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Emerging findings have demonstrated the adverse effects of the COVID-19 pandemic on the well-being of children and families through abrupt and ongoing changes in routine due to social distancing measures, school closures, financial stress, fears of infection, and the loss of loved ones. Research has provided insight into the diverse ways that children and families react to heightened stressors in their environment, both through evidence of increased risk of developing symptoms of post-traumatic stress disorder (Xie et al. 2020), and through protective factors, such as seeking support within a secure family system (Schofield et al. 2013). This paper will review the current literature about the impact of COVID-19 related stressors on children and families and then revisit literature and theories that developed in the context of previous widespread crises, which continue to inform our understanding of human development and resilience following shared traumatic experiences. For example, Bowlby's theory of attachment was honed by observing the effects of children's separations from their parents during WW2. Additionally, Victor Frankl's meaning-focused work, developed after surviving Nazi concentration camps during the Holocaust, provides a framework for understanding resilience and shaped the elaboration and applications of existential therapies (Frankl 1946/1984). Based on a review of both the historical and more recent literature, as well as our own observations of children and parents in our clinical practice, we offer some suggestions for how psychoanalytic theories and therapies can support children and adolescents' emotional development and resilience during and following this crisis. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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ABSTRACT Objective: To analyze the temporal trends of prevalence of morbidities, risk and protection factors for noncommunicable diseases in elderly residents in Brazilian capitals between 2006 and 2021. Methods: A time series study with data from the Surveillance System of Risk and Protective Factors for Chronic Diseases by Telephone Inquiry. The variables analyzed were: high blood pressure, diabetes, smoking, overweight, obesity, consumption of alcoholic beverages, soft drinks, fruits and vegetables, and the practice of physical activity. Prais-Winsten regression and Interrupted Time Series from 2006 to 2014 and 2015 to 2021 were used. Results: From 2006 to 2021, for the total elderly population, there was an increase in diabetes (19.2 to 28.4%), alcohol consumption (2.5 to 3.2%), overweight (52.4 to 60.7%) and obesity (16.8 to 21.8%), and a reduction in the prevalence of smokers (9.4 to 7.4%) and in soft drink consumption (17 to 8.7%). By the interrupted series, between 2015 and 2021, there was stability in the prevalence of diabetes, female smokers, overweight among men, obesity in the total and male population, and soft drink consumption. Conclusion: Over the years, there have been changes and worsening in the indicators analyzed, such as an increase in diabetes, alcohol consumption, overweight, and obesity, which reinforces the importance of continuous monitoring and sustainability programs to promote the health, especially in the context of economic crisis, austerity, and COVID-19 pandemic.
RESUMO Objetivo: Analisar as tendências temporais das prevalências de morbidades e dos fatores de risco e de proteção para as doenças crônicas não transmissíveis em pessoas idosas residentes nas capitais brasileiras entre 2006 e 2021. Métodos: Estudo de série temporal com dados do Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico. Analisaram-se as variáveis: hipertensão arterial; diabetes; tabagismo; excesso de peso; obesidade; consumo de bebidas alcoólicas, refrigerantes, frutas e hortaliças; e prática de atividade física. Empregaram-se o modelo de regressão de Prais-Winsten e a séries temporais interrompidas (de 2006 a 2014 e de 2015 a 2021). Resultados: De 2006 a 2021, para a população total de idosos, houve aumento de diabetes (19,2 para 28,4%), do consumo de álcool (2,5 para 3,2%), do dexcesso de peso (52,4 para 60,7%) e da obesidade (16,8 para 21,8%), e redução do tabagismo (9,4 para 7,4%) e consumo de refrigerantes (17,0 para 8,7%). Pelas séries interrompidas, entre 2015 e 2021, houve estabilidade da prevalência de diabetes, fumantes do sexo feminino, excesso de peso nos homens, obesidade na população total e no sexo masculino e consumo de refrigerante. Conclusão: Ao longo dos anos houve mudanças e piora dos indicadores analisados, como aumento de diabetes, do consumo de álcool, do excesso de peso e da obesidade, o que reforça a importância do monitoramento contínuo e da sustentabilidade de programas de promoção da saúde, especialmente no contexto de crise econômica, austeridade e pandemia decorrente da COVID-19.
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BACKGROUND: Current data show an increase in stress among youth since the COVID-19 pandemic, raising the question of the measures to be put in place to limit it. AIM: The aim of this study is to measure the prevalence of burnout and the different risk and protective factors of burnout among students and to compare the mean scores obtained with those collected in a similar sample in 2014. METHOD: Perceived health, school burnout, and the different risk and protective factors among students were measured by self-reported questionnaires among a sample of 184 students (11-13 years old). RESULTS: The results indicate significantly higher burnout scores than in 2014. Different variables were predictive of school burnout: 1. At the individual level, a low academic achievement in mathematics, somatic symptoms, and the expressed stress; 2. At the interpersonal level, lack of support from peers, teachers, and parents and a negative classroom climate; 3. At the pandemic level, the increased workload related to the consequences of COVID-19. The factors with the greatest impact are confidence in the future, perceived stress, parental supports, and mathematics results. CONCLUSIONS: An intervention program targeting these four factors among burned out students would be relevant to set up in order to reduce its prevalence.
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BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has had a global impact on youth mental health, and there is a critical need for research examining individual factors that contribute to increased psychopathology during the pandemic. The current study explored whether executive control (EC) abilities in early childhood interact with COVID-related stress to attenuate risk for adolescent psychopathology during the first 6 months of the pandemic. METHODS: Participants were 337 youth (49% female) living in a small midwestern city in the United States. Participants completed EC tasks when they were approximately 4.5 years old as part of a longitudinal study investigating cognitive development. At annual laboratory visits during adolescence and before the pandemic, participants (Mage = 14.57) reported on mental health symptoms. In July and August of 2020, participants (Mage = 16.57) reported on COVID-related stress and depression, anxiety, and trauma symptoms. RESULTS: COVID-related stress was associated with increased internalizing problems after controlling for prepandemic symptom levels. Further, the impact of COVID-related stress on adolescent internalizing problems was moderated by preschool EC, with higher levels of EC buffering the effects of COVID-related stress on adolescent internalizing problems. CONCLUSIONS: Findings highlight the importance of promoting EC early in development, as well as screening for EC deficits and implementing targeted intervention strategies across the lifespan to help reduce the impact of stress on adolescent internalizing problems.
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PurposeThe key concern nowadays is smartphone addiction and user profiles. Following the risk and protective factors framework, the authors aim to characterize smartphone users according to two levels: (1) individual: referred to the use (i.e. boredom proneness, compulsive app downloading smartphone addiction) and (2) microsystem: referred to family and peers (i.e. family harmony and phubbing). Besides, the authors will derive useful managerial implications and strategies.Design/methodology/approachFirst, an extensive literature revision and in-depth interviews with experts were employed to identify the addiction-related variables at the individual and microsystem level. Second, information was collected from a sample of 275 Spanish smartphone users, and a K-means clustering algorithm was employed to classify smartphone users.FindingsThe proposed traffic lights schema identifies three users' profiles (red, yellow and green) regarding their smartphone addiction and considering individual and microsystem critical variables.Originality/valueThis study proposes a practical and pioneer traffic lights schema to classify smartphone users and facilitate each cluster's strategies development.
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AIMS AND OBJECTIVES: To determine which factors can be considered protective of ethical conflicts in intensive care unit healthcare professionals during a pandemic. BACKGROUND: The COVID-19 pandemic gave rise to new ethical concerns in relation to the management of public health and the limitations on personal freedom. Continued exposure to ethical conflict can have a range of psychological consequences. DESIGN: A qualitative design based on phenomenological approach. METHODS: A total of 38 nurses and physicians who were regular staff members of Barcelona and Milan's public tertiary university hospitals and working in intensive care units during the first wave of the COVID-19 pandemic. Semi-structured online in-depth interviews were conducted. A thematic analysis was performed by two independent researchers following the seven steps of Colaizzi's methods. We adhere COREQ guidelines. RESULTS: One theme 'Protective factors of ethical conflict in sanitary crisis' and four subthemes emerged from the data: (1) knowledge of the infectious disease, (2) good communication environment, (3) psychological support and (4) keeping the same work team together. CONCLUSIONS: Four elements can be considered protective factors of ethical conflict for healthcare professionals during a sanitary crisis. While some of these factors have already been described, the joint identification of this set of four factors as a single element is, in itself, novel. This should help in ensuring the right mechanisms are in place to face future pandemics and should serve to improve institutional organisation and guarantee safe and high-quality patient care in times of healthcare crisis. RELEVANCE TO CLINICAL PRACTICE: Future strategies for the prevention of ethical conflict during sanitary crises, pandemics or other catastrophes need to consider a set of four factors as a single element. These factors are the knowledge of the infectious disease, a good communication environment, psychological support and keeping the same work team together into joint consideration.
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The COVID-19 pandemic deeply disrupted all aspects of life for young people in college. Beginning early in the pandemic, research has documented how young people experienced these challenges and the impacts on their psychosocial wellbeing and development. This review highlights patterns in identified challenges, mental health, and associated risk and protective factors. Overall, the pandemic led to rises in negative affect and emotional struggles, though the review of the literature also raises critical areas for supporting these young people. Additionally, the review suggests providing resources that focus on valuable elements of young people's experiences on college campuses; namely social support and connection, belonging, and effective psychosocial coping strategies.
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COVID-19 , Humans , Adolescent , Adult , Pandemics , Adaptation, Psychological , Emotions , Mental HealthABSTRACT
OBJECTIVE: During the coronavirus disease 2019 (COVID-19), individuals' compliance with protective behaviors was the most effective strategy to break the infection chain and prevent disease spread, even with vaccine availability and use. Understanding protective behaviors within the Jordanian context will shape health promotion campaigns and guide decision-makers to facilitate required resources and support Jordanian citizens. The objective of this study was to identify personal protective (preventive and avoidant) measures used by the Jordanian population during the COVID-19 pandemic to protect themselves from infection. METHODS: A cross-sectional study with an exploratory, descriptive design was used to collect data using an online self-reported questionnaire from Jordanian people. The survey included the Protection from Infection Scale and the Infection Avoidance Scale. RESULTS: A total sample of 1053 Jordanian citizens was included in the study. The participants exhibited a moderate level of self-care behaviors and high levels of protective and infection avoidance behaviors. Their most common behaviors were getting enough sleep, wearing masks, washing hands, and avoiding travel to infected areas. Contrariwise, the least adopted behaviors were exercising, wearing gloves, and leaving their jobs or schools. CONCLUSIONS: During pandemics, policy-makers must understand public concerns and protective behaviors, then provide them with tailored education through health promotion campaigns to enhance healthy behaviors.
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Transgender and gender expansive adolescents and young adults (AYA) experience a high burden of mental and physical health sequelae, which is linked to gender minority stress. Few reports have examined gender minority AYA sleep health, which may lie at a unique intersection of developmental and social risk. Little is known about the role of gender minority stress or protective factors on sleep health. A sample of 40 transgender and gender expansive AYA, ages 12-24 years old, engaged in gender-affirming medical care at an urban medical center completed study surveys, which captured information on multiple dimensions of sleep health and behaviors, gender minority stress, parental support, and other demographic information. Health data was also extracted from participant's EMR. Gender minority stress (gender victimization and nonaffirmation), parental support, and allostatic load (AL), as measures by retrospective EMR-reported biomarkers, were examined as predictors of sleep health domains. Exploratory analyses testing the relationship between sleep, AL, and gender minority stress were also performed. Contrary to extant literature, the majority of participants reported good sleep quality. Results showed that other areas of participants' sleep health were comparable to population rates reported in the literature. Findings should be considered within the context of national changes in sleep patterns and behaviors that occurred during the first year of the COVID-19 pandemic, which overlapped with study enrollment. Parental support and gender victimization was not associated with sleep health. Gender nonaffirmation was found to be associated with sleep quality, however this relationship was attenuated when controlling for depressive symptoms and age. Weekday sleep latency was also associated with AL. Exploratory analyses examining the contribution of gender minority stress and AL yielded mixed results. Despite mixed findings, this report extends the current body of knowledge on sleep health among gender minority AYA. This is the first investigation of gender minority stress and protective factors as well as AL in relation to sleep health among gender minority AYA. Findings contribute to biocultural research efforts aimed at promoting health equity among transgender and gender expansive youth as well as highlight areas of future investigation. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Aim: The aim of the research was to ascertain the feelings of frontline nurses during the Covid-19 pandemic. Design: Qualitative research using a phenomenological approach. Methods: Qualitative research using a phenomenological approach was carried out with eight nurses working with Covid-19 patients in a hospital and in a seniors home in Kladno, in the Central Bohemia region of the Czech Republic. Two diagrams, which show ties between identified categories, were generated based on results. Results: External stresses during the first wave were: lack of information, lack of protective equipment, different attitudes towards the pandemic management. During the third wave, they were: lack of nurses and other medical personnel, overwhelming of the healthcare system, too much administrative work, and long working hours spent in protective gear. The stress-reducing factors revealed after the first wave were: solidarity and gratitude expressed by society. During the third wave, nurses noted greater self-confidence and pride, better interpersonal relationships. Conclusion: The effective management of stressors in the pandemic period can contribute to better healthcare. Therefore, we should pay more attention to describe of them in future. © 2023 Central European Journal of Nursing and Midwifery.
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On March 11, 2020, the World Health Organization (WHO) declared the COVID-19 outbreak to be a global pandemic (Cucinotta and Vanelli, 2020). While rates of psychological stress surged for all Americans in the weeks following this declaration, Census Bureau data suggested significant increases in endorsement of depressive and anxiety symptoms for Black 11 In this entry, Black and African American are utilized interchangeably, or if dictated by the citation source. and Asian Americans in the week following the public release of the death of George Floyd, a Black man whose neck was kneeled upon by a police officer. Data from the Pew Research Center indicated that 31% of Asian Americans experienced racial slurs of jokes in the 4 months after the start of the COVID-19 pandemic. Given both concerns of antagonistic attitudes and differential treatment occupy the realities of many Black People, Indigenous People, and People of Color (BIPOC) and health concerns amid a public health crisis has led some to refer to this moment of history as a "double pandemic.” The second "pandemic” to which scholars, clinicians, and clergy refer is the indelible legacy of racism, a pernicious system of prejudice, discrimination, and oppression that has operated for centuries. Indeed, though over two decades have passed since Dr. Shelly Harrell's treatise on the impact of racism on the lives of people of color, her admonition that racism is "alive and sick” is sagacious, even if unnerving (Harrell, 2000, p. 42). As a system, racism can exert stress that threatens the health and wellbeing of BIPOC individuals. Consistent with the biopsychosocial framing of this volume, the impairment of racism-related stress can manifest physically and psychologically. Moreover, given the socio-cognitive development of children and adolescents, the sequelae of racism-related stress can be particularly damaging, with differential exposure and impact depending on the intersections of various social identities (e.g., race, ethnicity, gender identity, socioeconomic standing). Despite the deleterious nature of racism-related stress, research also has elucidated a number of protective factors that moderate and mediate the pathway between racism-related stress and health for children and adolescents. In this entry, we (a) outline racism-related stress (RRS) in its multiple forms;(b) elucidate the most common health outcomes associated with RRS for BIPOC youth;(c) briefly introduce several moderators in the RRS to youth health pathway;and (d) discuss a number of developmental and intersectional considerations that influence the qualitative experiences of this pathway. Throughout the entry, we pay special attention to the ways in which these various factors operate at the neighborhood and community levels. Lastly, this entry concludes with a critical commentary. © 2023 Elsevier Inc. All rights reserved
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This study focused on COVID-19 preventive behaviors and fears among prison staff members after the first wave of the pandemic. Cross-sectional data from 171 participants were collected in Switzerland. The level of fears (58.5%) and protective behaviors (100%) were high. Correctional officers adhered less to preventive measures than other staff members (p = .001). Fears were related to a reduction of social contacts (p = .006) and worries about physical health was related to preventive behaviors in general (p = .006). There is a need to raise prison staff awareness regarding their vulnerability to the SARS-CoV-2 in order to improve the effectiveness of health campaigns in prison settings. Special attention should be given to correctional officers.
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The quantity and quality of environmental stimuli and contexts are crucial for children's development. Following the outbreak of SARS-CoV-2 (COVID-19), restrictive measures have been implemented, constraining children's social lives and changing their daily routines. To date, there is a lack of research assessing the long-lasting impacts that these changes have had on children's language and emotional-behavioral development. In a large sample of preschoolers (N = 677), we investigated (a) the long-lasting effects of changes in family and social life and in daily activities over the first Italian nationwide COVID-19-pandemic-related lockdown upon children's linguistic and emotional-behavioral profiles and (b) how children's demographic variables and lifelong family characteristics moderated these associations within a multiple-moderator framework. Our findings showed a relationship between the time spent watching TV/playing video games and affective problems that was moderated by the number of siblings. Our findings showed that children who could be at high risk in more normal circumstances, such as only children, have been particularly harmed. Therefore, assessing the long-term effects of lockdown-related measures and how these could have been moderated by potential risk/protective factors added significant information to the existing literature.
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The COVID-19 pandemic has significantly disrupted the lives of children and their caregivers. Recent research has examined the impact of the pandemic on child and caregiver functioning but there is a paucity of work examining the impact of the pandemic on the broader family system. The current study examined family resilience during the COVID-19 pandemic across three aims: Aim 1 tested whether meaning, control, and emotion systems form a unitary family adaption factor, Aim 2 evaluated a concurrent model of family resilience, and Aim 3 examined whether parent gender and vaccination status moderated paths in the final model. A nationally representative sample of U.S. parents (N = 796; 51.8% fathers, M age = 38.87 years, 60.3% Non-Hispanic White) completed a cross-sectional survey about themselves and one child (5-16 years old) between February-April 2021, including measures of COVID-19 family risk and protective factors, pre-existing family health vulnerabilities, race, COVID-19 stressors, and family adaptation. Confirmatory Factor Analysis demonstrated that the meaning (i.e., family making meaning of COVID-19), control (i.e., stability in routines), and emotional (i.e., family support) facets of family adaptation are unique but related. A path model revealed that there were concurrent effects from COVID-19 exposure, pre-existing vulnerabilities, and racial diversity status to the family protective, vulnerability, and adaptation variables. Additionally, parent COVID-19 vaccination status altered the association between pre-existing family health vulnerabilities and the family protective factor. Overall, results underscore the importance of examining pre-existing and concurrent risk and protective factors for family resilience during a stressful, global, and far-reaching event.
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A correlational study (n = 180 adults) in the United States tested the hypothesis that self-directed humor styles predict emotional responses to COVID-19, specifically stress and hopelessness, and in turn predict engagement in protective behaviors. Results from a sequential mediation analysis supported our hypotheses. First, to the extent that people have a self-enhancing humor style they perceived less stress and hopelessness associated with COVID-19 and as a result reported engaging in more protective behaviors. Second, people higher in self-defeating humor style showed the opposite pattern;they perceived more stress and hopelessness due to COVID-19 and thus reported engaging in less protective behaviors. Implications for theory and application are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
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South African women remain vulnerable to gender-based violence, including femicide. Intimate Partner Violence (IPV) is a major and very complex public concern in the country currently. This makes IPV the most widespread method by which men perpetrate violence against women. It is not clear if women are empowered with IPV Information, Motivation and Behavior skills (IBM) to protect themselves against IPV occurrences. This article presents the developed PreCCL (prevention, community-based, corrective and law enforcement) strategies to empower women against intimate partner violence in Limpopo Province, South Africa. PreCCL strategies were developed based on qualitative and quantitative IBM (Information, Motivation and Behaviour) of IPV results as well as evidence-based information from the review of literature. Delphi technique was used to organize one stakeholder engagement meeting with a panel of 38 experts knowledgeable regarding Vhembe district IPV issues (namely managers from Vhembe Thohoyandou victim empowerment centre, members of the Executive council of the 6th administration of Limpopo provincial Legislatures, heads of departments or directors from the department of health, social development and community safety and security, chairperson of gender equity, TVEP managers, as well as women who were victims from Vhembe where the study was conducted, and chairperson of gender equity, disability women and children). The purpose of the stakeholder engagement meeting was consultation and buy-in of experts in the field regarding feasible and practical evidence-based intervention strategies for local communities. The setting for stakeholder engagement meeting was Vhembe District Tshifulanani at Munnandinnyi and Hadumasi the Victorious Community offices. However, due to COVID-19 regulations other stakeholders failed to attend, and the rating scales were emailed to them together with the PreCCL strategies. The participants were asked to rate the PreCCL strategies on a given Likert scale in terms of relevance, importance, potential effectiveness and recommendation for adoption. The 0.67 Cronbach Alpha reliability score of the Likert scale was found acceptable for this study. Of the 65 questionnaires sent out, only 38 were returned, which was 58.5% response rate. Data were analyzed quantitatively using SPSS. The strategies were rated relevant in addressing IPV in the district by most (n = 36;97,4%;Mean ± SD = 3.0 ± 0.7) of the stakeholder, whereby (n= 6;15.8%;Mean ± SD=3.8 ±1.2) strongly agreed and (n =30;78,9%) agreed. In terms of importance, most (n = 32;84.3%) of the respondents rated the strategies very important in addressing IPV in the communities. The strategies were rated potentially effective in addressing IPV by most (n =34;89.5%;Mean ± SD (3.2 ± 0.6) of the stakeholder. The majority (n = 34;89.6%) of the stakeholders recommended the adoption of the developed strategies in current state. Conclusion: PreCCL strategies to empower women against IPV occurrences, which were developed based on IBM qualitative and quantitative results as well as review of literature are considered relevant and potentially effective by stakeholder who recommend their adoption by the Department of Social Development, Limpopo Province.
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Poverty can negatively impact an individual's life, and the COVID-19 pandemic has been just one more potential stressor to families in already vulnerable positions. However, given the research supporting family cohesion serving as a protective factor against adversity, the current study explored the positive outcomes of the COVID-19 pandemic, reported by families in need within Southwest Ohio and receiving services from the Success Program (SP). Additionally, the study examined whether there were differences between reported positivity based on families with low family cohesion and families with high family cohesion. Results from the study indicated that the majority of participants reported a sense of togetherness and or closeness as the main positive outcome of the pandemic. Whether participants had low or high family cohesion did not appear to factor into the frequency of togetherness and closeness being recognized as positive for these families. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
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Background: The COVID-19 pandemic is a health emergency resulting in multiple stressors that may be related to posttraumatic stress disorder (PTSD). Objective: This study examined relationships between risk and protective factors, pandemic-related stressors, and PTSD during the COVID-19 pandemic. Methods: Data from the European Society of Traumatic Stress Studies (ESTSS) ADJUST Study were used. N = 4,607 trauma-exposed participants aged 18 years and above were recruited from the general populations of eleven countries (Austria, Croatia, Georgia, Germany, Greece, Italy, Lithuania, the Netherlands, Poland, Portugal, and Sweden) from June to November 2020. We assessed sociodemographic (e.g. gender), pandemic-related (e.g. news consumption), and health-related (e.g. general health condition) risk and protective factors, pandemic-related stressors (e.g. fear of infection), and probable PTSD (PC-PTSD-5). The relationships between these variables were examined using logistic regression on multiple imputed data sets. Results: The prevalence of probable PTSD was 17.7%. Factors associated with an increased risk for PTSD were younger age, female gender, more than 3 h of daily pandemic-related news consumption (vs. no consumption), a satisfactory, poor, or very poor health condition (vs. a very good condition), a current or previous diagnosis of a mental disorder, and trauma exposure during the COVID-19 pandemic. Factors associated with a reduced risk for PTSD included a medium and high income (vs. very low income), face-to-face contact less than once a week or 3-7 times a week (vs. no contact), and digital social contact less than once a week or 1-7 days a week (vs. no contact). Pandemic-related stressors associated with an increased risk for PTSD included governmental crisis management and communication, restricted resources, restricted social contact, and difficult housing conditions. Conclusion: We identified risk and protective factors as well as stressors that may help identify trauma-exposed individuals at risk for PTSD, enabling more efficient and rapid access to care. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Spanish) Antecedentes: La pandemia COVID-19 es una emergencia sanitaria que genera multiples estresores que pueden estar relacionados con el trastorno de estres postraumatico (TEPT). Objetivo: Este estudio examino las relaciones entre los factores de riesgo y protectores, estresores relacionados con la pandemia y TEPT durante la pandemia de COVID-19. Metodos: Se utilizaron los datos del estudio ADJUST de la Sociedad Europea de Estudios de Estres Traumatico (ESTSS por sus siglas en ingles). N = 4.607 participantes mayores de 18 anos expuestos a trauma fueron reclutados de la poblacion general de once paises (Austria, Croacia, Georgia, Alemania, Grecia, Italia, Lituania, Paises Bajos, Polonia, Portugal y Suecia) desde junio a noviembre 2020. Evaluamos factores de riesgo y protectores sociodemograficos (p.ej. genero), relacionados con la pandemia (p.ej. consumo de noticias) y relacionados con la salud (p.ej. estado de salud general), estresores relacionados con la pandemia (p.ej. temor a la infeccion) y TEPT probable (PC-PTSD-5 por sus siglas en ingles). Las relaciones entre estas variables se examinaron mediante regresion logistica en multiples conjuntos de datos imputados. Resultados: La prevalencia de TEPT probable fue del 17.7%. Los factores asociados con un mayor riesgo de TEPT fueron edad mas joven, sexo femenino, mas de 3 horas de consumo diario de noticias relacionadas con la pandemia (frente a ningun consumo), un estado de salud satisfactorio, malo o muy malo (frente a un estado muy bueno), un diagnostico de trastorno mental actual o previo y exposicion a un trauma durante la pandemia de COVID-19. Los factores asociados con un riesgo reducido de TEPT incluyeron ingresos medios y altos (frente a ingresos muy bajos), contacto cara a cara menos de una vez a la semana o de 3 a 7 veces por semana (frente a ningun contacto) y contacto social digital menos de una vez a la semana o de 1 a 7 dias a la semana (frente a ningun contacto). Los estresores relacionados con la pandemia asociados con un mayor riesgo de TEPT incluyeron la gestion y comunicacion de crisis gubernamental, recursos restringidos, contacto social restringido y condiciones de vivienda dificiles. Conclusiones: Identificamos factores de riesgo y protectores, asi como estresores que pueden ayudar a identificar a las personas expuestas a traumas en riesgo de TEPT, lo que permite un acceso mas eficiente y rapido a la atencion. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Coronavirus 2019 pandemic lockdown in Italy lasted for 2 months, 1 week and 2 days. During this long period, one of the longest in Europe, the restrictions produced effects on people's psychological well-being, with consequences that also continued after lock- down. The purpose of the study is to investigate these effects and how they changed in the general population over a period of time. We are also interested in exploring people's post-lockdown anxiety and concerns. We conducted an online survey using snowball sampling techniques. The longitudinal study consisted of four administrations covering a period of 10 weeks between April (baseline) and June (last follow-up). Levels of anxiety and depression were assessed by GAD-7 and PHQ-9, coping strategies were assessed by Brief Resilient Coping Scale (BRCS) and social support was assessed by MSPSS. Post-lockdown anxiety was explored by developing a set of ad-hoc questions. PCA was used to determine the principal categories of post-lockdown anxiety/concern resulting from the ad-hoc questions. Longitudinal data, given their nested structure, were analyzed through mixed modeling. Of the 411 responders at baseline, 169 had at least 3 out of 4 data points;the analysis was therefore conducted on this sample. Levels of depression and anxiety were found to be significantly higher in the study sample in comparison with normative samples for each of the four-time points;levels of coping showed that scores from the study sample were significantly lower than normative data at all-time points. Levels of perceived social support were significantly lower than normative data at the baseline and the first follow-up. The results of the study suggest that the lockdown experience had enduring consequences on the mental health of individuals. Prevention and support interventions to limit the psychological distress caused by COVID-19 should be taken into consideration in countries experiencing a second wave of the pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)