51
|
PTSD and Depression 8 Years After the 2004 Tsunami in Sri Lanka. Disaster Med Public Health Prep 2022; 17:e183. [PMID: 35635196 DOI: 10.1017/dmp.2022.73] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVES To evaluate prevalence and risk factors of posttraumatic stress disorder (PTSD) and depression among directly exposed (DE) and indirectly or nonexposed (INE) populations in Sri Lanka 8 y after the Indian Ocean Tsunami in 2004. METHODS Population-based structured survey study was conducted among Sri Lankan adults living in 5 coastal districts, Hamboantha, Matara, Galle, Kalutara, and Colombo in 2012-2013. A total of 430 individuals, 325 in DE, 105 in INE, participated in the survey. DE and INE groups were compared for demographics and outcomes. Bivariate and multiple logistic regressions with backward selection were used to identify risk factors for partial PTSD and depression. RESULTS The prevalence of PTSD, partial PTSD and depression were 2.8%, 10.5%, and 18.8% in DE group, respectively. In multivariable analyses tsunami exposure, female gender, subjective physical health before the tsunami, previous trauma, and depression were significantly associated with partial PTSD. Female gender, high frequency of religious activity, previous trauma, social support, and PTSD were significantly associated with depression. CONCLUSIONS The psychological impacts of the tsunami did wane over time, but still present at lower rate even in 8 y. It is important to address these lingering sequelae and expand access to at risk individuals.
Collapse
|
52
|
A Qualitative Scoping Review of the Impacts of Economic Recessions on Mental Health: Implications for Practice and Policy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19105937. [PMID: 35627474 PMCID: PMC9140450 DOI: 10.3390/ijerph19105937] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 04/12/2022] [Accepted: 05/10/2022] [Indexed: 11/17/2022]
Abstract
In a follow-up to our 2021 scoping review of the quantitative literature on the impacts of economic recessions on mental health, this scoping review summarizes qualitative research to develop a descriptive understanding of the key factors that transmute the socioeconomic stressors of a recession into poorer mental health. The previous study identified 22 qualitative studies from 2008 to 2020, which were updated with search results from six databases for articles published between 2020 and 2021. After inclusion and exclusion criteria were applied to the total 335 identified studies, 13 articles were included. These were peer-reviewed, qualitative studies in developed economies, published from 2008 to 2021, and available online in English. Participants perceived that financial hardship and unemployment during recessions increased stress and led to feelings of shame, loss of structure and identity, and a perceived lack of control, which increased interpersonal conflict, social isolation, maladaptive coping, depression, self-harm, and suicidal behavior. Participants struggled with accessing health and social services and suggested reforms to improve the navigation and efficiency of services and to reduce the perceived harms of austerity measures. Providers should screen for mental distress and familiarize themselves with health and social resources in their community to help patients navigate these complex systems. Policy makers should be aware of the potential protective nature of unemployment safeguards and consider other low-cost measures to bolster mental health supports and informal social networks. Research in this area was limited. Further research would be beneficial given the impacts of the ongoing COVID-19 recession.
Collapse
|
53
|
Poczta J, Almeida N, Paczyńska-Jędrycka M, Kruszyńska E. The Impact of COVID-19 Incidence on Motivation to Participate in a Triathlon. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095576. [PMID: 35564971 PMCID: PMC9103585 DOI: 10.3390/ijerph19095576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 04/26/2022] [Accepted: 05/03/2022] [Indexed: 02/04/2023]
Abstract
The COVID-19 pandemic has caused many changes that have influenced the lives of people around the world and have left their mark in the world of sports, as well. Numerous restrictions resulted in the cancellation of the organization of many sports events, and the players themselves had restricted access to training. The main goal of the study was to identify the motivation to participate in a triathlon between athletes who have undergone COVID-19, those who have never been infected and those who do not know if they have ever caught the virus and to evaluate the differences between them. The assessment of the motives for participating in a sports event was conducted according to four types of orientation: social, experience, factual and results to check what benefits for well-being and self-improvement are brought about by participation in a triathlon as a mass sports event. The desire to feel unity, to develop passion, to integrate with other people and to get away from everyday life were the most important motives for those who have never been infected. It turns out that 100% of the respondents who had a history of COVID-19 disease indicated the desire to prove themselves. The desire to maintain good physical condition and health was reported by the majority of researched people, but again, all respondents (100%) who had been infected with COVID-19 indicated these motives as the most important.
Collapse
Affiliation(s)
- Joanna Poczta
- Faculty of Sport Sciences, Poznan University of Physical Education, 61-871 Poznan, Poland
- Correspondence:
| | - Nuno Almeida
- CiTUR, ESTM, Polytechnic of Leiria, 2411-901 Leiria, Portugal;
| | | | - Ewa Kruszyńska
- Faculty of Physical Culture and Health, The University of Szczecin, 70-453 Szczecin, Poland; (M.P.-J.); (E.K.)
| |
Collapse
|
54
|
Wolters B, Kok A, Huisman M, Cartwright F, Pruchno R. Long-Term Impact of Hurricane Sandy Exposure on Positive and Negative Affect: The Role of Perceived Social Support. J Gerontol B Psychol Sci Soc Sci 2022; 77:1892-1903. [PMID: 35511897 PMCID: PMC9535785 DOI: 10.1093/geronb/gbac066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Natural disasters can have devastating, long-lasting effects on the mental health of older adults. However, few studies have examined associations among disaster exposure and positive and negative affect, and no longitudinal studies have investigated the extent to which pre-disaster perceived social support affects these associations. These analyses examine the associations among pre-disaster perceived social support, disaster exposure, and positive and negative affect experienced by community-dwelling older adults four years after Hurricane Sandy, controlling for pre-disaster affect. METHODS Self-reported data collected before and after Hurricane Sandy from participants (aged 50-74 years) in the ORANJ BOWL panel (N=2442) were analyzed using linear regression models. RESULTS Higher levels of peri-traumatic stress experienced during Hurricane Sandy and greater hardship experienced after the storm were associated with more negative affect four years following the disaster. Higher perceived social support at baseline was related to more positive affect and less negative affect both before and after the hurricane. Social support did not moderate the effect of hurricane exposure on either positive or negative affect. DISCUSSION Findings suggest that psychological effects may persist years after natural disasters and that more effective interventions may be needed during and after a disaster. While social support is critical to positive and negative affect in general, its buffering effects when disaster strikes may be limited.
Collapse
Affiliation(s)
- Bram Wolters
- GGZ inGeest, Amsterdam Public Health Institute, Amsterdam, the Netherlands
| | - Almar Kok
- Amsterdam UMC, Vrije Universiteit Amsterdam, Psychiatry, Amsterdam Public Health Institute, Amsterdam, the Netherlands.,Amsterdam UMC, Vrije Universiteit Amsterdam, Epidemiology & Data Science, Amsterdam Public Health Institute, Amsterdam, the Netherlands
| | - Martijn Huisman
- Amsterdam UMC, Vrije Universiteit Amsterdam, Epidemiology & Data Science, Amsterdam Public Health Institute, Amsterdam, the Netherlands.,Vrije Universiteit Amsterdam, Department of Sociology, Amsterdam, the Netherlands
| | - Francine Cartwright
- New Jersey Institute for Successful Aging, Rowan University School of Osteopathic Medicine
| | - Rachel Pruchno
- New Jersey Institute for Successful Aging, Rowan University School of Osteopathic Medicine
| |
Collapse
|
55
|
Sumpter DM, Gibson CB. Riding the wave to recovery: Relational energy as an HR managerial resource for employees during crisis recovery. HUMAN RESOURCE MANAGEMENT 2022. [DOI: 10.1002/hrm.22117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Dana McDaniel Sumpter
- Department of Organization Theory and Management Pepperdine Graziadio Business School Malibu California USA
| | - Cristina B. Gibson
- Department of Management Pepperdine Graziadio Business School Malibu California USA
| |
Collapse
|
56
|
Bieńkowska A, Koszela A, Sałamacha A, Tworek K. COVID-19 oriented HRM strategies influence on job and organizational performance through job-related attitudes. PLoS One 2022; 17:e0266364. [PMID: 35417468 PMCID: PMC9007351 DOI: 10.1371/journal.pone.0266364] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Accepted: 03/18/2022] [Indexed: 11/19/2022] Open
Abstract
The COVID-19 crisis forced many changes to occur within organizations, which were necessary to keep the continuance of the organization's operations. Job performance seems to be an important factor determining such continuance, through its influence on the performance of entire organization. Shaping and keeping job performance in times of COVID-19 pandemic was a challenge for organizations, due to its negative impact on employees, causing their stress or lack of sense of security. There is a growing role of HRM specialists in appropriately shaping HRM strategies that can positively shape job-related attitudes, resulting in enhanced job performance during such difficult times. Therefore, this study aims to explain the role of COVID-19 oriented HRM strategies in shaping job performance through job-related attitudes such as work motivation, job satisfaction, and organizational commitment in a time of crisis occurring in the organization due to the COVID-19 pandemic. The study was conducted among 378 organizations operating in Poland during 2nd wave of COVID-19 pandemic. To verify the hypotheses, descriptive statistics were calculated using IBM SPSS and path analysis was performed using IBM AMOS. The result shows that combined set of "hard" HRM strategies related to the financial aspects and "soft" HRM strategies related to keeping employees' wellbeing during the crisis gives the best results in shaping job performance through job-related attitudes and consequently strengthening organizational performance. This study contributes to the knowledge concerning the development of COVID-19 oriented HRM strategies, which may also have practical application.
Collapse
Affiliation(s)
- Agnieszka Bieńkowska
- Faculty of Management, Wroclaw University of Science and Technology, Wroclaw, Poland
| | - Anna Koszela
- Faculty of Management, Wroclaw University of Science and Technology, Wroclaw, Poland
| | - Anna Sałamacha
- Faculty of Management, Wroclaw University of Science and Technology, Wroclaw, Poland
| | - Katarzyna Tworek
- Faculty of Management, Wroclaw University of Science and Technology, Wroclaw, Poland
| |
Collapse
|
57
|
Shimizu Y, Wakabayashi K, Nakata J, Io H, Hamada C, Tomino Y, Suzuki Y. The Influence of an Unexpected Switch of Hemodialysis Facilities on the Quality of Life (QOL) in Hemodialysis Patients. Int J Nephrol Renovasc Dis 2022; 15:151-160. [PMID: 35444454 PMCID: PMC9013676 DOI: 10.2147/ijnrd.s358915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 04/06/2022] [Indexed: 11/23/2022] Open
Abstract
Background Patients and Methods Results Conclusion
Collapse
Affiliation(s)
- Yoshio Shimizu
- Department of Nephrology, Juntendo University Shizuoka Hospital, Izunokuni-shi, 410-2211, Japan
- Shizuoka Medical Research Center for Disaster, Izunokuni-shi, 410-2211, Japan
- Correspondence: Yoshio Shimizu, Division of Nephrology, Department of Internal Medicine, Juntendo University Shizuoka Hospital, 1129 Nagaoka, Izunokuni-shi, Shizuoka, 410-2211, Japan, Tel +81-55-948-3111, Fax +81-55-946-0858, Email
| | - Keiichi Wakabayashi
- Department of Nephrology, Juntendo University Shizuoka Hospital, Izunokuni-shi, 410-2211, Japan
| | - Junichiro Nakata
- Division of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine, Tokyo, 113-8421, Japan
| | - Hiroaki Io
- Division of Nephrology, Juntendo University Nerima Hospital, Tokyo, 117-8521, Japan
| | - Chieko Hamada
- Juntendo University Faculty of Health Sciences and Nursing, Mishima-shi, 411-8787, Japan
| | - Yasuhiko Tomino
- Asian Pacific Renal Research Promotion Office, Medical Corporation SHOWAKI, Tokyo, 160-0023, Japan
| | - Yusuke Suzuki
- Division of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine, Tokyo, 113-8421, Japan
| |
Collapse
|
58
|
Carroll M, Campbell TC, Smith CL, Gao CX, Maybery D, Berger E, Brown D, Allgood S, Broder JC, Ikin J, McFarlane A, Sim MR, Walker J, Abramson MJ. An exploration of the trajectory of psychological distress associated with exposure to smoke during the 2014 Hazelwood coal mine fire. Int J Hyg Environ Health 2022; 241:113946. [DOI: 10.1016/j.ijheh.2022.113946] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 01/18/2022] [Accepted: 02/14/2022] [Indexed: 10/19/2022]
|
59
|
Maalouf FT, Haidar R, Mansour F, Elbejjani M, Khoury JE, Khoury B, Ghandour LA. Anxiety, depression and PTSD in children and adolescents following the Beirut port explosion. J Affect Disord 2022; 302:58-65. [PMID: 35085669 DOI: 10.1016/j.jad.2022.01.086] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 01/15/2022] [Accepted: 01/22/2022] [Indexed: 10/19/2022]
Abstract
BACKGROUND On August 4, 2020, Beirut's port experienced one of the strongest non-nuclear explosions in history, killing approximately 200 people, displacing 300,000 persons, and injuring more than 1000 children. METHODS An online anonymous survey assessed the prevalence of probable mental health disorders (MHDs) and impact of blast-related and other factors controlling for sociodemographics in 801 children aged 8 to 17 years old. RESULTS About two thirds (64%) were screened positive for probable anxiety using the Screen for Childhood Anxiety Related Disorder, 52% for probable PTSD using CRIES-13, and 33% for probable depression using the Mood and Feelings Questionnaire (MFQ). Children who resided farthest way from the explosion site or were not in Beirut during blast had a significantly lower odds of anxiety and PTSD. Children who sustained any physical injury (vs. none) or witnessed casualties (vs. not) were at higher odds for PTSD. Children of parents who reported that their homes sustained minor damages (vs. no damages at all) were at higher odds for anxiety and PTSD, and temporary displacement (vs. none) increased odds of PTSD only. Poorer perceived economic status, poorer academic performance, having a family member injured in the blast, and prior mental health care seeking were associated with higher odds for all MHDs. CONCLUSION Our study, the only one to document the mental health impact of the Beirut Port explosion on children, highlights the critical need for an emergency mental health response, prioritizing disadvantaged communities and children with prior mental health problems.
Collapse
Affiliation(s)
- Fadi T Maalouf
- Department of Psychiatry, American University of Beirut, Lebanon
| | - Riwa Haidar
- Department of Psychiatry, American University of Beirut, Lebanon
| | - Fatima Mansour
- Department of Psychiatry, American University of Beirut, Lebanon
| | - Martine Elbejjani
- Clinical Research Institute and Department of Internal Medicine, Faculty of Medicine, American University of Beirut, Lebanon
| | - Joseph El Khoury
- Department of Psychiatry, American University of Beirut, Lebanon
| | - Brigitte Khoury
- Department of Psychiatry, American University of Beirut, Lebanon
| | - Lilian A Ghandour
- Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, P.O. Box 11-0236, Riad El-Solh, Beirut 1107 2020, Lebanon.
| |
Collapse
|
60
|
Pais-Ribeiro J, Ferreira-Valente A, Jarego M, Sánchez-Rodríguez E, Miró J. COVID-19 Pandemic in Portugal: Psychosocial and Health-Related Factors Associated with Psychological Discomfort. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063494. [PMID: 35329180 PMCID: PMC8948976 DOI: 10.3390/ijerph19063494] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 03/08/2022] [Accepted: 03/09/2022] [Indexed: 02/04/2023]
Abstract
The COVID-19 pandemic is a stressful long-lasting event with an increasingly negative impact upon individuals. This study aimed at assessing the magnitude of depression, anxiety, and stress among adults living in Portugal during the first mandatory lockdown of 2020, and the psychosocial and health-related factors associated with these symptoms. A sample of 484 adults (73% women) with an average age of 40 years old (Standard Deviation, SD = 14.03) responded to an online survey. The survey included measures of depression, anxiety, stress, social support, COVID-19 interference in daily life, attitudes towards COVID-19, and health perception. The impact of the lockdown on psychological well-being was large, with up to 36% of the participants showing signs of at least mild psychological discomfort (i.e., depression, anxiety, and stress). Social support, COVID-19 interference on daily life, health perception, and age, explained all the dependent variables. Education level, income, attitudes towards COVID-19, and gender explained some of the dependent variables. These results suggest that the COVID-19 pandemic has a serious impact on the psychological health of Portuguese adults. The role of the procedures to control the pandemic on the mental health of Portuguese adults should not be underestimated.
Collapse
Affiliation(s)
- José Pais-Ribeiro
- Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal;
- William James Center for Research, ISPA-University Institute, 1100-304 Lisbon, Portugal;
| | - Alexandra Ferreira-Valente
- William James Center for Research, ISPA-University Institute, 1100-304 Lisbon, Portugal;
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98104, USA
- Correspondence:
| | - Margarida Jarego
- William James Center for Research, ISPA-University Institute, 1100-304 Lisbon, Portugal;
| | - Elisabet Sánchez-Rodríguez
- Universitat Rovira i Virgili, Unit for the Study and Treatment of Pain–ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology, 43007 Tarragona, Spain; (E.S.-R.); (J.M.)
- Institut d’Investigació Sanitària Pere Virgili, Universitat Rovira i Virgili, 43003 Catalonia, Spain
| | - Jordi Miró
- Universitat Rovira i Virgili, Unit for the Study and Treatment of Pain–ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology, 43007 Tarragona, Spain; (E.S.-R.); (J.M.)
- Institut d’Investigació Sanitària Pere Virgili, Universitat Rovira i Virgili, 43003 Catalonia, Spain
| |
Collapse
|
61
|
One Year after the Flood: Prevalence and Correlates of Post-Traumatic Stress Disorder among Residents in Fort McMurray. Behav Sci (Basel) 2022; 12:bs12030069. [PMID: 35323388 PMCID: PMC8944971 DOI: 10.3390/bs12030069] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 02/18/2022] [Accepted: 02/25/2022] [Indexed: 12/15/2022] Open
Abstract
Background: The 2020 Fort McMurray (FMM) and area flood caused more than $228 million in insured damage, affected over 1200 structures, and more than 13,000 people were evacuated. Objective: This study sought to determine the prevalence of post-traumatic stress disorder (PTSD)-like symptoms and the risk predictors among the population of FMM one year after the 2020 flooding. Methods: An online quantitative cross-sectional survey was distributed to residents of FMM via REDCap between 24 April to 2 June 2021 to collect sociodemographic, clinical, and flood-related information. The PTSD checklist for DSM-5 (PCL-C) was used to assess likely PTSD among respondents. Results: 186 of 249 respondents completed all essential self-assessment questionnaires in the analysis, yielding a response rate of 74.7%. The prevalence of likely PTSD was 39.6% (65). Respondents with a history of depression were more likely to develop PTSD symptoms (OR = 5.71; 95% CI: 1.68–19.36). Similarly, responders with limited and no family support after the disaster were more prone to report PTSD symptoms ((OR = 2.87; 95% CI: 1.02–8.05) and (OR = 2.87; 95% CI: 1.06–7.74), respectively). Conclusions: Our research indicated that history of depression and the need for mental health counseling significantly increased the risk of developing PTSD symptoms following flooding; family support is protective. Further studies are needed to explore the relations between the need to receive counseling and presenting with likely PTSD symptoms.
Collapse
|
62
|
A Structured Review of Emotional Barriers to WASH Provision for Schoolgirls Post-Disaster. SUSTAINABILITY 2022. [DOI: 10.3390/su14042471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Pubescent girls face unique emotional barriers to returning to school after a disaster concerning water, sanitation and hygiene (WASH). This paper explores themes of WASH, gender violence, the lack of dignity and sense of shame arising from inadequate WASH facilities for girls in disaster settings. We conducted a structured literature review of 126 sources to investigate the emotional constraints facing pubescent girls concerning WASH in schools in Indonesia, a region prone to frequent disasters. Findings are synthesised into four major themes: psychological experiences of WASH, challenges faced by girls in schools, barriers to inclusive WASH provision and how to create a holistic approach to WASH. Key conclusions include the need for interdisciplinary research, cross sectoral collaboration, more evidence and research in Indonesia, especially regarding menstrual hygiene management, improved toilet design to reduce the physical barriers linked to emotional barriers and inclusive design for those with disabilities.
Collapse
|
63
|
Turner B, Raitt J, Lee MH, Pollio DE, North CS. Perspectives of Survivors of the Oklahoma City Bombing with and without PTSD 17 Months Postdisaster: A Qualitative Study. JOURNAL OF RELIGION & SPIRITUALITY IN SOCIAL WORK 2022; 41:308-324. [PMID: 35983304 PMCID: PMC9380852 DOI: 10.1080/15426432.2022.2035299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 01/25/2022] [Indexed: 06/15/2023]
Abstract
This study compared perspectives of highly trauma-exposed Oklahoma City bombing survivors (N=141) with and without PTSD. Survivors' responses to questions about the effects of the bombing on their perspectives were hand-recorded and transcribed, six themes identified, and interrater reliability established. Both diagnostic groups (with and without PTSD) expressed greater appreciation for life, greater concern with human vulnerability and mortality, and positive changes in religion/spirituality as consequences of the bombing. Survivors with PTSD also expressed negative religious/spiritual changes and substantive gains in self-confidence. Results indicate that disaster survivors may experience profound changes in their perspectives with ramifications for their mental health.
Collapse
Affiliation(s)
- Brittany Turner
- Division of Trauma & Disaster, Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Josh Raitt
- Division of Trauma & Disaster, Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX, USA
- The Altshuler Center for Education & Research (ACER), Metrocare Services, Dallas, TX, USA
| | - Min Hyung Lee
- Division of Trauma & Disaster, Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - David E. Pollio
- Department of Social Work, The University of Alabama at Birmingham, Birmingham, AL, USA
| | - Carol S. North
- Division of Trauma & Disaster, Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX, USA
- The Altshuler Center for Education & Research (ACER), Metrocare Services, Dallas, TX, USA
| |
Collapse
|
64
|
Stancombe J, Williams R, Drury J, Collins H, Lagan L, Barrett A, French P, Chitsabesan P. People's experiences of distress and psychosocial care following a terrorist attack: interviews with survivors of the Manchester Arena bombing in 2017. BJPsych Open 2022; 8:e41. [PMID: 35109959 PMCID: PMC8867861 DOI: 10.1192/bjo.2022.2] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 12/22/2021] [Accepted: 01/04/2022] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND Distress after major incidents is widespread among survivors. The great majority do not meet the criteria for mental health disorders and rely on psychosocial care provided by their informal networks and official response services. There is a need to better understand their experiences of distress and psychosocial care needs. AIMS The aims of our study were to enhance understanding of the experience of distress among people present at the Manchester Arena bombing in 2017, identify their experiences of psychosocial care after the incident and learn how to better deliver and target effective psychosocial care following major incidents. METHOD We conducted a thematic analysis of semi-structured interviews with 18 physically non-injured survivors of the Manchester Arena attack, who registered with the NHS Manchester Resilience Hub. RESULTS Distress was ubiquitous, with long-lasting health and social consequences. Initial reluctance to seek help from services was also common. Early and open access to authoritative sources of information and emotional support, and organised events for survivors, were viewed as helpful interventions. Inappropriate forms of psychosocial and mental healthcare were common and potent stressors that affected coping and recovery. CONCLUSIONS This paper extends our understanding of how people react to major events. Provision for the large group of people who are distressed and require psychosocial care may be inadequate after many incidents. There is a substantial agenda for developing awareness of people's needs for psychosocial interventions, and training practitioners to deliver them. The findings have substantial implications for policy and service design.
Collapse
Affiliation(s)
- John Stancombe
- Young People's Mental Health Research Unit, Pennine Care NHS Foundation Trust, UK
| | - Richard Williams
- Welsh Institute for Health and Social Care, University of South Wales, UK
| | - John Drury
- School of Psychology, University of Sussex, UK
| | - Hannah Collins
- Complex Trauma and Resilience Research Unit, Greater Manchester Mental Health NHS Trust, UK
| | | | - Alan Barrett
- Manchester Resilience Hub, Pennine Care NHS Foundation Trust, UK; and School of Health Sciences, University of Salford, UK
| | - Paul French
- Research and Innovation Department, Pennine Care NHS Foundation Trust, UK; and Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, UK
| | - Prathiba Chitsabesan
- Young People's Mental Health Research Unit, Pennine Care NHS Foundation Trust, UK; and Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, UK
| |
Collapse
|
65
|
Abstract
Natural disasters are large-scale adverse events resulting from natural processes of the earth, often associated with death, trauma, and destruction of property. They threaten harm or death to a large group of people; cause disruption of services and social networks and a communal loss of resources; and involve identifiable mental and physical health outcomes, among those affected. While majority of individuals who experience a traumatic event due to natural disasters do not develop psychopathology, natural disasters can threaten our psychological well-being in many ways and they can result in both short and long-term psychological distress and thus create a significant burden of mental health conditions on individuals and the community affected by them. In this paper we provide a narrative review that focuses on the mental health effects of natural disasters. We discuss effective, evidence-based interventions that can help enhance the sense of safety, hope, and optimism, as well as serve to promote social connectedness for those who are impacted. We describe how these interventions, developed by keeping in mind the cultural context and the needs of the community, can be provided pre, peri and post-disaster period to improve the adverse mental health effects of the disaster.
Collapse
Affiliation(s)
- Sy Atezaz Saeed
- Department of Psychiatry and Behavioral Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, USA
| | - Steven P Gargano
- Brody School of Medicine, East Carolina University, Greenville, NC, USA
| |
Collapse
|
66
|
Wang D, You X. Post-disaster trauma and cultural healing in children and adolescents: Evidence from the Wenchuan earthquake. ARTS IN PSYCHOTHERAPY 2022. [DOI: 10.1016/j.aip.2021.101878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
67
|
Li S, Guo C, Chan SSS. ICD-11 Posttraumatic Stress Disorder and Complex PTSD Among Hospital Medical Workers in China: Impacts of Wenchuan Earthquake Exposure, Workplaces, and Sociodemographic Factors. Front Psychiatry 2022; 12:735861. [PMID: 35111084 PMCID: PMC8801437 DOI: 10.3389/fpsyt.2021.735861] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2021] [Accepted: 12/09/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Previous studies address posttraumatic stress disorder (PTSD) following disasters as a public health issue. However, few studies investigate the long-term effect of disaster exposure on PTSD among hospital medical workers (HMWs). OBJECTIVES This study aimed to study the prevalence of ICD-11 PTSD and complex PTSD (CPTSD) among exposed and non-exposed HMWs 11 years after the Wenchuan earthquake in China, to identify the factors associated with PTSD and CPTSD scores, and to examine the factor structures of PTSD and CPTSD models. METHODS A cross-sectional study was conducted using a self-administered online questionnaire. Two thousand fifty-nine valid samples were collected from four hospitals in 2019. Descriptive statistical analysis, multivariate regression models, and confirmatory factor analysis (CFA) were performed. RESULTS The prevalence of PTSD and CPTSD was 0.58 and 0.34%, respectively. The unexposed group reported higher PTSD and CPTSD scores than the exposed group. The type of workplace and marital status were significantly associated with the PTSD and CPTSD scores of HMWs. The CFA results indicate that both the correlated first-order model and the correlated two-layer model were a good fit to explain the structure of PTSD and CPTSD. CONCLUSION These findings suggest that few HMWs who were exposed to the Wenchuan earthquake suffered from PTSD or CPTSD 11 years following the disaster. However, psychological support was still necessary for all HMWs, especially for unmarried HMWs who were Working in smaller hospitals. Further research is required to analyze mental health status using ICD-11 PTSD and CPTSD to provide ongoing evidence to help HWMs cope effectively with the challenges of future disasters.
Collapse
Affiliation(s)
- Sijian Li
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China
| | - Chunlan Guo
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China
- World Health Organization Collaborating Center for Community Health Services, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China
| | - Sunshine S. S. Chan
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China
| |
Collapse
|
68
|
Friedman MJ, Harris WW. Toward a National PTSD Brain Bank. Psychiatry 2022; 85:146-152. [PMID: 35588484 DOI: 10.1080/00332747.2022.2068919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
69
|
Silwal S, Chudal R, Dybdahl R, Sillanmäki L, Lien L, Sourander A. Post-traumatic Stress and Depressive Symptoms Among Adolescents After the 2015 Earthquake in Nepal: A Longitudinal Study. Child Psychiatry Hum Dev 2022; 53:430-439. [PMID: 33606131 PMCID: PMC9107405 DOI: 10.1007/s10578-021-01136-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/30/2021] [Indexed: 12/01/2022]
Abstract
Few longitudinal studies have focused on mental health problems among adolescents after earthquakes. We investigated changes in post-traumatic stress symptoms (PTSS) and depressive symptoms from 18 to 31 months after the 2015 earthquake in Nepal and explored potential risk factors associated with the change in psychiatric symptoms. This study comprised of 515 adolescents, aged 11-17 years from two earthquake-affected areas, one severely affected than the other. The psychiatric symptoms were assessed using the standardized Child Post-traumatic Stress Disorder Scale and the Depression Self-Rating Scale. No significant change was observed in the prevalence of PTSS and depressive symptoms from 18 to 31 months after the earthquake. Living in severely affected area and exposure to trauma after the earthquake were associated with adolescents who developed chronic or delayed PTSS and depressive symptoms. The study findings highlight the need for disaster preparedness and early interventions that strengthen support at various levels.
Collapse
Affiliation(s)
- Sanju Silwal
- Department of Child Psychiatry, Research Centre for Child Psychiatry, University of Turku, Turku, Finland. .,Department of Clinical Science, Faculty of Medicine, Research Centre for Child Psychiatry, University of Turku, Lemminkäisenkatu 3 / Teutori (3rd. floor), 20014, Turku, Finland.
| | - Roshan Chudal
- Department of Child Psychiatry, Research Centre for Child Psychiatry, University of Turku, Turku, Finland
| | - Ragnhild Dybdahl
- Department of Social Work, Child Welfare and Social Policy, OsloMet University, Oslo, Norway ,Faculty of Psychology, Center for Crisis Psychology, University of Bergen, Bergen, Norway
| | - Lauri Sillanmäki
- Department of Child Psychiatry, Research Centre for Child Psychiatry, University of Turku, Turku, Finland
| | - Lars Lien
- Norwegian National Advisory Unit On Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway ,Department of Public Health, Inland Norway University of Applied Sciences, Elverum, Norway
| | - Andre Sourander
- Department of Child Psychiatry, Research Centre for Child Psychiatry, University of Turku, Turku, Finland ,Department of Child Psychiatry, Turku University Hospital, Turku, Finland ,INVEST Research Flagship, University of Turku, Turku, Finland
| |
Collapse
|
70
|
Trebilco R, Fleming A, Hobday AJ, Melbourne-Thomas J, Meyer A, McDonald J, McCormack PC, Anderson K, Bax N, Corney SP, Dutra LXC, Fogarty HE, McGee J, Mustonen K, Mustonen T, Norris KA, Ogier E, Constable AJ, Pecl GT. Warming world, changing ocean: mitigation and adaptation to support resilient marine systems. REVIEWS IN FISH BIOLOGY AND FISHERIES 2022. [PMID: 34566277 DOI: 10.22541/au.160193478.81087102/v1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
UNLABELLED Proactive and coordinated action to mitigate and adapt to climate change will be essential for achieving the healthy, resilient, safe, sustainably harvested and biodiverse ocean that the UN Decade of Ocean Science and sustainable development goals (SDGs) seek. Ocean-based mitigation actions could contribute 12% of the emissions reductions required by 2030 to keep warming to less than 1.5 ºC but, because substantial warming is already locked in, extensive adaptation action is also needed. Here, as part of the Future Seas project, we use a "foresighting/hindcasting" technique to describe two scenarios for 2030 in the context of climate change mitigation and adaptation for ocean systems. The "business-as-usual" future is expected if current trends continue, while an alternative future could be realised if society were to effectively use available data and knowledge to push as far as possible towards achieving the UN SDGs. We identify three drivers that differentiate between these alternative futures: (i) appetite for climate action, (ii) handling extreme events, and (iii) climate interventions. Actions that could navigate towards the optimistic, sustainable and technically achievable future include:(i)proactive creation and enhancement of economic incentives for mitigation and adaptation;(ii)supporting the proliferation of local initiatives to spur a global transformation;(iii)enhancing proactive coastal adaptation management;(iv)investing in research to support adaptation to emerging risks;(v)deploying marine-based renewable energy;(vi)deploying marine-based negative emissions technologies;(vii)developing and assessing solar radiation management approaches; and(viii)deploying appropriate solar radiation management approaches to help safeguard critical ecosystems. SUPPLEMENTARY INFORMATION The online version contains supplementary material available at 10.1007/s11160-021-09678-4.
Collapse
Affiliation(s)
- Rowan Trebilco
- CSIRO Oceans & Atmosphere, Hobart, TAS Australia
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
| | - Aysha Fleming
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- CSIRO Land & Water, Hobart, TAS Australia
| | - Alistair J Hobday
- CSIRO Oceans & Atmosphere, Hobart, TAS Australia
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
| | - Jess Melbourne-Thomas
- CSIRO Oceans & Atmosphere, Hobart, TAS Australia
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
| | - Amelie Meyer
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
- ARC Centre of Excellence for Climate Extremes, Hobart, Australia
| | - Jan McDonald
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Faculty of Law, University of Tasmania, Hobart, Australia
| | - Phillipa C McCormack
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Faculty of Law, University of Tasmania, Hobart, Australia
| | - Kelli Anderson
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
| | - Narissa Bax
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
| | - Stuart P Corney
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
| | - Leo X C Dutra
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- CSIRO Oceans & Atmosphere, Brisbane, Australia
- Blue Economy CRC-Co Ltd, Newnham, Australia
| | - Hannah E Fogarty
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
| | - Jeffrey McGee
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
- Faculty of Law, University of Tasmania, Hobart, Australia
| | | | | | - Kimberley A Norris
- School of Psychological Sciences, University of Tasmania, Hobart, Australia
| | - Emily Ogier
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
| | - Andrew J Constable
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
| | - Gretta T Pecl
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
| |
Collapse
|
71
|
Choi YJ, Won MR, Cho DH. Efficacy of a Community-Based Trauma Recovery Program after a Fire Disaster. INTERNATIONAL JOURNAL OF MENTAL HEALTH PROMOTION 2022. [DOI: 10.32604/ijmhp.2022.018017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
|
72
|
Proença CR, Markowitz JC, Coimbra BM, Cogo-Moreira H, Maciel MR, Mello AF, Mello MF. Interpersonal psychotherapy versus sertraline for women with posttraumatic stress disorder following recent sexual assault: a randomized clinical trial. Eur J Psychotraumatol 2022; 13:2127474. [PMID: 36267873 PMCID: PMC9578463 DOI: 10.1080/20008066.2022.2127474] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Background: Sexual assault often triggers posttraumatic stress disorder (PTSD), a potentially chronic severe mental disorder. Most guidelines recommend selective serotonin reuptake inhibitors (SSRIs) and trauma-focused psychotherapies as treatment options. Interpersonal Psychotherapy (IPT), adapted for PTSD (IPT-PTSD), focuses on interpersonal consequences of trauma rather than confronting the trauma itself. Studies have found IPT-PTSD efficaciously reduced PTSD symptoms with limited attrition. No efficacy trials have compared IPT-PTSD and SSRI. We hypothesized IPT would reduce PTSD, anxiety, and depressive symptoms more than sertraline among women with PTSD following a recent sexual assault. Objectives: To compare the efficacy of IPT-PTSD to SSRI sertraline in a 14-week randomized clinical trial for women with PTSD following a recent sexual assault. Methods: Seventy-four women with PTSD who had suffered sexual assault in the last six months were randomly assigned to 14 weeks of IPT-PTSD (n = 39) or sertraline (n = 35). Instruments assessed PTSD, anxiety, and depressive symptoms. This randomized clinical trial was conducted in São Paulo, Brazil, using the Clinician-Administered PTSD Scale-5 (CAPS-5) as the primary outcome measure. Results: Both treatments significantly reduced PTSD, anxiety, and depressive symptoms, without between-group outcome differences. CAPS-5 mean decreased from 42.5 (SD = 9.4) to 27.1 (SD = 15.9) with sertraline and from 42.6 (SD = 9.1) to 29.1 (SD = 15.5) with IPT-PTSD. Attrition was high in both arms (p = .40). Conclusions: This trial showed within-group improvements without differences between IPT-PTSD and sertraline treatment of PTSD. Our findings suggest that non-exposure-based psychotherapies may benefit patients with PTSD, although we did not directly compare these treatments to an exposure therapy. Brazilian Clinical Trials Registry RBR-3z474z.
Collapse
Affiliation(s)
- Cecília R Proença
- Program for Research and Care on Violence and PTSD (PROVE), Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - John C Markowitz
- New York State Psychiatric Institute, Columbia University, New York, NY, USA
| | - Bruno M Coimbra
- Program for Research and Care on Violence and PTSD (PROVE), Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.,Department of Psychiatry, Amsterdam Public Health Research Institute and Amsterdam Neuroscience Research Institute, Amsterdam UMC, Location University of Amsterdam, Amsterdam, Netherlands
| | - Hugo Cogo-Moreira
- Department of Education, ICT and Learning, Østfold University College, Halden, Norway
| | - Mariana R Maciel
- Program for Research and Care on Violence and PTSD (PROVE), Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Andrea F Mello
- Program for Research and Care on Violence and PTSD (PROVE), Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| | - Marcelo F Mello
- Program for Research and Care on Violence and PTSD (PROVE), Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
| |
Collapse
|
73
|
Morrison PS, Rossouw S, Greyling T. The impact of exogenous shocks on national wellbeing. New Zealanders' reaction to COVID-19. APPLIED RESEARCH IN QUALITY OF LIFE 2022; 17:1787-1812. [PMID: 34630735 PMCID: PMC8492099 DOI: 10.1007/s11482-021-09977-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 08/13/2021] [Indexed: 05/15/2023]
Abstract
In this paper, we explore the response of an aggregate measure of subjective wellbeing to the arrival and passage of the COVID-19 pandemic in a small, geographically separate economy in the South Pacific. Studies of national wellbeing and emotional responses to infection rates during a pandemic have been rare thus far. While several disciplines offer theoretical priors in the case of individuals, far less attention has been paid to the wellbeing and emotional response at a national level. Our paper contributes to the literature by applying a time-series approach to the relationship between wellbeing, emotions and the passage of a pandemic. As such we contribute to a wider literature on macro responses to exogenous shocks. Our analysis involves the use of a wellbeing index and emotional time-series derived from Big Data in the form of tweets originating within New Zealand. The index captures the daily evaluative mood of the country several weeks before the first domestic case of COVID-19 was recorded until several weeks of no new COVID-19 cases. We find distinct reactions to the pandemic: a initial fall in national wellbeing generated by a decrease in the emotions 'joy', 'anticipation' and 'trust'. Following a rapid and severe lockdown designed to limit domestic transmission of the virus national wellbeing recovered relatively quickly. Gaining insight into the wellbeing (happiness) reponse to pandemics at the national level is important because the average level of happiness within countries is known to be associated with a range of economic, social, health and political outcomes.
Collapse
Affiliation(s)
- Philip S. Morrison
- School of Geography, Environment and Earth Sciences, Victoria University of Wellington, Wellington, New Zealand
| | - Stephanié Rossouw
- School of Social Science & Public Policy, AUT, Auckland, New Zealand
| | - Talita Greyling
- School of Economics, University of Johannesburg, Johannesburg, South Africa
| |
Collapse
|
74
|
Takubo Y, Tsujino N, Aikawa Y, Fukiya K, Iwai M, Uchino T, Ito M, Akiba Y, Mizuno M, Nemoto T. Psychological impacts of the COVID-19 pandemic on one-month postpartum mothers in a metropolitan area of Japan. BMC Pregnancy Childbirth 2021; 21:845. [PMID: 34963448 PMCID: PMC8713041 DOI: 10.1186/s12884-021-04331-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 12/13/2021] [Indexed: 12/23/2022] Open
Abstract
Background The coronavirus disease 2019 (COVID-19) pandemic has recently become the most important issue in the world. Very few reports in Japan have examined the impact of the COVID-19 pandemic on peripartum mental health. We examined the status of postpartum mental health before and during COVID-19 pandemic from a consecutive database in a metropolitan area of Japan. Methods The subjects were women who had completed a maternity health check-up at a core regional hospital in Yokohama during the period from April 1, 2017, to December 31, 2020. We collected the subjects’ scores for the Edinburgh Postnatal Depression Scale (EPDS) and the Mother-to-Infant Bonding Scale (MIBS) at 1 month postpartum. The subjects were divided into four groups (three Before COVID-19 groups and a During COVID-19 group). MANOVA and post-hoc tests were used to determine mental health changes in the postpartum period among the four groups. Results The Before and During COVID-19 groups contained 2844 and 1095 mothers, respectively. There were no significant difference in the total scores of the EPDS and MIBS among the four groups. However, the EPDS items related to anxiety factors were significantly higher and the EPDS items related to anhedonia and depression factors (excluding thoughts of self-harm) were significantly lower in the During COVID-19 group. Conclusion The EPDS scores changed in connection with the COVID-19 pandemic. Anxiety, which represent hypervigilance, was significantly higher and anhedonia and depression were significantly lower in the During COVID-19 group. Our results may reflect COVID-19-related health concerns and a lack of social support caused by the COVID-19 pandemic.
Collapse
Affiliation(s)
- Youji Takubo
- Department of Neuropsychiatry, Toho University Graduate School of Medicine, 5-21-16 Omori-nishi, Ota-ku, Tokyo, 143-8540, Japan.,Department of Psychiatry, Saiseikai Yokohamashi Tobu Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Kanagawa, 230-8765, Japan
| | - Naohisa Tsujino
- Department of Psychiatry, Saiseikai Yokohamashi Tobu Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Kanagawa, 230-8765, Japan. .,Department of Neuropsychiatry, Toho University Faculty of Medicine, 6-11-1 Omori-nishi, Ota-ku, Tokyo, 143-8541, Japan.
| | - Yuri Aikawa
- Department of Psychiatry, Saiseikai Yokohamashi Tobu Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Kanagawa, 230-8765, Japan
| | - Kazuyo Fukiya
- Department of Psychiatry, Saiseikai Yokohamashi Tobu Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Kanagawa, 230-8765, Japan
| | - Momoko Iwai
- Department of Neuropsychiatry, Toho University Faculty of Medicine, 6-11-1 Omori-nishi, Ota-ku, Tokyo, 143-8541, Japan
| | - Takashi Uchino
- Department of Neuropsychiatry, Toho University Faculty of Medicine, 6-11-1 Omori-nishi, Ota-ku, Tokyo, 143-8541, Japan
| | - Megumu Ito
- Department of Obstetrics and gynaecology, Saiseikai Yokohamashi Tobu Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Kanagawa, 230-8765, Japan
| | - Yasuo Akiba
- Department of Obstetrics and gynaecology, Saiseikai Yokohamashi Tobu Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Kanagawa, 230-8765, Japan
| | - Masafumi Mizuno
- Tokyo Metropolitan Matsuzawa Hospital, 2-1-1 Kamikitazawa, Setagaya-ku, Tokyo, 156-0057, Japan
| | - Takahiro Nemoto
- Department of Neuropsychiatry, Toho University Faculty of Medicine, 6-11-1 Omori-nishi, Ota-ku, Tokyo, 143-8541, Japan
| |
Collapse
|
75
|
Fitzpatrick KM, Wild TC, Pritchard C, Azimi T, McGee T, Sperber J, Albert L, Montesanti S. Health Systems Responsiveness in Addressing Indigenous Residents' Health and Mental Health Needs Following the 2016 Horse River Wildfire in Northern Alberta, Canada: Perspectives From Health Service Providers. Front Public Health 2021; 9:723613. [PMID: 34957001 PMCID: PMC8704385 DOI: 10.3389/fpubh.2021.723613] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 10/31/2021] [Indexed: 12/03/2022] Open
Abstract
Following the 2016 Horse River Wildfire in northern Alberta, the provincial health authority, the ministry of health, non-profit and charitable organizations, and regional community-based service agencies mobilized to address the growing health and mental health concerns among Indigenous residents and communities through the provision of services and supports. Among the communities and residents that experienced significant devastation and loss were First Nation and Métis residents in the region. Provincial and local funding was allocated to new recovery positions and to support pre-existing health and social programs. The objective of this research was to qualitatively describe the health systems response to the health impacts following the wildfire from the perspective of service providers who were directly responsible for delivering or organizing health and mental wellness services and supports to Indigenous residents. Semi-structured qualitative interviews were conducted with 15 Indigenous and 10 non-Indigenous service providers from the Regional Municipality of Wood Buffalo (RMWB). Interviews were transcribed verbatim and a constant comparative analysis method was used to identify themes. Following service provider interviews, a supplemental document review was completed to provide background and context for the qualitative findings from interviews. The document review allowed for a better understanding of the health systems response at a systems level following the wildfire. Triangulation of semi-structured interviews and organization report documents confirmed our findings. The conceptual framework by Mirzoev and Kane for understanding health systems responsiveness guided our data interpretation. Our findings were divided into three themes (1) service provision in response to Indigenous mental health concerns (2) gaps in Indigenous health-related services post-wildfire and (3) adopting a health equity lens in post-disaster recovery. The knowledge gained from this research can help inform future emergency management and assist policy and decision makers with culturally safe and responsive recovery planning. Future recovery and response efforts should consider identifying and addressing underlying health, mental health, and emotional concerns in order to be more effective in assisting with healing for Indigenous communities following a public health emergency such as a wildfire disaster.
Collapse
Affiliation(s)
| | - T Cameron Wild
- School of Public Health, University of Alberta, Edmonton, AB, Canada
| | - Caillie Pritchard
- School of Public Health, University of Alberta, Edmonton, AB, Canada
| | - Tara Azimi
- School of Public Health, University of Alberta, Edmonton, AB, Canada
| | - Tara McGee
- Department of Earth and Atmospheric Sciences, University of Alberta, Edmonton, AB, Canada
| | - Jodi Sperber
- Kee Tas Kee Now Tribal Council, Atikameg, AB, Canada
| | | | - Stephanie Montesanti
- School of Public Health, University of Alberta, Edmonton, AB, Canada.,Centre for Healthy Communities, School of Public Health, University of Alberta, Edmonton, AB, Canada
| |
Collapse
|
76
|
Post-earthquake Self-Reported Depressive Symptoms and Post-Traumatic Stress Disorder and their Correlates among College-Youths in Kathmandu, Nepal. Psychiatr Q 2021; 92:1595-1609. [PMID: 34109493 PMCID: PMC8189706 DOI: 10.1007/s11126-021-09928-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/30/2021] [Indexed: 11/19/2022]
Abstract
Exposure to earthquake has previously been associated with adverse mental health outcomes, however, evidence is limited among youth in resource-limited settings. This study explored the association of retrospective extent of exposure on current day depressive symptoms and post-traumatic stress disorder (PTSD) symptoms among 125 youth attending a college in Kathmandu, Nepal. A self-administered survey including socio-demographic variables, scale for earthquake exposure and Nepali language validated standardized scales for depressive and PTSD symptoms was used. Prevalence estimates for depressive symptoms was 43.2% and PTSD symptoms was 19.2%. For each increasing unit of the extent of earthquake exposure, the odds of having depressive symptoms increased by a factor of 1.26 (p = 0.001) and PTSD symptoms increased by a factor of 1.26 (p = 0.002). Being in a complicated romantic relationship increased the odds of both depressive symptoms and PTSD symptoms. Exposure to earthquake is an important factor to consider while assessing depressive and PTSD symptoms among youth earthquake survivors in Kathmandu. It is important that programs or policies aimed at youth mental health concurrently address disaster exposures.
Collapse
|
77
|
Affiliation(s)
- George S Everly
- The Johns Hopkins Bloomberg School of Public Health and The Johns Hopkins University School of Medicine
| |
Collapse
|
78
|
Farran N. Mental health in Lebanon: Tomorrow's silent epidemic. MENTAL HEALTH & PREVENTION 2021; 24:200218. [PMID: 34660191 PMCID: PMC8503814 DOI: 10.1016/j.mhp.2021.200218] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/13/2021] [Revised: 09/05/2021] [Indexed: 12/14/2022]
Abstract
Lebanon is a middle-income country that has been recently crippled by several tragedies including the economic collapse, COVID-19, and the fourth of August Beirut port explosion, the world's most powerful non-nuclear explosion of the twenty-first century. Recent data on mental health from Lebanon is summarised, and other topics such as the psychological impact of cumulative adversities and the role of international support in Lebanon are examined. Data from Lebanon shows severe levels of distress among the people, in a country with minimal resources. Given current adversities in Lebanon, recent data in the country, and the literature on adversity and mental health outcomes of man-made disasters, Lebanon is most likely going to face an epidemic in poor mental health. A call is made for the wider scientific community and international organizations to support the mental health field in the country and help prevent further negative mental health outcomes. Understanding how to better navigate mental health in places with extreme adversity and emergencies can be beneficial to other communities which might face similar challenges.
Collapse
Affiliation(s)
- Natali Farran
- Institute of Psychiatry, Psychology, and Neuroscience. King's College London, 16 De Crespigny Park, Camberwell, London SE5 8AB, UK
| |
Collapse
|
79
|
Gori A, Topino E, Caretti V. The impact of COVID‐19 lockdown on perceived stress: The role of defence mechanisms and coping strategies. JOURNAL OF CONTINGENCIES AND CRISIS MANAGEMENT 2021. [PMCID: PMC8652453 DOI: 10.1111/1468-5973.12380] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The COVID‐19 pandemic represents a unique global challenge. To deter its spread, several countries have put lockdown and physical distancing measures in place that could have potentially harmful consequences on people's mental health. Therefore, the aim of this study is to explore the relationship between anxiety and perceived stress in individuals who were experiencing the COVID‐19 lockdown measures, while also analyzing the impact of coping strategies interacting with defence mechanisms. A sample of 1408 individuals (Mage = 34.69; SD = 11.87) completed the Ten Item Perceived Stress Scale, State‐Trait Anxiety Inventory—Form X3, Coping Orientation to Problems Experienced and Forty‐Item Defense Style Questionnaire, after providing written informed consent. Results highlighted the significant impact of state anxiety levels on perceived stress, both directly and indirectly. The indirect pathways have been explored by performing three mixed serial‐parallel mediation analyses, where significant associations between coping strategies (Social Support, Avoidance Strategies, Positive Attitude, Problem‐solving and Turning to Religion) and mature, neurotic, or immature defences have been found. These findings may contribute to orientate prevention and intervention activity during the several management phases of COVID‐19.
Collapse
Affiliation(s)
- Alessio Gori
- Department of Health Sciences University of Florence Firenze Italy
| | - Eleonora Topino
- Department of Human Sciences LUMSA University of Rome Rome Italy
| | - Vincenzo Caretti
- Department of Human Sciences LUMSA University of Rome Rome Italy
| |
Collapse
|
80
|
Parental Internalizing Psychopathology and PTSD in Offspring after the 2012 Earthquake in Italy. CHILDREN-BASEL 2021; 8:children8100930. [PMID: 34682196 PMCID: PMC8535087 DOI: 10.3390/children8100930] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Revised: 10/13/2021] [Accepted: 10/15/2021] [Indexed: 11/16/2022]
Abstract
Post-traumatic stress disorder (PTSD) is common in youths after earthquakes, with parental psychopathology among the most significant predictors. This study investigated the contribution and the interactional effects of parental internalizing psychopathology, the severity of exposure to the earthquake, and past traumatic events to predict PTSD in offspring, also testing the reverse pattern. Two years after the 2012 earthquake in Italy, 843 children and adolescents (9-15 years) living in two differently affected areas were administered a questionnaire on traumatic exposure and the UCLA PTSD Reaction Index. Anxiety, depression, and somatization were assessed in 1162 parents through the SCL-90-R. General linear model showed that, for offspring in the high-impact area, predictors of PTSD were earthquake exposure, past trauma, and parental internalizing symptoms, taken individually. An interaction between earthquake exposure and parental depression or anxiety (not somatization) was also found. In the low-impact area, youth PTSD was only predicted by earthquake exposure. The reverse pattern was significant, with parental psychopathology explained by offspring PTSD. Overall, findings support the association between parental and offspring psychopathology after natural disasters, emphasizing the importance of environmental factors in this relationship. Although further research is needed, these results should be carefully considered when developing mental health interventions.
Collapse
|
81
|
First JM, Yu M, Houston JB. The Disaster Adaptation and Resilience Scale: development and validation of an individual-level protection measure. DISASTERS 2021; 45:939-967. [PMID: 32633014 DOI: 10.1111/disa.12452] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
Given the increasing threat of disasters in the United States and elsewhere around the world, well-tested assessment tools that operationalise specific protective factors associated with adaptation and resilience to such events are needed. Consequently, the authors proposed, developed, and validated the Disaster Adaptation and Resilience Scale (DARS) to measure five domains found to support adaptive responses in individuals exposed to disasters: physical resources; social resources; problem-solving; distress regulation; and optimism. The development and validation processes of DARS occurred across two studies: the first comprised construct development, item generation, and expert review, whereas the second involved a full validation evaluation of the psychometric properties of the scale in a sample of adults exposed to a disaster in the US (N=625). The results revealed that DARS had psychometric properties that support its use among adults experiencing a disaster. A discussion is presented on how the scale can be employed in both research and practice.
Collapse
Affiliation(s)
- Jennifer M First
- Assistant Professor, College of Social Work, University of Tennessee, United States
| | - Mansoo Yu
- Professor, School of Social Work and Department of Public Health, University of Missouri, United States
| | - J Brian Houston
- Associate Professor and Chair, Department of Communication, University of Missouri, United States
| |
Collapse
|
82
|
Trebilco R, Fleming A, Hobday AJ, Melbourne-Thomas J, Meyer A, McDonald J, McCormack PC, Anderson K, Bax N, Corney SP, Dutra LXC, Fogarty HE, McGee J, Mustonen K, Mustonen T, Norris KA, Ogier E, Constable AJ, Pecl GT. Warming world, changing ocean: mitigation and adaptation to support resilient marine systems. REVIEWS IN FISH BIOLOGY AND FISHERIES 2021; 32:39-63. [PMID: 34566277 PMCID: PMC8453030 DOI: 10.1007/s11160-021-09678-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 07/26/2021] [Indexed: 05/05/2023]
Abstract
Proactive and coordinated action to mitigate and adapt to climate change will be essential for achieving the healthy, resilient, safe, sustainably harvested and biodiverse ocean that the UN Decade of Ocean Science and sustainable development goals (SDGs) seek. Ocean-based mitigation actions could contribute 12% of the emissions reductions required by 2030 to keep warming to less than 1.5 ºC but, because substantial warming is already locked in, extensive adaptation action is also needed. Here, as part of the Future Seas project, we use a "foresighting/hindcasting" technique to describe two scenarios for 2030 in the context of climate change mitigation and adaptation for ocean systems. The "business-as-usual" future is expected if current trends continue, while an alternative future could be realised if society were to effectively use available data and knowledge to push as far as possible towards achieving the UN SDGs. We identify three drivers that differentiate between these alternative futures: (i) appetite for climate action, (ii) handling extreme events, and (iii) climate interventions. Actions that could navigate towards the optimistic, sustainable and technically achievable future include:(i)proactive creation and enhancement of economic incentives for mitigation and adaptation;(ii)supporting the proliferation of local initiatives to spur a global transformation;(iii)enhancing proactive coastal adaptation management;(iv)investing in research to support adaptation to emerging risks;(v)deploying marine-based renewable energy;(vi)deploying marine-based negative emissions technologies;(vii)developing and assessing solar radiation management approaches; and(viii)deploying appropriate solar radiation management approaches to help safeguard critical ecosystems. Supplementary Information The online version contains supplementary material available at 10.1007/s11160-021-09678-4.
Collapse
Affiliation(s)
- Rowan Trebilco
- CSIRO Oceans & Atmosphere, Hobart, TAS Australia
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
| | - Aysha Fleming
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- CSIRO Land & Water, Hobart, TAS Australia
| | - Alistair J. Hobday
- CSIRO Oceans & Atmosphere, Hobart, TAS Australia
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
| | - Jess Melbourne-Thomas
- CSIRO Oceans & Atmosphere, Hobart, TAS Australia
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
| | - Amelie Meyer
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
- ARC Centre of Excellence for Climate Extremes, Hobart, Australia
| | - Jan McDonald
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Faculty of Law, University of Tasmania, Hobart, Australia
| | - Phillipa C. McCormack
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Faculty of Law, University of Tasmania, Hobart, Australia
| | - Kelli Anderson
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
| | - Narissa Bax
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
| | - Stuart P. Corney
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
| | - Leo X. C. Dutra
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- CSIRO Oceans & Atmosphere, Brisbane, Australia
- Blue Economy CRC-Co Ltd, Newnham, Australia
| | - Hannah E. Fogarty
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
| | - Jeffrey McGee
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
- Faculty of Law, University of Tasmania, Hobart, Australia
| | | | | | | | - Emily Ogier
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
| | | | - Gretta T. Pecl
- Centre for Marine Socioecology, University of Tasmania, Hobart, Australia
- Institute for Marine and Antarctic Studies, University of Tasmania, Hobart, Australia
| |
Collapse
|
83
|
Szczypińska M, Samełko A, Guszkowska M. What Predicts the Mood of Athletes Involved in Preparations for Tokyo 2020/2021 Olympic Games During the Covid - 19 Pandemic? The Role of Sense of Coherence, Hope for Success and Coping Strategies. J Sports Sci Med 2021; 20:421-430. [PMID: 34267581 PMCID: PMC8256529 DOI: 10.52082/jssm.2021.421] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 05/05/2021] [Indexed: 12/17/2022]
Abstract
The aim of the study was to identify coherence, hope for success and coping strategies as predictors of mood among this year's Olympians in the context of coronavirus events. The relationships between the above variables and the mood of athletes were analysed. The study group consisted of 57 athletes - women (29) and men (28) between 18 and 39 years of age - representing various sports disciplines who were preparing for the Tokyo Olympics. The research was conducted in the period of April 7-28, 2020 during the first threat of COVID-19 pandemic, following the decision to move the Summer Olympics to the year 2021. It was time of the greatest national restrictions and information about the postponement of the games had been received. As a result of the step regression analysis, three predictors of vigour were established: sense of meaningfulness, coping with stress through positive reframing, and not using the self-blaming strategy. A positive predictor of anger was the use of substances. Confusion was predicted based on the frequency of behavioral disengagement. Behavioral disengagement predicted the severity of depression. Predictors of fatigue were the sense of meaningfulness, and the strategies of positive reframing and self-blaming. The results obtained emphasize the importance of positive reframing as a factor contributing to maintaining a positive mood state. In contrast, behavioral disengagement and self-blaming were strategies that lowered the mood of elite athletes. The results confirm the importance of factors included in the salutogenic model (sense of coherence, coping strategies) as predictors of athletes' mood during a pandemic.
Collapse
|
84
|
Horney JA, Karaye IM, Abuabara A, Gearhart S, Grabich S, Perez-Patron M. The Impact of Natural Disasters on Suicide in the United States, 2003–2015. CRISIS 2021; 42:328-334. [DOI: 10.1027/0227-5910/a000723] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Abstract. Background: Natural disasters are increasing in frequency and severity and impacted populations develop mental health conditions at higher rates than those not impacted. Aims: In this study, we investigate the association between exposure to a major natural disaster and suicide in the US. Method: Using county-level data on disaster declarations, mortality files, and population data, suicide rates were estimated for three 12-month periods before and after the disaster. Pooled rates were estimated predisaster and compared with postdisaster suicide rates using Poisson-generated Z tests and 95% confidence intervals. Results: A total of 281 major disasters were included. The suicide rate increased for each type of disaster and across all disasters in the first 2 years of follow-up. The largest overall increases in suicide rates were seen 2 years postdisaster. Limitations: Limitations include the ecologic study design, county-level exposure, and low power. Conclusion: Increases in county-level suicide rates after disasters were not statistically significant, although there was evidence that increases were delayed until 2 years postdisaster. Additional studies are needed to improve understanding of nonfatal suicide attempts after disasters and the role elevated social support plays in suicide prevention postdisaster. Future studies should consider pre-existing mental health, secondary stressors, and proximity to hazards.
Collapse
Affiliation(s)
| | | | - Alexander Abuabara
- Department Landscape Architecture and Urban Planning, Texas A&M University, College Station, TX, USA
| | | | - Shannon Grabich
- Department of Epidemiology, University of North Carolina at Chapel Hill, NC, USA
| | - Maria Perez-Patron
- Department of Epidemiology and Biostatistics, Texas A&M University, College Station, TX, USA
| |
Collapse
|
85
|
Guerra O, Eboreime E. The Impact of Economic Recessions on Depression, Anxiety, and Trauma-Related Disorders and Illness Outcomes-A Scoping Review. Behav Sci (Basel) 2021; 11:119. [PMID: 34562956 PMCID: PMC8464685 DOI: 10.3390/bs11090119] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 08/20/2021] [Accepted: 08/25/2021] [Indexed: 11/30/2022] Open
Abstract
In the wake of a global economic recession secondary to the COVID-19 pandemic, this scoping review seeks to summarize the current quantitative research on the impact of economic recessions on depression, anxiety, traumatic disorders, self-harm, and suicide. Seven research databases (PsycINFO, MEDLINE, Embase, Web of Science: Core Collection, National Library of Medicine PubMed, PubMed Central, and Google Scholar) were searched for keywords returning 3412 preliminary results published since 2008 in Organisation for Economic Coordination and Development (OECD)nations. These were screened by both authors for inclusion/exclusion criteria resulting in 127 included articles. Articles included were quantitative studies in OECD countries assessing select mental disorders (depression, anxiety, and trauma-/stress-related disorders) and illness outcomes (self-harm and suicide) during periods of economic recession. Articles were limited to publication from 2008 to 2020, available online in English, and utilizing outcome measures specific to the disorders and outcomes specified above. A significant relationship was found between periods of economic recession and increased depressive symptoms, self-harming behaviour, and suicide during and following periods of recession. Results suggest that existing models for mental health support and strategies for suicide prevention may be less effective than they are in non-recession times. It may be prudent to focus public education and medical treatments on raising awareness and access to supports for populations at higher risk, including those vulnerable to the impacts of job or income loss due to low socioeconomic status preceding the recession or high levels of financial strain, those supporting others financially, approaching retirement, and those in countries with limited social safety nets. Policy makers should be aware of the potential protective nature of unemployment safeguards and labour program investment in mitigating these negative impacts. Limited or inconclusive data were found on the relationship with traumatic disorders and symptoms of anxiety. In addition, research has focused primarily on the working-age adult population with limited data available on children, adolescents, and older adults, leaving room for further research in these areas.
Collapse
Affiliation(s)
- Olivia Guerra
- Department of Psychiatry, University of Alberta, Edmonton, AB T6G 2R3, Canada;
| | | |
Collapse
|
86
|
Zhang M, VanLandingham M, Park YS, Anglewicz P, Abramson DM. Differences in post-disaster mental health among Vietnamese and African Americans living in adjacent urban communities flooded by Katrina. PLoS One 2021; 16:e0255303. [PMID: 34432809 PMCID: PMC8386886 DOI: 10.1371/journal.pone.0255303] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 07/13/2021] [Indexed: 11/19/2022] Open
Abstract
Some communities recover more quickly after a disaster than others. Some differentials in recovery are explained by variation in the level of disaster-related community damage and differences in pre-disaster community characteristics, e.g., the quality of housing stock. But distinct communities that are similar on the above characteristics may experience different recovery trajectories, and, if so, these different trajectories must be due to more subtle differences among them. Our principal objective is to assess short-term and long-term post-disaster mental health for Vietnamese and African Americans living in two adjacent communities in eastern New Orleans that were similarly flooded by Hurricane Katrina. We employ data from two population-based cohort studies that include a sample of African American adults (the Gulf Coast Child and Family Health [GCAFH study]) and a sample of Vietnamese American adults (Katrina Impacts on Vietnamese Americans [KATIVA NOLA study]) living in adjacent neighborhoods in eastern New Orleans who were assessed near the second and thirteenth anniversaries of the disaster. Using the 12-Item Short Form Survey (SF-12) as the basis of our outcome measure, we find in multivariate analysis a significant advantage in post-disaster mental health for Vietnamese Americans over their African American counterparts at the two-year mark, but that this advantage had disappeared by the thirteenth anniversary of the Katrina disaster.
Collapse
Affiliation(s)
- Mengxi Zhang
- Department of Nutrition and Health Science, School of Health, Ball State University, Muncie, Indiana, United States of America
| | - Mark VanLandingham
- Department of Social, Behavioral, and Population Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, United States of America
| | - Yoon Soo Park
- Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, United States of America
| | - Philip Anglewicz
- Department of Population, Family and Reproductive Health, School of Public Health, Johns Hopkins Bloomberg University, Baltimore, Maryland, United States of America
| | - David M. Abramson
- School of Global Public Health, New York University, New York, New York, United States of America
| |
Collapse
|
87
|
Sirey JA, Raue PJ, Solomonov N, Scher C, Chalfin A, Zanotti P, Berman J, Alexopoulos GS. Community delivery of brief therapy for depressed older adults impacted by Hurricane Sandy. Transl Behav Med 2021; 10:539-545. [PMID: 32766863 DOI: 10.1093/tbm/ibz145] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Older adults frequently under-report depressive symptoms and often fail to access services after a disaster. To address unmet mental health needs, we developed a service delivery program (SMART-MH) that combines outreach, assessment, and therapy and implemented it in New York City after Hurricane Sandy. This study aimed to examine the feasibility, effectiveness, and patients' engagement of our brief psychotherapy ("Engage"). We predicted that Engage would result in reductions of depression, and that the benefits would be comparable to those of a historical comparison group who received Engage in a controlled experimental setting. A total of 2,831 adults (age ≥ 60) impacted by Hurricane Sandy were screened for depression. Assessments and therapy were conducted in English, Spanish, Cantonese, and Russian. Depressed individuals (PHQ-9 ≥ 10) who were not in treatment were offered Engage therapy in their native language at local senior center/nutrition sites. Twelve percent of the participants reported depression (N = 333). Of these 333 participants, 201 (60%) were not receiving treatment and 143 agreed to receive Engage therapy. Linear mixed-effects model showed that depression severity decreased significantly over time. More than two thirds had a five-point reduction in PHQ-9 scores and post-treatment scores ≤9. Post-hoc comparison of standardized slopes of change found patterns of depression reductions equivalent to Engage provided in a controlled setting. Partnerships to integrate mental health care into community settings can increase detection of mental-health needs and access to services in patients' native language. Brief reward exposure-based psychotherapy delivered in the community can provide comparable benefits to those achieved in research settings.
Collapse
Affiliation(s)
- Jo Anne Sirey
- Department of Psychiatry, Weill Cornell Medical College, White Plains, NY, USA
| | - Patrick J Raue
- Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA
| | - Nili Solomonov
- Department of Psychiatry, Weill Cornell Medical College, White Plains, NY, USA
| | - Clara Scher
- Department of Psychiatry, Weill Cornell Medical College, White Plains, NY, USA
| | - Alexandra Chalfin
- Department of Psychiatry, Weill Cornell Medical College, White Plains, NY, USA
| | - Paula Zanotti
- Department of Psychiatry, Weill Cornell Medical College, White Plains, NY, USA
| | | | | |
Collapse
|
88
|
van Mulukom V, Muzzulini B, Rutjens BT, van Lissa CJ, Farias M. The psychological impact of threat and lockdowns during the COVID-19 pandemic: exacerbating factors and mitigating actions. Transl Behav Med 2021; 11:1318-1329. [PMID: 34155522 PMCID: PMC8420639 DOI: 10.1093/tbm/ibab072] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
In spring 2020, the COVID-19 pandemic was declared. The threat the pandemic poses
as well as associated lockdown measures created challenging times for many. This
study aimed to investigate the individual and social factors associated with low
mental health, particularly perceived threat and lockdown measures, and factors
associated with psychological well-being, particularly sense of control. An
online survey was completed by participants (N = 8,229)
recruited from 79 countries. In line with pre-registered hypotheses,
participants showed elevated levels of anxiety and depression worldwide. This
poor mental health was predicted by perceived threat. The effect of threat on
depression was further moderated by social isolation, but there was no effect of
sense of control. Sense of control was low overall, and was predicted negatively
by maladaptive coping, but positively by adaptive coping and the perception that
the government is dealing with the outbreak. Social isolation increased with
quarantine duration, but was mitigated by frequent communication with close
ones. Engaging in individual actions to avoid contracting the virus was
associated with higher anxiety, except when done professionally. We suggest that
early lockdown of the pandemic may have had detrimental psychological effects,
which may be alleviated by individual actions such as maintaining frequent
social contact and adaptive coping, and by governmental actions which
demonstrate support in a public health crisis. Citizens and governments can work
together to adapt better to restrictive but necessary measures during the
current and future pandemics. The COVID-19 pandemic is a difficult time for many; not only are people isolated
at home, they may also experience the threat that COVID-19 will have a severe
impact on their lives. We ran an online survey with 8,229 individuals from 79
countries in April 2020. After establishing levels of psychological well-being,
we investigated which factors contribute to better psychological well-being, and
which to worse. We found that levels of anxiety and depression were markedly
elevated worldwide. The more people thought that COVID-19 was going to have
severe effects on their lives, the more anxious and depressed they felt. This
effect was even stronger when the individuals felt socially isolated, which was
increased when people had been in quarantine for a long time, but reduced when
people frequently communicated with their close ones. People felt more in
control of their lives when they engaged in positive coping behaviors, such as
reframing their situation positively, but not negative coping behaviors, such as
substance use. People also felt in control when their government was dealing
with the crisis well. We conclude that there are several ways in which
psychological well-being can be supported, in the current pandemic but also
potential future pandemics.
Collapse
Affiliation(s)
- Valerie van Mulukom
- Centre for Trust, Peace, and Social Relations, Coventry University, UK.,Centre for the Study of Social Cohesion, University of Oxford, UK
| | | | | | | | - Miguel Farias
- Centre for Trust, Peace, and Social Relations, Coventry University, UK
| |
Collapse
|
89
|
Mactavish A, Mastronardi C, Menna R, Babb KA, Battaglia M, Amstadter AB, Rappaport LM. Children's Mental Health in Southwestern Ontario during Summer 2020 of the COVID-19 Pandemic. JOURNAL OF THE CANADIAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY = JOURNAL DE L'ACADEMIE CANADIENNE DE PSYCHIATRIE DE L'ENFANT ET DE L'ADOLESCENT 2021; 30:177-190. [PMID: 34381510 DOI: 10.31234/osf.io/5cwb4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Accepted: 04/12/2021] [Indexed: 05/23/2023]
Abstract
OBJECTIVE COVID-19 presents an unprecedented global crisis. Research is critically needed to identify the impact of the pandemic on children's mental health including psychosocial factors that predict resilience, recovery, and persistent distress. The present study collected data in June-July 2020 to describe children's mental health during the initial phase of the pandemic, including the magnitude and nature of psychiatric and psychological distress in children, and to evaluate social support as a putative psychosocial moderator of children's increased distress. METHOD Children and parents from 190 families of children aged 8 to 13 from the Windsor-Essex region of Southwestern Ontario reported (i) retrospectively on children's well-being (e.g., worry, happiness) immediately prior to the pandemic and (ii) on children's current well-being; irritability; social support; and anxiety, depressive, and posttraumatic stress symptoms at the baseline assessment of an ongoing longitudinal study of the COVID-19 pandemic. RESULTS Children and parents reported worsened well-being and psychological distress during the pandemic compared to retrospective report of pre-pandemic well-being. Child-perceived social support from family and friends was associated with lower symptom severity and attenuated increase in psychological distress. CONCLUSIONS Study findings suggest possible broad psychological impacts of the COVID-19 pandemic and are consistent with prior research that indicates a protective role of social support to mitigate the negative psychological impact of the pandemic. These findings may inform clinical assessments and highlight the need for public resources to safeguard children's mental health.
Collapse
Affiliation(s)
| | | | - Rosanne Menna
- Department of Psychology, University of Windsor, Windsor, Ontario
| | - Kimberley A Babb
- Department of Psychology, University of Windsor, Windsor, Ontario
| | - Marco Battaglia
- Department of Psychiatry, University of Toronto, Toronto, Ontario; Division of Child and Youth, Centre for Addiction and Mental Health, Toronto, Ontario
| | - Ananda B Amstadter
- Virginia Institute for Psychiatric and Behavioral Genetics, Departments of Psychiatry and Human and Molecular Genetics, Virginia Commonwealth University, Richmond, VA, USA
| | | |
Collapse
|
90
|
Suarez-Balcazar Y, Mirza M, Errisuriz VL, Zeng W, Brown JP, Vanegas S, Heydarian N, Parra-Medina D, Morales P, Torres H, Magaña S. Impact of COVID-19 on the Mental Health and Well-Being of Latinx Caregivers of Children with Intellectual and Developmental Disabilities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:7971. [PMID: 34360263 PMCID: PMC8345447 DOI: 10.3390/ijerph18157971] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 07/17/2021] [Accepted: 07/25/2021] [Indexed: 01/20/2023]
Abstract
The COVID-19 pandemic has impacted the entire world in unprecedented ways. However, populations that have had a history of marginalization have experienced a more profound impact. One such group is Latinx families of children with intellectual and developmental disabilities (IDD) in the Unites States. In this study, we used a mixed methods approach to explore the impact of the pandemic on the mental health and well-being of Latinx caregivers of children with IDD. Specifically, we (1) identified which social determinants of health are correlated with maternal caregivers perceived general health, mental health, and well-being; (2) explored the impact of the pandemic on families' overall eating and physical activity routines; and (3) identified emergent themes from caregivers' experiences during the pandemic. Thirty-seven Latinx caregivers participated in three interviews in which several validated instruments were administered. The results indicated that perceived social support, annual family income, food security, and receipt of financial benefits were correlated with fewer depressive symptoms. Annual family income was also significantly correlated with perceived general health. Most caregivers reported that the pandemic had placed a strain on their economic situation; increased their isolation; and disrupted their child's therapeutic supports, online education, eating routines, and engagement in physical activity. Meanwhile, some caregivers reported positive changes as a result of the pandemic. Implications for future research and practice are discussed.
Collapse
Affiliation(s)
- Yolanda Suarez-Balcazar
- Department of Occupational Therapy, University of Illinois Chicago, 1919 West Taylor, Chicago, IL 60612, USA; (M.M.); (J.P.B.)
| | - Mansha Mirza
- Department of Occupational Therapy, University of Illinois Chicago, 1919 West Taylor, Chicago, IL 60612, USA; (M.M.); (J.P.B.)
| | - Vanessa L. Errisuriz
- Latino Research Institute, University of Texas at Austin, 210 W. 24th St., Austin, TX 78712, USA; (V.L.E.); (D.P.-M.)
| | - Weiwen Zeng
- Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd., Austin, TX 78712, USA; (W.Z.); (N.H.); (P.M.); (H.T.); (S.M.)
| | - Jasmine P. Brown
- Department of Occupational Therapy, University of Illinois Chicago, 1919 West Taylor, Chicago, IL 60612, USA; (M.M.); (J.P.B.)
| | - Sandra Vanegas
- School of Social Work, Texas State University, Encino Hall, 712 North Commanche St., San Marcos, TX 78666, USA;
| | - Nazanin Heydarian
- Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd., Austin, TX 78712, USA; (W.Z.); (N.H.); (P.M.); (H.T.); (S.M.)
| | - Deborah Parra-Medina
- Latino Research Institute, University of Texas at Austin, 210 W. 24th St., Austin, TX 78712, USA; (V.L.E.); (D.P.-M.)
| | - Paula Morales
- Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd., Austin, TX 78712, USA; (W.Z.); (N.H.); (P.M.); (H.T.); (S.M.)
| | - Hilda Torres
- Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd., Austin, TX 78712, USA; (W.Z.); (N.H.); (P.M.); (H.T.); (S.M.)
| | - Sandy Magaña
- Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd., Austin, TX 78712, USA; (W.Z.); (N.H.); (P.M.); (H.T.); (S.M.)
| |
Collapse
|
91
|
Podubinski T, Glenister KM. The Pandemic Is Not Occurring in a Vacuum: The Impact of COVID-19 and Other Disasters on Workforce Mental Health in Australia. Disaster Med Public Health Prep 2021; 17:e25. [PMID: 34296670 PMCID: PMC8446584 DOI: 10.1017/dmp.2021.238] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 06/30/2021] [Accepted: 07/10/2021] [Indexed: 02/02/2023]
Abstract
OBJECTIVE Prior to coronavirus disease (COVID-19), many Australians experienced extreme bushfires, droughts, and floods. A history of experiencing these events might be a risk factor for increased psychological distress during COVID-19. This study aimed to provide insight into the mental health of Australian workers during the initial COVID-19 outbreak, with an additional focus on whether previous disaster exposure and impact from that disaster is a risk factor for increased psychological distress. METHODS A snowball recruitment strategy was used. Participants (n = 596) completed an online survey, which included the Depression Anxiety Stress Scales-21, and questions related to mental health and disaster exposure. RESULTS Overall, 19.2%, 13.4%, and 16.8% of participants were experiencing moderate to extremely severe depression, anxiety, and stress symptoms, respectively. Multiple regression found that higher depression, anxiety, and stress symptoms were associated with a pre-existing mental health diagnosis; only higher stress symptoms were associated with having experienced a disaster, with impact, in addition to COVID-19. CONCLUSIONS People who have experienced impact from an additional disaster might need additional support to protect their mental health during COVID-19. A focus on the cumulative mental health impacts of multiple disasters and the implications for organizational communities where recovery work is undertaken, such as schools and workplaces, is needed.
Collapse
Affiliation(s)
- Tegan Podubinski
- Department of Rural Health, University of Melbourne, Wangaratta, Victoria, Australia
| | - Kristen M. Glenister
- Department of Rural Health, University of Melbourne, Wangaratta, Victoria, Australia
| |
Collapse
|
92
|
Freh FM, Cheung Chung M. Posttraumatic stress disorder and death anxiety among Iraqi civilians exposed to a suicide car bombing: the role of religious coping and attachment. J Ment Health 2021; 30:743-750. [PMID: 34264784 DOI: 10.1080/09638237.2021.1952954] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Posttraumatic stress disorder (PTSD) as a result of a bombing has been studied in the literature. Limited studies have focused attention on PTSD following a suicide car bombing. However, more research is needed to explore the risk factors for this psychological response. AIMS To examine a hypothesised model that death anxiety would be associated with PTSD and psychiatric comorbidity following a suicide car bombing, and that attachment styles and religious coping would influence the impact of this anxiety on distress outcomes. METHODS 185 Iraqi civilians exposed to the first suicide car bombing completed questionnaires measuring PTSD, psychiatric comorbidity, death anxiety, religious coping, and attachment experiences. RESULTS 82% met diagnostic criteria for PTSD, the remainder did not. Path analysis showed that death anxiety was significantly correlated with psychiatric comorbidity; it was also correlated with attachment, which was correlated with psychiatric comorbidity. Death anxiety was also significantly correlated with religious coping, which was correlated with both distress outcomes. CONCLUSIONS Although Iraqi civilians reported increased death anxiety following a suicide car bombing, those who used religion to cope with the traumatic experience and had functional attachment experiences in the past reported low levels of psychological distress.
Collapse
Affiliation(s)
| | - Man Cheung Chung
- Department of Educational Psychology, the Chinese University of Hong Kong, Shatin, Hong Kong
| |
Collapse
|
93
|
Ducy EM, Stough LM. Psychological effects of the 2017 California wildfires on children and youth with disabilities. RESEARCH IN DEVELOPMENTAL DISABILITIES 2021; 114:103981. [PMID: 34020412 DOI: 10.1016/j.ridd.2021.103981] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 03/18/2021] [Accepted: 04/23/2021] [Indexed: 06/12/2023]
Abstract
The psychological effects of disasters on children with disabilities are understudied, despite evidence towards increased risk for complications after other types of trauma exposure. This study investigated the experience of children and youth with disabilities exposed to the 2017 Northern California wildfires, with a particular focus on psychological reactions. In-depth interviews were conducted with parents of 14 children and youth with disabilities one year post-disaster. Thematic analysis was used to analyze the interviews. Parents described the wildfires as traumatic events for both themselves and their children. Children and youth exhibited stress, grief, and other emotional and behavioral reactions during evacuation, in the immediate aftermath, and one year post-disaster. Navigating disability-related needs, such as accessible housing, contributed to parent stress post-disaster. School and community-based mental health efforts are described, along with a call for increased attention to disaster-related reactions in children with developmental disabilities. Suggestions for improving preparedness and response efforts that better support children with disabilities and their families post-disaster are given.
Collapse
Affiliation(s)
- Elizabeth McAdams Ducy
- Sonoma State University, College of Education, Department of Educational Leadership and Special Education, 1801 E. Cotati Ave, Rohnert Park, CA, 94928, United States.
| | - Laura M Stough
- Texas A&M University, College of Education and Human Development, Department of Educational Psychology, 709 Harrington Office Building, College Station, TX, 77843, United States.
| |
Collapse
|
94
|
Mboua PC, Siakam C, Mabo NL. Impact of the resumption of classes on the mental health of students of the Faculty of Letters and Social Sciences of the University of Dschang, in the context of Covid 19. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2021; 5:100147. [PMID: 36594003 PMCID: PMC9797260 DOI: 10.1016/j.jadr.2021.100147] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 03/27/2021] [Accepted: 04/13/2021] [Indexed: 01/05/2023] Open
Abstract
The COVID-19 pandemic has grown rapidly around the world, bringing about suffering and fear, that may have impact on the mental health of populations. In Cameroon, the weakness of detection devices and treatment infrastructures, coupled with pessimistic forecasts from the UN and WHO, were increasingly potential for stress, anxiety and depression. The study set out to determine the impact of the pandemic on the mental health of Cameroonian populations. The methodology of mental health surveys in the general population was used. The Depression, Anxiety and Stress Scale (DASS 21) was used to carry out the diagnosis. An ethical and administrative clearance was carried out. It respected freedom, confidentiality and informed consent, following the guidelines of the Helsinki Protocol. 254 subjects were interviewed in two cities in the West Cameroon region, one of the 03 regions most affected by the pandemic. The results show a high rate of depression (31.7%) and anxiety (29.5%), as well as a low rate of stress (2,4%). These results indicate that the Covid 19 pandemic is affecting, even if moderately, the mental health of the Cameroonian populations. Résumé La pandémie du COVID-19 a eu une progression rapide dans le monde. Au Cameroun, la faiblesse des dispositifs de détection et de prise en charge, associée aux prévisions pessimistes de l'ONU et de l'OMS sur l'impact de la pandémie en Afrique, étaient susceptibles d'augmenter son retentissement psychopathologique. L'étude s'est donnée pour objectif de déterminer l'impact de la pandémie sur la santé mentale des populations camerounaises. La méthodologie des enquêtes de santé mentale en population générale a été mise à contribution. L'échelle de dépression, d'anxiété et de stress (EDAS 21) a été l'outil diagnostic utilisé. La collecte des données s'est faite au préalable d'une clairance éthique et administrative, suivant les orientations du protocole d'Helsinki. 254 sujets ont été interviewés. Les résultats montrent un taux de dépression de 31,5%; un taux et d'anxiété de 29,5% et un taux de stress de 2,4%.
Collapse
Affiliation(s)
- Pierre Célestin Mboua
- Maître de Conférences Psychologie Clinique et Psychopathologie, Université de Dschang, Yaoundé BP 20357, Cameroon
- Représentant au Cameroun de l'Institut de psychotraumatologie et de Médiation (IPM), Cameroon
- Directeur de Recherche au Forum Camerounais de Psychologie (FOCAP), Cameroon
| | | | - Ndifor Leonard Mabo
- Psychologie clinique et Psychopathologie (Ph.D 3. Cand) Université de Dschang, Bandja BP 21, Cameroon
| |
Collapse
|
95
|
Calder K, Begg A, D'Aeth L, Turner S, Fox C, Nobes B, Pope K, Bell C. Evaluation of the All Right? Campaign for tangata whaiora/mental health service users in Canterbury, New Zealand. Health Promot Int 2021; 37:6311440. [PMID: 34189584 DOI: 10.1093/heapro/daab102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
All Right? is a wellbeing campaign developed in response to the devastating Canterbury earthquakes of 2010 and 2011. Vulnerable groups post-disaster include people with a prior history of or unresolved mental illness. This research focussed on the reach and impact of All Right? specifically for tangata whaiora/mental health service users. Evaluation objectives were primarily focussed on assessing the extent which mental health service users engaged with All Right? and to determine the impact of this interaction. Both qualitative and quantitative methods were used to gather data. Findings indicated that mental health service users responded to All Right? to a greater extent than the general target population, e.g. about one-third (37%) of respondents to a population based Christchurch survey agreed that they had done activities as a result of what they had seen or heard of the All Right? campaign compared with approximately two-thirds (68%) of respondents to the mental health service users' survey. One of the key factors facilitating mental health service users' engagement with All Right? appears to be that the campaign was directed at whole-of-population level, therefore engagement was not defined by being a mental health service user. Engagement was also likely to be facilitated by the campaigns perceived impact of reducing mental illness-related stigma. This research concluded that population-wide wellbeing campaigns in the post-disaster context, when done well, can positively impact the wellbeing of the overall population, including mental health service users.
Collapse
Affiliation(s)
- Kristi Calder
- Community and Public Health, Canterbury District Health Board, Christchurch, New Zealand
| | - Annabel Begg
- Community and Public Health, Canterbury District Health Board, Christchurch, New Zealand
| | - Lucy D'Aeth
- Community and Public Health, Canterbury District Health Board, Christchurch, New Zealand
| | - Sue Turner
- Community and Public Health, Canterbury District Health Board, Christchurch, New Zealand
| | - Ciaran Fox
- Mental Health Foundation, Christchurch, New Zealand
| | - Beth Nobes
- Mental Health Advocacy and Peer Support, Christchurch, New Zealand
| | - Kelly Pope
- Mental Health Advocacy and Peer Support, Christchurch, New Zealand
| | - Caroline Bell
- Department of Psychological Medicine, University of Otago, Christchurch, New Zealand
| |
Collapse
|
96
|
Mental Health Outcomes Associated with COVID-19 Pandemic in a Group of Health Care Professionals. J Behav Health Serv Res 2021; 49:22-31. [PMID: 34097206 PMCID: PMC8183317 DOI: 10.1007/s11414-021-09761-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2021] [Indexed: 10/25/2022]
Abstract
Analysis of health care workers' stress levels during the COVID-19 virus pandemic, and whether there is a relationship between health care workers' stress levels and mental health in the context of coping with stress. One hundred and seventy professionally active health care workers took part in the study: doctors (n=41), nurses (n=114) and paramedics (n = 15). On average, study subjects were 37 years old and had 14 years of work experience. The following were used in this questionnaire-based study: General Health Questionnaire (GHQ-28), Perceived Stress Scale (PSS-10), Mini-COPE - Coping Inventory. The research group experienced high levels of stress. Nurses experienced the most acute stress. Increasing stress levels are accompanied by an intensification of psychopathological symptoms (insomnia and depression). Older individuals and those with more years worked at work experienced less psychopathological symptoms. Non-adaptive stress coping methods (e.g. use of psychoactive substances) resulted in deteriorating mental health within the research group. Habitual use of non-adaptive strategies may bring relief in the short term in the form of reduced negative consequences of stress transactions and facilitate mobilisation or just sufficient performance at work. However, in the longer term, it may lead to deteriorating health. The obtained data shows that positive reinterpretation, age and length of work track record constitute protective factors against deteriorating health.
Collapse
|
97
|
Vacca M, De Maria A, Mallia L, Lombardo C. Perfectionism and Eating Behavior in the COVID-19 Pandemic. Front Psychol 2021; 12:580943. [PMID: 34149493 PMCID: PMC8209479 DOI: 10.3389/fpsyg.2021.580943] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Accepted: 04/30/2021] [Indexed: 12/02/2022] Open
Abstract
The novel coronavirus disease 2019 (COVID-19) represents a massive global health crisis leading to different reactions in people. Those reactions may be adaptive or not depending on situational or psychological processes. Disordered eating attitudes and behaviors are likely to be exacerbated by the pandemic through multiple pathways as suggested by Rodgers et al. (2020). Among the psychological variables that may have increased dysfunctional eating attitudes and behaviors as a consequence of the social distancing and isolation, we looked at perfectionism. Perfectionism is a well-recognized risk and maintaining factor of eating-related symptoms and interact with stress increasing the probability of dysfunctional reactions (e.g., Wang and Li, 2017). The present study investigated the relationship between multidimensional perfectionism and eating behaviors by considering the mediating role of psychological distress. Data were collected from two countries (Italy and Spain) by means of an online survey. The samples included 465 (63.4% female) participants from Italy and 352 (68.5% female) from Spain. Participants completed the short form of the Hewitt and Flett Multidimensional Perfectionism Scale (Lombardo et al., 2021) to assess self-oriented, other-oriented and socially prescribed perfectionism, as well as the short form of Three Factors Eating Questionnaire (Karlsson et al., 2000) and the Italian version of Depression Anxiety and Stress Scale-21 (Bottesi et al., 2015), respectively used to assess restrictive, emotional and uncontrolled eating on one hand, and depression, anxiety and stress on the other. Multigroup analysis was performed to test the hypothesized model. Results showed that other-oriented and socially prescribed perfectionism were indirectly related to most of the dysfunctional eating aspects through the mediation of psychological distress, and the pattern obtained was consistent in both countries. These findings evidence that the psychological distress potentially related to the COVID-19 disease mediates the negative impact of interpersonal perfectionism and the tendency to eat in response to negative emotions.
Collapse
Affiliation(s)
| | - Alessandra De Maria
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
| | - Luca Mallia
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
| | | |
Collapse
|
98
|
Ben-Tzur N, Zanbar L, Kaniasty K. Mastery, Social Support, and Sense of Community as Protective Resources Against Psychological Distress Among Israelis Exposed to Prolonged Rocket Attacks. J Trauma Stress 2021; 34:501-511. [PMID: 33219713 DOI: 10.1002/jts.22629] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 10/08/2020] [Accepted: 10/19/2020] [Indexed: 11/08/2022]
Abstract
We investigated the psychological toll of exposure to rocket attacks as experienced by residents of central and southern Israel during the 2014 Israel-Gaza conflict. Participants completed an online survey assessing their life-threatening experiences, the availability of psychosocial resources, and symptoms of both PTSD (PCL-5) and nonspecific psychological distress (K6) 2-3 months posttrauma. Guided by the conservation of resources theory, we focused on the distress-protective functions of person- and community-oriented resources: mastery, perceived social support, and sense of community. Hierarchical regression analyses revealed that elevated exposure to rocket attacks predicted higher levels of PTSD but not psychological distress. All 13 predictors (i.e., sociodemographic factors, trauma exposure, personal and community resources) and three interactions between rocket attack-related trauma exposure and each of the resources accounted for a significant amount of the variance in PTSD, R2 = .251, adjusted R2 = .235, and nonspecific psychological distress, R2 = .280, adjusted R2 = .264. Predictably, higher levels of mastery and perceived social support were associated with lower PCL-5 and K6 scores. Unexpectedly, respondents who reported a higher sense of community exhibited more PTSD symptoms. Supplementary analyses indicated that among individuals with lower levels of mastery, sense of community was related to higher PCL-5 scores. Psychosocial resources are important for coping with community-wide stressors, but their roles are complex. Maintaining a sense of community among individuals who experience shared trauma is undoubtedly critical, yet potential downsides of collective coping among those with lower levels of mastery should be recognized and further investigated.
Collapse
Affiliation(s)
| | - Lea Zanbar
- School of Social Work, Ariel University, Ariel, Israel
| | - Krzysztof Kaniasty
- Department of Psychology, Indiana University of Pennsylvania, Pennsylvania, Indiana, USA.,Polish Academy of Sciences, Warsaw, Poland
| |
Collapse
|
99
|
Kyutoku Y, Dan I, Yamashina M, Komiyama R, Liegey‐Dougall AJ. Trajectories of Posttraumatic Growth and Their Associations With Quality of Life After the 2011 Tohoku Earthquake and Tsunami. J Trauma Stress 2021; 34:512-525. [PMID: 33227166 PMCID: PMC8246896 DOI: 10.1002/jts.22628] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2020] [Revised: 10/12/2020] [Accepted: 10/24/2020] [Indexed: 11/07/2022]
Abstract
The 2011 Tohoku earthquake and tsunami in Japan was an extraordinarily stressful incident that caused harmful psychological reactions, such as posttraumatic stress disorder (PTSD), among affected individuals. However, a proportion of exposed individuals experienced posttraumatic growth (PTG), characterized by a noticeable degree of personal strength, spirituality, life appreciation, perception of new possibilities in life, and enhanced relationships with others. Some researchers have argued that these positive reactions may be an illusory change related to coping with traumatic events. We examined trajectory patterns related to PTG Inventory (PTGI) subscales to elucidate the existence of both real and illusory growth regarding quality of life (QoL), utilizing group-based trajectory models. Three online questionnaires were distributed at 6 months (N = 2,554; M age = 47.04 years, SD = 12.62), 12 months (N = 887; M age = 48.11 years, SD = 12.43), and 42 months (N = 560; M age = 48.86 years, SD = 12.25) postdisaster. Participants responded to items related to demographic characteristics, disaster experiences, posttraumatic stress symptoms, PTG, and QoL. Three main PTG trajectories emerged, characterized by growth, no growth, and illusory growth, with QoL as a time invariant covariate. Compared with the growth trajectory, the odds ratios (ORs) for no growth ranged from 2.27 to 5.04; for illusory growth, the ORs ranged from 2.09 to 4.67. To our knowledge, this was the first study to report growth trajectories related to PTGI subscales and their underlying differences in psychological mechanisms and processes following the 2011 Tohoku earthquake and tsunami.
Collapse
Affiliation(s)
- Yasushi Kyutoku
- Research and Development InitiativeChuo UniversityTokyoJapan
| | - Ippeita Dan
- Department of Integrated Science and Engineering for Sustainable Societies, Faculty of Science and EngineeringChuo UniversityTokyoJapan
| | - Mitsuru Yamashina
- Department of Psychology, Faculty of LettersChuo UniversityTokyoJapan
| | - Ren Komiyama
- Department of Integrated Science and Engineering for Sustainable Societies, Faculty of Science and EngineeringChuo UniversityTokyoJapan
| | | |
Collapse
|
100
|
Stroebe K, Kanis B, Richardson J, Oldersma F, Broer J, Greven F, Postmes T. Chronic disaster impact: the long-term psychological and physical health consequences of housing damage due to induced earthquakes. BMJ Open 2021; 11:e040710. [PMID: 33952531 PMCID: PMC8103378 DOI: 10.1136/bmjopen-2020-040710] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 04/07/2021] [Accepted: 04/09/2021] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVES To evaluate the long-term (psychosomatic) health consequences of man-made earthquakes compared with a non-exposure control group. Exposure was hypothesised to have an increasingly negative impact on health outcomes over time. SETTING Large-scale gas extraction in the Netherlands causing earthquakes and considerable damage. PARTICIPANTS A representative sample of inhabitants randomly selected from municipal population records; contacted 5 times during 21 months (T1: N=3934; T5: N=2150; mean age: 56.54; 50% men; at T5, N=846 (39.3%) had no, 459 (21.3%) once and 736 (34.2%) repeated damages). MAIN MEASURES (Psychosomatic) health outcomes: self-rated health and Mental Health Inventory (both: validated; Short Form Health Survey); stress related health symptoms (shortened version of previously validated symptoms list). Independent variable: exposure to the consequences of earthquakes assessed via physical (peak ground acceleration) and personal exposure (damage to housing: none, once, repeated). RESULTS Exposure to induced earthquakes has negative health consequences especially for those whose homes were damaged repeatedly. Compared with a no-damage control group, repeated damage was associated with lower self-rated health (OR:1.64), mental health (OR:1.83) and more stress-related health symptoms (OR:2.52). Effects increased over time: in terms of relative risk, by T5, those whose homes had repeated damage were respectively 1.60 and 2.11 times more likely to report poor health and negative mental health and 2.84 times more at risk of elevated stress related health symptoms. Results for physical exposure were comparable. CONCLUSION This is the first study to provide evidence that induced earthquakes can have negative health consequences for inhabitants over time. It identifies the subpopulation particularly at risk: people with repeated damages who have experienced many earthquakes. Findings can have important implications for the prevention of negative health consequences of induced earthquakes.
Collapse
Affiliation(s)
- Katherine Stroebe
- Department of Social Psychology, Rijksuniversiteit Groningen, Groningen, The Netherlands
| | - Babet Kanis
- Department of Social Psychology, Rijksuniversiteit Groningen, Groningen, The Netherlands
| | - Justin Richardson
- Department of Social Psychology, Rijksuniversiteit Groningen, Groningen, The Netherlands
| | - Frans Oldersma
- Department for Statistics and Research, Municipality of Groningen, Groningen, The Netherlands
| | - Jan Broer
- ABPG, Municipal Health Services, Groningen, The Netherlands
| | - Frans Greven
- Department of Environmental Health, Municipal Health Services, Groningen, The Netherlands
| | - Tom Postmes
- Department of Social Psychology, Rijksuniversiteit Groningen, Groningen, The Netherlands
| |
Collapse
|