1
|
Bender K, Saavedra K, Milligan T, Littman DM, Becker-Hafnor T, Dunbar AZ, Boyett M, Holloway B, Morris K. How mutual aid proliferation developed solidarity and sense of collective responsibility in the early months of COVID-19. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2024; 73:431-445. [PMID: 37975206 DOI: 10.1002/ajcp.12721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 09/24/2023] [Accepted: 10/11/2023] [Indexed: 11/19/2023]
Abstract
Although mutual aid organizing is a social movement practice long sustained by queer/trans people, immigrants, people of color, and disability communities, among other communities pushed to the margins of society, with the emergence of the COVID-19 pandemic, and subsequent government failures in addressing unmet needs, mutual aid proliferated into new (and more socially privileged) communities in the United States and across the world. Amidst this landscape of extraordinary and unique crises, our study sought to understand the benefits experienced by those engaged in mutual aid in the early months of the COVID-19 pandemic in the state of Colorado, United States. Our team conducted semistructured individual interviews with 25 individuals participating in mutual aid through groups organized on social media or through intentional communities. We found that participants, who engaged in mutual aid in the early months of the COVID-19 pandemic, built empathy, a sense of nonjudgement, and critical consciousness as they created common ground as humans. Participants also found mutual aid engagement to provide nourishing support, to hold pain among more people, and, simply to "feel good." We discuss the potential implications of these benefits for sustaining mutual aid movements through the ongoing COVID-19 pandemic in the United States and beyond.
Collapse
Affiliation(s)
- Kimberly Bender
- Graduate School of Social Work, University of Denver, Denver, Colorado, USA
| | - Kate Saavedra
- Graduate School of Social Work, University of Denver, Denver, Colorado, USA
| | - Tara Milligan
- Graduate School of Social Work, University of Denver, Denver, Colorado, USA
| | | | | | - Annie Zean Dunbar
- Graduate School of Social Work, University of Denver, Denver, Colorado, USA
| | - Madi Boyett
- Graduate School of Social Work, University of Denver, Denver, Colorado, USA
| | - Brendon Holloway
- Graduate School of Social Work, University of Denver, Denver, Colorado, USA
| | - Karaya Morris
- Graduate School of Social Work, University of Denver, Denver, Colorado, USA
| |
Collapse
|
2
|
Thompson CM, Kerr AM. Identity influences on medical students' orientation to feedback during third year clinical rotations. ADVANCES IN HEALTH SCIENCES EDUCATION : THEORY AND PRACTICE 2024; 29:477-486. [PMID: 37436526 DOI: 10.1007/s10459-023-10264-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 06/18/2023] [Indexed: 07/13/2023]
Abstract
Medical students' feedback orientation (their attitudes about and preferences for feedback from preceptors) may change over the course of the third year of medical school and is likely influenced by identity-related factors. This study proposed that both how students view themselves personally (i.e., impostor syndrome) and how they view themselves in relation to the group (i.e., identification with the profession) are identity factors related to related to feedback orientation during clinical rotations. 177 third-year medical students enrolled in a four-phase longitudinal survey study beginning at the start of clinical rotations and continuing every twelve weeks of the academic year thereafter. Feedback orientation was conceptualized and measured as comprising aspects of utility (i.e., feedback is valuable and useful), sensitivity (i.e., feeling intimidated or threatened by corrective feedback), confidentiality (i.e., public/private context of feedback), and retention (i.e., feedback remembered). Results indicated that these aspects of feedback orientation did not significantly change during the third year. Instead, impostor syndrome was at least marginally, significantly associated with all aspects of feedback orientation across phases. Group identity was associated with feedback utility and retention, and female-identifying students reported significantly greater feedback confidentiality and feedback retention. Interventions may be needed to improve medical students' attitudes about feedback, particularly for those who experience impostor syndrome. Fostering group cohesion among medical students may influence how well students remember feedback and find it useful.
Collapse
Affiliation(s)
- Charee M Thompson
- Department of Communication, College of Liberal Arts & Sciences, University of Illinois at Urbana-Champaign, 702 S. Wright Street, Urbana, IL, 61801, USA.
| | - Anna M Kerr
- Department of Primary Care Heritage College of Osteopathic Medicine, Ohio University, 252 Medical Education Building 2, Dublin, OH, 43016, USA.
| |
Collapse
|
3
|
Malaguti A, Byrne CJ, Sani F, Power K, Eriksen A, Dillon JF. Drug network identification predicts injecting risk behavior among people who inject drugs on hepatitis C virus treatment in Tayside, Scotland. Behav Med 2024; 50:130-140. [PMID: 36411523 DOI: 10.1080/08964289.2022.2142501] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 10/10/2022] [Accepted: 10/28/2022] [Indexed: 11/23/2022]
Abstract
The risk of Hepatitis C Virus (HCV) acquisition among People Who Inject Drugs (PWID) remains high when injecting risk behavior within networks endures. Several psychosocial factors influence such behavior. Following a drive within Tayside, a geographic region in Scotland, to achieve World Health Organization HCV elimination targets, addressing HCV re-infection risk as a barrier to elimination is critically important. This cross-sectional study seeks to address this barrier to elimination by investigating associations between group identification (one's subjective sense of belonging and connectedness to a social group coupled with a sense of shared goals, beliefs and values with the other members of the group) and injecting risk behavior among PWID on HCV treatment at needle and syringe provision sites in Tayside. Participants completed psychosocial questionnaires between treatment weeks zero and three of treatment. Correlation analyses were undertaken, and significant factors included in multiple linear regression models for injecting risk behavior. Injecting frequency, drug network identification, and family identification, were correlated with injecting risk behavior, and drug network identification had a positive predictive on injecting risk behavior. Identification with a social group, conventionally associated with improved health, may pose health risks in specific contexts. Healthcare providers should consider stratifying individuals with higher group identification with PWID networks for enhanced harm reduction engagement to mitigate transmissible infection risk among PWID. Additionally, psychological interventions to strengthen group identification with networks which impact positively on health behavior should be explored.
Collapse
Affiliation(s)
- Amy Malaguti
- Tayside Drug and Alcohol Recovery Psychology Service, Constitution House, NHS Tayside, Dundee, UK
- Department of Psychology, Scrymgeour Building, School of Social Sciences, University of Dundee, Dundee, UK
| | - Christopher J Byrne
- Division of Molecular and Clinical Medicine, School of Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK
- Directorate of Public Health, Kings Cross Hospital, NHS Tayside, Dundee, UK
| | - Fabio Sani
- Department of Psychology, Scrymgeour Building, School of Social Sciences, University of Dundee, Dundee, UK
| | - Kevin Power
- Tayside Adult Psychological Therapy Services, Dudhope Terrace, NHS Tayside, Dundee, UK
- School of Natural Sciences, University of Stirling, Stirling, UK
| | - Ann Eriksen
- Directorate of Public Health, Kings Cross Hospital, NHS Tayside, Dundee, UK
| | - John F Dillon
- Division of Molecular and Clinical Medicine, School of Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK
- Department of Gastroenterology, NHS Tayside, Ninewells Hospital and Medical School, Dundee, UK
| |
Collapse
|
4
|
Dunstone EK, Reynolds KJ, Cárdenas D. The role of group memberships and school identification on student well-being. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2024; 63:403-428. [PMID: 37694892 DOI: 10.1111/bjso.12685] [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: 01/26/2023] [Revised: 07/26/2023] [Accepted: 08/10/2023] [Indexed: 09/12/2023]
Abstract
There are widespread concerns about a decline in young people's mental health. One promising direction to address this issue involves group memberships and social identity processes. Despite progress, there are several issues in current theory and research including (1) whether the number of groups to which an individual belongs is related to more positive well-being, (2) better understanding the relationship between group memberships and social identification processes and (3) the need for more comprehensive longitudinal methods. The goal of this study was to address these issues using a three-wave longitudinal design (n = 1331) conducted with high-school students. Both the number and importance (an indicator of social identification) of student extracurricular activities (ECA) were assessed as predictors of six well-being outcomes. Importantly, we also assessed whether identification with the school as the context in which the ECAs were situated mediated this association. Results show that, generally, the number of group memberships had no direct effect on well-being, however, there was a consistent mediation via school identification. When considering number and importance of one model (comprising a subsample) importance emerged as the key predictor. Such findings advance understanding of the social identity and well-being relationship and have practical implications.
Collapse
Affiliation(s)
- Emma K Dunstone
- Australian National University, Canberra, Australian Capital Territory, Australia
| | - Katherine J Reynolds
- Australian National University, Canberra, Australian Capital Territory, Australia
- University of Melbourne, Melbourne, Victoria, Australia
| | | |
Collapse
|
5
|
Charles SJ, Stevenson C, Wakefield JRH, Fino E. Diversity of Group Memberships Predicts Well-Being: Cross-Sectional and Longitudinal Evidence. PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN 2023:1461672231202278. [PMID: 37776314 DOI: 10.1177/01461672231202278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/02/2023]
Abstract
Groups have their health and well-being impacted by satisfying their members' needs and providing resources to help cope with threats. Multiple group memberships serve to accumulate these benefits and also provide resilience to the effects of group loss. However, the additional well-being benefits of belonging to multiple different types of group remain to be determined. In a preregistered cross-sectional survey in Nottingham, England (Study 1, N = 328), we found that group-type diversity predicted well-being and that this effect was fully serially mediated by increased creative self-efficacy, then reduced loneliness. To confirm our hypothesis in a more robust sample we conducted longitudinal analyses on the English Longitudinal Study of Aging (ELSA) dataset (Study 2, N = 5,838) finding that group-type diversity at time one (T1) predicted well-being at T2 (4 years later), even when accounting for wellbeing and loneliness at T1. We discuss the implications for enhancing group-based health interventions.
Collapse
|
6
|
Klik KA, Cárdenas D, Reynolds KJ. School climate, school identification and student outcomes: A longitudinal investigation of student well-being. BRITISH JOURNAL OF EDUCATIONAL PSYCHOLOGY 2023; 93:806-824. [PMID: 37068920 DOI: 10.1111/bjep.12597] [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: 05/24/2022] [Accepted: 03/14/2023] [Indexed: 04/19/2023]
Abstract
BACKGROUND Schools are increasingly recognized as key facilitators of child and youth well-being. Much attention has been directed to the school social environment and the areas of school climate or school connectedness/identification. Drawing on the social identity approach and related work, it has been argued that school social identification may be the mechanism or process through which school climate comes to impact individual student functioning (Applied Psychology, 28, 2009, 171). Much of the previous research on social identity and well-being, though, is limited because it is cross-sectional. AIMS, SAMPLE & METHODS This current study aims to advance understanding of the relationships between school climate, school identification and positive and negative well-being. It adopts a three-wave longitudinal sample of Australian students (N = 6537 wave 3, grades 7-10) and incorporates a range of control variables. Multilevel modelling (MLM) is used to test relationships of interest. RESULTS AND CONCLUSIONS In line with predictions, school identification was a significant mediator of the relationship between school climate and the well-being dimensions of positive affect and depression (but not anxiety). The substantial theoretical and practical implications of this research are discussed, including the role of the school social environment in helping young people successfully transition to adulthood.
Collapse
Affiliation(s)
| | - Diana Cárdenas
- Research School of Psychology, Australian National University, Canberra, Australian Capital Territory, Australia
- Department of Psychology, University of Montreal, Montreal, Quebec, Canada
| | - Katherine J Reynolds
- Research School of Psychology, Australian National University, Canberra, Australian Capital Territory, Australia
- Melbourne Graduate School of Education, University of Melbourne, Melbourne, Victoria, Australia
| |
Collapse
|
7
|
Buechner H, Toparlak SM, Ostinelli EG, Shokraneh F, Nicholls-Mindlin J, Cipriani A, Geddes JR, Syed Sheriff R. Community interventions for anxiety and depression in adults and young people: A systematic review. Aust N Z J Psychiatry 2023; 57:1223-1242. [PMID: 36722407 PMCID: PMC10466972 DOI: 10.1177/00048674221150362] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
BACKGROUND Growing evidence suggests that community-based interventions may be effective for anxiety and depression. This study aimed to describe studies of community interventions delivered to adults and/or young people, either in person or online, evaluated in randomised controlled trials and provide an indication as to their effectiveness, acceptability, quality of data and where possible, mechanisms of action. We included interventions delivered at and/or by museums, art galleries, libraries, gardens, music groups/choirs and sports clubs. METHOD We developed and followed a preregistered protocol: PROSPERO CRD42020204471. Randomised controlled trials in adults and young people were identified in an extensive search with no date/time, language, document type and publication status limitations. Studies were selected according to predetermined eligibility criteria and data independently extracted and then assessed using Risk of Bias 1. The studies were deemed too heterogeneous for meta-analysis and were therefore reported using a narrative synthesis. RESULTS Our analysis included 31 studies, with 2898 participants. Community interventions most studied in randomised controlled trials were community music (12 studies, 1432 participants), community exercise (14 studies, 955 participants) and community gardens/gardening (6 studies, 335 participants). The majority of studies were from high-income countries - many were in specific populations (such as those with physical health problems) and were generally of low quality. Dropout rates across the included studies were low (1 participant on average per 100 participants). The inadequate description of interventions limited identification of potential mechanisms of action. DISCUSSION The uncertainty of the evidence allows only a weak recommendation in support of community interventions for anxiety and depression. The results suggest community engagement is a promising area for wide-reaching interventions to be implemented and evaluated, but more high-quality trials are needed, especially in young people and under-represented communities.
Collapse
Affiliation(s)
| | - Sureyya M Toparlak
- Department of Psychiatry, University of Oxford, Oxford, UK
- Oxford Health NHS Foundation Trust, Oxford, UK
| | - Edoardo G Ostinelli
- Oxford Precision Psychiatry Lab, NIHR Oxford Health Biomedical Research Centre, Oxford, UK
| | - Farhad Shokraneh
- Institute of Health Informatics, University College London, London, UK
| | | | - Andrea Cipriani
- Department of Psychiatry, University of Oxford, Oxford, UK
- Oxford Health NHS Foundation Trust, Oxford, UK
| | - John R Geddes
- Department of Psychiatry, University of Oxford, Oxford, UK
- Oxford Health NHS Foundation Trust, Oxford, UK
| | - Rebecca Syed Sheriff
- Department of Psychiatry, University of Oxford, Oxford, UK
- Oxford Health NHS Foundation Trust, Oxford, UK
| |
Collapse
|
8
|
Vella C, Berry C, Easterbrook MJ, Michelson D, Bogen-Johnston L, Fowler D. The mediating role of social connectedness and hope in the relationship between group membership continuity and mental health problems in vulnerable young people. BJPsych Open 2023; 9:e130. [PMID: 37466044 PMCID: PMC10375864 DOI: 10.1192/bjo.2023.500] [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] [Indexed: 07/20/2023] Open
Abstract
BACKGROUND There is growing evidence of a beneficial effect of social group processes on well-being and mental health. AIMS To investigate the role of group membership continuity in reducing mental ill-health among young people who were already vulnerable pre-pandemic, and to understand the social and psychological mechanisms of the benefits of group memberships for vulnerable young people. METHOD This study takes a cross-sectional design, using survey data from a sample of 105 young people aged 16-35 years, collected approximately 1 year after the global COVID-19 outbreak (January to July 2021). Correlational and path analyses were used to test the associations between group membership continuity and mental health problems (depression, anxiety, psychotic-like experiences) and the mediation of these associations by hope and social connectedness (in-person and online). To correct for multiple testing, the Benjamini-Hochberg procedure was implemented for all analyses. Indirect effects were assessed with coverage of 99% confidence intervals. RESULTS Multiple prior group memberships were associated with preservation of group memberships during the COVID-19 pandemic. In-person social connectedness, online social connectedness and hope mediated the relationship between group membership continuity and mental health problem symptoms. CONCLUSIONS The results suggest that clinical and public health practice should support vulnerable young people to foster and maintain their social group memberships, hopefulness and perceived sense of social connectedness as means of helping to prevent exacerbation of symptoms and promote recovery of mental health problems, particularly during significant life events.
Collapse
|
9
|
Andreadis M, Marshall TC. Social cure in the time of COVID-19: Social identity and belongingness predict greater well-being and academic motivation in university students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-8. [PMID: 37437200 DOI: 10.1080/07448481.2023.2227723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 05/03/2023] [Accepted: 06/11/2023] [Indexed: 07/14/2023]
Abstract
Social isolation during the COVID-19 pandemic increased negative affect and feelings of loneliness among university students. OBJECTIVE Given that identifying as a member of a social group, like a university student, serves as a protective factor against diminished well-being, we examined whether students' social identity might offer a "social cure" during COVID-related remote learning. PARTICIPANTS Three hundred fifty-six students from a large, public university that was fully remote in 2021. RESULTS Students with a stronger social identity as a member of their university reported lower loneliness and greater positive affect balance during remote learning. Social identification was also associated with greater academic motivation, whereas two well-established predictors of positive student outcomes - perceived social support and academic performance - were not. Nonetheless, academic performance, but not social identification, predicted lower general stress and COVID-related worry. CONCLUSIONS Social identity may be a potential social cure for university students who are learning remotely.
Collapse
Affiliation(s)
- Michaela Andreadis
- Department of Psychology, Neuroscience, and Behaviour, McMaster University, Hamilton, Ontario, Canada
| | - Tara C Marshall
- Department of Health, Aging & Society and Social Psychology Program, McMaster University, Hamilton, Ontario, Canada
| |
Collapse
|
10
|
Griffin SM, Lebedová A, Ahern E, McMahon G, Bradshaw D, Muldoon OT. PROTOCOL: Group-based interventions for posttraumatic stress disorder: A systematic review and meta-analysis of the role of trauma type. CAMPBELL SYSTEMATIC REVIEWS 2023; 19:e1328. [PMID: 37192982 PMCID: PMC10182838 DOI: 10.1002/cl2.1328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
This is the protocol for a Campbell systematic review. The primary objective is to assess the effects of group-based treatments on posttraumatic stress disorder (PTSD) symptomology in people diagnosed with PTSD (by a clinician or screening instrument) or referred to a PTSD treatment group for their symptoms by a medical professional. We will also examine a range of moderators that may affect the efficacy of group-based treatments, including the nature of the trauma (interpersonal, stigmatized) and the group fit (in terms of gender and shared vs. unshared trauma). Further, we will also explore what, if any, group-based and social identity factors are recorded and how they relate to PTSD outcomes.
Collapse
Affiliation(s)
- Siobhán M. Griffin
- Centre for Social Issues Research, Department of PsychologyUniversity of LimerickLimerickIreland
| | - Alžběta Lebedová
- Centre for Social Issues Research, Department of PsychologyUniversity of LimerickLimerickIreland
| | - Elayne Ahern
- Centre for Social Issues Research, Department of PsychologyUniversity of LimerickLimerickIreland
| | - Grace McMahon
- Centre for Social Issues Research, Department of PsychologyUniversity of LimerickLimerickIreland
| | - Daragh Bradshaw
- Centre for Social Issues Research, Department of PsychologyUniversity of LimerickLimerickIreland
| | - Orla T. Muldoon
- Centre for Social Issues Research, Department of PsychologyUniversity of LimerickLimerickIreland
| |
Collapse
|
11
|
Haslam C, Bertschy K, Cruwys T, Griffin J, Johnson D. The group mechanism in treatment: group identification and cohesion contributes to reducing chronic lower back pain by increasing personal control. Disabil Rehabil 2023; 45:1332-1342. [PMID: 35403527 DOI: 10.1080/09638288.2022.2057602] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
PURPOSE There is increasing recognition of the contribution that group processes, particularly identification and cohesion, make to outcomes of group delivered health treatments. This study examined the role that these particular group processes play in the treatment of lower back pain, and a theorised mechanism of personal control through which group treatment might enhance outcomes. METHODS Participants (N = 85) elected to either receive NeuroHAB®, a defined functional movement therapy of 8 weeks duration, or continue with treatment-as-usual (TAU). Pain intensity and disability were assessed at baseline (T1) and post-intervention or 8 weeks later (T2), as well as at a 1-month follow-up (T3). Only the NeuroHAB® participants additionally completed weekly questionnaires that measured treatment group identification, cohesion, and personal control. RESULTS NeuroHAB® was significantly more effective than TAU in reducing pain intensity and disability at T2 and T3. Furthermore, among NeuroHAB® recipients, stronger treatment group identification and cohesion early in the program predicted better pain outcomes over time, and this relationship was fully mediated by perceptions of personal control. CONCLUSION These data provide further support for the role of group identification and cohesion as a contributing mechanism of change in group-based treatments and extend this to the domain of pain management.Implications for RehabilitationA focus on defined functional movement therapy, as offered by the NeuroHAB® group program, was found to improve pain outcomes in patients with lower back pain.A key ingredient in the NeuroHAB® rehabilitation program was its group delivery.Group delivery supported treatment group identification and cohesion which, through enhancing the perception of personal control, reduced pain intensity and disability.
Collapse
Affiliation(s)
- Catherine Haslam
- School of Psychology, University of Queensland, Brisbane, Australia
| | - Kristen Bertschy
- School of Psychology, University of Queensland, Brisbane, Australia
| | - Tegan Cruwys
- Research School of Psychology, The Australian National University, Canberra, Australia
| | - Joanne Griffin
- Functional Movement Training Centre, St Andrews Memorial Hospital, Brisbane, Australia
| | - David Johnson
- Functional Movement Training Centre, St Andrews Memorial Hospital, Brisbane, Australia
| |
Collapse
|
12
|
Wurz A, McLaughlin E, Hughes K, Ellis K, Chen A, Cowley L, Molina H, Duchek D, Eisele M, Culos-Reed SN. Exploring feasibility, perceptions of acceptability, and potential benefits of an 8-week yoga intervention delivered by videoconference for young adults affected by cancer: a single-arm hybrid effectiveness-implementation pilot study. Pilot Feasibility Stud 2023; 9:37. [PMID: 36899410 PMCID: PMC9999078 DOI: 10.1186/s40814-023-01244-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 01/12/2023] [Indexed: 03/12/2023] Open
Abstract
BACKGROUND Young adults affected by cancer face physical and psychological challenges and desire online supportive care. Yoga can be delivered online and may improve physical and psychological outcomes. Yet, yoga has rarely been studied with young adults affected by cancer. To address this, an 8-week yoga intervention was developed, and a pilot study was deemed necessary to explore feasibility, acceptability, implementation, and potential benefits. METHODS A mixed-methods, single-arm hybrid effectiveness-implementation pilot study evaluating the yoga intervention was conducted. Feasibility was assessed by tracking enrollment, retention, attendance, completeness of data, and adverse events. Acceptability was explored through interviews. Implementation metrics included training time, delivery resources, and fidelity. Potential effectiveness was evaluated by exploring changes in physical (i.e., balance, flexibility, range of motion, functional mobility) and psychological (i.e., quality of life, fatigue, resilience, posttraumatic growth, body image, mindfulness, perceived stress) outcomes at pre- (week 0), post- (week 8), and follow-up (week 16) time points. Data were analyzed with descriptive statistics, repeated measures analysis of variance, and content analysis. RESULTS Thirty young adults participated in this study (recruitment rate = 33%). Retention to study procedures was 70%, and attendance ranged from 38 to 100%. There were little missing data (< 5%) and no adverse events. Though most participants were satisfied with the yoga intervention, recommendations for improvement were shared. Sixty study-specific training hours and > 240 delivery and assessment hours were accrued and fidelity was high. Functional mobility, flexibility, quality of life (energy/fatigue, social well-being), body image (appearance evaluation), mindfulness (non-reactivity), and perceived stress improved significantly over time (all p< 0.050; [Formula: see text]). No other significant changes were observed (all p> 0.050; [Formula: see text]). CONCLUSIONS The yoga intervention may confer physical and psychological benefits, though intervention and study-specific modifications are required to improve feasibility and acceptability. Requiring study participation and providing greater scheduling flexibility could enhance recruitment and retention. Increasing the frequency of classes offered each week and offering more opportunities for participant interaction could improve satisfaction. This study highlights the value of doing pilot work and provides data that has directly informed intervention and study modifications. Findings could also be used by others offering yoga or supportive care by videoconference to young adults affected by cancer. TRIAL REGISTRATION Not available-not registered.
Collapse
Affiliation(s)
- Amanda Wurz
- School of Kinesiology, University of the Fraser Valley, Chilliwack, Canada
- Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - Emma McLaughlin
- Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - Kimberly Hughes
- Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - Kelsey Ellis
- Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - Amy Chen
- Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | | | | | - Delaney Duchek
- Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | | | - S. Nicole Culos-Reed
- Faculty of Kinesiology, University of Calgary, Calgary, Canada
- Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Canada
- Department of Psychosocial Resources, Tom Baker Cancer Centre, Cancer Care, Alberta Health Services, Calgary, Canada
| |
Collapse
|
13
|
Frings D, Wills J, Sykes S, Wood KV, Albery IP. Multiple Group Membership, Optimistic Bias, and Infection Risk in the Context of Emerging Infectious Diseases. EUROPEAN JOURNAL OF HEALTH PSYCHOLOGY 2023. [DOI: 10.1027/2512-8442/a000127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Abstract. Background: Understanding psychosocial factors which impact responses to emerging infectious diseases (EIDs) is vital in managing epidemics and pandemics. Two under-researched areas in this field are the interactive roles of optimistic bias (underestimation of the likelihood of negative events occurring to the self, relative to others) and group membership (a factor observed to be psychologically protective, but infection risk enhancing). Aims: The current study aimed to test the relationships between optimistic bias and membership of multiple groups upon EID-related emotional and psychological responses and behavioral intentions. Methods: Participants from the UK and US ( N = 360) rated how they would evaluate and respond to a fictitious EID immediately before the 2020 COVID-19 lockdowns in a correlational study. Results: Negative relationships were observed between optimistic bias and perceived infection vulnerability, infection prevention strategies, and perceived EID severity. Multiple group membership correlated negatively with germ avoidance, but positively with emotional responses such as disgust and increased perceived vulnerability to infection – factors linked to avoiding infection. Multiple group memberships and optimistic bias were unrelated. Limitations: The study focussed on a fictitious disease and relies on cross-sectional data and behavioral intentions. Conclusions: These findings build upon the small evidence base on the role of optimistic bias in EID management and suggest that multiple group membership is unlikely to increase optimistic bias. The theoretical and practical implications of the findings for EID management are discussed.
Collapse
Affiliation(s)
- Daniel Frings
- School of Applied Sciences, London South Bank University, London, UK
| | - Jane Wills
- School of Health and Social Care, London South Bank University, London, UK
| | - Susie Sykes
- School of Health and Social Care, London South Bank University, London, UK
| | - Kerry V. Wood
- School of Applied Sciences, London South Bank University, London, UK
| | - Ian P. Albery
- School of Applied Sciences, London South Bank University, London, UK
| |
Collapse
|
14
|
Power K, Cientanni F, Wright C. Social Group Identification as a Predictor of Pretreatment Suicidal Ideation and Intent in those Receiving cCBT: Evidence from a Scottish Primary Care Sample. Arch Suicide Res 2023; 27:107-121. [PMID: 34514951 DOI: 10.1080/13811118.2021.1972882] [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] [Indexed: 10/20/2022]
Abstract
Suicidal ideation and intent are strongly linked with suicidal attempts and completions; however, no study to date has explored the predictors of ideation and intent within a sample receiving computerized cognitive behavioral therapy (cCBT) as an intervention for mild to moderate depression. The current study investigates the impact of social group identification and socioeconomic deprivation, together with a number of important clinical and demographic factors, on suicidal ideation and intent within a Scottish primary care sample. Participants (N = 1062) were recruited from referrals to a cCBT program, "Beating the Blues" (BtB), over a 33-month period. Participants completed three versions of the group identifications scale (GIS), one for each of three groups: family, community, and a social group of choice. Single-item questions on suicidal ideation and intent were delivered through the BtB program, and demographic and clinical information were collected on commencing BtB. More severe psychological distress, fewer group identifications, younger age, and being male, all significantly predicted the presence of suicidal ideations, however only greater severity of psychological distress was associated with more serious suicidal intent. These results provide valuable insight into factors associated with suicidal ideation and intent within a clinical population from a psychosocial, psychopharmacological, and demographic perspective.
Collapse
|
15
|
Chen Y, Yu X, Ma’rof AA, Zaremohzzabieh Z, Abdullah H, Halimatusaadiah Hamsan H, Zhang L. Social Identity, Core Self-Evaluation, School Adaptation, and Mental Health Problems in Migrant Children in China: A Chain Mediation Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16645. [PMID: 36554527 PMCID: PMC9778830 DOI: 10.3390/ijerph192416645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 12/04/2022] [Accepted: 12/08/2022] [Indexed: 06/17/2023]
Abstract
(1) Background: The present study investigated the relationships between social identity, core self-evaluation, school adaptation, and mental health problems in migrant children, and the mechanism underlying these relationships; (2) Methods: The participants were migrant middle school students in China. Data analysis was conducted using SPSS version 26. A survey comprising the social identity scale, core self-evaluation scale, school adaptation scale, and mental health scale MMHI-60 was deployed; (3) Results: Findings indicated a significant and negative association between social identity and mental health problems, and such an association was sequentially mediated by core self-evaluation and school adaptation. Furthermore, core self-evaluation and school adaptation played a chain mediation role between social identity and migrant children's mental health problems; (4) Conclusions: It is crucial to improve social identity, core self-evaluation, and school adaptation to reduce mental health problems among this population. Therefore, the research results provide a new direction for promoting the development of mental health education for migrant workers and their children in China.
Collapse
Affiliation(s)
- Ye Chen
- Faculty of Human Ecology, Universiti Putra Malaysia, Serdang 43400, Malaysia
| | - Xinxin Yu
- Department of Education, Guangxi Normal University, Guilin 541004, China
| | - Aini Azeqa Ma’rof
- Institute for Social Science Studies, Universiti Putra Malaysia, Serdang 43400, Malaysia
| | - Zeinab Zaremohzzabieh
- Institute for Social Science Studies, Universiti Putra Malaysia, Serdang 43400, Malaysia
| | - Haslinda Abdullah
- Institute for Social Science Studies, Universiti Putra Malaysia, Serdang 43400, Malaysia
| | | | - Lyuci Zhang
- Faculty of Educational Studies, Universiti Putra Malaysia, Serdang 43400, Malaysia
| |
Collapse
|
16
|
Frings D, Albery IP, Kim A. When ingroup identities “clash”: The influence of beliefs about incompatibilities between being a Christian and a drinker affect motivation to change drinking behaviour. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2022. [DOI: 10.1002/casp.2670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Affiliation(s)
- Daniel Frings
- Centre for Addictive Behaviours Research London South Bank University London UK
| | - Ian P. Albery
- Centre for Addictive Behaviours Research London South Bank University London UK
| | - Anne Kim
- Centre for Addictive Behaviours Research London South Bank University London UK
| |
Collapse
|
17
|
Stevenson C, Wakefield JRH. Financial distress and suicidal behaviour during COVID-19: Family identification attenuates the negative relationship between COVID-related financial distress and mental Ill-health. J Health Psychol 2021; 26:2665-2675. [PMID: 34259082 PMCID: PMC8543569 DOI: 10.1177/13591053211014597] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
COVID-19 provides a 'perfect storm' of social and economic suicide risk-factors. Recent research has evidenced an initial impact of the pandemic upon suicide rates, but has yet to understand how elevated financial threat and social isolation may predict suicide ideation/behaviour, or which social factors promote resilience. This study addressed these shortcomings. An online longitudinal survey study (N = 370) which took place from May to September 2020 showed COVID-related financial distress predicts suicidal thoughts and behaviour via increased depression and loneliness. Family identification attenuates these relationships. Our findings reaffirm the importance of social factors in reducing mental ill-health outcomes of economic crises.
Collapse
|
18
|
Bingley WJ, Greenaway KH, Haslam SA. A Social-Identity Theory of Information-Access Regulation (SITIAR): Understanding the Psychology of Sharing and Withholding. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2021; 17:827-840. [PMID: 34606731 DOI: 10.1177/1745691621997144] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Secrecy, privacy, confidentiality, concealment, disclosure, and gossip all involve sharing and withholding access to information. However, existing theories do not account for the fundamental similarity between these concepts. Accordingly, it is unclear when sharing and withholding access to information will have positive or negative effects and why these effects might occur. We argue that these problems can be addressed by conceptualizing these phenomena more broadly as different kinds of information-access regulation. Furthermore, we outline a social-identity theory of information-access regulation (SITIAR) that proposes that information-access regulation shapes shared social identity, explaining why people who have access to information feel a sense of togetherness with others who have the same access and a sense of separation from those who do not. This theoretical framework unifies diverse findings across disparate lines of research and generates a number of novel predictions about how information-access regulation affects individuals and groups.
Collapse
|
19
|
Maitland CA, Rhodes S, O'Hare A, Stewart ME. Social identities and mental well-being in autistic adults. AUTISM : THE INTERNATIONAL JOURNAL OF RESEARCH AND PRACTICE 2021; 25:1771-1783. [PMID: 34011188 PMCID: PMC8323333 DOI: 10.1177/13623613211004328] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Social identities relate to psychological perceptions of group memberships and
form part of the self-concept. Socially identifying with groups has previously
been found to associate with better mental well-being outcomes. This study first
examined the factor structure and the reliability of measuring social
identification in autistic adults. Confirmatory factor analysis showed that a
factor structure was replicated in this sample for social identification with
other autistic people, but not the family. Second, the study assessed the level
to which autistic adults socially identified with different groups, the total
number of social identities and whether these were associated with their mental
well-being. Autistic adults reported feelings of social identification with many
kinds of groups, some with multiple groups, whereas others did not socially
identify with any group. Stronger feelings of social identification towards
other autistic people and towards one’s family, and with more groups overall,
were associated with less severe self-reported depression symptoms and more
facets of positive mental health. These findings indicate the importance of
facilitating autistic people’s engagement with social groups.
Collapse
|
20
|
Bowe M, Gray D, Stevenson C, McNamara N, Wakefield JRH, Kellezi B, Wilson I, Cleveland M, Mair E, Halder M, Costa S. A social cure in the community: A mixed‐method exploration of the role of social identity in the experiences and well‐being of community volunteers. EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY 2021. [DOI: 10.1002/ejsp.2706] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Mhairi Bowe
- Department of Psychology Nottingham Trent University Nottingham UK
| | - Debra Gray
- Department of Psychology University of Winchester Winchester UK
| | | | - Niamh McNamara
- Department of Psychology Nottingham Trent University Nottingham UK
| | | | - Blerina Kellezi
- Department of Psychology Nottingham Trent University Nottingham UK
| | - Iain Wilson
- Department of Psychology Nottingham Trent University Nottingham UK
| | | | - Elizabeth Mair
- Department of Psychology Nottingham Trent University Nottingham UK
| | - Moon Halder
- Department of Psychology Nottingham Trent University Nottingham UK
| | | |
Collapse
|
21
|
Conneely M, McNamee P, Gupta V, Richardson J, Priebe S, Jones JM, Giacco D. Understanding Identity Changes in Psychosis: A Systematic Review and Narrative Synthesis. Schizophr Bull 2020; 47:309-322. [PMID: 32989443 PMCID: PMC7965068 DOI: 10.1093/schbul/sbaa124] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
BACKGROUND AND OBJECTIVE Experiencing psychosis can be associated with changes in how people see themselves as individuals and in relation to others (ie, changes in their identity). However, identity changes receive little attention in treatment, possibly due to a lack of clarity or consensus around what identity change means in people with psychosis. We aimed to create a conceptual framework synthesizing how identity changes are understood in the psychosis literature. METHODS Electronic databases were searched up to April 2020. Studies about identity changes among people with psychotic disorders were analyzed using narrative synthesis by a collaborative review team, including researchers from different disciplines, clinicians, and people who have experienced psychosis. RESULTS Of 10 389 studies screened, 59 were eligible. Identity changes are understood in 5 ways as (1) characteristics of psychosis, (2) consequences of altered cognitive functioning, (3) consequences of internalized stigma, (4) consequences of lost roles and relationships, and (5) reflections of personal growth. These 5 understandings are not mutually exclusive. Across a heterogeneous literature, identity changes were mostly framed in terms of loss. CONCLUSIONS Our conceptual framework, comprising 5 understandings, highlights the complexity of studying identity changes and suggests important implications for practice and research. For clinicians, this framework can inform new therapeutic approaches where the experience and impact of identity changes are acknowledged and addressed as part of treatment. For researchers, the conceptual framework offers a way of locating their understandings of identity changes when undertaking research in this area.
Collapse
Affiliation(s)
- Maev Conneely
- Unit for Social and Community Psychiatry, WHO Collaboration Centre, Queen Mary University of London, London, UK,To whom correspondence should be addressed; Unit for Social and Community Psychiatry, Newham Centre for Mental Health, London E13 8SP, UK; tel: +44 020 7540 4380 (ext.: 2308), fax: +44 020 7540 4380, e-mail:
| | - Philip McNamee
- Unit for Social and Community Psychiatry, WHO Collaboration Centre, Queen Mary University of London, London, UK
| | - Veenu Gupta
- Department of Primary Care and Mental health, Institute of Population Health, University of Liverpool, Liverpool, UK
| | - John Richardson
- Unit for Social and Community Psychiatry, WHO Collaboration Centre, Queen Mary University of London, London, UK
| | - Stefan Priebe
- Unit for Social and Community Psychiatry, WHO Collaboration Centre, Queen Mary University of London, London, UK
| | - Janelle M Jones
- Department of Biological and Experimental Psychology, School of Biological and Chemical Sciences, Queen Mary University of London, London, UK
| | - Domenico Giacco
- Unit for Social and Community Psychiatry, WHO Collaboration Centre, Queen Mary University of London, London, UK,Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK
| |
Collapse
|
22
|
Cruwys T, Ng NW, Haslam SA, Haslam C. Identity Continuity Protects Academic Performance, Retention, and Life Satisfaction among International Students. APPLIED PSYCHOLOGY-AN INTERNATIONAL REVIEW-PSYCHOLOGIE APPLIQUEE-REVUE INTERNATIONALE 2020. [DOI: 10.1111/apps.12254] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
23
|
Sani F, Herrera M, Bielawska K. Child maltreatment is linked to difficulties in identifying with social groups as a young adult. BRITISH JOURNAL OF DEVELOPMENTAL PSYCHOLOGY 2020; 38:491-496. [PMID: 32227369 DOI: 10.1111/bjdp.12332] [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: 07/08/2019] [Revised: 02/27/2020] [Indexed: 11/27/2022]
Abstract
Subjective feelings of disconnectedness from social groups have been found to be detrimental to mental health. However, little is known about the factors determining people's ability to attach to groups. We contend that child maltreatment will impair people's ability to group identification across the lifespan, and present a cross-sectional study involving 396 young adults from Spain, aimed at testing this hypothesis. Results reveal that, as expected, a greater degree of maltreatment received before the age of 14 is linked to a lower number of social groups one identifies with, even after controlling for current levels of depression, anxiety, and borderline personality. Statement of contribution What is already known on this subject? Experiencing a subjective sense of identification with groups promotes well-being and psychological adjustment. Subjective feelings of disconnectedness from social groups are detrimental to mental health. What does this study add? Little is known about the factors determining people's ability to identify with groups. Child maltreatment is analysed as an important distal determinant of this ability. Child maltreatment thwarts people's ability to develop a sense of belonging to social groups. A greater degree of maltreatment received before the age of 14 is linked to a lower number of social groups young adults identifies with, after controlling for core mental health dimensions.
Collapse
Affiliation(s)
- Fabio Sani
- School of Social Sciences, University of Dundee, UK
| | - Marina Herrera
- Department of Social Psychology, University of Valencia, Spain
| | | |
Collapse
|
24
|
Haslam C, Cruwys T, Chang MX, Eckley B, Buckingham H, Channon E. Community group membership protects the well‐being of adults experiencing socio‐economic disadvantage. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2020. [DOI: 10.1002/casp.2453] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Affiliation(s)
- Catherine Haslam
- School of PsychologyThe University of Queensland Brisbane Queensland Australia
| | - Tegan Cruwys
- Research School of PsychologyThe Australian National University Canberra Australian Capital Territory Australia
| | | | | | | | | |
Collapse
|
25
|
Jaspal R, Lopes B, Rehman Z. A structural equation model for predicting depressive symptomatology in Black, Asian and Minority Ethnic gay, lesbian and bisexual people in the UK. PSYCHOLOGY & SEXUALITY 2019. [DOI: 10.1080/19419899.2019.1690560] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Rusi Jaspal
- Faculty of Health & Life Sciences, De Montfort University, Leicester, UK
- Minority Research Profile, Åbo Akademi University, Turku, Finland
| | - Barbara Lopes
- Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), Faculdade de Psicologia e de Ciencias da Educação, Universidade de Coimbra, Coimbra, Portugal
| | - Zaqia Rehman
- Faculty of Health & Life Sciences, De Montfort University, Leicester, UK
| |
Collapse
|
26
|
Berry C, Easterbrook MJ, Empson L, Fowler D. Structured activity and multiple group memberships as mechanisms of increased depression amongst young people not in employment, education or training. Early Interv Psychiatry 2019; 13:1480-1487. [PMID: 30924324 DOI: 10.1111/eip.12798] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Revised: 01/03/2019] [Accepted: 02/17/2019] [Indexed: 11/30/2022]
Abstract
AIMS Young people Not in Employment, Education and Training (NEET) are at increased risk of depression, yet mechanisms of this association are poorly understood. We hypothesised that being NEET has both behavioural and social identity consequences and that reductions in structured activity and multiple group memberships underlie increased depression in this group. Our purpose was to assess first whether depression was greater for NEET compared to non-NEET young people from the same geographical locality, and secondly, whether a loss of structured activity leading to a reduction in multiple group memberships explains the NEET-depression association. METHODS The present study was a cross-sectional between-groups design using convenience sampling. Measures of depression, structured activity and multiple group memberships were obtained from 45 NEET young people and 190 university students (non-NEET). RESULTS The NEET group reported significantly more depression symptoms compared to the non-NEET student control group. A path model specifying NEET status as a predictor of depression, with this association mediated by a reduction in structured activity and fewer multiple group memberships (standardised indirect = 0.03, unstandardised indirect = 0.62, P = 0.052, 95% bias corrected confidence intervals [0.21,1.44]), provided excellent fit to our data: χ2 (3) = 0.26, P = 0.968, comparative fit index (CFI) = 1.00, root mean square error of approximation (RMSEA)<0.01, standardized root mean square residual (SRMR) = 0.01). CONCLUSIONS Our findings suggest that depression is elevated amongst NEET young people compared to non-NEET students from the same locality. The association between NEET status and depression was partially mediated by reduced structured activity and its association with reduced multiple group memberships. Although using cross-sectional data, our findings suggest social interventions may be a key resource in ameliorating depression amongst NEET young people; through preserving engagement in structured activity and the wellbeing benefits derived from arising multiple group memberships.
Collapse
Affiliation(s)
- Clio Berry
- School of Psychology, University of Sussex, Brighton, UK.,Research and Development, Sussex Partnership NHS Foundation Trust, Sussex Education Centre, Hove, UK
| | | | - Liza Empson
- School of Psychology, University of Sussex, Brighton, UK
| | - David Fowler
- School of Psychology, University of Sussex, Brighton, UK
| |
Collapse
|
27
|
Cientanni F, Power K, Wright C, Sani F, Reilly D, Blake ML, Hustings K, Morgan D, Clark S. Psychosocial, psychopharmacological and demographic predictors of changes in psychological distress over a course of computerised cognitive behavioural therapy (cCBT). Internet Interv 2019; 17:100248. [PMID: 31193258 PMCID: PMC6522753 DOI: 10.1016/j.invent.2019.100248] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Revised: 04/08/2019] [Accepted: 04/24/2019] [Indexed: 11/30/2022] Open
Abstract
Social group identification, socioeconomic deprivation, and a number of other clinical and demographic factors have been found to predict severity of psychological distress prior to treatment in those referred to receive computerised cognitive behavioural therapy (cCBT) as an intervention for mild to moderate depression. The aim of the current study is to investigate whether the same key factors are able to predict magnitude of change in psychological distress across treatment in a sample receiving cCBT. Participants (N = 1158) consisted of individuals completing the 'Beating the Blues' (BtB) programme. Participants completed three versions of the group identifications scale (GIS), one for each of three groups: family, community, and a social group of choice. Changes in psychological distress showed statistically significant improvements between pre- and post-treatment assessment in all outcome measure subscales. Significantly greater changes (reductions) in psychological distress were found in those who had more severe pre-treatment psychological distress, those who lived in a lesser state of socioeconomic deprivation, those who identified with more social groups, and those taking antidepressant medication (ADM) concurrently. These findings provide valuable information on the likely course of treatment in those receiving cCBT, and highlight both the potential of social group identification as a 'social cure' for poor psychological health and the inequalities of the socioeconomic health gradient.
Collapse
Affiliation(s)
| | - Kevin Power
- NHS Tayside, 15 Dudhope Terrace, Dundee, Scotland, UK,School of Natural Sciences, University of Stirling, Scotland, UK,Corresponding author at: NHS Tayside, 15 Dudhope Terrace, Dundee, Scotland, UK.
| | - Christopher Wright
- Scottish Centre for Telehealth & Telecare, NHS 24, South Queensferry, Scotland, UK
| | - Fabio Sani
- School of Psychology, University of Dundee, Scotland, UK
| | - Diane Reilly
- NHS Lanarkshire, Netherton House, Wishaw General Hospital, Scotland, UK
| | - Marie-Louise Blake
- NHS Fife, Department of Clinical Psychology, Lynebank Hospital, Scotland, UK
| | - Kerry Hustings
- NHS Grampian, Royal Cornhill Hospital, Aberdeen, Scotland, UK
| | - David Morgan
- NHS Shetland, Gilbert Bain Hospital, Lerwick, Scotland, UK
| | - Stella Clark
- NHS Fife, Hayfield House, Hayfield Road, Kirkcaldy, Scotland, UK
| |
Collapse
|
28
|
Wakefield JR, Bowe M, Kellezi B, McNamara N, Stevenson C. When groups help and when groups harm: Origins, developments, and future directions of the “Social Cure” perspective of group dynamics. SOCIAL AND PERSONALITY PSYCHOLOGY COMPASS 2019. [DOI: 10.1111/spc3.12440] [Citation(s) in RCA: 46] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
|
29
|
Hannaford E, Moore F, Macleod FJ. What a difference a year makes: comparing relationships between stressful life events, mood and life satisfaction among older adults, and their working-age counterparts. Aging Ment Health 2018; 22:1658-1665. [PMID: 29019417 DOI: 10.1080/13607863.2017.1387761] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVES Stressful life events (SLEs) have been linked to depression, anxiety, and reduced life satisfaction. The inoculation hypothesis of aging suggests older adults may be less vulnerable to poor psychological outcomes following SLEs than working-age adults. The current study compared relationships between SLEs, mood and life satisfaction among older adults (65+), and adults aged 50-64, and investigated whether group identification and loneliness moderate these relationships. METHOD A community-based sample of 121 Scottish participants responded to measures of SLEs (modified Social Readjustment Rating Scale), symptoms of depression and anxiety (Hospital Anxiety and Depression Scale), life satisfaction (Life Satisfaction Index A), group identification (Group Identification Scale), and loneliness (UCLA Loneliness Scale). RESULTS In the 50-64 age group, the number of SLEs was significantly associated with greater symptoms of depression and anxiety, and reduced life satisfaction. Group identification and loneliness did not moderate these relationships. There were no significant relationships in the older adult group. CONCLUSION The finding of relationships in working-age, but not older adults, supports the inoculation hypothesis of aging. Further research to better understand changes across the lifespan, and inter-relationships with related variables, would be valuable from both theoretical and clinical perspectives.
Collapse
Affiliation(s)
| | - Fhionna Moore
- a School of Social Sciences , University of Dundee , Dundee , Scotland
| | - Fiona J Macleod
- b Dundee Health and Social Care Partnership, Susan Carnegie Centre , Stracathro Hospital , Brechin , Scotland
| |
Collapse
|
30
|
Postmes T, Wichmann LJ, van Valkengoed AM, van der Hoef H. Social identification and depression: A meta-analysis. EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY 2018. [DOI: 10.1002/ejsp.2508] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Tom Postmes
- Department of Social Psychology; University of Groningen; Groningen The Netherlands
| | - Lenka J. Wichmann
- Department of Social Psychology; University of Groningen; Groningen The Netherlands
| | | | - Hanneke van der Hoef
- Department of Social Psychology; University of Groningen; Groningen The Netherlands
| |
Collapse
|
31
|
Wakefield JRH, Sani F, Herrera M. Greater University Identification-But not Greater Contact-Leads to More Life Satisfaction: Evidence from a Spanish Longitudinal Study. Appl Psychol Health Well Being 2018; 10:330-344. [PMID: 29624872 DOI: 10.1111/aphw.12125] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND A growing body of literature has highlighted the relationship between group identification (a subjective sense of belonging to one's social group, coupled with a subjective sense of commonality with the group's members) and well-being. However, little of this work is longitudinal, and few studies address reciprocal causality or control for intensity of contact with fellow group members. METHOD We investigated the effect of university identification on satisfaction with life (SWL) over time (and vice versa) in 216 Spanish undergraduates, with seven months between T1 and T2. RESULTS While greater university identification T1 predicted higher SWL T2, SWL T1 did not predict university identification T2. University contact T1 was unrelated to SWL T2. CONCLUSIONS These results show that university identification impacts positively on SWL over time (rather than SWL impacting positively on university identification over time), and this is not reducible to the effects exerted by university contact. The implications for those who work with students are discussed.
Collapse
|
32
|
Jetten J, Haslam SA, Cruwys T, Greenaway KH, Haslam C, Steffens NK. Advancing the social identity approach to health and well-being: Progressing the social cure research agenda. EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY 2017. [DOI: 10.1002/ejsp.2333] [Citation(s) in RCA: 173] [Impact Index Per Article: 24.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Affiliation(s)
- Jolanda Jetten
- School of Psychology; University of Queensland; Brisbane QLD Australia
| | | | - Tegan Cruwys
- School of Psychology; University of Queensland; Brisbane QLD Australia
| | | | - Catherine Haslam
- School of Psychology; University of Queensland; Brisbane QLD Australia
| | | |
Collapse
|
33
|
Cientanni F, Power K, Sani F, Wright C, Baty F, Hustings K, Morgan D, Tanner G. Comparing social group identifications and socioeconomic deprivation as predictors of psychological distress: Evidence from a Scottish primary care sample. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2017; 56:705-722. [PMID: 28741679 DOI: 10.1111/bjso.12210] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2017] [Revised: 06/19/2017] [Indexed: 11/30/2022]
Abstract
Social group identification and socioeconomic deprivation have both been linked to self-reported depressive symptoms in general population samples; however, no study to date has explored the strength of the joint predictive value of these factors within a mental health population. The current study explored the impact of social group identifications and socioeconomic deprivation, together with important clinical and demographic variables, on psychological distress in a Scottish mental health sample. Participants (N = 976) were recruited from referrals to a computerized cognitive behavioural therapy (cCBT) programme in Scotland, 'Beating the Blues' (BtB) over a 25-month period. Participants completed the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM) as a measure of psychological distress and three versions of the group identifications scale (GIS), one for each of three groups: family, community, and a social group of choice. Demographic information and clinical information were collected on commencing BtB. Higher numbers of group identifications were significantly associated with lower psychological distress. Additionally, increased socioeconomic deprivation was significantly associated with more severe psychological distress; however, interestingly, the association was not as strong as that of group identifications. Identifying with fewer social groups predicts more severe psychological symptom presentations, even more so than living in a greater state of socioeconomic deprivation.
Collapse
Affiliation(s)
| | - Kevin Power
- NHS Tayside, Dundee, UK.,University of Stirling, UK
| | | | | | | | | | | | | |
Collapse
|
34
|
Miller K, Wakefield JRH, Sani F. On the reciprocal effects between multiple group identifications and mental health: A longitudinal study of Scottish adolescents. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2017; 56:357-371. [DOI: 10.1111/bjc.12143] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2017] [Revised: 05/09/2017] [Indexed: 11/30/2022]
Affiliation(s)
| | - Juliet R. H. Wakefield
- Department of Psychology; College of Business Law & Social Sciences; School of Social Sciences; Nottingham Trent University; UK
| | - Fabio Sani
- School of Social Sciences; University of Dundee; UK
| |
Collapse
|
35
|
Sani F, Wakefield JRH, Herrera M, Zeybek A. On the Association Between Greater Family Identification and Lower Paranoid Ideation Among Non-Clinical Individuals: Evidence From Cypriot and Spanish Students. JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY 2017. [DOI: 10.1521/jscp.2017.36.5.396] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
|
36
|
Smeekes A, Verkuyten M, Çelebi E, Acartürk C, Onkun S. Social identity continuity and mental health among Syrian refugees in Turkey. Soc Psychiatry Psychiatr Epidemiol 2017; 52:1317-1324. [PMID: 28733913 PMCID: PMC5617874 DOI: 10.1007/s00127-017-1424-7] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Accepted: 07/14/2017] [Indexed: 01/07/2023]
Abstract
PURPOSE Building upon social psychological work on social identity and mental health, this study among Syrian refugees in Turkey examined the importance of multiple group memberships and identity continuity for mental health and well-being. METHOD A survey study was conducted among the very difficult to reach population of Syrian refugees (N = 361). With path analysis in AMOS the associations were examined between multiple group memberships, social identity continuity and mental health and psychological well-being. RESULTS Indicate that belonging to multiple groups before migration was related to a higher likelihood of having preserved group memberships after migration (i.e., sense of social identity continuity), which, in turn, predicted greater life satisfaction and lower levels of depression. Multiple group membership, however, was also directly related to higher depression. CONCLUSIONS Findings are discussed in relation to the importance of multiple group membership and feelings of identity continuity for refugees.
Collapse
Affiliation(s)
- Anouk Smeekes
- 0000000120346234grid.5477.1Ercomer, Faculty of Social and Behavioural Sciences, Utrecht University, Padualaan 14, 3584 CH Utrecht, The Netherlands
| | - Maykel Verkuyten
- Ercomer, Faculty of Social and Behavioural Sciences, Utrecht University, Padualaan 14, 3584 CH, Utrecht, The Netherlands.
| | | | | | | |
Collapse
|
37
|
Praharso NF, Tear MJ, Cruwys T. Stressful life transitions and wellbeing: A comparison of the stress buffering hypothesis and the social identity model of identity change. Psychiatry Res 2017; 247:265-275. [PMID: 27936438 DOI: 10.1016/j.psychres.2016.11.039] [Citation(s) in RCA: 97] [Impact Index Per Article: 13.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Revised: 10/14/2016] [Accepted: 11/26/2016] [Indexed: 01/07/2023]
Abstract
The relationship between stressful life transitions and wellbeing is well established, however, the protective role of social connectedness has received mixed support. We test two theoretical models, the Stress Buffering Hypothesis and the Social Identity Model of Identity Change, to determine which best explains the relationship between social connectedness, stress, and wellbeing. Study 1 (N=165) was an experiment in which participants considered the impact of moving cities versus receiving a serious health diagnosis. Study 2 (N=79) was a longitudinal study that examined the adjustment of international students to university over the course of their first semester. Both studies found limited evidence for the buffering role of social support as predicted by the Stress Buffering Hypothesis; instead people who experienced a loss of social identities as a result of a stressor had a subsequent decline in wellbeing, consistent with the Social Identity Model of Identity Change. We conclude that stressful life events are best conceptualised as identity transitions. Such events are more likely to be perceived as stressful and compromise wellbeing when they entail identity loss.
Collapse
Affiliation(s)
- Nurul F Praharso
- School of Psychology, University of Queensland, St Lucia, QLD 4072, Australia; School of Psychology, University of Sydney, NSW 2006, Australia
| | - Morgan J Tear
- School of Psychology, University of Queensland, St Lucia, QLD 4072, Australia; Department of Psychological and Behavioural Science, London School of Economics, Houghton Street, London WC2A 2AE, United Kingdom
| | - Tegan Cruwys
- School of Psychology, University of Queensland, St Lucia, QLD 4072, Australia.
| |
Collapse
|
38
|
Post-traumatic growth enhances social identification in liver transplant patients: A longitudinal study. J Psychosom Res 2016; 88:28-32. [PMID: 27521649 DOI: 10.1016/j.jpsychores.2016.07.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2016] [Revised: 07/06/2016] [Accepted: 07/10/2016] [Indexed: 12/24/2022]
Abstract
OBJECTIVE The main aim of this paper is to investigate the prediction that greater subjective identification with relevant groups and social categories (i.e. 'family' and 'transplantees') can be an outcome of post-traumatic growth (PTG). To date there are no studies that have explored these relationships. METHODS A longitudinal study was conducted with a group of 100 liver transplant patients from the outpatient populations of the participating centre. Data were collected by means of a self-report questionnaire, which was completed at two different time points (T1 and T2) that were 24months apart. PTG was assessed using the Post-Traumatic Growth Inventory, while both transplantee and family identification were assessed using group identification scales. A path model was tested, using a structural equation model (SEM) approach, to examine the reciprocal effects among family identification, transplantee identification, and PTG over time. RESULTS As predicted, we found that greater PTG T1 predicted both greater family identification T2 and marginally greater transplantee identification T2. However, the two identification variables did not predict PTG over time. CONCLUSIONS The results show that family identification and transplantee identification may be outcomes of the PTG process, confirming the importance of adopting a thriving multidimensional model of adjustment to medical illness, whereby people facing adverse life events, such as transplantation, may flourish rather than deteriorate psychologically.
Collapse
|
39
|
Cruwys T, Steffens NK, Haslam SA, Haslam C, Jetten J, Dingle GA. Social Identity Mapping: A procedure for visual representation and assessment of subjective multiple group memberships. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2016; 55:613-642. [PMID: 27578549 DOI: 10.1111/bjso.12155] [Citation(s) in RCA: 66] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2016] [Revised: 07/04/2016] [Indexed: 11/29/2022]
Abstract
In this research, we introduce Social Identity Mapping (SIM) as a method for visually representing and assessing a person's subjective network of group memberships. To provide evidence of its utility, we report validating data from three studies (two longitudinal), involving student, community, and clinical samples, together comprising over 400 participants. Results indicate that SIM is easy to use, internally consistent, with good convergent and discriminant validity. Each study also illustrates the ways that SIM can be used to address a range of novel research questions. Study 1 shows that multiple positive group memberships are a particularly powerful predictor of well-being. Study 2 shows that social support is primarily given and received within social groups and that only in-group support is beneficial for well-being. Study 3 shows that improved mental health following a social group intervention is attributable to an increase in group compatibility. In this way, the studies demonstrate the capacity for SIM to make a contribution both to the development of social-psychological theory and to its practical application.
Collapse
Affiliation(s)
- Tegan Cruwys
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia
| | - Niklas K Steffens
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia
| | - S Alexander Haslam
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia
| | - Catherine Haslam
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia
| | - Jolanda Jetten
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia
| | - Genevieve A Dingle
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia
| |
Collapse
|
40
|
Chang MXL, Jetten J, Cruwys T, Haslam C, Praharso N. The More (Social Group Memberships), the Merrier: Is This the Case for Asians? Front Psychol 2016; 7:1001. [PMID: 27462281 PMCID: PMC4940425 DOI: 10.3389/fpsyg.2016.01001] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2016] [Accepted: 06/17/2016] [Indexed: 01/23/2023] Open
Abstract
While previous studies have consistently shown that belonging to multiple groups enhances well-being, the current research proposes that for Asians, multiple group memberships (MGM) may confer fewer well-being benefits. We suggest that this is due, in part, to Asian norms about relationships and support seeking, making Asians more reluctant to enlist social support due to concerns about burdening others. Overall, MGM was associated with enhanced well-being in Westerners (Study 2), but not Asians (Studies 1-3). Study 2 showed that social support mediated the relationship between MGM and well-being for Westerners only. In Study 3, among Asians, MGM benefited the well-being of those who were least reluctant to enlist support. Finally, reviewing the MGM evidence-base to date, relative to Westerners, MGM was less beneficial for the well-being of Asians. The evidence underscores the importance of culture in influencing how likely individuals utilize their group memberships as psychological resources.
Collapse
Affiliation(s)
- Melissa X-L Chang
- School of Psychology, The University of Queensland Brisbane, QLD, Australia
| | - Jolanda Jetten
- School of Psychology, The University of Queensland Brisbane, QLD, Australia
| | - Tegan Cruwys
- School of Psychology, The University of Queensland Brisbane, QLD, Australia
| | - Catherine Haslam
- School of Psychology, The University of Queensland Brisbane, QLD, Australia
| | - Nurul Praharso
- School of Psychology, The University of Queensland Brisbane, QLD, Australia
| |
Collapse
|
41
|
Meuret AE, Chmielewski M, Steele AM, Rosenfield D, Petersen S, Smits JAJ, Simon NM, Otto MW, Marques L, Pollack MH, Hofmann SG. The desire to belong: Social identification as a predictor of treatment outcome in social anxiety disorder. Behav Res Ther 2016; 81:21-34. [PMID: 27070526 PMCID: PMC5553121 DOI: 10.1016/j.brat.2016.03.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Revised: 03/11/2016] [Accepted: 03/30/2016] [Indexed: 11/23/2022]
Abstract
OBJECTIVE Perception of personal identity cannot be separated from the perception of the social context and one's social identity. Full involvement in group psychotherapy may require not only the awareness of personal impairment, but also social identification. The aim of the current study was to examine the association between social identification and symptom improvement in group-based psychotherapy. METHOD 169 participants received 12 sessions of group-based cognitive behavioral therapy for social anxiety disorder. Social identification, the extent to which a person identifies with those who suffer from the same psychological problem as themselves and/or with those lacking psychopathology (non-sufferers), and clinical outcome were assessed at baseline, mid-and posttreatment, and 1, 3, and 6-months follow-up. RESULTS At baseline, patients aspired for closeness with non-sufferers, and viewed themselves as distant from fellow sufferers and non-sufferers. After treatment, participants viewed not only themselves, but also other individuals with social anxiety, as closer to both non-sufferers and fellow sufferers. These ratings were related to clinical outcomes. CONCLUSIONS The increase in closeness to both sufferers and non-sufferers across treatment may reflect a movement towards a more tolerant, less dichotomous and rigid, separation of ill and healthy that occurs with successful social anxiety treatment.
Collapse
Affiliation(s)
- Alicia E Meuret
- Department of Psychology, Southern Methodist University, United states.
| | | | - Ashton M Steele
- Department of Psychology, Southern Methodist University, United states
| | - David Rosenfield
- Department of Psychology, Southern Methodist University, United states
| | - Sibylle Petersen
- Department of Psychology, Catholic University of Leuven, Belgium
| | - Jasper A J Smits
- Department of Psychology and Institute for Mental Health Research, University of Texas at Austin, United states
| | - Naomi M Simon
- Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, United states
| | - Michael W Otto
- Department of Psychological and Brain Sciences, Boston University, United states
| | - Luana Marques
- Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, United states
| | - Mark H Pollack
- Department of Psychiatry, Rush Medical School, United states
| | - Stefan G Hofmann
- Department of Psychological and Brain Sciences, Boston University, United states
| |
Collapse
|
42
|
Haslam C, Cruwys T, Haslam SA, Dingle G, Chang MXL. Groups 4 Health: Evidence that a social-identity intervention that builds and strengthens social group membership improves mental health. J Affect Disord 2016; 194:188-95. [PMID: 26828756 DOI: 10.1016/j.jad.2016.01.010] [Citation(s) in RCA: 199] [Impact Index Per Article: 24.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2015] [Revised: 01/08/2016] [Accepted: 01/10/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND Social isolation and disconnection have profound negative effects on mental health, but there are few, if any, theoretically-derived interventions that directly target this problem. We evaluate a new intervention, Groups 4 Health (G4H), a manualized 5-module psychological intervention that targets the development and maintenance of social group relationships to treat psychological distress arising from social isolation. METHODS G4H was tested using a non-randomized control design. The program was delivered to young adults presenting with social isolation and affective disturbance. Primary outcome measures assessed mental health (depression, general anxiety, social anxiety, and stress), well-being (life satisfaction, self-esteem) and social connectedness (loneliness, social functioning). Our secondary goal was to assess whether mechanisms of social identification were responsible for changes in outcomes. RESULTS G4H was found to significantly improve mental health, well-being, and social connectedness on all measures, both on program completion and 6-month follow-up. In line with social identity theorizing, analysis also showed that improvements in depression, anxiety, stress, loneliness, and life satisfaction were underpinned by participants' increased identification both with their G4H group and with multiple groups. LIMITATIONS This study provides preliminary evidence of the potential value of G4H and its underlying mechanisms, but further examination is required in other populations to address issues of generalizability, and in randomized controlled trials to address its wider efficacy. CONCLUSIONS Results of this pilot study confirm that G4H has the potential to reduce the negative health-related consequences of social disconnection. Future research will determine its utility in wider community contexts.
Collapse
|
43
|
Wakefield JRH, Sani F, Herrera M, Khan SS, Dugard P. Greater family identification-but not greater contact with family members-leads to better health: Evidence from a Spanish longitudinal study. EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY 2015. [DOI: 10.1002/ejsp.2171] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
| | - Fabio Sani
- School of Psychology; University of Dundee; UK
| | - Marina Herrera
- Department of Social Psychology; University of Valencia; Spain
| | | | - Pat Dugard
- School of Psychology; University of Dundee; UK
| |
Collapse
|
44
|
Miller K, Wakefield JRH, Sani F. Identification with social groups is associated with mental health in adolescents: Evidence from a Scottish community sample. Psychiatry Res 2015; 228:340-6. [PMID: 26163720 DOI: 10.1016/j.psychres.2015.05.088] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Revised: 04/06/2015] [Accepted: 05/23/2015] [Indexed: 11/30/2022]
Abstract
The promotion and maintenance of mental health is an increasingly important societal issue. Previous research has shown that identification with social groups is positively associated with adult mental wellbeing, with multiple group identifications being particularly beneficial. The aim of the current study was to investigate whether the same is true for adolescents. 1111 Scottish secondary school students aged 13-17 completed a questionnaire investigating mental health symptoms and the extent of their identification with their family, school, and friendship groups. Higher identification with each group predicted better mental health. There was also an additive effect of group identification, with the odds of reporting psychiatric disturbance decreasing for every additional group with which participants identified strongly. These effects held even when age, gender, and group contact were controlled for. Our findings have implications for the prevention and treatment of mental problems, offering an alternative to traditional ways of viewing mental illness in adolescence and beyond.
Collapse
Affiliation(s)
- Kirsty Miller
- School of Psychology, University of Dundee, Dundee, Scotland.
| | | | - Fabio Sani
- School of Psychology, University of Dundee, Dundee, Scotland
| |
Collapse
|