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Practicing self-compassion – kindness towards ourselves, an understanding of our common humanity, and mindfulness – can be an important contributor to the development of a positive body image.
There are many ways to practice self-care that extend beyond grooming practices and may include nurturing our social relationships.
Examining what it is that adds meaning to our lives and working to enhance our eudaimonic well-being can also enhance our body image.
Teaching students to build resilience is necessary to keep imagining and fighting for a path towards social justice. To do so, clinicians can draw from the communities facing oppression and examine how they remain resilient despite oppression.
Immigrant caregivers support the aging population, yet their own needs are often neglected. Mobile technology-facilitated interventions can promote caregiver health by providing easy access to self-care materials.
Objective
This study employed a design thinking framework to examine Chinese immigrant caregivers’ (CICs) unmet self-care needs and co-design an app for promoting self-care with CICs.
Methods
Nineteen semi-structured interviews were conducted in conceptual design and prototype co-design phases.
Findings
Participants reported unmet self-care needs influenced by psychological and social barriers, immigrant status, and caregiving tasks. They expressed the need to learn to keep healthy boundaries with the care recipient and respond to emergencies. Gaining knowledge was the main benefit that drew CICs’ interest in using the self-care app. However, potential barriers to use included issues of curriculum design, technology anxiety, limited free time, and caregiving burdens.
Discussion
The co-design process appears to be beneficial in having participants voice both barriers and preferences.
This study aimed to evaluate the evidence of validity and accuracy for the Mindful Self-Care Scale-Brief (B-MSCS) in Brazil among family caregivers of people with cancer.
Methods
This was a cross-sectional study with a sample of 203 family caregivers of people with cancer. The instruments used in this study were the following: B-MSCS, Brief Resilience Scale, and Brief Scale for Spiritual/Religious Coping. Exploratory factor analysis was carried out using the principal axis factoring method and direct oblimin oblique rotation, and confirmatory factor analysis using the robust weighted least squares means and variance adjusted estimation method and GEOMIM oblique rotation. The internal consistency of the latent factors was measured using Cronbach’s alpha coefficients.
Results
The 6-factor model showed good fit to the data, with satisfactory reliability indices and adequate representation of the scale’s internal structure. The results that can support arguments in favor of validity evidence based on internal structure for the B-MSCS-Brazilian version (BR) relate to a 19-item version which, grouped into 6 latent factors, explained 46.47% of the variance. The factor solution reproduced 79.2% of the theoretically expected structure and 5 items were excluded. The Cronbach’s alpha coefficient of the factors in the B-MSCS-BR ranged from 0.58 to 0.84. Positive religious/spiritual coping had a direct association with the B-MSCS-BR factors, with the exception of the Physical Care factor (r = 0.033, p = 0.635). Negative spiritual/religious coping was inversely associated with the Mindful Relaxation (r = −0.160, p = 0.023), Supportive Relationships (r = −0.142, p = 0.043), and Mindful Awareness factors (r = −0.140, p = 0.045). There were no associations between the B-MSCS-BR factors and resilience.
Significance of results
The findings reveal that the B-MSCS (19-item) is a valid, reliable, and culturally-appropriate instrument to examine the practice of mindful self-care by family caregivers of people with cancer in Brazil.
Charles S. Mansueto, Behavior Therapy Center of Greater Washington, Maryland,Suzanne Mouton-Odum, Psychology Houston, PC - The Center for Cognitive Behavioral Treatment, Texas,Ruth Goldfinger Golomb, Behavior Therapy Center of Greater Washington, Maryland
Here, the focus of treatment broadens to encompass the importance of self-care strategies to encourage healthy hair and skin. The goal is to help clients to replace body damaging BFRB practices with ones that help restore and maintain hair and skin health. This entails changes in behaviors that do not directly impact hair and skin but serve the broader goals of emotional and physical well-being. The physical structure and characteristics of skin and hair are described in detail, as are the anatomy, functions, and requirements for their health. Approaches for managing BFRB-caused damage are described and a range of positive self-care practices are explored. Recommendations are made for therapists to focus on broader health issues when client attitudes and practices challenge movement toward an overall healthier lifestyle. Techniques are described for therapists to encourage such changes in each client.
Academic medical centers (AMCs) rely on engaged and motivated faculty for their success. Significant burnout among clinical and research faculty has resulted in career disengagement and turnover. As such, AMCs must be vested in cultivating faculty engagement and well-being through novel initiatives that support faculty. The Well-Being Education Grants program was established by the Office for Well-Being within the Center for Faculty Development at Massachusetts General Hospital to provide the impetus many faculty needed to dedicate time to their well-being, demonstrating that investments in multi-component interventions around faculty well-being require resources and funding.
The most important thing you can do to support your professional and personal wellbeing is to cultivate personal awareness and to understand what support you need. This chapter introduces methods and approaches you can use to help maintain a happy balance between a busy and fulfilling professional life and personal health and wellbeing.
This chapter develops in detail a conception of temperance, based on a critical engagement with the dialogue’s resources, which I dub temperance as self-realisation. I explore how this conception is modelled in the dialogue, with particular reference to Socrates’ own procedure as depicted therein. The model enables us to address questions of Socrates’ own relation to temperance, and of how temperance can be regarded as of benefit on this conception. Emphasis is placed on the exercise of temperance as a continuous process and to that extent on self-realisation as something that is necessarily imperfectible. However, it is argued that this makes sense both of the status of temperance as a branch of practical knowledge and of its ability to characterise a whole life.
The objective of this article is to describe the Community Resiliency Model (CRM)®, a sensory-focused, self-care modality for mental well-being in diverse communities, and CRM’s emerging evidence base and neurobiological underpinnings as a task-sharing intervention. Frieden’s Health Impact Pyramid (HIP) is used as a lens for mental healthcare interventions and their public health impact, with CRM examples. CRM, a sensory awareness model for self-care and mental well-being in acute and chronic stress states, is supported by neurobiological theory and a growing evidence base. CRM can address mental wellness needs at multiple levels of the HIP and matches the task-sharing concept to increase access to mental health resources globally. CRM has the potential for making a significant population mental health impact as an easily disseminated, mental health, self-care modality; it may be taught by trained professionals, lay persons, and community members. CRM carries task-sharing to a new level: scalable and sustainable, those who learn CRM can share the wellness skills informally with persons in their social networks. CRM may alleviate mental distress and reduce stigma, as well as serve a preventive function for populations facing environmental, political, and social threats.
Black women suffer from higher mortality rates and experience heart disease, breast cancer, and other health issues at different levels than White women. Additionally, Black women commonly experience somatic symptoms related to mental health issues, and therapists can help women understand and address the connection between their physical and psychological health and wellness. In this chapter, we offer suggestions and tools to help therapists raise women’s health literacy, their awareness about mind–emotion–body connections, and provide strategies Black women can use for stress management to improve physical and mental wellness.
Several scientific communities and international health organizations promoting an interdependent human-nature health perspective are calling upon healthcare professionals (HCP) to integrate this vision into their practice and become role models. However, rising cases of stress, burnout, and depression, among this group jeopardize this potential and their self-care. Therefore, we conducted an exploratory qualitative study focusing on how HCP relate to their self-care, their relationship with nature and its implementation into their professional practice. Semi-structured interviews with 16 HCP were executed, transcribed and imported into NVivo. Using the six-step framework, we conducted a thematic analysis, followed by two-step member-checking. Three main findings arose. First, participants employ various self-care strategies outside of work whenever possible. Second, their nature experiences can be drawn along a continuum ranging in level of intensity, attitude and reciprocity, which does not seem to be disclosed during consultation. Third, the reflexive interviews may have led to increased awareness and agency on the former topics, which we have termed ‘nature-connected care awareness’. A preliminary framework to stimulate nature-connected care awareness could support HCP in becoming a role model.
This chapter provides an overview of the methodological challenges in researching social inclusion amongst people with mental health conditions and gives examples of interventions that have been shown to be effective in addressing social exclusion including pre-school parenting programmes, early intervention, peer support, recovery colleges, self-care, self-management, and self-directed care. As with all clinical practice, the starting point is the establishment of a therapeutic relationship that encompasses empathy, understanding, hope, and a willingness to help, along with a recovery orientation encompassing collaborative and strengths-based approaches. Much of this does not require a major reorganisation of services, but rather a refocusing and reprioritisation of existing tools and clinical skills, alongside commitment by mental health organisations to ensure their structures facilitate service-user involvement in the planning and delivery of services
Chapter 7 outlines the importance of looking after yourself, particularly as a parent or caregiver of a child or young person. We discuss that without adequate self-care it’s not possible to care for others and go on to discuss some strategies to prioritise your own self-care.
This pilot project replicated a self-compassion program to support health-care professionals in palliative care settings. We anticipated that undertaking this program would enhance participants’ psychological well-being.
Methods
Participants were recruited by convenience sampling from palliative care services in an area of Melbourne, Australia. Because of the COVID-19 pandemic, the program was offered online and comprised six once-weekly gatherings. Three survey rounds with identical questions were conducted prior to, immediately after, and 3 months after the training. The surveys consisted of 6 scales: the Self-Compassion Scale, the Santa Clara Brief Compassion Scale, the Cognitive and Affective Mindfulness Scale, the Depression Anxiety Stress Scale, the Professional Quality of Life Scale, and the Interpersonal Reactivity Index Scale. Paired-sample t-test and repeated measures analysis of variance analyses were used to compare participant responses.
Results
Nine participants working in palliative care completed the training and 3 surveys and included qualitative responses. The experience was overwhelmingly positive. Self-compassion (F = 14.44; p < 0.05) and mindfulness (F = 18.44; p < 0.05) scores significantly increased post-training, were picked up in a short time and endured. The emotional state improved by compassion satisfaction, showing a positive improvement 3 months post-training, along with there being no changes in compassion satisfaction, burnout, and dispositional empathy.
Significance of results
Participants all worked in a supportive environment, which encouraged self-care. Even against the pandemic difficulties, a short online program was effective, assisting participants to cultivate their inner resources in mindfulness and self-compassion. While a small sample size, expansion of the training may benefit the wider palliative care workforce.
This chapter is focused on self-care for health care practitioners. It begins by building the case of why self-care is important and needed as the experience if cancer, illness and death can be very difficult and overwhelming for participants. It suggests the need for policy and reforms at organisational level to encourage and support self-care and well-being of healthcare practitioners. It suggests different options for practitioners to find out what works for them including support from colleagues, interdisciplinary teams and developing self-care plans.
Pregnancy has sociocultural implications that lead to conceiving it depending on the cultural context (Noguera & Rodríguez, 2008). Self-care is a cultural practice associated with the well-being of mother and child during pregnancy (Carmona, Hurtado and Marín 2007). Being relative to culture, self-care varies according to current beliefs. Beliefs are the concretion of a way of thinking about the environment that surrounds us (Peirce, 1903).
Objectives
Analyze the beliefs of women from a population group in Montería, about pregnancy and its implications regarding self-care in eating.
Methods
Qualitative approach. Sources: primary. Sample: due to saturation, 15 pregnant women assigned to the Mocarí neighborhood hospital in Montería. Instrument: semi-structured open interview. The information was processed through AtlasTi, implementing content analysis. Emerging categories: contents, routines in food.
Results
Main belief: food affects the well-being of mother and child. It is adequate or inappropriate depending on categories such as content and routines. The former refer to the food consumed, the latter indicate the times of consumption.
Conclusions
Beliefs about pregnancy operate as generators of mental habits, projected wishes and concrete actions. Therefore, they are an important starting point for the implementation of self-care practices at the institutional level.
Modern social discourse emphasizes an importance of health either as a limiting resource that needs to be “saved” and “restored”, or as a vulnerability that should be protected, or as a “natural gift” that needs support and recovery by natural methods including alternative medicine. Advertisement adds to the social discourse a meaning of health as a sign of success. Research demonstrated that beliefs in any of these meanings is associated with higher adherence to medical recommendations but also higher catastrophizing of bodily sensations, somatosensory amplification and belief in bodily weakness (Rasskazova et al., 2017).
Objectives
To reveal relationships of beliefs and thoughts in “hypochondriac discourse” with subjective importance of health self-care and health-oriented behavior.
Methods
340 participants 17-77 years old filled “Hypochondriac” Discourse Questionnaire (Rasskazova et al., 2016) that includes four scales measuring beliefs and four scales measuring frequency of thoughts about each health meaning, and Health Self-Care Scale (Rasskazova et al., 2021) that differentiates subjective importance of different ways of self-care and activities (Cronbach’s alphas .66-.80).
Results
All beliefs in “hypochondriac discourse” except importance of alternative medicine are related to medical health monitoring and active styles of life (r=.23-.43) but unrelated to reported activities. Frequency of thoughts about “hypochondriac discourse” are related to adherence to health behavior (r=.31-.49).
Conclusions
Frequent thoughts about “hypochondriac discourse” could be protective factor helping to support active life styles but also could lead to over-protection in healthy people. Research is supported by the Russian Foundation for Basic Research, project No. 22-28-01643
Disclosure
Research is supported by the Russian Foundation for Basic Research, project No. 22-28-01643
The data strongly support the position that social support is a powerful source of stress reduction and, thus, a valuable tool for managing burnout. Indeed, much of the stress-management literature suggests that social support is the single most powerful of the whole array of stress-reduction strategies available to and recommended for individuals. Such comfort and support may center on emotional (expressing empathy), instrumental (giving tangible assistance), informational (giving advice), or reappraisal (reframing, suggesting different ways of looking at the stressors) help. Most commonly, social support will comprise a combination of those four types. A critical factor in the effectiveness of social support is the level of trust between the receiver and giver of such support. As widely accepted as the critical role of social support is, healthcare workers generally underutilize their support systems, formal or informal, for a variety of reasons. The ongoing pandemic has made this powerful stress-reduction/burnout-reduction strategy all the more critical.
Caregiver burden is multidimensional, adversely affecting the caregiver’s emotional, social, financial, physical, and spiritual functioning. Demographic risk factors for caregiver burden include female gender, low education, low socioeconomic status, and living with the care recipient. Psychosocial risk factors include caregiver depression and/or anxiety, lack of coping skills, and increased social isolation and decreased social activity for the caregiver. Caregiver burnout is a confluence of emotional exhaustion, detachment, or disengagement as a result of exhaustion without relief and the cynicism that can occur in a caregiver. Caregivers should be encouraged to make time for themselves. A peer group or PWS community can provide a safe outlet to discuss frustrations and emotional difficulties. Practicing mindfulness can reduce distress and increase resilience. When emotionally overwhelmed, caregivers can seek out a mental healthcare provider to help develop effective coping strategies. Healthcare providers can help reduce the risk of caregiver burden and burnout by assessing caregivers’ levels of stress and providing easier access to services.
This chapter discusses the required knowledge, skills, and confidence to provide a safe and compassionate environment by adopting trauma-informed care (TIC). Many people will have experienced traumatic experiences outside of the safety of their family unit, e.g., bullying, or sexual harassment. Therefore, we need to be cautious about blaming parents or care givers, without first establishing the situation and context of the traumatic history of the person.Many people who present to mental health, addiction and disability services, however, will report complex histories of physical, psychological, emotional, and sexual abuse (see chapter 15). Evolving research recommends therapeutically addressing complex, as distinct from single incident, trauma (Kezelman & Stavropoulos, 2019), requiring a particular skill set of the practitioner to provide effective therapy. This chapter focuses on the fundamental skills of responding to people who disclose their trauma, particularly sexual abuse, and how practitioners can respond in ways that foster human connectedness.