psychological repercussions in this population.
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    Psychosocial changes during COVID-19 lockdown on nursing home residents, their relatives and clinical staf: a prospective observational study
    (BMC, 2023-02-03) Oliveira, Adriana C. De Souza; Gómez Martínez, Carmelo; Carrasco Martínez, Elena; Moreno Molina, Jorge; Hernández Morante, Juan José; Echevarría Pérez, Paloma; Gómez Gallego, María; Atención Sociosanitaria
    Background Previous works have observed an increase of depression and other psychological disorders on nursing home residents as a consequence of coronavirus disease 2019 (COVID-19) lockdown; however, there are few studies that have performed a comprehensive evaluation of all people involved in nursing homes environment. The objective of the work was to analyse the impact of lockdown on psychosocial factors of nursing home residents, relatives and clinical staf and how these variables have infuenced residents’ survival. Methods A prospective study was designed. Evaluations were performed at three diferent times: a) at the beginning of Spanish confnement, in March 2020; b) just before the second wave of the pandemic, with relaxation of security measures but in lockdown, and c) in January–February 2021, at the end of the second wave, when visits were already allowed. The study was conducted on three diferent nursing homes. Three hundred and one residents, 119 clinical staf and 51 relatives took part in the study. Anxiety and depression were evaluated in all participants. A scale on the meaning of sufering was also performed. In addition, burnout status was also determined in the clinical staf. Results All participants showed lower depression during lockdown, while at the beginning and at the end of the confnement, these values were signifcantly increased. In residents, these changes were dependent of cognitive status (p=0.012). Anxiety was signifcantly higher in residents. The evolution of anxiety was similar than with depres sion, with lower values during confnement, although clinical staf showed higher anxiety levels at the beginning. The feeling of sufering was signifcantly lower in the clinical staf than in resident and relative groups. Residents’ survival was dependent of cognitive status (p=0.018) and voluntary confnement (p<0.001). Conclusions During the frst COVID-19 lockdown, psychological wellbeing of residents cared in nursing homes, their relatives and staf did not seem to be seriously afected. Previous mental health in relatives and staf together with a resilient approach to the adversity might partly be protecting factors. The lack of consequences on residents’ anxiety, depression and perception of social support may refect the special attention and care they received. Finally, as in the current study only data of the frst two COVID-19 waves were analysed, its fndings might be partly generalized to all the pandemic.