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Marciano H, Kimhi S, Eshel Y, Adini B. Resilience and coping during protracted conflict: a comparative analysis of general and evacuees populations. Isr J Health Policy Res 2024; 13:56. [PMID: 39358809 PMCID: PMC11448295 DOI: 10.1186/s13584-024-00642-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2024] [Accepted: 09/20/2024] [Indexed: 10/04/2024] Open
Abstract
BACKGROUND On October 7th, 2023, Hamas launched a surprise attack on Israel, triggering a conflict with Israel in the Gaza Strip. This ongoing war, now six months old, has also seen threats from Hezbollah in Lebanon, as well as from Yemen and Iran. The precarious security situation along Israel's southern and northern borders led to extensive evacuations, with residents relocating within Israel under uncertain conditions concerning their return and property safety. This study compares resilience (societal, SR; community, CR; and individual, IR), hope, morale, distress symptoms (anxiety and depression symptoms), and perceived danger between general Hebrew-speaking adults and evacuee adults a few months post-conflict initiation. METHODS Data was collected using structured self-reported questionnaires focusing on resilience and coping strategies, administered through two online panel companies. The general population data was collected from January 14-21, 2024 (N = 1,360), and the evacuees' data from March 1-9, 2024 (N = 372; 133 from the north, 239 from the south). RESULTS Evacuees reported lower SR and CR, hope, and morale, and higher distress symptoms and perceived danger compared to the general population. No differences in IR were found. Regression analyses identified different primary predictors of SR for each group: hope for the general population and governmental support for evacuees. Additionally, IR significantly predicted outcomes only among evacuees, whereas age, religiosity, and education were significant predictors solely in the general population. One notable similarity emerged: CR served as the second most influential predictor in both samples. CONCLUSIONS The entire population of Israel is affected by the ongoing war, yet evacuees endure a disproportionately severe impact, with potential for increased harm as the conflict persists. The adjustment to a new wartime emergency routine is more complex for evacuees than for the general population. It is crucial for policy and decision-makers to address the distinct differences between evacuees and the general populace to effectively meet their specific needs. Yet, it should be acknowledged that the evacuees represent a heterogenic group, necessitating a detailed subdivision into subgroups to accurately assess and address their unique challenges.
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Affiliation(s)
- Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai Academic College, Kiryat Shmona, Israel.
- The Institute of Information Processing and Decision Making, University of Haifa, Haifa, Israel.
| | - Shaul Kimhi
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Tel-Hai College, Kiryat Shmona, Israel
| | - Yohanan Eshel
- Stress and Resilience Research Center, Tel-Hai Academic College, Kiryat Shmona, Israel
- University of Haifa, Haifa, Israel
| | - Bruria Adini
- Head of the Department of Emergency Management and Disaster Management, and ResWell Research Collaboration, School of Public Health, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel
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Dahan S, Bloemhof-Bris E, Segev R, Abramovich M, Levy G, Shelef A. Anxiety, post-traumatic symptoms, media-induced secondary trauma, post-traumatic growth, and resilience among mental health workers during the Israel-Hamas war. Stress Health 2024:e3459. [PMID: 39106087 DOI: 10.1002/smi.3459] [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: 02/13/2024] [Revised: 07/09/2024] [Accepted: 07/27/2024] [Indexed: 08/07/2024]
Abstract
The ongoing Israel-Hamas war is posing additional challenges for mental health workers in an already stressful workplace. This study centres on the psychological effects of the shared traumatic reality on mental health workers, arising from the Israel-Hamas war. One month after exposure to the terrorist attack of 7 October 2023 and the outbreak of war following this event, 147 mental health workers completed questionnaires regarding a variety of variables such as demographics, anxiety symptoms, acute stress symptoms, media-induced secondary trauma, personal resilience, National resilience (NR), and post-traumatic growth (PTG). The study found that mental health workers with previous trauma displayed higher anxiety symptoms, acute stress symptoms, and media-induced secondary trauma. Additionally, acute stress and anxiety were positively correlated with media-induced secondary trauma. Religiosity, personal resilience, and NR were found associated with lower anxiety and acute stress symptoms. Religiosity was also positively correlated with personal resilience, NR, and PTG. The PTG of mental health workers working with trauma survivors and evacuees was higher compared to that of other mental health workers. Both adverse and adaptive reactions were evident among mental health workers. While traumatic stress is expected, individual, professional, and NR factors may mitigate its effects. Providing training, social support, regulated media exposure, stress management, and meaning-focused coping strategies can help safeguard workers' well-being.
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Affiliation(s)
- Sagit Dahan
- Lev Hasharon Mental Health Center, Netanya, Israel
| | | | - Ronen Segev
- Faculty of Medicine, Department of Nursing, The Stanley Steyer School of Health Professions, Tel-Aviv University, Tel Aviv, Israel
| | | | - Galit Levy
- Lev Hasharon Mental Health Center, Netanya, Israel
| | - Assaf Shelef
- Lev Hasharon Mental Health Center, Netanya, Israel
- Department of Psychiatry, Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
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Kaniasty K, Baran M, Urbańska B, Boczkowska M, Hamer K. Sense of danger, sense of country's mastery, and sense of personal mastery as concomitants of psychological distress and subjective well-being in a sample of Poles following Russia's invasion of Ukraine: Prospective analyses. Appl Psychol Health Well Being 2024; 16:967-985. [PMID: 37640052 DOI: 10.1111/aphw.12483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 08/08/2023] [Indexed: 08/31/2023]
Abstract
This study investigated psychological toll of the ongoing war in neighboring Ukraine in a sample of adult Poles (N = 1245). Data were collected online in early February and August 2022. Prospective analyses that accounted for psychological health status assessed before the Russian invasion showed that higher levels of sense of danger due to the war predicted higher levels of psychological distress and lower levels of affect balance close to 6 months after Russia attacked Ukraine. Sense of country's mastery (i.e. beliefs that government, its major institutions, and citizens would effectively cope with various emergencies and crises) served as a protective factor. Likewise, Poles who had confidence in their personal mastery (e.g., beliefs in ability to exercise control over life challenges) exhibited less distress and more subjective well-being. These findings emerged after controlling for sociodemographic factors, the presence of stressful experiences associated with the COVID-19 pandemic, and other life events. Wars dramatically reverberate beyond the borders of the countries involved. People's own sense of mastery and their trust in the resilience of their governmental and public institutions are critical in times of coping with existential security threats and wars.
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Affiliation(s)
- Krzysztof Kaniasty
- Department of Psychology, Indiana University of Pennsylvania, Indiana, Pennsylvania, USA
- Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
| | - Maria Baran
- Faculty of Psychology, SWPS University, Warsaw, Poland
| | - Beata Urbańska
- Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
| | - Marta Boczkowska
- Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
- Faculty of Psychology, SWPS University, Warsaw, Poland
| | - Katarzyna Hamer
- Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
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Kimhi S, Kaim A, Bankauskaite D, Baran M, Baran T, Eshel Y, Dumbadze S, Gabashvili M, Kaniasty K, Koubova A, Marciano H, Matkeviciene R, Teperik D, Adini B. A full-scale Russian invasion of Ukraine in 2022: Resilience and coping within and beyond Ukraine. Appl Psychol Health Well Being 2024; 16:1005-1023. [PMID: 37424002 DOI: 10.1111/aphw.12466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Accepted: 06/11/2023] [Indexed: 07/11/2023]
Abstract
The study examined the resilience and coping of samples from Ukraine and five nearby countries during the war in Ukraine. The research focused on (1) the levels of community and societal resilience of the Ukrainian respondents compared with the populations of five nearby European countries and (2) commonalities and diversities concerning coping indicators (hope, well-being, perceived threats, distress symptoms, and sense of danger) across the examined countries. A cross-sectional study was conducted, based on data collection through Internet panel samples, representing the six countries' adult populations. Ukrainian respondents reported the highest levels of community and societal resilience, hope, and distress symptoms and the lowest level of well-being, compared to the population of the five nearby European countries. Hope was the best predictor of community and societal resilience in all countries. Positive coping variables, most notably hope, but also perceived well-being are instrumental in building resilience. While building resilience on a societal level is a complex, multifaceted task, various dimensions must be considered when planning actions to support these states. It is essential to monitor the levels of resilience, during and following the resolution of the crisis, both in Ukraine and in the neighboring countries.
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Affiliation(s)
- Shaul Kimhi
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Stress and Resilience Research Center, Tel-Hai College, Tel-Hai, Israel
| | - Arielle Kaim
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Israel National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat-Gan, Israel
| | | | - Maria Baran
- Faculty of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland
| | - Tomasz Baran
- Faculty of Psychology, University of Warsaw, Warsaw, Poland
| | - Yohannan Eshel
- Stress and Resilience Research Center, Tel-Hai College, Tel-Hai, Israel
- Psychology Department, University of Haifa, Haifa, Israel
| | - Salome Dumbadze
- Applied Psychology, School of Social Sciences, Georgian Institute of Public Affairs, Tbilisi, Georgia
| | - Manana Gabashvili
- Applied Psychology, School of Social Sciences, Georgian Institute of Public Affairs, Tbilisi, Georgia
| | - Krzysztof Kaniasty
- Department of Psychology, Indiana University of Pennsylvania, Indiana, Pennsylvania, USA
- Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
| | - Alice Koubova
- Institute of Philosophy, Czech Academy of Sciences, Prague, Czech Republic
| | - Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, Tel-Hai, Israel
- The Institute of Information Processing and Decision Making, University of Haifa, Haifa, Israel
| | | | - Dmitri Teperik
- International Center for Defense and Security, Tallinn, Estonia
| | - Bruria Adini
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Kaim A, Tov MS, Kimhi S, Marciano H, Eshel Y, Adini B. A longitudinal study of societal resilience and its predictors during the Israel-Gaza war. Appl Psychol Health Well Being 2024; 16:1479-1496. [PMID: 38515210 DOI: 10.1111/aphw.12539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Accepted: 03/04/2024] [Indexed: 03/23/2024]
Abstract
This study assesses the resilience of Israeli society during the ongoing Israel-Gaza conflict and pinpoints factors that influence this resilience in prolonged national crises. A longitudinal study was carried out with two surveys, both using the same questionnaire to gage societal, community, and individual resilience levels, along with hope, morale, distress, perceived threats, and government support. The initial survey was administered 5 days after the war escalated and the second 1 month later. The study's results reveal a decline in societal resilience over time. The regression analysis identified four major associations at both resilience measurement points. The key variables are community resilience and hope, both contributing positively. Attitudes towards government support (specifically being a government supporter vs. an opponent) also played a role. Additionally, there was a negative association with levels of religiosity, particularly distinguishing between ultra-orthodox and secular individuals. In the temporal analysis predicting future resilience (from data at the first time point to predict resilience at the second time point), societal resilience at the first measurement was the strongest forecaster of its resilience at the second measurement. Additionally, the main continuous variable from the previous analysis, community resilience, continued to be an influential and positive forecaster in the time-based analysis. The research suggests that the initial unifying effect of the conflict, similar to a "Rally around the flag" phenomenon, may be short-lived. The study underlines the importance of community strength, hope, government support, and religious considerations in shaping societal resilience in the face of conflict.
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Affiliation(s)
- Arielle Kaim
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Department of Emergency and Disaster Management, School of Public Health, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Maya Siman Tov
- Department of Emergency and Disaster Management, School of Public Health, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Shaul Kimhi
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Stress and Resilience Research Center, Tel-Hai College, Tel-Hai, Israel
| | - Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, Tel-Hai, Israel
- The Institute of Information Processing and Decision Making, University of Haifa, Haifa, Israel
| | - Yohanan Eshel
- Stress and Resilience Research Center, Tel-Hai College, Tel-Hai, Israel
- Psychology Department, University of Haifa, Haifa, Israel
| | - Bruria Adini
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Department of Emergency and Disaster Management, School of Public Health, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Marciano H, Kimhi S, Eshel Y, Adini B. Impact of prolonged social crisis on resilience and coping indicators. PLoS One 2024; 19:e0305542. [PMID: 39088570 PMCID: PMC11293720 DOI: 10.1371/journal.pone.0305542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Accepted: 05/29/2024] [Indexed: 08/03/2024] Open
Abstract
The current study examines, longitudinally, (i.e., on the same sample), to what extent an acute political/social crisis in Israel affected the resilience, distress, and additional psychological indicators of the Jewish population, along with three repeated measurements: The first was conducted shortly before the last elections (in October 2022), the second in February 2023, about two and a half months after the elections, following the formation of a right-wing government, and the third measurement about nine months after the election (August 7-10, 2023). The main results indicated the following: (a) the mean societal resilience among coalition voters increased significantly throughout the three measurements, while it declined significantly among opposition voters. (b) significant differences were identified between coalition and opposition voters, mostly at T2 and T3: opposition supporters reported significantly lower levels of societal resilience and hope, and higher levels of distress symptoms and sense of danger, compared to those of coalition supporters. We concluded that the continued social/political conflict in Israel is multidimensional and impacts diverse areas such as values, perspectives, and supporting as well as suppressing coping indicators. The differences between the two voter groups may be primarily the result of political radicalization and polarization processes, that aim to widen gaps to achieve political power. As many countries are currently facing acute political crises and similar radicalization, similar studies should be conducted in varied societies to investigate the generalizability of the findings.
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Affiliation(s)
- Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, Tel Hai, Israel
- Institute of Information Processing and Decision Making (IIPDM), University of Haifa, Haifa, Israel
| | - Shaul Kimhi
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
| | - Yohanan Eshel
- Stress and Resilience Research Center, Tel-Hai College, Tel Hai, Israel
- Psychology Department, University of Haifa, Haifa, Israel
| | - Bruria Adini
- Institute of Information Processing and Decision Making (IIPDM), University of Haifa, Haifa, Israel
- Head of the Department of Emergency Management and Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Cleofas JV. Gender, society and mental health: The moderated mediating role of depression and gender on national resilience and life satisfaction among emerging adults. Int J Ment Health Nurs 2024; 33:660-670. [PMID: 38050873 DOI: 10.1111/inm.13272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Accepted: 11/23/2023] [Indexed: 12/07/2023]
Abstract
Recent threats to human security (i.e., COVID-19 pandemic, conflicts, climate change events) call for nurses to have an increased understanding of how sociopolitical environments induce mental health problems and impact the well-being of citizens. This study examines the relationship between national resilience and life satisfaction among Filipino emerging adults, how depression mediates this relationship, and how these correlations are moderated by gender. Drawing from an online survey sample of 1020 Filipino emerging adults (18-29 years old), this cross-sectional study utilised a moderated mediation analysis. Key constructs were measured using the short version of the National Resilience Scale (NR-13), the depression component of the Kessler Psychological Distress (K10) scale and the Satisfaction with Life Scale (SWLS). Gender was measured as sex assigned at birth. Descriptive results show that more than half of the respondents are female (64.2%) and demonstrate below-average levels of national resilience and depression, and high levels of life satisfaction. Also, findings indicate that depression has significant negative relationships with, and partially mediates the positive relationship between national resilience and life satisfaction. Moreover, moderation analysis results suggest that being female synergizes the negative relationship between depression and life satisfaction, and being male strengthens the positive relationship between national resilience and life satisfaction (p < 0.01). The results highlight how the national resilience of emerging adults neutralises their risk for depression and, ultimately, improves life satisfaction. Moreover, the findings emphasise the importance of nursing advocacy actions to ensure that social policies for improving public mental health are gender-sensitive, given that macro-social and psychological factors have varied effects on individuals' lives based on gender.
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Affiliation(s)
- Jerome Visperas Cleofas
- Department of Sociology and Behavioral Sciences, De La Salle University, Manila, Philippines
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Zhao L, Min M, Huang X, Qian Y, Zhou L, Yang P. Anti-pandemic resilience assessment for countries along the Belt and Road route. Front Public Health 2023; 11:1152029. [PMID: 38026275 PMCID: PMC10652767 DOI: 10.3389/fpubh.2023.1152029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Accepted: 10/16/2023] [Indexed: 12/01/2023] Open
Abstract
Background The COVID-19 pandemic is sweeping the world, and countries along the Belt and Road (B&R) route have also been hit hard. However, the impact varied greatly from country to country, some severely and others mildly. What factors have led to such a wide variation? Method In this paper, we considered institutional, infrastructural, economic, social, and technological resilience as components of overall anti-pandemic resilience, and constructed a set of indicators to evaluate this resilience for B&R countries in 2020. We evaluated the anti-pandemic resilience using the combined empowerment-VIKOR method, and classified the countries into different resilience levels by means of hierarchical clustering. The validity of the evaluation indicator system was verified by analyzing the consistency between the actual performance and the assessed resilience. Results The ranking results showed that Israel and Bahrain were representative of countries that had the highest resilience, Hungary and Estonia represented countries with moderate resilience, and Laos and Cambodia represented countries with the lowest resilience. We also found that countries with high resilience had much better institutional and economic resilience than countries with moderate resilience, whereas countries with low resilience lagged behind in both infrastructural and social resilience. Based on these findings, policy recommendations were offered to help B&R countries respond to future pandemics.
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Affiliation(s)
- Laijun Zhao
- Business School, University of Shanghai for Science and Technology, Shanghai, China
| | - Mengmeng Min
- Business School, University of Shanghai for Science and Technology, Shanghai, China
| | - Xiaoyan Huang
- Emergency Management Office, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China
| | - Ying Qian
- Business School, University of Shanghai for Science and Technology, Shanghai, China
| | - Lixin Zhou
- Business School, University of Shanghai for Science and Technology, Shanghai, China
| | - Pingle Yang
- Business School, University of Shanghai for Science and Technology, Shanghai, China
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Kimhi S, Eshel Y, Marciano H, Adini B. Impact of the war in Ukraine on resilience, protective, and vulnerability factors. Front Public Health 2023; 11:1053940. [PMID: 37397735 PMCID: PMC10311639 DOI: 10.3389/fpubh.2023.1053940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 05/25/2023] [Indexed: 07/04/2023] Open
Abstract
War or armed conflict is one of the most severe human-made adversities. The current study examines the resilience, protective, and vulnerability factors of a sample of Ukrainian civilians, during the current Russian-Ukrainian war. The level of resilience and coping indicators were compared with the responses of an Israeli sample following an armed conflict in May 2021. The data were collected by an internet panel company. A representative sample of Ukrainian residents (N = 1,001) responded to an online questionnaire. A stratified sampling method was employed regarding geographic distribution, gender, and age. The data concerning the Israeli population (N = 647) were also collected by an internet panel company during a recent armed conflict with Gaza (May 2021). Three notable results emerged in this study: (a) The Ukrainian sample reported significantly higher levels of the following: Distress symptoms, sense of danger, and perceived threats, compared with the Israeli sample. However, despite these harsh feelings, the Ukrainian respondents reported substantially higher levels of hope and societal resilience compared, to their Israeli counterparts, and somewhat higher individual and community resilience. (b) The protective factors of the respondents in Ukraine (level of hope, wellbeing, and morale), predicted the three types of resilience (individual, community, and social) better than the vulnerability factors (sense of danger, distress symptoms, and level of threats). (c) The best predictors of the three types of resilience were hope and wellbeing. (d) The demographic characteristics of the Ukrainian respondents hardly added to the prediction of the three types of resilience. It appears that a war that threatens the independence and sovereignty of a country may, under certain conditions, enhance the societal resilience and hope of the population under risk, despite a lower sense of wellbeing and higher levels of distress, sense of danger, and perceived threats.
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Affiliation(s)
- Shaul Kimhi
- School of Public Health, Tel Aviv University, Tel Aviv, Israel
| | - Yohanan Eshel
- Department of Psychology, University of Haifa, Haifa, Israel
- Stress and Resilience Research Center, Tel Hai, Israel
| | - Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, Tel Hai, Israel
- Institute of Information Processing and Decision Making, University of Haifa, Haifa, Israel
| | - Bruria Adini
- Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine and ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
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Eshel Y, Kimhi S, Marciano H, Adini B. Demographic factors, partial social belonging and psychological resources associated with coping. Front Psychol 2023; 14:1154659. [PMID: 37077847 PMCID: PMC10106560 DOI: 10.3389/fpsyg.2023.1154659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Accepted: 03/14/2023] [Indexed: 04/05/2023] Open
Abstract
Introduction The present study investigates the role of perceived partial social belonging (PPSB) in determining societal and individual resilience and positive and negative coping indicators. It is assumed that most people aspire to belong and be integrated into their society. A sense of only partial belonging is therefore distressing for them. Methods Two hypotheses are examined in the current study: (a) A higher level of PPSB will predict a lower level of resilience and a higher level of psychological symptoms. (b) PPSB will mediate the associations between three stress-evoking demographic characteristics (younger age, low income, and gender) and the lower psychological resilience and higher distress associated with these demographic characteristics. These hypotheses were examined using a sample of the Israeli Jewish public (N = 1,502) who responded to an anonymous questionnaire about the investigated issues. The data were collected by an internet panel company possessing a database of more than 65,000 residents, representing the varied components of the Israeli society. Results The findings supported our hypotheses: (a) PPSB negatively predicted societal and individual resilience and hope and positively predicted distress symptoms and sense of danger. (b) PPSB mediated the effects of the investigated demographic variables on these psychological variables. Conclusion These results are discussed in association with the concept of belonging competencies. Our findings display that being unsure about one's belonging to a desired social group, has a major role in increasing psychological distress and sense of danger and in reducing hope and both individual and societal resilience.
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Affiliation(s)
- Yohanan Eshel
- Stress and Resilience Research Center, Tel-Hai College, Tel Hai, Israel
- Department of Psychology, University of Haifa, Haifa, Israel
| | - Shaul Kimhi
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
| | - Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, Tel Hai, Israel
- The Institute of Information Processing and Decision Making, University of Haifa, Haifa, Israel
| | - Bruria Adini
- ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel
- Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel Aviv, Israel
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Kimhi S, Marciano H, Eshel Y, Adini B. Do we cope similarly with different adversities? COVID-19 versus armed conflict. BMC Public Health 2022; 22:2151. [PMID: 36419033 PMCID: PMC9684926 DOI: 10.1186/s12889-022-14572-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Accepted: 11/08/2022] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Varied populations may react differently to similar crises, depending on their social, cultural, and personal backgrounds; conversely, the same populations may respond differently to varied adversities. The current study aimed to examine three types of resilience (individual, community, and societal resilience) predicting six coping mechanisms (sense of danger, anxiety and depressive symptoms, well-being, hope, and morale) among the same sample of people that faced across two different adversities-COVID-19 and an armed conflict. METHODS Two repeated measurements of the same Israeli sample (N = 593) were employed, through an internet panel. The research variables were examined through a structured, quantitative questionnaire that consisted of nine scales, based on validated and reliable questionnaires. RESULTS Results indicated that: (a) respondents reported more difficulties in coping with the COVID-19 crisis, compared to the armed conflict, in all variables but morale. (b) similar patterns of correlations among the study variables were found in both measurements. (c) path's analysis indicated similar patterns of prediction of distress and well-being by individual and societal resilience. Use of the coping mechanism varied depending on the perception of the threat: COVID -19 is perceived as a less familiar and predictable adversity, which is harder to cope with, compared with the more familiar risk - an armed conflict, which is a recurrent threat in Israel. The correlations between the investigated psychological responses and the impacts of resilience on the coping and distress mechanism were similar in both adversities. CONCLUSIONS The results indicate that respondents tend to react in a similar pattern of associations among resilience, distress, and well-being across different adversities, such as COVID and armed conflict. However, individuals tend to regard unfamiliar, less predictable adversities as more complex to cope with, compared to better-known crises. Furthermore, respondents tend to underestimate the risks of potential familiar adversities. Healthcare professionals must be aware of and understand the coping mechanisms of individuals during adversities, to appropriately design policies for the provision of medical and psychological care during varied emergencies.
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Affiliation(s)
- Shaul Kimhi
- grid.12136.370000 0004 1937 0546ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel ,grid.443193.80000 0001 2107 842XStress and Resilience Research Center, Tel-Hai College, Tel–Hai, Israel
| | - Hadas Marciano
- grid.443193.80000 0001 2107 842XStress and Resilience Research Center, Tel-Hai College, Tel–Hai, Israel ,grid.18098.380000 0004 1937 0562The Institute of Information Processing and Decision Making, University of Haifa, Haifa, Israel
| | - Yohanan Eshel
- grid.443193.80000 0001 2107 842XStress and Resilience Research Center, Tel-Hai College, Tel–Hai, Israel ,grid.18098.380000 0004 1937 0562The Psychology Department, University of Haifa, Haifa, Israel
| | - Bruria Adini
- grid.12136.370000 0004 1937 0546ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel ,grid.12136.370000 0004 1937 0546Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Eshel Y, Kimhi S, Marciano H, Adini B. Perceived partial social integration, levels of distress and resilience, and COVID-19 vaccine rejection of Jewish and Arab citizens of Israel. Front Public Health 2022; 10:1021015. [PMID: 36483251 PMCID: PMC9723345 DOI: 10.3389/fpubh.2022.1021015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 11/07/2022] [Indexed: 11/24/2022] Open
Abstract
Introduction The present study examines the role of perceived partial social integration (PPSI) in determining the rejection of the COVID-19 vaccine of Jewish and Arab citizens of Israel. Methods The research hypotheses are examined using a relatively large sample of the Israeli public, including 208 Arab and 600 Jewish adults, who have responded to an anonymous questionnaire pertaining, among other issues, to partial social integration and the individual level of vaccine uptake. Results Higher levels of PPSI were found to be associated with higher levels of vaccine rejection, in both Jewish and Arab samples. The Arab minority group regards themselves as less socially integrated into the Israeli society and therefore rejects the COVID-19 vaccine to a greater extent than the majority group. The Arab respondents expressed a higher level of psychological distress and a lower level of resilience compared with the Jewish participants. The perceived partial social integration score significantly predicted the levels of distress and resilience of the Jewish but not the Arab sample. Discussion The study indicates that increasing the vaccination rates depends more substantially on trust in the authorities than on leveraging greater pressure on individuals that reject the vaccine. Increased trust in the authorities and regarding oneself as an integral component of society are two vital conditions for vaccine acquiescence. Insufficient social integration is a major reason for vaccine rejection.
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Affiliation(s)
- Yohanan Eshel
- Stress and Resilience Research Center, Tel-Hai College, University of Haifa, Haifa, Israel
| | - Shaul Kimhi
- ResWell - Multinational Resilience & Wellbeing Research Center, Tel Aviv University, Tel Aviv, Israel
| | - Hadas Marciano
- Stress, and Resilience Research Center, Tel-Hai College, The Institute of Information Processing and Decision Making (IIPDM), University of Haifa, Haifa, Israel
| | - Bruria Adini
- Department of Emergency and Disaster Management, Sackler School of Public Health, Sackler Faculty of Medicine, ResWell - Multinational Resilience & Wellbeing Research Center, School of Public Health, Tel Aviv University, Tel Aviv, Israel
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Kimhi S, Eshel Y, Marciano H, Adini B. Impact of societal resilience on vaccine hesitancy and uptake: Lessons learned from the Israeli experience. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2022; 79:103181. [PMID: 35873193 PMCID: PMC9293373 DOI: 10.1016/j.ijdrr.2022.103181] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 07/09/2022] [Accepted: 07/11/2022] [Indexed: 05/20/2023]
Abstract
BACKGROUND Vaccine hesitancy threatens COVID-19 pandemic management. Increasing vaccine uptake is important to containment of the virus, and achievement of herd immunity. OBJECTIVE To identify factors of resilience, distress, and well-being that impact vaccine hesitancy and uptake. METHOD A cross-sectional study was conducted during the pandemic's fourth wave. The data were collected by an internet panel company. A representative sample of Israeli residents (N = 2002) answered an online questionnaire. A stratified sampling method was employed regarding geographic distribution, gender, and age. As vaccine hesitancy poses a threat to the effective management of the pandemic, the outcome measures included vaccine hesitancy and uptake (dependent variables), and resilience, distress, and well-being (independent variables). RESULTS 24% of respondents reported a high level of vaccine hesitancy; 68% received 3 vaccines; 5% did not receive any vaccine. Six predictors together explained 22% of vaccine hesitancy and 15% of vaccine uptake.Path analysis indicated that: (a) Societal resilience was the best predictor of vaccine hesitancy and uptake: the higher the societal resilience, the lower vaccine hesitancy, and the higher vaccine uptake. (b) The higher sense of danger, the higher vaccine hesitancy, and the lower vaccine uptake. (c) The higher level of religiosity, the lower vaccine uptake. (d) The higher the family income, the lower level of vaccine hesitancy. CONCLUSIONS Findings suggest that public attitudes are primarily influenced by the degree of trust in the leadership and other components of societal resilience. Further research should investigate the impact of transparency concerning COVID-19 decision-making on vaccine hesitancy and uptake.
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Affiliation(s)
- Shaul Kimhi
- Multinational Resilience & Well-being Research Center, Tel Aviv University, Israel
| | - Yohanan Eshel
- Stress and Resilience Research Center, Tel Hai and University of Haifa, Israel
| | - Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, The Institute of Information Processing and Decision Making (IIPDM), University of Haifa, Israel
| | - Bruria Adini
- Head of the Department of Emergency and Disaster Management, Multinational Resilience & Well-being Research Center, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Israel
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14
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Eshel Y, Kimhi S, Marciano H, Adini B. Partial Social Integration as a Predictor of COVID-19 Vaccine Rejection and Distress Indicators. Front Public Health 2022; 10:900070. [PMID: 35958848 PMCID: PMC9360764 DOI: 10.3389/fpubh.2022.900070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2022] [Accepted: 06/16/2022] [Indexed: 11/13/2022] Open
Abstract
Partial social integration refers to the perceived exclusion of individuals or groups, from full participation in their society. The current study claims that perceived partial social integration (PPSI) constitutes a substantial predictor of the rejection of the COVID-19 vaccine, a significant mediator of the impact of demographic variables (such as age and level of income) on this vaccine rejection, and an important predictor of indices of psychological distress during pandemic times. Previous publications show that although vaccines constitute a very efficient means for countering pandemics, vaccine hesitancy is a prevalent public response to the COVID-19 pandemic. The present study is one of a few studies examining the impact of psychological variables on the actual behavior of vaccine rejection rather than on the cognitive element of vaccine hesitancy. A sample of 600 Israeli Jewish adults responded in February 2022 to an anonymous questionnaire exploring, among other issues, the (PPSI), the individual level of vaccine uptake, and the level of distress of these individuals. Path analyses of the variables predicted by PPSI indicated the following results: (a) PPSI score negatively predicted vaccine uptake level and significantly mediated the effects of age and family income on the level of vaccination. (b) PPSI levels significantly predicted higher levels of anxiety, depression, and a sense of danger and negatively predicted societal resilience. The discussion elaborates the contention that the PPSI is a substantial cause of psychological distress and in compliance with the pandemic vaccination guidelines, despite the potential health risk involved.
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Affiliation(s)
- Yohanan Eshel
- Stress, and Resilience Research Center, Tel Hai College, University of Haifa, Haifa, Israel
| | - Shaul Kimhi
- ResWell—Multinational Resilience and Well-Being Research Collaboration, Tel Aviv University, Tel Aviv, Israel
| | - Hadas Marciano
- Stress, and Resilience Research Center, Tel Hai College, University of Haifa, Haifa, Israel
- The Institute of Information Processing and Decision Making (IIPDM), University of Haifa, Haifa, Israel
| | - Bruria Adini
- Department of Emergency and Disaster Management, ResWell—Multinational Resilience and Well-Being Research Collaboration, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- *Correspondence: Bruria Adini
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15
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Eshel Y, Kimhi S, Marciano H, Adini B. Conspiracy claims and secret intentions as predictors of psychological coping and vaccine uptake during the COVID-19 pandemic. J Psychiatr Res 2022; 151:311-318. [PMID: 35526447 PMCID: PMC9057981 DOI: 10.1016/j.jpsychires.2022.04.042] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Revised: 04/19/2022] [Accepted: 04/28/2022] [Indexed: 01/25/2023]
Abstract
The COVID-19 vaccination campaign led to hesitancy, deferment and un-resolving resistance of certain groups or individuals worldwide. Reasons for these reactions include distrust in the COVID-19 vaccine that was developed rapidly, lack of trust in governing entities and unrealistic optimism (UO). Each of these reasons may involve claims of secret intentions or conspiracy theories. The present study examined the role of three different explanations for vaccine hesitancy and rejection, in predicting psychological coping, distress, and level of vaccine uptake, throughout the COVID-19 pandemic. Blaming the vaccine and its producers, blaming the state's authorities, and expressing criticism in UO terms, which may hint of some secret intention that underlies the vaccination request. The research was conducted on a sample of 2002 Israeli adults who responded to an anonymous questionnaire about vaccine hesitancy and psychological coping. We assumed that conspiracy theories aimed at the medical and the governing authorities, and the UO insinuations of covert intentions of these authorities, represent two different psychological processes. UO responses to adversity are aimed at reducing anxiety attributing covert intentions to the authorities and the pharmaceutical companies is an expression of anxiety. Three major hypotheses are examined. First, stronger criticism of the vaccine will be associated with a lower level of vaccination. Second, more extreme criticism of the political and the medical authorities for requesting vaccination, raised as a reason for vaccine hesitation will positively predict a higher level of anxiety and negatively predict the extent of good psychological coping. A stronger opposition to the vaccine in terms of UO will be positively associated with a greater scope of resilience and coping and will be negatively linked to indicators of distress. Results supported these hypotheses and enhanced the ongoing discussion on the contribution of UO to psychological adjustment, by illustrating its beneficial effects on this adjustment. Conspiracy Theories and Secret Intentions as Predictors of Psychological Coping and Vaccine Uptake throughout the COVID-19 Pandemic in Israel.
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Affiliation(s)
- Yohanan Eshel
- Stress and Resilience Research Center, Tel Hai and University of Haifa, Israel.
| | - Shaul Kimhi
- ResWell - Multinational Resilience & Well-being Research Collaboration, Tel Aviv University, Israel.
| | - Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, The Institute of Information Processing and Decision Making (IIPDM), University of Haifa, Israel. https://
| | - Bruria Adini
- Head of the Department of Emergency and Disaster Management, ResWell -Multinational Resilience & Well-being Research Collaboration, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Israel.
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16
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Dahan S, Levi G, Segev R. Shared trauma during the COVID-19 pandemic: Psychological effects on Israeli mental health nurses. Int J Ment Health Nurs 2022; 31:722-730. [PMID: 35347840 PMCID: PMC9111549 DOI: 10.1111/inm.12996] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 03/04/2022] [Accepted: 03/08/2022] [Indexed: 11/30/2022]
Abstract
Mental health nurses, tasked with the constant care of clients undergoing mental health treatment, have faced unique challenges arising from the uncertain outcomes of the COVID-19 pandemic. The shared exposure of both nurses and their patients to a traumatic event such this pandemic leads to additional challenges and ways of coping. The psychological effects of this shared trauma on mental health nurses arising from the pandemic are the subject of this study. An online survey was used to examine personal levels of anxiety and concern, personal and national resilience (NR), and posttraumatic growth (PTG) among 183 mental health nurses working in mental health services in Israel. Overall, the study revealed moderate levels of concern and relatively low levels of anxiety, with significant negative correlations between personal and NR and levels of concern and anxiety. Higher levels of personal and NR were related to lower levels of concern and anxiety, and there was a significant positive correlation between assessments of personal resilience and NR. A significant positive correlation was found between personal and NR and PTG. Higher religiosity was associated with higher resilience, and higher professional seniority was related to higher PTG. Finally, results for particular demographic subgroups indicate that in Israel, special attention should be given to those mental health nurses who have immigrated to Israel, are non-Jews or have less professional experience.
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Affiliation(s)
- Sagit Dahan
- Lev-Hasharon Mental Health Medical Center, Netanya, Israel
| | - Galit Levi
- Lev-Hasharon Mental Health Medical Center, Netanya, Israel
| | - Ronen Segev
- Department of Nursing Sciences, Ruppin Academic Center, Emek-Hefer, Israel
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17
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Aruta JJBR, Callueng C, Antazo BG, Ballada CJA. The mediating role of psychological distress on the link between socio-ecological factors and quality of life of Filipino adults during COVID-19 crisis. JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 50:712-726. [PMID: 34260751 PMCID: PMC8426953 DOI: 10.1002/jcop.22668] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Revised: 05/22/2021] [Accepted: 06/24/2021] [Indexed: 05/05/2023]
Abstract
Anchored on the Ecological Systems Theory, this study aimed to determine how psychological distress operates as an underlying mechanism in the impact of socio-ecological factors on the quality of life of Filipino adults during coronavirus disease 2019 (COVID-19) crisis. A cross-sectional online survey was conducted to assess perceptions of 401 adults on socio-ecological factors (i.e., safety at home, trust in public institutions, and financial difficulties), psychological distress, and quality of life during the early phase of COVID-19 community quarantine in the Philippines. Using latent variable path analysis, all three socio-ecological factors have significant direct effects on both psychological distress and quality of life. More importantly, the proposed model was confirmed in terms of a significant partial mediation of psychological distress on the impact of safety at home, trust in public institutions, and financial difficulties on the quality of life of Filipino adults. The study offers novel insights into the role of psychological distress as an underlying mechanism that operates on the influence of socio-ecological factors on the quality of life of adults during a global health crisis. Implications on psychological interventions and policies in preventing mental health problems vis-à-vis improving Filipinos' quality of life during the COVID-19 pandemic are discussed.
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Affiliation(s)
- John Jamir Benzon R. Aruta
- Counseling and Educational Psychology Department, Br. Andrew Gonzalez FSC College of EducationDe La Salle UniversityManilaPhilippines
| | | | - Benedict G. Antazo
- Department of PsychologyJose Rizal UniversityMandaluyong CityNational Capital RegionPhilippines
| | - Christine Joy A. Ballada
- Counseling and Educational Psychology Department, Br. Andrew Gonzalez FSC College of EducationDe La Salle UniversityManilaPhilippines
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18
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Kimhi S, Eshel Y, Marciano H, Adini B. Prediction of Hope and Morale During COVID-19. Front Psychol 2021; 12:739645. [PMID: 34630253 PMCID: PMC8496058 DOI: 10.3389/fpsyg.2021.739645] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 08/25/2021] [Indexed: 11/26/2022] Open
Abstract
The current study uses a repeated measures design to compare two-time points across the COVID-19 pandemic. The first was conducted at the end of the “first wave” [T1] and the second was carried out on October 12-14 2020 (the last period of the second total general lockdown) in Israel. The participants (N = 805) completed the same questionnaire at both time points. The study examined the predictions of hope and morale at T2 by psychological and demographic predictors at T1. Results indicated the following: (a) The three types of resilience (individual, community, and national) significantly and positively predicted hope and morale. (b) Well-being significantly and positively predicted hope and morale. (c) Younger age significantly and positively predicts higher hope, but not morale. (d) A higher level of religiosity significantly and positively predicts higher hope and morale. (e) More right-wing political attitudes significantly and positively predict higher hope, but not moral. (f) More economic difficulties due to the pandemic, significantly and negatively predict hope and morale. We concluded that hope and morale can serve as significant indicators of the population's ability to cope with the COVID-19 pandemic. Furthermore, they can serve as a “thermometer” for the general mood of the population and can be used by decision-makers to assess coping ability at varied stages of the pandemic.
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Affiliation(s)
- Shaul Kimhi
- Stress and Resilience Research Center, Tel-Hai College, Tel Hai, Israel
| | - Yohanan Eshel
- Department of Psychology, University of Haifa, Haifa, Israel
| | - Hadas Marciano
- The Ergonomics and Human Factors Unit, University of Haifa, Haifa, Israel
| | - Bruria Adini
- Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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19
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Ballada CJA, Aruta JJBR, Callueng CM, Antazo BG, Kimhi S, Reinert M, Eshel Y, Marciano H, Adini B, da Silva JD, Verdu FC. Bouncing back from COVID-19: Individual and ecological factors influence national resilience in adults from Israel, the Philippines, and Brazil. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2021; 32:452-475. [PMID: 34898964 PMCID: PMC8653273 DOI: 10.1002/casp.2569] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Revised: 07/04/2021] [Accepted: 07/07/2021] [Indexed: 12/17/2022]
Abstract
One way that countries may differ in responding to the COVID‐19 pandemic is how they withstand extreme adversity while maintaining their societal values and institutions. This study explored national resilience in Israel, the Philippines, and Brazil during the COVID‐19 pandemic. Using Crisis in Context Theory, cross‐national understanding of national resilience was examined by assessing measurement models, exploring country differences in perceptions, and determining its predictors. Data from an internationally diverse sample of 1,587 adults were collected using multiple measures and subsequently subjected to various analytical strategies. Results on the factor structure of NR‐13 demonstrated acceptable fit of both first‐order and higher‐order models for each country, with generally high factor loadings. However, measurement invariance was only supported at the configural level for the first‐order model. Among the three countries, national resilience was highest in Israel, followed by the Philippines, and lowest in Brazil. Taken collectively, both individual and ecological variables contributed a significant variance in national resilience in each country. Community resilience, quality of life, and perceived threats were consistently strong predictors of national resilience across countries. Results are discussed. The Community and Social Impact Statement of the study can be found in the Supplementary Material section.
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Affiliation(s)
| | | | | | | | - Shaul Kimhi
- Psychology Department Tel-Hai College Tel-Hai Israel
| | - Maurício Reinert
- Department of Management State University of Maringá - UEM - Business School Maringá Brazil
| | - Yohanan Eshel
- Psychology Department Tel-Hai College Tel-Hai Israel.,Psychology Department University of Haifa Haifa Israel
| | - Hadas Marciano
- Psychology Department Tel-Hai College Tel-Hai Israel.,Psychology Department University of Haifa Haifa Israel
| | - Bruria Adini
- Department of Emergency Management and Disaster Management Tel Aviv University Tel Aviv Israel
| | | | - Fabiane Cortez Verdu
- Department of Management State University of Maringá - UEM - Business School Maringá Brazil
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20
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Kimhi S, Eshel Y, Marciano H, Adini B. Fluctuations in National Resilience during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3876. [PMID: 33917101 PMCID: PMC8067873 DOI: 10.3390/ijerph18083876] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/28/2021] [Revised: 03/31/2021] [Accepted: 04/05/2021] [Indexed: 11/16/2022]
Abstract
The current study measured national resilience (NR) in three different time frames during the coronavirus disease 2019 (COVID-19) pandemic in Israel (N = 804). We investigated two main issues: first, the direction and extent of NR changes during the crisis, and second, the predictors of NR. The results show the following: (a) the average NR score declined significantly across the three repeated measures, with a medium-size effect. (b) Three of the four identified NR factors declined significantly across the three measurements: belief in the government and the prime minister (large effect size); belief in civil society; and patriotism (medium effect size); while trust in Israeli national institutions was the lowest and did not weaken significantly. (c) Analyzing the prediction of NR factors indicated that the levels of the three NR factors mainly reflected one's political attitudes, sense of political and economic threats, rather than health threats. One conclusion concerns the importance of trust in leadership as the most sensitive component in the decline of national resilience following a crisis.
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Affiliation(s)
- Shaul Kimhi
- Stress and Resilience Research Center, Tel-Hai College, Northern Galilee 122800, Israel; (Y.E.); (H.M.)
| | - Yohanan Eshel
- Stress and Resilience Research Center, Tel-Hai College, Northern Galilee 122800, Israel; (Y.E.); (H.M.)
- Department of Psychology, University of Haifa, Haifa 3498838, Israel
| | - Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, Northern Galilee 122800, Israel; (Y.E.); (H.M.)
- Ergonomics and Human Factors Unit, University of Haifa, Haifa 3498838, Israel
| | - Bruria Adini
- Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6139001, Israel;
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Aruta JJBR. Socio-ecological determinants of distress in Filipino adults during COVID-19 crisis. CURRENT PSYCHOLOGY 2021; 41:7482-7492. [PMID: 33424204 PMCID: PMC7783297 DOI: 10.1007/s12144-020-01322-x] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/22/2020] [Indexed: 02/08/2023]
Abstract
The present study examined the socio-ecological factors that influenced psychological distress (combined index of depression and anxiety symptoms) among Filipino adults during the COVID-19 crisis. The study involved 401 adult participants currently residing in the Philippines. Data were collected using a self-reported online questionnaire administered to the participants. Findings revealed that one individual level factor, such as individual resilience, and two family level factors, such as safety at home and being a parent, negatively influenced psychological distress. On the other hand, a family level factor, family’s financial difficulties, positively predicted psychological distress. Societal level factor such as national resilience, but not the community level factor, community resilience, positively predicted psychological distress in Filipino adults. Findings identified individual resilience, national resilience, and financial difficulties as the strongest predictors of psychological distress among Filipino adults during the COVID-19 crisis. Implications, limitations, and future directions are discussed.
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Callueng C, Aruta JJBR, Antazo BG, Briones‐Diato A. Measurement and antecedents of national resilience in Filipino adults during coronavirus crisis. JOURNAL OF COMMUNITY PSYCHOLOGY 2020; 48:2608-2624. [PMID: 32845013 PMCID: PMC7461071 DOI: 10.1002/jcop.22438] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 08/08/2020] [Accepted: 08/13/2020] [Indexed: 05/09/2023]
Abstract
Resilience is a broad concept that encompasses individual and social resources to thrive from difficult circumstances. The resilience that occurs as a collective effort or country-wide phenomenon is referred to as national resilience (NR), which connotes the ability of a nation to deal with crises while keeping its social fabric intact. Like the rest of the world, the Philippines has been greatly impacted by the coronavirus pandemic and we argue that a stable and robust NR is needed to bounce back from the challenges and adversities of the crisis. This pioneering study on NR in Filipino adults was conducted to achieve two aims (1) assess the psychometric properties of the Filipino adapted National Resilience Scale (NRS-Filipino) and (2) determine demographic and psychological variables that influence NR. Data from 401 participants yielded an exploratory factor analysis with a good model fit for a four-factor solution that is similar to the original National Resilience Assessment Scale. NRS-Filipino also demonstrated acceptable reliability and convergent validity. Among the variables purported to be associated with NR, community resilience, and political attitude came out as strong predictors.
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Kimhi S, Marciano H, Eshel Y, Adini B. Resilience and demographic characteristics predicting distress during the COVID-19 crisis. Soc Sci Med 2020; 265:113389. [PMID: 33039732 PMCID: PMC7518838 DOI: 10.1016/j.socscimed.2020.113389] [Citation(s) in RCA: 95] [Impact Index Per Article: 23.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Revised: 09/06/2020] [Accepted: 09/19/2020] [Indexed: 12/15/2022]
Abstract
RATIONALE Due to lack of vaccine or cure, the COVID-19 pandemic presents a threat to all human beings, undermining people's basic sense of safety and increasing distress symptoms. OBJECTIVE To investigate the extent to which individual resilience, well-being and demographic characteristics may predict two indicators of Coronavirus pandemic: distress symptoms and perceived danger. METHOD Two independent samples were employed: 1) 605 respondents recruited through an internet panel company; 2) 741 respondents recruited through social media, using snowball sampling. Both samples filled a structured online questionnaire. Correlations between psychological/demographic variables and distress and perceived danger were examined. Path analysis was conducted to identify predictive indicators of distress and perceived danger. RESULTS Significant negative correlations were found between individual/community resilience and sense of danger (-0.220 and -0.255 respectively; p < .001) and distress symptoms (- 0.398 and -0.544 respectively; p < .001). Significant positive correlations were found between gender, community size, economic difficulties and sense of danger (0.192, 0.117 and 0.244 respectively; p < .001). Gender and economic difficulties also positively correlated with distress symptoms (0.130 and 0.214 respectively; p < .001). Path analysis revealed that all paths were significant (p < .008 to .001) except between family income and distress symptoms (p = .12). The seven predictors explained 20% of sense of danger variance and 34% the distress symptoms variance. The most highly predictive indicators were the two psychological characteristics, individual resilience, and well-being. Age, gender, community size, and economic difficulties due to COVID-19 further add to predicting distress, while community and national resilience do not. . CONCLUSIONS Individual resilience and well-being have been found as the first and foremost predictors of COVID-19 anxiety. Though both predictors are complex and may be influenced by many factors, given the potential return of COVID-19 threat and other future health pandemic threats to our world, we must rethink and develop ways to reinforce them.
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Affiliation(s)
- Shaul Kimhi
- Head of the Stress and Resilience Research Center, Tel-Hai College, Israel; Stress and Resilience Research Center, Tel-Hai College, and the Ergonomics and Human Factors Unit, University of Haifa, Israel.
| | - Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, and the Ergonomics and Human Factors Unit, University of Haifa, Israel.
| | - Yohanan Eshel
- Stress, and Resilience Research Center, Tel-Hai College, and University of Haifa, Israel.
| | - Bruria Adini
- Head of the Department of Emergency Management and Disaster Management School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Israel.
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Predictors of National and Community Resilience of Israeli Border Inhabitants Threatened by War and Terror. Community Ment Health J 2020; 56:1480-1488. [PMID: 32100155 DOI: 10.1007/s10597-020-00592-w] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Accepted: 02/19/2020] [Indexed: 02/03/2023]
Abstract
The present study investigates predictors of the national resilience (NR) and community resilience (CR) of civilians who live on Israel's northern border, and are facing for years acts of terror and threats of war. A sample of 1515 kibbutz (communal settlement) members who live next to this northern Israeli border has responded to questionnaires pertaining to the investigated resiliencies. Results indicate that under these conditions psychological reactions (trust in community institutes and individual resilience), rather than demographic characteristics, are the best predictors of NR and CR; although NR is further predicted by right-wing political attitudes. Our data suggest that CR and NR are not predicted by objective examinations of the strength of one's community or country. Both of them are perceived as stronger the greater the trust of the respondents in their own ability to cope with adversities, and in the ability of their close community to take care of them and their families in face of terror.
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Kimhi S, Eshel Y, Marciano H, Adini B. A Renewed Outbreak of the COVID-19 Pandemic: A Longitudinal Study of Distress, Resilience, and Subjective Well-Being. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E7743. [PMID: 33113914 PMCID: PMC7660159 DOI: 10.3390/ijerph17217743] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 10/17/2020] [Accepted: 10/20/2020] [Indexed: 12/12/2022]
Abstract
Considering the potential impact of COVID-19 on the civil society, a longitudinal study was conducted to identify levels of distress, resilience, and the subjective well-being of the population. The study is based on two repeated measurements conducted at the end of the pandemic's "first wave" and the beginning of the "second wave" on a sample (n = 906) of Jewish Israeli respondents, who completed an online questionnaire distributed by an Internet panel company. Three groups of indicators were assessed: signs of distress (sense of danger, distress symptoms, and perceived threats), resilience (individual, community, and national), and subjective well-being (well-being, hope, and morale). Results indicated the following: (a) a significant increase in distress indicators, with effect sizes of sense of danger, distress symptoms, and perceived threats (Cohen's d 0.614, 0.120, and 0.248, respectively); (b) a significant decrease in resilience indicators, with effect sizes of individual, community, and national resilience (Cohen's d 0.153, 0.428, and 0.793, respectively); and (c) a significant decrease in subjective well-being indicators with effect sizes of well-being, hope, and morale (Cohen's d 0.116, 0.336, and 0.199, respectively). To conclude, COVID-19 had a severe, large-scale impact on the civil society, leading to multidimensional damage and a marked decrease in the individual, community, and national resilience of the population.
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Affiliation(s)
- Shaul Kimhi
- Stress and Resilience Research Center, Tel-Hai College, Northern Galilee 1220800, Israel; (S.K.); (Y.E.); (H.M.)
| | - Yohanan Eshel
- Stress and Resilience Research Center, Tel-Hai College, Northern Galilee 1220800, Israel; (S.K.); (Y.E.); (H.M.)
- Department of Psychology, University of Haifa, Haifa 3498838, Israel
| | - Hadas Marciano
- Stress and Resilience Research Center, Tel-Hai College, Northern Galilee 1220800, Israel; (S.K.); (Y.E.); (H.M.)
- Ergonomics and Human Factors Unit, University of Haifa, Haifa 3498838, Israel
| | - Bruria Adini
- Department of Emergency Management and Disaster Management School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6139001, Israel
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Mejia A, Bhattacharya M, Miraglia J. Community Gardening as a Way to Build Cross-Cultural Community Resilience in Intersectionally Diverse Gardeners: Community-Based Participatory Research and Campus-Community-Partnered Proposal. JMIR Res Protoc 2020; 9:e21218. [PMID: 33026358 PMCID: PMC7578813 DOI: 10.2196/21218] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 09/05/2020] [Accepted: 09/21/2020] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Community-based agriculture has been found to decrease food insecurity and alleviate health inequities. Furthermore, it provides a sense of ownership, resources to help integrate new communities, and a space to nurture existing cultural identities for intersectionally diverse gardeners. This sense of belonging in connection with access to growing plots has been linked to psychological well-being and resilience. However, little is known about how the psychosocial benefits of plot ownership affect resilience and which aspects of this resilience are salient. OBJECTIVE This community-based participatory research (CBPR) project will examine the role of community gardens in decreasing food insecurity and facilitating various forms of resilience in food-insecure groups in Rochester, Minnesota. Since participation in community gardens nurtures various forms of resilience along individual, group, and community dimensions, our research seeks to understand how dimensions of resilience vary along intersectional lines. In addition to mapping the psychosocial benefits linked to plot ownership, we find that examining which forms of resilience are fostered in community-based agricultural projects addresses an important gap in the academic literature. This can help us propose policy-level practices that reduce health inequities connected to food and nutrition at the local level. METHODS Using a mixed methods approach, this ongoing community-campus partnership will examine the experiences of current and new plot owners. As a CBPR project, our data collection plan, from design to dissemination, incorporates the intellectual and creative labor of the individuals representing members of the campus community (ie, college students and faculty members engaged in other citizen science projects hosted by the garden), community growers, individuals involved in the community garden's board, and representatives of various organizational bodies. Data collection activities will consist of surveys, in-depth interviews, and photovoice. RESULTS This project was funded in January 2020 and approved by the University of Minnesota's Institutional Review Board in March 2020. For the 2020 growing season, we will conduct evaluative interviews about the effect of COVID-19 on community gardeners, including their experiences during this growing season. For the 2021 growing season, data collection, via pre- and postsurveys, is projected to begin in March 2021 and end in November 2021. We will also conduct in-depth interviews from January to April 2021. Data analysis will commence in April 2021. Photovoice activities (ie, data collection, analysis, synthesis, and dissemination) are expected to take place during the spring and summer of 2021. CONCLUSIONS Findings emerging from this study will provide the preliminary data to foreground community gardening projects and initiatives to improve physical and mental health outcomes in food-insecure communities. Also, the data collected will highlight the role of CBPR methods in disseminating information about the organizational practices of the community garden; this will assist others in planning and implementing similar projects. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/21218.
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Affiliation(s)
- Angie Mejia
- Center for Learning Innovation, University of Minnesota Rochester, Rochester, MN, United States
| | - Manami Bhattacharya
- Division of Health Policy and Management, University of Minnesota, Minneapolis, MN, United States
| | - Joshua Miraglia
- Research Information Systems, Office of the VP for Research, University of Minnesota, Minneapolis, MN, United States
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Kimhi S, Eshel Y, Marciano H, Adini B. Distress and Resilience in the Days of COVID-19: Comparing Two Ethnicities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17113956. [PMID: 32503205 PMCID: PMC7312505 DOI: 10.3390/ijerph17113956] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 05/29/2020] [Accepted: 06/01/2020] [Indexed: 01/09/2023]
Abstract
The COVID-19 pandemic is an ongoing epidemic of coronavirus disease, caused by severe acute respiratory syndrome, which has spread recently worldwide. Efforts to prevent the virus from spreading include travel restrictions, lockdowns as well as national or regional quarantines throughout the international community. The major negative psychological outcome of the COVID-19 pandemic is the anxiety caused by it. The aim of the present study was to examine the level of concern and the contributions of modes of resilience, well-being and demographic attributes towards decreasing or enhancing anxiety and depression among two samples: Israeli Jews (majority group) and Israeli Arabs (minority group). These random samples included 605 Jews and 156 Arabs who participated in an internet survey. A previous study, which has been conducted in the context of terror attacks, has shown that compared to Israeli Jews, Israeli Arabs expressed a higher level of fear of war and lower levels of resilience supporting personality attributes. The results of the current study indicated a similar pattern that emerged in the context of the COVID-19 pandemic: the Israeli Arabs reported a higher level of distress and a lower level of resilience and well-being.
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Affiliation(s)
- Shaul Kimhi
- Stress and Resilience Research Center, Psychology Department, Tel-Hai College, Tel Hai 12210, Israel; (Y.E.); (H.M.)
- Correspondence: ; Tel.: +972-50562-2070
| | - Yohanan Eshel
- Stress and Resilience Research Center, Psychology Department, Tel-Hai College, Tel Hai 12210, Israel; (Y.E.); (H.M.)
| | - Hadas Marciano
- Stress and Resilience Research Center, Psychology Department, Tel-Hai College, Tel Hai 12210, Israel; (Y.E.); (H.M.)
- Ergonomics and Human Factors Unit, University of Haifa, Haifa 3498838, Israel
| | - Bruria Adini
- Department of Emergency Management and Disaster Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel;
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