73 research outputs found
The Impact of the Semente Program on the Family-Focused Practice of Mental Health Professionals in Portugal.
Background: Children of parents with mental illness (COPMI) are a high-risk group. There is a strong association between parents' psychiatric disorders and the incidence of psychopathology in their children. These children need to be identified and supported by mental health workers early, and hence, clinical practice in adult mental health services needs to change from a focus on individual patients to a more systemic family focus. "Semente," a mental health promotion program developed by the Psychiatry Service of Fernando Fonseca hospital (Lisbon, Portugal), had been established to identify these children and families and promote their mental health, by decreasing the impact of risk factors and promoting protective factors. The program included preventive COPMI interventions and implementation of activities offered to families with children in the mental health care. The aim of the present study was to evaluate changes in mental health care after the training in "Child Talks" intervention (two to three psycho-educational meetings with parents and children) and implementation of the "Semente" program. Methods: Participants (N = 51) were all professionals from Psychiatric Service of Fernando Fonseca Hospital who received Child Talks training. The Family-Focused Mental Health Practice Questionnaire (FFMPQ) was used to measure change in professionals' attitudes, knowledge, confidence, and organizational structure in working with these families. All participants filled in the questionnaire before training and 10 months later. Results: The results showed that, from pre- to post-measurement, the professionals changed clinical practice significantly. The largest changes were visible in the improved provision of support at the workplace for family-focused practice and the clarity and availability of the policies and procedures. Furthermore, the skill and knowledge of the mental health workers showed significant improvement at posttest. Conclusion: The positive results of this study were not unexpected; the training, implementation of routines, and procedures as well as workplace support were aims of the "Semente" program. Interpretation of the results should be taken with caution because of the small sample and the lower reliability of some of scales of the FFMPQ. The results indicate that professionals moved from patient focus to family focus during the implementation of the "Semente" program.info:eu-repo/semantics/publishedVersio
Social mindfulness predicts concern for nature and immigrants across 36 nations
People cooperate every day in ways that range from largescale contributions that mitigate climate change to simple actions such as leaving another individual with choice â known as social mindfulness. It is not yet clear whether and how these complex and more simple forms of cooperation relate. Prior work has found that countries with individuals who made more socially mindful choices were linked to a higher country environmental performance â a proxy for complex cooperation. Here we replicated this initial finding in 41 samples around the world, demonstrating the robustness of the association between social mindfulness and environmental performance, and substantially built on it to show this relationship extended to a wide range of complex cooperative indices, tied closely to many current societal issues. We found that greater social mindfulness expressed by an individual was related to living in countries with more social capital, more community participation and reduced prejudice towards immigrants. Our findings speak to the symbiotic relationship between simple and more complex forms of cooperation in societies.info:eu-repo/semantics/publishedVersio
Factors that may Facilitate or Hinder a Family-Focus in the Treatment of Parents with a Mental Illness
Reply to Komatsu et al.: From local social mindfulness to global sustainability efforts?
Komatsu et al. (1) argue that Van Doesum et al. (2)
may have overlooked the role of GDP in reporting a
positive association between social mindfulness
(SoMi) and the Environmental Performance Index
(EPI) at country level. Although the relationship
between EPI and SoMi is relatively weaker for countries with higher GDP, that does not imply that the
overall observed relationship is a statistical artifact.
Rather, it implies that GDP may be a moderator of
the relationship between EPI and SoMi. The
observed correlation is a valid result on average
across countries, and the actual effect size would, at
least to some degree, depend on GDP
Reply to Nielsen et al.: Social mindfulness is associated with countries' environmental performance and individual environmental concern.
Nielsen et al. (1) argue that Van Doesum et al. (2)
need to consider three points for their interpretation
of a positive association between individual-level
social mindfulness (SoMi) and environmental performance (EPI) at the country level (3). The association
is weaker when 1) it is controlled for GDP and 2)
when the data of three countries are removed; also,
3) the data do not address the association between
SoMi and individual-level environmental concern.
We discuss these points in turn
Social mindfulness and prosociality vary across the globe
Humans are social animals, but not everyone will be mindful of others to the same extent. Individual differences have been found, but would social mindfulness also be shaped by oneâs location in the world? Expecting cross-national differences to exist, we examined if and how social mindfulness differs across countries. At little to no material cost, social mindfulness typically entails small acts of attention or kindness. Even though fairly common, such low-cost cooperation has received little empirical attention. Measuring social mindfulness across 31 samples from industrialized countries and regions (n = 8,354), we found considerable variation. Among selected country-level variables, greater social mindfulness was most strongly associated with countriesâ better general performance on environmental protection. Together, our findings contribute to the literature on prosociality by targeting the kind of everyday cooperation that is more focused on communicating benevolence than on providing material benefits
Fourth mRNA COVID-19 vaccination in immunocompromised patients with haematological malignancies (COBRA KAI): a cohort study
Background Patients with haematological malignancies have impaired antibody responses to SARS-CoV-2 vaccination. We aimed to investigate whether a fourth mRNA COVID-19 vaccination improved antibody quantity and quality. Methods In this cohort study, conducted at 5 sites in the Netherlands, we compared antibody concentrations 28 days after 4 mRNA vaccinations (3-dose primary series plus 1 booster vaccination) in SARS-CoV-2 naive, immunocompromised patients with haematological malignancies to those obtained by age-matched, healthy individuals who had received the standard primary 2-dose mRNA vaccination schedule followed by a first booster mRNA vaccination. Prior to and 4 weeks after each vaccination, peripheral blood samples and data on demographic parameters and medical history were collected. Concentrations of antibodies that bind spike 1 (S1) and nucleocapsid (N) protein of SARS-CoV-2 were quantified in binding antibody units (BAU) per mL according to the WHO International Standard for COVID-19 serological tests. Seroconversion was defined as an S1 IgG concentration > 10 BAU/mL and a previous SARS-CoV-2 infection as N IgG > 14.3 BAU/mL. Antibody neutralising activity was tested using lentiviral-based pseudoviruses expressing spike protein of SARS-CoV-2 wildtype (D614G), Omicron BA.1, and Omicron BA.4/5 variants. This study is registered with EudraCT, number 2021-001072-41. Findings Between March 24, 2021 and May 4, 2021, 723 patients with haematological diseases were enrolled, of which 414 fulfilled the inclusion criteria for the current analysis. Although S1 IgG concentrations in patients significantly improved after the fourth dose, they remained significantly lower compared to those obtained by 58 age-matched healthy individuals after their first booster (third) vaccination. The rise in neutralising antibody concentration was most prominent in patients with a recovering B cell compartment, although potent responses were also observed in patients with persistent immunodeficiencies. 19% of patients never seroconverted, despite 4 vaccinations. Patients who received their first 2 vaccinations when they were B cell depleted and the third and fourth vaccination during B cell recovery demonstrated similar antibody induction dynamics as patients with normal B cell numbers during the first 2 vaccinations. However, the neutralising capacity of these antibodies was significantly better than that of patients with normal B cell numbers after two vaccinations. Interpretation A fourth mRNA COVID-19 vaccination improved S1 IgG concentrations in the majority of patients with a haematological malignancy. Vaccination during B cell depletion may pave the way for better quality of antibody responses after B cell reconstitution
COVID-19 in vaccinated adult patients with hematological malignancies: preliminary results from EPICOVIDEHA
Social mindfulness predicts concern for nature and immigrants across 36 nations
People cooperate every day in ways that range from largescale contributions that mitigate climatechange to simple actions such as leaving another individual with choice â known as social mindfulness.It is not yet clear whether and how these complex and more simple forms of cooperation relate. Priorwork has found that countries with individuals who made more socially mindful choices were linked toa higher country environmental performance â a proxy for complex cooperation. Here we replicatedthis initial finding in 41 samples around the world, demonstrating the robustness of the associationbetween social mindfulness and environmental performance, and substantially built on it to show thisrelationship extended to a wide range of complex cooperative indices, tied closely to many currentsocietal issues. We found that greater social mindfulness expressed by an individual was related toliving in countries with more social capital, more community participation and reduced prejudicetowards immigrants. Our findings speak to the symbiotic relationship between simple and morecomplex forms of cooperation in societies.Social decision makin
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