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Background: Healthcare workers (HCWs) in India are facing physical and psychological pressure. The pandemic has significant psychological impacts. Hence, we wanted to assess the mental stress and social stress among HCWs during the second wave of COVID-19. Aim and Objectives: Assessment of the mental distress among HCWs of tertiary care level institution during second wave of COVID-19 with the following objectives: (1) To know the sociodemographic characteristics of the HCWs of tertiary care center and (2) to assess the psychological stress among healthcare workers of a tertiary health center. Material(s) and Method(s): It is a cross-sectional and observational study conducted in hospital setting, in a tertiary care setting. Data were collected from 196 HCWs of the institute. Institutional ethical clearance was taken before the study. Structured questionnaire included sociodemographic variables, work-related variables, and variables to assess social stress. We used hospital anxiety and depression scoring questionnaire to assess anxiety and depression. Data were collected through personal interviews and online through Google forms after taking informed consent. Descriptive statistics and Chi-square tests are used analyzed using Statistical Package for the Social Sciences Version 21 for Statistical analysis. Result(s): A total of 196 HCWs, 121 doctors, 74 nursing staff, and one ward staff participated in the study. Nursing staff were at higher risk for anxiety and depression, that is, 29% and 25% than others. Females were slightly more anxious (29%) and depressed (17%) than males. HCWs who are Muslim by religion were at more mental distress. Media exposure of more than 3 h had increased risk of mental distress. HCWs with other frontline COVID warrior as a partner were both anxious (40%) and depressed (20%). Anxiety (35%) was more among those who's family members got COVID positive. About 25% of them faced social stigma, 55% of them faced issue of isolation with in the community, and 14% of them faced acts of violence which is unacceptable. Conclusion(s): Although its second wave HCWs are still having psychological distress which needs to be addressed. Social stress that they are facing is significant and is associated with higher anxiety and depression, which has to be taken seriously.Copyright © 2023, Mr Bhawani Singh. All rights reserved.
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This narrative review focuses on the risk of child abuse, the determinants of child maltreatment during the Covid-19 outbreak and the conceivable psycho-social impact of child abuse. Literature was retrieved from Scopus, PubMed, PsycINFO, Web of Science along with Google Scholar, and reports from various sources with no time and context restrictions. The narrative analysis of all pertinent records shows that the risk of abuse towards children has spiked during the Covid-19 outbreak, especially sexual abuse and neglect. Prolonged living inside of homes, school closures, limited contact, unemployment, domestic violence, poor access to health care, and related social stressors have impacted on the rates of child abuse during the Covid-19 outbreak. These maltreated children may experience poor interpersonal relationships, problematic coping behaviours, and depressive disorders across their life span. These findings point to context-specific outcomes and protective measures that could assist prospective researches and guide policies. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Psychosocial stress negatively impacts our mental and physical health, predisposing us to illness, worsened mental health, and accelerated aging. Conversely, regular physical activity, such as exercise and sports training, positively impacts our health. These opposing effects are intriguing because psychosocial stress and physical activity were inextricably linked throughout human evolution. Large populations of humans have only recently begun transitioning into more sedentary lifestyles, uncoupling psychosocial stress from physical activity. Improving our understanding of these two factors and their interactions will, in turn, improve our understanding of the mechanisms through which psychosocial stress impacts health in both modern and ancestral human populations.My dissertation examines whether physical activity moderates the association between psychosocial stress and capillary blood telomere length in NCAA student-athletes and their non- athlete counterparts in the general student population. My first paper develops an in-depth comparison of psychosocial stress in these two groups using a suite of psychosocial stress surveys and an adapted cognitive interview protocol. Student-athletes (N=65) reported lower levels of current perceived stress and anxiety symptoms (p<0.05) but similar levels of childhood psychosocial stress, recent exposure to external stressors, and depressive symptoms compared to non-athletes (N=57). My second paper utilized self-report and objective measures of physical activity (i.e., accelerometry) to compare physical activity patterns in these groups. Student- athletes (N=60) both self-reported higher levels of physical activity and recorded higher levels of activity via accelerometry (p>0.001) compared to non-athletes (N=50). Interestingly, categorical measures of activity levels (i.e., time spent in moderate-to-vigorous physical activity) identified Rowers as the most active among student-athletes, but continuous measures of activity levels (e.g., total physical activity level) identified Track and Field athletes as the most active (p>0.05 for both comparisons).My third and final paper tested whether higher physical activity weakened the association between childhood psychosocial stress and telomere length estimated from capillary blood collected on Hemaspot HF devices (N=111). Telomeres are DNA sequences that protect the ends of chromosomes. They shorten with cell replication, age, and oxidative stress, leading to functional decline with age and worsened health outcomes. Importantly, psychosocial stress is thought to accelerate TL shortening. My a priori analyses did not support a direct association between psychosocial stress, physical activity, or the interaction of these variables and telomere length. However, a post hoc analysis found that individuals who recorded higher total physical activity demonstrated a positive association between childhood psychosocial stress and telomere length (i.e., higher childhood stress predicted longer telomeres) while individuals who recorded lower total physical activity had a negative association (i.e., higher childhood psychosocial stress predicted shorter telomeres).My results do not offer explicit support for the hypothesis that physical activity moderates the effects of psychosocial stress on telomere length. However, my project adds to the literature in at least several ways. It produced a novel and much-needed comparison of psychosocial stress between NCAA student-athletes and non-athletes. It illustrated and validated several data collection techniques for psychosocial stress and physical activity. Further, my telomere findings offer an exciting direction for the future exploration of psychosocial stress- physical activity interactions. Lastly, this work improves our overall understanding of NCAA student-athletes' mental and physical health and how their unique circumstances intersect with the ongoing effects of the COVID-19 pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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COVID-19 challenged the current paradigms of traumatic stress. Although there are diagnostic taxonomies of mental disorders such as Diagnostic and Statistical Manual of Mental Disorders and International Statistical Classification of Diseases and Related Health Problems, the taxonomy of stressors and traumas that contribute significantly to such disorders is lacking. The current article tried to fill parts of this gap by proposing an update and refinement of the development-based taxonomy of stressors and traumas from a life-course perspective. We discussed the different trends in defining trauma and their limitations considering the recent empirical data that provided evidence for the limited predictive validity of the current posttraumatic stress disorder model and when confronting serious real-life events such as the COVID-19 pandemic. The updated taxonomy presented in this paper included preidentity (complicated birth, attachment disruptions, early childhood adversities), identity traumas (physical, personal, and social), interdependence (primary, secondary, and tertiary), and aging stressors and traumas, with the severity of stressors, is categorized on a scale from I to III. We identified 4 primary sources and pathways of these development-based stressors: intrapersonal, interpersonal, systemic, and environmental. The systemic sources are further divided into systemic "A," including traumas perpetrated by groups, institutions, or governments, and systemic "B," traumas such as recessions and global warming. The environmental sources and pathways are further divided into environmental "A" (physical), traumas such as earthquakes and hurricanes, and environmental "B" (biological/pathogenic), traumas such as pandemics. The macrodynamics of accumulation and proliferation and the interaction among preidentity, identity, and postidentity stressors and traumas determine their total mental health impact from a life-course perspective. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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The COVID-19 pandemic and associated social distancing and lockdowns has caused unprecedented changes to social life. We consider the possible implications of these changes for mental health. Drawing from research on social ostracism emphasizing the importance of social connection for mental well-being, there is reason for concern regarding the mental health effects of the crisis. However, there are also reasons for optimism;people can be surprisingly resilient to stressful situations, the impact of ostracism tends to depend on social norms (which are rapidly changing), and mental health depends primarily on having at least one or two close social connections. Given the scale and unprecedented nature of the social disruption that occurred, we see strong reason for concern, but not despair. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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The COVID-19 pandemic has disproportionately impacted U.S. communities of color, such as the Latino/x population. The pandemic coincides with other major contemporary structural factors affecting Latinxs, including the effects of U.S. immigration policies and President Trump's xenophobic rhetoric and priorities. Yet, the independent and simultaneous implications of the larger sociopolitical climate and specific COVID-19 concerns for Latinx mental health remain less clear. The present study uses an intersectional and social determinants of health framework to examine these relationships. Multivariable regression models were estimated with three waves of population-based panel data from the Pew American Trends Study (collected between 2019 and 2020) with Latinx adults (n = 1,132). We simultaneously examined how worries regarding deportation, respondents' citizenship and legal status, perceptions regarding the Trump Administration, anti-Hispanic discrimination, and pandemic-related concerns predicted variation in Latinx self-reported psychological distress, after adjusting for other important covariates. We also conducted analyses separately by gender. The results indicated that worrying about a family member or a friend being deported, perceiving higher anti-Hispanic discrimination, and viewing coronavirus as a threat to respondents' personal health and finances were significantly associated with higher levels of psychological distress. Stratified analyses revealed that gender filters the ways that some of these stressors affect the mental health of Latinas, such as perceived threats about deportation, compared to Latinos. Taken together, this work demonstrates the diverse social determinants shaping Latinx mental health in intersectional ways early in the pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Spanish) La pandemia de COVID-19 ha afectado de manera desproporcionada en EE. UU. a las comunidades de color, tales como la poblacion latina. La pandemia coincide con otros importantes factores estructurales contemporaneos que afectan a los latinos, incluidos los efectos de las politicas de inmigracion de EE. UU. y las prioridades y la retorica xenofoba del expresidente Trump. Sin embargo, siguen siendo menos claras las consecuencias independientes y simultaneas del clima sociopolitico mas amplio y las inquietudes especificas a la COVID-19 respecto a la salud mental de los latinos. El presente estudio utiliza los determinantes sociales transversales del marco de salud para examinar estas relaciones. Se estimaron los modelos de regresion entre variables multiples con datos basados en tres olas poblacionales del estudio Pew American Trends Study (reunidos entre 2019 y 2020) con adultos latinos (n = 1,132). De manera simultanea, se examino la manera en que las preocupaciones respecto a la deportacion, el estado legal y de ciudadania de los encuestados, las percepciones relacionadas con el gobierno de Trump, las discriminacion contra los hispanos y las inquietudes relacionadas con la pandemia predijeron una variacion en como los latinos informaron sobre su angustia psicologica, despues de adaptarse a otras covariables. Tambien se realizaron por separado los analisis segun el genero. Los resultados indicaron que preocuparse por un familiar o amigo que fuera deportado, percibir una mayor discriminacion contra los hispanos y ver al coronavirus como una amenaza a la salud y la economia personal de los encuestados estaban relacionados de manera significativa a niveles mas elevados de angustia psicologica. Los analisis estratificados revelaron que el genero filtra las maneras en que algunos de estos factores estresantes, tales como la percepcion de amenazas de deportacion, afectan la salud mental de las mujeres latinas, en comparacion con la de los hombres latinos. En su conjunto, este trabajo demuestra las variadas determinantes sociales de la salud que dieron forma a la salud mental de los latinos de maneras trasversales a principios de la pandemia. (PsycInfo Database Record (c) 2023 APA, all rights reserved) Impact Statement This study finds that worries about deportation, perceptions of anti-Hispanic discrimination, and having higher levels of COVID-19-related financial and health concerns were significantly associated with increased psychological distress among Latinxs in Spring 2020, net of other covariates. Gender-stratified analyses reveal that worries about deportation, legal and citizenship status, and pandemic-related effects on personal lives and health increased distress among Latinas but not Latinos. This highlights the array of gendered impacts and social determinants of health affecting Latinx psychological well-being during the pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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As a highly social species, inclusion in social networks and the presence of strong social bonds are critical to our health and well-being. Indeed, impaired social functioning is a component of numerous neuropsychiatric disorders including depression, anxiety, and substance use disorder. During the current COVID-19 pandemic, our social networks are at risk of fracture and many are vulnerable to the negative consequences of social isolation. Importantly, infection itself leads to changes in social behavior as a component of "sickness behavior." Furthermore, as in the case of COVID-19, males and females often differ in their immunological response to infection, and, therefore, in their susceptibility to negative outcomes. In this review, we discuss the many ways in which infection changes social behavior-sometimes to the benefit of the host, and in some instances for the sake of the pathogen-in species ranging from eusocial insects to humans. We also explore the neuroimmune mechanisms by which these changes in social behavior occur. Finally, we touch upon the ways in which the social environment (group living, social isolation, etc.) shapes the immune system and its ability to respond to challenge. Throughout we emphasize how males and females differ in their response to immune activation, both behaviorally and physiologically.
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According to the social stress process model, global crises are macro-level stressors that generate physiological stress and psychological distress. However, existing research has not identified immigrants' COVID-19 containment policy stressors or examined the social stress of sending remittances amid crises. Drawing on in-depth longitudinal interviews with 46 Venezuelan immigrants-half before and half during the pandemic-in Chile and Argentina, we identified the COVID-19 containment policies' stressors. We focused on Venezuelan immigrants because they constitute one of the largest internationally displaced populations, with most migrating within South America. We found that the governmental COVID-19 containment measures in both countries generated four stressors: employment loss, income loss, devaluation of employment status, and inability to send needed remittances. Moreover, sending remittances helped some migrants cope with concerns about loved ones in Venezuela. However, sending remittances became a social stressor when immigrants struggled to simultaneously sustain their livelihoods and send financial support to relatives experiencing hardships in Venezuela. For some immigrants, these adversities generated other stressors (e.g., housing instability) and symptoms of anxiety and depression. Broadly, for immigrants, the stressors of global crises transcend international borders and generate high stress, which strains their psychological well-being.
Subject(s)
COVID-19 , Transients and Migrants , Humans , Pandemics , Population Dynamics , Emigration and Immigration , Argentina , Chile , Venezuela , Developing Countries , Housing , Policy , EconomicsABSTRACT
The COVID-19 pandemic had significant impacts on adolescents' mental health and social interactions; however, little is known about cyber-victimization and mental health concerns from before to during the pandemic. The current study addressed this gap, while also examining how social media use and disagreements with friends during the pandemic were associated with cyber-victimization and mental health outcomes. Participants included 272 youth in the U.S. (56% female; 32% White), surveyed in fall 2019 (Mage = 11.75, SD = 0.68) and spring 2021 (Mage = 13.11, SD = 0.75). Adolescents reported increases in mental health symptoms and decreases in cyber-victimization. Experiencing more cyber-victimization before the pandemic was associated with significant increases in anxiety, depression, and social stress. The results suggest bolstering violence prevention programming in schools to reduce the likelihood of cyber-victimization and associated mental health outcomes.
Subject(s)
Bullying , COVID-19 , Crime Victims , Cyberbullying , Adolescent , Humans , Female , Child , Male , Cyberbullying/psychology , Mental Health , Pandemics , Crime Victims/psychology , Students/psychologyABSTRACT
Marginalized ethnic groups commonly experience discrimination, and these experiences are increasingly linked to adverse health outcomes. Research indicates that the psychosocial stress of discrimination is negatively associated with cardiovascular health. We report a study of the role of U.S. acculturation in this link via an examination of the relation of discrimination with cardiovascular responses to a psychosocial evaluative stressor in a sample of Latino, East Asian, and European American young adults and explored the role of U.S. acculturation and ethnicity in that association. Participants (n = 158, Mage = 20.49, 58% Females, 53.8% Latinos, 14.6% European Americans, 12.7% East Asians) from a larger study on stress reactivity self-reported on experiences of discrimination, U.S. acculturation (rating scale, nativity) and ethnicity. We obtained measures of heart rate variability (HRV), as indexed by root mean-squared successive differences (RMSSD) and high-frequency HRV (HFHRV). Relevant to this study, participants engaged in a 3-minute standing baseline, and then took part in the 5-minute speech task of the Trier Social Stress Test (TSST). Results indicated that discrimination, parental nativity, and quadratic time interacted to influence the RMSSD trajectory during the TSST. Specifically, those reporting higher levels of discrimination and had at least one U.S. born parent exhibited a decrease in RMSSD (? = 0.18, RSE = 0.08, z = 2.30, p = .021, 95%CI [0.03, 0.33]). We also found that during the TSST, East Asians surprisingly exhibited significantly lower HFHRV, as compared with European Americans (? = -233.78, RSE = 86.93, z = -2.69, p = 0.007, 95%CI [-404.17, -63.40]), while Latinos were not significantly different from European Americans in HFHRV (? = -15.00, RSE = 92.99, z = -0.16, p = .872, 95%CI [-197.26, 167.26]). Furthermore, higher discrimination was associated with lower HFHRV (? = -12.68, RSE = 4.20, z = -3.02, p = 0.003, 95%CI [-20.92, -4.45]). Taken together, these findings suggest that perceiving higher levels of discrimination can play a role in the ability to physiologically regulate during stress, and that U.S. acculturation may also contribute. It also suggests the importance of considering ethnicity, as the cardiovascular health of those of various marginalized ethnic groups may be differentially affected. Paper Session 34 - Current state of the art of COVID-19 research Saturday 15:45-16:45.
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BACKGROUND: Previous research shows that providing social support in socioevaluative stress situations reduces participants' stress responses. This stress-buffer effect, however, does not hold for everybody, and some studies even found a stress-amplifying effect of social support. Motive disposition research suggests that social motives (affiliation and power) lead to differential and sometimes even opposing affective and physiological responses to interpersonal interaction processes. We here integrate both lines of research and hypothesize that participants with strong affiliation motives benefit, while participants with strong power motives do not benefit from social support in terms of psychobiological responses to a given stressor. Further, participants with strong affiliation and power motives are expected to respond to social support with the arousal of motive-specific affects and reproductive hormone responses (affiliation: progesterone; power: estradiol and testosterone). In addition, we test sex differences in the response to social support and in the strengths of social motives. OBJECTIVE: The main objective of this study is to test whether social motives and participants' sex moderate the effects of social support in stressful situations. METHODS: We aim to collect data from 308 participants recruited at our local university. Participants' social motives are assessed using a standardized measure in motive research (Picture Story Exercise). Then, the Trier Social Stress Test for Groups (TSST-G) is used to experimentally induce psychosocial stress. One group of participants receives social support from an associate of the experimenter, while the control group does not receive social support. Stress responses will be assessed by a modified version of the state anxiety scale of the State-Trait Anxiety Inventory and by physiological indicators of stress (cortisol and α-amylase from saliva samples) at 7 measurement points. Reproductive hormones will be analyzed in 4 of these 7 saliva samples. Heart rate and heart rate variability will be assessed continuously. We will additionally measure participants' performance in an interview (part of the TSST-G) using a self-developed categorization system. RESULTS: The Ethics Committee of the University of Constance approved the application to conduct the study on December 18, 2018. Furthermore, the study was retrospectively registered in the German Clinical Trials Register (DKRS; ID: DRKS00028503) on March 09, 2022. The start of the experiment was planned for the beginning of 2019, but was postponed to June 2021 due to COVID-19. Publication of the first results is planned for spring 2023. CONCLUSIONS: Our theory-driven integration of social motives in social support research and the precise analysis of sex differences might disentangle inconsistent findings in TSST research. The more faceted view on individual differences has direct implications for applied contexts as it provides a framework for tailored conceptualizations of social support programs. TRIAL REGISTRATION: German Clinical Trials Register DRKS00028503; https://tinyurl.com/5a87x4da. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/39509.
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Over the past two years, healthcare workers have been daily saving patients diagnosed with COVID-19 in life-threatening conditions. These circumstances contribute to an increase in the psychopathological disorders in this social group. However, today there is no validated questionnaire that allows to quickly and effectively identify the group of healthcare workers with high levels of stress and anxiety during the pandemic in Russia. Objective: to validate the Russian version of Stress and Anxiety to Viral Epidemic scale (SAVE-9). Patients and methods. The study was a cross-sectional online survey of 1090 frontline healthcare workers. Stress and anxiety symptoms were assessed using SAVE-9 and General Anxiety Disorder-7 (GAD-7) scales, respectively. Factor analysis with varimax rotation was performed to determine the internal structure of SAVE-9 scale. ROC-analysis was used to identify the validity of the SAVE-9 compared with GAD-7 and its cut-off score. Results and discussion. The principal component analysis showed a two-factor structure of SAVE-9. Factor 1 was associated with anxiety and somatic symptoms, factor 2 - with social stress. Cronbach's alpha=0,787. The total score of SAVE-9 with a high degree of confidence predicted the GAD-7 value in ROC-analysis. The area under the curve (AUC) was 0.808;95% confidence interval 0.768-0.847 (p=0.0001), which corresponded to the model's good quality. The appropriate cut-off score was determined as 18. Conclusion. We demonstrated the validity of the new SAVE-9 scale, which can be used as a specific screening method to detect high levels of anxiety and stress in healthcare workers during a viral outbreak.
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Covid-19 pandemic has been an unprecedented crisis seen by the humanity in the last two years with a magnitude no less than the two world wars. Globally, more than 260 million cases have been reported and more than 5 million deaths have been attributed to Covid-19 till the end of November 2021. Despite introduction of the vaccine nearly a year ago, though there has been a big hope of controlling the pandemic, there have been repeated rises in infections due to the mutations in virus, like the coming of Delta, Delta plus and Omicron variants, which are increasingly infectious. There have already been two waves of the pandemic with the second wave being very lethal in India. The pandemic had both direct as well as indirect effects on mental health of the population across allover the world. Many countries had to resort to lockdowns to control the spread of infection, which had serious economic consequences, adding to the mental and social distress. Other infection control measures like quarantine and social isolation, and inability of the persons with existing mental illnesses to access treatment further added to the problem. Introduction of vaccine brought some hope, but it has been a great challenge to cover such a huge population with vaccine alongwith dealing with vaccine hesitancy. This symposium being proposed by the World Association of Social Psychiatry. The symposium will assess the current situation with focus on psychosocial aspects, social psychiatry approach used to deal with the mental health issues, challenges ahead and the lessons learnt to deal with any future challenges of similar nature.
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This reprinted chapter originally appeared in Journal of Gerontological Social Work, 2020, 63[6-7], 702-705. (The following of the original article appeared in record 2021-00510-030.) In this letter, we present a case for why and how social workers who work with older adults should assess and respond to human-pet interaction;while important on a routine basis, given the current pandemic situation and subsequent increases in isolation experienced by older adults, it is especially crucial to be responsive to their relationships with pets as potential strengths, stressors or both. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
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The COVID-19 pandemic has created a variety of challenges and stressors including disease related stressors (e.g., personal exposure to COVID-19, hospitalization or loss of a loved one due to COVID-19) and other secondary stressors (e.g., social isolation, loss of jobs, significant changes in daily activities) that have arisen from pandemic control measures. Research suggests that exposure to some of these stressors may trigger posttraumatic stress (PTS)-like symptoms;however, we have limited knowledge on cumulative effects of these stressors on COVID-19- related PTS symptoms or on variables that may mitigate the effects of these stressors. In the present study, we tested three models to examine the interrelationships among pandemic-related stressors (i.e., COVID-19-related stressors and secondary stressors), perceived social support, coping flexibility, and COVID-19-related PTS symptoms in a sample of adults from the United States. A cross-sectional correlational study design was used and participants were recruited through email invitations, social networking sites, online communities, and websites (final N= 2,291). All participants completed an online survey between May 22nd, 2020 and July 15th, 2020. Results indicated that greater exposure to secondary stressors, but not COVID-19-related stressors, was associated with increased PTS. After controlling for COVID-19-related and secondary stressors, social support had negative direct and indirect (via coping flexibility) effects on PTS. In addition, social support mediated the effects of COVID-19-related and secondary stressors on PTS. Our findings highlight the complexity of the role of social support in relation to pandemic-related stressors and PTS, and suggest that early interventions that target social support and coping flexibility may help reduce pandemic-related PTS. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
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The link between large-scale disasters and population-level risk of suicide remains unclear. The present study sought to investigate suicidal ideation (SI) in relation to COVID-19 related stress, including material and social stress, in a predominantly low-SES ethno-racially diverse sample in New York City during a peak in COVID-19 cases in April 2020. Using binary logistic regressions of data collected with self-report surveys, we found that individuals who identified as Asian, as well as those with high total, material, and social stress levels, and persons without access to primary care providers had significantly higher adjusted odds of SI. These results indicate the specific burden faced by Asian participants due to increases in targeted racism, the importance of cumulative stress and specific stressor type, as well as the role of healthcare access on SI during the pandemic. Such findings suggest the need for specific interventions that target individuals who may be at higher risk of suicide after large-scale traumatic events and during the ongoing pandemic.
Subject(s)
COVID-19 , Suicide , Humans , Risk Factors , Stress, Psychological/epidemiology , Suicidal IdeationABSTRACT
INTRODUCTION: Increased alcohol use coinciding with onset of the COVID-19 pandemic, particularly among women, has been documented among U.S. adults. This study examines trajectories of alcohol use and alcohol problems over a 9-month period during the pandemic, the extent to which these trajectories are predicted by social stress and drinking motives, and whether results differ for women and men. METHODS: Data come from three online surveys of a nationally representative sample of U.S. adults ages 30-80 conducted in May-July 2020, October-November 2020, and March 2021. The analytic sample consists of N = 1118 who initially reported any past year alcohol use. The early-COVID survey assessed demographics, social stressors, and drinking motives. All three surveys assessed average drinks per day in past month and drinking-related problems. RESULTS: Alcohol use declined for men, but remained stable for women. Alcohol problems increased for both sexes, especially for men. Level of alcohol use was associated with loneliness and social demands for men, and drinking motives for both sexes, with changes in use related to loneliness and social demands for men. Level of alcohol problems was associated with loneliness for women and drinking motives for both sexes, with changes in problems related to drinking motives for women. Interactions of social stress with drinking motives were not found. CONCLUSIONS: Sex differences in alcohol use and alcohol problems during the pandemic-as well as their associations with indicators of social stress and drinking motives-highlight the importance of tailoring prevention and treatment efforts for men and women.
Subject(s)
COVID-19 , Pandemics , Adaptation, Psychological , Adult , Aged , Aged, 80 and over , Alcohol Drinking/epidemiology , Female , Humans , Male , Middle Aged , Motivation , SARS-CoV-2ABSTRACT
INTRODUCTION: Irritable bowel syndrome (IBS) is a functional disorder with high prevalenceimpacting on patient’s quality of life. IBS is considered a multifactorial entity, in whichsocioemotional factors and social stress might play a central role in the generation andworsening of symptoms. The mandatory lockdown in response to SARS CoV-2 pandemic,represents a unique scenario of reduced social interaction and complexity, potentially impactingthe IBS-patients’ symptoms evolution. OBJECTIVE: To evaluate the impact of the mandatorylockdown due to the SARS CoV-2 pandemic on the brain-gut axis symptomatology inIBS patients. MATERIAL AND METHODS: All IBS-diarrhea and mixed bowel habits patternsubtype patients, from an existing Rome IV-defined cohort database, were invited to participate(n = 129, mean age 54 [+/-16], 78% female). Patients were assessed via an onlinesurvey or phone interview. The survey included Irritable Bowel Syndrome Severity Scale(IBS-SS), Likert scale, as well as measures of Bristol scale, anxiety and depression andsomatization. Further, patients were asked about comorbidities (pyrosis and/or regurgitation,dyspepsia, chronic fatigue, fibromyalgia, non-migraine headache, weight and eating habits).Most of this data was compared with pre-pandemic existing data. RESULTS: During lockdown,there was a significant decrease in severe IBS patients’ proportion (50.39 % vs 30%, p=0.000) compared to the pre pandemic state. Before pandemic, this cohort of patientshad a mean IBS-SS of 278.54 (+/- 88.64) compared to 212.36 (+/-117.50) during lockdown(difference -65.9 [95% CI: -89.4 to – 42.4];p = 0.000). Likewise, there was a decrease ofone average point on the Likert Scale on global IBS symptoms, pain, and distension, as wellas an improvement in stool consistency (2-point average decrease on Bristol Scale). Similarly,anxiety and somatization scores were improved and there was a significant decrease infibromyalgia and chronic fatigue symptoms during lockdown (in comparison with prepandemictimes). Conversely, headache and pyrosis and/or regurgitation symptoms increasedsignificantly. These effects remained when adjusted for confounders (age, sex, anxiety, anddepression), evidencing that the mandatory lockdown represented an independent protectivefactor for severe IBS-symptoms (OR 0.39, 95% CI 0.18-0.87;p=0.02). CONCLUSION: Incomparison with a pre-pandemic period, there was a significant improvement in IBS-severitysymptoms, anxiety and somatization during the SARS CoV-2 pandemic and mandatorylockdown. Lesser exposure to external stress burden during lockdown could have beeninvolved in a better control of affecting gut-brain axis factors.(Table Presented)(Image Presented)