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Haslam SA, Fong P, Haslam C, Cruwys T. Connecting to Community: A Social Identity Approach to Neighborhood Mental Health. PERSONALITY AND SOCIAL PSYCHOLOGY REVIEW 2024; 28:251-275. [PMID: 38146705 PMCID: PMC11193917 DOI: 10.1177/10888683231216136] [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: 12/27/2023]
Abstract
ACADEMIC ABSTRACT Integrative theorizing is needed to advance our understanding of the relationship between where a person lives and their mental health. To this end, we introduce a social identity model that provides an integrated explanation of the ways in which social-psychological processes mediate and moderate the links between neighborhood and mental health. In developing this model, we first review existing models that are derived primarily from a resource-availability perspective informed by research in social epidemiology, health geography, and urban sociology. Building on these, the social identity model implicates neighborhood identification in four key pathways between residents' local environment and their mental health. We review a wealth of recent research that supports this model and which speaks to its capacity to integrate and extend insights from established models. We also explore the implications of the social identity approach for policy and intervention. PUBLIC ABSTRACT We need to understand the connection between where people live and their mental health better than we do. This article helps us do this by presenting an integrated model of the way that social and psychological factors affect the relationship between someone's neighborhood and their mental health. This model builds on insights from social epidemiology, health geography, and urban sociology. Its distinct and novel contribution is to point to the importance of four pathways through which neighborhood identification shapes residents' mental health. A large body of recent research supports this model and highlights its potential to integrate and expand upon existing theories. We also discuss how our model can inform policies and interventions that seek to improve mental health outcomes in communities.
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Affiliation(s)
| | - Polly Fong
- The University of Queensland, Brisbane, Australia
| | | | - Tegan Cruwys
- The Australian National University, Canberra, Australian Capital Territory, Australia
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2
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Kim YR, An Z, Han SW, Ko JK, Hwa Kwag K. Recovery-focused self-help intervention using vodcasts for patients with personality disorder: feasibility randomised controlled trial. BJPsych Open 2024; 10:e31. [PMID: 38229480 PMCID: PMC10897696 DOI: 10.1192/bjo.2023.647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 11/23/2023] [Accepted: 12/14/2023] [Indexed: 01/18/2024] Open
Abstract
BACKGROUND Availability of long-term psychological interventions for personality disorders is limited because of their high intensity and cost. Research in evidence-based, low-intensity interventions is needed. AIMS This study aimed to examine the feasibility, acceptability and potential impact of a low-intensity, digital guided self-help (GSH) intervention that is focused on emotion regulation, recovery-oriented and provides in-the-moment delivery for patients with personality disorders. METHOD We conducted a single-blind feasibility trial. A total of 43 patients with a personality disorder were recruited and randomly assigned to either a GSH arm (n = 22) or a treatment-as-usual arm (n = 21). The GSH intervention included a series of short videos offering psychoeducation and support, personalised feedback using text messages, and supportive telephone calls, for 4 weeks in addition to treatment as usual. Outcomes of emotional disturbance, emotion dysregulation, self-harm behaviours and decentring ability were measured at baseline, 4 weeks (end of intervention) and 8 weeks (follow-up). RESULTS All patients who attended the first session continued until the last session. There was an interaction effect between time and group on anxiety (P = 0.027, Δη2 = 0.10), where the GSH group showed a significant reduction in anxiety at follow-up (P = 0.003, d = 0.25). The GSH group increased in decentring ability at the end of intervention (P = 0.007, d = -0.65), and the decrease in self-harm behaviours continued until follow-up (P = 0.02, d = 0.57). CONCLUSIONS The results suggest that a personalised digital GSH with a focus on recovery could reduce anxiety and self-harm behaviours at short-term follow-up.
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Affiliation(s)
- Youl-Ri Kim
- Institute of Eating Disorders and Mental Health, Inje University, South Korea; and Department of Psychiatry, Ilsan Paik Hospital, Inje University, South Korea
| | - Zhen An
- Institute of Eating Disorders and Mental Health, Inje University, South Korea
| | - Soo Wan Han
- Institute of Eating Disorders and Mental Health, Inje University, South Korea
| | - Jeong Kyung Ko
- Institute of Eating Disorders and Mental Health, Inje University, South Korea
| | - Kyung Hwa Kwag
- Institute of Eating Disorders and Mental Health, Inje University, South Korea
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Grishina M, Rooney RM, Millar L, Mann R, Mancini VO. The effectiveness of community friendship groups on participant social and mental health: a meta-analysis. Front Psychol 2023; 14:1078268. [PMID: 38130971 PMCID: PMC10733530 DOI: 10.3389/fpsyg.2023.1078268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 08/09/2023] [Indexed: 12/23/2023] Open
Abstract
Introduction Social disconnectedness and isolation are risk factors for poor mental health. Community-based friendship group interventions have been designed to increase an individual's social capital and consequently their mental wellbeing. Structured and unstructured friendship groups reflect two distinct approaches to friendship group interventions. Methods This meta-analysis investigated whether structured or unstructured community friendship groups are more effective for mental health and social capital outcomes. A systematic search of quantitative studies was conducted across seven databases and study quality was assessed using the Effective Public Health Practice Project (EPHPP) tool. Eight studies (2 unstructured and 6 structured friendship groups) were included in the review, published between 2005 and 2020. Results Structured friendship groups had a small significant effect on reducing participant depression symptoms. There was not enough available data to compare the effectiveness of structured and unstructured groups for mental health outcomes. There was substantial heterogeneity between studies to calculate pooled effect sizes for any social capital outcomes. Data synthesis indicated mixed reviews for social capital outcomes, likely due to the large heterogeneity and limited studies. Discussion This meta-analysis provides limited support for positive mental health outcomes following structured community-based friendship group interventions. There is a need for additional research as a large research gap remains, particularly for unstructured friendship groups. Systematic Review Registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=260639, CRD42021260639.
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Affiliation(s)
- Micah Grishina
- Discipline of Psychology, School of Population Health, Curtin University, Perth, WA, Australia
| | - Rosanna Mary Rooney
- Discipline of Psychology, School of Population Health, Curtin University, Perth, WA, Australia
| | - Lynne Millar
- Discipline of Psychology, School of Population Health, Curtin University, Perth, WA, Australia
- Telethon Kids Institute, Perth, WA, Australia
| | - Rachel Mann
- Discipline of Psychology, School of Population Health, Curtin University, Perth, WA, Australia
| | - Vincent Oreste Mancini
- Discipline of Psychology, School of Population Health, Curtin University, Perth, WA, Australia
- Telethon Kids Institute, Perth, WA, Australia
- Division of Paediatrics, UWA Medical School, University of Western Australia, Perth, WA, Australia
- The Fathering Project, Sydney, NSW, Australia
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Hogg LI, Smith LGE, Kurz T, Morrison AP. Social identification, identity integration and wellbeing in people who hear voices. Psychol Psychother 2023. [PMID: 37964710 DOI: 10.1111/papt.12509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 10/20/2023] [Accepted: 10/24/2023] [Indexed: 11/16/2023]
Abstract
OBJECTIVES Hearing voices is associated with public stigma and this can influence readiness to identify as a voice hearer (VH) and psychological wellbeing. In this study, we investigated the relationships between a VH social identity, the integration of that identity with other important social identities and wellbeing. DESIGN Cross-sectional study, with a subset of longitudinal data across three time points. METHODS People who self-identified as voice hearers completed questionnaires (VH social identity, identity integration, wellbeing and perceptions of in-group and out-group empathy) at three time points, spaced at 3-monthly intervals. The final sample comprised 182 participants at T1, 91 at T2 and 75 at T3. Hierarchical linear multiple regression analyses were used to test all hypotheses. RESULTS The integration of a VH social identity was strongly associated with better psychological wellbeing at T1. Identity integration was also associated with static wellbeing scores at 6 months. Effects on wellbeing were not accounted for by either severity of voice-hearing or paranoia. Whilst perceptions of in-group empathy were associated with VH social identification, perceptions of outgroup empathy were important for identity integration. CONCLUSIONS Integrating a VH social identity with other important identities into a coherent sense of self is important for wellbeing in voice hearers; perceived in-group and outgroup empathy are important in this process.
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Affiliation(s)
- Lorna I Hogg
- Department of Psychology, University of Bath, Bath, UK
- Oxford Health NHS Foundation Trust, Oxford, UK
- Harris Manchester College, University of Oxford, Oxford, UK
| | | | - Tim Kurz
- Department of Psychology, University of Bath, Bath, UK
- School of Psychological Science, University of Western Australia, Perth, Western Australia, Australia
| | - Anthony P Morrison
- School of Psychological Sciences, University of Manchester, Manchester, UK
- Greater Manchester Mental Health NHS Trust, Manchester, UK
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van Dick R, Frenzel SB, Erkens VA, Häusser JA, Haslam SA, Mojzisch A, Steffens NK, Junker NM. Reduced loneliness mediates the effects of multiple group identifications on well-being. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2023; 62:1693-1714. [PMID: 37166233 DOI: 10.1111/bjso.12651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 04/20/2023] [Accepted: 04/27/2023] [Indexed: 05/12/2023]
Abstract
Membership of multiple groups and identification with those groups have been found to be positively related to individuals' health and well-being. The present research sought to replicate this finding in two large, representative samples. Moreover, we sought to extend previous work by shedding light on the mechanisms mediating the effects of multiple group membership on positive health outcomes. Specifically, we proposed that the links between multiple group membership and positive health outcomes are mediated by reduced feelings of loneliness. In Study 1, a two-wave survey of a German population, participants (N = 989) were asked about their identification with family, friends, neighbourhood, their country and humanity and 4 weeks later about feelings of loneliness, physical health and stress. As hypothesized, multiple identifications predicted lower stress. They were also associated with a marginal reduction in physical symptoms of poor health. Both relationships were mediated by the absence of loneliness. In Study 2, we conducted a cross-sectional survey of German participants (N = 1635), which also included a sixth target of identification (Europe). Results replicated findings from Study 1 and also found similar relations associated with smaller (family, friends and neighbourhood) versus larger (country, Europe and Humanity) foci of identification.
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Affiliation(s)
- Rolf van Dick
- Department of Social Psychology, Goethe University, Frankfurt, Germany
| | - Svenja B Frenzel
- Department of Social Psychology, Goethe University, Frankfurt, Germany
| | - Valerie A Erkens
- Department of Social Psychology, Justus-Liebig-University, Giessen, Germany
| | - Jan A Häusser
- Department of Social Psychology, Justus-Liebig-University, Giessen, Germany
| | - S Alexander Haslam
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia
| | - Andreas Mojzisch
- Psychology Department, University Hildesheim, Hildesheim, Germany
| | - Niklas K Steffens
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia
| | - Nina M Junker
- Department of Psychology, University of Oslo, Oslo, Norway
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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.
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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
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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.
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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
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Brance K, Chatzimpyros V, Bentall RP. Increased social identification is linked with lower depressive and anxiety symptoms among ethnic minorities and migrants: A systematic review and meta-analysis. Clin Psychol Rev 2023; 99:102216. [PMID: 36379127 DOI: 10.1016/j.cpr.2022.102216] [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: 12/22/2021] [Revised: 10/08/2022] [Accepted: 10/28/2022] [Indexed: 11/11/2022]
Abstract
Evidence suggests that social identities, which provide purpose and a sense of belonging to the social world, promote resilience against psychological strain and protect well-being. This is especially important in ethnic minorities, who experience exclusion and discrimination from the majority group, and in migrant populations where adverse experiences, such as prejudice, disconnection from previous identities and issues of integration into the host country, negatively impact well-being. Drawing from the social identity theory, a meta-analysis was conducted examining the influence of group memberships and sense of belonging on ethnic minority and migrant mental health (depression and anxiety). The final search on three databases (i.e., PubMed, PsycINFO, Web of Science) was conducted on August 9th, 2022, identifying 3236 citations before removing any duplicates within and between databases. Across the 74 studies that met the inclusion criteria for the meta-analysis, increased social identification (ethnic, national and other types of identification) was associated with low psychological symptoms. We found that social identification is protective against common psychological disorders but with small effect sizes for depression (r = - 0.09, CI = [- 0.12; - 0.06]) and anxiety (r = - 0.08, CI [- 0.12; - 0.03]). Results are discussed with regard to the role that social context plays on ethnic minority and migrant mental health and the importance of facilitating migrant integration with the host society after displacement.
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Affiliation(s)
- Kristine Brance
- Department of Psychology, The University of Sheffield, UK; South East European Research Center, SEERC, Thessaloniki, Greece.
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Mavragani A, Yan RJ, Harkin LJ, Katz D, Stevenson C, Mehta V, Giles E, Talbot C, Gooch D, Bennasar M, Self T, Nuseibeh B, Price B. Digital Intervention in Loneliness in Older Adults: Qualitative Analysis of User Studies. JMIR Form Res 2023; 7:e42172. [PMID: 36705962 PMCID: PMC9919429 DOI: 10.2196/42172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 11/18/2022] [Accepted: 12/01/2022] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Loneliness is a significant well-being issue that affects older adults. Existing, commonly used social connection platforms do not contain facilities to break the cognitive cycle of loneliness, and loneliness interventions implemented without due processes could have detrimental effects on well-being. There is also a lack of digital technology designed with older adults. OBJECTIVE We aimed to iteratively design a user-centered smartphone app that can address loneliness in older adults. The aim of this study was to investigate the loneliness-related psychological processes that our conceptual smartphone app promotes. We also identified the emergent needs and concerns that older adults raised regarding the potential benefits and detriments of the app. METHODS We used technology probes to elicit older adults' reflections on the concept of using the app in 2 studies as follows: concept focus groups (n=33) and concept interviews (n=10). We then conducted a prototype trial with 1 week of use and follow-up interviews (n=12). RESULTS Thematic analysis explored the experiences and emergent challenges of our app through the design process. This led to the development of 4 themes as follows occurring in all 3 qualitative data sets: reflection on a digital social map is reassuring; app features encourage socializing; the risk of compounding loneliness; and individuals feel more control with mutual, socially beneficial activities. CONCLUSIONS Smartphone apps have the potential to increase older adults' awareness of the richness of their social connections, which may support loneliness reduction. Our qualitative approach to app design enabled the inclusion of older adults' experiences in technology design. Thus, we conclude that the older adults in our study most desired functionalities that can support mutual activities and maintain or find new connections rather than enable them to share an emotional state. They were wary of the app replacing their preferred in-person social interaction. Participants also raised concerns about making the user aware of the lack of support in their social network and wanted specific means of addressing their needs. Further user-centered design work could identify how the app can support mutual activities and socializing.
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Affiliation(s)
| | - Ronnie Jieru Yan
- Department of Psychology, Nottingham Trent University, Nottingham, United Kingdom
| | - Lydia Jo Harkin
- Department of Psychology, Nottingham Trent University, Nottingham, United Kingdom
| | - Dmitri Katz
- Computing and Communications, The Open University, Milton Keynes, United Kingdom
| | - Clifford Stevenson
- Department of Psychology, Nottingham Trent University, Nottingham, United Kingdom
| | - Vikram Mehta
- Computing and Communications, The Open University, Milton Keynes, United Kingdom
| | - Emilie Giles
- Graphic Design, School of Arts and Communication, Arts University Bournemouth, Bournemouth, United Kingdom
| | - Catherine Talbot
- Department of Psychology, Bournemouth University, Bournemouth, United Kingdom
| | - Daniel Gooch
- Computing and Communications, The Open University, Milton Keynes, United Kingdom
| | - Mohamed Bennasar
- Computing and Communications, The Open University, Milton Keynes, United Kingdom
| | - Tara Self
- Department of Psychology, Nottingham Trent University, Nottingham, United Kingdom
| | - Bashar Nuseibeh
- Computing and Communications, The Open University, Milton Keynes, United Kingdom.,Lero - The Irish Software Research Centre, University of Limerick, Limerick, Ireland
| | - Blaine Price
- Computing and Communications, The Open University, Milton Keynes, United Kingdom
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Marzana D, Martinez‐Damia S, Gaboardi M, Scollato A, Marta E. “The group gives me strength”: A group‐based intervention to promote trust and social connectedness among women experiencing homelessness. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2023. [DOI: 10.1002/casp.2683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Affiliation(s)
- Daniela Marzana
- Department of Psychology Università Cattolica del Sacro Cuore Milan Italy
| | | | - Marta Gaboardi
- Department of Developmental and Social Psychology University of Padova Padua Italy
| | | | - Elena Marta
- Department of Psychology Università Cattolica del Sacro Cuore Milan Italy
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Aylward P, Sved Williams A. Holistic community-based group parenting programs for mothers with maternal mental health issues help address a growing public health need for a diversity of vulnerable mothers, children and families: Findings from an action research study. Front Glob Womens Health 2023; 3:1039527. [PMID: 36733300 PMCID: PMC9887053 DOI: 10.3389/fgwh.2022.1039527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 12/20/2022] [Indexed: 01/18/2023] Open
Abstract
Background Maternal mental illness is a major growing global concern which can affect parenting with serious negative implications for offspring. Group-based parenting programs for mothers which both enhance the parent-child relationship and address mental health symptoms in a supportive social setting may optimise better outcomes for mothers and children. The Acorn program in South Australia draws on attachment theory to integrate dance play, reflective diary keeping and therapeutic letters in a holistic program for a diversity of vulnerable mothers and children aged 1-36 months. The program seeks to nurture and enhance parental wellbeing and the quality of the parent-child relationship for mothers experiencing identified mental health illnesses that impinge upon their parenting. This study presents the evaluation of the program and its effectiveness. Methods Action research approach for continuous monitoring and program improvement engaging Acorn program staff in evaluation data collection and interpretation of pre and post self-completion measures and standardized observations. Additional data was collected through a telephone interview of attending mothers 6-8 months after program completion to address sustainable impacts on parenting and wellbeing. Results The program engaged 353 diverse vulnerable mothers with their children. Many had profound overlapping mental health issues including borderline personality disorder (BPD) and depression. The quality of the parent-child interaction, parental confidence, competence and enjoyment were enhanced; mothers' wellbeing, ability to cope and lasting social supports were augmented. This occurred for a number of "most vulnerable" subgroups including single mothers, mothers with BPD, mothers from non-English speaking households and those with lower levels of education or household income. Mothers reported sustained improvements in their wellbeing, parenting, social and family lives, and feeling closer to their child as a result of participating in the program. Conclusions Given the high prevalence of maternal mental health issues and substantial potential negative consequences for mothers and offspring, the Acorn parenting program offers an effective means of addressing this pressing public health issue potentially helping large numbers of vulnerable mothers and their children. This has additional gravitas in the shadow of COVID-19 due to expanded numbers of those experiencing greater parental stress, isolation and mental illness.
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Affiliation(s)
- Paul Aylward
- Action Research Partnerships, Adelaide, SA, Australia,Torrens University Australia, Public Health, Equity and Human Flourishing, Adelaide, SA, Australia,Correspondence: Paul Aylward ;
| | - Anne Sved Williams
- Department of Psychiatry, Women’s and Children’s Health Network, SA, Australia,Faculty of Health and Medical Sciences, University of Adelaide, SA, Australia
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12
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Lyu S, Ren X, Du Y, Zhao N. Detecting depression of Chinese microblog users via text analysis: Combining Linguistic Inquiry Word Count (LIWC) with culture and suicide related lexicons. Front Psychiatry 2023; 14:1121583. [PMID: 36846219 PMCID: PMC9947407 DOI: 10.3389/fpsyt.2023.1121583] [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: 12/12/2022] [Accepted: 01/26/2023] [Indexed: 02/11/2023] Open
Abstract
INTRODUCTION In recent years, research has used psycholinguistic features in public discourse, networking behaviors on social media and profile information to train models for depression detection. However, the most widely adopted approach for the extraction of psycholinguistic features is to use the Linguistic Inquiry Word Count (LIWC) dictionary and various affective lexicons. Other features related to cultural factors and suicide risk have not been explored. Moreover, the use of social networking behavioral features and profile features would limit the generalizability of the model. Therefore, our study aimed at building a prediction model of depression for text-only social media data through a wider range of possible linguistic features related to depression, and illuminate the relationship between linguistic expression and depression. METHODS We collected 789 users' depression scores as well as their past posts on Weibo, and extracted a total of 117 lexical features via Simplified Chinese Linguistic Inquiry Word Count, Chinese Suicide Dictionary, Chinese Version of Moral Foundations Dictionary, Chinese Version of Moral Motivation Dictionary, and Chinese Individualism/Collectivism Dictionary. RESULTS Results showed that all the dictionaries contributed to the prediction. The best performing model occurred with linear regression, with the Pearson correlation coefficient between predicted values and self-reported values was 0.33, the R-squared was 0.10, and the split-half reliability was 0.75. DISCUSSION This study did not only develop a predictive model applicable to text-only social media data, but also demonstrated the importance taking cultural psychological factors and suicide related expressions into consideration in the calculation of word frequency. Our research provided a more comprehensive understanding of how lexicons related to cultural psychology and suicide risk were associated with depression, and could contribute to the recognition of depression.
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Affiliation(s)
- Sihua Lyu
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.,Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Xiaopeng Ren
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.,Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Yihua Du
- Computer Network Information Center, Chinese Academy of Sciences, Beijing, China
| | - Nan Zhao
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.,Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
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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.
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Cruwys T, Fong P, Evans O, Rathbone JA. A community-led intervention to build neighbourhood identification predicts better wellbeing following prolonged COVID-19 lockdowns. Front Psychol 2022; 13:1030637. [PMID: 36571042 PMCID: PMC9784463 DOI: 10.3389/fpsyg.2022.1030637] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 11/22/2022] [Indexed: 12/13/2022] Open
Abstract
Introduction A growing body of research supports the importance of social cohesion for population wellbeing. However, the majority of this research has been correlational, and rarely have interventions been evaluated. Method We conducted a two-timepoint study investigating the role of Neighbour Day, a grass-roots, community-led intervention that seeks to build social cohesion across the population. Among a sample of 843, 125 were Neighbour Day participants while the remainder were not. Results We found that, compared to non-participants, Neighbour Day participants had significantly higher neighbourhood identification, experienced greater social cohesion, and had larger neighbourhood social networks. Between timepoints, the majority of the sample experienced prolonged lockdowns to prevent COVID-19 transmission, and so unsurprisingly, wellbeing declined and psychological distress increased. However, Neighbour Day participants were protected against these negative mental health effects of lockdown. These benefits of Neighbour Day participation were mediated via neighbourhood identification. Discussion Overall, the findings speak to the promise of large-scale interventions to build social identity, particularly due to their capacity to build resilience and protect people's wellbeing during times of collective change or crisis.
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15
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Flechsenhar A, Kanske P, Krach S, Korn C, Bertsch K. The (un)learning of social functions and its significance for mental health. Clin Psychol Rev 2022; 98:102204. [PMID: 36216722 DOI: 10.1016/j.cpr.2022.102204] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 08/11/2022] [Accepted: 09/23/2022] [Indexed: 01/27/2023]
Abstract
Social interactions are dynamic, context-dependent, and reciprocal events that influence prospective strategies and require constant practice and adaptation. This complexity of social interactions creates several research challenges. We propose a new framework encouraging future research to investigate not only individual differences in capacities relevant for social functioning and their underlying mechanisms, but also the flexibility to adapt or update one's social abilities. We suggest three key capacities relevant for social functioning: (1) social perception, (2) sharing emotions or empathizing, and (3) mentalizing. We elaborate on how adaptations in these capacities may be investigated on behavioral and neural levels. Research on these flexible adaptations of one's social behavior is needed to specify how humans actually "learn to be social". Learning to adapt implies plasticity of the relevant brain networks involved in the underlying social processes, indicating that social abilities are malleable for different contexts. To quantify such measures, researchers need to find ways to investigate learning through dynamic changes in adaptable social paradigms and examine several factors influencing social functioning within the three aformentioned social key capacities. This framework furthers insight concerning individual differences, provides a holistic approach to social functioning, and may improve interventions for ameliorating social abilities in patients.
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Affiliation(s)
- Aleya Flechsenhar
- Department Clinical Psychology and Psychotherapy, Ludwig-Maximilians-University Munich, Germany.
| | - Philipp Kanske
- Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Germany
| | - Sören Krach
- Department of Psychiatry and Psychotherapy, University of Lübeck, Germany
| | - Christoph Korn
- Section Social Neuroscience, Department of General Psychiatry, Center for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany
| | - Katja Bertsch
- Department Clinical Psychology and Psychotherapy, Ludwig-Maximilians-University Munich, Germany; NeuroImaging Core Unit Munich (NICUM), University Hospital LMU, Munich, Germany; Department of General Psychiatry, Center for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany
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16
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Muldoon OT, Jay S, O'Donnell AT, Winterburn M, Moynihan AB, O'Connell BH, Choudhary R, Jha K, Sah AK. Health literacy among self-help leprosy group members reduces stereotype endorsement and stigma-related harm in rural Nepal. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:2230-2239. [PMID: 35224816 PMCID: PMC10078785 DOI: 10.1111/hsc.13771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 11/30/2021] [Accepted: 02/04/2022] [Indexed: 06/14/2023]
Abstract
There is increasing appreciation that group memberships can have both beneficial and damaging impacts on health. In collaboration with Nepal Leprosy Trust (NLT), this longitudinal study explores a group-based approach to stigma reduction among people affected by leprosy in rural Nepal (N = 71)-a hard to reach and underrepresented non-WEIRD population. Informed by the 'social cure' literature, and the progressive model of self-stigma, we use a longitudinal design. We found that a sense of belonging to a self-help group can facilitate education in terms of health literacy, and over time these two factors also have impacts on participants stigma. Specifically, self-help group belonging predicted improvements in health literacy, leading to reduced endorsement of negative stereotypes and thus less stigma-related harm among people affected by leprosy. The study offers promising evidence that group-based interventions, which support health education, can reduce the harmful impact of stigma in very challenging contexts.
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Affiliation(s)
- Orla T. Muldoon
- Centre for Social Issues ResearchUniversity of LimerickLimerickIreland
| | - Sarah Jay
- Centre for Social Issues ResearchUniversity of LimerickLimerickIreland
| | | | - Michael Winterburn
- Nepal Leprosy TrustLalgadhNepal
- Computing and Informatics Research GroupLimerick Institute of TechnologyLimerickIreland
| | | | - Brenda H. O'Connell
- Centre for Social Issues ResearchUniversity of LimerickLimerickIreland
- Department of PsychologyMaynooth UniversityMaynoothIreland
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17
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Lee GC, Platow MJ, Cruwys T. Group‐based processes as a framework for understanding the working alliance in therapy. COUNSELLING & PSYCHOTHERAPY RESEARCH 2022. [DOI: 10.1002/capr.12585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Georgina C. Lee
- Research School of Psychology The Australian National University Canberra Australian Capital Territory Australia
| | - Michael J. Platow
- Research School of Psychology The Australian National University Canberra Australian Capital Territory Australia
| | - Tegan Cruwys
- Research School of Psychology The Australian National University Canberra Australian Capital Territory Australia
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18
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Elahi A, McIntyre JC, Thomas J, Abernethy L, Bentall RP, White RG. Symptoms of Paranoia Experienced by Students of Pakistani Heritage in England: The Role of Explicit and Implicit Identities and Perceived Discrimination. J Nerv Ment Dis 2022; 210:680-685. [PMID: 36037323 PMCID: PMC9426746 DOI: 10.1097/nmd.0000000000001520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
ABSTRACT Individuals belonging to ethnic minority groups are less likely to experience symptoms of psychosis, such as paranoia, if they live in areas with high proportions of people from the same ethnic background. This effect may be due to processes associated with group belonging (social identification). We examined whether the relationship between perceived discrimination and paranoia was moderated by explicit and implicit Pakistani/English identification among students of Pakistani heritage (N = 119). Participants completed measures of explicit and implicit Pakistani and English identity, a measure of perceived discrimination, and a measure of paranoia. Perceived discrimination was the strongest predictor of paranoia (0.31). Implicit identities moderated the relationship between perceived discrimination and paranoia (-0.17). The findings suggest that higher levels of implicit Pakistani identity were most protective against high levels of paranoia (0.26, with low implicit English identity; 0.78, with medium English identity; 1.46, with high English identity). Overall, a complex relationship between identity and paranoia was apparent.
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Affiliation(s)
- Anam Elahi
- Department of Primary Care and Mental Health, University of Liverpool
| | - Jason C. McIntyre
- School of Psychology, Liverpool John Moores University, Liverpool, UK
| | - Justin Thomas
- College of Natural and Health Sciences, Zayed University, Abu Dhabi, UAE
| | - Louise Abernethy
- Psychology Department, Nelson and Colne College, Scotland Road Nelson
| | - Richard P. Bentall
- Department of Psychology, University of Sheffield, Vicar Lane, Sheffield, UK
| | - Ross G. White
- Department of Primary Care and Mental Health, University of Liverpool
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19
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Cresswell‐Smith J, Mäkikärki N, Appelqvist‐Schmidlechner K, Wahlbeck K. Finding the right words: Articulating the value of mental health promotion. A focus group study. JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 50:2857-2874. [PMID: 35050498 PMCID: PMC9541557 DOI: 10.1002/jcop.22801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 11/24/2021] [Accepted: 01/03/2022] [Indexed: 06/14/2023]
Abstract
The Lapinlahti Hospital initiative in Helsinki has transformed a disused psychiatric hospital into an open site for mental health promotion. The current study uses qualitative methods to explore how the initiative may promote population mental health. The phenomenological study comprised of data from 7 focus group including 28 participants. Resulting data were thematically analysed to articulate how the initiative supports mental wellbeing in different ways. Mental health benefits were categorized into three themes; mental health value, civil values and common values which were comprised of nine subthemes; paradigm shift, social inclusion, personal meaning, regeneration, ambience, stigma, sustainability, democracy and environment. Mental health promotion emphasises the impact of daily environments in which people live their lives. Results from this study support the use of broad based actions which promote different components of mental wellbeing simultaneously. Psychiatric hospitals may offer historically meaningful sites for such actions.
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Affiliation(s)
- Johanna Cresswell‐Smith
- Equality Unit, Mental Health TeamFinnish Institute for Health and Welfare (THL)HelsinkiFinland
| | | | | | - Kristian Wahlbeck
- Mieli, Mental Health FinlandFinnish Institute for Health and Welfare (THL)HelsinkiFinland
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20
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Dingle GA, Sharman LS, Hayes S, Chua D, Baker JR, Haslam C, Jetten J, Haslam SA, Cruwys T, McNamara N. A controlled evaluation of the effect of social prescribing programs on loneliness for adults in Queensland, Australia (protocol). BMC Public Health 2022; 22:1384. [PMID: 35854258 PMCID: PMC9295098 DOI: 10.1186/s12889-022-13743-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Accepted: 07/04/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In social prescribing, link workers support individuals whose persistent health problems are exacerbated by loneliness by connecting them to community-based social activities. This approach is well established in the UK and is gaining attention in Australia. However, a major limitation of research to date has been a lack of theoretically informed and rigorous evaluations of social prescribing. We will address these points in this study, applying a social identity framework to examine the effects of group-based social prescribing (SP) activity compared to primary care treatment as usual (TAU). METHODS Ninety participants experiencing loneliness recruited from primary care services and community centres across five sites in Southeast Queensland will be assigned to one of two conditions (SP, TAU) and assessed at two timepoints (baseline, + 8 weeks). Individuals will be aged 18 years and over, have sufficient English language skills to provide consent, and at the time of recruitment they will not be experiencing acute symptoms or social issues that require urgent intervention. Primary outcomes are loneliness, mental well-being, and health service use (total number of GP, hospital, and allied health visits in the past 3 months). Secondary outcomes will assess social group processes, including number of important social groups, new group identification, multiple identity compatibility, and group-based support and emotion regulation. DISCUSSION This study will provide comprehensive data about the extent to which, and how, social prescribing to community-based group activities may help people to feel less lonely, more socially integrated, and healthy over the first 8 weeks. If effective, this social identity-informed model of social prescribing can be disseminated in communities across Australia. TRIAL REGISTRATION ANZCTR, Registered 8 June 2022 - Retrospectively registered, https://www.anzctr.org.au/ACTRN12622000801718.aspx.
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Affiliation(s)
- G A Dingle
- School of Psychology, The University of Queensland, St Lucia QLD, Brisbane, 4072, Australia.
| | - L S Sharman
- School of Psychology, The University of Queensland, St Lucia QLD, Brisbane, 4072, Australia
| | - S Hayes
- School of Psychology, The University of Queensland, St Lucia QLD, Brisbane, 4072, Australia
| | - D Chua
- School of Psychology, The University of Queensland, St Lucia QLD, Brisbane, 4072, Australia.,Inala Primary Care, Brisbane, Australia
| | - J R Baker
- Primary & Community Care Services, Gold Coast, Australia
| | - C Haslam
- School of Psychology, The University of Queensland, St Lucia QLD, Brisbane, 4072, Australia
| | - J Jetten
- School of Psychology, The University of Queensland, St Lucia QLD, Brisbane, 4072, Australia
| | - S A Haslam
- School of Psychology, The University of Queensland, St Lucia QLD, Brisbane, 4072, Australia
| | - T Cruwys
- Australian National University, Canberra, Australia
| | - N McNamara
- Nottingham Trent University, Nottingham, UK
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21
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Costa-Cordella S, Vivanco-Carlevari A, Rossi A, Arévalo-Romero C, Silva JR. Social Support and Depressive Symptoms in the Context of COVID-19 Lockdown: The Moderating Role of Attachment Styles. Int J Public Health 2022; 67:1604401. [PMID: 35783449 PMCID: PMC9240911 DOI: 10.3389/ijph.2022.1604401] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Accepted: 05/20/2022] [Indexed: 12/04/2022] Open
Abstract
Objectives: COVID-19 sanitary measures (social distancing, school closures) have deeply impacted social life, support networks, and their protective role in mental health. The present study aims to understand how attachment styles influence the way individuals experience social support. Particularly, investigating its moderating role in the relationship between social support and depression. Methods: An online survey was designed to clarify the role of adult attachment styles (ECR-S) in the perceived social support (MOSS) and self-reported depressive symptoms (BDI-SF) in the COVID-19 context. Results: Positive social interactions was the most important dimension of social support for lower depression symptoms. Individuals attachment strategies have a moderating role in the relation between of social support and depression. Crucially, insecure attachment style wanes the positive impact of social support in depression. Conclusion: Aligned with the existing literature, attachment security is an essential factor in our current understanding of relationships and mental health. Exploring specific and indivual attachment strategies might be a powerful tool to protect population’s mental healt.
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Affiliation(s)
- Stefanella Costa-Cordella
- Centro de Estudios en Psicología Clínica y Psicoterapia, Facultad de Psicología, Universidad Diego Portales, Santiago, Chile
- Centro de Estudios en Neurociencia y Neuropsicología Humana, Facultad de Psicología, Universidad Diego Portales, Santiago, Chile
- Millennium Institute for Depression and Personality Research (MIDAP), Santiago, Chile
- *Correspondence: Stefanella Costa-Cordella, ; Anastassia Vivanco-Carlevari,
| | - Anastassia Vivanco-Carlevari
- Facultad de Psicología, Universidad de Desarrollo, Santiago, Chile
- Department of Psychology, Faculty of Social and Behavioural Sciences, University of Amsterdam, Amsterdam, Netherlands
- *Correspondence: Stefanella Costa-Cordella, ; Anastassia Vivanco-Carlevari,
| | - Alejandra Rossi
- Centro de Estudios en Neurociencia y Neuropsicología Humana, Facultad de Psicología, Universidad Diego Portales, Santiago, Chile
| | - Camilo Arévalo-Romero
- Centro de Estudios en Neurociencia y Neuropsicología Humana, Facultad de Psicología, Universidad Diego Portales, Santiago, Chile
- Magíster en Neurociencia Social, Facultad de Psicología, Universidad Diego Portales, Santiago, Chile
| | - Jaime R. Silva
- Millennium Institute for Depression and Personality Research (MIDAP), Santiago, Chile
- Facultad de Psicología, Universidad de Desarrollo, Santiago, Chile
- Clinica Alemana de Santiago, Santiago, Chile
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22
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Jetten J, Haslam C, von Hippel C, Bentley SV, Cruwys T, Steffens NK, Haslam SA. "Let's get physical" - or social: The role of physical activity versus social group memberships in predicting depression and anxiety over time. J Affect Disord 2022; 306:55-61. [PMID: 35301039 DOI: 10.1016/j.jad.2022.03.027] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 01/07/2022] [Accepted: 03/10/2022] [Indexed: 01/19/2023]
Abstract
BACKGROUND Physical activity is often promoted as a way to prevent and combat anxiety and depression in adolescents. However, very little research has sought to establish whether the benefits of exercise arise from the excercise itself or from the social context in which it takes place. We explore the hypothesis that it is not physical activity on its own, but rather adolescents' engagement in group life (as part of a sports group or otherwise), that accounts for positive mental health effects associated with physical activity. METHODS AND RESULTS We conducted a longitudinal study that tracked 558 high-school boys and found that anxiety and depression over time was not predicted by (a) T1 physical fitness as determined by 7 speed and agility tests, or (b) engaging in multiple sports as co-curricular activies at T1. In contrast, multiple group memberships - irrespective of the activity - predicted reduced depression and anxiety over time, particularly when these were groups that adolescents identified with and experienced as compatible with each other. LIMITATIONS Limitations relate to (a) physical fitness only being measured at T1, (b) the absence of a measure of frequency and duration of physical activity, and (c) the homogeneity of the sample. CONCLUSIONS We conclude that group memberships and the social identities that adolescents derive from these groups (including, but not restricted to, those involving sport) function as a psychological resource to reduce anxiety and depression over time.
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23
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"It Makes You Feel Good to Help!": An Exploratory Study of the Experience of Peer Mentoring in Long-Term Care. Can J Aging 2022; 41:451-459. [PMID: 35538870 DOI: 10.1017/s0714980821000611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Social isolation and loneliness in long-term care settings are a growing concern. Drawing on concepts of social citizenship, we developed a peer mentoring program in which resident mentors and volunteers formed a team, met weekly for training, and paired up to visit isolated residents. In this article, we explore the experiences of the resident mentors. As part of a larger mixed-methods study conducted in 10 sites in Canada, we interviewed mentors (n = 48) and analysed data using inductive thematic analysis. We identified three inter-related themes: Helping others, helping ourselves described the personal benefits experienced through adopting a helping role; Building a bigger social world encapsulated new connections with those visited, and; Facing challenges, learning together described how mentors dealt with challenges as a team. Our findings suggest that a structured approach to mentoring benefits residents and helps them feel confident taking on a role supporting their isolated peers.
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24
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Macedo-Rego RC. The effect of crowd support: home advantage in football is reduced during the Coronavirus disease (COVID-19) pandemic. BEHAVIOUR 2022. [DOI: 10.1163/1568539x-bja10159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Abstract
As support from other people can influence human behaviour, one may ask how the absence of crowd attendance influences the performance of football (i.e., soccer) players. I address this question by contrasting matches of the Brazilian Championship (1st and 2nd Divisions) in 2019 and 2020, years in which crowd attendance was prohibited in order to fight the Coronavirus disease (COVID-19) pandemic. In the 1st Division, home advantage decreased from 2019 to 2020, as teams that used to play for larger crowds had lower performance at home in 2020. However, no decrease in home advantage occurred in the 2nd Division in the same period. One explanation for this difference is that the beneficial effects of crowd support are more effective in the 1st Division, where players are used to receiving support from larger crowds. Therefore, while fan support can influence the behaviour/performance of players, this may not always happen.
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Affiliation(s)
- Renato C. Macedo-Rego
- LAGE do Departamento de Ecologia, Instituto de Biociências, Universidade de São Paulo, Rua do Matão, trav. 14, No, 321, São Paulo, SP 05508-090, Brazil
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25
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Cruwys T, Haslam C, Rathbone JA, Williams E, Haslam SA, Walter ZC. Groups 4 Health versus cognitive-behavioural therapy for depression and loneliness in young people: randomised phase 3 non-inferiority trial with 12-month follow-up. Br J Psychiatry 2022; 220:140-147. [PMID: 35049477 DOI: 10.1192/bjp.2021.128] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Depression treatments are typically less effective for young people than for adults. However, treatments rarely target loneliness, which is a key risk factor in the onset, maintenance and development of depression. AIMS This study evaluated the efficacy of a novel loneliness intervention, Groups 4 Health (G4H), relative to the best-practice treatment of cognitive-behavioural therapy (CBT) in reducing loneliness and depression over a 12-month period (Australian New Zealand Clinical Trial Registry: ACTRN12618000440224). METHOD The study was a phase 3 randomised non-inferiority trial comparing G4H with dose-controlled group CBT. Participants were 174 people aged 15-25 years experiencing loneliness and clinically significant symptoms of depression, who were not in receipt of adjunct treatment. Participants were recruited from mental health services in Southeast Queensland, Australia. Randomisation was conducted using computer software. Follow-up assessments and statistical analyses were masked to allocation. Both interventions consisted of five 75 min group-based psychotherapy sessions. The primary outcomes were depression and loneliness, with a non-inferiority margin of 2.20 for depression. RESULTS The trial enrolled 174 participants between 24 April 2018 and 25 May 2019, with 84 in the G4H condition and 90 in the CBT condition. All randomised participants were included in the intention-to-treat analyses (n = 174). The pre-post effect sizes for depression were dG4H = -0.71 and dCBT = -0.91. For loneliness, they were dG4H = -1.07 and dCBT = -0.89. At 12-month follow-up, the absolute difference between groups on depression was 1.176 (95% CI -1.94 to 4.29) and on loneliness it was -0.679 (95% CI -1.43 to 0.07). No adverse effects were observed. CONCLUSIONS G4H was non-inferior to CBT for depression and showed a slight advantage over CBT for loneliness that emerged after treatment completion.
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Affiliation(s)
- Tegan Cruwys
- Research School of Psychology, Australian National University, Canberra, Australia
| | - Catherine Haslam
- School of Psychology, University of Queensland, Brisbane, Australia
| | | | - Elyse Williams
- School of Psychology, University of Queensland, Brisbane, Australia
| | | | - Zoe C Walter
- School of Psychology, University of Queensland, Brisbane, Australia
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26
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Griffin SM, Kinsella EL, Bradshaw D, McMahon G, Nightingale A, Fortune DG, Muldoon OT. New group memberships formed after an acquired brain injury and posttraumatic growth: A prospective study. Neuropsychol Rehabil 2022; 32:2054-2076. [PMID: 35048777 DOI: 10.1080/09602011.2021.2021950] [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: 10/19/2022]
Abstract
Predicting positive psychosocial outcomes following an Acquired Brain Injury (ABI) remains a challenge. Considerable research demonstrates that social group memberships can have positive effects on psychological well-being, particularly during life transitions. Social group memberships are argued to help people derive a sense of self. This prospective study examined if social group memberships (number of groups and connectedness with groups) could predict posttraumatic growth (PTG) in those affected by ABI. Thirty-six participants (10 females, Mage = 46.56, SD = 11.46) engaged in community rehabilitation services completed measures at two time-points. Mediation analyses demonstrated that the number of new group memberships (groups formed post-injury) predicted greater PTG at time 2, via stronger connectedness with these new group memberships (controlling for initial PTG). The observed results suggest that a focus on developing and strengthening connections with new group memberships may promote positive adjustment after brain injury.
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Affiliation(s)
- Siobhán M Griffin
- Centre for Social Issues Research, Department of Psychology, University of Limerick, Limerick, Ireland
| | - Elaine L Kinsella
- Centre for Social Issues Research, Department of Psychology, University of Limerick, Limerick, Ireland.,RISE Lab, Department of Psychology, University of Limerick, Limerick, Ireland
| | - Daragh Bradshaw
- Centre for Social Issues Research, Department of Psychology, University of Limerick, Limerick, Ireland
| | - Grace McMahon
- Centre for Social Issues Research, Department of Psychology, University of Limerick, Limerick, Ireland
| | - Alastair Nightingale
- Centre for Social Issues Research, Department of Psychology, University of Limerick, Limerick, Ireland
| | - Donal G Fortune
- Centre for Social Issues Research, Department of Psychology, University of Limerick, Limerick, Ireland.,HSE Mid-West Region, Limerick, Ireland
| | - Orla T Muldoon
- Centre for Social Issues Research, Department of Psychology, University of Limerick, Limerick, Ireland
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27
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Dewa LH, Lawrance E, Roberts L, Brooks-Hall E, Ashrafian H, Fontana G, Aylin P. Quality Social Connection as an Active Ingredient in Digital Interventions for Young People With Depression and Anxiety: Systematic Scoping Review and Meta-analysis. J Med Internet Res 2021; 23:e26584. [PMID: 34927592 PMCID: PMC8726025 DOI: 10.2196/26584] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 03/30/2021] [Accepted: 10/14/2021] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND Disrupted social connections may negatively affect youth mental health. In contrast, sustained quality social connections (QSCs) can improve mental health outcomes. However, few studies have examined how these quality connections affect depression and anxiety outcomes within digital interventions, and conceptualization is limited. OBJECTIVE The aim of this study is to conceptualize, appraise, and synthesize evidence on QSC within digital interventions (D-QSC) and the impact on depression and anxiety outcomes for young people aged 14-24 years. METHODS A systematic scoping review and meta-analysis was conducted using the Joanna Briggs Institute methodological frameworks and guided by experts with lived experience. Reporting was guided by the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). The MEDLINE, Embase, PsycINFO, and CINAHL databases were searched against a comprehensive combination of key concepts on June 24, 2020. The search concepts included young people, digital intervention, depression, anxiety, and social connection. Google was also searched. A reviewer independently screened abstracts and titles and full text, and 9.99% (388/3882) of these were screened by a second reviewer. A narrative synthesis was used to structure the findings on indicators of D-QSC and mechanisms that facilitate the connection. Indicators of D-QSC from the included studies were synthesized to produce a conceptual framework. RESULTS Of the 5715 publications identified, 42 (0.73%) were included. Among the included studies, there were 23,319 participants. Indicators that D-QSC was present varied and included relatedness, having a sense of belonging, and connecting to similar people. However, despite the variation, most of the indicators were associated with improved outcomes for depression and anxiety. Negative interactions, loneliness, and feeling ignored indicated that D-QSC was not present. In 24% (10/42) of the applicable studies, a meta-analysis showed a significant decrease in depression (-25.6%, 95% CI -0.352 to -0.160; P<.001) and anxiety (-15.1%, 95% CI -0.251 to -0.051; P=.003) after a D-QSC. Digital mechanisms that helped create a quality connection included anonymity, confidentiality, and peer support. In contrast, mechanisms that hindered the connection included disconnection from the real world and inability to see body language. Data synthesis also identified a 5-component conceptual framework of D-QSC that included rapport, identity and commonality, valued interpersonal dynamic, engagement, and responded to and accepted. CONCLUSIONS D-QSC is an important and underconsidered component for youth depression and anxiety outcomes. Researchers and developers should consider targeting improved QSC between clinicians and young people within digital interventions for depression. Future research should build on our framework to further examine relationships among individual attributes of QSC, various digital interventions, and different populations.
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Affiliation(s)
- Lindsay H Dewa
- Institute of Global Health Innovation, Imperial College London, London, United Kingdom.,School of Public Health, Imperial College London, London, United Kingdom
| | - Emma Lawrance
- Institute of Global Health Innovation, Imperial College London, London, United Kingdom.,Mental Health Innovations, London, United Kingdom
| | - Lily Roberts
- Institute of Global Health Innovation, Imperial College London, London, United Kingdom
| | | | - Hutan Ashrafian
- Institute of Global Health Innovation, Imperial College London, London, United Kingdom
| | - Gianluca Fontana
- Institute of Global Health Innovation, Imperial College London, London, United Kingdom
| | - Paul Aylin
- School of Public Health, Imperial College London, London, United Kingdom
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Holt-Gosselin B, Keller AS, Chesnut M, Ling R, Grisanzio KA, Williams LM. Greater baseline connectivity of the salience and negative affect circuits are associated with natural improvements in anxiety over time in untreated participants. J Affect Disord 2021; 295:366-376. [PMID: 34492429 DOI: 10.1016/j.jad.2021.08.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 08/18/2021] [Accepted: 08/20/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND There is limited research examining the natural trajectories of depression and anxiety, how these trajectories relate to baseline neural circuit function, and how symptom trajectory-circuit relationships are impacted by engagement in lifestyle activities including exercise, hobbies, and social interactions. To address these gaps, we assessed these relations over three months in untreated participants. METHODS 262 adults (59.5% female, mean age 35) with symptoms of anxiety and depression, untreated with pharmacotherapy or behavioral therapy, completed the DASS-42, WHOQOL, and custom surveys at baseline and follow-up to assess symptoms, psychosocial function, and lifestyle activity engagement. At baseline, participants underwent fMRI under task-free and task-evoked conditions. We quantified six circuits implicated in these symptoms: default mode, salience, negative and positive affect, attention, and cognitive control. RESULTS From baseline to 3 months, some participants demonstrated a natural improvement in anxiety (24%) and depression (26%) symptoms. Greater baseline salience circuit connectivity (pFDR=0.045), specifically between the left and right insula (pFDR=0.045), and greater negative affect circuit connectivity elicited by sad faces (pFDR=0.030) were associated with anxiety symptom improvement. While engagement in lifestyle activities were not associated with anxiety improvements, engagement in hobbies moderated the association between negative affect circuit connectivity and anxiety symptom improvement (p = 0.048). LIMITATIONS The observational design limits causal inference. CONCLUSIONS Our findings highlight the role of the salience and negative affect circuits as potential circuit markers of natural anxiety symptom improvements over time. Future studies that identify biomarkers associated with symptom improvements are critical for the development of personalized treatment targets.
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Affiliation(s)
- Bailey Holt-Gosselin
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States; Interdepartmental Neuroscience Graduate Program, Yale University, New Haven, CT, United States
| | - Arielle S Keller
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States; Neurosciences PhD Program, Stanford University, Stanford CA, United States
| | - Megan Chesnut
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States
| | - Ruth Ling
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States
| | - Katherine A Grisanzio
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States
| | - Leanne M Williams
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States; Mental Illness Research, Education and Clinical Center, Palo Alto VA Healthcare System, Palo Alto, CA, United States.
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Theurer KA, Stone RI, Suto MJ, Timonen V, Brown SG, Mortenson WB. 'It makes life worthwhile!' Peer mentoring in long-term care-a feasibility study. Aging Ment Health 2021; 25:1887-1896. [PMID: 33256458 DOI: 10.1080/13607863.2020.1849023] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Objectives: Loneliness and depression are of increasing concern in long-term care homes made more urgent by viral outbreak isolation protocols. An innovative program called Java Mentorship was developed that engaged community volunteers and resident volunteers (mentors) as a team. The team met weekly, received education, and provided visits and guidance in pairs to socially disengaged residents (mentees). The purpose of this study was to assess the feasibility of conducting a larger study.Method: We conducted a mixed-methods pre-post study to evaluate the program. We collected feasibility data associated with the program implementation, including assessment of the sample and ability to recruit; procedures for data collection; retention, program adherence and acceptability; and residents' responses including loneliness, depression, purpose in life, social identity and sense of belonging outcomes. We enrolled community mentors (n = 65), resident mentors (n = 48) staff facilitators (n = 24) and mentees (n = 74) in 10 Canadian sites.Results: Most feasibility objectives were met, and adherence and acceptability were high. Some resource challenges and low retention rates among resident mentors were noted. We found a 29% reduction in depression scores (p = .048; d = .30) and 15% reduction in loneliness scores (p = .014; d = .23). Purpose in life, social identity and sense of belonging were unchanged. Interviews among participants indicated high acceptability and positive perceptions of the program.Conclusion: The study findings reveal a potential role for mentorship as a viable approach to reducing loneliness and depression in long-term care settings and lay the groundwork for future research.
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Affiliation(s)
- Kristine A Theurer
- Faculty of Graduate Studies, University of British Columbia, Vancouver, British Columbia, Canada
| | - Robyn I Stone
- Leading Age LTSS Center @UMass Boston, Washington, DC, USA
| | - Melinda J Suto
- Department of Occupational Science & Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Virpi Timonen
- School of Social Work and Social Policy, Trinity College Dublin, Dublin 2, Ireland
| | - Susan G Brown
- Schlegel-UW Research Institute for Aging, Waterloo, Ontario, Canada
| | - W Ben Mortenson
- GF Strong Rehabilitation Research Program, International Collaboration on Repair Discoveries, Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
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McNamara N, Stevenson C, Costa S, Bowe M, Wakefield J, Kellezi B, Wilson I, Halder M, Mair E. Community identification, social support, and loneliness: The benefits of social identification for personal well-being. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2021; 60:1379-1402. [PMID: 33942319 PMCID: PMC8518584 DOI: 10.1111/bjso.12456] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2019] [Revised: 02/28/2021] [Indexed: 11/29/2022]
Abstract
Levels of loneliness across the world have reached epidemic proportions, and their impact upon population health is increasingly apparent. In response, policies and initiatives have attempted to reduce loneliness by targeting social isolation among residents of local communities. Yet, little is known about the social psychological processes underpinning the relationships between community belonging, loneliness, and well-being. We report three studies which apply the Social Identity Approach to Health to examine the mechanisms underpinning the relationships between community identity, health, and loneliness. Hypotheses were tested through secondary analyses of the 2014-2015 UK Community Life Survey (N = 4,314) as well as bespoke household surveys in a more (N = 408) and less (N = 143) affluent community at high risk of loneliness. Studies 1 and 2a demonstrated that the relationship between community identification and well-being was mediated by increased social support and reduced loneliness. In Study 2b, community identification predicted well-being through reduced loneliness, but not through social support. Our results are the first to evidence these relationships and suggest that community-level interventions that enhance community identification and peer support can promote a potential Social Cure for loneliness.
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Affiliation(s)
| | | | - Sebastiano Costa
- Department of PsychologyUniversità Degli Studi Della Campania Luigi VanvitelliNaplesItaly
| | - Mhairi Bowe
- Department of PsychologyNottingham Trent UniversityUK
| | | | | | - Iain Wilson
- Department of PsychologyNottingham Trent UniversityUK
| | - Moon Halder
- Department of PsychologyNottingham Trent UniversityUK
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The Medium is the Message: Effects of Mediums of Communication on Perceptions and Emotions in Social Anxiety Disorder. J Anxiety Disord 2021; 83:102458. [PMID: 34343785 DOI: 10.1016/j.janxdis.2021.102458] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 07/04/2021] [Accepted: 07/26/2021] [Indexed: 11/22/2022]
Abstract
We examined the use of voice/text and visual mediums and their effects on perceptions and emotions in social anxiety disorder (SAD). Our sample included 88 individuals: 44 individuals with SAD and 44 non-socially-anxious (NSA) individuals. We used an experience sampling methodology (ESM) in which participants received daily links to online measures at random times during the day, for 21 days and reported on social interactions, emotions and perceptions. Results indicated that individuals with SAD used voice/text mediums to a greater extent and used visual mediums to a lesser extent compared to NSA individuals. However, despite preferring voice/text mediums, use of visual mediums resulted in immediate increases in positive perceptions and emotions for individuals with SAD. These findings were above and beyond the effect of depressive symptoms and remained when social anxiety was represented as a continuum of severity. This has important implications for exposure interventions in the treatment of SAD.
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Winiker AK, Schneider KE, Dayton L, Latkin CA, Tobin KE. Associations between depressive esymptoms and identity-specific social support among Black men who have sex with men (BMSM) in Baltimore City, Maryland. JOURNAL OF GAY & LESBIAN MENTAL HEALTH 2021; 27:175-195. [PMID: 37347093 PMCID: PMC10281699 DOI: 10.1080/19359705.2021.1957741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Revised: 04/18/2021] [Accepted: 07/09/2021] [Indexed: 10/20/2022]
Abstract
Introduction Depression and other adverse mental health outcomes are prevalent among Black men who have sex with men (BMSM). Social support can be protective against symptoms of depression, the effects of which may be amplified by experiences of a shared social identity. Methods We explored the associations between BMSM-specific social support and depressive symptoms among a sample of 280 BMSM. We used chi-square and t-tests to examine bivariate associations between social support, depressive symptoms, and key correlates, and logistic regression to adjust the relationship between social support and depressive symptoms. Results Most participants reported high (43.2%) or moderate (41.8%) levels of BMSM-specific social support, 38% reported depressive symptoms, and 47.6% were living with HIV. Adjusting for socioeconomic and structural vulnerabilities, health, and involvement in the gay community, high social support was associated with a marginal decrease in the odds of depressive symptoms compared to low social support. Conclusions Results indicate that BMSM-specific social support is protective against depressive symptoms even in the context of other socioeconomic and structural vulnerabilities, suggesting that strengths-based interventions focused on building community and mutual support among BMSM may be valuable tools to prevent depression and promote positive mental health outcomes for members of this population.
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Affiliation(s)
- Abigail K. Winiker
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA
| | - Kristin E. Schneider
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA
| | - Lauren Dayton
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA
| | - Carl A. Latkin
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA
| | - Karin E. Tobin
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA
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Social identity makes group-based social connection possible: Implications for loneliness and mental health. Curr Opin Psychol 2021; 43:161-165. [PMID: 34403958 DOI: 10.1016/j.copsyc.2021.07.013] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Revised: 06/19/2021] [Accepted: 07/13/2021] [Indexed: 01/18/2023]
Abstract
This review argues that a distinctly positive form of social connection is made possible by the social identities that people derive from psychologically meaningful group memberships. These connections have important implications for mental health by virtue of their distinct capacity to furnish people with a sense of collective meaning, purpose, support, and efficacy. This analysis suggests that loneliness and its toxic effects arise in part from the challenges of achieving this distinct form of social connection in contemporary society. However, it also suggests that a good way to tackle loneliness and support mental health is by building, restoring, and sustaining social identities through meaningful group-based connections. We conclude by reflecting on the success of interventions that do precisely this - most notably Groups 4 Health.
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Smith R, Wuthrich V, Johnco C, Belcher J. Effect of Group Cognitive Behavioural Therapy on Loneliness in a Community Sample of Older Adults: A Secondary Analysis of a Randomized Controlled Trial. Clin Gerontol 2021; 44:439-449. [PMID: 33100187 DOI: 10.1080/07317115.2020.1836105] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
OBJECTIVES Research suggests a link between loneliness, depression, and anxiety. Multiple studies have examined treatment programs for loneliness; however, none have examined the efficacy of Cognitive Behavioral Therapy (CBT) for depression and anxiety in reducing loneliness. METHODS Change in loneliness in sixty-two older adults (≥60 yrs; 65% female) who took part in a previously reported randomized controlled trial for the treatment of comorbid depression and anxiety was examined. Older adults were randomized to a 12-week group CBT or waitlist control condition. Participants who took part in CBT were followed-up three months later. RESULTS Linear Mixed Model analyses indicated that after controlling for baseline cognition, depression, and anxiety, participants who completed CBT experienced a significant decrease in loneliness while the control group did not. This reduction was maintained at follow-up. CONCLUSIONS CBT programs for depression and anxiety are likely to be effective at reducing loneliness. This may be due to shared underlying cognitive and behavioral mechanisms between loneliness, depression, and anxiety such as sensitivity to perceived threat and social withdrawal. Further research is needed to understand if specific loneliness interventions are more effective. CLINICAL IMPLICATIONS CBT may be effective at reducing loneliness among older adults with depression and anxiety.
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Affiliation(s)
- Ronald Smith
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia
| | - Viviana Wuthrich
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia
| | - Carly Johnco
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia
| | - Jessica Belcher
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia
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Krug H, Haslam SA, Otto K, Steffens NK. Identity Leadership, Social Identity Continuity, and Well-Being at Work During COVID-19. Front Psychol 2021; 12:684475. [PMID: 34177738 PMCID: PMC8225939 DOI: 10.3389/fpsyg.2021.684475] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 05/03/2021] [Indexed: 11/24/2022] Open
Abstract
The COVID-19 pandemic has led to widespread remote working that has posed significant challenges for people’s sense of connection to their workplace and their mental health and well-being. In the present work, we examined how leaders’ identity leadership is associated with the well-being of employees in the context of the COVID-19 pandemic. Specifically, we examined how both leaders’ and team members’ identity leadership is associated with employees’ social identity continuity, and through this with their job satisfaction, burnout and loneliness at work. Employees (N = 363) participated in a field study during the COVID-19 pandemic, completing measures of their leader’s and team members’ identity leadership (i.e., entrepreneurship and impresarioship), social identity continuity, job satisfaction, burnout, loneliness at work. Results revealed that to the extent that employees perceived greater social identity continuity, they were more satisfied with their work and felt less lonely. Furthermore, mediation analyses revealed indirect effects of team members’ identity entrepreneurship on job satisfaction and loneliness via an increase in social identity continuity. Results suggest that to foster employees’ health and well-being in times of disruption, organizations might put in place practices that allow employees to maintain a sense of ‘we-ness’ at work by involving not only formal leaders but also other members of the organization.
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Affiliation(s)
- Henning Krug
- Institute of Psychology, Philipps University of Marburg, Marburg, Germany
| | - S Alexander Haslam
- School of Psychology, University of Queensland, St. Lucia, QLD, Australia
| | - Kathleen Otto
- Institute of Psychology, Philipps University of Marburg, Marburg, Germany
| | - Niklas K Steffens
- School of Psychology, University of Queensland, St. Lucia, QLD, Australia
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Draper G, Dingle GA. "It's Not the Same": A Comparison of the Psychological Needs Satisfied by Musical Group Activities in Face to Face and Virtual Modes. Front Psychol 2021; 12:646292. [PMID: 34149530 PMCID: PMC8206271 DOI: 10.3389/fpsyg.2021.646292] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2020] [Accepted: 04/12/2021] [Indexed: 12/18/2022] Open
Abstract
According to the social identity approach to health, group memberships influence people’s mental health to the extent that they identify with their group. Emerging evidence suggests that music groups, such as choirs, enhance mental health via group identification and the satisfaction of various psychological needs; however, more research is required to understand these processes in other types of music groups. Furthermore, the coronavirus disease 2019 (COVID-19) social distancing restrictions in 2020 prevented music groups from meeting face to face (F2F). Some music groups adapted virtually, but the rate of adaptation of various music activities is unknown, as is the impact of such adaptations on participants’ group identification, psychological need satisfaction, and mental health. We explored these questions using a cross-sectional survey with 257 participants (Mage = 46 years, 78% female) of singing (n = 172), instrumental (n = 48), and dance groups (n = 37). Participants rated group identification and psychological needs satisfaction retrospectively for their music group in F2F mode and then for the group in adapted mode, along with mental health 12-item short form health survey (SF-12). Results showed that instrumental groups (60%) were less commonly adapted to virtual mode than singing (83%) and dance (86%) groups. Group identification and average psychological needs satisfaction (M = 4.04 and 3.50 out of 5) scores were significantly lower for groups in virtual mode than in F2F mode (M = 4.53 and 4.14, respectively). Psychological needs satisfaction did not mediate the relationship between group identification and SF-12 mental health. Despite this, values on group identification and psychological need satisfaction remained high, which suggests that virtual music groups may be beneficial during the COVID-19 pandemic and in contexts where F2F groups are less accessible.
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Affiliation(s)
- Grace Draper
- UQ Music, Dance and Health Research Group, School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Genevieve A Dingle
- UQ Music, Dance and Health Research Group, School of Psychology, The University of Queensland, St Lucia, QLD, Australia
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Muldoon OT, Lowe RD, Jetten J, Cruwys T, Haslam SA. Personal and Political: Post-Traumatic Stress Through the Lens of Social Identity, Power, and Politics. POLITICAL PSYCHOLOGY 2021; 42:501-533. [PMID: 34219849 PMCID: PMC8247337 DOI: 10.1111/pops.12709] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Post-traumatic stress disorder (PTSD) has always been controversial and highly politicized. Here, using a social identity approach, we review evidence that trauma and its aftermath are fundamentally linked to social position, sociopolitical capital, and power. We begin this contribution by demonstrating how a person's group memberships (and the social identities they derive from these memberships) are inherently linked to the experience of adversity. We then go on to consider how it is through group memberships that individuals are defined by their trauma risk and trauma histories-that is, a person's group memberships and their trauma are often inherently linked. Considering the importance of group memberships for understanding trauma, we argue that it is important to see these, and group processes more generally, as more than just "demographic" risk factors. Instead, we argue that when groups are defined by their trauma history or risk, their members will often derive some sense of self from this trauma. For this reason, attributes of group memberships are important in developing an understanding of adjustment and adaptation to trauma. In particular, groups' status, their recourse to justice, and the level of trust and solidarity within the group are all central to the impact of traumatic events on individual-level psychological resilience. We review evidence that supports this analysis by focusing on the exacerbating effects of stigma and social mistrust on post-traumatic stress, and the value of solidarity and strong identities for resilience. We conclude that because of these group-related processes, trauma interweaves the personal with the political and that post-traumatic stress is fundamentally about power, positionality, and politics.
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Phadsri S, Shioji R, Tanimura A, Jaknissai J, Apichai S, Sookruay T. Nonpharmacological Treatment for Supporting Social Participation of Adults with Depression. Occup Ther Int 2021; 2021:8850364. [PMID: 34007254 PMCID: PMC8102128 DOI: 10.1155/2021/8850364] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Revised: 03/16/2021] [Accepted: 04/09/2021] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Social withdrawal is predominantly seen among adults with depression. However, a dearth of reviews exists that explore nonpharmacological treatments, especially occupational therapy (OT) interventions and their effect in promoting social participation. The aim of this research was to review what intervention programs are conducted to support the social participation of adults with depression and their effectiveness. METHOD A systematic review was performed wherein relevant articles were searched in PubMed, CINAHL, Wiley Online Library, PsycINFO, and OTseeker databases and AJOT, BJOT, SJOT, and OTMH journals. Only English articles published from January 2010 to December 2018, which tackled intervention for adults aged 20-60 years with depression, were considered. Ten out of 918 studies met the screening criteria. RESULT Among the ten studies, the effective intervention programs were categorized as either occupation-based intervention (OBI) or cognitive behavioral therapy-based intervention (CBT-BI). These programs sought the following outcomes: behavioral change in social participation (n = 4), reduction of depression or depressive symptoms (n = 13), life satisfaction (n = 4), and quality of life (QoL) (n = 1). Studies showed moderate (n = 3) to strong (n = 7) level of certainty, whereas they also revealed high to unclear (n = 3) and low (n = 7) risk of bias. CONCLUSION Both OBI such as animal-assisted therapy and CBT-BI such as behavioral change program and health education have a strong level of certainty and low risk of bias in promoting social participation by supporting positive behavioral change and reducing depressive symptoms. Furthermore, the sport and exercise program of OBI was popular in encouraging participation and engagement with other people. Other programs were suggested for combined interventions to support social participation, life satisfaction, and QoL.
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Affiliation(s)
- Supaluck Phadsri
- Department of Occupational Therapy, Tokyo Metropolitan University, Tokyo 116-8551, Japan
- Department of Occupational Therapy, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Rieko Shioji
- Department of Occupational Therapy, Tokyo Metropolitan University, Tokyo 116-8551, Japan
| | - Atsuko Tanimura
- Department of Occupational Therapy, Tokyo Metropolitan University, Tokyo 116-8551, Japan
| | - Jeerawit Jaknissai
- Occupational Therapy Unit, Thanyarak Khon Kaen Hospital, Khon Kaen 40000, Thailand
| | - Sopida Apichai
- Department of Occupational Therapy, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Tippawan Sookruay
- Chiang Mai University Library, Chiang Mai University, Chiang Mai 50200, Thailand
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Young LR, Zientz JE, Spence JS, Krawczyk DC, Chapman SB. Efficacy of Cognitive Training When Translated From the Laboratory to the Real World. Mil Med 2021; 186:176-183. [PMID: 33499529 DOI: 10.1093/milmed/usaa501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 07/29/2020] [Accepted: 11/16/2020] [Indexed: 11/12/2022] Open
Abstract
INTRODUCTION Research shows that cognitive performance and emotional well-being can be significantly strengthened. A high-performance brain training protocol, Strategic Memory Advanced Reasoning Training (SMART), was developed by cognitive neuroscientists at The University of Texas at Dallas Center for BrainHealth based on 25-plus years of scientific study. Randomized controlled trials with various populations have shown that training and use of nine "SMART" strategies for processing information can improve cognitive performance and psychological health. However, the multi-week intensive training used in the laboratory is not practical for widespread use outside the laboratory. This article examines the efficacy of SMART when translated outside the laboratory to two populations (military/veterans and law enforcement) that received SMART in condensed time frames. MATERIALS AND METHODS In two translation studies with healthy military personnel and veterans, 425 participants received between 6 and 10 hours of SMART over 2 days. In a third translation study, 74 healthy police officers received 9 hours of SMART over 3 days. Training was conducted by clinicians who taught the nine "SMART" strategies related to three core areas-strategic attention, integrated reasoning, and innovation-to groups of up to 25 participants. In all three translation studies, cognitive performance and psychological health data were collected before and immediately following the training. In one of the military/veteran studies, psychological health data were also collected 1 and 4 months following the training. RESULTS In both translations to military personnel and veterans, there were improvements in the complex cognitive domains of integrated reasoning (P < .0001) and innovation (P < .0001) immediately after undergoing SMART. In the translation to police officers, there were improvements in the cognitive domains of innovation (P = .02) and strategic attention (P = .005). Participants in all three translations saw statistically significant improvements in self-reported symptoms of psychological health. The improvements continued among a subset of participants who responded to the later requests for information. CONCLUSIONS The results of translating to these two populations provide evidence supporting the efficacy of SMART delivered in an abbreviated time frame. The improvements in two major domains of cognitive function demonstrate that strategies can be taught and immediately applied by those receiving the training. The immediate psychological health improvements may be transient; however, the continued improvements in psychological health observed in a subset of the participants suggest that benefits may be sustainable even at later intervals.
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Affiliation(s)
- Leanne R Young
- Applied Research Associates, Inc., Dallas, TX 75252, USA
| | - Jennifer E Zientz
- The University of Texas at Dallas Center for BrainHealth, Dallas, TX 75235, USA
| | - Jeffrey S Spence
- The University of Texas at Dallas Center for BrainHealth, Dallas, TX 75235, USA
| | - Daniel C Krawczyk
- The University of Texas at Dallas Center for BrainHealth, Dallas, TX 75235, USA
| | - Sandra B Chapman
- The University of Texas at Dallas Center for BrainHealth, Dallas, TX 75235, USA
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The effects of social group interventions for depression: Systematic review. J Affect Disord 2021; 281:67-81. [PMID: 33302192 DOI: 10.1016/j.jad.2020.11.125] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2020] [Revised: 11/25/2020] [Accepted: 11/27/2020] [Indexed: 12/15/2022]
Abstract
BACKGROUND There is a growing prevalence of prolonged antidepressant use globally. Social group interventions may be an effective way to manage mild to moderate depression, especially with patients seeking to discontinue antidepressant use. This systematic review evaluates studies that used social group interventions to manage depression. METHODS Studies published up to June 2019 in nine bibliographic databases were identified using search terms related to depression, social interventions, and social participation. Formal therapies for depression (cognitive behaviour therapy, music therapy) were excluded as they have been reviewed elsewhere. RESULTS 24 studies met inclusion criteria; 14 RCTs, 6 non-randomised controlled trials and 4 pre-post evaluations. In total, 28 social group programs were evaluated, 10 arts-based groups, 13 exercise groups and 5 others. Programs ranged in 'dose' from 5 to 150 hours (M = 31 hours) across 4 to 75 weeks (M = 15 weeks) and produced effect sizes on depression in the small to very large range (Hedge's g = .18 to 3.19, M = 1.14). A regression analysis revealed no participant variables, study variables or intervention variables were related to effect size on depression. LIMITATIONS Risks of bias were found, primarily in the non-randomised studies, which means the findings must be regarded as preliminary until replicated. CONCLUSION These findings indicate that social group interventions are an effective way to manage mild to moderate depression symptoms in a variety of populations. This approach may also help to prevent relapse among patients tapering off antidepressant medication.
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Raja R, Zhou W, Li XY, Ullah A, Ma J. Social identity change as an integration strategy of international students in China. INTERNATIONAL MIGRATION 2021. [DOI: 10.1111/imig.12827] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Rameez Raja
- Department of Sociology School of Sociology & Anthropology Sun Yat‐sen University Guangzhou China
| | - Wei Zhou
- Department of Sociology School of Sociology & Anthropology Sun Yat‐sen University Guangzhou China
| | - Xi Yuan Li
- Department of Sociology School of Sociology & Anthropology Sun Yat‐sen University Guangzhou China
- Centre for the studies of Hong Kong, Macao and Pearl River Delta Sun Yat‐sen University Guangzhou China
| | - Asad Ullah
- Department of Rural Sociology The University of Agriculture Peshawar Pakistan
| | - Jianfu Ma
- Pakistan Centre North Minzu University Yinchuan Ningxia China
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Becker JC, Hartwich L, Haslam SA. Neoliberalism can reduce well-being by promoting a sense of social disconnection, competition, and loneliness. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2021; 60:947-965. [PMID: 33416201 DOI: 10.1111/bjso.12438] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 12/14/2020] [Indexed: 01/17/2023]
Abstract
Neoliberalism has become the dominant ideology in many parts of the world. Yet there is little empirical research on its psychological impact. On the basis of a social identity approach to health, we hypothesize that, by increasing competition and by reducing people's sense of connection to others, neoliberalism can increase loneliness and compromise our well-being. Study 1 (N = 246) shows that the more neoliberal people perceive society to be, the worse their well-being, and that this relationship is mediated via loneliness. In two experiments, we showed that exposure to neoliberal ideology increases loneliness (Study 2, N = 204) and, through this, decreases well-being (Study 3, N = 173). In Study 4 (N = 303), we found that exposure to neoliberal ideology increased loneliness and decreased well-being by reducing people's sense of connection to others and by increasing perceptions of being in competition with others. In Study 4, the effect of neoliberalism on well-being was evident for liberals only. We discuss the potential impact of neoliberalism on different social groups in society.
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Nenov-Matt T, Barton BB, Dewald-Kaufmann J, Goerigk S, Rek S, Zentz K, Musil R, Jobst A, Padberg F, Reinhard MA. Loneliness, Social Isolation and Their Difference: A Cross-Diagnostic Study in Persistent Depressive Disorder and Borderline Personality Disorder. Front Psychiatry 2020; 11:608476. [PMID: 33391058 PMCID: PMC7773662 DOI: 10.3389/fpsyt.2020.608476] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Accepted: 11/24/2020] [Indexed: 12/19/2022] Open
Abstract
Background: Interpersonal difficulties are a key feature of persistent depressive disorder (PDD) and borderline personality disorder (BPD). Caught in a vicious circle of dysfunctional interpersonal transaction, PDD and BPD patients are at great risk of experiencing prolonged loneliness. Loneliness, in turn, has been associated with the development of mental disorders and chronic illness trajectories. Besides, several factors may contribute to the experience of loneliness across the lifespan, such as social network characteristics, a history of childhood maltreatment (CM), and cognitive-affective biases such as rejection sensitivity (RS). This cross-diagnostic study approached the topic of perceived loneliness by comparing PDD and BPD patients with healthy controls (HC) in its interplay with symptom burden, social network characteristics, RS as well as CM. Method: Thirty-four PDD patients (DSM-5; 15 female, Mage = 38.2, SD = 12.3), 36 BPD patients (DSM-5; 19 female, Mage = 28.8, SD = 9.2), and 70 age- and gender-matched HC were assessed cross-sectionally using the following self-report measures: UCLA Loneliness Scale, Social Network Index (SNI; size, diversity, and embeddedness), Beck Depression Inventory (BDI-II), Borderline Symptom List (BSL-23), Childhood Trauma Questionnaire (CTQ), and Rejection Sensitivity Questionnaire (RSQ). Results: Both patient groups reported significantly higher levels of perceived loneliness, symptom severity, and smaller social network characteristics compared to HC. Loneliness was significantly correlated with severity of self-reported clinical symptoms in PDD and at trend level in BPD. Besides, loneliness tended to be related to social network characteristics for all groups except PDD patients. Both PDD and BPD patients showed higher RS as well as CTQ scores than HC. A history of emotional abuse and emotional neglect was associated with loneliness, and this association was mediated by RS as demonstrated by an exploratory mediation analysis. Discussion: Loneliness is highly prevalent in PDD and BPD patients and contributes to the overall symptom burden. Interestingly, loneliness showed an association with prior experiences of CM as well as current RS. We therefore propose a comprehensive model on how intra- und interpersonal aspects may interplay in the dynamics of loneliness in light of CM. Finally, this model may have further implications for psychotherapeutic interventions.
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Affiliation(s)
- Tabea Nenov-Matt
- Department of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany
| | - Barbara B. Barton
- Department of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany
| | | | - Stephan Goerigk
- Department of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany
- Hochschule Fresenius, University of Applied Sciences, Munich, Germany
| | - Stephanie Rek
- Department of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany
| | - Katharina Zentz
- Department of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany
| | - Richard Musil
- Department of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany
| | - Andrea Jobst
- Department of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany
| | - Frank Padberg
- Department of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany
| | - Matthias A. Reinhard
- Department of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany
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Prescott J, Rathbone AL, Brown G. Online peer to peer support: Qualitative analysis of UK and US open mental health Facebook groups. Digit Health 2020; 6:2055207620979209. [PMID: 33354335 PMCID: PMC7734541 DOI: 10.1177/2055207620979209] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Accepted: 11/12/2020] [Indexed: 12/19/2022] Open
Abstract
Objective This research aimed to gain further understanding of how open Facebook groups are used for online peer to peer support and identify any similarities and/or differences between UK and US groups. Method A systematic search of mental health related open Facebook groups was conducted using relevant key words. The posts from 14 UK and 11 US groups were acquired over a three month period and content thematically analysed using Nvivo. Results Findings support previous research which evidences that online peer to peer support is beneficial for users seeking mental health information. Said support can increase feelings of connectedness, reduce feelings of isolation, and provide a platform for comparison of perspectives relating to personal experiences. Group membership may offer hope and increase feelings of empowerment in those using Facebook groups as a support mechanism. There was similar discourse seen throughout both UK and US posts in regards to gender inequality, lack of awareness and stigmatisation. Conclusions The study highlights the positive impact of shared personal experiences, and offers a greater understanding of the benefits of online peer to peer support for mental health and wellbeing. There is evidence that, whilst mental health is becoming a more widely discussed topic, in both the UK and US, it remains negatively perceived. Questions are posed for group administrators and health professionals relating to their utilisation and moderation of such online peer to peer support networks.
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Affiliation(s)
- Julie Prescott
- School of Education and Psychology, University of Bolton, Bolton, UK
| | | | - Gill Brown
- School of Education and Psychology, University of Bolton, Bolton, UK
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Mayor E. Nonverbal Immediacy Mediates the Relationship Between Interpersonal Motives and Belongingness. FRONTIERS IN SOCIOLOGY 2020; 5:596429. [PMID: 33869522 PMCID: PMC8022754 DOI: 10.3389/fsoc.2020.596429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 11/05/2020] [Indexed: 06/12/2023]
Abstract
While belongingness is a predictor of mental and physical health, the lack of social bonds is an issue for many people in occidental countries. This issue calls for global and affordable solutions. In this study, we notably investigated (a) the presumed positive relationships between agentic and communal interactional motives and belongingness, and (b) the mediating role of self-reported non-verbal immediacy-an indicator of availability to interact-in these relationships. Cross-sectional and longitudinal data were collected by means of questionnaires to test these hypotheses (N Crossectional = 344; N Longitudinal = 126) using the General Belongingness Scale, the Non-verbal Immediacy Scale, and the Bem Sex Role Inventory. Results supported the hypotheses: Interpersonal motives and non-verbal immediacy are associated cross-sectionally to belongingness, non-verbal immediacy mediates the interpersonal motives-belongingness relationship and positive changes in non-verbal immediacy are also related to increased belongingness. Practical and research implications are discussed.
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Nicolson PJA, Williamson E, Morris A, Sanchez‐Santos MT, Bruce J, Silman A, Lamb SE. Musculoskeletal pain and loneliness, social support and social engagement among older adults: Analysis of the Oxford Pain, Activity and Lifestyle cohort. Musculoskeletal Care 2020; 19:269-277. [PMID: 33201582 PMCID: PMC8518502 DOI: 10.1002/msc.1526] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 11/02/2020] [Accepted: 11/06/2020] [Indexed: 11/20/2022]
Abstract
Background Musculoskeletal (MSK) pain is common in older adults. Physical and psychological consequences of MSK pain have been established, but it is also important to consider the social impact. We aimed to estimate the association between MSK pain and loneliness, social support and social engagement. Methods We used baseline data from the Oxford Pain, Activity and Lifestyle study. Participants were community‐dwelling adults aged 65 years or older from across England. Participants reported demographic information, MSK pain by body site, loneliness, social support and social engagement. We categorised pain by body regions affected (upper limb, lower limb and spinal). Widespread pain was defined as pain in all three regions. We used logistic regression models to estimate associations between distribution of pain and social factors, controlling for covariates. Results Of the 4977 participants analysed, 4193 (84.2%) reported any MSK pain, and one‐quarter (n = 1298) reported widespread pain. Individuals reporting any pain were more likely to report loneliness (OR [odds ratio]: 1.62; 95% CI [confidence interval]: 1.32–1.97) or insufficient social support (OR: 1.54; 95% CI: 1.08–2.19) compared to those reporting no pain. Widespread pain had the strongest association with loneliness (OR: 1.94; 95% CI: 1.53–2.46) and insufficient social support (OR: 1.71; 95% CI: 1.14–2.54). Pain was not associated with social engagement. Conclusions Older adults commonly report MSK pain, which is associated with loneliness and perceived insufficiency of social support. This finding highlights to clinicians and researchers the need to consider social implications of MSK pain in addition to physical and psychological consequences.
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Affiliation(s)
- Philippa J. A. Nicolson
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS) University of Oxford Botnar Research Centre Oxford UK
| | - Esther Williamson
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS) University of Oxford Botnar Research Centre Oxford UK
| | - Alana Morris
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS) University of Oxford Botnar Research Centre Oxford UK
| | - Maria T. Sanchez‐Santos
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS) University of Oxford Botnar Research Centre Oxford UK
| | - Julie Bruce
- Warwick Clinical Trials Unit Warwick Medical School University of Warwick Coventry UK
| | - Alan Silman
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS) University of Oxford Botnar Research Centre Oxford UK
| | - Sarah E. Lamb
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS) University of Oxford Botnar Research Centre Oxford UK
- College of Medicine and Health University of Exeter Exeter UK
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Graupensperger S, Panza MJ, Evans MB, Budziszewski R. Growing into "Us": Trajectories of Social Identification with College Sport Teams Predict Subjective Well-Being. Appl Psychol Health Well Being 2020; 12:787-807. [PMID: 32618406 PMCID: PMC9750734 DOI: 10.1111/aphw.12207] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 05/14/2020] [Accepted: 05/18/2020] [Indexed: 12/16/2022]
Abstract
BACKGROUND Groups are often a source of social identification that may elicit subjective well-being. When joining and maintaining membership of groups such as sport clubs, it is anticipated that members will experience varying trajectories of identification strength, but it is unclear how these trajectories may relate to well-being. METHOD Participants were 697 college students (64% female), nested within 35 club-level sport teams. The current study longitudinally assessed students' social identification with sport teams at three timepoints (3-month lags) across a school year to examine the extent that growth trajectories in identification strength predicted indices of well-being (i.e. life satisfaction, happiness, and subjective health) at the end of the school year. RESULTS Multilevel latent growth modeling revealed that end-of-year well-being was positively predicted by social identification intercepts (b = .24, p = .010) and growth trajectories (b = .75, p < .001). Accounting for baseline identification, steeper increases in social identification (upward trajectories) predicted greater well-being. CONCLUSIONS Findings support established theory that social identification relates to well-being, while adding novel insights that students may experience unique benefits when their social identity strengthens over the course of a school year. Considering recent declines in college student well-being, groups like sport teams represent a source for social identification that should be fostered throughout the course of one's group membership.
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Affiliation(s)
- Scott Graupensperger
- Address for correspondence: Scott Graupensperger, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.,
| | | | - M. Blair Evans
- The Pennsylvania State University, University Park, PA, USA
| | - Ross Budziszewski
- Trauma Services Department, St Christopher’s Hospital for Children, Philadelphia, PA, USA
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Cardi V, Albano G, Ambwani S, Cao L, Crosby RD, Macdonald P, Schmidt U, Treasure J. A randomised clinical trial to evaluate the acceptability and efficacy of an early phase, online, guided augmentation of outpatient care for adults with anorexia nervosa. Psychol Med 2020; 50:2610-2621. [PMID: 31615581 DOI: 10.1017/s0033291719002824] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
BACKGROUND Outpatient interventions for adult anorexia nervosa typically have a modest impact on weight and eating disorder symptomatology. This study examined whether adding a brief online intervention focused on enhancing motivation to change and the development of a recovery identity (RecoveryMANTRA) would improve outcomes in adults with anorexia nervosa. METHODS Participants with anorexia nervosa (n = 187) were recruited from 22 eating disorder outpatient services throughout the UK. They were randomised to receiving RecoveryMANTRA in addition to treatment as usual (TAU) (n = 99; experimental group) or TAU only (n = 88; control group). Outcomes were measured at end-of-intervention (6 weeks), 6 and 12 months. RESULTS Adherence rates to RecoveryMANTRA were 83% for the online guidance sessions and 77% for the use of self-help materials (workbook and/or short video clips). Group differences in body mass index at 6 weeks (primary outcome) were not significant. Group differences in eating disorder symptoms, psychological wellbeing and work and social adjustment (at 6 weeks and at follow-up) were not significant, except for a trend-level greater reduction in anxiety at 6 weeks in the RecoveryMANTRA group (p = 0.06). However, the RecoveryMANTRA group had significantly higher levels of confidence in own ability to change (p = 0.02) and alliance with the therapist at the outpatient service (p = 0.005) compared to the control group at 6 weeks. CONCLUSIONS Augmenting outpatient treatment for adult anorexia nervosa with a focus on recovery and motivation produced short-term reductions in anxiety and increased confidence to change and therapeutic alliance.
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Affiliation(s)
- Valentina Cardi
- Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Gaia Albano
- Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- Department of Psychology and Educational Sciences, University of Palermo, Palermo, Italy
| | - Suman Ambwani
- Department of Psychology, Dickinson College, Carlisle, PA, USA
| | - Li Cao
- Sanford Center for Biobehavioral Research, Fargo, ND, USA
- Department of Psychiatry and Behavioral Sciences, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA
| | - Ross D Crosby
- Sanford Center for Biobehavioral Research, Fargo, ND, USA
- Department of Psychiatry and Behavioral Sciences, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA
| | - Pamela Macdonald
- Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Ulrike Schmidt
- Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Janet Treasure
- Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
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Adarves‐Yorno I, Mahdon M, Schueltke L, Koschate‐Reis M, Tarrant M. Mindfulness and social identity: Predicting well‐being in a high‐stress environment. JOURNAL OF APPLIED SOCIAL PSYCHOLOGY 2020. [DOI: 10.1111/jasp.12708] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Affiliation(s)
| | - Michelle Mahdon
- Exeter Centre for Leadership Business School University of Exeter Exeter UK
| | - Leonie Schueltke
- Exeter Centre for Leadership Business School University of Exeter Exeter UK
| | | | - Mark Tarrant
- Exeter Medical School University of Exeter Exeter UK
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Cruwys T, Stewart B, Buckley L, Gumley J, Scholz B. The recovery model in chronic mental health: A community-based investigation of social identity processes. Psychiatry Res 2020; 291:113241. [PMID: 32590231 DOI: 10.1016/j.psychres.2020.113241] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 06/15/2020] [Accepted: 06/15/2020] [Indexed: 11/25/2022]
Abstract
The recovery model has been enormously influential in shaping mental health services globally over the last two decades. However, empirical research on its outcomes and psychological mechanisms is sparse. This community-based case study utilised both semi-structured qualitative interviews and quantitative survey methods to investigate perceptions of recovery, identity, and wellbeing among people with chronic and severe mental illness attending recovery-oriented support groups. Consistent with a social identity approach and the recovery model, to the extent that people identified as "in recovery", they reported better recovery outcomes (e.g., sense of purpose) and reduced psychological distress. Furthermore, recovery identity more strongly predicted recovery outcomes than it did psychological distress. Both the quantitative and qualitative data pointed to collective efficacy (i.e., group-based empowerment) as a key mediator of these outcomes. These findings are consistent with the recovery model and speak to the utility of a social identity approach for conceptualizing its efficacy. However, these findings also speak to the need for further evaluation of how and when recovery-oriented mental health services achieve their intended goal of improving quality of life for people with chronic and severe mental illness.
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Affiliation(s)
- Tegan Cruwys
- Research School of Psychology, The Australian National University, Canberra, Australia.
| | - Bridie Stewart
- School of Psychology, The University of Queensland, Brisbane, Australia
| | - Lisa Buckley
- School of Public Health, The University of Queensland, Brisbane, Australia
| | - James Gumley
- School of Psychology, The University of Queensland, Brisbane, Australia
| | - Brett Scholz
- ANU Medical School, The Australian National University, Canberra, Australia
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