Using Internet-Based Psychological Measurement to Capture the Deteriorating Community Mental Health Profile During COVID-19: Observational Study

BACKGROUND

The coronavirus disease (COVID-19) is expected to have widespread and pervasive implications for mental health in terms of deteriorating outcomes and increased health service use, leading to calls for empirical research on mental health during the pandemic. Internet-based psychological measurement can play an important role in collecting imperative data, assisting to guide evidence-based decision making in practice and policy, and subsequently facilitating immediate reporting of measurement results to participants.

OBJECTIVE

The aim of this study is to use an internet-based mental health measurement platform to compare the mental health profile of community members during COVID-19 with community members assessed before the pandemic.

METHODS

This study uses an internet-based self-assessment tool to collect data on psychological distress, mental well-being, and resilience in community cohorts during (n=673) and prior to the pandemic (two cohorts, n=1264 and n=340).

RESULTS

Our findings demonstrate significantly worse outcomes on all mental health measures for participants measured during COVID-19 compared to those measured before (P<.001 for all outcomes, effect sizes ranging between Cohen d=0.32 to Cohen d=0.81. Participants who demonstrated problematic scores for at least one of the mental health outcomes increased from 58% (n=197/340) before COVID-19 to 79% (n=532/673) during COVID-19, leading to only 21% (n=141) of measured participants displaying good mental health during the pandemic.

CONCLUSIONS

The results clearly demonstrate deterioration in mental health outcomes during COVID-19. Although further research is needed, our findings support the serious mental health implications of the pandemic and highlight the utility of internet-based data collection tools in providing evidence to innovate and strengthen practice and policy during and after the pandemic.

Government-subsidised mental health services are underused in Australian residential aged care facilities

ObjectiveTo describe patterns of use of the available Government-subsidised mental health services among people living in Australian residential aged care facilities.MethodsA retrospective population-based trend analysis was conducted, including all non-Indigenous people living in an Australian facility between 2012 and 2017. Adjusted incidence proportions and trends were estimated for four groups of mental health services.ResultsThe use of Medicare-subsidised mental health services was very low overall. The proportion of residents who accessed primary care mental health services increased from 1.3% in 2012/2013 to 2.4% in 2016/2017, while psychiatry service use increased from 1.9 to 2.3%. Claims for clinical psychology increased from 0.18 to 0.26%, and claims for a registered psychologist, occupational therapist or social worker rose from 0.45 to 1.2%. People with dementia were less likely than people without dementia to access all services aside from psychiatry services.ConclusionsLess than 3% of residents accessed funding subsidies for mental health services and people with dementia experienced pronounced barriers to service access. Mental health care is a pillar of the publicly-funded health system in Australia, and low use of these services among aged care residents indicates a need for organisational and policy changes to improve access.

The Empowering Function of the Belief in a Just World for the Self: Trait-Level and Experimental Tests of Its Association With Positive and Negative Affect

Belief in a just world for the self (BJW-self) is a resource that promotes adaptive functioning. We theorize that BJW-self has such an effect because it is empowering. This article reports on four studies (N = 967) testing whether BJW-self encourages more positive and less negative affect indirectly through empowerment. There was support for this hypothesis at a trait level across all studies, and specifically in Study 1. Experimental evidence, however, was more complex. Study 2 demonstrated the causal effect of the mediator, empowerment, on affect. Study 3 demonstrated that affirming BJW-self enhanced empowerment with an associated increase in positive affect and reduced negative affect. Study 4 showed that enhancing empowerment did not significantly influence the effect of affirmed BJW-self on affect, but blocking empowerment did, although this finding is qualified by no significant effect on empowerment. We discuss the theoretical implications of these findings, and the challenges of experimentally manipulating BJW-self.

Belief in a just world, perceived control, perceived risk, and hopelessness during the COVID-19 pandemic: Findings from a globally diverse sample

The purpose of this study was to understand the complex relationships between belief in a just world (BJW), perceived control, perceived risk to self and others, and hopelessness among a globally diverse sample during the early stages of the COVID-19 pandemic. The just-world hypothesis suggests that people need to believe in a just world in which they get what they deserve and deserve what they get. Studies have shown that believing in a just world has an adaptive function for individuals. Samples from six countries completed an online questionnaire. A total of 1,250 people participated (934 female) and ages ranged from 16 to 84 years old (M = 36.3, SD = 15.5). The results showed that, when controlling for gender, age, country of residence, and being in a risk group for COVID-19 (e.g., smoker, old age, chronic disease etc.), a stronger personal and general BJW and higher perceived control over the COVID-19 pandemic predicted lower levels of hopelessness. How at-risk participants perceived themselves to be for COVID-19 positively predicted hopelessness, but how risky participants perceived the disease to be for others negatively predicted hopelessness. This study highlights how the distinction between self and others influences hopelessness and how BJW, especially personal BJW, can serve as a psychological resource during times of historic uncertainty.

On the Measurement of Episodic Empowerment

This article reports the development and validation of the Episodic Empowerment Scale (EES): A manipulation check designed to measure a momentary psychological state. In Study 1, participants (n = 125) completed a selection of candidate items after being exposed to a low- or high-power manipulation. Exploratory factor analysis was used to reduce the number of items to a brief five-item measure. We then examined the validity, reliability, and stability of the EES. Study 2 (n = 143) compared the target sensitivity of the EES to a widely used measure of power. In Study 3 (n = 129), we investigated the discriminant content validity of the EES by testing its sensitivity to a non-target manipulation: positive and negative affect. Finally, in a large-scale replication, Study 4 (n = 479) established the measurement invariance of the EES across experimental conditions and the interaction between conditions and gender as well as replicating the findings from Study 1. Our results indicate that the EES is a brief, valid, and sensitive manipulation check. Findings are discussed within the broader context of validating self-report manipulation checks and the importance of employing robust psychometric techniques in experimental social psychology.

Maximising the Opportunity for Healthy Ageing: Online Mental Health Measurement and Targeted Interventions

Longevity is a valuable resource for society, as older people are increasingly looking for new ways to contribute after retirement. Their contribution is however dependent upon their physical health, mental health and wellbeing. The potential role that mental health and wellbeing, two separate but interrelated constructs, play often are both under-recognised and insufficiently targeted. Positive ageing is a positive and constructive view of ageing, where older people actively work on maintaining a positive attitude, work towards keeping fit and healthy, and strive to maximize their wellbeing. Interventions stimulating positive ageing show promising results for both mental health and wellbeing, and telehealth can play an important role in improving the reach and effectiveness of positive ageing interventions. Telehealth solutions can also help researchers reliably measure and better understand the drivers of wellbeing at individual and population levels; results that can both form the basis for advancing the field of positive ageing and help inform public policy.

Who believes in a just world? A multilevel latent profile analysis of Justice Capital using the European Social Survey

OBJECTIVE

Justice Capital provides a theoretical framework for explaining individual differences in the belief in a just world (BJW). However, this framework has yet to receive empirical validation.

METHOD

Using Round 9 of the European Social Survey, a large (n = 43,209) multi-country (N = 29) sample, I conduct multilevel latent profile analysis and multilevel multinomial logistic regression to determine the latent profiles that emerge at a population level and map the demographic and experiential covariates of these profiles.

RESULTS

Incorporating measures of general BJW, distributive and procedural justice, and the belief in equality of opportunity, I find three latent profiles: meritocrats, moderates, and egalitarians. Compared with egalitarians, meritocrats (strong just world believers) are more likely to be male; younger; have a higher income; have attained more years of education; to be politically conservative; and have no recent experience of discrimination or crime. Meritocrats were overrepresented in countries with a higher Human Development Index.

CONCLUSION

This study demonstrates the feasibility of Justice Capital for understanding individual variation in general BJW and related justice beliefs; discussion centers on anomalous findings and extension of this theoretical framework.