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Riethmuller ML, Newnham EA, McEvoy PM. Supporting mental health in farming communities where and when it is needed most: A longitudinal analysis of risk and protective factors. Soc Sci Med 2024; 361:117381. [PMID: 39368411 DOI: 10.1016/j.socscimed.2024.117381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2024] [Revised: 08/16/2024] [Accepted: 09/30/2024] [Indexed: 10/07/2024]
Abstract
The cyclical nature of agriculture exposes farmers to challenges that vary over time, influenced by a myriad of external factors beyond their control. This longitudinal study aimed to examine mental health trajectories for Western Australian farmers over a 12 month period, and determine associations with key risk and protective factors. Farmers and farm residents (N = 125) completed an online survey at three timepoints (baseline, 6 months and 12 months) that assessed anxiety, depression, stress, farming stressors, coping strategies, sense of belonging and social supports. Survey timing coincided with periods of harvest and seeding. Risk factors associated with poorer mental health among farmers included a range of dysfunctional and emotion coping strategies, family/relationship stressors, financial/external stressors and daily stressors. Protective factors included sense of belonging and social support. Stress was found to change over time and family/relationship stressors and financial/external stressors at baseline were found to moderate anxiety and stress at 6 months and 12 months. Addressing factors associated with poor mental health trajectories and bolstering factors that are protective for mental health over time will aid clinical and community services in tailoring their services to meet the needs of farmers.
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Affiliation(s)
- Micaela L Riethmuller
- School of Population Health, Curtin University, Kent Street, Bentley, Perth 6102, Australia.
| | - Elizabeth A Newnham
- School of Population Health, Curtin University, Kent Street, Bentley, Perth 6102, Australia; Curtin enAble Institute, Kent Street, Bentley, Perth 6102, Australia.
| | - Peter M McEvoy
- School of Population Health, Curtin University, Kent Street, Bentley, Perth 6102, Australia; Curtin enAble Institute, Kent Street, Bentley, Perth 6102, Australia; Centre for Clinical Interventions, James Streetm Northbridge, Perth 6003, Australia.
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Mock CE, Segal DL. Relationships Between Diverse Forms of Anxiety With Intrapersonal Functioning Among Older Adults. Int J Aging Hum Dev 2024; 98:420-435. [PMID: 37605487 DOI: 10.1177/00914150231196103] [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: 08/23/2023]
Abstract
This study assessed how clinical anxiety, anxiety about aging, and death anxiety related to one another and to intrapersonal functioning. Older adults completed the Geriatric Anxiety Scale, Anxiety About Aging Scale, Death Anxiety Scale-Extended, and Intrapersonal Problems Rating Scale. Clinical anxiety was strongly correlated with anxiety about aging (r = .50) and death anxiety (r = .59), and anxiety about aging and death anxiety were strongly positively correlated with each other (r = .51). Intrapersonal problems were significantly and strongly positively correlated with clinical anxiety (r = .79), anxiety about aging (r = .50), and death anxiety (r = .56). Multiple regression results showed that the three types of anxiety accounted for a large amount of variance in intrapersonal problems. Findings suggest strong comorbidities between diverse forms of anxiety with some unique features. Intrapersonal deficits may be prominent in the presence of diverse forms of anxiety. Screening should consider these relationships.
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Affiliation(s)
- Colleen Elaine Mock
- Department of Psychology, University of Colorado Colorado Springs, Colorado Springs, CO, USA
| | - Daniel L Segal
- Department of Psychology, University of Colorado Colorado Springs, Colorado Springs, CO, USA
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Murfield J, Moyle W, O'Donovan A, Ware RS. The Role of Self-Compassion, Dispositional Mindfulness, and Emotion Regulation in the Psychological Health of Family Carers of Older Adults. Clin Gerontol 2024; 47:316-328. [PMID: 33263503 DOI: 10.1080/07317115.2020.1846650] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
OBJECTIVES This study explored the role of compassion and dispositional mindfulness in the psychological health of family carers of older adults and tested for potential mediating effects of emotion regulation difficulties and adaptive coping strategies. METHODS A sample of 141 family carers of adults aged 65 years or older with chronic conditions completed a cross-sectional survey between July - December 2019. The survey included self-report scales that measured: self-compassion, compassion for others, compassion from others, dispositional mindfulness, depression, anxiety, stress, emotion- and problem-focused coping strategies, and difficulties in emotion regulation. RESULTS Path analyses found that increased self-compassion and increased dispositional mindfulness was associated with lower psychological distress, and that this was mediated by reduced difficulties in emotion regulation. The model had excellent fit, explaining 64.8% of the variance in psychological distress, and 52.2% of the variance in emotion regulation difficulties. CONCLUSIONS Self-compassion and dispositional mindfulness may help buffer the psychological distress of family carers of older adults, and adaptive emotion regulation is an important mechanism of change in these relationships. CLINICAL IMPLICATIONS Interventions that aim to cultivate self-compassion and mindfulness could be clinically useful in reducing psychological distress within populations of family carers of older adults by promoting adaptive emotion regulation.
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Affiliation(s)
- Jenny Murfield
- Menzies Health Institute Queensland, Griffith University, Brisbane, Australia
- School of Nursing and Midwifery, Griffith University, Brisbane, Australia
| | - Wendy Moyle
- Menzies Health Institute Queensland, Griffith University, Brisbane, Australia
- School of Nursing and Midwifery, Griffith University, Brisbane, Australia
| | | | - Robert S Ware
- Menzies Health Institute Queensland, Griffith University, Brisbane, Australia
- School of Medicine, Griffith University, Brisbane, Australia
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Lo HKY, Wong GHS, Chan JKN, Wong CSM, Lei JHC, So YK, Fung VSC, Chu RST, Chung AKK, Lee KCK, Cheng CPW, Chan WC, Chang WC. COVID-19 perseverative cognition and depressive symptoms in Hong Kong: The moderating role of resilience, loneliness and coping strategies. J Affect Disord 2023:S0165-0327(23)00699-7. [PMID: 37230268 DOI: 10.1016/j.jad.2023.05.058] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 05/11/2023] [Accepted: 05/18/2023] [Indexed: 05/27/2023]
Abstract
BACKGROUND The COVID-19 pandemic significantly increased depression prevalence in general population. However, the relationship between persistent dysfunctional thinking associated with COVID-19 (perseverative-cognition) and depression, and its potential moderators are understudied. We aimed to examine the association between COVID-19 perseverative-cognition and depression, and the moderating effect of potential risk and protective factors on this association in general public during the peak of fifth COVID-19 wave in Hong Kong. METHODS This survey recruited 14,269 community-dwelling adults between March 15-April 3, 2022 to investigate association between COVID-19 perseverative-cognition and depression, and the moderating effect of resilience, loneliness and three coping strategies (including emotion-focused, problem-focused and avoidant coping) on this association, using hierarchical regression models and simple slope analyses. COVID-19 perseverative cognition was assessed by the Obsession with COVID-19 Scale (OCS) and depressive symptoms were measured by the Patient Health Questionnaire-9 (PHQ-9). RESULTS Perseverative-cognition was positively associated with depression severity. Resilience, loneliness and three coping strategies moderated the association between perseverative-cognition and depression. Specifically, greater resilience and emotion-focused coping ameliorated the association between perseverative-cognition and depression, while higher levels of loneliness, avoidant and problem-focused coping accentuated such association. LIMITATIONS Cross-sectional design precluded establishing causality among variables. CONCLUSION This study affirms that COVID-19 perseverative-cognition is significantly related to depression. Our findings indicate the potential critical role of enhanced personal resilience and social support, and adoption of emotion-focused coping in mitigating negative effect of COVID-19 related maladaptive thinking on depression severity, thereby facilitating development of targeted strategies to reduce psychological distress amidst the prolonged pandemic.
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Affiliation(s)
- Heidi Ka Ying Lo
- Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong
| | - Gabbie Hou Sem Wong
- Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong
| | - Joe Kwun Nam Chan
- Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong
| | - Corine Sau Man Wong
- School of Public Health, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong
| | - Janet Hiu Ching Lei
- Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong
| | - Yuen Kiu So
- Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong
| | - Vivian Shi Cheng Fung
- Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong
| | - Ryan Sai Ting Chu
- Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong
| | - Albert Kar Kin Chung
- Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong
| | - Krystal Chi Kei Lee
- Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong
| | - Calvin Pak Wing Cheng
- Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong
| | - Wai Chi Chan
- Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong
| | - Wing Chung Chang
- Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, the University of Hong Kong, Hong Kong; State Key Laboratory of Brain and Cognitive Sciences, the University of Hong Kong, Hong Kong.
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Noel OR, Segal DL, Granier KL. Personality, Interpersonal Problems, and Anxiety Among Older Adults. Psychol Rep 2023; 126:656-673. [PMID: 34961375 DOI: 10.1177/00332941211061697] [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: 11/15/2022]
Abstract
INTRODUCTION This study examined relationships between personality disorder (PD) features, Big Five personality traits, and interpersonal problems with anxiety. METHOD Older adults (N = 130) completed the Geriatric Anxiety Scale, Coolidge Axis Two Inventory, Big Five Inventory-2, and Circumplex Scales of Interpersonal Problems. Pearson correlation analyses were used to assess simple relationships between anxiety with PD features (CATI scales), Big Five personality domains (BFI-2 scales), and interpersonal problems (CSIP scales). Multiple linear regression analyses were performed to determine the extent to which the PD scales of the CATI, the personality scales of the BFI-2, and the scales of the CSIP explained variance in anxiety. RESULTS Anxiety was positively correlated with 13 of 14 PD scales, ranging from .23 (Narcissistic) to .61 (Depressive). Regarding Big Five personality traits, anxiety was negatively associated with Agreeableness (-.23), Conscientiousness (-.30), and Extraversion (-.31) but was positively associated with Negative Emotionality (.56). Regarding interpersonal problems, anxiety was positively related to all eight CSIP scales, ranging from Self-sacrificing (.30) to Distant/Cold (.62). Regression analyses indicated that PD features accounted for the most variance in anxiety symptoms (53%), followed by interpersonal problems (46%), and Big Five personality traits (33%). DISCUSSION Anxiety appears to be meaningfully associated with PD features, several aspects of Big Five personality traits, and interpersonal problems, suggesting that these variables may play important roles in the development and maintenance of anxiety, or vice versa. Our findings especially speak to the growing awareness of the deleterious impact of PD features on clinical syndromes in later life, as evidenced by strong comorbidities with anxiety.
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Affiliation(s)
- Olivia R Noel
- Department of Psychology, 14676University of Colorado at Colorado Springs, Colorado Springs, CO, USA
| | - Daniel L Segal
- Department of Psychology, 14676University of Colorado at Colorado Springs, Colorado Springs, CO, USA
| | - Katie L Granier
- Department of Psychology, 14676University of Colorado at Colorado Springs, Colorado Springs, CO, USA
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Muro Pérez-Aradros C, Navarro-Prados AB, Satorres E, Serra E, Meléndez JC. Coping and guilt in informal caregivers: a predictive model based on structural equations. PSYCHOL HEALTH MED 2023; 28:819-830. [PMID: 35057683 DOI: 10.1080/13548506.2022.2029917] [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: 10/19/2022]
Abstract
Caregivers experience great stress, and coping can be one of the factors, which determine the extent of stress. The aim of the present paper is to analyze the effects of coping strategies on distress of the older adult's caregiver, including guilt as a mediating factor in those maladaptive strategies. The sample consisted of 201 informal caregivers of institutionalized older adults. The three constructs measured were: stress, guilt, and coping strategies. Results showed that strategies that have a better ability to reduce stress are active, positive reframing and acceptance; on the contrary, behavioral disengagement, self-distraction, self-blame and venting positively predicted the feeling of guilt that facilitated the perception of stress. Given the important association obtained between the experience of guilt and psychological distress in caregivers, it could be relevant to develop psychoeducational interventions with caregivers including techniques to reduce this feeling of guilt and develop cognitive behavioral strategies that facilitate adaptation.
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Affiliation(s)
| | - Ana-Belén Navarro-Prados
- Department of Developmental Psychology, Faculty of Psychology, University of Salamanca (Spain), Salamanca, Spain
| | - Encarna Satorres
- Department of Developmental Psychology, Faculty of Psychology, University of Valencia, Valencia, Spain
| | - Emilia Serra
- Department of Developmental Psychology, Faculty of Psychology, University of Valencia, Valencia, Spain
| | - Juan C Meléndez
- Department of Developmental Psychology, Faculty of Psychology, University of Valencia, Valencia, Spain
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Baluku MM. Psychological Capital and Quality of life of Refugees in Uganda During COVID-19 Pandemic: A Serial Mediation Model. INTERNATIONAL JOURNAL OF APPLIED POSITIVE PSYCHOLOGY 2023; 8:1-24. [PMID: 37361624 PMCID: PMC10000344 DOI: 10.1007/s41042-023-00091-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 02/16/2023] [Indexed: 06/28/2023]
Abstract
Background: The COVID-19 pandemic has in the past two years caused and continues to cause enormous effects on lifestyle, mental health, and quality of life. With no known treatment and vaccination, behavioral control measures became central in controlling the pandemic. However, the intensity of the pandemic and the stringent control measures were immensely stressful. The control measures became an added psychological burden to people living in precarious situations such as refugees in low-income countries. Purpose: Given the benefits of psychological capital, the present study aimed at investigating the role of psychological capital in enhancing the quality of life among refugees in Uganda during the COVID-19 pandemic. It was hypothesized that the effects of psychological capital on quality of life are serially mediated through coping strategies, adherence to COVID-19 control measures, and mental health. Methods: Data was collected using a self-administered questionnaire in July and August 2020 after the first lockdown. Participants were 353 South Sudanese and Somali refugees living in Kampala city suburbs and Bidibidi refugee settlement. Findings: Psychological capital was positively associated with approach coping, mental health, and quality of life. However, psychological capital was negatively associated with adherence to COVID-19 control measures. Significant indirect effects of psychological capital on quality of life through approach coping, mental health, and adherence were found. However, serial mediation effects were only substantial via approach coping and mental health. Conclusion: Psychological capital is an important resource in coping with the challenges posed by COVID-19 and maintaining a good level of psychological functioning and quality of life. Preserving and boosting psychological capital is essential in responding to COVID-19 and other related disasters and crises, which are common in vulnerable populations such as refugee communities in low-income countries.
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Stefanowicz-Bielska A, Słomion M, Rąpała M. Analysis of Strategies for Managing Stress by Polish Nurses during the COVID-19 Pandemic. Healthcare (Basel) 2022; 10:healthcare10102008. [PMID: 36292455 PMCID: PMC9601545 DOI: 10.3390/healthcare10102008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Revised: 10/08/2022] [Accepted: 10/09/2022] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic is having a negative impact on the mental health of nurses around the world. The aim of the study was to assess the sense of fear and the degree of exposure to SARS-CoV-2 infection and to estimate the influence of various factors on the fear of SARS-CoV-2. We analysed methods and strategies for coping with stress used by Polish nurses during the COVID-19 pandemic. METHODS The study was conducted using a diagnostic survey, which included a self-constructed questionnaire and a standardized psychological questionnaire: Brief-Cope. RESULTS A total of 361 nurses confirmed their participation in the study. Most of the nurses were ages 31 to 50 (48.2%), lived in a city (83.7%), and had a master's degree in nursing (45.7%). Nurses ≥ 51 years of age, with ≥ 21 years of work experience and with secondary education in nursing and master of nursing were more likely than other nurses to agree with the statement, I am afraid of contracting the SARS-CoV-2 (appropriately p = 0.009, p = 0.007, p = 0.014). During the outbreak of COVID-19, nurses most often took action to improve the situation, reflecting on and planning what to do. The most frequent means of coping with stress by Polish nurses during the COVID-19 outbreak were problem-focused strategies. The least frequent strategy was the use of substances (taking substances to alleviate unpleasant emotions), considered to be the least effective, but useful in some situations. CONCLUSIONS Most nurses were afraid of being infected with COVID-19. The most frequently used strategies for coping with stress by Polish nurses during the COVID-19 pandemic were problem-focused strategies. Nurses should receive psychological support and assistance from the employer in improving their working conditions.
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Affiliation(s)
- Anna Stefanowicz-Bielska
- Division of Internal and Pediatric Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences with the Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-211 Gdansk, Poland
- Correspondence:
| | - Magdalena Słomion
- Division of Internal and Pediatric Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences with the Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-211 Gdansk, Poland
| | - Małgorzata Rąpała
- Department of Pediatric Surgery, Marciniak Hospital, 50-041 Wroclaw, Poland
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Miller ML, Stevens NR, Lowell GS, Hobfoll SE. Communal mastery and associations with depressive and PTSD symptomatology among urban trauma-exposed women. CULTURAL DIVERSITY & ETHNIC MINORITY PSYCHOLOGY 2022; 28:513-522. [PMID: 34291970 PMCID: PMC9628780 DOI: 10.1037/cdp0000473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Objective: Racial and ethnic minority women from low-resource urban communities experience disproportionately high rates of trauma exposure. Higher rates of lifetime trauma exposure are strongly associated with subsequent psychological sequela, specifically depression and posttraumatic stress disorder (PTSD). Communal mastery is the ability to cope with challenges and achieve goals by being closely interconnected with friends, family, and significant others. Yet, it is unknown if communal mastery is protective specifically against PTSD and depressive symptoms. Method: Participants (N = 131) were Black and Latina women (88.5% Black, mean monthly income: < $750) recruited from an urban outpatient obstetric-gynecological clinic at an academic medical center. Participants completed an online questionnaire that assessed trauma history, PTSD and depressive symptoms, types of individualistic coping, social support, and communal mastery. Results: Hierarchical multiple regression models demonstrated that communal mastery is uniquely associated with fewer PTSD symptoms (β = -.23, p = .003). More severe trauma history, more use of passive coping skills, and poorer social support were also significantly associated with PTSD symptoms, explaining over half of the variance in PTSD symptoms. Although significantly correlated, communal mastery was not uniquely associated with fewer depressive symptoms (β = -.13, p = .201). Conclusions: These findings suggest that connectedness as assessed through communal mastery serves as an important shield against the effects of traumatic stress for Black and Latina women. Future research would benefit by exploring interventions that aim to increase communal mastery in order to help highly trauma-exposed racial and ethnic minority women in low-resource environments. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
- Michelle L. Miller
- Department of Psychiatry & Behavioral Sciences, Rush University Medical Center, Chicago, IL
- Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN
| | - Natalie R. Stevens
- Department of Psychiatry & Behavioral Sciences, Rush University Medical Center, Chicago, IL
| | - Gina S. Lowell
- Department of Pediatrics, Rush University Medical Center, Chicago, IL
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Yang Y, Romine W, Oyesanya TO, Park HK, Hendrix CC. The Association of Self-esteem With Caregiving Demands, Coping, Burden, and Health Among Caregivers of Breast Cancer Patients: A Structural Equation Modeling Approach. Cancer Nurs 2022; 45:E820-E827. [PMID: 34483283 PMCID: PMC11330669 DOI: 10.1097/ncc.0000000000001011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND We investigated how caregiver self-esteem was associated with caregiving demands, coping, burden, and health. OBJECTIVE The aim of this study was to investigate how caregiver self-esteem is associated with caregiving demands, coping, burden, and health. METHODS Sixty-one caregivers of breast cancer patients were selected from a study conducted at a cancer clinic in the Southeastern region of the United States. Guided by the revised Stress and Coping Theory, a secondary analysis of cross-sectional data was conducted. We used structural equation modeling to analyze paths between caregiver self-esteem and caregiving demands (ie, hours spent on caregiving), coping, burden, and health. RESULTS Caregivers who effectively coped with stressful situations through strategies such as positive thinking, seeking social support, and problem solving were more likely to have higher levels of self-esteem; in turn, higher levels of self-esteem decreased caregiver burden and improved caregiver overall health. CONCLUSIONS This study highlights the importance of self-esteem among caregivers of breast cancer patients. Additional research is needed to provide more insight into the influence of coping strategies on caregiver self-esteem, as well as the role of caregiver self-esteem on caregivers' and patients' well-being. IMPLICATION FOR PRACTICE Healthcare providers need to consider caregiver self-esteem and other associated caregiver characteristics to identify caregivers at risk of higher perceived levels of burden and poor overall health.
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Affiliation(s)
- Yesol Yang
- Author affiliations: Ohio State University Comprehensive Cancer Center-James, Columbus, Ohio (Dr Yang); Duke University School of Nursing, Durham, North Carolina (Drs Oyesanya and Hendrix); Department of Biological Sciences, Wright State University, Dayton, Ohio (Dr Romine); College of Nursing, University of Massachusetts Amherst (Dr Park); and GRECC Durham Veterans Affairs Health Care System, North Carolina (Dr Hendrix)
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The Post-Traumatic Growth of Primary Caregivers of Patients after Liver Transplantation. Healthcare (Basel) 2022; 10:healthcare10091617. [PMID: 36141229 PMCID: PMC9498416 DOI: 10.3390/healthcare10091617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Revised: 08/23/2022] [Accepted: 08/24/2022] [Indexed: 11/29/2022] Open
Abstract
Liver transplantation is a very important surgery. In many cases, it involves two loved ones (receiver and donor in the same family) and causes stress and feelings of burden in family caregivers. The purpose of this study was to investigate post-traumatic growth in primary caregivers of liver transplant patients. A cross-sectional research design was adopted to recruit 84 participants. The Perceived Stress Scale, Short-Form Coping Strategies Scale, and Post-traumatic Growth Scale were used. The results revealed that the total score of perceived stress of the main caregivers of liver transplantation was 27.27 ± 6.63; problem-oriented coping and emotion-oriented coping were used as the main coping strategies, and the traumatic growth score was 42.01 ± 13.84. All three variables were significant predictors of post-traumatic growth (F = 13.71, p < 0.05), explaining 38% of the total variance. This study can help nurses understand the post-traumatic growth status and related factors of the main caregivers of liver transplant patients. It can also help caregivers understand their own perceived pressure and then take relevant care measures to reduce the degree of physical and mental load and achieve a balanced state.
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Otsuka Y, Itani O, Matsumoto Y, Kaneita Y. Associations between Coping Profile and Work Performance in a Cohort of Japanese Employees. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:4806. [PMID: 35457672 PMCID: PMC9032047 DOI: 10.3390/ijerph19084806] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 04/13/2022] [Accepted: 04/14/2022] [Indexed: 11/17/2022]
Abstract
This study aimed to investigate the effects of coping profiles on work performance. Data were collected during a 2-year prospective cohort study of 1359 employees in Japan. Participants completed a self-administered questionnaire in 2018 (T1; baseline) and again in 2020 (T2; followup; followup rate: 69.8%) to enable the assessment of work performance, perceived stress, and stress coping profiles at T1 and T2. Multivariate logistic regression models and causal mediation analysis were performed to identify the effects of coping profiles on work performance. Covariates included age, sex, company, job type, employment status, working hours, holidays, and lifestyle behaviors (e.g., smoking, sleep duration). A dysfunctional coping profile (β = −1.17 [95% CI, −2.28 to −0.06], p = 0.039) was negatively associated with work performance. Coping profiles of planning (β = 0.86 [95% CI, 0.07−1.66]) and self-blame (β = −1.33 [95% CI, −1.96 to −0.70], p < 0.001) were significantly associated with work performance. Dysfunctional coping, specifically, self-blame (β = −1.22 [95% CI, −1.83 to −0.61]), mediated the association between stress and work performance. Thus, some coping profiles may lead to an increase or decrease in work performance. The possible impact of coping strategies on workers’ productivity requires further exploration. Furthermore, information on effective coping profiles should be incorporated into occupational health examinations.
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Affiliation(s)
- Yuichiro Otsuka
- Division of Public Health, Department of Social Medicine, Nihon University School of Medicine, 30-1 Oyaguchi-kamimachi, Itabasi-ku, Tokyo 173-8610, Japan; (O.I.); (Y.M.); (Y.K.)
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Overcoming the "Dark Side" of Technology-A Scoping Review on Preventing and Coping with Work-Related Technostress. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063625. [PMID: 35329312 PMCID: PMC8954507 DOI: 10.3390/ijerph19063625] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 03/09/2022] [Accepted: 03/15/2022] [Indexed: 01/27/2023]
Abstract
In the course of the digitalisation of work, the phenomenon of technostress is increasingly being examined. While there is a plethora of research on its causes and consequences, a growing body of research on mitigating work-related technostress is emerging. In order to identify opportunities to overcome this "dark side" of technology, this scoping review aims to provide a comprehensive overview of the current state of research on how to prevent and cope with work-related technostress. The databases PubMed, MEDLINE, PsycInfo, PSYNDEX, and Web of Science were searched in the time period between 2008 and 2021. The studies were screened independently by two authors and selected based on predefined inclusion and exclusion criteria. Sixty-two studies were included and their methodological quality was assessed using standardised checklists. Resources were identified at the technical, organisational, social and personal level, including, e.g., leadership, organisational and technical support as well as self-efficacy and IT mindfulness. Problem- and emotion-focused coping strategies were, e.g., seeking support or distancing from IT. None of the included studies investigated prevention measures, emphasising a dearth of research that needs to be addressed in the future. Nevertheless, the identified resources and coping strategies provide starting points to address adverse work- and health-related consequences and reduce work-related technostress.
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Messmer Uccelli M, Ponzio M, Traversa S. What factors influence feeling competent as a parent with multiple sclerosis? Chronic Illn 2022; 18:46-57. [PMID: 31865757 DOI: 10.1177/1742395319895310] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To identify factors that influence the perception parents with multiple sclerosis have of their competence in parenting. METHOD/DESIGN Subjects were parents of a child with a maximum of 18 years of age recruited through a national multiple sclerosis organization's social media channels. Data on demographic and disease information, mood, coping, quality of life and perceived social support were collected using an anonymous online questionnaire. Univariate and multivariate analyses were performed to assess associations between these variables and subjects' perception of parenting sense of competence. RESULTS The sample consisted of 285 parents with multiple sclerosis, with a mean age of 41 years and a mean disease duration of 10.4 years. In the multivariate analysis, independent determinants of lower parenting sense of competence were anxiety (p = 0.012), depression (p = 0.001) and dysfunctional coping (p = 0.005). Problem-focused coping (p = 0.029) and higher physical and mental scores on the SF-12 (p = 0.006, p < 0.001, respectively) were related to a higher parenting sense of competence. Higher parent age correlated with a lower sense of parenting competence (p = 0.002). CONCLUSIONS The perception parents with multiple sclerosis have of their parenting competence was most strongly correlated with mood, coping strategies and health-related quality of life, factors that are potentially modifiable.
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Affiliation(s)
| | - Michela Ponzio
- Italian Multiple Sclerosis Society Research Foundation, Genoa, Italy
| | - Silvia Traversa
- Italian Multiple Sclerosis Society Research Foundation, Genoa, Italy
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15
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Kaewwilai L, Duggleby W, O'Rourke HM, Santos Salas A. Coping strategies and quality of life among Thai family carers of community-dwelling persons living with dementia: A cross-sectional study. J Adv Nurs 2022; 78:2785-2798. [PMID: 35150154 DOI: 10.1111/jan.15185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 12/16/2021] [Accepted: 01/12/2022] [Indexed: 12/01/2022]
Abstract
AIMS To examine the association between coping strategies and quality of life (QOL) among Thai family carers of persons living with dementia. DESIGN A descriptive correlational quantitative design. METHODS Data were collected between January 2021 and April 2021. A multi-pronged approach for recruitment was used. Participants completed measures assessing carer demographic characteristics, coping styles, QOL, perceived stress and perceived social support. Hierarchical multiple regression analysis was used to determine the association between types of coping strategies used and QOL scores, adjusting for carer characteristics and carers' stress and social support. RESULTS There were 86 participants (mean age 52.84 years), and the majority were female (87.2%). After adjusting for covariates, hierarchical multiple regression revealed that only positive emotion-focused coping demonstrated a statistically significant association with total QOL scores. Problem-focused coping and negative emotion-focused coping were not significantly associated with total QOL scores of Thai family carers of persons living with dementia. CONCLUSION Positive emotion-focused coping was associated with improved QOL scores. This finding supports the use of positive emotion-focused coping in Thai family carers of persons living with dementia, which potentially could improve the QOL of this population. IMPACT It is essential to differentiate between positive and negative emotion-focused coping to generate valid estimates of the association between coping and QOL. Nurses should encourage carers to use positive emotion-focused coping strategies as these strategies were found to be helpful in enhancing carers' QOL.
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Affiliation(s)
- Lalita Kaewwilai
- Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.,Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand
| | - Wendy Duggleby
- Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
| | - Hannah M O'Rourke
- Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
| | - Anna Santos Salas
- Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
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16
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Bussè C, Barnini T, Zucca M, Rainero I, Mozzetta S, Zangrossi A, Cagnin A. Depression, Anxiety and Sleep Alterations in Caregivers of Persons With Dementia After 1-Year of COVID-19 Pandemic. Front Psychiatry 2022; 13:826371. [PMID: 35222125 PMCID: PMC8866969 DOI: 10.3389/fpsyt.2022.826371] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 01/18/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Social isolation due to COVID-19 pandemic has an important psychological impact particularly in persons with dementia and their informal caregivers. AIM To assess frequency and severity of long-term stress-related symptoms in caregivers of patients with dementia 1-year after the beginning of COVID-19 pandemic and to identify predictors of psychological outcomes. METHODS Eighty-five caregivers were involved in a longitudinal study with 1-year follow-up during pandemic in Italy. At baseline in April 2020 a telephone interview assessed socio-demographic characteristics of caregivers and self-perception of distress symptoms. After 1 year, between March and April 2021, the same standardized interview was delivered to the caregivers' sample. In addition, scales assessing levels of depression and anxiety (DASS-21), sleep disturbances (PSQI) and coping strategies (COPE-NVI) were administered to the caregivers and to 50 age and sex-matched non-caregivers subjects. Linear regression analysis was performed to investigate the power of baseline variables to predict long-term psychological outcomes. RESULTS After 1 year of pandemic frequency of caregivers' stress-related symptoms increased respect to baseline: depression (60 vs. 5, 9%; p < 0.001), anxiety (45, 9 vs. 29, 4%; p = 0.035), irritability (49, 4 vs. 24, 7%; p < 0.001), and anguish (31, 7 vs. 10, 6%; p < 0.001). Frequency of severe depression was higher in caregivers than in non-caregivers (p = 0.002) although mean levels of depression were comparable in the two groups. Long-term higher depression was predicted by a model built on baseline information (r2 = 0.53, p < 0.001) where being female (t = -3.61, p < 0.001), having lower education (t = -2.15, p = 0.04), presence of feelings of overwhelm (t = 2.29, p = 0.02) and isolation (t = 2.12, p = 0.04) were significant predictors. Female sex was also predictive of anxiety (t = -2.7, p = 0.01) and poor sleep quality (t = -2.17, p = 0.03). DISCUSSION At 1 year follow-up caregivers of patients with dementia reported higher prevalence of all stress-related symptoms respect to the acute phase of lockdown, particularly depression. Long-lasting stressful conditions may cause exhaustion of resilience factors and increased depression. Planning interventions should support caregivers to enable them to continue with their role during pandemic.
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Affiliation(s)
- Cinzia Bussè
- Department of Neuroscience (DNS), University of Padova, Padova, Italy
| | - Teresa Barnini
- Department of Neuroscience (DNS), University of Padova, Padova, Italy
| | - Milena Zucca
- Department of Neuroscience “Rita Levi Montalcini, ” Aging Brain and Memory Clinic, University of Torino, Torino, Italy
| | - Innocenzo Rainero
- Department of Neuroscience “Rita Levi Montalcini, ” Aging Brain and Memory Clinic, University of Torino, Torino, Italy
| | - Stefano Mozzetta
- Department of Neuroscience (DNS), University of Padova, Padova, Italy
| | | | - Annachiara Cagnin
- Department of Neuroscience (DNS), University of Padova, Padova, Italy
- Padova Neuroscience Center, University of Padova, Padova, Italy
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17
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Holzer KJ, Vaughn MG, Loux TM, Mancini MA, Fearn NE, Wallace CL. Prevalence and correlates of antisocial personality disorder in older adults. Aging Ment Health 2022; 26:169-178. [PMID: 33107330 DOI: 10.1080/13607863.2020.1839867] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVES There is a paucity of research on antisocial personality disorder (ASPD) in the geriatric population and the majority of knowledge on the disorder is drawn from young adult samples. Researchers posit that the prevalence of ASPD as well as other personality disorders (PDs) is underestimated among older adults. Using a nationally representative sample, the present study examines the prevalence and correlates of ASPD in adults ages 50 and older. METHODS We analyzed data from the National Epidemiologic Survey on Alcohol and Related Conditions Waves I and III. Multivariate logistic regression analyses were employed to investigate associations between ASPD and sociodemographic characteristics. A series of logistic regression analyses were also conducted to study associations between ASPD and medical conditions (liver and cardiovascular disease, arthritis, and stomach ulcer), major psychiatric disorders (lifetime major depressive disorder, mania, and generalized anxiety disorder), and substance use disorders (lifetime alcohol, marijuana, cocaine, heroin, and nicotine use disorders). RESULTS Findings indicated that the prevalence of ASPD increases through early adulthood, with a peak at 3.91% in younger adults and decline to 0.78% in adults ages ≥65. Older adults with ASPD are more likely to be diagnosed with a substance use disorder, major depression, mania, and generalized anxiety disorder as well as each medical condition. CONCLUSION Older adults with ASPD experience increased rates of medical and psychiatric comorbidities. These conditions exacerbate the existing challenges associated with diagnosing and treating this population and may have serious consequences for the patient, their caregivers and society.
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Affiliation(s)
- Katherine J Holzer
- Division of Clinical and Translational Research, Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.,School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA
| | - Michael G Vaughn
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA.,Graduate School of Social Welfare, Yonsei University, Seoul, Republic of Korea
| | - Travis M Loux
- Department of Epidemiology and Biostatistics, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA
| | - Michael A Mancini
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA
| | - Noelle E Fearn
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA
| | - Cara L Wallace
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA
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18
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McArthur ML, Learey TJ, Jarden A, Van Gelderen I, Hazel SJ, Cake MA, Mansfield CF, Zaki S, Matthew SM. Resilience of veterinarians at different career stages: The role of self-efficacy, coping strategies and personal resources for resilience in veterinary practice. Vet Rec 2021; 189:e771. [PMID: 34426964 DOI: 10.1002/vetr.771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 05/23/2021] [Accepted: 05/30/2021] [Indexed: 11/07/2022]
Abstract
BACKGROUND The aim of this study was to determine the effect of demographic and psychological factors on resilience in new graduate-, mid- and late-career veterinarians working in Australia. METHOD An online cross-sectional survey of 800 veterinarians collected demographic and descriptive data in two stages from late 2015 to 2017, such as gender, average hours worked per week, type and region of practice and intention to leave veterinary medicine. Psychological factors were measured utilising the Brief Resilience Scale, the Veterinary Resilience Scale-Personal Resources, the Brief COPE and General Self-Efficacy measures. RESULTS Using a full-factorial univariate General Linear Model, no significant difference in general resilience was evident between the three career-stage groups (p > 0.05). However, higher self-efficacy, higher personal resources for resilience in veterinary practice, and lower problem-focused, higher emotion-focused and lower dysfunctional coping strategies were related to higher resilience. In the model for mid- and late-career veterinarians, a weak positive relationship existed between higher average hours worked per week and higher resilience, while intention to leave veterinary practice was also related to lower resilience in mid- and late-career veterinarians. CONCLUSION This study supports the value of personal resources, rather than career stage, gender or region of work, as influential in developing veterinarian resilience.
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Affiliation(s)
- Michelle L McArthur
- School of Animal and Veterinary Science, The University of Adelaide, Roseworthy, Australia
| | - Tobi J Learey
- School of Animal and Veterinary Science, The University of Adelaide, Roseworthy, Australia
| | - Aaron Jarden
- Centre for Positive Psychology, Melbourne Graduate School of Education, The University of Melbourne, Victoria, Australia
| | - Ingrid Van Gelderen
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, Camperdown, NSW, Australia
| | - Susan J Hazel
- School of Animal and Veterinary Science, The University of Adelaide, Roseworthy, Australia
| | - Martin A Cake
- School of Veterinary Medicine, Murdoch University, Perth, Western Australia, Australia
| | - Caroline F Mansfield
- School of Education, The University of Notre Dame Australia, Fremantle, Western Australia, Australia
| | - Sanaa Zaki
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, Camperdown, NSW, Australia
| | - Susan M Matthew
- College of Veterinary Medicine, Washington State University, Pullman, Washington, USA
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19
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Testa A, Fahmy C. Family member incarceration and coping strategies during the COVID-19 pandemic. HEALTH & JUSTICE 2021; 9:16. [PMID: 34244863 PMCID: PMC8270238 DOI: 10.1186/s40352-021-00142-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Accepted: 06/21/2021] [Indexed: 05/10/2023]
Abstract
BACKGROUND The disproportionately high rate of incarceration and COVID-19 cases during the summer of 2020 in the United States contributed to a set of circumstances that has produced considerable public health concerns as correctional facilities have emerged as significant COVID-19 hot spots. During the COVID-19 pandemic, having a family member incarcerated can be an especially stressful experience. This study assesses how concern about an incarcerated family member contracting COVID-19 impacts diverse coping strategies. RESULTS Data are from a survey of individuals who have a family member incarcerated in Texas (N = 365). Ordinary least squares regression is used to examine the association between concern about an incarcerated family member contracting COVID-19 and coping strategies. Findings demonstrate that higher levels of concern for an incarcerated person's wellbeing during the COVID-19 pandemic is associated with dysfunctional coping mechanisms, but not adaptive or functional coping strategies. CONCLUSIONS Results suggest appropriate systemic responses by correctional administrations and public health practices can help mitigate dysfunctional coping mechanisms by family members during infectious disease outbreaks in correctional facilities.
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Affiliation(s)
- Alexander Testa
- Department of Criminology & Criminal Justice, The University of Texas at San Antonio, 501 W. Cesar Chavez Blvd., San Antonio, TX, 78207, USA.
| | - Chantal Fahmy
- Department of Criminology & Criminal Justice, The University of Texas at San Antonio, 501 W. Cesar Chavez Blvd., San Antonio, TX, 78207, USA
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20
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Mental Health Outcomes Associated with COVID-19 Pandemic in a Group of Health Care Professionals. J Behav Health Serv Res 2021; 49:22-31. [PMID: 34097206 PMCID: PMC8183317 DOI: 10.1007/s11414-021-09761-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2021] [Indexed: 10/25/2022]
Abstract
Analysis of health care workers' stress levels during the COVID-19 virus pandemic, and whether there is a relationship between health care workers' stress levels and mental health in the context of coping with stress. One hundred and seventy professionally active health care workers took part in the study: doctors (n=41), nurses (n=114) and paramedics (n = 15). On average, study subjects were 37 years old and had 14 years of work experience. The following were used in this questionnaire-based study: General Health Questionnaire (GHQ-28), Perceived Stress Scale (PSS-10), Mini-COPE - Coping Inventory. The research group experienced high levels of stress. Nurses experienced the most acute stress. Increasing stress levels are accompanied by an intensification of psychopathological symptoms (insomnia and depression). Older individuals and those with more years worked at work experienced less psychopathological symptoms. Non-adaptive stress coping methods (e.g. use of psychoactive substances) resulted in deteriorating mental health within the research group. Habitual use of non-adaptive strategies may bring relief in the short term in the form of reduced negative consequences of stress transactions and facilitate mobilisation or just sufficient performance at work. However, in the longer term, it may lead to deteriorating health. The obtained data shows that positive reinterpretation, age and length of work track record constitute protective factors against deteriorating health.
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21
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Kim SW, Ha J, Lee JH, Yoon JH. Association between Job-Related Factors and Work-Related Anxiety, and Moderating Effect of Decision-Making Authority in Korean Wageworkers: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115755. [PMID: 34071991 PMCID: PMC8197820 DOI: 10.3390/ijerph18115755] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 05/19/2021] [Accepted: 05/26/2021] [Indexed: 11/16/2022]
Abstract
Among the factors causing workers' anxiety, job-related factors are important since they can be managed. Therefore, this study aimed to analyze the association between work-related anxiety and job-related factors among Korean wageworkers using data from the Fifth Korean Working Conditions Survey. Participants were 13,600 Korean wageworkers aged <65 years. We analyzed the association between job-related factors and work-related anxiety, and the moderating effect of decision-making authority. "Meeting precise quality standards," "Solving unforeseen problems on your own," "Complex tasks," "Learning new things," "Working at very high speed," and "Working to tight deadlines" were positively associated with work-related anxiety. "Monotonous tasks" was negatively associated with work-related anxiety. The odds ratio (OR) of "Complex tasks" was higher in the group that had insufficient decision-making authority (OR 3.92, 95% confidential interval (CI) 2.40-6.42) compared to that with sufficient decision-making authority (OR 2.74, 95% CI 1.61-4.67). The risk of work-related anxiety was higher when the workers experienced time pressure, carried out tasks with high mental and physical demands, and dealt with unpredictable situations. This association was more pronounced when decision-making authority was insufficient.
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Affiliation(s)
- Sang-Woo Kim
- Department of Occupational and Environmental Medicine, Soonchunhyang University Hospital, Seoul 04401, Korea;
| | - Junghee Ha
- Department of Psychiatry, Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul 03722, Korea;
| | - June-Hee Lee
- Department of Occupational and Environmental Medicine, Soonchunhyang University Hospital, Seoul 04401, Korea;
- Correspondence: (J.-H.L.); (J.-H.Y.); Tel.: +82-10-5383-8413 (J.-H.L.); +82-10-8773-2005 (J.-H.Y.)
| | - Jin-Ha Yoon
- The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Korea
- Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Korea
- Correspondence: (J.-H.L.); (J.-H.Y.); Tel.: +82-10-5383-8413 (J.-H.L.); +82-10-8773-2005 (J.-H.Y.)
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22
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Henry N, Kayser D, Egermann H. Music in Mood Regulation and Coping Orientations in Response to COVID-19 Lockdown Measures Within the United Kingdom. Front Psychol 2021; 12:647879. [PMID: 34093331 PMCID: PMC8170082 DOI: 10.3389/fpsyg.2021.647879] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Accepted: 04/22/2021] [Indexed: 11/25/2022] Open
Abstract
Music is a tool used in daily life in order to mitigate negative and enhance positive emotions. Listeners may orientate their engagement with music around its ability to facilitate particular emotional responses and to subsequently regulate mood. Existing scales have aimed to gauge both individual coping orientations in response to stress, as well as individual use of music for the purposes of mood regulation. This study utilised pre-validated scales through an online survey (N = 233) in order to measure whether music's use in mood regulation is influenced by coping orientations and/or demographic variables in response to the lockdown measures imposed in the United Kingdom, as a consequence of the COVID-19 pandemic. Whilst factor analyses show that the existing theoretical structure of the COPE model has indicated a poor fit for clustered coping orientations, a subsequent five-factor structure was determined for coping orientations in response to lockdown. Analyses include observations that positive reframing and active coping (Positive Outlook) were strong predictors of music use in mood regulation amongst listener's coping strategies, as was Substance Use. Higher Age indicated having a negative effect on music's use in mood regulation, whilst factors such as gender were not seen to be significant in relation to the use of music in mood regulation within this context. These results provide insight into how individuals have engaged with music orientated coping strategies in response to a unique stressor.
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Affiliation(s)
| | | | - Hauke Egermann
- York Music Psychology Group, Department of Music, University of York, York, United Kingdom
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23
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Stone LE, Segal DL, Krus GC. Relationships between pathological narcissism and maladaptive personality traits among older adults. Aging Ment Health 2021; 25:930-935. [PMID: 32067472 DOI: 10.1080/13607863.2020.1725802] [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: 10/25/2022]
Abstract
Objectives: The Pathological Narcissism Inventory (PNI) is a measure of narcissism, with two domains of Vulnerability and Grandiosity, that has limited evidence of validity among older adults. Subsequently, the objective of the present study was to examine relationships between the PNI and measures of diverse pathological personality features.Method: Participants consisted of 125 community-dwelling older adults (M age = 71.8 years) who completed the PNI, the Personality Inventory for DSM-5 (PID-5), and the Coolidge Axis II Inventory (CATI).Results: Total Narcissism, Vulnerability, and Grandiosity were significantly correlated with every PD scale, with the exception of Grandiosity with Schizotypal PD. Regression analyses revealed that Narcissistic and Avoidant PDs had the strongest relationships with the PNI. Total Narcissism was also significantly correlated with all five PID-5 domains, with regression indicating Negative Affect and Antagonism as the strongest predictors.Conclusions: Findings generally support the convergent validity of the PNI for use among older adults and suggest that pathological narcissism may be related to general personality pathology in later life.
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Affiliation(s)
- Lisa E Stone
- Department of Psychology, University of Colorado at Colorado Springs, Colorado Springs, CO, USA
| | - Daniel L Segal
- Department of Psychology, University of Colorado at Colorado Springs, Colorado Springs, CO, USA
| | - Gabrielle C Krus
- Department of Psychology, University of Colorado at Colorado Springs, Colorado Springs, CO, USA
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24
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Holzer KJ, Vaughn MG, Fearn NE, Loux TM, Mancini MA. Age bias in the criteria for antisocial personality disorder. J Psychiatr Res 2021; 137:444-451. [PMID: 33780758 DOI: 10.1016/j.jpsychires.2021.03.025] [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] [Received: 11/13/2020] [Revised: 03/09/2021] [Accepted: 03/11/2021] [Indexed: 10/21/2022]
Abstract
The prevalence of antisocial personality disorder (ASPD) decreases with age. As such, research regarding ASPD typically focuses on children and younger adults. The apparent age-specific prevalence of ASPD may be due, in part, to diagnostic criteria informed by research excluding older adults. The present study sought to better understand the manifestation of ASPD in older adults and investigate potential age bias in the diagnostic criteria. Item response theory methods were used to the diagnostic criteria for ASPD with data from the National Epidemiologic Survey on Alcohol and Related Conditions Wave III. The measurement of three ASPD criteria showed uniform differential item functioning (DIF), suggesting that older adults were less likely to endorse the item than younger adults despite having the same level of underlying personality disorder. The items with DIF are related to the following criteria for ASPD: Failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest (3 items with DIF); irritability and aggressiveness, as indicated by repeated physical fights or assaults (1 item with DIF); and consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations (1 item with DIF). Results of the present study can be used to inform the development of criteria that better capture the age-specific experience of this disorder. Improved criteria will result in increased diagnostic accuracy, systematic estimation of the prevalence, improved assessments, and more effective treatment options for this complex population.
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Affiliation(s)
- Katherine J Holzer
- Division of Clinical and Translational Research, Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, 63110, United States; School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri, 63103, United States.
| | - Michael G Vaughn
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri, 63103, United States; Graduate School of Social Welfare, Yonsei University, Seoul, Republic of Korea
| | - Noelle E Fearn
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri, 63103, United States
| | - Travis M Loux
- Department of Epidemiology and Biostatistics, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri, 63104, United States
| | - Michael A Mancini
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri, 63103, United States
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25
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Trabelsi K, Ammar A, Masmoudi L, Boukhris O, Chtourou H, Bouaziz B, Brach M, Bentlage E, How D, Ahmed M, Mueller P, Mueller N, Hsouna H, Elghoul Y, Romdhani M, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna-Dos-Santos LJ, Taheri M, Irandoust K, Bragazzi NL, Strahler J, Washif JA, Andreeva A, Bailey SJ, Acton J, Mitchell E, Bott NT, Gargouri F, Chaari L, Batatia H, Khoshnami SC, Samara E, Zisi V, Sankar P, Ahmed WN, Ali GM, Abdelkarim O, Jarraya M, Abed KE, Moalla W, Souissi N, Aloui A, Souissi N, Gemert-Pijnen LV, Riemann BL, Riemann L, Delhey J, Gómez-Raja J, Epstein M, Sanderman R, Schulz S, Jerg A, Al-Horani R, Mansi T, Dergaa I, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Pišot S, Gaggioli A, Steinacker J, Zmijewski P, Apfelbacher C, Glenn JM, Khacharem A, Clark CC, Saad HB, Chamari K, Driss T, Hoekelmann A. Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown: ECLB COVID-19 International Online Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:4329. [PMID: 33921852 PMCID: PMC8073845 DOI: 10.3390/ijerph18084329] [Citation(s) in RCA: 84] [Impact Index Per Article: 28.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 04/15/2021] [Accepted: 04/16/2021] [Indexed: 12/18/2022]
Abstract
BACKGROUND The COVID-19 lockdown could engender disruption to lifestyle behaviors, thus impairing mental wellbeing in the general population. This study investigated whether sociodemographic variables, changes in physical activity, and sleep quality from pre- to during lockdown were predictors of change in mental wellbeing in quarantined older adults. METHODS A 12-week international online survey was launched in 14 languages on 6 April 2020. Forty-one research institutions from Europe, Western-Asia, North-Africa, and the Americas, promoted the survey. The survey was presented in a differential format with questions related to responses "pre" and "during" the lockdown period. Participants responded to the Short Warwick-Edinburgh Mental Wellbeing Scale, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and the short form of the International Physical Activity Questionnaire. RESULTS Replies from older adults (aged >55 years, n = 517), mainly from Europe (50.1%), Western-Asia (6.8%), America (30%), and North-Africa (9.3%) were analyzed. The COVID-19 lockdown led to significantly decreased mental wellbeing, sleep quality, and total physical activity energy expenditure levels (all p < 0.001). Regression analysis showed that the change in total PSQI score and total physical activity energy expenditure (F(2, 514) = 66.41 p < 0.001) were significant predictors of the decrease in mental wellbeing from pre- to during lockdown (p < 0.001, R2: 0.20). CONCLUSION COVID-19 lockdown deleteriously affected physical activity and sleep patterns. Furthermore, change in the total PSQI score and total physical activity energy expenditure were significant predictors for the decrease in mental wellbeing.
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Affiliation(s)
- Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Achraf Ammar
- Institute of Sport Science, Otto-Von-Guericke University, 39106 Magdeburg, Germany;
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Bassem Bouaziz
- Multimedia InfoRmation Systems and Advanced Computing Laboratory (MIRACL), Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Patrick Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Department of Neurology, Medical Faculty, Otto-Von-Guericke University, 39120 Magdeburg, Germany
| | - Notger Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Department of Neurology, Medical Faculty, Otto-Von-Guericke University, 39120 Magdeburg, Germany
| | - Hsen Hsouna
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Yousri Elghoul
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Mohamed Romdhani
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Omar Hammouda
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Laisa Liane Paineiras-Domingos
- Programa de Pós-graduação em Ciências Médicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20550-170, Brazil;
- Departamento de Fisioterapia, Faculdade Bezerra de Araújo, Rio de Janeiro 23052-180, Brazil
| | - Annemarie Braakman-Jansen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Sofia Bastoni
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy
| | - Carlos Soares Pernambuco
- Laboratório de Fisiologia do Exercício, Estácio de Sá University, Rio de Janeiro 20261-063, Brasil;
| | | | - Morteza Taheri
- Faculty of Social Science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Khadijeh Irandoust
- Faculty of Social Science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Nicola L. Bragazzi
- Department of Health Sciences, Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy;
- Laboratory for Industrial and Applied Mathematics, Department of Mathematics and Statistics, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
| | - Jana Strahler
- Department of Psychology and Sport Science, University of Gießen, 35394 Gießen, Germany;
| | - Jad Adrian Washif
- Sports Performance Division, National Sports Institute of Malaysia, Kuala Lumpur 57000, Malaysia;
| | - Albina Andreeva
- Department of Sports Biomechanics, Moscow Center of Advanced Sport Technologies, 129272 Moscow, Russia;
| | - Stephen J. Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK; (S.J.B.); (J.A.); (E.M.)
| | - Jarred Acton
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK; (S.J.B.); (J.A.); (E.M.)
| | - Emma Mitchell
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK; (S.J.B.); (J.A.); (E.M.)
| | - Nicholas T. Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA;
| | - Faiez Gargouri
- Multimedia InfoRmation Systems and Advanced Computing Laboratory (MIRACL), Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Lotfi Chaari
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122 Toulouse, France; (L.C.); (H.B.)
| | - Hadj Batatia
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122 Toulouse, France; (L.C.); (H.B.)
| | | | | | - Vasiliki Zisi
- Department of Physical Education and Sports Sciences, University of Thessaly, 421 00 Trikala, Greece;
| | - Parasanth Sankar
- Consultant in Internal Medicine and Diabetes, MGM Muthoot Hospitals Pathanamthitta, Kerala 689645, India;
| | - Waseem N. Ahmed
- Consultant Family Physician, CRAFT Hospital and Research Centre, Kodungallur, Kerala 680664, India;
| | - Gamal Mohamed Ali
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
| | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, 76131 Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
| | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
| | - Nafaa Souissi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
| | - Asma Aloui
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Nizar Souissi
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Lisette Van Gemert-Pijnen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Bryan L. Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA 30458, USA;
| | | | - Jan Delhey
- Institute of Social Science, Otto-Von-Guericke University, 39106 Magdeburg, Germany;
| | - Jonathan Gómez-Raja
- FundeSalud, Department of Health and Social Services, Government of Extremadura, 06800 Merida, Spain;
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands;
| | - Sebastian Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid 21163, Jordan;
| | - Taysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman 11942, Jordan;
| | - Ismail Dergaa
- PHCC, Primary Health Care Corporation, Doha 3050, Qatar;
| | - Mohamed Jmail
- Digital Research Centre of Sfax, Sfax 3000, Tunisia;
| | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.B.); (F.F.-S.)
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.B.); (F.F.-S.)
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Andrea Gaggioli
- Department of Psychology, Catholic University of the Sacred Heart I UNICATT, 20123 Milano, Italy;
| | - Jürgen Steinacker
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Piotr Zmijewski
- Faculty of Physical Education, Jozef Pilsudski University of Physical Education in Warsaw, 00-809 Warsaw, Poland;
| | - Christian Apfelbacher
- Institute for Social Medicine and Health Economy, Otto-Von-Guericke University, 39106 Magdeburg, Germany;
| | - Jordan M. Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR 72701, USA;
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes, LIRTES-EA 7313, Université Paris Est Créteil Val de Marne, 94000 Creteil, France;
| | - Cain C.T. Clark
- Centre for Intelligent Healthcare, Coventry University, Coventry CV1 5FB, UK;
| | - Helmi Ben Saad
- Hôpital Farhat HACHED de Sousse, Laboratoire de Recherche “Insuffisance Cardiaque”, Université de Sousse, Sousse LR12SP09, Tunisie;
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha 29222, Qatar;
- Laboratory “Sport Performance Optimization”, (CNMSS), ISSEP Ksar-Said, Manouba University, Manouba 2010, Tunisia
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-Von-Guericke University, 39106 Magdeburg, Germany;
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Del Piccolo L, Donisi V, Raffaelli R, Garzon S, Perlini C, Rimondini M, Uccella S, Cromi A, Ghezzi F, Ginami M, Sartori E, Ciccarone F, Scambia G, Franchi M. The Psychological Impact of COVID-19 on Healthcare Providers in Obstetrics: A Cross-Sectional Survey Study. Front Psychol 2021; 12:632999. [PMID: 33897540 PMCID: PMC8062879 DOI: 10.3389/fpsyg.2021.632999] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 03/03/2021] [Indexed: 11/25/2022] Open
Abstract
Objective: To assess the psychological distress of healthcare providers (HCPs) working in the field of obstetrics during the coronavirus disease 2019 (COVID-19) pandemic and to identify factors associated with psychological distress at the individual, interpersonal, and organizational level. Design: Cross-sectional survey study. Setting: Four University hospitals in Italy. Participants: HCPs working in obstetrics, including gynecologists, residents in gynecology and obstetrics, and midwives. Methods: The 104-item survey Impatto PSIcologico COVID-19 in Ostetricia (IPSICO) was created by a multidisciplinary expert panel and administered to HCPs in obstetrics in May 2020 via a web-based platform. Main Outcome Measures: Psychological distress assessed by the General Health Questionnaire-12 (GHQ-12) included in the IPSICO survey. Results: The response rate to the IPSICO survey was 88.2% (503/570), and that for GHQ-12 was 84.4% (481/570). Just over half (51.1%; 246/481) of the GHQ-12 respondents reported a clinically significant level of psychological distress (GHQ-12 ≥3). Psychological distress was associated with either individual (i.e., female gender, stressful experience related to COVID-19, exhaustion, and the use of dysfunctional coping strategies), interpersonal (i.e., lower family support, limitations in interactions with colleagues), and organizational (i.e., reduced perception of protection by personal protective equipment, perceived delays on updates and gaps in information on the pandemic) factors in dealing with the pandemic. Conclusions: Results confirm the need for monitoring and assessing the psychological distress for HCPs in obstetrics. Interventions at the individual, interpersonal, and organizational level may relieve the psychological distress during the COVID-19 pandemic and foster resilience skills in facing emotional distress.
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Affiliation(s)
- Lidia Del Piccolo
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Valeria Donisi
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Ricciarda Raffaelli
- Department of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy
| | - Simone Garzon
- Department of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy
| | - Cinzia Perlini
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Michela Rimondini
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Stefano Uccella
- Department of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy
| | - Antonella Cromi
- Department of Obstetrics and Gynecology, "Filippo Del Ponte" Hospital, University of Insubria, Varese, Italy
| | - Fabio Ghezzi
- Department of Obstetrics and Gynecology, "Filippo Del Ponte" Hospital, University of Insubria, Varese, Italy
| | - Maddalena Ginami
- Department of Obstetrics and Gynecology, University of Brescia, Brescia, Italy
| | - Enrico Sartori
- Department of Obstetrics and Gynecology, University of Brescia, Brescia, Italy
| | - Francesca Ciccarone
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy
| | - Giovanni Scambia
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy
| | - Massimo Franchi
- Department of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy
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27
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Moitra E, Park HS, Gaudiano BA. Development and Initial Testing of an mHealth Transitions of Care Intervention for Adults with Schizophrenia-Spectrum Disorders Immediately Following a Psychiatric Hospitalization. Psychiatr Q 2021; 92:259-272. [PMID: 32613525 PMCID: PMC7775867 DOI: 10.1007/s11126-020-09792-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
An important period in the care of patients with schizophrenia-spectrum disorders is when they transition from inpatient to outpatient services and are at increased risk for relapse and rehospitalization. Thus, we developed and examined the initial feasibility, acceptability, and clinical effects of an mHealth transitions of care intervention (Mobile After-Care Support; MACS) in an open trial. Ten adults with schizophrenia-spectrum disorders were recruited during their index psychiatric hospitalization and enrolled prior to discharge. Measures of feasibility, acceptability, and MACS targets were administered at baseline and a 1-month follow-up. Drawing on skills from Cognitive Behavioral Therapy for Psychosis (CBTp), MACS delivered brief assessments of clinically relevant variables, followed by just-in-time interventions for patients starting immediately post-discharge. Individuals completed about one session per day on average as expected. Overall, measures of MACS usability and satisfaction were positive. T-test analyses showed that dysfunctional coping strategies significantly decreased from baseline to 1-month follow-up. Results also revealed statistically significant reductions in psychiatric symptoms over 1-month follow-up. This study demonstrates the feasibility and acceptability of MACS, a new app-based intervention targeting transitions of care for patients with psychosis. The field is turning to the use of mobile technology as a means of augmenting service delivery and providing real-time assessment and intervention for patients at risk. MACS is a promising adjunctive intervention that warrants further testing in a randomized controlled trial.
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Affiliation(s)
- Ethan Moitra
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, 02912, USA.
| | - Hyun Seon Park
- Psychosocial Research Program, Butler Hospital, Providence, RI, 02906, USA
| | - Brandon A Gaudiano
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, 02912, USA
- Psychosocial Research Program, Butler Hospital, Providence, RI, 02906, USA
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, 02912, USA
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28
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Coping, Resilience, and Perceived Stress in Individuals with Internet Gaming Disorder in Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041771. [PMID: 33670343 PMCID: PMC7917620 DOI: 10.3390/ijerph18041771] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 01/31/2021] [Accepted: 02/06/2021] [Indexed: 12/15/2022]
Abstract
Aim: Gaming escapism is an essential factor for developing internet gaming disorder (IGD). We evaluated coping strategies, resilience, stress, and depression in individuals with IGD. Methods: We included 69 participants with IGD and 138 controls (69 regular gamers and other non-gamers) in Taiwan. The self-reported coping strategies, coping stress with gaming, resilience, perceived stress, and depression were assessed. Results: Participants with IGD had higher dysfunctional coping, coping stress by gaming, perceived stress, and depression, as well as lower problem-focused coping and resilience. Regression analysis revealed that coping by gaming was associated with dysfunctional coping mechanisms, particularly venting and self-distraction. Compared with participants with adequate resilience, those with lower resilience had higher perceived stress, depression, and coping by gaming, and lower problem-focused and emotion-focused coping. Dysfunctional coping and coping by gaming were associated with perceived stress and depression in both IGD and control groups. Problem-focused coping was negatively associated with perceived stress and depression in controls. Conclusion: Individuals with IGD had higher perceived stress and depression, as they were more likely to cope with stress by dysfunctional coping and gaming and less likely to try problem-focused coping, particularly those with lower resilience. Interventions for IGD should promote problem-focused coping, such as active coping and planning strategies, particularly among those with lower resilience.
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29
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Caga J, Zoing MC, Foxe D, Ramsey E, D'Mello M, Mioshi E, Ahmed RM, Kiernan MC, Piguet O. Problem-focused coping underlying lower caregiver burden in ALS-FTD: implications for caregiver intervention. Amyotroph Lateral Scler Frontotemporal Degener 2021; 22:434-441. [PMID: 33438449 DOI: 10.1080/21678421.2020.1867180] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Objective: Amyotrophic lateral sclerosis (ALS) is a multisystem neurodegenerative disorder which includes cognitive and behavioral symptoms akin to frontotemporal dementia (FTD). Despite the necessity of caregiver intervention to assist with the management of cognitive and behavioral symptoms, there has been a lack of research on the topic. A focus on caregiver coping may offer a promising foundation to guide the development of interventions as part of ALS care. Accordingly, the aim of the present study was to examine the relationships between caregiver coping, psychological morbidity and burden of care in the context of ALS cognitive and behavioral symptoms. Methods: Fifty-five patient-caregiver dyads were recruited from specialized ALS and FTD clinics. Specific coping strategies were examined using the COPE Inventory/Brief COPE and psychological morbidity and burden were assessed using the Depression, Anxiety, and Stress Scale-21 and Zarit Burden Interview. The relationship between coping, psychological morbidity and burden of care were analyzed using univariate and multivariate methods. Results: High-burden caregivers were more likely to be caring for patients with a diagnosis of ALS-FTD (p =.0001). Caregivers used problem-focused strategies (particularly planning) more frequently (M = 71.4, SD = 15.3) compared to emotion-focused (M = 60.8, SD = 12.3) and dysfunctional coping strategies (M = 42.2, SD = 8.6). A diagnosis of ALS-FTD (p=.0001) and problem-focused strategies (p=.024) emerged as significant predictors of caregiver burden. Caregiver anxiety, depression and stress were not predictive of caregiver burden (p=.151). Conclusions: Timely provision of caregiver support optimizing problem-focused coping strategies as part of multidisciplinary ALS care, particularly for caregivers of ALS-FTD patients may mitigate caregiver burden.
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Affiliation(s)
- Jashelle Caga
- Brain & Mind Centre, The University of Sydney, Camperdown, Australia.,Sydney Medical School, The University of Sydney, Camperdown, Australia
| | - Margaret C Zoing
- Brain & Mind Centre, The University of Sydney, Camperdown, Australia
| | - David Foxe
- Brain & Mind Centre, The University of Sydney, Camperdown, Australia.,School of Psychology, The University of Sydney, Camperdown, Australia, and
| | - Eleanor Ramsey
- Brain & Mind Centre, The University of Sydney, Camperdown, Australia
| | - Mirelle D'Mello
- Brain & Mind Centre, The University of Sydney, Camperdown, Australia.,School of Psychology, The University of Sydney, Camperdown, Australia, and
| | - Eneida Mioshi
- School of Health Sciences, The University of East Anglia, Norwich, UK
| | - Rebekah M Ahmed
- Brain & Mind Centre, The University of Sydney, Camperdown, Australia.,Sydney Medical School, The University of Sydney, Camperdown, Australia
| | - Matthew C Kiernan
- Brain & Mind Centre, The University of Sydney, Camperdown, Australia.,Sydney Medical School, The University of Sydney, Camperdown, Australia
| | - Olivier Piguet
- Brain & Mind Centre, The University of Sydney, Camperdown, Australia.,School of Psychology, The University of Sydney, Camperdown, Australia, and
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30
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Depression, risk factors, and coping strategies in the context of social dislocations resulting from the second wave of COVID-19 in Japan. BMC Psychiatry 2021; 21:33. [PMID: 33435930 PMCID: PMC7802816 DOI: 10.1186/s12888-021-03047-y] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Accepted: 01/01/2021] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Social dislocations resulting from coronavirus disease 2019 (COVID-19) pandemic have been prolonged, which has led to general population social suppression. The present study aimed to reveal risk factors associated with mental health problems and suggest concrete coping strategies in the context of COVID-19. METHODS A web-based survey was conducted in July when Japan was experiencing a second wave of COVID-19. Demographics, Patient Health Questionnaire-9 (PHQ-9), state anger, anger control, and the Brief Coping Orientation to Problems Experienced were measured. Multivariate logistic regression analysis on PHQ-9 scores by set variables was conducted. RESULTS The participants were 2708 individuals, and 18.35% of them were depressed. Logistic regression analysis showed that in the order of odds ratios (ORs), underlying disease (OR = 1.96, 95% confidence interval (CI) = 1.32-2.92), not working (OR = 1.85, CI = 1.22-2.80), negative economic impact (OR = 1.33, CI = 1.01-1.77), state anger (OR = 1.17, CI = 1.14-1.21), anger control (OR = 1.08, CI = 1.04-1.13), age (OR = 0.97, CI = 0.96-0.98), high income (OR = 0.45, CI = 0.25-0.80), and being married (OR = 0.53, CI = 0.38-0.74) were predictors of depressive symptoms. Regarding coping strategies, planning (OR = 0.84, CI = 0.74-0.94), use of instrumental support (OR = 0.85, CI = 0.76-0.95), denial (OR = 0.88, CI = 0.77-0.99), behavioural disengagement (OR = 1.28, CI = 1.13-1.44), and self-blame (OR = 1.47, CI = 1.31-1.65) were associated with probable depression. CONCLUSIONS During prolonged psychological distress caused by COVID-19 pandemic, the prevalence of depressive symptoms in Japan was two to nine times as high as before the COVID-19 pandemic, even though Japan was not a lockdown country. Although some coping strategies were useful for maintaining mental health, such as developing ways, alone or with others, to address or avoid social dislocations, the influence of demographics was more powerful than these coping strategies, and medical treatments are needed for high-risk individuals.
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Li WW, Miller DJ. The impact of coping and resilience on anxiety among older Australians. AUSTRALIAN JOURNAL OF PSYCHOLOGY 2020. [DOI: 10.1111/ajpy.12152] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Wendy Wen Li
- Department of Psychology, James Cook University, Townsville, Queensland, Australia,
| | - Daniel J. Miller
- Department of Psychology, James Cook University, Townsville, Queensland, Australia,
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Campos RP, Vázquez I, Vilhena E. Clinical, psychological and quality of life differences in fibromyalgia patients from secondary and tertiary healthcare. Eur J Pain 2020; 25:558-572. [PMID: 33170991 DOI: 10.1002/ejp.1694] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND The 'funnel effect' of Fibromyalgia (FM) assumes that as patients access healthcare services, they present greater severity and a more complex clinical situation than individuals with FM from the general population, but the studies comparing patients treated in different levels of healthcare are scarce. The aim of this study was to analyse the 'funnel effect' hypothesis by comparing patients from secondary and tertiary healthcare services. METHODS A cross-sectional sample of female patients was selected in secondary (rheumatology practices - RP) and in tertiary healthcare (chronic pain clinics - CPC). Information about sociodemographic, clinical and psychological characteristics was collected and health related quality of life (HRQL) was assessed. RESULTS In total, 55 patients from RP and 60 patients from CPC were included in the comparison. Patients from CPC revealed a worst clinical status (higher number of tender points, medical visits and comorbidity), more somatic symptoms (pain and daytime dysfunction levels) and worst emotional status (more anxiety) than patients from RP. Patients attending CPC also revealed a worst HRQL than RP patients although this difference was mediated by the differences in clinical and psychological variables. CONCLUSIONS Our study supports the 'funnel effect' hypothesis among patients of different healthcare levels, with patients from tertiary healthcare services revealing worst clinical status, more somatic and psychological symptoms, and worst HRQL than patients from secondary healthcare services. SIGNIFICANCE The worst clinical and psychological status and poorer quality of life in the patients from tertiary healthcare (chronic pain clinics) in relation to the patients from secondary healthcare (rheumatology practices) must be taken into account to design studies that assess any of these aspects, to a proper analysis and interpretation of the data, and to define the scope of its generalization, as data from different clinical settings are not directly comparable.
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Affiliation(s)
| | - Isabel Vázquez
- Department of Clinical Psychology and Psychobiology, Faculty Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Estela Vilhena
- 2Ai - Polytechnic Institute of Cávado and Ave (IPCA), Vila Frescainha (São Martinho), Portugal
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Bangash A. Personality disorders in later life: epidemiology, presentation and management. BJPSYCH ADVANCES 2020. [DOI: 10.1192/bja.2020.16] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARYDespite the enormous amount of literature on medical care of older people, personality disorders in late life have been given little attention. Clinicians tend not to assign this diagnosis to older adults in view of limited research into, and therefore limited awareness of, this topic. This article aims to promote better understanding of this subject in view of the growing population of older people and hence an expected increase in the number of personality disorder cases.
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Gysin-Maillart A, Soravia L, Schwab S. Attempted suicide short intervention program influences coping among patients with a history of attempted suicide. J Affect Disord 2020; 264:393-399. [PMID: 31759660 DOI: 10.1016/j.jad.2019.11.059] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Revised: 09/23/2019] [Accepted: 11/10/2019] [Indexed: 11/19/2022]
Abstract
BACKGROUND The development of individual coping strategies for suicidal crises is essential for suicide prevention. However, the influence of a brief intervention and the effect on coping strategies is largely unknown. This study aimed to investigate the influence of the Attempted Suicide Short Intervention Program on the development of coping strategies, in comparison to a control group. METHOD In this secondary analysis of a 24-month follow-up randomised controlled study, 120 patients (55% female; mean age of 36) with a history of suicide attempts were randomly allocated to either the ASSIP group or to a control group, in addition to treatment as usual. RESULTS The present study identified 11% less dysfunctional coping in the ASSIP group and 6% more problem-focussed coping compared to the control group after 24-months. The analysis of broader strategies showed a statistically significant group difference regarding self-distraction (after 12-months) and self-blame (after 24-months). In regard to the long-term association between coping strategies and suicidal ideation, active coping and substance use were negatively associated with suicidal ideation in the ASSIP group. Whereas, in the control group, behavioural disengagement and positive reframing were positively and self-distraction was negatively related to suicidal ideation. LIMITATION The receipt of a clinical interview and suicide risk assessment in the control group could have potentially had an effect on participants' coping mechanisms. CONCLUSION These results indicate that ASSIP may have an impact on the development of problem-focussed coping strategies. Although a reduction in dysfunctional coping seems to be essential in overcoming suicidal crises.
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Affiliation(s)
- Anja Gysin-Maillart
- Translational Research Centre, University Hospital of Psychiatry, University of Bern, Switzerland; University of Leipzig, Department of Medical Psychologie and Medical Sociology, Germany.
| | - Leila Soravia
- Translational Research Centre, University Hospital of Psychiatry, University of Bern, Switzerland
| | - Simon Schwab
- Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, Nuffield Department of Population Health, University of Oxford, United Kingdom
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Viana Machado A, Volchan E, Figueira I, Aguiar C, Xavier M, Souza GGL, Sobral AP, de Oliveira L, Mocaiber I. Association between habitual use of coping strategies and posttraumatic stress symptoms in a non-clinical sample of college students: A Bayesian approach. PLoS One 2020; 15:e0228661. [PMID: 32027699 PMCID: PMC7004336 DOI: 10.1371/journal.pone.0228661] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Accepted: 01/21/2020] [Indexed: 11/28/2022] Open
Abstract
The present study investigated the influences of coping styles on posttraumatic stress symptoms (PTSS) among a sample of non-clinical college students who were exposed to traumatic events. Ninety-nine college students participated in the study. However, the sample used in the analyses consisted of only 37 participants who fulfilled the DSM-IV criterion A for Posttraumatic Stress Disorder (PTSD) diagnosis. The PTSD Checklist-Civilian Version (PCL-C) and the Brief COPE were used to assess the participants' PTSS and habitual use of coping strategies, respectively. Bayesian and frequentist correlations showed that emotion-focused coping style was negatively associated with PTSS, while dysfunctional coping style was positively related to PTSS. In the subsequent linear regression on both statistical framework, dysfunctional coping was the only consistent variable predicting more PTSD symptoms. The findings presented here show that lower use of adaptive coping (emotion-focused) and higher use of dysfunctional coping styles on a daily basis are associated to PTSS severity in a non-clinical sample of college students. According to the Bayesian approach, which permits more generalization of data, dysfunctional coping style is determinant to higher levels of PTSS. These findings add new data to the body of research that highlight the critical role of distinct coping strategies in the severity of PTSS.
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Affiliation(s)
- Arthur Viana Machado
- Laboratory of Behavioral Neurophysiology, Physiology and Pharmacology Department, Biomedical Institute, Federal Fluminense University, Niterói, RJ, Brazil
- Laboratory of Cognitive Psychophysiology, Department of Natural Sciences, Institute of Humanities and Health, Federal Fluminense University, Rio das Ostras, RJ, Brazil
| | - Eliane Volchan
- Laboratory of Neurobiology II, Biophysics Institute, Federal University of Rio de Janeiro, RJ, Brazil
| | - Ivan Figueira
- Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Carolina Aguiar
- Laboratory of Cognitive Psychophysiology, Department of Natural Sciences, Institute of Humanities and Health, Federal Fluminense University, Rio das Ostras, RJ, Brazil
| | - Mariana Xavier
- Laboratory of Cognitive Psychophysiology, Department of Natural Sciences, Institute of Humanities and Health, Federal Fluminense University, Rio das Ostras, RJ, Brazil
| | - Gabriela G. L. Souza
- Laboratory of Psychophysiology, Department of Biological Sciences, Federal University of Ouro Preto, Ouro Preto, MG, Brazil
| | - Ana Paula Sobral
- Department of Engineering, Institute of Science and Technology, Federal Fluminense University, Rio das Ostras, RJ, Brazil
| | - Leticia de Oliveira
- Laboratory of Behavioral Neurophysiology, Physiology and Pharmacology Department, Biomedical Institute, Federal Fluminense University, Niterói, RJ, Brazil
| | - Izabela Mocaiber
- Laboratory of Cognitive Psychophysiology, Department of Natural Sciences, Institute of Humanities and Health, Federal Fluminense University, Rio das Ostras, RJ, Brazil
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Corey KL, McCurry MK, Sethares KA, Bourbonniere M, Hirschman KB, Meghani SH. Predictors of psychological distress and sleep quality in former family caregivers of people with dementia. Aging Ment Health 2020; 24:233-241. [PMID: 30588830 PMCID: PMC6663657 DOI: 10.1080/13607863.2018.1531375] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2018] [Revised: 08/01/2018] [Accepted: 09/29/2018] [Indexed: 10/27/2022]
Abstract
Objectives: The stress-related psychological symptoms experienced by informal family caregivers do not always improve or resolve after the death of the care recipient. The purpose of this study was to explore the independent associations of sociodemographic variables, personality and coping, environmental variables, and caregiver guilt with the sleep quality and psychological distress of former family caregivers of individuals with dementia following care recipient's death.Method: A cross-sectional, correlational study was conducted with a sample of 171 former family caregivers of people with dementia. Participants completed an online survey comprised of six instruments and demographic items. Caregiver personal variables (e.g. personality and coping), environmental variables, guilt, psychological distress (depressive and anxiety symptoms), and sleep quality were evaluated using psychometrically validated measures.Results: In bivariate analysis, post-caregiving guilt was significantly associated with depressive and anxiety symptoms (p < 0.01). After controlling for covariates, dysfunctional coping and neuroticism explained 32% of the variance in depressive symptoms (R2 = .52, ΔR2 = .32, F(5, 165) = 36.24, p < .001) and 24% of the variance in anxiety symptoms (R2 = .41, ΔR2 = .24, F(5, 165) = 22.65, p < .001), while dysfunctional coping, pre-loss depression, and extraversion accounted for 16% of the variance in sleep quality (R2 = .30, ΔR2 = .16, F(6, 164) = 11.44, p < .001).Conclusion: This study demonstrates the critical role of personal variables, including personality traits, coping strategies, and pre-loss depression, in explaining psychological distress and sleep quality in this sample of former dementia caregivers.
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Affiliation(s)
- Kristin L. Corey
- NewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States
| | - Mary K. McCurry
- Department of Adult Nursing, University of Massachusetts Dartmouth, Dartmouth, MA, United States
| | - Kristen A. Sethares
- Department of Adult Nursing, University of Massachusetts Dartmouth, Dartmouth, MA, United States
| | - Meg Bourbonniere
- College of Nursing, University of Rhode Island, Kingston, RI, United States
| | - Karen B. Hirschman
- NewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States
| | - Salimah H. Meghani
- NewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States
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Soravia LM, Schwab S, Walther S, Müller T. Rescuers at Risk: Posttraumatic Stress Symptoms Among Police Officers, Fire Fighters, Ambulance Personnel, and Emergency and Psychiatric Nurses. Front Psychiatry 2020; 11:602064. [PMID: 33542696 PMCID: PMC7851799 DOI: 10.3389/fpsyt.2020.602064] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 12/09/2020] [Indexed: 11/16/2022] Open
Abstract
Emergency personnel and rescue workers may be at a risk of posttraumatic stress symptoms (PTSS) due to exposure to trauma and work-related stressors. Though rescuers of different professions are often engaged in the same type of emergency, they have different tasks and responsibilities and receive different training in coping with traumatic events and stress; hence, we speculated that the salience of identified risk factors for PTSS vary across their respective professions. The present cross-sectional survey aimed to identify influencing variables on PTSS, well-being, and suicidal ideation that can act differently across professions of rescue workers and emergency personnel. In this anonymous online study, data from 1,002 rescue workers and emergency personnel in Switzerland, were collected: 499 police officers, 239 firefighters, 97 ambulance personnel, and 85 emergency and 82 psychiatric nurses. PTSS, coping strategies, well-being, suicidal ideation, previously experienced and work-related trauma, and self-efficacy were measured and analyzed using multiple regression and structural equation modeling (SEM). The prevalence of suspected posttraumatic stress disorder varied across the professions, ranged from 8% (firefighters) to 22% (psychiatric nurses), and was associated with psychological strain and suicidal ideation. The SEM showed that dysfunctional coping strategies, self-efficacy, previously experienced and work-related trauma, years on job, and female sex explained up to 78% of PTSS and that PTSS itself explained up to 68% of the psychological strain experienced in the different professions. Independent of the profession, dysfunctional coping such as alcohol use, avoidance, and distraction, as well as work-related trauma were the most robust predictors of PTSS. However, while self-efficacy was a risk factor for police officers, firefighters and ambulance personnel, it was a protective factor for emergency and psychiatric nurses. Furthermore, female sex was only a risk factor for ambulance personnel and emergency nurses. In agreement with prior research, emergency personnel and rescuers exhibited enhanced prevalence of PTSS and suspected PTSD, leading to significant psychological strain and suicidal ideation. However, risk factors varied across the professions. Thus, the development of profession-specific trainings to improve self-efficacy and coping with work-related stressors to reduce PTSS, and enhance quality of life, is needed for individuals in such high-risk professions. Clinical Trial Registration: ClinicalTrials.gov Nr. NCT03842553.
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Affiliation(s)
- Leila M Soravia
- Translational Research Center, University Hospital of Psychiatry, University of Bern, Bern, Switzerland
| | - Simon Schwab
- Center for Reproducible Science (CRS), University of Zurich, Zurich, Switzerland.,Epidemiology, Biostatistics and Prevention Institute (EPBI), University of Zurich, Zurich, Switzerland
| | - Sebastian Walther
- Translational Research Center, University Hospital of Psychiatry, University of Bern, Bern, Switzerland
| | - Thomas Müller
- Translational Research Center, University Hospital of Psychiatry, University of Bern, Bern, Switzerland.,Private Clinic Meiringen, Meiringen, Switzerland
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Ziarko M, Mojs E, Sikorska D, Samborski W. Coping and Life Satisfaction: Mediating Role of Ego-Resiliency in Patients with Rheumatoid Arthritis. Med Princ Pract 2020; 29:160-165. [PMID: 31557754 PMCID: PMC7098290 DOI: 10.1159/000503708] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Accepted: 09/26/2019] [Indexed: 01/07/2023] Open
Abstract
OBJECTIVE Ego-resiliency is attributed the status of a "meta resource" that is responsible for a flexible selection of coping strategies depending on the requirements of a specific difficult situation. A considerably burdensome critical life event is the development of a chronic illness such as rheumatoid arthritis (RA). Apart from coping with the symptoms, a fundamental task confronting patients is maintaining their quality of life. This raises the question of whether ego-resiliency serves as a mediator between coping strategies and quality of life. MATERIALS AND METHODS 210 RA patients were invited to participate in this study. They were requested to complete a questionnaire that included the Satisfaction with Life scale, the stress coping inventory Mini-COPE, and the Ego-Resiliency scale. The collected data were analyzed by a simple mediation procedure and estimation of simple correlation coefficients. RESULTS The analysis demonstrated that ego-resiliency (r = 0.46; p < 0.001) and emotion-focused coping (r = 0.39; p < 0.001) determined life satisfaction. Additionally, ego-resiliency mediated the relation between emotion-oriented coping strategies and life satisfaction. Partial mediation was observed (a = 0.45**; b = 0.36**; c = 0.39**; c' =0.22**; R2 = 0.24; F = 35.65; p < 0.001). CONCLUSION Our observations partly support the assumption about a controlling role of ego-resiliency in the process of selecting coping strategies according to demands of situations.
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Affiliation(s)
- Michał Ziarko
- Institute of Psychology, Adam Mickiewicz University in Poznan, Poznan, Poland
| | - Ewa Mojs
- Department of Clinical Psychology, Poznan, Poland
| | - Dorota Sikorska
- Department of Rheumatology and Rehabilitation, Poznan University of Medical Sciences, Poznan, Poland,
| | - Włodzimierz Samborski
- Department of Rheumatology and Rehabilitation, Poznan University of Medical Sciences, Poznan, Poland
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Parenteau SC, Hurd K, Wu H, Feck C. Attachment to God and Psychological Adjustment: God's Responses and Our Coping Strategies. JOURNAL OF RELIGION AND HEALTH 2019; 58:1286-1306. [PMID: 30701425 DOI: 10.1007/s10943-019-00765-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
An outgrowth of research has established an association between attachment to God dimensions and psychosocial indices. There has been a dearth of studies, however, examining variables that mediate these relationships. This study examined three categories of coping strategies (emotion-focused, problem-focused, and dysfunctional) as mediators in the relationship between attachment to God dimensions and psychological adjustment. This study employed a cross-sectional design to examine the association among attachment to God dimensions, coping strategies, and psychological adjustment among 315 undergraduate students at a midsize southeastern university. Participants completed a demographic questionnaire, the Attachment to God Inventory, the Brief COPE, the Center for Epidemiologic Studies Depression Scale, and the Positive and Negative Affect Schedule. Structural equation modeling was used to examine direct and indirect effects. Analyses revealed an indirect influence of secure God attachment on positive affect via emotion-focused coping, as well as an indirect influence of secure God attachment on all three mental health indices-positive and negative affect and depression-via dysfunctional coping. Analyses also revealed an indirect influence of avoidant God attachment on depression and both positive and negative affect via dysfunctional coping, as well as an indirect influence of ambivalent God attachment on depression and both positive and negative affect via dysfunctional coping. Although causality cannot be established, results suggest that attachment to God dimensions are associated with psychological adjustment through the use of specific coping strategies. Future research should employ longitudinal designs in order to identify temporal influences among attachment to God dimensions, coping styles, and psychological indices.
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Affiliation(s)
- Stacy C Parenteau
- Department of Psychology, Auburn University at Montgomery, 210I Goodwyn Hall, Montgomery, AL, 36124, USA.
| | - Katrina Hurd
- Department of Justice and Public Safety, Auburn University at Montgomery, Montgomery, AL, USA
| | - Haibo Wu
- Sun Yat-sen University, Lingnan (University) College, Guangzhou, People's Republic of China
| | - Cassie Feck
- Department of Psychology, Auburn University at Montgomery, 210I Goodwyn Hall, Montgomery, AL, 36124, USA
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McArthur ML, Matthew SM, Brand CPB, Andrews J, Fawcett A, Hazel S. Cross-sectional analysis of veterinary student coping strategies and stigma in seeking psychological help. Vet Rec 2019; 184:709. [PMID: 30878950 DOI: 10.1136/vr.105042] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Revised: 10/19/2018] [Accepted: 02/07/2019] [Indexed: 11/04/2022]
Abstract
Veterinary education can result in high levels of academic stressors for students. Students are also susceptible to non-academic stressors, including relationship issues and financial concerns. These can all result in mental ill health, which may impair the student's ability to complete their studies and go on to a successful professional career. Finding and using strategies early on to help alleviate mental health problems is critical to successful management of these problems, but seeking help may be impeded by the stigma associated with mental health problems. Using a cross-sectional online survey of a sample of Australian veterinary students, the aim of the current study was to investigate the type and frequency of their coping strategies as well as to explore relationships between self-stigma and coping strategies. Female veterinary students reported more use of instrumental and emotional support as coping strategies, while male veterinary students demonstrated more use of humour. Self-stigma was related to less instrumental support, greater self-blame and gender, while males who employed more humour as a coping strategy reported more self-stigma. Improving the coping strategies of veterinary students and reducing the self-stigma surrounding mental ill health is important to improve the wellbeing and resilience of the veterinary profession.
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Affiliation(s)
- Michelle L McArthur
- School of Animal and Veterinary Sciences, University of Adelaide, Roseworthy, South Australia, Australia
| | - Susan M Matthew
- College of Veterinary Medicine, Washington State University, Pullman, Washington, USA
| | - Conor P B Brand
- School of Animal and Veterinary Sciences, University of Adelaide, Roseworthy, South Australia, Australia
| | - Jena Andrews
- School of Animal and Veterinary Sciences, University of Adelaide, Roseworthy, South Australia, Australia
| | - Anne Fawcett
- Faculty of Science, Sydney School of Veterinary Science, The University of Sydney, Camperdown, New South Wales, Australia
| | - Susan Hazel
- School of Animal and Veterinary Sciences, University of Adelaide, Roseworthy, South Australia, Australia
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Lloyd J, Muers J, Patterson TG, Marczak M. Self-Compassion, Coping Strategies, and Caregiver Burden in Caregivers of People with Dementia. Clin Gerontol 2019; 42:47-59. [PMID: 29723129 DOI: 10.1080/07317115.2018.1461162] [Citation(s) in RCA: 66] [Impact Index Per Article: 13.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
OBJECTIVE Caring for someone with dementia can have negative consequences for caregivers, a phenomenon known as caregiver burden. Coping strategies influence the impact of caregiving-related stress. Specifically, using emotion-focused strategies has been associated with lower levels of burden, whereas dysfunctional strategies have been related to increased burden. The concept of self-compassion has been linked to both positive outcomes and the coping strategies that are most advantageous to caregivers. However, as yet, no research has studied self-compassion in caregivers. Therefore, the aim of this study was to explore the relationship between self-compassion, coping strategies and caregiver burden in dementia caregivers. METHOD Cross-sectional survey data was collected from 73 informal caregivers of people with dementia recruited from post-diagnostic support services and caregiver support groups. RESULTS Self-compassion was found to be negatively related to caregiver burden and dysfunctional coping strategies and positively related to emotion-focused coping strategies. Dysfunctional strategies mediated the relationship between self-compassion and caregiver burden, whereas emotion-focused strategies did not. CONCLUSION Caregivers with higher levels of self-compassion report lower levels of burden and this is at least partly due to the use of less dysfunctional coping strategies. CLINICAL IMPLICATIONS Interventions that develop self-compassion could represent a useful intervention for struggling caregivers.
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Affiliation(s)
- Joanna Lloyd
- a School of Psychological, Social and Behavioural Sciences , Coventry University , Coventry , UK.,b Faculty of Health and Life Sciences , Coventry University , Coventry , UK
| | - Jane Muers
- a School of Psychological, Social and Behavioural Sciences , Coventry University , Coventry , UK.,b Faculty of Health and Life Sciences , Coventry University , Coventry , UK
| | - Tom G Patterson
- a School of Psychological, Social and Behavioural Sciences , Coventry University , Coventry , UK.,b Faculty of Health and Life Sciences , Coventry University , Coventry , UK
| | - Magdalena Marczak
- a School of Psychological, Social and Behavioural Sciences , Coventry University , Coventry , UK.,b Faculty of Health and Life Sciences , Coventry University , Coventry , UK
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Relationship Between Types of Social Support, Coping Strategies, and Psychological Distress in Individuals Living With Congenital Heart Disease. J Cardiovasc Nurs 2019; 34:76-84. [DOI: 10.1097/jcn.0000000000000531] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Holmgren R, Nilsson Sundström E, Levinsson H, Ahlström R. Coping and financial strain as predictors of mental illness in over- indebted individuals in Sweden. Scand J Psychol 2018; 60:50-58. [PMID: 30585328 DOI: 10.1111/sjop.12511] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Accepted: 11/08/2018] [Indexed: 11/30/2022]
Abstract
This cross-sectional study examined psychological mechanisms in order to increase knowledge regarding mental illness amongst 561 over-indebted individuals in Sweden. Differences were explored between individuals with probable clinical depression and/or anxiety and individuals without probable clinical depression and/or anxiety, considering objective measures of the debt, financial strain, coping strategies as well as sociodemographic variables. Furthermore, binary logistic regression analyses were performed in order to construct a model of predictors of mental illness. In order to collect the data, Hospital Anxiety and Depression Scale (HADS), Brief Coping Orientation to Problems Experienced (COPE_, as well as questions formulated by the research team, were used as measures. Prominent results showed that over-indebted individuals with probable clinical depression and/or anxiety were younger, showed greater levels of financial strain, used adaptive coping strategies to a lesser extent, and maladaptive coping strategies to a greater extent. Additionally, financial strain, use of maladaptive and emotion-focused coping, age and employment status were significant predictors of mental illness. These results put emphasis on the importance of adaptive coping as well as the psychological exposure of over-indebted individuals.
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Strohmeier H, Scholte WF, Ager A. Factors associated with common mental health problems of humanitarian workers in South Sudan. PLoS One 2018; 13:e0205333. [PMID: 30379909 PMCID: PMC6209176 DOI: 10.1371/journal.pone.0205333] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2017] [Accepted: 09/24/2018] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND The latest data on major attacks against civilian aid operations have identified South Sudan as the most dangerous country for aid workers globally. Exposure to other traumatic events and chronic stress is also common in this population. No research exists on the mental health of humanitarian workers in South Sudan. OBJECTIVES This study examined symptom burden and predictors of posttraumatic stress disorder (PTSD), depression, anxiety, hazardous alcohol consumption, and burnout among humanitarian workers in South Sudan. METHOD We conducted a cross-sectional online survey with humanitarian workers (national and international staff, consultants, United Nations volunteers). We applied validated measures useful for this setting. We applied Least Absolute Shrinkage and Selection Operator (LASSO) regression to fit models with high prediction accuracy for each outcome and used ordinary least squares (OLS) regression to obtain final coefficients and perform inference. RESULTS A total of 277 humanitarian workers employed by 45 organizations completed the survey (a response rate in the order of 10%). We estimated prevalence of PTSD (24%), depression (39%), anxiety disorder (38%), hazardous alcohol consumption in men (35%) and women (36%), and the burnout components emotional exhaustion (24%) and depersonalization (19%). Chronic stress exposure was positively associated with PTSD (p < .001), depression (p < .001), anxiety (p < .001), emotional exhaustion (p < .01), and depersonalization (p < .001). We found no significant association between emotion focused and problem focused coping and mental health outcomes. Associations between dysfunctional coping and depression (p < .001) and anxiety (p < .01) were positive. Higher levels of spirituality were associated with lower risk of hazardous alcohol consumption (p < .001). Contrary to expectations, working directly with humanitarian aid beneficiaries was significantly associated with lower risk for emotional exhaustion (p < .01). CONCLUSION Our results suggest that humanitarian workers in South Sudan experience substantial levels of mental ill-health. This study points to the need for staff support strategies that effectively mitigate humanitarian workers' chronic stress exposure. The dynamics between coping and mental health among humanitarian workers require further study.
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Affiliation(s)
- Hannah Strohmeier
- Institute for Global Health and Development, Queen Margaret University, Edinburgh, Scotland
- Department of Anthropology, Yale University, New Haven, Connecticut, United States of America
| | - Willem F. Scholte
- Antares Foundation, Amsterdam, Netherlands
- Amsterdam UMC, Department of Psychiatry, University of Amsterdam, Amsterdam, Netherlands
| | - Alastair Ager
- Institute for Global Health and Development, Queen Margaret University, Edinburgh, Scotland
- Mailman School of Public Health, Columbia University, New York, New York, United States of America
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Heng JL, Fan E, Chan EY. Caregiving experiences, coping strategies and needs of foreign domestic workers caring for older people. J Clin Nurs 2018; 28:458-468. [DOI: 10.1111/jocn.14619] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Revised: 06/27/2018] [Accepted: 07/03/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Juit Lin Heng
- National University of Singapore; Singapore Singapore
| | - Emilia Fan
- Tan Tock Seng Hospital; Singapore Singapore
| | - Ee-Yuee Chan
- National University of Singapore; Singapore Singapore
- Tan Tock Seng Hospital; Singapore Singapore
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Wang AWT, Cheng CP, Chang CS, Chen DR, Chen ST, Shieh V, Lo A, Hsu WY. Does the Factor Structure of the Brief COPE Fit Different Types of Traumatic Events? EUROPEAN JOURNAL OF PSYCHOLOGICAL ASSESSMENT 2018. [DOI: 10.1027/1015-5759/a000321] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Abstract. The current study aims to explore the likelihood of there being a higher-order factorial model of the Brief COPE ( Carver, 1997 ) that is equally appropriate and valid for different traumatic groups (i.e., breast cancer patients and female flood survivors) at 3–4 months after the traumatic event. Both groups of participants include 180 survivors. Five factorial models for the Brief COPE were identified when reviewing the literature, and model comparisons were made by conducting confirmatory factor analyses (CFAs). The three dimensions of the Brief COPE posited by Litman (2006) and Gutiérrez, Peri, Torres, Caseras, and Valdés (2007) , namely self-sufficient coping, socially-supported coping, and avoidant coping, were supported in both traumatic populations. Tests of measurement invariance generally supported invariance (factor form, factor loadings, item intercepts, error variances, factor variances, and covariances) across groups, implying that groups perceive the latent factors in the same way and the higher-order coping across different traumatic groups is meaningful. Moreover, the relationship between the three higher-order coping factors and variables of psychological adjustment was examined. Generally, different relationships between the subtypes of coping and the outcomes of adaptation existed between female flood survivors and breast cancer patients. Further theoretical and practical implications for these relationships are discussed.
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Affiliation(s)
| | - Chung-Ping Cheng
- Department of Psychology, National Cheng Kung University, Tainan, Taiwan
| | - Cheng-Shyong Chang
- Division of Hematology-Oncology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan
| | - Dar-Ren Chen
- Comprehensive Breast Cancer Center, Changhua Christian Hospital, Changhua, Taiwan
| | - Shou-Tung Chen
- Comprehensive Breast Cancer Center, Changhua Christian Hospital, Changhua, Taiwan
| | - Vincent Shieh
- Graduate Institute of Gender Education, National Kaohsiung Normal University, Kaohsiung, Taiwan
| | - Angela Lo
- Department of Psychiatry, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Wen-Yau Hsu
- Department of Psychology, National Chengchi University, Taipei, Taiwan
- Research Center for Mind, Brain, and Learning, National Chengchi University, Taiwan
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Litzelman K, Kent E, Rowland JH. Interrelationships Between Health Behaviors and Coping Strategies Among Informal Caregivers of Cancer Survivors. HEALTH EDUCATION & BEHAVIOR 2018; 45:90-100. [PMID: 28443370 PMCID: PMC5623644 DOI: 10.1177/1090198117705164] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
BACKGROUND Recent research among cancer survivors suggests that health behaviors and coping are intertwined, with important implications for positive behavior change and health. Informal caregivers may have poor health behaviors, and caregivers' health behaviors have been linked to those of survivors. AIMS This hypothesis generating study assessed the correlations among health behaviors and coping strategies in a population of lung and colorectal cancer caregivers. METHOD This cross-sectional study used data from the Cancer Care Outcomes Research & Surveillance Consortium. Caregivers ( n = 1,482) reported their health behaviors, coping, and sociodemographic and caregiving characteristics. Descriptive statistics assessed the distribution of caregivers' health and coping behaviors, and multivariable linear regressions assessed the associations between health behaviors and coping styles. RESULTS Many informal caregivers reported regular exercise (47%) and adequate sleep (37%); few reported smoking (19%) or binge drinking (7%). Problem-focused coping was associated with greater physical activity and less adequate sleep (effect sizes [ESs] up to 0.21, p < .05). Those with some physical activity scored higher on emotion-focused coping, while binge drinkers scored lower (ES = 0.16 and 0.27, p < .05). Caregivers who reported moderate daily activity, current smoking, binge drinking, and feeling less well rested scored higher on dysfunctional coping (ES up to 0.49, p < .05). DISCUSSION Health behaviors and coping strategies were interrelated among informal cancer caregivers. The relationships suggest avenues for future research, including whether targeting both factors concurrently may be particularly efficacious at improving informal caregiver self-care. CONCLUSION Understanding the link between health behaviors and coping strategies may inform health behavior research and practice.
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Affiliation(s)
- Kristin Litzelman
- University of Wisconsin-Madison, Department of Human Development and Family Studies, 4115 Nancy Nicholas Hall, 1300 Linden Dr., Madison, WI 53706
- University of Wisconsin-Extension, Family Living Programs
| | - Erin Kent
- National Cancer Institute, BG 9609 MSC 9760, 9609 Medical Center Drive, Bethesda, MD 20892
| | - Julia H. Rowland
- National Cancer Institute, BG 9609 MSC 9760, 9609 Medical Center Drive, Bethesda, MD 20892
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Post-intensive care syndrome symptoms and health-related quality of life in family decision-makers of critically ill patients. Palliat Support Care 2017; 16:719-724. [DOI: 10.1017/s1478951517001043] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractObjectiveFamily members of critically ill patients can suffer symptoms of post-intensive care syndrome-family (PICS-F), including anxiety, depression, and posttraumatic stress disorder (PTSD) with a diminished quality of life. Our aim was to examine the relationship between coping strategies used by family decision-makers (FDMs) of critically ill patients and the severity of PICS-F symptoms and to examine the relationship between FDM PICS-F symptoms and health-related quality of life (HRQOL).MethodA single-center, prospective, longitudinal descriptive study was undertaken of FDMs of intensive care unit (ICU) patients admitted to a large tertiary care hospital. PICS-F symptoms and coping strategy use were measured upon ICU admission (T1), 30 days (T2) after ICU admission, and 60 days (T3) after ICU admission. HRQOL was measured by the Short Form-36 version 2 at T1 and T3.ResultsWe found a significant prevalence of anxiety (45.8%), depression (25%), and PTSD (11.1%) symptoms among FDMs over the course of the study. The patient mortality rate in our sample was 50%. The HRQOL mental summary score in FDMs was low at T1 and decreased to M = 41.72 (standard deviation = 12.47) by T3. Avoidant coping demonstrated moderate relationships with PTSD symptoms and anxiety at T3. A previous history of anxiety, depression, or PTSD was a significant predictor of PICS-F symptom severity and prevalence. PICS symptom severity at T3 explained 75% of the variance in HRQOL mental summary score.Significance of resultsThis study describes a significant prevalence of PICS-F symptoms in FDMs with a diminished mental HRQOL.
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Di Tella M, Tesio V, Ghiggia A, Romeo A, Colonna F, Fusaro E, Geminiani GC, Bruzzone M, Torta R, Castelli L. Coping strategies and perceived social support in fibromyalgia syndrome: Relationship with alexithymia. Scand J Psychol 2017; 59:167-176. [PMID: 29110306 DOI: 10.1111/sjop.12405] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Accepted: 10/04/2017] [Indexed: 02/03/2023]
Abstract
Fibromyalgia (FM) is a chronic pain syndrome characterized by high levels of psychological distress and alexithymia, a personality disposition affecting emotional self-awareness. The main aim of the present study was to investigate for the first time the relationship between alexithymia and coping strategies on the one hand, and alexithymia and perceived social support on the other, in a sample of FM patients. To reach this aim, 153 FM patients completed a battery of tests assessing coping strategies, perceived social support, alexithymia, psychological distress and pain intensity. Four regression analyses were performed to assess whether alexithymia was still a significant predictor of coping strategies and perceived social support, after controlling for psychological distress. High levels of both psychological distress and alexithymia were found in our sample of FM patients. Regarding coping strategies, FM patients reported higher scores on problem-focused coping, with respect to the other two coping strategies. The regression analyses showed that the externally-oriented thinking factor of alexithymia significantly explained both problem- and emotion-focused coping, while the difficulty-describing feelings factor of alexithymia proved to be a significant predictor of perceived social support. Only the variance of dysfunctional coping ceased to be uniquely explained by alexithymia (difficulty identifying feelings factor), after controlling for psychological distress, particularly anxiety. These results highlight a negative relationship between alexithymia and both the use of effective coping strategies and the levels of perceived social support in FM patients. An adequate assessment of both alexithymia and psychological distress should therefore be included in clinical practice with these patients.
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Affiliation(s)
| | | | - Ada Ghiggia
- Department of Psychology, University of Turin, Turin, Italy
| | | | - Fabrizio Colonna
- A.O.U. 'Città della Salute e della Scienza' Hospital, Turin, Italy
| | - Enrico Fusaro
- A.O.U. 'Città della Salute e della Scienza' Hospital, Turin, Italy
| | - Giuliano Carlo Geminiani
- Department of Psychology, University of Turin, Turin, Italy.,A.O.U. 'Città della Salute e della Scienza' Hospital, Turin, Italy
| | - Maria Bruzzone
- A.O.U. 'Città della Salute e della Scienza' Hospital, Turin, Italy
| | - Riccardo Torta
- A.O.U. 'Città della Salute e della Scienza' Hospital, Turin, Italy.,Department of Neuroscience, University of Turin, Turin, Italy
| | - Lorys Castelli
- Department of Psychology, University of Turin, Turin, Italy
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Bamonti P, Conti E, Cavanagh C, Gerolimatos L, Gregg J, Goulet C, Pifer M, Edelstein B. Coping, Cognitive Emotion Regulation, and Burnout in Long-Term Care Nursing Staff: A Preliminary Study. J Appl Gerontol 2017; 38:92-111. [PMID: 28671027 DOI: 10.1177/0733464817716970] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Direct care workers (e.g., certified nursing assistants [CNAs]) employed in long-term care (LTC) are particularly vulnerable to the experience of burnout, yet they have received relatively less research attention compared to Licensed Practical Nurses and Registered Nurses. Within the burnout literature, evidence suggests that the deployment of certain coping strategies influences levels of burnout. The current study examined the extent to which coping (e.g., problem-focused, emotion-focused, and dysfunctional coping) and cognitive emotion regulation strategies (e.g., positive reappraisal) predicted burnout after controlling for covariates (age, sleep duration). Fifty-six CNAs were surveyed at four skilled nursing facilities in the United States. Dysfunctional coping was significantly associated with emotional exhaustion and depersonalization. Among cognitive emotion regulation strategies, positive reappraisal was significantly associated with depersonalization. Shorter sleep duration was associated with significantly greater depersonalization. Findings suggest the need to develop interventions for CNAs aimed at reducing dysfunctional coping strategies and increasing sleep duration.
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