Background: Endometriosis as a chronic gynecological disease has several negative effects on women’s life, thereby placing a huge burden on the patients and the health system. The negative impact of living with endometriosis (impaired quality of life, diverse medical experiences) is detailed in the literature, however, we know less about patients’ self-management, social support, the meaning of life with a chronic disease, and the needs of patients. To implement a proper multidisciplinary approach in practice, we need to have a comprehensive view of the complexity of endometriosis patients’ life and disease history. Methods: Four focus group discussions were conducted between October 2014 and November 2015 by a team consisting of medical and psychological specialists. 21 women (age: 31.57; SD = 4.45) with surgical and histological confirmation of endometriosis were included in the study. Discussions were audiotaped and transcribed verbatim, and a 62,051-word corpus was analyzed using content analysis. Results: Four main themes emerged from the analysis: (1) the impact of endometriosis on quality of life, (2) medical experiences, (3) complementary and alternative treatments, and (4) different coping strategies in disease management. All themes were interrelated and highly affected by a lack of information and uncertainty caused by endometriosis. A supporting doctor-patient relationship, active coping, and social support were identified as advantages over difficulties. Finding the positive meaning of life after accepting endometriosis increased the possibility of posttraumatic growth. Furthermore, women’s needs were identified at all levels of the ecological approach to health promotion. Conclusions: Our results highlight the need for multidisciplinary healthcare programs and interventions to find solutions to the difficulties of women with endometriosis. To achieve this goal, a collaboration of professionals, psychologists, and support organizations is needed in the near future.
7 December 2017 in International Journal of Mental Health and Addiction
Continued diversification and use of new psychoactive substances (NPS) across Europe remains a public health challenge. The study describes health and social consequences of recent NPS use as reported in a survey of marginalised, nightlife and online NPS users in the Netherlands, Hungary, Portugal, Ireland, Germany and Poland (n = 3023). Some respondents were unable to categorise NPS they had used. Use of ‘herbal blends’ and ‘synthetic cannabinoids obtained pure’ was most reported in Germany, Poland and Hungary, and use of ‘branded stimulants’ and ‘stimulants/empathogens/nootropics obtained pure’ was most reported in the Netherlands. Increased heart rate and palpitation, dizziness, anxiety, horror trips and headaches were most commonly reported acute side effects. Marginalised users reported substantially more acute side effects, more mid- and long-term mental and physical problems, and more social problems. Development of country-specific NPS awareness raising initiatives, health and social service needs assessments, and targeted responses are warranted.
(1) Background: Work addiction is a syndrome characterized by excessive and compulsive work disturbing one’s health and personal and social life. Several quantitative studies investigated the correlates of work addiction, but the personal experiences of workaholics remained hidden. Our qualitative research explores the perceived parental style and childhood family climate of individuals affected by work addiction. (2) Method: Based on our previous research, we invited 29 individuals (48,3% females) at risk for work addiction based on a work addiction scale. Semi-structured interviews have addressed topics of working habits, work addiction, social relationships, and their early family experiences. The texts were analyzed by qualitative thematic analysis using both deductive and inductive methods. (3) Results: The interviewees were affected by dysfunctional family mechanisms, i.e., lack of sense of security at home and addictions in the family. The participants reported that internalized parental values (transferred values and work attitudes, high expectations, and compulsion to conform) contributed to their later compulsive overwork. (4) Conclusions: Qualitative research can help to emphasize the individuals’ own experiences about the development of their work addiction. Dysfunctional family mechanisms and parental values might be significant risk factors for the work addiction of an offspring.