Social support and belonging

دَعۡوَىٰهُمۡ فِيهَا سُبۡحَٰنَكَ ٱللَّهُمَّ وَتَحِيَّتُهُمۡ فِيهَا سَلَٰمࣱۚ وَءَاخِرُ دَعۡوَىٰهُمۡ أَنِ ٱلۡحَمۡدُ لِلَّهِ رَبِّ ٱلۡعَٰلَمِينَ

Their prayer in them will be, ‘Glory be to You, God!’ their greeting, ‘Peace,’ and the last part of their prayer, ‘Praise be to God, Lord of the Worlds.’

وَأُدۡخِلَ ٱلَّذِينَ ءَامَنُواْ وَعَمِلُواْ ٱلصَّٰلِحَٰتِ جَنَّٰتࣲ تَجۡرِي مِن تَحۡتِهَا ٱلۡأَنۡهَٰرُ خَٰلِدِينَ فِيهَا بِإِذۡنِ رَبِّهِمۡۖ تَحِيَّتُهُمۡ فِيهَا سَلَٰمٌ

but those who believed and did good deeds will be brought into Gardens graced with flowing streams, there to remain with their Lord’s permission: their greeting there is ‘Peace’

يَٰٓأَيُّهَا ٱلَّذِينَ ءَامَنُواْ لَا تَدۡخُلُواْ بُيُوتًا غَيۡرَ بُيُوتِكُمۡ حَتَّىٰ تَسۡتَأۡنِسُواْ وَتُسَلِّمُواْ عَلَىٰٓ أَهۡلِهَاۚ ذَٰلِكُمۡ خَيۡرࣱ لَّكُمۡ لَعَلَّكُمۡ تَذَكَّرُونَ

Believers, do not enter other people’s houses until you have asked permission to do so and greeted those inside- that is best for you: perhaps you will bear this in mind

لَّيۡسَ عَلَى ٱلۡأَعۡمَىٰ حَرَجࣱ وَلَا عَلَى ٱلۡأَعۡرَجِ حَرَجࣱ وَلَا عَلَى ٱلۡمَرِيضِ حَرَجࣱ وَلَا عَلَىٰٓ أَنفُسِكُمۡ أَن تَأۡكُلُواْ مِنۢ بُيُوتِكُمۡ أَوۡ بُيُوتِ ءَابَآئِكُمۡ أَوۡ بُيُوتِ أُمَّهَٰتِكُمۡ أَوۡ بُيُوتِ إِخۡوَٰنِكُمۡ أَوۡ بُيُوتِ أَخَوَٰتِكُمۡ أَوۡ بُيُوتِ أَعۡمَٰمِكُمۡ أَوۡ بُيُوتِ عَمَّٰتِكُمۡ أَوۡ بُيُوتِ أَخۡوَٰلِكُمۡ أَوۡ بُيُوتِ خَٰلَٰتِكُمۡ أَوۡ مَا مَلَكۡتُم مَّفَاتِحَهُۥٓ أَوۡ صَدِيقِكُمۡۚ لَيۡسَ عَلَيۡكُمۡ جُنَاحٌ أَن تَأۡكُلُواْ جَمِيعًا أَوۡ أَشۡتَاتࣰ اۚ فَإِذَا دَخَلۡتُم بُيُوتࣰ ا فَسَلِّمُواْ عَلَىٰٓ أَنفُسِكُمۡ تَحِيَّةࣰ مِّنۡ عِندِ ٱللَّهِ مُبَٰرَكَةࣰ طَيِّبَةࣰۚ كَذَٰلِكَ يُبَيِّنُ ٱللَّهُ لَكُمُ ٱلۡأٓيَٰتِ لَعَلَّكُمۡ تَعۡقِلُونَ

No blame will be attached to the blind, the lame, the sick.Whether you eat in your own houses, or those of your fathers, your mothers, your brothers, your sisters, your paternal uncles, your paternal aunts, your maternal uncles, your maternal aunts, houses you have the keys for, or any of your friends’ houses, you will not be blamed: you will not be blamed whether you eat in company or separately. When you enter any house, greet one another with a greeting of blessing and goodness as enjoined by God. This is how God makes His messages clear to you so that you may understand

وَإِذَا حُيِّيتُم بِتَحِيَّةࣲ فَحَيُّواْ بِأَحۡسَنَ مِنۡهَآ أَوۡ رُدُّوهَآۗ إِنَّ ٱللَّهَ كَانَ عَلَىٰ كُلِّ شَيۡءٍ حَسِيبًا

But [even in battle] when you [believers] are offered a greeting, respond with a better one, or at least return it: God keeps account of everything

يَٰٓأَيُّهَا ٱلَّذِينَ ءَامَنُوٓاْ إِذَا ضَرَبۡتُمۡ فِي سَبِيلِ ٱللَّهِ فَتَبَيَّنُواْ وَلَا تَقُولُواْ لِمَنۡ أَلۡقَىٰٓ إِلَيۡكُمُ ٱلسَّلَٰمَ لَسۡتَ مُؤۡمِنࣰ ا تَبۡتَغُونَ عَرَضَ ٱلۡحَيَوٰةِ ٱلدُّنۡيَا فَعِندَ ٱللَّهِ مَغَانِمُ كَثِيرَةࣱۚ كَذَٰلِكَ كُنتُم مِّن قَبۡلُ فَمَنَّ ٱللَّهُ عَلَيۡكُمۡ فَتَبَيَّنُوٓاْۚ إِنَّ ٱللَّهَ كَانَ بِمَا تَعۡمَلُونَ خَبِيرࣰ ا

So, you who believe, be careful when you go to fight in God’s way, and do not say to someone who offers you a greeting of peace, ‘You are not a believer,’ out of desire for the chance gains of this life- God has plenty of gains for you. You yourself were in the same position [once], but God was gracious to you, so be careful: God is fully aware of what you do

And their greeting therein will be " Peace!, " and the last of their supplication will be " Praise belongs to God, the Lord of the Worlds. " On that desert of the Mustering and station of the Resurrection, the disobedient of AḤmad's com- munity will be kept back at the place of the exposure of the reckoning. The preceders will have gone on ahead with the light of obedience, and the disobedient will stay there alone with the heavy burden of disobedience. In the end, God's mercy will take them by the hand. He will have pity on their aloneness and helplessness. With the call of generosity, He will say, " My servants! " When this address of exaltedness and call of generosity in the attribute of mercy reaches their ears, it will put their spirits at ease and open up their hearts to repose and ease [56:89]. He will say, " My servants, surely the companions of the Garden are today busy rejoicin

Those who have faith and do wholesome deeds were given entry into the Garden....Their greeting therein is “Peace!” The meaning is that tomorrow the faithful and the friends will be brought into paradise, the house of victory, subsistent bliss, and everlasting kingship. The outward meaning of the word were given entry is that this decree was issued on the first day at the Beginningless Covenant and that the faithful were brought into paradise on the day when the decree was issued. It is not a new want that He puts into effect; it is a beginningless deed that He makes appear. He does not caress them today, for He caressed them in the Beginningless and finished the work. The worshipper is always looking toward the Endless, fearing what will be done to him tomor- row. The recognizer is always looking toward the Beginningless, burning because of what may have been done to him then. He who loo

(O ye who believe! Enter not houses other than your own�) [24:27-29]. Ahmad ibn Muhammad ibn Ibrahim al-Tha�labi informed us> al-Husayn ibn Muhammad ibn �Abd Allah al-Dinawari> �Abd Allah ibn Yusuf ibn Ahmad ibn Malik> al-Husayn ibn Sakhtawayh> �Umar ibn Thawr and Ibrahim ibn Abi Sufyan> Muhammad ibn Yusuf al-Firyabi> Qays> Ash�ath ibn Siwar> �Adiyy ibn Thabit who said: �A woman from the Helpers went to see the Prophet and said: �O Messenger of Allah, sometimes I am in my house in a state in which I do not like anyone to see me, neither father nor son. But then the father comes in or another man of the family comes in while I am in that state, what shall I do?� [As a response] this verse was revealed (O ye who believe! Enter not houses other than your own without first announcing your presence and invoking peace upon the folk thereof)�. The commentators of the Qur�an said: �When this ver

(No blame is there upon the blind�) [24:61]. Said ibn �Abbas: �When Allah, glorious and exalted is He, revealed (O ye who believe! Squander not your wealth among yourselves in vanity�) [4:29], the Muslims felt vexed to eat with the sick, the old, the blind and the lame. They said: �Food is the best part of one�s wealth, and Allah, exalted is He, has warned against squandering wealth in vanity. The blind cannot see where wholesome food is, the lame cannot compete over food and the sick cannot eat properly�. As a response, Allah, exalted is He, revealed this verse�. Sa�id ibn Jubayr and al-Dahhak said: �The lame and the blind used to feel vexed at eating with healthy people because the latter found them despicable and disliked eating with them. The people of Medina did not allow the blind, lame or sick person to share their food because they considered them dirty. For this reason, Allah, e

When you are greeted with a greeting, greet with one more beautiful than it, or return it. In this verse, the majestic compeller, the magnificent God, the lovingly kind beautiful-doer, teach- es His servants the courteous acts of social intercourse and companionship, for anyone not adorned with courtesy is not worthy of companionship. Companionship is of three sorts: the courtesy of conformity with the Real, the courtesy of sincerity with people, and the courtesy of opposition to the soul. Anyone not nurtured by these sorts of courtesy has nothing to do with the path of MuṣṬafā and has no worth in the world of No god but God. The exalted Lord first adorned MuṣṬafā with courtesy, as his come in the report: “My Lord taught me courtesy, so how beautifully I have been made courteous!” Thus on the night of the miʿrāj in that most tremendous station, he acted courteously toward the Presence, s

O you who have faith! When you strike forth on the path of God, look clearly, and say not to him who offers you peace, “You are not of the faithful,” seeking the chance goods of this world's life. By way of allusion, He is saying that when you go on a journey, go for the sake of reaching one of the friends of God so that he may be the intimate of your days and the witness of your heart and spirit. No matter how far you go, never be at ease from seeking and do not hold back the foot of effort. The friends are the favorites of the Exalted Threshold and accepted by the Presence of Divinity. Not everyone sees them, not every eyesight perceives them. When you find them, give ear, and when you see them, cling to them, for the brightness of the heart lies in witnessing them and endless felicity in being their companion. The pir of the Tariqah Junayd was asked, “Which do you prefer? Two cycles o

حَدَّثَنَا هَنَّادٌ، حَدَّثَنَا أَبُو مُعَاوِيَةَ، عَنِ الأَعْمَشِ، عَنْ أَبِي صَالِحٍ، عَنْ أَبِي هُرَيْرَةَ، قَالَ قَالَ رَسُولُ اللَّهِ صلى الله عليه وسلم ‏ "‏ وَالَّذِي نَفْسِي بِيَدِهِ لاَ تَدْخُلُوا الْجَنَّةَ حَتَّى تُؤْمِنُوا وَلاَ تُؤْمِنُوا حَتَّى تَحَابُّوا أَلاَ أَدُلُّكُمْ عَلَى أَمْرٍ إِذَا أَنْتُمْ فَعَلْتُمُوهُ تَحَابَبْتُمْ أَفْشُوا السَّلاَمَ بَيْنَكُمْ ‏"‏ ‏.‏ وَفِي الْبَابِ عَنْ عَبْدِ اللَّهِ بْنِ سَلاَمٍ وَشُرَيْحِ بْنِ هَانِئٍ عَنْ أَبِيهِ وَعَبْدِ اللَّهِ بْنِ عَمْرٍو وَالْبَرَاءِ وَأَنَسٍ وَابْنِ عُمَرَ ‏.‏ قَالَ أَبُو عِيسَى هَذَا حَدِيثٌ حَسَنٌ صَحِيحٌ ‏.‏

Narrated Abu Hurairah:that the Messenger of Allah (ﷺ) said: "By the One in Whose Hand is my soul! You will not enter Paradise until you believe, and you will not believe until you love one another. Shall I inform you about a matter which if you do it, then you will love one another? Spread the Salam among each other

حَدَّثَنَا عَلِيُّ بْنُ الْجَعْدِ، أَخْبَرَنَا شُعْبَةُ، عَنْ سَيَّارٍ، عَنْ ثَابِتٍ الْبُنَانِيِّ، عَنْ أَنَسِ بْنِ مَالِكٍ ـ رضى الله عنه أَنَّهُ مَرَّ عَلَى صِبْيَانٍ فَسَلَّمَ عَلَيْهِمْ وَقَالَ كَانَ النَّبِيُّ صلى الله عليه وسلم يَفْعَلُهُ‏.‏

Narrated Anas bin Malik:that he passed by a group of boys and greeted them and said, "The Prophet (ﷺ) used to do so

حَدَّثَنَا عَمْرُو بْنُ عَاصِمٍ، حَدَّثَنَا هَمَّامٌ، عَنْ قَتَادَةَ، قَالَ قُلْتُ لأَنَسٍ أَكَانَتِ الْمُصَافَحَةُ فِي أَصْحَابِ النَّبِيِّ صلى الله عليه وسلم قَالَ نَعَمْ‏.‏

Narrated Qatada:I asked Anas, "Was it a custom of the companions of the Prophet (ﷺ) to shake hands with one another?" He said, "Yes

حَدَّثَنَا أَحْمَدُ بْنُ أَبِي شُعَيْبٍ، حَدَّثَنَا زُهَيْرٌ، حَدَّثَنَا الأَعْمَشُ، عَنْ أَبِي صَالِحٍ، عَنْ أَبِي هُرَيْرَةَ، قَالَ قَالَ رَسُولُ اللَّهِ صلى الله عليه وسلم ‏ "‏ وَالَّذِي نَفْسِي بِيَدِهِ لاَ تَدْخُلُوا الْجَنَّةَ حَتَّى تُؤْمِنُوا وَلاَ تُؤْمِنُوا حَتَّى تَحَابُّوا أَفَلاَ أَدُلُّكُمْ عَلَى أَمْرٍ إِذَا فَعَلْتُمُوهُ تَحَابَبْتُمْ أَفْشُوا السَّلاَمَ بَيْنَكُمْ ‏"‏ ‏.‏

Abu Hurairah reported the Messenger of Allah (May peace be upon him) as saying:By him in whose hand my soul is, you will not enter Paradise until you believe, and you will not believe until you love one another: should I not guide you to something doing which you will love one another: spread out salutation among you

حَدَّثَنَا أَبُو بَكْرِ بْنُ أَبِي شَيْبَةَ، حَدَّثَنَا أَبُو خَالِدٍ، وَابْنُ، نُمَيْرٍ عَنِ الأَجْلَحِ، عَنْ أَبِي إِسْحَاقَ، عَنِ الْبَرَاءِ، قَالَ قَالَ رَسُولُ اللَّهِ صلى الله عليه وسلم ‏ "‏ مَا مِنْ مُسْلِمَيْنِ يَلْتَقِيَانِ فَيَتَصَافَحَانِ إِلاَّ غُفِرَ لَهُمَا قَبْلَ أَنْ يَفْتَرِقَا ‏"‏ ‏.‏

Narrated Al-Bara' ibn Azib: The Prophet (ﷺ) said: Two Muslims will not meet and shake hands having their sins forgiven them before they separate

حَدَّثَنَا عَلِيُّ بْنُ مُحَمَّدٍ، حَدَّثَنَا وَكِيعٌ، عَنْ جَرِيرِ بْنِ حَازِمٍ، عَنْ حَنْظَلَةَ بْنِ عَبْدِ الرَّحْمَنِ السَّدُوسِيِّ، عَنْ أَنَسِ بْنِ مَالِكٍ، قَالَ قُلْنَا يَا رَسُولَ اللَّهِ أَيَنْحَنِي بَعْضُنَا لِبَعْضٍ قَالَ ‏"‏ لاَ ‏"‏ ‏.‏ قُلْنَا أَيُعَانِقُ بَعْضُنَا بَعْضًا قَالَ ‏"‏ لاَ وَلَكِنْ تَصَافَحُوا ‏"‏ ‏.‏

It was narrated that Anas bin Malik said:"O Messenger of Allah! Should we bow to one another?" He said: "No." We said: "Should we embrace one another?" He said: "No, but shake hands with one another

ومن ذلك أن تشكره على صنيعه في حقك، وأن تذب عنه في غيبته إذا قصد بسوء، فحق الأخوة التشمير في الحماية والنصرة.

و الدليل عليه أن ترك المؤاخاة و الصحبة ابتداء ليس مذموما ولا مكروها بل قال قائلون الانفراد أولى فأما قطع الأخوة عن دوامها فمنهى عنه ومذموم في نفسه ونسبته إلى تركها ابتداء كنسبة الطلاق إلى ترك النكاح و الطلاق أبغض إلى الله تعالى من ترك النكاح قال صلى الله عليه وسلم شرار عباد الله المشاءون بالنميمة المفرقون بين الأحبة + حديث شرار عباد الله المشاءون بالنميمة المفرقون بين الأحبة رواه أحمد من حديث أسماء بنت يزيد بسند ضعيف +

قال علي رضي الله عنه من لم يحمد أخاه على حسن النية لم يحمده على حسن الصنيعة وأعظم من ذلك تأثيرا في جلب المحبة الذب عنه في غيبته مهما قصد بسوء أو تعرض لعرضه بكلام صريح أو تعريض فحق الأخوة التشمير في الحماية و النصرة وتبكيت المتعنت وتغليظ القول عليه و السكوت عن ذلك موغر للصدر ومنفر للقلب وتقصير في حق الأخوة

لأبيه وأمه دون أخيه لأبيه وقال عمرو بن شعيب قضي رسول الله صلى الله عليه وسلم أن الأخ للأب والأم أولي الكلالة بالميراث ثم الأخ للأب وهذا أيضا مما يدخل في قوله عليه الصلاة والسلام فما بقي فلأولي رجل ذكر والتحقيق في ذلك أن كل ما دل عليه القرآن ولو بالتنبيه فليس هو مما أبقته الفرائض بل هو من إلحاق الفرائض المذكورة في القرآن بأهلها كتوريث الأولاد ذكورهم وإناثهم الفاضل عن الفروض للذكر مثل حظ الأنثيين وتوريث الإخوة ذكورهم وإناثهم كذلك ودل ذلك بطريق التنبيه على أن الباقي يأخذه الذكر منهم عند الانفراد بطريق الأولي ودل أيضا بالتنبيه عليه أن الأخت تأخذ الباقي مع البنت كما كانت تأخذه مع أخيها ولا يقدم عليها من هو أبعد منه كابن الأخ والعم وابنه فإن أخاها إذا لم يسقطها فكيف يسقطها من هو أبعد منه فهذا كله من باب إلحاق الفرائض بأهلها ومن باب قسمة المال بين أهل الفرائض على كتاب الله وأما من لم يذكر باسمه من العصبات في القرآن كابن الأخ والعم وابنه فإنما دخل في عمومات مثله قوله تعالى وأولوا الأرحام بعضهم أ

يحتمل أن يريد بالإنخلاع عن العصمة انخلاعه عن اعتصامه بالله فإنه لو اعتصم بالله لما خرج عن هداية الطاعة قال الله تعالى @QB@ ومن يعتصم بالله فقد هدي إلى صراط مستقيم @QE@ فلو كملت عصمته بالله لم يخذله أبدا قال الله تعالى @QB@ واعتصموا بالله هو مولاكم فنعم المولى ونعم النصير @QE@ أي متى اعتصمتم به تولاكم ونصركم على أنفسكم وعلى الشيطان وهما العدوان اللذان لا يفارقان العبد وعداوتهما أضر من عداوة العدو الخارج فالنصر على هذا العدو أهم والعبد إليه أحوج وكمال النصرة على العدو بحسب كمال الإعتصام بالله

# ### | كتاب آداب الصحبة والأخوة ومعاشرة الخلق ونحو ذلك

A systematic review of correlates of depression among older Chinese and Korean immigrants: what we know and do not know.: Objectives: Guided by the stress and coping theory, this study provides a systematic review of existing research on acculutration, family support, and social support related correlates of depression among older Chinese and Korean immigrants in the United States. Method: A comprehensive literature search was conducted in CINAHL Plus, Abstracts in Social Gerontology, AgeLine, Social Work Abstracts, PubMed, PsychINFO, and Social Science Citation Index databases to identify relevant articles that pr

Systematic review on Internet Support Groups (ISGs) and depression (1): Do ISGs reduce depressive symptoms?: Background: Internet support groups (ISGs) enable individuals with specific health problems to readily communicate online. Peer support has been postulated to improve mental health, including depression, through the provision of social support. Given the growing role of ISGs for both users with depression and those with a physical disorder, there is a need to evaluate the evidence concerning the efficacy of ISGs in reducing depressive symptoms. Objective: The objective was to systematically revi

A systematic review of qualitative studies on adjusting after stroke: lessons for the study of resilience.: Purpose: To synthesize qualitative studies on adjusting after stroke, from stroke survivors' and carers' perspectives, and to outline their potential contribution to an understanding of resilience. Methods: A systematic review of qualitative studies in peer reviewed journals from 1990 to 2011 was undertaken. Findings from selected studies were summarized and synthesized and then considered alongside studies of resilience. Results: Forty studies were identified as suitable. These suggested that t

Are Community Gardening and Horticultural Interventions Beneficial for Psychosocial Well-Being? A Meta-Analysis.: Recent literature has revealed the positive effect of gardening on human health; however, empirical evidence on the effects of gardening-based programs on psychosocial well-being is scant. This meta-analysis aims to examine the scientific literature on the effect of community gardening or horticultural interventions on a variety of outcomes related to psychosocial well-being, such as social cohesion, networking, social support, and trust. From 383 bibliographic records retrieved (from 1975 to 20

The relationship between self-reported received and perceived social support: a meta-analytic review.: Social support is broad term encompassing a variety of constructs, including support perceptions (perceived support) and receipt of supportive behaviors (received support). Of these constructs, only perceived support has been regarded as consistently linked to health, and researchers have offered differing assessments of the strength of the received-perceived support relationship. An overall estimate of the received-perceived support relationship would clearly further the dialogue on the relatio

Social support and subjective burden in caregivers of adults and older adults: A meta-analysis.: Background: Despite the generally accepted belief that social support improves caregiver adjustment in general and subjective burden in particular, the literature shows mixed findings, and a recent review concluded that the predictive strength of caregiver social support in determining caregiver burden is less evident, due to the conceptual diversity of this determinant. Objective: The purpose of this review is to analyse the relationship of perceived and received social support with subjective

Neighbourhood characteristics and trajectories of health functioning: a multilevel prospective analysis.

Background: Prospective data from over 10 years of follow-up were used to examine neighbourhood deprivation, social fragmentation and trajectories of health. Methods: From the third phase (1991-93) of the Whitehall II study of British civil servants, SF-36 health functioning was measured on up to five occasions for 7834 participants living in 2046 census wards. Multilevel linear regression models assessed the Townsend deprivation index and social fragmentation index as predictors of initial health and health trajectories. Results: Independent of individual socioeconomic factors, deprivation was inversely associated with initial SF-36 physical component summary (PCS) score. Social fragmentation was not associated with PCS scores. Deprivation and social fragmentation were inversely associated with initial mental component summary (MCS) score. Neighbourhood characteristics were not associat…

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How people decide to seek health care: a qualitative study.

Background: There is considerable variation in service use, with overuse in conditions such as upper respiratory tract infections and high levels of unmet need in older patients with embarrassing conditions such as incontinence. The reasons for this situation are varied but to facilitate appropriate accessing of services the decision processes involved in help-seeking require greater understanding. Objectives: This study aimed to describe the decision making process for help-seeking in middle and older aged people with urinary storage symptoms. Methods: In-depth qualitative interviews were carried out with 33 men and women who had sought medical care for urinary symptoms. Respondents were recruited from an epidemiological study of the prevalence of urinary symptoms in community dwelling adults aged 40 years and over. Questions were directed at help-seeking for urinary symptoms as well as…

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Social capital at work as a predictor of employee health: multilevel evidence from work units in Finland.

The majority of previous research on social capital and health is limited to social capital in residential neighborhoods and communities. Using data from the Finnish 10-Town study we examined social capital at work as a predictor of health in a cohort of 9524 initially healthy local government employees in 1522 work units, who did not change their work unit between 2000 and 2004 and responded to surveys measuring social capital at work and health at both time-points. We used a validated tool to measure social capital with perceptions at the individual level and with co-workers' responses at the work unit level. According to multilevel modeling, a contextual effect of work unit social capital on self-rated health was not accounted for by the individual's socio-demographic characteristics or lifestyle. The odds for health impairment were 1.27 times higher for employees who constantly worke…

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Adolescents' views on preventing self-harm. A large community study.

Background: Deliberate self-harm (DSH) is a major problem in young people in the United Kingdom. The majority of young people who harm themselves do not seek help and therefore community based prevention strategies are important. However little is known about young peoples' views on the prevention of DSH. The aims of this study were to identify what adolescents believe can be done to prevent them from feeling like they want to harm themselves, and to investigate differences in the views held according to gender, ethnic group and previous experiences of self-harm. Method: Pupils in a representative sample of 41 secondary schools in England completed an anonymous, self-report questionnaire including the question "what do you think could be done to help prevent young people from feeling that they want to harm themselves?" Thematic analytic methods were used to categorise responses, which we…

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Social capital, income inequality, and self-rated health in 45 countries.

There has been growing interest in the relationship between the social environment and health. Among the concepts that have emerged over the past decade to examine this relationship are socio-economic inequality and social capital. Using data from the World Values Survey and the World Bank, we tested the hypothesis that self-rated health is affected by social capital and income inequality cross-nationally. The merit of our approach was that we used multilevel methods in a larger and more diverse sample of countries than used previously. Our results indicated that, for a large number of diverse countries, commonly used measures of social capital and income inequality had strong compositional effects on self-rated health, but inconsistent contextual effects, depending on the countries included. Cross-level interactions suggested that contextual measures can moderate the effect of compositi…

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Receiving a diagnosis of inoperable lung cancer: patients' perspectives of how it affects their life situation and quality of life.

Lung cancer is a disease with many biomedical and psychological symptoms. The diagnosis and treatment of lung cancer induces adverse effects. Having an inoperable lung cancer there are few possibilities of being cured. Management of patients with inoperable disease is directed at relieving local or systemic symptoms. The purpose of this study is to describe how it affects the patients' life situation and quality of life. Data was collected by qualitative interviews where the patient's lived experiences were articulated. Twenty-three Swedish patients diagnosed and starting palliative treatment for inoperable lung cancer were interviewed. The interviews were audio-taped and transcribed verbatim. Data were interpreted trough interpretive phenomenology. Six themes were identified that were important for the informants' experience of their life situation and quality of life. The themes were: …

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Spirituality, sense of coherence, and coping responses in women receiving treatment for alcohol and drug addiction.

Purpose: To examine the role of spirituality, sense of coherence, and coping responses in relation to stress and trauma symptoms among women in substance abuse treatment. Data sources/study setting: Data for the present analyses were obtained from baseline interviews of 393 women in an urban area of Massachusetts. Interviews were conducted from April 2003 to September 2006. Participants came from four substance abuse treatment programs (three residential and one outpatient) participating in the Mother's Hope, Mind and Spirit Study, an evaluation of an intervention funded by the Substance Abuse and Mental Health Services Administration (SAMSHA). Principal findings: Stress was significantly associated with drug addiction severity and trauma symptoms were significantly related to alcohol addiction severity. Spirituality, sense of coherence, and coping responses did not mediate the relations…

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Risk behaviours, victimisation and mental distress among adolescents in different family structures.

Background: Previous studies have shown an elevated risk with regard to social and behavioural domains in adolescents of single parents. However, the diversity of single parent families concerning gender of the resident parent has seldom been taken into account when investigating the relation between family structure and children's negative outcomes. Thus, the aim of this study was to investigate risk behaviours, victimisation and mental distress among adolescents in different family structures using more detailed sub-groups of single parents (i.e., single mother, single father and shared physical custody). Methods: The sample consisted of 15,428 ninth graders from all municipal and private schools in the county of Stockholm (response rate 83.4%). Risk behaviours included use of alcohol, illicit drugs and smoking. Victimisation was measured by experiences of exposure to bullying and phys…

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Relational spirituality and depression in adolescent girls.

This study examines the possibility that relational spirituality may be inversely associated with the relatively higher rates of adolescent depression found in girls as compared with boys. Subjects were 615 adolescents, representing a diverse range of religious, ethnic, and socioeconomic backgrounds. Overall spirituality and depression were measured using The Brief-Multidimensional Measure of Religiosity/Spirituality and the Beck Depression Inventory, respectively. Overall, both level of depression and level of relational spirituality were higher in girls as compared with boys. Regression analyses conducted independently for boys and girls revealed that daily spiritual experiences, forgiveness, and religious coping were associated with less-depressive symptomatology exclusively in girls. This pattern in the findings suggests that uniquely in girls, depression may be associated with disru…

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Breast cancer survivors' supportive care needs 2-10 years after diagnosis.

Goals of the work: A significant proportion of breast cancer patients experience psychosocial morbidity after treatment, although their longer-term outcomes and supportive care service needs have not been comprehensively documented. The aim of this study was to identify longer-term outcomes and supportive care needs in disease-free breast cancer survivors. Materials and methods: One hundred seventeen patients who had been diagnosed with breast cancer 2-10 years earlier completed questionnaires to assess psychosocial outcomes including supportive care needs, psychological distress, and quality of life (QoL). Main results: QoL and depression scores were consistent with community rates although anxiety scores were higher. Approximately two thirds of survivors reported at least one unmet need, most frequently concerning existential survivorship issues, thereby highlighting the unique needs o…

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Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: a prospective and periodic assessment study in Taiwan.

To assess the rapidly changing psychological status of nurses during the acute phase of the 2003 SARS outbreak, we conducted a prospective and periodic evaluation of psychiatric morbidity and psychological adaptation among nurses in SARS units and non-SARS units. Nurse participants were from two SARS units (regular SARS [N=44] and SARS ICU [N=26]) and two non-SARS units (Neurology [N=15] and CCU [N=17]). Participants periodically self-evaluated their depression, anxiety, post-traumatic stress symptoms, sleep disturbance, attitude towards SARS and family support. Results showed that depression (38.5% vs. 3.1%) and insomnia (37% vs. 9.7%) were, respectively, greater in the SARS unit nurses than the non-SARS unit nurses. No difference between these two groups was found in the prevalence of post-traumatic stress symptoms (33% vs. 18.7%), yet, three unit subjects (SARS ICU, SARS regular and N…

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Linking social capital and self-rated health: a multilevel analysis of 11,175 men and women in Sweden.

This multilevel study included 11,175 participants interviewed 2000-2002 in Sweden. The association between neighbourhood linking social capital (voting in national elections) and self-rated health was analysed. Individuals living in neighbourhoods with the lowest levels of linking social capital exhibited a significantly higher risk of poor health than individuals living in neighbourhoods with the highest levels of linking social capital, after adjustment for individual characteristics, including individual voting. The neighbourhood variance indicated significant differences in self-rated health between neighbourhoods. Both individuals and neighbourhoods need to be targeted in order to enhance people's health in neighbourhoods with low linking social capital.

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Organizational Readiness for Change and opinions toward treatment innovations.

Program administrators and staff in treatment programs participating in the National Drug Abuse Treatment Clinical Trials Network completed surveys to characterize participating programs and practitioners. A two-level random-effects regression model assessed the influence of Organizational Readiness for Change (ORC) and organizational attributes on opinions toward the use of four evidence-based practices (manualized treatments, medication, integrated mental health services, and motivational incentives) and practices with less empirical support (confrontation and noncompliance discharge). The ORC scales suggested greater support for evidence-based practices in programs where staff perceived more program need for improvement, better Internet access, higher levels of peer influence, more opportunities for professional growth, a stronger sense of organizational mission, and more organization…

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Maternal social capital and child nutritional status in four developing countries.

Social capital has been shown to be positively associated with a range of health outcomes, yet no studies have explored the association between maternal social capital and child nutritional status. Using data from the Young Lives study comprising 7242 1-year-old children from Peru, Ethiopia, Vietnam and the state of Andhra Pradesh in India, we find significant differences in the levels of, in particular, structural social capital (group membership and citizenship) between countries. While few associations were found between structural measures of social capital, support from individuals and cognitive social capital (e.g. trust, social harmony) displayed fairly consistent positive associations with child nutritional status across countries.

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[The German Health Interview and Examination Survey for Children and Adolescents (KiGGS): risks and resources for the mental development of children and adolescents].

Along with the salutogenetic approach in health sciences, the quest for factors exerting a protective effect on mental development and health has increasingly gained importance, complementing the study of risk factors. A total of 6,691 children and adolescents aged 11 to 17 years answered questionnaires on personal, social and family resources as part of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Children with low socioeconomic status (SES) more frequently show deficits in their personal, social and family resources. Similarly, in children with migration background a higher percentage with poorly developed personal and social protective factors is found. Older children report less family resources but more social resources than younger children; in comparison to boys, girls have more social but less personal resources at their disposal. Clear…

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Multimethod evaluation of information and communication technologies in health in the context of wicked problems and sociotechnical theory.

Objective: Few research designs look at the deep structure of complex social systems. We report the design and implementation of a multimethod evaluation model to assess the impact of computerized order entry systems on both the technical and social systems within a health care organization. Design: We designed a multimethod evaluation model informed by sociotechnical theory and an appreciation of the nature of wicked problems. We mobilized this model to assess the impact of an electronic medication management system via a three-year program of research at a major academic hospital. Measurements: Model components include measurements relating to three dimensions of system impact: safety and quality, organizational culture, and work and communication patterns. Results: Application of the evaluation model required the development and testing of purpose-built measurement tools such as softw…

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Association of information satisfaction, psychological distress and monitoring coping style with post-decision regret following breast reconstruction.

Little is known of the psychosocial factors associated with decision regret in the context of breast reconstruction following mastectomy for breast cancer treatment. Moreover, there is a paucity of theoretically-based research in the area of post-decision regret. Adopting the theoretical framework of the Monitoring Process Model (Cancer 1995;76(1):167-177), the current study assessed the role of information satisfaction, current psychological distress and the moderating effect of monitoring coping style to the experience of regret over the decision to undergo reconstructive surgery. Women (N=123) diagnosed with breast cancer who had undergone immediate or delayed breast reconstruction following mastectomy participated in the study. The majority of participants (52.8%, n=65) experienced no decision regret, 27.6% experienced mild regret and 19.5% moderate to strong regret. Bivariate analys…

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The spread of obesity in a large social network over 32 years.

Background: The prevalence of obesity has increased substantially over the past 30 years. We performed a quantitative analysis of the nature and extent of the person-to-person spread of obesity as a possible factor contributing to the obesity epidemic. Methods: We evaluated a densely interconnected social network of 12,067 people assessed repeatedly from 1971 to 2003 as part of the Framingham Heart Study. The body-mass index was available for all subjects. We used longitudinal statistical models to examine whether weight gain in one person was associated with weight gain in his or her friends, siblings, spouse, and neighbors. Results: Discernible clusters of obese persons (body-mass index [the weight in kilograms divided by the square of the height in meters], > or =30) were present in the network at all time points, and the clusters extended to three degrees of separation. These cluster…

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Pathways to obesity: identifying local, modifiable determinants of physical activity and diet.

Many studies document small area inequalities in morbidity and mortality and show associations between area deprivation and health. However, few studies unpack the "black box" of area deprivation to show which specific local social and physical environmental characteristics impact upon health, and might be amenable to modification. We theorised a model of the potential causal pathways to obesity and employed path analysis using a rich data set from national studies in England and Scotland to test the model empirically. Significant associations between obesity and neighbourhood disorder and access to local high street facilities (local shops, financial services and health-related stores found in a typical small UK town) were found. There was a tendency for lower levels of obesity in areas with more swimming pools and supermarkets. In turn, policing levels, physical dereliction and recorde…

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Spousal bereavement in older adults: common, resilient, and chronic grief with defining characteristics.

The purpose of this study was to identify empirically patterns of grief among 141 older bereaved spouses. A longitudinal hierarchical cluster procedure with the Ward agglomeration method was used to identify distinct clusters based on grief scores. Three clusters were identified: common (49%), resilient (34%), and chronic (17%) grief. Members of the common grief cluster experienced elevated levels of grief and depressive symptoms that decreased over time. Members of the resilient cluster experienced the lowest levels of grief and depression and the highest quality of life. The chronic grief cluster experienced the highest levels of grief and depression, more sudden deaths, the lowest self-esteem, and the highest marital dependency. The majority in this chronic cluster also met proposed criteria for a diagnosis of complicated grief. Five out of every six bereaved spouses adjusted well ove…

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Place, health and home: gender and migration in the constitution of healthy space.

This paper contributes to recent literature that considers the role of everyday activity in constructing 'healthy space', specifically exploring the tension between agency and structural processes in explanation. The focus is a comparison of two groups of migrant women in British Columbia, Canada: South Asian Sikhs from Punjab, India, and Afghan-Muslim refugees. It explores the routine practices whereby they work to create 'healthy space' as they orchestrate their families' health. Through food preparation and consumption practices, traditional healing and religious observance, the women delineate the physical, social and symbolic dimensions of healthy space. The women's narratives demonstrate the productive capacity of everyday routines in forging healthy space within the particularities of migrant settlement.

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Social capital, trust in the health-care system and self-rated health: the role of access to health care in a population-based study.

This paper investigates the relationship between institutional trust in the health-care system, i.e. an institutional aspect of social capital, and self-rated health, and whether the strength of this association is affected by access to health-care services. The 2004 public health survey in the Scania region of Sweden is a cross-sectional study; a total of 27,963 respondents aged 18-80 years answered a postal questionnaire, which represents 59% of the random sample. Logistic regression model was used to investigate the association between institutional trust and self-rated health. Multivariate analyses of self-rated health were performed in order to investigate the importance of possible confounders (age, country of origin, education, economic stress, generalized trust in other people, and care-seeking behaviour) on this association. A 28.7% proportion of the men and 33.2% of the women r…

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Who will care for the grandparents? Exploring relationships between grandparents and grandchildren.

Adult children are often identified as primary caregivers for their older adult parents; however, in a growing number of cases, the adult child does not become the caregiver. Evidence of this includes the growing social phenomenon of grandparents raising their grandchildren. In this qualitative research project, the long-term caregiving relationship between grandparents and grandchildren living in grandparent-headed households was explored through interviews with three grandparent-grandchild dyads. The ongoing relationship in the dyads did not seem to mimic a parent-child relationship or a grandparent-grandchild relationship, but instead a third kind of relationship that requires further exploration.

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Demand-withdraw communication in severely distressed, moderately distressed, and nondistressed couples: rigidity and polarity during relationship and personal problem discussions.

This study investigated demand-withdraw communication among 68 severely distressed couples seeking therapy, 66 moderately distressed couples seeking therapy, and 48 nondistressed couples. Self-report and videotaped discussions replicated previous research, demonstrating that greater demand-withdraw during relationship problem discussions was associated with greater distress and that overall, wife-demand/husband-withdraw was greater than husband-demand/wife-withdraw. Results extended the conflict structure view of demand-withdraw by indicating that this gender polarity in demand-withdraw roles varied in strength and direction depending on who chose the topic for discussion, distress level, and marriage length. Further, in videotaped personal problem discussions, typical gender patterns of demand-withdraw were reversed. Across the relationship and personal problem discussions, a pattern of…

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Screening new cancer patients for psychological distress using the hospital anxiety and depression scale.

The diagnosis of a life-threatening illness creates immediate psychosocial distress for the patient and his or her family. The threat is real and the rational response is to be afraid. We need to be reaching out to patients and their families and not waiting for crises. The responsibility remains with the healthcare system and psychosocial healthcare professionals to identify those who are in most need. Psychological distress is something that can be relatively easily measured and responded to when psychosocial oncology healthcare professionals are immediately available to address those needs. This paper describes the process used to gather this information, how that information has been used by the psychosocial clinicians in the Supportive Care programme, and what we have learned, in terms of a retrospective data analysis, about our patient population. At the Cancer Centre in Thunder Ba…

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