GPs' attitudes, beliefs and behaviours regarding exercise for chronic knee pain: a questionnaire survey

OBJECTIVES: The aim of this study was to investigate general practitioners' (GPs) attitudes, beliefs and behaviours regarding the use of exercise for patients with chronic knee pain (CKP) attributable to osteoarthritis. SETTING: Primary care GPs in the UK. PARTICIPANTS: 5000 GPs, randomly selected from Binley's database, were mailed a cross-sectional questionnaire survey. OUTCOME MEASURES: GPs' attitudes and beliefs were investigated using attitude statements, and reported behaviours were identified using vignette-based questions. GPs were invited to report barriers experienced when initiating exercise with patients with CKP RESULTS: 835 (17%) GPs responded. Overall, GPs were positive about general exercise for CKP. 729 (87%) reported using exercise, of which, 538 (74%) reported that they would use both general and local (lower limb) exercises. However, only 92 (11% of all responding) GPs reported initiating exercise in ways aligning with best-evidence recommendations. 815 (98%) GPs reported barriers in using exercise for patients with CKP, most commonly, insufficient time in consultations (n=419; 51%) and insufficient expertise (n=337; 41%). CONCLUSIONS: While GPs' attitudes and beliefs regarding exercise for CKP were generally positive, initiation of exercise was often poorly aligned with current recommendations, and barriers and uncertainties were reported. GPs' use of exercise may be improved by addressing the key barriers of time and expertise, by developing a pragmatic approach that supports GPs to initiate individualised exercise, and/or by other professionals taking on this role

Associations Among Self-Compassion, Eating Behaviors, and Stress in College Freshmen

Purpose: Few studies have investigated the potential relationship between self-compassion and eating behaviors. Self-compassion has been shown to improve one’s ability to respond more effectively to various situations and stressors by embracing the constructs of self-kindness, common humanity and mindfulness. This study examined correlations between self-compassion, eating behaviors and stress in first-time college freshmen.Methods: First-time freshmen (N=1477), ages 18-22 years (63% female), self-reported measures of Perceived Stress Scale (PSS), Three-Factor Eating Questionnaire (TFEQ), and Self-Compassion Scale (SCS). Associations among PSS, SCS and TFEQ scores were examined with Pearson correlations by gender. Differences by gender were explored with t-tests.Results: There were significant (p < 0.01) correlations between disinhibition and negative SCS constructs (self-judgment, r = 0.29; isolation, r = 0.23; over-identification, r = 0.28) and restraint and self-judgment in females (r = 0.26). Females scored significantly higher than males on PSS and negative SCS subscales (p < 0.05).Conclusion: Interventions increasing self-compassion and reducing stress may optimally support psychological and behavioral wellbeing as students transition into college. Future research needs to understand how self-compassion interventions may attenuate the inimical cycle of dietary restraint and disinhibition in university students

Associations Among Self-Compassion, Eating Behaviors, and Stress in College Freshmen

Purpose: Few studies have investigated the potential relationship between self-compassion and eating behaviors. Self-compassion has been shown to improve one’s ability to respond more effectively to various situations and stressors by embracing the constructs of self-kindness, common humanity and mindfulness. This study examined correlations between self-compassion, eating behaviors and stress in first-time college freshmen.Methods: First-time freshmen (N=1477), ages 18-22 years (63% female), self-reported measures of Perceived Stress Scale (PSS), Three-Factor Eating Questionnaire (TFEQ), and Self-Compassion Scale (SCS). Associations among PSS, SCS and TFEQ scores were examined with Pearson correlations by gender. Differences by gender were explored with t-tests.Results: There were significant (p < 0.01) correlations between disinhibition and negative SCS constructs (self-judgment, r = 0.29; isolation, r = 0.23; over-identification, r = 0.28) and restraint and self-judgment in females (r = 0.26). Females scored significantly higher than males on PSS and negative SCS subscales (p < 0.05).Conclusion: Interventions increasing self-compassion and reducing stress may optimally support psychological and behavioral wellbeing as students transition into college. Future research needs to understand how self-compassion interventions may attenuate the inimical cycle of dietary restraint and disinhibition in university students