Community-based psychological counselling services (CPCS) is crucial for the oldest-old who often faces challenges or are reluctant to seek care at the healthcare settings. This study aims to examine ...trends in availability of CPCS over time and rural-urban disparities in service availability among nationwide oldest-old in China.
Multiple cross-sectional data were derived from the 2005–2018 Chinese Longitudinal Health Longevity Survey. Service availability was reported by each oldest-old participant or their next-of-kins as having CPCS in one's neighborhood. We used Cochran-Armitage tests to estimate service availability trends and applied sample-weighted logistic regression models to examine its rural-urban disparities.
Of 38,032 oldest-old, CPCS availability decreased from 6.7 % in 2005 to 4.8 % in 2008/2009, followed by continual increases to 13.6 % in 2017/2018. In 2017/2018, rural oldest-old's neighborhoods had no greater service availability. Oldest-old residing in the Central (6.7 %), Western (13.4 %) and Northeast China (8.1 %) were less likely to report having services locally than their Eastern counterparts (17.8 %). Oldest-old having any disability or living in the nursing homes reported having greater service availability than those without disability or living at home.
Service availability might have been disrupted during the COVID-19 pandemic.
Despite the increasing service availability, as of 2017/2018, only 13.6 % oldest-old in China had reported CPCS availability. It raises concerns on the disproportionate access to and continuity of mental health care, especially for those living the Central, Western China and those living at home. Policy efforts are needed to incentivize service expansion and eliminate disparities in the service availability.
•Community-based psychological counselling services (CPCS) are increasingly available in China.•Only 13.6 % of oldest-old in China reported having access to CPCS in 2017/2018.•Geographic disparities in CPCS availability are substantial and persistent.
The article reveals issues related to formation of moral self-awareness in the process of psychological counselling. The meaning of the concepts: “consciousness”, “moral”, “moral self-awareness”, ...“counselling”, “psychology”, “psychological counselling” is clarified. A classification of psychological counselling is presented. A review of literature by domestic and foreign researchers on fostering moral self-awareness in adolescents is made. It is investigated that the American psychologist Hall (1904) first covered the issue of formation of moral self-consciousness in adolescents. It is determined that the functions of moral self-consciousness include self-control, self-perception, self-approval, self-understanding, self-improvement. It is found that scientists distinguish 2 types of self-awareness: subjective and objective. It is emphasized that self-awareness is the ability to clearly and realistically evaluate one’s behavior. The moral self-consciousness of adolescents with high, medium and low levels of self-esteem is considered. In addition, emphasis is placed on the fact that moral traits are the factors that shape a person. It has been found that moral self-awareness is based on the following factors: cognitive, emotional and behavioral. It is noted that the ability to communicate plays an important role in formation of moral self-awareness. The signs that prompt a teenager think about visiting a psychologist have been identified. It is proved that knowledge about one’s strengths in moral self-awareness helps adolescents to form their own moral well-being. It is found that conducting simulation games by a psychologist during a group training allows a specialist to determine the level of moral self-awareness of an adolescent, as well as to form strong moral virtues. It is proved that a game helps to conduct an effective psychological counselling, because a child feels comfortable, relaxed, openly shares thoughts and feelings. A remote form of psychological counseling is considered. It is emphasized that a psychologist works with a teenager, as well as with his/her parents. It was found that psychological counseling comprises a diagnostic and a therapeutic part.
The COVID-19 has had an impact on almost every aspect of life throughout the world. The quarantine, limited social life, and fear of contamination have triggered psychological symptoms in societies. ...The need for mental health services has increased, and online psychological counselling, which provides psychological help with no risk of infection, has become more popular. The purpose of this study was to examine the impact of the COVID-19 on psychological counselling services and compare the general situation of publications on online psychological counselling before and during the pandemic. For this purpose, 463 publications related to online psychological counselling in the Web of Science (WoS) database were examined. The results were discussed in the context of trends and differences before and during COVID-19.
Several studies have shown how COrona VIrus Disease 2019 (COVID‐19) and the consequent isolation and quarantine measures could affect physical and mental well‐being. Therefore, the increased request ...for support and assistance represents a critical challenge for clinicians requiring a reorganization of care systems. In this regard, online counselling has been identified as a useful tool in providing psychological assistance and support. Thus, the main purpose of the current study was to investigate the clinical usefulness of a single online counselling session in reducing psychopathological symptoms (i.e., state anxiety and negative affect) and increasing individual well‐being and positive affect during the first Italian lockdown. Fifty‐three subjects were enrolled and randomly assigned to receive an online counselling session Online Counselling Group (OCG) = 26 or to act as controls Waiting List Group (WLG) = 27. In the post‐assessment, compared to WLG, the OCG showed a significant decrease in negative affect (18.04 ± 6.30 vs. 30.26 ± 8.61; F1:47 = 29.45; p < .001; dppc2 = .92) and state anxiety (36.65 ± 8.35 vs. 48.04 ± 11.51; F1:47 = 17.86; p < .001; dppc2 = .49). Taking into account the cyclical nature of COVID‐19, with the possibility of new peaks and waves, it would be appropriate to consider the versatility and usefulness of online psychological counselling in the management of COVID‐19‐related distress.
Abstract Background Extensive research has been conducted treating burnout as an independent variable and performance as a dependent variable to proffer possible solutions to burnout and job ...performance among academics. Despite this, the burnout crises persist and are exacerbated by the ongoing global proliferation of higher education. Acknowledging this, the current study explored whether performance may contribute to the emergence of burnout. Methods The study’s sample population comprised 689 academics from Jiangsu province, China. Key Performance Indicator (KPI) results served to measure performance. Psychological counselling and Burnout were calculated using mental health results garnered from the universities. Data was collected on respondents' demographic characteristics and work situations. The mean scores were 0.517 (SD = 0.5) for gender and 1.586 (SD = 1.103) for age. The relationship among performance, job burnout, and psychological counselling was analysed via a cross-sectional survey deploying grouped regression. Results Academics’ job performance was found to regulate their burnout (β = -0.058, P < 0.01). Higher performance of academics was significantly associated with lower job burnout and psychological counselling. Furthermore, psychological counselling significantly moderated job burnout (β = -0.012, P < 0.05) among academics without regulating their job performance. Conclusion The paper supplements the discourse on job burnout and academic performance by suggesting a pre-counselling measure as a strategy to address the crises of burnout. The paper argued that the continued competence of employees should prevent burnout in Higher education and ensure better job performance.
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