Digital Commons Network^™

ภาวะซึมเศร้าวิตกกังวลและคุณภาพชีวิตของผู้ป่วย 3 เดือน หลังป่วยด้วยโรคหลอดเลือดสมอง ณ โรงพยาบาลจุฬาลงกรณ์, ศุภนิดา โกยสมบูรณ์

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยนี้เป็นการศึกษาภาคตัดขวางในผู้ป่วยที่มีอาการโรคหลอดเลือดสมองตีบหรืออุดตันเพื่อศึกษาความชุกและปัจจัยที่เกี่ยวข้องกับภาวะซึมเศร้าและภาวะวิตกกังวลภายหลังป่วยด้วยโรคหลอดเลือดสมองมา 3 เดือน โดยใช้ Hospital Anxiety and Depression Scale คัดกรองภาวะซึมเศร้าและวิตกกังวล แบบวัดคุณภาพชีวิตเฉพาะผู้ป่วยโรคหลอดเลือดสมอง (SS-QoL-12)ประเมินคุณภาพชีวิต วิเคราะห์ข้อมูลโดยใช้สถิติ Fisher’s Exact Test และ Forward Conditional Binary Logistic Regression ผลการศึกษาพบว่า กลุ่มตัวอย่าง 101 คน อายุเฉลี่ย 64.06 ± 11.11 ปี พบภาวะซึมเศร้าร้อยละ 9 และภาวะวิตกกังวลร้อยละ 8 มีคุณภาพชีวิตอยู่ในระดับดีร้อยละ 95 ปัจจัยที่ทำนายภาวะซึมเศร้า ได้แก่ การไม่ได้ประกอบอาชีพ (OR = 64.276; 95%CI = 2.464 - 1677.010) การมีประวัติเจ็บป่วยทางจิตเวชในครอบครัว (OR = 72.476; 95%CI = 3.089 – 1700.640) การมีพยาธิสภาพบริเวณ Caudate Nucleus (OR = 25.345; 95%CI = 1.975 – 325.268) การมีอาการอ่อนแรง (OR = 17.665; 95%CI = 1.017 – 306.765) และมีอาการชา (OR =15.417; 95%CI = 1.360 – 174.837) ปัจจัยทำนายภาวะวิตกกังวล ได้แก่ มีประวัติโรคหลอดเลือดสมองในครอบครัว (OR =7.522; 95%CI = 1.200 – 47.156) การมีค่าคะแนน MOCA ผิดปกติ (OR = …

ประสิทธิผลของการให้คลื่นเสียงบำบัดชนิดไอโซโครนิคผ่านแอปพลิเคชันโทรศัพท์สมาร์ทโฟนต่อคุณภาพการนอนหลับของคนวัยผู้ใหญ่ตอนต้น, พีรวัส เตียวเจริญ

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยนี้มีวัตถุประสงค์เพื่อศึกษาประสิทธิผลของการให้คลื่นเสียงบำบัดชนิดไอโซโครนิคผ่านแอปพลิเคชันโทรศัพท์สมาร์ทโฟนต่อคุณภาพการนอนหลับของคนวัยผู้ใหญ่ตอนต้น โดยเก็บข้อมูลจากคนช่วงอายุ 25-45 ปี ที่ผ่านเกณฑ์การคัดกรองด้านสรีรวิทยาและจิตวิทยา (ผ่านแบบสอบถามข้อมูลส่วนตัว แบบสอบถาม SPST-20, แบบสอบถาม HADS และ STOP-Bang ฉบับภาษาไทย) จำนวน 70 ราย สุ่มแบ่งเป็นกลุ่มทดลองและกลุ่มควบคุมด้วยวิธีสุ่มตัวอย่างแบบง่าย กลุ่มละ 35 ราย โดยกลุ่มทดลองได้รับคลื่นเสียงบำบัดชนิดไอโซโครนิคผ่านแอปพลิเคชันที่ผู้วิจัยออกแบบและพัฒนาขึ้นก่อนเวลาเข้านอนเป็นเวลา 40 นาที ทุกคืนติดต่อกัน เป็นระยะเวลา 2 สัปดาห์ ขณะที่กลุ่มควบคุมไม่ได้รับการแทรกแซง เก็บข้อมูลโดยใช้แบบสอบถามคุณภาพการนอนหลับชนิดตอบด้วยตนเอง (PSQI ฉบับภาษาไทย) ก่อนและหลังการทดลองผลการวิจัยพบว่า กลุ่มทดลองที่ได้รับคลื่นเสียงบำบัดชนิดไอโซโครนิคมีคุณภาพการนอนหลับหลังการทดลองดีขึ้นเมื่อเทียบกับก่อนทดลองอย่างมีนัยสำคัญทางสถิติ (p<0.01) กลุ่มทดลองมีคุณภาพการนอนหลับในองค์ประกอบย่อยที่ 1, 2 และ 3 (Subjective Sleep Quality, Sleep Latency และ Sleep Duration) ดีขึ้นอย่างมีนัยสำคัญทางสถิติ ผลการวิจัยนี้บ่งชี้ว่าคลื่นเสียงบำบัดชนิดไอโซโครนิคมีประสิทธิผลในการส่งเสริมคุณภาพการนอนหลับของ คนวัยผู้ใหญ่ตอนต้น ผลการศึกษานี้บ่งชี้ว่า การได้รับคลื่นเสียงชนิดไอโซโครนิคผ่านแอปพลิเคชันสมาร์ทโฟนมีประสิทธิภาพในการส่งเสริมคุณภาพการนอนหลับของคนวัยผู้ใหญ่ตอนต้น และอาจเป็นทางเลือกที่ปลอดภัยและเข้าถึงได้ง่ายในการแก้ไขปัญหาการนอนหลับในประชากรกลุ่มนี้

Hack24f: Ai And Mental Health: Addressing The Therapy Gap, Samatrai Piam, Digvijay Mahawar, Meric Kinali, Luxman Surentha, Jackson Comeau, Gail Rauch, Cody Turner

Paul English Applied Artificial Intelligence (AI) Institute Publications

Real-World Problem: There is a global shortage of mental health professionals, especially in underserved areas. AI-based chatbots could help fill this gap, but there are serious ethical concerns about the quality of care and efficacy of such chatbots.

Solution: This is a non-technical project that involved conversing with existing chatbots in an effort to develop a normative framework that could be used by future AI therapy bot developers. This framework seeks to build on, and operationalize, some of the insights from the recently published whitepaper on the ethics of chatbot therapy by the UMass Boston Applied Ethics Center. This presentation …

Understanding Mental Wellbeing Of Family Day Care Educators In Australia: A Mixed Methods Study, Theresa Rayfield

Theses: Doctorates and Masters

Family Day Care (FDC) is an essential service within the Australian early childhood education and care sector. FDC educators support Australian families who require convenience, flexibility, and versatility in the education and care of their children. FDC educators’ mental wellbeing (MWB) is vital to ensure optimal education and care is provided, however this is often overlooked by educators. This research aimed to gauge Australian FDC educators’ MWB, identify factors positively or negatively affecting MWB and strategies employed to maintain and support MWB.

Primarily, a cross-sectional quantitative questionnaire measuring MWB and ten predictor variables determining relationship with food, food insecurity, alcohol …

Exploring The Impact Of The Covid-19 Pandemic On Adolescent Mental Health: An Integrative Systematic Review, Ruth Maouda

Theses and Dissertations

An integrative systematic review was conducted to understand the potential impact of the COVID-19 pandemic on adolescent mental health and to identify what contributing risk and protective factors increased or decreased the likelihood that these mental health outcomes were experienced among adolescents, including those from diverse and vulnerable communities. Furthermore, this review examined interventions and coping strategies identified within the literature that were beneficial in mitigating these harmful pandemic-related effects. Methods. Data was collected from five electronic databases and included peer-reviewed, English-language articles published between 2020-present in the United States, comprised of adolescent participants aged 11-19. All studies were required …

My Secret Struggle: Starving, Purging, And Numbing My Emotions. An Autoethnographic Analysis Of My Lifelong Battle With Anxiety, Depression, And Eating Disorders, Hasmek G. Siwajian

Theses and Dissertations

Adolescent females and young adult women between the ages of 12 and 25 are at a higher risk of engaging in self-destructive and life-threatening behaviors linked to anxiety, depression, and eating disorders when they do not have access to suitable treatment options or coping mechanisms (Garcia et al., 2020). This study highlights the heightened vulnerability of adolescent females and young adult women aged 12 to 25 who engage in self-destructive behaviors associated with anxiety, depression, and eating disorders when adequate treatment options or coping mechanisms are lacking. Through an autoethnographic approach, the researcher delves into her daily struggles and breakthroughs …

Development And Initial Validation Of A Hospital Stress Questionnaire, Daniel M Ford, Rebecca Lawton, Elizabeth Travis, Elizabeth A Teale, Daryl B O'Connor

Faculty, Staff and Student Publications

BACKGROUND: Hospitalisation can be a traumatic experience, where inpatients are exposed to an abundance of physical and psychological stressors. Evidence suggests that these hospital-related stressors negatively impact health: a phenomenon known as post-hospital syndrome. The current study aimed to identify hospital-related stressors, and to develop and provide initial validation for a new measure of in-hospital stress.

METHODS: Measure development occurred in three stages: (i) semi-structured interviews, (ii) item generation, and (iii) pilot testing. Twenty-one patients were interviewed regarding their recent hospital experiences, and a list of hospital-related stressors was produced. These stressors were compiled into a questionnaire and piloted on …

A Brief But Comprehensive Three-Item Social Connectedness Screener For Use In Social Risk Assessment Tools, Nancy P Gordon, Matthiew C Stiefel

Faculty, Staff and Student Publications

BACKGROUND: The 2014 IOM report "Capturing Social and Behavioral Domains and Measures in Electronic Health Records" described three subdomains of social relationships that affect patient health and well-being. However, most social risk screeners currently assess only one subdomain, frequency of social connections. We are proposing a three-item Brief Social Connectedness (SC) screener that additionally assesses risks in social/emotional support and loneliness/social isolation subdomains.

METHODS: For this cross-sectional study, we used data from a 2021 Kaiser Permanente Northern California (KPNC) social risk survey for 2244 members ages 35-85 years. The survey included three validated questions that covered the SC subdomains (frequencies …

Chronic Adolescent Stress Alters Gr-Fkbp5 Interactions In The Hippocampus Of Adult Female Rats, Samya Dyer

Faculty, Staff and Student Publications

Chronic stress exposure during development can have lasting behavioral consequences that differ in males and females. More specifically, increased depressive behaviors in females, but not males, are observed in both humans and rodent models of chronic stress. Despite these known stress-induced outcomes, the molecular consequences of chronic adolescent stress in the adult brain are less clear. The stress hormone corticosterone activates the glucocorticoid receptor, and activity of the receptor is regulated through interactions with co-chaperones-such as the immunophilin FK506 binding proteins 5 (FKBP5). Previously, it has been reported that the adult stress response is modified by a history of chronic …

Intermittent Theta Burst Stimulation And Functional Connectivity In People Living With Hiv/Aids Who Smoke Tobacco Cigarettes: A Preliminary Pilot Study, Gopalkumar Rakesh, Thomas G Adams, Rajendra A Morey, Joseph L Alcorn, Rebika Khanal, Seth S Himelhoch

Faculty, Staff and Student Publications

BACKGROUND: People living with HIV (PLWHA) smoke at three times the rate of the general population and respond poorly to cessation strategies. Previous studies examined repetitive transcranial magnetic stimulation (rTMS) over left dorsolateral prefrontal cortex (L. dlPFC) to reduce craving, but no studies have explored rTMS among PLWHA who smoke. The current pilot study compared the effects of active and sham intermittent theta-burst stimulation (iTBS) on resting state functional connectivity (rsFC), cigarette cue attentional bias, and cigarette craving in PLWHA who smoke.

METHODS: Eight PLWHA were recruited (single-blind, within-subject design) to receive one session of iTBS (n=8) over the L. …

Fitness Consequences Of Depressive Symptoms Vary Between Generations: Evidence From A Large Cohort Of Women Across The 20th Century, Christopher I Gurguis, Renée A Duckworth, Nicole M Bucaro, Consuelo Walss-Bass

Faculty, Staff and Student Publications

Depression has strong negative impacts on how individuals function, leading to the assumption that there is strong negative selection on this trait that should deplete genetic variation and decrease its prevalence in human populations. Yet, depressive symptoms remain common. While there has been a large body of work trying to resolve this paradox by mapping genetic variation of this complex trait, there have been few direct empirical tests of the core assumption that there is consistent negative selection on depression in human populations. Here, we use a unique long-term dataset from the National Health and Nutrition Examination Survey that spans …

Increased Risk For Alcohol- And Other Substance-Exposed Pregnancies Among Women Who Smoke Tobacco: A Secondary Analysis Of A Primary Care-Based Intervention, Mary M Velasquez

Faculty, Staff and Student Publications

Introduction: Among women at risk for alcohol-exposed pregnancies (AEP), smoking tobacco may be associated with increased severity of alcohol use, and risk for tobacco-exposed and other substance-exposed pregnancies (TEPs/SEPs). Our secondary data analysis of the 'CHOICES Plus' intervention trial explored AEP and SEP risk by smoking status.

Methods: Eligible women (N=261) were recruited from 12 primary care clinics in a public healthcare system, not pregnant, aged 18-44 years, drinking >3 drinks/day or >7 drinks/week, sexually active, and not using effective contraception. We compared women who did and did not smoke tobacco on alcohol and drug severity, and psychological distress (e.g. …

Grief On Pain And Quality Of Life In Combat Veterans With Ptsd

Faculty, Staff and Student Publications

Background: Persistent Complex Bereavement Disorder (PCBD) comprises a set of grief symptoms that are often linked to other psychological conditions such as PTSD and depression, may be prevalent in Veterans with combat experience, and may also impact general health.

Objective: This study investigated the association between grief and sleep, pain, PTSD, and depression, among Veterans participating in a clinical trial for PCBD treatment.

Method: Data from 155 Veterans receiving treatments for PCBD were analysed to explore the association between PCBD and symptoms of sleep pain, PTSD, and depression. Veterans experiencing grief reported symptoms related to physical health, emotional problems, energy, …

Acute Exposure To Diisopropylfluorophosphate In Mice Results In Persistent Cognitive Deficits And Alterations In Senescence Markers In The Brain, Ashutosh Tripathi

Faculty, Staff and Student Publications

Organophosphates (OPs) are found in hundreds of important products used worldwide; however, they have been associated with adverse long-term health consequences ranging from neurodevelopmental deficits to age-related neurological diseases. OP exposure has also been implicated in Gulf War Illness; a cluster of medically unexplained chronic symptoms estimated to affect 25-32% of veterans of the Persian Gulf war in 1991. The development of multiple types of chronic illnesses in these veterans at an early age compared to the general population has led to the suggestion that they are experiencing signs of premature or accelerated aging. The process of cellular senescence and …

Examining Predictors Of Cocaine Withdrawal Syndrome At The End Of Detoxification Treatment In Women With Cocaine Use Disorder, Rodrigo Grassi-Oliveira

Faculty, Staff and Student Publications

BACKGROUND: Detoxification is frequently recommended as a treatment for moderate to severe Cocaine Use Disorder (CUD). However, the response to detoxification varies among patients, and previous studies have focused mostly on patterns of drug use behavior to test associations with treatment outcomes, overlooking the potential impact of psychosocial factors, other clinical variables, and individual life experiences. In this study we comprehensively examined several variables aiming to find the most relevant predictors to classify patients with severe versus non-severe cocaine withdrawal symptoms at the end of detoxification.

METHODS: Data from 284 women with CUD who enrolled in a 3-week detoxification program …

Nlrp3 Activation Contributes To Memory Impairment In An Experimental Model Of Pneumococcal Meningitis, Diogo Dominguini

Faculty, Staff and Student Publications

Bacterial meningitis is considered a life-threatening condition with high mortality rates. In response to the infection, signaling cascades, producing pro-inflammatory mediators trigger an exacerbated host immune response. Another inflammatory pathway occurs through the activation of inflammasomes. Studies highlight the role of the NLR family pyrin domain containing 3 (NLRP3) in central nervous system disorders commonly involved in neuroinflammation. We aimed to investigate the role of NLRP3 and its inhibitor MCC950 on neurochemical, immunological, and behavioral parameters in the early and late stages of experimental pneumococcal meningitis. For this, adult male Wistar rats received an intracisternal injection of Streptococcus pneumoniae or …

Perspective: The Evolution Of Hormones And Person Perception-A Quantitative Genetic Framework

Faculty, Staff and Student Publications

Evolutionary biology provides a unifying theory for testing hypotheses about the relationship between hormones and person perception. Person perception usually receives attention from the perspective of sexual selection. However, because person perception is one trait in a suite regulated by hormones, univariate approaches are insufficient. In this Perspectives article, quantitative genetics is presented as an important but underutilized framework for testing evolutionary hypotheses within this literature. We note tacit assumptions within the current literature on psychiatric genetics, which imperil the interpretation of findings thus far. As regulators of a diverse manifold of traits, hormones mediate tradeoffs among an array of …

Facing Futility In Hemorrhagic Shock: When To Say ‘When’ In Children And Adults

Faculty, Staff and Student Publications

No abstract provided.

The Caregiving Role Influences Suboptimal Health Status And Psychological Symptoms In Unpaid Carers, Monique Garcia, Zheng Guo, Yulu Zheng, Zhiyuan Wu, Ethan Visser, Lois Balmer, Wei Wang

Research outputs 2022 to 2026

Background: Suboptimal Health Status (SHS) is the physical state between health and disease. This study aimed to fill in the knowledge gap by investigating the prevalence of SHS and psychological symptoms among unpaid carers and to identify SHS-risk factors from the perspective of predictive, preventive and personalised medicine (PPPM). Methods: A cross-sectional study was conducted among 368 participants who were enrolled from Australia, including 203 unpaid carers as cases and 165 individuals from the general population as controls. SHS scores were measured using SHSQ-25 (Suboptimal Health Status Questionnaire-25), whilst psychological symptoms were measured by DASS-21 (Depression, Anxiety and Stress Scale-21). …

Behaviours And Psychological Symptoms Of Childhood Dementia: Two Cases Of Psychosocial Interventions, Mustafa Atee, Ineka Whiteman, Rebecca Lloyd, Thomas Morris

Research outputs 2022 to 2026

Childhood dementias are a group of rare, fatal neurodegenerative disorders, characterised by global cognitive decline, loss of previously acquired developmental skills and behaviours and psychological symptoms of dementia (BPSD). Batten disease, or neuronal ceroid lipofuscinosis, and Sanfilippo syndrome, or mucopolysaccharidosis type III, are two of the more common forms of childhood dementia disorders worldwide. While psychosocial interventions are the best available therapeutic approach for BPSD management in adult-onset dementia, there is very limited literature or clinical experience in the context of childhood dementia. To address this gap, we conducted a descriptive case analysis of BPSD profiles, associated contributing factors and …

The Integrated Behavioral Model Of Mental Health Help Seeking (Ibm-Hs): A Health Services Utilization Theory Of Planned Behavior For Accessing Care, Joseph H. Hammer, David L. Vogel, Patrick R. Grzanka, Nayeon Kim, Brian T. Keum, Claire Adams, Sarah A. Wilson

Research outputs 2022 to 2026

This article introduces the integrated behavioral model of mental health help seeking (IBM-HS), a theoretical model for understanding the constructs (e.g., systemic, predisposing, and enabling factors; mental health literacy; illness perceptions; perceived need; stigma; shame; perceived benefits, motivation) that influence people’s decision making around seeking professional mental health care and their ultimate access to formal treatment. The IBM-HS is a help-seeking-specific adaptation of the empirically supported integrated behavioral model and integrative model, which are themselves evolutions of the theory of planned behavior and theory of reasoned action. The IBM-HS posits that help-seeking determinants (e.g., structural forces; cultural influences; past help-seeking …

Physical And Psychological Factors Related To Injury, Illness And Tactical Performance In Law Enforcement Recruits: A Systematic Review, Myles Murphy, Nicole Merrick, Gill Cowen, Vanessa Sutton, Garth Allen, Nicolas H. Hart, Andrea B. Mosler

Research outputs 2022 to 2026

Objective: There are inconsistent reports of factors relating to injury, illness and tactical performance in law enforcement recruits. Our objectives were to: (1) report physical and psychological risk factors and protective factors for injury and illness and (2) report physical and psychological risk factors and protective factors for tactical performance success. Design: Systematic epidemiological review.

Methods: Searches of six databases were conducted on 13 December 2022. We included cohorts that assessed physical and psychological factors for injury, illness and tactical performance success. Study quality was assessed using the Joanna Briggs Institute Quality Assessment Checklist for Prevalence Studies and certainty assessed …

High-Risk Individuals And Naloxone Use: Implications For Thn Programs In Rural Appalachian Communities, Victor Garcia, Lisa Mccann, Erick Lauber, Christian Vaccaro, Melissa Swauger, Alex Daniel Heckert

Journal of Appalachian Health

Introduction: Take-home naloxone (THN) is being made available across rural Appalachia to curb opioid overdose fatalities. Despite this initiative, some opioid users do not possess naloxone, and if they do, do not administer it to others.

Purpose: Research findings on risk factors that contribute to opioid overdose are presented. These factors, identified in a sample of 16 overdose cases, are (1) early onset age of opioid use; (2) progressive opioid use; (3) a transition from pain medication to heroin and fentanyl; (4) fears of being arrested at a naloxone intervention if first responders are contacted, and (5) limited knowledge of …

Comparing Ait And Eft In Reduction Of Negative Emotions Associated With A Past Memory: A Randomized Control Study, Gregory Brown, Kavita Batra, Emily Dorin, Raveena Bakhru, Andrew Han, Arianna Palermini, Robert Sottile, Sherine Khanbijian, Michael Hower

Psychiatry & Behavioral Health Faculty Research

Advanced Integrative Therapy [AIT] is an Energy Psychology-based system of intervention utilized by psychotherapists since the late 1990s. Recently, a study investigated the perceptions of therapists regarding the effectiveness of AIT in reducing negative emotions related to past traumatic events. Emotional Freedom Techniques (EFT) are a set of well-researched Energy Psychology based interventions which have been established as an effective intervention for post-traumatic stress disorder. This study is the first to compare the effectiveness of AIT to EFT in reducing negative emotions associated with a particular memory in a sample of college and professional students, who were randomly assigned to …

Education And Work Future Expectation Scale Adaptation For Indonesian University Students, Ike Dwiastuti, Wiwin Hendriani, Fitri Andriani

Jurnal Kajian Bimbingan dan Konseling

The students' optimism about their future careers and education impacts their educational success. The Future Expectation Scale of Adolescents (FESA) can measure future expectations of education and student career. This study aims to adapt the scale of the FESA work and education domain to the Indonesian language and culture. The adaptation in this study follows the six-stage category of the International Commission Test. Development of adaptation items using a forward-backward translation design involving six experts. The comparability of language and content validity assessments involved nine experts. Pilot study for item evaluation involving 15 students from the target population. The quantitative …

Psychological Well-Being Of Pre-Service Training Teachers, Indriyana Rachmawati, Aprilia Tina Lidyasari

Jurnal Kajian Bimbingan dan Konseling

The recent statistic suggests the average psychological well-being of Indonesian citizens, including the pre-service training teacher, represents their capacity to overcome future challenges. Excellent psychological well-being is crucial for pre-service training teachers, especially for providing a comfortable learning situation for students and engaging in effective communication with students. This study investigates the psychological well-being of pre-service training teachers. Thus, this study adopted survey techniques with descriptive data analysis. The data were collected from 44 teachers selected by purposive sampling. The criteria for selecting research participants were currently taking pre-service teacher education, elementary school teachers, and willingness to participate in this …

Career Transitioning Among Students With Visual Impairments: Educational And Public Policy Perspectives, Chiedu Eseadi, Shulamite E. Ogbuabor

Jurnal Kajian Bimbingan dan Konseling

The objective of this research is to examine the educational and public policy concerns pertaining to career transitioning among students with visual impair-ments. The authors conducted a narrative literature review. The conceptualization of policy, with a specific focus on educational and public policies, was provided. The article also discussed the roles and concerns of educational and public policies in facilitating career transitioning for these students. The study contributes to an increased understanding of the educational and policy implications of supporting students with visual impairments during career transitioning. The collaboration of career counsellors and policy actors is deemed necessary in order …

School Environment As Barrier To Effective Academic Performance Among Students With Physical Disabilities In Ilorin Metropolis, Florence Bosede Famolu

Jurnal Kajian Bimbingan dan Konseling

Insufficient infrastructural facilities make it difficult for a large number of students with visual and mobility impairment to walk around the campus and attend lectures. Also, fewer than ideal library facilities decrease the amount of study resources that are available to these students. This study investigated the school environment as barrier to effective academic performance among students with physical disabilities in the Ilorin metropolis, Kwara State. The descriptive survey of a correlational type was implemented using purposive sampling for this study. A purposive sampling technique was used to select 98 students in the Ilorin metropolis with physical disabilities, and the …

Measuring The Difficulties Of Early Adulthood: The Development Of The Quarter Life Crisis Scale, Muslim Afandi, Nail Hidaya Afandi, Syed Agung Afandi, Rizki Erdayani

Jurnal Kajian Bimbingan dan Konseling

This study was conducted to develop a quarter-life crisis scale that can be used to measure the quarter-life crisis of early adulthood in Indonesia. Although it has begun to become a concern for researchers in Indonesia, the development of the quarter-life crisis scale has never been created. Some researchers have adapted the constructs developed by foreign researchers, which are not necessarily suitable for applicated in Indonesia. The development of this scale goes through 5 stages: conceptualization of the test; test construction; test trial; item analysis; and test revision. The test trial was filled by 181 early adults in Indonesia from …

Social Determinants Of Health And Disparities In Hypertension And Cardiovascular Diseases, Abhishek Chaturvedi, Anqi Zhu, Naga Vaishnav Gadela, Dorairaj Prabhakaran, Tazeen Jafar

Department of Medicine

High blood pressure causes over 10 million preventable deaths annually globally. Populations in low- and middle-income countries suffer the most, experiencing increased uncontrolled blood pressure and cardiovascular disease (CVD) deaths. Despite improvements in high-income countries, disparities persist, notably in the United States, where Black individuals face up to 4× higher CVD mortality than White individuals. Social determinants of health encompass complex, multidimensional factors linked to an individual's birthplace, upbringing, activities, residence, workplaces, socioeconomic and environmental structures, and significantly affect health outcomes, including hypertension and CVD. This review explored how social determinants of health drive disparities in hypertension and related CVD …