Health Psychology - Publications

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Browsing Health Psychology - Publications by Author "Chivukula, Usha"
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    Burden experience of caregivers of acute lymphoblastic leukemia: Impact of coping and spirituality
    ( 2018-04-01) Chivukula, Usha ; Kota, Sirisha ; Nandinee, Durgesh
    Background: When a child is diagnosed with cancer the parents as caregivers experience severe anxiety, trauma, ambiguity, and grief. Caregivers of cancer patients thus deal with the management of their own psychological distress along with the child's illness. Aim: Coping plays a crucial role in improving the caregivers' physical and emotional well-being. Spirituality is an important means of consolation, strength, and emotional support during this phase. The present study aims to investigate the impact of coping and spirituality on caregiver burden. Methods: A total of 100 caregivers of children between the age group of 3-11 years, diagnosed with acute lymphoblastic leukemia were the participants of the study. The participants were recruited from cancer hospitals in Hyderabad. The study adopted a between-group design to find out if mothers and fathers differed in their coping strategies, spirituality, and caregiver burden. The study also adopted a correlation design to find the relationship between coping, spirituality, and caregiver burden. Descriptive statistics and multiple linear regression analysis were conducted to identify if coping and spirituality predict caregiver burden. Results: The results showed no significant difference in the burden experienced by both mothers and fathers; however, mothers and fathers used different coping strategies and differed on the dimensions of spirituality. The results of multiple linear regression indicated that dimensions of coping and spirituality were significant predictors of caregiver burden. Conclusion: Cancer in the child impacts the parent's burden but providing sufficient support and implementing effective coping strategies, will help in mitigating the intensity of caregiver burden. It is essential that the hospital authorities and policymakers understand that a professional health psychologist could be a liaison between the doctor, patient, and the caregiver in bringing down the levels of burden and psychological distress in caregivers as well as patients.
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    Childhood stress and its impact on learning and academic performance
    ( 2013-01-01) Hariharan, Meena ; Swain, Sunyana ; Chivukula, Usha
    Stress has become a potential source of threat in the growth and development of children, having both short-term and long-term effects. Unremitting stress in children has an impact on the autonomous and endocrine system, thereby bringing about interference in learning, transfer of learning, and memory. While culture plays a vital role, the triggers of stress can be both external and internal. The child’s interaction with their immediate environment and the child’s own abilities to counteract the stressful situation also play a vital role. Interventions aimed at changing the way children perceive stress can go a long way towards optimizing their potential in dealing with stressful situations.
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    Childhood stress and its impact on learning and academic performance
    ( 2013-01-01) Hariharan, Meena ; Swain, Sunyana ; Chivukula, Usha
    Stress has become a potential source of threat in the growth and development of children, having both short-term and long-term effects. Unremitting stress in children has an impact on the autonomous and endocrine system, thereby bringing about interference in learning, transfer of learning, and memory. While culture plays a vital role, the triggers of stress can be both external and internal. The child’s interaction with their immediate environment and the child’s own abilities to counteract the stressful situation also play a vital role. Interventions aimed at changing the way children perceive stress can go a long way towards optimizing their potential in dealing with stressful situations.
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    Doctor-Patient Communication: Impact on Adherence and Prognosis Among Patients with Primary Hypertension
    ( 2015-03-01) Swain, Sunayana ; Hariharan, Meena ; Rana, Suvashisa ; Chivukula, Usha ; Thomas, Marlyn
    This study examined the effect of quality of doctor-patient communication on adherence and the effect of adherence on prognosis of patients diagnosed with primary hypertension. A sample of 30 doctors and 300 hypertensive patients with the ratio of one doctor and 10 patients participated in the study. Quality of communication was measured using similarity index that measured the transaction between the doctor and the patient as a whole. Adherence was measured through self-report while prognosis was measured by doctors’ ratings based on clinical symptoms and blood pressure readings of the patient. Results revealed that quality of communication significantly contributed to adherence and prognosis. Adherence significantly contributed to prognosis. The impact of quality of communication on prognosis suggested a definite pathway through adherence. The implications of enhancing the quality of doctor-patient communication are discussed.
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    Doctor-Patient Communication: Impact on Adherence and Prognosis Among Patients with Primary Hypertension
    ( 2015-03-01) Swain, Sunayana ; Hariharan, Meena ; Rana, Suvashisa ; Chivukula, Usha ; Thomas, Marlyn
    This study examined the effect of quality of doctor-patient communication on adherence and the effect of adherence on prognosis of patients diagnosed with primary hypertension. A sample of 30 doctors and 300 hypertensive patients with the ratio of one doctor and 10 patients participated in the study. Quality of communication was measured using similarity index that measured the transaction between the doctor and the patient as a whole. Adherence was measured through self-report while prognosis was measured by doctors’ ratings based on clinical symptoms and blood pressure readings of the patient. Results revealed that quality of communication significantly contributed to adherence and prognosis. Adherence significantly contributed to prognosis. The impact of quality of communication on prognosis suggested a definite pathway through adherence. The implications of enhancing the quality of doctor-patient communication are discussed.
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    Doctor-Patient Communication: Impact on Adherence and Prognosis Among Patients with Primary Hypertension
    ( 2015-03-01) Swain, Sunayana ; Hariharan, Meena ; Rana, Suvashisa ; Chivukula, Usha ; Thomas, Marlyn
    This study examined the effect of quality of doctor-patient communication on adherence and the effect of adherence on prognosis of patients diagnosed with primary hypertension. A sample of 30 doctors and 300 hypertensive patients with the ratio of one doctor and 10 patients participated in the study. Quality of communication was measured using similarity index that measured the transaction between the doctor and the patient as a whole. Adherence was measured through self-report while prognosis was measured by doctors’ ratings based on clinical symptoms and blood pressure readings of the patient. Results revealed that quality of communication significantly contributed to adherence and prognosis. Adherence significantly contributed to prognosis. The impact of quality of communication on prognosis suggested a definite pathway through adherence. The implications of enhancing the quality of doctor-patient communication are discussed.
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    Enhancing hospital well-being and minimizing intensive care unit trauma: Cushioning effects of psychosocial care
    ( 2017-10-01) Chivukula, Usha ; Hariharan, Meena ; Rana, Suvashisa ; Thomas, Marlyn ; Andrew, Asher
    Context: Hospitalization has the potential to induce hospital anxiety, while admission in the Intensive Care Unit (ICU) is found to surpass the anxiety and result in what is termed as 'ICU Trauma.' Aims: This study aimed to determine the impact of psychosocial care and quality of ICU on ICU trauma and hospital well-being in patients who underwent coronary artery bypass grafting (CABG). Settings and Design: This correlational study involved 250 CABG patients, who were recruited from five major corporate hospitals. Participants and Methods: The ICU Psychosocial Care Scale, Hospital Wellbeing Scale, and ICU Trauma Scale were used. Each of the participants was assessed individually. The ICU Practices Checklist was used to assess the environment of the ICU in the hospital. Statistical Analysis Used: Descriptive statistics, correlation, and simple and multiple linear regression analyses were done. Results: The results revealed the significant contribution of psychosocial care in ICU in enhancing hospital well-being as well as minimizing ICU trauma of patients who underwent CABG. The results of multiple regressions clearly indicated that psychosocial care was a powerful predictor of hospital well-being and ICU trauma. Conclusions: Although psychosocial care was not a component of hospital well-being and had a negative correlation with ICU trauma, it contributed significantly with a cushioning effect to minimize trauma and helped enhance the feelings and experiences of well-being among patients in ICU.
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    Enhancing hospital well-being and minimizing intensive care unit trauma: Cushioning effects of psychosocial care
    ( 2017-10-01) Chivukula, Usha ; Hariharan, Meena ; Rana, Suvashisa ; Thomas, Marlyn ; Andrew, Asher
    Context: Hospitalization has the potential to induce hospital anxiety, while admission in the Intensive Care Unit (ICU) is found to surpass the anxiety and result in what is termed as 'ICU Trauma.' Aims: This study aimed to determine the impact of psychosocial care and quality of ICU on ICU trauma and hospital well-being in patients who underwent coronary artery bypass grafting (CABG). Settings and Design: This correlational study involved 250 CABG patients, who were recruited from five major corporate hospitals. Participants and Methods: The ICU Psychosocial Care Scale, Hospital Wellbeing Scale, and ICU Trauma Scale were used. Each of the participants was assessed individually. The ICU Practices Checklist was used to assess the environment of the ICU in the hospital. Statistical Analysis Used: Descriptive statistics, correlation, and simple and multiple linear regression analyses were done. Results: The results revealed the significant contribution of psychosocial care in ICU in enhancing hospital well-being as well as minimizing ICU trauma of patients who underwent CABG. The results of multiple regressions clearly indicated that psychosocial care was a powerful predictor of hospital well-being and ICU trauma. Conclusions: Although psychosocial care was not a component of hospital well-being and had a negative correlation with ICU trauma, it contributed significantly with a cushioning effect to minimize trauma and helped enhance the feelings and experiences of well-being among patients in ICU.
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    Enhancing hospital well-being and minimizing intensive care unit trauma: Cushioning effects of psychosocial care
    ( 2017-10-01) Chivukula, Usha ; Hariharan, Meena ; Rana, Suvashisa ; Thomas, Marlyn ; Andrew, Asher
    Context: Hospitalization has the potential to induce hospital anxiety, while admission in the Intensive Care Unit (ICU) is found to surpass the anxiety and result in what is termed as 'ICU Trauma.' Aims: This study aimed to determine the impact of psychosocial care and quality of ICU on ICU trauma and hospital well-being in patients who underwent coronary artery bypass grafting (CABG). Settings and Design: This correlational study involved 250 CABG patients, who were recruited from five major corporate hospitals. Participants and Methods: The ICU Psychosocial Care Scale, Hospital Wellbeing Scale, and ICU Trauma Scale were used. Each of the participants was assessed individually. The ICU Practices Checklist was used to assess the environment of the ICU in the hospital. Statistical Analysis Used: Descriptive statistics, correlation, and simple and multiple linear regression analyses were done. Results: The results revealed the significant contribution of psychosocial care in ICU in enhancing hospital well-being as well as minimizing ICU trauma of patients who underwent CABG. The results of multiple regressions clearly indicated that psychosocial care was a powerful predictor of hospital well-being and ICU trauma. Conclusions: Although psychosocial care was not a component of hospital well-being and had a negative correlation with ICU trauma, it contributed significantly with a cushioning effect to minimize trauma and helped enhance the feelings and experiences of well-being among patients in ICU.
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    Role of psychosocial care on ICU trauma
    ( 2014-01-01) Chivukula, Usha ; Hariharan, Meena ; Rana, Suvashisa ; Thomas, Marlyn ; Swain, Sunayana
    Context: Patients treated in intensive care units (ICU) though receive the best medical attention are found to suffer from trauma typically attributed to the ICU environment. Biopsychosocial approach in ICUs is found to minimize ICU trauma. Aims: This study investigates the role of psychosocial care on patients in ICU after coronary artery bypass graft (CABG). Settings and Design: The study included 250 post-operative CABG patients from five corporate hospitals. The combination of between subject and correlation design was used. Materials and Methods: The ICU psychosocial care scale (ICUPCS) and ICU trauma scale (ICUTS) were used to measure the psychosocial care and trauma. Statistical Analysis: ANOVA and simple and multiple regression were applied. Results: Hospitals significantly differed in psychosocial care provided in ICUs. Higher the psychosocial care in ICU, lower was the ICU trauma experienced and vice versa. Psychosocial care was a significant major predictor of ICU trauma. Conclusions: The study suggests emphasis on psychosocial aspects in ICU care for optimizing prognosis.
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    Role of psychosocial care on ICU trauma
    ( 2014-01-01) Chivukula, Usha ; Hariharan, Meena ; Rana, Suvashisa ; Thomas, Marlyn ; Swain, Sunayana
    Context: Patients treated in intensive care units (ICU) though receive the best medical attention are found to suffer from trauma typically attributed to the ICU environment. Biopsychosocial approach in ICUs is found to minimize ICU trauma. Aims: This study investigates the role of psychosocial care on patients in ICU after coronary artery bypass graft (CABG). Settings and Design: The study included 250 post-operative CABG patients from five corporate hospitals. The combination of between subject and correlation design was used. Materials and Methods: The ICU psychosocial care scale (ICUPCS) and ICU trauma scale (ICUTS) were used to measure the psychosocial care and trauma. Statistical Analysis: ANOVA and simple and multiple regression were applied. Results: Hospitals significantly differed in psychosocial care provided in ICUs. Higher the psychosocial care in ICU, lower was the ICU trauma experienced and vice versa. Psychosocial care was a significant major predictor of ICU trauma. Conclusions: The study suggests emphasis on psychosocial aspects in ICU care for optimizing prognosis.
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    Role of psychosocial care on ICU trauma
    ( 2014-01-01) Chivukula, Usha ; Hariharan, Meena ; Rana, Suvashisa ; Thomas, Marlyn ; Swain, Sunayana
    Context: Patients treated in intensive care units (ICU) though receive the best medical attention are found to suffer from trauma typically attributed to the ICU environment. Biopsychosocial approach in ICUs is found to minimize ICU trauma. Aims: This study investigates the role of psychosocial care on patients in ICU after coronary artery bypass graft (CABG). Settings and Design: The study included 250 post-operative CABG patients from five corporate hospitals. The combination of between subject and correlation design was used. Materials and Methods: The ICU psychosocial care scale (ICUPCS) and ICU trauma scale (ICUTS) were used to measure the psychosocial care and trauma. Statistical Analysis: ANOVA and simple and multiple regression were applied. Results: Hospitals significantly differed in psychosocial care provided in ICUs. Higher the psychosocial care in ICU, lower was the ICU trauma experienced and vice versa. Psychosocial care was a significant major predictor of ICU trauma. Conclusions: The study suggests emphasis on psychosocial aspects in ICU care for optimizing prognosis.
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    The intensive care unit psychosocial care scale: Development and initial validation
    ( 2015-12-01) Hariharan, Meena ; Chivukula, Usha ; Rana, Suvashisa
    The main objective of the current study was to construct a new self-report scale - ICU-PC Scale - to measure the psychosocial care (PC) of patients in Intensive Care Unit (ICU) and examine different psychometric issues in the development and initial validation of this scale. The findings indicate that the ICU-PC Scale has established high internal consistency. A three-factor structure - protection of human dignity and rights, transparency for decision making and care continuity and sustained patient, family orientation - has been identified with a substantial number of subjects (. N=. 250) in hospital settings. The three oblique factor solutions are found to be interrelated and interdependent with good indices of internal consistency and content validity. This new instrument is the first of its kind to measure the psychosocial care to be provided to patients in the ICU. The present findings indicate that the ICU-PC scale, with additional factor analytic research, could become an established and clinical tool.
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    The intensive care unit psychosocial care scale: Development and initial validation
    ( 2015-12-01) Hariharan, Meena ; Chivukula, Usha ; Rana, Suvashisa
    The main objective of the current study was to construct a new self-report scale - ICU-PC Scale - to measure the psychosocial care (PC) of patients in Intensive Care Unit (ICU) and examine different psychometric issues in the development and initial validation of this scale. The findings indicate that the ICU-PC Scale has established high internal consistency. A three-factor structure - protection of human dignity and rights, transparency for decision making and care continuity and sustained patient, family orientation - has been identified with a substantial number of subjects (. N=. 250) in hospital settings. The three oblique factor solutions are found to be interrelated and interdependent with good indices of internal consistency and content validity. This new instrument is the first of its kind to measure the psychosocial care to be provided to patients in the ICU. The present findings indicate that the ICU-PC scale, with additional factor analytic research, could become an established and clinical tool.
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    The intensive care unit psychosocial care scale: Development and initial validation
    ( 2015-12-01) Hariharan, Meena ; Chivukula, Usha ; Rana, Suvashisa
    The main objective of the current study was to construct a new self-report scale - ICU-PC Scale - to measure the psychosocial care (PC) of patients in Intensive Care Unit (ICU) and examine different psychometric issues in the development and initial validation of this scale. The findings indicate that the ICU-PC Scale has established high internal consistency. A three-factor structure - protection of human dignity and rights, transparency for decision making and care continuity and sustained patient, family orientation - has been identified with a substantial number of subjects (. N=. 250) in hospital settings. The three oblique factor solutions are found to be interrelated and interdependent with good indices of internal consistency and content validity. This new instrument is the first of its kind to measure the psychosocial care to be provided to patients in the ICU. The present findings indicate that the ICU-PC scale, with additional factor analytic research, could become an established and clinical tool.