Seint Kokokyi

University of Manitoba | UMN · Department of Clinical Health Psychology

The aims of this study were to understand associations among mental health symptoms, ethnic discrimination, and institutional betrayal, and explore the potential role of protective factors (e.g. ethnic identity and racial regard) in attenuating the detrimental effects of discrimination and betrayal. A total of 89 racialized Canadian university stud...

Objective: To gather patients' and primary care physicians' (PCP) opinions on trauma-informed Care (TIC) and to investigate the acceptability of recommendations developed by patient, family, and physician advisors. Design: Cross-sectional research survey design and patient engagement. Setting: Canada, 2017 to 2019. Participants: English-spea...

Context: Trauma informed care (TIC) refers to a patient-care model that involves understanding, recognizing and responding to trauma, while promoting safety, trustworthiness, empowerment, collaboration, strengths-based care, and cultural context when providing care for patients. Even though there have been studies examining the implementation of TI...

Trauma informed care (TIC) refers to a patient-care model within healthcare that involves understanding, recognizing and responding to trauma. While there are several models of TIC, the two most commonly cited were proposed by Harris and Fallot,1 and Elliot, Bjelajac, Fallot, and Reed.1 Both models discussed the importance of understanding trauma a...

The epidemiology of trauma is complex; trauma survivors may develop multiple medical and psychological problems. Past research has shown that trauma survivors are reluctant to seek services for issues related to psychological concerns, but many seek medical attention for their physical symptoms precipitating from their traumatic experiences. When t...

Many trauma survivors have difficulties using the health care system. Their traumatic past may cause them to be fearful of medical examinations or procedures, worried they might find these examinations and procedures traumatizing. Trauma survivors may endorse cognitive schemas about safety and trust. As a result, they may develop mistrust towards i...

Adverse childhood events (ACEs) may lead to multiple medical and psychological problems, including posttraumatic stress symptoms. Both ACEs and posttraumatic stress symptoms may alter the ability to trust. It has been speculated that this mistrust or lack of trust may generalize to healthcare professionals. The current study investigated the associ...

Background: Cerebral cavernous malformations (CCM) are enlarged or irregularly-shaped blood vessels in the brain that can rupture and cause hemorrhage in the brain. As a result of this type of brain injury, many experience disabling symptoms such as cognitive deficits, paralysis and seizures. CCM is a rare condition affecting less than one percent...

Excessive daytime sleepiness (EDS) has not been investigated using objective tests in myasthenia gravis (MG). We investigated whether objective measurements of somnolence better detected abnormalities compared with sleepiness questionnaires in MG, and determine if MG patients have EDS. Eight patients with mild-to-moderate MG were recruited. Patient...

Muscle cramps are common in the general population and can be disabling for patients, but there is little evidence comprehensively evaluating cramp characteristics in patients with polyneuropathy. This study describes the prevalence and characteristics of muscle cramps in this patient group. Patients over 18 diagnosed with polyneuropathy were invit...

There are limited epidemiological studies addressing the prevalence of muscle cramps in the general population and diseases like diabetes (1). Common long-term complications of diabetes, such as neuropathy and nephropathy, have been associated with higher rates of muscle cramps (2). We aimed to determine the prevalence and characteristics of muscl...

Introduction: The relationship between sleep and neuromuscular fatigue is understood poorly. The goal of this study was to evaluate the effects of napping on quantitative measures of neuromuscular fatigue in patients with myasthenia gravis (MG). Methods: Eight patients with mild to moderate MG were recruited. Patients underwent maintenance of wa...

The aim of this study was to examine the impact of social support on quality of life (QoL) in patients with polyneuropathy. One hundred and fifty-four patients with polyneuropathy were enrolled from a neuromuscular clinic. The QoL Instrument and the Medical Outcome Study-Social Support Survey (MOS-SSS) were used to assess QoL and social support, re...

Recently an article provided patient perspectives on therapies and perceived effectiveness in preventing muscle cramps. However, there are few studies evaluating physicians' point of view in the management of this common symptom. In our study, we studied physician practice patterns in the treatment of muscle cramps by surveying a group of neurologi...