Encouraging Resilience and Thus Also Quality of Life in Trauma and Stressor-induced Disorders Through Crisis Interventions

Autor: Silvija Topić Lukačević, Slobodanka Cvitanušić, Igor Filipčić, Mia Kosović
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Socijalna psihijatrija
Volume 48
Issue 3
ISSN: 0303-7908
Popis: Ubrzani ritam života donosi sve veći stres koji može dovesti do iscrpljenja i sloma prilagodbenih kapaciteta, a kod nekih pojedinaca s vremenom uzrokovati dugotrajne posljedice te psihotraumatizaciju. Novija istraživanja sve veću pozornost usmjeravaju podizanju kvalitete života oboljelih raznim intervencijama koje potiču rezilijenciju. Kriznim intervencijama, psihoterapijskim i farmakoterapijskim metodama u sklopu rada Dnevne bolnice specijalizirane za provođenje preventivnog i terapijskog programa stresom i traumom uzrokovanih poremećaja (DB STUP) potičemo zdrave snage ličnosti odnosno rezilijenciju što omogućava oporavak, odnosno vraćanje na premorbidno funkcioniranje i kvalitetu života. Cilj rada je pokazati kako su intervencije koje primjenjujemo u Dnevnoj bolnici utjecale na kvalitetu života i time povećale rezilijenciju. Prikazat ćemo evaluaciju našega rada tijekom četiriju godina (od 2015. do 2019.). Uzorak čini 129 pacijenata. Primijenjen je upitnik WHOQOL BREF (World Health Organization Quality of Life Brief Version questionnaire) na početku i na kraju programa/hospitalizacije. Istraživanje je pokazalo statistički značajno poboljšanje kvalitete života pri izlasku iz programa/hospitalizacije. Našli smo poboljšanje u svim četirima domenama kvalitete života i to sljedećim redoslijedom: poboljšanje psihičkog zdravlja, fizičkog zdravlja, percepcija utjecaja okoline te društvenih odnosa. U aspektu sociodemografskih čimbenika kao značajan pokazao se isključivo spol – žene koje su izvještavale o značajnijem poboljšanju u aspektu društvenih odnosa, dok su u preostalim domenama spolovi izjednačeni. Naše je istraživanje pokazalo da se intervencijama u kriznim situacijama povećava rezilijencija pa time i kvaliteta života što je neodvojivo povezano.
The accelerated rhythm of the modern lifestyle has resulted in growing levels of stress, which can lead to exhaustion and a breakdown of a person’s capacity for adjustment, sometimes even causing lasting effects and psychological trauma. Newer studies have increasingly focused on improving patient quality of life through various interventions that improve resilience. Crisis interventions as well as psychotherapy and pharmacological treatment are used in our Day Hospital, which specializes in the implementation of preventative and treatment programs for trauma and stressor-induced disorders (TSRD) in order to encourage healthy psychological strength, i.e. resilience, enabling recovery and return to premorbid functioning and quality of life. The goal of this study was to show how the interventions we apply in the Day Hospital have influenced the patient quality of life and thus increased their resilience. We will present an evaluation of our work over a period of four years (from 2015 to 2019). Our sample comprises 129 patients. We applied the WHOQOL-BREF (World Health Organization Quality of Life Brief Version) questionnaire at the start and at the end of the patients’ hospital stay or program. The results show a statistically significant improvement in quality of life at the end of the program. We found improvements in all four quality of life domains, in descending order of magnitude: improvement in mental health, physical health, environment, and social relationships. Sex was the only sociodemographic factor that was significant – women reported more significant improvements in the social relationships domain, whereas the results were equal between the sexes in the other domains. Out study demonstrated that crisis interventions improve resilience and therefore also quality of life, as the two are unquestionably related.
Databáze: OpenAIRE
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