Unequal outcomes: The effects of the COVID-19 pandemic on mental health and wellbeing among Hispanic/Latinos with varying degrees of 'Belonging'.

BACKGROUND: The COVID-19 pandemic has brought disparities in mental and physical health faced by ethnic minorities to the forefront. In the U.S., Hispanic/Latino communities are plagued by elevated rates of psychiatric conditions and trauma. Exacerbating this burden, common discourse often implicates Hispanic/Latino ethnicity as a causal factor, despite clear evidence of systemic causes, including lack of access to resources, and discrimination. AIMS: To parse apart Hispanic/Latino ethnicity from determinants of wellbeing (such as trauma, financial status, and loneliness), we examined mental and physical health during COVID-19 via an online, anonymous survey available in both English and Spanish. METHODS: We examined wellbeing across three participant groups, including two groups of Hispanic/Latino adults with varying degrees of 'belonging' to the dominant culture in their country of residence: Hispanic/Latino individuals living in Spanish-speaking and/or Central or Latin American countries (Group 1), Hispanic/Latino individuals living in the U.S. (Group 2), and non-Hispanic/Latino individuals living in the U.S. (Group 3). RESULTS: Results demonstrated there were significant differences between groups in specific aspects of wellbeing. Most importantly, results showed Hispanic/Latino ethnicity does not significantly predict psychosocial wellbeing or psychosis risk, and identified several predictors of these outcomes, including U.S. residence, trauma, loneliness, and age. CONCLUSION: Our results demonstrate that Hispanic/Latino ethnicity itself is not a causal factor of poor psychosocial wellbeing or elevated psychosis risk and instead identify several social and systemic causal factors commonly faced by Hispanic/Latino Americans. We suggest that language reporting on minority mental health acknowledge systemic factors as contributing to poor outcome rather than referring to ethnicity as if it were a causal factor.

The COVID-19 Pandemic, Social Ties, and Psychosocial Well-Being of Middle-Aged Women in Rural Africa.

The study contributes to the understanding of the societal impact of the coronavirus disease 2019 pandemic in the Global South by examining longer term implications of pandemic-induced disruptions and deprivations for social ties and psychosocial well-being. Using data from a survey of middle-aged women in rural Mozambique, the author finds a negative association between the pandemic-triggered household economic decline and perceived changes in the quality of relations with marital partners, non-coresident children, and relatives, but not with generally more distant actors, such as coreligionists and neighbors. In turn, multivariable analyses detect a positive association of changes in the quality of family and kin ties with participants' life satisfaction, regardless of other factors. Yet women's expectations for changes in their household living conditions in the near future show a significant association only with changes in the quality of relations with marital partners. The author situates these findings within the context of women's enduring vulnerabilities in low-income patriarchal settings.

The Psychosocial Well-being of Frontline Nurses During the COVID-19 Pandemic in South Africa

Healthcare workers have been under tremendous psychosocial strain since the advent of the COVID-19 pandemic, particularly those on the frontline such as nurses. This is especially true in low and middle-income countries such as South Africa, where lack of resources and support exacerbate challenges. Five focus group discussions were conducted with frontline nurses at primary, secondary, and tertiary healthcare institutions in Cape Town, South Africa. Participants reported significant stress emanating from all spheres of their life, with the acute stressors of their work having largely adverse consequences on their lives in their homes and communities. A lack of organisational support was evident, with participants highlighting various ways in which the psychosocial strain they were under may be alleviated. Healthcare facilities should investigate both individual and organisational interventions aimed at better supporting their invaluable frontline teams. These include tailored psychological support services, sufficient time for rest, adequate staffing and medical supplies, effective leadership, COVID-19 specific training, and the promotion of teamwork. However, facilities should also extend their concern to the families of staff by reducing potential risk of exposure through a variety of measures including providing transport and voluntary isolation accommodation. Such interventions are important not only for the healthcare workers and their families, but also for the smooth functioning of healthcare institutions as the pandemic draws on into an uncertain future.

Association between psychosocial well-being and problematic social media use among Finnish young adults: a cross-sectional study

The aim of the study was to identify associations between problematic social media use (PSMU), type of internet activity, various background factors, psychosocial factors (mood, fear of missing out, need to belong, social relationships) and the COVID-19-pandemic's impacts on social media use among young adults in Finland. Data were collected from 381 young adults aged 18-35 (M = 26.01;SD = 4.55) in Finland through a web-based survey conducted during the autumn of 2020. PSMU was identified using the Bergen Social Media Addiction Scale. Nine types of social media platform used were considered. Information about health-related factors was assessed using Beck Depression Inventory scale and a further single question. Social factors were measured using the Fear of Missing Out scale, the Single Item Need to Belong scale, and social engagement scale. 9.8 % of participants were found to exhibit PSMU. Younger people and women were more prone to PSMU. Social networking sites were the most used platform and were more strongly related to PSMU. Social media engagement, depression, fear of missing out and the effects of the pandemic on social media use were all positively and significantly associated with PSMU. These results may facilitate the development of guidelines for healthy social media use, and early detection of PSMU.

Socioeconomic inequality in the worsening of psychosocial wellbeing via disrupted social conditions during COVID-19 among adolescents in Hong Kong: self-resilience matters.

Background: Adolescents, especially the socioeconomically disadvantaged, are facing devastating psychosocial impact of the COVID-19 pandemic during their critical developmental period. This study aims to (i) examine the socioeconomic patterning of the worsening of psychosocial wellbeing, (ii) delineate the underlying mediating factors (i.e., overall worry about COVID-19, family's financial difficulty, learning problems, and loneliness), and (iii) explore the moderating effect of resilience in the inter-relationship among adolescents under COVID-19. Methods: Based on maximum variation sampling of 12 secondary schools of diverse socioeconomic background in Hong Kong, 1018 students aged 14-16 years were recruited and completed the online survey between September and October 2021. Multi-group structural equation modeling (SEM) by resilience levels was employed to delineate the pathways between socioeconomic position and the worsening of psychosocial wellbeing. Results: SEM analysis showed a significant total effect of socioeconomic ladder with the worsening of psychosocial wellbeing during the pandemic in the overall sample (ß = -0.149 [95% CI = -0.217 - -0.081], p < 0.001), which operated indirectly through learning problems and loneliness (both p < 0.001 for their indirect effects). Consistent pattern with stronger effect size was observed in the lower resilience group; nonetheless, the associations were substantially mitigated in the higher resilience group. Conclusion: In addition to facilitating self-directed learning and easing loneliness during the pandemic, evidence-based strategies to build up resilience among adolescents are critical to buffer against the adverse socioeconomic and psychosocial impacts of the pandemic or other potential catastrophic events in the future.

College and COVID-19: The Pandemic's reverberations on adolescents and emerging adults on campus.

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.

Determining Factors of Psychosocial Wellbeing Among People With Disabilities During the COVID-19 Pandemic: Mediating Role of Social Support

This study aimed to understand how the COVID-19 pandemic impacted the stress levels and life satisfaction of individuals with disabilities and what role social support plays in mitigating these impacts. Data from individuals with disabilities (n = 600) were extracted from a larger international cross-sectional survey study. Regression analyses were conducted to examine how personal and environmental factors contributed to stress levels and life satisfaction changes during the pandemic. Mediation analyses were used to test whether social support mediated the association between stress level and life satisfaction. The negative impact of the pandemic, having a psychiatric disability, being a female, and being younger significantly predicted stress levels. Moreover, the negative impact of the pandemic and stress levels significantly predicted life satisfaction. The relationship between stress levels and life satisfaction was mediated by social support from significant others and friends. There is an urgent need to provide training and education for healthcare professionals, families, and caregivers on the basic aspects of mental health care, developing time-limited and culturally-sensitive mental health interventions, and strategies for expanding the social support system for the population. Broad dissemination of effective therapeutic strategies is crucial in mitigating the negative psychosocial impact of the pandemic.

Implications of the COVID-19 Pandemic for the Well-Being of Emerging Adult Populations: A Synthesis of Findings From the COVID-19 Eating and Activity Over Time (C-EAT) Study

Research addressing the impact of the COVID-19 pandemic on psychosocial well-being and health behavior is accumulating;however, implications for emerging adult populations are underexplored. This manuscript synthesizes findings from a mixed-methods study of well-being, eating and activity behaviors, and food insecurity among a diverse, longitudinal cohort of emerging adults. The review includes findings from 11 original studies that involved collecting online surveys from 720 emerging adults and in-depth, virtual interviews with 33 respondents who were food insecure. Findings indicated the pandemic had widespread impacts on well-being. Population groups at greatest risk for poor outcomes included women;those who identified as Black, Indigenous, or a Person of Color;persons in households of low socioeconomic status;parents of young children;and persons who previously experienced mental health challenges or weight stigma. Further research will be needed to evaluate efforts to improve the well-being of emerging adults in the aftermath of the pandemic. © 2023 Society for the Study of Emerging Adulthood and SAGE Publishing.

Well-making: Understanding what works from lived experience

The importance of looking after our mental health has been a prominent topic of discussion nationally, regionally and locally since the United Kingdom experi-enced increased levels of stress and uncertainty caused and exacerbated by the COVID-19 pandemic. People working in the arts, culture and health sectors – such as health professionals, artist practitioners, academics, charities and volunteer groups – are concerned with how the pandemic has adversely and disproportion-ately impacted vulnerable members of society. Encouragingly, invested groups and stakeholders in non-clinical practice have reported on the successes of everyday creativity in the form of psychosocial programmes that tackle social isolation by using the arts and culture as non-clinical opportunities to improve well-being. This article focuses on the Lived Experience Network (LENs) to highlight how involving experts by experience in research provides deeper understanding of what works and what does not when co-creating meaningful everyday creativity to counter social isolation. © 2022 Intellect Ltd Notes from the Field.

Housing and psychosocial well-being during the COVID-19 pandemic.

The loss of psychosocial well-being is an overlooked but monumental consequence of the COVID-19 pandemic. These effects result not only from the pandemic itself but, in a secondary way, from the Non-Pharmaceutical Interventions (NPIs) made to curb the spread of disease. The unprecedented physical distancing and stay-at-home requirements and recommendations provide a unique window for housing researchers to better understand the mechanisms by which housing affects psychosocial well-being. This study draws on a survey conducted with over 2,000 residents of the neighbouring Canadian provinces of British Columbia and Alberta in 2021. We propose a new multi-dimensional model to examine the relationships between the Material, Economic, Affordances, Neighbourhood, and Stability (MEANS) aspects of housing and psychosocial well-being. Our analysis reveals the direct and indirect pathways by which deficiencies in each of these areas had negative effects on psychosocial well-being. Residential stability, housing affordances, and neighbourhood accessibility exert stronger direct impacts on psychosocial well-being than material and economic housing indicators (e.g. size of living space and tenure). Notably, we find no significant well-being differences between different homeowners and renters when we account for other housing MEANS. These findings have important implications for housing policy across pandemic and post-pandemic contexts, suggesting a need for research and policy focus on understanding housing and well-being in terms of non-material aspects, such as residential stability and affordances that housing provides.

Physical and mental health of breast cancer patients and survivors before and during successive SARS-CoV-2-infection waves.

PURPOSE: During the first SARS-CoV-2-infection wave, a deterioration in emotional well-being and increased need for mental health care were observed among patients treated or being treated for breast cancer. In this follow-up study, we assessed patient-reported quality of life (QoL), physical functioning, and psychosocial well-being during the second SARS-CoV-2-infection wave in a large, representative cohort. METHODS: This longitudinal cohort study was conducted within the prospective, multicenter UMBRELLA breast cancer cohort. To assess patient-reported QoL, physical functioning and psychosocial well-being, COVID-19-specific surveys were completed by patients during the first and second SARS-CoV-2-infection waves (April and November 2020, respectively). An identical survey was completed by a comparable reference population during the second SARS-CoV-2-infection waves. All surveys included the validated EORTC-QLQ-C30/BR23, HADS and "De Jong-Gierveld Loneliness" questionnaires. Pre-COVID-19 EORTC-QLQ-C30/BR23 and HADS outcomes were available from UMBRELLA. Response rates were 69.3% (n = 1106/1595) during the first SARS-CoV-2-infection wave and 50.9% (n = 822/1614) during the second wave. A total of 696 patients responded during both SARS-CoV-2-infection waves and were included in the analysis comparing patient-reported outcomes (PROs) during the second SARS-CoV-2-infection wave to PROs during the first wave. Moreover, PROs reported by all patients during the second SARS-CoV-2-infection wave (n = 822) were compared to PROs of a similar non-cancer reference population (n = 241) and to their pre-COVID-19 PROs. RESULTS: Patient-reported QoL, physical functioning, and psychosocial well-being of patients treated or being treated for breast cancer remained stable or improved from the first to the second SARS-CoV-2-infection wave. The proportion of emotional loneliness reduced from 37.6 to 29.9% of patients. Compared to a similar non-cancer reference population, physical, emotional, and cognitive functioning, future perspectives and symptoms of dyspnea and insomnia were worse in patients treated or being treated for breast cancer during the second SARS-CoV-2-infection wave. PROs in the second wave were similar to pre-COVID-19 PROs. CONCLUSION: Although patients scored overall worse than individuals without breast cancer, QoL, physical functioning, and psychosocial well-being did not deteriorate between the first and second wave. During the second wave, PROs were similar to pre-COVID-19 values. Overall, current findings are cautiously reassuring for future mental health of patients treated or being treated for breast cancer.

Exploring the psychosocial impact of the Covid-19 pandemic on women's perinatal experiences and wellbeing: A qualitative study.

OBJECTIVE: While many studies have investigated the clinical impact of the Covid-19 pandemic on pregnant women's mental health, little attention has been paid to the exploration of women's experiences during the perinatal period from a psychosocial perspective in the Italian context. Thus, the present study aimed to explore the psychosocial changes associated with the pandemic in the perinatal context. METHODS: Twenty-one Italian women who gave birth between March and November 2020 took part in this research by participating in semi-structured interviews, exploring their childbirth experiences. Our data were analysed using a Grounded Theory approach. RESULTS: Our findings revealed the enhanced importance of social support as a protective factor against uncertainties, which strongly characterised all phases of the perinatal period during the pandemic. Such uncertainties were mainly linked to the discontinuity in intrapartum care, as well as to concerns of being infected with Covid-19 combined with other pregnancy-specific worries. The main sources of social support were represented by loved ones - most of all partners - along with health care staff and peer networks. CONCLUSIONS: Our results suggest the importance of implementing evidence-based policies and interventions to improve women's wellbeing in the perinatal period during the pandemic, as well as of guaranteeing intrapartum care continuity and the presence of social support.

The Psychosocial Impact of the COVID-19 Pandemic on Chronic Care Patients.

OBJECTIVES: The COVID-19 pandemic has had a profound and pervasive impact on psychosocial health and disrupted care systems world-wide. Our research aims to assess the psychosocial impact of the pandemic and related changes in chronic care provision on patients with chronic obstructive pulmonary disease (COPD) and heart failure. DESIGN: A qualitative survey using semi-structured interviews was held among patients with COPD and heart failure. SETTING AND PARTICIPANTS: Using randomized sampling, 23 patients with COPD, heart failure, or both were recruited to participate in semi-structured interviews. Interviews were held by phone or videocall. The survey was held during the summer of 2021, when strict national containment strategies were widely implemented but gradually loosened and vaccination was ongoing. METHODS: Inductive coding using Gioia's approach was used to analyze the data in Atlas.Ti 9.1 software. Using an iterative approach, the data were synthesized in a data structure and data table, which was analyzed using an interpretative approach. RESULTS: We found 3 aggregate dimensions in which the COVID-19 pandemic has a negative impact on psychosocial health of patients with chronic disease: (1) perceived vulnerability to disease, (2) influence of health policy, and (3) a mismatch of supply and demand of health care. In these dimensions, the impact of the COVID-19 crisis was found to have a negative impact on psychosocial well-being, compounded by national strategies to contain the pandemic and a disruption of chronic care for patients. CONCLUSIONS AND IMPLICATIONS: Health care providers should be aware of a multidimensional nature of psychosocial distress for chronic disease patients due to the COVID-19 crisis. Future practice and health policy could be improved by increasing awareness among health care providers, promote regular attention for psychosocial well-being of patients, provision of clear information related to the pandemic, and strategies to secure continuity of care. Results of this study might be further explored in larger studies.

Comparing the effects of reduced social contact on psychosocial wellbeing before and during the COVID-19 pandemic: a longitudinal survey from two Norwegian counties.

PURPOSE: To determine changes to people's social contact during COVID-19, and whether reduced social contact was associated with changes to psychosocial wellbeing. METHODS: Questionnaire data were collected from a sample of adult respondents (18 years or more) in two Norwegian counties participating pre-COVID-19 (September 2019-February 2020; n = 20,196) and at two time points during COVID-19 (June [Mid] and November/December [Late] 2020; n = 11,953 and n = 10,968, respectively). The main outcome measures were participants' self-reported changes to social contact, loneliness, psychological distress, and life satisfaction. RESULTS: The proportion of respondents reporting less social contact due to COVID-19 decreased from 62% in Mid-2020 to 55% in Late-2020. Overall, reported psychological wellbeing remained unchanged or improved from pre-COVID-19 to Mid-2020. From Mid-2020 to Late-2020, however, a reduction in psychological wellbeing was observed. Poorer psychological wellbeing was found for those with less social contact during the pandemic compared with people reporting unchanged social contact. This effect increased over time and was observed for all age groups at Late-2020. At Mid-2020, the importance of change in social contact for change in psychological wellbeing was greatest among young adults (< 30 years), while no significant differences were found for the oldest age group. CONCLUSION: The association between COVID-19-era changes to social contact and loneliness, psychological distress, and life satisfaction is complex and appears to be age-dependent. Future studies should consider the quality of social contact and cultural contexts in which social restrictions are imposed.

Developing Staff Referral Pathways to Aid in Proactive Management and Maintenance of Student Health and Wellbeing

The escalation of the COVID-19 situation throughout 2021 saw a dramatic increase in the number of ad-hoc referrals and requests submitted to the Student Health and Wellbeing (SHW) team at La Trobe University. While the SHW team was pleased to be receiving these referrals and requests, the incomplete nature of many of the requests made it incredibly difficult for them to follow up. A standardised form was developed to better enable non-clinical and all university staff to request consultations, make referrals, and effectively hand over students of concern to the SHW team for wellbeing support. Although a challenge to develop appropriately, this form has seen enormous success and has improved service delivery and capacity to an unprecedented level. Although somewhat counterintuitive, by standardising the requests and referrals process, the team were better able to deliver non-standard, individualised support for the at-risk and distressed students who required it. © 2022, Australian and New Zealand Student Services Association. All rights reserved.

Correlates of psychological distress among undergraduate women engaged in remote learning through a New York City college during the COVID-19 pandemic.

OBJECTIVE: The study's objective is to explore psychological distress (PD) among remote learners during COVID-19. PARTICIPANTS: Female undergraduates matriculated at an NYC college in Winter 2020. METHODS: Using the Kessler-6 scale, we defined PD as no/low (LPD), mild/moderate (MPD), and severe (SPD) and assessed if residing in/near NYC modified associations. RESULTS: PD was common (MPD: 34.1%, SPD: 38.9%). Students identifying as Other/Multiracial had lower MPD odds (aOR = 0.39 [0.17-0.88]). SPD was associated with identifying as White (aOR = 2.02 [1.02-3.99]), unbalanced meals (aOR = 2.59 [1.06-6.30]), violence experience (aOR = 1.77 [1.06-2.94]), no social support (aOR = 3.24 [1.37-7.64]), and loneliness (aOR = 2.52 [1.29-4.95]). Among students in/near NYC, moderate/high drug use (aOR = 2.76 [1.15-6.61]), no social support (aOR = 3.62 [1.10-1.19]), and loneliness (aOR = 2.92 [1.11-7.63]) were SPD correlates. CONCLUSIONS: PD was high and associated with food insecurity, violence experience, no social support, and loneliness. Living in/near NYC modified drug use, loneliness, and social support associations. Mental health initiatives should address modifiable risk factors to ameliorate pandemic-associated PD.

Psychosocial well-being of Flemish foster children residing in their foster homes during the COVID-19 lockdown.

The measures implemented to contain the COVID-19 pandemic profoundly affected the lives of children and families all around the world, probably affecting children's psychosocial well-being. The negative consequences of lockdowns are presumed to hit even harder on vulnerable groups such as foster children who already struggle with their psychosocial well-being in normal circumstances and who face specific challenges during lockdowns such as: additional help that is no longer available or only offered digitally and physical contact with birth parents that is forbidden. Nevertheless, some scholars point to the positive side of lockdowns (e.g.: relief due to closure of schools). This study aims to asses the psychosocial well-being of Flemish foster children residing in their foster homes during the COVID-19 lockdown and the factors that are associated with the change in their psychosocial well-being. 888 foster parents reported on the psychosocial well-being of just as many foster children through the Brief Assessment Checklist for Children and Adolescents. The COVID-19 lockdown was not associated with a decreased psychosocial well-being of Flemish foster children residing in their foster homes during the lockdown. Foster parents reported a slight improvement in their relationship with their foster child during the lockdown which points to a positive consequence of the lockdown. In addition, this improvement was positively associated with an increased psychosocial well-being during adverse circumstances and should therefore be enhanced. The type and amount of contact with birth parents is significantly associated with foster children's changed psychosocial well-being during the lockdown. Foster parents who reported an increase in alternative contact (e.g., (video)calls and messages) between their foster child and his/her birth parent(s) during the lockdown, also reported an increase in their foster child's psychosocial well-being during that period.

Psychological adaptation of recovered individuals with COVID-19: A phenomenological approach

Introduction: Healthcare services are primarily focusing on medical and physical treatment of COVID-19 while psychosocial and mental health needs are not considered a priority. Objective(s): The purpose of this study was to explore how recovered individuals with COVID-19 adapted to their psychological and social stressors during infection period. Method(s): A descriptive phenomenological approach conducted using a purposeful sample of 13 individuals recovered from COVID-19 in Jordan. Data collected using unstructured interviews. Result(s): Perception of being diagnosed with COVID-19 revealed to three major themes;positive learning (acceptance, avoiding social pressure, and normalizing), tolerating ambiguity (denial and seeking information and guidance), and resilience (caring family, professionals' support, self-grieving, optimism, positive thinking, and spirituality). Conclusion(s): The study indicates that there is a need to integrate psychosocial and mental health care services into healthcare plans provided to individuals with COVID-19.

Living in Liquid Times: The Relationships among Job Insecurity, Life Uncertainty, and Psychosocial Well-Being.

Stress research has widely documented how uncertainty represents a strong stressor that, in general, is negatively associated with well-being. While the literature on job insecurity about this topic is extensive and exhaustive, empirical research on the outcomes of life uncertainty, namely the perception and feeling of precariousness regarding the present and future of one's own life, is yet to be fully explored. In the present paper, we aimed to investigate the relationships among job insecurity, life uncertainty, and psychosocial well-being outcomes, specifically, with a focus on job satisfaction and burnout. The participants were 357 workers (M = 146 and F = 211), with an average age of 41.78 y.o. (SD = 13.49), who completed an online questionnaire containing, in addition to sociodemographics information, measures of the study variables, namely job insecurity, life uncertainty, job satisfaction, and burnout. The results pointed out negative relationships of both job insecurity and life uncertainty with individual well-being, as they were negatively associated with job satisfaction and positively related to burnout. In a path analysis with latent variables, life uncertainty proved to fully mediate the relationship between job insecurity and psychosocial well-being.