Background: Substance use disorders co-occur at high prevalence with mental disorders, such as depression, anxiety, and bipolar disorder. Detoxification is a medical service that helps people withdraw from addictive substances in a medically safe and effective manner. Aim: to assess the emotional problems among substance dependent patients undergoing detoxification. Design: Descriptive design. Setting: in the National Center for Addiction affiliated to the Abbasia mental health hospital. Sample: Convenient sample of 92 substance dependent patients. Tools: Interviewing questionnaire sheet which consisted of socio-demographic characteristics of the studied patients and the clinical data about substance abuse, the General Health Questionnaire (GHQ-28), and Brief Substance Craving Scale (BSCS). Results: Less than two third of the substance dependent patient had family history of addiction, less than half of them aged between 30 to 40 years old when they started addiction, more than half of them feel that their health much worth than usual, and more than one third of them addicted drugs due to peer pressure. More than have of the substance dependent patients much more than usual had difficulty in staying sleep, and insomnia due to anxiety. fell constantly under strain, found getting everything on top of them, and feeling nervous and strung-up all the time. Conclusion: More than half of the substance dependent patients much more than usual thinks themselves as a worthless person. Felt that life hopeless. Also, the majority of them had a worth mental health score, and three quarters of them had a high total craving score. Recommendations: Further study should be carried out on the aspect of improving the substance dependent patients' self-esteem after detoxification. Coping skills educational programs to reduce craving belief among substance dependent patient.
Background: Training family caregivers of children with Down Syndrome on how to promote their own psychological well-being and to cope effectively is essential as they are frequently unstable and forego their psychological well-being. Aim: This study aimed to assess the effect of psycho-educational nursing intervention on coping strategies and psychological well-being among family caregivers of children with Down Syndrome. Design: A quasi-experimental design was utilized in this study. Setting: This study was carried out in the Genes Clinics of Down Syndrome in the specialized clinics of the university pediatric hospital affiliated to Ain Shams University Hospitals. Subjects: A sample of 60 family caregivers of children with Down Syndrome. The study tools were: 1) Interviewing Questionnaire, 2) Brief-COPE inventory (Carver, 1997), 3) Ryff’s Psychological well-being scale (1989) and 4) Psycho-educational program. The results: There were highly statistically significant differences between pre & post intervention regarding to emotion-focused coping strategies except for humor, acceptance, religion, venting and substance use and there were highly statistically significant differences between pre & post intervention regarding to problem-focused coping strategies except for use of instrumental support. Conclusions: There were highly statistically significant differences between pre & post intervention regarding the level of psychological well-being. There was a negative statistically significant correlation between psychological well-being pre & post intervention and all types of emotion-focused coping strategies except for humor, acceptance and religion. Meanwhile, there was a highly positive statistically significant correlation between psychological well-being pre & post intervention and problem-focused coping strategies regarding active coping and positive reframing and a positive statistically significant correlation regarding use of instrumental support and planning. Recommendations: Future research to assess challenges encountered by siblings of Down Syndrome children and to apply supportive intervention that promotes positive relationships and attitudes.
Background: Family caregivers of children with Down Syndrome are frequently unstable and forego their psychological well-being, suffer additional economic difficulties, ill health and cope ineffectively than families without disabilities. Aim: This study aimed to assess psychological wellbeing and coping strategies among family caregivers of children with Down Syndrome. Design: A descriptive research design was utilized in this study. Setting: This study was carried out in the Genes Clinics of Down Syndrome in the specialized clinics of the university pediatric hospital affiliated to Ain Shams University Hospitals. Subjects: A sample of 60 family caregivers of children with Down Syndrome. The study tools were: 1) Interviewing Questionnaire, 2) Brief-COPE inventory (Carver, 1997) and 3) Ryff's Psychological well-being scale (1989). The results: The study showed that family caregivers of children with Down Syndrome depended mainly on emotion-focused coping strategies in managing burden of child caregiving and the most frequent used emotion focused coping strategies were religion, acceptance and venting while the most frequent used problem-focused coping strategy was use of instrumental support. Concerning to psychological well-being, more than half of family caregivers of children with Down Syndrome had psychological well-being less than usual. Conclusions: There was a negative statistically significant correlation between psychological wellbeing and all types of emotion-focused coping strategies except for humor, acceptance and religion. Meanwhile, there was a positive statistically significant correlation between level of psychological well-being and all subscales of problem-focused coping strategies. Recommendations: Future research to assess challenges encountered by siblings of Down Syndrome children and to apply supportive intervention that promotes positive relationships and attitudes as well as Establishment of counseling clinics for parents and siblings to improve their psychological well-being and coping strategies.
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