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Meral B, Bulut HK. Predictors of Moderate-High Posttraumatic Growth in Parents of Children With Cancer: A Cross-sectional Study. Cancer Nurs 2024:00002820-990000000-00262. [PMID: 38869313 DOI: 10.1097/ncc.0000000000001374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2024]
Abstract
BACKGROUND Parents of children with cancer may experience posttraumatic growth (PTG). In clinical practice, this parental enhancement is more likely to be seen with a moderate-high PTG. OBJECTIVE The aim of this study was to determine the moderate-high PTG prevalence of parents of children diagnosed with cancer at least 6 months and to investigate its relationship with hope, social support, and patient-parent characteristics. METHODS This cross-sectional study was conducted with the parents of children with cancer admitted to the pediatric hematology-oncology unit using the Parent-Child Characteristic Questionnaire, Posttraumatic Growth Inventory, Multidimensional Scale of Perceived Social Support and Dispositional Hope Scale. Univariate and multivariate logistic regression analyses were performed to investigate the variables associated with moderate-high PTG. RESULTS One hundred one parents were enrolled in this study, and the prevalence of the moderate-high PTG was 79.2%. There was a statistically significant difference between moderate-high PTG and children's age (P = .037). Multivariate logistic regression analysis showed that social support from significant others (odds ratio = 1.138, 95% confidence interval = 1.030-1.257, P = .011) was a predictor of moderate-high PTG. CONCLUSIONS Moderate-high PTG is common among parents of children diagnosed with cancer. Perceived social support from healthcare professionals and other patient parents is a predictive factor. IMPLICATIONS FOR PRACTICE Interventions that encourage the support of health professionals and interaction with the parents of other patients, such as peer counseling, group-based interventions, and expanding the social support network, seem to be clinically promising in helping parents to improve from the cancer experience.
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Affiliation(s)
- Buket Meral
- Authors' Affiliation: Department of Pediatric Nursing, Institute of Graduate Studies, Istanbul University-Cerrahpasa, Istanbul, Turkey (MSc Meral); and Department of Pediatric Nursing, Faculty of Health Science, Karadeniz Technical University, Trabzon, Turkey (Dr Bulut)
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2
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Huang YW, Chien CH, Chiang YH, Liu CY, Huang XY. Social participation, positive affect, and negative affect in postoperative patients with hip fractures: A cross-sectional study. J Health Psychol 2024; 29:303-316. [PMID: 37776243 DOI: 10.1177/13591053231200318] [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] [Indexed: 10/02/2023] Open
Abstract
This study investigated the social participation, positive affect (PA), and negative affect (NA) of patients with hip fractures after surgery and determined their possible predictive factors. We used a cross-sectional study design to recruit 154 participants with hip fractures post-surgery. Assessment tools included the Barthel Index, the Automatic Thoughts Questionnaire, the Assessment of Life Habits, and the Positive and Negative Affect Schedule. Patients with better functioning in daily living activities experienced more social participation, higher PA, and lower NA. Patients with more positive automatic thoughts experienced more social participation and higher PA. Patients with more negative automatic thoughts experienced more social participation, lower PA, and higher NA. Early rehabilitation and psychosocial interventions should be provided for postoperative hip fracture patients to improve their activities of daily living and emotional well-being.
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Affiliation(s)
- Yi-Wen Huang
- National Taipei University of Nursing and Health Sciences
- National Yang Ming Chiao Tung University Hospital
| | | | | | - Chieh-Yu Liu
- National Taipei University of Nursing and Health Sciences
| | - Xuan-Yi Huang
- National Taipei University of Nursing and Health Sciences
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Wu A. The relationship of social support to posttraumatic growth in COVID-19 among college students after experiencing campus lockdown: the effects of belief in a just world and meaning in life. Front Psychiatry 2024; 15:1337030. [PMID: 38333893 PMCID: PMC10850338 DOI: 10.3389/fpsyt.2024.1337030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Accepted: 01/08/2024] [Indexed: 02/10/2024] Open
Abstract
Background Campus lockdown orders were issued for the purpose of preventing and controlling COVID-19, which resulted in psychological problems among college students. However, the experiences they have during the pandemic may also lead to positive personal changes, including posttraumatic growth (PTG). The current study examined the mediating role of belief in a just world and meaning in life in social support and PTG during the COVID-19 campus lockdown. Method An online survey was conducted on 1711 college students in Hebei Province, China. Based on the survey results, a structural equation model was established. Results Social support positively predicted PTG. Furthermore, belief in a just world and meaning in life played a mediating role between social support and PTG respectively. Besides, social support could also predict PTG through the multiple serial mediating effect of belief in a just world and meaning in life. Conclusion These results indicated mechanisms by which social support influenced PTG, and this provided insights into how to promote post-traumatic growth among university students in the post-pandemic period.
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Affiliation(s)
- Aoyu Wu
- Department of Civil Engineering, Hebei Jiaotong Vocational and Technical College, Shijiazhuang, China
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Bovero A, Balzani S, Tormen G, Malandrone F, Carletto S. Factors Associated with Post-Traumatic Growth during the COVID-19 Pandemic: A Systematic Review. J Clin Med 2023; 13:95. [PMID: 38202102 PMCID: PMC10779553 DOI: 10.3390/jcm13010095] [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: 11/21/2023] [Revised: 12/07/2023] [Accepted: 12/19/2023] [Indexed: 01/12/2024] Open
Abstract
The COVID-19 pandemic was an unprecedented event that further stimulated the debate on the concept of trauma. To increase knowledge about the traumatic potential of the pandemic, the main objective of this study was to identify, through a systematic literature review, the main factors associated with the adaptive outcome of post-traumatic growth caused by COVID-19. Studies were selected from the PsychInfo, Embase, and PubMed databases, and 29 articles were included at the end of the screening process. The identified factors are of different natures, including personal variables such as personality traits, coping, and cognitive strategies used to face adversity, and interpersonal variables, one of the most important of which is the level of social support. In addition, several results confirmed a relationship between post-traumatic growth and post-traumatic stress symptoms, as well as indices related to psychological well-being. Finally, the results are discussed by comparing them with those already present in the literature, as well as with some of the main explanatory models of post-traumatic growth. In this regard, some of the factors identified, such as maladaptive coping, avoidance symptoms, optimism, and low-stress tolerance, suggest the possibility that the process of post-traumatic growth may also be characterized by an illusory dimension.
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Affiliation(s)
- Andrea Bovero
- Clinical Psychology Unit, University Hospital “Città della Salute e della Scienza di Torino”, 10123 Torino, Italy; (A.B.); (S.B.); (G.T.); (S.C.)
| | - Sarah Balzani
- Clinical Psychology Unit, University Hospital “Città della Salute e della Scienza di Torino”, 10123 Torino, Italy; (A.B.); (S.B.); (G.T.); (S.C.)
| | - Gabriela Tormen
- Clinical Psychology Unit, University Hospital “Città della Salute e della Scienza di Torino”, 10123 Torino, Italy; (A.B.); (S.B.); (G.T.); (S.C.)
| | - Francesca Malandrone
- Department of Clinical and Biological Sciences, University of Turin, 10043 Turin, Italy
| | - Sara Carletto
- Clinical Psychology Unit, University Hospital “Città della Salute e della Scienza di Torino”, 10123 Torino, Italy; (A.B.); (S.B.); (G.T.); (S.C.)
- Department of Clinical and Biological Sciences, University of Turin, 10043 Turin, Italy
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Jiang Y, Qiao T, Zhang Y, Wu Y, Gong Y. Social support and vicarious posttraumatic growth among psychological hotline counselors during COVID-19: the role of resilience and cognitive reappraisal. Health Psychol Behav Med 2023; 11:2274550. [PMID: 38532890 PMCID: PMC10964826 DOI: 10.1080/21642850.2023.2274550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 10/17/2023] [Indexed: 03/28/2024] Open
Abstract
Background The COVID-19 pandemic is a serious threat to people's lives and mental health. As a key worker providing psychological assistance services, the purpose of this study was to explore the relationship between social support and vicarious posttraumatic growth of psychological hotline counselors during COVID-19 and its mechanism. Methods A questionnaire survey was conducted among 241 psychological hotline counselors. Path analysis was conducted through structural equation modeling. Results The direct path from social support to vicarious posttraumatic growth of psychological hotline counselors was not significant, but the indirect path between them was significant. Social support can influence vicarious posttraumatic growth of psychological hotline counselors through the mediating effects of resilience and cognitive reappraisal as well as the chain mediating effects of these two factors. Conclusions Social support does not directly stimulate vicarious posttraumatic growth in psychological hotline counselors, but social support can influence counselors' vicarious posttraumatic growth through the role of resilience, cognitive reappraisal, and the chain-mediated effects of psychological resilience and cognitive reappraisal. This encourages hotline counselors to be intentional about applying resources to balance the effects of trauma work on them as they face their clinical work.
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Affiliation(s)
- Yanfei Jiang
- Department of Psychology, Key Laboratory of Behavior and Mental Health of Gansu Province, Gansu, People’s Republic of China
- Department of Psychology, Northwest Normal University, Gansu, People’s Republic of China
| | - Tingting Qiao
- Department of Psychology, Northwest Normal University, Gansu, People’s Republic of China
| | - Yun Zhang
- Department of Psychology, Northwest Normal University, Gansu, People’s Republic of China
| | - Yaling Wu
- Department of Psychology, Northwest Normal University, Gansu, People’s Republic of China
| | - Yue Gong
- Department of Psychology, Northwest Normal University, Gansu, People’s Republic of China
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Jurišová E, Pivková L, Ráczová L, Sollár T, Romanová M. Hope, optimism, and pessimism as predictors of positive and negative psychological changes related to the COVID-19 pandemic in Slovak adults. Front Psychol 2023; 14:1151027. [PMID: 37575434 PMCID: PMC10419173 DOI: 10.3389/fpsyg.2023.1151027] [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: 01/25/2023] [Accepted: 07/04/2023] [Indexed: 08/15/2023] Open
Abstract
Background and objectives Positive and negative changes in outlook represent psychological changes that are the results of the cognitive processing of stressful and traumatic events by an individual. The objectives of the study were (1) to determine the level of occurrence and types of positive and negative changes in connection with the COVID-19 pandemic among adults in Slovakia and (2) to study the role of personality factors such as hope (dispositional and perceived) and life orientation (optimism and pessimism) in the prediction of positive and negative changes in adults during the fourth pandemic wave. Methods A Short Form of the Changes in Outlook Questionnaire (CiOQ-S), the Dispositional Hope Scale (DHS), the Perceived Hope Scale (PHS), and the Life Orientation Test (LOT-R) were administered. The research sample consisted of 102 participants, whose ages ranged from 20 to 65 years (Mage = 38.90, SD = 14.28). The research design was quantitative, exploratory, and confirmatory. Results In total, 95% of participants reported positive changes related to COVID-19. Concurrently, up to 70% of these participants also reported negative changes from the impact of the pandemic. Only 25% of participants reported positive changes without noticing any negative perception of the consequences of the pandemic. Overall, 68% of participants reported negative changes related to COVID-19. Only 29% of participants reported negative changes without noticing any positive perception of the consequences of the pandemic. In total, up to 86% of participants agreed with experienced psychological changes (positive or negative) as a result of the COVID-19 pandemic. The high prevalence of positive changes along with the relatively high prevalence of negative changes related to the COVID-19 pandemic outline the question of whether reported positive changes represent real or illusory growth. Optimism and pessimism were found to be significant independent predictors of positive changes related to the COVID-19 pandemic. Hope was identified as a significant independent predictor of negative changes related to the COVID-19 pandemic.
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Affiliation(s)
- Erika Jurišová
- Department of Psychological Sciences, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Nitra, Slovakia
| | - Lucia Pivková
- Department of Psychological Sciences, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Nitra, Slovakia
| | - Lucia Ráczová
- Department of Psychological Sciences, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Nitra, Slovakia
| | - Tomáš Sollár
- Department of Psychological Sciences, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Nitra, Slovakia
| | - Martina Romanová
- Institute of Applied Psychology, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Nitra, Slovakia
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Confino D, Einav M, Margalit M. Post-traumatic Growth: The Roles of the Sense of Entitlement, Gratitude and hope. INTERNATIONAL JOURNAL OF APPLIED POSITIVE PSYCHOLOGY 2023; 8:1-13. [PMID: 37361623 PMCID: PMC10136378 DOI: 10.1007/s41042-023-00102-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/21/2023] [Indexed: 06/28/2023]
Abstract
People believe that they are entitled to well-being and safety, and their responses to unexpected traumatic events reveal individual differences. Their reactions vary, from feeling blocked and distressed to feeling proactive towards new growth, depending on their personal resources. The current study sought to identify the role of entitlement in explaining post-traumatic growth (PTG) while considering the role of gratitude and hope as personal resources. We used a community-based sample of Israeli adults (n = 182) who reported experiencing a traumatic event during the preceding year. The relationships between PTG and their sense of entitlement, gratitude, and hope were examined. A stepwise multiple hierarchical regression revealed that all the three variables were associated with PTG. However, the effect of hope turned insignificant with the inclusion of sense of entitlement and gratitude in the regression. Sense of entitlement and gratitude were independently associated with PTG. The theoretical contribution of these findings is discussed, as well as their interventional implications and future directions.
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Affiliation(s)
- Dan Confino
- University of Geneva, Geneva, Switzerland
- Menad institute - Lod, Lod, Israel
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Hope's relationship with resilience and mental health during the COVID-19 pandemic. Curr Opin Psychol 2023; 50:101559. [PMID: 36812769 PMCID: PMC9886565 DOI: 10.1016/j.copsyc.2023.101559] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 01/20/2023] [Indexed: 02/01/2023]
Abstract
The COVID-19 pandemic has affected individuals financially, physically, and mentally during the past couple of years. Recent research has indicated that mental health concerns such as stress, anxiety, and depression have been on the rise due to the pandemic and its consequences. Fortunately, resilience factors such as hope have also been examined in the midst of the pandemic. Hope has been found to be a buffer against stress, anxiety, and depression over time during the COVID-19 pandemic. Hope has also been associated with positive outcomes such as posttraumatic growth and well-being. These results have been investigated in populations particularly affected by the pandemic such as healthcare professionals and patients with chronic illness and cross-culturally.
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Yao Y, Lin M, Ni J, Ni J. Hope Buffers the Effect of Fear of COVID-19 on Depression among College Students: Insomnia as a Mediator. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3245. [PMID: 36833940 PMCID: PMC9966876 DOI: 10.3390/ijerph20043245] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 02/07/2023] [Accepted: 02/11/2023] [Indexed: 06/01/2023]
Abstract
BACKGROUND In the period of the global pandemic, psychophysical problems induced by the fear of COVID-19 among college students deserve attention since the dormitory environment in college greatly increases the possibility of COVID-19 infection. METHODS A hypothesized mediated moderation model was to be verified using a cross-sectional study among 2453 college students. Fear of COVID-19, insomnia, hope, and depression were assessed by using the relevant scales. RESULTS (1) The fear of COVID-19 was positively correlated to depression (β = 0.365, t = 5.553, 95% CI = [0.236, 0.494]); (2) hope moderated the influence of the fear of COVID-19 on depression (β = -0.093, t = -4.066, 95% CI = [-0.137, -0.048]), as well as on insomnia (β = -0.095, t = -4.841, 95% CI = [-0.133, -0.056]); and (3) the mediated moderation model with hope as the moderator and insomnia as the full mediating variable between fear of COVID-19 and depression was verified (β = -0.060, 95% CI = [-0.093, -0.028]). CONCLUSIONS The findings suggest that hope is a vital mechanism to explain the relationship between the fear of COVID-19 and depression in early adulthood. In practical application, mental health practitioners should focus on boosting hope and alleviating insomnia when addressing COVID-19-related depression issues among college students.
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Affiliation(s)
- Yingying Yao
- Counseling and Education Center, Xiamen University, Xiamen 361005, China
| | - Min Lin
- Institute of Education, Xiamen University, Xiamen 361005, China
| | - Jianchao Ni
- School of Aerospace Engineering, Xiamen University, Xiamen 361005, China
| | - Jing Ni
- Faculty of Nursing, Jiujiang University, Jiujiang 332005, China
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10
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Fernandes CSF, Deng Y, Tran AH, Hieftje KD, Boomer TMP, Taylor CK, Fiellin LE. A Pilot Randomized Controlled Trial to Evaluate a Cognitive Behavioral Videogame Intervention: empowerED. Games Health J 2023; 12:42-52. [PMID: 36350349 PMCID: PMC10331148 DOI: 10.1089/g4h.2021.0118] [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] [Indexed: 11/11/2022] Open
Abstract
Objective: To design a cognitive behavioral videogame intervention and to evaluate its preliminary effect on improving youth's perceptions about themselves, their future, and their ability by incorporating skill development in cognitive reappraisal, an emotion regulation strategy to change perceptions. Materials and Methods: We conducted a pilot RCT to evaluate the preliminary efficacy of a videogame intervention, empowerED, in enhancing cognitive reappraisal skills. We also assessed beliefs/attitudes, self-efficacy, and emotional self-efficacy as well as user experience and feasibility. Youth (N = 100) aged 14-19 years from one school were enrolled in a pilot RCT assigned either to play empowerED or a control condition. Results: Improvements were noted in cognitive reappraisal in the empowerED group compared to the control group (LSM difference = 1.33, P = 0.01). There were no significant differences observed between treatment groups for beliefs/attitudes, self-efficacy, and emotional self-efficacy; however, the empowerED group reported improvements in beliefs/attitudes from pretest to posttest survey responses (M = 1.33, P = 0.01). Conclusion: Overall, the intervention was deemed easy to use and beneficial among youth, and feasibly delivered in a high school setting. Given the growing youth mental health needs in schools and the importance of school climate on healthy development, empowerED may offer an effective and innovative student-level approach to improve cognitive reappraisal and later empower youth to enact change in their school climate. Clinical Trials.gov Identifier: NCT04025294.
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Affiliation(s)
- Claudia-Santi F. Fernandes
- play2PREVENT Lab/Yale Center for Health & Learning Games, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
- Yale Child Study Center, New Haven, Connecticut, USA
| | - Yanhong Deng
- Yale Center for Analytical Sciences, New Haven, Connecticut, USA
| | - Alvin H. Tran
- Department of Health Administration and Policy, University of New Haven, West Haven, Connecticut, USA
| | - Kimberly D. Hieftje
- Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut, USA
| | - Tyra M. Pendergrass Boomer
- play2PREVENT Lab/Yale Center for Health & Learning Games, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
| | - Carolyn K. Taylor
- play2PREVENT Lab/Yale Center for Health & Learning Games, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
| | - Lynn E. Fiellin
- play2PREVENT Lab/Yale Center for Health & Learning Games, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
- Yale Child Study Center, New Haven, Connecticut, USA
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Pellerin N, Raufaste E, Corman M, Teissedre F, Dambrun M. Psychological resources and flexibility predict resilient mental health trajectories during the French covid-19 lockdown. Sci Rep 2022; 12:10674. [PMID: 35739290 PMCID: PMC9219392 DOI: 10.1038/s41598-022-14572-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Accepted: 05/04/2022] [Indexed: 11/09/2022] Open
Abstract
The implementation of lockdowns and the Covid-19 pandemic situation have negatively impacted mental health (anxiety, depression). However, little is known about individual differences in the longitudinal reactions to lockdown. We designed a longitudinal study (a) to identify the various trajectories of symptoms of depression and anxiety in the general population during and after lockdown; (b) to determine which positive psychological resources prevent individuals from falling into groups with the most severe trajectories; (c) to test the mediating role of psychological flexibility. We collected and analysed longitudinal data on a sample of French participants (N = 1399, Mage = 43.4; SDage = 12; 87.8% women) during the end of the first lockdown. Participants were asked to report their psychological resources and (in)flexibility at baseline and symptoms of anxiety and depression at each measurment occasion (five weekly observations from 17 March to 11 May 2020, including baseline). Using growth mixture modelling, seven dynamic profiles of symptoms were identified: four for depression and three for anxiety. Resilience emerged as the most frequent trajectory. Wisdom, optimism, hope, self-efficacy and peaceful disengagement significantly prevented individuals from belonging to the symptomatic groups. Moreover, psychological flexibility emerged as a significant mediator of these effects. This study highlights the importance of cultivating protective factors and psychological flexibility to prevent mental health damage during potentially traumatic events (PTE) and to favour resilience trajectories.
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Affiliation(s)
- Nicolas Pellerin
- CLLE, CNRS UMR 5263, Universite Toulouse 2 Jean Jaures (UT2J), 5 Allees A. Machado, 31058, Toulouse Cedex, France.
| | - Eric Raufaste
- CLLE, CNRS UMR 5263, Universite Toulouse 2 Jean Jaures (UT2J), 5 Allees A. Machado, 31058, Toulouse Cedex, France
| | - Maya Corman
- LAPSCO, CNRS UMR 6024, Universite Clermont Auvergne, Clermont-Ferrand, France
| | | | - Michael Dambrun
- LAPSCO, CNRS UMR 6024, Universite Clermont Auvergne, Clermont-Ferrand, France
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Di Corrado D, Muzii B, Magnano P, Coco M, La Paglia R, Maldonato NM. The Moderated Mediating Effect of Hope, Self-Efficacy and Resilience in the Relationship between Post-Traumatic Growth and Mental Health during the COVID-19 Pandemic. Healthcare (Basel) 2022; 10:healthcare10061091. [PMID: 35742143 PMCID: PMC9222842 DOI: 10.3390/healthcare10061091] [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: 05/12/2022] [Revised: 06/02/2022] [Accepted: 06/10/2022] [Indexed: 11/16/2022] Open
Abstract
As a major life trauma, COVID-19 had negative impacts on psychological well-being. The aim of this study was to test and verify the mediation of resilience, hope and self-efficacy and to analyze the moderating effect of gender and COVID-19 contagion on the association between symptoms of anxiety, stress and depression, and post-traumatic growth among adults during COVID-19. A cross-sectional study was conducted via an online survey with self-administered questionnaires. The Depression, Anxiety, and Stress Scale, the Post-traumatic Growth Inventory, the Resilience Scale, the General Self-Efficacy Scale, and the Comprehensive State Hope Scale were used. A total of 493 (n = 262 female and n = 231 male) participated in the survey (Mage = 33.40 years, SD = 13.41, range = 20 to 60). A multiple mediation model was used to verify the mediating effect of resilience, hope and self-efficacy on the relationship between symptoms of anxiety, stress and depression, and PTG. A moderated mediation model was examined to find and test the moderated effects of gender and COVID-19 contagion on the mediation model. Results showed the indirect effects of anxiety (β = 0.340 (0.120); 95% CI [from 0.128 to 0.587]) and depression (β = 0.222 (0.095); 95% CI [0.048, 0.429]) on PTG trough resilience and hope. Symptoms of anxiety, stress and depression, and self-efficacy were significantly highest in females. Moreover, males and participants with COVID-19 contagion had significantly higher levels of resilience and post-traumatic growth. These findings suggest that hope and resilience, as protective factors, could be an important key to developing an intervention strategy to enhance and improve psychological health during a crisis.
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Affiliation(s)
- Donatella Di Corrado
- Faculty of Human and Social Sciences, Kore University of Enna, Cittadella Universitaria, 94100 Enna, Italy; (P.M.); (R.L.P.)
- Correspondence:
| | - Benedetta Muzii
- Department of Humanistic Studies, University of Naples Federico II, 80138 Naples, Italy;
| | - Paola Magnano
- Faculty of Human and Social Sciences, Kore University of Enna, Cittadella Universitaria, 94100 Enna, Italy; (P.M.); (R.L.P.)
| | - Marinella Coco
- Department of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy;
| | - Rosamaria La Paglia
- Faculty of Human and Social Sciences, Kore University of Enna, Cittadella Universitaria, 94100 Enna, Italy; (P.M.); (R.L.P.)
| | - Nelson Mauro Maldonato
- Department of Neuroscience and Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80138 Naples, Italy;
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Kim Y, Chae H, Park SJ. Feasibility and benefits of a videoconferencing-based home exercise programme for paediatric cancer survivors during the coronavirus disease 2019 pandemic. Eur J Cancer Care (Engl) 2022; 31:e13624. [PMID: 35606331 PMCID: PMC9347713 DOI: 10.1111/ecc.13624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 04/17/2022] [Accepted: 05/11/2022] [Indexed: 11/30/2022]
Abstract
Objective We aimed to determine the feasibility and benefits of a videoconferencing‐based home exercise programme to improve health‐related quality of life (HRQOL), posttraumatic growth and physical strength levels of paediatric cancer survivors during the coronavirus disease 2019 (COVID‐19). Methods Eight paediatric cancer survivors participated in the intervention for 8 weeks. The programme comprised home exercise sessions administered using Zoom, a videoconferencing platform. The supervised exercise sessions were performed two times per week; the participants were taught to perform joint exercises at home for the remaining 5 days of the week. HRQOL, posttraumatic growth and physical strength levels were assessed at baseline and after the intervention. Results The rates of recruitment, retention and attendance were 52.9%, 88.9% and 98.4%, respectively. There were no cases of adverse events. The programme significantly improved flexibility (z = −2.21, p = 0.03), muscle strength (z = −2.67, p = 0.01) and power (z = −2.41, p = 0.02) among five domains of physical fitness measured using a physical activity promotion system and also improved total physical strength (z = −2.67, p = 0.01). Posttraumatic growth decreased slightly, whereas HRQOL improved slightly; however, the change was not statistically significant. Conclusion The study findings present preliminary evidence of the feasibility and benefits of this videoconferencing‐based home exercise programme among paediatric cancer survivors.
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Affiliation(s)
- Yoonjung Kim
- Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea
| | - Heemin Chae
- Department of Nursing, Graduate School, Chung-Ang University, Seoul, South Korea
| | - Sung Je Park
- College of sport science, Chung-Ang University, Anseong, South Korea
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Community Post-traumatic Growth: Israeli Ultra-Orthodox Coping with Coronavirus. CONTEMPORARY JEWRY 2022; 42:85-112. [PMID: 35466285 PMCID: PMC9015907 DOI: 10.1007/s12397-022-09422-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Accepted: 02/06/2022] [Indexed: 11/17/2022]
Abstract
The present study sheds light on the phenomenon whereby groups experience adversity, following which they show signs of growth. We propose the conceptualization of post-traumatic growth as a phenomenon that also exists at the group level, “community post-traumatic growth” (CPTG). The concept of CPTG is explained using a case study on the ultra-Orthodox Jewish community in Israel following the first wave of the coronavirus disease 2019 (COVID-19) pandemic. The study describes shared characteristics of Israeli ultra-Orthodox society and the crisis it experienced during the first wave of the COVID-19 pandemic, both in terms of physiological features such as the relatively high proportion of affected people and in terms of psychological characteristics such as the shut-down of synagogues and yeshivas, and the perceived discrimination they experienced from the general population in Israel. The present study views the sense of discrimination as a traumatic factor at the group level. In total, 256 participants completed online questionnaires examining three hypotheses: (1) sense of discrimination (trauma) will be correlated with level of CPTG; (2) the level of identification with the ultra-Orthodox culture will be positively related to CPTG, while the level of identification with Israeli culture will be negatively correlated with CPTG; (3) the level of life satisfaction of the individual will be predicted by CPTG. The results supported the hypotheses and are discussed at length in the discussion section.
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Feingold JH, Hurtado A, Feder A, Peccoralo L, Southwick SM, Ripp J, Pietrzak RH. Posttraumatic growth among health care workers on the frontlines of the COVID-19 pandemic. J Affect Disord 2022; 296:35-40. [PMID: 34587547 PMCID: PMC8526329 DOI: 10.1016/j.jad.2021.09.032] [Citation(s) in RCA: 47] [Impact Index Per Article: 23.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Revised: 08/31/2021] [Accepted: 09/12/2021] [Indexed: 12/31/2022]
Abstract
BACKGROUND The COVID-19 pandemic has led to significant mental health consequences for frontline health care workers (FHCWs). However, no known study has examined the prevalence, determinants, or correlates of posttraumatic growth (PTG) in this population. METHODS Data were analyzed from a prospective cohort of FHCWs at an urban tertiary care hospital in New York City (NYC). Assessments were conducted during the spring 2020 pandemic peak (Wave 1) and seven months later (Wave 2). Multivariable logistic regression analyses were conducted to identify Wave 1 sociodemographic, occupational, and psychosocial factors associated with PTG at Wave 2, and the association between aspects of PTG with burnout and pandemic-related PTSD symptoms at Wave 2. RESULTS A total 76.8% of FHCWs endorsed moderate or greater PTG; the most prevalent domains were increased appreciation of life (67.0%), improved relationships (48.7%), and greater personal strength (44.1%). Non-White race/ethnicity, greater levels of positive emotions, pandemic-related PTSD symptoms, dispositional gratitude, and feelings of inspiration were independently associated with PTG. At Wave 2, endorsement of spiritual growth during the pandemic was associated with 52% and 44% lower odds of screening positive for pandemic-related PTSD symptoms and burnout, respectively; greater improvement in relationships was associated with 36% lower odds of screening positive for burnout. LIMITATIONS Single institution study and use of self-report instruments. CONCLUSIONS Nearly 4-of-5 FHCWs report pandemic-related PTG, driven largely by salutogenic factors assessed during the pandemic surge. Interventions to bolster these factors may help promote PTG and mitigate risk for burnout and pandemic-related PTSD symptoms in this population.
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Affiliation(s)
- Jordyn H. Feingold
- Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York, United States,Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York, United States,Corresponding author at: One Gustave L. Levy Place, Box 1002, New York, NY 10029, United States
| | - Alicia Hurtado
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York, United States
| | - Adriana Feder
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York, United States
| | - Lauren Peccoralo
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, United States
| | - Steven M. Southwick
- Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States
| | - Jonathan Ripp
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, United States
| | - Robert H. Pietrzak
- Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States,U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, West Haven, Connecticut, United States,Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, United States
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Basch CH, Meleo-Erwin ZC, Mohlman J, Fera J, Quinones N. Use of the Instagram Hashtags #winemom and #momjuice Among Mothers During the COVID-19 Pandemic: Descriptive, Cross-sectional Study. JMIR Pediatr Parent 2021; 4:e28991. [PMID: 33848257 PMCID: PMC8133166 DOI: 10.2196/28991] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Revised: 04/06/2021] [Accepted: 04/09/2021] [Indexed: 01/24/2023] Open
Abstract
BACKGROUND The tendency of parents to consume alcohol during the COVID-19 pandemic is likely to be moderated by pandemic-related stress combined with the ongoing demands of childcare and home-based education, which are reported to be more burdensome for females than males. OBJECTIVE The purpose of this study was to describe alcohol-related content posted by mothers on Instagram during the COVID-19 pandemic. METHODS Using two popular hashtags, #momjuice and #winemom, 50 Instagram posts on each were collected from the "top posts" tab. The coding categories were created inductively and were as follows: displays alcohol (drinking/holding alcohol or alcohol itself), person is making alcoholic beverages, type of alcohol featured or discussed, highlights anxiety and/or depression/mental state, highlights struggling (in general), highlights parenting challenges, encourages alcohol consumption, discourages alcohol consumption, features a person wearing clothing or shows products promoting alcohol, promotes alcohol rehabilitation, highlights caffeine to alcohol daily transition throughout the day, and highlights other drugs besides caffeine and alcohol. RESULTS Overall, the 100 selected posts had a total of 5108 comments and 94,671 likes. The respective averages were 51.08 (SD 77.94) and 946.71 (SD 1731.72). A majority (>50%) of the posts reviewed encouraged alcohol consumption (n=66) and/or displayed alcohol (n=56). Of the 66 that encouraged and/or displayed alcohol, the common type of alcohol discussed or featured was wine (n=55). Only 6 posts discouraged alcohol use and only 4 provided the audience with a disclaimer. None of the videos promoted or endorsed alcohol rehabilitation in any way. Only 37 posts highlighted struggle. However, these posts garnered more than a majority of the likes (n=50,034, 52.3%). Posts that showed struggle received an average of 1359.57 (SD 2108.02) likes. Those that did not show struggle had an average of 704.24 (SD 1447.46) likes. An independent one-tailed t test demonstrated this difference to be statistically significant (P=.0499). CONCLUSIONS The findings of this investigation suggest that though these hashtags ostensibly exist to valorize excess alcohol consumption, they may be serving as a support system for mothers who are experiencing increased burdens and role stress during the pandemic. Given the strains placed on mothers overall and especially during the COVID-19 pandemic, efforts must be taken to increase access to and affordability of telehealth-based mental health care.
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Affiliation(s)
- Corey H Basch
- Department of Public Health, William Paterson University, Wayne, NJ, United States
| | - Zoe C Meleo-Erwin
- Department of Public Health, William Paterson University, Wayne, NJ, United States
| | - Jan Mohlman
- Department of Psychology, William Paterson University, Wayne, NJ, United States
| | - Joseph Fera
- Department of Mathematics, Lehman College, Bronx, NY, United States
| | - Nasia Quinones
- Department of Public Health, William Paterson University, Wayne, NJ, United States
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