Summary Background Individuals with visible skin conditions often experience stigmatization and discrimination. This may trigger maladaptive responses such as feelings of anger and hostility, with negative consequences to social interactions and relationships. Objective To identify psychosocial factors contributing to aggression levels in dermatology patients. Methods Data were obtained from 91 participants recruited from outpatient clinics in the north of England, U.K. This study used dermatology‐specific data extracted from a large U.K. database of medical conditions collected by The Appearance Research Collaboration. This study looked at the impact of optimism, perceptions of social support and social acceptance, fear of negative evaluation, appearance concern, appearance discrepancy, social comparison and well‐being on aggression levels in a sample of dermatology patients. Results In order to assess the relationship between variables, a hierarchical regression analysis was performed. Dispositional style (optimism) was shown to have a strong negative relationship with aggression (β = −0·37, t = −2·97, P = 0·004). Higher levels of perceived social support were significantly associated with lower levels of aggression (β = −0·26, t = −2·26, P = 0·02). Anxiety was also found to have a significant positive relationship with aggression (β = 0·36, t = 2·56, P = 0·01). Conclusions This study provides evidence for the importance of perceived social support and optimism in psychological adjustment to skin conditions. Psychosocial interventions provided to dermatology patients might need to address aggression levels and seek to enhance social support and the ability to be optimistic.
Introduction. Occupational violence has been demonstrated to impact negatively on the wellbeing of nurses and patients. Staff attitudes towards causes and management of patients' aggression influences their practice. Training is likely to influence attitudes towards aggression; however, Uganda's health system lacks adequate resources to provide aggression management training for staff. Aim. To assess the impact of a training programme (RESPECT) on staff attitudes towards causes and management of patient's aggression in a Ugandan hospital. Methods. This study used a mixed-methods convergent design. A convenience sample of nurses and support staff employed in the psychiatric ward and other services across the hospital (N=90) completed the Management of Aggression and Violence Attitude Scale (MAVAS) pre-and-post-training. The views of a smaller sample (n=35) were captured via interviews and focus groups and analysed using thematic analysis. Results. Participants reported greater agreement with patients' physical and social environment (External and Situational causative models) as factors influencing patient's aggression. Qualitative findings substantiated the results identified in the survey. Attitudes towards seclusion, restraint and medication remained unchanged. Discussion and Implications for practice. RESPECT has the potential to change staff attitudes towards aggression in the short-term. Further research is needed to investigate longterm effects and impact on incidents of aggression. Training programmes like RESPECT may be useful to improve attitudes towards causes of aggression and its management in LMIC hospitals. However, further evidence is required to demonstrate whether these results can be sustained over time and whether these attitudinal changes are associated with reduction of workplace violence. Mental health nurses and other mental health professionals can play a key role in establishing hospital wide training and sharing skills across geographical boundaries
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