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Resilient or Vulnerable? Effects of the COVID-19 Crisis on the Mental Health of Refugees in Germany. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127409. [PMID: 35742657 PMCID: PMC9223737 DOI: 10.3390/ijerph19127409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 06/07/2022] [Accepted: 06/14/2022] [Indexed: 12/04/2022]
Abstract
Even though the COVID-19 pandemic had consequences for the whole society, like during most crises, some population groups tended to be disproportionally affected. We rely on the most recent data from the IAB-BAMF-SOEP Survey of Refugees to explore the resilience or vulnerability of refugees in the face of the pandemic. As the 2020 wave of the survey was in the field when the second nationwide lockdown started in December, we are able to apply a regression discontinuity design to analyze how refugees in Germany are coping with these measures. Our results reveal a negative effect of the lockdown on refugees' life satisfaction. Male refugees and those with a weaker support system face stronger negative outcomes than their counterparts. Since mental health is an important prerequisite for all forms of integration, understanding the related psychological needs in times of crisis can be highly important for policymakers and other stakeholders.
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Blessin M, Lehmann S, Kunzler AM, van Dick R, Lieb K. Resilience Interventions Conducted in Western and Eastern Countries-A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:6913. [PMID: 35682495 PMCID: PMC9180776 DOI: 10.3390/ijerph19116913] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 06/02/2022] [Accepted: 06/03/2022] [Indexed: 12/26/2022]
Abstract
Previous research has demonstrated the efficacy of psychological interventions to foster resilience. However, little is known about whether the cultural context in which resilience interventions are implemented affects their efficacy on mental health. Studies performed in Western (k = 175) and Eastern countries (k = 46) regarding different aspects of interventions (setting, mode of delivery, target population, underlying theoretical approach, duration, control group design) and their efficacy on resilience, anxiety, depressive symptoms, quality of life, perceived stress, and social support were compared. Interventions in Eastern countries were longer in duration and tended to be more often conducted in group settings with a focus on family caregivers. We found evidence for larger effect sizes of resilience interventions in Eastern countries for improving resilience (standardized mean difference [SMD] = 0.48, 95% confidence interval [CI] 0.28 to 0.67; p < 0.0001; 43 studies; 6248 participants; I2 = 97.4%). Intercultural differences should receive more attention in resilience intervention research. Future studies could directly compare interventions in different cultural contexts to explain possible underlying causes for differences in their efficacy on mental health outcomes.
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Affiliation(s)
- Manpreet Blessin
- Leibniz Institute for Resilience Research (LIR), 55122 Mainz, Germany; (M.B.); (S.L.); (A.M.K.)
- Department of Social Psychology, Goethe University, 60323 Frankfurt, Germany;
| | - Sophie Lehmann
- Leibniz Institute for Resilience Research (LIR), 55122 Mainz, Germany; (M.B.); (S.L.); (A.M.K.)
- Department of Social Psychology, Goethe University, 60323 Frankfurt, Germany;
| | - Angela M. Kunzler
- Leibniz Institute for Resilience Research (LIR), 55122 Mainz, Germany; (M.B.); (S.L.); (A.M.K.)
| | - Rolf van Dick
- Department of Social Psychology, Goethe University, 60323 Frankfurt, Germany;
| | - Klaus Lieb
- Leibniz Institute for Resilience Research (LIR), 55122 Mainz, Germany; (M.B.); (S.L.); (A.M.K.)
- Department of Psychiatry and Psychotherapy, University Medical Center Mainz, 55131 Mainz, Germany
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103
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Sun Y, Xu Y, Lv J, Liu Y. Self- and Situation-Focused Reappraisal are not homogeneous: Evidence from behavioral and brain networks. Neuropsychologia 2022; 173:108282. [PMID: 35660514 DOI: 10.1016/j.neuropsychologia.2022.108282] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Revised: 05/13/2022] [Accepted: 05/27/2022] [Indexed: 11/20/2022]
Abstract
Reappraisal is an effective emotion regulation strategy which can be divided into self- and situation-focused subtypes. Previous studies have produced inconsistent findings on the moderating effects and neural mechanisms of reappraisal; thus, further research is necessary to clarify these inconsistencies. In this study, a total of 44 participants were recruited and randomly assigned to two groups. 23 participants were assigned to the self-focused group, while 21 participants were assigned to the situation-focused group. The participants' resting EEG data were collected for 6 minutes before the experiment began, followed by an emotional regulation task. During this task, participants were asked to view emotion-provoking images under four emotion regulation conditions (View, Watch, Increase, and Decrease). Late positive potential (LPP) was obtained when these emotional images were observed. LPP is an effective physiological indicator of emotion regulation, enabling this study to explore emotion regulation under different reappraisal strategies, as well as the functional connectivity and node efficiency within the brain. It was found that, in terms of the effect on emotion regulation, situation-focused reappraisal was significantly better than self-focused reappraisal at enhancing the valence of negative emotion, while self-focused reappraisal was significantly better than situation-focused reappraisal at increasing the arousal of negative emotion. In terms of neural mechanisms, multiple brain regions such as the anterior cingulate cortex, the frontal lobe, the parahippocampal gyrus, parts of the temporal lobe, and parts of the parietal lobe were involved in both reappraisal processes. In addition, there were some differences in brain regions associated with different forms of cognitive reappraisal. Self-focused reappraisal was associated with the posterior cingulate gyrus, fusiform gyrus, and lingual gyrus, and situation-focused reappraisal was associated with the parietal lobule, anterior central gyrus, and angular gyrus. In conclusion, this research demonstrates that self- and situation-focused reappraisal are not homogenous in terms of their effects and neural mechanisms and clarifies the uncertainties over their regulatory effects. Different types of reappraisal activate different brain regions when used, and the functional connectivity or node efficiency of these brain regions seems to be a suitable indicator for assessing the effects of different types of reappraisal.
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Affiliation(s)
- Yan Sun
- School of Psychology, Liaoning Normal University, Dalian, 116029, China
| | - Yuanyuan Xu
- School of Psychology, Liaoning Normal University, Dalian, 116029, China
| | - Jiaojiao Lv
- School of Psychology, Liaoning Normal University, Dalian, 116029, China; Department of Psychology, Shanxi Datong University, Datong, 037009, China
| | - Yan Liu
- School of Psychology, Liaoning Normal University, Dalian, 116029, China.
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104
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Neumann RJ, Ahrens KF, Kollmann B, Goldbach N, Chmitorz A, Weichert D, Fiebach CJ, Wessa M, Kalisch R, Lieb K, Tüscher O, Plichta MM, Reif A, Matura S. The impact of physical fitness on resilience to modern life stress and the mediating role of general self-efficacy. Eur Arch Psychiatry Clin Neurosci 2022; 272:679-692. [PMID: 34622343 PMCID: PMC9095527 DOI: 10.1007/s00406-021-01338-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 09/22/2021] [Indexed: 12/18/2022]
Abstract
Substantial evidence shows that physical activity and fitness play a protective role in the development of stress related disorders. However, the beneficial effects of fitness for resilience to modern life stress are not fully understood. Potentially protective effects may be attributed to enhanced resilience via underlying psychosocial mechanisms such as self-efficacy expectations. This study investigated whether physical activity and fitness contribute to prospectively measured resilience and examined the mediating effect of general self-efficacy. 431 initially healthy adults participated in fitness assessments as part of a longitudinal-prospective study, designed to identify mechanisms of resilience. Self-efficacy and habitual activity were assessed in parallel to cardiorespiratory and muscular fitness, which were determined by a submaximal step-test, hand strength and standing long jump test. Resilience was indexed by stressor reactivity: mental health problems in relation to reported life events and daily hassles, monitored quarterly for nine months. Hierarchical linear regression models and bootstrapped mediation analyses were applied. We could show that muscular and self-perceived fitness were positively associated with stress resilience. Extending this finding, the muscular fitness-resilience relationship was partly mediated by self-efficacy expectations. In this context, self-efficacy expectations may act as one underlying psychological mechanism, with complementary benefits for the promotion of mental health. While physical activity and cardiorespiratory fitness did not predict resilience prospectively, we found muscular and self-perceived fitness to be significant prognostic parameters for stress resilience. Although there is still more need to identify specific fitness parameters in light of stress resilience, our study underscores the general relevance of fitness for stress-related disorders prevention.
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Affiliation(s)
- R J Neumann
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt/Main, Germany.
| | - K F Ahrens
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt/Main, Germany
| | - B Kollmann
- Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany
- Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
| | - N Goldbach
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt/Main, Germany
| | - A Chmitorz
- Faculty of Social Work, Education and Nursing Sciences, Esslingen University of Applied Sciences, Esslingen, Germany
| | - D Weichert
- Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany
- Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
| | - C J Fiebach
- Department of Psychology, Goethe University, Frankfurt, Frankfurt am Main, Germany
- Brain Imaging Center, Goethe University, Frankfurt am Main, Germany
| | - M Wessa
- Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
- Department of Clinical Psychology and Neuropsychology, Institute for Psychology, Johannes Gutenberg University Mainz, Mainz, Germany
| | - R Kalisch
- Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
- Neuroimaging Center (NIC), Focus Program Translational Neuroscience (FTN), University Medical Center Mainz, Mainz, Germany
| | - K Lieb
- Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany
- Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
| | - O Tüscher
- Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany
- Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
| | - M M Plichta
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt/Main, Germany
| | - A Reif
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt/Main, Germany
| | - S Matura
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt/Main, Germany
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105
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Ben Salah A, DeAngelis BN, al’Absi M. Uncertainty and psychological distress during COVID-19: What about protective factors? CURRENT PSYCHOLOGY 2022; 42:1-8. [PMID: 35669208 PMCID: PMC9145118 DOI: 10.1007/s12144-022-03244-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/16/2022] [Indexed: 11/25/2022]
Abstract
The present study examined the relationship between perceived uncertainty and depression/ anxiety symptoms during the COVID-19 pandemic and it tested the moderating roles of resilience and perceived social support in this relationship. A cross-sectional study was conducted between March 31st and May 15th, 2020, using an online, multi-language, international survey built within Qualtrics. We collected data on sociodemographic features, perceived uncertainty, perceived social support, depression and anxiety symptoms, and resilience. A moderation model was tested using model 2 of Hayes' PROCESS macro for SPSS. The study included 3786 respondents from 94 different countries, 47.7% of whom reported residence in the United States of America. Results demonstrated that higher perceived uncertainty was associated with more symptoms of depression and anxiety. Higher resilience levels and higher perceived social support were associated with fewer depression and anxiety symptoms. The moderation hypotheses were supported; the relationship between uncertainty and symptoms of depression and anxiety decreased as levels of resilience increased and as perceived social support increased. The results suggest that resilience and social support could be helpful targets to reduce the negative effects of uncertainty on depression and anxiety symptoms. Supplementary Information The online version contains supplementary material available at 10.1007/s12144-022-03244-2.
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Affiliation(s)
- Arwa Ben Salah
- Community Medicine Department, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - Briana N. DeAngelis
- Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, MN 55812 USA
| | - Mustafa al’Absi
- Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, MN 55812 USA
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106
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Wackerhagen C, Veer IM, van Leeuwen JMC, Reppmann Z, Riepenhausen A, Bögemann SA, Mor N, Puhlmann LM, Uściƚko A, Zerban M, Yuen KSL, Köber G, Pooseh S, Weermeijer J, Marciniak MA, Arias-Vásquez A, Binder H, de Raedt W, Kleim B, Myin-Germeys I, Roelofs K, Timmer J, Tüscher O, Hendler T, Kobylińska D, Hermans EJ, Kalisch R, Walter H. Study protocol description: Dynamic Modelling of Resilience - Observational Study (DynaM-OBS) (Preprint). JMIR Res Protoc 2022. [DOI: 10.2196/39817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
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107
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Nguyen TT. Spousal Caregiver Resilience in A Nutshell: A Directed Content Analysis in the Context of Dementia Caregiving in Vietnam. DEMENTIA 2022; 21:1955-1970. [PMID: 35586970 DOI: 10.1177/14713012221101866] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVES This study aims to define resilience of spousal family caregivers for older adults living with dementia in the Vietnamese context. METHODS A directed content analysis was conducted on 22 interview transcripts, including nine follow-up interviews, of a sub-sample of 13 spousal caregivers, drawn from a larger study with family caregivers for relatives with dementia in a hospital in Vietnam. The study started with key categories from the theory of the unifying model of resilience in dementia caregiving to guide the analysis process, while new codes and categories were identified during this process. FINDINGS The study results show a revision and extension of this model by introducing a revised model with newly developed sub-categories under the five revised key categories of adversity, resilience processes, outcomes, internal resources, and external resources. CONCLUSIONS The results provide evidence for the development of resilience-based interventions and services for spousal caregivers in their contexts.
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108
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Köber G, Pooseh S, Engen H, Chmitorz A, Kampa M, Schick A, Sebastian A, Tüscher O, Wessa M, Yuen KSL, Walter H, Kalisch R, Timmer J, Binder H. Individualizing deep dynamic models for psychological resilience data. Sci Rep 2022; 12:8061. [PMID: 35577829 PMCID: PMC9110739 DOI: 10.1038/s41598-022-11650-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Accepted: 04/25/2022] [Indexed: 11/29/2022] Open
Abstract
Deep learning approaches can uncover complex patterns in data. In particular, variational autoencoders achieve this by a non-linear mapping of data into a low-dimensional latent space. Motivated by an application to psychological resilience in the Mainz Resilience Project, which features intermittent longitudinal measurements of stressors and mental health, we propose an approach for individualized, dynamic modeling in this latent space. Specifically, we utilize ordinary differential equations (ODEs) and develop a novel technique for obtaining person-specific ODE parameters even in settings with a rather small number of individuals and observations, incomplete data, and a differing number of observations per individual. This technique allows us to subsequently investigate individual reactions to stimuli, such as the mental health impact of stressors. A potentially large number of baseline characteristics can then be linked to this individual response by regularized regression, e.g., for identifying resilience factors. Thus, our new method provides a way of connecting different kinds of complex longitudinal and baseline measures via individualized, dynamic models. The promising results obtained in the exemplary resilience application indicate that our proposal for dynamic deep learning might also be more generally useful for other application domains.
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109
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Abu Hasan R, Yusoff MSB, Tang TB, Hafeez Y, Mustafa MC, Dzainudin M, Bacotang J, Al-Saggaf UM, Ali SSA. Resilience-Building for Mental Health among Early Childhood Educators: A Systematic Review and Pilot-Study towards an EEG-VR Resilience Building Intervention. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:4413. [PMID: 35410097 PMCID: PMC8998227 DOI: 10.3390/ijerph19074413] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 03/30/2022] [Accepted: 04/01/2022] [Indexed: 12/10/2022]
Abstract
Resilience is a key factor that reflects a teacher's ability to utilize their emotional resources and working skills to provide high-quality teaching to children. Resilience-building interventions aim to promote positive psychological functioning and well-being. However, there is lack of evidence on whether these interventions improve the well-being or mental health of teachers in early childhood education (ECE) settings. This review examined the overall effectiveness of resilience-building interventions conducted on teachers working in the ECE field. A systematic approach is used to identify relevant studies that focus on resilience-building in countering work stress among early childhood educators. Findings from this review observed a preference of group approaches and varying durations of interventions. This review highlights the challenges of the group approach which can lead to lengthy interventions and attrition amongst participants. In addition to the concerns regarding response bias from self-report questionnaires, there is also a lack of physiological measures used to evaluate effects on mental health. The large efforts by 11 studies to integrate multiple centres into their intervention and the centre-based assessment performed by four studies highlight the need for a centre-focused approach to build resilience among teachers from various ECE centres. A pilot study is conducted to evaluate the feasibility of an integrated electroencephalography-virtual reality (EEG-VR) approach in building resilience in teachers, where the frontal brain activity can be monitored during a virtual classroom task. Overall, the findings of this review propose the integration of physiological measures to monitor changes in mental health throughout the resilience-building intervention and the use of VR as a tool to design a unique virtual environment.
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Affiliation(s)
- Rumaisa Abu Hasan
- Centre for Intelligent Signal and Imaging Research (CISIR), Electrical and Electronics Engineering Department, University Teknologi PETRONAS, Seri Iskandar 32610, Perak, Malaysia; (R.A.H.); (T.B.T.); (Y.H.)
| | - Muhamad Saiful Bahri Yusoff
- Department of Medical Education, School of Medical Sciences, University Sains Malaysia, Kota Bharu 16150, Kelantan, Malaysia;
| | - Tong Boon Tang
- Centre for Intelligent Signal and Imaging Research (CISIR), Electrical and Electronics Engineering Department, University Teknologi PETRONAS, Seri Iskandar 32610, Perak, Malaysia; (R.A.H.); (T.B.T.); (Y.H.)
| | - Yasir Hafeez
- Centre for Intelligent Signal and Imaging Research (CISIR), Electrical and Electronics Engineering Department, University Teknologi PETRONAS, Seri Iskandar 32610, Perak, Malaysia; (R.A.H.); (T.B.T.); (Y.H.)
| | - Mazlina Che Mustafa
- National Child Development Research Centre, University Pendidikan Sultan Idris, Tanjong Malim 35900, Perak, Malaysia; (M.C.M.); (M.D.)
| | - Masayu Dzainudin
- National Child Development Research Centre, University Pendidikan Sultan Idris, Tanjong Malim 35900, Perak, Malaysia; (M.C.M.); (M.D.)
| | - Juppri Bacotang
- Faculty of Psychology and Education, University Malaysia Sabah, Kota Kinabalu 88400, Sabah, Malaysia;
| | - Ubaid M. Al-Saggaf
- Center of Excellence in Intelligent Engineering Systems (CEIES), King Abdulaziz University, Jeddah 21589, Saudi Arabia;
- Department of Electrical and Computer Engineering, King Abdulaziz University, Jeddah 21589, Saudi Arabia
| | - Syed Saad Azhar Ali
- Centre for Intelligent Signal and Imaging Research (CISIR), Electrical and Electronics Engineering Department, University Teknologi PETRONAS, Seri Iskandar 32610, Perak, Malaysia; (R.A.H.); (T.B.T.); (Y.H.)
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110
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Kunzelmann A, Rigotti T. Challenge Demands and Resilience. ZEITSCHRIFT FUR ARBEITS-UND ORGANISATIONSPSYCHOLOGIE 2022. [DOI: 10.1026/0932-4089/a000363] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Abstract. This study investigates the relationship of challenge demands (i. e., time pressure, job complexity) on employee resilience. We provide insights into potential pathways (i. e., learning, cognitive irritation) for how challenge stressors influence employee resilience. We employed a two-wave, time-lagged design to examine the influences of challenge stressors and explanatory pathways on employee resilience 2 months later. The data from 359 participants (52.1 % male) were analyzed using a Bayesian time-lagged path model. Results indicate that time pressure and job complexity are negatively related to employee resilience via cognitive irritation. In contrast, we found a positive, indirect effect of job complexity and resilience via learning. This paper contributes to existing employee resilience and stress research by highlighting the roles of learning and cognitive irritation to explain the relationships of challenge stressors on employee resilience. Moreover, the results provide us with a deeper understanding of which factors foster or drain employee resilience.
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Affiliation(s)
- Arian Kunzelmann
- Psychological Institute, Department of Work-, Organizational- and Business Psychology, Johannes Gutenberg University Mainz, Germany
| | - Thomas Rigotti
- Psychological Institute, Department of Work-, Organizational- and Business Psychology, Johannes Gutenberg University Mainz, Germany
- Leibniz Institute for Resilience Research (LIR), Mainz, Germany
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111
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Beckner ME, Conkright WR, Sahu A, Mi Q, Clemens ZJ, Martin BJ, Flanagan SD, Ferrarelli F, Ambrosio F, Nindl BC. Utility of extracellular vesicles as a potential biological indicator of physiological resilience during military operational stress. Physiol Rep 2022; 10:e15219. [PMID: 35373929 PMCID: PMC8978596 DOI: 10.14814/phy2.15219] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 02/16/2022] [Accepted: 02/17/2022] [Indexed: 12/01/2022] Open
Abstract
Extracellular vesicles (EVs) transport biological content between cells to mediate physiological processes. The association between EVs and resilience, the ability to cope with stress, is unknown. Using unbiased machine learning approaches, we aimed to identify a biological profile of resilience. Twenty servicemen (27.8 ± 5.9 years) completed the Connor Davidson Resilience (CD-RISC) questionnaire and were exposed to daily physical and cognitive exertion with 48-hr sleep and caloric restriction. Blood samples from baseline and the second day of stress were analyzed for neuroendocrine biomarkers impacted by military stress. EVs were isolated from plasma and stained with antibodies associated with exosomes (CD63), microvesicles (VAMP3), and apoptotic bodies (THSD1). Individuals were separated into high (n = 10, CD-RISC > 90) and low (n = 10, CD-RISC < 79) resilience. EV features were stratified by size, then down-selected using regression trees and compared between groups. Diagnostic accuracy was assessed using receiver operating characteristic curves. Compared to low resilience, high resilience demonstrated a greater increase in variability of THSD1 local bright spot intensities among large-sized EVs in response to stress (p = 0.002, Hedges' g = 1.59). Among medium-sized EVs, high resilience exhibited a greater decrease in side scatter intensity (p = 0.014, Hedges' g = 1.17). Both features demonstrated high to moderate diagnostic accuracy for high resilience (AUC = 0.90 and 0.79). In contrast, neuroendocrine biomarker concentrations were similar between groups. The increase in variability among THSD1 + EVs in high, but not low, resilient individuals following stress may suggest high resilience is accompanied by stress-triggered apoptotic adaptations to the environment that are not detected in neuroendocrine biomarkers.
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Affiliation(s)
- Meaghan E Beckner
- Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - William R Conkright
- Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Amrita Sahu
- Department of Physical Medicine & Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Qi Mi
- Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Zachary J Clemens
- Department of Physical Medicine & Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Brian J Martin
- Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Shawn D Flanagan
- Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Fabio Ferrarelli
- School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Fabrisia Ambrosio
- Department of Physical Medicine & Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
- McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Bradley C Nindl
- Neuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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112
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Ortiz-Calvo E, Martínez-Alés G, Mediavilla R, González-Gómez E, Fernández-Jiménez E, Bravo-Ortiz MF, Moreno-Küstner B. The role of social support and resilience in the mental health impact of the COVID-19 pandemic among healthcare workers in Spain. J Psychiatr Res 2022; 148:181-187. [PMID: 35124398 PMCID: PMC8668396 DOI: 10.1016/j.jpsychires.2021.12.030] [Citation(s) in RCA: 27] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 10/15/2021] [Accepted: 12/11/2021] [Indexed: 12/21/2022]
Abstract
BACKGROUND Healthcare workers (HCWs) from COVID-19 pandemic hotspots across the globe have reported mental health problems, including anxiety, depression, or sleep problems. Many studies have focused on identifying modifiable risk factors, such as being afraid of getting infected or reporting shortage of personal protective equipment, but none have explored the role of protective factors. METHOD This cross-sectional study used an online survey to describe the association between three potentially protective factors (self-reported resilience, self-perceived social support from colleagues at work, and self-perceived social support from relatives and friends) and three mental health outcomes, namely psychological distress, depression symptoms, and death thoughts in a large sample of Spanish HCWs during the first wave of the COVID-19 pandemic. RESULTS We recruited 2372 respondents between April 26th and June 22nd, 2020. Resilience and self-perceived social support were inversely associated with mental health problems (psychological distress, depression symptoms, and death thoughts), after adjusting for potential sources of confounding. CONCLUSIONS Resilience and self-perceived social support might protect HCWs against negative mental health outcomes. Public health strategies targeting these modifiable determinants might help to reduce the impact of the pandemic on HCWs' mental health.
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Affiliation(s)
- Esther Ortiz-Calvo
- Department of Personality, Assessment and Psychological Treatment, Universidad de Málaga, Málaga, Spain
| | - Gonzalo Martínez-Alés
- Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, United States; Department of Psychiatry, Clinical Psychology and Mental Health, Hospital Universitario La Paz, Madrid, Spain
| | - Roberto Mediavilla
- Department of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain.
| | - Elisabeth González-Gómez
- Department of Personality, Assessment and Psychological Treatment, Universidad de Málaga, Málaga, Spain
| | - Eduardo Fernández-Jiménez
- Department of Psychiatry, Clinical Psychology and Mental Health, Hospital Universitario La Paz, Madrid, Spain; Instituto de Investigación Del Hospital Universitario La Paz (IdiPAZ), Madrid, Spain
| | - María-Fe Bravo-Ortiz
- Department of Psychiatry, Clinical Psychology and Mental Health, Hospital Universitario La Paz, Madrid, Spain; Department of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, Spain; Instituto de Investigación Del Hospital Universitario La Paz (IdiPAZ), Madrid, Spain
| | - Berta Moreno-Küstner
- Department of Personality, Assessment and Psychological Treatment, Universidad de Málaga, Málaga, Spain; Andalusian Group of Psychosocial Research (GAP), Andalusia, Spain; Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain
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113
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Gooding PA, Harris K, Haddock G. Psychological Resilience to Suicidal Experiences in People with Non-Affective Psychosis: A Position Paper. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:3813. [PMID: 35409502 PMCID: PMC8997645 DOI: 10.3390/ijerph19073813] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 01/14/2022] [Accepted: 03/02/2022] [Indexed: 01/03/2023]
Abstract
It is important to understand the psychological factors which underpin pathways to suicidal experiences. It is equally as important to understand how people develop and maintain resilience to such psychological factors implicated in suicidal experiences. Exploring optimal routes to gaining this understanding of resilience to suicidal thoughts and acts in people with severe mental health problems, specifically non-affective psychosis, was the overarching aim of this position paper. There are five central suggestions: 1. investigating resilience to suicidal experiences has been somewhat over-looked, especially in those with severe mental health problems such as schizophrenia; 2. it appears maximally enlightening to use convergent qualitative, quantitative and mixed research methods to develop a comprehensive understanding of resilience to suicide; 3. relatedly, involving experts-by-experience (consumers) in suicide research in general is vital, and this includes research endeavours with a focus on resilience to suicide; 4. evidence-based models of resilience which hold the most promise appear to be buffering, recovery and maintenance approaches; and 5. there is vast potential for contemporary psychological therapies to develop and scaffold work with clients centred on building and maintaining resilience to suicidal thoughts and acts based on different methodological and analytical approaches which involve both talking and non-talking approaches.
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Affiliation(s)
- Patricia A Gooding
- Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Sciences Centre, University of Manchester, Manchester M13 9PL, UK
- Greater Manchester Mental Health NHS Foundation Trust, Manchester M25 3BL, UK
| | - Kamelia Harris
- Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Sciences Centre, University of Manchester, Manchester M13 9PL, UK
- Greater Manchester Mental Health NHS Foundation Trust, Manchester M25 3BL, UK
| | - Gillian Haddock
- Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Sciences Centre, University of Manchester, Manchester M13 9PL, UK
- Greater Manchester Mental Health NHS Foundation Trust, Manchester M25 3BL, UK
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114
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Early-life adversity and risk for depression and anxiety: The role of interpersonal support. Dev Psychopathol 2022; 35:863-875. [PMID: 35285426 DOI: 10.1017/s0954579422000116] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Early-life adversity is a major risk factor for psychopathology, but not all who experience adversity develop psychopathology. The current study evaluated whether the links between child and adolescent adversity and depression and anxiety were described by general benefits and/or buffering effects of interpersonal support. Data from 456 adolescents oversampled on neuroticism over a 5-year period were examined in a series of discrete-time survival analyses to predict subsequent disorder onsets. Models examined linear, quadratic, and interactive effects of interpersonal support over time, as measured by chronic interpersonal stress interview ratings. Results did not support buffering effects of interpersonal support against either child or adolescent adversity in predicting depression or anxiety. However, there was support for the general benefits model of interpersonal support as evidenced by follow-up analyses of significant quadratic effects of interpersonal support, demonstrating that higher interpersonal support led to decreased likelihood of depression and anxiety onsets. Secondary analyses demonstrated that effects of interpersonal support remained after accounting for baseline depression and anxiety diagnoses. Further, quadratic effects were driven by social domains as opposed to familial domains when considering child adversity. Implications for interventions and randomized controlled prevention trials regarding interpersonal relationships are discussed.
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115
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Silveira S, Hecht M, Matthaeus H, Adli M, Voelkle MC, Singer T. Coping with the COVID-19 Pandemic: Perceived Changes in Psychological Vulnerability, Resilience and Social Cohesion before, during and after Lockdown. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:3290. [PMID: 35328981 PMCID: PMC8952288 DOI: 10.3390/ijerph19063290] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 03/01/2022] [Accepted: 03/04/2022] [Indexed: 01/27/2023]
Abstract
The COVID-19 pandemic and associated lockdowns have posed unique and severe challenges to our global society. To gain an integrative understanding of pervasive social and mental health impacts in 3522 Berlin residents aged 18 to 65, we systematically investigated the structural and temporal relationship between a variety of psychological indicators of vulnerability, resilience and social cohesion before, during and after the first lockdown in Germany using a retrospective longitudinal study design. Factor analyses revealed that (a) vulnerability and resilience indicators converged on one general bipolar factor, (b) residual variance of resilience indicators formed a distinct factor of adaptive coping capacities and (c) social cohesion could be reliably measured with a hierarchical model including four first-order dimensions of trust, a sense of belonging, social interactions and social engagement, and one second-order social cohesion factor. In the second step, latent change score models revealed that overall psychological vulnerability increased during the first lockdown and decreased again during re-opening, although not to baseline levels. Levels of social cohesion, in contrast, first decreased and then increased again during re-opening. Furthermore, participants who increased in vulnerability simultaneously decreased in social cohesion and adaptive coping during lockdown. While higher pre-lockdown levels of social cohesion predicted a stronger lockdown effect on mental health, individuals with higher social cohesion during the lockdown and positive change in coping abilities and social cohesion during re-opening showed better mental health recovery, highlighting the important role of social capacities in both amplifying but also overcoming the multiple challenges of this collective crisis.
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Affiliation(s)
- Sarita Silveira
- Sarita Silveira, Social Neuroscience Lab, Max Planck Society, Bertha-Benz-Strasse 3, 10557 Berlin, Germany; (H.M.); (T.S.)
| | - Martin Hecht
- Hector Research Institute of Education Sciences and Psychology, University of Tübingen, 72074 Tübingen, Germany;
| | - Hannah Matthaeus
- Sarita Silveira, Social Neuroscience Lab, Max Planck Society, Bertha-Benz-Strasse 3, 10557 Berlin, Germany; (H.M.); (T.S.)
| | - Mazda Adli
- Department of Psychiatry and Psychotherapy, CCM, Charité–Universitätsmedizin Berlin, 10117 Berlin, Germany;
- Fliedner Klinik Berlin, Center for Psychiatry, Psychotherapy and Psychosomatic Medicine, 10117 Berlin, Germany
| | - Manuel C. Voelkle
- Department of Psychology, Humboldt-Universität zu Berlin, 12489 Berlin, Germany;
| | - Tania Singer
- Sarita Silveira, Social Neuroscience Lab, Max Planck Society, Bertha-Benz-Strasse 3, 10557 Berlin, Germany; (H.M.); (T.S.)
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116
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Zheng K, Chu J, Zhang X, Ding Z, Song Q, Liu Z, Peng W, Cao W, Zou T, Yi J. Psychological resilience and daily stress mediate the effect of childhood trauma on depression. CHILD ABUSE & NEGLECT 2022; 125:105485. [PMID: 35026440 DOI: 10.1016/j.chiabu.2022.105485] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 12/28/2021] [Accepted: 01/04/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Childhood trauma (CT) is a well-recognized distal risk factor for depression. Previous studies suggested that the psychological mechanism of the impact of childhood trauma on depression may be attributed to some mediators such as daily stress and psychological resilience. This study aimed to assess how daily stress and resilience affect the relationship between childhood trauma and depression in adult clinical context. METHOD In this cross-section survey, a total of 569 clinical patients with psychological disorders completed a series of psychological scales such as the Childhood Trauma Questionnaire (CTQ), the Center for Epidemiologic Studies Depression Scale (CESD), the Perceived Stress Scale (PSS) and Connor-Davidson Resilience Scale (CD-RISC). To show the relationship among childhood trauma, psychological resilience, daily stress and depression, structural equation modeling (SEM) was performed. RESULTS The results indicated that psychological resilience and daily stress partially mediated the relationship between childhood trauma and depressive symptoms. Childhood trauma not only exerted direct effect on depressive symptoms, but also had indirect effect through the mediation pathway (resilience → daily stress) on depressive symptoms. The chain mediation pathway through resilience and daily stress was weighted 43.31%. CONCLUSIONS The study provides novel evidence on the underlying process between childhood trauma and depression. The distal factor childhood trauma can influence the latter depression by the chain effect of psychological resilience and daily stress. Therefore, some clinical interventions to improve psychological resilience to carry off daily stress are the way to reduce the impact of childhood trauma on depression.
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Affiliation(s)
- Kaili Zheng
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Jun Chu
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Xiaocui Zhang
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Zixia Ding
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Qian Song
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Zhaoxia Liu
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Wanrong Peng
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Wanyi Cao
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China
| | - Tao Zou
- Department of psychiatry, The Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou, China.
| | - Jinyao Yi
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China; Medical Psychology Institution, Central South University, Changsha 410011, Hunan, China; National Clinical Research Center for Mental Disorders, Changsha, Hunan, China.
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117
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Cahill S, Hager R, Chandola T. The validity of the residuals approach to measuring resilience to adverse childhood experiences. Child Adolesc Psychiatry Ment Health 2022; 16:18. [PMID: 35232481 PMCID: PMC8889660 DOI: 10.1186/s13034-022-00449-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 02/11/2022] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Resilience is broadly defined as the ability to maintain or regain functioning in the face of adversity. Recent work to harmonise the quantification and definition of resilience quantifies resilience as the residual variance in psychosocial functioning that remains after accounting for adversity exposure. However, there have been no published studies that have formally investigated the validity of this approach. Considering this, we examine the construct and predictive validity of the residuals approach using participants from the Avon Longitudinal Study of Parents and Children (ALSPAC), a multigenerational, longitudinal cohort study. METHODS We regressed exposures of adolescent adversity on adolescent psychopathology scores using the Strength and Difficulties Questionnaire and obtained the residual variance. We investigated construct validity by analysing whether previously identified demographic and resilience factors significantly predicted resilience. Predictive validity of resilience was investigated by comparing the predictive power of resilience with other determinants of psychosocial functioning on two developmental outcomes: depressive symptoms at 18 years, measured by the Short Moods and Feelings Questionnaire, and NEET (Not in Employment, Education or Training) status at 17 and 23 years. The associations between depressive symptoms at 18, resilience, ACEs and covariates were tested using multiple linear regression. NEET status at 17 and 23 were run as separate binary multiple logistic regression models to test associations with resilience and known demographics previously associated with NEET status. RESULTS Seven previously identified protective factors, including self-esteem, positive sibling relationship, temperament, and positive perception of school, significantly predicted resilience to adolescent psychopathology, thus providing strong construct validity. Resilience significantly predicted a reduction in depressive symptoms at 18 years, and significantly decreased the likelihood of having NEET status at both 17 years and 23 years, even after taking into account early childhood adversity and other risk factors. None of the socioeconomic factors were significantly associated with resilience. CONCLUSIONS Our study demonstrates that the residuals method of operationalising resilience has good construct and predictive validity yet recommend replication studies. It has the potential to advance research into the mechanisms and modifiability of resilience. TRIAL REGISTRATION Not applicable.
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Affiliation(s)
- Stephanie Cahill
- Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
- Faculty of Humanities, Cathie Marsh Institute for Social Research, University of Manchester, Manchester, UK.
| | - Reinmar Hager
- Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| | - Tarani Chandola
- Faculty of Humanities, Cathie Marsh Institute for Social Research, University of Manchester, Manchester, UK
- Methods Hub, Department of Sociology, Faculty of Social Sciences, University of Hong Kong, Hong Kong, People's Republic of China
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118
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Hoorelbeke K, Vervaeke J, Siegle GJ, Baeken C, Koster EH. Individual differences associated with treatment adherence and transfer effects following gamified web-based cognitive control training for repetitive negative thinking. Internet Interv 2022; 27:100507. [PMID: 35242588 PMCID: PMC8859013 DOI: 10.1016/j.invent.2022.100507] [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: 05/19/2021] [Revised: 02/08/2022] [Accepted: 02/09/2022] [Indexed: 12/27/2022] Open
Abstract
Recent research suggests beneficial effects of cognitive control training (CCT) on repetitive negative thinking (RNT), a key risk factor for internalizing symptomatology. However, relatively little is known regarding predictors of adherence to internet-delivered CCT as well as moderators of treatment effects for this intervention. Answering these questions could improve efficiency of clinical implementation of CCT as an eHealth intervention. The current pre-registered single-arm trial set-out to address these questions using a web-based gamified CCT procedure based on the adaptive Paced Auditory Serial Addition Task. Participants (N = 382) entered the internet-based study, where we observed considerable drop-out during the assessment phase and the first training sessions. Emotional stability and resilience emerged as predictors for deciding not to commence the intervention. Drop-out throughout the course of CCT was explained by age, emotion regulation-, and personality factors. We used latent profile analysis, a probabilistic modeling approach, to identify clusters of participants (User Profiles) based on indicators of baseline cognitive- and emotional functioning, training progress, and user experience. We obtained three User Profiles, reflecting low-, moderate-, and high-risk status. Effortful control, emotion regulation, internalizing symptomatology, resilience, and emotional stability played a central role in these User Profiles. Interestingly, User Profile predicted training related cognitive gains, as well as effects of CCT on anxiety- and stress symptoms, and reappraisal. Our findings suggest that CCT is most effective for the moderate- and high-risk groups. In addition, the high-risk group would likely benefit from a more intensive training procedure or repeated administration of the training procedure over time to foster long-term retention of training related gains.
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Affiliation(s)
- Kristof Hoorelbeke
- Psychopathology and Affective Neuroscience (PAN) lab, Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium,Corresponding author at: Henri-Dunantlaan 2, 9000 Ghent, Belgium.
| | - Jasmien Vervaeke
- Psychopathology and Affective Neuroscience (PAN) lab, Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium,Imec-Mict-Ghent University, Ghent, Belgium
| | - Greg J. Siegle
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Chris Baeken
- Department of Head and Skin (UZGent), Ghent Experimental Psychiatry (GHEP) Lab, Ghent University, Ghent, Belgium,Department of Psychiatry (UZBrussel), Vrije Universiteit Brussel (VUB), Brussels, Belgium,Department of Electrical Engineering, Eindhoven University of Technology, the Netherlands
| | - Ernst H.W. Koster
- Psychopathology and Affective Neuroscience (PAN) lab, Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
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119
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DeTore N, Sylvia L, Park E, Burke A, Levison J, Shannon A, Choi K, Jain F, Coman D, Herman J, Perlis R, Fava M, Holt D. Promoting resilience in healthcare workers during the COVID-19 pandemic with a brief online intervention. J Psychiatr Res 2022; 146:228-233. [PMID: 34857369 PMCID: PMC8572311 DOI: 10.1016/j.jpsychires.2021.11.011] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 09/27/2021] [Accepted: 11/04/2021] [Indexed: 01/01/2023]
Abstract
INTRODUCTION The psychological wellbeing of healthcare workers has been impacted by the high levels of stress many have experienced during the Coronavirus Disease 2019 (COVID-19) pandemic. This study aimed to examine the feasibility and acceptability of a brief online course focused on introducing evidence-based skills that could increase resilience and decreases emotional distress in healthcare workers during the pandemic. MATERIALS AND METHODS Employees of a large healthcare system completed a mental health survey at baseline, and then one month and two months after some employees participated in an online resilience-enhancement course consisting of three 12-19 min videos focused on mindfulness, mentalization, and self-compassion. RESULTS A total of 554 participants completed the baseline survey, endorsing moderate to high levels of emotional distress. Of those who completed all three assessments and participated in the course (n = 38), significant improvements in resilience and reductions in emotional distress were found one and two months later, in comparison to those who did not participate in the course (n = 110). DISCUSSION These findings suggest that a brief, online intervention can improve the mental health of healthcare workers during a crisis such as the COVID-19 pandemic.
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Affiliation(s)
- N.R. DeTore
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA,Harvard Medical School, Boston, MA, USA,Corresponding author. 149 13th Street, Charlestown, MA, 02129, USA
| | - L. Sylvia
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA,Harvard Medical School, Boston, MA, USA
| | - E.R. Park
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA,Harvard Medical School, Boston, MA, USA,Department of Medicine, Massachusetts General Hospital, Boston, MA, USA
| | - A. Burke
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA,Harvard Medical School, Boston, MA, USA
| | - J.H. Levison
- Harvard Medical School, Boston, MA, USA,Department of Medicine, Massachusetts General Hospital, Boston, MA, USA
| | - A. Shannon
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
| | - K.W. Choi
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA,Harvard Medical School, Boston, MA, USA
| | - F.A. Jain
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA,Harvard Medical School, Boston, MA, USA
| | - D.C. Coman
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA,Harvard Medical School, Boston, MA, USA
| | - J. Herman
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA,Harvard Medical School, Boston, MA, USA
| | - R. Perlis
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA,Harvard Medical School, Boston, MA, USA
| | - M. Fava
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA,Harvard Medical School, Boston, MA, USA
| | - D.J. Holt
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA,Harvard Medical School, Boston, MA, USA
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Chaabane S, Etienne AM, Schyns M, Wagener A. The Impact of Virtual Reality Exposure on Stress Level and Sense of Competence in Ambulance Workers. J Trauma Stress 2022; 35:120-127. [PMID: 34213794 DOI: 10.1002/jts.22690] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Revised: 03/25/2021] [Accepted: 03/27/2021] [Indexed: 11/06/2022]
Abstract
Virtual reality (VR) exposure is used in clinical psychology to treat anxiety disorders. It is also used to enhance resilience in soldiers by allowing them to confront virtual combat environments to help fortify them against the negative consequences of trauma exposure. Most VR studies have focused on military and emergency medical staff; however, thus far, none have investigated VR in ambulance workers (AWs), who are confronted with traumatic situations daily. The current study aimed to assess the impact of a single VR exposure session on self-perceived competence and stress level in a sample of AWs. Participants (N = 40) were randomly assigned to either a VR immersion (i.e., experimental group, n = 20) or an audio immersion (i.e., control group, n = 20) of a shooting attack situation. We hypothesized that compared to controls, VR participants would report decreased anxiety, as measured using visual analog scales, as well as an increased sense of competence. The results showed a significant reduction in fear in both groups, d = 0.33, and an increased sense of competence in VR participants, d = 0.35. Although our hypotheses were only partially confirmed, the observed beneficial effects of VR and the audio immersion on stress levels in AWs suggest that VR exposure could be a useful way to increase resilience in AWs.
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Affiliation(s)
- Sourour Chaabane
- Department of Psychology, Health Psychology Unit, University of Liège, Liege, Belgium
| | - Anne-Marie Etienne
- Department of Psychology, Health Psychology Unit, University of Liège, Liege, Belgium
| | - Michaël Schyns
- Department of Psychology, Health Psychology Unit, University of Liège, Liege, Belgium
| | - Aurélie Wagener
- Department of Psychology, Health Psychology Unit, University of Liège, Liege, Belgium
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121
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Mao C, Lin M, Shen S, Li Y, Xie Z, Li P. Latent profiles of emotion regulation strategies associated with alexithymia, nonsuicidal self-injury and resilience among nursing students. Stress Health 2022; 38:69-78. [PMID: 34152072 DOI: 10.1002/smi.3075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Revised: 06/03/2021] [Accepted: 06/11/2021] [Indexed: 11/06/2022]
Abstract
The present study sought to better understand the complex nature of emotion regulation in nursing students by exploring patterns of emotion regulation strategies (ERSs), and to examine the relationships between these unique profiles with alexithymia, nonsuicidal self-injury (NSSI) and resilience. A total of 1960 nursing students (Mage = 19.56, SD = 1.13 years) were recruited. Using latent profile analysis, nursing students were classified into four profiles based on their ERS use: high reaction profile (HRP; 11.53%), medium reaction profile (MRP; 55.46%), adaptive reaction profile (ARP; 22.86%) and low reaction profile (LRP; 10.15%). This study found that relative to HRP and MRP, ARP and LRP showed a lower incidence of NSSI and alexithymia; HRP and ARP showed a higher level of resilience than MRP and LRP. Furthermore, LRP had the lowest level of resilience. This study highlights the importance of identifying the different ERS profiles among nursing students. Targeted programs are needed to enhance adaptive strategies and reduce maladaptive strategies to improve nursing students' psychological and behavioural performance.
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Affiliation(s)
- Cui Mao
- Department of Health Psychology, School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Mingjing Lin
- Shandong Mental Health Center, Jinan, Shandong, China
| | - Shiyu Shen
- Jinan Vocational College of Nursing, Jinan, Shandong, China
| | - Yuanyuan Li
- Department of Health Psychology, School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Zihui Xie
- Department of Health Psychology, School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Ping Li
- Department of Health Psychology, School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
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Lu W, Xu C, Hu X, Liu J, Zhang Q, Peng L, Li M, Li W. The Relationship Between Resilience and Posttraumatic Growth Among the Primary Caregivers of Children With Developmental Disabilities: The Mediating Role of Positive Coping Style and Self-Efficacy. Front Psychol 2022; 12:765530. [PMID: 35058840 PMCID: PMC8764196 DOI: 10.3389/fpsyg.2021.765530] [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] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Accepted: 12/01/2021] [Indexed: 11/13/2022] Open
Abstract
This study was conducted to investigate the relationship between posttraumatic growth (PTG), resilience, positive coping style, and self-efficacy among the primary caregivers of children with developmental disorders in Chongqing, China. A total of 198 primary caregivers (parents and grandparents) aged from 22 to 66 years old (M = 35.55, SD = 9.16), including 155 females (78.3%) and 43 males (21.7%), were enrolled. The Posttraumatic Growth Inventory, Connor-Davidson Resilience Scale-10, Simplified Coping Style Questionnaire, and General Self-Efficacy Scale were used for data collection. The results found that PTG could be positively predicted by resilience. Positive coping style and self-efficacy mediated the relationship between resilience and PTG. The different levels of PTG were determined by the resident location, monthly income and education of the primary caregivers. The results suggest that it is critical to improve the mental health of the primary caregivers (parents and grandparents) of children with developmental disabilities. Our results also provide a scientific basis for future research.
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Affiliation(s)
- Wan Lu
- Department of Military Psychology, Faculty of Medical Psychology, Army Medical University, Chongqing, China
| | - Chen Xu
- Department of Military Psychology, Faculty of Medical Psychology, Army Medical University, Chongqing, China
| | - Xiankang Hu
- Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Ju Liu
- College of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Qianhui Zhang
- College of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Li Peng
- Department of Military Psychology, Faculty of Medical Psychology, Army Medical University, Chongqing, China
| | - Min Li
- Department of Military Psychology, Faculty of Medical Psychology, Army Medical University, Chongqing, China
| | - Wenzao Li
- Department of Pediatrics, The Second Affiliated Hospital of Army Medical University, Chongqing, China
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Baldwin S, Bennell C, Blaskovits B, Brown A, Jenkins B, Lawrence C, McGale H, Semple T, Andersen JP. A Reasonable Officer: Examining the Relationships Among Stress, Training, and Performance in a Highly Realistic Lethal Force Scenario. Front Psychol 2022; 12:759132. [PMID: 35111100 PMCID: PMC8803048 DOI: 10.3389/fpsyg.2021.759132] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2021] [Accepted: 11/09/2021] [Indexed: 12/13/2022] Open
Abstract
Under conditions of physiological stress, officers are sometimes required to make split-second life-or-death decisions, where deficits in performance can have tragic outcomes, including serious injury or death and strained police-community relations. The current study assessed the performance of 122 active-duty police officers during a realistic lethal force scenario to examine whether performance was affected by the officer's level of operational skills training, years of police service, and stress reactivity. Results demonstrated that the scenario produced elevated heart rates (i.e., 150 beats per minute), as well as perceptual and cognitive distortions, such as tunnel vision, commensurate with those observed in naturalistic use of force encounters. The average performance rating from the scenario was 59%, with 27% of participants making at least one lethal force error. Elevated stress reactivity was a predictor of poorer performance and increased lethal force errors. Level of training and years of police service had differential and complex effects on both performance and lethal force errors. Our results illustrate the need to critically reflect on police training practices and continue to make evidence-based improvements to training. The findings also highlight that while training may significantly improve outcomes, flawless performance is likely not probable, given the limits of human performance under stress. Implications for the objective reasonableness standard, which is used to assess the appropriateness of force in courts of law, are discussed.
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Affiliation(s)
- Simon Baldwin
- Department of Psychology, Carleton University, Ottawa, ON, Canada
- Royal Canadian Mounted Police, Ottawa, ON, Canada
| | - Craig Bennell
- Department of Psychology, Carleton University, Ottawa, ON, Canada
| | | | - Andrew Brown
- Department of Psychology, Carleton University, Ottawa, ON, Canada
| | - Bryce Jenkins
- Department of Psychology, Carleton University, Ottawa, ON, Canada
| | - Chris Lawrence
- Police Research Lab, Carleton University, Ottawa, ON, Canada
| | - Heather McGale
- Department of Psychology, Carleton University, Ottawa, ON, Canada
| | - Tori Semple
- Department of Psychology, Carleton University, Ottawa, ON, Canada
| | - Judith P. Andersen
- Department of Psychology, University of Toronto Mississauga, Mississauga, ON, Canada
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124
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Schutter DJLG. The Cerebellum and Disorders of Emotion. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2022; 1378:273-283. [DOI: 10.1007/978-3-030-99550-8_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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125
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Cahill S, Chandola T, Hager R. Genetic Variants Associated With Resilience in Human and Animal Studies. Front Psychiatry 2022; 13:840120. [PMID: 35669264 PMCID: PMC9163442 DOI: 10.3389/fpsyt.2022.840120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Accepted: 04/19/2022] [Indexed: 11/15/2022] Open
Abstract
Resilience is broadly defined as the ability to maintain or regain functioning in the face of adversity and is influenced by both environmental and genetic factors. The identification of specific genetic factors and their biological pathways underpinning resilient functioning can help in the identification of common key factors, but heterogeneities in the operationalisation of resilience have hampered advances. We conducted a systematic review of genetic variants associated with resilience to enable the identification of general resilience mechanisms. We adopted broad inclusion criteria for the definition of resilience to capture both human and animal model studies, which use a wide range of resilience definitions and measure very different outcomes. Analyzing 158 studies, we found 71 candidate genes associated with resilience. OPRM1 (Opioid receptor mu 1), NPY (neuropeptide Y), CACNA1C (calcium voltage-gated channel subunit alpha1 C), DCC (deleted in colorectal carcinoma), and FKBP5 (FKBP prolyl isomerase 5) had both animal and human variants associated with resilience, supporting the idea of shared biological pathways. Further, for OPRM1, OXTR (oxytocin receptor), CRHR1 (corticotropin-releasing hormone receptor 1), COMT (catechol-O-methyltransferase), BDNF (brain-derived neurotrophic factor), APOE (apolipoprotein E), and SLC6A4 (solute carrier family 6 member 4), the same allele was associated with resilience across divergent resilience definitions, which suggests these genes may therefore provide a starting point for further research examining commonality in resilience pathways.
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Affiliation(s)
- Stephanie Cahill
- Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom.,Faculty of Humanities, Cathie Marsh Institute for Social Research, The University of Manchester, Manchester, United Kingdom
| | - Tarani Chandola
- Faculty of Humanities, Cathie Marsh Institute for Social Research, The University of Manchester, Manchester, United Kingdom.,Methods Hub, Department of Sociology, Faculty of Social Sciences, The University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Reinmar Hager
- Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom
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126
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Mediavilla R, McGreevy KR, Felez-Nobrega M, Monistrol-Mula A, Bravo-Ortiz MF, Bayón C, Rodríguez-Vega B, Nicaise P, Delaire A, Sijbrandij M, Witteveen AB, Purgato M, Barbui C, Tedeschi F, Melchior M, van der Waerden J, McDaid D, Park AL, Kalisch R, Petri-Romão P, Underhill J, Bryant RA, Haro JM, Ayuso-Mateos JL. Effectiveness of a stepped-care programme of internet-based psychological interventions for healthcare workers with psychological distress: Study protocol for the RESPOND healthcare workers randomised controlled trial. Digit Health 2022; 8:20552076221129084. [PMID: 36211795 PMCID: PMC9537484 DOI: 10.1177/20552076221129084] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 09/11/2022] [Indexed: 11/05/2022] Open
Abstract
Background and aims The coronavirus disease 2019 pandemic has challenged health services worldwide, with a worsening of healthcare workers' mental health within initial pandemic hotspots. In early 2022, the Omicron variant is spreading rapidly around the world. This study explores the effectiveness and cost-effectiveness of a stepped-care programme of scalable, internet-based psychological interventions for distressed health workers on self-reported anxiety and depression symptoms. Methods We present the study protocol for a multicentre (two sites), parallel-group (1:1 allocation ratio), analyst-blinded, superiority, randomised controlled trial. Healthcare workers with psychological distress will be allocated either to care as usual only or to care as usual plus a stepped-care programme that includes two scalable psychological interventions developed by the World Health Organization: A guided self-help stress management guide (Doing What Matters in Times of Stress) and a five-session cognitive behavioural intervention (Problem Management Plus). All participants will receive a single-session emotional support intervention, namely psychological first aid. We will include 212 participants. An intention-to-treat analysis using linear mixed models will be conducted to explore the programme's effect on anxiety and depression symptoms, as measured by the Patient Health Questionnaire - Anxiety and Depression Scale summary score at 21 weeks from baseline. Secondary outcomes include post-traumatic stress disorder symptoms, resilience, quality of life, cost impact and cost-effectiveness. Conclusions This study is the first randomised trial that combines two World Health Organization psychological interventions tailored for health workers into one stepped-care programme. Results will inform occupational and mental health prevention, treatment, and recovery strategies. Registration details ClinicalTrials.gov Identifier: NCT04980326.
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Affiliation(s)
- Roberto Mediavilla
- Department of Psychiatry, Universidad Autónoma de Madrid
(UAM), Madrid, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),
Instituto de Salud Carlos III, Madrid, Spain
| | - Kerry R McGreevy
- Department of Psychiatry, Universidad Autónoma de Madrid
(UAM), Madrid, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),
Instituto de Salud Carlos III, Madrid, Spain
| | - Mireia Felez-Nobrega
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),
Instituto de Salud Carlos III, Madrid, Spain
- Research and Development Unit, Parc Sanitari Sant Joan de
Déu, Barcelona, Spain
| | - Anna Monistrol-Mula
- Research and Development Unit, Parc Sanitari Sant Joan de
Déu, Barcelona, Spain
| | - María-Fe Bravo-Ortiz
- Department of Psychiatry, Universidad Autónoma de Madrid
(UAM), Madrid, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),
Instituto de Salud Carlos III, Madrid, Spain
- Department of Psychiatry, Clinical Psychology and Mental Health,
Hospital Univeristario La Paz, Madrid, Spain
- Instituto de Investigación del Hospital
Universitario La Paz (IdiPAZ), Madrid, Spain
| | - Carmen Bayón
- Department of Psychiatry, Universidad Autónoma de Madrid
(UAM), Madrid, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),
Instituto de Salud Carlos III, Madrid, Spain
- Department of Psychiatry, Clinical Psychology and Mental Health,
Hospital Univeristario La Paz, Madrid, Spain
- Instituto de Investigación del Hospital
Universitario La Paz (IdiPAZ), Madrid, Spain
| | - Beatriz Rodríguez-Vega
- Department of Psychiatry, Universidad Autónoma de Madrid
(UAM), Madrid, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),
Instituto de Salud Carlos III, Madrid, Spain
- Department of Psychiatry, Clinical Psychology and Mental Health,
Hospital Univeristario La Paz, Madrid, Spain
- Instituto de Investigación del Hospital
Universitario La Paz (IdiPAZ), Madrid, Spain
| | - Pablo Nicaise
- Institute of Health & Society (IRSS), Université Catholique de
Louvain, Brussels, Belgium
| | - Audrey Delaire
- Institute of Health & Society (IRSS), Université Catholique de
Louvain, Brussels, Belgium
| | - Marit Sijbrandij
- Clinical, Neuro- and Developmental Psychology, WHO Collaborating
Centre for Research and Dissemination of Psychological Interventions, Amsterdam
Public Health Institute, Vrije Universiteit
Amsterdam, Amsterdam, the Netherlands
| | - Anke B. Witteveen
- Clinical, Neuro- and Developmental Psychology, WHO Collaborating
Centre for Research and Dissemination of Psychological Interventions, Amsterdam
Public Health Institute, Vrije Universiteit
Amsterdam, Amsterdam, the Netherlands
| | - Marianna Purgato
- WHO Collaborating Centre for Research and Training in Mental Health
and Service Evaluation, Department of Neuroscience, Biomedicine, and Movement
Sciences, Section of Psychiatry, University of Verona, Verona, Italy
| | - Corrado Barbui
- WHO Collaborating Centre for Research and Training in Mental Health
and Service Evaluation, Department of Neuroscience, Biomedicine, and Movement
Sciences, Section of Psychiatry, University of Verona, Verona, Italy
| | - Federico Tedeschi
- WHO Collaborating Centre for Research and Training in Mental Health
and Service Evaluation, Department of Neuroscience, Biomedicine, and Movement
Sciences, Section of Psychiatry, University of Verona, Verona, Italy
| | - Maria Melchior
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé
Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Faculté de
Médecine St Antoine, , Paris, France
| | - Judith van der Waerden
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé
Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Faculté de
Médecine St Antoine, , Paris, France
| | - David McDaid
- Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political
Science, London, UK
| | - A-La Park
- Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political
Science, London, UK
| | - Raffael Kalisch
- Leibniz Institute for Resilience Research
(LIR), Mainz, Germany
- Neuroimaging Center (NIC), Focus Program Translational Neuroscience
(FTN), Johannes Gutenberg University Medical Center, Mainz, Germany
| | | | | | - Richard A. Bryant
- School of Psychology, University of New
South Wales, Sydney, NSW, Australia
| | - Josep Maria Haro
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),
Instituto de Salud Carlos III, Madrid, Spain
- Research and Development Unit, Parc Sanitari Sant Joan de
Déu, Barcelona, Spain
| | - José Luis Ayuso-Mateos
- Department of Psychiatry, Universidad Autónoma de Madrid
(UAM), Madrid, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),
Instituto de Salud Carlos III, Madrid, Spain
- Department of Psychiatry, La Princesa University
Hospital, Instituto de Investigación Sanitaria Princesa (IIS-Princesa),
Madrid, Spain
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Silveira S, Hecht M, Adli M, Voelkle MC, Singer T. Exploring the Structure and Interrelations of Time-Stable Psychological Resilience, Psychological Vulnerability, and Social Cohesion. Front Psychiatry 2022; 13:804763. [PMID: 35360131 PMCID: PMC8963374 DOI: 10.3389/fpsyt.2022.804763] [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: 10/29/2021] [Accepted: 01/28/2022] [Indexed: 12/30/2022] Open
Abstract
The current study explores the relationship between three constructs of high relevance in the context of adversities which have, however, not yet been systematically linked on the level of psychological dispositions: psychological vulnerability, psychological resilience, and social cohesion. Based on previous theoretical and empirical frameworks, a collection of trait questionnaires was assessed in a Berlin sample of 3,522 subjects between 18 and 65 years of age. Using a confirmatory factor analytical approach, we found no support for a simple three-factor structure. Results from exploratory structural analyses suggest that instead of psychological resilience and psychological vulnerability constituting two separate factors, respective indicators load on one bipolar latent factor. Interestingly, some psychological resilience indicators contributed to an additional specific latent factor, which may be interpreted as adaptive capacities, that is, abilities to adapt to changes or adjust to consequences of adversities. Furthermore, instead of evidence for one single social cohesion factor on the psychological level, indicators of perceived social support and loneliness formed another specific factor of social belonging, while indicators of prosocial competencies were found to form yet another distinct factor, which was positively associated to the other social factors, adaptive capacities and social belonging. Our results suggest that social cohesion is composed of different independent psychological components, such as trust, social belonging, and social skills. Furthermore, our findings highlight the importance of social capacities and belonging for psychological resilience and suggest that decreasing loneliness and increasing social skills should therefore represent a valuable intervention strategy to foster adaptive capacities.
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Affiliation(s)
- Sarita Silveira
- Social Neuroscience Lab, Max Planck Society, Berlin, Germany
| | - Martin Hecht
- Hector Research Institute of Education Sciences and Psychology, University of Tübingen, Tübingen, Germany
| | - Mazda Adli
- Department of Psychiatry and Psychotherapy, Charité Campus Mitte (CCM), Charité - Universitätsmedizin Berlin, Berlin, Germany.,Fliedner Klinik Berlin, Center for Psychiatry, Psychotherapy and Psychosomatic Medicine, Berlin, Germany
| | - Manuel C Voelkle
- Department of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Tania Singer
- Social Neuroscience Lab, Max Planck Society, Berlin, Germany
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128
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Ćosić K, Popović S, Šarlija M, Kesedžić I, Gambiraža M, Dropuljić B, Mijić I, Henigsberg N, Jovanovic T. AI-Based Prediction and Prevention of Psychological and Behavioral Changes in Ex-COVID-19 Patients. Front Psychol 2021; 12:782866. [PMID: 35027902 PMCID: PMC8751545 DOI: 10.3389/fpsyg.2021.782866] [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: 09/24/2021] [Accepted: 12/02/2021] [Indexed: 12/30/2022] Open
Abstract
The COVID-19 pandemic has adverse consequences on human psychology and behavior long after initial recovery from the virus. These COVID-19 health sequelae, if undetected and left untreated, may lead to more enduring mental health problems, and put vulnerable individuals at risk of developing more serious psychopathologies. Therefore, an early distinction of such vulnerable individuals from those who are more resilient is important to undertake timely preventive interventions. The main aim of this article is to present a comprehensive multimodal conceptual approach for addressing these potential psychological and behavioral mental health changes using state-of-the-art tools and means of artificial intelligence (AI). Mental health COVID-19 recovery programs at post-COVID clinics based on AI prediction and prevention strategies may significantly improve the global mental health of ex-COVID-19 patients. Most COVID-19 recovery programs currently involve specialists such as pulmonologists, cardiologists, and neurologists, but there is a lack of psychiatrist care. The focus of this article is on new tools which can enhance the current limited psychiatrist resources and capabilities in coping with the upcoming challenges related to widespread mental health disorders. Patients affected by COVID-19 are more vulnerable to psychological and behavioral changes than non-COVID populations and therefore they deserve careful clinical psychological screening in post-COVID clinics. However, despite significant advances in research, the pace of progress in prevention of psychiatric disorders in these patients is still insufficient. Current approaches for the diagnosis of psychiatric disorders largely rely on clinical rating scales, as well as self-rating questionnaires that are inadequate for comprehensive assessment of ex-COVID-19 patients' susceptibility to mental health deterioration. These limitations can presumably be overcome by applying state-of-the-art AI-based tools in diagnosis, prevention, and treatment of psychiatric disorders in acute phase of disease to prevent more chronic psychiatric consequences.
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Affiliation(s)
- Krešimir Ćosić
- Faculty of Electrical Engineering and Computing, University of Zagreb, Zagreb, Croatia
| | - Siniša Popović
- Faculty of Electrical Engineering and Computing, University of Zagreb, Zagreb, Croatia
| | - Marko Šarlija
- Faculty of Electrical Engineering and Computing, University of Zagreb, Zagreb, Croatia
| | - Ivan Kesedžić
- Faculty of Electrical Engineering and Computing, University of Zagreb, Zagreb, Croatia
| | - Mate Gambiraža
- Faculty of Electrical Engineering and Computing, University of Zagreb, Zagreb, Croatia
| | - Branimir Dropuljić
- Faculty of Electrical Engineering and Computing, University of Zagreb, Zagreb, Croatia
| | - Igor Mijić
- Faculty of Electrical Engineering and Computing, University of Zagreb, Zagreb, Croatia
| | - Neven Henigsberg
- Croatian Institute for Brain Research, University of Zagreb School of Medicine, Zagreb, Croatia
| | - Tanja Jovanovic
- Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, United States
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Daniels A, Wellan SA, Walter H. Learning it the hard way - how enjoying life and positive appraisal buffer the negative effects of stressors on mental health in the COVID-19 pandemic. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2021; 6:100200. [PMID: 34957432 PMCID: PMC8684292 DOI: 10.1016/j.jadr.2021.100200] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 06/25/2021] [Accepted: 07/18/2021] [Indexed: 12/05/2022] Open
Abstract
Background Higher levels of stress and negative emotions such as anxiety and depression have been reported since the beginning of the COVID-19 pandemic, but it remains less clear how positive emotions, such as hedonic capacity, may be affected. Further, during lockdowns, the ability to learn new pleasurable activities (hedonic learning) may be particularly relevant. Here, we investigated if state hedonia and/or hedonic learning mediated the relationship between COVID-19 stress and mental health. Moreover, we explored whether positive appraisal style (PAS), a major resilience factor, influenced these relationships. Methods Using a cross-sectional design, 5000 German-speaking participants filled out online questionnaires targeting stressors, mental health, state hedonia, hedonic learning, and PAS between April 9 and May 15, 2020. After confirming the factor structure of our constructs, we applied latent structural equation modeling to test mediation as well as moderated mediation models. Results Stress showed a positive association with mental health symptoms, which was buffered by both state hedonia and hedonic learning. While higher stress was related to lower state hedonia, participants reported more hedonic learning with greater stressor load. The latter effect was greater for individuals with high PAS. Limitations The present results should be replicated in longitudinal designs with representative samples to confirm the directionality and generalizability of effects. Conclusions Both state hedonia and hedonic learning buffered the effect of stress on mental health in an early phase of the COVID-19 pandemic. Learning new rewarding activities in combination with a PAS may be especially relevant for maintaining mental health during lockdowns.
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Key Words
- ACIPS, Anticipatory and Consummatory Interpersonal Pleasure Scale
- AIC, Akaike Information Criterion
- Anhedonia
- BIC, Bayesian Information Criterion
- CFA, confirmatory factor analysis
- CFI, comparative fit index
- CI, confidence interval
- COVID-19
- COVID-19, coronavirus disease 2019
- DARS, Dimensional Anhedonia Rating Scale
- EFA, exploratory factor analysis
- GHQ-12, 12-item General Health Questionnaire
- MLR, robust maximum likelihood
- Mental health
- PAS, positive appraisal style
- Positive appraisal
- RMSEA, root mean square error of approximation
- Reward learning
- SARS-CoV-2, severe acute respiratory syndrome coronavirus 2
- SEM, structural equation modeling
- SRMR, standardized root mean square residual
- Stress
- TEPS, Temporal Experience of Pleasure Scale
- TLI, Tucker Lewis index
- aBIC, sample-size adjusted BIC
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Affiliation(s)
- Anna Daniels
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Psychiatry and Neurosciences CCM, Research Division of Mind and Brain, Charitéplatz 1, 10117 Berlin, Germany.,Humboldt-Universität zu Berlin, Faculty of Philosophy, Berlin School of Mind and Brain, Berlin, Germany
| | - Sarah A Wellan
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Psychiatry and Neurosciences CCM, Research Division of Mind and Brain, Charitéplatz 1, 10117 Berlin, Germany.,Humboldt-Universität zu Berlin, Faculty of Philosophy, Berlin School of Mind and Brain, Berlin, Germany
| | - Henrik Walter
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Psychiatry and Neurosciences CCM, Research Division of Mind and Brain, Charitéplatz 1, 10117 Berlin, Germany.,Humboldt-Universität zu Berlin, Faculty of Philosophy, Berlin School of Mind and Brain, Berlin, Germany
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130
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Leysen H, Walter D, Christiaenssen B, Vandoren R, Harputluoğlu İ, Van Loon N, Maudsley S. GPCRs Are Optimal Regulators of Complex Biological Systems and Orchestrate the Interface between Health and Disease. Int J Mol Sci 2021; 22:ijms222413387. [PMID: 34948182 PMCID: PMC8708147 DOI: 10.3390/ijms222413387] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 12/08/2021] [Accepted: 12/09/2021] [Indexed: 02/06/2023] Open
Abstract
GPCRs arguably represent the most effective current therapeutic targets for a plethora of diseases. GPCRs also possess a pivotal role in the regulation of the physiological balance between healthy and pathological conditions; thus, their importance in systems biology cannot be underestimated. The molecular diversity of GPCR signaling systems is likely to be closely associated with disease-associated changes in organismal tissue complexity and compartmentalization, thus enabling a nuanced GPCR-based capacity to interdict multiple disease pathomechanisms at a systemic level. GPCRs have been long considered as controllers of communication between tissues and cells. This communication involves the ligand-mediated control of cell surface receptors that then direct their stimuli to impact cell physiology. Given the tremendous success of GPCRs as therapeutic targets, considerable focus has been placed on the ability of these therapeutics to modulate diseases by acting at cell surface receptors. In the past decade, however, attention has focused upon how stable multiprotein GPCR superstructures, termed receptorsomes, both at the cell surface membrane and in the intracellular domain dictate and condition long-term GPCR activities associated with the regulation of protein expression patterns, cellular stress responses and DNA integrity management. The ability of these receptorsomes (often in the absence of typical cell surface ligands) to control complex cellular activities implicates them as key controllers of the functional balance between health and disease. A greater understanding of this function of GPCRs is likely to significantly augment our ability to further employ these proteins in a multitude of diseases.
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Affiliation(s)
- Hanne Leysen
- Receptor Biology Lab, University of Antwerp, 2610 Wilrijk, Belgium; (H.L.); (D.W.); (B.C.); (R.V.); (İ.H.); (N.V.L.)
| | - Deborah Walter
- Receptor Biology Lab, University of Antwerp, 2610 Wilrijk, Belgium; (H.L.); (D.W.); (B.C.); (R.V.); (İ.H.); (N.V.L.)
| | - Bregje Christiaenssen
- Receptor Biology Lab, University of Antwerp, 2610 Wilrijk, Belgium; (H.L.); (D.W.); (B.C.); (R.V.); (İ.H.); (N.V.L.)
| | - Romi Vandoren
- Receptor Biology Lab, University of Antwerp, 2610 Wilrijk, Belgium; (H.L.); (D.W.); (B.C.); (R.V.); (İ.H.); (N.V.L.)
| | - İrem Harputluoğlu
- Receptor Biology Lab, University of Antwerp, 2610 Wilrijk, Belgium; (H.L.); (D.W.); (B.C.); (R.V.); (İ.H.); (N.V.L.)
- Department of Chemistry, Middle East Technical University, Çankaya, Ankara 06800, Turkey
| | - Nore Van Loon
- Receptor Biology Lab, University of Antwerp, 2610 Wilrijk, Belgium; (H.L.); (D.W.); (B.C.); (R.V.); (İ.H.); (N.V.L.)
| | - Stuart Maudsley
- Receptor Biology Lab, University of Antwerp, 2610 Wilrijk, Belgium; (H.L.); (D.W.); (B.C.); (R.V.); (İ.H.); (N.V.L.)
- Correspondence:
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Ochmann DT, Philippi KFA, Zeier P, Sandner M, Hillen B, Neuberger EWI, Ruiz de Azua I, Lieb K, Wessa M, Lutz B, Simon P, Brahmer A. Association of Innate and Acquired Aerobic Capacity With Resilience in Healthy Adults: Protocol for a Randomized Controlled Trial of an 8-Week Web-Based Physical Exercise Intervention. JMIR Res Protoc 2021; 10:e29712. [PMID: 34847062 PMCID: PMC8669579 DOI: 10.2196/29712] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Revised: 08/10/2021] [Accepted: 09/03/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Physical activity alleviates chronic stress. The latest research suggests a relationship between resilience and physical fitness. Beneficial adaptations of the hypothalamic-pituitary-adrenal axis, sympathetic nervous system, endocannabinoid system, and tryptophan pathway, which are induced by an active lifestyle, are considered to be conducive to resilience. However, detailed knowledge on the molecular link between the effects of acute and chronic physical exercise and improved resilience to stress in humans is missing. Moreover, the relationship between innate and acquired aerobic capacity and resilience is poorly understood. OBJECTIVE The aim of this study is to implement a human exercise intervention trial addressing the following main hypotheses: a high innate aerobic capacity is associated with high resilience to stress, and web-based physical exercise training improves aerobic capacity of physically inactive adults, which is accompanied by improved resilience. In this setting, we will analyze the relationship between resilience parameters and innate and acquired aerobic capacity as well as circulating signaling molecules. METHODS A total of 70 healthy, physically inactive (<150 minutes/week of physical activity) adults (aged 18-45 years) will be randomly assigned to an intervention or control group. Participants in the intervention group will receive weekly training using progressive endurance and interval running adapted individually to their remotely supervised home training performance via web-based coach support. A standardized incremental treadmill exercise test will be performed before and after the intervention period of 8 weeks to determine the innate and acquired aerobic capacity (peak oxygen uptake). Before and after the intervention, psychological tests and questionnaires that characterize parameters implicated in resilience will be applied. Blood and saliva will be sampled for the analysis of cortisol, lactate, endocannabinoids, catecholamines, kynurenic acid, and further circulating signal transducers. Statistical analysis will provide comprehensive knowledge on the relationship between aerobic capacity and resilience, as well as the capacity of peripheral factors to mediate the promoting effects of exercise on resilience. RESULTS The study was registered in October 2019, and enrollment began in September 2019. Of the 161 participants who were initially screened via a telephone survey, 43 (26.7%) fulfilled the inclusion criteria and were included in the study. Among the 55% (17/31) of participants in the intervention group and 45% (14/31) of participants in the control group who completed the study, no serious adverse incidents were reported. Of 43 participants, 4 (9%) withdrew during the program (for individual reasons) and 8 (19%) have not yet participated in the program; moreover, further study recruitment was paused for an indeterminate amount of time because of the COVID-19 pandemic. CONCLUSIONS Our study aims to further define the physiological characteristics of human resilience, and it may offer novel approaches for the prevention and therapy of mental disorders via an exercise prescription. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/29712.
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Affiliation(s)
- David T Ochmann
- Sports Medicine, Disease Prevention and Rehabilitation, Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Keito F A Philippi
- Sports Medicine, Disease Prevention and Rehabilitation, Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Peter Zeier
- Clinical Psychology and Neuropsychology, Institute for Psychology, Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Magdalena Sandner
- Clinical Psychology and Neuropsychology, Institute for Psychology, Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Barlo Hillen
- Sports Medicine, Disease Prevention and Rehabilitation, Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Elmo W I Neuberger
- Sports Medicine, Disease Prevention and Rehabilitation, Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Inigo Ruiz de Azua
- Institute of Physiological Chemistry, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Klaus Lieb
- Department of Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Michèle Wessa
- Clinical Psychology and Neuropsychology, Institute for Psychology, Johannes Gutenberg-University Mainz, Mainz, Germany
- Leibniz Institute for Resilience Research, Mainz, Germany
| | - Beat Lutz
- Institute of Physiological Chemistry, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
- Leibniz Institute for Resilience Research, Mainz, Germany
| | - Perikles Simon
- Sports Medicine, Disease Prevention and Rehabilitation, Johannes Gutenberg-University Mainz, Mainz, Germany
| | - Alexandra Brahmer
- Sports Medicine, Disease Prevention and Rehabilitation, Johannes Gutenberg-University Mainz, Mainz, Germany
- Extracellular Vesicles Research Group, Institute of Developmental Biology and Neurobiology, Johannes Gutenberg-University Mainz, Mainz, Germany
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132
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Ionescu TC, Fetecau BI, Boscaiu V, Tudose C. Anxiety, Perceived Stress, and Resilience during the COVID-19 Pandemic: Population Estimates of Persons Presenting to a General Practitioner in Romania. Brain Sci 2021; 11:brainsci11111541. [PMID: 34827540 PMCID: PMC8615933 DOI: 10.3390/brainsci11111541] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Revised: 11/13/2021] [Accepted: 11/18/2021] [Indexed: 12/11/2022] Open
Abstract
Facing the COVID-19 pandemic, individuals are experiencing severe mental distress. Thus, during the last year, drastic changes occurred in everyday life of every human being. Following social distancing and economic insecurity, significant increases in mental health concerns (loneliness, anxiety, depression, or insomnia) have developed. The objective of this study was to explore the anxiety, perceived stress, and resilience in a population presenting at the general practitioner, during the COVID-19 pandemic. Data were collected between February and April 2021 and 440 individuals who presented to the general practitioner were evaluated. Concerning anxiety level, almost half of the respondents (49,3%, N = 217) scored above the threshold value on the anxiety scale (mild intensity 38.6%, moderate intensity 9.9%, severe intensity 0.8%). Having a low level of resilience, as well as experiencing a high level of stress, are both predictive of the occurrence of high anxiety (p < 0.001, r = −0.551 and p < 0.001, r = 0.622, respectively). Furthermore, resilience is negatively related to perceived stress (p < 0.001, r = −0.676). It is critical in the current crisis to recognize those at risk of developing mental illnesses, taking into consideration the various socioeconomic classes, as well as to maintain and improve the general public’s mental health using appropriate psychological interventions.
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Affiliation(s)
- Tiberiu Constantin Ionescu
- Department of Clinical Neurosciences, Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, 020021 Bucharest, Romania;
- Correspondence: ; Tel.: +40-751042075
| | - Bogdana Ioana Fetecau
- Department of Cardio-Thoracic Pathology, Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, 020021 Bucharest, Romania;
| | - Voicu Boscaiu
- “Gheorghe Mihoc-Caius Iacob” Institute of Mathematical Statistics and Applied Mathematics, Romanian Academy of Sciences, 050711 Bucharest, Romania;
| | - Catalina Tudose
- Department of Clinical Neurosciences, Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, 020021 Bucharest, Romania;
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133
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Schueler K, Fritz J, Dorfschmidt L, van Harmelen AL, Stroemer E, Wessa M. Psychological Network Analysis of General Self-Efficacy in High vs. Low Resilient Functioning Healthy Adults. Front Psychiatry 2021; 12:736147. [PMID: 34867526 PMCID: PMC8635703 DOI: 10.3389/fpsyt.2021.736147] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Accepted: 10/14/2021] [Indexed: 01/10/2023] Open
Abstract
Resilience to stress has gained increasing interest by researchers from the field of mental health and illness and some recent studies have investigated resilience from a network perspective. General self-efficacy constitutes an important resilience factor. High levels of self-efficacy have shown to promote resilience by serving as a stress buffer. However, little is known about the role of network connectivity of self-efficacy in the context of stress resilience. The present study aims at filling this gap by using psychological network analysis to study self-efficacy and resilience. Based on individual resilient functioning scores, we divided a sample of 875 mentally healthy adults into a high and low resilient functioning group. To compute these scores, we applied a novel approach based on Partial Least Squares Regression on self-reported stress and mental health measures. Separately for both groups, we then estimated regularized partial correlation networks of a ten-item self-efficacy questionnaire. We compared three different global connectivity measures-strength, expected influence, and shortest path length-as well as absolute levels of self-efficacy between the groups. Our results supported our hypothesis that stronger network connectivity of self-efficacy would be present in the highly resilient functioning group compared to the low resilient functioning group. In addition, the former showed higher absolute levels of general self-efficacy. Future research could consider using partial least squares regression to quantify resilient functioning to stress and to study the association between network connectivity and resilient functioning in other resilience factors.
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Affiliation(s)
- Katja Schueler
- Department of Clinical Psychology and Neuropsychology, Institute of Psychology, Johannes Gutenberg-University of Mainz, Mainz, Germany
- Medical Informatics Group, University Hospital of Frankfurt, Frankfurt, Germany
| | - Jessica Fritz
- Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom
| | - Lena Dorfschmidt
- Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom
| | | | - Eike Stroemer
- Leibniz Institute for Resilience Research Mainz, Mainz, Germany
| | - Michèle Wessa
- Department of Clinical Psychology and Neuropsychology, Institute of Psychology, Johannes Gutenberg-University of Mainz, Mainz, Germany
- Leibniz Institute for Resilience Research Mainz, Mainz, Germany
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134
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Brinkhof LP, Huth KBS, Murre JMJ, de Wit S, Krugers HJ, Ridderinkhof KR. The Interplay Between Quality of Life and Resilience Factors in Later Life: A Network Analysis. Front Psychol 2021; 12:752564. [PMID: 34867644 PMCID: PMC8634099 DOI: 10.3389/fpsyg.2021.752564] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Accepted: 10/13/2021] [Indexed: 11/13/2022] Open
Abstract
Age-related challenges and transitions can have considerable social, psychological, and physical consequences that may lead to significant changes in quality of life (QoL). As such, maintaining high levels of QoL in later life may crucially depend on the ability to demonstrate resilience (i.e., successful adaptation to late-life challenges). The current study set out to explore the interplay between several resilience factors, and how these contribute to the realization and maintenance of (different facets of) QoL. Based on the previous work, we identified behavioral coping, positive appraisal, self-management ability, and physical activity as key resilience factors. Their interplay with (various facets of) QoL, as measured with the WHOQOL-OLD, was established through network analysis. In a sample of community-dwelling older adults (55+; N=1,392), we found that QoL was most strongly (and directly) related to positive appraisal style and self-management ability. Among those, taking care of multifunctional resources (i.e., yielding various benefits at the same time) seemed to be crucial. It connected directly to "satisfaction with past, present, and future activities," a key facet of QoL with strong interconnections to other QoL facets. Our analysis also identified resilience factor(s) with the potential to promote QoL when targeted by training, intervention, or other experimental manipulation. The appropriate set of resilience factors to manipulate may depend on the goal and/or facet of QoL that one aims to improve.
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Affiliation(s)
- Lotte P. Brinkhof
- Department of Psychology, Faculty of Behavioural and Social Sciences, University of Amsterdam, Amsterdam, Netherlands
- Centre for Urban Mental Health, University of Amsterdam, Amsterdam, Netherlands
- Amsterdam Brain & Cognition (ABC), University of Amsterdam, Amsterdam, Netherlands
| | - Karoline B. S. Huth
- Department of Psychology, Faculty of Behavioural and Social Sciences, University of Amsterdam, Amsterdam, Netherlands
- Centre for Urban Mental Health, University of Amsterdam, Amsterdam, Netherlands
- Department of Psychiatry, Amsterdam University Medical Centre, Amsterdam, Netherlands
| | - Jaap M. J. Murre
- Department of Psychology, Faculty of Behavioural and Social Sciences, University of Amsterdam, Amsterdam, Netherlands
- Centre for Urban Mental Health, University of Amsterdam, Amsterdam, Netherlands
- Amsterdam Brain & Cognition (ABC), University of Amsterdam, Amsterdam, Netherlands
| | - Sanne de Wit
- Department of Psychology, Faculty of Behavioural and Social Sciences, University of Amsterdam, Amsterdam, Netherlands
- Centre for Urban Mental Health, University of Amsterdam, Amsterdam, Netherlands
- Amsterdam Brain & Cognition (ABC), University of Amsterdam, Amsterdam, Netherlands
| | - Harm J. Krugers
- Centre for Urban Mental Health, University of Amsterdam, Amsterdam, Netherlands
- Amsterdam Brain & Cognition (ABC), University of Amsterdam, Amsterdam, Netherlands
- Faculty of Science, Swammerdam Institute for Life Sciences, University of Amsterdam, Amsterdam, Netherlands
| | - K. Richard Ridderinkhof
- Department of Psychology, Faculty of Behavioural and Social Sciences, University of Amsterdam, Amsterdam, Netherlands
- Centre for Urban Mental Health, University of Amsterdam, Amsterdam, Netherlands
- Amsterdam Brain & Cognition (ABC), University of Amsterdam, Amsterdam, Netherlands
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135
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Rudrauf D, Sergeant-Perthuis G, Belli O, Tisserand Y, Di Marzo Serugendo G. Modeling the subjective perspective of consciousness and its role in the control of behaviours. J Theor Biol 2021; 534:110957. [PMID: 34742776 DOI: 10.1016/j.jtbi.2021.110957] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2021] [Revised: 10/20/2021] [Accepted: 10/28/2021] [Indexed: 10/19/2022]
Abstract
Consciousness has been hypothesized to operate as a global workspace, which accesses and integrates multimodal information in a uni_ed manner, supports expectation violation monitoring and reduction, and the motivation, programming and control of action. One important yet open issue concerns how the subjective perspective at the core of consciousness, and subjective properties of manifestation of the environment in such perspective as an embodied experience, play a role in such process. We operationalised the concept of subjective perspective using the principles of the Projective Consciousness Model (PCM), based on the projective geometrical concept of Field of Consciousness. We show how these principles can account for documented relationships between appraisal and distance as an inverse distance law, yield a generative model of a_ective and epistemic drives based on purely subjective parameters, such as the apparent size of objects, and can be generalised to implement Theory of Mind, in a manner that is consistent with simulation theory. We used simulations of arti_cial agents, based on psychological rationale, to demonstrate how different model parameters could generate a variety of emergent adaptive and maladaptive behaviours that are relevant to developmental and clinical psychology: the ability to be resilient in the face of obstacles through imaginary projections, the emergence of social approach and joint attention behaviours, the ability to take advantage of false beliefs attributed to others, the emergence of avoidance behaviours as observed in social anxiety disorders, the presence of restricted interests as observed in autism spectrum disorders. The simulation of agents was applied to a speci_c robotic context, and agents' behaviours were demonstrated by controlling the corresponding robots. Our results contribute to advance the scienti_c understanding of the causal relationships between core aspects of the phenomenology of consciousness and its functions in human cybernetics.
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Affiliation(s)
- D Rudrauf
- FPSE, Section of Psychology, University of Geneva, Geneva, Switzerland; Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland; Computer Science University Center, University of Geneva, Geneva, Switzerland.
| | - G Sergeant-Perthuis
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
| | - O Belli
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland; Evolutio, Geneva, Switzerland
| | - Y Tisserand
- FPSE, Section of Psychology, University of Geneva, Geneva, Switzerland; Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
| | - G Di Marzo Serugendo
- Computer Science University Center, University of Geneva, Geneva, Switzerland; SDS, University of Geneva, Geneva, Switzerland
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136
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Resilience in Times of Economic Boom and Bust: A Narrative Study of a Rural Population Dependent upon the Oil and Gas Industry. JOURNAL OF ADULT DEVELOPMENT 2021; 28:149-161. [PMID: 34720567 PMCID: PMC8550031 DOI: 10.1007/s10804-020-09363-z] [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] [Accepted: 10/02/2020] [Indexed: 11/05/2022]
Abstract
How do residents of small towns that depend on oil and gas extraction or processing industries withstand economic boom and bust cycles? To answer this question, this article reports on a narrative analysis of residents’ life stories gathered from 37 adults of a small town on the Canadian prairies dependent on the oil and gas industry, employing the theories of narrative inquiry and narrative identity. Participants aged 30 to 76 were interviewed and their experiences of living in an unstable economy that is dependent mostly on a single resource extraction industry were explored. Specifically, we asked participants about the effect of economic change on factors related to resilience like family interactions, work choices, educational pathways, and the quality of their social lives. Our analysis of adult narratives looked for patterns in the relationship between risk exposure, promotive and protective factors at multiple systemic levels (individual, relational, cultural), and functional outcomes such as individual coping, community cohesion, and social and economic sustainability. Results show that a strong identity, in particular expressions of personal agency, communion, and engagement in meaning making are contributing factors to adult resilience in a context of economic change. Our results also highlight how positive attitudes towards a better future may inadvertently undermine the need for residents of oil and gas-dependent towns to commit to economic diversification and other potential resilience-promoting strategies.
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137
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Jensen DA, Halmøy A, Stubberud J, Haavik J, Lundervold AJ, Sørensen L. An Exploratory Investigation of Goal Management Training in Adults With ADHD: Improvements in Inhibition and Everyday Functioning. Front Psychol 2021; 12:659480. [PMID: 34566748 PMCID: PMC8458564 DOI: 10.3389/fpsyg.2021.659480] [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: 01/27/2021] [Accepted: 08/19/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Adults with attention deficit/hyperactivity disorder (ADHD) are predominantly treated with medication. However, there is also a need for effective, psychologically based interventions. As ADHD is strongly associated with reduced inhibitory control, cognitive remediation approaches should be efficient. Goal management training (GMT) aims at enhancing inhibitory control and has shown positive effects on inhibitory control in non-ADHD patient groups. The aim of the current study was to explore whether GMT would specifically enhance inhibitory control in adults with ADHD, and if such an enhancement would lead to secondary improvements in self-reported everyday functioning. Methods: Twenty-one participants with ADHD (mean age: 39.05 years [SD 11.93]) completed the intervention and assessments pre-, post- and 6 months after the intervention. Measures included neuropsychological tests and self-report questionnaires pertaining to cognitive- and executive functioning, emotion regulation, quality of life, and ADHD symptoms. Results: Compared to baseline, the participants showed enhanced inhibitory control on performance-based measures at post-assessment and 6-month follow-up. The participants also reported increased productivity and reduced cognitive difficulties in everyday life at both assessments post-treatment, as well as improvements in aspects of emotion regulation and a reduction in the severity of core ADHD-symptoms at 6-month follow-up. Conclusion: Our exploratory study showed that GMT seems to specifically improve one of the core executive dysfunctions in ADHD, namely inhibitory control, with a positive effect lasting at least 6 months post-treatment. The adults with ADHD also reported improved self-regulation in their everyday life after completing GMT, providing strong arguments for further investigations of GMT as a treatment option for this group of adults. Clinical Trial Registration: The study is registered under ISRCTN.com (ISRCTN91988877; https://doi.org/10.1186/ISRCTN91988877).
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Affiliation(s)
- Daniel André Jensen
- Department of Biological and Medical Psychology, University of Bergen, Bergen, Norway.,Division of Mental Health, Betanien Hospital, Bergen, Norway
| | - Anne Halmøy
- Division of Psychiatry, Haukeland University Hospital, Bergen, Norway.,Department of Clinical Medicine, University of Bergen, Bergen, Norway
| | - Jan Stubberud
- Department of Psychology, University of Oslo, Oslo, Norway.,Department of Research, Lovisenberg Diaconal Hospital, Oslo, Norway
| | - Jan Haavik
- Division of Psychiatry, Haukeland University Hospital, Bergen, Norway.,Department of Biomedicine, University of Bergen, Bergen, Norway
| | | | - Lin Sørensen
- Department of Biological and Medical Psychology, University of Bergen, Bergen, Norway
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138
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Krause F, Kogias N, Krentz M, Lührs M, Goebel R, Hermans EJ. Self-regulation of stress-related large-scale brain network balance using real-time fMRI neurofeedback. Neuroimage 2021; 243:118527. [PMID: 34469815 DOI: 10.1016/j.neuroimage.2021.118527] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 08/23/2021] [Accepted: 08/25/2021] [Indexed: 10/20/2022] Open
Abstract
It has recently been shown that acute stress affects the allocation of neural resources between large-scale brain networks, and the balance between the executive control network and the salience network in particular. Maladaptation of this dynamic resource reallocation process is thought to play a major role in stress-related psychopathology, suggesting that stress resilience may be determined by the retained ability to adaptively reallocate neural resources between these two networks. Actively training this ability could hence be a potentially promising way to increase resilience in individuals at risk for developing stress-related symptomatology. Using real-time functional Magnetic Resonance Imaging, the current study investigated whether individuals can learn to self-regulate stress-related large-scale network balance. Participants were engaged in a bidirectional and implicit real-time fMRI neurofeedback paradigm in which they were intermittently provided with a visual representation of the difference signal between the average activation of the salience and executive control networks, and tasked with attempting to self-regulate this signal. Our results show that, given feedback about their performance over three training sessions, participants were able to (1) learn strategies to differentially control the balance between SN and ECN activation on demand, as well as (2) successfully transfer this newly learned skill to a situation where they (a) did not receive any feedback anymore, and (b) were exposed to an acute stressor in form of the prospect of a mild electric stimulation. The current study hence constitutes an important first successful demonstration of neurofeedback training based on stress-related large-scale network balance - a novel approach that has the potential to train control over the central response to stressors in real-life and could build the foundation for future clinical interventions that aim at increasing resilience.
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Affiliation(s)
- Florian Krause
- Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands.
| | - Nikos Kogias
- Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Martin Krentz
- Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Michael Lührs
- Department of Cognitive Neuroscience, Maastricht University, Maastricht, the Netherlands; Department of Research and Development, Brain Innovation B.V., Maastricht, the Netherlands
| | - Rainer Goebel
- Department of Cognitive Neuroscience, Maastricht University, Maastricht, the Netherlands; Department of Research and Development, Brain Innovation B.V., Maastricht, the Netherlands
| | - Erno J Hermans
- Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands
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139
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Dezachyo O, Kozak S, Bar-Haim Y, Censor N, Dayan E. Intrinsic Functional Connectivity of the Anterior Cingulate Cortex Is Associated with Tolerance to Distress. eNeuro 2021; 8:ENEURO.0277-21.2021. [PMID: 34593518 PMCID: PMC8577043 DOI: 10.1523/eneuro.0277-21.2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Revised: 08/26/2021] [Accepted: 09/27/2021] [Indexed: 11/21/2022] Open
Abstract
The ability to adapt under significant adversity, defined as psychological resilience, is instrumental in preventing stress-related disorders. An important aspect of resilience is the capacity to endure affective distress when in pursuit of goals, also known as distress tolerance. Evidence that links intrinsic baseline interactions within large-scale functional networks with performance under distress remains missing. We hypothesized that the anterior cingulate cortex (ACC) may engage in distress tolerance because of its involvement in attention and emotion regulation. Accordingly, we tested whether behavioral performance under distress is associated with baseline resting-state ACC functional connectivity (FC). Distress tolerance was measured in 97 participants using the behavioral indicator of resiliency to distress (BIRD) task. Analyses contrasted participants who quit the task before its designated termination (n = 51) with those who persisted throughout it (n = 46). Seed-based FC analysis indicated greater connectivity between the ACC and dorsolateral prefrontal cortex (DLPFC) in subjects who persisted throughout the task, along with greater FC between the ACC and the precentral gyrus in those who quit before its termination. The results shed light on the mechanisms underlying interindividual differences in the ability to handle distress.
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Affiliation(s)
- Or Dezachyo
- School of Psychological Sciences and Sagol School of Neuroscience, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Stas Kozak
- School of Psychological Sciences and Sagol School of Neuroscience, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Yair Bar-Haim
- School of Psychological Sciences and Sagol School of Neuroscience, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Nitzan Censor
- School of Psychological Sciences and Sagol School of Neuroscience, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Eran Dayan
- Department of Radiology and Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599
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140
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Simon L, Jiryis T, Admon R. Now or Later? Stress-Induced Increase and Decrease in Choice Impulsivity Are Both Associated with Elevated Affective and Endocrine Responses. Brain Sci 2021; 11:1148. [PMID: 34573169 PMCID: PMC8465154 DOI: 10.3390/brainsci11091148] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 08/20/2021] [Accepted: 08/26/2021] [Indexed: 12/11/2022] Open
Abstract
Exposure to acute stress elicit physiological and psychological responses that can impact decision-making, often expressed as an increased tendency to act in an impulsive manner following stress. Delay discounting (DD) task has emerged as a reliable measure of impulsive behavior in the form of choice impulsivity (CI). Interestingly, studies that examined the effect of acute stress on DD performance reported mixed results. To address this, we conducted a within-subject examination of the impact of acute stress on CI, focusing on individual differences in response patterns. One hundred and fifty healthy female participants completed the DD task twice, before and after undergoing an acute laboratory stress induction procedure. Saliva samples and self-report mood and affect measures were collected at four time points throughout the session. Fifty-nine matched healthy control participants completed only the DD task twice, with no stress in between. Results indicate that the acute stress procedure elicited the expected effects of increased cortisol release and increased negative mood and affect, at the group level. With respect to DD, stress indeed increased CI at the group level, yet participants differed in the magnitude and direction of this effect. Interestingly, regression analysis revealed quadratic relations between stress-induced changes in CI and cortisol release. Indeed, dividing the sample into three sub-groups based on the impact of stress on CI revealed that, compared to participants that exhibited no substantial change in their CI following stress, participants that exhibited either stress-induced increase or decrease in their CI also exhibited more stress-induced cortisol release, as well as more negative affect. Taken together, these findings suggest that elevated physiological and psychological responses to stress are associated with either increased or decreased choice impulsivity, thus depicting quadratic relations between stress and impulsivity.
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Affiliation(s)
- Lisa Simon
- School of Psychological Sciences, University of Haifa, Haifa 3498838, Israel; (L.S.); (T.J.)
| | - Talita Jiryis
- School of Psychological Sciences, University of Haifa, Haifa 3498838, Israel; (L.S.); (T.J.)
| | - Roee Admon
- School of Psychological Sciences, University of Haifa, Haifa 3498838, Israel; (L.S.); (T.J.)
- The Integrated Brain and Behavior Research Center (IBBRC), University of Haifa, Haifa 3498838, Israel
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Kalisch R, Köber G, Binder H, Ahrens KF, Basten U, Chmitorz A, Choi KW, Fiebach CJ, Goldbach N, Neumann RJ, Kampa M, Kollmann B, Lieb K, Plichta MM, Reif A, Schick A, Sebastian A, Walter H, Wessa M, Yuen KSL, Tüscher O, Engen H. The Frequent Stressor and Mental Health Monitoring-Paradigm: A Proposal for the Operationalization and Measurement of Resilience and the Identification of Resilience Processes in Longitudinal Observational Studies. Front Psychol 2021; 12:710493. [PMID: 34539510 PMCID: PMC8444985 DOI: 10.3389/fpsyg.2021.710493] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2021] [Accepted: 07/19/2021] [Indexed: 11/13/2022] Open
Abstract
Resilience has been defined as the maintenance or quick recovery of mental health during and after times of adversity. How to operationalize resilience and to determine the factors and processes that lead to good long-term mental health outcomes in stressor-exposed individuals is a matter of ongoing debate and of critical importance for the advancement of the field. One of the biggest challenges for implementing an outcome-based definition of resilience in longitudinal observational study designs lies in the fact that real-life adversity is usually unpredictable and that its substantial qualitative as well as temporal variability between subjects often precludes defining circumscribed time windows of inter-individually comparable stressor exposure relative to which the maintenance or recovery of mental health can be determined. To address this pertinent issue, we propose to frequently and regularly monitor stressor exposure (E) and mental health problems (P) throughout a study's observation period [Frequent Stressor and Mental Health Monitoring (FRESHMO)-paradigm]. On this basis, a subject's deviation at any single monitoring time point from the study sample's normative E-P relationship (the regression residual) can be used to calculate that subject's current mental health reactivity to stressor exposure ("stressor reactivity," SR). The SR score takes into account the individual extent of experienced adversity and is comparable between and within subjects. Individual SR time courses across monitoring time points reflect intra-individual temporal variability in SR, where periods of under-reactivity (negative SR score) are associated with accumulation of fewer mental health problems than is normal for the sample. If FRESHMO is accompanied by regular measurement of potential resilience factors, temporal changes in resilience factors can be used to predict SR time courses. An increase in a resilience factor measurement explaining a lagged decrease in SR can then be considered to index a process of adaptation to stressor exposure that promotes a resilient outcome (an allostatic resilience process). This design principle allows resilience research to move beyond merely determining baseline predictors of resilience outcomes, which cannot inform about how individuals successfully adjust and adapt when confronted with adversity. Hence, FRESHMO plus regular resilience factor monitoring incorporates a dynamic-systems perspective into resilience research.
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Affiliation(s)
- Raffael Kalisch
- Leibniz Institute for Resilience Research, Mainz, Germany
- Neuroimaging Center, Focus Program Translational Neuroscience, Johannes Gutenberg University Medical Center, Mainz, Germany
| | - Göran Köber
- Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany
- Freiburg Center of Data Analysis and Modelling, University of Freiburg, Freiburg, Germany
| | - Harald Binder
- Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany
- Freiburg Center of Data Analysis and Modelling, University of Freiburg, Freiburg, Germany
| | - Kira F. Ahrens
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
| | - Ulrike Basten
- Department of Psychology, Goethe University Frankfurt, Frankfurt, Germany
- Department of Psychology, University of Koblenz-Landau, Landau, Germany
| | - Andrea Chmitorz
- Leibniz Institute for Resilience Research, Mainz, Germany
- Department of Psychiatry and Psychotherapy, Johannes Gutenberg University Medical Center, Mainz, Germany
- Faculty of Social Work, Health Care and Nursing Science, Esslingen University of Applied Sciences, Esslingen, Germany
| | - Karmel W. Choi
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States
- Psychiatric and Neurodevelopmental Genetics Unit, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, United States
- Lee Kum Sheung Center for Health and Happiness, Harvard T.H. Chan School of Public Health, Boston, MA, United States
| | - Christian J. Fiebach
- Department of Psychology, Goethe University Frankfurt, Frankfurt, Germany
- Brain Imaging Center, Goethe University Frankfurt, Frankfurt, Germany
| | - Nele Goldbach
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
| | - Rebecca J. Neumann
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
| | - Miriam Kampa
- Leibniz Institute for Resilience Research, Mainz, Germany
- Department of Clinical Psychology and Psychotherapy, University of Siegen, Siegen, Germany
- Department of Psychology, Bender Institute of Neuroimaging, Justus Liebig University, Gießen, Germany
| | - Bianca Kollmann
- Leibniz Institute for Resilience Research, Mainz, Germany
- Department of Psychiatry and Psychotherapy, Johannes Gutenberg University Medical Center, Mainz, Germany
| | - Klaus Lieb
- Leibniz Institute for Resilience Research, Mainz, Germany
- Department of Psychiatry and Psychotherapy, Johannes Gutenberg University Medical Center, Mainz, Germany
| | - Michael M. Plichta
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
| | - Andreas Reif
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
| | - Anita Schick
- Leibniz Institute for Resilience Research, Mainz, Germany
- Neuroimaging Center, Focus Program Translational Neuroscience, Johannes Gutenberg University Medical Center, Mainz, Germany
- Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
| | - Alexandra Sebastian
- Department of Psychiatry and Psychotherapy, Johannes Gutenberg University Medical Center, Mainz, Germany
| | - Henrik Walter
- Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - Michèle Wessa
- Leibniz Institute for Resilience Research, Mainz, Germany
- Department of Clinical Psychology and Neuropsychology, Institute of Psychology, Johannes Gutenberg University, Mainz, Germany
| | - Kenneth S. L. Yuen
- Leibniz Institute for Resilience Research, Mainz, Germany
- Neuroimaging Center, Focus Program Translational Neuroscience, Johannes Gutenberg University Medical Center, Mainz, Germany
| | - Oliver Tüscher
- Leibniz Institute for Resilience Research, Mainz, Germany
- Department of Psychiatry and Psychotherapy, Johannes Gutenberg University Medical Center, Mainz, Germany
| | - Haakon Engen
- Neuroimaging Center, Focus Program Translational Neuroscience, Johannes Gutenberg University Medical Center, Mainz, Germany
- Department of Psychology, University of Oslo, Oslo, Norway
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142
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The Role of Resilience in Reducing Burnout: A Study with Healthcare Workers during the COVID-19 Pandemic. SOCIAL SCIENCES-BASEL 2021. [DOI: 10.3390/socsci10090317] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Although burnout is a widely studied topic, there is still much to learn about this symptom during a pandemic crisis like the one caused by COVID-19. Moreover, and according to the Job Demands-Resources (JD-R) theory, the relation between personal resources and burnout is still an understudied topic. The main goal of this research is to understand the influence of mental resilience on the three dimensions of burnout-emotional exhaustion, depersonalization and personal achievement-among healthcare workers when exposed to a pandemic situation. A cross-sectional study was conducted based on the administration of an online survey to a sample of 196 healthcare workers (nurses and doctors) during the second wave of COVID-19 in Portugal. Hypotheses were tested using Partial Least Squares. The results show that during a pandemic situation, higher levels of resilience associated both with lower levels of emotional exhaustion (Emotional Exhaustion: −0.17; 95% Confidence Interval–CI: −0.38, 0.04) and depersonalization (Depersonalization: −0.17; 95% CI: −0.31, −0.03), and higher levels of personal achievement (Personal Achievement: 0.50; 95% CI: 0.40, 0.61). Resilience should be considered an important asset for reducing levels of burnout when facing highly stressing situations. The main contribution of this research is related to the role of personal resources as an inhibitor of negative consequences of job strain, such as burnout. The findings add new knowledge to the topic of fighting (not just understanding) burnout in deeply stressful situations, like the COVID-19 pandemic, reinforcing the importance of developing personal resources. Resilience skills may be developed, thus reducing the risk of burnout.
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143
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Quinn T, Aquino J, Marelich W, Rutledge DN, Zettel-Watson L, Cherry BJ. Impact of Affect Balance on Cognitive and Physical Function in Adults With and Without Fibromyalgia. J Nurs Scholarsh 2021; 53:680-688. [PMID: 34396672 DOI: 10.1111/jnu.12694] [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: 08/14/2020] [Revised: 05/26/2021] [Accepted: 06/09/2021] [Indexed: 12/30/2022]
Abstract
OBJECTIVE To identify the potential benefits of heightened levels of affect balance in older adults with and without chronic pain on various cognitive domains, physical performance, and perceived cognitive and physical health. METHOD Ninety-one older adults, some with and some without fibromyalgia (FM) participated. Objective tests included cognitive (immediate and delayed recall, delayed recognition-CERAD 10-item word list) and physical measures (Fullerton Advanced Balance Scale; lower body strength-30-s chair stand; gait velocity-30-ft. walk). Self-report measures were problems with forgetting, activities of daily living (perceived function), and affect (Positive and Negative Affect Scale [PANAS]). Affect balance was calculated as positive minus negative affect from the PANAS. RESULTS Hierarchical regression analyses revealed that-regardless of FM status-higher affect balance was associated with better episodic memory performance (immediate recall, delayed recognition), better balance, enhanced lower body strength (more chair stands), and healthier gait (30-ft. walk), as well as less forgetfulness and better perceived functional health. CONCLUSION Increased affect balance was associated with better objective and subjective health in older adults both without and with chronic pain. Positive psychology treatments which increase affect balance are easy to administer, cost effective, and may add an important, additional treatment modality for maintaining health in normal aging adults as well as those with chronic pain. CLINICAL RELEVANCE In order to help patients with healthy aging, nurses need to be aware of the potential long-term effect of emotional state on overall function and be able to counsel patients regarding potential treatments to enhance positive global emotions such as resilience.
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Affiliation(s)
- Taylor Quinn
- Data Analyst College of Education and Integrative Studies, California Polytechnic University, Pomona, California, USA
| | - Jordan Aquino
- Doctorial Student, Department of Behavioral and Community Health, University of Maryland School of Public Health, College Park, Maryland, USA.,Professor of Psychology, University of Maryland Prevention Research Center, College Park, Maryland, USA
| | - William Marelich
- Department of Psychology, California State University Fullerton, Fullerton, California, USA
| | - Dana N Rutledge
- Professor of Psychology, Coordinator, Aging Studies Academic Program, School of Nursing, California State University Fullerton, Fullerton, California, USA
| | - Laura Zettel-Watson
- Professor Emeritus of Psychology, Associate Coordinator, Aging Studies Academic Program, Department of Psychology, California State University Fullerton, Fullerton, California, USA
| | - Barbara J Cherry
- Professor Emeritus of Psychology, Associate Coordinator, Aging Studies Academic Program, Department of Psychology, California State University Fullerton, Fullerton, California, USA
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144
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Hinchcliffe JK, Mendl M, Robinson ESJ. Rat 50 kHz calls reflect graded tickling-induced positive emotion. Curr Biol 2021; 30:R1034-R1035. [PMID: 32961155 PMCID: PMC7533284 DOI: 10.1016/j.cub.2020.08.038] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Positive animal emotion (affect) is a key component of good animal welfare [1] and plays an important role in stress-coping and resilience [2]. Methods for reliably inducing and measuring positive affect are critical, but both have been limited in availability. In rats, one promising way of inducing positive affective states is by human-simulated rough and tumble play or ‘tickling’ [3,4]. However, in humans tickling induces both pleasure and displeasure, and neither an established non-verbal indicator of positive affect, the Duchenne smile, nor laughter detects this variation [5,6]. Rats also show individual differences in response to tickling [7], and this variation needs to be readily quantified if we are to ensure that tickling is only implemented where it generates positive affect. Here, we use a validated and objective measure of affective valence, the affective bias test [8], to show that 50 kHz ultrasonic vocalizations provide a quantifiable and graded measure of positive affect that accurately reflects the positive state induced by this human–rat interaction.
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Affiliation(s)
- Justyna K Hinchcliffe
- School of Physiology, Pharmacology and Neuroscience, University of Bristol, Biomedical Sciences Building, University Walk, Bristol BS8 1TD, UK
| | - Michael Mendl
- Bristol Veterinary School, University of Bristol, Langford House, Langford BS40 5DU, UK.
| | - Emma S J Robinson
- School of Physiology, Pharmacology and Neuroscience, University of Bristol, Biomedical Sciences Building, University Walk, Bristol BS8 1TD, UK
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145
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Wang K, Goldenberg A, Dorison CA, Miller JK, Uusberg A, Lerner JS, Gross JJ, Agesin BB, Bernardo M, Campos O, Eudave L, Grzech K, Ozery DH, Jackson EA, Garcia EOL, Drexler SM, Jurković AP, Rana K, Wilson JP, Antoniadi M, Desai K, Gialitaki Z, Kushnir E, Nadif K, Bravo ON, Nauman R, Oosterlinck M, Pantazi M, Pilecka N, Szabelska A, van Steenkiste IMM, Filip K, Bozdoc AI, Marcu GM, Agadullina E, Adamkovič M, Roczniewska M, Reyna C, Kassianos AP, Westerlund M, Ahlgren L, Pöntinen S, Adetula GA, Dursun P, Arinze AI, Arinze NC, Ogbonnaya CE, Ndukaihe ILG, Dalgar I, Akkas H, Macapagal PM, Lewis S, Metin-Orta I, Foroni F, Willis M, Santos AC, Mokady A, Reggev N, Kurfali MA, Vasilev MR, Nock NL, Parzuchowski M, Barría MFE, Vranka M, Kohlová MB, Ropovik I, Harutyunyan M, Wang C, Yao E, Becker M, Manunta E, Kaminski G, Marko D, Evans K, Lewis DMG, Findor A, Landry AT, Aruta JJB, Ortiz MS, Vally Z, Pronizius E, Voracek M, Lamm C, Grinberg M, Li R, Valentova JV, Mioni G, Cellini N, Chen SC, Zickfeld J, Moon K, Azab H, Levy N, Karababa A, Beaudry JL, Boucher L, Collins WM, Todsen AL, van Schie K, Vintr J, Bavolar J, Kaliska L, Križanić V, Samojlenko L, Pourafshari R, Geiger SJ, Beitner J, Warmelink L, Ross RM, Stephen ID, Hostler TJ, Azouaghe S, McCarthy R, Szala A, Grano C, Solorzano CS, Anjum G, Jimenez-Leal W, Bradford M, Pérez LC, Vásquez JEC, Galindo-Caballero OJ, Vargas-Nieto JC, Kácha O, Arvanitis A, Xiao Q, Cárcamo R, Zorjan S, Tajchman Z, Vilares I, Pavlacic JM, Kunst JR, Tamnes CK, von Bastian CC, Atari M, Sharifian M, Hricova M, Kačmár P, Schrötter J, Rahal RM, Cohen N, FatahModarres S, Zrimsek M, Zakharov I, Koehn MA, Esteban-Serna C, Calin-Jageman RJ, Krafnick AJ, Štrukelj E, Isager PM, Urban J, Silva JR, Martončik M, Očovaj SB, Šakan D, Kuzminska AO, Djordjevic JM, Almeida IAT, Ferreira A, Lazarevic LB, Manley H, Ricaurte DZ, Monteiro RP, Etabari Z, Musser E, Dunleavy D, Chou W, Godbersen H, Ruiz-Fernández S, Reeck C, Batres C, Kirgizova K, Muminov A, Azevedo F, Alvarez DS, Butt MM, Lee JM, Chen Z, Verbruggen F, Ziano I, Tümer M, Charyate ACA, Dubrov D, Rivera MDCMCT, Aberson C, Pálfi B, Maldonado MA, Hubena B, Sacakli A, Ceary CD, Richard KL, Singer G, Perillo JT, Ballantyne T, Cyrus-Lai W, Fedotov M, Du H, Wielgus M, Pit IL, Hruška M, Sousa D, Aczel B, Szaszi B, Adamus S, Barzykowski K, Micheli L, Schmidt ND, Zsido AN, Paruzel-Czachura M, Bialek M, Kowal M, Sorokowska A, Misiak M, Mola D, Ortiz MV, Correa PS, Belaus A, Muchembled F, Ribeiro RR, Arriaga P, Oliveira R, Ann Vaughn L, Szwed P, Kossowska M, Czarnek G, Kielińska J, Antazo B, Betlehem R, Stieger S, Nilsonne G, Simonovic N, Taber J, Gourdon-Kanhukamwe A, Domurat A, Ihaya K, Yamada Y, Urooj A, Gill T, Čadek M, Bylinina L, Messerschmidt J, Kurfalı M, Adetula A, Baklanova E, Albayrak-Aydemir N, Kappes HB, Gjoneska B, House T, Jones MV, Berkessel JB, Chopik WJ, Çoksan S, Seehuus M, Khaoudi A, Bokkour A, El Arabi KA, Djamai I, Iyer A, Parashar N, Adiguzel A, Kocalar HE, Bundt C, Norton JO, Papadatou-Pastou M, De la Rosa-Gomez A, Ankushev V, Bogatyreva N, Grigoryev D, Ivanov A, Prusova I, Romanova M, Sarieva I, Terskova M, Hristova E, Kadreva VH, Janak A, Schei V, Sverdrup TE, Askelund AD, Pineda LMS, Krupić D, Levitan CA, Johannes N, Ouherrou N, Say N, Sinkolova S, Janjić K, Stojanovska M, Stojanovska D, Khosla M, Thomas AG, Kung FYH, Bijlstra G, Mosannenzadeh F, Balci BB, Reips UD, Baskin E, Ishkhanyan B, Czamanski-Cohen J, Dixson BJW, Moreau D, Sutherland CAM, Chuan-Peng H, Noone C, Flowe H, Anne M, Janssen SMJ, Topor M, Majeed NM, Kunisato Y, Yu K, Daches S, Hartanto A, Vdovic M, Anton-Boicuk L, Forbes PAG, Kamburidis J, Marinova E, Nedelcheva-Datsova M, Rachev NR, Stoyanova A, Schmidt K, Suchow JW, Koptjevskaja-Tamm M, Jernsäther T, Olofsson JK, Bialobrzeska O, Marszalek M, Tatachari S, Afhami R, Law W, Antfolk J, Žuro B, Van Doren N, Soto JA, Searston R, Miranda J, Damnjanović K, Yeung SK, Krupić D, Hoyer K, Jaeger B, Ren D, Pfuhl G, Klevjer K, Corral-Frías NS, Frias-Armenta M, Lucas MY, Torres AO, Toro M, Delgado LGJ, Vega D, Solas SÁ, Vilar R, Massoni S, Frizzo T, Bran A, Vaidis DC, Vieira L, Paris B, Capizzi M, de Holanda Coelho GL, Greenburgh A, Whitt CM, Tullett AM, Du X, Volz L, Bosma MJ, Karaarslan C, Sarıoğuz E, Allred TB, Korbmacher M, Colloff MF, Lima TJS, Ribeiro MFF, Verharen JPH, Karekla M, Karashiali C, Sunami N, Jaremka LM, Storage D, Habib S, Studzinska A, Hanel PHP, Holford DL, Sirota M, Wolfe K, Chiu F, Theodoropoulou A, Ahn ER, Lin Y, Westgate EC, Brohmer H, Hofer G, Dujols O, Vezirian K, Feldman G, Travaglino GA, Ahmed A, Li M, Bosch J, Torunsky N, Bai H, Manavalan M, Song X, Walczak RB, Zdybek P, Friedemann M, Rosa AD, Kozma L, Alves SG, Lins S, Pinto IR, Correia RC, Babinčák P, Banik G, Rojas-Berscia LM, Varella MAC, Uttley J, Beshears JE, Thommesen KK, Behzadnia B, Geniole SN, Silan MA, Maturan PLG, Vilsmeier JK, Tran US, Izquierdo SM, Mensink MC, Sorokowski P, Groyecka-Bernard A, Radtke T, Adoric VC, Carpentier J, Özdoğru AA, Joy-Gaba JA, Hedgebeth MV, Ishii T, Wichman AL, Röer JP, Ostermann T, Davis WE, Suter L, Papachristopoulos K, Zabel C, Ebersole CR, Chartier CR, Mallik PR, Urry HL, Buchanan EM, Coles NA, Primbs MA, Basnight-Brown DM, IJzerman H, Forscher PS, Moshontz H. A multi-country test of brief reappraisal interventions on emotions during the COVID-19 pandemic. Nat Hum Behav 2021; 5:1089-1110. [PMID: 34341554 PMCID: PMC8742248 DOI: 10.1038/s41562-021-01173-x] [Citation(s) in RCA: 46] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 06/28/2021] [Indexed: 02/07/2023]
Abstract
The COVID-19 pandemic has increased negative emotions and decreased positive emotions globally. Left unchecked, these emotional changes might have a wide array of adverse impacts. To reduce negative emotions and increase positive emotions, we tested the effectiveness of reappraisal, an emotion-regulation strategy that modifies how one thinks about a situation. Participants from 87 countries and regions (n = 21,644) were randomly assigned to one of two brief reappraisal interventions (reconstrual or repurposing) or one of two control conditions (active or passive). Results revealed that both reappraisal interventions (vesus both control conditions) consistently reduced negative emotions and increased positive emotions across different measures. Reconstrual and repurposing interventions had similar effects. Importantly, planned exploratory analyses indicated that reappraisal interventions did not reduce intentions to practice preventive health behaviours. The findings demonstrate the viability of creating scalable, low-cost interventions for use around the world. PROTOCOL REGISTRATION: The stage 1 protocol for this Registered Report was accepted in principle on 12 May 2020. The protocol, as accepted by the journal, can be found at https://doi.org/10.6084/m9.figshare.c.4878591.v1.
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Affiliation(s)
- Ke Wang
- Harvard Kennedy School, Harvard University, Cambridge, MA, USA
| | - Amit Goldenberg
- Harvard Business School, Harvard University, Cambridge, MA, USA
| | - Charles A. Dorison
- Kellogg School of Management, Northwestern University, Evanston, IL, USA
| | - Jeremy K. Miller
- Department of Psychology, Willamette University, Salem, OR, USA.,Correspondence and requests for materials should be addressed to J.K.M.
| | - Andero Uusberg
- Institute of Psychology, University of Tartu, Tartu, Estonia
| | - Jennifer S. Lerner
- Harvard Kennedy School and Department of Psychology, Harvard University, Cambridge, MA, USA
| | - James J. Gross
- Department of Psychology, Stanford University, Stanford, CA, USA
| | | | - Márcia Bernardo
- Faculdade de Psicologia e Ciências da Educação, Universidade do Porto, Porto, Portugal
| | | | | | - Karolina Grzech
- University of Valencia, Valencia, Spain.,Stockholm University, Stockholm, Sweden
| | | | | | | | - Shira Meir Drexler
- Department of Cognitive Psychology, Institute of Cognitive Neuroscience, Ruhr University Bochum, Bochum, Germany
| | | | | | | | | | | | | | | | | | | | | | | | - Myrto Pantazi
- Oxford Internet Institute, University of Oxford, Oxford, UK
| | | | | | | | - Katarzyna Filip
- Institute of Psychology, Jagiellonian University, Krakow, Poland
| | | | - Gabriela Mariana Marcu
- Department of Psychology, Lucian Blaga University of Sibiu, Sibiu, Romania.,Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Elena Agadullina
- National Research University Higher School of Economics, Moscow, Russia
| | - Matúš Adamkovič
- Institute of Psychology, Faculty of Arts, University of Presov, Presov, Slovakia.,Institute of Social Sciences, CSPS Slovak Academy of Sciences, Košice, Slovakia
| | - Marta Roczniewska
- Department of Psychology, SWPS University of Social Sciences and Humanities, Sopot, Poland.,Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden
| | - Cecilia Reyna
- Instituto de Investigaciones Psicológicas (IIPSI), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET)-UNC, Córdoba, Argentina
| | - Angelos P. Kassianos
- Department of Psychology, University of Cyprus, Nicosia, Cyprus.,Department of Applied Health Research, University College London, London, UK
| | | | - Lina Ahlgren
- Faculty of Arts, Psychology and Theology, Åbo Akademi University, Turku, Finland
| | - Sara Pöntinen
- Faculty of Arts, Psychology and Theology, Åbo Akademi University, Turku, Finland
| | - Gabriel Agboola Adetula
- Department of Pure and Applied Psychology, Faculty of Social and Management Sciences, Adekunle Ajasin University, Akungba, Nigeria
| | - Pinar Dursun
- Department of Psychology, Afyon Kocatepe University, Afyonkarahisar, Turkey
| | | | | | | | | | - Ilker Dalgar
- Department of Psychology, Ankara Medipol University, Ankara, Turkey
| | - Handan Akkas
- MIS Department, Ankara Science University, Ankara, Turkey
| | | | | | | | - Francesco Foroni
- Australian Catholic University, North Sydney, New South Wales, Australia
| | - Megan Willis
- School of Behavioural and Health Sciences, Australian Catholic University, North Sydney, New South Wales, Australia
| | - Anabela Caetano Santos
- Aventura Social and DESS H, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal.,Institute of Environmental Health, Medicine Faculty, University of Lisbon, Lisbon, Portugal.,ISCTE, Instituto Universitário de Lisboa, Lisbon, Portugal
| | - Aviv Mokady
- Department of Psychology, Ben Gurion University, Beersheba, Israel
| | - Niv Reggev
- Department of Psychology and Zlotowski Center for Neuroscience, Ben Gurion University, Beersheba, Israel
| | - Merve A. Kurfali
- Department of Political Science, Bilkent University, Ankara, Turkey
| | | | - Nora L. Nock
- Case Western Reserve University, Cleveland, OH, USA
| | - Michal Parzuchowski
- Center for Research on Cognition and Behavior, SWPS University of Social Sciences and Humanities in Sopot, Sopot, Poland
| | | | | | | | - Ivan Ropovik
- Institute for Research and Development of Education, Faculty of Education, Charles University, Prague, Czechia.,Faculty of Education, University of Prešov, Prešov, Slovakia
| | | | - Chunhui Wang
- Chinese Center of Disease Prevention and Control, Beijing, China
| | - Elvin Yao
- Claremont Graduate University, Claremont, CA, USA
| | - Maja Becker
- CLLE, Université de Toulouse, Toulouse, France
| | | | | | - Dafne Marko
- Cognitive Science, Faculty of Education, University of Ljubljana, Ljubljana, Slovenia
| | - Kortnee Evans
- College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia
| | - David M. G. Lewis
- College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia.,Centre for Healthy Ageing, Health Futures Institute, Murdoch University, Perth, Western Australia, Australia
| | - Andrej Findor
- Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
| | | | | | - Manuel S. Ortiz
- Departamento de Psicología, Laboratorio de Estrés y Salud, Universidad de La Frontera, Temuco, Chile
| | - Zahir Vally
- Department of Clinical Psychology, United Arab Emirates University, Al Ain, UAE.,Wolfson College, University of Oxford, Oxford, UK
| | - Ekaterina Pronizius
- Department of Cognition, Emotion and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Martin Voracek
- Department of Cognition, Emotion and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Claus Lamm
- Department of Cognition, Emotion and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Maurice Grinberg
- Department of Cognitive Science and Psychology, Research Center for Cognitive Science, New Bulgarian University, Sofia, Bulgaria
| | - Ranran Li
- Department of Experimental and Applied Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | | | - Giovanna Mioni
- Department of General Psychology, University of Padua, Padua, Italy
| | - Nicola Cellini
- Department of General Psychology, University of Padua, Padua, Italy.,Department of Biomedical Sciences, University of Padua, Padua, Italy.,Padova Neuroscience Center, University of Padua, Padua, Italy.,Human Inspired Technology Center, University of Padua, Padua, Italy
| | - Sau-Chin Chen
- Department of Human Development and Psychology, Tzu-Chi University, Hualien, Taiwan
| | - Janis Zickfeld
- Department of Management, Aarhus University, Aarhus, Denmark
| | - Karis Moon
- Department of Management, Kingston University London, Kingston, UK
| | - Habiba Azab
- Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA
| | - Neil Levy
- Department of Philosophy, Macquarie University, Sydney, New South Wales, Australia
| | - Alper Karababa
- Department of Psychological Counselling and Guidance, Faculty of Education, Muğla Sıtkı Koçman University, Muğla, Turkey
| | - Jennifer L. Beaudry
- Department of Psychological Sciences, Swinburne University of Technology, Melbourne, Victoria, Australia
| | - Leanne Boucher
- Department of Psychology and Neuroscience, Nova Southeastern University, Pembroke Pines, FL, USA
| | - W. Matthew Collins
- Department of Psychology and Neuroscience, Nova Southeastern University, Fort Lauderdale, FL, USA
| | - Anna Louise Todsen
- School of Psychology and Neuroscience, University of St Andrews, St Andrews, UK
| | - Kevin van Schie
- Department of Psychology, Education and Child Studies, Erasmus School of Social and Behavioural Sciences, Erasmus University, Rotterdam, The Netherlands.,MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
| | - Jáchym Vintr
- Department of Psychology, Faculty of Arts, Charles University, Prague, Czechia
| | - Jozef Bavolar
- Department of Psychology, Faculty of Arts, Pavol Jozef Šafárik University in Košice, Košice, Slovakia
| | - Lada Kaliska
- Department of Psychology, Faculty of Education, Matej Bel University, Banská Bystrica, Slovakia
| | - Valerija Križanić
- Department of Psychology, Faculty of Humanities and Social Sciences, J. J. Strossmayer University of Osijek, Osijek, Croatia
| | - Lara Samojlenko
- Department of Psychology, Faculty of Mathematics, Natural Sciences and Information Technologies, University of Primorska, Koper, Slovenia
| | - Razieh Pourafshari
- Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran
| | - Sandra J. Geiger
- Department of Psychology, Faculty of Social and Behavioural Sciences, University of Amsterdam, Amsterdam, The Netherlands
| | - Julia Beitner
- Department of Psychology, Goethe University Frankfurt, Frankfurt, Germany
| | - Lara Warmelink
- Department of Psychology, Lancaster University, Lancaster, UK
| | - Robert M. Ross
- Department of Psychology, Macquarie University, Sydney, New South Wales, Australia
| | - Ian D. Stephen
- Department of Psychology, Macquarie University, Sydney, New South Wales, Australia
| | - Thomas J. Hostler
- Department of Psychology, Manchester Metropolitan University, Manchester, UK
| | - Soufian Azouaghe
- Department of Psychology, Mohammed V University in Rabat, Rabat, Morocco.,LIP/PC2S, Université Grenoble Alpes, Grenoble, France
| | - Randy McCarthy
- Department of Psychology, Northern Illinois University, DeKalb, IL, USA
| | - Anna Szala
- Department of Psychology, Oakland University, Oakland County, MI, USA
| | - Caterina Grano
- Department of Psychology, Sapienza University, Rome, Italy
| | | | - Gulnaz Anjum
- Department of Psychology, Simon Fraser University, Burnaby, British Columbia, Canada.,Department of Social Sciences and Liberal Arts, Institute of Business Administration, Simon Fraser University, Burnaby, British Columbia, Canada
| | | | - Maria Bradford
- Department of Psychology, Universidad de los Andes, Bogotá, Colombia
| | | | | | | | | | - Ondřej Kácha
- Department of Psychology, University of Cambridge, Cambridge, UK
| | | | - Qinyu Xiao
- Department of Psychology, University of Hong Kong, Hong Kong, Hong Kong
| | - Rodrigo Cárcamo
- Department of Psychology, University of Magallanes, Punta Arenas, Chile
| | - Saša Zorjan
- Department of Psychology, University of Maribor, Maribor, Slovenia
| | - Zuzanna Tajchman
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | - Iris Vilares
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | | | - Jonas R. Kunst
- Department of Psychology, University of Oslo, Oslo, Norway
| | | | | | - Mohammad Atari
- Department of Psychology, University of Southern California, Los Angeles, CA, USA
| | | | - Monika Hricova
- Department of Psychology, Faculty of Arts, Pavol Jozef Šafárik University in Košice, Košice, Slovakia
| | - Pavol Kačmár
- Department of Psychology, Faculty of Arts, Pavol Jozef Šafárik University in Košice, Košice, Slovakia
| | - Jana Schrötter
- Department of Psychology, Faculty of Arts, Pavol Jozef Šafárik University in Košice, Košice, Slovakia
| | - Rima-Maria Rahal
- Department of Social Psychology, Tilburg University, Bonn, Germany
| | - Noga Cohen
- Department of Special Education and The Edmond J. Safra Brain Research Center for the Study of Learning Disabilities, University of Haifa, Tel Aviv, Israel
| | - Saiedeh FatahModarres
- Department of Sport Management, Faculty of Physical Education and Sport Science, Urmia University, Urmia, Iran
| | - Miha Zrimsek
- Department of Translation Studies, Faculty of Arts, University of Ljubljana, Ljubljana, Slovenia
| | - Ilya Zakharov
- Developmental Behavioral Genetics Laboratory, Psychological Institute of the Russian Academy of Education, Moscow, Russia
| | - Monica A. Koehn
- Discipline of Psychology, Faculty of Health, University of Canberra, Canberra, Australia
| | - Celia Esteban-Serna
- Division of Psychology and Language Sciences, University College London, London, UK
| | | | | | - Eva Štrukelj
- Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy
| | - Peder Mortvedt Isager
- Department of Industrial Engineering and Innovation Sciences, Eindhoven University of Technology, Eindhoven, The Netherlands
| | - Jan Urban
- Environment Center, Charles University, Prague, Czechia
| | - Jaime R. Silva
- Facultad de Psicología, Universidad del Desarrollo, Concepción, Chile.,Clínica Alemana de Santiago, Santiago, Chile.,Sociedad Chilena de Desarrollo Emocional, Santiago, Chile
| | | | - Sanja Batić Očovaj
- Dr Lazar Vrkatic Faculty of Legal and Business Studies, Novi Sad, Serbia.,Department of Psychology, Serbia Union University, Novi Sad, Serbia
| | - Dušana Šakan
- Dr Lazar Vrkatic Faculty of Legal and Business Studies, Novi Sad, Serbia.,Department of Psychology, Serbia Union University, Novi Sad, Serbia
| | | | | | - Inês A. T. Almeida
- Faculty of Medicine FMUC, Institute of Nuclear Sciences Applied to Health ICNAS, Coimbra Institute for Biomedical Imaging and Translational Research CIBIT, University of Coimbra, Coimbra, Portugal
| | - Ana Ferreira
- Faculty of Medicine FMUC, Institute of Nuclear Sciences Applied to Health ICNAS, Coimbra Institute for Biomedical Imaging and Translational Research CIBIT, University of Coimbra, Coimbra, Portugal
| | | | - Harry Manley
- Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand
| | | | - Renan P. Monteiro
- Department of Psychology, Federal University of Mato Grosso, Cuiabá, Brazil
| | | | - Erica Musser
- Center for Children and Families, Department of Psychology, Florida International University, Miami, FL, USA
| | - Daniel Dunleavy
- Center for Translational Behavioral Science, Florida State University, Tallahassee, FL, USA
| | - Weilun Chou
- Department of Psychology, Fo Guang University, Yilan County, Taiwan
| | | | - Susana Ruiz-Fernández
- FOM University of Applied Sciences, Hildesheim, Germany.,Leibniz-Institut für Wissensmedien, Tübingen, Germany.,LEAD Research Network, Eberhard Karls University, Hildesheim, Germany
| | - Crystal Reeck
- Fox School of Business, Temple University, Philadelphia, PA, USA
| | - Carlota Batres
- Department of Psychology, Franklin and Marshall College, Lancaster, PA, USA
| | | | | | | | | | | | - Jeong Min Lee
- Department of Psychology, Georgia State University, Atlanta, GA, USA
| | - Zhang Chen
- Department of Experimental Psychology, Ghent University, Gent, Belgium
| | | | | | - Murat Tümer
- Department of Anesthesiology and Reanimation, Hacettepe University, Ankara, Turkey
| | | | - Dmitrii Dubrov
- National Research University Higher School of Economics, Moscow, Russia
| | | | | | - Bence Pálfi
- Department of Surgery and Cancer, Imperial College London, London, UK
| | | | | | | | | | | | - Gage Singer
- Department of Psychology, Indiana University of Pennsylvania, Saint Michael, PA, USA
| | - Jennifer T. Perillo
- Department of Psychology, Indiana University of Pennsylvania, Indiana, PA, USA
| | | | | | - Maksim Fedotov
- Institute for Linguistic Studies, Russian Academy of Sciences, Saint Petersburg, Russia
| | - Hongfei Du
- Institute of Advanced Studies in Humanities and Social Sciences, Beijing Normal University at Zhuhai, Guangzhou, China
| | - Magdalena Wielgus
- Institute of Applied Psychology, Jagiellonian University, Kraków, Poland
| | - Ilse L. Pit
- Institute of Cognitive and Evolutionary Anthropology, University of Oxford, Oxford, UK.,Calleva Research Centre for Evolution and Human Sciences, Magdalen College, University of Oxford, Oxford, UK
| | - Matej Hruška
- Institute of European Studies and International Relations, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
| | - Daniela Sousa
- Institute of Nuclear Sciences Applied to Health ICNAS, Coimbra Institute for Biomedical Imaging and Translational Research CIBIT, University of Coimbra, Coimbra, Portugal
| | - Balazs Aczel
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Barnabas Szaszi
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Sylwia Adamus
- Institute of Psychology, Jagiellonian University, Krakow, Poland
| | | | - Leticia Micheli
- Institute of Psychology, Leibniz University Hannover, Hannover, Germany
| | | | | | | | - Michal Bialek
- Institute of Psychology, University of Wroclaw, Wrocław, Poland
| | - Marta Kowal
- Institute of Psychology, University of Wroclaw, Wrocław, Poland
| | | | - Michal Misiak
- Institute of Psychology, University of Wroclaw, Wrocław, Poland.,School of Anthropology and Museum Ethnography, University of Oxford, Oxford, UK
| | - Débora Mola
- Instituto de Investigaciones Psicológicas (IIPsi), Universidad Nacional de Córdoba–Conicet, Córdoba, Argentina
| | - María Victoria Ortiz
- Instituto de Investigaciones Psicológicas (IIPsi), Universidad Nacional de Córdoba–Conicet, Córdoba, Argentina.,Facultad de Psicología, Universidad Nacional de Córdoba, Córdoba, Argentina
| | - Pablo Sebastián Correa
- Instituto de Investigaciones Psicológicas (IIPsi), Universidad Nacional de Córdoba–Conicet, Córdoba, Argentina
| | - Anabel Belaus
- Instituto de Investigaciones Psicológicas (IIPsi), Universidad Nacional de Córdoba–Conicet, Córdoba, Argentina
| | - Fany Muchembled
- Instituto Tecnológico de Estudios Superiores de Monterrey, Hermosillo, Mexico
| | | | - Patricia Arriaga
- CIS-IUL, Iscte-Instituto Universitário de Lisboa, Lisbon, Portugal
| | - Raquel Oliveira
- CIS-IUL, Iscte-Instituto Universitário de Lisboa, Lisbon, Portugal.,Intelligent Agents and Synthetic Characters Group (GAIPS), INESC-ID, Lisbon, Portugal
| | | | | | - Małgorzata Kossowska
- Department of Philosophy, Institute of Psychology, Jagiellonian University in Krakow, Kraków, Poland
| | - Gabriela Czarnek
- Instytute of Psychology, Jagiellonian University, Czestochowa, Poland
| | - Julita Kielińska
- Instytute of Psychology, Jagiellonian University, Czestochowa, Poland
| | - Benedict Antazo
- Department of Psychology, Jose Rizal University, Pasig City, Philippines
| | - Ruben Betlehem
- Department of Psychology, Faculty of Humanities and Social Sciences, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
| | - Stefan Stieger
- Department of Psychology and Psychodynamics, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
| | - Gustav Nilsonne
- Department of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden.,Department of Psychology, Stockholm University, Stockholm, Sweden
| | - Nicolle Simonovic
- Department of Psychological Sciences, Kent State University, Kent, OH, USA
| | - Jennifer Taber
- Department of Psychological Sciences, Kent State University, Kent, OH, USA
| | - Amélie Gourdon-Kanhukamwe
- Institute for Globally Distributed Open Research and Education (IGDORE), Kingston University, London, UK
| | - Artur Domurat
- Centre for Economic Psychology and Decision Sciences, Kozminski University, Warsaw, Poland
| | - Keiko Ihaya
- Admission Center, Kyushu University, Fukuoka, Japan
| | - Yuki Yamada
- Faculty of Arts and Science, Kyushu University, Fukuoka, Japan
| | - Anum Urooj
- La Trobe University, Melbourne, Victoria, Australia
| | - Tripat Gill
- Lazaridis School of Business and Economics, Wilfrid Laurier University, Waterloo, Ontario, Canada
| | - Martin Čadek
- Carnegie School of Sport, Leeds Beckett University, London, UK
| | | | | | | | - Adeyemi Adetula
- LIP/PC2S, Université Grenoble Alpes, Grenoble, France.,Department of Psychology, Alex Ekwueme Federal University, Abakaliki, Nigeria
| | - Ekaterina Baklanova
- Institute of Asian and African Studies, Lomonosov Moscow State University, Moscow, Russia
| | | | - Heather B. Kappes
- Department of Management, London School of Economics and Political Science, London, UK
| | - Biljana Gjoneska
- Macedonian Academy of Sciences and Arts, Skopje, North Macedonia
| | - Thea House
- Macquarie University, Sydney, New South Wales, Australia.,University of Bristol, Bristol, UK
| | - Marc V. Jones
- Department of Psychology, Manchester Metropolitan University, Manchester, UK
| | - Jana B. Berkessel
- Mannheim Centre for European Social Research, University of Mannheim, Mannheim, Germany
| | - William J. Chopik
- Department of Psychology, Michigan State University, East Lansing, MI, USA
| | - Sami Çoksan
- Department of Psychology, Middle East Technical University, Ankara, Turkey
| | - Martin Seehuus
- Department of Psychology, Middlebury College; Vermont Psychological Services, University of Vermont, Middlebury, VT, USA
| | | | | | | | | | | | | | - Arca Adiguzel
- Department of Psychological Counseling and Guidance, Muğla Sıtkı Koçman University, Muğla, Turkey
| | - Halil Emre Kocalar
- Department of Psychological Counseling and Guidance, Muğla Sıtkı Koçman University, Muğla, Turkey
| | - Carsten Bundt
- Multimodal Imaging and Cognitive Control Lab, Department of Psychology, University of Oslo, Oslo, Norway.,Cognitive and Translational Neuroscience Cluster, Department of Psychology, University of Oslo, Oslo, Norway
| | - James O. Norton
- College of Science, Health, Engineering and Education, Murdoch University, Lesmurdie, Australia
| | | | - Anabel De la Rosa-Gomez
- Faculty of Higher Studies “Iztacala”, National Autonomous University of Mexico, Mexico City, Mexico
| | | | | | - Dmitry Grigoryev
- National Research University Higher School of Economics, Moscow, Russia
| | - Aleksandr Ivanov
- National Research University Higher School of Economics, Moscow, Russia
| | - Irina Prusova
- National Research University Higher School of Economics, Moscow, Russia
| | - Marina Romanova
- National Research University Higher School of Economics, Moscow, Russia
| | - Irena Sarieva
- National Research University Higher School of Economics, Moscow, Russia
| | - Maria Terskova
- Instytute of Psychology, Jagiellonian University, Kraków, Poland
| | - Evgeniya Hristova
- Department of Cognitive Science and Psychology, New Bulgarian University, Sofia, Bulgaria
| | | | - Allison Janak
- Department of Applied Psychology, New York University, New York, NY, USA
| | - Vidar Schei
- NHH Norwegian School of Economics, Department of Strategy and Management, Bergen, Norway
| | - Therese E. Sverdrup
- NHH Norwegian School of Economics, Department of Strategy and Management, Bergen, Norway
| | | | | | - Dajana Krupić
- Norvel—Psychological Centre for Counselling and Research, Osijek, Croatia
| | - Carmel A. Levitan
- Department of Cognitive Science, Occidental College, Los Angeles, CA, USA
| | | | | | - Nicolas Say
- Prague University of Economics and Business, Prague, Czechia
| | | | | | | | | | - Meetu Khosla
- Psychology Department, DRC, University of Delhi, Delhi, India
| | | | | | - Gijsbert Bijlstra
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands
| | - Farnaz Mosannenzadeh
- Behavioural Science Institute, Faculty of Social Sciences, Radboud University, Nijmegen, The Netherlands
| | - Busra Bahar Balci
- Department of Psychology, Samsun University, Samsun, Turkey.,Department of Psychology, Dokuz Eylül University, Samsun, Turkey
| | - Ulf-Dietrich Reips
- Research Methods, Assessment, and iScience, Department of Psychology, University of Konstanz, Kreuzlingen, Switzerland
| | | | - Byurakn Ishkhanyan
- School of Communication and Culture, Aarhus University, Aarhus, Denmark.,Department of Nordic Studies and Linguistics, University of Copenhagen, Aarhus, Denmark
| | - Johanna Czamanski-Cohen
- School of Creative Arts Therapies, University of Haifa, Haifa, Israel.,Emili Sagol Creative Arts Therapies Research Center, University of Haifa, Haifa, Israel
| | - Barnaby James Wyld Dixson
- School of Health and Behavioural Sciences, University of the Sunshine Coast, Brisbane, Queensland, Australia
| | - David Moreau
- School of Psychology and Centre for Brain Research, The University of Auckland, Auckland, New Zealand
| | - Clare A. M. Sutherland
- School of Psychology, King’s College, University of Aberdeen, Aberdeen, UK.,School of Psychological Science, University of Western Australia, Perth, Western Australia, Australia
| | - Hu Chuan-Peng
- School of Psychology, Nanjing Normal University, Nanjing, China
| | - Chris Noone
- School of Psychology, National University of Ireland, Galway, Galway, Ireland
| | - Heather Flowe
- School of Psychology, University of Birmingham, Birmingham, AL, USA
| | - Michele Anne
- School of Psychology, University of Nottingham Malaysia, Semenyih, Malaysia
| | - Steve M. J. Janssen
- School of Psychology, University of Nottingham Malaysia, Kuala Lumpur, Malaysia
| | - Marta Topor
- School of Psychology, University of Surrey, Guildford, UK
| | - Nadyanna M. Majeed
- School of Social Sciences, Singapore Management University, Singapore, Singapore
| | | | - Karen Yu
- Sewanee: The University of the South, Sewanee, TN, USA
| | - Shimrit Daches
- Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
| | - Andree Hartanto
- School of Social Sciences, Singapore Management University, Singapore, Singapore
| | - Milica Vdovic
- Department of Psychology, Faculty of Media and Communications, Singidunum University, Belgrade, Serbia
| | - Lisa Anton-Boicuk
- Social, Cognitive and Affective Neuroscience Unit, Department of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Paul A. G. Forbes
- Social, Cognitive and Affective Neuroscience Unit, Department of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Julia Kamburidis
- Department of General, Experimental, Developmental, and Health Psychology, Sofia University St Kliment Ohridski, Sofia, Bulgaria
| | - Evelina Marinova
- Department of General, Experimental, Developmental, and Health Psychology, Sofia University St Kliment Ohridski, Sofia, Bulgaria
| | - Mina Nedelcheva-Datsova
- Department of General, Experimental, Developmental, and Health Psychology, Sofia University St Kliment Ohridski, Sofia, Bulgaria
| | - Nikolay R. Rachev
- Department of General, Experimental, Developmental, and Health Psychology, Sofia University St Kliment Ohridski, Sofia, Bulgaria
| | - Alina Stoyanova
- Department of General, Experimental, Developmental, and Health Psychology, Sofia University St Kliment Ohridski, Sofia, Bulgaria
| | - Kathleen Schmidt
- School of Psychological and Behavioral Sciences, Southern Illinois University, Carbondale, IL, USA
| | - Jordan W. Suchow
- School of Business, Stevens Institute of Technology, Hoboken, NJ, USA
| | | | | | | | | | | | | | - Reza Afhami
- Department of Art Studies, Tarbiat Modares University, Tehran, Iran
| | - Wilbert Law
- Department of Psychology, The Education University of Hong Kong, Hong Kong, Hong Kong
| | - Jan Antfolk
- The Faculty of Arts, Psychology and Theology, Åbo Akademi University, Turku, Finland
| | - Barbara Žuro
- The Institute of Psychology; Faculty of Humanities and Social Sciences, University of Osijek, Osijek, Croatia
| | - Natalia Van Doren
- Department of Psychology, The Pennsylvania State University, State College, PA, USA
| | - Jose A. Soto
- Department of Psychology, The Pennsylvania State University, State College, PA, USA
| | - Rachel Searston
- The University of Adelaide, Adelaide, South Australia, Australia
| | - Jacob Miranda
- Department of Psychology, The University of Alabama, Tuscaloosa, AL, USA
| | - Kaja Damnjanović
- Laboratory for Experimental Psychology, Institute of Philosophy, Department of Psychology, Faculty of Philosophy, The University of Belgrade, Beograd-Stari Grad, Serbia
| | | | - Dino Krupić
- Faculty of Humanities and Social Science, The University of Osijek, Osijek, Croatia
| | | | | | - Dongning Ren
- Department of Social Psychology, Tilburg University, Tilburg, The Netherlands
| | - Gerit Pfuhl
- Department of Psychology, UiT The Arctic University of Norway, Tromsø, Norway
| | - Kristoffer Klevjer
- Department of Psychology, UiT The Arctic University of Norway, Tromsø, Norway
| | | | | | - Marc Y. Lucas
- Department of Psychology, Universidad de Sonora, Hermosillo, Mexico
| | | | - Mónica Toro
- Centro de Apego y Regulación Emocional, Facultad de Psicología, Universidad Del Desarrollo, Santiago, Chile
| | | | - Diego Vega
- Universidad Latina de Costa Rica, San Jose, Costa Rica
| | - Sara Álvarez Solas
- Grupo de investigación en Biogeografía y Ecología Espacial (BioGeoE2), Universidad Regional Amazónica Ikiam, Tena, Ecuador
| | | | - Sébastien Massoni
- Université de Lorraine; CNRS, BETA, Université de Strasbourg, Nancy, France
| | - Thomas Frizzo
- Université de Lorraine; CNRS, BETA, Université de Strasbourg, Nancy, France
| | | | | | | | | | | | | | - Anna Greenburgh
- Department of Experimental Psychology, University College London, London, UK
| | | | - Alexa M. Tullett
- Department of Psychology, University of Alabama, Tuscaloosa, AL, USA
| | - Xinkai Du
- University of Amsterdam, Amsterdam, The Netherlands
| | | | - Minke Jasmijn Bosma
- Department of Psychology, University of Amsterdam, Amsterdam, The Netherlands
| | - Cemre Karaarslan
- Department of Psychology, Institute of Social Sciences, University of Başkent, Ankara, Turkey
| | - Eylül Sarıoğuz
- Department of Psychology, Institute of Social Sciences, University of Başkent, Çankaya, Turkey
| | - Tara Bulut Allred
- Laboratory for Research of Individual Differences, Faculty of Philosophy, University of Belgrade, Belgrade, Serbia
| | - Max Korbmacher
- Department of Biological and Medical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway
| | | | - Tiago J. S. Lima
- Department of Social and Work Psychology, University of Brasília, Brasília, Brazil
| | | | - Jeroen P. H. Verharen
- Department of Molecular and Cell Biology, University of California Berkeley, Berkeley, CA, USA
| | | | | | - Naoyuki Sunami
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE, USA
| | - Lisa M. Jaremka
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE, USA
| | - Daniel Storage
- Department of Psychology, University of Denver, Denver, CO, USA
| | - Sumaiya Habib
- Department of Clinical Psychology, University of Dhaka, Dhaka, Bangladesh
| | - Anna Studzinska
- University of Economics and Human Sciences in Warsaw, Warsaw, Poland
| | | | | | | | | | - Faith Chiu
- Department of Language and Linguistics, University of Essex, Colchester, UK
| | | | - El Rim Ahn
- Department of Psychology, University of Florida, Gainesville, USA
| | - Yijun Lin
- Department of Psychology, University of Florida, New York, NY, USA
| | - Erin C. Westgate
- Department of Psychology, University of Florida, Gainesville, USA
| | - Hilmar Brohmer
- Institute of Psychology, University of Graz, Graz, Austria
| | - Gabriela Hofer
- Institute of Psychology, University of Graz, Graz, Austria
| | | | | | | | | | - Afroja Ahmed
- Department of Psychology, Global MINDS, University of Limerick, Dhaka, Bangladesh
| | - Manyu Li
- University of Louisiana at Lafayette, Lafayette, LA, USA
| | | | - Nathan Torunsky
- Department of Psychology, University of Minnesota, Twin Cities, Minneapolis, MN, USA
| | - Hui Bai
- University of Minnesota, Twin Cities, Saint Paul, MN, USA
| | - Mathi Manavalan
- Department of Psychology, University of Minnesota, Twin Cities, Minneapolis, MN, USA
| | - Xin Song
- Department of Psychology, University of Minnesota, Twin Cities, Minneapolis, MN, USA
| | | | | | | | - Anna Dalla Rosa
- Department of Philosophy, Sociology, Education and Applied Psychology, University of Padova, Zovencedo, Italy
| | - Luca Kozma
- Institute of Psychology, University of Pécs, Pécs, Hungary
| | - Sara G. Alves
- Center for Psychology, University of Porto, Porto, Portugal
| | - Samuel Lins
- Center for Psychology, University of Porto, Porto, Portugal
| | | | - Rita C. Correia
- Center for Psychology, University of Porto, Amarante, Portugal
| | - Peter Babinčák
- Institute of Psychology, Faculty of Arts, University of Presov, Prešov, Slovakia
| | - Gabriel Banik
- Institute of Psychology, University of Presov, Prešov, Slovakia
| | - Luis Miguel Rojas-Berscia
- School of Languages and Cultures, University of Queensland, Lucia, Queensland, Australia.,Centro de Estudios Orientales, Pontificia Universidad Católica del Perú, Lima, Peru
| | - Marco A. C. Varella
- Department of Experimental Psychology, Institute of Psychology, University of São Paulo, São Paulo, Brazil
| | - Jim Uttley
- School of Architecture, University of Sheffield, Sheffield, UK
| | | | | | | | - Shawn N. Geniole
- Department of Psychology, University of the Fraser Valley, Surrey, British Columbia, Canada
| | - Miguel A. Silan
- University of the Philippines Diliman, Quezon City, Philippines
| | | | - Johannes K. Vilsmeier
- Department of Cognition, Emotion, and Methods in Psychology, University of Vienna, Vienna, Austria
| | - Ulrich S. Tran
- Department of Cognition, Emotion, and Methods in Psychology, School of Psychology, University of Vienna, Vienna, Austria
| | | | - Michael C. Mensink
- Department of Psychology, University of Wisconsin-Stout, White Bear Township, WI, USA
| | | | - Agata Groyecka-Bernard
- Institute of Psychology, University of Wroclaw; Social and Legal Psychology, Johannes Gutenberg University, Wrocław, Poland.,Social and Legal Psychology, Johannes Gutenberg University, Mainz, Germany
| | - Theda Radtke
- Department of Psychology, University of Wuppertal, Witten, Germany
| | | | - Joelle Carpentier
- Department of Organization and Human Resources, School of Management, Université du Québec à Montréal, Montreal, Quebec, Canada
| | | | | | | | - Tatsunori Ishii
- Faculty of Science and Engineering, Waseda University, Tokyo, Japan
| | | | - Jan Philipp Röer
- Department of Psychology and Psychotherapy, Witten/Herdecke University, Witten, Germany
| | - Thomas Ostermann
- Department of Psychology and Psychotherapy, Witten/Herdecke University, Witten, Germany
| | - William E. Davis
- Department of Psychology, Wittenberg University, Springfield, OH, USA
| | - Lilian Suter
- School of Applied Psychology, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland
| | | | - Chelsea Zabel
- Harvard Kennedy School, Harvard University, Cambridge, MA, USA
| | | | | | - Peter R. Mallik
- Department of Psychology, Ashland University, Medina, OH, USA
| | - Heather L. Urry
- Department of Psychology, Tufts University, Medford, MA, USA
| | - Erin M. Buchanan
- Harrisburg University of Science and Technology, Bethlehem, PA, USA
| | | | | | | | - Hans IJzerman
- Université Grenoble Alpes; Institut Universitaire de France, Grenoble, France
| | | | - Hannah Moshontz
- Department of Psychology, University of Wisconsin-Madison, Madison, WI, USA
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146
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Norwood MF, Lakhani A, Hedderman B, Kendall E. Does being psychologically resilient assist in optimising physical outcomes from a spinal cord injury? Findings from a systematic scoping review. Disabil Rehabil 2021; 44:6082-6093. [PMID: 34284655 DOI: 10.1080/09638288.2021.1952320] [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: 10/20/2022]
Abstract
PURPOSE To systematically search for current research on the role of resilience in the physical rehabilitation of SCI and describe the research to date. MATERIALS AND METHODS The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) approach was used. Five databases were searched for papers published up to March 2020. The sample included adults who have sustained an SCI; outcomes included a physical rehabilitation outcome and a measure of psychological or personal resilience/resilience training. RESULTS The initial search found 2074 studies. 12 studies were included. Six suggest positive effects of resilience on physical functioning/recovery, six report resilience as not affecting physical functioning/recovery. CONCLUSIONS Resilience may positively affect physical outcomes; however, the relationship is under-researched and contrasting findings may be due to measurements and methods employed by research. Future research may distinguish between two sources of resilience following an SCI: prior resilient experiences, and resilience as a product of the injury. Individuals' past events that triggered resilient behaviour may be able to promote a resilient response to an SCI. Focussing on emotional coping may result in poorer outcomes than building a sense of control. Resilience training may affect psychosocial rehabilitation; it is difficult to establish if it would affect physical outcomes. A negative approach to an injury can have negative effects on functioning; when identifying patients for psychoeducational training, those with the presence of negative appraisals of their injury are most in need.IMPLICATIONS FOR REHABILITATIONResilience may positively affect physical outcomes; however, the relationship is under-researched.Individuals' past events that triggered resilient behaviour may be able to promote a resilient response to an SCI.Focussing on emotional coping may result in poorer outcomes than building a sense of control.When identifying patients for psychoeducational training, it may be those with the presence of negative appraisals of their injury that are most in need.
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Affiliation(s)
- Michael Francis Norwood
- The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Meadowbrook, Australia
| | - Ali Lakhani
- The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Meadowbrook, Australia.,The School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Billy Hedderman
- The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Meadowbrook, Australia
| | - Elizabeth Kendall
- The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Meadowbrook, Australia
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147
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Ahrens KF, Neumann RJ, Kollmann B, Brokelmann J, von Werthern NM, Malyshau A, Weichert D, Lutz B, Fiebach CJ, Wessa M, Kalisch R, Plichta MM, Lieb K, Tüscher O, Reif A. Impact of COVID-19 lockdown on mental health in Germany: longitudinal observation of different mental health trajectories and protective factors. Transl Psychiatry 2021; 11:392. [PMID: 34282129 PMCID: PMC8287278 DOI: 10.1038/s41398-021-01508-2] [Citation(s) in RCA: 69] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Revised: 06/02/2021] [Accepted: 06/21/2021] [Indexed: 12/29/2022] Open
Abstract
The COVID-19 pandemic and resulting measures can be regarded as a global stressor. Cross-sectional studies showed rather negative impacts on people's mental health, while longitudinal studies considering pre-lockdown data are still scarce. The present study investigated the impact of COVID-19 related lockdown measures in a longitudinal German sample, assessed since 2017. During lockdown, 523 participants completed additional weekly online questionnaires on e.g., mental health, COVID-19-related and general stressor exposure. Predictors for and distinct trajectories of mental health outcomes were determined, using multilevel models and latent growth mixture models, respectively. Positive pandemic appraisal, social support, and adaptive cognitive emotion regulation were positively, whereas perceived stress, daily hassles, and feeling lonely negatively related to mental health outcomes in the entire sample. Three subgroups ("recovered," 9.0%; "resilient," 82.6%; "delayed dysfunction," 8.4%) with different mental health responses to initial lockdown measures were identified. Subgroups differed in perceived stress and COVID-19-specific positive appraisal. Although most participants remained mentally healthy, as observed in the resilient group, we also observed inter-individual differences. Participants' psychological state deteriorated over time in the delayed dysfunction group, putting them at risk for mental disorder development. Consequently, health services should especially identify and allocate resources to vulnerable individuals.
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Affiliation(s)
- K F Ahrens
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
| | - R J Neumann
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
| | - B Kollmann
- Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany.
- Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany.
| | - J Brokelmann
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
| | - N M von Werthern
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
| | - A Malyshau
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
| | - D Weichert
- Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany
| | - B Lutz
- Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
- Institute of Physiological Chemistry, University Medical Center Mainz, Mainz, Germany
| | - C J Fiebach
- Department of Psychology, Goethe University Frankfurt, Frankfurt, Germany
- Brain Imaging Center, Goethe University, Frankfurt, Germany
| | - M Wessa
- Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
- Department of Clinical Psychology and Neuropsychology, Institute for Psychology, Johannes Gutenberg University Mainz, Mainz, Germany
| | - R Kalisch
- Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
- Neuroimaging Center (NIC), Focus Program Translational Neuroscience (FTN), University Medical Center Mainz, Mainz, Germany
| | - M M Plichta
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
| | - K Lieb
- Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany
- Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
| | - O Tüscher
- Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany
- Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
| | - A Reif
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
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148
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Kärner T, Bottling M, Friederichs E, Sembill D. Between Adaptation and Resistance: A Study on Resilience Competencies, Stress, and Well-Being in German VET Teachers. Front Psychol 2021; 12:619912. [PMID: 34295278 PMCID: PMC8289907 DOI: 10.3389/fpsyg.2021.619912] [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: 10/21/2020] [Accepted: 05/27/2021] [Indexed: 11/13/2022] Open
Abstract
We demonstrate the relationships between occupational demands in German vocational education and training (VET) teacher training, stress symptoms, and different behavioral resilience competencies. Taking into account interindividual differences in resilience competencies, we use a typological approach to identify different types of (trainee) teachers classified by their degrees and configurations of resilience competencies. Our empirical analysis is based on questionnaire data from 131 German vocational trainees and qualified teachers. The results reveal, among other things, that all three resilience competencies-resistance, flexibility, and dynamism-are significantly negatively correlated with the demands of working conditions and workload. Via a latent class analysis, we were able to identify three groups of (trainee) teachers who differed in their resilience competencies to adapt appropriately to different situations and their requirements ("behavioral flexibility"), to recover rapidly from setbacks and to defy the expectations of others ("behavioral resistance"), and to initiate changes as soon as they are necessary or desirable ("behavioral dynamics"). More resilient (trainee) teachers show, among other things, lower values for anxiety as an emotional stress symptom and higher values for job engagement. The findings are discussed with regard to implications for VET teacher training and we stress the need for equilibration on a systemic perspective.
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Affiliation(s)
- Tobias Kärner
- Economic and Business Education (560A), University of Hohenheim, Stuttgart, Germany
| | - Matthias Bottling
- Economic and Business Education (560A), University of Hohenheim, Stuttgart, Germany
| | - Edgar Friederichs
- Centre for Learning and Development and Honorary Professorship for Economic and Business Education, University of Bamberg, Bamberg, Germany
| | - Detlef Sembill
- Economic and Business Education, University of Bamberg, Bamberg, Germany
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149
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Lau WKW, Tai APL, Chan JNM, Lau BWM, Geng X. Integrative psycho-biophysiological markers in predicting psychological resilience. Psychoneuroendocrinology 2021; 129:105267. [PMID: 34015682 DOI: 10.1016/j.psyneuen.2021.105267] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 05/03/2021] [Accepted: 05/06/2021] [Indexed: 11/29/2022]
Abstract
The hypothalamic-pituitary-adrenal (HPA) and parasympathetic nervous systems have been reported to play important roles in emotion regulation and stress coping. Yet, their direct relationship with psychological resilience remains unclear. These biophysiological features should be considered together with the traditional psychometric properties in studying resilience more comprehensively. The current study aimed to examine the role of these systems during a laboratory stress task and to determine the prediction power of resilience by combining psychological and biophysiological features. One hundred and seven (52 females) university students without psychiatric disorders underwent the Trier Social Stress Task (TSST). Psychometric properties of resilience were measured at rest; vagal heart rate variability (HRV), salivary cortisol, and dehydroepiandrosterone (DHEA) levels were captured at baseline, during, and after TSST. Multivariate linear regression as well as support vector regression machine-learning analyses were performed to investigate significant predictors and the prediction power of resilience. Results showed that positive and negative affects, HRV during the anticipatory phase of stress, and the ratio of cortisol/DHEA at the first recovery time point were significant predictors of resilience. The addition of biophysiological features increased the prediction power of resilience by 1.2-fold compared to psychological features alone. Results from machine learning analyses further demonstrated that the increased prediction power of resilience by adding the ratio of cortisol/DHEA was significant in "cortisol responders"; whereas a trend level was observed in "cortisol non-responders". Our findings extend the knowledge from the literature that high vagal activity during the anticipating phase of stress and the ability to restore the balance between cortisol and DHEA after a stress event could be an important feature in predicting resilience. Our findings also further support the need of combining psychological and biophysiological features in studying/predicting resilience.
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Affiliation(s)
- Way K W Lau
- Department of Special Education and Counselling, The Education University of Hong Kong, Hong Kong, China; Integrated Centre for Wellbeing, The Education University of Hong Kong, Hong Kong, China; Bioanalytical Laboratory for Educational Sciences, The Education University of Hong Kong, Hong Kong, China.
| | - Alan P L Tai
- Department of Special Education and Counselling, The Education University of Hong Kong, Hong Kong, China; Integrated Centre for Wellbeing, The Education University of Hong Kong, Hong Kong, China; Bioanalytical Laboratory for Educational Sciences, The Education University of Hong Kong, Hong Kong, China
| | - Jackie N M Chan
- Department of Special Education and Counselling, The Education University of Hong Kong, Hong Kong, China; Integrated Centre for Wellbeing, The Education University of Hong Kong, Hong Kong, China; Bioanalytical Laboratory for Educational Sciences, The Education University of Hong Kong, Hong Kong, China
| | - Benson W M Lau
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China
| | - Xiujuan Geng
- Brain and Mind Institute, The Chinese University of Hong Kong, Hong Kong, China
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150
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Furstova J, Kascakova N, Polackova Solcova I, Hasto J, Tavel P. How Czecho-Slovakia Bounces Back: Population-Based Validation of the Brief Resilience Scale in Two Central European Countries. Psychol Rep 2021; 125:2807-2827. [PMID: 34193000 DOI: 10.1177/00332941211029619] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
OBJECTIVE In recent years, resilience has become a focus of research in the medical and behavioral sciences. The Brief Resilience Scale (BRS) was developed to assess the individual ability to recover from stress ("to bounce back") after experiencing adversities. The aim of the study was to validate the Czech and Slovak versions of the BRS. METHODS A representative sample of the Czech and Slovak populations (NCZ = 1800, mean age MCZ = 46.6, SDCZ = 17.4, 48.7% of men; NSK = 1018, mean age MSK = 46.2, SDSK = 16.6, 48.7% men) completed a survey assessing their health and well-being. Several confirmatory factor analysis (CFA) models of the BRS were compared to find the best fit. Cronbach's alpha and McDonald's omega coefficients of reliability were evaluated. Convergent validity was assessed by correlating resilience (BRS), physical and mental well-being (SF-8) and psychopathology symptoms (BSI-53). Differences in gender and age groups were appraised. RESULTS A single-factor model with method effects on the reverse items was evaluated to best fit the data in both the Czech and Slovak samples (χ2CZ(6) = 39.0, p < 0.001, CFICZ = 0.998, TLICZ = 0.995, RMSEACZ = 0.055, SRMRCZ = 0.024; χ2SK(6) = 23.9, p < 0.001, CFISK = 0.998, TLISK = 0.995, RMSEASK = 0.054, SRMRSK = 0.009). The reliability was high in both samples (αCZ = 0.80, ωCZ = 0.85; αSK = 0.86, ωSK = 0.91). The BRS was positively associated with physical and mental well-being and negatively associated with somatization, depression and anxiety. In both countries, a lower BRS score was associated with higher age. Czech men reported significantly higher BRS scores than women. No significant difference was found in the mean BRS scores between the two countries. CONCLUSION This study provides evidence of good psychometric properties, reliability and validity of the Czech and Slovak adaptations of the BRS.
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Affiliation(s)
- Jana Furstova
- 586980Olomouc University Social Health Institute, 48207Palacky University Olomouc, Czech Republic
| | - Natalia Kascakova
- 586980Olomouc University Social Health Institute, 48207Palacky University Olomouc, Czech Republic; Psychiatric-Psychotherapeutic Outpatient Clinic, Slovak Republic
| | | | - Jozef Hasto
- 586980Olomouc University Social Health Institute, 48207Palacky University Olomouc, Czech Republic; Department of Social Work, St. Elizabeth College of Health and Social Work, Slovak Republic; Faculty of Medicine, Department of Psychiatry, Slovak Medical University in Bratislava, Slovak Republic
| | - Peter Tavel
- 586980Olomouc University Social Health Institute, 48207Palacky University Olomouc, Czech Republic
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