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Peng S, Li Z, Ji JS, Chen B, Yin X, Zhang W, Liu F, Shen H, Xiang H. Interaction between Extreme Temperature Events and Fine Particulate Matter on Cardiometabolic Multimorbidity: Evidence from Four National Cohort Studies. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2024; 58:12379-12389. [PMID: 38961056 PMCID: PMC11256764 DOI: 10.1021/acs.est.4c02080] [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] [Received: 02/27/2024] [Revised: 06/22/2024] [Accepted: 06/24/2024] [Indexed: 07/05/2024]
Abstract
Accumulating evidence linked extreme temperature events (ETEs) and fine particulate matter (PM2.5) to cardiometabolic multimorbidity (CMM); however, it remained unknown if and how ETEs and PM2.5 interact to trigger CMM occurrence. Merging four Chinese national cohorts with 64,140 free-CMM adults, we provided strong evidence among ETEs, PM2.5 exposure, and CMM occurrence. Performing Cox hazards regression models along with additive interaction analyses, we found that the hazards ratio (HRs) of CMM occurrence associated with heatwave and cold spell were 1.006-1.019 and 1.063-1.091, respectively. Each 10 μg/m3 increment of PM2.5 concentration was associated with 17.9% (95% confidence interval: 13.9-22.0%) increased risk of CMM. Similar adverse effects were also found among PM2.5 constituents of nitrate, organic matter, sulfate, ammonium, and black carbon. We observed a synergetic interaction of heatwave and PM2.5 pollution on CMM occurrence with relative excess risk due to the interaction of 0.999 (0.663-1.334). Our study provides novel evidence that both ETEs and PM2.5 exposure were positively associated with CMM occurrence, and the heatwave interacts synergistically with PM2.5 to trigger CMM.
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Affiliation(s)
- Shouxin Peng
- Global
Health Department, School of Public Health, Wuhan University, Wuhan 430071, China
- Global
Health Institute, Wuhan University, Wuhan 430071, China
| | - Zhaoyuan Li
- Global
Health Department, School of Public Health, Wuhan University, Wuhan 430071, China
- Global
Health Institute, Wuhan University, Wuhan 430071, China
| | - John S. Ji
- Vanke
School of Public Health, Tsinghua University, Beijing 100084, China
| | - Bingbing Chen
- Global
Health Department, School of Public Health, Wuhan University, Wuhan 430071, China
| | - Xiaoyi Yin
- Global
Health Department, School of Public Health, Wuhan University, Wuhan 430071, China
| | - Wei Zhang
- Global
Health Department, School of Public Health, Wuhan University, Wuhan 430071, China
| | - Feifei Liu
- Global
Health Department, School of Public Health, Wuhan University, Wuhan 430071, China
- Global
Health Institute, Wuhan University, Wuhan 430071, China
| | - Huanfeng Shen
- School
of Resource and Environmental Sciences, Wuhan University, Wuhan 430079, China
| | - Hao Xiang
- Global
Health Department, School of Public Health, Wuhan University, Wuhan 430071, China
- Global
Health Institute, Wuhan University, Wuhan 430071, China
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Ettman CK, Subramanian M, Fan AY, Adam GP, Abdalla SM, Galea S, Stuart EA. Assets and depression in U.S. adults during the COVID-19 pandemic: a systematic review. Soc Psychiatry Psychiatr Epidemiol 2024; 59:571-583. [PMID: 37838630 DOI: 10.1007/s00127-023-02565-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Accepted: 09/28/2023] [Indexed: 10/16/2023]
Abstract
PURPOSE Mental health is shaped by social and economic contexts, which were altered during the COVID-19 pandemic. No study has systematically reviewed the literature on the relation between different assets and depression during the COVID-19 pandemic. METHODS We conducted a systematic review of the literature on financial (e.g. income/savings), physical (e.g., home ownership), and social (e.g., marital status, educational attainment) assets and depression in U.S. adults. For each asset type, we created binary comparisons to report on the direction of the relationship and described if each study reported insignificant, positive, negative, or mixed associations. RESULTS Among the 41 articles identified, we found that income was the most studied asset (n=34), followed by education (n=25), marital status (n=18), home ownership (n=5), and savings (n=4). 88%, 100%, and 100% of articles reported a significant association of higher income, home ownership, and higher savings, respectively, with less depression. The association between marital status and education with depression was more nuanced: 72% (13 of 18) studies showed that unmarried persons had greater risk of depression than married or cohabitating persons and 52% (13 of 25) of studies reported no significant difference in depression across educational groups. CONCLUSION This work adds to the literature a deeper understanding of how different assets relate to depression. In the context of largescale traumatic events, policies that maintain and protect access to social, physical, and financial assets may help to protect mental health.
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Affiliation(s)
- Catherine K Ettman
- Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
- Boston University School of Public Health, Boston, USA.
| | | | - Alice Y Fan
- Boston University School of Public Health, Boston, USA
| | - Gaelen P Adam
- Brown University School of Public Health, Providence, USA
| | | | - Sandro Galea
- Boston University School of Public Health, Boston, USA
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3
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Riemann WB. A qualitative analysis and evaluation of social support received after experiencing a broken marriage engagement and impacts on holistic health. QUALITATIVE RESEARCH IN MEDICINE & HEALTHCARE 2024; 8:11603. [PMID: 38629056 PMCID: PMC11017956 DOI: 10.4081/qrmh.2024.11603] [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: 07/22/2023] [Accepted: 01/24/2024] [Indexed: 04/19/2024] Open
Abstract
This study provides new insights into the role of social support in the largely unexplored field of broken marriage engagements and an individual's wellbeing. The study extends the optimal matching theory (OMT) and the research surrounding helpful, unhelpful, and mixed social support. It uses constant comparison to examine the social support messages individuals received after telling others their engagement ended, as described in 43, in-depth, semi-structured interviews. Six types of helpful support messengers, six types of unhelpful support messengers, and four mixed messenger types were found. Receiver-centric messengers were found to be more helpful than messengers who centered on their own feelings and needs, sometimes to the detriment of the receiver's own wellbeing. Being present, thoughtful, and intentional with words, can have a positive impact on a person's holistic health, regardless of whether the relationship is a weak-tie or strong-tie. Using study findings, the broken engagement message stoplight is proposed, detailing messages that are generally helpful to a person's overall wellbeing, messages that should likely be avoided, and messages that should be said cautiously when interacting with someone experiencing a broken engagement.
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Affiliation(s)
- Wendy B. Riemann
- Department of Organizational Sciences and Communication, George Washington University, Washington, D.C., United States
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Li S, Wang Y, Chen L, Chen T, Du J, Su H, Jiang H, Wu Q, Zhang L, Bao J, Zhao M. Virtual agents among participants with methamphetamine use disorders: Acceptability and usability study. J Telemed Telecare 2024:1357633X231219039. [PMID: 38260973 DOI: 10.1177/1357633x231219039] [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: 01/24/2024]
Abstract
INTRODUCTION While the potential future role of virtual agents (VAs) in treating addiction is promising, participants' attitudes toward the use of VAs in psychotherapy remain insufficiently investigated. This lack of investigation could pose barriers to the adoption of VA-led psychotherapy for people with substance use disorders (SUD). This research aims to explore the acceptability and usability of VAs for people with methamphetamine use disorder. METHODS Following a single session of psychotherapy led by VAs through the Echo-app, a group of 49 individuals actively seeking treatment for current DSM-V substance dependence (with a mean age of 39.06 ± 8.02) completed self-administered questionnaires and participated in focus group interviews. These questionnaires aimed to investigate participants' preference regarding the type of psychotherapy and their willingness to engage in VA-led psychotherapy, taking into account their diverse psychological needs. RESULTS Quantitative data were subjected to analysis through both descriptive and inferential statistical methods. Interestingly, participants exhibited a significantly higher acceptability for traditional face-to-face psychotherapy compared to email-based psychotherapy (p = 0.042), but there was no statistically significant difference between their acceptance of traditional psychotherapy and VA-led psychotherapy (p = 0.059). The questionnaire outcomes indicated participants' willingness to engage in VA-led psychotherapy for purposes such as relapse prevention intervention, addressing emotional issues, managing somatic experiences, and facilitating social and family functional recovery. Furthermore, the participants' attitudes toward VA-led psychotherapy were predicted by factors including the need for anxiety-focused psychotherapy (p = 0.027; OR [95%CI] = 0.14[0.03,0.80]), the presence of chronic somatic diseases (p = 0.017; OR [95%CI] = 13.58[1.59,116.03]), and marital status (p = 0.031; OR [95%CI] = 5.02[1.16,21.79]). DISCUSSION Through the interviews, the study uncovered the factors that either supported or hindered participants' experiences with VA-led psychotherapy, while also gathering suggestions for future improvements. This research highlights the willingness and practicality of individuals with SUD in embracing VA-led psychotherapy. The findings are anticipated to contribute to the refinement of VA-led tools to better align with the preferences and needs of the users.
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Affiliation(s)
- Shuo Li
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yue Wang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Liyu Chen
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Tianzhen Chen
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jiang Du
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Hang Su
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Haifeng Jiang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Qianying Wu
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Lei Zhang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jiayi Bao
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Min Zhao
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
- CAS Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai, China
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Pham J, Rhee B, Malpass R, Ozcan EE, Shaaya E, Doberstein C, Toms S, Sullivan P. Marital Status Independently Predicts Mortality in Adult Patients with Craniopharyngioma: A SEER-Based Study. World Neurosurg 2023; 175:e367-e379. [PMID: 37003530 DOI: 10.1016/j.wneu.2023.03.100] [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: 11/28/2022] [Revised: 03/22/2023] [Accepted: 03/24/2023] [Indexed: 04/03/2023]
Abstract
BACKGROUND The relationship between marital status and overall survival (OS) in adult patients with craniopharyngioma has not been explored in depth. We aimed to elucidate the impact of marital status on the prognosis of craniopharyngioma patients excluding bias from baseline demographics and treatment. METHODS We extracted 1539 patients diagnosed with craniopharyngioma between 2000 and 2019 from the Surveillance, Epidemiology, and End Results database and divided patients into 4 marital subgroups: married, single, divorced/separated, and widowed. Kaplan-Meier curves with a log-rank test were used to discern differences in OS between marital subgroups. Univariate and multivariate Cox regression were used to identify independent prognostic factors of mortality. RESULTS There were 1539 eligible patients: 863 (56.1%) were married, 466 (30.3%) were single, 135 (8.8%) were divorced/separated, and 75 (4.9%) were widowed. Widowed patients had the worst mean OS, 5-year OS and 10-year OS at 84.2 months, 58.0% and 26.9%, respectively. After stratifying patients by age, our multivariate analysis showed that marital status was an independent predictor of mortality in middle-aged craniopharyngioma patients (40-60 years, P < 0.001), but not in young adults (18-39 years, P = 0.646) or elderly patients (>60 years, P = 0.076). Among middle-aged patients, single (hazard ratio 1.72, confidence interval 1.19-2.47, P = 0.004) and divorced/separated patients (hazard ratio = 2.29, confidence interval = 1.49-3.54, P < 0.001) showed a higher risk of mortality compared to married patients (reference). CONCLUSIONS Marital status is an independent prognostic factor predicting OS for middle-aged patients with craniopharyngioma. Providing additional social and psychological support for single and divorced/separated patients may improve outcomes for this vulnerable population.
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Affiliation(s)
- John Pham
- Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Ben Rhee
- Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Ryan Malpass
- Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Evrim E Ozcan
- Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Elias Shaaya
- Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Curtis Doberstein
- Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Steven Toms
- Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Patricia Sullivan
- Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
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Çol BK, Başaran AG, Pekmezci H. COVID-19 pandemic: Evaluating its psychological impact and individuals' depression, anxiety, and stress levels. AIMS Public Health 2023; 10:507-523. [PMID: 37842269 PMCID: PMC10567971 DOI: 10.3934/publichealth.2023036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 05/20/2023] [Accepted: 05/29/2023] [Indexed: 10/17/2023] Open
Abstract
Background The COVID-19 pandemic is a global public health problem affecting mental health, and basic data are required for evidence-based mental health interventions. This study aimed to identify the prevalence of psychological impacts, anxiety, depression, stress, and any associated risk factors in individuals living in Turkey during the COVID-19 pandemic. Materials and methods The population of this descriptive study consisted of individuals over the age of 18 living in Turkey. The data were collected between July-September 2020 using the snowball sampling method. The study was completed with 1733 participants. The data were collected using the Impact of Events Scale-Revised and the Depression Anxiety Stress Scale. Statistical analyses included percentage, mean, standard deviation, a Chi-square test, a Mann Whitney U test, Kruskal Wallis and Tamhane's T2 post hoc, and Spearman's correlation. P < 0.05 was considered statistically significant. Results 45.1% had moderate or severe psychological effects; 42.7% had a moderate or severe depression, 31.7% had moderate or severe anxiety, and 28.5% had moderate or severe stress levels. Being a woman, being single, unemployment, smoking, the presence of chronic diseases, being young (<35), being a university graduate, having a household size of 5 or more, a low income, having poor health, and being underweight were significantly correlated with some psychological impact, depression, anxiety, and stress levels of people. Conclusion During the pandemic period, almost half of the respondents were found to experience some psychological impact of the pandemic and have negative moderate to severe mental health levels. Risk groups for mental health were identified.
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Affiliation(s)
- Bahar Kefeli Çol
- Guneysu Vocational School of Physical Theraphy and Rehabilitation, Recep Tayyip Erdoğan Üniversity, Rize, Turkey
| | | | - Hilal Pekmezci
- Vocational School of Health Services, Recep Tayyip Erdoğan Üniversity, Rize, Turkey
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7
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Rosta-Filep O, Lakatos C, Thege BK, Sallay V, Martos T. Flourishing Together: The Longitudinal Effect of Goal Coordination on Goal Progress and Life Satisfaction in Romantic Relationships. INTERNATIONAL JOURNAL OF APPLIED POSITIVE PSYCHOLOGY 2023:1-21. [PMID: 37361628 PMCID: PMC9999318 DOI: 10.1007/s41042-023-00089-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/20/2023] [Indexed: 03/29/2023]
Abstract
Goal pursuit shapes people' everyday experiences and is deeply embedded within close relationships. Several studies have shown that goal support from romantic partners facilitates goal progress, and individual goal progress contributes to wellbeing. However, few pieces of research have examined the whole process, how efficient goal coordination in a romantic relationship contributes to life satisfaction through goal progress. In these studies, short time frames were used and only one aspect of goal coordination was examined. To generate more complex, long-term understanding we collected data from 148 married or cohabitating Hungarian heterosexual couples (mean age 39.71 ± 10.40 and 38.57 ± 10.00 years for men and women, respectively) in a two-wave longitudinal study with a year-long time window. Both partners individually completed an adapted version of the Personal Project Assessment and evaluated four chosen projects associated with project coordination (emotional support, communication, and cooperation) at baseline, and project attainment (progress, success, satisfaction) in the follow up. Life satisfaction was assessed during both waves. Results from the actor-partner interdependence mediation modeling revealed complete mediation, where project coordination increased project attainment one year later, and consequently associated with higher life satisfaction for both partners. The direct effect between project coordination and life satisfaction remained nonsignificant. This association indicates that for long-term life satisfaction, it is crucial to experience better goal outcomes as the result of the couple's collaborative effort.
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Affiliation(s)
| | - Csilla Lakatos
- Faculty of Health Sciences, University of Miskolc, Miskolc, Hungary
| | - Barna Konkolÿ Thege
- Waypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, L9M 1G3 Canada
- Department of Psychiatry, University of Toronto, Toronto, Canada
| | - Viola Sallay
- Institute of Psychology, University of Szeged, Szeged, Hungary
| | - Tamás Martos
- Institute of Psychology, University of Szeged, Szeged, Hungary
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8
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Shih FC, Yeh SCJ, Hsu WL. Abusive supervision and employee well-being of nursing staff: Mediating role of occupational stress. J Adv Nurs 2023; 79:664-675. [PMID: 36511427 DOI: 10.1111/jan.15538] [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: 05/13/2022] [Revised: 10/18/2022] [Accepted: 12/01/2022] [Indexed: 12/15/2022]
Abstract
AIM The study examined whether occupational stress mediated the relationship between abusive supervision and well-being of nursing staff. DESIGN A cross-sectional questionnaire survey was administered. METHODS Data were collected at three-time points between July 2020 and January 2021. A total of 313 valid responses were obtained from nurses working in a general hospital in Taiwan. The data were analysed using descriptive statistics, Pearson's correlation analysis and the bootstrap method. RESULTS Abusive supervision was positively associated with occupational stress (β = 0.288, SE = 0.069, 95% CI [0.152, 0.423]) and negatively associated with employee well-being, including psychological (β = -0.350, SE = 0.084, 95% CI [-0.515, -0.186]), physical (β = -0.301, SE = 0.080, 95% CI [-0.459, -0.143]) and social well-being (β = -0.422, SE = 0.121, 95% CI [-0.661, -0.183]). Occupational stress was negatively related to employee well-being. A mediation analysis with bootstrapping revealed that occupational stress mediated the relationship between abusive supervision and employee well-being, which included psychological (95% bootstrap CI [-0.183, -0.046]), physical (95% bootstrap CI [-0.212, -0.062]) and social well-being (95% bootstrap CI [-0.178, -0.040]). CONCLUSION Abusive supervision influences employee well-being. Occupational stress mediates the relationship between abusive supervision and employee well-being. To improve employee well-being, hospital administrators should develop policies for effectively managing nursing supervisors' abusive behaviour and subordinates' stress management. IMPACT Abusive supervision increased the occupational stress of employees and influenced their well-being. Thus, educational courses should be implemented to train supervisors to practice positive leadership and treat employees fairly. Promoting stress management among nursing staff may lead to the prompt reporting of abusive events and improved employee well-being. NO PATIENT OR PUBLIC CONTRIBUTION This study investigated the relationship between the abusive supervision and employee well-being of nursing employees. No patient or public contribution is involved in this study.
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Affiliation(s)
- Fang-Chi Shih
- Department of Business Management, National Sun Yat-sen University, Kaohsiung, Taiwan.,Medical Affair Management Office, E-Da Cancer Hospital, Kaohsiung, Taiwan
| | - Shu-Chuan Jennifer Yeh
- Institute of Health Care Management & Department of Business Management, National Sun Yat-sen University, Kaohsiung, Taiwan.,Management Studies Research Center, National Sun Yat-sen University, Kaohsiung, Taiwan.,Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Wan-Ling Hsu
- Administration Center, E-Da Hospital, Kaohsiung, Taiwan
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Peleg M, Peleg O. Personality and Family Risk Factors for Poor Mental Well-Being. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:839. [PMID: 36613161 PMCID: PMC9819506 DOI: 10.3390/ijerph20010839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/26/2022] [Revised: 12/26/2022] [Accepted: 12/30/2022] [Indexed: 06/17/2023]
Abstract
There is evidence that differentiation of self (DoS) contributes to the regulation of emotions at a young age, resulting in reduced anxiety and improved mental well-being. However, there is little evidence of the relationships between these four dimensions (DoS, self-regulation, anxiety, and mental well-being), or of the potential mediating role of self-regulation and anxiety. Our primary goal was therefore to consider the links between DoS, self-regulation, anxiety, and mental well-being. It was hypothesized that DoS (emotional reactivity, I-position, emotional cutoff, fusion with others) will be positively associated with mental well-being through the mediation of self-regulation (promotion-focused, prevention-focused) and anxiety. The study included 460 participants with a mean age of 41.18 (SD = 14.97, range = 19-60). Of them, 224 (48.7%) were women. Participants filled out four questionnaires: the Differentiation of Self Inventory-Revised, General Regulatory Focus Measure, the anxiety scale from DASS-21, and the Warwick-Edinburgh Mental Well-being Scale. The findings showed that emotional cutoff positively predicted prevention and anxiety, but did not predict promotion. In addition, promotion positively predicted mental well-being. Finally, promotion mediated the relationship between I-position and mental well-being. The results indicate that well-differentiated individuals function optimally and enjoy good quality of life.
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Affiliation(s)
- Maya Peleg
- Social and Organizational Psychology, Bar Ilan University, Ramat Gan 5290002, Israel
| | - Ora Peleg
- Education and School Counseling Departments, Max Stern Yezreel Valley College, Yezreel Valley 1930600, Israel
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10
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Uunk W, Hoffmann P. Do Personality Traits Moderate the Effects of Cohabitation, Separation, and Widowhood on Life Satisfaction? A Longitudinal Test for Germany. JOURNAL OF HAPPINESS STUDIES 2022; 24:141-157. [PMID: 36341276 PMCID: PMC9628624 DOI: 10.1007/s10902-022-00573-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/05/2022] [Indexed: 06/16/2023]
Abstract
UNLABELLED The start and end of a romantic relationship are associated with substantial changes in life satisfaction. Yet, whether Big Five personality traits moderate these relationship transition effects is hardly known. Such knowledge helps to understand individual variation in relationship transition effects and provides the possibility to further test the stress and social support explanations of these effects. Our fixed effects regressions on 28 waves of the German Socio-Economic Panel 1991-2018 show that Big Five traits moderate the effects of relationship transitions on life satisfaction to a limited extent. More neurotic men display a more negative effect of separation, and more neurotic and more agreeable women reveal a more negative effect of widowhood on life satisfaction. Big Five traits do not moderate the effect of the start of cohabitation on life satisfaction. Our findings support the stress perspective of relationship transition effects most and identify emotionally unstable individuals as a particularly vulnerable group. SUPPLEMENTARY INFORMATION The online version contains supplementary material available at 10.1007/s10902-022-00573-8.
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Affiliation(s)
- Wilfred Uunk
- Department of Sociology, University of Innsbruck, Innsbruck, Austria
| | - Paula Hoffmann
- Department of Sociology, Utrecht University, Utrecht, the Netherlands
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11
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Amirkhan JH, Vandenbelt AB. Marriage and health: exploring the role of stress overload. ANXIETY, STRESS, & COPING 2022; 36:398-413. [PMID: 36067057 DOI: 10.1080/10615806.2022.2120196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
BACKGROUND AND OBJECTIVES The association between marital status and health is well-established, but its causes remain unclear. This study was the first to examine stress overload, the pathogenic form of stress, as a possible explanation. DESIGN The study employed a cross-sectional design and convenience sample to explore relationships among stress overload, marital status, social support, and illness. METHODS A diverse sample (n = 455), recruited from community and social media sites, completed an anonymous online survey. Included were standardized measures of stress overload (SOS-S), perceived social support (MSPSS), and somatic symptoms (PHQ-15). RESULTS Married participants reported lower stress overload levels than those in any other type of relationship (single, in-a-relationship, or cohabiting). They did not differ from the unmarried in overall level of social support, nor did statistically controlling social support or income levels erase the stress overload differential. They also reported lower levels of symptomology than the unmarried. SEM analyses yielded a best-fitting model showing stress overload to partially mediate the link between marital status and symptoms. CONCLUSIONS Stress overload is one mechanism that explains the marital health disparity, albeit not the only one. This holds implications for future research and practice focused on personal relationships and well-being.
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Affiliation(s)
- James H. Amirkhan
- Psychology Department, California State University, Long Beach, CA, USA
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12
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AlKandari S, Salman A, Al-Ghadban F, Ahmad R. A Cross-Sectional Study to Examine the Psychological Impact of the COVID-19 Pandemic on Healthcare Workers in Kuwait. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10464. [PMID: 36078180 PMCID: PMC9518443 DOI: 10.3390/ijerph191710464] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Revised: 08/08/2022] [Accepted: 08/09/2022] [Indexed: 06/15/2023]
Abstract
In this study, we aimed to evaluate the psychological impact of the COVID-19 pandemic on healthcare workers to determine the prevalence of symptoms of depression, anxiety, and well-being, and to identify the factors associated with adverse psychological effects. This study was conducted 5 months into the COVID-19 pandemic. We used an online questionnaire to collect data from 378 healthcare workers. To examine the psychological impact, three standardized questionnaires were utilized. This includes the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder Scale (GAD-7), and the WHO Well-Being Scale (WHO-5) to measure depression, anxiety, and quality of life, respectively. More than half of the participants (52.9%) exhibited moderate or high levels of depression, and 40.5% reported moderate or high levels of anxiety. Unmarried HCWs reported more severe levels of depression; moderately severe depression (24.0% vs. 16.1%) and severe depression (12.4% vs. 6.8%). Unmarried HCWs also reported more severity of anxiety as well as lower overall wellbeing. Understanding how personal factors such as marital status can influence the degree of psychological distress can allow us to make better investments in supporting the mental health needs of HCWs in Kuwait. Governments and organizations must establish protective measures, such as continually assessing the mental health status of HCWs throughout the pandemic and providing support services for HCWs in need to minimize adverse consequences and ensure optimal health system operation.
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Affiliation(s)
- Sarah AlKandari
- Immunology and Microbiology Department, Dasman Diabetes Institute, Dasman 15462, Kuwait
| | | | - Fatima Al-Ghadban
- College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA
- Department of Public Health Practice, Faculty of Public Health, Kuwait University, Safat 13110, Kuwait
| | - Rasheed Ahmad
- Immunology and Microbiology Department, Dasman Diabetes Institute, Dasman 15462, Kuwait
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13
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Kandapan B, Pradhan I, Pradhan J. Food Insecurity and Malnutrition among Indian Older Adults: Findings from Longitudinal Ageing Study in India, 2017-18. JOURNAL OF POPULATION AGEING 2022; 16:1-21. [PMID: 35965640 PMCID: PMC9361951 DOI: 10.1007/s12062-022-09378-2] [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: 03/30/2022] [Accepted: 06/28/2022] [Indexed: 10/28/2022]
Abstract
The study aims to assess the prevalence of food insecurity and malnutrition and to investigate the association between food insecurity, sociodemographic characteristics, and malnutrition among Indian older adults. Data for 28,004 older adults (60 + years) was extracted from Wave-1 of the Longitudinal Aging Study in India, 2017-18. Bivariate analysis was used for prevalence estimates. Multinomial logistic regression provided relative risk ratios (RRR) to determine the association. About 45% of older adults were food insecure and nearly half were malnourished (underweight - 26.7%, overweight - 22.2%). Overweight was widespread in southern, western, and northern India, while underweight and food insecurity were widespread in central, eastern, and north-eastern India. Food insecure older adults were significantly more likely to be underweight (mild: RRR = 1.105, 95% CI = 1.038-1.176; severe: RRR = 1.327, 95% CI = 1.186-1.485). Rather than severe food insecurity, those with moderate food insecurity have the least likelihood of being overweight. Being the oldest, male, widowed, divorced/separated/deserted, having fewer years of schooling, living in a ST or SC household, and in rural areawere associated with higher risk of being underweight; while their other counterparts were of being overweight. No association was found between working status and underweight, meanwhile the non-working older adults were less likely to be overweight (RRR = 0.804, 95% CI = 0.744-0.868). Underweight is strongly linked to food insecurity. In terms of food insecurity and malnutrition, the most vulnerable categories identified include oldest old, widowed, divorced/separated/deserted, SC, ST, economically weaker, and persons without or with only a few years of formal education.
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Affiliation(s)
- Binayak Kandapan
- Department of Humanities and Social Sciences, National Institute of Technology (NIT), 769008 Rourkela, Odisha India
| | - Itishree Pradhan
- Department of Humanities and Social Sciences, National Institute of Technology (NIT), 769008 Rourkela, Odisha India
| | - Jalandhar Pradhan
- Department of Humanities and Social Sciences, National Institute of Technology (NIT), 769008 Rourkela, Odisha India
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14
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Older people's family relationships in disequilibrium during the COVID-19 pandemic. What really matters? AGEING & SOCIETY 2022. [DOI: 10.1017/s0144686x22000435] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Abstract
Inter- and intragenerational relationships are known to be important in maintaining the wellbeing of older people. A key aspect of these relationships is the exchange of both emotional and instrumental social support. However, relatively little is known about how this exchange of support changes in the context of widespread disruption. The COVID-19 pandemic provides an opportunity to examine how older people's family relationships are impacted by such social change. The present qualitative study explores how older people in the United Kingdom experienced changes in inter- and intragenerational support during the COVID-19 pandemic. Participants (N = 33) were recruited through a large-scale nationally representative survey (https://www.sheffield.ac.uk/psychology-consortium-covid19). We asked how life had been pre-pandemic, how they experienced the first national lockdown and what the future might hold in store. The data were analysed using constructivist grounded theory. This paper focuses on the importance of family relationships and how they changed as a consequence of the pandemic. We found that the family support system had been interrupted, that there were changes in the methods of support and that feelings of belonging were challenged. We argue that families were brought into disequilibrium through changes in the exchange of inter- and intragenerational support. The important role of grandchildren for older adults was striking and challenged by the pandemic. The significance of social connectedness and support within the family had not changed during the pandemic, but it could no longer be lived in the same way. The desire to be close to family members and to support them conflicted with the risk of pandemic infection. Our study found support for the COVID-19 Social Connectivity Paradox: the need for social connectedness whilst maintaining social distance. This challenged family equilibrium, wellbeing and quality of life in older people.
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15
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Haslam A, Love C, Taniguchi T, Williams MB, Wetherill MS, Sisson S, Weedn AE, Jacob T, Jernigan VBB. Development and Implementation of a Hybrid Online and In-Person Food Sovereignty and Nutrition Education Curriculum for Native American Parents: The FRESH Study. HEALTH EDUCATION & BEHAVIOR 2022; 50:430-440. [PMID: 34991400 PMCID: PMC9981305 DOI: 10.1177/10901981211067168] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The Food Resource Equity and Sustainability for Health ("FRESH") study is an Indigenous-led intervention to increase vegetable and fruit intake among Native American children. As part of this study, we developed a hybrid (online and in-person) food sovereignty and nutrition education curriculum for the parents of these children. This 16-week curriculum was developed to promote household- and community-level healthy eating and food sovereignty practices to parents of preschool-aged children residing in Osage Nation, Oklahoma. A total of 81 parent/caregivers participated in the curriculum component of the FRESH study, with a median age of 34 years (range: 23-54 years). Most study participants were female (88.9%) and less than half (45.7%) had an annual household income of more than US$50,000. Most were married or had a significant other (76.5%) and worked full-time (65.4%). The median total number of children in the home <18 years of age was three (range: 1-8). Participation among the 94 parents was 56% during the first week and was 12% in the final week. Having some college or technical training (vs. having a college degree) and having an annual household income of US$20,000-US$50,000 (vs. more than US$50,000) were associated with fewer sessions attended (p = 0.004 and 0.02, respectively) Being married (vs. not) was associated with higher attendance (p < .0001). Participation in a hybrid food sovereignty and nutrition education curriculum for parents was generally low, but income, education, and marital status were associated with curriculum participation. Our research adds to the literature by describing the development and implementation of this curriculum and recommendations for future research incorporating Indigenous approaches to health.
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Affiliation(s)
- Alyson Haslam
- University of California, San Francisco, San Francisco, CA, USA
| | | | | | | | | | - Susan Sisson
- The University of Oklahoma—Tulsa, Tulsa, OK, USA
| | | | - Tvli Jacob
- Oklahoma State University, Tulsa, OK, USA
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16
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Morey BN, Valencia C, Park HW, Lee S. The central role of social support in the health of Chinese and Korean American immigrants. Soc Sci Med 2021; 284:114229. [PMID: 34284265 PMCID: PMC8638775 DOI: 10.1016/j.socscimed.2021.114229] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 07/08/2021] [Accepted: 07/12/2021] [Indexed: 01/22/2023]
Abstract
Prior research contends that social support positively influences health by optimizing individuals' psychological processes such as appraisals, emotions, and sense of control-known as stress-buffering effects. This study tests this theoretical concept by examining whether the association between social support and health can be explained by the psychological processes of perceived stress and distress among Chinese and Korean American immigrants. Furthermore, we examine what predicts social support in this population, with a particular focus on factors related to immigration. Using a total sample of 400 Chinese and Korean American immigrants, we examine the association between social support and self-rated health (SRH), accounting for demographic factors, socioeconomic status, perceived stress, and perceived distress using multivariable logistic regression models. We conducted a mediation analysis using the Karlson, Holm, and Breen (KHB) method to determine whether perceived stress and distress partly explained the association between social support and SRH. Findings showed a strong total effect of higher social support on better SRH. Furthermore, mediation was detected, with perceived stress and distress explaining 42.98% of the total effect of social support on SRH. Multivariable linear regression models revealed that social support among Chinese and Korean American immigrants was associated with marital status, employment, ethnic identity, and acculturative stress. This study highlights the centrality of social support for Chinese and Korean American immigrants, which lowers perceived stress and distress, leading to better overall health. By confirming these stress-buffering effects, our findings suggest that bolstering social support among vulnerable Chinese and Korean American immigrant populations can have a positive effect on health by optimizing stress appraisals.
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Affiliation(s)
- Brittany N Morey
- University of California, Irvine, Program in Public Health, Department of Health, Society, & Behavior, 653 E. Peltason Dr., Anteater Instruction and Research Building (AIRB) 2022, Irvine, CA, 92697-3957, USA.
| | - Connie Valencia
- University of California, Irvine, Program in Public Health, Department of Health, Society, & Behavior, 653 E. Peltason Dr., Irvine, CA, 92697-3957, USA.
| | - Hye Won Park
- University of California, Irvine, School of Medicine, Department of Medicine, 1001 Health Sciences Rd., Irvine, CA 92617, USA.
| | - Sunmin Lee
- University of California, Irvine, School of Medicine, Department of Medicine, 1001 Health Sciences Rd., Irvine, CA 92617, USA.
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17
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Shahrak SP, Brand S, Taghizadeh Z. Living with singleness: needs and concerns of never-married women over 35. BMC Psychol 2021; 9:129. [PMID: 34462005 PMCID: PMC8404253 DOI: 10.1186/s40359-021-00635-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2021] [Accepted: 08/20/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Cultural and religious norms and expectations may influence the needs and behavior of single women. This is particularly true in those countries where religion and cultural expectations are salient in everyday life. In this context, the present study investigated the needs and concerns of Iranian never-married women aged 35 and older. METHODS This qualitative study involved a conventional content analysis. Interviews were done with 23 never-married women aged 36-64 years in Iran. RESULTS A total of 773 codes, 22 subcategories, 8 categories, and 3 themes were extracted from the interviews. The 3 themes were: (1) mental-spiritual lack; categories were lack of emotional support, uncertain future, mental rumination, and sexual worries; (2) reform of culture and society; categories were an adverse effect of culture and being overlooked in society; (3) loneliness arising from disability; categories were aging and loneliness and sickness and loneliness. CONCLUSIONS The results of the analysis indicate that the needs and concerns of never-married women over the age of 35 years in Iran remain unmet. This suggests that policymakers and health planners should take into consideration the growing number of never-married women as a societal reality deserving of attention.
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Affiliation(s)
- Shakiba Pourasad Shahrak
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Serge Brand
- Center for Affective, Stress and Sleep Disorders (ZASS), Psychiatric Clinics (UPK), University of Basel, 4002, Basel, Switzerland
- Division of Sport Science and Psychosocial Health, Department of Sport, Exercise, and Health, University of Basel, 4052, Basel, Switzerland
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, 67146, Iran
- Sleep Disorders Research Center, Kermanshah University of Medical Sciences, 67146, Kermanshah, Iran
- School of Medicine, Tehran University of Medical Sciences, 25529, Tehran, Iran
| | - Ziba Taghizadeh
- Nursing and Midwifery Care Research Center, Department of Midwifery and Reproductive Health, Tehran University of Medical Sciences, Tehran, Iran.
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18
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Næss EO, Mehlum L, Qin P. Marital status and suicide risk: Temporal effect of marital breakdown and contextual difference by socioeconomic status. SSM Popul Health 2021; 15:100853. [PMID: 34222610 PMCID: PMC8242039 DOI: 10.1016/j.ssmph.2021.100853] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 06/03/2021] [Accepted: 06/18/2021] [Indexed: 11/18/2022] Open
Abstract
Research has shown that people who have never been married, divorced, or widowed are at an increased risk of suicide compared with those who are married, but we have little knowledge as to how this elevated risk is modified by socioeconomic factors, and little research has studied the risk among persons enduring a marital separation. This study addressed these issues with individual-level data from Norwegian national registers. All suicide cases in people above 18 years that took place in the period 1992–2012 (n = 11 051) were compared with living controls (185 685) matched on sex and age via a nested case control design, and suicide risk associated with marital status was assessed with conditional logistic regression. The results showed that, compared with a status of being married, suicide risk was highly associated with a status of being never married, separated, divorced, or widowed, even after adjustment for income-level, educational attainment, centrality of residence, and immigration status. The strongest effect was seen for a separated status; compared to the married, separated persons were fully 6.06 times more apt to die by suicide, and the effect was strongest in the 30 days following a separation. The observed significant associations remained but differed in strength by sex and age, and there were significant deviations by personal socioeconomic status. Most notably, the increased risk was higher for never-married persons with low educational attainment or income. However, most interaction effects (10/16) did not yield significant results. In conclusion, suicide risk is strongly associated with a single status of any form with the highest risk during a marital separation, but the increased risk varies in strength according to individual-level factors. The stress and loss of support induced by marital dissolution are important contributing risk factors for suicide, and persons with low income may be especially vulnerable. Single status of any form was associated with increased risk of suicide. The risk was highest during the first month of a marital separation. A separated status had the strongest effect in middle-aged adults of both sexes. The risk for individuals who had never married differed by income and education.
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Affiliation(s)
- Erik Oftedahl Næss
- National Center for Suicide Research and Prevention, Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Sognsvannsveien 21, N-0372, Oslo, Norway
| | - Lars Mehlum
- National Center for Suicide Research and Prevention, Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Sognsvannsveien 21, N-0372, Oslo, Norway
| | - Ping Qin
- National Center for Suicide Research and Prevention, Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Sognsvannsveien 21, N-0372, Oslo, Norway
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19
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Grundström J, Konttinen H, Berg N, Kiviruusu O. Associations between relationship status and mental well-being in different life phases from young to middle adulthood. SSM Popul Health 2021; 14:100774. [PMID: 33869721 PMCID: PMC8040327 DOI: 10.1016/j.ssmph.2021.100774] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 02/10/2021] [Accepted: 03/05/2021] [Indexed: 12/03/2022] Open
Abstract
The aim of this study was to assess the associations between relationship status and mental well-being in four different phases during the life course, and to identify whether relationship quality moderated these associations. We used a broader concept of relationship status (instead of marital status) and also included the positive dimension of mental health. Participants in a Finnish cohort study were followed up at ages 22 (N = 1,656), 32 (N = 1,471), 42 (N = 1,334), and 52 (N = 1,159). Measures in all study panels covered relationship status (marriage, cohabitation, dating, single and divorced/widowed), Short Beck Depression Inventory (S-BDI), self-esteem (seven items) and relationship quality (six items). Analyses were carried out using linear regression. Compared to marriage, being single or being divorced/widowed were associated with depressive symptoms at every age in men. For women, in turn, being single – but not being divorced/widowed – was associated with depressive symptoms. Among men, being single or being divorced/widowed were also associated with lower self-esteem at age 32, 42 and 52, but in women, only one association between lower self-esteem and being single was found at age 32. Of the age stages, the age 32 is highlighted in men, at which point all relationship statuses were risk factors compared to marriage. There were only few indications of the moderating role of the relationship quality. Compared to marriage, being single or being divorced/widowed were quite consistently associated with poorer mental well-being during the life course, especially among men. For dating and cohabiting the associations were more fragmented depending on age and gender; particularly among women, these relationship statuses tended not to differ from marriage in terms of mental well-being. These observations on mental well-being across five relationship statuses are important in our contemporary society, where the number of marriages is decreasing, and other forms of relationships are becoming more common. Associations of relationship status showed more consistency than variation by age. Singles and divorcees experienced poorer mental well-being, especially in men. Presence of partner may be more important than the institution of marriage. Results were clearer and stronger in relation to depressive symptoms than self-esteem.
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Affiliation(s)
- Jenna Grundström
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland.,Faculty of Social Sciences, P.O. Box 18, 00014, University of Helsinki, Helsinki, Finland
| | - Hanna Konttinen
- Faculty of Social Sciences, P.O. Box 18, 00014, University of Helsinki, Helsinki, Finland
| | - Noora Berg
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland.,Department of Public Health and Caring Sciences, Uppsala University, P.O. Box 564, 751 22, Uppsala, Sweden.,Helsinki Institute of Life Science, P.O. Box 20, 00014, University of Helsinki, Helsinki, Finland
| | - Olli Kiviruusu
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland
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20
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Dean DJ, Tso IF, Giersch A, Lee HS, Baxter T, Griffith T, Song L, Park S. Cross-cultural comparisons of psychosocial distress in the USA, South Korea, France, and Hong Kong during the initial phase of COVID-19. Psychiatry Res 2021; 295:113593. [PMID: 33276269 PMCID: PMC8087149 DOI: 10.1016/j.psychres.2020.113593] [Citation(s) in RCA: 40] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Accepted: 11/23/2020] [Indexed: 12/12/2022]
Abstract
The COVID-19 crisis has resulted in disruption of everyday life worldwide but the impact and response to the pandemic have not been uniform. Many countries rapidly deployed physical-distancing mandates to curb the spread of the virus; others did not. Social distancing strategies are necessary to reduce the transmission of the virus but there may be unintended consequences. We examined psychological distress in four societies with distinct public health strategies (South Korea, Hong Kong, France and the United States) to identify common and region-specific factors that may contribute to mental health outcome during the pandemic. From March to July of 2020, a survey of demographics, general health, mental health, loneliness and social networks was conducted. Overall, younger age, greater concern for COVID, and more severe loneliness predicted worse psychological outcome but the magnitudes of these effects varied across the four regions. Objective measures of social isolation did not affect mental health. There were also notable differences in psychological outcome; Hong Kong, with very strict social distancing protocols plus ongoing political unrest, suffered the most drastic deterioration of mental health. To prepare for an impending mental health crisis, concerted efforts to reduce loneliness should be integrated into a comprehensive public health strategy.
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Affiliation(s)
- Derek J Dean
- Department of Psychology, Vanderbilt University, Nashville, TN, USA
| | - Ivy F Tso
- Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
| | - Anne Giersch
- Institut National de la Santé et de la Recherche Médicale (INSERM), Strasbourg, France
| | - Hyeon-Seung Lee
- Department of Psychology, Vanderbilt University, Nashville, TN, USA
| | - Tatiana Baxter
- Department of Psychology, Vanderbilt University, Nashville, TN, USA
| | - Taylor Griffith
- Department of Psychology, Vanderbilt University, Nashville, TN, USA
| | - Lijun Song
- Department of Sociology, Vanderbilt University, Nashville, TN, USA
| | - Sohee Park
- Department of Psychology, Vanderbilt University, Nashville, TN, USA.
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21
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Wilson JM, Smith K, Strough J, Delaney R. Knowing you are there makes the difference: perceived social support, preferences for using support, and health. J Women Aging 2020; 33:396-410. [PMID: 33347380 DOI: 10.1080/08952841.2020.1860633] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Using cluster analysis, we investigated whether perceived social support and individual differences in preferences to use support combined to form distinct profiles. Self-report data were collected from U.S. adults (N = 454; aged 40-90, Mage = 55.37, SD = 9.73). Four profiles were identified: disengaged, interpersonally connected, isolated independent, and connected independent. Profiles characterized by high perceived support were associated with better overall health, even among those who preferred not to use support; men and those not married or cohabiting were less likely to be in these profiles. Implications for understanding associations between social support and health and the identification of at-risk groups are discussed.
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Affiliation(s)
- Jenna M Wilson
- Department of Psychology, West Virginia University, Morgantown, United States
| | - Kelly Smith
- Department of Psychology, West Virginia University, Morgantown, United States
| | - JoNell Strough
- Department of Psychology, West Virginia University, Morgantown, United States
| | - Rebecca Delaney
- Department of Psychology, West Virginia University, Morgantown, United States.,School of Medicine, University of Utah, Salt Lake City, United States
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22
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Hou T, Zhang F, Mao X, Deng G. Chronotype and psychological distress among Chinese rural population: A moderated mediation model of sleep quality and age. PLoS One 2020; 15:e0241301. [PMID: 33125424 PMCID: PMC7598484 DOI: 10.1371/journal.pone.0241301] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 10/12/2020] [Indexed: 12/02/2022] Open
Abstract
PURPOSES Evidence suggests evening-type individuals have a higher risk of reporting psychological distress than morning-type individuals. However, less is known regarding the underlying processes that might mediate or moderate this association among Chinese rural population. This study aimed to evaluate the prevalence of psychological distress, investigate whether sleep quality would mediate the association between chronotype and psychological distress and explore whether age would moderate the direct or indirect effect of the mediation model. METHODS The cross-sectional study utilized a sample of 884 rural residents from rural regions in Anqing City, Anhui Province, China. Morningness-Eveningness Questionnaire (MEQ), Pittsburgh Sleep Quality Index (PSQI) and 21-item Depression Anxiety Stress Scale (DASS-21) were used to measure chronotype, sleep quality and psychological distress, respectively. MacKinnon's four-step procedure was employed to examine the mediation effect, while Hayes PROCESS macro (model 59) was used to perform the moderated mediation analysis. RESULTS The prevalence of psychological distress among Chinese rural population was 33.4%. The association between chronotype and psychological distress was partially mediated by sleep quality (indirect effect = - 0.05, 95% CI = [-0.08, -0.03]). In addition, age moderated the first stage (sleep quality-psychological distress) of the indirect effect, with the indirect effect being attenuated for older rural residents. As suggested by Johnson-Neyman technique, the association between sleep quality and psychological distress was only significant when the age of the participant was lower than 48.59. CONCLUSIONS The incidence of psychological distress among Chinese rural residents cannot be neglected. Interventions for the enhancement of sleep quality to prevent and reduce psychological distress should be prioritized to rural residents who are prone to eveningness, especially those who are younger.
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Affiliation(s)
- Tianya Hou
- Department of Psychology, Naval Medical University (Second Military Medical University), Shanghai, China
| | - Fan Zhang
- Department of Psychology, Naval Medical University (Second Military Medical University), Shanghai, China
| | - Xiaofei Mao
- Department of Psychology, Naval Medical University (Second Military Medical University), Shanghai, China
| | - Guanghui Deng
- Department of Psychology, Naval Medical University (Second Military Medical University), Shanghai, China
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23
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Shih TY, Cheng SL, Chang SH, Sun HF. Perceived social support and depression symptoms in patients with major depressive disorder in Taiwan: An association study. Arch Psychiatr Nurs 2020; 34:384-390. [PMID: 33032762 DOI: 10.1016/j.apnu.2020.06.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Revised: 05/21/2020] [Accepted: 06/02/2020] [Indexed: 11/16/2022]
Abstract
This study analyzes the association between social support and depression symptoms of inpatients with major depressive disorder. A total of 160 inpatients were recruited from the acute psychiatric ward of a medical center in northern Taiwan between July 1, 2015, and December 31, 2016. Data were analyzed using descriptive statistics, simple linear regression and multiple linear regression. Our results reveal that patient depression level is significantly associated with gender, age, marital status, education, occupation and number of admissions due to depression. Social support is significantly associated with marital status and number of admissions due to depression. The depression symptoms of the patients were significantly and negatively associated with overall perceived social support and perceived social support from family, friends and a significant other. These results could serve as a reference for the clinical practice of clinical specialists and argue for the inclusion of social support as an intervention for patients with depression.
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Affiliation(s)
| | - Shu-Li Cheng
- Department of Nursing, Mackay Medical College, Taiwan, ROC
| | - Shu-Hui Chang
- Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taiwan, ROC
| | - Huey-Fang Sun
- School of Nursing, National Defense Medical Center, Taiwan, ROC.
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24
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Bartone PT, Bowles SV. Coping with recruiter stress: Hardiness, performance and well-being in US Army recruiters. MILITARY PSYCHOLOGY 2020; 32:390-397. [PMID: 38536273 PMCID: PMC10013317 DOI: 10.1080/08995605.2020.1780061] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2019] [Accepted: 06/03/2020] [Indexed: 10/23/2022]
Abstract
Recruiting for military service can be a highly stressful job, but it is one that is essential for success in the all-volunteer force. Military recruiters face a number of job stressors, including pressure to meet monthly production quotas, long work hours and time away from family. They also work in relative isolation, with limited work social support networks. These factors make recruiters vulnerable to burnout and early attrition. The present study examines psychological hardiness and active, problem focused coping as potential stress resilience resources in US Army recruiters. In a stratified random sample of N = 817 recruiters, hardiness was found to predict supervisor-rated performance and psychological well-being. Hardiness also interacted with problem focused coping to predict psychological well-being, suggesting a mediating role for coping. These results can be applied to help improve policy for selecting and training military recruiters.
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Affiliation(s)
- Paul T. Bartone
- Institute for National Strategic Studies, National Defense University, Washington, District of Columbia
| | - Stephen V. Bowles
- Institute for National Strategic Studies, National Defense University, Washington, District of Columbia
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25
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Fernandez R, Ham-Baloyi WT, Al Mutair A, Lapkin S, Moxham L, Tapsell A. Similarities and differences in well-being between Australian, Saudi Arabian and South African pre-registration nursing students. Collegian 2020. [DOI: 10.1016/j.colegn.2019.11.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Giesbers SAH, Hendriks AHC, Hastings RP, Jahoda A, Tournier T, Embregts PJCM. Social Capital and the Reciprocal Nature of Family Relationships: The Perspective of Individuals With Mild Intellectual Disability. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2020; 125:170-185. [PMID: 32357108 DOI: 10.1352/1944-7558-125.3.170] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Even though family plays a significant role in the lives of people with intellectual disability, little research has included their own views about their families. This study examined how 138 people with mild intellectual disability describe their family group, with a focus on the reciprocal nature of the emotional support in relationships with family members. Participants reported "significant" family members beyond the nuclear family, and parents were seen as the main provider of support. Only half of participants had a support relationship with siblings and just 13% of participants reported partners. About 30% of support was reciprocal, and reciprocity varied greatly with the types of family connection (e.g., siblings, peers). Implications for future research as well as practice are discussed.
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Affiliation(s)
- Sanne A H Giesbers
- Sanne A. H. Giesbers, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands and Dichterbij Innovation and Science, Gennep, the Netherlands; Alexander H. C. Hendriks, School of Pedagogical and Educational Science, Faculty of Social Sciences, Radboud University Nijmegen, the Netherlands; Richard P. Hastings, Centre for Educational Development, Appraisal and Research, University of Warwick, Coventry, UK and Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Australia; Andrew Jahoda, Psychological Medicine, University of Glasgow, Glasgow, UK; Tess Tournier, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands and ASVZ, Sliedrecht, the Netherlands; and Petri J. C. M. Embregts, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands
| | - Alexander H C Hendriks
- Sanne A. H. Giesbers, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands and Dichterbij Innovation and Science, Gennep, the Netherlands; Alexander H. C. Hendriks, School of Pedagogical and Educational Science, Faculty of Social Sciences, Radboud University Nijmegen, the Netherlands; Richard P. Hastings, Centre for Educational Development, Appraisal and Research, University of Warwick, Coventry, UK and Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Australia; Andrew Jahoda, Psychological Medicine, University of Glasgow, Glasgow, UK; Tess Tournier, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands and ASVZ, Sliedrecht, the Netherlands; and Petri J. C. M. Embregts, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands
| | - Richard P Hastings
- Sanne A. H. Giesbers, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands and Dichterbij Innovation and Science, Gennep, the Netherlands; Alexander H. C. Hendriks, School of Pedagogical and Educational Science, Faculty of Social Sciences, Radboud University Nijmegen, the Netherlands; Richard P. Hastings, Centre for Educational Development, Appraisal and Research, University of Warwick, Coventry, UK and Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Australia; Andrew Jahoda, Psychological Medicine, University of Glasgow, Glasgow, UK; Tess Tournier, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands and ASVZ, Sliedrecht, the Netherlands; and Petri J. C. M. Embregts, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands
| | - Andrew Jahoda
- Sanne A. H. Giesbers, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands and Dichterbij Innovation and Science, Gennep, the Netherlands; Alexander H. C. Hendriks, School of Pedagogical and Educational Science, Faculty of Social Sciences, Radboud University Nijmegen, the Netherlands; Richard P. Hastings, Centre for Educational Development, Appraisal and Research, University of Warwick, Coventry, UK and Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Australia; Andrew Jahoda, Psychological Medicine, University of Glasgow, Glasgow, UK; Tess Tournier, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands and ASVZ, Sliedrecht, the Netherlands; and Petri J. C. M. Embregts, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands
| | - Tess Tournier
- Sanne A. H. Giesbers, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands and Dichterbij Innovation and Science, Gennep, the Netherlands; Alexander H. C. Hendriks, School of Pedagogical and Educational Science, Faculty of Social Sciences, Radboud University Nijmegen, the Netherlands; Richard P. Hastings, Centre for Educational Development, Appraisal and Research, University of Warwick, Coventry, UK and Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Australia; Andrew Jahoda, Psychological Medicine, University of Glasgow, Glasgow, UK; Tess Tournier, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands and ASVZ, Sliedrecht, the Netherlands; and Petri J. C. M. Embregts, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands
| | - Petri J C M Embregts
- Sanne A. H. Giesbers, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands and Dichterbij Innovation and Science, Gennep, the Netherlands; Alexander H. C. Hendriks, School of Pedagogical and Educational Science, Faculty of Social Sciences, Radboud University Nijmegen, the Netherlands; Richard P. Hastings, Centre for Educational Development, Appraisal and Research, University of Warwick, Coventry, UK and Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Australia; Andrew Jahoda, Psychological Medicine, University of Glasgow, Glasgow, UK; Tess Tournier, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands and ASVZ, Sliedrecht, the Netherlands; and Petri J. C. M. Embregts, Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, the Netherlands
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Huttunen-Lenz M, Raben A, Meinert-Larsen T, Drummen M, Macdonald I, Martínez JA, Handjieva-Darlenska T, Poppitt SD, Jalo E, Muirhead R, Schlicht W. Sociocognitive factors associated with lifestyle intervention attrition after successful weight loss among participants with prediabetes-The PREVIEW study. Public Health Nurs 2020; 37:393-404. [PMID: 32160348 DOI: 10.1111/phn.12718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Revised: 02/10/2020] [Accepted: 02/24/2020] [Indexed: 12/01/2022]
Abstract
INTRODUCTION Major risk factors for type 2 diabetes are lifestyle choices such as lack of physical activity (PA) and poor diet. Many individuals either do not take part or struggle to complete interventions supporting lifestyle changes. Demographic and theory-based sociocognitive factors associated with PREVIEW intervention attrition after successful weight loss were examined. METHODS Participants (1,856) who started the weight maintenance phase after completion of low-energy diet were retrospectively divided into three clusters depending on the point they left the trial. Discriminant analysis examined which demographic and theory-based sociocognitive variables were associated with cluster membership. RESULTS Most of the participants were women and well-educated. Two discriminant functions were calculated (χ2 (24) = 247.0, p ≥ .05, d = 0.78). The demographic variables, such as age and ethnicity, and the social cognitive variable outcome expectancies on the other side were associated with cluster membership. Older age, Caucasian ethnicity, and fewer expected disadvantages of PA were associated with high success. DISCUSSION The discriminant model gave insight into some factors associated with early attrition. For practitioners planning interventions it underlines the necessity to take extra attention to younger participants and to those being afraid that being physically active causes unpleasant ramifications.
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Affiliation(s)
- Maija Huttunen-Lenz
- Institute of Nursing Science, University of Education Schwäbisch Gmünd, Schwäbisch Gmünd, Germany
| | - Anne Raben
- Department of Nutrition, Exercise and Sports, University of Copenhagen, Frederiksberg, Denmark
| | - Thomas Meinert-Larsen
- Department of Nutrition, Exercise and Sports, University of Copenhagen, Frederiksberg, Denmark
| | - Mathijs Drummen
- Department of Nutrition and Movement Sciences, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands
| | - Ian Macdonald
- School of Life Sciences, MRC/ARUK Centre for Musculoskeletal Ageing Research, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, University of Nottingham, Nottingham, UK
| | - José Alfredo Martínez
- Department of Nutrition and Physiology, Center for Nutrition Research, University of Navarra Pamplona, IDISNA Navarra, Pamplona, Spain.,CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III IMDEAfood Madrid, Madrid, Spain
| | | | - Sally D Poppitt
- Human Nutrition Unit, School of Biological Sciences, Department of Medicine, University of Auckland, Auckland, New Zealand
| | - Elli Jalo
- Department of Food and Nutrition, University of Helsinki, Helsinki, Finland
| | - Roslyn Muirhead
- School of Life and Environmental Sciences and Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia
| | - Wolfgang Schlicht
- Department of Exercise and Health Sciences, University of Stuttgart, Stuttgart, Germany
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Dispositional mindfulness, perceived social support, and academic motivation: Exploring differences between Dutch and American students. NEW IDEAS IN PSYCHOLOGY 2020. [DOI: 10.1016/j.newideapsych.2019.05.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Siva Kumar FD, Vaingankar JA, Sambasivam R, Abdin E, Jeyagurunathan A, Seow E, Picco L, Chong SA, Subramaniam M. Marital Status and Positive Mental Health of Psychiatric Outpatients. ANNALS OF THE ACADEMY OF MEDICINE, SINGAPORE 2019. [DOI: 10.47102/annals-acadmedsg.v48n12p429] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Affiliation(s)
| | | | | | | | | | - Esmond Seow
- Research Division, Institute of Mental Health, Singapore
| | - Louisa Picco
- Research Division, Institute of Mental Health, Singapore
| | - Siow Ann Chong
- Research Division, Institute of Mental Health, Singapore
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Harasemiw O, Newall N, Mackenzie CS, Shooshtari S, Menec V. Is the association between social network types, depressive symptoms and life satisfaction mediated by the perceived availability of social support? A cross-sectional analysis using the Canadian Longitudinal Study on Aging. Aging Ment Health 2019; 23:1413-1422. [PMID: 30406668 DOI: 10.1080/13607863.2018.1495176] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Objectives: The objectives of this study were to examine: 1) whether the relationship between social network types, depressive symptoms and life satisfaction is mediated by different types of perceived social support; and, 2) whether social support plays a mediational role for married versus unmarried older adults. Methods: The study was based on national, baseline data (Tracking Cohort) from the Canadian Longitudinal Study on Aging for participants aged 65 to 85 (N = 8782). Five social network types derived from cluster analysis were used as predictors in the mediation analyses, with the four social support subscales of the Medical Outcomes Survey (MOS) Social Support Survey (tangible, emotional, positive social interactions, and affectionate) included as mediators, and depressive symptoms and life satisfaction as outcome variables. Socio-demographic and physical health variables were included as covariates. Results: Significant indirect effects emerged, with less diverse social network structures generally associated with less social support which, in turn, was related to more depressive symptoms and lower life satisfaction. However, different findings emerged for different types of social support, for participants who were married and unmarried, and for depressive symptoms versus life satisfaction. Conclusion: Our findings suggest that restricted social networks that are reflective of social isolation, as well as those that are intermediate in terms of their diversity can create gaps in perceived social support and, consequently, can negatively impact mental health and life satisfaction.
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Affiliation(s)
- Oksana Harasemiw
- a Department of Community Health Sciences, University of Manitoba , Winnipeg , Canada
| | - Nancy Newall
- b Department of Psychology, Brandon University , Brandon , Canada
| | - Corey S Mackenzie
- c Department of Psychology, University of Manitoba , Winnipeg , Canada
| | - Shahin Shooshtari
- a Department of Community Health Sciences, University of Manitoba , Winnipeg , Canada
| | - Verena Menec
- a Department of Community Health Sciences, University of Manitoba , Winnipeg , Canada
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Bayer U, Likar R, Pinter G, Stettner H, Demschar S, Trummer B, Neuwersch S, Glazachev O, Burtscher M. Effects of intermittent hypoxia-hyperoxia on mobility and perceived health in geriatric patients performing a multimodal training intervention: a randomized controlled trial. BMC Geriatr 2019; 19:167. [PMID: 31200649 PMCID: PMC6570826 DOI: 10.1186/s12877-019-1184-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2018] [Accepted: 06/10/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Additional benefits of passive exposures to intermittent hypoxia and hyperoxia on cognitive performance and functional exercise capacity have been demonstrated in geriatric patients who performed a multimodal training program. The main goal of the present study was to evaluate effects of adding intermittent hypoxic-hyperoxic training (IHHT) to a multimodal training intervention (MTI) on mobility and perceived health in old individuals at a Geriatric Day Hospital. METHODS Thirty-four patients between 64 and 92 years participated in the double blind, randomized and controlled clinical trial. The elderly patients attended in a 5-7 weeks lasting MTI (strength, endurance, balance, reaction, flexibility, coordination, and cognitive exercises) and performed IHHT (breathing 10-14% oxygen for 4-7 min followed by 2-4 min 30-40% oxygen) in the Hypoxic Group (HG) or placebo treatment with ambient air in the Normoxic Group (NG) in parallel. Before and after all treatments, mobility was assessed by the Tinetti Mobility Test (TMT), the Timed-Up-and-Go Test (TUG) and Barthel-Index, while perceived health was assessed by one part of the EQ-5D Test, the EQ visual analogue scale (EQ VAS). RESULTS After the MTI plus IHHT or normoxia sessions, results of the TMT, TUG, Barthel Index and EQ-VAS revealed no significant difference between HG and NG (+ 14.9% vs + 15.4%, p = 0.25; - 21% vs - 26.3%, p = 0.51; + 4.2% vs + 3.6%, p = 0.56; + 37.9% vs + 33.9%, p = 0.24;). CONCLUSIONS IHHT added to MTI did not elicit additional improvements in perceived health and mobility compared to MTI alone.
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Affiliation(s)
- Ulrike Bayer
- Department of Geriatrics, Klinikum Klagenfurt, Kraßniggstraße 2, 9020 Klagenfurt am Wörthersee, Austria
| | - Rudolf Likar
- Department of Anesthesiology and Intensive Care Medicine, Klinikum Klagenfurt, Feschnigstr. 11, 9020 Klagenfurt, Austria
| | - Georg Pinter
- Department of Geriatrics, Klinikum Klagenfurt, Kraßniggstraße 2, 9020 Klagenfurt am Wörthersee, Austria
| | - Haro Stettner
- Department of Statistics, Alpen-Adria University Klagenfurt, Universitätsstraße 65-67, 9020 Klagenfurt, Austria
| | - Susanne Demschar
- Department of Anesthesiology and Intensive Care Medicine, Klinikum Klagenfurt, Feschnigstr. 11, 9020 Klagenfurt, Austria
| | - Brigitte Trummer
- Department of Anesthesiology and Intensive Care Medicine, Klinikum Klagenfurt, Feschnigstr. 11, 9020 Klagenfurt, Austria
| | - Stefan Neuwersch
- Department of Anesthesiology and Intensive Care Medicine, Klinikum Klagenfurt, Feschnigstr. 11, 9020 Klagenfurt, Austria
| | - Oleg Glazachev
- Science and Technology Park for Biomedicine, I.M, Sechenov First Moscow State Medical University, Trubetskaya Str. 8-2, 119991 Moscow, Russia
| | - Martin Burtscher
- Department of Sport Science, Medical Section, University of Innsbruck, Fürstenweg 185, 6020 Innsbruck, Austria
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Gafarova AV, Gromova EA, Panov DО, Gagulin IV, Krymov EA, Gafarov VV. Social support and stroke risk: an epidemiological study of a population aged 25–64 years in Russia/Siberia (the WHO MONICA-psychosocial program). ACTA ACUST UNITED AC 2019. [DOI: 10.14412/2074-2711-2019-1-12-20] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- A. V. Gafarova
- Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center Institute of Cytology and Genetics, Siberian Branch, Russian Academy of Sciences
| | - E. A. Gromova
- Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center Institute of Cytology and Genetics, Siberian Branch, Russian Academy of Sciences
| | - D. О. Panov
- Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center Institute of Cytology and Genetics, Siberian Branch, Russian Academy of Sciences
| | - I. V. Gagulin
- Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center Institute of Cytology and Genetics, Siberian Branch, Russian Academy of Sciences
| | - E. A. Krymov
- Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center Institute of Cytology and Genetics, Siberian Branch, Russian Academy of Sciences
| | - V. V. Gafarov
- Research Institute of Internal and Preventive Medicine, Branch, Federal Research Center Institute of Cytology and Genetics, Siberian Branch, Russian Academy of Sciences
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BARROS RDSN, SOARES AB, HERNANDEZ JAE. Social skills, empathy, love, and satisfaction in the family life cycle. ESTUDOS DE PSICOLOGIA (CAMPINAS) 2019. [DOI: 10.1590/1982-0275201936e180032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract This study verified the predictive relationships between social skills, beliefs about love and marital satisfaction in the family life cycle. The participants of this study were 446 married adults, of both sexes, living in the metropolitan area of the city of Rio de Janeiro, Brazil. The explanatory variables that contributed most to the marital satisfaction of men were passion, proactive self-control, decision/commitment, and for women they were commitment, affective sensitivity, decision/commitment, and passion. It was concluded that the dimensions related to love constructs were more explanatory of marital satisfaction, except at the stage of couples with small children whose social skills were more prominent. These results may contribute to preparatory programs and therapies related to marital life.
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Esiaka D, Naemi P, Kuofie A, Hess R. General Well-Being in Adult Black Males With Chronic Illness. Gerontol Geriatr Med 2019; 5:2333721419855664. [PMID: 31276017 PMCID: PMC6598313 DOI: 10.1177/2333721419855664] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2018] [Revised: 01/16/2019] [Accepted: 01/30/2019] [Indexed: 11/17/2022] Open
Abstract
As individuals age, they witness a decline in physical health and functional capacities. The presence of one or more chronic illnesses challenges their quality of life and general well-being, thus, impacting their abilities to function physically, psychologically, and socially. We investigated reports of general well-being in older Black males with chronic illness(es) in a study of N = 145 participants, aged 35 to 63, and identified as Black/African American male. Participants responded to items assessing general well-being; ethnic identity; self-esteem; active coping; the presence of chronic illness(es); and additional demographic, social and ecological characteristics. Analyses of responses indicated that marital status (β = -.17, p < .05), ethnic identity (β = -.34, p = .00), self-esteem (β = .22, p = .03) are significant determinants of general well-being in Black males with chronic illness(es). Data further showed active coping (β = -.41 p = .09) to be negatively correlated with well-being. We discuss the implications of results for the understanding of health outcomes among this marginalized population.
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Zhu X, Wang K, Chen L, Cao A, Chen Q, Li J, Qiu J. Together Means More Happiness: Relationship Status Moderates the Association between Brain Structure and Life Satisfaction. Neuroscience 2018; 384:406-416. [DOI: 10.1016/j.neuroscience.2018.05.018] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Revised: 05/11/2018] [Accepted: 05/14/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Xingxing Zhu
- School of Psychology, Southwest University, Chongqing 400715, China; Key Laboratory of Cognition and Personality of Ministry of Education, Southwest University, Chongqing 400715, China
| | - Kangcheng Wang
- School of Psychology, Southwest University, Chongqing 400715, China; Key Laboratory of Cognition and Personality of Ministry of Education, Southwest University, Chongqing 400715, China
| | - Li Chen
- The Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China
| | - Aihua Cao
- Department of Pediatrics, Qilu Hospital of Shandong University, Brain Science Research Institute of Shandong University, Jinan 250012, China
| | - Qunlin Chen
- School of Psychology, Southwest University, Chongqing 400715, China; Key Laboratory of Cognition and Personality of Ministry of Education, Southwest University, Chongqing 400715, China
| | - Junchao Li
- Center for the Study of Applied Psychology, Key Laboratory of Mental Health and Cognitive Science of Guangdong Province, School of Psychology, South China Normal University, Guangzhou 510631, China
| | - Jiang Qiu
- School of Psychology, Southwest University, Chongqing 400715, China; Key Laboratory of Cognition and Personality of Ministry of Education, Southwest University, Chongqing 400715, China.
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Wang S, Yang X, Attané I. Social Support Networks and Quality of Life of Rural Men in a Context of Marriage Squeeze in China. Am J Mens Health 2018; 12:706-719. [PMID: 29347869 PMCID: PMC6131449 DOI: 10.1177/1557988317753263] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2017] [Revised: 12/08/2017] [Accepted: 12/13/2017] [Indexed: 11/16/2022] Open
Abstract
A significant number of rural Chinese men are facing difficulties in finding a spouse and may fail to ever marry due to a relative scarcity of women in the adult population. Research has indicated that marriage squeeze is a stressful event which is harmful to men's quality of life, and also weakens their social support networks. Using data collected in rural Chaohu city, Anhui, China, this study explores the effects of social support networks on quality of life of rural men who experience a marriage squeeze. The results indicate that the size of social contact networks is directly and positively associated with the quality of life of marriage-squeezed men, and moderate the negative effect of age on quality of life. Having no or limited instrumental support network and social contact network are double-edged swords, which have direct negative associations with the quality of life of marriage-squeezed men, and have moderate effects on the relationship between marriage squeeze and quality of life.
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Affiliation(s)
- Sasa Wang
- School of Public Policy and
Administration, Xi’an Jiaotong University (XJTU), Xi’an, Shaanxi, China
| | - Xueyan Yang
- School of Public Policy and
Administration, Xi’an Jiaotong University (XJTU), Xi’an, Shaanxi, China
| | - Isabelle Attané
- French National Institute for
Demographic Studies, Paris, France
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Jalali-Farahani S, Amiri P, Karimi M, Vahedi-Notash G, Amirshekari G, Azizi F. Perceived social support and health-related quality of life (HRQoL) in Tehranian adults: Tehran lipid and glucose study. Health Qual Life Outcomes 2018; 16:90. [PMID: 29747652 PMCID: PMC5946411 DOI: 10.1186/s12955-018-0914-y] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Accepted: 04/27/2018] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Several studies have demonstrated the positive association between perceived social support and health-related quality of life (HRQoL) in certain groups; however, few studies have assessed this relationship in general population and between genders. This study aimed to investigate associations between socio-demographic factors, perceived social support and HRQoL among an urban Iranian population. METHODS The study population were 1036 adults who had participated in Tehran Lipid and Glucose Study (TLGS). Data on socio-demographic information, perceived social support and HRQoL were collected using standard questionnaires by trained interviewers. Perceived social support and HRQoL were assessed using Iranian versions of the Multidimensional Scale of Perceived Social Support (MSPSS) and Short-Form 12-Item Health Survey version 2 (SF-12v2) respectively. Data on sets of associations among socio-demographic factors, perceived social support and quality of life were analyzed using Structural Equation Modeling (SEM) with IBM SPSS AMOS software. RESULTS Mean ages were 50.3 ± 16.3 and 49.6 ± 14.0 years in men and women respectively and 40.9% of participants were male. In terms of perceived social support scores, except for family subscale scores (p = 0.003), there were no significant differences between men and women. However, men had significantly higher HRQoL scores, compared to women in all subscales. The findings of SEM analysis demonstrated that being married in both genders (p < 0.001) and lower age in men (p < 0.05) were significantly associated with higher level of perceived social support. In terms of physical HRQoL, being single and higher perceived social support in both genders and lower age and not having any chronic diseases, only in women were associated with higher physical HRQoL. However, for mental HRQoL, age and perceived social support had significant direct associations with mental HRQoL in both genders (p < 0.001); in women, being single (p < 0.05) and not having chronic diseases (p < 0.001) were also significantly associated with better mental HRQoL. CONCLUSION Perceived social support was found to be both directly and indirectly associated with physical and mental aspects of HRQoL in both genders. Current structural models provide beneficial information for planning health promotion programs aimed at improving HRQoL among Tehranian adults.
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Affiliation(s)
- Sara Jalali-Farahani
- Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, P.O.Box: 19395-4763, Tehran, IR, Iran
| | - Parisa Amiri
- Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, P.O.Box: 19395-4763, Tehran, IR, Iran.
| | - Mehrdad Karimi
- Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, P.O.Box: 19395-4763, Tehran, IR, Iran.,Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Golnaz Vahedi-Notash
- Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, P.O.Box: 19395-4763, Tehran, IR, Iran
| | - Golshan Amirshekari
- Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Fereidoun Azizi
- Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Livelihood opportunities amongst adults with and without disabilities in Cameroon and India: A case control study. PLoS One 2018; 13:e0194105. [PMID: 29630606 PMCID: PMC5890974 DOI: 10.1371/journal.pone.0194105] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Accepted: 02/23/2018] [Indexed: 11/19/2022] Open
Abstract
Proven links between disability and poverty suggest that development programmes and policies that are not disability-inclusive will leave persons with disabilities behind. Despite this, there is limited quantitative evidence on livelihood opportunities amongst adults with disabilities in Low and Middle Income Countries. This study adds to the limited evidence base, contributing data from one African and one Asian Setting. We undertook a population-based case–control study of adults (18+) with and without disabilities in North-West Cameroon and in Telangana State, India. We found that adults with disabilities were five times less likely to be working compared to age-sex matched controls in both settings. Amongst adults with disabilities, current age, marital status and disability type were key predictors of working. Inclusive programmes are therefore needed to provide adequate opportunities to participate in livelihood prospects for adults with disabilities in Cameroon and India, on an equal basis as others. These findings are of crucial importance at this stage of the Sustainable Development Agenda, to ensure that the mandate of inclusive development is achieved.
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Tuinman MA, Lehmann V, Hagedoorn M. Do single people want to date a cancer survivor? A vignette study. PLoS One 2018; 13:e0194277. [PMID: 29566002 PMCID: PMC5863988 DOI: 10.1371/journal.pone.0194277] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2016] [Accepted: 02/21/2018] [Indexed: 01/11/2023] Open
Abstract
Objective Qualitative studies indicated that cancer survivors may be worried about finding a partner in the future, but whether this concern is warranted is unknown. We examined single people´s interest in dating a cancer survivor, how they perceive survivors’ traits, and their preferences about the timing of disclosing a cancer history. Methods In three experimental vignette studies, dating website members (n = 324) and college students (n = 138 and n = 131) were randomly assigned to a vignette of a person with or without a history of cancer (experiment 1 & 2), or a cancer survivor beyond or during active follow-up (experiment 3). Respondents rated their interest in dating this fictive person, this person’s traits, and indicated their preferences about the timing of disclosure. ANOVAs with main and interaction effects of condition, gender, and relationship history were conducted, partial eta squared and Cohen’s d were used to estimate the magnitude of effects. Correlations were used to investigate relationships between interest in a date and assessment of traits. Results Cancer survivors’ traits were assessed more positively, but interest to date them did not differ from healthy vignettes for both men and women. However, widowed respondents were much less interested in a date with a cancer survivor, and women showed less interest in a cancer survivor during active follow-up relative to survivors beyond follow-up. Most respondents wanted to hear about the cancer diagnosis after a few dates, hardly anyone wanted to hear about this before the first date (2% - 5%). Conclusion and implications for cancer survivors Cancer survivors do not have to expect any more problems in finding a date than people without a cancer history, and can wait a few dates before disclosing. Survivors dating widowed people and survivors in active follow-up could expect more hesitant reactions and should disclose earlier.
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Affiliation(s)
- Marrit Annika Tuinman
- Department of Health Psychology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands
- * E-mail:
| | - Vicky Lehmann
- Department of Health Psychology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands
| | - Mariët Hagedoorn
- Department of Health Psychology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands
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Roos LG, Levens SM, Bennett JM. Stressful life events, relationship stressors, and cortisol reactivity: The moderating role of suppression. Psychoneuroendocrinology 2018; 89:69-77. [PMID: 29331801 PMCID: PMC5878721 DOI: 10.1016/j.psyneuen.2017.12.026] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Revised: 12/28/2017] [Accepted: 12/28/2017] [Indexed: 01/05/2023]
Abstract
Stressful life events (SLEs) are exceedingly common and have been associated with a range of psychological disorders, perhaps through dysregulation in the hypothalamic-pituitary-adrenal (HPA) axis. The use of certain emotion regulation strategies in response to stress, such as expressive suppression and cognitive reappraisal, has additionally been linked to heightened HPA axis reactivity to acute stress. However, it is unclear how emotion regulation may interact with SLEs to affect HPA axis reactivity, particularly concerning relationship stressors (RSs). Using cross-sectional data from 117 men and 85 women aged 18-55 years old (M = 39.9 ± 10.7), we investigated whether trait use of suppression or reappraisal interacted with recent negatively perceived SLEs and relationship stressors to impact HPA axis response to an acute stressor. Separate area under the curve and linear mixed models revealed that trait suppression interacted with SLEs and RSs to predict cortisol response to stress, while reappraisal did not. Findings indicate higher trait expressive suppression may influence the cortisol response to acute stress after exposure to more recent stressful events, particularly when those stressful events include relationship stress.
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Affiliation(s)
| | - Sara M Levens
- Health Psychology PhD Program, USA; Department of Psychological Science, The University of North Carolina at Charlotte, USA
| | - Jeanette M Bennett
- Health Psychology PhD Program, USA; Department of Psychological Science, The University of North Carolina at Charlotte, USA.
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Azevedo C, Pessalacia JDR, Mata LRFD, Zoboli ELCP, Pereira MDG. Interface between social support, quality of life and depression in users eligible for palliative care. Rev Esc Enferm USP 2017; 51:e03245. [PMID: 28902325 DOI: 10.1590/s1980-220x2016038003245] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Accepted: 04/04/2017] [Indexed: 12/31/2022] Open
Abstract
OBJECTIVE Analyzing the relationship between social support, quality of life and depression in patients eligible for palliative care at Primary Health Care of a municipality in the interior of Minas Gerais, Brazil. METHOD A correlational cross-sectional study carried out with patients treated in six primary health care units. Data were submitted to descriptive statistical analysis, tests for differences between averages and medians, and correlation tests. The significance level was 0.05. RESULTS The sample consisted of 115 participants, and it was identified that the higher the social support, the better the global quality of life (p<0.001) and functional quality of life (p=0.035); the greater the presence of physical symptoms, the lower the level of social support (p=0.012) and the higher the level of depression (p<0.001); the higher the symptoms of depression, the worse the global quality of life (p<0.001), functional quality of life (p<0.001) and the lower the levels of social support (p<0.001). CONCLUSION Levels of quality of life, social support and depression of patients eligible for palliative care are influenced by socioeconomic factors such as marital status, gender, age, income, education and presence of a caregiver. OBJETIVO Analisar a relação entre apoio social, qualidade de vida e depressão em pacientes elegíveis para cuidados paliativos atendidos na Atenção Primária à Saúde de um município no interior de Minas Gerais, Brasil. MÉTODO Estudo transversal correlacional, realizado com pacientes atendidos em seis unidades da atenção primária à saúde. Os dados foram submetidos à análise estatística descritiva, testes de diferenças entre médias e medianas e testes de correlação. O nível de significância adotado foi 0,05. RESULTADOS A amostra foi composta por 115 participantes, e identificou-se que quanto maior o apoio social, melhor é a qualidade de vida global (p<0,001) e funcional (p=0,035); quanto maior a presença de sintomas físicos, menor o nível de apoio social (p=0,012) e maior o nível de depressão (p<0,001); quanto maiores os sintomas de depressão, pior é a qualidade de vida global (p<0,001), funcional (p<0,001) e menores os níveis de apoio social (p<0,001). CONCLUSÃO Os níveis de qualidade de vida, apoio social e depressão de pacientes elegíveis para cuidados paliativos são influenciados por fatores socioeconômicos, tais como estado conjugal, sexo, idade, renda, escolaridade e presença de cuidador. OBJETIVO Analizar la relación entre apoyo social, calidad de vida y depresión en pacientes elegibles para cuidados paliativos atendidos en la Atención Primaria a la Salud de un municipio en el interior de Minas Gerais, Brasil. MÉTODO Estudio transversal correlacional, realizado con pacientes atendidos en seis unidades de atención primaria a la salud. Los datos fueron sometidos al análisis estadístico descriptivo, pruebas de diferencias entre medias y medianas y pruebas de correlación. El nivel de significancia adoptado fue 0,05. RESULTADOS La muestra fue compuesta por 115 participantes, y se identificó que cuanto mayor el apoyo social, mejor es la calidad de vida global (p <0,001) y funcional (p = 0,035); cuanto mayor sea la presencia de síntomas físicos, menor el nivel de apoyo social (p = 0,012) y mayor el nivel de depresión (p <0,001); cuanto mayores los síntomas de depresión, peor es la calidad de vida global (p <0,001), funcional (p <0,001) y menores los niveles de apoyo social (p <0,001). CONCLUSIÓN Los niveles de calidad de vida, apoyo social y depresión de pacientes elegibles para cuidados paliativos son influenciados por factores socioeconómicos, tales como estado conyugal, sexo, edad, renta, escolaridad y presencia de cuidador.
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Affiliation(s)
- Cissa Azevedo
- Universidade Federal de São João del Rei, Campus Centro-Oeste Dona Lindu, Divinópolis, MG, Brazil
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Mate Selection, Meaning of Marriage and Positive Cognitive Constructs on Younger and Older Married Individuals. CONTEMPORARY FAMILY THERAPY 2017. [DOI: 10.1007/s10591-017-9411-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Black Shadow of Stigma: Lived Experiences of Patients with Psychiatric Disorders on the Consequences of Stigma. IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES 2017. [DOI: 10.5812/ijpbs.6201] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Müller F, Hagedoorn M, Tuinman MA. Chronic multimorbidity impairs role functioning in middle-aged and older individuals mostly when non-partnered or living alone. PLoS One 2017; 12:e0170525. [PMID: 28151967 PMCID: PMC5289430 DOI: 10.1371/journal.pone.0170525] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2016] [Accepted: 01/05/2017] [Indexed: 11/18/2022] Open
Abstract
Background Due to the aging of the population, society includes a growing proportion of older individuals prone to chronic morbidity. This study aimed to investigate the adverse effects of single and multiple chronic morbidity on psychosocial health and whether these effects are more pronounced in individuals who are non-partnered or living alone. Materials and methods Baseline data from the ‘Lifelines Cohort Study’ collected between 2006 and 2013 in the Netherlands were used. Individuals aged 50+ (n = 25,214) were categorized according to their health status (healthy, single chronic morbidity, multiple chronic morbidity), relationship status (partnered, non-partnered), and living arrangement (living with someone, living alone). Analyses of covariance (ANCOVA) were performed to study the main- and the interaction-effects on mental health and role functioning as assessed with the RAND-36. Results Irrespective of having chronic morbidity, having a partner was associated with better mental health when partners shared a home. Individuals with single and especially multiple chronic morbidity had impaired role functioning. Having a partner mitigated the adverse effects of multimorbidity on role functioning, but only in individuals who shared a home with their partner. Non-partnered individuals with multimorbidity and those not sharing a home with their partner demonstrated impaired role functioning. Conclusions The results demonstrate that multimorbidity negatively affects role functioning, but not the mental health, of middle-aged and older individuals. Sharing a home with a partner can mitigate these adverse effects, while other combinations of relationship status and living arrangement do not. Offering intervention to those individuals most vulnerable to impaired functioning may relieve some of the increasing pressure on the health care system. An individual’s relationship status along with one’s living arrangement could foster the identification of a target group for such interventions attempting to sustain physical functioning or to adapt daily goals.
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Affiliation(s)
- Fabiola Müller
- Department of Health Psychology, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, The Netherlands
- * E-mail:
| | - Mariët Hagedoorn
- Department of Health Psychology, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, The Netherlands
| | - Marrit A. Tuinman
- Department of Health Psychology, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, The Netherlands
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Epstein NB, Zheng L. Cognitive-behavioral couple therapy. Curr Opin Psychol 2016; 13:142-147. [PMID: 28813285 DOI: 10.1016/j.copsyc.2016.09.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2016] [Revised: 08/23/2016] [Accepted: 09/20/2016] [Indexed: 01/12/2023]
Abstract
This article describes how cognitive-behavioral couple therapy (CBCT) provides a good fit for intervening with a range of stressors that couples experience from within and outside their relationship. It takes an ecological perspective in which a couple is influenced by multiple systemic levels. We provide an overview of assessment and intervention strategies used to modify negative behavioral interaction patterns, inappropriate or distorted cognitions, and problems with the experience and regulation of emotions. Next, we describe how CBCT can assist couples in coping with stressors involving (a) a partner's psychological disorder (e.g. depression), (b) physical health problems (e.g. cancer), (c) external stressors (e.g. financial strain), and (d) severe relational problems (e.g. partner aggression).
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Affiliation(s)
| | - Le Zheng
- University of Maryland, College Park, USA
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Psychological well-being of individuals after divorce: the role of social support. CURRENT ISSUES IN PERSONALITY PSYCHOLOGY 2016. [DOI: 10.5114/cipp.2016.62940] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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