1
|
Min HJ, Park SH, Lee SH, Lee BH, Kang M, Kwon MJ, Chang MJ, Negi LT, Samphel T, Won S. Building Resilience and Social-Emotional Competencies in Elementary School Students through a Short-Term Intervention Program Based on the SEE Learning Curriculum. Behav Sci (Basel) 2024; 14:458. [PMID: 38920790 PMCID: PMC11200739 DOI: 10.3390/bs14060458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2024] [Revised: 05/19/2024] [Accepted: 05/27/2024] [Indexed: 06/27/2024] Open
Abstract
This study explored the positive effects of a six-week Social-Emotional and Ethical Learning® (SEE Learning) program on resilience and social and emotional competences, adapted for elementary students in Daegu, South Korea, a region strongly affected by the first outbreak of COVID-19. A total of 348 third- and fourth-grade students from 15 elementary schools participated, and the curriculum was tailored, emphasizing key areas such as resilience, attention, kindness, attention training, and compassion. Repeated measures analysis of variance (RMANOVA) tests showed statistically significant improvements between pre- and post-tests in resilience and its subscales, including self-efficacy, tolerance of negative affect, positive support relations, power of control, and spontaneity, as well as in social and emotional competencies, including emotional regulation, social skills, empathy, and social tendencies. Despite a lack of maintenance in all areas, at follow-up, the mean scores for self-efficacy, tolerance of negative affect, and positive support relations, as well as emotional regulation, social skills, empathy, and social tendency, remained higher than pre-test levels, suggesting some lasting benefits. The findings underscore the potential of the SEE Learning program integrated with resilience, mindfulness, compassion, and ethical practices to enhance students' resilience and social and emotional well-being. This study contributes to the growing body of evidence supporting the use of mindfulness and compassion-based SEL programs to mitigate the adverse effects of traumatic events on children's mental health.
Collapse
Affiliation(s)
- Hee Jung Min
- Department of Children and Adolescent Education, Dongguk University-WISE, Gyeongju 38066, Republic of Korea;
| | - Sang-Hee Park
- Daegu Student Suicide Prevention Center, Kyungpook National University Chilgok Hospital, Daegu 41404, Republic of Korea; (S.-H.P.); (S.-H.L.); (B.-H.L.); (M.K.); (M.J.K.); (M.J.C.)
| | - Seung-Hyun Lee
- Daegu Student Suicide Prevention Center, Kyungpook National University Chilgok Hospital, Daegu 41404, Republic of Korea; (S.-H.P.); (S.-H.L.); (B.-H.L.); (M.K.); (M.J.K.); (M.J.C.)
| | - Bo-Hwa Lee
- Daegu Student Suicide Prevention Center, Kyungpook National University Chilgok Hospital, Daegu 41404, Republic of Korea; (S.-H.P.); (S.-H.L.); (B.-H.L.); (M.K.); (M.J.K.); (M.J.C.)
| | - Mikyung Kang
- Daegu Student Suicide Prevention Center, Kyungpook National University Chilgok Hospital, Daegu 41404, Republic of Korea; (S.-H.P.); (S.-H.L.); (B.-H.L.); (M.K.); (M.J.K.); (M.J.C.)
| | - Mi Ju Kwon
- Daegu Student Suicide Prevention Center, Kyungpook National University Chilgok Hospital, Daegu 41404, Republic of Korea; (S.-H.P.); (S.-H.L.); (B.-H.L.); (M.K.); (M.J.K.); (M.J.C.)
| | - Myung Ju Chang
- Daegu Student Suicide Prevention Center, Kyungpook National University Chilgok Hospital, Daegu 41404, Republic of Korea; (S.-H.P.); (S.-H.L.); (B.-H.L.); (M.K.); (M.J.K.); (M.J.C.)
| | - Lobsang Tenzin Negi
- Center for Contemplative Science and Compassion-Based Ethics, Emory University, Atlanta, GA 30322, USA; (L.T.N.); (T.S.)
| | - Tsondue Samphel
- Center for Contemplative Science and Compassion-Based Ethics, Emory University, Atlanta, GA 30322, USA; (L.T.N.); (T.S.)
| | - Seunghee Won
- Daegu Student Suicide Prevention Center, Kyungpook National University Chilgok Hospital, Daegu 41404, Republic of Korea; (S.-H.P.); (S.-H.L.); (B.-H.L.); (M.K.); (M.J.K.); (M.J.C.)
- Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea
| |
Collapse
|
2
|
Song YY, Xu L, Liu D, Feng M, Yang C, Jiang Y, Wu Y. Depression and Anxiety Symptoms and Their Associated Factors Among Chinese Residents After the Lifting of the Dynamic Zero-COVID Policy: A Cross-Sectional Study. Int J Gen Med 2023; 16:5921-5934. [PMID: 38106974 PMCID: PMC10725747 DOI: 10.2147/ijgm.s442093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 12/01/2023] [Indexed: 12/19/2023] Open
Abstract
Purpose China lifted its strict zero-Covid approach on December 7, 2022. This study aimed to investigate depression and anxiety symptoms and their associations among Chinese residents after the change in public policy. Methods A cross-sectional sample of 925 Chinese residents (726 females and 199 males) was recruited using convenience and snowball sampling approach between 16 and 25 December 2022. Participants completed online questionnaires on basic information, depression, anxiety, COVID-19 related perceptions, and protective behaviors change. Results Mild and moderate-to-severe depression symptoms were reported by 35.6% and 19.1% of participants, respectively. Nearly 40% of participants reported mild anxiety and 18.7% reported moderate-to-severe anxiety. Results from multinomial logistic regression analysis indicated that male gender, younger age, the presence of chronic disease, poorer self-rated mental health status, perceived impact, and worry were risk factors for both depression and anxiety, while higher education and protective behaviors change were protective factors. Besides, living with or caring for children (4-6 years), family members or other housemates currently with influenza-like symptoms, and perceived severity were also risk factors for depression. Conclusion Our findings provided initial evidence that Chinese residents may face heightened depression and anxiety during the early stage after the policy was released. Furthermore, we identified some vulnerable populations in need of prioritizing mental health assistance and some potentially modifiable factors associated with depression and anxiety, which provides an important guide for developing timely and effective psychological interventions and preparing for future pandemics.
Collapse
Affiliation(s)
- Yuan-Yuan Song
- Department of Critical Care Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, 610041, People’s Republic of China
| | - Ling Xu
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, 610041, People’s Republic of China
| | - Dan Liu
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, People’s Republic of China
| | - Mei Feng
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, 610041, People’s Republic of China
| | - Cui Yang
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, 610041, People’s Republic of China
| | - Yan Jiang
- Department of Nursing/Evidence-Based Nursing Center, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, People’s Republic of China
| | - Ying Wu
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, 610041, People’s Republic of China
| |
Collapse
|
3
|
Montero-López Lena M, Alonso-Reyes P, Montes-de-Oca Zavala V, Zamudio A, Guajardo D. Psychological Coping and Resilience to COVID-19 in Mexico, Evidence From a National Sample. J Aging Health 2023; 35:781-789. [PMID: 37329336 PMCID: PMC10290935 DOI: 10.1177/08982643231179869] [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: 06/19/2023]
Abstract
Objective: We report the effect of COVID-19 confinement on some psychological variables associated with mental health: Stress perception, types of coping strategies during crises, and some components related to resilience. Method: A national sample of the Mexican population was considered in a total of 2775 people whose ages ranged from 15 years and older. Questionnaires that met the psychometric criteria (reliability and validity) to be used in Latino samples were used. Results: The results showed that older people experienced less stress and displayed more efficient coping behaviors. Discussion: Regarding the exploration of some components associated with resilience, it was found that family constitutes an important interpersonal resource for coping with the crisis related to confinement due to the COVID-19 pandemic. In the future, it is proposed to make comparisons of the psychological factors evaluated to detect and analyze possible fluctuations due to the prevalence of epidemic conditions.
Collapse
Affiliation(s)
| | - Pilar Alonso-Reyes
- Facultad de Ciencias, Universidad Nacional Autónoma de México, Ciudad, México
| | | | - Alejandro Zamudio
- Facultad de Psicología, Universidad Nacional Autónoma de México, Ciudad, México
| | - Darío Guajardo
- Facultad de Psicología, Universidad Nacional Autónoma de México, Ciudad, México
| |
Collapse
|
4
|
Yap MC, Wu F, Huang X, Tang L, Su K, Tong X, Kwok SC, Wu C, Wang S, He Z, Yan LL. Association between individual resilience and depression or anxiety among general adult population during COVID-19: a systematic review. J Public Health (Oxf) 2023; 45:e639-e655. [PMID: 37580860 DOI: 10.1093/pubmed/fdad144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 07/10/2023] [Indexed: 08/16/2023] Open
Abstract
BACKGROUND The coronavirus disease (COVID-19) pandemic exacerbated depression and anxiety worldwide. Resilience is important to maintain mental health during uncertain times, but limited study has systematically reviewed its association with depression or anxiety with an emphasis on the general population. METHODS We searched PubMed and Embase for quantitative or mixed-methods studies on the general adult population published between 1 January 2020 and 31 April 2022 (PROSPERO ID: CRD 42022340935). National Institute of the Health quality assessment tools was used to assess the risk of bias. We qualitatively synthesized findings by outcome and study design. RESULTS A total of 2945 studies were screened and 35 studies were included in the narrative analysis (5 on depression, 9 on anxiety, and 21 on both). Overall, 21 studies identified statistically significant inverse associations between resilience and depression, while 24 studies found statistically significant inverse associations between resilience and anxiety. Eight studies reported no statistically significant relationships between resilience with depression or anxiety. CONCLUSIONS Resilience was found to be inversely associated with depression and anxiety during the COVID-19 pandemic. The findings highlight the importance of resilience-enhancing intervention in migrating the global mental health burden from outbreaks of infectious diseases.
Collapse
Affiliation(s)
- Mei Chen Yap
- Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
| | - Fei Wu
- Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
| | - Xulei Huang
- Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
| | - Lingli Tang
- Graduate School of Education, Harvard University, Cambridge, MA, 02138, USA
| | - Kehan Su
- Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
| | - Xin Tong
- Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
- Data Science Research Center, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
| | - Sze Chai Kwok
- Data Science Research Center, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
- Division of Natural and Applied Sciences, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
- Duke Institute for Brain Sciences, Duke University, Durham, NC, 27708, USA
- Shanghai Key Laboratory of Magnetic Resonance, East China Normal University, Shanghai, 200062, China
- Shanghai Changning Mental Health Center, Shanghai, 200335, China
- Shanghai Key Laboratory of Brain Functional Genomics, Key Laboratory of Brain Functional Genomics (Ministry of Education), Affiliated Mental Health Center (ECNU), School of Psychology and Cognitive Science, East China Normal University, Shanghai, 200062, China
| | - Chenkai Wu
- Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
| | - Shan Wang
- Data Science Research Center, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
- Division of Natural and Applied Sciences, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
| | - Zhengting He
- Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
- Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, 21025, USA
| | - Lijing L Yan
- Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, 215316, China
- Duke Global Health Institute, Duke University, Durham, NC, 27710, USA
- School of Public Health, Wuhan University, Wuhan, Hubei, 430071, China
- Institute for Global Health and Development, Peking University, Beijing, 100871, China
| |
Collapse
|
5
|
Tang J, Wang T, Cottrell J, Jia F. Navigating Uncertainty: Experiences of Older Adults in Wuhan during the 76-Day COVID-19 Lockdown. Healthcare (Basel) 2023; 11:2970. [PMID: 37998461 PMCID: PMC10671022 DOI: 10.3390/healthcare11222970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 11/09/2023] [Accepted: 11/13/2023] [Indexed: 11/25/2023] Open
Abstract
The COVID-19 pandemic continues to affect the world. Wuhan, the epicenter of the outbreak, underwent a 76-day lockdown. Research has indicated that the lockdown negatively impacted the quality of life of older individuals, but little is known about their specific experiences during the confinement period. Qualitative interviews were conducted with 20 elderly residents of Wuhan, aged 65 to 85, who experienced mandatory isolation throughout the pandemic. The interviews centered around three stages of experiences: the Early Lockdown stage (the first week of lockdown after the government implemented the lockdown policy in January 2020), Infection During Lockdown stage (from February to April 2020 when participants were affected by the lockdown), and the Post-Lockdown stage (after April 2020 when the government lifted the lockdown policy). We found that older adults experienced different core themes during each lockdown stage. In the Early Lockdown stage, they felt nervousness and fear while searching for information. During the Lockdown and Infection Stage, they relied on reciprocal support and adjusted to new lifestyles. In the Post-Lockdown stage, they expressed cautions, trust, and gratitude. The finding highlights the evolving emotions and coping strategies of older adults throughout the lockdown phases. This study has yielded valuable insights into the adaptations of behavior and the importance of social interactions, specifically emphasizing the significance of healthcare among the elderly population.
Collapse
Affiliation(s)
- Jianing Tang
- School of Foreign Languages and Literature, Wuhan University, Wuhan 430072, China;
| | - Tangsheng Wang
- School of Marxism, Wuhan University of Technology, Wuhan 430070, China;
| | - Jessica Cottrell
- Department of Biology, Seton Hall University, South Orange, NJ 07079, USA;
| | - Fanli Jia
- Department of Psychology, Seton Hall University, South Orange, NJ 07079, USA
| |
Collapse
|
6
|
Lau J, Koh WL, Ng JS, Khoo AMG, Tan KK. Understanding the mental health impact of COVID-19 in the elderly general population: A scoping review of global literature from the first year of the pandemic. Psychiatry Res 2023; 329:115516. [PMID: 37797442 DOI: 10.1016/j.psychres.2023.115516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 09/28/2023] [Accepted: 09/29/2023] [Indexed: 10/07/2023]
Abstract
Self-isolation was common in the first year of COVID-19. While necessary, it also increased vulnerability to adverse mental health among elderly (i.e. aged 60 and above). This review seeks to summarise the outcomes, measures, and protective and risk factors of elderly mental health in the first year of COVID-19. Four international databases were systematically searched from inception to August 2021. Forty-five studies examining elderly mental health outcomes specific to COVID-19 were included - one was qualitative, 29 used cross-sectional quantitative methods, and 15 were longitudinal. Anxiety and depression were examined most commonly and consistently, largely with well-validated scales. Older age, female sex, poor financial status, being unmarried, high loneliness, low social engagement, low resilience and more severe pandemic measures were associated with poor elderly mental health outcomes. Ten of 13 longitudinal studies found deteriorations in elderly mental health outcomes over time. More consistent measures are needed to understand the pandemic's impact on elderly mental health. Our findings also suggest that socialising through digital mediums may not be helpful, and might even exacerbate loneliness. While the elderly are generally considered a high-risk population, higher-risk subpopulations were identified. We conclude by suggesting a multilevel approach to safeguard elderly mental health for future crises.
Collapse
Affiliation(s)
- Jerrald Lau
- Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Level 8. 1E Kent Ridge Road, 119228, Singapore; Saw Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Wei-Ling Koh
- Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Level 8. 1E Kent Ridge Road, 119228, Singapore
| | - Janelle Shaina Ng
- Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Level 8. 1E Kent Ridge Road, 119228, Singapore
| | - Athena Ming-Gui Khoo
- Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Level 8. 1E Kent Ridge Road, 119228, Singapore
| | - Ker-Kan Tan
- Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Level 8. 1E Kent Ridge Road, 119228, Singapore; Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
| |
Collapse
|
7
|
Ferreira JDR, Miranda MF, Miranda MF, Romano-Silva MA, Bicalho MAC, Viana BDM. Translation and validity of the Multidimensional Individual and Interpersonal Resilience Measure. Rev Bras Enferm 2023; 76:e20220696. [PMID: 37820152 PMCID: PMC10561951 DOI: 10.1590/0034-7167-2022-0696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Accepted: 03/25/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE to translate, culturally adapt and validate the Multidimensional Individual and Interpersonal Resilience Measure to Brazilian Portuguese. METHOD after initial translation, the pre-final version underwent rigorous cultural adaptation procedures. As a result, the final adapted version was submitted to a validity study. RESULTS adaptation procedures provided equivalence between the pre-final and the original versions in semantic, idiomatic, experiential and conceptual terms. A total of 187 older adults were included in the validity study. Exploratory factorial analysis (EFA) generated a model of five factors ((RMSEA = 0.030; TLI = 0.959; X2 = 151.590 p> 0.05). Final version showed adequate consistency (Cronbach's α = 0.705) and test-retest reliability (ICC=0.835). No statistically significant correlation was found between resilience and sociodemographic and epidemiological variables assessed in this study. CONCLUSION EMRII-BR is a valid and reliable instrument for measuring resilience in Brazilian older adults.
Collapse
Affiliation(s)
| | | | | | - Marco Aurélio Romano-Silva
- Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil
- Centro de Tecnologia em Medicina Molecular (CTMM) e INCT - NeuroTecR. Belo Horizonte, Minas Gerais, Brazil
- Universidade Federal de Minas Gerais, Hospital das Clínicas. Belo Horizonte, Minas Gerais, Brazil
| | - Maria Aparecida Camargos Bicalho
- Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil
- Centro de Tecnologia em Medicina Molecular (CTMM) e INCT - NeuroTecR. Belo Horizonte, Minas Gerais, Brazil
- Universidade Federal de Minas Gerais, Hospital das Clínicas. Belo Horizonte, Minas Gerais, Brazil
| | - Bernardo de Mattos Viana
- Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil
- Centro de Tecnologia em Medicina Molecular (CTMM) e INCT - NeuroTecR. Belo Horizonte, Minas Gerais, Brazil
- Universidade Federal de Minas Gerais, Hospital das Clínicas. Belo Horizonte, Minas Gerais, Brazil
| |
Collapse
|
8
|
Rahiman HU, Panakaje N, Kulal A, Harinakshi, Parvin SMR. Perceived academic stress during a pandemic: Mediating role of coping strategies. Heliyon 2023; 9:e16594. [PMID: 37287604 PMCID: PMC10232934 DOI: 10.1016/j.heliyon.2023.e16594] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 05/09/2023] [Accepted: 05/22/2023] [Indexed: 06/21/2024] Open
Abstract
COVID-19 rampant has impacted almost all sections of society, and the repercussions were mostly negative experiences for people and have resulted by way of disruption in their daily routines. Academics is one such vital section that has suffered directly because of the inaccessibility of a comfortable educational procedure. Due to a shift in the form of education, most of the student community failed to obtain routine and regular education as the government entirely shuttered educational facilities to limit the spread of disease. In this light, this research attempted to examine the amount of academic stress experienced by students during the COVID-19 Pandemic and the strategies they have adopted to cope with this unheard type of uncertain situation. The findings of the study indicated substantial variations in Academic Stress, Exam Anxiety, and Coping Strategies across various demographic characteristics of the respondents. Another significant finding is that students from poor socio-economic backgrounds and those seeking post-graduate courses are more stressed. As an inference, it is also opined that to mitigate the impact of the COVID-19 crisis on student performance and psychological well-being, special focus, or techniques for accommodating exam environments by the student should be implemented. To minimize stress, the study also proposed efficient coping techniques to lower the amount of stress in various academic tasks.
Collapse
Affiliation(s)
| | - Niyaz Panakaje
- The Yenepoya Institute of Arts, Science, Commerce & Management, Yenepoya (Deemed to be University), Deralakatte, 575018, Mangalore, Karnataka, India
| | - Abhinandan Kulal
- Guest Faculty, Department of Commerce, University Evening College, Mangaluru, India
| | - Harinakshi
- Research Scholar, Institute of Management and Commerce, Srinivas University, Mangalore, India
| | - S M Riha Parvin
- Institute of Management and Commerce, Srinivas University, Mangalore, India
| |
Collapse
|
9
|
Roser K, Baenziger J, Ilic A, Mitter VR, Mader L, Dyntar D, Michel G, Sommer G. Health-related quality of life before and during the COVID-19 pandemic in Switzerland: a cross-sectional study. Qual Life Res 2023:10.1007/s11136-023-03414-0. [PMID: 37084000 PMCID: PMC10119820 DOI: 10.1007/s11136-023-03414-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/28/2023] [Indexed: 04/22/2023]
Abstract
INTRODUCTION The COVID-19 pandemic forced people to give up their daily routines and adjust to new circumstances. This might have affected health-related quality of life (HRQOL). We aimed to compare HRQOL during the first COVID-19 wave in 2020 to HRQOL before the pandemic and to identify determinants of HRQOL during the pandemic in Switzerland. METHODS We conducted a cross-sectional online survey during the pandemic (between May and July 2020; CoWELL sample; convenience sample). Before the pandemic (2015-2016), we had conducted a cross-sectional paper-based survey among a representative random sample of the Swiss general population (SGP sample). In both samples, we assessed physical and mental HRQOL (Short Form-36) and socio-demographic characteristics. In the CoWELL sample, we additionally assessed health- and COVID-19-related characteristics. Data were analysed using linear regressions. RESULTS The CoWELL sample included 1581 participants (76% women; mean age = 43 years, SD = 14 years) and the SGP sample 1209 participants (58% women, mean age = 49 years, SD = 15 years). Adjusted for sex, age, and education, the CoWELL sample reported higher physical HRQOL (PCS, +5.8 (95% CI: 5.1, 6.6), p < 0.001) and lower mental HRQOL (MCS, -6.9 (-7.8, -6.0), p < 0.001) than the SGP sample. In the CoWELL sample, especially persons with lower health literacy, who had no support network or who have had COVID-19, reported lower HRQOL. DISCUSSION Aspects unique to the COVID-19 pandemic affected HRQOL. Vulnerable persons such as those having had COVID-19, less support opportunities, and with lower health literacy are especially prone to impaired HRQOL during the COVID-19 pandemic.
Collapse
Affiliation(s)
- Katharina Roser
- Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
| | - Julia Baenziger
- Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
- Heart Centre for Children, The Sydney Children's Hospitals Network, Sydney, NSW, Australia
- Center for Heart Disease and Mental Health, Heart Institute and the Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center and the Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Anica Ilic
- Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
| | - Vera R Mitter
- Department of Gynaecology, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Luzius Mader
- Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland
- Cancer Registry Bern-Solothurn, University of Bern, Murtenstrasse 31, 3008, Bern, Switzerland
| | - Daniela Dyntar
- Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
- Swiss Childhood Cancer Registry, University of Bern, Bern, Switzerland
| | - Gisela Michel
- Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
| | - Grit Sommer
- Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland
- Department for BioMedical Research, University of Bern, Bern, Switzerland
- Department of Pediatrics, Inselspital, Pediatric Endocrinology, Diabetology and Metabolism, Bern University Hospital, University of Bern, Bern, Switzerland
| |
Collapse
|
10
|
Park M, Oh K, Kim H, Fan X, Giap TTT, Song R. Cognitive and Emotional Motivation to Explain Infection-Prevention Behaviors with Social Support as a Mediator During the COVID-19 Pandemic: A Nationwide Cross-Sectional Study in Korea. Patient Prefer Adherence 2023; 17:1063-1073. [PMID: 37096161 PMCID: PMC10122465 DOI: 10.2147/ppa.s404310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 04/06/2023] [Indexed: 04/26/2023] Open
Abstract
Purpose To predict the performance of infection-prevention behaviors among adults in Korea based on the health belief model, using social support as a mediator. Patients and Methods A nationwide cross-sectional survey of 700 participants from the local community was conducted using both online and offline methods from 8 metropolitan cities and 9 provinces in Korea from November 2021 to March 2022. The questionnaire was composed of 4 sections: demographic information, motivational factors for behavior change, social support, and infection-prevention behaviors. Data were analyzed using structural equation modeling with the AMOS program. The general least-squares method was applied to assess the fit of the model and the bootstrapping method was tested for indirect effect and the total effect. Results Motivation factors that directly affected infection-prevention behaviors were self-efficacy (γ=0.58, p<0.001), perceived barriers (γ=-.08, p=0.004), perceived benefits (γ=0.10, p=0.002), perceived threats (γ=0.08, p=0.009), and social support (γ=0.13, p<0.001), after controlling for related demographic variables. Cognitive and emotional motivation factors together explained 59% of the variance in infection-prevention behaviors. Social support exerted significant mediating effects between each cognitive and emotional motivation variable and infection-prevention behaviors, along with a significant direct effect on infection-prevention behaviors (γ=0.12, p<0.001). Conclusion The engagement of prevention behaviors among community-dwelling adults was influenced by their self-efficacy, perceived barriers, perceived benefits, and perceived threats with social support as a mediator. Prevention policy approaches could include providing specific information to improve self-efficacy and build awareness of the severity of the disease while establishing a supportive social environment for promoting health behaviors during the COVID-19 pandemic.
Collapse
Affiliation(s)
- Myonghwa Park
- College of Nursing, Chungnam National University, Daejeon, South Korea
| | - Keunyeob Oh
- College of Economics and Management, Chungnam National University, Daejeon, South Korea
| | - Hyungjun Kim
- School of Business, Chungnam National University, Daejeon, South Korea
| | - Xing Fan
- College of Nursing, Chungnam National University, Daejeon, South Korea
- College of Medicine, Lishui University, Lishui, People’s Republic of China
| | - Thi-Thanh-Thnh Giap
- College of Nursing, Chungnam National University, Daejeon, South Korea
- College of Health Sciences, VinUniversity, Hanoi, Vietnam
| | - Rhayun Song
- College of Nursing, Chungnam National University, Daejeon, South Korea
| |
Collapse
|
11
|
Holwerda TJ, Jaarsma E, van Zutphen EM, Beekman ATF, Pan KY, van Vliet M, Stringa N, van den Besselaar JH, MacNeil-Vroomen JL, Hoogendijk EO, Kok AAL. The impact of COVID-19 related adversity on the course of mental health during the pandemic and the role of protective factors: a longitudinal study among older adults in The Netherlands. Soc Psychiatry Psychiatr Epidemiol 2023:10.1007/s00127-023-02457-5. [PMID: 36964770 PMCID: PMC10039342 DOI: 10.1007/s00127-023-02457-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Accepted: 02/27/2023] [Indexed: 03/26/2023]
Abstract
PURPOSE Many studies report about risk factors associated with adverse changes in mental health during the COVID-19 pandemic while few studies report about protective and buffering factors, especially in older adults. We present an observational study to assess protective and buffering factors against COVID-19 related adverse mental health changes in older adults. METHODS 899 older adults (55 +) in the Netherlands were followed from 2018/19 to two pandemic time points (June-October 2020 and March-August 2021). Questionnaires included exposure to pandemic-related adversities ("COVID-19 exposure"), depressive and anxiety symptoms, loneliness, and pre-pandemic functioning. Linear regression analyses estimated main effects of COVID-19 exposure and protective factors on mental health changes; interaction effects were tested to identify buffering factors. RESULTS Compared to pre-pandemic, anxiety symptoms, depression symptoms and loneliness increased. A higher score on the COVID-19 adversity index was associated with stronger negative mental health changes. Main effects: internet use and high mastery decreased depressive symptoms; a larger network decreased anxiety symptoms; female gender, larger network size and praying decreased loneliness. COVID-19 vaccination buffered against COVID-19 exposure-induced anxiety and loneliness, a partner buffered against COVID-19 exposure induced loneliness. CONCLUSION Exposure to COVID-19 adversity had a cumulative negative impact on mental health. Improving coping, finding meaning, stimulating existing religious and spiritual resources, network interventions and stimulating internet use may enable older adults to maintain mental health during events with large societal impact, yet these factors appear protective regardless of exposure to specific adversities. COVID-19 vaccination had a positive effect on mental health.
Collapse
Affiliation(s)
- Tjalling J Holwerda
- Department of Epidemiology & Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC Location Vrije Universiteit, De Boelelaan 1117, Amsterdam, The Netherlands.
- Department of Psychiatry, ARKIN Mental Health Care Amsterdam, Amsterdam, The Netherlands.
- Amsterdam UMC Location Vrije Universiteit, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
| | - Eva Jaarsma
- Department of Epidemiology & Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC Location Vrije Universiteit, De Boelelaan 1117, Amsterdam, The Netherlands
| | - Elisabeth M van Zutphen
- Department of Epidemiology & Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC Location Vrije Universiteit, De Boelelaan 1117, Amsterdam, The Netherlands
- Department of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC Location Vrije Universiteit, De Boelelaan 1117, Amsterdam, The Netherlands
| | - Aartjan T F Beekman
- Department of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC Location Vrije Universiteit, De Boelelaan 1117, Amsterdam, The Netherlands
| | - Kuan-Yu Pan
- Department of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC Location Vrije Universiteit, De Boelelaan 1117, Amsterdam, The Netherlands
| | - Majogé van Vliet
- Department of Epidemiology & Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC Location Vrije Universiteit, De Boelelaan 1117, Amsterdam, The Netherlands
| | - Najada Stringa
- Department of Epidemiology & Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC Location Vrije Universiteit, De Boelelaan 1117, Amsterdam, The Netherlands
| | - Judith H van den Besselaar
- Department of Internal Medicine, Amsterdam Public Health Research Institute, Amsterdam UMC Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands
| | - Janet L MacNeil-Vroomen
- Department of Internal Medicine, Amsterdam Public Health Research Institute, Amsterdam UMC Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands
| | - Emiel O Hoogendijk
- Department of Epidemiology & Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC Location Vrije Universiteit, De Boelelaan 1117, Amsterdam, The Netherlands
| | - Almar A L Kok
- Department of Epidemiology & Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC Location Vrije Universiteit, De Boelelaan 1117, Amsterdam, The Netherlands
- Department of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC Location Vrije Universiteit, De Boelelaan 1117, Amsterdam, The Netherlands
| |
Collapse
|
12
|
Li H, He X, Hu TY, Xie X. Past lesson works: SARS memory moderates the relationship between media use and protective behavior during COVID-19 pandemic in China. J Health Psychol 2023; 28:203-215. [PMID: 35733346 PMCID: PMC9982424 DOI: 10.1177/13591053221105349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
COVID-19 has become one of the top global health concerns. The present research examined the relationship between media use and protective behavior. The moderating role of SARS memory was also examined. A cross-sectional study found that media use was associated with more protective behaviors (i.e. preventive behavior, and avoidant behavior). We further found that SARS memory moderated the association between media use and avoidant behavior. Moreover, the moderating role of SARS memory on the relationship between daily media use and daily protective behavior was again tested using a daily design in Study 2. Theoretical and practical implications are discussed.
Collapse
|
13
|
Interoceptive anxiety-related processes: Importance for understanding COVID-19 and future pandemic mental health and addictive behaviors and their comorbidity. Behav Res Ther 2022; 156:104141. [PMID: 35752013 PMCID: PMC9212258 DOI: 10.1016/j.brat.2022.104141] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 05/18/2022] [Accepted: 06/03/2022] [Indexed: 01/08/2023]
Abstract
The COVID-19 pandemic is associated with an increased prevalence of mental health problems and addictive behaviors. There is a growing theoretical and empirical evidence that individual differences in interoceptive anxiety-related processes are a one set of vulnerability factors that are important in understanding the impact of pandemic-related mental health problems and addictive behavior. However, there has not been a comprehensive effort to explore this rapidly growing body of research and its implications for public health. In this paper, we discuss why interoceptive anxiety-related processes are relevant to understanding mental health and addictive behaviors during the COVID-19 pandemic. We then provide a narrative review of the available COVID-19 literature linking interoceptive fear and anxiety-related processes (e.g., anxiety sensitivity, health anxiety, and COVID-19 anxiety, fear, and worry) to mental health and addictive behaviors. We then propose a novel transdiagnostic theoretical model that highlights the role of interoceptive anxiety-related processes in mental health and addictive behavior in the context of the present and future pandemics. In the final section, we utilize this conceptualization to underscore clinical implications and provide guidance for future research initiatives in the management of COVID-19 mental health and addictive behaviors and inform the public health field for future pandemics.
Collapse
|
14
|
Alyami H, Krägeloh CU, Medvedev ON, Alghamdi S, Alyami M, Althagafi J, Lyndon M, Hill AG. Investigating Predictors of Psychological Distress for Healthcare Workers in a Major Saudi COVID-19 Center. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19084459. [PMID: 35457323 PMCID: PMC9024661 DOI: 10.3390/ijerph19084459] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Revised: 03/30/2022] [Accepted: 04/06/2022] [Indexed: 12/19/2022]
Abstract
This study investigated the relationship between fear of COVID-19, previous exposure to COVID-19, perceived vulnerability to disease, sleep quality, and psychological distress among healthcare workers (HCWs) in Taif city in Saudi Arabia, which has a population of 702,000 people. A cross-sectional study design was adopted. HCWs (n = 202) completed a survey containing the Fear of COVID-19 Scale (FCV-19S), Perceived Vulnerability to Disease (PVD), Pittsburgh Sleep Quality Index (PSQI), and Depression, Anxiety, and Stress Scale (DASS-21). FCV-19S and sleep quality were significant predictors for psychological distress. Female gender was a significant predictor for depression and stress. Single, divorced, and widowed marital status were predictive for anxiety. FCV-19S was weakly correlated with PVD but moderately with depression, anxiety, and stress. Of the two PVD subscales, perceived infectability was weakly correlated with psychological distress. PVD and previous experience with COVID-19 were not significant predictors. Sleep quality and FCV-19S were major predictors of psychological distress. Findings indicated that poor sleep quality was strongly associated with psychological distress, while fear of COVID-19 had a moderate association. Such results support the need to design and implement psychological programs to assist HCWs in dealing with the psychological impact of this ongoing pandemic.
Collapse
Affiliation(s)
- Hussain Alyami
- College of Medicine, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia
- Correspondence:
| | - Christian U. Krägeloh
- Department of Psychology and Neuroscience, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand;
| | - Oleg N. Medvedev
- School of Psychology, University of Waikato, Private Bag 3105, Hamilton 3240, New Zealand;
| | - Saleh Alghamdi
- Department of Civil Engineering, College of Engineering, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia;
| | - Mubarak Alyami
- Administration Building, King Faisal Medical Complex, Taif 26514, Saudi Arabia; (M.A.); (J.A.)
| | - Jamal Althagafi
- Administration Building, King Faisal Medical Complex, Taif 26514, Saudi Arabia; (M.A.); (J.A.)
| | - Mataroria Lyndon
- Centre for Medical and Health Sciences Education, The University of Auckland, Building 409, 24 Symonds Street, City Campus, Auckland 1010, New Zealand;
| | - Andrew G. Hill
- South Auckland Clinical Campus, The University of Auckland, Level 2, North Wing, Esmé Green Building 30, Middlemore Hospital, 100 Hospital Road, Otahuhu, Auckland 1062, New Zealand;
| |
Collapse
|
15
|
Ho YCL, Chew MSL, Mahirah D, Thumboo J. Family Resilience and Psychological Responses to COVID-19: A Study of Concordance and Dyadic Effects in Singapore Households. Front Psychol 2022; 13:770927. [PMID: 35300159 PMCID: PMC8923423 DOI: 10.3389/fpsyg.2022.770927] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Accepted: 01/19/2022] [Indexed: 12/14/2022] Open
Abstract
The impacts of COVID-19 may be magnified in a shared environment like the household, especially with people spending extended time at home during the pandemic. Family resilience is the ability of a family to adapt to crisis and can be a protective factor against stress and negative affect. While there have been calls to address family resilience during the pandemic, there is a lack of empirical study on its benefit. In this dyadic observational study, we sought to investigate the concordance of family members’ psychological responses to COVID-19, whether dyad members’ risk factors (COVID-19 exposure and financial impact) mutually affected each other’s psychological responses, and importantly, whether family resilience was a significant factor in these responses. A total of 200 family dyads from the same household completed the Family Resilience Assessment Scale and questionnaires on COVID-19 threat perception, impacts, and exposure. We found concordant dyad responses for COVID-19 threat perception, but not for psychological impact. Using the Actor-Partner-Interdependence Model framework, we found that one’s psychological impact was affected by the financial impact from both dyad members. After controlling for risk factors and demographic covariates, we found that family resilience significantly associated with lower COVID-19 psychological impact, though not with threat perception. The findings suggest that both family and individual factors need to be addressed and there may be benefit in addressing multilevel risk and protective factors using an ecological systems approach, which may help prepare the population for future crises.
Collapse
Affiliation(s)
- Yi-Ching Lynn Ho
- Centre for Population Health Research and Implementation, Singapore Health Service, Singapore, Singapore.,Programme in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore
| | - Mary Su-Lynn Chew
- Centre for Population Health Research and Implementation, Singapore Health Service, Singapore, Singapore
| | - Dhiya Mahirah
- Centre for Population Health Research and Implementation, Singapore Health Service, Singapore, Singapore
| | - Julian Thumboo
- Centre for Population Health Research and Implementation, Singapore Health Service, Singapore, Singapore.,Department of Rheumatology and Immunology, Singapore General Hospital, Singapore, Singapore.,Medicine Academic Clinical Program, Duke-NUS Medical School, Singapore, Singapore
| |
Collapse
|
16
|
Graves CE, Goyal N, Levin A, Nuño MA, Kim J, Campbell MJ, Shen WT, Gosnell JE, Roman SA, Sosa JA, Duh QY, Suh I. ANXIETY DURING THE COVID-19 PANDEMIC: A WEB-BASED SURVEY OF THYROID CANCER SURVIVORS. Endocr Pract 2022; 28:405-413. [PMID: 35032648 PMCID: PMC8754453 DOI: 10.1016/j.eprac.2022.01.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Revised: 01/02/2022] [Accepted: 01/07/2022] [Indexed: 12/25/2022]
Abstract
Objective Cancer patients and survivors may be disproportionately affected by COVID-19. We sought to determine the effects of the pandemic on thyroid cancer survivors’ health care interactions and quality of life. Methods An anonymous survey including questions about COVID-19 and the Patient-Reported Outcomes Measurement Information System profile (PROMIS-29, version 2.0) was hosted on the Thyroid Cancer Survivors’ Association, Inc website. PROMIS scores were compared to previously published data. Factors associated with greater anxiety were evaluated with univariable and multivariable logistic regression. Results From May 6, 2020, to October 8, 2020, 413 participants consented to take the survey; 378 (92%) met the inclusion criteria: diagnosed with thyroid cancer or noninvasive follicular neoplasm with papillary-like nuclear features, located within the United States, and completed all sections of the survey. The mean age was 53 years, 89% were women, and 74% had papillary thyroid cancer. Most respondents agreed/strongly agreed (83%) that their lives were very different during the COVID-19 pandemic, as were their interactions with doctors (79%). A minority (43%) were satisfied with the information from their doctor regarding COVID-19 changes. Compared to pre-COVID-19, PROMIS scores were higher for anxiety (57.8 vs 56.5; P < .05) and lower for the ability to participate in social activities (46.2 vs 48.1; P < .01), fatigue (55.8 vs 57.9; P < .01), and sleep disturbance (54.7 vs 56.1; P < .01). After adjusting for confounders, higher anxiety was associated with younger age (P < .01) and change in treatment plan (P = .04). Conclusion During the COVID-19 pandemic, thyroid cancer survivors reported increased anxiety compared to a pre-COVID cohort. To deliver comprehensive care, providers must better understand patient concerns and improve communication about potential changes to treatment plans.
Collapse
Affiliation(s)
- Claire E Graves
- Department of Surgery, University of California Davis, Sacramento, California.
| | - Neha Goyal
- Psycho-Oncology Program, University of California San Francisco Cancer Center, San Francisco, California
| | - Anna Levin
- Psycho-Oncology Program, University of California San Francisco Cancer Center, San Francisco, California
| | - Miriam A Nuño
- Department of Surgery, University of California Davis, Sacramento, California
| | - Jina Kim
- Department of Surgery, Inova Schar Cancer Institute, Fairfax, Virginia
| | - Michael J Campbell
- Department of Surgery, University of California Davis, Sacramento, California
| | - Wen T Shen
- Department of Surgery, University of California San Francisco, San Francisco, California
| | - Jessica E Gosnell
- Department of Surgery, University of California San Francisco, San Francisco, California
| | - Sanziana A Roman
- Department of Surgery, University of California San Francisco, San Francisco, California
| | - Julie A Sosa
- Department of Surgery, University of California San Francisco, San Francisco, California
| | - Quan-Yang Duh
- Department of Surgery, University of California San Francisco, San Francisco, California
| | - Insoo Suh
- Department of Surgery, NYU Langone Health, New York, New York
| |
Collapse
|